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Client#: 25361 GEOSCONS
<br /> ACORD. CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY)
<br /> 3/18/2019
<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(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on
<br /> this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER NAME: Carly Underwood
<br /> Greyling Ins. Brokerage/EPIC PHONE 770.552.4225 866.550.4082
<br /> 3780 Mansell Road,Suite 370 e AIL Ext: A1C No:
<br /> ADDRESS: carly.underwood@greyling.com
<br /> Alpharetta,GA 30022 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:National Union Fire Ins.Co. 19445
<br /> INSURED INSURER B:New Hampshire Ins.Co. 23841
<br /> Geosyntec Consultants,Inc. Allianz Underwriters Insurance 36420
<br /> 900 Broken Sound Parkway NW,Suite 200 INSURER C:
<br /> Boca Raton,FL 33487 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 19-20 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 CONTRACTOR 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.
<br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF MMIDICY EXP LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY 5268179 4/01/2019 04/01/202 pEAACCH�,OECCCURRENCE $1,000,000
<br /> CLAIMS-MADE XOCCUR PREMISES EaEoNcourrence $500,000
<br /> MED EXP(Any one person) $25 000
<br /> PERSONAL BADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> JFIRPOLICY OT LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 4489673(AOS) 4/01/2019 04/01/202 EO,MBINED
<br /> .dartSINGLELIMIT 1,000,000
<br /> A X ANY AUTO 4489674(MA) 4/01/2019 04101/2020 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> X AUTOS ONLY X AUTOS ONLY Per a.d I
<br /> UMBRELLA LIAR HOCCUR EACH OCCURRENCE $
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ $
<br /> B WORKERS COMPENSATION 015893709(AOS) 4/01/2019 04/01/202 X PTAT ER OTH-
<br /> ANDEMPLOYERS'LIABILITY
<br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N015893710(CA) 4/01/2019 04/01/202 E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> C Prof Liab(PL)/ U51-00010219 4/01/2019 04101/2020 Ea Incident$2,000,000
<br /> Contr.Poll(CPL) Li Aggregate$2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re: Drilling of soil borings with sonic drilling technology. Installation of flush mounted monitoring
<br /> wells in the City of Lathrop right-of-ways near the intersection of McKinley and Louise Avenues.
<br /> The City of Lathrop, its officers, officials,employees,agents and volunteers are named as Additional
<br /> Insureds on the above referenced liability policies with the exception of workers compensation 8r
<br /> professional liability where required by written contract.
<br /> (See Attached Descriptions)
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> Cit of Lathrop SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City p THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 390 Towne Centre Drive ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Lathrop,CA 95330
<br /> AUTHORIZED
<br /> Rc.EEEP,.R.E�SEENTATIVE
<br /> ©1988-2015 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD
<br /> #S1457001/M1456557 CUND1
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