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HomeMy WebLinkAbout150670 STANTEC CONSULTING SERVICES INC - INSURANCE CERTIFICATE (26)�..� CERTIFICATE OF LIABILITY INSURANCE 5/l/2019
DATE (MM/DD/YYYY)
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 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:
A/cNE, No, FAX
Ext : ac, No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A : Zurich American Insurance Company
16535
INSURED STANTEC CONSULTING SERVICES INC.
1426517 8211 SOUTH 48TH STREET
PHOENIX AZ 85044
INSURERB: Travelers Property Casualty CootAmerica
25674
INSURER C : American Guarantee and Liab. Ins. Co.
26247
INSURER D :
INSURER E :
INSURER r
COVERAGES CERTIFICATE NUMBER: 14564636 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
CLAIMS -MAD —OCCUR
N
N
G1,00246172
5/1/2018
5/1/2019
EACH OCCURRENCE
2,000,000
PREMISESOEa oocE ences
300,000
CONTRACTUAL/CROSS
X
MED EXP (Any oneperson)
25,000
X
XCU COVERED
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 4,000,000
POLICY JECOT- LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
BIANY
BOWNED
AUTOMOBILE
LIABILITY
AUTO
SCHEDULED
AUTOS ONLY AUTOS
Y
N
TC2J-CAP-8E086819
TJ-BAP-8E086820
TC2J-CAP-8E087017
5/l/2018
5/1/2018
5/l/2018
5/1/2019
5/1/2019
5/1/2019
COMBINED SINGLE LIMIT
Ea accident
$ 1 000 000
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
PROPERTY DAMAGE
Per accident
$XXXXXXX
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
$XXXXXXX
C
X
UMBRELLA LIAB
X
OCCUR
Y
N
AUC9184637
5/1/2018
5/1/2019
EACH OCCURRENCE
$ 5 000 000
X
AGGREGATE
$ 5 000 000
EXCESS LIAB
CLAIMS -MADE
DED I X I RETENTION $ 10,000
$ XXXXXXX
B
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
OFFICER/MEMBER ANY /EXCLUDED ECUTIVE
(Mandatory in NH(
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
X STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
s 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
FORT COLLINS, CO. STANTEC PROJECT # 1873. RE: 5-YR OPEN ENDED CONTRACT. THE CITY OF FORT COLLINS, ITS OFFICERS,
AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSUREDS WITH RESPECTS TO THE GENERAL LIABILITY, AUTO LIABILITY
AND UMBRELLA/EXCESS LIABILITY, BUT ONLY ARISING OUT OF OPERATIONS OF THE NAMED INSURED, IF REQUIRED BY WRITTEN
CONTRACT. THE COVERAGE SHALL NOT BE CANCELLED EXCEPT AFTER THIRTY (30) DAYS WRITTEN NOTICE TO THE CERTIFICATE
HOLDER.
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.
14564636 AUTHORIZED REPRESENTATIVE
CITY OF FORT COLLINS
ATTN: PURCHASING
P.O. BOX 580
FORT COLLINS CO 80522
ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD