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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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_ 1 DATE (MMIDD/YYYY) <br />AC Ro CERTIFICATE OF LIABILITY INSURANCE <br />ill <br />10/1/2019 9112/2018 <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 />CONTACT <br />PRODUCER <br />Lockton Companies NAME:_ _ <br />444 W. 47th Street, Suite 900 PHONE FAX <br />Nn <br />Kansas City MO 64112-1906 -MAIL EdL <br />(816) 960-9000 ADDRESS: <br />^'^ c ."--------- <br />uelr it <br />INSURED STANTEC CONSULTING SERVICES INC. <br />1414100 370 INTERLOCKEN BOULEVARD, SUITE 300 <br />BROOMFIELD CO 80021-8012 <br />■■.In. 1 A1OAC^IV Pr_k1ICI(1AI AIIIMRFR- YYYYYYY <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 AUDL $UB POLICY EFF POLICY EXP LIMITS <br />L R TYPE OF INSURANCE POLICY NUMBER MM/OD <br />COMMERCIAL GENERAL LIABILITY <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />DAMAGE TO RENTED <br />_PREMISES [E�y 0-4l_rrenQa <br />$ XXXXXXX <br />CLAIMS -MADE OCCUR <br />MED EXP (An one person) <br />$ XXXXXXX <br />,] <br />PERSONAL & ADV INJURY <br />$ XXXXXXX <br />OEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />PRODUCTS -COMP/OP AGG <br />$ XXXXXXX <br />PRO- <br />POLICY ElJECT LOC <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />NOT APPLICABLE <br />LEEa_q EDtttdeni SINGLE LIMIT <br />Ea a <br />$ XXXXXXX <br />BODILY INJURY (Per person) <br />$ XXXX�1'X <br />ANY AUTO <br />BODILY INJURY (Per accident) <br />$ XXXXXXX <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />PROPERTY DAMAGE <br />_.(puf_gWdentj <br />$ XXXXXXX <br />AUTOS ONLY AUTOS ONLY <br />$XXXXXXX <br />UMBRELLA LAB OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />AGGREGATE <br />$ XXXXM <br />EXCESS LAB CLAIMS -MADE <br />DED I I RETENTION $ <br />$ XX <br />WORKERS COMPENSATION <br />NOT APPLICABLE <br />PER ER <br />AND EMPLOYERS' LIABILITY Y f N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ XXXXXXX <br />E.L. DISEASE - EA EMPLOYE <br />$ XXXXXXX <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory In NH) <br />N / A <br />E.L. DISEASE - POLICY LIMIT <br />$ XXXXXXX <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />A Professional Liab <br />N <br />N GLOPRI801673 <br />10/1/2018 <br />10/l/2019 <br />$3,000,000 PER CLAIM/AGG <br />A <br />NO RETROACTIVE DATE <br />INCLUSIVE OF COSTS <br />B Contractors Pollution Liab <br />CP08085428 <br />10/l/2017 <br />10/1/2019 <br />$3,000,000 PER LOSS/AGG <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />STANTEC PROJECT # 2073 CLIENT PROJECT # RFP 14-037B AND A-2018-159-09.RE: RFP - ON -CALL ENGINEERING SERVICES - PART B. THE <br />COVERAGE SHALL NOT BE CANCELLED OR NON RENEWED EXCEPT AFTER THIRTY (30) DAYS WRITTEN NOTICE TO THE CERTIFICATE <br />HOLDER. <br />RE ieEMB�Y. <br />n <br />CERTIFICATE HOLDER <br />14184678 Im <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />PO BOX 1988 M-36 <br />SANTA ANA CA 92702 <br />�/ t A 11l.C1-LH I IU14 <br />MCI gement bvisl6n 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 />I /N, <br />n 1988(4015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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