HomeMy WebLinkAbout150670 STANTEC CONSULTING SERVICES INC - INSURANCE CERTIFICATE (15),4co2�" CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
5n/2020
4/18/2019
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 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:
vc, No, EXt : FA
wc, No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Berkshire Hathaway Specialty Insurance Company
22276
INSURED STANTEC CONSULTING SERVICES INC.
1415077 370 INTERLOCKEN BOULEVARD, SUITE 300
BROOMFIELD CO 80021-8012
-INSURER B: Tra,elersProperty Casualty CoofAmerica
')5674
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 14504346 REVISION Nt1MRFR- 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
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
Xr
COMMERCIAL GENERAL LIABILITY
Y
N
47-GLO-307584
5/1/2019
5/1/2020
EACH OCCURRENCE
2,000,000
CLAIMS -MADE OCCUR
X
DAMAGE TO RENTED
PREMISES Ea occurrence
1,000,000
X
MED EXP (Any oneperson)
25,000
CONTRACTUAL/CROSS
X
XCU COVERED
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 4,000,000
POLICY PEC LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
OTHER:
$
B
AUTOMOBILE
LIABILITY
Y
N
TC2J-CAP-8E086819
5/1/2019
5/l/2020
COaocld DtSINGLE LIMIT
$ 1,000,000
B
B
ANY AUTO
TJ-BAP-8E086820
TC2J-CAP-8E087017
5/1/2019
5/1/2019
5/l/2020
5/1/2020
X
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
OWNED SCHEDULED
AUTOS ONLY AUTOS
AUTOS ONLY ED AUUTOS ONLDY
PerOaccldentDAMAGE
$XXXXXXX
$XXXXXXX
A
X
UMBRELLA LIAB
X
OCCUR
N
N
47-UMO-307585
5/1 /2019
5/1 /2020
EACH OCCURRENCE
$ 5 000 000
X
AGGREGATE
$ 5 000 000
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
$ XXXXXXX
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/NN
TC2J-UB-8E08592 (AOS)
5/1/2019
5/1/2020
PER OTH-
X STATUTE ER
B
B
ANY PROPRIETOR/PARTNER/EXECUTIVE
N
NIA
TRJ-UB-8E08593 (MA, WI)
EXCEPT FOR NO
5/1/2019
51 /2020
E.L. EACH ACCIDENT
$ 1 000 000
OFFICER/MEMBER EXCLUDED?
(Mandatory in
OH WA WY
E.L. DISEASE - EA EMPLOYEE
1 000 000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I 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. THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE ADDITIONAL INSUREDS AS
RESPECTS GENERAL LIABILITY AND AUTO LIABILITY, AS REQUIRED BY WRITTEN CONTRACT.
l.Cr%I Iri%,m I C rIULIJCR L ANL:tLLA I IUN gee Attacnments
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
14504346 AUTHORIZED REPRESENTATIVE
CITY OF FORT COLLINS
215 N. MASON ST. 2ND FLOOR PO BOX 580
FORT COLLINS CO 80522
a �,,a,',
ACORD 25 (2016/03) cc) 16 5-2015 AC RRD CORPORATION All rinhtc rocorvorl
The ACORD name and logo are registered marks of ACORD