HomeMy WebLinkAbout150670 STANTEC CONSULTING SERVICES INC - INSURANCE CERTIFICATE (29)ACOR"" CERTIFICATE OF LIABILITY INSURANCE
F DATE(MM/DD/YYYY)
5/1/2019
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 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:
PH N
E A Lo, Ext : AIC, No
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Zurich American Insurance Company
16535
INSURED MWH CONSTRUCTORS, INC.
1415077 SLAYDEN CONSTRUCTORS, INC.
STANTEC CONSULTING SERVICES, INC.
INSURER B: Travelers Property Casualty CoofAmerica
25674
INSURER C : American Guarantee and Liab. Ins. Co.
26247
8211 SOUTH 48TH STREET
INSURER D :
INSURER E
PHOENIX, AZ 85044
INSURER F :
COVERAGES CERTIFICATE NUMBER: 14504346 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/DDIYYYY
POLICY EXP
MMIDDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
N
GL00246172
5/1/2018
5/1/2019
EACH OCCURRENCE
2,000,000
CLAIMS -MADE - OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
3OO OOO
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 PRO- I LOC
GENERAL AGGREGATE
$ 4,000,000
PRODUCTS - COMP/OP AGG
$ 2,000 000
$
OTHER:
B
H
B
AUTOMOBILE
LIABILITY
ANY AUTO
UTOS ONLY SCHEDULED
Y
N
TC2J-CAP-8E086819
TJ-BAP-8E086820
TC2J-CAP-8E087017
5/1/2018
5/1/2018
5/1/2018
5/1/2019
5/1/2019
51 /2019
(Fa acccidentSINGLE LIMIT
$ 1 000 000
X4XE
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
PROPERTY DAMAGE
Per accident
$XXXXXXX
IRED NON -OWNED
UTOS ONLY AUTOS ONLY
$XXXXXXX
C
MBRELLA LIAB
X
OCCUR
N
N
AUC9184637
5/1/2018
5/I/2019
EACH OCCURRENCE
$ 5 O00000
AGGREGATE
$ 5 000000
XCESS LIAB
CLAIMS -MADE
ED X RETENTION $ 10,000
$ XXXXXXX
B
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH(
If yes describe under
DESCRIPTION OF OPERATIONS below
N / A
N
TC2J-UB-8E08592 (AO S))
TRJ-UB-8E08593 (MA, WI)
EXCEPT FOR OH ND WA WY
5/1/2018
5/1/2018
5/1/2019
5/I/2019
PER OTH-
X STATUTE ER
E.L. EACH ACCIDENT
$ 1 000 000
E.L. DISEASE - EA EMPLOYEE
1,000,000
E.L. DISEASE - POLICY LIMIT
14 1 ,U00 000
DESCRIPTION OF OPERATIONS I 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.
CERTIFICATE HOLDER CANCELLATION See Attachments
14504346
CITY OF FORT COLLINS
215 N. MASON ST. 2ND FLOOR PO BOX 580
FORT COLLINS CO 80522
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
ACORD 25 (2016/031
y
n1 8-2015 ACORD CORPORATION. All rights reservers
The ACORD name and logo are registered marks of ACORD