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2013-496 Planning - McGill Associates for Roadway design to serve the Wilson Inductrial Park $75,000
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2013-496 Planning - McGill Associates for Roadway design to serve the Wilson Inductrial Park $75,000
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12/12/2013 4:41:38 PM
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12/12/2013
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R 2013-496 Planning - McGill Associates for Roadway design to serve the Wilson Industrial Park $75,000
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Client#:1170972 30MCGILASS <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIY " <br /> 1/24/2013 <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()es)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 N Susan Stephenson <br /> BB&T-Wright Dobbins a"N N .828 277-3930 a/C No: 888-827-9875 <br /> PO Box 5318 E-MAIL <br /> ADDRESS: <br /> Asheville,NC 28813 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 828277-3930 INSURER A.Pennsylvania National Mutual Ca 14990 <br /> INSURED INSURER B: <br /> McGill Associates PA <br /> P.O.Box 2259 INSURER C: <br /> Asheville,NC 28802 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 CONTRACTOR 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 /> LTRR TYPE OF INSURANCE ASR SUER POLICY NUMBER MMID I YY MWC EXP LIMITS <br /> • GENERAL LIABILITY X 8X90652915 112312013 0112312014 EACH OCCURRENCE $1 000000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea NTED e $50,000 <br /> CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $5 000 <br /> PERSONAL&ADV INJURY $1.000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE UMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY E O LOC $ <br /> • AUTOMOBILE LIABILITY X AX90652915 1/2312013 01/23/201 -MBINdED SINGLE LIMIT 1,000,000 <br /> IX ANYAUTO BODILY INJURY(Per person) $ <br /> ALL OWNED BODILY INJURY Per acddeM $ <br /> AUTOS ( )HIRED AUTOS It PROPERTY DAMAGE <br /> Per accident $ <br /> $ <br /> A X UMBRELLALIAB X UL90652915 1/23/2013 01/23/201 EACHOCCURRENCE $3000000 <br /> EXCESS LIAR DE AGGREGATE s3,000,000 <br /> DED X RETENTION 10000 $ <br /> A WORKERS COMPENSATION WP9065291503 1123/2013 01/231201 X WCSTATU- OT"- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $500,000 <br /> OFFICER(MEMBEREXCLUDED? Q NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $5500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $50Q,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> Orange County is named as Additional Insured with respects all policies listed above with the exception of <br /> Worker's Comp.We will provide 30 days prior written notice of any cancellation,non-renewal or reduction of <br /> coverage. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 200 South Cameron Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Hillsborough,NC 27278 <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S9857859/M9836469 SIS <br />
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