2014-512-E AMS - Terracon Consultants, Inc. for Sportsplex Lobby CMT $1,000

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DocuSign Envelope ID:09CCE3FE-6100-4B4A-A62B-5478A49B68FC ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1/1/2015 9/18/2014 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 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 Lockton Companies NAME: 444 W.47th Street,Suite 900 Ro No EXt, FAX No Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURERS AFFORDING COVERAGE NAIC 4 INSURERA: AIG Specialty Insurance Company 26883 INSURED TERRACON CONSULTANTS,INC. INSURER B: Traeele s Property Casualty Co orAmerica 25674 1312892 2401 BRENTWOOD ROAD RALEIGH NC 27604 INSURER C: The Travelers Indemnity Company 25658 INSURER D: Lexington Insurance Comoany 19437 NSURERE: The Charter Oak Fire Insurance Company 25615 INSURER F: COVERAGES TERC001 CERTIFICATE NUMBER: 13117210 REVISION NUMBER: XXXXXXX 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD AVD POLICY NUMBER MMIDD tYYYY (MMIDD1YYYY LIMITS A COMMERCIAL GENERAL LIABILITY PROP3779274 1/1/2014 1/1/2015 EACH OCCURRENCE X N N $ 1,000,000 CLAIMS-MADE OCCUR PREMSES a occu I (E r nce) $ 1,000,000 X CONTR'L LIABILITY MED EXP(Any one person) 25,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- LOC PRODUCTS-COMP/OP AGG $ 21000,000 OTHER $ B AUTOMOBILE LIABILITY N N TC2J-CAP-13173858 1/1/2014 1/1/2015 (COME SINGLE $ 1,000,000 B X ANY AUTO TJBAP131J3895 1/1/2014 1/1/2015 BODILY INJURY(Per person) $ XXXA� � X AUTOS NED SCHEDULED BODILY INJURY(Per accident $ XXXY�� X X HIREDAUTOS X AUTOSWNED PROPERTY DAMAGE $ XXXXXXX $ XXXXX3 x UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXX3C5 x EXCESS LIAB CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXX3�C'; DED RETENTION$ $ WORKERS COMPENSATION PER OTH- C AND EMPLOYERS'LIABILITY N TRKUB131J3846(AZ MA,WI) 1/1/2014 1/1/2015 X STATUTE E ANY PROPRIETOR/PARTNER/EXECUTIVE YIN TC20UB131J3742 AOS) 1/1/2014 1/1/2015 E.L.EACH ACCIDENT B OFFICER/MEMBEREXCLUDE07 N/A TC20UB13IJ3742(CA) 1/1/2014 1/1/2015 $ 1000 BOO (Mandatory in NH) E.L DISEASE-EA EMPLOYEE 1,000,000 I(yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 D PROFESSIONAL N N 26030216 1/1/2014 1/1/2015 $2,000,000 EA CLAIM&$2,000,000 IN LIABILITY THE ANNUAL AGGREGATE. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE:PROJECT#70141059;SPORTS PLEX-HILLSBOROUGH. 1 I i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 13117210 AUTHORIZED REPRESENTATIVE ORANGE COUNTY,NC P.O.BOX 8181,131 W.MARGARET LANE,SUITE 300 HILLSBOROUGH NC 27278 �Eti'�C9' I ACORD 25(2014/01) ©1 88-2014 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD