Loading...
HomeMy WebLinkAboutORD-2014-021 Buckhorn-Mebane EDD Phase 2 Sewer Extension – Amendment of Design Contract and Approval of Budget Amendment #7-C'Za/4.-x7 T1aA0.AJ,�'c� Hobbs Upchurch Associates engineering I planning I surveying April 22, 2014 Orange County — Planning and Inspections Department ATTN: Mr. R. Kevin Lindley, P.E. 133 W. Margaret Lane Hillsborough, NC 27278 RE: Buckhorn — Mebane Economic Development District — Phase II Professional Engineering Services - Contract Amendment #2A (REVISED LETTER) (HUA Project Number: OC1202) Dear Kevin: This letter herewith is provided to serve as Contract Amendment #2A to the Original 2010 Contract for the project identified as Buckhorn - Mebane Economic Development District (EDD) — Phase II. This letter will summarize the original project scope as well as delineate the items to be covered by this amendment to the original project scope and original contract. Original 2010 Contract Hobbs, Upchurch & Associates, P.A. (HUA) and Orange County entered into a contract dated November 4, 2010 to provide surveying, engineering design, and permitting for the project identified as Buckhorn - Mebane Economic Development District (EDD) — Phase II. Note that the "Efland Extension" to Buckhorn — Mebane EDD — Phase II was added later as part of Contract Amendment #2. Original Proiect Scope In general terms, the original project was designed to collect sewage from the area / unincorporated community known as Efland. Currently, the majority of Efland's sewer is collected at a pump station on Brookhollow Road and pumps toward Hillsborough along Oak Street and the project would have picked up the forcemain on Oak Street and redirect it towards Mebane. This forcemain would then have connected to a small gravity sewer project in the northwestern interchange of 1-40 / 1 -85 and Mt. Willing Road. The project included a pump station on the north side of 1-40 /1-85 at the low area, 1,500 LF west of this interchange. From this pump station, effluent from the unincorporated community of Efland and adjacent additional gravity sewer area would have been pumped to the Gravelly Hill Pump Station and on into the City of Mebane. Also, HUA looked at additional pump stations in this eastern portion of the Buckhorn - Mebane EDD. This area was identified on the original area map (See also Exhibit A: Figure 1, as attached) as Areas D -2, D -3, D-4 and all of E. Amended Proiect Scope Following several meetings with the County staff, the City of Mebane and the new HUA project team, the best solution was identified as the "West Ten Road Pump Station" project. This revised project includes all the original sewer improvements and combines two pump stations into one on West Ten Road (adjacent to an unnamed tributary of Seven Mile Creek which runs adjacent to Stephanie Lane, on the north side of West Ten Road). This project adds approximately 4,500 LF of gravity sewer and additional easements. The project also includes gravity sewer east of and past the 1 -40 / Mt. Willing Road interchange through pasture lands opening up 100 acres for future development. This revision also provides a gravity sewer location to the north side of Norfolk Southern Railroad to allow for potential development sewage to be pumped into a gravity manhole north of the railroad. (See also Exhibit B: Figure 2, as attached.) Also, attached, as Exhibit C, is the final Opinion of Probable Cost for the project. Another significant difference between the two projects is the estimated construction cost. The original project was estimated at $2.2 Million with the new and much - improved project scope at $4.8 Million. Although the cost has increased, it resolves the request of the City of Mebane to minimize pump stations and opens up much more developable and usable land area within the Buckhorn — Mebane EDD as well T-910.692.5616 I F:910.692.7342 j 135 W. CONNECTICUT AVE. I SOUTHERN PINES, NC 28387 1 WWW.HCBBSUPCHURCH.00k: SUPERIOR PERFORMANCE THROUGH INNOVATIVE DESIGN Orange County — Buckhom Mebane EDD — Phase 11 Contract Amendment #2A (REVISED LETTER) 04 -22 -14 Page 2 of 4 as provides gravity sewer north of the Norfolk Southern Railroad for Efland and developable land on the north and south sides of 1-40 /1-85. Detailed Scope of Services - Cost Estimates Therefore, we propose to amend the original contract dated November 4, 2010, and prior approved amendments, to add additional surveying services; final engineering design; and bidding process through the contract award phase of this project. Once the actual construction award is established, then the construction management and inspection phase will be determined. Also, the geotechnical fees and wetlands delineation fees will be included as "not to exceed" fees (Exhibit C: Opinion of Probable Cost). Following are the specific cost estimates for this Contract Amendment #2A including: Expanded Sewer Analysis: $ 46,000.00 Engineering Design / Surveying (ROW Acquisition): $317,000.00 Geotechnical Report Fees (NTE): $ 20,000.00 Wetlands Delineation Fees (NTE): $ 10,000.00 The above fees supersede those contained in Contract Amendment #2. Detailed Scope of Services — Task List The detailed scope of services Task List is defined as follows: Task 1- Deshan Survey and Construction Documents: Detailed design will include all the proposed forcemain, gravity sewer, and lift station design and site work. The lift station site will be designed similarly to the Brookhollow Pump Station to provide consistency for Mebane. A third -party electrical engineer will be subcontracted by HUA for the lift station design. • Additional Surveying - as required, based on the new, approved alignment, as shown in the attached Figure 2; 30% Detailed Design Submission to County (Alignment); • 60% Detailed Design Submission to County (Profiles); • 90% Detailed Design Submission to County (Final). Task 2 - Coordination and Approvals: HUA will coordinate with State agencies, local agencies, and utility companies for all approvals necessary to construct the West Ten Pump Station project as defined by the amended project scope. The anticipated coordination will be as follows: • Monthly /Bi- Monthly Project Meetings as required; • Orange County Project Coordination; • Geotechnical Engineer Coordination; • Environmental Consultant Coordination; • Cultural / Archaeological Survey Coordination with North Carolina State Historic Preservation Office (SHPO) and Orange County; • NCDENR Submissions and Permit Acquisition for: • Erosion and Sedimentation Control, • Sanitary Sewer and Lift Station; • Easement Map Preparation and Survey; • Shallow Utility Company Coordination; • Railway Crossing Submission and Coordination; and • NCDOT Crossing Submission and Coordination. Orange County — Buckhom Mebane EDD — Phase II Contract Amendment #2A (REVISED LETTER) 04 -22 -14 Page 3 of 4 Task 3 — Contract Preparation and Bidding: HUA will prepare all required bid documents and specifications, as per the previous construction contracts executed as part of the Buckhorn- Mebane EED Water and Sewer Extension Project — Phase II. Services for this task shall include: • Preparation of Bid Documents and Contract Specifications; • Contract Advertisement Preparation; • Bidder Coordination; • Contract Amendment Preparation as required; • Bid Document Review; and • Contract Award Recommendation. Services NOT Included: Any work not specifically listed in Tasks 1 -3 above will be performed on an hourly basis in accordance with HUA's most current hourly Fee Schedule at the time services begin, or on a basis to be negotiated prior to accomplishment of the work, should the services be requested by the OWNER or if additional design is required by a regulatory or other governmental authority. Items which are not included in this fee proposal from HUA include, but are not limited to, the following: • Utility design other than water service to the pump station, sanitary sewer, and electrical for the pump station; • Tree surveys; • Floodplain modeling /analysis; • Environmental impact study /statement; • Wetland delineation and wetland agency coordination /concurrence, as done through subcontractor; • Impact fees; • Permit fees (including but not limited to railroad encroachment fees and geotechnical report fees); • Submittal review fees; • Land acquisition fees; • Traffic impact studies and traffic improvements; • Structural design (i.e. walls, buildings, bridges, box culverts), irrigation design and lighting design. Summary of Contract Amendment #2A The final project will have one pump station and three times the gravity sewer lines as well as opening developable land north of the railroad in Efland plus property on both sides of 1- 40/1 -85 Interstate With an estimated cost of $4.8 Million, the amended final project will benefit greatly the Mebane -Efland Corridor as well as all of Orange County. Orange County — Buckhorn Mebane EDD — Phase II Contract Amendment #2A (REVISED LETTER) 04 -22 -14 Page 4 of 4 Contract Amendment #2A Approval Signatures IN TESTIMONY WHEREOF, this Contract Amendment has been executed by the parties hereto, as of the date first above written. ORANGE COUNTY Provider, Barry Jaco it Fr M. Hobbs, P.E. Orange ounty B rd f Csion�As President Attest: v Approve as to technical content: Donna Baker, qe to th oard Craig edict, Dep ment Director This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control Act. U414, W A A4, Office of the Finance Director Approved as to form and legal sufficiency: O of e County Attorney Questions or Concerns If you should have any questions or require additional information, please feel free to contact me at (910) 692 -5616. Sincerely, HOBBS, UPCHURCH & ASSOCIATES, P.A. F d M. Hobbs, P.E. President Encls.: Maps: Exhibit A: Figure 1 and Exhibit B: Figure 2 Estimate: Exhibit C: Opinion of Probable Cost CC: Mr. David Townsend III, P.E., HUA Project Manager Mr. David Lane, HUA Mr. Craig Benedict, Director, Orange County — Planning and Inspections Department Southeast Regional Pump Station M I Hobbs Upchurch Associates R a.91—Ing I planneq I survyuq 2000' 0 1000' 2000' 4000' k I I 11+1, Legend Land Use Area Name 10 -Year Transition ® Camdlnd EDD Fusee FDD Magid Use General ® EBend S-1. Area Hydrology WOUMS --"- Sseams t2h Flood PWn AE (100 Year) IIadevelopedI Wedmd Net Acreasa Now G® Estmated F3ow Sectwn Lmd IIs<Area IIederdevdaped Room— 3lwee8aaeeus AvadaNc fw IIsdeveioped/ Elutarg &em EnnmB IT Name Parel A<rtsee Deductroo DeArcttm Devekpmme Underdeveloped Sramres Srucarcs C:.IEn®amdauI& Oiu Wawwater Now A—mg. Cm MRYs Sheen C Need me General ....._.- ..- .__._.._ 9 1 3 5 4,000 _ 34 10AS0 _ _ - -- 14,880 Dl EDD 1 286 1 1 72 213 170,400 5 3,100 173500 EDD 181 c 47 140 112000 9 2.880 C_1Ind 66 q 17 49 _ 39.200 0 0 __114,880 ____ 39,200 6Lb•eotaL 299 2 "9 2l8 174,400 39 13,980 342460 .� St kae Crwk Pm Shtwa__ - - -- -- D2 EDD 111 1 28 82 65.600 6 1,920 67,520 D4 EDD 125 0 32 93 74400 9 2M 77,280 Comm J Ind 181 1 46 234 107.200 82 26.240 133.440 lOgrTrmsdam 11 0 3 _ 8 6,400 26 8320 _ 14,720 F EBmd 555 13 139 403 322400 NA 75,110 397,510 .%b -totd 417 2 106 309 247.200 _ 97 31,040 690x'0 TsM '12 4 181 927 421,600 1% 49A20 1.032.930 Legend Land Use Area Name 10 -Year Transition ® Camdlnd EDD Fusee FDD Magid Use General ® EBend S-1. Area Hydrology WOUMS --"- Sseams t2h Flood PWn AE (100 Year) I low 44 SEND II a. 4, �� low 0 HOBBS, UPCHURCH & ASSOCIATES, P.A. Buckhom- Mebane EDD Sewer Improvements Consulting Engineers Southern Pines, NC Orange County, NC Phase 2 - West Ten Road Pump Station Opinion of Probable Costs 22 -A r -14 ITEM DESCRIPTION QTY UNIT UNIT PRICE TOTAL PRICE Item A site Work 1 Seed & Mulch & Erosion Control 14 AC $4,000.00 $56,000.00 2 Clearing and Grubbing 4.5 AC $3,500.00 $15,750.00 3 Gravel for Driveways 300 TN $30.00 $9,000.00 4 Asphalt O en Cut and Patch 550 SY $50.00 $27,500.00 5 Concrete O en Cut and Patch 100 SY $90.00 $9,000.00 Item A Sub -total $117,250.00 =tem B Forcemaln 6 8" PVC SDR 21 Forcemain 1,200 LF $35.00 $42,000.00 7 8" 90 Degree Bend 1 EA $1,050.00 $1,050.00 8 9 8"22.5 Degree Bend 8" Isolation Valve 4 EA $1,050.00 $4,200.00 10 12" PVC SDR 21 Forcemaln 1 18,000 EA LF $1,600.00 $40.00 $1,600.00 $720,000.00 11 12" Restrained Joint D.I.P. -9 600 LF $70.00 $42,000.00 12 16" ID HDPE DR Installed by Directional Bore 6 EA $32,500.00 $195,000.00 13 12"90 Degree Bend 0 EA $1,100.00 0.00 $$0.00 14 15 12"45 De ree Bend 24 EA $1,050.00 $25,2 16 12" 22.5 De ree Bend 10 EA $1,080.0 $10,800.00 17 12" Isolation Valve 1 Isolation Restraint Joint 9 EA $1,650.00 $14,850.00 400 LF $90.00 $36,000.00 18 Combination Air Release Valve Assembly in Manhole 4 EA $5,000.00 $20,000.00 19 Tie to Existing Manhole 1 EA . $4,40000 $4,400.00 Item BSub -total $1,117,100.00 Item C �jravlty Line S-1 20 8" D.I.P. Class 52 Gravity. Sewer 6' -10' 295 LF $70.00 $20,650.00 21 10" PVC SDR 35 .Gravity Sewer 6' -10' 4,025 LF $40.00 $161,000.00 22 10" PVC SDR 35 Gravity Sewer 10' -14' 0 LF $50.00 $0.00 22 10" D.I.P. Class 52 Gravity Sewer V -10' 100 LF $75.00 $7,500.00 23 10" D.I.P. Class 52 Gravity Sewer 10' -12' 200 LF $80.00 $16,000.00 24 10" D.I.P. Class 52 Gravity Sewer 12' -14' 0 LF $85.00 $0.00 25 10" D.I.P. Class 52 Gravity Sewer 14' -16' 250 LF $95.00 $23,750.00 26 10" D.I.P. Class 52 Gravity Sewer 16' -18' 0 LF $110.00 $0.00 27 10" D.I.P. Class 52 Gravity Sewer 18' -20' 0 LF $140.00 $0.00 27 10" D.I.P. Installed in Casin 200 LF $80.00 $16,000.00 28 12" PVC SDR 35 Gravity Sewer 6-10' 0 LF $50.00 $0.00 29 12" PVC SDR 35 Gravity Sewer 10' -14' 0 LF $75.00 $0.00 30 12" D.I.P. Class 52 Gravity Sewer 6' -10' 250 LF $85.00 $21,250.00 31 12" D.I.P. Class 52 Gravity Sewer 10' -14' 100 LF $110.00 $11 000.00 32 12" D.I.P. Class 52 Gravity Sewer 14 -18' 310 LF $130.00 $40,300.00 33 12" D.I.P. Class 52 Gravity Sewer 18' -22' 0 LF $250.00 $0.00 34 12" D.I.P. Class 52 Gravi Sewer 22' -26' 1,078 LF $290.00 $312,620.00 35 12" D.I.P. Class 52 Gravity Sewer (26' -30') 0 LF $350.00 $0.00 Page 1 of 2 HOBBS, UPCHURCH & ASSOCIATES, P.A. Consulting Engineers Southern Pines, NC 22-Apr-14 Buckhom- Mebane EDD Sewer Improvements Orange County, NC Phase 2 - West Ten Road Pump Station Opinion of Probable Costs 36 20" Steel casing installed on grade crossing Rail line for the proposed 8 -inch gravity sewer 295 LF $600.00 $177,000.00 37 24" Steel casing installed on grade crossing 1-40 / 85 for the proposed 12 -inch gravity sewer 330 LF $750.00 $247,500.00 38 4'0" Diameter Manhole 6' -8' 7 EA $2,000.00 $14,000.00 39 4' 0" Diameter Manhole 8' -10' S EA $2,200.00 $11,000.00 40 4'0" Diameter Manhole 10' -12' 2 EA $2,550. 0 $5,100.00 41 4'0" Diameter Manhole 12' -14' 1 EA $3,000.00 $3,000.00 42 4'0" Diameter Manhole 14' -16' 2 EA $3,350.00 $6,700.00 43 5'0" Diameter Manhole 16' -18' 2 EA $4,700.00 $9,400.00 44 5'0" Diameter Manhole 20' -22' 0 EA $6,100.00 $0.00 45 5'0" Diameter Manhole 22' -24' 0 EA $6,600.00 $0.00 46 5'0" Diameter Manhole 24 -26' 3 EA $7,100.00 $21,300.00 47 5'0" Diameter Manhole 26' -28' 1 EA $7,700.00 $7,700.00 48 5'0" Diameter Manhole 29' -30' 0 EA $10,100.00 $0.00 49 Select Fill Allowance 6,000 CY $18.00 $108,000.00 50 Rock Excavation and Disposal Allowance 9,500 CY $65.00 $617,500.00 51 Dewaterin Provisional 1 LS $30,000.00 $30,000.00 52 1 Pump Station 1 LS $675,000.00 $675,000.00 53 jPump Station Site Work 1 t LS $40,000.00 $40,000.00 Item C Sub -total $2,582,620.00 Item D GravIty Llne S -2 54 8" PVC SDR 35 Gravity Sewer 6' -10' 875 LF $40.00 $35,000.00 55 4'0" Diameter Manhole 6' -8' 2 EA $2,000.00 $4,000.00 56 4' 0" Diameter Manhole 8' -10' 1 EA $2,200.00 $2,200.00 57 Asphalt Open Cut and Patch 930 SY $50.00 $46,500.00 Item D Sub -total $87,700.00 Item E Gravity no S4 55 8" PVC SDR 35 Gravity Sewer 6' -10' 815 LF $40.00 $32,600.00 56 4'0" Diameter Manhole 6' -8' 3 EA $2,000.00 $6,000.00 57 Asphalt Open Cut and Patch 550 SY $50.00 $27,500.00 Item E Sub -total $66,100.00 Sub -total $3,970,770.00 Conten envy (10 %) $397,077.00 Sub -total $4,367,847.00 Engineering Design / Survey / ROW Acquisition Fees $317,000.00 Railroad Encroachment $30,000.00 Geotechnical Report Fees Not- to-Exceed $20,000.00 Wetlands Delineation Fees (Not -to- Exceed ) $10,000.00 Permit Fees $5,000.00 Project Total $4,749,847.00' Page 2 of 2 Client #: 30402 26HOBBSUPC1 ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DO/YYYY) TYPE OF INSURANCE 5/23/2014 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 C BB &T Insurance Services, Inc 693 -2610 ac, No : 888 831 -8410 140 Applecross Road, Suite B Pinehurst, NC 28374 $300,000 MED EXP (Any one person) $ 10,000 910 693 -2610 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: onal Trust Insurance Co. 20141 $2,000,000 INSURED INSURER B: FCCI Insurance Company 10178 Hobbs Upchurch &Associates PA INSURER C : B P.O. Box 1737 INSURER D: Southern Pines, NC 28388 INSURER E: 9130/2013 09/30/2014 INSURER F : $1,000,000 BODILY INJURY (Per person) 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 CONTRACTOR 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. INSR LTR TYPE OF INSURANCE AD ­DL INSR SUBR WVD I POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE A OCCUR CPPOO152792 i 9/30/2013 09/30/2014 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT LOC PRODUCTS - COMP /OP AGG $2,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS CA00246832 9130/2013 09/30/2014 COMBINED COMBINED SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UMB00152542 9/30/2013 09/30/201 EACH OCCURRENCE $4 000 000 AGGREGATE s4,000,000 DED X RETENTION $1 O OOO $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ,, / N ANY PROPRIMB R/PXCLUDE /EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 001 WC13A69276 9/30/2013 09/30/201 X WCPS TATU- OTH- IMI PP E.L. EACH ACCIDENT $50O 000 E.L. DISEASE - EA EMPLOYEE $5OO OOO E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Corp. Owners, Fred Hobbs and David Upchurch are excluded from Worker's Compensation coverage. Orange County 200 S. Cameron Street Hillsborough, NC 27278 ACORD 25 (2010/05) 1 of 1 #S12388686/M11261376 I.ANI.CLLA 1 IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD VPG Client #: 113055 80HOBBSUPC ACORD_ CERTIFICATE OF LIABILITY INSURANCE D /DD/VYYY) EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 5 /23/ 5/23/2014 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 Cyndy Cagle BB &T Insurance Services, Inc. PHONE FAX A /C, No, E :t : 336 547 -2137 ac, No): 888 - 831 -8409 3318 West Friendly Ave., E-MAIL s: ccagle @bbandt.com Ste. 400 INSURER(S) AFFORDING COVERAGE NAIC # Greensboro, NC 27410 INSURER A: Hudson Insurance Company 25054 INSURED Hobbs Upchurch &Associates PA INSURER 8 INSURER C $ PO Box 1737 INSURER D -- 300 SW Broad Street (28387) Southern Pines, NC 28388 -1737 INSURER E : -- $ 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ CLAIMS -MADE 171 OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY S INGLE LIMIT Ee aBINEDt $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ NIA TOR Y LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional AEE7281801 0111112014 01/31/201 1,000,000 Each Claim Liability i 1,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 S. Cameron Street ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE .. or. eAJ& © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S12388826/M12097271 CC1