HomeMy WebLinkAbout150670 STANTEC CONSULTING SERVICES INC - INSURANCE CERTIFICATE (19)ACORijO CERTIFICATE OF LIABILITY INSURANCE
164� 5/1/2020
F DATE(MMIDD/YYYY)
1 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 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:
PHONEFAX
Ext : No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A : Berkshire Hathaway Specialty Insurance Company
22276
INSURED STANTEC ARCHITECTURE, INC.
1435160 370 INTERLOCKEN BOULEVARD, SUITE 300
BROOMFIELD CO 80021-8012
INSURER B: Travelers Property Casualty Co of America
25674
INSURER C : American Guarantee and Liab. Ins. Co.
26247
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 14943770 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
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
N
47-GLO-307584
5/1/2019
5/1/2020
EACH OCCURRENCE
$ 2,000,000
CLAIMS -MADE � OCCUR
PREMISES (Ea RENTED
)
$ 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:
POLICY JECT LOC
GENERAL AGGREGATE
$ 4,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
B
B
B
AUTOMOBILE
LIABILITY
ANY AUTO
AAUTOS ONLY SCHEDULED
Y
N
TC2J-CAP-8E086819
TJ-BAP-8E086820
TC2J-CAP-8E087017
5/1/2019
5/1/2019
5/1/2019
5/1/2020
5/1/2020
5/1/2020
Ea aBINEDcid iSINGLE LIMIT
$ 1,000,000
X
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
AUTOS ONLY AUTOS ONLYY
Perr a cdent DAMAGE
$ 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
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
OFFICER/MEMBER EXCLUDED? N❑
N / A
N
TC2J-UB-8E08592 (AOS)
TRJ-UB-8E08593(MA, WI)
EXCEPT FOR OH ND WA WY
5/1/2019
5/1/2019
5/1/2020
5/1/2020
I PER OTH-
X STATUTE ER
E. L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
1,000,000
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: FORT COLLINS BLOCK 32 REDEVELOPMENT. CITY OF FORT COLLINS IS AN ADDITIONAL INSURED ON THE GENERAL LIABILITY
AND AUTO LIABILITY IF REQUIRED BY CONTRACT.
l.ClcI Irll.AIC nULUCI[ I.AIV I..CLLA I IUIV See Aitacnments
14943770
CITY OF FORT COLLINS
ATTN: GERRY S. PAUL
RO BOX 580
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
FORT COLLINS CO 80522
ACORD 25 (2016/031
/
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