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STANTEC (2)
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Entry Properties
Last modified
6/27/2019 8:45:26 AM
Creation date
8/9/2018 1:35:13 PM
Metadata
Fields
Template:
Contracts
Company Name
STANTEC
Contract #
A-2018-172
Agency
PUBLIC WORKS
Council Approval Date
7/3/2018
Expiration Date
7/2/2021
Insurance Exp Date
10/1/2019
Destruction Year
0
Document Relationships
STANTEC (3)
(Amended By)
Path:
\Contracts / Agreements\S
STANTEC (4)
(Amended By)
Path:
\Contracts / Agreements\S
STANTEC (5)
(Amended By)
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\Contracts / Agreements\S
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h-2,013-1lL <br />ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />�i 5/1/2019 <br />DATE(MMIDONYYY) <br />8/16/2018 <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 endorsements). <br />PRODUCER Lockton Companies <br />444 W. 47th Street, Suite 900 <br />Kansas City MO 641 I2-1906 <br />(816)960-9000 <br />CONTACT <br />FAX <br />PHONE E A/C No <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC N <br />INSURER A: Zurich American Insurance Company <br />16535 <br />INSURED STANTEC CONSULTING SERVICES INC. <br />1415077 8211 SOUTH 48TH STREET <br />INSURER B: Travelers Properly Casualty Co of America <br />25674 <br />INSURER c: American Guarantee and Liab. Ins. Co. <br />26247 <br />INSURER D: <br />PI IOENIX AZ 85044 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 15553615 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 ADDL <br />SUBR <br />0 <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY UP <br />MMIDDIYYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY Y <br />CLAIMS -MADE I X1 OCCUR <br />N <br />GL00246172 <br />5/1/2018 <br />5/1/2019 <br />EACH OCCURRENCE <br />$ 2000000DAMAGE <br />TO RETED <br />PREMISES Ea occurrence <br />_ <br />s 300,000 <br />MED EXP (Any one person) <br />$ 25,000 <br />X CONTRACTUAL/CROSS <br />X XCU COVERED <br />PERSONAL 8 ADV INJURY <br />$ 2,000,000 <br />GENE AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />s 4000000 ✓ <br />POLICY JECT LOG <br />PRODUCTS - COMPIOP ADS <br />s 2000000 <br />$ <br />OTHER: <br />B <br />B <br />B <br />AUTOMOBILE <br />LIABILITY N <br />ANY AUTO <br />N <br />'I'C2J-CAP-8E086819 <br />TI-BAP-SEO86820 <br />TC2J-CAP-8EO87017 <br />5/1/2018 <br />5/1/2018 <br />5/1/2018 <br />5/1/2019 <br />51 /2019 <br />5/I/2019 <br />EaaacccidentSINGLELIMIT <br />$ 1000000 <br />X <br />BODILY INJURY (Pmperson) <br />S XXXXXXX <br />BODILY INJURY(Peraccident) <br />$ XXXXXXX <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$XXXXXXX <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />$XXXXXXX <br />C <br />X UMBRELLALIAS <br />X <br />OCCUR N <br />N <br />AUC9184637 <br />5/1/2018 <br />5/12019 <br />EACH OCCURRENCE <br />s $000000 <br />AGGREGATE <br />$ 5,000,000 <br />X EXCESS LIAB <br />CLAIMS -MADE <br />DIED I X I RETENTION$ 10,000 <br />s XXXXXXX <br />1 <br />B <br />B <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER/EXECUTIVE YIN <br />OFFICERIMEMBER EXCLUDED? NIA <br />(Mandatory in NH) <br />N <br />TC2J-UB-8E08592(AOS) <br />TRJ-UB-8E08593 (MA,l1 <br />EXCEPT FOR OHNDWA WY <br />5/1/2018 <br />5/I/2018 <br />5/1/2019 <br />5/I/2019 <br />X STATUTE El <br />§ 1000 QOQ <br />E.L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1000000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 000 000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more speee is required) <br />RE: STANTEC PROJECT #224801401, CLIENT PROJECT A-2018-172 COST OF SERVICE STUDY FOR WATER AND SEWER ENTERPRISES. CITY OF <br />ITI <br />SANTAANA AND ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE ADDTI NA SAS RESPECTS <br />GENERAL LIABILITY AND THESE COVERAGES ARE PRIMARY, IF REQUIRED BY WRITTEN CONTRACT. <br />15553615 <br />CITY OF SANTA ANA <br />CLERK OF THE CITY COUNCIL <br />20 CIVIC CENTER PLAZA (M-30) <br />P.O. BOX 1988 <br />SANTA ANA CA 92702-1988 <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 />s/ <br />} <br />✓r <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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