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HomeMy WebLinkAbout2026-199-E-AMS-Seegars Fence Company-DSS_Fence Enclosure around the Generator to block the soundRevised 01/24 1 [Departmental Use Only] TITLE DSS_Gen Fence FY 25-26 NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter “Agreement”), made and entered into this 15th day of May, 2026, (“Effective Date”) by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and Seegars Fence Company, (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): At Hillsborough Commons. FURNISH & INSTALL APPROXIMATELY 52 LF OF 10’ GALVANIZED CHAIN LINK USING: 9 GAUGE FABRIC& TIES3” TERMINAL POSTS (SS40) 2.5” LINE POSTS (SS40) 1-5/8” TOP RAIL & BRACING (SS20) ALL POSTS IN DIRT TO BE SET IN CONCRETE FOOTINGS,3 POSTS TO BE PLATED TO CONCRETE PATHWAY.PRICE INCLUDES 1-12' DOUBLE SWING GATE FOR ACCESS.PRICE INCLUDES 850 SERIES SOUNDBLOCK ACOUSTIC PANELS. 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. Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF Revised 01/24 2 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 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 Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF Revised 01/24 3 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. 3.Basic Services a.Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): At Hillsborough Commons. FURNISH & INSTALL APPROXIMATELY 52 LF OF 10’ GALVANIZED CHAIN LINK USING: 9 GAUGE FABRIC& TIES3” TERMINAL POSTS (SS40) 2.5” LINE POSTS (SS40) 1-5/8” TOP RAIL & BRACING (SS20) ALL POSTS IN DIRT TO BE SET IN CONCRETE FOOTINGS,3 POSTS TO BE PLATED TO CONCRETE PATHWAY.PRICE INCLUDES 1-12' DOUBLE SWING GATE FOR ACCESS.PRICE INCLUDES 850 SERIES SOUNDBLOCK ACOUSTIC PANELS 4.Duration of Services a.Term. The term of this Agreement shall be from 05/15/2026 to 08/15/2026. 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 05/15/2026. 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 Seventeen Thousand Two Hundred and Twenty Two Dollars ($17,222). 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 Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF Revised 01/24 4 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 (AMS) 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 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. Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF Revised 01/24 5 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. 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 Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF Revised 01/24 6 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 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. Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF Revised 01/24 7 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:Travis Myren Seegars Fence Company P.O. Box 8181 P.O Box 61378 Hillsborough, NC 27278 Durham, NC 27715 [SIGNATURE PAGE TO FOLLOW] Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF 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 By: __________________________________ Jason Daniels Printed Name and Title Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF 5/21/20265/26/2026 Revised 01/24 9 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Seegars Fence Company Vendor Contact Person: Jason Daniels Phone: 919-489-5303 Address: P.O Box 61378 City Durham State: NC Zip: 27715 Department: AMS Amount: $17,222 Purpose: DSS_Fence Enclosure around the Generator to block the sound Budget Code(s): 10400130-803000 Vendor # 41409 Vendor Status with NCSOS: Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 05/15/2026 End Date 08/15/2026 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: ) 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: Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF 5/20/2026 5/25/2026 5/26/2026 5/26/2026 Revised 01/24 10 Office of the Clerk to the Board __________________________________________Date:________ Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF P.O. Box 1190 Morrisville, NC 27560 Phone:919-876-1016 Date Bid # Fax Number Job Phone Page 1 0f 2 Initial: CHAIN LINK • WOOD • ORNAMENTAL • PVC • ACCESS CONTROL • CUSTOM FABRICATION 131 W. MARGARET LANE We hereby propose the following work: City, State, and Zip Code HILLSBOROUGH, NC 27278 919-245-2626 Street : 5/6/2026 Proposal Submitted To: ORANGE COUNTY PSORRELL@ORANGECOUNTYNC.GOV Attn: PAUL SORRELL Job Name RARA29872 GENERATOR ENCLOSURE Job Location 113 MAYO ST., HILLSBOROUGH, NC FURNISH & INSTALL APPROXIMATELY 52 LF OF 10’ GALVANIZED CHAIN LINK USING: 9 GAUGE FABRIC & TIES 3” TERMINAL POSTS (SS40) 2.5” LINE POSTS (SS40) 1-5/8” TOP RAIL & BRACING (SS20) ALL POSTS IN DIRT TO BE SET IN CONCRETE FOOTINGS,3 POSTS TO BE PLATED TO CONCRETE PATHWAY. PRICE INCLUDES 1-12' DOUBLE SWING GATE FOR ACCESS. PRICE INCLUDES 850 SERIES SOUNDBLOCK ACOUSTIC PANELS. $17,222.00 *NOTE: CASH OR CHECK DISCOUNT FIGURED *NOTE: SALES TAX INCLUDED. *NOTE: ALL ABOVE MEASUREMENTS ARE APPROXIMATE AND ALL SIZES ARE NOMINAL. *NOTE: ALL CLEARING TO BE DONE BY OTHER PRIOR TO INSTALLATION. *NOTE: PLEASE REVIEW THE ATTACHED INFORMATION CONCERNING THE CUSTOMERS RESPONSIBILITY FOR PROPERTY LINES AND UTILITIES. Continued on Page 2 .... Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF Page 2 0f 2 Bid # Payment to be made as follows:There will be a 3% convenience fee applied to all payments received via credit card. All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to industry practices.Any alteration or deviation from above specifications involving extra costs,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance.Our workers are fully covered by Worker's Compensation and General Liability Insurance. Note: This proposal may be withdrawn if not accepted within 10 days Customer Acceptance: Date: RARA29872 Jason DanielsProposed By: Acceptance of Proposal-By signing this proposal,you will be entering into a contract with Seegars Fence Company,Inc.of Raleigh.The above prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outlined above.If proposal is submitted to a tenant of rental property,then the tenant represents that they are the authorized agent for the owner for the purposes of the contracted improvements to real property and is duly authorized to sign this contract.To Accept this proposal,please provide your initials at the bottom of Page 1 and sign/date Page 2. No Deposit / Balance Due Upon Completion In submitting this proposal, it is assumed that there is no underlying ROCK or concrete on the property which will necessitate drilling or blasting, or any other unusual conditions involving extra labor in the erection of this fence and that the fence right of way will be marked by the owner or general contractor and will be clear, graded, and ready to receive the fence. If any of the above conditions are encountered, or any additions or changes are made by the customer, additional charges will be made at current market prices. It shall be the responsibility of the owner to advise workers of the location of any underground cables, lines, etc. If such are not marked properly, the owner assumes responsibility for them. Should an account not be paid as agreed, any cost of collection including interest and attorney's fees, etc. shall be paid by the customer. Thank you for considering Seegars Fence Company for your fencing needs. We appreciate this opportunity. In order to expedite this project, we would like to make you aware of a few very important details: 1.Underground Wires and Public Utilities : Seegars Fence Company will call underground locators for you marking all public utilities. It is the customer's responsibili ty to locate private utilities prior to our arrival. “Private” undergrounds include, but are not limited to, cables running to pools, satellite disks, storage buildings , sprinkler systems, wells, septic tanks, propane tanks and gas lines, etc. Hopefully, this will keep our crews safe and prevent needless repair bills for you. 2. Property Lines: It is very important to have your property lines clearly marked. Our experience has taught us that it is not wise for you to guess about your property lines. If you have ANY doubt, we suggest that you employ a surveyor. It is normal practice for Seegars Fence Company to install your fe nce anywhere between 6 to 8 inches inside of your property line to avoid property disputes. If you the customer would like fence installed any closer tha n that it will be the responsibility of the property owner to show us where you would like the fence installed.Note: If any fence has to be re -located due to property line disputes it will be the responsibility of the property owner to pay to have the fence re -located.Your approval for fence location will be required. 3. Clearing Fence Lines: Fence lines should be clear of all obstructions and debris prior to our arrival unless you have discussed removal with your E stimator/Project Manager. Extra charges may apply if we are required to clean your fence lines in order to install your fence. 4. Rock or Buried Obstacles: Unless discussed with you by your Estimator/ Project Manager, your fence price does not include drilling/digging through rock or any other material that may require heavy equipment. When such obstacles are encountered, it may be necessary to adjust your fence layout or post spacin g. 5. Restrictions and Permits: Some areas we service have special restrictions related to fencing and also require permits in order to install a fence. In most cases these restrictions and permits are required within a city’s planning and zoning area. For instance, most cities limit the height of your fence to f our feet tall in your front yard and six feet elsewhere. It is your responsibility to contact your zoning officer to see if you must obtain a permit or if any specia l restrictions may apply. If you live in a subdivision it is your responsibility to learn of any covenants. 6. Construction: Fences are usually graded to the overall contour of the job site. Sharp hills or dips may result in the fence being on the g round, in the ground, and sometimes above the ground. Gates in sloping areas may cause some opening under them. Please discuss ANY possible concerns with your Estimator/ Project Manager in advance. 7. Wood Fencing: Any treated wood is subject to some degree of warpage, splitting, and cracking following installation. Inasmuch as we have n o control over the above, the extent of our warranty concerning warpage, splitting, and cracking is to provide replacement boards or posts to you the custo mer. Our warranty does not include providing labor to replace such except those identified within 10 days following our final day of installation. Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF E-589CI Affidavit of Capital Improvement Section I. Single Use (Complete this section to issue the affidavit for a single capital improvement.) Owner, Tenant, or Real Property Contractor Real Property Contractor (General Contractor or Subcontractor) A B Address Address City ST ZIP City ST ZIP NC NC Describe capital improvement to be performed: Project Name Project Address City ST ZIP NC Signature of Authorized Person:Title:Date: Section II. Blanket Use (Complete this section execute a blanket affidavit.) Real Property Contractor Real Property Contractor or Subcontractor) C D Address Address City ST ZIP City ST ZIP To be completed by the Real Property Contractor identified in Box C. Signature of Authorized Person:Title:Date: I certify that I am a Real Property Contractor who performs capital improvements to real property and all transactions with the real property contractor (subcontractor) identified in box “D” shall be treated as real property contracts with respect to capital improvements for real property for sales and use tax purposes. 113 MAYO ST., HILLSBOROUGH, NC HILLSBOROUGH 27278 I certify that, to the best of my knowledge, this affidavit is accurate and complete and that the transaction described to be performed by the Real Property Contractor (General Contractor or Subcontractor identified in box “B”) shall be treated as a real property contract with respect to a capital improvement to real property for sales and use tax purposes. GENERATOR ENCLOSURE Form E-589CI, Affidavit of Capital Improvement, is generally required to substantiate that a contract, or a portion of work to be performed to fulfill a contract,is to be taxed for sales and use tax purposes as a real property contract with respect to a capital improvement to real property. • This affidavit may not be used to purchase building materials, other tangible personal property, or digital property to fulfill a real property contract exempt from sales and use tax. • A person who willfully attempts, or a person who aids or abets a person to attempt in any manner, to evade or defeat a tax imposed by the Sales and Use Tax Laws, or the payment thereof, shall be guilty of a Class H felony. If there is a deficiency or delinquency in payment of any tax due to fraud with intent to evade the tax, there shall be assessed a penalty equal to 50% of the total deficiency. ORANGE COUNTY Seegars Fence Company, Inc. of Raleigh 131 W. MARGARET LANE P.O. Box 1190 HILLSBOROUGH 27278 Morrisville 27560 New Fence Installation Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD 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) 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 EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY 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 LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) 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 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.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 5/13/2026 (252) 451-9400 12572 Seegars Fence Company Of Raleigh LLC 109 International Drive Morrisville, NC 27560 10166 A 1,000,000 X S 2174408 8/1/2025 8/1/2026 500,000 Contractual Liab 15,000 XCU is not excluded 1,000,000 2,000,000 2,000,000 X No residential exclusion 1,000,000A S 2174408 8/1/2025 8/1/2026 Comp $500 Coll $500 10,000,000A S2174447 8/1/2025 8/1/2026 10,000,000 0 B 100047602 8/1/2025 8/1/2026 1,000,000 N 1,000,000 1,000,000 A Equipment Floater S 2174408 8/1/2025 Leased/Rented Equip 125,000 (Insurer A= A+ rated; Insurer B= A rated) The certificate holder is included as additional insured with respect to general liability as required by written contract. The policies are written on a primary & non-contributory basis. Waiver of subrogation applies in favor of the additional insured. Orange County, NC 306 Revere Rd. Hillsborough, NC 27278 SEEGFEN-25 JCOLLINSJHA Oakbridge Insurance Agency 950 Country Club Road Rocky Mount, NC 27804 Brittany Taylor btaylor@oakbridgeinsurance.com Selective Insurance Company Of America Accident Fund Ins. Co of America X 8/1/2026 X X X X X X X X X X X X X Docusign Envelope ID: 48EF5B23-E70D-82ED-8281-0E3095584BFF