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f A CERTIFICATE OF LIABILITY INSURANCE DAT 04198014 YY) 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 be 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT m a Aon Risk Services South, Inc. NAME: PHONE (866) 283-7122 F'I'X 800 363 0105 m Frankl i n TN Office (AIC.No.Eat): uC.No.): D 501 Corporate Centre Drive EMAIL p Suite 300 ADDRESS: _ Franklin TN 37067 USA INSURER(S)AFFORDING COVERAGE NAIC M INSURED INSURER A: Greenwich Insurance Company 22322 Arcadis U.S. Inc. INSURER B: XL specialty insurance Co 37885 630 Plaza Drive suite 200 INSURER C: Highlands Ranch CO 80129 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570053438074 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 CONTRACT OR 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 CON0171ONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested POLICY EXP LTR TYPE OF INSURANCE IND NND POLICY NUMBER �„yD N9WD LIMITS X COMMERCIAL GENERAL LIABILITY GEC EACH OCCURRENCE S1,000,000 CLAIMS-MAGE a OCCUR OAMAGE TO RENTED - 51,000,000 PREMISES'Ea occurrence X Contractual Liability MED EXP(Any ane p—n) S10,000 PERSONAL It ADV INJURY 51,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S2,000,005 roti POLICY ❑X PRO a LOC PRODUCTS COMPIOPAGG S2,000,000 JECT OTHER. S BAECO01075812 01/01/201401/01/2015 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY S1,000,000 I A05 aam'denl ., B X ANY AUTO AECO01719510 01/01/2014 01/01/2015 BODILY INJURY(Par person) O ALL OWNED SCHEDULED MA Z AUTOS AUTOS BODILY INJURY(Par ecrJdant) d NON-OWNED PROPERTY DAMAGE V X HIRED AUTOS X AUTOS Per ecddent X Pmperty'Damape l0 1_ 47 A X UMBRELLALNB X OCCUR UE0001075912 01/01/2014 01/01/2015 EACH OCCURRENCE 51,000,000 L) EXCESS LUIS CLAIMS-MADE AGGREGATE 51,000,000 DED X ON$10,000 B WORKERS C OMPENSATION AND RW09 3516 O8 5175-1-72-5-14 01/01/2015X 1 01 015X PER OTH- EMPLOYERS'LIABILITY STATUTE �R YIN All Other States ANY PROPRIETOR I PARTNER I EXECUTIVE E L.EACH ACCIDENT S1,000,000 B oFFICERMEMeERExcLUDED7 a NIA RWR943516708 01/01/2014 01/01/2015 (Mandatory In NH] yR E.L.DISEASE-EA EMPLOYEE S1,000,000 H yee,descrbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT S1,000,000— DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space Is requlredl RE: ARCADIS Project No. RV009840.0012.90003, Glenn Springs Holdings Inc. and Super Store Industries are included as 2S Additional Insured in accordance with the policy provisions of the General Liability policy. +s d.• CERTIFICATE HOLDER CANCELLATION La SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE �l EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ARCADIS U.S., Inc. AUTHORIZED REPRESENTATIVE Attn: Scott Hackman 630 Plaza Drive, Suite 100 Highlands Ranch CO 80129 USA V988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD