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HomeMy WebLinkAbout2023-694-E-Finance Dept-Maximus Consulting Services-CAP-EMSRevised 04/23 1 [Departmental Use Only] TITLE CAP & EMS FY 23-27 NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter “Agreement”), made and entered into this 27th day of November, 2023, (“Effective Date”) by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and Maximus US Services, Inc., (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): The Provider shall perform the Basic Services as described in Section 3a and Exhibit A. 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 performance of these services. Provider is solely responsible for the professional DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 Revised 04/23 2 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 responsibility 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. Should any sections of this Agreement conflict with Sections 11j through 11m, priority shall be given to 11j through 11m. 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: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 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): The Provider will perform in a professional manner the following Services: a) Development of a central services cost allocation plan, which identifies the various cost incurred by the County to support and administer programs that provide services directly to citizens. This plan will contain a determination of the allowable cost of providing each supporting services such as purchasing, legal counsel, disbursement processing, etc. b) Prepare indirect cost proposals for federal grants as necessary. c) Negotiation, of the completed cost allocation plan, with the representatives of the State or federal government, whichever is applicable. d) Complete the County’s EMS Medicaid cost report. (See Exhibit A) 4.Duration of Services a.Term. The term of this Agreement shall be from 11/27/2023 to 06/30/2027. 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 11/27/2023. 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 Thirty Thousand Dollars ($30,000). 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. DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 Revised 04/23 4 6.Responsibilities of the County Cooperation and Coordination. The County has designated (Chaz Offenburg) 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 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 At all times during the term of this contract, The Provider shall obtain, pay for, maintain, and require any subcontractors to maintain insurance for the following coverages and amounts below. Insurance carriers must be licensed to conduct business in the State(s) where the work is being performed, and must have an A.M. Best rating of at least A- VII or higher. Failure to maintain the following insurance constitutes a material breach of contract. COMMERCIAL GENERAL LIABILITY insurance for Bodily Injury and Property Damage for limits not less than $2,000,000 per occurrence/$4,000,000 aggregate including coverage for Provider’s premises operations, independent contractors, contractual liability, products/completed operations, personal and advertising injury, damage to premises rented to you. Orange County, its officers, official agents and employees shall be included as an Additional Insured, and the policy shall include a Waiver of Subrogation. BUSINESS AUTOMOBILE LIABILITY insurance with a combined single limit of not less than $2,000,000 for Bodily Injury and Property Damage for all owned, non-owned, leased and hired vehicles. Orange County, its officers, official agents and employees shall be included as an Additional Insured, and the policy shall include a Waiver of Subrogation. WORKERS’ COMPENSATION AND EMPLOYERS LIABILITY insurance in the State(s) where the work will be performed with statutory limits for workers’ compensation and the following limits for employers liability: bodily injury by accident each accident $1,000,000; bodily injury by disease policy limit $1,000,000; bodily injury by disease each employee $1,000,000. A Waiver of Subrogation shall be included. MISCELLANEOUS PROFESSIONAL AND CYBER LIABILITY insurance for wrongful acts, errors and omissions committed while performing professional services rendered with limits of at least $5,000,000 to $10,000,000 per occurrence and in the aggregate. Any retroactive date or prior acts exclusion must predate both the date of this agreement and any earlier commencement of any services. Coverage must be maintained for a minimum of three (3) years after final completion of the services or work provided by the Vendor. All of the above policies shall be written on an occurrence form. Claims made forms are not acceptable except for Professional/Technology/Cyber Liability policies. The Provider will submit a standard ACORD Certificate of Insurance including all required DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 Revised 04/23 5 endorsements or policy wording, signed by an authorized agent or representative of the insurance company(ies) evidencing the above required policies and limits are in effect. All policies shall state insurance will be primary and noncontributory with any other applicable insurance or any self-insurance maintained by the County. Provider’s insurers shall, according to each insurance policy’s provisions, provide at least 30 days’ prior written notice of cancellation or non-renewal to the certificate holder on file with insurers. Any deductibles or self-insured retentions shall be shown on the Certificate of Insurance and are the sole responsibility of the Provider. The Parties expressly understand and agree that any insurance coverage and limits furnished by the Provider or any subcontractors will in no way limit their liabilities and responsibilities specified within the Subcontract or Contract or by applicable law. 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 relating to direct damages arising out of third party claims. 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 thirty (30) days’ prior written notice to the Provider. b. Termination for Cause. Either party may terminate this Agreement due to material breach of this Agreement by the other party. The nonbreaching party shall give the breaching party written notice of its intent to terminate this Agreement for cause. The breaching party will have thirty (30) days (or a longer period if the parties mutually agree) from the date of receipt to cure any the default prior to the effective date of termination. 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 remain responsible for all payment and performance DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 Revised 04/23 6 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 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. County agrees that Provider’s total liability to County for any and all damages whatsoever arising out of, or in any way related to, this Agreement from any cause, including but not limited to negligence, errors, omissions, strict liability, breach of contract, or breach of warranty will not, in the aggregate, exceed the amount paid pursuant to this Agreement. In no event will Provider be liable for indirect, special, incidental, economic, consequential or punitive damages, including but not limited to lost revenue, lost profits, replacement goods, loss of technology rights or services, loss of data, or interruption or loss of use of software or any portion thereof regardless of the legal theory under which such damages are sought even if Provider has been advised of the likelihood of such damages, and notwithstanding any failure of essential purpose of any limited remedy. Any claim by County against Provider relating to this Agreement must be made in writing and presented to Provider within one (1) year after the date on which Provider completes performance of the services specified in this Agreement. DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 Revised 04/23 7 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 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. DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 Revised 04/23 8 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 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.Data Accuracy. Provider will guide the County to determine the data required. County represents that all financial and statistical information provided to Provider by County, its employees and agents is accurate and complete to the best of its knowledge. County further acknowledges and agrees that Provider is entitled to rely upon the accuracy and completeness of the data to perform the Basic Services. County will provide all data in a timely manner sufficient to allow Provider to provide the Basic Services. Provider has no liability to County for County’s provision of incomplete, inaccurate or untimely data. k.Copyright for Provider’s Proprietary Software. To the extent that the Basic Services provided by Provider are generated by Provider’s proprietary software, nothing contained herein is intended nor will it be construed to require Provider to provide such software to County. County agrees that it has no claims of ownership, including copyright, patents or other intellectual property rights to Provider’s software. Nothing in this Agreement will be construed to grant County any rights to Provider’s materials created prior to the execution of this Agreement. All of the deliverables prepared by Provider for County included in the Basic Services are specifically set out in herein. l.Provider Liability if Audited. Provider will, upon notice of audit, make work papers and other records available to the auditors. Provider’s sole responsibility under an audit will be to provide reasonable assistance to County through the audit and to make changes to the work product required as a result of the audit. Provider will not be liable for any audit disallowances or any missed or lost revenue associated with, or related to, the Basic Services, regardless of cause. m.Litigation Reimbursement. If Provider is requested by County to produce deliverables, documents, records, working papers, or personnel for testimony or interviews with respect to this Agreement or any services provided hereunder for any third party matter, DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 Revised 04/23 9 litigation or otherwise, then County and Provider will execute a change order or new services agreement for the sole purpose of setting forth any payment and the terms associated with Provider’s response and related to the reasonable fees of Provider in responding. The foregoing does not: (1) diminish or negate Provider’s obligation to negotiate and defend all cost allocation plans and State mandated cost claims as specifically provided for under this Agreement; or (2) apply in the event Provider is compelled by subpoena from a third party to provide Provider deliverables, documents, records, working papers, or personnel for testimony or interviews. n.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 Attention:Chaz Offenburg P.O. Box 8181 Hillsborough, NC 27278 Provider’s Name Jaida Williams, Contracts 808 Morefield Park Dr. S205 Richmond VA, 23236 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, County Manager By: __________________________________ Jaida Williams, Contracts Printed Name and Title DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 12/3/2023 12/4/2023 Revised 04/23 10 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Maximus Consulting Services INC Vendor Contact Person: Jason Jennings Phone: 804.323.3535 Address: 808 Moorefield Park Drive, Suite 205 City Richmond State: VA Zip: 23236 Department: Finance Amount: $30,000 Purpose: CAP/EMS Budget Code(s): 10230020-630000 (CAP $25,500) / 10757520-630000 (EMS $4,500) Vendor # 5730 Vendor Status with NCSOS: Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 11/27/2023 End Date 06/30/2027 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 prior 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: DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 11/28/2023 11/28/2023 12/1/2023 12/1/2023 12/1/2023 Revised 04/23 11 Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 6 EXHIBIT A Scope of Services & Compensation NC CO Orange CAP/EMS 23-25 SCOPE OF SERVICES: Contractor represents that it has, or will secure at its own expense, all personnel required in the performance of Services under this Agreement. All of the Services required hereunder will be performed by Contractor or under its supervision, and all personnel engaged in the work will be fully qualified to perform the services described herein. Contractor reserves the right to subcontract for Services hereunder. Description of Services: a) Development of a central services cost allocation plan, which identifies the various cost incurred by the client to support and administer programs that provide services directly to citizens. This plan will contain a determination of the allowable cost of providing each supporting services such as purchasing, legal counsel, disbursement processing, etc. b) Prepare indirect cost proposals for federal grants as necessary. c) Negotiation, of the completed cost allocation plan, with the representatives of the State or federal government, whichever is applicable. d) Complete the client’s EMS Medicaid cost report. DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 7 COMPENSATION: For Services provided as set forth in Exhibit A, Client agrees to pay Contractor compensation in the amount of Eight Thousand Five Hundred Dollars ($8,500) per year for the Cost Allocation Plan and One Thousand Five Hundred Dollars ($1,500) per year for the EMS Medicaid Cost Report. Contractor will render to Client one or more invoices for the fees specified herein, with payment due thirty (30) days after the invoice date. Fee for Cost Plan Fiscal Year 2023 $ 8,500 Fiscal Year 2024 $ 8,500 Fiscal Year 2025 $ 8,500 Sub-Total $ 25,500 Fee for EMS Report Fiscal Year 2023 $ 1,500 Fiscal Year 2024 $ 1,500 Fiscal Year 2025 $ 1,500 Sub-Total $ 4,500 Contract Total $30,000 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 GovClient PropHolder Identifier : 7777777707070700077761616045571110767735324015474207663304671635132070671557046332320717051333343000107215110746264610077665240764555370734235551277613007325220143371120076727242035772000777777707000707007 7777777707070700073525677115456000777415157126456507330510564233577075637733460364410752637771216645007032336353172000070222263530720110713332634217301007023336252062110077756163351765540777777707000707007 570102191891 CERTIFICATE NUMBER:CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) 10/10/2023 Aon Risk Services Central, Inc. PRODUCER Philadelphia PA Office 100 North 18th Street 15th Floor Philadelphia PA 19103 USA (866) 283-7122 (800) 363-0105 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. CONTACT NAME: PHONE (A/C. No. Ext): E-MAIL ADDRESS: PRODUCER CUSTOMER ID #: FAX (A/C. No.): INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:INSURED XL Insurance America Inc 24554 INSURER B:AXIS Insurance Company 37273 570000093922 Maximus US Services, Inc. INSURER D: INSURER E: INSURER F: INSURER C:1600 Tysons Boulevard, Suite 1400 McLean VA 22102 USA LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: 9873 - NC CO Orange CAP/EMS 23-25. CERTIFICATE NUMBER: 570102191891 COVERAGES REVISION NUMBER: 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. POLICY EXPIRATION DATE (MM/DD/YYYY)LIMITS COVERED PROPERTYPOLICY EFFECTIVE DATE (MM/DD/YYYY)POLICY NUMBER TYPE OF INSURANCEINSR LTR PROPERTY CAUSES OF LOSS BASIC BROAD EARTHQUAKE FLOOD BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG & PP X X X X X $5,000,000 $10,000,000Loss Limit A US00078612PR23A 05/01/2023 05/01/2024 WIND DEDUCTIBLES BUILDING CONTENTS RENTAL VALUE SPECIAL $500,000Loss Limit Ded INLAND MARINE TYPE OF POLICY CAUSES OF LOSS NAMED PERILS POLICY NUMBER CRIME TYPE OF POLICY Crime - Primary X X X $5,000,000 $500,000 Employee Dishonesty Deductible B P00100064849103 08/01/2023 08/01/2024 SIR applies per policy terms & conditions BOILER & MACHINERY / EQUIPMENT BREAKDOWN SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the Property policy. CERTIFICATE HOLDER CANCELLATION AUTHORIZED REPRESENTATIVE Orange County, North Carolina PO Box 8181, 131 W. Margaret Ln. Suite 333 Hillsborough NC 27278 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 24 (2016/03) © 1995-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 GovClient LiabHolder Identifier : 7777777707070700077761616045571110767735324015474207663304671635132070671557046332320717051333343000107215110746264610077665240764555370734235551277613007365224543375120076727242035772000777777707000707007 7777777707070700073525677115456000777414047037557507231510574233466075726733561275500753727660317745007133326342073101070332262430621110712332724207311007132326243173101077756163351765540777777707000707007Certificate No : 570102191854 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/10/2023 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. PRODUCER Aon Risk Services Central, Inc. Philadelphia PA Office 100 North 18th Street 15th Floor Philadelphia PA 19103 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (866) 283-7122 INSURED 40142American Zurich Ins CoINSURER A: 16535Zurich American Ins CoINSURER B: 37885XL Specialty Insurance CoINSURER C: 11515QBE Specialty Insurance CompanyINSURER D: INSURER E: INSURER F: FAX (A/C. No.):(800) 363-0105 CONTACT NAME: Maximus US Services, Inc. 1600 Tysons Boulevard, Suite 1400 McLean VA 22102 USA COVERAGES CERTIFICATE NUMBER:570102191854 REVISION NUMBER: 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.Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X GEN'L AGGREGATE LIMIT APPLIES PER: $2,000,000 $2,000,000 $10,000 $2,000,000 $4,000,000 $4,000,000 B 05/01/2023 05/01/2024GLO509621808 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $2,000,000B05/01/2023 05/01/2024 COMBINED SINGLE LIMIT (Ea accident) BAP 5096219 08 EXCESS LIAB X OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED $10,000,000 $10,000,000 $10,000 05/01/2023UMBRELLA LIABC 05/01/2024US00075267LI23A RETENTIONX X E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- ER PER STATUTEA05/01/2023 05/01/2024 Deductible $350,000 WC509621708A 05/01/2023 05/01/2024 $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / AN Wisconsin WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 WC509621608 Ea Occ/Agg10003989208/01/2023 08/01/2024 Claims Made $25,000,000SIR E&O - Professional Liability - Primary D SIR applies per policy terms & conditions $10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Cyber Liability, Network Interruption, Security & Privacy Liability and Media Content Liability included in E&O policy. Severability of Interest Clause included under General Liability policy. RE: 9873 - NC CO Orange CAP/EMS 23-25. Certificate Holder is included as Additional Insured in accordance with policy provisions of General Liability, Automobile Liability, Umbrella Liability and Professional Liability policies. General Liability, Automobile Liability and Umbrella Liability policies evidenced herein are Primary and Non Contributory to other insurance available to an Additional Insured in accordance with the policy's provisions. Waiver of Subrogation granted in favor of Certificate Holder in accordance with policy provisions of General Liability, Automobile Liability, Professional Liability and Workers' Compensation policies. CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVEOrange County, North Carolina PO Box 8181, 131 W. Margaret Ln. Suite 333 Hillsborough NC 27278 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 Notice of Cancellation AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: Aon Risk Services Central, Inc. 570000093922 570102191854 570102191854 Page _ of _ Maximus US Services, Inc. With respect to the General Liability, Automobile and Workers' Compensation Policies: A. If Zurich should cancel or non-renew this coverage Part (s) by written notice to the first Named Insured for any reason other than nonpayment of premium, Zurich will mail or deliver a copy of such written notice of cancellation or non renewal. 1. To the name and address corresponding to each person or organization shown in the Schedule; Certificate holders as required by written contract. 2. At least 60 days prior to the effective date of the cancellation or non-renewal, as advised in our notice to the first Named Insured. 3. If Zurich should cancel this Coverage Part (s) by written notice to the first Named Insured for nonpayment of premium, Zurich will mail or deliver a copy of such written notice of cancellation to the name and address for certificate holders where this is required by written contract, at least 10 days prior to the effective date of such cancellation. B. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11 DocuSign Envelope ID: 63E8AFC2-6818-4EB5-A9FB-757FB6CF8B11