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CERTIFICATE OF LIABILITY INSURANCE (439) Client#:25361 GEOSCONS ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/16/2017 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 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 ONTA 7E.1 NAME: rly Underwood 7 Greyling Ins. Brokerage/EPIC PHONE 70 552.4 225 F 866.550.4082 3780 Mansell Road,Suite 370 EMAIL Alpharetta,GA 30022 ADDREss: carly.underwood @greyling.com INSURERS)AFFORDING COVERAGE NAIC# INSURER A:National Union Fire Ins.Co. 19445 INSURED Geosyntec Consultants, Inc. :INSURER B:Aspen American Insurance Compan 43460 900 Broken Sound Parkway NW,Suite 200 INSURER C::New Hampshire Ins. Co. 23841 Boca Raton,FL 33487 INSURER D:Allianz Underwriters Insurance 36420 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 17-18 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 SUB R. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM%DIDY MM/LDDY/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 526$179 4/01/2017 04/01/201 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OX OCCUR PREMISE JOE aoNTEDence $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 POLICY[7X ECOT Fx—1 LOC ! PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ -- A AUTOMOBILE LIABILITY 4489673(AOS) 4/01/2017 04/01/201 COMBINED SINGLE LIMIT Ea accident 01000,000 A X ANY AUTO 4489674(MA) 04/01/2017 04/01/2014 BODILY INJURY(Per person) $ A4XRETENTION$O SCHEDULED ...._ AAUTOS -BODILY INJURY(Per accident) $ HNON-OWNED PROPERTY DAMAGE AUTOS $ Per accident B X UX OCCUR CX005GA17 4/O1/2017 04/01/201 EACH OCCURRENCE $10,000,000 ECLAIMS-MADE' AGGREGATE $10,000,000 N$O $ C WORKERS COMPENSATION AO 15$93709 PER OT H- AND EMPLOYERS'LIABILITY ( S) 4/01/2017 04/01/201 X A ANY PROPRIETOR/PARTNER/EXECUTIVE — 15893710 CA OFFICER/MEMBER EXCLUDED? �l N/A: ( ) E.L.EACH ACCIDENT $1,000,000 �.' (Mandatory in NH) 15$93711 (ME) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Professional Liab EIL2008657 4/01/2017 04/01/2011 Per Claim$8,000,000 /Contractors Aggregate$10,000,000 Pollution Liab DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Re: Engineering Design, Permitting,CQA-Waste Processing Facility.The City of Clearwater is named as an Additional Insured on the above referenced liability policies with the exception of workers compensation& professional liability where required by written contract. CERTIFICATE HOLDER CANCELLATION City of ClearwaterEngineering SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department ACCORDANCE WITH THE POLICY PROVI*Q►tl P.O. Box 4748 M Clearwater,FL 33758-0000 AUTHORIZED REPRESENTATIVE f ? ii ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S675208/M674575 ( UND1-