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HomeMy WebLinkAbout2025-643-E-Solid Waste-Gonzalez Painter and Contractors-Paint offices in Adm buildingRevised 01/24 1 [Departmental Use Only] TITLE FY NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter “Agreement”), made and entered into this 24 day of October , 2025, (“Effective Date”) by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and Gonzales Painters & Contractors, 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): Paint all offices, restrooms, hallways, conference rooms located at 1207 Eubanks Rd, Chapel Hill, NC 27516 per Attachment I. Paint colors will be agreed upon prior to work beginning. 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. 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 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 highest 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 Docusign Envelope ID: A9342314-6CD5-4FBB-A60D-A3EFA49C168E Revised 01/24 2 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) Should this Agreement involve project designs, the construction or creation of which is to be bid out or fulfilled by other contractors, and bidding or negotiation with contractors produce prices which, when added to the other elements of the approved total project cost, produce a cost that is in excess of the approved total project cost, the Provider shall participate with the County in negotiation and design adjustments to the extent such are necessary to obtain prices within the approved total project cost. All activity of the Provider with respect to these matters shall constitute Basic Services and shall be performed by the Provider without additional compensation. If negotiation and design adjustments fail to bring costs within the total project cost the County may reject all bids and Provider will redesign or reduce portions of the project in an effort to reduce the bid prices to within the total project cost and rebid the project. One such redesign is included within Basic Services. If this second letting for bids does not produce bids that are within the approved total project cost initially or after negotiations with the contractor the cost is not reduced to an amount within the total project cost, the Provider is not obligated to engage in further redesign. Docusign Envelope ID: A9342314-6CD5-4FBB-A60D-A3EFA49C168E Revised 01/24 3 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): Paint all offices, restrooms, hallways, conference rooms located at 1207 Eubanks Rd, Chapel Hill, NC 27516 per Attachment I. Paint colors will be agreed upon prior to work beginning. 4. Duration of Services a. Term. The term of this Agreement shall be from October 24, 2025 to January 30, 2026. 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 October 24, 2025. 5. Compensation 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 Twenty seven-thousand, five hundred Dollars ($27,500). 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 (Robert Williams) to act as the County's representative with respect to the Project who shall have the authority to Docusign Envelope ID: A9342314-6CD5-4FBB-A60D-A3EFA49C168E Revised 01/24 4 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 a. Indemnity. To the extent authorized by North Carolina law the Provider agrees, without limitation, to defend, indemnify and hold harmless the County from all loss, liability, claims or expense, including attorney's fees, arising out of or related to the Project and arising from property damage or bodily injury including death to any person or persons caused in whole or in part by the negligence or misconduct of the Provider except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this provision to require the Provider to indemnify the County to the fullest extent permitted under North Carolina law. 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 Docusign Envelope ID: A9342314-6CD5-4FBB-A60D-A3EFA49C168E Revised 01/24 5 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. 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, Docusign Envelope ID: A9342314-6CD5-4FBB-A60D-A3EFA49C168E Revised 01/24 6 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 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. Ownership of Work Product. Should Provider’s performance of this Agreement generate documents, items or things that are specific to this Project such documents, items or things shall become the property of the County and may be used on any other project without additional compensation to the Provider. The use of the documents, items or things by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. 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. Docusign Envelope ID: A9342314-6CD5-4FBB-A60D-A3EFA49C168E Revised 01/24 7 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:Solid Waste Director Gonzales Painters/Contractor P.O. Box 8181 4301 Bennett Memorial Rd Hillsborough, NC 27278 Durham, NC 27705 [SIGNATURE PAGE TO FOLLOW] Docusign Envelope ID: A9342314-6CD5-4FBB-A60D-A3EFA49C168E 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: _________________________________ County Manager By: __________________________________ Karina Rivera Finance Manager Printed Name and Title Docusign Envelope ID: A9342314-6CD5-4FBB-A60D-A3EFA49C168E KR Revised 01/24 9 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Gonzalez Painter and Contractors Vendor Contact Person: Karina Rivera Phone: 919-308-5422 Address: 4301 Bennett Memorial Rd City Durham State: NC Zip: 27705 Department: Solid Waste Amount: $27,500 Purpose: Paint offices in Adm building Budget Code(s): 50350020-570000 Vendor # 61921 Vendor Status with NCSOS: Yes Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 10-24-25 End Date 01-31-26 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: A9342314-6CD5-4FBB-A60D-A3EFA49C168E 10/16/2025 10/21/2025 10/21/2025 10/21/2025 2123648 10/3/2025 $27,500.00 1207 Eubanks Rd Chapel Hill, NC 27516 Proposal #2123648 Orange County Solid Waste - Robbie Raper jraper@orangecountync.gov (919) 864-1389 1207 Eubanks Rd Chapel Hill, NC 27516 Gonzalez Painters & Contractors INC 4301 Bennett Memorial Rd Durham, NC 27705 Phone: (919) 477-6058 Proposal # Proposal Date Proposal Amount Job Address Product / Service Quantity Price Subtotal Tax Total Interior Paint Apply 2 coats of paint at Walls, Ceiling and Painted Trim. Following areas 1. Director office 2. 16 offices 3. Supply room 4. Library 5. Reception 6. Directors hallway 7. Lady’s bathrooms 8. Men’s bathrooms 9. Entry hallway 10. Break room 11. 2 locker rooms with showers 12. Includes 2 closets on 2 bathrooms 13. Small conference room 14. Second directors office 15. Right side hallways Notes Includes the stucco walls Does not include the inside of closets Does not include the accents siding walls at the reception Does not include any of the stained trim Use Sherwin-Williams Cashmere for Walls and Trim Use Sherwin-Williams Promar Ceiling Paint Preparation: Remove electrical covers and install afterwards Light sand walls before painting. (Caulk gaps and cracks on wood trim if it includes paint). Repair minor cracks or nail spots on the same areas that will be painted. Protect floors and furniture. (There is always a lighter dust involved on jobs specially when is drywall patches involved on the job, so may will be some incrustation between floor seems) Customers must have areas cleared, if there is some furniture that need help to move it, painters can assist you with that. Leave areas broom clean (cleaning will be done daily) Spot prime stains if needed only 1.00 $30,500.00 $30,500.00 $0.00 $30,500.00 ATTACHMENT IDocusign Envelope ID: A9342314-6CD5-4FBB-A60D-A3EFA49C168E Areas involved in the work process must be without the presence of children and pets for safety purposes. When painting ceilings, walls or trim in bathrooms, customer must let paint cure for at least 48 hours before using any high temperature water that may provoke steam and cause damage to paint job. Sales Discount 1.00 ($3,000.00)($3,000.00)$0.00 ($3,000.00) Subtotal $27,500.00 Tax $0.00 Total $27,500.00 Clean up To be completed everyday and upon job completion. All ladders down and stacked. Tools & equipment stored properly each evening in acceptable, safe location determined by the customer and the project manager. We clean up daily to make sure your property is "presentable" and perform a full clean-up when we are complete (including sweeping ). Please note however, that the procedures performed to properly clean your house may create literally thousands of very small paint chips that are nearly impossible to remove completely. GPC Guarantee As a key component of our warranty, we at Gonzalez Painters & Contractors provide a wide range of services at realistic and competitive prices, boosting confidence and loyalty with our clients. Communication and hassle Free!!! Downpayment of 35% is required for all jobs above 8k. This deposit is due on the first day of the job or the pre-meeting with your project manager. Any job below 8k you can pay at the final walk through. WARRANTY: Exterior Paint. Full exterior paint have a limited warranty of one (1) year of workmanship. Carpentry repairs done during this time will have also one (1) year. Deck stain has a limited warranty of six (6) months, points to consider in order to apply this warranty, is the traffic of the area and the wood condition, early usage after stain application, pet scratches, etc. Interior Paint. GPC provide a six (6) months limited warranty on workmanship. For partial interior paint projects will have a six (6) limited warranty. Gutter replacements: 5-year warranty for full replacement and/or areas that GPC worked on. Full siding replacements 5-year warranty Roof repairs 6 month warranty only on areas we repaired Roof replacement 10 year warranty + 4 star warranty (50) year lifetime including labor and materials Skylight Replacements 10 year warranty Customer Service At Gonzalez painters and contractors we believe communication is important. Once you accept your proposal, Yeimy will contact you to choose the date that work s best for you. The project manager will contact you 3-5 days before the job begins to have a pre-meeting. If you have any questions please contact us. Production Coordinator Freddy Coello (919) 457-3083 fredy@fgpaining.com Production Scheduler Yeimy Contreras (919) 627-4947 yeimymu@fgpainting.com Sales Manager: Docusign Envelope ID: A9342314-6CD5-4FBB-A60D-A3EFA49C168E Terms and Conditions We propose hereby to furnish material and labor - complete in accordance with above specifications. All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike manner according to the specifications submitted, per standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. If either party commences legal action to enforce its rights pursuant to this agreement, the prevailing party in said legal action shall be entitled to recover its reasonable attorney’s fees and costs of litigation relating to said legal action, as determined by a court of competent jurisdiction. Client has a (3) day right to cancel without loss of deposit. Important: payment terms 2% penalty fee if one fails to pay within 7 calendar days once job completed. or 3 % penalty fee for 15 days: exemptions can be made (unless it was negotiated at the beginning of the estimate with net (30 with commercial companies) Sign And Date To Accept Proposal: Customer Signature:Date: Florencio Gonzalez (919) 697-1537) florencio@fgpainting.com Finance Manager Karina Rivera (919) 308-5422 karina@fgpainting.com Integrator (General Manager) Jesus Avendano (919) 564-5108 jesus@fgpainting.com cancelation fee off 4% total revenue will be applied for jobs that have already been accepted and are in the schedule GPC Uniques We Transform Homes for Better Memories Our Unique's: 23+ year's of service in the area GPC Way Experience (Hassle Free) Five Star rated company with 1k+ Google reviews and testimonials Community Impact (Giving back) At Gonzalez Painters & Contractors, we're committed to making a positive impact. Explore how we're not just enhancing homes, but strengthening the bonds in our community. Helping Our Community Insurance INSURANCE - Liability and worker’s compensation insurance are carried through Insurance State farm (919-383-3887). Certificates of statement are available upon request. Docusign Envelope ID: A9342314-6CD5-4FBB-A60D-A3EFA49C168E 1001486 2005 155279 205 01-19-2023 INSR LTR TYPE OF INSURANCE ADD INSD SUB WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY)POLICY EXP (MM/DD/YYYY)LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC OTHER: N N 93-L9-6163-2 12/21/2024 12/21/2025 EACH OCCURRENCE 2,000,000$ DAMAGE TO RENTED PREMISES (Ea occurrence)100,000$ MED EXP (Any one person)5,000$ PERSONAL & ADV INJURY 2,000,000$ GENERAL AGGREGATE 4,000,000$ PRODUCTS - COMP/OP AGG 4,000,000$ $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOSHIRED AUTOS ONLY NON-OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident)$ BODILY INJURY (Per person)$ BODILY INJURY (Per accident)$ PROPERTY DAMAGE (Per accident)$ $ UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N Y / N N / A N 93-LU-3721-3 12/21/2024 12/21/2025 PER STATUTE OTH- ER $ E.L. EACH ACCIDENT 1,000,000$ E.L. DISEASE - EA EMPLOYEE 1,000,000$ E.L. DISEASE - POLICY LIMIT 1,000,000$ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CANCELLATION AUTHORIZED REPRESENTATIVE 10/06/2025This form was system-generated on . E-MAIL ADDRESS:debbie.leonard.gat0@statefarm.com CONTACT NAME:Debbie Leonard PHONE (A/C, No, Ext):919-383-3887 FAX (A/C, No): INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :State Farm Fire and Casualty Company 25143 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : PRODUCER INSURED Debbie Leonard 3702 Hillsborough Road Suite 2B Durham NC 277052953 GONZALEZ PAINTERS & CONTRACTORS INC 4301 BENNETT MEMORIAL RD DURHAM NC 277052305 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. 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. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/06/2025 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER Orange County 300 West Tryon st PO BOX 8181 Hillsborough NC 27278 The ACORD name and logo are registered marks of ACORD Orange County, its officers, agents and employees are designated as additional insured. Docusign Envelope ID: A9342314-6CD5-4FBB-A60D-A3EFA49C168E