2018-088-E AMS - Civil Consultants Morris Grove civil engineering consulting services

Browse Search

DocuSign Envelope ID: A58C9D4E-5E34-4EAA-ACOE-1 F0921 CFE064 ACCIIJ?" CERTIFICATE OF LIABILITY INSURANCE kh� DATE (MMIDDIYYYY) 1 011 31201 7 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 NAME: ACP BPDK 3036630836 PHONE FAX AIC No Ext : _�+41C Nn : Andrew F. Janes E-MAIL ADDRESS- INSURERS AFFORDING COVERAGE NAIL# 729 W NC HIGHWAY 54 INSURERA: NATIONWIDE PROPERTY AND CASUALTY INSUF 37877 DURHAM NC 27713 INSURED INSURERS: GEN'L AGGREGATE OMIT APPLIES PER: POLICY � ECT � �J LOC OTHER: INSURER C : $ 2,000,000 PRODUCTS - COMPK]P AGG INSURER D; CIVIL CONSULTANTS, INC 3708 LYCKAN PKWY STE 201 INSURERE: 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 PAIL? CLAIMS. INSR LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER DY EFF MMI MWD POLICY EXP LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR 131 West Margaret Lane Diane M Burgess ACP BPDK 3036630836 04124/2017 04/24/2018 EACH OCCURRENCE $ 1,000,000 DAVIAZE TO RENTED PREMISES Es omumBnce $ 300,000 MED EXP (Arty one person) S 5,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE OMIT APPLIES PER: POLICY � ECT � �J LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPK]P AGG $ 2,000,000 $ AUTOMOBILE LIABILITY _ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT accident) _ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per ecGdenl S $ UMBRELLA LIAR EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DIED RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILF Y YIN ANYPROPRIETORIPARTNERIEXECUTIVE I OFFICERIMEM6.ER EXCLUDED? (Mandatory In NH) If yes, descriW under DESCRIPTION OF OPERATIONS below N IA PER OTH STATl1TE ER E.L. EACH ACCIDENT is E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT S 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION 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 �" 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD