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Client#: 2536 GE :ONS <br /> ACORD- CERTIF, _ATE OF LIABILITY INM -ANCE DATE(MMDDlYYw) <br /> 10/01/2018 <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 les)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 /> PRODUCERICON <br /> NAME: T Carly Underwood <br /> Greyling Ins. BTokeragelEPIC PHONE 770.552.4225 —7-F <br /> inrc,Nam Facq: I(ac,Ne): 866.550.4082 <br /> 3780 Mansell Road, Suite 370 E•MAIi Carl Underwood re lin com <br /> ADDRESS y @g y g• <br /> Alpharetta, GA 30022 <br /> INSURER(S)AFFORDING COVERAGE NA1C N <br /> INSURER A:Natlonal Union Fire Ins.Co. 119445 <br /> INSURE. INSURER 9:New Hampshire Ins.Co. 23841 <br /> Geosyntec Consultants, Inc. <br /> INSURER C:Allianz Underwriters Insurance 36420 <br /> 900 Broken Sound Parkway NW,Suite 200 <br /> INSURER D <br /> Boca Raton, FL 33487 <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 18-19 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 /> INSR ADDL UBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDrYYYYI iMDW Yl LIMITS <br /> Mr <br /> A X COMMERCIAL GENERAL LIABILITY 5268179 4/0112018 04/01/2019 EACH OCCURRENCE $1,000,000 <br /> CLAIM84AADE X OCCUR PREMISES E.ococtirrence s500,000 <br /> MED EXP(Any ane person( s 25 OOO <br /> PERSONAL B ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s2,000,000 <br /> RO <br /> POLICY X PECT X LOC PRODUCTS COMPIOPAGG x2,000,000 <br /> _ OTHER S <br /> A AUTOMOBILE LIABILITY 4489673(AOS) 4/01/2018 04101/201 Ea aB�I"aDISINGLE LIMIT 1,000,000 <br /> A X ANY AUTO 4489674(MA) 4/01/2018 0410112019 BODILY INJURY(Per person) s <br /> OWNED SCHEDULED BODILY INJURY(Per accident) S <br /> AUTOS ONLY AUTOS PROPERTY OHMAGE f <br /> X HIRED NON-OWNED <br /> AUTOS ONLY X AUTOS ONLY Per accident <br /> S <br /> UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ <br /> EXCEISSLIAB CLAIMS,MADE AGGREGATE S <br /> DED I I RETENTIONS _ S <br /> B WORKERS COMPENSATION 015893709 (AOS) 4101/2018 04101/201 X '!;TEATuTrI IEOR" <br /> AND EMPLOYERS'LIABILITY YIN �- <br /> A ANY PROPRIETORIPARTNERIEXECUTIVE - 015893710 (CA) 4/01/2018 04/01/2019 E L EACH ACCIDENT 51 OOO 000 <br /> OFFICERIMEMBER EXCLUDED? [1f NIA <br /> B IMandatory In NH) t— 015893711 (ME) 3410112018 04/011201 E L DISEASE-EA EMPLOYEEI$1,000,000 <br /> d yes describe Under <br /> DESCRIPTION OF OPERATIONS below E L DISEASE POLICY LIMB E1 000,000 <br /> C Professional Liab 1,151-00010218 4/0112018 04/01/201 Each <br /> /Contractors Incident $2,000,000 <br /> Pollution Liab Aggregate$2,000,000 <br /> DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedulemay 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& <br /> professional liability where required by written contract. <br /> (See Attached Descriptions) <br /> CERTIFICATE HOLDER CANCELLATION <br /> CI 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 REPRESENTATIVE <br /> 1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD <br /> #S1231542IM1056601 CUND1 <br />