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2026-252-E-IT Dept-North State Communications-Fiber expansion
SECOND AMENDMENT TO NETWORK DEVELOPMENT AGREEMENT AND ARPA SUBRECIPIENT AGREEMENT BETWEEN ORANGE COUNTY AND NORTH STATE COMMUNICATIONS ADVANCED SERVICES, LLC This Second Amendment (the “Second Amendment”) is made and entered into as of the last date of signature below, by and between Orange County, a political subdivision of the State of North Carolina (hereinafter referred to as the "County"), and North State Communications Advanced Services, LLC (hereinafter referred to as the "Provider"). County and Provider may be referred to as the “Parties” in this Second Amendment. WHEREAS, the Parties entered into a Network Development Agreement (hereinafter referred to as the “ND Agreement”) and an ARPA Subrecipient Agreement (hereinafter referred to as the “Subrecipient Agreement”), both dated April 26, 2022 (hereinafter collectively referred to as the “Agreements”), for the development of broadband infrastructure in unserved and underserved areas of Orange County, using funds from the Coronavirus Local Fiscal Recovery Fund (part of the American Rescue Plan Act of 2021, Pub. L. No. 117-2) with an award of up to $10,000,000.00; and WHEREAS, the Parties amended that ND Agreement on or about September 24th, 2025 to extend project timelines due to construction delays and to ensure compliance with ARPA deadlines, while clarifying the allocation of risks and responsibilities for compliance and other issues; and WHEREAS, the Parties wish to further amend their agreement for similar purposes of extending timelines and deadlines. NOW, THEREFORE, the Parties agree to amend the Agreements as follows: 1. Extension of Timeline for Project Completion The following sections of the ND Agreement are hereby amended as follows: •Section 7(e) – Concealed or Unknown Conditions: The last sentence of subsection 7(e) shall be replaced with “If County determines that the conditions differ materially and will cause a material increase in time required by Provider to perform any part of the work, and that Provider could not have identified the conditions by exercising commercially reasonable due diligence prior to executing the Agreement, County will review and approve an equitable adjustment to the time necessary to complete a milestone, as applicable, provided such adjustment does not require obligation of County funds after December 31, 2026, or completion of work after November 1, 2026.” •Section 15 – Project Closeout, Subsection a. Final Expenditures: Section 15(a) is replaced in its entirety with: “All Project costs must be incurred by November 1, 2026, and all Work must be completed no later than November 1, 2026. Provider shall deliver reimbursement requests and any invoices, receipts, hours, payroll information and any other supporting documentation for any work completed or to be completed, to the maximum extent feasible, by November 1, 2026. The County shall have no obligation to prioritize or expedite the processing of payment requests beyond its normal operational procedures. If the Provider fails to comply with the deadlines, documentation requirements, or any provisions of this Agreement, the County reserves the right to withhold or recoup ARPA funds and shall have no obligation to disburse funds after the 1 Docusign Envelope ID: C95BA5CE-286E-8718-83D8-162116199294 December 31, 2026, deadline. The Provider acknowledges that any delay in submitting required documentation may result in nonpayment, and the County shall not be liable for any financial losses incurred by the Provider due to noncompliance.” 2.Revised Disbursement Schedule: The Parties acknowledge and agree that the initial five milestones payments were reached and proper payment made pursuant to Section 13 of the ND Agreement. The Parties seek to add three milestones. The final unexpended $800,000.00 payment shall be divided by three milestones and restoring the total amount of up to $10,000,000. The chart depicting the disbursement schedule shall be replaced in whole by the following: Initial payment within 30 days of Effective Date $1,000,000.00 Upon Passing of and offering Communication Services to 3,000 locations no later than December 31, 2023 $3,000,000.00 Upon Passing of and offering Communication Services to all 199 locations listed as “Area One” in “Remaining Mutually Agreed Service Sites”, Attachment B2) no later than July 1, 2026, and commitment to Pass any additional locations as required under Section 7(b)(i) no later than December 31, 2026 $2,600,000.00 Upon Passing of and offering Communication Services to all 111 locations listed as “Area Two” in “Remaining Mutually Agreed Service Sites”, Attachment B2) no later than July 1, 2026, and commitment to Pass any additional locations as required under Section 7(b)(i) no later than December 31, 2026 $1,300,000.00 Upon Passing of and offering Communication Services to all 355 locations listed as “Area Three” in “Remaining Mutually Agreed Service Sites”, Attachment B2) no later than July 1, 2026, and commitment to Pass any additional locations as required under Section 7(b)(i) no later than December 31, 2026 $1,300,000.00 Upon Placing Conduit to the 25 locations listed as part of Polygon 82 in the “Final Service Sites, Attachment B3 no later than November 1, 2026. $300,000.00 Upon Placing Conduit to the 80 locations listed as part of Polygon 83 in the “Final $300,000.00 2 Docusign Envelope ID: C95BA5CE-286E-8718-83D8-162116199294 Service Sites, Attachment B3 no later than November 1, 2026. Upon Passing of and offering Communication services to all 105 locations listed as “Final Service Sites”, Attachment B3 no later than November 1, 2026. $200,000.00 3.Replacement of Attachments A/A2 & C/C2 – Service Area Map & Construction Plan and Timeline Attachment A2 (“Revised Service Area Map”) (having replaced Attachment A (“Service Area Map”)), and Attachment C2 (“Revised Construction Plan and Timeline”) (having replaced Attachment C (“Construction Plan and Timeline”)) shall be replaced in its entirety and in all instances by the new Attachment A3 (“Final Service Area Map”), and Attachment C3 (“Final Construction Plan and Timeline”). 4.Addition of Attachment B3 – Final Mutually Agreed Service Sites There shall be a new Attachment B3 (“Final Mutually Agreed Service Sites”) for the purposes of identifying the remaining locations to be served and marked by the revised payment milestones. Within the new Attachment B3 (“Final Mutually Agreed Service Sites”), there shall be two divisions of the addresses identified as “Polygon 82” and “Polygon 83” which shall be based upon the polygons depicted in the new Attachment A3 (“Final Service Area Map”) and correspond to the revised disbursement schedule in Section 13. 5.Definitions The definition of “Location” in Section 3 Definitions shall be replaced with the following: •“Location” means the site of a potential or current Customer found in the Mutually Agreed Service Sites (Attachment B), the Remaining Mutually Agreed Service Sites (Attachment B2), or the Final Mutually Agreed Service Sites (Attachment B3). The definition of “Placing Conduit” shall be added to Section 3 Definitions as the following: •“Placing Conduit” means the all conduit have been placed in the ground, including all required bores, trenching activities, and conduit placement activities. To qualify as “Placing Conduit” it must have been installed in accordance with applicable engineering specifications and industry standards. Furthermore, such installation must have been certified by Provider and verified by County that the installed conduit is ready for subsequent fiber placement activities, subject only to routine testing, inspections, permitting closeout, or other activities that do not require additional conduit construction. 6.Network Description The Parties hereby agree to amend Section 6 of the ND Agreement to include 48 fiber distribution hubs, 750 miles of fiber, and no less than 5,964 locations along the route (the “Mutually Agreed Services Sites”). 3 Docusign Envelope ID: C95BA5CE-286E-8718-83D8-162116199294 7.Limitations on Expenditures The Parties hereby agree to amend Section 6(b) of the Subrecipient Agreement to replace the first sentence with: “The County will not reimburse or otherwise compensate the Subrecipient for any expenditures incurred or services provided prior to the ND Agreement Effective Date nor for work performed after December 31, 2026.” 8.Remainder of Agreements Unchanged Except as expressly modified by this Second Amendment, all other terms and conditions of the ND Agreement and the Subrecipient Agreement remain unchanged and in full effect. IN WITNESS WHEREOF, the Parties have executed this Second Amendment as of the date first written above. Orange County: By: _________________________________ Travis Myren, County Manager Date: _______________________________ North State Communications Advanced Services, LLC: By: _________________________________ Scott Mispagel, CEO Date: _______________________________ 4 Docusign Envelope ID: C95BA5CE-286E-8718-83D8-162116199294 6/18/2026 6/24/2026 Revised 01/24 1 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: North State Communications Vendor Contact Person: Andrew Stevenson Phone: (336) 821-8801 Address: One Lumos Plaza City Waynesboro State: NC Zip: 22980 Department: Information Technologies Amount: $800,000.00 Purpose: Fiber expansion Budget Code(s): 28210030-897085-96122 Vendor # 67739 Vendor Status with NCSOS: Current-Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 4/26/2022) (Most Recent Amendment 9/30/2025) Effective Date 6/17/2026 End Date 12/31/2026 Notice Date N/A (Notice Purpose N/A) Award Approved by Board (Agenda Date: 6/16/2026); Made or Administered by Signature Authority - BOCC Express Delegation (Agenda Date: 6/16/2026) -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:_________ 5 Docusign Envelope ID: C95BA5CE-286E-8718-83D8-162116199294 6/18/2026 6/18/2026 6/23/2026 6/23/2026 6/24/2026 Attachment A3 = *Boundaries are approximate, consult the project address list to verify location status *Purple areas represent Stop Gap funding 6 Docusign Envelope ID: C95BA5CE-286E-8718-83D8-162116199294 Attachment B3 location_id county Address Lookup City Lookup Zip Polygon 1074403598 ORANGE 104 ANGEL WAY CHAPEL HILL 27516 Orange 82 1074403597 ORANGE 121 ANGEL WAY CHAPEL HILL 27516 Orange 82 1074403596 ORANGE 145 ANGEL WAY CHAPEL HILL 27516 Orange 82 1074403595 ORANGE 161 ANGEL WAY CHAPEL HILL 27516 Orange 82 1074403602 ORANGE 400 FORD RD CHAPEL HILL 27516 Orange 82 1074403600 ORANGE 432 FORD RD CHAPEL HILL 27516 Orange 82 1074403601 ORANGE 444 FORD RD CHAPEL HILL 27516 Orange 82 1074403539 ORANGE 465 FORD RD CHAPEL HILL 27516 Orange 82 1074400397 ORANGE 501 FORD RD CHAPEL HILL 27516 Orange 82 1074400408 ORANGE 513 FORD RD CHAPEL HILL 27516 Orange 82 1074400410 ORANGE 520 FORD RD CHAPEL HILL 27516 Orange 82 1074400350 ORANGE 1101 HERON POND DR CHAPEL HILL 27516 Orange 82 1074400402 ORANGE 1117 HERON POND DR CHAPEL HILL 27516 Orange 82 1074400416 ORANGE 1100 HERON POND DR CHAPEL HILL 27516 Orange 82 1074400418 ORANGE 808 SOLITUDE PT CHAPEL HILL 27516 Orange 82 1074403538 ORANGE 815 SOLITUDE PT CHAPEL HILL 27516 Orange 82 1074403593 ORANGE 835 SOLITUDE PT CHAPEL HILL 27516 Orange 82 1074403594 ORANGE 358 TECUMSEH PATH CHAPEL HILL 27516 Orange 82 1398029354 ORANGE 1018 TERRELL WOODS LN CHAPEL HILL 27516 Orange 82 1074400409 ORANGE 1045 TERRELL WOODS LN CHAPEL HILL 27516 Orange 82 1074405426 ORANGE 1163 TERRELL WOODS LN CHAPEL HILL 27516 Orange 82 1074405424 ORANGE 1240 TERRELL WOODS LN CHAPEL HILL 27516 Orange 82 1074405408 ORANGE 1285 TERRELL WOODS LN CHAPEL HILL 27516 Orange 82 1074405440 ORANGE 2035 TERRELL WOODS LN CHAPEL HILL 27516 Orange 82 1074405439 ORANGE 2050 TERRELL WOODS LN CHAPEL HILL 27516 Orange 82 1074392866 ORANGE 7108 AKIN TRL CHAPEL HILL 27516 Orange 83 1074400400 ORANGE 1327 ARNOLDS WOODS RD CHAPEL HILL 27516 Orange 83 1074404432 ORANGE 1230 ARNOLDS WOODS RD CHAPEL HILL 27516 Orange 83 1074404418 ORANGE 201 BOX TURTLE TRL CHAPEL HILL 27516 Orange 83 1074404431 ORANGE 210 BOX TURTLE TRL CHAPEL HILL 27516 Orange 83 1074404420 ORANGE 235 BOX TURTLE TRL CHAPEL HILL 27516 Orange 83 1074404462 ORANGE 236 BOX TURTLE TRL CHAPEL HILL 27516 Orange 83 1074404419 ORANGE 271 BOX TURTLE TRL CHAPEL HILL 27516 Orange 83 1074404446 ORANGE 279 BOX TURTLE TRL CHAPEL HILL 27516 Orange 83 1074404426 ORANGE 7035 CANOPY LN CHAPEL HILL 27516 Orange 83 1074404460 ORANGE 7046 CANOPY LN CHAPEL HILL 27516 Orange 83 1074404451 ORANGE 7047 CANOPY LN CHAPEL HILL 27516 Orange 83 1074404422 ORANGE 7049 CANOPY LN CHAPEL HILL 27516 Orange 83 1074404461 ORANGE 6048 HEELS DR CHAPEL HILL 27516 Orange 83 1074404444 ORANGE 6100 HEELS DR CHAPEL HILL 27516 Orange 83 1074405438 ORANGE 215 MARKS LN CHAPEL HILL 27516 Orange 83 1074405406 ORANGE 245 MARKS LN CHAPEL HILL 27516 Orange 83 1074405407 ORANGE 253 MARKS LN CHAPEL HILL 27516 Orange 83 1074405421 ORANGE 300 MARKS LN CHAPEL HILL 27516 Orange 83 7 Docusign Envelope ID: C95BA5CE-286E-8718-83D8-162116199294 1074404564 ORANGE 1335 MATTIE B LN CHAPEL HILL 27516 Orange 83 1074404568 ORANGE 1329 MATTIE B LN CHAPEL HILL 27516 Orange 83 1398029992 ORANGE 6600 MAYNARD FARM RD CHAPEL HILL 27516 Orange 83 1074405506 ORANGE 6610 MAYNARD FARM RD CHAPEL HILL 27516 Orange 83 1074405512 ORANGE 6627 MAYNARD FARM RD CHAPEL HILL 27516 Orange 83 1074405470 ORANGE 6628 MAYNARD FARM RD CHAPEL HILL 27516 Orange 83 1074392869 ORANGE 6703 MAYNARD FARM RD CHAPEL HILL 27516 Orange 83 1074392845 ORANGE 6711 MAYNARD FARM RD CHAPEL HILL 27516 Orange 83 1074392819 ORANGE 6747 MAYNARD FARM RD CHAPEL HILL 27516 Orange 83 1074362173 ORANGE 5050 MCGOWAN CREEK RD EFLAND 27243 Orange 83 1074400398 ORANGE 1237 OAK FOREST RD CHAPEL HILL 27516 Orange 83 1074400401 ORANGE 1227 OAK FOREST RD CHAPEL HILL 27516 Orange 83 1074400412 ORANGE 1217 OAK FOREST RD CHAPEL HILL 27516 Orange 83 1074392867 ORANGE 1614 ORANGE CHAPEL CLOVERCHAPEL HILL 27516 Orange 83 1074392821 ORANGE 1626 ORANGE CHAPEL CLOVERCHAPEL HILL 27516 Orange 83 1074392844 ORANGE 1627 ORANGE CHAPEL CLOVERCHAPEL HILL 27516 Orange 83 1074392832 ORANGE 1633 ORANGE CHAPEL CLOVERCHAPEL HILL 27516 Orange 83 1074392818 ORANGE 1634 ORANGE CHAPEL CLOVERCHAPEL HILL 27516 Orange 83 1074392849 ORANGE 1702 ORANGE CHAPEL CLOVERCHAPEL HILL 27516 Orange 83 1074392879 ORANGE 1711 ORANGE CHAPEL CLOVERCHAPEL HILL 27516 Orange 83 1074392815 ORANGE 1725 ORANGE CHAPEL CLOVERCHAPEL HILL 27516 Orange 83 1074392839 ORANGE 1730 ORANGE CHAPEL CLOVERCHAPEL HILL 27516 Orange 83 1074392850 ORANGE 1732 ORANGE CHAPEL CLOVERCHAPEL HILL 27516 Orange 83 1074405469 ORANGE 1737 ORANGE CHAPEL CLOVERCHAPEL HILL 27516 Orange 83 1074405468 ORANGE 1808 ORANGE CHAPEL CLOVERCHAPEL HILL 27516 Orange 83 1074392851 ORANGE 7023 SOUTHERN TRL CHAPEL HILL 27516 Orange 83 1074392833 ORANGE 7214 SOUTHERN TRL CHAPEL HILL 27516 Orange 83 1074392860 ORANGE 7207 SOUTHERN TRL CHAPEL HILL 27516 Orange 83 1605446763 ORANGE 7230 SOUTHERN TRL CHAPEL HILL 27516 Orange 83 1074404430 ORANGE 1233 TRIPP RD CHAPEL HILL 27516 Orange 83 1074400407 ORANGE 1303 TRIPP RD CHAPEL HILL 27516 Orange 83 1074404429 ORANGE 1304 TRIPP RD CHAPEL HILL 27516 Orange 83 1074400415 ORANGE 1327 TRIPP RD CHAPEL HILL 27516 Orange 83 1074400417 ORANGE 1401 TRIPP RD CHAPEL HILL 27516 Orange 83 1074400404 ORANGE 1407 TRIPP RD CHAPEL HILL 27516 Orange 83 1074400406 ORANGE 1430 TRIPP RD CHAPEL HILL 27516 Orange 83 1074400403 ORANGE 1435 TRIPP RD CHAPEL HILL 27516 Orange 83 1074400481 ORANGE 1509 TRIPP RD CHAPEL HILL 27516 Orange 83 1074405428 ORANGE 1026 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074405430 ORANGE 1036 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074404456 ORANGE 1134 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1414179498 ORANGE 1318 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074404435 ORANGE 1410 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074405423 ORANGE 715 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074405434 ORANGE 726 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074405432 ORANGE 804 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074405409 ORANGE 808 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 8 Docusign Envelope ID: C95BA5CE-286E-8718-83D8-162116199294 1074405431 ORANGE 827 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074405412 ORANGE 831 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074405420 ORANGE 833 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074405433 ORANGE 835 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074405414 ORANGE 839 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074405419 ORANGE 841B WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1414179502 ORANGE 847 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074405441 ORANGE 934 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074405436 ORANGE 935 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074405437 ORANGE 945 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 1074404569 ORANGE 1500 WILLIE BOLDIN RD CHAPEL HILL 27516 Orange 83 ORANGE 1224 TRIPP RD CHAPEL HILL 27516 Orange 83 ORANGE 1316 TRIPP RD CHAPEL HILL 27516 Orange 83 ORANGE 908 WHITE CROSS RD CHAPEL HILL 27516 Orange 83 9 Docusign Envelope ID: C95BA5CE-286E-8718-83D8-162116199294 Attachment C3 TASK NAME Responsible Person Jun-26 Jul-26 Aug-26 Sep-26 Oct-26 Nov-26 Dec-26 OSP Conduit Placement - Polygon 82 Director OSP Construction OSP Conduit Placement - Polygon 83 Director OSP Construction OSP Fiber Placement - Polygon 82 Director OSP Construction OSP Fiber Placement - Polygon 83 Director OSP Construction Fiber Terminal Installs & Splicing - Polygon 82 Director OSP Construction Fiber Terminal Installs & Splicing - Polygon 83 Director OSP Construction Equip Turn-up - Polygon 82 Director IP Engineering Equip Turn-up - Polygon 83 Director IP Engineering Project Closeout & Final Payment Lumos Market Development & County Manager, CIO Polygon 82 Launch (25 Homes) Directors (IP & OSP) Engineering Polygon 83 Launch (80 Homes) Directors (IP & OSP) Engineering ***Project schedule based on contract executed as of June 16, 2026. Orange County Polygons 82 & 83 10 Docusign Envelope ID: C95BA5CE-286E-8718-83D8-162116199294 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY B 1,000,000 H-630-1X530266-PHX-25 X CLE-006876859-07 1,000,000 10,000,000 X X 25674 10,000,000 Richmond, VA 23219 N X10/04/2025 6 10/04/2026 25658 10/04/2026 810-B203607A-25-I3-G C 2,000,000 1,000,000 19046 Travelers Property Casualty Co. Of America 1,000,000 X X 10/06/2025 10/04/2025 Orange County, its departments, agents, employees or assigns is/are included as additional insured (except workers’ compensation) where required by written contract. Waiver of subrogation is applicable where required by written contract. X P.O. Box 8181 Hillsborough, NC 27278 Orange County, North Carolina The Travelers Indemnity Company Of America A Travelers Casualty Insurance Company of America CN147293272-TH-GAWU-25-26 10,000 10/04/2026 1,000,000 CUP-1X58363A-25-I3 2,000,000 25623 300,000 1,000,000 X UB-1X554031-25-I3-G Gateway Plaza MARSH USA LLC. X 800 East Canal St. Suite 900 Services, LLC North State Communications Advanced High Point, NC 27265 4100 Mendenhall Oaks Parkway, Suite 300 X 10/04/2025 Travis Myren 10/04/2025 D 10/04/2026 The Phoenix Insurance Company Docusign Envelope ID: C95BA5CE-286E-8718-83D8-162116199294