Agenda - 06-20-2017 - 8-h - Efland Sewer to Mebane, Phase 2 Extension – Construction Engineering and Inspection Services Contract for the Efland-Buckhorn-Mebane Utility Planning Area

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18 Client*: 1170972 30MCGILASS . AC DATE ryMloorYrYrl RD. CERTIFICATE OF LIABILITY INSURANCE 1/27/2017 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 pollcylles)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 CT Susan Stephenson BB11T-Wright Dobbins on,E„„:828 277-3930 ](,,No); 888-827-9875 PO Box 6318 s: Asheville,NC 28813 INSURERS)AFFORDING COVERAGE NAIL r 828 2774930 INSURER A:Pennsylvania National Mutual Ca 14990 INSURED INSURER B: McGill Associates PA INSURER C: P.O.Box 2259 INSURER D: Asheville,NC 28802 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. LTR TYPE OF INSURANCE IAN WD POLICY NUMBER ,(MME Y)_jMMIDDIYYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY X BP90862915 01/2312017 01123/2018 EACH OCCURRENCE $1,000,000 PR CLAIMS-MADE I XI OCCUR EA1 i {E 5 a vaauroncel $50,000 M ED EXP(Any one person) $6,000 PERSONAL$ADV INJURY ;1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $1,000,000 POLICY JERCTT LOC PRODUCTS-COMP/OP AGO $1,000,000 OTHER! COµBINED SINGLE LIMIT A AuroMOBILE UABIUTY X AX90652915 01123/2017 01/23/2018 (Ea.edd.r�tl $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ • ALL OWNED II SCHEDULED BODILY INJURY(Per=leant) $ AUTOS NOON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS AUTOS (Per eocklent) $ A X UMBRELLA LIAB X OCCUR X UL90851915 01123/2017 01123/201a,EACH OCCURRENCE 16,000,000 ' EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DED I XI RETENTION$10000 $ WORKERS OOMPENSATION PEATUTE I ERA AND EMPLOYERS'UARILJTY ANY PROPRIFTORJPARTNERIEXECUTIVE Y/N E.C.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED'/ I NI A (Meenedetory In NH) El,DISEASE-EA EMPLOYEE $under DESCRI OF OPERATIONS bream , E.L,DISEASE-POLICYLIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(ACORD 101,Addltlenel Remade!Schedule,may be attached H more ewe M required) Orange County Is named as Additional insured with respects all policies listed above with the exception of Worker's Comp when required by written agreement with the Insured.We will.provide 30 days prior written notice of any cancellation,non-renewal or reduction of coverage except in the event of nonpayment of premium which is 10 days notice. CERTIFICATE HOLDER CANCELLATION sHoULo ANY OF THE DESCRD Orange County THE EXPIRATION DATE ABOVE THEREOF NO CE TWILL HE BEFORE IN 200 South Cameron Street ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough,NC 27278-0000 AUTHORIZED REPRESENTATIVE • I I.' C 1988-2014 ACORD CORPORATION.All rights reserved. ACORD 2542014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD • *S175420811M17511904 SIS