HomeMy WebLinkAboutMWH CONSTRUCTORS INC / STANTEC CONSULTING SERVICES - INSURANCE CERTIFICATEACOR"' CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
10/l/2019
9/ 12/2018
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.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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).
PRODUCER Lockton Companies
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(816) 960-9000
CONTACT
NAME:
AIC, No, Ext : NC, No):
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Ll0 ds of London
INSURED MWH CONSTRUCTORS, INC.
1414100 SLAYDEN CONSTRUCTORS, INC.
STANTEC CONSULTING SERVICES, INC.
INSURER B : AIG Specialty Insurance Company
26883
INSURER C :
INSURER D :
8211 SOUTH 48TH STREET
INSURER E :
PHOENIX, AZ 85044
INSURER F :
COVERAGES CERTIFICATE NUMBER_ 14504i57 REVISION NUMBER: XXXXXXX
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 MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUER
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
XXXXXXX
CLAIMS -MADE ❑ OCCUR
NOT APPLICABLE
DAMAGE TO RENTED
PREMISES Ea occurrence
XXXXXXX
MED EXP (Any oneperson)
XXXXXXX
PERSONAL & ADV INJURY
$ XXXXXXX
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ XXXXXXX
POLICY JECOT- ❑ LOC
PRODUCTS - COMP/OP AGG
$ XXXXXXX
OTHER:
AUTOMOBILE
LIABILITY
Ee BINEDISINGLE LIMIT
$ X,X,XXXrXrX
ANY AUTO
NOT APPLICABLE
BODILY INJURY (Per person)
$ XXXXXXX
OWNAUTOS ONLY AUTOSULED
BODILY INJURY (Per accident
$ XXXXXXX
AUTOS ONLY NON -OWNED
OOS ONLOY
Pe a cldeniDAMAGE
$ XXXXXXX
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ XXXXXXX
EXCESS LIAB
CLAIMS -MADE
NOT APPLICABLE
AGGREGATE
$ }{xxxxXX
DED I I RETENTION $
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILITY Y / N
NOT APPLICABLE
STATUTE ER
E.L. EACH ACCIDENT
$ XXXXXXX
ANY PROPRIETOR/PARTNER/EXECUTIVE El
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE
XXXXXXX
(Mandatory in NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT
C XXXXXXX
DESCRIPTION OF OPERATIONS below
A
Professional Liab
N
N
GLOPR1801673
10/l/2018
10/l/2019
$3,000,000 PER CLAIM/AGG
A
NO RETROACTIVE DATE
INCLUSIVE OF COSTS
B
Contractors Pollution Liab
CP08085428
10/1/2017 1
10/1/2019
$3,000,000 PER LOSS/AGG
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: STANTEC PROJECT NO. 205305205. PROJECT NAME ENGINEERING SERVICES FOR HALLIGAN RESERVOIR ENLARGEMENT PROJECT.
CLIENT PROJECT #9156337.
14504352
CITY OF FORT COLLINS
215 N. MASON ST. 2ND FLOOR PO BOX 580
FORT COLLINS CO 80522
l,/-11\l'GLLM 11V19 occ r Uctn,uiucut
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
REPRESENTATIVE
ACORD 25 (2016/03)
n1998-2015 ACORD CORPORATION All rinhtc recprvPrl
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