Laserfiche WebLink
ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />`. 5/l/2020 <br />DATE (MMIDD YYY <br />4/18/2019 <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 />444 W. 47th Street, Suite 900 <br />Kansas City MO 64112-I906 <br />(816) 960-9000 <br />CONTACT <br />PHONE FAX <br />Ext : A/C No <br />E-MAINo <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAICR <br />INSURER A: Berkshire Hathaway Specialty Insurance Company <br />22276 <br />INSURED STANTEC CONSULTING SERVICES INC. <br />1415077 370 INTERLOCKEN BOULEVARD, SUITE 300 <br />INSURER B: Travelers Property Casualty Co of Amenca <br />25674 <br />INSURER C: <br />BROOMFIELD CO 80021-8012 <br />INSURER D <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 <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE O OCCUR <br />CONTRACTUAL/CROSS <br />Y <br />N <br />47-GLO-307584 <br />5/1/2019 <br />5/l/2020 <br />EACH OCCURRENCE <br />$ 2 000 000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence) <br />s 1,000,000 <br />X <br />MED EXP (Any one person) <br />$ 25,000 <br />X <br />GENT <br />XCU COVERED <br />PERSONAL aApv INJURY <br />$ 2 000 000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY � JEST a LOC <br />OTHER: <br />GENERALAGGREGATE <br />$ 4000000 <br />PRODUCTS - COMP/OPAGG <br />$ 2,000,000 <br />$ <br />B <br />B <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHED <br />AUTOSONLY AUTOSULED <br />HIRED NON�OWNED <br />AUTOS ONLY AUTOS ONLY <br />N <br />N <br />TC2J-CAP-8E086819 <br />TJ-BAP-8EO86820 <br />TC2J-CAP-8EO87017 <br />5/1/2019 <br />5/1/2019 <br />5/1/2019 <br />5/1/2020 <br />5/1/2020 <br />5/l/2020 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1000000 <br />X <br />BODILY INJURY (Per person) <br />S XXXXXXX <br />BODILY INJURY (Par accident) <br />PROPERTY DAMAGE <br />Per accident <br />$ XXXXXXX <br />$XXXXXXX <br />$XXXXXXX <br />A <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />N <br />N <br />47-UMO-307585 <br />5/l/2019 <br />5/1/2020. <br />EACH OCCURRENCE <br />$ 5000000 <br />X <br />AGGREGATE <br />$ 5,000,000 <br />DEB I I RETENTION$ <br />$ XXXXXXX <br />B <br />B <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANVPROPRIETORIPARTNERIEXECUTIVE Y/N <br />OFFICERIMEMBEREXCLUDED? � <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS be. <br />NIA <br />N <br />TC2J-UB-SE08592(AOS) <br />TRJ-UB-SE08593 (MA, WI) <br />EXCEPT FOR OH ND WA WY <br />5/12019 <br />5/1/2019 <br />5/1/2020 <br />5/l/2020 <br />PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1000000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1000 000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1000000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: STANTEC PROJECT i224801401; CLIENT PROJECT A-2018-172 COST OF SERVICE STUDY FOR WATER AND SEWER ENTERPRISES. CITY OF <br />SANTA ANA AND ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE ADDITIONAL MSUREDS AS RESPECTS <br />GENERAL LIABILITY AND THESE COVERAGES ARE PRIMARY, IF REQUIRED BY WRITTEN CONTRACT. <br />REVIEW Y: <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 />CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />