2016-559-E AMS - CRA Associates, Inc. for Cameron Street sidewalk (adjacent to Dickson House) design services

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DocuSign Envelope ID:061 F56BC-F5FF-4DAD-86E1-7759F714059B G9 DATE(MPAIDDIYYYY) AC'®R® CERTIFICATE IFICATE OF LIABILITY INSURANCE �s 7/6/2016 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 Ileu of such endorsement(s). PRODUCER NAME CT Patty Miller Business Insurers of Carolinas PHONE (919)968-4611 FAX (919)968-8991 (AIC.No.Ext): (AIC,No): BOO Eastorrne Drive, Suite 20B E-MAIL ss:prtt'11er @business-insurers.com PO Box 2536 INSURER(S)AFFORDING COVERAGE NAICft Chapel Hill NC 27515-2536 INSURER A:Tri—State Ins Co of Minnesota 31003 INSURED INSURER B:Union Insurance Company 25844 CRA Associates, Inc INSURER C:Stonewood Ins. Co. _ 11828 222 Cloister Court INSURER D: INSURER E: Chapel Hill NC 27514 INSURER F: COVERAGES CERTIFICATE NUMBER 2016-2017 REVISION NUMBER: 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 AID CLAIMS. INSR TYPE OF INSURANCE' ADDL SUM POLICY EFF POLICY EXP• LIMITS LTR imp W1/I) POLICY NUMBER IMMIDD/YYYY) (MMIDDIYYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A _ CLAIMS-MADE I X I OCCUR PREMSES0(Eaoccurrreence) $ 300,000 X Y ADV4298780 41 7/9/2016 7/9/2017 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000 X POLICY L I PROJET" 1 I LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Cyber coverage $ 100,000 AUTOMOBILE LIABILITY CO eBINED SINGLE LIMIT $ 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ ° ALL OWNED XISCHEDULED x X CNA429886291 7/9/2016 7/9/2017 BODILY INJURY(Per accident) $ AUTOS II NON-0 ED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS (Per er(len Uninsured motorist BI split limit $ 1,000,000 B X UMBRELLALIAB X OCCUR CNA4298862 41 7/9/2016 7/9/2017 EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE Umbrella Follows Form GE AGGREGATE $ 9,000,000 fl { DED I I RETENTIONS Auto, WC $ WORKERS COMPENSATION X PER T STATUTE ER • AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERJEXECUTIVE YlN)NIA E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER H)EXCLUDED? N 4TC1000002205-2015A 12/31/2015 12/31/2016 C (Mandatory in NH) X E.L.DISEASE-EA EMPLOYE S 500,000 If yyes desrnbe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below - 1 DESCRIPTION OF OPERATIONS(LOCATIONS I VEHICLES(ACORD.101,Additional Remarks Schedule,may be attached if more space is required) • _a,s a.4.-,m1 i CERTIFICATE HOLDER - CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County I ACCORDANCE WITH THE POLICY PROVISIONS. P, 0, Box 8181 I AUTHORIZED REPRESENTATIVE Hillsborough, NC 27278 Patty Miller/PATTY � .,,' � l • O 1988-2014 ACORD CORPORATION. ll rights reserved. .... ACORD 25(20.14/01) The ACORD name and Togo are registered marks Of ACORD • • INSO26(7014011 i • •