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HomeMy WebLinkAbout2025-085-E-IT Dept-XenTegra-PrinterLogic support and maintenanceRevised 01/24 NORTH CAROLINA CONTRACT AMENDMENT ORANGE COUNTY THIS CONTRACT AMENDMENT (“Amendment”) is made and entered into this 20th day of February 2025 by and between ORANGE COUNTY (hereinafter referred to as “County”) and XenTegra, LLC (hereinafter referred to as “Provider”). WITNESSETH: THAT WHEREAS, the County and Provider entered into a contract dated June 29, 2023 (hereinafter the “Original Agreement”), for the provision of services for software maintenance and technical support for PrinterLogic software (print management system) and WHEREAS, the County and Provider desire to amend the Original Agreement while keeping in ef fect 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 August 1, 2026 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: software maintenance and technical support for PrinterLogic software for the period of August 2, 2025 – August 1, 2026 3. Article 5, Section a is amended to reflect a maximum payable not-to-exceed amount of $75,129.42 ($21,594.30 for original contract + $25,607.40 amendment 1 + $27,927.72 this amendment) (See Attachment A). 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 ______________________________ __________________________________ County Manager Drew Hill Chief Financial Officer Docusign Envelope ID: EA3B3160-B61E-4AB8-BD15-386051674409 2/20/20252/25/2025 Revised 01/24 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: XenTegra, LLC Vendor Contact Person: Drew Hill Phone: 704-975-2459 Address: PO Box 1954 City Huntersville State: NC Zip: 28070 Department: IT Amount: $27,927.72 Purpose: PrinterLogic support and maintenance Budget Code(s): 10315020-625010 Vendor # 61694 Vendor Status with NCSOS: Active - Current Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 6/29/2023) (Most Recent Amendment 7/16/2024) Effective Date 2/20/2025 End Date 8/1/2026 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: ); Made or Administered by Robert Reynolds 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: EA3B3160-B61E-4AB8-BD15-386051674409 2/20/2025 2/20/2025 2/25/2025 2/25/2025 2/25/2025 Revised 01/24 Docusign Envelope ID: EA3B3160-B61E-4AB8-BD15-386051674409 DATE:2/20/2025 Quotation #:21251 Customer ID:50111242 Billing Contact: Accounts Payable Billing Email: XenTegraAP@xentegra.com Billing Address:Shipping Address:Expiration Date: 2/28/2025 Orange County Government Prepared by:Nick Whitehurst PO Box 8181 PO Box 8181 Hillsbourough, NC, 27278 Hillsbourough, NC, 27278 9192452275 9192452275 TERMS FOB Net 30 Destination Qty DESCRIPTION MSRP UNIT PRICE DISCOUNT EXTENDED UNIT PRICE EXTENDED PRICE 1 $ 28,497.67 2% $ 27,927.72 $ 27,927.72 SUBTOTAL $ 27,927.72 TAX RATE 0.00% SALES TAX - OTHER - TOTAL 27,927.72$ Accepted By: Signature *Sales tax & shipping will be added at time of invoice if applicable; If your organization is tax exempt please provide tax exemption certificate. PrinterLogic - Commercial - VA Subscription - QTY-350 Term: 8/1/2025 - 8/1/2026 Printed Name Title Date Accounts Payable Contact Title Phone Email Quotation XenTegra, LLC P.O Box 1954 Huntersville, NC 28078 Billing Phone 866.343.9374 ext 4 Orange County Government All Sales are Final Page 1 Attachment A Docusign Envelope ID: EA3B3160-B61E-4AB8-BD15-386051674409 Terms and Conditions All Sales are Final The terms and conditions of sale contained herein (the “Terms”) shall apply to all quotations, statement of work or similar document (each a “Quote”) delivered by XenTegra, LLC (“XenTegra”) to a customer (“Customer”). The offer and sale of the goods and services set forth in the Quote is conditioned upon either XenTegra accepting in writing (including via email) a purchase orders ("Order") submitted by a Customer or delivering the goods or services set forth in an Order submitted by Customer. These Terms may in some instances conflict with the terms and conditions affixed to an Order or other procurement documents issued by Customer or oral and written exchanges between the parties. In all such cases, except if included in a written acknowledgement (including via email) by XenTegra, these Terms herein shall govern and prevail. None of Customer’s conditions of purchase shall apply. These Terms and any Quote made by XenTegra constitute the entire contract between the parties hereto with respect to price, work, material, goods, and services specified herein. Verbal instructions or agreements relative to or altering these Terms or any Quote in any way, will not be recognized, and no changes shall be made except to the extent approved in writing (including via email) by XenTegra. Payment Terms: Payment terms are net thirty (30) days from invoice date unless custom net terms are provided by XenTegra in a Quote. Customer agrees to pay on time, unless prior arrangement has been made in writing with XenTegra. XenTegra may suspend or terminate future obligations or services until payment has been made on prior invoices. Overdue accounts are subject to interest and service charges of 1.5% per month plus collection fees. All charges and fees to be paid by Customer are exclusive of any applicable sales, use, excise or services taxes. All discrepancies regarding pricing shown on invoices shall be brought to XenTegra’s attention within fifteen (15) days of invoice date. Invoice amount shown shall be accepted and paid in full by Customer if not disputed within fifteen (15) days. Discrepancies arising after fifteen (15) days of invoice date shall not affect past invoices. All payments which are returned or dishonored will be subject to a $40 fee. In the event Customer terminates its relationship with XenTegra for any or no reason prior to the agreed upon term set forth in the Quote, the Customer shall promptly pay to XenTegra an amount equal to (a) any unpaid fees attributable to the period up to and including the date of termination, and (b) the aggregate of the fees that would have been payable from the date of termination until the date that XenTegra was no longer obligated to perform the services or provide the goods were it not for such termination. The amount due to XenTegra shall be paid by Customer within ten (10) days after the date of termination. Customer agrees to reimburse XenTegra for any expenses XenTegra may incur, including reasonable attorneys’ fees, associated with collecting amounts owed hereunder. Warranty and Limitation: EXCEPT AS PROVIDED HEREIN, XENTEGRA MAKES NO WARRANTIES, EITHER EXPRESS OR IMPLIED. XENTEGRA EXPRESSLY DISCLAIMS ANY IMPLIED WARRANTIES OR ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR USE OR PURPOSE AND EXPRESSLY DISCLAIMS ANY WARRANTY AS TO THE GOODS SOLD OR THE PERFORMANCE OF ANY SERVICES. XENTEGRA SHALL NOT BE LIABLE FOR ANY CONSEQUENTIAL, SPECIAL OR INDIRECT DAMAGES OR FOR LOSS OR DAMAGE DIRECTLY OR INDIRECTLY ARISING FROM THE GOODS SOLD OR SERVICES PROVIDED BY XENTEGRA. IN ANY CASE AND WITHOUT LIMITING THE FOREGOING, THE ENTIRE LIABILITY OF XENTEGRA FOR ALL DAMAGES OF EVERY KIND AND TYPE (WHETHER SUCH DAMAGES ARISE IN CONTRACT, TORT (INCLUDING NEGLIGENCE) OR OTHERWISE) SHALL BE LIMITED TO THE AMOUNT PAID BY CUSTOMER TO XENTEGRA IN THE THREE (3) CALENDAR MONTHS IMMEDIATELY PRIOR TO THE DAMAGES ARISING. Additional Terms and Conditions for Professional Services Consulting Hours (if applicable): Professional services blocks of hours of 40 hours or less will be prepaid in full. Blocks of hours over 40 hours require a 20% upfront payment and the remaining hours in the Quote will be invoiced as they are consumed and are billed on a bi-weekly basis. Any unused hours will remain available at the same rate listed on the Quote for a period of twelve (12) months from the date of an Order. Any unused hours at the end of the stated period will be canceled and a new Quote can be provided based on the current rates. XenTegra requires a minimum of 2-hour blocks when scheduling professional services in a block of hours format. Professional services provided outside of normal business hours will be charged at one and a half times (1.5x) the normal rate for any after-hours work. Normal business hours are between 8:00 AM Eastern Time and 6:00 PM Eastern Time. Consulting Services Cancellation Policy (if applicable): XenTegra will assign consulting resources based on a mutually agreed timeline. Since XenTegra will commit consulting resources based on the established schedule (reserving consultants from other projects), XenTegra requires at least three (3) business days' prior notice for any unplanned changes or cancellations to the schedule. XenTegra reserves the right to bill for 4 hours (1/2 day) at the established hourly rate upon failure to provide the required notice for a cancellation or reschedule. Travel Expenses: If applicable, any travel expenses will be submitted to Customer for reimbursement (including copies of receipts) using standard IRS guidelines for expenses. XenTegra will endeavor to select reasonably priced airlines, hotels, meals, and other expenses. Miscellaneous: Customer warrants that the information Customer provides to XenTegra is accurate and complete and that Customer is authorized to accept the Quote and these Terms. If a counter-signed Sale and Licensing Agreement is in place between the XenTegra and Customer, the terms of the Sale and Licensing Agreement will control. XenTegra may discontinue, suspend or modify its services, any feature included in its services, or the availability of its services at any time and without notice to Customer. Customer shall have no intellectual property rights in XenTegra’s services or property or XenTegra’s trademarks and brand features or in the material and images contained on XenTegra’s websites. This writing and the Quote constitute the full, complete and final statement of XenTegra’s obligations. All prior oral and written correspondence regarding the services or goods offered by XenTegra are merged in this writing and extinguished by it. XenTegra’s failure at any time to enforce any of the terms and conditions stated herein shall not constitute a waiver of any of the provisions herein. XenTegra’s headquarters is in North Carolina, and consequently these Terms and the Quote shall be governed by and construed in accordance with the laws of the State of North Carolina. You shall not assign these Terms or the Quote. Further if any portion of these Terms or the Quote shall be invalid it shall not have the effect of invalidating any other portion of these Terms or the Quote. ANY CONTROVERSY OR CLAIM ARISING OUT OF OR RELATING TO THESE TERMS OR THE QUOTE, OR A BREACH HEREOF, SHALL BE SETTLED BY ARBITRATION ACCORDING TO THE COMMERCIAL ARBITRATION RULES OF THE AMERICAN ARBITRATION ASSOCIATION TO BE HEARD BY ONE ARBITRATOR IN MECKLENBURG COUNTY, NORTH CAROLINA. Judgment upon the arbitrator’s award may be entered in any court having jurisdiction thereof. Revisions XenTegra may revise the amount of the set forth in the Quote in the event the scope of work or requested changes. XenTegra may revise and update these Terms from time to time in our sole discretion. Page 2 Docusign Envelope ID: EA3B3160-B61E-4AB8-BD15-386051674409 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 Hartford Underwriters Insurance Company Hartford - WC Multiple Issuing Cos Mount Vernon Specialty Insurance Co Scottsdale Insurance Company 09/06/2024 USI Insurance Services, LLC 6100 Fairview Rd Ste 1400 Charlotte, NC 28210 704 543-0258 Cassiopea Marrow Watkins 704 543-0258 cassie.watkins@usi.com XenTegra-GOV LLC PO Box 1954 Huntersville, NC 28070-1954 30104 00914 14420 41297 46123098 A X X x X 22SBMAN1WLY 08/01/2024 08/01/2025 2,000,000 1,000,000 10,000 2,000,000 4,000,000 4,000,000 A x x 22SBMAN1WLY 08/01/2024 08/01/2025 2,000,000 A X X X 10000 22SBMAN1WLY 08/01/2024 08/01/2025 1,000,000 1,000,000 B N 22WBCAN1WNJ 08/01/2024 08/01/2025 X 1,000,000 1,000,000 1,000,000 C D Professional Liab Cyber Liab Excess Liability DPS4002327B DPS4002327B ESK3503283 11/22/2023 11/22/2023 11/22/2023 11/22/2024 11/22/2024 11/22/2024 $5,000,000/$25,000 Ded $5,000,000/$25,000 Ded $5,000,000/$25,000 Ded Description of Operations: Orange County, its officers, agents and employees are designated as "additional insured". Orange County Government PO Box 8181 Hillsborough, NC 27278 1 of 1 #S46130538/M45779539 XENTELLCClient#: 1486765 LXKEZ 1 of 1 #S46130538/M45779539 Docusign Envelope ID: EA3B3160-B61E-4AB8-BD15-386051674409 This page has been left blank intentionally. Docusign Envelope ID: EA3B3160-B61E-4AB8-BD15-386051674409 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 Sentinel Insurance Company Ltd. Hartford - WC Multiple Issuing Cos Endurance American Specialty Ins Co Indian Harbor Insurance Company 02/20/2025 USI Insurance Services, LLC 6100 Fairview Rd Ste 1400 Charlotte, NC 28210 704 543-0258 Cassiopea Marrow Watkins 704 543-0258 cassie.watkins@usi.com XenTegra, LLC 9820 Northcross Center Ct Ste 110 Huntersville, NC 28078-7357 11000 00914 41718 36940 48175953 A X X 22SBAVW1344 11/15/2024 11/15/2025 2,000,000 1,000,000 10,000 2,000,000 4,000,000 4,000,000 A X X 22SBAVW1344 11/15/2024 11/15/2025 2,000,000 A X X X 10000 22SBAVW1344 11/15/2024 11/15/2025 10,000,000 10,000,000 B N 22WBCEM0165 11/15/2024 11/15/2025 X 1,000,000 1,000,000 1,000,000 C C D Professional Liab Cyber Liability Excess Liability CTO30073753900 CTO30073753900 MTE904801600 11/22/2024 11/22/2024 11/22/2024 11/15/2025 11/15/2025 11/15/2025 $5,000,000/$50,000 Ded $5,000,000/$50,000 Ded $5,000,000/$50,000 Ded Worker's Compensation Issuing Companies: Sentinel Insurance Company, Ltd-MD,MA Hartford Fire Insurane Company-MI Hartford Accident and Indemnity Company - MN,NY Trumbull Insurance Company - SC,VA (See Attached Descriptions) Orange County Government PO Box 8181 Hillsborough, NC 27278 1 of 2 #S48175953/M47169755 XENTELLCClient#: 1486765 SACT 1 of 2 #S48175953/M47169755 Docusign Envelope ID: EA3B3160-B61E-4AB8-BD15-386051674409 SAGITTA 25.3 (2016/03) DESCRIPTIONS (Continued from Page 1) Hartford Casualty Insurance Company-C,GA,NJ Twin City Fire Insurance Company- OH,WA Hartford Underwriters Insurance Company- AZ, FL Property and Casualty Insurance Company of -TX Hartford Insurance Company of the Midwest- NC,NV,TN Hartford Insurane Company of the Southeast- PA Description of Operations: Orange County, its officers, agents and employees are designated as "additional insured". 2 of 2 #S48175953/M47169755 Docusign Envelope ID: EA3B3160-B61E-4AB8-BD15-386051674409