HomeMy WebLinkAbout150670 STANTEC CONSULTING SERVICES INC - INSURANCE CERTIFICATE (24)ACOR6` CERTIFICATE OF LIABILITY INSURANCE 10/1/2018
F DATE(MMIDD/YYYY)
1 9/14/2017
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:
AC, No, Ext : ME, No
EMAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Ll0 ds Of London
INSURED STANTEC CONSULTING SERVICES INC.
INSURER B : AIG Specialty , Insurance Company
26883
1414100 2950 E. HARMONY ROAD, SUITE 290
FORT COLLINS CO 80528
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 14188320 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/DDfYYYYI
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
XXXXXXX
CLAIMS -MADE ❑ OCCUR
NOT APPLICABLE
DAMAGE TO RENTED
PREMISES Ea occurrence
XXXXXXX
MED EXP (Any oneperson)
s XXXXXXX
PERSONAL & ADV INJURY
$ XXXXXXX
( EN-L AGGREGATE LIMIT APPLIES PER:
POLICY❑ jE ❑ LOC
GENERAL AGGREGATE
$ XXXXXXX
PRODUCTS - COMP/OP AGG
$ XXXXXXX
$
OTHER:
AUTOMOBILE
LIABILITY
ANY AUTO
NOT APPLICABLE
(CEO,accden'SINGLE LIMIT
$ XXXXXXX
BODILY INJURY (Per person)
$ XXXXXXX
AWNED SC
UTOS ONLY AUTOSULED
BODILY INJURY (Per accident
$ XXXXXXX
PROPERTY DAMAGE
Per accident
$XXXXXXX
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ XXXXXXX
EXCESS LIAB
CLAIMS -MADE
NOT APPLICABLE
AGGREGATE
$ XXXXXXX
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N / A
NOT APPLICABLE
I PER OTH-
STATUTE ER
E.L. EACH ACCIDENT Is
XXXXXXX
E.L. DISEASE - EA EMPLOYEE
V��V�
XXA11.x_xx
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
XXXXXXX
A
A
Professional Liab
N
N
GLOPR1701673
NO RETROACTIVE DATE
10/1/2017
10/1/2018
$3,000,000 PER CLAIM/AGG
INCLUSIVE OF COSTS
B
Contractors Pollution Liab
CP08085428
10/1/2017
10/1/2019
$3,000,000 PER LOSS/AGG
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
STANTEC PROJECT # 1873. RE: 5-YR OPEN ENDED CONTRACT. THE COVERAGE SHALL NOT BE CANCELLED OR NON RENEWED EXCEPT
AFTER THIRTY (30) DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER.
CERTIFICATE HOLDER CANCELLATION
14188320
CITY OF FORT COLLINS
ATTN: PURCHASING
P.O. 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
Ia[K�7 N �y].Yf�ItTi LIItxl1
()1- R-2015 ACORD CORPORATION. All rights rpsprvPrl
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