Orange County NC Website
Holder Identifier : 7777777707070700077763616065553330763735764015474607762215770634132071660557146323320716041333243011007700411356634754073660755364101320770621115663657407364235552274130077727252025773110777777707000707007 6666666606060600062606466204446200620222604206222206202226260060222062020262620422200602000406226000206220224040262002060222262402422000602000626222062206220266022660042066646062240664440666666606000606006Certificate No : 570102284001 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 10/17/2023 <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <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 />PRODUCER <br />Aon Risk Insurance Services West, Inc. <br />Denver CO Office <br />1900 16th Street, Suite 1000 <br />Denver CO 80202 USA <br />PHONE <br />(A/C. No. Ext): <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />(303) 758-7688 <br />INSURED 16535Zurich American Ins CoINSURER A: <br />41297Scottsdale Ins CompanyINSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />FAX <br />(A/C. No.):(303) 758-9458 <br />CONTACT <br />NAME: <br />HGS, LLC dba RES Environmental Operating <br />Company, LLC <br />3600 Glenwood Avenue, Suite 100 <br />Raleigh NC 27612 USA <br />COVERAGES CERTIFICATE NUMBER:570102284001 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.Limits shown are as requested <br />POLICY EXP <br />(MM/DD/YYYY) <br />POLICY EFF <br />(MM/DD/YYYY) <br />SUBR <br />WVD <br />INSR <br />LTR <br />ADDL <br />INSD POLICY NUMBER TYPE OF INSURANCE LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />POLICY LOC <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />X <br />X <br />X <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />$1,000,000 <br />$350,000 <br />$10,000 <br />$1,000,000 <br />$2,000,000 <br />$2,000,000 <br />$25,000Deductible <br />B 10/01/2023 10/01/2024VRS0006957 <br />PRO- <br />JECT <br />OTHER: <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED <br />AUTOS ONLY <br />SCHEDULED <br /> AUTOS <br />HIRED AUTOS <br />ONLY <br />NON-OWNED <br />AUTOS ONLY <br />BODILY INJURY ( Per person) <br />PROPERTY DAMAGE <br />(Per accident) <br />X <br />BODILY INJURY (Per accident) <br />$2,000,000A10/08/2023 10/08/2024 COMBINED SINGLE LIMIT <br />(Ea accident) <br />BAP 8633906 - 03 <br />EXCESS LIAB <br />X OCCUR <br />CLAIMS-MADE AGGREGATE <br />EACH OCCURRENCE <br />DED <br />$10,000,000 <br />$10,000,000 <br />$9,000,000 <br />10/01/2023UMBRELLA LIABB 10/01/2024VES0004308 <br />RETENTION <br />X <br />Automobile Excess Limit <br />E.L. DISEASE-EA EMPLOYEE <br />E.L. DISEASE-POLICY LIMIT <br />E.L. EACH ACCIDENT $1,000,000 <br />X OTH- <br />ER <br />PER STATUTEA10/08/2023 10/08/2024 <br />$1,000,000 <br />Y / N <br />(Mandatory in NH) <br />ANY PROPRIETOR / PARTNER / EXECUTIVE <br />OFFICER/MEMBER EXCLUDED?N / AN <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />$1,000,000 <br />WC863390703 <br />Ea Claim / CvgVRS000695710/01/2023 10/01/2024 <br />Prof/Poll - Claims Made $2,000,000Aggregate <br />Deductible $25,000 <br />Environmental Contractors <br />and Prof <br />B $1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: RES Project No. 109816, Project Name: Gravelly Hill Middle School Stormwater Wetland Retrofit Project, Project Site <br />Location: NC. Orange County, its officers, agents and employees are included as Additional Insured in accordance with the <br />policy provisions of the General Liability policy. <br />CANCELLATIONCERTIFICATE HOLDER <br />AUTHORIZED REPRESENTATIVEOrange County <br />300 West Tryon Street <br />PO Box 8181 <br />Hillsborough NC 27278 USA <br />ACORD 25 (2016/03) <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />DocuSign Envelope ID: F48365FE-0490-4302-A2A1-A0E5DF090AEA