HomeMy WebLinkAbout150670 STANTEC CONSULTING SERVICES INC - INSURANCE CERTIFICATE (14)ACOR" CERTIFICATE OF LIABILITY INSURANCE
°ATE01/20IYYYY)
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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