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Entry Properties
Last modified
8/12/2019 11:30:31 AM
Creation date
7/20/2018 12:23:28 PM
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Contracts
Company Name
STANTEC
Contract #
A-2018-159-09
Agency
PUBLIC WORKS
Council Approval Date
6/19/2018
Expiration Date
6/18/2021
Insurance Exp Date
10/1/2019
Destruction Year
2026
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ACORO0 CERTIFICATE OF LIABILITY INSURANCEs/1/2o19 <br />E(MM/DD/YYYY) <br />7426/2018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER LOCKTON COMPANIES <br />CONTACT <br />NAME: <br />444 W. 47TH STREET, SUITE 900 <br />KANSAS CITY MO 64112-1906 <br />(816)960-9000 <br />PHONE FAX <br />(A/C,o.Ext : A/C No <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Zurich American Insurance Company <br />16535 <br />INSURED STANTEC CONSULTING SERVICES INC. <br />INSURER B :Travelers Property Casualty Co of America <br />25674 <br />1426517 8211 SOUTH 48TH STREET <br />PHOENIX AZ 85044 <br />INSURER c : American Guarantee and Liab. Ins. Co. <br />26247 <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 1466/4/5 REVISION NUMBER: XXXXXXX <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />D <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />Y <br />N <br />GL00246172 <br />5/I/2018 <br />5/I/2019 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />DAMAGET RENTED <br />PREMISES Ea occurrence <br />$ 300,000 <br />X <br />MED EXP (Any one person) <br />$ 25,000 <br />CONTRACTUAL/CROSS <br />XCU COVERED <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />X <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />GEN'L <br />PRO- LOC <br />POLICY � <br />PRODUCTS -COMP/OP AGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />B <br />B <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />N <br />N <br />TJ-B CAP 086 8 0 <br />TJ-BAP-8E086820 <br />TC2J-CAP-8E087017 <br />5/l/_018 <br />5/I/2018 <br />5/1/2018 <br />5/I/2019 <br />5/1/2019 <br />5/1/2019 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1000 000 <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ XXXXXXX <br />IX, <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$XXXXXXX <br />$XXXXXXX <br />C <br />UMBRELLA LIAB <br />X <br />OCCUR <br />N <br />N <br />AUC9184637 <br />5/1/2018 <br />5/1/2019 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I X I RETENTION$ 10,000 <br />$ XXXXXXX <br />B <br />BANY <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />OFFICER/MEMBER EXCLUDED? PROPRIETOR/PARTNER/EXECUTIVE � <br />(Mandatory in NH) <br />N / A <br />1� <br />TC2J-UB-8E0859_ (AOS) <br />TRJ-UB-8EO8593 (MA, WI) <br />EXCEPT FOR OH ND WA WY <br />5/1/_018 <br />2 <br />5/1/2018 <br />5/l/2019 <br />5/1/2019 <br />X STATUTE ERH <br />E.L. EACH ACCIDENT <br />$ 1,QQQ QQQ <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1 QQQ QQQ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />- POLICY LIMIT <br />1 $ 1.000.000 <br />71SEASE <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />IRVINE, CA. STANTEC PROJECT If 2073; CLIENT PROJECT # RFP 14-037B, 17-083. AND A-2015-172 AND A-2018-159-09. RE: RFP - ON -CALL ENGINEERING SERVICES <br />- PART B. CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS, AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL INSUREDS <br />AS RESPECTS GENERAL LIABILITY, BUT ONLY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED, AND THIS COVERAGE IS PRIMARY AND <br />NON-CONTRIBUTORY, IF REQUIRED BY WRITTEN CONTRACT. THE COVERAGE SHALL NOT BE CANCELLED OR NON RENEWED EXCEPT AFTER THIRTY (30) DAYS <br />TO THE CERTIFICATE HOLDER. <br />/ <br />REVIEWED BY: .'' EUNICE HEREDIA (PG I OF r ) <br />14663435 <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA PO BOX 1988 M-36 <br />SANTA ANA CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />01988t2015 ACORD CORPORATION. All rinhts rPSPrvPrl <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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