2017-080-E AMS - CRA for Preliminary Upfit Design and Cost Estimate for Lower Level of the Link Building

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DocuSign Envelope ID:04ECF339-B88A-45F4-AC8F-AF6BF40801 DD I 0 ACOR© CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `.---- 2/8/2017 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 CONTACT patty Miller Business Insurers of Carolinas �HONNo,Ext); (919)968-4611 [(A)),Nott(919)96a-8991 800 Eastowne Drive, Suite 208 E-MAIL ADDRESS:p miller®business-insurers.com PO Box 2536 INSURER(S)AFFORDING COVERAGE NAIC# Chapel Hill NC 27515-2536 INSURERA:Tri-State Ins Co of Minnesota 31003 INSURED INSURERB:Union Insurance Company 25844 CRA Associates, Inc INSURERC:Stonewood Ins. Co. 11828 222 Cloister Court INSURERD: INSURER E: Chapel Hill NC 27514 INSURERF: COVERAGES CERTIFICATE NUMBER:16-17 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 PAID CLAIMS. IL SR TYPE OF INSURANCE ADD:SUBR ...,. POLICY EFF POLICY EXP INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM!DDIYYYY) LIMITS i X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAGE TO RENTED 1 A CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 300,000 X A0v4298780 41 7/9/2016 7/9/2017 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER Cyber coverage $ 100,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ B X ALLOSNED © SCHEDULED CNA4298862 41 7/9/2016 7/9/2017 BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED (errs accident) $ Uninsured motorist Dl split limit $ 1,000,000 B X UMBRELLALIAB X OCCUR CNA4298862 41 7/9/2016 7/9/2017 EACH OCCURRENCE $ 4,000,000 EXCESS LIAR CLAIMS-MADE Umbrella Follows Form GE AGGREGATE $ 4,o00,000 DED RETENTION$ Auto, WC $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y!N N!A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER H)EXCLUDED? N WC100000220S-2016A 12/31/2016 12/31/2017 E.L.DISEASE-EA EMPLOYEE $ 500,000 C (Mandatory in NH) If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Orange County is included as additional insured in reference to the General Liability policy per written contract per attached policy forms CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE Patty Miller/PATTY ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(2(114011