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HomeMy WebLinkAbout552918 GEOSYNTEC CONSULTANTS - INSURANCE CERTIFICATEClient#: 25361 GEOSCONS ATE ACORD,M CERTIFICATE OF LIABILITY INSURANCE D3/181 219 t019YYY) /18/ 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 NAME: Carly Underwood Greyling Ins. Brokerage/EPIC aCIN; El:770.552.4225 866.550.4082 3780 Mansell Road, Suite 370 E-MAIL ac No: ADDRESS: carly.underwood@greyling.com Alpharetta, GA 30022 INSURED Geosyntec Consultants, Inc. 900 Broken Sound Parkway NW, Suite 200 Boca Raton, FL 33487 INSURER(S) AFFORDING COVERAGE NAIC t INSURER A: National Union Fire Ins. Co. 19445 INSURER B : Now Hampshire Ins. Co. 23841 INSURER C : Allianz Underwriters Insurance 36420 INSURER ID: INSURER E COVERAGES CERTIFICATE NUMRFR: 19_20 RFVISInN N1IMRPB• 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN TYPE OF INSURANCE NSADIDL R SUR WVD POLICY NUMBER MMIDDYIYYYY MMIDDEFF Y EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 5268179 4/01 /2019 04/01/2020 EACH OCCURRENCE $1,000,000 PREMISESOEa occurrence $500 000 MED EXP (Any one person) s25,000 PERSONAL &ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY 51 JECT 7 LOC GEN'L GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 4489673 (AOS) 4/01/2019 04/01/202 Ea aBc tleDtSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO 4489674 (MA) 4/01/2019 04/01/202 X OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LWB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B A WORKERS COMPENSATION AND EMPLOYERS'LIABILITYER ANY PROPRIETOR/PARTNER/EXECUTIVE Y l N OFFICER/MEMBER EXCLUDED? FNI N / A 015893709 (AOS) 015893710 (CA) /0112019 4/01/2019 04/01/202 04/0112020 X PERT T ETH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Prof Liab (PL)/ U51-00010219 4/01/2019 04/01/2020 Ea Incident $2,000,000 Contr. Poll (CPL) Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) City of Fort Collins is named as an Additional Insured with respects to General 8: Automobile Liability where required by written contract. The above referenced liability policies with the exception of workers compensation and professional liability are primary & non-contributory where required by written contract. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof, we will endeavor to provide 30 days' written notice (except 10 days for nonpayment of premium) to the Certificate Holder. City of Fort Collins Attn: Purchasing Dept. PO Box 580 Fort Collins, CO 80522-0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 4(1 i1 ACORD 25 (2016/03) 1 of 1 #S1456988/M1456557 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD id11z11 11