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2015-137-E Planning - Hobbs Upchurch Associates, P.A. for additional engineering and surveying services $10,860
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2015-137-E Planning - Hobbs Upchurch Associates, P.A. for additional engineering and surveying services $10,860
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Last modified
12/17/2019 3:12:47 PM
Creation date
2/20/2015 2:51:16 PM
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Contract
Date
2/18/2015
Contract Starting Date
11/4/2010
Contract Ending Date
4/1/2015
Contract Document Type
Contract Amendment
Amount
$10,860.00
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R 2015-137-E Planning - Hobbs Upchurch Associates, P.A. for additional engineering and surveying services
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2015
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DocuSign Envelope ID:879481CD-E306-4784-9294-DEA1E30B4717 <br /> Client#:30402 26HOSSSUPCI <br /> ACOR& CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> 01/0512015 <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 endomement(s). <br /> PRODUCER CONTA <br /> NAME: <br /> BB&T Insurance Services,Inc ac°Ne Ext:910 693-2610 FAX <br /> 140 Applecross Road,Suite B E-MAIL ac,No): 888 831-8410 <br /> Pinehurst,INC 28374 ADDRESS: <br /> 910 693-261 O INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:National Trust Insurance Compan 20141 <br /> INSURED Hobbs Upchurch 8 Associates PA INSURER B:FCCI Insurance Company 10178 <br /> INSURER C:Monroe Guaranty Insurance Compa 32506 <br /> P.O.BOX 1737 <br /> Southern Pines,INC 28388 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD POLICY NUMBER MWDD MWDDIYYYY <br /> A GENERAL LIABILITY CPPOO152793 9/3012014 09/30/2015 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE GENERAL LIABILITY pqM A ET RENTED <br /> PREMI ES Ea occurrence $300000 <br /> X COMMERCIAL GENE OCCUR MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $Included <br /> POLICY X PRO- X LOC $ <br /> (`, AUTOMOBILE LIABILITY CA00246833 913012014 09/30/201 COMBINED SINGLE LIMIT <br /> Ea accident 1,000,000 <br /> IX ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> HIRED AUTOS X NON-OWNLD PROPERTY DAMAGE $ <br /> AUTOS Peracddent <br /> $ <br /> B X UMBRELLA LIAR X OCCUR UMS00152543 913012014 09/30/201 EACH OCCURRENCE s4,000,000 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE s4,000,000 <br /> DED I X RETENTION$10,000 $ <br /> C WORKERS COMPENSATION 026WC14A72743 9/30/2014 09/301201 X WC:'TATU- OTH- <br /> AND EMPLOYERS'LIABILITY <br /> Y I N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $500 000 <br /> OFFICER/MEMBER EXCLUDED? � N/A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT 1,S500.000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,U more space Is required) <br /> **Workers Comp Information** <br /> Owner,Fred Hobbs,is excluded from Worker's Compensation 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,INC 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 /> #S13517432/MI3517410 VPG <br />
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