Client#: 25361 GEOSCONS
DATE (MM/DD/YYYY)
ACORD.™ CERTIFICATE OF LIABILITY INSURANCE
3/24/2022
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.
Greyling Ins. Brokerage/EPIC
ADDREss: [email protected]
Alpharetta, GA 30022
INSURERS) AFFORDING COVERAGE NAIC #
INSURERA: National Union Fire Ins. Co. 19445
INSURED INSURER B: Aspen American Insurance Company 43460 Geosyntec Consultants, Inc. INSURER C: Allied World Assurance Company (U.S.) 19489 900 Broken Sound Parkway NW, Suite 200 INSURER D: New Hampshire Ins. Co. 23841 Boca Raton, FL 33487
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 22-23 REVISION NUMBER:
INSR TYPE OF INSURANCE POLICY NUMBER LIMITS
LTR INSR WVD
A X COMMERCIAL GENERAL LIABILITY GL5268179 04/01/2022 04/01/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE | X OCCUR $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 POLICY X PECT JECT X LOC PRODUCTS - COMP/OP AGG $2,000,000 OTHER:
A AUTOMOBILE LIABILITY CA4489673 04/01/2022 04/01/2023 (Ea acCiden SINGLE LIMIT $2,000,000 X ANY AUTO (AOS) BODILY INJURY (Per person)
A SCHEDULED CA4489674 04/01/2022 04/01/2023 BODILY INJURY (Per accident) S AUTOS
NON-OWNED PROPERTY DAMAGE
X AUROS ONLY AUTOS ONLY (MA)
(Per accident)
B UMBRELLA LIAB X OCCUR CX005GA22 04/01/2022 04/01/2023 EACH OCCURRENCE $10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE 510,000,000
DED X RETENTION SO
D WORKERS COMPENSATION WC015893709 04/01/2022 04/01/2023 X STATUTE
AND EMPLOYERS' LIABILITY
OFFICERINEME EACINDEEXECUTIVE YIN (AOS) EL. EACH ACCIDENT $1,000,000 N/ A
(Mandatory in NH) WC015893710 EL. DISEASE - EA EMPLOYEE $1,000,000 SCRIPTION OF OPERATIONS below (CA) E.L. DISEASE - POLICY LIMIT $1,000,000 Prof Liab (PL)/ 03122723 04/01/2022 04/01/2023 Each Act $8,000,000 Contr. Poll (CPL) Aggregate $10,000,000
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Redondo Beach, its officers, elected and appointed officials, employees & volunteers are named as Additional Insureds on the above referenced liability policies with the exception of workers compensation, pollution & professional liability where required by written contract. The above referenced liability policies with the exception of professional liability are primary & non-contributory where required by written contract. Separation of Insureds applies to the General Liability Policy. Should any of (See Attached Descriptions)
CERTIFICATE HOLDER CANCELLATION
City of Redondo Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 415 Diamond Street ACCORDANCE WITH THE POLICY PROVISIONS Redondo Beach, CA 90277-0000
AUTHORIZED REPRESENTATIVE
DANV.Colling
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD #53164273/M3162028°f2 CUND1
DESCRIPTIONS (Continued from Page 1)
the above described policies be cancelled by the issuing insurer before the expiration date thereof, 3 lays' written notice (except 10 days for nonpayment of premium) will be provided to the Certificate Holde named below.
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#S3164273/M3162028