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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIODIYYYY) <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 INSURERS), 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 endorsontra 1. <br />PRODUCER Lockton Companies <br />444 W, 47th Street, Suite 900 <br />Kansas City NIO 64112-1906 <br />IS 16) 960-9000 <br />INSURED STANTEC' CONSULTING SERVICES INC. LINSVRER e: Travelers_ <br />1415077 370 INT'ERLOCKF..N BOULEVARD, SUITE 300 INSURER <br />BROCIATIELD CO 80021-8012 - <br />COVERAGES CFRTIPICATP NIIMRPR- t 4 c c 16I: oclllcins. su cannn. v.. v....... <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 <br />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.....-. — -__ _-_.—_ _ __..- ADOL'SUBW.RI <br />a TYPE OF INSURANCE POLICY EFF ;. POLICY EXP <br />POLICY NUMHER MMIOOfYYYY ! MMIDDIYYYY <br />LIMITS <br />A `X ICOMMERCIAL GENERAL LIABILITY y N 47-G[,0307584 51I120192 <br />EACH OCCURRENCE �S QQQ�QQQ <br />CLAW&MADE XOCCUR <br />TOPED - <br />PREMISE$ (Ea occurrence) '..i 11 QQQ Qi 0O ' <br />IX CONTRACTUAL/CROSS <br />jMED EXP (Anyone person) 1$25,000 <br />_ XCU COVERED ` <br />PERSONAL &ADV INJURY -S 2 QQQ QQQ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />'GENERAL. AGGREGATE S4�000000 <br />POLICY } fl JECOT XJ LOC <br />~I <br />PRODUCTS _COMP/)P AGG j S 2, 000 000 <br />OTHER: <br />~ $ <br />B :�AVTOMOBILEDIBILITY <br />[ N NIII T'C2J-CAPSE086819 511!2019 511,010 <br />EOM61NEDSINGLELiN11T $ 1,000,000 <br />cc� I <br />B <br />B X <br />TJ-BAP SE086820 31/2019 5 I20'0 <br />ANY AUTO 'TC2J-CAP-8E087017 512019 5'1202p <br />-L <br />BODILY INJURY (Pat parson) I S XXXXXXX <br />OWNED SCHEDULED <br />AUTOS ONLY l-_ AUTOS <br />BODILY INJURY (Per accident)? $ XXXXXXX <br />HIRED NO <br />AUTOS ONLY AUTOS ONLY j <br />PROPERTY DAMAGE <br />_tPerasciUenll _y'5 XXXXXXX <br />. - <br />- S XXXXXXX <br />A X <br />UMBRELLALIAH 47-UNIO-307i85 :51'2019 51Ir2020 <br />X occuR N 6 <br />:EACH OCCURRENCE S5000 QQQ <br />`( <br />EXCESS LtAH CLAIMS -MADE <br />— . <br />AGGREGATE _ 5 5,000,000 <br />OEV RETENTIONS ! <br />SXXXXXXX <br />WORKERS COMPENSATION N <br />B 'AND EMPLOYERS' LIABILITY TC211:B-81:08J92 (AOS) 5! V2019 1 t - <br />YIN <br />PER OTH- <br />X STATUTE R <br />B ANY PROPRIETORIPARTNERIEXECUTIVE TRI UB-8EOR593(MA, W1) 511 /2019 51'2020 <br />B <br />_ <br />EL EACH ACCIDENT $ l Q00 QQQ <br />OFFICERiMEMBER EXCLUDED? NIA EXCEPT FOR 014 ND WA WY <br />�_.._ <br />(Mandatory in NH) j <br />I E.L. DISEASE - EA EMPLOYEE[ $$11 000 000 <br />under <br />".DESCRIPTION <br />DESCRIPTION OF OPERATIONS balnYi <br />E.L. DISEASE - POLICY LIMIT $ I (}Q(1000 <br />I <br />I I <br />I i <br />it <br />I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it mars space is required) <br />RE: STAN'FEC PROJECT N224801401; CLIENT PROJECT A-201 X172 COST OF SERVICE STUDY FOR WATER AND SEWER ENTERPRISES. CITY OF <br />SANTA ANA AND ITS OFFICERS, ENI PLOYEES, AGENT'S, VOLUNTEERS AND REPRESENTATIVES ARE ADDITIONAL <br />INSUREDS AS RESPECTS <br />GENERAL LIABILITY AND THESE COVE RAG ES .ARE PRIMARY, IF REQUIRED BY WRITTEN CONTRACT <br />REVIEWFQ_.�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 />©1 <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />I/ <br />1 <br />