HomeMy WebLinkAbout2018-088-E AMS - Civil Consultants Morris Grove civil engineering consulting servicesDocuSign Envelope ID: A58C9D4E-5E34-4EAA-ACOE-1 F0921 CFE064
[Departmental Use Only]
TITLE Morris Grove Civil
FY 2017 -18
NORTH CAROLINA
CONSULTING SERVICES AGREEMENT
UNDER $90,000
ORANGE COUNTY
This Agreement, made and entered into this 12th day of March, 2018, ( "Effective Date ")
by and between Orange County, North Carolina a body politic and corporate of the State of
North Carolina (hereinafter, the "County ") and Civil Consultants, (hereinafter, the "Consultant ").
WITNESSETH:
That the County and Consultant, for the consideration herein named, do Hereby agree as
follows:
ARTICLE 1 SCOPE OF WORK
1.1 Scope of Work
1.1.1 This Services Agreement ( "Agreement ") is for professional consulting services to
be rendered by Consultant to County with respect to (insert type of project) Provide consulting
and engineering services per proposal 25005 dated February 25, 2018 for Morris Grove
Properties.
1.1.2 By executing this Agreement, the Consultant represents and agrees that Consultant
is qualified to perform and fully capable of performing and providing the services required or
necessary under this Agreement in a fully competent, professional and timely manner.
1.1.3 Time is of the essence with respect to this Agreement.
1.1.4 The services to be performed under this Agreement consist of Basic Services, as
described and designated in Article 3 hereof. Compensation to the Consultant for Basic Services
under this Agreement shall be as set forth herein.
ARTICLE 2 RESPONSIBILITIES OF THE CONSULTANT
2.1 Services to be Provided. The Consultant shall provide the County with all services
required in Article 3 to satisfactorily complete the Project within the time limitations set forth
herein and in accordance with the highest professional standards.
2.2. Standard of Care
2.2.1 The Consultant shall exercise reasonable care and diligence in performing services
under this Agreement in accordance with the highest generally accepted standards of this type of
Consultant practice throughout the United States and in accordance with applicable federal, state
and local laws and regulations applicable to the performance of these services. Consultant is
solely responsible for the professional quality, accuracy and timely completion and submission
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DocuSign Envelope ID: A58C9D4E-5E34-4EAA-ACOE-1 F0921 CFE064
of all reports, drawings, specifications, plans, documents and services (hereinafter
"Deliverables ") related to the Basic Services.
2.2.2 The Consultant shall be responsible for all errors or omissions, in the deliverables
prepared by the Consultant.
2.2.3 The Consultant shall correct at no additional cost to the County any and all errors,
omissions, discrepancies, ambiguities, mistakes or conflicts in any Deliverables prepared by the
Consultant.
2.2.4 The Consultant shall assure that all Deliverables prepared by it hereunder are in
accordance with applicable laws, statutes, and that any necessary or appropriate applications for
approvals are submitted to federal, state and local governments or agencies in a timely manner so
as not to delay the Project.
2.2.5 The Consultant shall not, except as otherwise provided for in this Agreement,
subcontract the performance of any work under this Agreement without prior written permission
of the County. No permission for subcontracting shall create, between the County and the
subcontractor, any contract or any other relationship.
2.2.6 Any and all employees of the Consultant engaged by the Consultant in the
performance of any work or services required of the Consultant under this Agreement, shall be
considered employees or agents of the Consultant only and not of the County, and any and all
claims that may or might arise under any workers compensation or other law or contract on
behalf of said employees while so engaged shall be the sole obligation and responsibility of the
Consultant.
2.2.7 If activities related to the performance of this agreement require specific licenses,
certifications, or related credentials Consultant represents that it and/or its employees, agents and
subcontractors engaged in such activities possess such licenses, certifications, or credentials and
that such licenses certifications, or credentials are current, active, and not in a state of suspension
or revocation.
ARTICLE 3 BASIC SERVICES
3.1 Basic Services
3.1.1 The Consultant shall perform as Basic Services the work and services described
herein and as described in Exhibit A - Feasibility Investagation Morris Grove Properties dated
February 25, 2018.
ARTICLE 4 DURATION OF SERVICES
4.1 Scheduling of Services
4.1.1 The Consultant shall schedule and perform its activities in a timely manner.
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4.1.2 Should the County determine that the Consultant is behind the agreed upon
schedule, it may require the Consultant to expedite and accelerate his efforts, including providing
additional resources and working overtime, as necessary, to perform his services in accordance
with the approved project schedule at no additional cost to the County.
4.1.3 The Commencement Date for the Consultant's Basic Services shall be March 12,
2018.
ARTICLE 5 COMPENSATION
5.1 Compensation for Basic Services
5.1.1 Compensation for Basic Services shall include all compensation due the
Consultant from the County for all services under this Agreement except for any authorized
Reimbursable Expenses which are defined herein. The maximum amount payable for Basic
Services is Six Thousand Dollars ($6,000.00). Payment for Basic Services shall become due and
payable in direct proportion to satisfactory services performed and work accomplished.
ARTICLE 6 RESPONSIBILITIES OF THE COUNTY
6.1 Cooperation and Coordination
6.1.1 The County has designated Jeff Thompson to act as the County's representative
with respect to the Project and shall have the authority to render decisions within guidelines
established by the County Manager and the County Board of Commissioners and shall be
available during working hours as often as may be reasonably required to render decisions and to
furnish information.
6.1.2 The County shall be solely responsible for determining whether Consultant as
satisfactorily completed Tasks. It is agreed that County shall not unreasonably withhold its
determination of satisfactory completion of any Task. In the event the amount of an invoice is
disputed County may withhold payment until the dispute is resolved by the parties. County may
also withhold payment on an invoice until the satisfactory completion of a Task by Consultant.
ARTICLE 7 INSURANCE AND INDEMNITY
7.1 General Requirements
7.1.1 Consultant shall obtain, at its sole expense, Commercial General Liability
Insurance, Automobile Insurance, Workers' Compensation Insurance, Professional Liability
Insurance, and any additional insurance as may be required by Owner's Risk Manager as such
insurance requirements are described in the Orange County Risk Transfer Policy and Orange
County Minimum Insurance Coverage Requirements (each document is incorporated herein by
reference and may be viewed at
http: / /www.orangecountync.gov /departments /purchasing division /contracts.php). If Owner's
Risk Manager determines additional insurance coverage is required such additional insurance
shall be designated here N/A (if no additional insurance required mark N/A as being not
applicable). Consultant shall not commence work until such insurance is in effect and
certification thereof has been received by the Owner's Risk Manager.
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7.2 Indemnity
7.2.1 The Consultant agrees, without limitation, to indemnify and hold harmless the
County from all loss, liability, claims or expense, including attorney's fees, arising out of or
related to the Project and arising from property damage or bodily injury including death to any
person or persons caused in whole or in part by the negligence or misconduct of the Consultant
except to the extent same are caused by the negligence or willful misconduct of the County. It is
the intent of this provision to require the Consultant to indemnify the County to the fullest extent
permitted under North Carolina law.
ARTICLE 8 AMENDMENTS TO THE AGREEMENT
8.1 Changes in Basic Services
8.1.1 Changes in the Basic Services and entitlement to additional compensation or a
change in duration of this Agreement shall be made by a written Amendment to this Agreement
executed by the County and the Consultant. The Consultant shall proceed to perform the
Services required by the Amendment only after receiving a fully executed Amendment from the
County.
ARTICLE 9 TERMINATION
9.1 Termination for Convenience of the County
9.1.1 This Agreement may be terminated without cause by the County and for its
convenience upon seven (7) days prior written notice to the Consultant.
9.2 Other Termination
9.2.1 The Consultant may terminate this Agreement based upon the County's material
breach of this Agreement; provided the County has not taken all reasonable actions to remedy
the breach. The Consultant shall give the County seven (7) days' prior written notice of its intent
to terminate this Agreement for cause.
9.3 Compensation After Termination
9.3.1 In the event of termination, the Consultant shall be paid that portion of the fees
and expenses that it has earned to the date of termination, less any costs or expenses incurred or
anticipated to be incurred by the County due to errors or omissions of the Consultant.
9.3.2 Should this Agreement be terminated, the Consultant shall deliver to the County
within seven (7) days, at no additional cost, all Deliverables including any electronic data or files
relating to the Project.
9.4 Waiver
9.4.1 The payment of any sums by the County under this Agreement or the failure of
the County to require compliance by the Consultant with any provisions of this Agreement or the
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waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim
for damages by the County for any breach of this Agreement or a waiver of any other required
compliance with this Agreement.
9.5 Suspension
9.5.1 County may suspend the work at any time for County's convenience and
without penalty to County upon three (3) days' notice to Consultant. Upon any suspension by
County, Consultant shall discontinue the work and shall not resume the work until notified to
proceed by County.
ARTICLE 10 ADDITIONAL PROVISIONS
10.1 Relationship of Parties
10.1.1 Consultant is an independent contractor of the County. Neither Consultant nor
any employee of the Consultant shall be deemed an officer, employee or agent of the County.
Consultant's personnel shall not be employees of, or have any contractual relationship with, the
County.
10.2 Limitation and Assignment
10.2.1 The County and the Consultant each bind themselves, their successors, assigns,
and legal representatives to the terms of this Agreement. Neither the County nor the Consultant
shall assign or transfer its interest in this Agreement without the written consent of the other.
10.3 Governing Law
10.3.1 This Agreement and the duties, responsibilities, obligations and rights of
respective parties hereunder shall be governed by the laws of the State of North Carolina.
Consultant shall at all times remain in compliance with all applicable local, state, and federal
laws, rules, and regulations including but not limited to all state and federal anti - discrimination
laws, policies, rules, and regulations and the Orange County Non - Discrimination Policy and
Orange County Living Wage Policy (each policy is incorporated herein by reference and may be
viewed at http: / /www.orangecountync.gov /departments /purchasing division /contracts.php).
Any violation of this requirement is a breach of this Agreement and County may immediately
terminate this Agreement without further obligation on the part of the County. This paragraph is
not intended to limit the definition of breach to discrimination. By executing this Agreement
Consultant affirms that Consultant and any subcontractors of Consultant are and shall remain in
compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. Where
applicable, failure to maintain compliance with the requirements of Article 2 of Chapter 64 of the
General Statutes constitutes Consultant's breach of this Agreement. By executing this
Agreement Consultant affirms Consultant is in compliance with Article 2 of Chapter 64 of the
North Carolina General Statutes. By executing this Agreement, Consultant certifies that
Consultant has not been identified, and has not utilized the services of any agent or
subcontractor, on the Iran divestment list created by the State Treasurer pursuant to G.S. 147-
86.58 and the Israel boycott list created pursuant to G.S. 147 - 86.81.
10.4 Dispute Resolution
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10.4.1 Any and all suits or actions to enforce, interpret or seek damages with respect to
any provision of, or the performance or non - performance of, this Agreement shall be brought in
the General Court of Justice of North Carolina sitting in Orange County, North Carolina and it is
agreed by the parties that no other court shall have jurisdiction or venue with respect to such
suits or actions. The Parties may agree to nonbinding mediation of any dispute prior to the
bringing of such suit or action. Under no circumstances shall any dispute be addressed through
binding arbitration.
10.5 Extent of Agreement
10.5.1 This Agreement, together with the Request for Proposals together with
attachments distributed by the County and the Consultant's submitted Proposal, all of which
constitute the Contract Documents, represents the entire and integrated agreement between the
County and the Consultant and supersedes all prior negotiations, representations or agreements,
either written or oral. In the event of a conflict among the terms of the Contract Documents, the
priority of documents shall be This Agreement, the County's Request for Proposals, attachments
to the County's Request for Proposals, the Consultant's Proposal. This Agreement may be
amended only by written instrument signed by both parties. Modifications may be evidenced by
facsimile signatures.
10.6 Severability
10.6.1 If any provision of this Agreement is held as a matter of law to be
unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties.
10.7 Ownership of Deliverables
10.7.1 All Deliverables, together with all supporting materials, source documentation,
data collected, field notes, and working drafts, developed in the performance of this Agreement
shall become the property of the County and may be used on any other project without additional
compensation to the Consultant. The use of the Deliverables by the County or by any person or
entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk
of the County.
10.8 Non - Appropriation
10.8.1 Consultant acknowledges that County is a governmental entity, and the validity of
this Agreement is based upon the availability of public funding under the authority of its
statutory mandate.
In the event that public funds are unavailable and not appropriated for the performance of
County's obligations under this Agreement, then this Agreement shall automatically expire
without penalty to County immediately upon written notice to Consultant of the unavailability
and non - appropriation of public funds. It is expressly agreed that County shall not activate this
non - appropriation provision for its convenience or to circumvent the requirements of this
Agreement, but only as an emergency fiscal measure during a substantial fiscal crisis.
In the event of a change in the County's statutory authority, mandate and/or mandated functions,
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by state and/or federal legislative or regulatory action, which adversely affects County's
authority to continue its obligations under this Agreement, then this Agreement shall
automatically terminate without penalty to County upon written notice to Consultant of such
limitation or change in County's legal authority.
10.9 Notices and Signatures
10.9.1 This Agreement together with any amendments or modifications may be executed
electronically. All electronic signatures affixed hereto evidence the consent of the Parties to
utilize electronic signatures and the intent of the Parties to comply with Article I IA and Article
40 of North Carolina General Statute Chapter 66.
10.9.2 Any notice required by this Agreement shall be in writing and delivered by
certified or registered mail, return receipt requested to the following:
Orange County
Attention: Jeff Thompson
P.O. Box 8181
Hillsborough, NC 27278
[SIGNATURE PAGE TO FOLLOW]
Revised 10/17
7
Consultant's Name & Address
Civil Consultants
3708 Lyckan Parkway, Ste 201
Durham, NC 27707
DocuSign Envelope ID: A58C9D4E-5E34-4EAA-ACOE-1 F0921 CFE064
IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have
hereunder set their hands and seal, all as of the day and year first above written.
