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HomeMy WebLinkAbout150670 STANTEC CONSULTING SERVICES INC - INSURANCE CERTIFICATE (12)PROFESSIONAL LIABILITY &
CONTRACTORS POLLUTION
LIABILITY
08/14/2013
FORT COLLINS, CO. STANTEC PROJECT # 1873. RE: 5-YR OPEN ENDED CONTRACT. THE COVERAGE SHALL NOT BE CANCELLED
OR NON RENEWED EXCEPT AFTER THIRTY (30) DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER.
MARSH CANADA LIMITED
680, 10180 - 101 STREET
EDMONTON, AB T5J 3S4
QF047513
NO RETROACTIVE DATE
08/01/13 08/01/14 CLAIM AND AGGREGATE LIMIT $3,000,000
INCLUSIVE OF COSTS
CLAIMS MADE BASIS
E
STANTEC CONSULTING SERVICES INC.
2950 E. HARMONY ROAD, SUITE 290
FORT COLLINS, CO 80528
CITY OF FORT COLLINS
ATTN: PURCHASING
P.O. BOX 580
FORT COLLINS, CO 80522
LLOYD'S OF LONDON 37540
301
780-917-4850 780-429-1422
MICHAEL.POPLETT@MARSH.COM
MICHAEL POPLETT
N/A
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
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.
PRODUCER
INSURED
CONTACT
NAME
PHONE
(A/C, No, Ext):
FAX
(A/C, No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR TYPE OF INSURANCE
ADDL
INSR POLICY NUMBER
SUBR
WVD (MM/DD/YYYY)
POLICY EFF
(MM/DD/YYYY)
POLICY EXP LIMITS
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
(Per accident)
EACH OCCURRENCE
AGGREGATE
WC STATU-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
COMMERCIAL GENERAL LIABILITY
GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN’L AGGREGATE LIMIT APPLIES PER:
POLICY LOC
PRO-
JECT
ANY AUTO
AUTOMOBILE LIABILITY
ALL OWNED SCHEDULED
HIRED AUTOS
NON-OWNED
EXCESS LIAB
OCCUR
CLAIMS-MADE
DED RETENTION $
WORKERS COMPENSATION
UMBRELLA LIAB
Y / N
N / A
AND EMPLOYERS’ LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
© 1988-2010 ACORD CORPORATION. All rights reserved.
AUTOS AUTOS
AUTOS