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ACORD, CERTIFICATE OF LIABILITY INSURANCE 1!1!2413 °A8/221z012
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endomement(s).
<br /> PRODUCER Lockton Companies,LLC-1 Kansas City
<br /> 444 W.47th Street,Suite 900 MR,Ext: A/C No):
<br /> Kansas City 64112-1906 E-MAIL
<br /> (816)960-9000 DD RE
<br /> INSURER(S)
<br /> INSURERA: CHARTIS SPECIALTY INS.CO.**
<br /> INSURED TERRACON CONSULTANTS,INC, IN URER 8: **AN AIG COMPANY A XV
<br /> 131 2891 5240 GREEN'S DAIRY RD. INSURER C: Travelers Property Casualty Co ofArrerica 25674
<br /> RALEIGH NC 27616 . The Travelers IrIdemnity Company 25658
<br /> IN UgEg Lexin ton Insurance Companj 19437
<br /> INSURER . The Charter Oak Fire Insurance Company .25615
<br /> COVERAGES TERC001 PC CERTIFICATE NUMBER: 11963585 REVISION NUMBER: XXXXXXX
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> R TYPE OF INSURANCE ADDL SUBR
<br /> W POLICY NUMBER POLICY EFF MPOLK:Y EXP LIMITS
<br /> A GENERAL LIABILITY Y" N PROP3779274 1/1/2012 1/1/2013 EACH OCCURRENCE -,1,000,000
<br /> X MMERCIAL GENERAL LIABILITY PREMISES Meeoccu occur g._ 300.,000
<br /> CLAIMS-MADE OCCUR MED EXP(Any one person) 5,000
<br /> X CONTR'L LIABILITY PERSONAL&ADV INJURY $ 1 000 000
<br /> GENERAL AGGREGATE $ 2:000:000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000 000
<br /> PRO-
<br /> P LI Y X E T LO $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br /> C Y N TC23-CAP-13173858 ll1t2412 11112413 E •cadent $ 1,400,000
<br /> C X ANY AUTO TJBAP131J3895TIL12 1/1/2012 1/1/2413 BODILY INJURY(Per person) $ XXXXXXX
<br /> X AUT OWNED SCHEDULED YY
<br /> BODILY INJURY(Per accident $ }��' �',�'XX AUTOS
<br /> NON-OWNED PROPERTY DAMAGE $ XXXX.XXX
<br /> X HIRED AUTOS X AUTOS P accident)
<br /> $ XXXXXXX
<br /> A UMBRt:LLALIAB X I OCCUR N N PROU1920977 1/1/2012 I/l/2413 EACH OCCURRENCE $ 5,000,000
<br /> A X EXCESS LIAR CLAIMS-MADE (EXCLUDES PROF.LlAB.) AGGREGATE $ 5,000,000
<br /> DED I I RETENTION$
<br /> $ XXXXXXX
<br /> WORKERS COMPENSATION WC STATU- OTH-
<br /> D AND EMPLOYERS'LIABILITY N TRKUB131J384612{AZ,WI) 1/112412 11112413 X T RY I
<br /> F ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N TC20UB 131 J374212(AOS) 1/1/2412 1/1/2413 E.L EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N❑ N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 1,000,000
<br /> If pes desct.under
<br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT 1,000,000
<br /> E PROFESSIONAL N N 026030216 I/l/2012 1/1/2013 $1,000,000 EACH CLAIM&$1,000,000
<br /> LIABILITY ANNUAL AGGREGATE
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/(Attach ACORD 101,Additional Remarks Schedule,if more space Is required)
<br /> THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S)REFERENCED.
<br /> RE:PROJECT#74121071;WALNUT GROVE CC EXPANSION PROJECT.COUNTY OF ORANGE COUNTY,FINANCIAL SERVICES IS AN
<br /> ADDITIONAL INSUREDS AS RESPECTS TO GENERAL AND AUTO LIABILITY,THESE COVERAGES ARE PRIMARY AND NON-
<br /> CONTRIBUTORY AS REQUIRED BY WRITTEN CONTRACT.
<br /> CERTIFICATE HOLDER CANCELLATION See Attachments
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS,
<br /> 11863585 AUTHORIZED REPRESENTATIVE
<br /> COUNTY OF ORANGE COUNTY,FINANCIAL SERVICES
<br /> P.O.BOX 8181
<br /> HILLSBOROUGH NC 27278
<br /> 1 Aw_JA_*0k_#
<br /> ACORD 25(2010105) O 9 8-2010 ACCPbVORPORATION.All rights reserved
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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