COUNTY: Orange County
mew:
[mot. Nauuwty� —
County Manager
3/16/2018
Revised 10/17
8
CONSULTANT: Civil Consultants
�p �llf 3/6/2018
Tony M. Whitaker, PE President
Printed Name and Title
DocuSign Envelope ID: A58C9D4E- 5E34- 4EAA- ACOE -1 F0921 CFE064
. Av,
c0 91consultants
40
LAND DEVELOPMENT CONSULTANTS
# 25005
PROPOSAL FOR CONSULTING ENGINEERING SERVICES
Project: Feasibility Investigation
Morris Grove Properties
Orange County, NC
Date: February 25, 2018
Client: Orange County
Attn: Mr. Jeff Thompson
PO Box 8181
Hillsborough, NC 27278
Engineer: Civil Consultants, Inc.
3708 Lyckan Parkway
Suite 201
Durham, NC 27707
General Description of Project Work:
The project scope of work will be as follows:
1. Review of zoning and related criteria, physical site conditions, and regulatory issues
pertaining to property usage for affordable housing purposes.
2. Verify that stormwater management issues will not apply.
3. Verify stream and stream buffer requirements along the western edge of the
properties. Identify and coordinate any wetlands investigations that might be needed
for onsite development or for offsite utility extensions.
4. Provide "high - level" feasibility and capacity study for public water and sewer service
and associated extensions /connections, prepare preliminary estimate of associated
construction value, identify any unusual permitting requirements, easements that
may be needed, etc. Consult with OWASA as needed for this work.
5. Prepare sketches showing usable land for residential development, number of
usable lots anticipated, recommended routes of offsite utility extensions,
identification of associated roadway impacts for utility work, recommendations for
shared driveways as may be appropriate, etc.
6. Attend a maximum of two meetings to discuss and present recommendations.
LAND PLANNERS + CIVIL ENGINEERS
3708 LYCKAN PARKWAY, SUITE 201 DURHAM, NC 27707, PHONE: 919.490.1645
WWW.CIVIL- CONSULTANTS.COM LIC. C -1030
DocuSign Envelope ID: A58C9D4E- 5E34- 4EAA- ACOE -1 F0921 CFE064
Orange County will provide for Engineer's use CAD -based mapping from GIS or other
sources showing the following information for the parcel and extending at least 500 feet
all around the parcel:
• Property boundaries
• Planimetric and terrain data including buildings, roadways, streams, stream
buffers, water features, floodplain, pavement limits, etc.
• Topography with 2' vertical intervals
• Base zoning and any zoning overlay districts
• Locations of existing public water and sewer lines
Compensation:
Client shall compensate Engineer for project work performed on an hourly basis, at the
hourly rates listed below. This agreement authorizes up to $6,000.00 for the general
scope of work described.
Tony M. Whitaker, PE
President
Schedule of Billing Rates
Classification Hourly Rate
Principal Engineer
$160.00
Senior Designer
$125.00
Designer Technician
$95.00
Administrator
$75.00
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
DocuSign Envelope ID: A58C9D4E- 5E34- 4EAA- ACOE -1 F0921 CFE064
CERTIFICATE OF LIABILITY INSURANCE
PDA7TE10 MM
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
10/13/2017
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 have ADDITIONAL INSURED provisions or 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:
Insurance Management Consultants, Inc.
PHONE (704)799 -1600 ac, (704)799 -2955
(AIiC. Ext : No :
E -MAIL cert @imcipls.com
ADDRESS:
P.O. Box 2490
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURERA: Continental Casualty Company
20443
Davidson NC 28036
INSURED
INSURER B:
INSURER C :
DAMAGE l
Civil Consultants, Inc.
INSURER D:
3708 Lyckan Parkway
INSURER E:
Suite 201
INSURER F:
Durham NC 27707
COVERAGES CERTIFICATE NUMBER: 5/14/17 Renewal 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
ADUL
INSD
SUBIR
WVD
POLICY NUMBER
POLICY EFF
(MM /DD/YYYY)
POLICY EXP
(MM /DD /YYYY)
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$
DAMAGE l
CLAIMS -MADE 1-1 OCCUR
PREM SESO(Ea occurrence)
$
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$
POLICY ❑PRO ❑ LOC
JECT
PRODUCTS - COMP /OP AGO
$
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
D I I RETENTION $
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILITY YIN
STATUTE ER
ANY PROPRIETOR /PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
N /A
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory in NH)
If Ves, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
Per Claim
$1,000,000
A
Professional Liability
AEH113816083
05/14/2017
05/14/2018
Aggregate
$2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
@ 1988 -2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) 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
Orange County Asset Management Services
ACCORDANCE WITH THE POLICY PROVISIONS.
131 West Margaret Lane
AUTHORIZED REPRESENTATIVE
Hillsborough NC 27278
(
@ 1988 -2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD