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Home My WebLink About2024-216-E-AMS-Intellicom-Separating USB & VideoRevised 01/24 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA ______________________________________________________________________________________________________________ Date: 4/1/2024 Project: Courthouse AV Change Order No. 1 Department: AMS Department Address: 306 Revere Rd. Hillsborough, NC 27278 Project: Battle & Historic Courtroom AV Upgrade Contractor: Intellicom Inc. Contractor Address: 3252 S Miami Blvd. Suite 145 Durham, NC 27703 Effective date of original contract: 11/17/2023 This change order increases decreases the contract time by days. Check here if no impact to contract time . Will this change order impact the date of substantial completion? Yes No. If yes, the amended date of substantial completion is: _______________________________________________________________________________________________________________ Full Description of Change: Intellicom is providing a TX/RX solution that is currently not available untill July of 2024. This Change order will seperate the USB and Video into 2 seperate units that are currently shiping. Seperating the units will have a need for another cat 6 shielded pulled to each location. This is also included in the Change Order. Reason for Change: TX/RX solution that is currently not available untill July of 2024 _______________________________________________________________________________________________________________ Original contract sum: $ 29773.53 Contract sum prior to this change order: $ 29773.53 Amount of this change order: $ 882.88 Total sum of the contract including this change order: $ 30656.41 _______________________________________________________________________________________________________________ This change order is executed to amend the contract time or contract sum. It shall not be construed to impact the original contract, project, services, or work in any other manner. All other terms of the Original Contract remain in effect. Approved and executed this 1st day of April, 2024. _______________________________ _____________________________ _____________________________ Contractor Owner Architect (when retained) By:____________________________ By:___________________________ By:___________________________ DocuSign Envelope ID: 211CC192-967F-4DF6-8BEB-5B75208BEEE3 4/9/2024 4/11/2024 Revised 01/24 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Intellicom Inc. Vendor Contact Person: Rob Clayton Phone: 919-957-1949 Address: 3252 S Miami Blvd. Suite 145 City Durham State: NC Zip: 27703 Department: AMS Amount: $882.88 Purpose: Separating USB & Video Budget Code(s): 61370035-880000-10073 Vendor # 53325 Vendor Status with NCSOS: Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 11/17/2023) (Most Recent Amendment ) Effective Date 4/1/2024 End Date 6/31/2024 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: ); Made or Administered by Alan Dorman 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: 10073) 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 pro ject has not been initiated prior to execution of the agreement; OR This agreement is approved as to technical form and content. 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: 211CC192-967F-4DF6-8BEB-5B75208BEEE3 4/1/2024 4/11/2024 &+$1*( 25'(5 %DWWOH DQG +LVWRULF &RXUWURRP $9 8SJUDGHV 2UDQJH &RXQW\ ( 0DUJDUHW /Q +LOOVERURXJK 1& 3UHVHQWHG %\ ,QWHOOLFRP Z Z Z L Q W H O O L F R P X V D F R P 6 0LDPL %OYG 6XLWH 'XUKDP 1& 86$ ZZZLQWHOOLFRPXVDFRP 0RGLILHG 1XPEHU DocuSign Envelope ID: 211CC192-967F-4DF6-8BEB-5B75208BEEE3 6FRSH RI :RUN ,QWHOOLFRP LV SURYLGLQJ D 7;5; VROXWLRQ WKDW LV FXUUHQWO\ QRW DYDLODEOH XQWLOO MXO\ RI 7KLV &KDQJH RUGHU ZLOO VHSHUDWH WKH 86% DQG 9LGHR LQWR VHSHUDWH XQLWV WKDW DUH FXUUHQWO\ VKLSLQJ 6HSHUDWLQJ WKH XQLWV ZLOO KDYH D QHHG IRU 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&RXUWURRP $9 8SJUDGHV 3URMHFW 1R 352-(&73DJH RI DocuSign Envelope ID: 211CC192-967F-4DF6-8BEB-5B75208BEEE3 04/03/2024 Pelnik Insurance 100 Ridgeview Drive Suite 100 Cary NC 27511 Steven Stacy (919) 459-8000 (866) 714-3576 Steve.Stacy@Pelnik.com Intellicom Inc., PLC Communications Inc. 3252 S Miami Blvd Ste 145 Durham NC 27703 West Bend Mutual Insurance Company 15350 Hanover Insurance Company 22292 CL2431825500 A Y B030828 04/01/2024 04/01/2025 1,000,000 300,000 5,000 1,000,000 2,000,000 2,000,000 Mold Liability Coverage 50,000 A Y B030828 04/01/2024 04/01/2025 1,000,000 A 0 Y B030828 04/01/2024 04/01/2025 8,000,000 8,000,000 A N B030838 04/01/2024 04/01/2025 1,000,000 1,000,000 1,000,000 B Crime - Client Property BD6-H580195-01 04/01/2024 04/01/2025 Limit 1,000,000 Deductible 10,000 Orange County, its officers, agents and employees are additional insured on the General Liability, Auto Liability and Umbrella Liability policy when required by contract. 