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2018-109-E AMS - Civil Consultants Consulting Contract Property Investigation Millhouse Road
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2018-109-E AMS - Civil Consultants Consulting Contract Property Investigation Millhouse Road
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Last modified
7/31/2018 4:33:08 PM
Creation date
4/11/2018 3:29:56 PM
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Contract
Date
3/28/2018
Contract Starting Date
3/28/2018
Contract Document Type
Agreement - Consulting
Amount
$15,000.00
Document Relationships
R 2018-109 AMS - Civil Consultants Consulting Contract Property Investigation Millhouse Road
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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DocuSign Envelope ID: E37E96C1 -05A7- 4217- 9F15- 86F6C52AODAB <br />CERTIFICATE OF LIABILITY INSURANCE <br />PDA7TE10 MM <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />10/13/2017 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />Insurance Management Consultants, Inc. <br />PHONE (704)799 -1600 ac, (704)799 -2955 <br />(AIiC. Ext : No : <br />E -MAIL cert @imcipls.com <br />ADDRESS: <br />P.O. Box 2490 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: Continental Casualty Company <br />20443 <br />Davidson NC 28036 <br />INSURED <br />INSURER B: <br />INSURER C : <br />DAMAGE l <br />Civil Consultants, Inc. <br />INSURER D: <br />3708 Lyckan Parkway <br />INSURER E: <br />Suite 201 <br />INSURER F: <br />Durham NC 27707 <br />COVERAGES CERTIFICATE NUMBER: 5/14/17 Renewal REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADUL <br />INSD <br />SUBIR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MM /DD/YYYY) <br />POLICY EXP <br />(MM /DD /YYYY) <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE l <br />CLAIMS -MADE 1-1 OCCUR <br />PREM SESO(Ea occurrence) <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICY ❑PRO ❑ LOC <br />JECT <br />PRODUCTS - COMP /OP AGO <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />D I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE ER <br />ANY PROPRIETOR /PARTNER/EXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />N /A <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If Ves, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />Per Claim <br />$1,000,000 <br />A <br />Professional Liability <br />AEH113816083 <br />05/14/2017 <br />05/14/2018 <br />Aggregate <br />$2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />@ 1988 -2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Orange County Asset Management Services <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />131 West Margaret Lane <br />AUTHORIZED REPRESENTATIVE <br />Hillsborough NC 27278 <br />( <br />@ 1988 -2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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