2015-304-E Solid Waste - HDR Engineering Inc. of the Carolinas - Amendment to contract dated June 10, 2013 for the provision of professional services to the County

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DocuSign Envelope ID:8A012539-E9FD-4FOB-956E-39B8B9E60F51 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYY) 6/1/2016 1 5122/2015 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(les)trust he 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), CONTACT PRODUCER Lockton Comppanies NAME: 444 W.47th 5treat,Suite 900 P co,No Ext; r Farc,No Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURER IS)AFFORDING COVERAGE NAIC# INSURER A: Hartford Fire Insurance Company 19682 INSURED HDR ENGINEERING,INC.OF INSURER B: Tmvele rsNopelty Casualty CoofAmedca 25674 1014392 THE CAROLINAS INSURER C: Zurich Insurance Coin an 8404 INDIAN HILLS DRIVE OMAHA NE 681144049 INSURER E): Lexin on Insurance Comparty 19437 INSURER E: INSURER F: COVERAGES HDRIN01 CERTIFICATE NUMBER: 10895149 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 AODL SUBR POLICY Err POLICY EXP LTR TYPE OF INSURANCE INSD VIVID POLICY NUMBER MMIDDNYYY MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY y y 37CSEQU0950 6/1/2015 6/1/2016 EACH OCCURRENCE $ 1,000,000 E CLAIMS-MAD OCCUR DAMAGE TO RENTED00 000 PREMISES Ea occurrence X CONTRACTUAL L IAB MED EXP(Anyone person) 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE of �LOG PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT N N 37CSEQU0951(AOS) 6/f/2615 6/1/2016 Ea accident $ 2,000,000 A 37CSEQUO952(HI) 6/1/2015 6/1/2016 { person) XXXXXXX A JX AN YAUTO 37CSEQ (MMA) 6/1/2015 6/1/2016 BODILY INJURY Per erson $A TOS NED AUTOS LED BODILY INJURY(Per accident $ XXXXXXX HIRED AUTOS X AUTNOSWNED PR PER AMAGE $ XXXXXXX $ XXXXXXX B X UMBRELLA LIAB X OCCUR N N ZUP-I OR64084-15-NF 611/2015 6/1/2016 EACH OCCURRENCE $ 1,000,000 EXCESS L1A6 CLAIMS-MADE (EXCLUDES PROF.LIAR) AGGREGATE $ 1,000,000 DED I I RETENTION$ $ XXXXxXX WORKERS COMPSATION C AND EMPLOYERSELIABILITY YIN Y 0381I27 7/1/2015 7/1/2016 X s TA' oTH- ANY OFFICERIMEMBER EXCLUDED?€CUTIVE FN-1 E.L.EACH ACCIDENT $ 1,000,900 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 1,000, 000 ifyes,desaibe under DESCRIPTION OF OPERATIONS beIDw E.L.D}SEgSE-POLICY LIMIT 1,000,000 D ARCH&ENG N N 061853691 61I/2015 6/1/2016 PER CLAIM:$2 000,000 PROFESSIONAL AGGREGATE: 2,000;000. LIABILITY DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE:GENERAL SOLID WASTE ENGINEERING AND ENVIRONMENTAL MANAGEMENT SERVICES. ORANGE COUNTY ITC IS NAMED AS ADDITIONAL INSURED ON GENERAL LIABILITY AS PER WRITTEN CONTRACT,ON A PRIMARY,NON-CONTRIBUT6RY BASIS, WAIVER OF SUBROGATION APPLIES WIRE APPLICABLE BY LAW. CERTIFICATE HOLDER CANCELLATION See Attachment. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10895149 AUTHORIZED REPRESENTATIVE ORANGE COUNTY ATTN:GAYLE WILSON PO BOX 17177 CHAPEL HILL NO 27516 ACORD 25(2014101) ©1 88-2014 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD