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Client#: 253b. GEL,�CONS <br /> ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATElVYYY) <br /> 11r121202/zo19 <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 NAMEA Carly Underwood <br /> Greyling Ins. Brokerage/EPIC PHONE 770.552.4225 <br /> 3780 Mansell Road, Suite 370 E Mali°Ext' [A/C No): 866.550.4082 <br /> ADDRESS: carly.underwood@greyling.com <br /> Alpharetta,GA 30022 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA:National Union Fire Ins.Co. 19445 <br /> INSURED INSURER 8:New Hampshire Ins.Co. 23841 <br /> Geosyntec Consultants, Inc. 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 CONTRACT OR 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 ADDL SUB R POLICY EFF POLICY EXP <br /> TYPE OF INSURANCE INSR rWVD POLICY NUMBER — - MWDDIYYYY)-I[MM1OD LIMITS <br /> A X,COMMERCIAL GENERAL LIABILITY 5268179 4/01/2018 04/01/20191 EACH OCCURRENCE $1,000000 _ <br /> CLAIMS-MADE X OCCUR <br /> RAVMA RENTED <br /> E PREMISES�Eaoccurrancel . $500,000 <br /> MED EXP(Anyone person) 525 000_ <br /> /PERSONAL&ADV INJURY _51,000,900 - <br /> GEN'L AGGREGATE LIMIT APPLIES PER. GENERA AGGREGATE_ 52,000,000RO- <br /> - <br /> POLICY X JECT X LOC PRODUCTS-COMPIOP AGG_12,000,000 — <br /> OTHER _ $ <br /> A AUTOMOBILE LIABILITY i 4489673 AOS 4101/2018 04/01/2019coMBINEDSINGLELIMIr <br /> (AOS) Ea accident _ $1,000,000 <br /> AIX <br /> ANY AUTO 4489674 (MA) 4/01/2018 0410112019E BODILY INJURY(Per person) S <br /> OWNED SCHEDULED BODILY INJURY(Per accident) 5 <br /> AUTOS ONLY AUTOSL <br /> ATOS ONLY X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY Per accident _ <br /> $ <br /> UMBRELLA LUISOCCUR EACH OCCURRENCE $ _ <br /> EXCESS UAe CLAIMS-MADE AGGREGATE __ $ <br /> DED I RETENTIONS_ _ ___ _ $ <br /> WORKERS COMPENSATION PER 1OTH- <br /> 8 015893709(AOS) 4/01/2018 0410112019 X -STATUTE- I LF.B <br /> AND EMPLOYERS'LIABILITY -- -- <br /> A ANY PROPRIETOR/PARTNERIEXECUTIVEIY/N 015893710(CA) 4/01/2018 04/01/2019 t L EACH ACCIDENT $1,000,000 <br /> OFFICERIMEMBEREXCLUDED� N� N/AI <br /> B (Mandatory in NH) 015893711 (ME) 4101/2018 0410112019'E.L.DISEASE-EA EMPLOYEEI$1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below _ E.L.DISE_A_S_E-POLICY LIMIT $1,000,009 <br /> C Professional Liab + U51_00010218 4/01/2018 04/01/201 Each <br /> /Contractors Incident $2,000,000 <br /> Pollution Liab Aggiregate$2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached if more space is required) <br /> Glenn Springs Holdings, Inc. , and TEC Equipment, Inc.are named as Additional Insureds on the above <br /> referenced liability policies with the exception of workers compensation&professional liability where <br /> required by written contract. <br /> Waiver of Subrogation is applicable where required by written contract&allowed by law. <br /> Should any of the above described policies be cancelled by the issuing insurer before the expiration date <br /> (See Attached Descriptions) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Glenn Springs HOldln S, Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED <br /> 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 /> #S1285422/M1056601 CUND1 <br />