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HomeMy WebLinkAbout150670 STANTEC CONSULTING SERVICES INC - INSURANCE CERTIFICATE (31)ACORN` CERTIFICATE OF LIABILITY INSURANCE
5/1/2018
DATE(MM/DD/YYYY)
1 4/29/2017
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:
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.
1426517 8211 SOUTH 48TH STREET
PHOENIX AZ 85044
INSURER B: Travelers Property Casualty Coo£America
25674
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
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MMIDD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
N
N
GL05415704
5/1/2017
5/1/2018
EACH OCCURRENCE
s 2000000
CLAIMS -MADE � OCCUR
oNcurrDence
300,000
PREMISESOEa
X
MED EXP (Any oneperson)25
000
CONTRACTUAL/CROSS
X
XCU COVERED
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 4,000,000
POLICY❑ PECOT- ❑ LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
B
AUTOMOBILE
LIABILITY
N
N
TC2J-CAP-8E086819
5/1/2017
5/1/2018
COEa aBINEDtSINGLE LIMIT
$ 1,000 000
B
X
ANY AUTO
TJ-BAP-8E086820
5/I/2017
5/1/2018
BODILY INJURY (Per person)
$ XXXXXXX
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident
$ XXXXXXX
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$ XXXXXXX
$XXXXXXX
C
X
UMBRELLA LIAB
X
OCCUR
N
N
AUC9184637
5/1/2017
5/1/2018
EACH OCCURRENCE
$ 5,000,000
X
AGGREGATE
$ 5,000,000
EXCESS LIAB
CLAIMS -MADE
DED I X I RETENTION $ 10,000
$ XXXXXXX
1
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
N
TC2J-UB-8E08592 (AOS)
5/1/2017
5/1/2018
PER OTH-
X STATUTE ER
B
ANY PROPRIETOR/PARTNER/EXECUTIVE
TRJ-UB-8E08593 (MA, WI)
5/1/2017
5/1/2018
E L EACH ACCIDENT
$ 1 000 000
B
OFFICER/MEMBER EXCLUDED? N
N / A
EXCEPT FOR OH ND WA WY
E.L. DISEASE - EA EMPLOYEE
1 000 000
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE POLICY LIMIT
nn
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. MWH JOB NO. 1700639.
I:tK I IFII A I t f1ULUtK I:ANI:tLLA I IUN
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,°
ACORD 25 (2016/03) ©1 8-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD