Loading...
HomeMy WebLinkAbout2023-698-E-AMS-MBP Carolinas-SHSC - Include air distribution system inspection services for Phase 1 of this projectRevised 04/23 NORTH CAROLINA CONTRACT AMENDMENT ORANGE COUNTY THIS CONTRACT AMENDMENT (“Amendment”) is made and entered into this 22nd day of November, 2023 by and between ORANGE COUNTY (hereinafter referred to as “County”) and MBP Carolinas, Inc. (hereinafter referred to as “Provider”). WITNESSETH: THAT WHEREAS, the County and Provider entered into a contract dated February 17, 2023, (hereinafter the “Original Agreement”), for the provision of services for Southern Human Services Center the Roof and HVAC Renovations Construction Phase Commissioning; and WHEREAS, the County and Provider desire to amend the Original Agreement while keeping in effect all terms and conditions of the Original Agreement not inconsistent with the terms and conditions set forth below. NOW THEREFORE, for and in consideration of the mutual covenants and agreements made herein, the parties agree to amend the Original Agreement as follows: 1. In order to ensure the completion of the Services identified in the term of the Original Agreement is amended to reflect an end date by which all Services shall be completed of June 30, 2024. 2. Exhibit A to the Original Agreement is amended by adding the following tasks and services to the Services to be provided by the Consultant: Include air distribution system inspection services for Phase 1 of this project. 3. Article 5, Section “a” is amended to reflect a maximum payable not-to-exceed amount of Seventy-Six Thousand Dollars. 4. Except for the changes made herein, the Original Agreement shall remain in full force and effect to the extent it is not inconsistent with this Amendment. In the event there is a conflict between the terms of the Original Agreement and the terms of this Amendment, this Amendment shall control. IN TESTIMONY WHEREOF, this Amendment has been executed by the parties hereto, as of the date first above written. ORANGE COUNTY PROVIDER ______________________________ __________________________________ Bonnie Hammersley Jim Waldrep County Manager Senior Commissioning Project Manager DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 11/21/202312/4/2023 Revised 04/23 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: MBP Carolinas, Inc. Vendor Contact Person: Jim Waldrep (jwaldrep@mbpce.com) Phone: 919.875.0124 Address: 4700 Falls of Neuse Road, Suite 370 City Raleigh State: NC Zip: 27609 Department: AMS Amount: Change Amendment to Add $6000.00 to existing contract Purpose: SHSC - Include air distribution system inspection services for Phase 1 of this project Budget Code(s): 61370035-800000-30018 Vendor # 67468 Vendor Status with NCSOS: Current - Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 02/17/2023) (Most Recent Amendment ) Effective Date 2/17/2023 End Date 06/30/2024 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: ); Made or Administered by AMS 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: 30018) 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: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 11/22/2023 12/1/2023 12/4/2023 12/4/2023 Revised 04/23 DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 Ms. Angel Barnes November 13, 2023 Page 1 of 2 MBP 4700 Falls of Neuse Road, Suite 370 | Raleigh, North Carolina 27609 | 919-875-0124 - Local | www.mbpce.com November 13, 2023 Orange County Government Asset Management Services 300 West Tryon Street, Bldg. B, 3rd Floor Office 10 Hillsborough, NC 27278 Attention: Angel Barnes, Capital Projects Manager Reference: Southern Human Services Center Roof and HVAC Renovations Proposal for Air Distribution System Inspection Dear Ms. Barnes MBP Carolinas, Inc. (“MBP”) is pleased to submit this proposal to Orange County (the “County” or “Client”), offering additional services for the Southern Human Services Center Roof and HVAC Renovations project at 2501 Homestead Road, Chapel Hill, NC 27516 (the “Project”). In addition to our commissioning (Cx) services, we propose to include air distribution system inspection services for Phase I of this project. This extended scope aims to enhance the overall functionality and efficiency of the HVAC systems. SCOPE OF WORK (SOW) Visual Inspection 1. Perform a thorough visual inspection of the entire supply and return air distribution system. 2. Identify any visible signs of leaks, damage, or disconnection. Reporting 1. Provide a detailed report documenting the findings of the inspection and recommendations for corrective actions. Performance Evaluation 1. Assess the performance of the Rooftop Air Handling Unit post repairs. a. Evaluate unit ability to maintain the static pressure setpoint. b. Evaluate terminal unit performance (damper positions and ability to meet airflow setpoints). 2. Provide recommendations for further actions (if needed). PROJECT SCHEDULE MBP (and its subconsultant's) employees will perform their duties outside of regular business hours, specifically during weekends. DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 Ms. Angel Barnes November 13, 2023 Page 2 of 2 MBP 4700 Falls of Neuse Road, Suite 370 | Raleigh, North Carolina 27609 | 919-875-0124 - Local | www.mbpce.com COMPENSATION MBP proposes to provide the services outlined in this Proposal for the fixed price amount of $6,000.00. ADDITIONAL SERVICES Services not expressly identified in this Proposal are not included in the Proposal. Additional services may be provided upon mutual agreement of the parties. This Proposal is valid through December 15, 2023, but is subject to change thereafter and assumes that the inspection will be completed on or before December 8, 2023. All work will be performed in accordance with the standard terms and conditions of the Services Agreement with an effective date of February 17, 2023, between MBP and the County (Agreement). Any agreement or purchase order incorporating this Proposal by reference or using the language contained herein, together with that Agreement shall constitute the entire agreement between MBP-FS and the County for the work described herein and supersedes all prior written and oral understandings which may only be amended, supplemented, modified, and canceled by a duly executed written instrument We look forward to supporting Orange County’s resolution of the performance issues on this Project. For additional information, please do not hesitate to call me at 919-996-9381 or email me at jwaldrep@mbpce.com. Sincerely, Jim Waldrep, CCP, EBCP, ACEM Senior Commissioning Project Manager cc: Stephen Cressionnie, MBP Carolinas, Inc. File: J22196.001 DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 03/27/2023 Brown & Brown Insurance Agency of Virginia, Inc, 11220 Assett Loop Suite 304 Manassas VA 20109 Penny Taylor (804) 627-1000 Penny.Taylor@bbrown.com MBP Carolinas Inc. 4700 Falls of Neuse Road Suite 370 Raleigh NC 27609 The Phoenix Insurance Company 25623 The Charter Oak Fire Insurance Company 25615 Travelers Property Casualty Company of America 25674 Travelers Casualty and Surety Company 25666 CL2332755942 A Contractual Liability 6305F995151 03/31/2023 03/31/2024 1,000,000 300,000 5,000 1,000,000 5,000,000 2,000,000 B HIRED NONOWNED 810-8M253692 03/31/2023 03/31/2024 1,000,000 Uninsured Motorists 1,000,000 C 10,000 CUP9H788666 03/31/2023 03/31/2024 5,000,000 5,000,000 D N Y UB0K895156 03/31/2023 03/31/2024 500,000 500,000 500,000 Ref: Project # P22075 / J22064- Project Name: Orange County Emergency Services Building, RCx. Waiver of Subrogation applies when required by written contract with regard to Workers Compensation, per the written contract. Orange County P.O. Box 8181 Hillsborough NC 27278 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-MAILADDRESS: 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 EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR 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 DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTR INSD WVD PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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. 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). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 7/26/2023 (703) 827-2277 (703) 827-2279 20443 MBP Carolinas, Inc. 4700 Falls of Neuse Road Suite 370 Raleigh, NC 27609 A Professional Liab. MCH114065775 7/30/2023 Per Claim 5,000,000 A Professional Liab. MCH114065775 7/30/2023 7/30/2024 Aggregate 6,000,000 Project# P22075 Project Name: Orange County Emergency Service Building RCx Pollution Liability coverage is provided and included within the Professional Liability policy noted above. It shares the limits of the Professional Liability policy. 30-day Notice of Cancellation will be issued for the Professional Liability coverage in accordance with policy terms and conditions. Orange County, NC Att: Angel Barnes Po Box 8181 Hillsborough, NC 27278 MCDOBOL-01 CGIBBONI Ames & Gough8300 Greensboro Drive Suite 980McLean, VA 22102 admin@amesgough.com Continental Casualty Company (CNA) A, XV 7/30/2024 DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 11/27/2023 Brown & Brown Insurance Agency of Virginia, Inc, 11220 Assett Loop Suite 304 Manassas VA 20109 Penny Taylor (804) 627-1000 Penny.Taylor@bbrown.com MBP Carolinas, Inc. 4700 Falls of Neuse Road Suite 370 Raleigh NC 27609 The Phoenix Insurance Company 25623 The Charter Oak Fire Insurance Company 25615 Travelers Property Casualty Company of America 25674 Travelers Casualty and Surety Company 25666 CL2332755942 A Contractual Liability Y 6305F995151 03/31/2023 03/31/2024 1,000,000 300,000 5,000 1,000,000 5,000,000 2,000,000 B HIRED NONOWNED Y 810-8M253692 03/31/2023 03/31/2024 1,000,000 Uninsured Motorists 1,000,000 C 10,000 Y CUP9H788666 03/31/2023 03/31/2024 5,000,000 5,000,000 D N Y UB0K895156 03/31/2023 03/31/2024 1,000,000 1,000,000 1,000,000 Ref: Project # P22075 / J22064- Project Name: Orange County Emergency Services Building, RCx As required by an insured written and only per applicable forms attached, Orange County, its officers, official agents and employees are additional insured with regard to General Liability on a primary and noncontributory basis, Auto Liability on a primary and noncontribtuory and Umbrella on a following form basis per the terms and conditions of the policy. Waiver of Subrogation applies when required by written contract with regard to Workers Compensation per the terms of the policy. 30 day notice of cancellation endorsements apply on blanket basis. Orange County 300 West Tryon Street PO Box 8181 Hillsborough NC 27278 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-MAILADDRESS: 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 EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR 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 DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 Fq!pqv!cvvcej!vjku!hqto!vq!c!rqnke{/!!Kv!ku!hqt!kphqtocvkqpcn!wug!qpn{/DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 Fq!pqv!cvvcej!vjku!hqto!vq!c!rqnke{/!!Kv!ku!hqt!kphqtocvkqpcn!wug!qpn{/DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 Fq!pqv!cvvcej!vjku!hqto!vq!c!rqnke{/!!Kv!ku!hqt!kphqtocvkqpcn!wug!qpn{/DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 Fq!pqv!cvvcej!vjku!hqto!vq!c!rqnke{/!!Kv!ku!hqt!kphqtocvkqpcn!wug!qpn{/DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 Fq!pqv!cvvcej!vjku!hqto!vq!c!rqnke{/!!Kv!ku!hqt!kphqtocvkqpcn!wug!qpn{/DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 Fq!pqv!cvvcej!vjku!hqto!vq!c!rqnke{/!!Kv!ku!hqt!kphqtocvkqpcn!wug!qpn{/DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 Fq!pqv!cvvcej!vjku!hqto!vq!c!rqnke{/!!Kv!ku!hqt!kphqtocvkqpcn!wug!qpn{/DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 Fq!pqv!cvvcej!vjku!hqto!vq!c!rqnke{/!!Kv!ku!hqt!kphqtocvkqpcn!wug!qpn{/DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 Donotattachthisformtoapolicy.Itisforinformationaluseonly.DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 11/27/2023 (703) 827-2277 (703) 827-2279 20443 MBP Carolinas, Inc. 4700 Falls of Neuse Road Suite 370 Raleigh, NC 27609 A Professional Liab.MCH114065775 7/30/2023 Per Claim 5,000,000 A Professional Liab.MCH114065775 7/30/2023 7/30/2024 Aggregate 6,000,000 Project# P22075 Project Name: Orange County Emergency Service Building RCx Pollution Liability coverage is provided and included within the Professional Liability policy noted above. It shares the limits of the Professional Liability policy. 30-day Notice of Cancellation will be issued for the Professional Liability coverage in accordance with policy terms and conditions. Orange County 300 West Tryon Street, PO Box 8181 Hillsborough, NC 27278 MCDOBOL-01 WBATESON Ames & Gough 8300 Greensboro Drive Suite 980 McLean, VA 22102 admin@amesgough.com Continental Casualty Company (CNA) A, XV 7/30/2024 DocuSign Envelope ID: BEF4459F-E934-4137-BE1C-82DECE5E1920