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2013-124 AMS - Legacy Research Associates for Public Market House Parking Lot and Riverwalk Park $9,000
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2013-124 AMS - Legacy Research Associates for Public Market House Parking Lot and Riverwalk Park $9,000
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5/9/2013 10:39:47 AM
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5/9/2013 10:34:48 AM
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BOCC
Date
5/8/2013
Meeting Type
Work Session
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Contract
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Mgr Signed
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2014-210 AMS - Legacy Research Associates for Change Order #1 C & A Monitoring for geothermal well trenching $10,000
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\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2014
R 2013-124 AMS - Legacy Research Associates for Public Market House Parking Lot and Riverwalk Park $9,000
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2013
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C R°® <br /> CERTIFICATE OF LIABILITY INSURANCE OP ID CH DATE(MAN8/11/13 <br /> .03/183 <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(les)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 endorsement(s). <br /> PRODUCER <br /> NAME: <br /> PHONE <br /> FAX <br /> First Insurance Services, Inc. A/C,No Ext: A/C,No): <br /> P. O. Box 13687 ADDRESS: <br /> RTP NC 27709 PRODOUMCkIl ID#: LEGAC-1 <br /> Phone:919-941-0549 Fax:919-941-0135 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Hartford Casualty insurance Co 29424 <br /> Le,qacy Research Associates INSURERB: <br /> Deborah Joy <br /> BOX 51007 INSURERC: ' <br /> Durham NC 27717 <br /> INSURER D <br /> INSURER E:. <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MWDD/YYYY) LIMITS <br /> GENERAL LIABILITY - EACH OCCURRENCE $2 0 0 0 0 0 0 <br /> A COMMERCIAL GENERAL LIABILITY 22SBALO5758 03/16/13 03/16/14 PREMISE-S""'Dec urrence s300000 <br /> CLAIMS-MADE ®OCCUR MED EXP(Any one person) $10000 <br /> X Business Owners g PERSONAL&ADV INJUR Y $2000000 <br /> GENERAL AGGREGATE $4 0 0 0 O O O <br /> GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $4000000 <br /> POLICYF—j PR0- <br /> ECT LOC $ <br /> J <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accident) $ <br /> ANY AUTO BODILY INJURY(Per person) $xXXX <br /> ALLOWNEDAUTOS <br /> BODILY INJURY(Per accident) $xXXx <br /> SCHEDULED AUTOS <br /> PROPERTY DAMAGE $xxxx <br /> HIRED AUTOS (Per accident) <br /> NON-OWNEDAUTOS $ <br /> A UMBRELLA LIAB X OCCUR 22SBAL05758 03/16/13 03/16/14 EACH OCCURRENCE $1000000 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> A WORKERS COMPENSATIQN 22WBCCM2318 03/14/13 03/14/13 X TORYLIMITS <br /> AND EMPLOYERS'LIABILITY YfN <br /> ANY PROPRIETO..R/PAR'fNERIEXECUTIVf /A E.L.EACH ACCIDENT $5000-00 <br /> OFFICERIMEMBER EXCLUDED? (�f <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500000 <br /> i <br /> If yes,describe under, <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $5 00000 <br /> DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) <br /> Certificate Holder is listed as additional insured if required by a <br /> written/executed contract or agreement prior to a loss. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> CODNTY3 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> County of Orange ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Financial Services <br /> Services AUTHORIZED REPRESENTATIVE <br /> Box 8181" <br /> Hillsborough NC 27278 Robert M. Good , <br /> ©1988-2009 ACORD CORPORA ION. All rights reserved. <br /> ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD <br />
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