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Client#: 253L GL .CONS ACORD. CERTIF, _ATE OF LIABILITY INi .ANCE DATE(MMDDIYYYY) 10/01/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or he endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder In lieu of such endorsement(s). PRODUCER CO NAME: T Carly Underwood Greyling Ins. Brokerage/EPIC PHONE 770.552.4225 Fbx- 3780 Mansell Road,Suite 370 E-MAIL ��11 - (Arc,Not: 866.550.4082 ADDRESS: carly.underwood@greyling.com Alpharetta,GA 30022 INSURER(S)AFFORDING COVERAGE NA1C t INSURER A:National Union Fire Ins.Co. 19445 INSURED INSURER 8:New Hampshire Ins.CO. 23841 Geosyntec Consultants,Inc. INSURER c:Allianz Underwriters Insurance 36420 900 Broken Sound Parkway NW, Suite 200 Boca Raton, FL 33487 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 18-19 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADDL UBR POUCY EFF POLICY EXP _- - LTR TYPE OF INSURANCE INSR W_VD POLICY NUMBER {MM1DDfYYYY) (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 52$8179 4/0112018 04/0112019 EACH OCCURRENCE 31,000,000 pgMp E 7 q� �. CLAIMS-MADE X OCCUR PREjytj�Eg ,is occLiirrenca S500,000 _ MED EXP(Any one person) s25,000 PERSONAL 8 ADV INJURY $1,000,000 GEML AGGREGATE LIMIT AP PLIE 3 PER GENERAL AGGREGATE 52,000,000 PRO POLICY X JJECT X LOC PRODUCTS-COMPIOPAGG 52TOOD1000 _ OTHER $ A AUTOMOBILE LIABILITY 44139673 AOS 4101/2018 0410112019 COMBINED SINGLE LIMIT (AOS) F(Eaacadent 1,000,000 A X ANY AUTO 4489674(MA) 4/01/2018 04/0112019 BODILY INJURY(Per person) S OWNEAUTOSDONLY SAUTOS CHEDULED BODILY INJURY(Per amdent) S X THRE O ONLY X NON•OWNED PROPERTY DAMAGE $ AUTOS ONLY Per acGdenl $ UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS S B WORKERS COMPENSATION 015893709 (AOS) 410112018 04101/201 X PER 170TH AND EMPLOYERS'LIABILITYER A ANY PROPRIETORIPARTNERIEXECUTIVE YIN 1015893710(CA) 4/0112018 04101/2019 E L EACH ACCIDENT I S1 OOO 000 OFFICERIMEMBER EXCLUDED? N N!A B (Mandatary In NH) 015893711 (ME) 4/01/2018 04101/201 E L DISEASE-EA EMPLOYEEI S1,000,000 N Yes.dee[rrbe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMB s11,000,000 C Professional Liab U5L00010218 14101112011111041011120111Each /Contractors Incident $2,000,000 Pollution Liab I Aggregate$2,000.000 DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES(ACORD 101,Additional Remarka Schedule may be attached It more space Is required) Re: Drilling of soil borings with sonic drilling technology. Installation of flush mounted monitoring wells in the City of Lathrop right-of-ways near the intersection of McKinley and Louise Avenues. The City of Lathrop, its officers,officials,employees,agents and volunteers are named as Additional Insureds on the above referenced liability policies with the exception of workers compensation 8t professional liability where required by written contract. (See Attached Descriptions) CERTIFICATE HOLDER _ CANCELLATION City of Lathrop SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 390 Towne Centre Drive ACCORDANCE WITH THE POLICY PROVISIONS. Lathrop,CA 95330 AUTHORIZED REPRESENTATIVE 7 1988.2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1231542IM1056601 CUND1