HomeMy WebLinkAboutSTANTEC SEAR BROWN - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE
DAT
*M
04/02l2004
102/2004
PRODUCER Serial # 155
THIS CERTIFICATE IS 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
TEL : (780) 423-9425 FAX: (780) 423-9876
INSURERS AFFORDING COVERAGE
INSURED STANTEC CONSULTING GROUP INC. AND/OR
INSURERA ZURICH AMERICAN INSURANCE COMPANY
THE SEAR -BROWN GROUP, INC.
INSURERB: HARTFORD FIRE INSURANCE COMPANY
85 METRO PARK
INSURERC: ZURICH AMERICAN INSURANCE COMPANY
INSURER HARTFORD UNDERWRITERS INSURANCE
ROCHESTER, NY 14623-2607
INSURERE: 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
POUCYNUMBER
POLICYEFFECTIVE
DATE IMNVDD1YY1
POUCYEXPIRATION133L
DATE (MMIDDIM
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any we fire)
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
GLO3373919-00
05/01/03
05/01/04
CLAIMS MADE FXIOCCUR
MED EXP(Any one person)
$ 10, DOO
PERSONAL III ADV INJURY
$ 1,000,000
X CONTRACTUALICROSS LIABILITY
X
OWNERS a CONTRACTORS PROTECTNE
GENERAL AGGREGATE
$ 2,000,000
XCU COVER INCLUDED
GENL AGGREGATE LIMIT APPLIES PER
PRODUCTS-COMPIOPAGG
$ 2,000,000
POLICY X PRD- 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
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON-OWNEDAUTOS
PROPERTYDAMAGE
amident)
$
Fj(Per
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
07HERTHAN EA ACC
AUTO ONLY: AGG
$
ANY AUTO
$
EXCESS LIABILITY
EACH OCCURRENCE
$ 5.000,000
C
X OCCUR CLAIMSMADE
8831307
05/01/03
05/01/04
AGGREGATE
$ 5,000,000
EXCESS GENERAL,
$
DEDUCTIBLE
X RETENTION $ 10,000
AUTOMOBILE AND EMPLOYERS
LIABILITY
$
$
WORKERS COMPENSATION AND
84WBG PA1265
04/02/04
11/01/04
X TORYLIAMITS OTH
ER
D
EMPLOYERS' LIABILITY
E.L EACH ACCIDENT
$ 1,000,000
E.L DISEASE - EA EMPLOYEE
E 1,000,ODD
E.L. DISEASE -POUCY UMIT
$ 1,000,000
E
OTHER
QF063203
08/01/03
08/01/04
CLAIM AND AGGREGATE LIMIT $2,000,ODO
PROFESSIONAL LIABILITY
INCLUSIVE OF COSTS
INCLUDING ENVIRONMENTAL
RETROACTIVE DATE 11/11/1954
CLAIMS MADE BASIS
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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.
CITY OF FORT COLLINS
PO BOX 580
215 N. MASON 2ND FLOOR
FORT COLLINS CO 80522
Ymrl VGL I1VI\
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 INDEPENDEJTNSURANCE AGENCY
STANTEC #2003-11-ROCHESTER.FP5
ACOR- CERTIFICATE OF LIABILITY INSURANCE
DATE(IAMIDDIYY)
04/0212004
PRODUCER Serial # 154
THIS CERTIFICATE IS 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.
INSURERS AFFORDING COVERAGE
900 - 10025 - 102A AVENUE, EDMONTON, AB T5J OY2
TEL : (780) 423-9425 FAX: (780) 423-9876
INSURED STANTEC CONSULTING GROUP INC. AND/OR
INSURERA: ZURICH AMERICAN INSURANCE COMPANY
THE SEAR -BROWN GROUP, INC.
INSURER B: HARTFORD FIRE INSURANCE COMPANY
85 METRO PARK
INSURERC: ZURICH AMERICAN INSURANCE COMPANY
INSURERD: HARTFORD UNDERWRITERS INSURANCE
ROCHESTER, NY 14623-2607
INSURER E: LLOYD'S OF LONDON
[01a1'/=(;71Tci*--1
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
POLICY EXPIRATION
LIMBS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any meSre)
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
GLO3373919-01)
05/01/03
05/01/04
CLAIMS MADE OCCUR
MEDEXP(Anyoneperson)
$ 10,000
X CONTRACTJA (CROSS LIABILITY
PERSONAL& ADV INJURY
$ 1,000,000
X
OWNERS A CONTRACTORS PROTECTIVE
GENERAL AGGREGATE
$ 2,000,000
XCU COVER INCLUDED
GENLAGGREGATEUMIT APPLIES PER:
PRODUCTS-COMPIOP AGG
$ 2,000,000
POUCy FXPRO- LOC
7JECT
B
AUTOMOBILE
X
LIABILITY
ANYAUTO
84 UEG LP 6807
/
COMBINED SINGLE UMR
(Ea accident)
$ 1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
C
APR 12
TY OF FOR
({ MANA
2004
COLLINS
EMENT
BODILY INJURY
(Per accident)
$
PROPERTY
accident) GE
$
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY: AGG
$
ANYAUTO
$
EXCESS LIABILITY
EACH OCCURRENCE
$ 5,000,000
C
X OCCUR ummsMADE
8831307
05/01/03
05/01104
AGGREGATE
$ 5,000,000
EXCESS GENERAL,
$
RDEDUCTIBLE
X RETENTION $ 10,000
AUTOMOBILE AND EMPLOYERS
LIABILITY
$
$
WORKERS COMPENSATION AND
84WBG PA1265
04/02/04
11/01104
X TORY�UMITS ER
D
EMPLOYERS LIABILRY
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE -FA EMPLOYFJ=
$ 1,000,000
E.L DISEASE -POLICY LIMIT
$ 1,000,000
E
OTHER
OF063203
08/01/03
08/01/04
CLAIM AND AGGREGATE LIMB $2,000.000
PROFESSIONAL LIABILITY
INCLUSIVE OF COSTS
INCLUDING ENVIRONMENTAL
RETROACTIVE DATE 11/11/1954
CLAIMS MADE BASIS
DESCRIPTION OF OPERATIONS(LOCATIONSNEHICLESIEXCWSIONS ADDED BY ENOORSEMENTISPECULL 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.
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 COLONS
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
FORT COLLINS CO 80522
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
DREPRESENT VE OFINOEPBNDFNTNSURANCEAGBJCY
ACORD 25-5 (7197) O ACORD CORPORATION 1983
STANTEC #2D03-11-ROCHESTER.FP5