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HomeMy WebLinkAbout2024-331-E-AMS-Triangle Disability Awareness Council-License Agreement    Orange County  Facility Use License Agreement    This agreement by and between Orange County (“Owner/Licensor”) and Triangle Disability Awareness  Council (“User/Licensee”) will take effect on June 1st, 2024, and shall be on a month‐to‐month basis at  the sole discretion of the Owner/Licensor.    WHEREAS, The Owner owns the Southern Human Services Center Complex located 2501 Homestead  Road, Chapel Hill, NC at which is normally used for providing human services support to the resident of  Orange County, NC, and    WHEREAS, the User desires to use the area of the facilities for the purpose of disability  awareness advocacy, and   WHEREAS, the Owner has agreed to allow User to use the facilities provided the following terms  and conditions are met.    IT IS THEREFORE AGREED BY AND BETWEEN THE PARTIES:   1. Term.  The owner agrees to let the User use the above‐described premises for the above‐described  purpose starting on June 1st, 2024, and shall run a month‐to‐month basis until canceled by the Owner  or the User.  2. Non‐Fee Agreement. In consideration for the benefit of using the Owner’s facilities, the User agrees  to abide by all the terms and conditions of use described in this agreement.   3. Lawful Purpose. The user agrees not to use the premises for unlawful purposes and will obey all laws,  rules, and regulations of all governmental authorities while using the above‐described facilities.   4. Rules. The user agrees to abide by any rules or regulations for using the premises attached to this  agreement.   5. Point of Contact. Asset Management Services shall act as the Owner’s point of contact regarding this  agreement and should be contacted by the User to coordinate usage details.    6. Screening and Supervision. User agrees that it is solely responsible for implementing appropriate  screening and supervision procedures to protect children, youth, and vulnerable adults who may have  reason to visit the above described facilities.   7. Insurance. Licensee shall procure and maintain insurance against claims for injuries to persons or  damages to property that may arise from or in connection with the User/Licensee’s operation and use of  the leased premises for the duration of the agreement. The cost of such insurance shall be borne by the  User.  MINIMUM SCOPE AND LIMIT OF INSURANCE  DocuSign Envelope ID: 6EB45039-C232-40DE-A211-8F74A4374C3E     A. Coverage shall be at least as broad as:  1. Commercial General Liability (CGL):  Insurance Services Office Form CG 00 01 covering CGL on  an “occurrence” basis, including products and completed operations, property damage, bodily  injury and personal & advertising injury with limits no less than $2,000,000 per occurrence. If a  general aggregate limit applies, either the general aggregate limit shall apply separately to this  project/location (ISO CG 25 03 or 25 04) or the general aggregate limit shall be twice the  required occurrence limit.    2. Workers’ Compensation insurance with Statutory Limits, and Employer’s Liability Insurance with  limits of no less than $1,000,000 per accident for bodily injury or disease (This applies to  User/Licensees with 3 or more employees).   3. Property insurance against all risks of loss to any tenant improvements or betterments, at full  replacement cost with no coinsurance penalty provision.     If the User/Licensee maintains broader coverage and/or higher limits than the minimums shown  above, the Owner requires and shall be entitled to the broader coverage and/or the higher  limits maintained by the User/Licensee. Any available insurance proceeds in excess of the  specified minimum limits of insurance and coverage shall be available to the Owner.  B. Other Insurance Provisions.  The insurance policies are to contain, or be endorsed to contain, the  following provisions:  C. Additional Insured Status. The Owner, its officers, officials, employees, and volunteers are to be  covered as additional insureds on the CGL policy with respect to liability arising out of work or  operations performed by or on behalf of the Contractor including materials, parts, or equipment  furnished in connection with such work or operations. General liability coverage can be provided in  the form of an endorsement to the Contractor’s insurance (at least as broad as ISO Form CG 20 10  11 85 or if not available, through the addition of both CG 20 10, CG 20 26, CG 20 33, or CG 20 38;  and CG 20 37 if a later edition is used).   D. Primary Coverage.  For any claims related to this contract, the User/Licensee’s insurance  coverage shall be primary and non‐contributory and at least as broad as ISO CG 20 01 04 13 as  respects the Owner, its officers, officials, employees, and volunteers. Any insurance or self‐ insurance maintained by the Owner, its officers, officials, employees, or volunteers shall be excess  of the User/Licensee’s insurance and shall not contribute with it. This requirement shall also apply  to any Excess or Umbrella liability policies.  E. Umbrella or Excess Policy.  The User/Licensee may use Umbrella or Excess Policies to provide the  liability limits as required in this agreement.  This form of insurance will be acceptable provided that  all of the Primary and Umbrella or Excess Policies shall provide all of the insurance coverages herein  required, including, but not limited to, primary and non‐contributory, additional insured, Self‐ Insured Retentions (SIRs), indemnity, and defense requirements.  The Umbrella or Excess policies  shall be provided on a true “following form” or broader coverage basis, with coverage at least as  broad as provided on the underlying Commercial General Liability insurance. No insurance policies  maintained by the Additional Insureds, whether primary or excess, and which also apply to a loss  DocuSign Envelope ID: 6EB45039-C232-40DE-A211-8F74A4374C3E     covered hereunder, shall be called upon to contribute to a loss until the Contractor’s primary and  excess liability policies are exhausted.   F. Legal Liability Coverage.  The property insurance is to be endorsed to include Legal Liability  Coverage (ISO Form CP 00 40 04 02 or equivalent) with a limit equal to the replacement cost of the  leased property.   G.  Notice of Cancellation.  Each insurance policy required above shall provide that coverage shall  not be canceled, except with notice to the Owner.  H. Waiver of Subrogation.  User/Licensee hereby grants to Owner a waiver of any right to  subrogation which any insurer of said User/Licensee may acquire against the Owner by virtue of the  payment of any loss under such insurance.  User/Licensee agrees to obtain any endorsement that  may be necessary to affect this waiver of subrogation, but this provision applies regardless of  whether or not the Owner has received a waiver of subrogation endorsement from the insurer.  I. Verification of Coverage. User/Licensee shall furnish the Owner with original certificates and  amendatory endorsements or copies of the applicable policy language effecting coverage required  by this clause and a copy of the Declarations and Endorsements Pages of the CGL and any Excess  policies listing all policy endorsements.  All certificates and endorsements and copies of the  Declarations & Endorsements pages are to be received and approved by the Owner before work  commences. However, failure to obtain the required documents prior to the work beginning shall  not waive the User/Licensee’s obligation to provide them. The Owner reserves the right to require  complete, certified copies of all required insurance policies, including endorsements required by  these specifications, at any time. Owner reserves the right to modify these requirements, including  limits, based on the nature of the risk, prior experience, insurer, coverage, or other special  circumstances.    8. Indemnification. User agrees to hold harmless, indemnify and defend Owner (including Owner’s  agents, employees, and representatives) from any and all liability for injury or damage including, but not  limited to, bodily injury, personal injury, emotional injury, or property damage which may result from  any person using the above described premises, its entrances and exits, and surrounding areas, for  User’s purposes, regardless of whether such injury or damage results from the negligence of the Owner  (including Owner’s agents, employees and representatives) or otherwise.   9. Agreement. This agreement is not a lease. It constitutes a license, and the user obtains no  possessory interest in the property. The license may be terminated by the Owner at any time.   10. Cancellation. Either party may unilaterally cancel this agreement with 14 days written notice to the  other party. In the event that the Owner must cancel this agreement, the Owner will not be liable to the  User for any lost profits or incidental, indirect, special, or consequential damages arising out of User’s  inability to use the above‐described premises, even if the Owner has been advised of the possibility of  such damages.   DocuSign Envelope ID: 6EB45039-C232-40DE-A211-8F74A4374C3E     11. Assignment. The user agrees not to assign any of its rights under this agreement, and any such  assignment will void this agreement at the sole option of the Owner.     12. Damage to Facilities. The user agrees to keep the Facilities in good use and condition during their  use. The user shall be responsible for the cost of repairing any damage to the Facilities caused by the  User and any of the User's guests, invitees, employees, and agents. The user shall not alter the physical  premises of the Facilities.    13. Utilities.  Owner agrees to provide heating, cooling, electricity, and internet access at no charge to  the user.    14. Access. Asset Management Services will provide all keys, ID badges, and security codes required to  access the building and offices. If any key or ID Badge is lost, it should be reported immediately to Asset  Management Services.    15. Agreement. This document with attachments contains the entire agreement of the parties and  supersedes all prior written or oral agreements relating to the subject matter.  16. Relationship between Orange County and User. Orange County and User are not partners,  principals, agents or otherwise related in any way. The signees hereby expressly acknowledge that they  are expressly authorized to bind the respective entities referenced in this agreement to the terms and  conditions set forth hereto.    USER ACKNOWLEDGES THAT USER HAS READ THE ABOVE TERMS AND CONDITIONS AND AGREES TO  BE BOUND THEREBY.  THIS DOCUMENT WILL BE LEGALLY BINDING WHEN EXECUTED.    User (Triangle Disability Awareness Council)  Signature: _____________________________________________________  Date: _________________  Title:__Executive Director______________  Full Name (Print)____Timothy Miles_______________________________    Owner (Orange County)  Signature: ____________________________________________  Date: __________________  Title:__County Manager______________  Full Name (Print)_____Bonnie B. Hammerlsey___________________________      DocuSign Envelope ID: 6EB45039-C232-40DE-A211-8F74A4374C3E 6/14/2024 6/17/2024         Triangle Disability Awareness Council (TDAC)  Space Allocation    Under the terms of this agreement, the Triangle Disability Awareness Council is authorized to utilize  room 008 and 009.  . The following floor plan identifies the spaces allocated to the TDAC.    TDAC allocated  room 008 and  009 for use as an  office/training  TDAC has access to  restrooms and staff  breakroom   DocuSign Envelope ID: 6EB45039-C232-40DE-A211-8F74A4374C3E Revised 01/24 1 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Triangle Disability Awareness Council Vendor Contact Person: Timothy Miles Phone: 919-245- 4337 Address: 2501 Homestead Rd. City Chapel Hill State: NC Zip: 27516 Department: Asset Management/Co Manager Amount: $0 Purpose: License Agreement Budget Code(s): Vendor # Vendor Status with NCSOS: Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date End Date 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. 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: 6EB45039-C232-40DE-A211-8F74A4374C3E 6/14/2024 6/17/2024 6/17/2024 INSR ADDL SUBR LTR INSR WVD DATE (MM/DD/YYYY) 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) COMMERCIAL GENERAL LIABILITY 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 INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: LOCJECT COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person)$ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS AUTOS ONLY HIRED PROPERTY DAMAGE $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 LIMIT $DESCRIPTION OF OPERATIONS below POLICY NON-OWNED 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 any 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. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) ACORDTM CERTIFICATE OF LIABILITY INSURANCE Alliance of Nonprofits Insurance RRG 5/29/2024 McGriff Insurance Services LLC 7701 Airport Center Dr Suite 1800 Greensboro, NC 27409 Commercial Client Center 888-743-2217 888 743-2217 8888279861 ClientServiceCenter@mcgriff.com Orange County Disability Awareness Council PO Box 3513 Chapel Hill, NC 27515 10023 A X X X 202329484 09/14/2023 09/14/2024 1,000,000 500,000 20,000 1,000,000 2,000,000 2,000,000 A X X 202329484 09/14/2023 09/14/2024 1,000,000 A Directors & Officers 202329484DO 09/14/2023 09/14/2024 See description Orange County, its officers, agents and employees are included as Additional Insured with regard to General Liability when required by written contract per form CG 2026 Additional Insured - Designated person or organization. Miscellaneous Coverage - Directors and Officers - Pol.# 202329484DO (See Attached Descriptions) Orange County 300 West Tryon Street PO Box 8181 Hillsborough, NC 27278 1 of 2 #S34464248/M32834945 04ORANGCOU1Client#: 1865821 SPLES 1 of 2 #S34464248/M32834945 DocuSign Envelope ID: 6EB45039-C232-40DE-A211-8F74A4374C3E SAGITTA 25.3 (2016/03) DESCRIPTIONS (Continued from Page 1) Directors and Officers Limit1 : 1,000,000 Limit2: 1,000,000 2 of 2 #S34464248/M32834945 DocuSign Envelope ID: 6EB45039-C232-40DE-A211-8F74A4374C3E