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2019-240-E DEAPR - Civil Consultants Twin Creeks culvert engineering
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2019-240-E DEAPR - Civil Consultants Twin Creeks culvert engineering
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Last modified
4/22/2019 9:41:29 AM
Creation date
4/22/2019 8:53:20 AM
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Template:
Contract
Date
4/12/2019
Contract Starting Date
4/12/2019
Contract Document Type
Agreement - Consulting
Amount
$28,800.00
Document Relationships
R 2019-240 DEAPR - Civil Consultants Twin Creeks culvert engineering
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2019
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DocuSign Envelope ID: FCE3B12B-34AF-485D-9888-6CADC04FD9D6 <br /> A E> CERTIFICATE OF LIABILITY INSURANCE (M M�°°"ri"' <br /> 3/11/2019 <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(5),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder In lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> Insurance Management Consultants, Inc. PGNEN EKM (7D4)799-1600 FAX No); I1s41+s0-xsss <br /> P.O. Sox 2490 EadNL Certeimcipla.com <br /> ADDRESS: <br /> INSURER 5 AFFORDING COVERAGE NAIC■ <br /> Davidson NC 28036 INSURER A:Continental Casualty CompanX 20443 <br /> INSURED INSURER e: <br /> Civil Consultants, rnc. INSURER C: <br /> 3708 Lyckan Parkway INSURERD: <br /> Suite 201 INSURERE: <br /> Durham TIC 27707 INSURERr: <br /> COVERAGES CERTIFICATE NUMBER:S/14/2018 PL 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 /> EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- <br /> MON L POLICY EFF POLICY EKP LIMITS <br /> LTR TYPE OF INSURANCE POLICY NUMBER MWDDlYYYY MMIDOTM <br /> COMMERCIAL GENERALLIABILITY EACH OCCURRENCE S <br /> DAMAGETORENTEU <br /> CLAIMS-MADE OCCUR PREMI ES fE&occurrence S <br /> MED EXP(Any one parson) S <br /> PERSONAL S ADV INJURY S <br /> GEN'L AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ <br /> POLICY D PROECT LOC PRODUCTS-COMNOPAGG f <br /> J <br /> S <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT : <br /> Ea accda <br /> ANY AUTG BODILY INJURY(Per Person) S <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) S <br /> AUTOS AUTOS <br /> NONaOWNEG PPROPERTY DAMAGE S <br /> HIRED AUTOS AUTOS <br /> b <br /> ar amwe"11 <br /> UMBRELLAWS OCCUR EACH OCCURRENCE S <br /> EXCESS LIAR HCLAIMS-MADE AGGREGATE S <br /> DED I I RETENTION S S <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABILITY Y 1 N 7A7UTE R <br /> ANY PROPRIETORWARTNERIEXECUTIVE ❑N 1 A E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory In N141 E-L DISEASE-EA EMPLOYEE $ <br /> 11 ye 5.deacrfbe under <br /> DESCRIPTION OF OPERATIONS below E-L.DISEASE-POLICY LIMIT E <br /> A Professional Liability As1111]810003 5/14/2018 5/14/2019 PeiClarm 1.000,000 <br /> Aof"ate 2.000,D00 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE$[ACORD 101.Additional Remarks 5chedula,may he allached K mom Optic*Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> mcarr@orangecountync.gov; tcc <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Orange County Department of Environment: THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> Agriculture, Parks and Recreation ACCORDANCE WITH THE POLICY PROVISIONS. <br /> P.O. Box 9181 <br /> Hillsborough, KC 27278 AUTHORFZEDREPRESENTATIVE <br /> JeEt Todd/CM <br /> ®1980.2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br /> INS025 12D1411) <br />
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