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STANTEC (4)
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Last modified
4/29/2021 4:43:30 PM
Creation date
8/16/2019 10:51:11 AM
Metadata
Fields
Template:
Contracts
Company Name
STANTEC
Contract #
A-2019-114
Agency
PUBLIC WORKS
Council Approval Date
7/16/2019
Expiration Date
7/2/2021
Insurance Exp Date
10/1/2019
Destruction Year
2026
Document Relationships
STANTEC (2)
(Amends)
Path:
\Contracts / Agreements\S
STANTEC (3)
(Amends)
Path:
\Contracts / Agreements\S
STANTEC (5)
(Amended By)
Path:
\Contracts / Agreements\S
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W DATE (MMIDDIYYYY) <br />catRo CERTIFICATE OF LIABILITY INSURANCE 10/1/2019 9/9/2019 <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 he 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 NAME: CONTACT <br />444 W. 47th Street, Suite 900 PHONE FAX o : <br />Kansas City MO 64112-1906 MIL <br />(816) 960-9000 ADD s. <br />..Qmcvra% eccnwnrun r_nUVQnr.F NAIC # <br />INSURER A! 1L10YUS V l _LUllUUlA <br />INSURED STANTEC CONSULTING SERVICES INC. INSURER B : AIG S ecial In5tu'ance Com en 26883 <br />1414100 370 INTERLOCKEN BOULEVARD, SUITE 300 INSURER C : <br />BROOMFIELD CO 80021-8012 INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 16289295 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 />TYPE OF INSURANCE <br />AD DL <br />SU13RI <br />wvn I <br />POLICY NUMBER <br />ruu�r err <br />MMIODIYY <br />MMIDDfYYYYL <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE I OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXJIXX <br />nNTED <br />PREMISAM 8 Esoeeurrence <br />..-._ <br />`MED EXP.(Any one person) <br />$ XXXXXXx <br />$ XXXXXXX <br />PERSONAL & ADV INJURY <br />$ YMXXXX <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />PRODUCTS-=MP1OP AGG <br />$ XXXxXXX <br />JECTPOLICY 0 PRO- � LOC <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />NOT APPLICABLE <br />La . N ecdlden SINGLE IM 11 <br />lEa <br />$ X�X <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />ANY AUTO <br />BODILY INJURY (Per accident) <br />$ XXXXXXX <br />OWNED SCHEDULED <br />_ AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />IRVO RTY DAMAGE <br />Per ea - enl <br />$ XXXXXXX <br />AUTOS ONLY AUTOS ONLY <br />$ XXXXX3 x <br />UMBRELLA LIAB OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />AGGREGATE <br />$ XXXXXXX <br />EXCESS LIAR CLAIMS -MADE <br />DIED I RETENTION 4 1 <br />H_ <br />WORKERS COMPENSATION NOT APPLICABLE STA U7 ER <br />AND EMPLOYERS' LIABILITY <br />Y / N E.L. EACH ACCIDENT <br />ANY PROPRIErOMPARTNEMEXECUTIVE $ i <br />OFFICERIMEMBER EXCLUDED? ❑ N I A <br />(Mandatory In NH) E.L. DISEASE - EA EMPLOY $ i <br />If a, desenbe under <br />DIIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ <br />SCR <br />A Professional Liab N N GLOPRI801673 10/1/2018 10/1/2019 $3,000,000 PER CLAIM/AGG <br />A NO RETROACTIVE DATE INCLUSIVE OF COSTS <br />B Contractors Pollution Liab CP08085428 10/1/2017 10/1/2019 $3,000,000 PER LOSS/AGG <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: 224801546; A-2019-114 - STORMWATER FUNDING FEASIBILITY STUDY. <br />CERTIFICATE HOLDER <br />16289295 <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVIS <br />20 CIVIC CENTER PLA= <br />SANTA ANA CA 92702 <br />ACORD 25 (2016/03) <br />TION <br />i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />1 3 2019 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />THA M. [AMBERIUTHORIZE0REPRESENTATIV <br />@1988610115 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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