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HomeMy WebLinkAbout2019-237-E Planning - JF Wilkerson Efland sewer contract amendment DocuSign Envelope ID: D776FCD3-A986-470D-9E2B-8853B19D52DF EJCDC ENGINEERS JOINT CONTRACT DOCUMENTS COMMITTEE Change Order No. _ 002 Date of Issuance: April 15, 2019 Effective Date: April 22, 2019 Owner: Orange County, North Carolina Owner's Contract No.: 30044 Contractor:J.F. Wilkerson Contracting Co., Inc. Contractor's Project No.: Engineer: McGill Associates,P.A. Engineer's Project No.: 16.01904 Project: Efland Sewer to Mebane,Phase 2 Extension Contract Name: Efland Sewer to Mebane Phase 2 Extension The Contract is modified as follows upon execution of this Change Order: Description: See attached Spreadsheet. Attachments: Summary spreadsheet. Summary of Final Quantity Changes and Change Proposal Requests 17, 19, and 20. CHANGE IN CONTRACT PRICE CHANGE IN CONTRACT TIMES [note changes in Milestones if applicable] Original Contract Price: Original Contract Times: Substantial Completion: 330 days $3,586,121.00 Ready for Final Payment: 360 days days Increase from previously approved Change Orders No. 001 Increase from previously approved Change Orders No._ to No. 001: 001 to No. 001: Substantial Completion: 121 $ 149,449.09 Ready for Final Payment: 121 days Contract Price prior to this Change Order: Contract Times prior to this Change Order: Substantial Completion: 451 $3,735,570.09 Ready for Final Payment: 481 days or dates Decrease of this Change Order: Increase of this Change Order: Substantial Completion: 0 $0 Ready for Final Payment: 154 days or dates Contract Price incorporating this Change Order: Contract Times with all approved Change Orders: Substantial Completion: 451 $3,735,570.09 Ready for Final Payment: 635 days DOCUSigned by: Ds-a�aa by 'TED: oo��s;g�ed by: By: Et1313A899D'384C2 [ AukrS61& By:EfbY;� By: Ef),6* An it �an� t VS . RC:A3Fi'74F3r7047C: 0637991 R7d51`177 Contractor(Authorized Signature) Engineer(Authorized Signature) Owner(Authorized Signature) Title: Vice President Title Office Manager Title County Manager Date: 4 15 2019 Date 4/15/2019 Date 4/17/2019 Approved by Funding Agency (if applicable) By: Date: Title: EJCDC®C-941,Change Order. Prepared and published 2013 by the Engineers Joint Contract Documents Committee. Page 1 of 1 DocuSign Envelope ID:D776FCD3-A986-470D-9E2B-8853B1gD52DF Efland Sewer to Mebane, Phase 2 Extension Change Order#2 Tracking Summary ID Number Item Description Days Days Cost Requested Approved Rework of driveway flumes at 311 Mt Willing Road to meet NCDOT requirements.No 1 CPR 17 record of original flumes being approved by NCDOT. 20 20 $ 2,207.97 The addition of a cattle gate near SSMH#27 at the request of the City of Mebane to 2 CPR 19 access easement from Southern Street. 2 2 $ 608.75 Relocation of Alarm light,at the request of the City of Mebane,to a more visible 3 CPR 20 30 30 $ 2,242.50 location. 4 N/A Final Quantity Adjustment Credit 0 0 $ (5,059.22) 5 N/A Days elapsed from final inspection to issuing the punchlist 12 12 $ 6 N/A Days attributed to various issues including NCDOT&NCDEQ coordination;abandoned 90 90 $ force main cleaning and capping protocol options. Totals 1 154 1 154 1 $ Contract Dates Change Order Dates Date Certificate Issued Substantial 11/22/2018 November 22,2018 November 21,2018 Final 12/22/18 May 25,2019 DocuSign Envelope ID: D776FCD3-A986-470D-9E2B-8853B19D52DF CHANGE PROPOSAL FORM Project: Efland SS to Mebane to Mebane Phase 2 Contract: 16.01904 Contractor: JF Wilkerson Contracting Inc. Utility Construction Proposal# 17 Project# CIP 30044 Contractor# C077 Description of Change: Extend driveway flumes to ditch at 311 Mt.Willing Road Driveway Flumes 1 L.S. $ 2,207.97 $ 2,207.97 Total $ 2,207.97 Time Extension Request 20 days The Contractor agrees to perform the work outlined in this change proposal for the amount specified above and in accordance with the Contract documents if the work 1f1312A899D'384C2 Dl,ocuSigneddy Contractor's Signature: 2 [� ����b1A' Docusigned by: Date: 4/15/2019 . gyp, J 4/15/2019 Approval Recommended by Design Consultant: �C�Jply[� _ D s d by Date: 8CABB174ESD04DC i U�L1 4/16/2019 Owner's Representative Approval: l,}' -�7 Ll Date: a�nn•nra�r.=n-�� DocuSign Envelope ID: D776FCD3-A986-470D-9E2B-8853B19D52DF CHANGE PROPOSAL FORM Project: Efland SS to Mebane to Mebane Phase 2 Contract: 16.01904 Contractor: JF Wilkerson Contracting Inc. Utility Construction Proposal# 19 Project# CIP 30044 Contractor# C077 Description of Change: Add cattle gate adjacent to MH 27 Truck for pick up and delivery 1 L.S. $ 172.50 $ 172.50 Material 1 L.S. $ 186.25 $ 186.25 Labor 1 L.S. $ 250.00 $ 250.00 Total $ 608.75 Time Extension Request 2 days The Contractor agrees to perform the work outlined in this change proposal for the amount specified above and in accordance with the Contract documents if the work i--,-1D�g�cuSigne1d`'by: �� Contractor's Signature:f—f1313A899D'384C2 JV t Aykrsb�" Date: 4/15/2019 g DgcuSigned by: . 16CABB174ESDO4 ,;r� �9■_1.l 4/15/2019 Approval Recommended by Design Consultant: JLU f�UpV}[ti we Sig— by Date: DC rr kd 4/16/2019 Owner's Representative Approval: � � Ll Date: a1nn•nr.A2r.=n-c2 DocuSign Envelope ID: D776FCD3-A986-470D-9E2B-8853B19D52DF CHANGE PROPOSAL FORM Project: Efland SS to Mebane to Mebane Phase 2 Contract: 16.01904 Contractor: JF Wilkerson Contracting Inc. Utility Construction Proposal# 20 Project# CIP 30044 Contractor# C077 Description of Change: Add/Relocate Alarm Light at Pump Station Bitting Electric 1 L.S. $ 2,242.50 $ 2,242.50 Total $ 2,242.50 Time Extension Request 30 days The Contractor agrees to perform the work outlined in this change proposal for the amount specified above and in accordance with the Contract documents if the work' �y'DocuSigned bye Contractor's Signature: 2l, 0-vu Aykrw' Docusigned by: Date: 4/15/2019 1313A899D'384C2. �q� J 4/15/2019 Approval Recommended by Design Consultant: f�Upl�[� _ u5.9ned by Date: 6CABB174ESD04DC + 4/16/2019 Owner's Representative Approval: � ((- Date: a�nn•nra�r.�n-c� DocuSign Envelope ID: D776FCD3-A986-470D-9E2B-8853B19D52DF Efland Sewer to Mebane, Phase 2 Extension Final Quantity Adjustments Bid Actual Percentage of Bid Item# Description Unit Estimated Quantity Unit Price Bid Cost Actual Cost Difference Bid Cost Quantity Base Bid 1 Mobilization LS 1 1 $ 90,000.00 $ 90,000.00 $ 90,000.00 $ - 100% 2 12"PVC Gravity Sewer 6-8 Ft Depth LF 13 38 $ 49.00 $ 637.00 $ 1,862.00 $ 1,225.00 292% 3 12"PVC Gravity Sewer 8-10 Ft Depth LF 523 446 $ 56.00 $ 29,288.00 $ 24,976.00 $ (4,312.00) 85% 4 12"PVC Gravity Sewer 10-12 Ft Depth LF 490 689 $ 59.00 $ 28,910.00 $ 40,651.00 $ 11,741.00 141% 5 12"PVC Gravity Sewer 12-14 Ft Depth LF 101 0 $ 74.00 $ 7,474.00 $ - $ (7,474.00) 0% 6 12"DIP Gravity Sewer 6-8 Ft Depth LF 159 77 $ 85.00 $ 13,515.00 $ 6,545.00 $ (6,970.00) 48% 7 12"DIP Gravity Sewer 8-10 Ft Depth LF 449 351 $ 88.00 $ 39,512.00 $ 30,888.00 $ (8,624.00) 78% 8 12"DIP Gravity Sewer 10-12 Ft Depth LF 808 717 $ 91.00 $ 73,528.00 $ 65,247.00 $ (8,281.00) 89% 9 12"DIP Gravity Sewer 12-14 Ft Depth LF 720 493 $ 98.00 $ 70,560.00 $ 48,314.00 $ (22,246.00) 68% 10 12"DIP Gravity Sewer 14-16 Ft Depth LF 804 700 $ 100.00 $ 80,400.00 $ 70,000.00 $ (10,400.00) 87% 11 12"DIP Gravity Sewer16-18 Ft Depth LF 529 851 $ 120.00 $ 63,480.00 $ 102,120.00 $ 38,640.00 161% 12 12"DIP Gravity Sewer 18-20 Ft Depth LF 396 652 $ 130.00 $ 51,480.00 $ 84,760.00 $ 33,280.00 165% 13 12"DIP Gravity Sewer 20-22 Ft Depth LF 258 76 $ 150.00 $ 38,700.00 $ 11,400.00 $ (27,300.00) 29% 14 12"DIP Gravity Sewer 22-24 Ft Depth LF 135 149 $ 180.00 $ 24,300.00 $ 26,820.00 $ 2,520.00 110% 15 12"DIP Gravity Sewer 24-26 Ft Depth LF 195 152 $ 250.00 $ 48,750.00 $ 38,000.00 $ (10,750.00) 78% 16 12"DIP Gravity Sewer 26-28 Ft Depth LF 636 543 $ 290.00 $ 184,440.00 $ 157,470.00 $ (26,970.00) 85% 17 12"DIP Gravity Sewer Depth Over 28 Ft. LF 400 1 543 $ 310.00 $ 124,000.00 $ 168,330.00 $ 44,330.00 136% 18 24"Steel Encasement Jack and Bore LF 685 685 $ 570.00 $ 390,450.00 $ 390,450.00 $ - 100% 19 20"Steel Encasement Jack and Bore LF 50 50 $ 450.00 $ 22,500.00 $ 22,500.00 $ - 100% 20 4'Manhole 8-10 Ft EA 3 4 $ 4,600.00 $ 13,800.00 $ 18,400.00 $ 4,600.00 133% 21 4'Manhole 10-12 Ft EA 4 4 $ 5,000.00 $ 20,000.00 $ 20,000.00 $ - 100% 22 4'Manhole 12-14 Ft EA 6 6 $ 5,300.00 $ 31,800.00 $ 31,800.00 $ - 100% 23 4'Manhole 14-16 Ft EA 5 2 $ 5,900.00 $ 29,500.00 $ 11,800.00 $ (17,700.00) 40% 24 5'Manhole 16-18 Ft EA 2 4 $ 7,800.00 $ 15,600.00 $ 31,200.00 $ 15,600.00 200% 25 5'Manhole 20-22 Ft EA 2 2 $ 8,700.00 $ 17,400.00 $ 17,400.00 $ - 100% 26 5'Manhole 22-24 Ft EA 1 1 $ 9,400.00 $ 9,400.00 $ 9,400.00 $ - 100% 27 5'Manhole 24-26 Ft EA 1 1 $ 10,000.00 $ 10,000.00 $ 10,000.00 $ - 100% 28 5'Manhole 26-28 Ft EA 1 1 $ 12,000.00 $ 12,000.00 $ 12,000.00 $ - 100% 29 5'Manhole 28+Ft EA 5 3 $ 13,000.00 $ 65,000.00 $ 39,000.00 $ (26,000.00) 60% 30 10"Gate Valve and Box EA 2 0 $ 2,700.00 $ 5,400.00 $ - $ (5,400.00) 0% 31 12"Gate Valve and Box EA 7 6 $ 2,800.00 $ 19,600.00 $ 16,800.00 $ (2,800.00) 86% 32 10x10 Tapping Sleeve and Valve EA 1 1 $ 6,100.00 $ 6,100.00 $ 6,100.00 $ - 100% 33 10"Gate Valve Cut into Existing EA 1 1 $ 18,000.00 $ 18,000.00 $ 18,000.00 $ - 100% 34 10"PVC Force Main LF 470 465 $ 31.00 $ 14,570.00 $ 14,415.00 $ (155.00) 99% 35 10"RJ DIP Force Main LF 205 210 $ 67.00 $ 13,735.00 $ 14,070.00 $ 335.00 102% 36 12"PVC Force Main LF 16753 18031 $ 34.00 $ 569,602.00 $ 613,054.00 $ 43,452.00 108% 37 12"RJ DIP Force Main LF 532 532 $ 79.00 $ 42,028.00 $ 42,028.00 $ - 100% 38 12"Fusible PVC by Directional Drill LF 276 280 $ 270.00 $ 74,520.00 $ 75,600.00 $ 1,080.00 101% 39 IFittings with Thrust Blocking LBS 1 2500 1 1755 $ 16.00 $ 40,000.00 $ 28,080.00 $ (11,920.00) 70% 40 Air/Vacuum Valve Assembly EA 7 7 $ 3,900.00 $ 27,300.00 $ 27,300.00 $ - 100% 41 Tie to Existing Manhole EA 2 1 $ 2,200.00 $ 4,400.00 $ 2,200.00 $ (2,200.00) 50% 42 Pump Station LS 1 1 $ 701,000.00 $ 701,000.00 $ 701,000.00 $ - 100% 43 4"Sewer Service EA 8 9 $ 3,500.00 $ 28,000.00 $ 31,500.00 $ 3,500.00 113% 44 Septic Tank Demolition and Abandonment EA 5 2 $ 1,200.00 $ 6,000.00 $ 2,400.00 $ (3,600.00) 40% 45 Silt Fence LF 6000 5795 $ 3.00 $ 18,000.00 $ 17,385.00 $ (615.00) 97% 46 Double Row Silt Fence LF 2800 2575 $ 6.00 $ 16,800.00 $ 15,450.00 $ (1,350.00) 92% 47 Coir Wattle EA 150 75 $ 180.00 $ 27,000.00 $ 13,500.00 $ (13,500.00) 50% 48 Rock Excavation CYD 1000 5066.7 $ 52.00 $ 52,000.00 $ 263,468.40 $ 211,468.40 507% 49 Gravel Driveway Repair LF 800 964 $ 14.00 $ 11,200.00 $ 13,496.00 $ 2,296.00 121% 50 Asphalt Driveway Repair LF 100 173 $ 47.00 $ 4,700.00 $ 8,131.00 $ 3,431.00 173% 51 Asphalt Road Cut and Repair LF 363 363 $ 110.00 $ 39,930.00 $ 39,930.00 $ - 100% 52 Asphalt Road Mill and Repair SY 1214 1045.95 $ 28.00 $ 33,992.00 $ 29,286.60 $ (4,705.40) 86% 53 Inlet/Outlet Protection EA 60 30 $ 320.00 $ 19,200.00 $ 9,600.00 $ (9,600.00) 50% 54 Riparian Buffer Plantings LS 1 1 $ 7,100.00 $ 7,100.00 $ 7,100.00 $ - 100% S5 Locating Wire Test Stations EA 20 20 $ 240.00 $ 4,800.00 $ 4,800.00 $ - 100% 56 Remove and Replace Unsuitable Soil CYD 1000 255.33 $ 32.00 $ 32,000.00 $ 8,170.56 $ (23,829.44) 26% 57 Pump and Haul of Contaminated Groundwater GAL 5000 0 $ 1.00 $ 5,000.00 $ - $ (5,000.00) 0% 58 Removal and Replacement of Contaminated Soils CYD 500 0 $ 68.00 $ 34,000.00 $ - $ (34,000.00) 0% 59 Mobilization/Demobilization of Frac Tank LS 1 0 $ 3,400.00 $ 3,400.00 $ - $ (3,400.00) 0% Totals $ 3,485,801.00 $ 3,604,197.56 $ 118,396.56 103% Alternate 1-Line B 2.01 Mobilization LS 1 1 $ 1,500.00 $ 1,500.00 $ 1,500.00 $ - 100% 2.02 8"DIP Gravity Sewer 6-8 ft Depth LF 275 0 $ 59.00 $ 16,225.00 $ - $ (16,225.00) 0% 2.03 8"DIP Gravity Sewer 8-10 ft Depth LF 145 244 $ 62.00 $ 8,990.00 $ 15,128.00 $ 6,138.00 168% 2.04 8"DIP Gravity Sewer 10-12 ft Depth LF 148 274 $ 65.00 $ 9,620.00 $ 17,810.00 $ 8,190.00 185% 2.04a 8"DIP Gravity Sewer 12-14 ft Depth LF 0 50 $ 83.00 $ - $ 4,150.00 $ 4,150.00 N/A 2.05 4'Diameter Manhole 8-10 ft Depth EA 2 1 $ 4,200.00 $ 8,400.00 $ 4,200.00 $ (4,200.00) 50% 2.05a 4'Diameter Manhole 12-14 ft Depth EA 0 1 $ 5,300.00 $ - $ 5,300.00 $ 5,300.00 N/A 2.06 Outside MH Drop Assembly EA 1 1 $ 3,900.00 $ 3,900.00 $ 3,900.00 $ - 100% 2.06a 4"Sewer Service EA 0 1 $ 3,500.00 $ - $ 3,500.00 $ 3,500.00 N/A 2.07 Coir Wattle EA 4 1 $ 180.00 $ 720.00 $ 180.00 $ (540.00) 25% 2.08 Rock Excavation CYD 20 0 $ 190.00 $ 3,800.00 $ - $ (3,800.00) 0% 2.09 Gravel Drive Repairs LS 50 26 $ 20.00 $ 1,000.00 $ 520.00 $ (480.00) 52% 2.1 Inlet/Outlet Protection LS 3 0 $ 360.00 $ 1,080.00 $ - $ (1,080.00) 0% Total $ 55,235.00 $ 56,188.00 $ 953.00 102% DocuSign Envelope ID: D776FCD3-A986-470D-9E2B-8853B19D52DF Alternate 2-Line C 3.01 Mobilization LS 1 1 $ 1,200.00 $ 1,200.00 $ 1,590.00 $ 390.00 133% 3.02 8"DIP Gravity Sewer 6-8 ft Depth LF 435 542 $ 59.00 $ 25,665.00 $ 31,978.00 $ 6,313.00 125% 3.03 4'MH 6-8 ft Depth EA 2 2 $ 3,700.00 $ 7,400.00 $ 7,400.00 $ - 100% 3.04 Outside MH Drop Assembly EA 1 1 $ 3,900.00 $ 3,900.00 $ 3,900.00 $ - 100% 3.05 Coir Wattle EA 4 4 $ 180.00 $ 720.00 $ 720.00 $ - 100% 3.06 Rock Excavation CYD 20 0 $ 190.00 $ 3,800.00 $ - $ (3,800.00) 0% 3.07 Gravel Drive Repairs LS 50 24 $ 20.00 $ 1,000.00 $ 480.00 $ (520.00) 48% 3.08 Inlet/Outlet Protection LS 4 2 $ 350.00 $ 1,400.00 $ 700.00 $ (700.00) 50% Asphalt Road Cut LF 0 30 $ 110.00 $ - $ 3,300.00 $ 3,300.00 N/A Mill and Resurface SY 0 55 $ 28.00 $ - $ 1,540.00 $ 1,540.00 N/A Additional Traffic Control LS 0 1 $ 1,000.00 $ - $ 1,000.00 $ 1,000.00 N/A 4"Sewer Service EA 0 1 $ 3,500.00 $ - $ 3,500.00 $ 3,500.00 N/A Total $ 45,085.00 $ 56,108.00 $ 11,023.00 124% Miscellaneous CO#1 Reverse Tap at Hwy.70 LS 0 1 $ 6,484.43 $ - $ 6,484.43 $ 6,484.43 CO#1 Relocation of Wet Well Quick Connects LS 0 1 $ 4,978.68 $ - $ 4,978.68 $ 4,978.68 CO#1 Paving of Pump Station Driveway SY 0 116.1 $ 22.00 $ - $ 2,554.20 $ 2,554.20 Change Order#1 Total(Items without c $ 14,017.31 $ 14,017.31 contract unit prices) CO#2 Addition of Gate Near SSMH#27 EA 0 1 $ 608.75 $ - $ 608.75 $ 608.75 CO#2 Relocation of Alarm Light at Pump Station EA 0 1 $ 2,242.50 $ - $ 2,242.50 $ 2,242.50 CO#2 Driveway Mt.Willing Driveway Flumes LS 0 1 $ 2,207.97 $ - $ 2,207.97 $ 2,207.97 Change Order#2 Total $ 5,059.22 $ 5,059.22 Cumulative Change Order Total $ - $ 19,076.53 $ 19,076.53 Cumulative Total Bid Cost $ 3,586,121.00 Increasefrom Change Order#1 $ 149,449.09 Total Contract Amount $ 3,735,570.09 Total Actual Cost Prior to CO#2 $ 3,730,510.87 Final Quantity Adjusting Credit $ 5,059.22 Change Order#2 Total $ 5,059.22 Net Change from Change Order#2 $ - Total Project Cost Including CO#2 $ 3,735,570.09 I,Brian Wilkerson,as an authorized officer of JR Wilkerson Contracting Co.,Inc.,herby certified the quantities shown herein as final,thorough Change Order 1. Oocu Signed E,by: ' IJ�[ Wliw" Docusigned by: 4/15/2019 Contractor's Signature: Date: t313A899D1384C2. Oocusigned by- 4 15 2019 Approval Recommended by Design Consultant: Date: 6CA��846ID10DA30FD4C2- /'� xiOwner's Representative Approval: Date: DocuSign Envelope ID: D776FCD3-A986-470D-9E2B-8853B19D52DF JFWILKE-01 CLUCAS '4C�/Za CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 312912019 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 INSUREII 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 Cathleen Lucas NAME: Summers Thompson Lowry, Inc. PHONE FAX 2113 Cameron Street (AIC,No,Ext):(919)969-5311 (Arc,No):(919)9424221 Suite 219 E-MAIL cathy@stlinsure.com Raleigh, NC27605-1370 INSURER(S)AFFORDING COVERAGE NAIC* INSURERA:The Charter Oak Fire Insurance Corn pany 25615 INSURED INSURERB:The Travelers Indemnity Company 25658 J.F.Wilkerson Contracting Co. Inc. INSURERC:The Travelers Property Casualty Insurance Company of America 255674 P.O. Box 183 INSURERD:St Paul Surplus Lines Insurance Company Morrisville, NC 27560 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDDNYYY MMIDDNYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR C06B354615 4/1/2019 4/1/2020 DAMAGE TO RENTED 300,000 X PREMISES Ea occurrence $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PEP GENERAL AGGREGATE $ 2,000,000 POLICY T JjECT M LOC PRODUCTS-COMPIOPAGO $ 2,000,000 OTHER $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accdent $ X ANY AUTO ON209577 4/1/2019 1/1/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY ( eracadent) $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 EXCESS LIAB CLAIMS-MADE CUP71<4053651926 4/1/2019 1/1/2020 AGGREGATE $ DIED I X I RETENTION$ 10,000 aggregate $ 6,000,000 C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN U B2J 614794 4/1/2019 111/2020 500,000 ANY PROPRI Rf NIA RfEXECUTIVE ❑ E L.EACH ACCIDENT $ OFFICERfMEMBMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ A Installation floater 660613715799 4/1/2019 1/1/2020 pump houses only 250,000 D Comm Pollution CC41M94021-18 4/1/2018 1/1/2020 Each Poll Condition 1,000,000 DESCRIPTION OF OPERATIONS r LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Blanket additional insured endorsement applies to general liability,to include completed operations, as regarded by written contract. Project: Efland Sewer to Mebane Phase 2 Extension,Orange County,NC Owners's Contract No.: CIP 30044 Engineer's Project No.: 16.01904 hfleming@orangecountync.gov,dale.schepers@mcgillengineers.com CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County, NC(owner)&McGill&Associates(Eng) ACCORDANCE WITH THE POLICY PROVISIONS. 131 West Margaret Lane Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD