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HomeMy WebLinkAbout2023-455-E-DEAPR- Fun2Ref-Referee ServicesRevised 04/23 1 [Departmental Use Only] TITLE Referee Services FY 2023-2024 NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter “Agreement”), made and entered into this 21st day of July, 2023, (“Effective Date”) by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and Fun2Ref, LLC, (hereinafter, the "Provider"). WITNESSETH: That the County and Provider, for the consideration herein named, do hereby agree as follows: 1. Services a. Scope of Work. i) This Agreement is for services to be rendered by Provider to County with respect to (insert type of project): Referee services including hiring, training, scheduling, evaluating, and supervising for Adult Basketball, Youth Basketball, Flag Football, Youth Soccer, and Youth Volleyball Leagues. ii) By executing this Agreement, the Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner. iii) Time is of the essence with respect to this Agreement. iv) The services to be performed under this Agreement consist of Basic Services, as described and designated in Section 3 hereof. Compensation to the Provider for Basic Services under this Agreement shall be as set forth herein. 2. Responsibilities of the Provider a. Services to be provided. The Provider shall provide the County with all services required in Section 3 to satisfactorily complete the Project within the time limitations set forth herein and in accordance with the highest professional standards. b. Standard of Care. i) The Provider shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Provider practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Revised 04/23 2 performance of these services. Provider is solely responsible for the professional quality, accuracy and timely completion and submission of all work related to the Basic Services. ii) Provider shall be responsible for all errors or omissions of its agents, contractors, employees, or assigns in the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the County. iii) The Provider shall not, except as otherwise provided for in this Agreement, subcontract the performance of any work under this Agreement without prior written permission of the County. No permission for subcontracting shall create, between the County and the subcontractor, any contract or any other relationship. iv) Provider is an independent contractor of County. Any and all employees of the Provider engaged by the Provider in the performance of any work or services required of the Provider under this Agreement, shall be considered employees or agents of the Provider only and not of the County, and any and all claims that may or might arise under any workers compensation or other law or contract on behalf of said employees while so engaged shall be the sole obligation and res ponsibility of the Provider. v) If activities related to the performance of this Agreement require specific licenses, certifications, or related credentials Provider represents that it or its employees, agents and subcontractors engaged in such activities possess such licenses, certifications, or credentials and that such licenses certifications, or credentials are current, active, and not in a state of suspension or revocation. vi) Should any documents, exhibits, or addenda be attached to this Agreement, the terms of this Agreement shall have priority in any conflict with or among the terms of such referenced documents, exhibits. vii) Should this Agreement involve project designs, the construction or creation of which is to be bid out or fulfilled by other contractors, and bidding or negotiation with contractors produce prices which, when added to the other elements of the approved total project cost, produce a cost that is in excess of the approved total project cost, the Provider shall participate with the County in negotiation and design adjustments to the extent such are necessary to obtain prices within the approved total project cost. All activity of the Provider with respect to these matters shall constitute Basic Services and shall be performed by the Provider without additional compensation. If negotiation and design adjustments fail to bring costs within the total project cost the County may reject all bids and Provider will redesign or reduce portions of the project in an effort to reduce the bid prices to within the total project cost and rebid the project. One such redesign is included within Basic Services. If this second letting for bids does not produce bids that are within the approved total project cost initially or after negotiations with the contractor the cost is not reduced to an amount within the total project cost, the Provider is not obligated to engage in further redesign. DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Revised 04/23 3 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): Provide referee services for youth and adult athletic leagues, including hiring, training, scheduling, evaluating, and supervising of qualified officials. 4. Duration of Services a. Term. The term of this Agreement shall be from July 21, 2023 to June 30, 2024. b. Scheduling of Services. i) The Provider shall schedule and perform its activities in a timely manner. ii) Should the County determine that the Provider is behind schedule, it may require the Provider to expedite and accelerate its efforts, including providing additional resources and working overtime, as necessary, to perform its services in accordance with the approved project schedule at no additional cost to the County. iii) The Commencement Date for the Provider's Basic Services shall be July 21, 2023. 5. Compensation a. Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services satisfactorily (as determined by the County) performed pursuant to this Agreement. The maximum amount payable for Basic Services shall not exceed forty thousand, one hundred thirty Dollars ($40,130). Payment for satisfactorily performed Basic Services shall become due and payable within thirty (30) days of Provider properly invoicing County. Payment shall be subject to provisions of Section 5(b). b. Disputes. In the event the amount stated on an invoice is disputed by the County, the County may withhold payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. Should Provider fail to perform its duties under the terms of this Agreement, County may, without fault or penalty, withhold any payment associated with the work to be performed until such time as said work is completed. c. Additional Services. County shall not be responsible for costs related to any services in addition to the Basic Services performed by Provider unless County requests such additional services in writing and such additional services are evidenced by a written amendment to this Agreement. 6. Responsibilities of the County a. Cooperation and Coordination. The County has designated (Garrett Lowery) to act as the County's representative with respect to the Project who shall have the authority to render decisions within guidelines established by the County Manager or the County DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Revised 04/23 4 Board of Commissioners and who shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 7. Insurance a. General Requirements. Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers’ Compensation Insurance, and any additional insurance as may be required by County’s Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php). If County’s Risk Manager determines additional insurance coverage is required such additional insurance shall consist of n/a (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. 8. Indemnity a. Indemnity. To the extent authorized by North Carolina law the Provider agrees, without limitation, to defend, indemnify and hold harmless the County from all loss, liability, claims or expense, including attorney's fees, arising out of or related to the Project and arising from property damage or bodily injury including death to any person or persons caused in whole or in part by the negligence or misconduct of the Provider except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this provision to require the Provider to indemnify the County to the fullest extent permitted under North Carolina law. 9. Amendments to the Agreement a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional compensation or a change in duration of this Agreement shall be made by a written Amendment to this Agreement executed by the County and the Provider. The Provider shall proceed to perform the Services required by the Amendment only after receiving a fully executed Amendment from the County. 10. Termination a. Termination for Convenience of the County. This Agreement may be terminated without cause by the County and for its convenience upon seven (7) days’ prior written notice to the Provider. b. Other Termination. The Provider may terminate this Agreement based upon the County's material breach of this Agreement; provided, the County has not taken all reasonable actions to remedy the breach. The Provider shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. Either party may terminate this Agreement upon notice to the other party that obligations pursuant to this Agreement are made impractical due to declarations of emergency by Orange County or by North Carolina due to events directly impacting Orange County. Both parties shall DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Revised 04/23 5 remain responsible for all payment and performance due up to the receipt of such notice, but shall have no further obligation or responsibility beyond that date provided the terminating party has taken all reasonable steps to complete the performance of its obligations. c. Compensation After Termination. i) In the event of termination, the Provider shall be paid that portion of the fees and expenses that it has earned to the date of termination, less any costs or expenses incurred or anticipated to be incurred by the County due to errors or omissions of the Provider. Upon request of the County, the Provider shall submit to County all relevant documentation, including but not limited to, job cost records, to support its claims for final compensation. ii) Should this Agreement be terminated, the Provider shall deliver to the County within seven (7) days, at no additional cost, all deliverables including any electronic data or files relating to the Project. d. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. e. Suspension. County may suspend the Basic Services and this Agreement at any time for County’s convenience and without penalty to County upon three (3) days’ notice to Provider. Upon any suspension by County, Provider shall discontinue work on the Basic Services and shall not resume the Basic Services until notified to proceed by County. 11. Additional Provisions a. Limitation and Assignment. The County and the Provider each bind themselves, their successors, assigns and legal representatives to the terms of this Agreement. Neither the County nor the Provider shall assign or transfer its interest in this Agreement without the written consent of the other. b. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. c. Non-Discrimination. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Revised 04/23 6 and federal non-discrimination laws, policies, rules, and regulations and the Orange County Non-Discrimination Policy and Orange County Living Wage Policy (each policy is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php.) Any violation of the Orange County Non-Discrimination Policy is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. d. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. e. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. f. Severability. If any provision of this Agreement is held as a matter of law to be unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties. g. Ownership of Work Product. Should Provider’s performance of this Agreement generate documents, items or things that are specific to this Project such documents, items or things shall become the property of the County and may be used on any other project without additional compensation to the Provider. The use of the documents, items or things by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. h. Non-Appropriation. Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable or not appropriated for the performance of County’s obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability or non-appropriation of public funds. It is expressly agreed that County shall not activate this non-appropriation provision for its convenience or to circumvent the requirements of this Agreement. In the event of a change in the County’s statutory authority, mandate or mandated functions, by state or federal legislative or regulatory action, which adversely affects County’s authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to County upon written notice to Provider DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Revised 04/23 7 of such limitation or change in County’s legal authority. i. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the consent of the Parties to utilize electronic signatures and the intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. j. Notices. Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested to the following: Orange County Provider’s Name Attention:Garrett Lowery Arlene Lynn Dunbar P.O. Box 8181 3368 Hickory Cove Lane Hillsborough, NC 27278 Moneta, VA 24121 [SIGNATURE PAGE TO FOLLOW] DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Revised 04/23 8 IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have hereunder set their hands and seal, all as of the day and year first above written. ORANGE COUNTY: PROVIDER: By: _________________________________ Bonnie Hammersley By: __________________________________ Arlene Lynn Dunbar Printed Name and Title DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 CEO and President Revised 04/23 9 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Fun2Ref, LLC Vendor Contact Person: Arlene Lynn Dunbar Phone: (919) 477-3533 Address: 3368 Hickory Cove Lane City Moneta State: VA Zip: 24121 Department: DEAPR-Recreation Amount: $40,130 Purpose: Referee Services Budget Code(s): 10511020 630000 Vendor # 59066 Vendor Status with NCSOS: Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 7/21/2023 End Date 6/30/2024 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: ); Made or Administered by Signature Authority - BOCC Express Delegation (Agenda Date: ) - Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 - Budget Policy Section XV (Capital Improvement Project: ) Bidding Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# ) Department Affirmation This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prio r to execution of the agreement. Services related to this agreement have already begun or been completed. Description of the nature of the emergency condition that was addressed: Department Director’s Signature ________________________________________ Date: ________ Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Inapplicable because no hardware/software purchases or related services Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Received for record retention: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 7/24/2023 8/24/2023 8/25/2023 8/25/2023 Revised 04/23 10 DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Fun2Ref LLC Dan Dunbar 3368 Hickory Cove Ln Moneta, VA 24121 919-475-3851 dan.dunbar.fun2ref@gmail.com January 26, 2023 Included is a proposal from Fun2Ref LLC for becoming the Booking Agent for the OCDEAPR. The new costs will be effective beginning on July 1st, 2023. Please feel free to give me a call or send me an email if you have any questions. The undersigned has the authority to submit this proposal on behalf of Fun2Ref LLC to the OCDEAPR for providing services as a Booking Agent for Athletic Officials. I, Dan Dunbar, also affirm that I have not engaged in collusion with any Town employees, other persons, corporations, or firms relating to this bid, proposal, or quotation. I understand collusive bidding is a violation of state and federal law and can result in fines, prison sentences, and civil damage awards. Sincerely, Dan Dunbar DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Contractor Information: Name of organization: FUN2REF LLC Main contact: Dan Dunbar 3368 Hickory Cove Ln Moneta, VA 24121 Phone number(s): 919-475-3851 (C) Email: dan.dunbar.fun2ref@gmail.com Number of years in operation: 20 years – Started in 2003 Roster number 278 – Independent Contractors Insurance: Fun2Ref LLC certifies that we have General Liability Insurance with Nationwide Insurance and Workers Compensation Insurance with AmTrust North America through Waxhaw Insurance Agency References: (All current) Professional Reference #1: Name, position, company, phone # Kirk Matthews Athletics Program Supervisor Town of Cary Parks, Recreation & Cultural Resources 919-469-4363 Professional Reference #2: Name, position, company, phone # Billy Aubut – Recreation Superintendent City of Raleigh Parks, Recreation and Cultural Resources 919-996-6677 Professional Reference #3: Name, position, company, phone # Adam Hairr - Athletic Program Administrator Town of Fuquay Varina 919-753-1033 Thank you for the opportunity to provide this proposal to the OCDEAPR. Below are the cost, cost information, training, communication, information and questions for your consideration. If you have any questions please feel free to give me a call or send me an email. Sincerely, Dan Dunbar DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Cost: Double Header rate per game Basketball Cost per game – Running Clock U8 – One Official U8 – Two Officials $50 per game $70 per game U10 – One Official U10 – Two Officials $50 per game $70 per game U12 – Two Officials $70 per game U14 – Two Officials $80 per game U16 – Two Officials $80 per game U18 – Two Officials $80 per game Adults – Two Officials Adults – Three Officials $80 per game $130 per game Football U8 – Two Officials $90 per game U11 – Two Officials $100 per game Soccer U8 – One Official $50 per game U10 – One Official $60 per game U12 – One Official $60 per game U15 – One Official $65 per game Volleyball U12 – One Official $50 per game U16 – One Official $60 per game Per game costs include the cost for the officials, the booking service and paying the officials DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Cost Information and definitions Booking Fee Included in the per game fees proposal above. Single Games Billed at twice the normal rate as listed above Tournament Games Billed at the above rates plus $10 per official per game Weather related game cancelation – More than 2 hours notice Billed at $10 per game Canceled – Not weather related Postponed – Less than 72 hours notice One half game fee Forfeit, suspended or rainout Full game fee Billing Invoicing provided every two weeks – Payment due within 30 days of receiving invoice. Any costs less than a dollar will be rounded up. Weather Cancellation notification: Two hours notice via weather line update. If less than two hours notice full game fee is due. DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Training: Please describe the training and certification process for training veteran officials. 1) Require our staff to register with NCHSAA 2) Require our staff to attend NCHSAA State and local clinics 3) Attendance at 3 clinics and 1 scrimmage required per NCHSAA 4) Evaluation by staff and veteran peers provided 5) Attendance at our local clinics and scrimmages Please describe the training and certification process for training new officials to the game. 1) Require our staff to register with NCHSAA 2) Require our staff to attend NCHSAA State and local clinics 3) Attendance at 3 clinics and 1 scrimmage required per NCHSAA 4) Evaluation by staff and veteran peers provided 5) Attendance at our local clinics and scrimmages 6) Starting assignments at the lower levels to help develop mechanics, skills and rules knowledge and application Evaluation 1) Personal observation, review and feedback – We arrive at locations to observe crew and evaluate performance 2) Veteran/Senior staff evaluation – Officials scheduled with specific staff to provide on field evaluation of their performance. Feedback provided to the official after the game and then reported back to us 3) Peer to Peer Evaluation – Online evaluation of peers enabled via ArbiterSports. Evaluations are anonymous and compiled to identify possible areas for improvement. Clinics and Scrimmages 1) Clinics – Attendance at state sponsored and/or local clinics to ensure current NFHS rules knowledge and application 2) Scrimmages – Game(s) scheduled by OCDEAPR to aid in training of officials provided at the start of each season. Communication: Please describe method of communication used to coordinate with the OCDEAPR (online scheduling program, email, etc.) 1) Personal contact Primary – Lynn Dunbar 919-475-3852 (C) or fun2ref@yahoo.com Secondary – Dan Dunbar 919-475-3851 (C) or dan.dunbar.fun2ref@gmail.com 2) Schedules – Maintained and assigned via ArbiterSports website. Website provides email notification of changes/updates. 3) Billing – Invoices generated and provided via ArbiterSports website Information and Questions: Please identify any scope or other areas of the RFP that you will be unable/unwilling to comply or fulfill: DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Officials with immediate family – Will not officiate in the division(s) in which they play. OCDEAPR To provide the initial schedule(s) to Fun2Ref LLC in an Excel spreadsheet with the date, time, level of play, home and away team (optional) and location 10 days prior to the start of the season – Additional $5 per game fee added to the cost for the first two weeks for initial schedules received less than 10 days prior to season start Official Code of Ethics 1. I shall always maintain the utmost respect for the games I call. 2. I will conduct myself honorably at all times and maintain dignity in my position. 3. I shall always honor an assignment or any contractual obligation. 4. I will attend training meetings, clinics, and camps so as to know the rules, their interpretation and proper application. 5. I will strive to achieve maximum team work with my fellow officials 6. I will be loyal to my fellow officials and never knowingly promote criticism of them. 7. I will be in good physical condition. 8. I will manage the game effectively by being approachable, courteous, considerate and fair while being firm. 9. I will do my best to assist my fellow officials to better themselves for the game. 10. I will not discriminate against nor take undue advantage of any individual on the basis of race, religion, age, color, sex, national origin or disability. 11. I consider it a privilege to be a part of Fun2Ref and my actions will reflect credit upon the organization and our team. Official Duties 1. Enforce the rules of the game, including local rules 2. Ensure the proper equipment is used for the game 3. Ensure the players equipment/uniforms complies with the rules 4. Stop, suspend or abandon the game if unsafe for the players 5. Acts on the advice of fellow officials during the game 6. Pregame conference with the officiating crew 7. Pregame conference with the Captains/Coaches 8. Notifies proper authority of any special circumstances from the game i.e ejection, injury, facility problems 9. Provides the proper authority with a match report/report of any special circumstances 10. Contact my partner prior to the game DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 Assignor Code of Ethics 1. I will maintain the utmost respect for officials and conduct myself honorably at all times. 2. I will make assignments based on what is good for the game and what is good for the official. 3. My actions will reflect credit upon our organization and team. 4. I will continue to develop officials for their advancement. 5. I will conduct myself ethically and professionally in the assignment process. 6. I will respect the rights and dignities of all officials and I will not criticize them unless it is in private, constructive and for their benefit. 7. I will offer equal opportunity to all qualified officials and will avoid discrimination against an individual based on race, religion, sex, national origin, sex or disability. 8. I will cooperate fully in the timely resolution of any grievance, hearing or complaint. 9. I consider it a privilege to be a part of Fun2Ref and my actions will reflect credit upon the organization and our team. Equal Employment Opportunity Statement It is the policy of Fun2Ref LLC not to discriminate against any employee or any applicant for employment because of age, race, religion, color, handicap, sex, physical condition, developmental disability, sexual orientation or national origin. This policy shall include, but not be limited to, the following: Recruitment and employment, promotion, demotion, transfer, compensation, selection for training including apprenticeship, layoff and termination. DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER LIMITS(MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) POLICY EFF POLICY NUMBERTYPE OF INSURANCELTR INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 08/10/2022 M.L. Sutphin Insurance 15177 Moneta Rd Moneta, Va. 24121 Wendy Honaker 540-266-3074 whonaker@insuresvirginia.com Fun2Ref LLC 3368 Hickory Cove Lane Moneta, Va. 24121 Nationwide 32840 Nationwide 32840 Amtrust North America 524210 A 8 8 8 ACPGLPO3100217735 08/16/2022 08/16/2023 1,000,000 100,000 1,000 1,000,000 2,000,000 2,000,000 B 8 ACPCAA3100217735 08/16/2022 08/16/2023 1,000,000 C Y WWC3540514 08/30/2022 08/30/2023 8 100,000 100,000 500,000 Additional Insured Orange County PO Box 8181, Hillsborough, NC. 27278 Wendy Honaker DocuSign Envelope ID: 6483E30D-ACC5-4F05-A087-0ADBC3F85041