2018-005-E AMS - Civil Consultants Feasibility Investigation for Cornelius Street

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DocuSign Envelope ID: 016A45OF- 8FDD- 426F- 8A39- DOOA9115F413 71011312017 E (MMIDDIYYYY) AC" CERTIFICATE CERTIFICATE OF LIABILITY INSURANCE �� 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 INSURERS), 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 NAME: IPHONE FAX Andrew F. Jones , 'E; ReSs: 729 W NC HIGHWAY 54 INSURER(S) AFFORDING COVERAGE NAIC # DURHAM NC 27713 INSURERA: NATIONWIDE PROPERTY AND CASUALTY INSUF 37877 INSURED INSURER 8 INSURER C : _ CIVIL CONSULTANTS, INC INSURER D: 3708 LYCKAN PKWY STE 201 INSURER E: DURHAM NC 27707 -2586 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. ACCORDANCE WITH THE POLICY PROVISIONS. Orange County Asset Management Services INSR ADD LSUBR POLICY EFF POLICY EXP AUTHORIZED REPRESENTATIVE 131 West Margaret Lane LTR TYPE OF INSURANCE "SD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYY LIMITS L Jam„ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1.000,000 _ CLAIMS -MADE X OCCUR . DAMAGE TO RENTED PREMISES (Ea occurrence) S 30000 ME EXP [Any one person} $ 5,000 A ACP BPOK 3036630835 04/24/2017 04/24/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER- GENERALAGGREGATE $ 2,000,000 POLICY PRO X LOG . JECT PRODUCTS- GOMPIOPAGG , S 2,000,000 OTHER,$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) 5 ALL OWNED SCHEDULED BODILY INJURY [Per accident] $ AUTOS AUTOS NON -OWNED PROPERTYDAMAGE $ HIRED AUTOS AUTOS _ (Per accident) S UMBRELLA LIAB OCCUR _ EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION S S WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICERJMEMBER EXCLUDE D? ❑NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 901, Additional Remarks Schedule, may be attachad if more space is required) [d=11:ill9 [011e] =1 Cy:14W_r9[a]61 ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Orange County Asset Management Services AUTHORIZED REPRESENTATIVE 131 West Margaret Lane Diane M Burgess Hillsborough NC 27278 L Jam„ ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD