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150670 STANTEC CONSULTING SERVICES INC - INSURANCE CERTIFICATE (20)
co CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNY 05/01/20 5�) HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS :ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES IELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED ;EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. NPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to le terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the ertificate holder in lieu of such endorsements . )DUCER KIAR CONTACT ANf1RFA OTTn URED AON REED STENHOUSE INC. AON RISK SERVICES CENTRAL, INC 900 - 10025 - 102A AVENUE EDMONTON, AB T5J OY2 STANTEC CONSULTING SERVICES INC. 2950 E. HARMONY ROAD, SUITE 290 FORT COLLINS, CO 80528 1-952-807-0679 i C. Not 1-312-381-6608 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: ZURICH AMERICAN INSURANCE COMPANY 16535 INSURER B: SENTRY INSURANCE A MUTUAL COMPANY 24988 INSURER C: ZURICH INSURANCE COMPANY INSURER D: SENTRY INSURANCE A MUTUAL COMPANY 24988 INSURER F: 1 )VERAGES CERTIFICATE NUMBER: 100 REVISION NUMBER: HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD VDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS :ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, XCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE INSR 4WD POLICY NUMBER (MM/DDNYYY)-_ (MMIDD�_ LIMITS GENERAL LIABILITY X 1 GL05415704 05/01/15 05/01/16 1 EACH OCCURRENCE _s_ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X CONTRACTUALICROSS LIABILITY J OWNERS & CONTRACTORS GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n JEC LOC _ AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED gCHEDULED AUTOS AUTOS HIRED AUTOS AUTOS NON -OWNED X UMBRELLA LAB X OCCUR X EXCESS LIAB CLAIMS MADE DED X 1 RETENTION $10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ,,,1 NIA OFFICERIMEMBER EXCLUDED? XCU COVER INCLUDED 90-17043-08 05/01/15 8831307 05/01/15 EXCESS GENERAL, AUTO AND EMPLOYERS LIABILITY (FOLLOW FORM) 90-17043-06 05/01/15 MED EXP (Any one person) $ PERSONAL BADVINJURY $ 2 GENERALAGGREGATE $ 4 PRODUCTS - COMP/OP AGG $ 2 05/01/16 E. ccident) 1 $ 1 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) _PWERTY DAMAGE (Per accident) $ $ 05/01/16 EACH OCCURRENCE 5 AGGREGATE $ 5 $ 05/01/16 X Y n R E.L. EACH ACCIDENT $ 1 E.L. DISEASE - EA EMPLOYEE $ 1 E.L. DISEASE - POLICY LIMIT I S 1 300.000 ICRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) )RT COLLINS, CO. STANTEC PROJECT # 1873. RE: 5-YR OPEN ENDED CONTRACT. THE CITY OF FORT COLLINS, ITS OFFICERS, TENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSUREDS BUT ONLY ARISING OUT OF THE OPERATIONS OF THE �MED INSURED. THE COVERAGE SHALL NOT BE CANCELLED OR NON RENEWED EXCEPT AFTER THIRTY (30) DAYS WRITTEN )TICE TO THE CERTIFICATE HOLDER AND ADDITIONAL INSUREDS. RTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF FORT COLLINS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: PURCHASING ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 580 FORT COLLINS, CO 80522 AUTHORIZED REPRESENTATIVE ©1988-2010 ORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD TION. All riahts reserved.