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HomeMy WebLinkAbout552918 GEOSYNTEC CONSULTANTS INC - INSURANCE CERTIFICATE (2)Client#: 25361 GEOSCONS DATE (MMIDD/YYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1 3/20/2018 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 NONT CT AME: Carly Underwood Greyling Ins. Brokerage/EPIC PHONE 770.552.4225 A No; 866.550.4082 A/C No Ext 3780 Mansell Road, Suite 370 ADDRESS: carty.underwood@greyling.com Alpharetta, GA 30022 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Geosyntec Consultants, Inc. 900 Broken Sound Parkway NW, Suite 200 Boca Raton, FL 33487 INSURER A: Nail onal Union Fire Ins. Co. 19445 INSURER B: N.. Hampehlre Ins. Co. 23841 INSURER C : cellar¢ Und—here Insurance 36420 INSURER D : INSURER E : COVFRAGES 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 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUB WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY 5268179 4/0112018 04/01/2019 EACH OCCURRENCE $1 000 000 CLAIMS -MADE I OCCUR E PREMISES EaoaD6. $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 PRO - POLICY 51 ECT FX LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 4489673(AOS) 4/01/2018 04/01/201 Ea acccld.nlSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO 4489674 (MA) 4/01/2018 04/01/201 BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 015893709 (AOS) 015893710 (CA) 015893711 (ME) 4/01/2018 4/01 /2018 4/01/2018 04/01/2019 04/01/201 04/01/201 X IsPTEARTFTH- E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE- EA EMPLOYEE $1 00O 000 E.L. DISEASE - POLICY LIMIT $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C Professional Liab U51_00010218 4/01/2018 04/01/2019 Per Claim $2,000,000 /Contractors Aggregate $2,000,000 Pollution Liab DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is named as an Additional Insured with respects to General 8r Automobile Liability where required by written contract. The above referenced liability policies with the exception of workers compensation and professional liability are primary 8r 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Purchasing Dept. ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE �'//V— © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S997655/M994773 CUND1