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CERTIFICATE OF LIABILITY INSURANCE (472) Client#: 25361 GEOSCONS DATE(MM/DD/YYYY) ACORDT. CERTIFICATE OF LIABILITY INSURANCE 4/02/2018 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(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 CONTACT Carly Underwood Greyling Ins. Brokerage/EPIC PHONE 770.552.4225 FAX 866.550.4082 A/C,No,Ext: (A/C,No): 3780 Mansell Road,Suite 370 E-MAIL unerWOO re Iln ADDRESS: cart y• d d @g Y g•com Alpharetta, GA 30022 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Union Fire Ins.Co. 19445 INSURED INSURER B:Aspen American Insurance Company 43460 Geosyntec Consultants, Inc. 23841 INSURER C:New Hampshire Ins.Co. 900 Broken Sound Parkway NW,Suite 200 AM— 36420 INSURERD:A Underwriters Insurance Boca Raton, FL 33487 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.ADDLSUBR LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF POLICY EXP/Y LIMITS (MM/DDYYY) (MM/DD/Y YYY) • X COMMERCIAL GENERAL LIABILITY 5268179 04/01/2018 04/01/2019 EACH OCCURRENCE $1,000,000 CLAIMS-MADE 4 OCCUR PREMISESOEaoccurrDence $500,000 MED EXP(Any one person) $25,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 P POLICY 1 JECT X LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ • AUTOMOBILE LIABILITY 4489673(AOS) 04/01/2018 04/01/201 EOaacc s cidentINGLELIMIT $1,000,000 • X ANY AUTO 4489674(MA) 04/01/2018 04/01/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ B UMBRELLA LAB X OCCUR CX005GAl8 04/01/2018 04/01/2019 EACH OCCURRENCE $10,000,000 X EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000 DED I X RETENTION$0 $ C WORKERS COMPENSATION 015893709(AOS) 04/01/2018 04/01/2019 STATUTE EERH AND EMPLOYERS'LIABILITY Y/N A ANY PROPRIETOR/PARTNER/EXECUTIVE 015893710(CA) 04/01/2018 04/01/201 E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A C (Mandatory in NH) 015893711 (ME) 04/01/2018 04/01/201 E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1,000,000 D Professional Liab U51_00010218 04/01/2018 04/01/2019 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; CM @Risk Continuing Contracts RFQ24-15. 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 f Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y o earwaer THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering Department ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 4748 Clearwater, FL 33758-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S 1041863/M994795 C U N D 1 This page has been left blank intentionally.