HomeMy WebLinkAboutSTANTEC - INSURANCE CERTIFICATE (3)ACORD, CERTIFICATE OF LIABILITY INSURANCE
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PRODUCER Serial # 6
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
AON REED STENHOUSE INC.
AON RISK SERVICES, INC. OF MINNESOTA
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
900 - 10025 - 102A AVENUE, EDMONTON, AS T5J OY2
TEL: (780) 423-9801 FAX: (780) 423-9876
INSURED STANTEC CONSULTING INC.
INSURER A: ZURICH AMERICAN INSURANCE COMPANY
209 SOUTH MELDRUM STREET
INSURERB: HARTFORD FIRE INSURANCE COMPANY
FORT COLLINS, CO 80521-2603
INSURER C: ZURICH AMERICAN INSURANCE COMPANY
INSURER D. HARTFORD FIRE INSURANCE COMPANY
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 POLICY EXPIRATION LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
GLO 3373919-02
05/01/05
05/01/06
CLAIMS MADEI OCCUR
E 10,000
MED EXP (Any one person)
X CONTRACTUAL/CROSS LIABILITY
PERSONAL B ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
X
P=ER3✓L CONTRACTORS
$ 2,000,000
XCU COVER INCLUDED
PRODUCTS - COMP/OPAGG
GEN'L AGGREGATE LIMIT APPLIES PER:
$ 1,000,000
POLICY X PRO- LOC
CT
AUTOMOBILE
LIABILITY
41 UEN TZ 9623
11/01/04
11/01/05
COMBINED SINGLE LIMIT
$ 1,000,000
B
X
ANY AUTO
(Ea accident)
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
BODILY INJURY
$
HIRED AUTOS
NON-OWNEDAUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE
LIABILITY
AUTO ONLY - EA ACCIDENT
$ NOT
$ APPLICABLE
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY: AGO
$
EXCESS LIABILITY
EACH OCCURRENCE
$ 5,000,000
C
X OCCUR 0 CLAIMS MADE
8831307
05/01/05
05/01/06
AGGREGATE
$ 5,000,000
EXCESS GENERAL,
$
DEDUCTIBLE
AUTOMOBILE AND EMPLOYERS
$
X RETENTION $ 10,000
LIABILITY
$
WORKERS COMPENSATION AND
41 WB NC 0594
11101104
11/01105
X I TDRYUMITs ER
D
EMPLOYERS'LWBILRY
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
QK0502009
08/01/05
08101106
CLAIM AND AGGREGATE LIMIT $2,000,0 00
PROFESSIONAL LIABILITY
INCLUSIVE OF COSTS
INCLUDING ENVIRONMENTAL
RETROACTIVE DATE 11111/1954
CLAIMS MADE BASIS
DESCRIPTION OF OPERATIONSILOCATIONS/VEHNAESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
PROJECT #020224/181700003. 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 COLLINS
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRRTEN
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.
AUT109RLZED REPRESENTT VE OF INDEPENDENT INSURANCE AGENCY
r
ACORD 2" (7/97) ® ACORD CORPORATION 1988
STANTEC #2005-08-FORT COLLINSYP5