HomeMy WebLinkAboutSTANTEC SEAR BROWN - INSURANCE CERTIFICATEACORD,N CERTIFICATE OF LIABILITY INSURANCE 1 °osioi/20004 1
PRODUCER Serial # 3 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION
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. INSURER B: HARTFORD FIRE INSURANCE COMPANY
209 SOUTH MELDRUM STREET INSURER C: ZURICH AMERICAN INSURANCE COMPANY
FORT COLLINS, CO 80521-2603 INSURER D: HARTFORD UNDERWRITERS INSURANCE
I INSURER E: LLOYD'S OF LONDON
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
POLICY EFFECTIVE
DATE IMMfODNYl
POLICY EXPIRATION
DATE IMMMDAW
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
GLO 3373919-01
05/01/04
05/01/05
CLAIMS MADE FxI OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL B ADV INJURY
$ 1,000,000
X CONTRACTUAUCROSS LIABILITY
X
OWNERS 6 CONTRACTORS PROTECTIVE
XCU COVER INCLUDED
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OPAGG
$ 2,000,000
POLICY X PROT- LOC
B
AUTOMOBILE
X
LIABILITY
ANYAUTO
84 UEG LP 6807
11/01/03
11/01/04
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Peraccident)
$
GARAGE LIABILITY
AUTO ONLY -EAACCOENT
$
OTHER THAN EA ACC
$
$
A NYAUTO
$
AUTO ONLY: AGO
EXCESS LIABIU Y
EACH OCCURRENCE
$ 5,000,000
C
X OCCUR CLAIMS MADE
8831307
05/01/04
05/01105
AGGREGATE
$ 5,0KOW
EXCESS GENERAL,
$
DEDUCTIBLE
AUTOMOBILE AND EMPLOYERS
$
X RETENTION $ 10,000
LIABILITY
$
D
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
84WBGKE2226
11/01/03
11/01/04
X I WRYLIMTIT OER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
1 $ 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 OPERATIONS/LOCATONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
PROJECT #020224. RE: E PROSPECT ROADWAY WIDENING FINAL DESIGN. CERTIFICATE HOLDER, ITS OFFICERS AND EMPLOYEES
ARE INCLUDED AS ADDITIONAL INSUREDS BUT ONLY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED.
v�r� r u rv� r nvr.v�n I A I ADDITIONAL INSURED: INSURER LETTER- I Iwm
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
OF INDEPENDENT INSURANCE AGENCY
rm
STANTEC #2004-05-FORT COLLINSTP5
ACORD,N CERTIFICATE OF LIABILITY INSURANCE
°05/oii200044
PRODUCER Serial # 4
AON REED STENHOUSE INC.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
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.
INSURERS AFFORDING COVERAGE
900 - 10025 - 102A AVENUE, EDMONTON, AB T5J OY2
TEL : (780) 423-9425 FAX: (780) 423-9876
INSURED STANTEC CONSULTING INC. ANDIOR
INSURER A: ZURICH AMERICAN INSURANCE COMPANY
INSURER B: HARTFORD FIRE INSURANCE COMPANY
THE SEAR -BROWN GROUP, INC.
INSURER C: ZURICH AMERICAN INSURANCE COMPANY
209 SOUTH MELDRUM STREET
INSURER D: HARTFORD UNDERWRITERS INSURANCE
FORT COLLINS, CO 80521-2603
INSURER E: LLOYD'S OF LONDON
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
POLICY EFFECTIVE
(MMIDDIM
POLICY EXPIRATIONDATE
DATE IMMIDDIYYW
LIMBS
GENERAL LIABILITY
EACHOCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
GLO3373919-01
05/01/04
05/01/05
CLAIMS MADE I -XI OCCUR
MED EXP (Anyone person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
X CONTRACTUAUCROSS LIABILITY
X
OWNERS& CONTRACTORS PROTECTIVE
GENERAL AGGREGATE
$ 2,000,000
XCU COVER INCLUDED
GEN'L AGGREGATE
LIMIT APPLIES -PER:—
PRODUCTS -COMPlOP AGO
$ 2,000,000
POLICY
X JEC LOC
B
AUTOMOBILE
LIABILITY
ANY AUTO
84 UEG LP 6807
11/01103
11/01104
COMBINED SINGLE LIMIT
(Ea aciident)
$ 1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTYDAMAGE
(Peraccldent)
$
GARAGE LIABILITY
AUTO ONLY -EAACCIDENT
$
OTHER THAN FA ACC
AUTO ONLY: AGG
$
ANY AUTO
$
EXCESS LIABILITY
EACH OCCURRENCE
$ 5,000,000
C
X OCCUR CLAIMS MADE
8831307
05/01/04
05/01/05
AGGREGATE
$ 5,000,000
EXCESS GENERAL,
$
DEDUCTIBLE
X RETENTION $ 10,000
AUTOMOBILE AND EMPLOYERS
LIABILITY
$
D
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
84WBGKE2226
11/01/03
11/01/04
X ORY ATU TH
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE POLICY LIMIT
$ 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 11/1111954
CLAIMS MADE BASIS
DESCRIPTION OF OPERATIONSILOCATIONWVEHICLESIEXCLUSIONS 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.
I In I AUUITIUNAL INSURED: INSURER LETTER: M r IVIN
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 80522 REPRESENTATIVES.
AUTIJ(QRIZED REPRESENTA71VE OF (DEPENDENT INSURANCE AGENCY
STANTEC #2004-05-FORT COLLINSTP5