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Client#: 2;..161 GEOSCONS
<br /> OATS(MMlDD1YYYY)
<br /> ACORD. CERTIP6 -ATE OF LIABILITY INM .,INCE 10101/2018
<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(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: T Carly Underwood
<br /> Greyling Ins. Brokerage/EPIC PHHONN �, 70.552.4225 F 866.550.4082
<br /> _WCC---_. F,.:7 A1C,Nof:
<br /> 3780 Mansell Road,Suite 370 EMAIL t carUnerwoo /� lin
<br /> ADDRESS: y• dd@gre Y gcom•
<br /> Alpharetta,GA 30022 INSURER(S)AFFORDING COVERAGE NA1C 0
<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 /> 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 /> /NSR ADDL SUER POLICY EFF PODGY EXP
<br /> LTR TYPE OF INSURANCE IN.SR WVD POLICY NUMBER LIMITS
<br /> _ _ {MM160lYYYY iMMIDD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY 5268179 4/01/2018 04/0112019.EEDACHHq OEEC7CUR��RENCE $1,000,000
<br /> CLAIMS-MADE I k OCCUR PREMISES EnE�rrren S500,000
<br /> MED EXP(Any on.Person) s25,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE 52,000,000
<br /> POLICY X JECOT XlI LOC PRODUCTS-COMP/OP AGG s2,000,000
<br /> OTHER $
<br /> A AUTOMOBILE LIABILITY 4489673(AOS) 4101/2018 0410112019 CO BII deDISINGLE LIMIT
<br /> $1,000,000
<br /> A X ANY AUTO 4489674(MA) 4/01/2018 0410112019 BODILY INJURY(Per Person) S
<br /> OWNED ((��AUTOS SCHEDULED
<br /> AUTOS ONLY Bam
<br /> dent)
<br /> ODILY INJURY Per adenl) $
<br /> X A TOS ONLY I X NON-OWNED I PROPERTY DAMAGE $
<br /> AUTOS ONLY Per acubentl
<br /> 5
<br /> UMBRELLA LIAB a OCCUR EACH OCCURRENCE s
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE Is
<br /> DEQ I RETENTIONS I I S
<br /> B WORKERS COMPENSATION 015893709 (AOS) 4/01/2018 04/01/2019 X PER ERH�
<br /> AND EMPLOYERS'LIABILITY YIN
<br /> A ANY PROPRIETORIPARTNERlEXECUTIVEr — 015893710(CA) 410112018 04/01/2019 EL EACH ACCIDENT 151,000,000
<br /> OFFIC ERIMEMBER EXCLUOE07 NJ N!A
<br /> B (Mandatory in NH) 015893711 (ME) 4/01/2018 04101/2019 E L DISEASE-EA EMPLOYEE/51,000,000
<br /> 11 yes.desrnbo under
<br /> DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT 1$1 000,000
<br /> C Professional Liab ,U51_000102184/01/2016 04/01/2019 Each
<br /> /Contractors Incident $2,000,000
<br /> Pollution Liab Aggregate$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 /> 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 /> City of Lathrop SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 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 /> C 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 /> #S 1231542/M1056601 C U N D1
<br />
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