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HomeMy WebLinkAbout150670 STANTEC CONSULTING SERVICES INC - INSURANCE CERTIFICATE (25)ACOR& CERTIFICATE OF LIABILITY INSURANCE
Ili.� 5/1/2019
F DATE(MM/DDNYYY)
1 4/26/2018
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
CONTCT
NAME:
444 W. 47TH STREET, SUITE 900
KANSAS CITY MO 64112-1906
(816) 960-9000
FAX
A/C, No, Ext : A/C, No):
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A : Zurich American Insurance Company
16535
INSURED STANTEC CONSULTING SERVICES INC.
INSURERB: TraeelersProperty CasualtyCoofAmerica
25674
1426517 8211 SOUTH 48TH STREET
PHOENIX AZ 85044
INSURER C : American Guarantee and Liab. Ins. Co.
26247
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 14653228 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
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
CONTRACTUAL/CROSS
N
N
GL00246172
5/1/2018
5/1 /2019
EACH OCCURRENCE
2,000,000
PREMIAMASES (Ea occurrence)
$ 300,000
X
MED EXP (Any oneperson)
25,000
X
XCU COVERED
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JE� LOC
OTHER:
GENERAL AGGREGATE
$ 4,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
B
B
B
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
N
N
TC2J-CAP-8E086819
TJ-BAP-8E086820
TC2J-CAP-8E087017
5/1/2018
5/1/2018
5/I/2018
5/1/2019
5/1/2019
5/1/2019
Ea COMBINED LIMIT
$ 1 OOO OOO
X
BODILY INJURY (Per person)
$ XXX XXX
X
BODILY INJURY (Per accident
$XXXXXXX
PROPERTY DAMAGE
Per accident
$XXXXXXX
$XXXXXXX
C
X
UMBRELLA LIAB
LIAB
X
OCCUR
CLAIMS -MADE
N
N
AUC9184637
5/1/2018
5/1/2019
EACH OCCURRENCE
$ 51000,000
4DEDEXCESS
AGGREGATE
$ 5,000 000
X I RETENTION $ 10,000
$ XXXXXXX
B
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N
OFFICER/MEMBER EXCLUDED? N❑
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
N
TC2J-UB-8E08592 (AOS)
TRJ-UB-8E08593 (MA, WI)
EXCEPT FOR OH ND WA WY
5/1/2018
5/1/2018
5/1/2019
5/1/2019
PER OTH-
X STATUTE ER
E.L. EACH ACCIDENT
$ I 1 000 000
E.L. DISEASE - EA EMPLOYEE
$ 1:000:000
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)
BROOMFIELD, CO - MWH ET AL RE: HALLIGAN RESERVOIR ENLARGEMENT. MW11 JOB NO. 1700639.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
14653228 AUTHORIZED REPRESENTATIVE
CITY OF FORT COLLINS, PURCHASING
ATTN: CLIFF HOELSCHER
PO BOX 580
FORT COLLINS CO 80522 ( �'
*7 x
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