HomeMy WebLinkAbout150670 STANTEC CONSULTING SERVICES INC - INSURANCE CERTIFICATE (9)ACORA. CERTIFICATE OF LIABILITY INSURANCE 1 °osioii200044 1
PRODUCER Serial# 4 THIS GEKI IFIGAIE IS 1551JItU AS A MA TEK OF INFUKMAI IUN
AON REED STENHOUSE INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AON RISK SERVICES, INC. OF MINNESOTA ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
900 - 10025 - 102A AVENUE, EDMONTON, AB T5J OY2
INSURERS AFFORDING COVERAGE
TEL : (780) 423-9425 FAX: (780) 423-9876
INSURED STANTEC CONSULTING INC. AND/OR INSURERA: ZURICH AMERICAN INSURANCE COMPANY
THE SEAR -BROWN GROUP, INC. INSURERS, HARTFORD FIRE INSURANCE COMPANY
209 SOUTH MELDRUM STREET INSURER C: ZURICH AMERICAN INSURANCE COMPANY
FORT COLLINS, CO 80521-2603 INSURER D: HARTFORD UNDERWRITERS INSURANCE
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFFECTIVE
POLICYEXPIRATION.UL DATE (NINIffinnM
LIMBS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
GLO3373919-01
05101/04
05/Ol/05
FIRE DAMAGE (Any one fire)
$ 1,000,000
CLAIMS MADE FRI OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL &ADV INJURY
$ 1,000,000
X CONTRACTUAUCROSS LIABILITY
X
OWNERS It CONTRACTORS PROTECTIVE
GENERAL AGGREGATE
$ 2,000,000
XCU COVER INCLUDED
GEN'L AGGREGATE
LIMIT APPLIES PER:
PRODUCTS -COMP(OP AGG
$ 2,000,000
POLICY
FX PRO- LOC
B
AUTOMOBILE
LIABILITY
ANYAUTO
84 UEG LP 6807
11/01/03
11/01/04
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY
(Per Person)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE
$ 5,000,000
C
X OCCUR 7 CLAIMS MADE
8831307
05/01/04
05/01/05
AGGREGATE
$ 5,000,000
EXCESS GENERAL,
$
DEDUCTIBLE
X RETENTION $ 10,000
AUTOMOBILE AND EMPLOYERS
LIABILITY
$
$
WORKERS COMPENSATION AND
84WBGKE2226
11/01/03
11/01/04
T
X WRYTAMR OER
D
EMPLOYERS'LIABIDTY
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
I $ 1,000,000
E
OTHER
QF063203
08/01/03
08/01/04
CLAIM AND AGGREGATE LIMIT $2,000,000
PROFESSIONAL LIABILITY
INCLUSIVE OF COSTS
INCLUDING ENVIRONMENTAL
RETROACTIVE DATE 11/11/1954
CLAIMS MADE BASIS
DESCRIPTION OF OPERATIONSA.00ATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
PROJECT #020-207. RE: PROSPECT ROAD IMPROVEMENTS. CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED BUT
ONLY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED.
CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
PO BOX 580
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
215 N. MASON 2ND FLOOR
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
FORT COLLINS CO BD522
REPRESENTATIVES.
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AGVKU 2s-5 (7197) p ACORD CORPORATION 1988
STANTEC #2004-05-FORT COLLINS.FPS