� 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. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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