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HomeMy WebLinkAbout2025-556-E-AMS-Henry Schein-Whitted Dental Clinic Disconnect and Reconnect Dental EquipmentRevised 01/24 1 [Departmental Use Only] TITLE Dental Eq Dis/Recon FY 2025-2026 NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter “Agreement”), made and entered into this 29th day of August, 2025, (“Effective Date”) by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and Henry Schein, 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): Dental Equipment Disconnect and Reconnect. 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. Notwithstanding the foregoing, due to the used condition of the County's Dental Equipment, Provider makes no warranties, guarantees or representations regarding the operability or function of the County's Dental Equipment after the Basic Services are performed. EXCEPT AS OTHERWISE PROVIDED HEREIN, IN CONNECTION WITH PROVIDER'S PROVISION OF THE SERVICES HEREUNDER, TO THE EXTENT PERMITTED BY LAW, PROVIDER PROVIDES NO WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION ANY WARRANTY OF MERCHANTABILITY, FITNESS FOR PARTICULAR PURPOSE OR NON-INFRINGEMENT. (Contract Specific Rev. 7/28/25) 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 Docusign Envelope ID: 19ADE9A7-EF85-4E79-8DB7-A8A9198E1178 Revised 01/24 2 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 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 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, or addenda. vii) [Contract Specific Omission 7/28/25] 3. Basic Services Docusign Envelope ID: 19ADE9A7-EF85-4E79-8DB7-A8A9198E1178 Revised 01/24 3 a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): Disconnect dental chairs (9) and panoramic x-ray (1) machine, and reconnect dental chairs (9) and panoramic x-ray (1) after construction by others is complete.In the event that County requests that the Basic Services include disconnection of County Dental Equipment for reinstallation at separate premises or a separate address, County shall be solely responsible, at its expense, for transporting the disconnected Dental Equipment to the location where reinstallation Services are requested. i) County shall provide Provider with the appropriate owner’s/installation manual for any radiological Dental Equipment. County acknowledges and agrees that Provider shall not reconnect or reinstall any radiological Dental Equipment without having first received the appropriate owner’s/installation manual for such equipment from County. ii) With respect to wall-mounted equipment, such must be reinstalled using new hardware which meets or exceeds the applicable manufacturer's recommendations and Provider shall determine in its sole discretion whether wall support/backing is required for reinstallation of the wall-mounted Dental Equipment and if so, Provider shall not perform such reinstallation unless and until County engages a contractor to complete installation of the necessary wall. 4. Duration of Services a. Term. The term of this Agreement shall be from August 29, 2025 to October 31, 2025. 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 August 29. 5. Compensation Docusign Envelope ID: 19ADE9A7-EF85-4E79-8DB7-A8A9198E1178 Revised 01/24 4 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 Six Thousand, Four Hundred Seventy-Four Dollars ($6,474.00). 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. 6. Responsibilities of the County a. Cooperation and Coordination. The County has designated (Angel Barnes) 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 a. General Requirements. Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers’ Compensation Insurance, and any additional insurance as may be required by County’s Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php). If County’s Risk Manager determines additional insurance coverage is required such additional insurance shall consist of N/A (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. 8. Indemnity Indemnity. County agrees to look solely to the manufacturer of the County’s Dental Equipment for any claim arising due to loss, injury, damage, or death related to the use of County Dental Equipment after the Basic Services are performed. PROVIDER SHALL NOT BE LIABLE FOR INDIRECT, INCIDENTAL, PUNITIVE, SPECIAL OR CONSEQUENTIAL Docusign Envelope ID: 19ADE9A7-EF85-4E79-8DB7-A8A9198E1178 Revised 01/24 5 DAMAGES INCLUDING, BUT NOT LIMITED TO, LOST PROFITS AND LOSS OF GOODWILL, ARISING FROM OR RELATING TO ANY BREACH TO THIS AGREEMENT (OR ANY DUTY OF COMMON LAW, AND WHETHER OR NOT OCCASIONED BY THE NEGLIGENCE OF PROVIDER OR ITS AFFILIATES), REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES. (Contract Specific Rev. 7/28/25) 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 seven (7) days’ prior written notice to the Provider. b. Other Termination. The Provider may terminate this Agreement based upon the County's material breach of this Agreement; provided, the County has not taken all reasonable actions to remedy the breach. The Provider shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. 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 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 all 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. Docusign Envelope ID: 19ADE9A7-EF85-4E79-8DB7-A8A9198E1178 Revised 01/24 6 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. There are no third-party beneficiaries of this Agreement and nothing in this Agreement, express or implied, is intended to confer on any person other than the parties hereto (and their respective successors, heirs and permitted assigns), any rights, remedies, or obligations. 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 Orange County 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 Docusign Envelope ID: 19ADE9A7-EF85-4E79-8DB7-A8A9198E1178 Revised 01/24 7 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. [Contract Specific Omission 7/28/25] 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. 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 Provider’s Name Attention:A. Barnes Henry Schein, Inc. P.O. Box 8181 135 Duryea Road Hillsborough, NC 27278 Melville, NY 11747 [SIGNATURE PAGE TO FOLLOW] Docusign Envelope ID: 19ADE9A7-EF85-4E79-8DB7-A8A9198E1178 Revised 01/24 8 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: _________________________________ Travis Myren, County Manager By: __________________________________ Printed Name and Title Docusign Envelope ID: 19ADE9A7-EF85-4E79-8DB7-A8A9198E1178 Al Quezada 9/5/2025 Operations Manager 9/13/2025 Revised 01/24 9 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Henry Schein Inc Vendor Contact Person: Emily Ferrell (Emily.Ferrell@henryschein.com) Phone: 919.740.5753 Address: 135 Duryea Rd City Melville State: NY Zip: 11747 Department: AMS/OCHD Amount: 6,474.00 Purpose: Whitted Dental Clinic Disconnect and Reconnect Dental Equipment Budget Code(s): 61370035- 892000-30012 Vendor # 68543 Vendor Status with NCSOS: Current - Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 08/29/2025 End Date 10/31/2025 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: 30012) Bidding Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# ) Department Affirmation This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement. This agreement is approved as to technical form and content. Services related to this agreement have already begun or been completed. Description of the nature of the emergency condition that was addressed: Department Director’s Signature ________________________________________ Date: ________ Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Inapplicable because no hardware/software purchases or related services Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Received for record retention: Office of the Clerk to the Board __________________________________________Date:________ Docusign Envelope ID: 19ADE9A7-EF85-4E79-8DB7-A8A9198E1178 9/6/2025 9/11/2025 9/12/2025 9/13/2025 Mechanical Room Quantity Price Extended Price Wet Vacuum (850-9539)498.00$ -$ Dry Vacuum (850-1508) 498.00$ -$ Amalgam Separator (850-5302) 498.00$ -$ N20 Systems (Tank Room Manifold + Operatory) (850-7724)498.00$ -$ Compressor (Electrical) (850-8419) 498.00$ -$ Master Water Bypass (850-5026) 498.00$ -$ Sub-Total -$ Operatory Dental Chairs (850-1353)9 498.00$ 4,482.00$ Pedo Benches (850-7856) 996.00$ -$ Delivery Units (850-1499)498.00$ -$ Operatory Cabinetry (1-4 qty= 1 , 4-8 qty= 2) (850-5381)1,992.00$ -$ Patient Lights (850-6848)498.00$ -$ Mounted Monitors (850-0074) 498.00$ -$ N20 Needs (850-5223)1,494.00$ -$ Sub-Total 4,482.00$ Digital Equipment CadCam Milling & Scanner (850-6702)1,494.00$ -$ Intra-oral Camera System (850-3466)498.00$ -$ Sub-Total -$ X-ray Imaging Panoramic X-ray (2D) (850-5035)1 1,992.00$ 1,992.00$ Intraoral X-ray (850-9966)0 747.00$ -$ CBCT or Panoramic w/Ceph (Integration/Calibration) (850-7082)3,984.00$ -$ Sub-Total 1,992.00$ Sterilization / Lab Handpiece Flush Station (850-1312)249.00$ -$ Recessed Ultrasonic (850-0073) 498.00$ -$ Instrument Washers (850-1649)498.00$ -$ Water Purification System (850-7716) 498.00$ -$ Sterilizer(s) (850-9187)249.00$ -$ Speciality Lab Equpiment (850-5515)498.00$ -$ Sterilization Center (850-3590)3,735.00$ -$ Misc Item Labor Charge (850-8521)249.00$ -$ THRIVE Member Service Labor Discount Sub-Total -$ Customer Equipment Purchase Loyalty Discount Total Cost 6,474.00$ Existing EQ#_________________________________THRIVE Cost - Customer Initia l :_____________________________EQ Loyalty - Professional Disconnect & Reinstall Services Docusign Envelope ID: 19ADE9A7-EF85-4E79-8DB7-A8A9198E1178 Holder Identifier : 7777777707070700077763616065553330763735764015474607762215770634132071660557146323320716045773247451007740411756274754077624715320145320774261111263657007724631512270130077727252025773110777777707000707007 6666666606060600062606466204446200622220604224222006222004062062020062222042600602000600222426026222206222026042240020060000240402622020602022626022040006022246000462262066646062240664440666666606000606006Certificate No :570112804258CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/28/2025 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 Northeast, Inc. New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (866) 283-7122 INSURED 22276Berkshire Hathaway Specialty Ins CompanyINSURER A: 11515QBE Specialty Insurance CompanyINSURER B: 17400ProAssurance Specialty Insurance CompanyINSURER C: 42404Liberty Insurance CorporationINSURER D: 23035Liberty Mutual Fire Ins CoINSURER E: INSURER F: FAX (A/C. No.):(800) 363-0105 CONTACT NAME: Henry Schein, Inc., Subsidiaries & Affiliates 135 Duryea Road Melville NY 11747 USA COVERAGES CERTIFICATE NUMBER:570112804258 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: $1,000,000 $100,000 $5,000 $1,000,000 $2,000,000 Excluded E 06/01/2025 06/01/2026 Y TB2621093363035 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) $1,000,000E06/01/2025 06/01/2026Y COMBINED SINGLE LIMIT (Ea accident) AS2-621-093363-045 EXCESS LIAB X OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED $2,000,000 $2,000,000 06/01/2025UMBRELLA LIABD Y 06/01/2026TH7621093363075 RETENTION X E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- ER PER STATUTED06/01/2025 06/01/2026 AOS WC7621093363025D 06/01/2025 06/01/2026 $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / A Y N WI WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 WA762D093363015 Each OccurrenceN25NY38002206/01/2025 06/01/2026 Claims Made $1,000,000Aggregate Products LiabilityC $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Orange County, its officers, official agents and employees are included as Additional Insured as required by written agreement, but limited to the operations of the Insured under said agreement with respect to the General Liability, Automobile Liability and Umbrella Liability policies. A Waiver of Subrogation is granted as required by written contract but limited to the operations of the Insured under said contract, with respect to the Workers' Compensation policy. General Liability, Automobile Liability and Workers Compensation polices includes Notice of Cancellation to Third Parties. CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVEOrange County 300 West Tryon Street PO Box 8181 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: 19ADE9A7-EF85-4E79-8DB7-A8A9198E1178 Named Insureds 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 Northeast, Inc. 570000025511 570112804258 570112804258 Page _ of _ Henry Schein, Inc., Ace Southern Surgical Solutions Ace Surgical Supply Company, Inc. AEP MPE Holdings, LLC All Star Orthodontics BIOHORIZONS IMPLANT SYSTEMS, INC. Camlog CB Healthcare Consulting GmbH Cleanpac Inc DenMat Holdings, LLC Dental Instrument Sales & Service, LLC Dental Practice Transitions Dentrix Dental Systems eAssist Inc. eAssist Publishing LLC Edge Endo Exan Enterprises Firefly Supply LLC G.I.V. Inc. General Injectibles & Vaccines, Inc. Hand Piece Parts & Repair, Inc. Hayes Handpiece Franchises, Inc. HealthFirst Henry Schein, Inc Henry Schein and Schvadent Henry Schein Dental, Inc. Henry Schein Global Sourcing, Inc. Henry Schein Medical Henry Schein One, LLC Henry Schein Practice Solutions Henry Schein Services GmbH Henry Schein, Supply HF Acquisition Co. LLC HSG-S Corp Impromed, LLC. Insource, Inc. Lighthouse 360, Inc. Midway Dental Supply LLC NAR Medical Depot LLC NAR Training LLC North American Rescue LLC and TQM, LLC ORTHO2 LLC Ortho Organizers, Inc. Ortho Technology, Inc. Precision One Medical Inc. Prism Medical Products RXWORKS, INC. Sesame Communications Southern Anesthesia & Surgical Inc. Shield HealthCare TDSC, Inc. The Custom Milling Center, Inc. US Endodontics Vulcan Custom Dental Zahn Dental Company, Inc. Zahn/Darby Lab ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 19ADE9A7-EF85-4E79-8DB7-A8A9198E1178