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Client#: . A cOSCCINS DATE(MMIDD/YYVY) ACORD-,, CERTIFICATE OF LIABILITY INSURANCE 1 3/18/2019 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(ies)must have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEA T Carly Underwood Greyling Ins. Brokerage/EPIC PHONE 77FAX aC,No,Ext: 0.552.4225 A/c No): 866.550.4082 3780 Mansell Road, Suite 370 E-MAIL cart underwood//,�,� e IIn ADDRESS: y• Vgry g•com Alpharetta, GA 30022 INSURER(S)AFFORDING COVERAGE NAIC# _ INSURER A:National Union Fire Ins.Co. 19445 INSURED INSURER B:New Hampshire Ins.Co. 23841 Geosyntec Consultants,Inc. Allianz Underwriters Insurance 36420 900 Broken Sound Parkway NW,Suite 200 INSURER C: INSURER 0: Boca Raton,FL 33487 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 19-20 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 TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR INS R WVD POLICY NUMBER MM/DD/YYYY MM/DD/VYYY A X COMMERCIAL GENERAL LIABILITY 5268179 D410112019 04/0112020 EACH q�OCCURRENCE $110001000 CLAIMS-MADE FXOCCUR PRPMISES EsEocccurrence $500 000 MED EXP(Any one person) s25,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 JECOT- a LOC PRODUCTS $2,000,000 POLICY� OTHER: $ A AUTOMOBILE LIABILITY 4489673(AOS) 4/01/2019 04/01/202 (CEO,accidentSINGLE LIMIT $1,000,000 A X ANY AUTO 4489674(MA) 4/01/2019 04/01/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIREDNON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION 015893709 AOS 4/01/2019 04/01/202 X PER OTH- AND EMPLOYERS'LIABILITY Y/N (ADS) STATUTE JER A ANY PROPRIETOR/PARTNER/EXECUTIVE015893710 (CA) 4/01/2019 04/01/202 E.L.EACH ACCIDENT $1 000 000 OFFICER/MEMBER EXCLUDED? NI N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1 000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Prof Liab(PL)/ U5L00010219 0410112019 04/01/202 Ea Incident$2,000,000 Contr. Poll (CPL) Aggregate$2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if 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 & 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 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1457001/M1456557 C U N D 1