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Home My WebLink About552918 GEOSYNTEC CONSULTANTS INC - INSURANCE CERTIFICATEClient#: 25361 GEOSCONS ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 1MMmDrn'YY) .. 3n2nozo 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. TNIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. N SUBROGATION IS WANED, 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 Greyling Ins. Brokerage/EPIC 3786 Mansell Road, Suite 370 Alpharetta, GA 30022. kRWCT Carry Underwood (pZrNa 770.552.4225 AIO, N, ; 866.550.4082 E-MAIL ADORE: carly.underwood@greyling.com IN8URER S) AFFORDING COVERAGE NAIL d INSURER A: National Union Fire Ins. Co. 19445 INSURED Geosyntec Consultants, Inc. 900 Broken Sound Parkway NW, Suite 200 Boca Raton, FL 33487 INSURER B : New Hampshire Ins. Co. 23841 INSURERC: Allied World Assurance Company (U.S.) 19489 INSURER D elsureEe E INSURER F': COVERAGES CERTIFICATE NUMBER: 2041 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. LLTR TYPE OF INSURANCE ADOLSUER INSR Yryp .POLICY NUMBER EFF lea �ID Y EIP MMPOLICY LDMS A X COMMERCIAL GENERAL UA 33UTY 5266179 01410112020 04/01/2021 EACH OCCURRENCE $1 000 000 CWMS-MADE O OCCUR PREMISES Ea ooa�rrence $500000 MED EXP (Any one person) s25 000 PERSONAL &ADV INJURY $1,000000 GEN'L AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � ECT LOC PRODUCTS $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY "89673(AOS) 4/01/2020 0410112021 OM�BBII EDSINGLELIMITtEa 2,000,000 BODILY INJURY (Per person) $ A X ANY AUTO 4469674(MA) 61/2020 04/01/2021 OWNED SCHEDULED AUTOS ONLY AUTOS X A�OS ONLY X NON -OWNED AUTOS ONLY BODILY INJURY (PareaidenQ $ PROPERTY DAMAGE Per accident $ $ UMBRELLA A UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIME DED RETENTION $ $ B A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTNE YIN OFFICEWMEMBER EXCLUDED? (YandatmY In NH) NIA. 015893709 (ADS) 015893710 (CA) 01/2020 01/2020 04/O1I2021 04/01/2021 PER OTH- X E.L. EACH ACCIDENT $1 OOO OOO E.L.DISEASE- EA EMPLOYEE $1 OOO OOO E.L DISEASE -POLICY LIMIT ..$1 000000 I aa, describe under DESCRIPTION OF OPERATIONS below C Prof Llab (PLY 03122723 01/2020 04/01/2021 Each Act $2,000,000 Contr. Poll (CPL) T' Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AdMond Remarks Schedule, My ES aeeebad N more space Is required) City of Fort Collins Is named as an Additional Insured with respects to General & Automobile Liability where required by written contract. The above referenced IlablUty policies with the exception of workers compensation and professional liability are primary & noncontributory 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 560 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. ®198 reserved. POLICY NUMBER: 4489673 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organizations) who are "insureds" for Covered Autos Liability Co- verage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: seosrNTec CONSULTMM , INC. SCHEDULE Name Of Person(s) Or Organization(s): AS REQUIRED PER WRITTEN CONTRACT Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Cover- age, but only to the extent that person or organ- ization qualifies as an "insured' under the Who Is An Insured provision contained in Paragraph A.1. of Section 11 - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1