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STANTEC (2)
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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)
Path:
\Contracts / Agreements\S
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ACOR" CERTIFICATE OF LIABILITY INSURANCE <br />10/1/2019 <br />DATE (MMIDO YYY) <br />9/12/2018 <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 M064112-1906 <br />(816) 960-9000 <br />PHONE FAX <br />Alc No: <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURER A: LIO ds of London <br />INSURED STANTEC CONSULTING SERVICES MC. <br />1414100 370 INTERLOCKEN BOULEVARD, SUITE 300 <br />INSURER B : AIG Specialty Insurance Company <br />26883 <br />INSURER C: <br />BROOMFIELD CO 80021-8012 <br />INSURER D <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 15553619 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 />NED <br />SUBR <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />IMMIDDYYYY <br />POLICY EXP <br />MMIDDIYI'YY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />NOTAPPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />DAMAGE IQ RENTED <br />PREMISES Ea occurrence) <br />$ XXXXXXX <br />MED EXP (Any one person) <br />$ XXXXXXX <br />PERSONAL S ADV INJURY <br />$ XXXXXXX <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />POLICY [X] JEC 7 LOC <br />PRODUCTS - COMP/OP AGG <br />$ XXXXXXX <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />NOT APPLICABLE <br />Ee BI ED SINGLE LIMIT <br />$XXXXXXX <br />BODI LY INJURY (Per Person) <br />$ XXXXXXX <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ XXXXXXX <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY <br />ciden DAMAGE <br />Penaccident <br />$ XXxSXrxx <br />$XXXXXXX <br />UMBRELLA LIAB <br />OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />AGGREGATE <br />$ XXXXXXX <br />EXCESS ICLAIMS-MADE <br />DED I I RETENTIONS <br />$ XXXXXXX <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICER/MEMBEft EXCWDED4 <br />NIA <br />NOT APPLICABLE <br />SPER OTH- <br />TATUTE ER <br />E.L. EACH ACCIDENT <br />S XXXXXXX <br />E.L. DISEASE - EA EMPLOYEE <br />$ XXXXXXX <br />(Mandatory In NH) <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ XXXXXXX <br />A <br />Professional Liab N <br />N <br />GLOPRISO1673 10; I/2018 <br />10/12019 <br />$3,000,000 PER CLAIM/AGG <br />A <br />NO RETROACTIVE DATE <br />INCLUSIVE OF COSTS <br />g I <br />Contractors Pollution Liab <br />CP08085428 I0/ /2017 <br />10/1/2019 <br />$3,000,000 PER LOSS/AGG <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />RE: STANTEC PROJECT #224801401; CLIENT PROJECT A-2018-172 COST OF SERVICE STUDY FOR WATER AND SEWER ENTERPRISES. <br />R WED BY: <br />15553619 <br />CITY OF SANTAANA <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 />I/ <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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