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� 1 * <br />CERTIFICATE OF LIABILITY INSURANCE 5/1/2020 <br />DATE (MMIDDIYYYY) <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 endorsements . <br />PRODUCER LOCKTON COMPANIES <br />444 W. 47TH STREET, SUITE 900 <br />KANSAS CITY MO 64112-1906 <br />CONTACT <br />HAh1E� <br />PHONE FAX <br />A7 No! <br />-MA1L <br />(816)960-9000 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Berkshire Hathaway Specialty Insurance Company <br />22276 <br />INSURED STANTEC CONSULTING SERVICES INC. <br />1426517 370 INTERLOCKEN BOULEVARD, SUITE 300 <br />INSURER B: Travelers Property Casualty Co of America <br />25674 <br />INSURER C : <br />INSURER D : <br />BROOMFIELD CO 80021-8012 <br />INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 14661415 REVISION NUMBER: XXXXX7 x <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 TYPE OF INSURANCE ADL BURR POLICY NUMBER POLICYEFF MIDD/YYYY MM1D POLICY EXP LIMITS <br />LTINSD <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />Y <br />-Wyk <br />N <br />47-GLO-307584 <br />5/1/2019 <br />5/1/2020 <br />_ EACH OCCURRENCE <br />$ 2,000,000 <br />A.. TFD <br />E SE5,LEa pce_FD ce <br />$ 1,000,000 <br />X <br />$ 25,000 <br />CONTRACTUAL/CROSS <br />MED EXP LAny one person) <br />X <br />XCU COVERED <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GEN'L AGGREi�GATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />PRO - <br />POLICY ? " JC ❑X. LOC <br />! <br />$ <br />OTHER. <br />B <br />B <br />B <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />N <br />N <br />TC2J-CAP-8E086819 <br />TJ-BAP-8E086820 <br />TC2J-CAP-8E087017 <br />5/1/2019 <br />5/1/2019 <br />5/1/2019 <br />5/1/2020 <br />5/1/2020 <br />51,/2020 <br />C OM81NED SINGLE LIMIT <br />a "cidan_t)- <br />$ 1000000 <br />60DILY INJURY (Per person) <br />$ XXXXXXX <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE= <br />LLa9eid:�J <br />$ XXXXXXX — <br />$ XXXXXXX <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />$XXXXXXX <br />A <br />UMBRELLA LIAB <br />OCCUR <br />N <br />N <br />47-UMO-307585 <br />5/1/2019 <br />5/1/2020 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5 000 000 <br />X <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED ___FT ETENTIONN $ <br />$XXXXXXX <br />B <br />B <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YlN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? I N1 <br />(Mandatory in NH) <br />N / A <br />N <br />TC2J-LJB-8E08592 (AOS) <br />TRJ-LIB-8E08593 (MA, WI � <br />EXCEPT FOR OH ND WA WY <br />5/1/2019 <br />5/1/2019 <br />5/1/2020 <br />5/1/2020 <br />PER OTH- <br />X STAT TE <br />,fA <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYE <br />$1.000.000 <br />E-L_ DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES [ACORD 101, Additional Remarks Schedule, may by attached If more space Is required) <br />IELViNE, CA. STANTLC PROJECT it 2073; CLIENT PROJECT # RPP Id-V37B, 17-083, ANT) A-2015-172 AND A-20 18- t 1940. Ri : RFP - ON -CALL LNGIN`EERING SFRVI('IS <br />PART 13. CITY OF SANTA ANA. ITS 0FFIL:ERS, F-MPLOY FES, AC EN-I'9. VOLUNTEERS, ANF) RLPRESLNTATIVLS ARE INCLU`DHDAS ADD] TIO `lAL INSUREDS <br />AS RESPCC-S GENERAL LLABILTTY, BUT ONLY AR1SINQ OUT OF Till: OPERATIONS OF T111, NAMED INSURED, AND THIS COVERAGE' IS PRIMARY AND <br />NON-CONTRIBUTORY. IF REQUIRED BY WRITTEN CONI'RAC-r. TIIL COVERAGE SHALL Wff IIEi CANL'I:LLED OR NON RENEWED EXCEPT AFr[RTHIRTY (30) DAYS <br />1'O THE CU Wrl1'IC ATE HOLDER. if <br />VRE�W <br />ED BY: <br />CFRTIFICATE HOLDER i 9 1 _4+_ (1711_�) 1 113 CANCELLATION See Attachments <br />14663435 <br />CITY OF SANTA ANA Risk N1nagement Dlvl Ion <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 REPRESENTATIV,,' <br />I I <br />I err//ffJJ(�t11 <br />ACORD 25 (2016/03) <br />©19884015 ACORD CORPORATION. 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