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HomeMy WebLinkAbout150670 STANTEC CONSULTING SERVICES INC - INSURANCE CERTIFICATE (14)ACOR" CERTIFICATE OF LIABILITY INSURANCE °ATE01/20IYYYY) 1 vovzola 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 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 endorsements . PRODUCER AON REED STENHOUSE INC. AON RISK SERVICES CENTRAL, INC 900 - 10025 - 102A AVENUE EDMONTON, AB T5J OY2 N°�pLdEAOT ANDREA OTTO PAMC'N E,). 1-952-807-0679NE FX, No: 1-312-381-6608 ADDRESS: ANDREA.OTTO@AON.COM INSURERS) AFFORDING COVERAGE NAICa INSURER A: ZURICH AMERICAN INSURANCE COMPANY 16535 INSURED STANTEC CONSULTING SERVICES INC. 2950 E. HARMONY ROAD, SUITE 290 FORT COLLINS, CO 80528 INSURER B: SENTRY INSURANCE A MUTUAL COMPANY 24988 INSURERC: ZURICH INSURANCE COMPANY wsuRER D: SENTRY INSURANCE A MUTUAL COMPANY 24988 wsURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 169 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. IL R TYPE OF INSURANCE IA�SR INND POLICY NUMBER (MMIDD%YYYY) OS/Ot/14 (M_MiDorYYry4) OS/O1/1S LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X CONTRACTUAL IZROSS LIABILITY X GL05415704 XCU COVER INCLUDED EACH OCCURRENCE DAMAGC.E 1T0 RENTED PREMISES(Ed occurrence) $ 2,000,000 $ 300,000 MED UP (Any ore person) $ 10,000 I PERSONAL B ADV INJURY $ 2,000,000 X OWNERS B CONTRACTORS GEN'L AGGREGATE UMITAPPLIES PER '. POLICY X JECT X LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMPIOPAGG 5 2,000,000 (EOaBcIdeentED �INGLELIMIT $ _7 B AUTOMOBILE X LIABILITY ANY AUTO AUTSISMJED SLCTIIEDULED HIREDAUTOS AAUTOJMED 90-17043-03 11/01/14 11/01/15 $ 1,000,000 BODILY INJURY (Per person) I $ BODILY INJURY(Per amdent) PPROPPcERd DAMAGE I$ $ Is C I X X UMBRELLA LIAB E%CESSLIAB X OCCUR CLAIMS -MADE 8831307 EXCESS GENERAL, AUTO Al EMPLOYERS LIABILITY (FOLLOW FORM) 05/01/14 05/01/15 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED X RETENTION$10,000 WC SLIN T OTH- X TORY LIMITS�ER E.L. EACH ACCIDENT Is D WOREKERMPLOY MPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORJPARTNER/EXECUTIVE�� Mnd t�En NHS EXDLDDED9 L"JI lOyes, RIPROeunder ESCR scnIoe nc OPERATIONS Oelav NIA 90-17043-01 11/01/14 11/01/15 $ 1,000,000 EL. DISEASE - EA EMPLOYEE S 1,000,000 E. L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ANach ACORD 101, Additional Remarks Schedule, if more space Is required) FORT COLLINS, CO. STANTEC PROJECT # 1873. RE: 5-YR OPEN ENDED CONTRACT. THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSUREDS BUT ONLY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. THE COVERAGE SHALL NOT BE CANCELLED OR NON RENEWED EXCEPT AFTER THIRTY (30) DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER AND ADDITIONAL INSUREDS. CITY OF FORT COLLINS ATTN:PURCHASING P.O. BOX 580 FORT COLLINS, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. fk1" Hof(' AUVI<U ZO (LU1 WUs) - The ACORD name and logo are registered marks of ACORD DESCRIPTIONS (Continued from Page 1) The General Liability, Automobile Liability, Umbrella/Excess insurance policies applies on a primary and non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. RE: West Harmony Road Improvements Project Additional Insured: City of Fort Collins, its officers, agents and employees PETeii a Ir_N*1101110101.11 #513699130/M13690189