2008-008 Purchasing - Telesis Construction Management for County Campus Contracts

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• " /' Clinn4df• ~9R94A _ _____ __-_ r~c.avov~ ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYY1~ osrlsros PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wachovia Insurance Services ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 97787 R l i h NC 27624 778 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. a e g , - 7. P:919-676-8834 F:919-676-3307 INSURERS AFFORDING COVERAGE NAIC # INSURED Resolut B ildi C INSURER A: AmerlSUr@ COmpanieS 19488 e u ng ompany PO Box 3656 INSURER e: Amerisure Mutual Insurance Company Cha el Hili NC 27515 INSURER c: Amerisure Insurance Company p , INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TR DD' SR TYPE OF INSURANCE POLICY NUMBER PDOLICY EFFECTIVE POLICY EXPI p TION LIMITS A GENERALLIABIUTY CPP2013875050007 10rO1r07 10r01r08 EACH OCCURRENCE 51 OOO OOO X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $30O OOO CIAIMS MADE a OCCUR MED EXP (Any one person) $10 000 PERSONAL 8 ADV INJURY 1 OO GENERAL AGGREGAT $ O OOO 2 O E $ OO 000 X GEN'L AGGREGATE LIMIT APPLIES PER: O PRODUCTS -COMP/OP AGG $2 OOO O00 POLICY X jE LOC C AU X TOMOBILE LIABILITY ANY AUTO CA2013873050007 10/01/07 1 Or01r08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X NON-0WNEDAUTOS BODILY INJURY (Peracddent) $ X $250 Comp Ded X $500 Coll Ded PROPERTY DAMAGE (Pe.acddent) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN ~ ACC $ AUTO ONLY: AGG $ B EXCESSNMBRELLA LIABILITY CU2013877 10/01/07 10/01!08 EACH OCCURRENCE $10 000 OOO X OCCUR ~ CLAIMS MADE AGGREGATE $10 OOO QOO $ DEDUCTIBLE X RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC201388105 10/01/07 10r01r08 X WC STATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1 OO OOO N OFFICER/MEMBER EXCLUDED? ff yes, describe under E.L. DISEASE - EA EMPLOYEE $1 OO,000 SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES !EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Re: Orange County Office Building 131 Margaret Lane Hillsborough, NC 27278. Telesis Constructiong Management, LLC, Brockwell and Associates, EDi, Inc. Gardner 8~ McDaniel, PA and Summit Consulting are named as additional insureds with respect to General Liability, Automobile Liability, and Umbrella Liability for ongoing and completed (See Attached Descriptions) Telesis Construction Management, LLC 1000 Corporate Drive, Suite 109 Hillsborough, NC 27278 nrnon •fe e•fnn~in e~ . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ~___.._ _..,_,,,,..,,,,, , yr o ~~ IsaaaT nm-IZDSUIU LHA02 ©ACORD CORPORATION 1988