2014-529-E Planning - Terracon Consultants, Inc. for CMT $3,000

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DocuSign Envelope ID: EA0622FB-3DD4-44A5-954F-65E0383F6927 ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1/1/2015 9/19/2014 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). ACT PRODUCER Lockton Companies NAME: 444 W.47th Street,Suite 900 PHONE FAX A/C,No,Ext: A/C,No Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: AIG Specialty Insurance Company 26883 INSURED TERRACON CONSULTANTS,INC. INSURER B: Travelers PropertycasualtycoofAinerica 25674 1312891 2401 BRENTWOOD ROAD INSURER C: The Travelers Indemnity Company 25658 RALEIGH NC 27604 INSURER D: Lexington Insurance Company 19437 INSURER E: The Charter Oak Fire Insurance Company 25615 INSURER F: COVERAGES TERC001 CERTIFICATE NUMBER: 13118703 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y y PROP3779274 1/1/2014 1/1/2015 EACH OCCURRENCE 1,000,000 CLAIMS-MADE�OCCUR PREMISES(Ea occurrence) 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 JECT ❑LOC PRODUCTS-COMP/OP AGG $ 2 000,000 OTHER $ B AUTOMOBILE LIABILITY Y N TC2J-CAP-131J3858 1/1/2014 1/1/2015 COMBINED SINGLE LIMIT Ea accident $ 1 000 000 B X ANY AUTO TJ13AP131J3895 1/1/2014 1/1/2015 BODILY INJURY(Per person) $ XXXXXXX X AUT OWNED AUTOS BODILY INJURY(Per accident $ XXXXXXX NON-OWNED PROPERTY DAMAGE $ XXXXXXX X HIRED AUTOS X AUTOS Per accident $ XXXXXXX A UMBRELLA LIAB X OCCUR N N PROU1920977 1/1/2014 1/1/2015 EACH OCCURRENCE $ 5,000000 A X EXCESS LIAB CLAIMS-MADE (EXCLUDES PROF.LIAB.) AGGREGATE $ 5,000000 DED I I RETENTION$ 1 1 1 $ XXXXXXX WORKERS COMPENSATION PER OTH- C AND EMPLOYERS'LIABILITY N TC20UB131J374 (AOS),WI) 1/1/2014 1/1/2015 X STATUTE FIR E ANY PROPRIETOR/PARTNER/EXECUTIVE YIN TC20IIB131J3742(A0S) 1/1/2014 I/1/2015 B OFFICER/MEMBER EXCLUDED? � N/A TC20UB 131 J3742(CA) 1/1/2014 1/1/2015 E.L.EACH ACCIDENT $ 1000000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000,000 D PROFESSIONAL N N 26030216 1/1/2014 1/1/2015 51,000,000 EACH CLAIM&S1,000,000 LIABILITY ANNUAL AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: PROJECT#70141088; MORINAGA INFRASTRUCTURE. ORANGE COUNTY PLANNING&INSPECTIONS DEPT ARE ADDITIONAL INSURED AS RESPECTS GENERAL AND AUTO LIABILITY,AS REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY WHERE ALLOWED BY STATE LAW AND AS REQUIRED BY WRITTEN CONTRACT. 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. 13118703 AUTHORIZED REPRESENTATIVE ORANGE COUNTY PO BOX 8181 HILLSBOROUGH NC 27278 ACORD 25(2014/01) ©1 88-2014 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD