Piggyback-City of Greensboro, NC — Rialto City Council, August 13, 2024

Financial & Administrative Services Department
Procurement Services Division

CONTRACT AMENDMENT FOR

PUBLIC SAFETY SOFTWARE CONSULTING SERVICES

GUILFORD METRO 911 DEPARTMENT
City of Greensboro
PO Box 3136
Greensboro, NC 27402-3136

CONTRACTED VENDOR
National Public Safety Group, LLC
124 Newington Way
Aberdeen, NC 28315

CONTRACT INFORMATION
Contract Number: 2022-10974
Contract Description: Public Safety Software Consulting Svcs for GM911 Original Contract Amount: $239,960.00
Amended Contract Amount: $ 224,460.00
Total Amended Contract Amount: $464,420.00
Initial Contract Term: March 1, 2022 – February 29, 2024 Amended Contract Term: March 1, 2024 – February 28, 2026

THE CONTRACT entered into on the 1st day of March, 2022, between the City of Greensboro (here in after “City”) and National Public Safety Group, LLC (herein after “Contractor”) is hereby AMENDED as follows:

Term
In accordance with the original Contract, the terms of this amendment Contract shall be from the effective date of March 1, 2024 through February 28, 2026.

Compensation
Price is being amended in the amount of $224,460.00 in addition to the original agreement, and the attached National Public Safety Group, LLC Addendum Contract Number 2022-1100(a).

Indemnification
Contractor does hereby agree to indemnify and save harmless the City of Greensboro, its officers, agents and employees against all claims, actions, lawsuits and demands, including reasonable attorney fees, made by anyone for any damages, loss or injury of any kind, including environmental, which may arise from the sole negligence of Contractor's agents or employees performing, or as a result of work performed negligently of Contractor's agents or employees performing, or as a result of work performed pursuant to this agreement.

DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF

Non Discrimination
Contractor represents and warrants that it will comply with the City’s Commercial Nondiscrimination Policy, as described under Section V. A. 1. of the M/WBE (“Minority/Women Business Enterprise” Program Plan. As part of such compliance, the Contractor shall not discriminate on the basis of race, color, religion, ancestry or national origin, gender or sex, age, marital status, sexual orientation, gender expression, gender identity, national origin, or on the basis of any mental or physical disability or other unlawful forms of discrimination in the solicitation, selection, hiring or commercial treatment of Subcontractors, vendors, suppliers, or commercial customers, nor shall the Contractor retaliate against any person for reporting instances of such discrimination.

The Contractor shall provide equal opportunity for Subcontractors, vendors and suppliers to participate in all of its public sector and private sector subcontracting and supply opportunities, provided that nothing contained in this clause shall prohibit or limit otherwise lawful efforts to remedy the effects of marketplace discrimination that have occurred or are occurring in the City’s Relevant Market. The Contractor understands and agrees that a material violation of this clause shall be considered a material breach of this agreement and may result in termination of this agreement, disqualification of the Contractor from participating in City contracts, or other sanctions. This clause is not enforceable by or for the benefit of, and creates no obligation to, any third party.

E-Verify
Contractor certifies that it currently complies with the requirements of Article 2 of Chapter 64 of the North Carolina General Statutes, and that at all times during the term of this Agreement, it will continue to comply with these requirements. The Contractor also certifies that it will require that all of its subcontractors that perform any work pursuant to this Contract to comply with the requirements of Article 2 of Chapter 64 of the North Carolina General Statutes. Violation of this section shall be deemed a material breach of this Agreement.

Iran Divestment Act Certification
As of the date of this Agreement, the Contractor certifies that it is not listed on the Final Divestment List created by the State Treasurer pursuant to NCGS 147 -86.58 et. seq. and that the Contractor will not utilize any subcontractor found on the State Treasurer’s Final Divestment List.

Divestment From Companies Boycotting Israel Act Certification As of the date of this Agreement, the Contractor certifies that it is not listed on the Final Divestment and Do-Not- Contract List - Restricted Companies Boycotting Israel created by the State Treasurer pursuant to N.C.G.S. 147-

86.81 and that Contractor will not utilize any subcontractor found on the State Treasurer's Final Divestment and Do-Not-Contract List.

It is expressly agreed by the parties that this Contract is supplemental to the Contract of March 1, 2022, which is made a part by reference, and all terms, conditions, and provisions of the original contract, unless specifically modified, are to apply to this Contract and are made a part of this Contract as though expressly rewritten, incorporated, and included herein.

In the event of any conflict, inconsistency, or incongruity between the provisions of the amended Contract and any of the provisions of the original Contract of March 1, 2022, the provisions of the amended Contract shall in all respects govern and control.

This space is left blank intentionally.

DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF

City of Greensboro
Contract # 2022-10974

IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly authorized officers, on the date written above.

__________________________________
Company Name

___________________________________ ___________________________________ Signature Printed Name

___________________________________
Title

CITY OF GREENSBORO

Department Head Recommendation/Authorization:

_______________________________________ ____________________________ Signature Title

This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act.

Deputy Finance Officer: __________________________ _ ____________________________ Signature Title

Approved as to form:

City Attorney’s Office: ___________________________ _____________________________ Signature Title

Authorized:

City Manager’s Office: ___________________________ _____________________________ Signature Title

Attested:

City Clerk’s Office: ______________________________ ____________________________ Signature Title

City Clerk’s Stamp:

DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF National Public Safety Group
CEO
Buck Mims
Executive Director
Deputy Finance Officer
Assistant City Attorney
Assistant City Manager
City Clerk

NPSG Contract # 2022- 1100(a)

1 CONSULTING AGREEMENT

THIS CONSULTING AGREEMENT (“Agreement”) is entered into (the “Effective Date”) upon execution of all necessary signatures by and between the City of Greensboro , (the “Customer”), PO Box 3136, Greensboro, NC 27402-3136, and National Public Safety Group, LLC, a North Carolina limited liability company, 124 Newington Way, Aberdeen, North Carolina 28315, (the “Consultant”) (Customer and Consultant, individually, a “Party” and, collectively, the “Parties”).

AGREEMENT

NOW, THEREFORE, in consideration of the mutual covenants, agreements and conditions set forth herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties hereby agree as follows:

1. Services; Term; Termination.

a. Services. The Consultant and the Customer will mutually agree upon the method, details and means of performing the Scope of Work in Exhibit A.

b. Term. This Agreement shall commence on the Effective Date and shall terminate upon completion of the agreed upon timeline in Exhibit C.

2. No Implied Warranties . The Customer agrees that ( a) the Consultant is not the manufacturer or distributor of any of the products or services subject to the Services (collectively, the “ Third-Party Products”), ( b) the warranties and representations , if any, applicable to any of the Third -Party Products (including, without limitation, their respective specifications) are those of the manufacturer or distributor thereof and not the Consultant, and ( c) the Consultant bears no obligation or liability related to or resultant from the warranties or representations, if any, applicable to any of the Third - Party Products (including, without limitation, their respective specifications) . THE CONSULTANT

HEREBY DISCLAIMS ALL WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, INCLUDING, BUT NOT

LIMITED TO, WARRANTIES OF MERCHANTABILITY, SATISFACTORY QUALITY, AND FITNESS FOR A PARTICULAR PURPOSE.

3. Entire Agreement; Waiver; Amendment. This Agreement, including any appendices hereto, constitutes the entire agreement between the Parties with respect to the subject matter hereof, and supersedes all other prior agreements or undertakings with respect to the subject matter hereof, both written and oral. No delay or failure on the part of any Party in the exercise of any right, power or remedy shall operate as a waiver thereof, nor shall any single or partial exercise by any of them of any right, power or remedy preclude other or further exercise thereof, or the exercise of any other right, power or remedy. No amendment, modification or waiver of, or consent with respect to, any provision of this Agreement shall in any event be effective unless the same shall be in writing and signed and delivered by the Party against which or whom enforcement is sought, and then any such amendment, modification, waiver or consent shall be effective only in the specific instance and for the specific purpose for which given.

DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF NPSG Contract # 2022- 1100(a)

2 IN WITNESS WHEREOF, this Agreement is executed (a), if by an individual, by hereunto setting his or her hand under seal by adoption of the word “SEAL” appearing next to his or her signature, (b), if by a corporation, by the duly authorized officer, director or shareholder of the corporation on its behalf under seal, if an impression seal appears hereon, by affixing such impression seal or by adoption of the word “SEAL” appearing nex t to the signature of the officer, (c), if by a partnership, by the duly authorized partner of the partnership on its behalf under seal by adoption of the word “SEAL” appearing next to the signature of the partner or (d), if by a limited liability company, by the duly authorized manager or company official on its behalf under seal by adoption of the word “SEAL” appearing next to the signature of the manager or company official, on the day and year first above written.

CUSTOMER

Signature: ______________________________________
Name: ______________________________________
Title: ______________________________________
Date: ______________________________________

National Public Safety Group, LLC

Signature: ______________________________________
Name:
_ Buck Mims____________________________
Title: _Chief Executive Officer___________________
Date: _December 16, 2023_____________________

DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF Assistant City Manager
5/6/2024 | 9:30 AM EDT
Nathaniel Davis
NPSG Contract # 2022- 1100(a)
3 Exhibit A
Scope of Work
NPSG will provide project management consulting services as follows:
• A ttend and assist with kickoff and discovery sessions to make sure all goals and objectives are understood and documented
• W ork with software vendor and customer to develop a detailed implementation schedule • W e ensure the training plan scheduled is conducive with agency needs – schedules, union rules, other limitations
• Ou r project managers and subject matter experts attend meetings and calls as appropriate and deliver detailed notes after each call
• P rior to weekly project status meetings, we have weekly one on ones with the customer and vendor, which helps make the status calls more efficient and effective • S chedule regular checkpoints to make sure everything is on track and all users are aware of the progress being made both from a task and budget perspective
• W e work to ensure the agency is on track doing their homework, so there is no delay to the critical project tasks
• W e work to ensure the vendor is on track with their deliverables • W ork to ensure client assigns appropriate “core group” resources for project succe ss • T his entails identifying what personnel resources will be needed for a project of your scope • W ork to make sure any showstopper items are identified and promptly resolved by the responsibl e p
arty before becoming major issues
• M onitor risks and change requests throughout the project . • R eview and recommend approval of software invoices as requested by the Customer • As sist client with preparing for Stakeholder Meetings • S chedule calls with the software vendor and all third -party vendors to identify interface requirements. • M anage progress of data conversions or any access to legacy data to ensure these processes are not going to delay the project
• If conversion is included:
o Ensure client stays on track with validations
o E
nsure vendor stays on track with fixing issues for the next data conversion run o Work with client to make sure they are bringing clean data into their new system • W ork to ensure functional and load testing is performed as needed • D ocument issues found during testing and continuously follow -up with the vendor on resolution and a retesting plan
• A ssist with prioritizing issues and ensuring Go Live dependent issues get worked on first • W ork with the vendor to develop and communicate a detailed go -live plan well before the system is put into live operation
• W ork with vendor to ensure there is a go live checklist for both their staff and the client’s staff • C ontinue to follow up after go -live for any post go-live action items, such as pending interfaces, conversion items, or anything else that was not completed DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF National Public Safety Group Proposal
Proposal Services for: CAD Project Management Services
Proposal for: Guilford Metro 911
Contact: Greg Nash Date: 11/28/2023
Public Safety IT Manager Valid: 7/25/2024
Email: [email protected]
Phone: 336.373.7615
NPSG Contact: Bill Grey Email: [email protected] Item Length of Project Total
Needs Assessment NA
Selection NA
Procurement NA
Project Management $224,460
Total Consulting Services: $224,460
Item Total
Consulting as a Service NA
Total Cost: $224,460
This document should not be shared unless the proper FOIA laws have been met.

This proposal includes services for this project for this many months after effective date: 18 A $3,500 Legal Fee is added for agencies using their own PSA See full agreement for all terms and conditions
Optional CaaS: Ongoing annual support after sign off by NPSG for technical, account, & invoicing items: $35,914 Projects to Manage: 1
NOTES
Exhibit B
Cost Proposal
DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF Month Milestone Begin/End Percentage Unit Cost Payment Paid to Date $224,460
* Projected Project Length: 18
1 Effective Date Begin 10% $224,460 $22,446.00 $22,446
2 Monthly payment 5% $224,460 $11,883.18 $34,329
3 Monthly payment 5% $224,460 $11,883.18 $46,212
4 Monthly payment 5% $224,460 $11,883.18 $58,096
5 Monthly payment 5% $224,460 $11,883.18 $69,979
6 Monthly payment 5% $224,460 $11,883.18 $81,862
7 Monthly payment 5% $224,460 $11,883.18 $93,745
8 Monthly payment 5% $224,460 $11,883.18 $105,628
9 Monthly payment 5% $224,460 $11,883.18 $117,511
10 Monthly payment 5% $224,460 $11,883.18 $129,395
11 Monthly payment 5% $224,460 $11,883.18 $141,278
12 Monthly payment 5% $224,460 $11,883.18 $153,161
13 Monthly payment 5% $224,460 $11,883.18 $165,044
14 Monthly payment 5% $224,460 $11,883.18 $176,927
15 Monthly payment 5% $224,460 $11,883.18 $188,810
16 Monthly payment 5% $224,460 $11,883.18 $200,694
17 Monthly payment 5% $224,460 $11,883.18 $212,577
18 Monthly payment 5% $224,460 $11,883.18 $224,460
19 0 0% $0 $0.00 $0
0 0% $0 $0.00 $0
Total Payments: $224,460.00 $0
*Projected project length is listed above and below. We do not quote projects based on hours, but on other criteria, such as number of agencies, users, products, etc. We will continue to provide project services for the below number of months.

Our goal is to provide your agency with a successful project on time and within budget.

Projected project length: 18
This is a fixed-fee agreement broken up over monthly payments.

If project is completed before the projected time, the balance of unpaid payments will be due and invoiced for payment.

Payment terms
Exhibit C
Payment Terms
DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF ACORD
9 CERTIFICATE OF LIABILITY INSURANCE I

DATE (MM/DD/YYYY)
� 12/18/20 23
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 CONTACT Kenneth Little NAME:

Little Insurance t��Nl t-"· (91 O} 692-6881 I FAX IAIC Nol: (91 O} 692-1863 PO Box 629 ��t��u. [email protected]
INSURER($) AFFORDING COVERAGE NAIC#
SOUTHERN PINES NC 28388 INSURER A: NATIONWIDE ASSURANCE CO 10723 INSURED INSURER B: SELECTIVE INSURANCE 19259
National Public Safety Group, LLC INSURER C: LLOYD'S OF LONDON AA112 124 Newington Way INSURER D:

INSURER E:

Aberdeen NC 28315 INSURERF:

COVERAGES CERTIFICATE NUMBER· 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.

INSR LTR
A
A
B
C

TYPE OF INSURANCE

COMMERCIAL GENERAL LIABILITY
� CLAIMS-MADE [Z] OCCUR -
- Prima� and Non-Contributory
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AUTOMOBILE LIABILITY

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EXCESS LIAB CLAIMS-MADE
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SUBR ,��Mi��. POLICY EXP LIMITS lwun POLICY NUMBER lll,IM/0O/YYYYI EACH OCCURRENCE $ 2,000,000
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MED EXP (Any one person) $ 5,000
y ACP CG013049354982 06/15/2023 06/15/2024 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000
PRODUCTS - COMP/OP AGG $ 4,000,000
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COMBINED SINGLE LIMIT $ 2,000,000 IEa accldentl
BODILY INJURY (Per person) $
ACP CG013049354982 06/15/2023 06/15/024 BODIL y INJURY (Per accident) $ PROPERTY DAMAGE $ /Per accident\
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y WC 9070375 07/11/2023 07/11/2024 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000
E.L. DISEASE - POLICY LIMIT $ 1,000,000
Each Occurrence $2,000,000
W2DA39229201 01/01/2023 01/01/2024 Aggregate $2,000,000 DESCRIPTION OF OPERAT IONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Greensboro is an Additional Insured under the General Liability Policy per the CG 20 10 04 13 and CG 20 37 04 13 endorsements. Primary and Non-Contributory- Other Insurance Condition Applies to the General Liability Policy. Waiver of Subrogation applies both under the General Liability and the Workers Compensation policies.

CERTIFICATE HOLDER
City of Greensboro
300 W. Washington St
Greensboro
ACORD 25 (2016/03)
NC 27401

CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVI ONS.
© 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD
Exhibit D
Insurance Certificate
DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - SCHEDULED PERSON OR

ORGANIZATION
INSUREDCOPYNC68408
DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED OWNERS, LESSEES OR
CONTRACTORS COMPLETED OPERATIONS
INSUREDCOPYNC68408
DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF

DATE: April 16, 2024

TO: Trey Davis, Assistant City Manager

FROM: Carol Pyrtle, Contracts Analyst

DEPARTMENT: Financial & Administrative Services
Procurement Services Division

SUBJECT: Requesting approval to amend contract number 10974 for consulting services for the public safety software upgrade for Guilford Metro 911

Background:

On January 18, 2022, Council approved contract 10974 for the consulting services for the public safety software upgrade for Guilford Metro 911.The original negotiated contract was for a two year term with National Public Safety Group for $239,960.00. Due to the complexity of this project, it is anticipated that it will be another two years with an additional cost of $224,460.00 before Guilford Metro 911 will go live with the new software. National Public Safety Group is not a registered M/WBE firm with the State of North Carolina.

Recommendation:

The Procurement Services Division concurs with the recommendation of Guilford Metro 911 to amend the current contract to extend for an additional two years with an added cost of $224,460.00 for a total contract cost of $464,420.00.

Outreach:
• Outreach was performed on the original solicitation and is not applicable for an amendment on an existing contract.
• National Public Safety Group is not a registered M/WBE vendor with the State of North Carolina.

Financial information:
• Contract Number: 10974
• Account Number: 220-39-3998003.5410
• Amended Contract Effective Dates: March 1, 2024-February 28, 2026 • FY24
• Original Contract Amount: $239,960.00
• Amended Contract Amount: $464,420.00
DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF

DATE: January 30, 2024

TO: Tykia Johnson, Fiscal Manager

FROM: Nora Gardner, M/WBE Specialist

SUBJECT: M/WBE Memo for Contract 2022-10974 - Public Safety Software Consultant Services, Change Order #1

The M/WBE Office reviewed the change order request for Contract 2022-10974 with the National Public Safety Group for Public Safety Software Consultant Services to determine continued compliance with the M/WBE Program Plan. The Guilford Metro 911 Department received approval to extend the project beyond the current contract end date, and no M/WBE goals were established.

National Public Safety Group was awarded a two-year contract for $239,960.00. Change Order #1 for $224,460.00 increases the total contract value to $464,420.00 and extends the contract term through August 31, 2025 (42 months). The contract continues to comply with the M/WBE Program Plan.

Please be reminded that during the performance of the contract, if there are any changes, including subcontractor replacement, the Department and Vendor must contact the M/WBE Office for approval before making any such changes or substitutions.

Thank You,

Cc: Allison Staton, M/WBE Compliance Officer
Timothy Jackson, III, M/WBE Coordinator

DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF

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-MAIL
ADDRESS:

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.

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
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COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

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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
$
$
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E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
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POLICY EXP
(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR
INSR
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
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COMMERCIAL GENERAL LIABILITY

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CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED

AUTOS ONLY
04/18/2024
Little Insurance
PO Box 629

SOUTHERN PINES
NC
28388
Kenneth Little
(910) 692-6881
(910) 692-1863
[email protected]
National Public Safety Group, LLC
124 Newington Way
Aberdee
NC
28315

NATIONWIDE ASSURANCE COMPANY
10723

SELECTIVE INSURANCE
19259

LLOYD'S OF LONDON
AA112
A
Primary and Non-Contributory
X
X
ACP CG013049354982
06/15/2023
06/15/2024
2,000,000
100,000
5,000
2,000,000
4,000,000
4,000,000
A
ACP CG013049354982
06/15/2023
06/15/2024
2,000,000
B
X
WC 9070375
07/11/2023
07/11/2024
1,000,000
1,000,000
1,000,000
C
Professional Liability
W2DA39229201
01/01/2024
01/01/2025
Each Occurrence
$2,000,000
Aggregate
$2,000,000
The City of Greensboro is an Additional Insured under the General Liability Policy per the CG 20 10 04 13 and CG 20 37 04 13 endorsements. Primary and Non-Contributory- Other Insurance Condition Applies to the General Liability Policy. Waiver of Subrogation applies both under the General Liability and the Workers Compensation policies.

Contract 2022-10974.

City of Greensboro
300 W. Washington St
Greensboro
NC
27401
Kenneth Little
DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - SCHEDULED PERSON OR

ORGANIZATION
INSUREDCOPYNC68408
DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED OWNERS, LESSEES OR
CONTRACTORS COMPLETED OPERATIONS
INSUREDCOPYNC68408
DocuSign Envelope ID: EB480030-579A-4563-B637-177F7FFB6EEF Current
Mailing
124 Newington Way
Aberdeen, NC 28315
Principal Office
124 Newington Way
Aberdeen, NC 28315
Reg Office
124 Newington Way
Aberdeen, NC 28315
Reg Mailing
124 Newington Way
Aberdeen, NC 28315
Member
Jonathan Mims
124 Newington Way
Aberdeen NC 28315
Member
Kimberly Mims
124 Newington Way
Aberdeen NC 28315
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Limited Liability Company
Legal Name
National Public Safety Group, LLC
Prev Legal Name
Mims Consulting, LLC
Information
SosId: 1562553
Status: Current-Active 
Date Formed: 12/22/2016
Citizenship: Domestic
Annual Report Due Date: April 15th
Annual Report Status:

Registered Agent: Mims, Jonathan
Addresses
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.

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Envelope Id: EB480030579A4563B637177F7FFB6EEF
Status: Completed
Subject: 29979 City of Greensboro Contract for Amended Contract 2022-10974 Public Safety SW Consultant Source Envelope:

Document Pages: 81
Signatures: 7
Envelope Originator:

Certificate Pages: 6
Initials: 0
Carol Pyrtle
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US &
Canada)
Stamps: 1
300 W Washington St
Greensboro, NC 27401
[email protected]
IP Address: 209.112.106.2
Record Tracking
Status: Original
4/29/2024 8:43:19 AM
Holder: Carol Pyrtle
[email protected]
Location: DocuSign
Security Appliance Status: Connected
Pool: StateLocal
Storage Appliance Status: Connected
Pool: City of Greensboro
Location: DocuSign
Signer Events
Signature
Timestamp
Buck Mims
[email protected]
CEO
National Public Safety Group
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 65.220.45.90
Sent: 4/29/2024 8:53:30 AM
Viewed: 4/29/2024 12:40:39 PM
Signed: 4/29/2024 12:41:03 PM
Electronic Record and Signature Disclosure:

Accepted: 4/29/2024 12:40:39 PM
ID: 00fb1dc2-1521-4c3b-b2dc-3ef3d9ed6749
Melanie Jones
[email protected]
Executive Director
Security Level: Email, Account Authentication
(None)

Signature Adoption: Pre-selected Style
Using IP Address: 38.83.140.9
Sent: 4/29/2024 12:41:06 PM
Viewed: 4/29/2024 12:41:48 PM
Signed: 4/29/2024 12:43:08 PM
Electronic Record and Signature Disclosure:

Accepted: 4/29/2024 12:41:48 PM
ID: f37b8349-5c2e-4fb8-8ea2-7bb0e9fc2fe0
Anita Wilson
[email protected]
Deputy Finance Officer
City of Greensboro
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 38.83.140.8
Sent: 4/29/2024 3:22:51 PM
Viewed: 5/1/2024 12:56:27 PM
Signed: 5/1/2024 12:58:12 PM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign
Polly Sizemore
[email protected]
Assistant City Attorney
City of Greensboro
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 38.83.140.9
Sent: 5/1/2024 12:58:17 PM
Viewed: 5/1/2024 1:52:40 PM
Signed: 5/1/2024 1:53:09 PM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign

Signer Events
Signature
Timestamp
Nathaniel Davis
[email protected]
Assistant City Manager
City of Greensboro
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 174.245.88.245
Signed using mobile
Sent: 5/6/2024 9:28:58 AM
Viewed: 5/6/2024 9:30:12 AM
Signed: 5/6/2024 9:30:31 AM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign
Angela Lord
[email protected]
City Clerk
City of Greensboro
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 38.83.140.7
Sent: 5/6/2024 11:16:47 AM
Viewed: 5/6/2024 11:33:34 AM
Signed: 5/6/2024 11:33:52 AM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign
In Person Signer Events
Signature
Timestamp
Editor Delivery Events
Status
Timestamp
Agent Delivery Events
Status
Timestamp
Finance
[email protected]
Interim Finance Director
City of Greensboro
Security Level: Email, Account Authentication
(None)
Using IP Address: 38.83.140.8
Sent: 4/29/2024 12:43:12 PM
Viewed: 4/29/2024 3:22:44 PM
Completed: 4/29/2024 3:22:50 PM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign
City Manager's Office
[email protected]
Deputy City Clerk
City of Greensboro
Security Level: Email, Account Authentication
(None)
Using IP Address: 38.83.140.8
Sent: 5/1/2024 1:53:12 PM
Viewed: 5/6/2024 9:28:21 AM
Completed: 5/6/2024 9:28:58 AM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign
City Clerk's Office
[email protected]
Deputy City Clerk
City of Greensboro
Security Level: Email, Account Authentication
(None)
Using IP Address: 38.83.140.8
Sent: 5/6/2024 9:30:36 AM
Viewed: 5/6/2024 11:16:44 AM
Completed: 5/6/2024 11:16:46 AM
Electronic Record and Signature Disclosure:

Not Offered via DocuSign
Intermediary Delivery Events
Status
Timestamp
Certified Delivery Events
Status
Timestamp

Carbon Copy Events
Status
Timestamp
Witness Events
Signature
Timestamp
Notary Events
Signature
Timestamp
Envelope Summary Events
Status
Timestamps
Envelope Sent
Hashed/Encrypted
4/29/2024 8:53:31 AM
Envelope Updated
Security Checked
4/29/2024 3:22:50 PM
Envelope Updated
Security Checked
4/29/2024 3:22:50 PM
Envelope Updated
Security Checked
5/6/2024 9:28:58 AM
Envelope Updated
Security Checked
5/6/2024 9:28:58 AM
Envelope Updated
Security Checked
5/6/2024 9:28:58 AM
Envelope Updated
Security Checked
5/6/2024 9:28:58 AM
Certified Delivered
Security Checked
5/6/2024 11:33:34 AM
Signing Complete
Security Checked
5/6/2024 11:33:52 AM
Completed
Security Checked
5/6/2024 11:33:52 AM
Payment Events
Status
Timestamps
Electronic Record and Signature Disclosure

ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Greensboro (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system.

Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below.

Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below.

Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us.

All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 2/18/2021 6:47:04 PM Parties agreed to: Buck Mims, Melanie Jones
Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us.

How to contact City of Greensboro:

You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows:

To contact us by email send messages to: [email protected]

To advise City of Greensboro of your new email address
To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at [email protected] and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address.

If you created a DocuSign account, you may update it with your new email address through your account preferences.

To request paper copies from City of Greensboro
To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to [email protected] and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any.

To withdraw your consent with City of Greensboro
To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an email to [email protected] and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process..

Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide- signing-system-requirements.

Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:
 You can access and read this Electronic Record and Signature Disclosure; and  You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and
 Until or unless you notify City of Greensboro as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by City of Greensboro during the course of your relationship with City of Greensboro.

Rialto City CouncilAugust 13, 2024

Rialto City Council
August 13, 2024