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Client#:25361 GEOSCONS <br /> GATE(MWOOIYYYY) <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE 1012212018 <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 Ilia certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of Ilio 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 endarsement(s). <br /> PRODUCER _ E� Carl Underwood <br /> Greyling Ins.BrokeragelEPIC E - Fnx —`-5 <br /> A „E><t;770.552.4225 ac He;865.550.4fl82 <br /> 3780 Mansell Road,Suite 370 ADQnES3, carly.underwood@grayling.com <br /> Alpharetta,GA 30022 <br /> INSURERISI AFFORDING[OVERAGE HAI!t tl <br /> INSURER A:National Union Fire Ins.Co. '19445 <br /> INSURED INSURER 13:NBw Hampshire Ins.CO. 23841 <br /> Geosyntec Consultants,Inc. INSURER C:Allianz Undorwritors insurance 36420 <br /> 900 Broken Sound Parkway NW,Suite 200 -- <br /> INSURER D <br /> Boca Raton,FL 33487 ERE; <br /> INSURER 6: <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.TERM, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PND CLAIMS. <br /> INSR ADDL UB <br /> POLICY EFF FOLICY P LIMITS <br /> LT�y TYPEOF INSURANCE INSR POLICY NUMBER ItMMjO DfIy ) YaM10'.UY Y) <br /> • X1 CDMMEncIALGENERAL LUIBILFTY 5268179 0410112018 04101/2019 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE OCCUR <br /> $500,000_ <br /> MEDEXP(Ary�rsonl _ S252OOO <br /> PERSONAL&ADV INJURY .$11000,000 <br /> GEN-L AGGREGATE LIMIT APPLIES PER - CENENALACGREGATE� (2,000,000 <br /> W _.__.___--___--- .._._ <br /> POLICY�JECT �LOC IPRODUCTS•cOMPICP AGG f2 000 000 <br /> OTHER I <br /> L`LIMIT $ <br /> A AUTOMOBILE LIABILITY 4489673(AOS) 410112018 041011201 „!81! _ '1,00o,000 <br /> A X ADIY AUI0 4489674(MA) 04101120113 04101120191reoaLY INJURY tPurpanan) s <br /> CYVNED SCHEDULED 9QOrLY lNJUi2Y{P.r accWcnt) S <br /> AUTOS ONLY AUTOS pR0✓'fnTY DAMAGE S <br /> ___ NIREEO NONOOWNEO —__ —11P&raubrn�_ T <br /> X AUT6SONLY X AUTDSDHLY S <br /> �- <br /> UMBRELLAUA6 vi OCCUR EACH OCCURRENCE S <br /> EXCESS LIA13 C!!!)C.S-MADE AGGREGATE <br /> OED RETENTIONS <br /> WORKERS COMPENSATION 1 <br /> B AND EMPLOYERS'UABILRY 015693709(AOS) 4101/2018 04/011201 X P Risn� ,._ <br /> A N4YPROPRIETONPARTNEFLEXECUTWErYwr'NI 015893710(CA) 410112018 04!011201 eL.eALHACCIDENT $1,000,000 <br /> B M.nmtary In NFA EXCLUOE07 l �• NIA HJ 015093711 (ME) 4101/2018 04101/201 6 L DISEASE EAEIaPIrlYF.FI S1,000,048 <br /> $1)�•daaulCn mar E.L.DISEASE-POLICY LIMIT S1 000 000 <br /> OESCRIPT101J OF OPERATIONS ba!wv _ <br /> C Professional Liab U51-00010218 0410112018 04101/201 Each <br /> -Fr <br /> /Contractors Incident $2,000,000 <br /> Pollution Llab A re ate$2,000.000 <br /> DESCRIPTION OF OPERATI DNS f LOCATIONS!VEHIC LE3 tACDRD 101,Add t)"ml R.mar"Sch.dul.,may b.■It.ch.d a mora space 1.required) <br /> Glenn Springs Holdings,Inc.,342 Sycanda LLC and h1elvin Kauffman are named as Additional Insureds an thu <br /> abovo referenced liablllty policies with the exception of workers compensation&professional liability <br /> where required by written contract. <br /> Walver 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 dato <br /> (Soo Attached Descriptions) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Glenn Springs Holdings,Inc. THE EXPIRATION DATE THEREOF,' NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS, <br /> AUTHORIZED REPRESENTATIVE <br /> I <br /> ®1988-2015 ACORD CORPORATION.All rights roserved. <br /> ACORD 25(2018103) 1 of 2 The ACORD name and logo are registered marks of ACORD <br /> #S1260999/M1056601 KKRE1 <br />