April 22, 2013 52

42. Citywide Generators and Related Services

Staff Resource: Charles Robinson, Shared Services

ExplanationThe City uses various sizes of generators as an alternate source of power for equipment, facilities, and radio towers when normal power supplies are temporary interrupted. Generators are vital to sustain critical services to citizens including public safety, and emergency facility operations and security systems.Shared Services/Procurement Management issued an Invitation to Bid (ITB) on January 17, 2013, to provide generators and related services for the City of Charlotte and the Charlotte Cooperative Purchasing Alliance (CCPA). The ITB requested pricing on 18 specific sizes (50-3000kW) generators, discountson all other available size generators, accessories, and related services for the City of Charlotte and participating agencies.In response to the ITB, five bids were received and evaluated. National Power provided the lowest pricing on all 18 generator sizes, whereas the other bid responses only included prices on a select few of the requested sizes.National Power Corporation was determined to be the lowest responsive, responsible bidder meeting all requirements including, but not limited to price, quality, performance, qualifications and experience, delivery, workmanship, and ability to provide the needed products and services to all potential participating public agencies.The estimated annual expenditure is $500,000.

BackgroundThe CCPA is a cooperative purchasing program established by Shared Services/Procurement Management with the specific purpose of reducing procurement costs by leveraging aggregate purchasing volume to receive better pricing.CCPA contracts are available for the use and to the benefit of all entities that must comply with state purchasing laws including cities, counties, public and private schools, colleges and universities, non-profits, and all governmental entities.

Small Business Opportunity No SBE goals are established for purchases of goods and equipment (Appendix Section 18 of the SBO Policy).

Funding Various Departments’ Operating Budget

Action: A. Award the low-bid unit price contract to National Power Corporation for the purchase of Generators and Related Services for a three-year term, and

B. Authorize the City Manager to extend the contract for two additional, one-year terms with possible price adjustments as authorized by the contract.

Stephanie C. Kelly 04/22/2013

STATE OF NORTH CAROLINA COUNTY OF MECKLENBURG

Contract#: 1301043 Amendment#: 2 Vendor#: 40340

SECOND AMENDMENT TO THE AGREEMENT TO PROVIDE GENERATORS

THIS SECOND AMENDMENT TO THE AGREEMENT TO PROVIDE GENERATORS (this "Second Amendment") is made and entered into this 22nd day of April 2017, by and between National Power Corporation, a North Carolina corporation doing business in North Carolina (the "Company"), and the City of Charlotte, a North Carolina municipal corporation (the "City").

Statement of Background and Intent

A. The City of Charlotte and the Company entered into an Agreement for Generators dated April 22, 2013 (the "Contract") pursuant to which the Company agreed to provide Generators for the City of Charlotte.

B. The parties amended the Contract on April 22, 2016 to make certain changes to the provisions and exercise the first renewal amendment.

C. The parties now desire to amend the Contract to extend the Term of the Contract by the second of two (2) one-year renewal terms.

NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein, the parties hereby agree to the following:

AGREEMENT

1. The terms of the Contract are restated by and incorporated into this Second Amendment by reference.

2. Defined terms used in this Second Amendment shall have the same meaning as are assigned to such terms in the Contract.

3. This Second Amendment extends the Term of the Contract by the second of two (2) one-year renewal terms to expire on April 21, 2018.

4. Section 18 of the Contract ("Miscellaneous") is hereby appended as follows:

18. 12. E-VERIFY. Company shall comply with the requirements of Article 2 of Chapter 64 of the North Carolina General Statutes, and shall require each of its subcontractors to do so as well.

18.13. IRAN DIVESTMENT ACT. Company certifies that: (i) it is not identified on the Final Divestment List or any other list of prohibited investments created by the NC State Treasurer pursuant to N.C.G.S. 147-86.58; (ii) it will not take any action causing if to appear on any such list during the term of this Contract; and (iii) it will not utilize any subcontractor that is identified on any such list to provide goods or services hereunder.

18.14 PRE-AUDIT. No pre-audit certificate is required under N.C. Gen. Stat. 159-28(a) because this Contract is for an indefinite quantify with no minimum purchase requirement. Notwithstanding anything contained herein to the contrary, this Contract does not require the City to purchase a single product or service, and a decision by the City to not make any purchase hereunder will violate neither this Contract nor any implied duty of good faith and fair dealing. The City has no financial obligation under this Contract absent the City's

NATIONAL POWER CORPORATION AMENDMENT TWO

Contract#: 1301043 Amendment#: 2 Vendor#: 40340

execution of a valid and binding purchase order or contract addendum containing a pre­audit certificate.

5. The contact information for the City set forth in Section 17 of the Contract ("Notices") is hereby revised to state as follows:

Kay Elmore Procurement Management Division 600 East Fourth Street Charlotte, NC 28202 Phone: 704-336-2524 Fax: 704-632-8252 E-mail: kelmore@charlottenc.gov

6. Except to the extent specifically provided above, this amendment shall not be interpreted or construed as waiving any rights, obligations, remedies, or claims the parties may otherwise have under the Contract.

7. In all other respects and except as modified herein, the terms of the Contract shall remain in force and effect.

NA TIONAL POWER CORPORATION AMENDMENT TWO

[Signature Page Follows)

Contract#: 1301 043 Amendment#: 2 Vendor#: 40340

IN WITNESS WHEREOF, and in acknowledgement that the parties hereto have read and understood each and every provision hereof, the parties have caused this Second Amendment to be executed as of the date fi rst written above.

NATIONAL POWER CORPORATION:

BY: __ {2_W_v-rrJ ___ _ _ (signature)

PRINT NAME: Robert Wood ---------------------TITLE: COO -----------------------DATE: 03/14/2017

TITLE: ---=C::...LA-'():::....__ _ _ ___ _

DATE: -....o:;..,J,,.._.IJ~~f-'!t__,_7 __ _

BY: (signature

PRINT NAME: c;.&rl5{ef:... 6 ~ hSct\ TITLE: &,£ Yi1ti r v

DATE, ~ I tit ~r1 This instrument has been pre-audited in the manner required by Local Government Budget and Fiscal Control Act.

BY: (s ignature)

NATIONAL POWER CORPORATION AMENDMENT TWO

DATE: ________________________ _

Voltage**

Items Diesel Generators Actual Capacity/ 120/208 480/277 4160

(Nominal Capacity) Make/Model

3000 MP5D3000 y y y

2500 MP5D2500 y y y

2400 MP5D2400 y y y

2000 MP5D2000 y y y

1800 MP5D1800 y y y

1500 MPSD1500 y y y

1250 MPSD1200 y y y

1000 MP5D1000 y y y

800 MP5D800 y y y

700 MPSD700 y y y

600 §.Q§QQ y y y

500 5D500 y y y

400 5D400 y y y

350 5D350 y y y

300 SD300 y y y

275 5D275 y y y

250 5D250 y y y

230 5D230 y y y

200 5D200 y y y

175 5D175 y y y

150 ~ y y y

130 5D130 y y y

100 §Q1QQ y y y

80 SD080 y y y

60 SD060 y y y

50 5D050 y y y

40 5D040 y y y

35 §Qill y y y

30 SD030 y y y

Unit Price

$ 469,285.00

$ 326,060.00

$ 375,915.00

$ 261 ,335.00

$ 282,545.00

$ 196,610.00

$ 176,255.00

$ 131,885.00

$ 115,630.00

$ 105,935.00

$ 92,200.00

$ 60,295.00

$ 48,095.00

$ 42,405.00

$ 35,410.00

$ 34,590.00

$ 36,310.00

$ 35,141.00

$ 30,075.00

$ 26,805.00

$ 24,712.00

$ 22,585.00

$ 16,750.00

$ 16,459.00

$ 14,370.00

$ 12,615.00

$ 12,335.00

$ 12,458.00

$ 12,841.00

EXHIBIT A

PRICING SHEET

Fixed Percentage Fixed Contract

Discount off Mfg Price List Price

N/A $ 469,285.00

N/A $ 326,060.00

N/A $ 375,915.00

N/A $ 261 ,335.00

NIA $ 282,545.00

N/A $ 196,610.00

N/A $ 176,255.00

N/A $ 131 ,885.00

N/A $ 115,630.00

N/A $ 105,935.00

N/A $ 92,200.00

N/A $ 60,295.00

N/A $ 48,095.00

N/A $ 42,405.00

N/A $ 35,410.00

N/A $ 34,590.00

N/A $ 36,310.00

N/A $ 35,141.00

N/A $ 30,075.00

N/A $ 26,805.00

N/A $ 24,712.00

N/A $ 22,585.00

NIA $ 16,750.00

N/A $ 16,459.00

N/A $ 14,370.00

N/A $ 12,615.00

NIA $ 12,335.00

N/A $ 12,458.00

N/A $ 12,841.00

Preventative Maintenance Service

Quarterly Bi-annually Annually

$ 9,750.00 $ 12,441.00 $ 17,153.50

$ 9,750.00 $ 12,441 .00 $ 17,153.50

$ 5,850.00 $ 7,464.60 $ 10,292.10

$ 7,800.00 $ 9,952.80 $ 13,722.80

$ 5,850.00 $ 7,464.60 $ 10,292.10

$ 5,850.00 $ 7,464.60 $ 10,292.10

$ 3,900.00 $ 4,976.40 $ 6,861.40

$ 3,900.00 $ 4,976.40 $ 6,861 .40

$ 3 ,900.00 $ 4,976.40 $ 6,861 .40

$ 3,450.00 $ 4,402.20 $ 6,069.70

$ 1,950.00 $ 2,488.20 $ 3,430.70

$ 1 ,950.00 $ 2,488.20 $ 3,430.70

$ 1,950.00 $ 2 ,488.20 $ 3,430.70

$ 1,725.00 $ 2,201 .10 $ 3,034.85

$ 1,309.85 $ 2,068.85 $ 2,664.55

$ 1,309.85 $ 2,068.85 $ 2 ,664.55

$ 1,309.85 $ 2,068.85 $ 2,664.55

$ 1,309.85 $ 2,068.85 $ 2,664.55

$ 1,137.35 $ 1,643.35 $ 2,072.30

$ 1,137.35 $ 1,643.35 $ 2,072.30

$ 1,681.00 $ 1,163.00 $ 735.00

$ 1,681 .00 $ 1,163.00 $ 735.00

$ 1,534.00 $ 951 .00 $ 647.00

$ 1,534.00 $ 951 .00 $ 647.00

$ 1,534.00 $ 951 .00 $ 647.00

$ 1,397.00 $ 815.00 $ 529.00

$ 1,397.00 $ 815.00 $ 529.00

$ 1,397.00 $ 815.00 $ 529.00

$ 1,397.00 $ 815.00 $ 529.00

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

Contract II 1301043

Amendment# 2

Vendor # 40340

Extended Warranty

5-yr 10-yr 15-yr

7,508.56 N/A N/A

5,216.96 NIA N/A

6,014.64 N/A N/A

4,181.36 N/A N/A

4,520.72 N/A N/A

3,145.76 N/A N/A

2,820.08 N/A N/A

2,110.16 N/A N/A

1,850.08 N/A N/A

1,694.96 N/A N/A

1,475.20 N/A N/A

964.72 N/A N/A

769.52 NIA NIA

678.48 N/A N/A

566.56 NIA NIA

553.44 N/A N/A

580.96 N/A N/A

562.26 N/A N/A

481.20 N/A N/A

428.88 NIA N/A

629.00 N/A N/A

629.00 N/A N/A

629.00 N/A N/A

369.00 N/A N/A

369.00 N/A NIA

301.00 N/A N/A

301 .00 N/A N/A

301 .00 N/A NIA

301.00 N/A N/A

25 SD025 y y

20 §JlliQ y y

15 SD015 y y

10 SD010 y y

Voltages**

Items Natural Gas Generators (Nominal

Actual Capacity/ 120/208 4801277

Capacity) Make/Model

3000 MPSG3000 y y

3000 MPSB3000 y y

2700 MPSG2700 y y

2400 MPSG2400 y y

2400 MPSB2400 y y

2100 MPSG2100 y y

1800 MPSG1800 y y

1800 MPSB1800 y y

1500 MPSG1500 y y

1200 MPSG1200 y y

1200 MPSB1200 y y

1000 MPSG1000 y r 900 MPSG900 y r 600 MPSG600 y r 600 SB600 y r 500 MPSG500 r r 400 MPSG400 y r 350 MPSG350 y r 300 SG300 r r 250 SG250 r r 230 SG230 r r 200 SG200 y r 175 SG175 r r 150 S G150 12.9L y y

y $ 12,637.00

y $ 11 ,755.00

y $ 11 ,389.00

y $ 11 ,312.00

4160 Unit Price

y $ 1,225,320.00

y $ 665,630.00

y $ 999,790.00

y $ 890,350.00

y $ 533,105.00

y $ 647,920.00

y $ 535,750.00

y $ 400,580.00

y $ 415,900.00

y $ 346,190.00

y $ 268,100.00

y $ 285,110.00

y $ 250,300.00

r $ 191,42 0.00

y $ 132,765.00

r $ 184,920.00

y $ 128,520.00

r $ 105,800.00

r $ 69,055.00

y $ 66,865.00

r $ 64,075.00

y $ 49,375.00

r $ 45,575.00

y $ 39,638.00

EXHIBIT A PRICING SHEET

~ $ 12,637.00

N/A $ 11,755.00

N/A $ 11 ,389.00

N/A $ 11 ,312.00

Fixed Percentage Fixed Contract

Discount off Mfg Price List Price

N/A $ 1,225,320.00

N/A $ 665,630.00

NIA $ 999,790.00

NIA $ 890,350.00

N/A $ 533,105.00

N/A $ 647,920.00

N/A $ 535,750.00

N/A $ 400,580.00

N/A $ 415,900.00

N/A $ 346,190.00

N/A $ 268,100.00

N/A $ 285,110.00

N/A $ 250,300.00

N/A $ 191 ,420.00

N/A $ 132,7 65.00

N/A $ 184,920.00

N/A $ 128,520.00

N/A $ 105,800.00

N/A $ 69,055.00

N/A $ 66,865.00

N/A $ 64,075.00

N/A $ 49,375.00

N/A $ 45,575.00

N/A $ 39,638.00

$ 1,397.00 $ 815.00 $ 529.00

$ 1,397.00 $ 815.00 $ 529.00

$ 1,397.00 $ 815.00 $ 529.00

$ 1,397.00 $ 815.00 $ 529.00

Preventative Maintenance Service

Quarterly Bi-annually Annually

$ 14,000.00 $ 9,500.00 $ 6,070.00

$ 5,657.86 $ 4,326.60 $ 2,995.34

$ 12,600.00 $ 8 ,550.00 $ 5,463.00

$ 11,200.00 $ 7,600.00 $ 4 ,856.00

$ 4,531 .39 $ 3,465.18 $ 2 ,398.97

$ 9,800.00 $ 6,650.00 $ 4,249.00

$ 8,400.00 $ 5,700.00 $ 3,642.00

$ 3,404.93 $ 2,603.77 $ 1,802.61

$ 7,000.00 $ 4,750.00 $ 3,035.00

$ 5,600.00 $ 3,800.00 $ 2,428.00

$ 3,828.00 $ 3,000.00 $ 2,200.00

$ 4,900.00 $ 3,325.00 $ 2,124.50

$ 4,200.00 $ 2,850.00 $ 1,821 .00

$ 2,800.00 $ 1,900.00 $ 1,214.00

$ 1,914.00 $ 1,500.00 $ 1,100:00

$ 2 ,800.00 $ 1,900.00 $ 1,214.00

$ 2,800.00 $ 1,900.00 $ 1,214.00

$ 2 ,800.00 $ 1,900.00 $ 1,214.00

$ 1,400.00 $ 950.00 $ 607.00

$ 1,400.00 $ 950.00 $ 607.00

$ 1,400.00 $ 950.00 $ 607.00

$ 1 ,200.00 $ 750.00 $ 500.00

$ 1,200.00 $ 750.00 $ 500.00

$ 1,681.00 $ 1,163.00 $ 735.00

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

301.00 N/A

301.00 N/A

301.00 N/A

301.00 N/A

Contract# 1301043

Amendment II 2

Vendor 1140340

N/A

N/A

NIA

NIA

Extended Warranty

5-yr 10-yr 15-yr

25,731.72 NIA N/A

13,978.23 N/A N/A

20,995.59 NIA N/A

18,697.35 NIA N/A

11,195.21 NIA N/A

13,606.32 NIA N/A

11 ,250.75 NIA N/A

8,412.18 N/A N/A

8,733.90 N/A N/A

7,269.99 NIA NIA

5,630.10 NIA N/A

5,987.31 N/A N/A

5,256.30 NIA NIA

4,019.82 NIA NIA

2,788.07 NIA N/A

3,883.32 NIA N/A

2,698.92 NIA N/A

2,221.80 NIA N/A

1 ,450.16 NIA N/A

1,404.17 N/A N/A

1,345.58 NIA N/A

1 ,036.88 NIA N/A

957.08 N/A N/A

629.00 NIA N/A

1150 SG150 6.8l y y

130 SG130 r r 100 §Q1QQ r r 80 SG080 r r 80 y y

70 SG070 r r :70 ~ r r 60 SG060 r r 60 ~ r r 50 SG050 5.4l y y

50 - r r 50 SGQSO 6.8l r r -I so r r 145

~ r r

45 r r 40 SG040 r r 40 - r r 35

~ r r

35 r r 25 QTA25 r r !Special Notes

y $ 28,460.00

r $ 23,670.00

r $ 20,774.00

r $ 17,423.00

y $ 18,085.00

r $ 14,747.00

r $ 15,851.00

r $ 13,451 .00

r $ 13,451 .00

y $ 12,422.00

r $ 12,400.00

r $ 12,413.00

r $ 12,413.00

r $ 11 ,246.00

r $ 11 ,226.00

r $ 10,453.00

r $ 10,736.00

r $ 9,666.00

r $ 9,644.00

!i $ 8,920.00

EXHIBIT A

PRICING SHEET

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

N/A $

28,460.00

23,670.00

20,774.00

17,423.00

18,085.00

14,747.00

15,851.00

13,451 .00

13,451 .00

12,422.00

12,400.00

12,413.00

12,413.00

11,246.00

11,226.00

10,453.00

10,736.00

9,666.00

9,644.00

8,920.00

$ 1,681 .00 $ 1,163.00 $

$ 1,681.00 $ 1,163.00 $

$ 1,534.00 $ 951.00 $

$ 1,534.00 $ 951 .00 $

$ 1,534.00 $ 951 .00 $

$ 1,534.00 $ 951.00 $

s 1,534.00 $ 951.00 s

$ 1,534.00 $ 951.00 $

$ 1,534.00 $ 951.00 $

$ 400.00 $ 500.00 $

$ 400.00 $ 500.00 $

$ 400.00 $ 500.00 $

$ 400.00 $ 500.00 $

$ 400.00 $ 500.00 $

$ 400.00 $ 500.00 $

$ 400.00 $ 500.00 $

$ 400.00 $ 500.00 $

$ 400.00 $ 500.00 $

$ 400.00 $ 500.00 $

$ 400.00 $ 500.00 $

735.00 $ 369.00

735.00 $ 369.00

647.00 $ 369.00

647.00 $ 301 .00

647.00 $ 301.00

647.00 $ 301.00

647.00 $ 301 .00

647.00 $ 301.00

647.00 $ 301.00

310.00 $ 301 .00

310.00 $ 301 .00

310.00 $ 301 .00

310.00 $ 301.00

310.00 $ 301.00

310.00 $ 301.00

310.00 $ 301.00

310.00 $ 301.00

310.00 $ 301.00

310.00 $ 301.00

310.00 $ 301.00

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Contract 111301043

Amendment 112

Vendor 1140340

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

~5.:7~~-=:::;·. _ .. ~~-~~· ·~= ~~·/~ .... · ~~· ~~:.~--~~ -~ ~~~~~ 2. Al l "MPS" Products use integrated paralleling and may add inherent high levels of redundancy to your project.

3. All "MPSB" Products use 75% Natural Gas and 25% Diesel in additional Special Note 2. 4. ••pricing based on 277/4BOVAC. Other voltages available at additional cost. 5. All Warranty and Maintenance options require units to have Genuine Generac Parts and Options per each custom site application where applicable.

Fixed Parts Discount by Percentage

Discount off Mig Category List Price .

Alternator/Generator Controls

~ ALL PARIS MD COIIPO!IEHIS MSED Electrical Distribution Engine

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

08/17/16

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).

PRODUCER Aon Risk Services, Inc of Florida 1001 Brickell Bay Drive, Suite #1100 Miami, FL 33131-4937

CONTACTNAME: Aon Risk Services, Inc of Florida PHONE(A/C, No, Ext): 800-743-8130

FAX (A/C, No): 800-522-7514

EMAIL ADDRESS: ADP.COI.Center@Aon.com

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A : New Hampshire Ins Co 23841 INSURED ADP TotalSource FL XVI, Inc. 10200 Sunset Drive Miami, FL 33173 L/C/F National Power Corporation 4541 Preslyn Dr Raleigh, NC 27616

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: 1469841 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED.

INSR LTR

TYPE OF INSURANCE ADDL INSR

SUBR WVD

POLICY NUMBER POLICY EFF

(MM/DD/YYYY)POLICY EXP

(MM/DD/YYYY)LIMITS

COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $

CLAIMS-MADE OCCUR

DAMAGE TO RENTED PREMISES (Ea occurrence) $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ OTHER $

AUTOMOBILE LIABILITY

COMBINED SINGLE LIMIT(Ea accident) $

ANY AUTO BODILY INJURY (Per person) $

OWNED AUTOS ONLY

SCHEDULED AUTOS BODILY INJURY (Per accident) $

HIRED AUTOS ONLY

NON-OWNED AUTOS ONLY

PROPERTY DAMAGE (Per accident) $

$

UMBRELLA LIAB OCCUR

EACH OCCURRENCE $

EXCESS LIAB CLAIMS-MADE AGGREGATE $

DEC RETENTION $

A

WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

Y / N

N / A X

WC 061145787 NC

07/01/16

07/01/17

X PER STATUTE OTH-

ER

E.L. EACH ACCIDENT $ 2,000,000

E.L. DISEASE - EA EMPLOYEE $ 2,000,000

E.L. DISEASE - POLICY LIMIT $ 2,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All worksite employees working for NATIONAL POWER CORPORATION, paid under ADP TOTALSOURCE, INC’s payroll, are covered under the above stated policy. See attached Certificate Holder Cancellation Notice. WAIVER OF SUBROGATION IN FAVOR OF CITY OF CHARLOTTE AND EACH IDEMNITY FORMING THIS CONTRACT AS RESPECTS OF JOB PERFORMED BY NATIONAL POWER CORPORATION AS REQUIRED BY WRITTEN CONTRACT.

CERTIFICATE HOLDER CANCELLATION

City of Charlotte 600 East fourth St Charlotte, NC 28202

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

POLICY HOLDER NOTICE

CERTIFICATE HOLDER CANCELLATION NOTICE SCHEDULE Should this policy be cancelled before the expiration date hereof, the producer will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to do so shall impose no obligation or liability of any kind upon the insurer, the producer, or the respective agents or representatives of each.

SCHEDULE: CERTIFICATE HOLDERS AS IDENTIFIED ON THE MOST RECENT QUARTERLY SCHEDULE OF CERTIFICATE HOLDERS PROVIDED BY THE INSURED'S BROKER OF RECORD TO THE INSURER.