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: 211CC192-967F-4DF6-8BEB-5B75208BEEE3 POLICY NUMBER: COMMERCIAL AUTO CA 20 48 Z 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. West Bend Mutual Insurance Company West Bend, Wisconsin 53095 Contains material copyrighted by ISO, with its permission. CA 20 48 Z 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Endorsement Effective Date: SCHEDULE Name of Person(s) or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Each person or organization shown in the Sched- ule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or or- ganization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II – Covered Autos Liability Cover- age in the Business Auto and Motor Carrier Cov- erage Forms and Paragraph D.2. of Section I Covered Autos Coverages of the Auto Dealers Coverage Form. B. The following is added to the Other Insurance Condition in the Business Auto and Auto Dealers Coverage Forms and the Other Insurance – Pri- mary And Excess Insurance Provisions in the Mo- tor Carrier Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribu- tion from any other insurance available to an "in- sured" shown in the schedule provided that: 1. Such "insured" is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be prima- ry and would not seek contribution from any other insurance available to such "insured". B030828 Intellicom Inc 04-01-2023 Any party for whom the insured is required to provide designated insured status. DocuSign Envelope ID: 211CC192-967F-4DF6-8BEB-5B75208BEEE3 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WB 1482 07 17 West Bend Mutual Insurance Company Page 1 of 2 West Bend, Wisconsin 53095 ADDITIONAL INSURED – CONTRACTOR'S BLANKET This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. WHO IS AN INSURED (Section II) is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. The written contract or written agreement must be: 1. Currently in effect or becoming effective dur- ing the term of this policy; and 2. Signed by all parties to the written contract or written agreement prior to the "bodily injury," "property damage," "personal injury and ad- vertising injury." B. The insurance provided to the additional insured is limited as follows: 1. That person or organization is only an addi- tional insured with respect to liability for "bodi- ly injury", "property damage' or "personal and advertising injury" caused in whole or in part, by: a. Your premises; or b. Your negligent acts or omissions in con- nection with "Your work" for that additional insured. However: a. The insurance afforded to such additional insured only applies to the extent permit- ted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the written contract or written agreement to provide such additional insured. 2. The Limits of Insurance applicable to the additional insured are those specified in the written contract or written agreement or in the Declarations for this policy, whichever is less. These Limits of Insurance are inclusive and not in addition to the Limits of Insurance shown in the Declarations. 3. Except when required by written contract or written agreement, the coverage provided to the additional insured by this endorsement does not apply to: a. "Bodily injury" or "property damage" oc- curring after: (1) All work on the project (other than service, maintenance or repairs) to be performed by or on behalf of the addi- tional insured at the site of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than an- other contractor or subcontractor en- gaged in performing operations for a principal as part of the same project. b. "Bodily injury" or "property damage" aris- ing out of acts or omissions of the addi- tional insured other than in connection with the general supervision of "your work." 4. The insurance provided to the additional insured does not apply to "bodily injury," "property damage," "personal injury and ad- vertising injury" arising out of an architect's, engineer's, or surveyor's rendering of or fail- ure to render any professional services in- cluding; a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifica- tions; and b. Supervisory, or inspection activities per- formed as part of any related architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdo- ing in the supervision, hiring, employment, train- ing or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any profes- sional architectural, engineering or surveying services. DocuSign Envelope ID: 211CC192-967F-4DF6-8BEB-5B75208BEEE3 Page 2 of 2 West Bend Mutual Insurance Company WB 1482 07 17 West Bend, Wisconsin 53095 C. As respects the coverage provided under this endorsement, Paragraph 4.b. SECTION IV – COMMERCIAL GENERAL LIABILITY CONDI- TIONS is amended with the addition of the fol- lowing: 4. Other insurance b. Excess insurance This insurance is excess over: Any other valid and collectible insurance procured by or on behalf of the additional insured whether primary, excess, contin- gent or on any other basis unless a written contract specifically requires that this in- surance be either primary or primary and noncontributing. Where required by writ- ten contract, we will consider any other in- surance procured by the additional in- sured for injury or damage covered by this endorsement to be excess and noncon- tributing with this insurance. If no written contract specifically requires primary or noncontributory coverage, then this insurance is excess and as a condi- tion of coverage, the additional insured shall be obligated to tender the defense and indemnity of every claim or suit to all other insurers that may provide coverage to the additional insured, whether on a contingent, excess or primary basis. When this insurance is excess, we will have no duty under Coverage A. and Coverage B. to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the in- sured's rights against all those other in- surers. DocuSign Envelope ID: 211CC192-967F-4DF6-8BEB-5B75208BEEE3