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STANTEC (4)
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Entry Properties
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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A�Q W 1 <br />DATE (MM/DD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 5/l/2020 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 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 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 />Lockton Companies CONTACTFAx <br />PRODUCER NAME: <br />444 W. 47th Street, Suite 900 PHONENo. Eidk AJC <br />Kansas City MO 64112-1906 MAIL <br />ADDR SS: <br />(816) 960-9000 1 URFR(S1 AFFORDING COVERAGE NAIL # <br />INSURED STANTEC CONSULTING SERVICES INC. <br />1415077 370 INTERLOCKEN BOULEVARD, SUITE 300 <br />BROOMFIELD CO 80021-8012 <br />INSURER A : Berkshire Hatlusway 5pecigl Insurance Cgmp 2227 <br />INSURERB;Travelers Propeft Casualt Co ofAmerica 2567 <br />INSURER C <br />INSURER D <br />INSURER E : <br />COVERAGES CERTIFICATE NUMBER: 16289289 REVISION NUMBER: ix xxXX <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 />App LBR POLICY EFF.. P4tICY EXPXP - LIMITS <br />IR R <br />LT I <br />LT . <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />AX <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />47-GLO-307584 <br />CLAIMS -MADE [i] OCCUR <br />x <br />CpNTRACTUAL/CROSS <br />X <br />XCU COVERM <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />JJECT X LO <br />POLICY ❑X C <br />OTHER: <br />AUTOMOBILE LIABILITY <br />N <br />N <br />B <br />B <br />TJ-BAP 8E08682019 <br />X ANY AUTO <br />TC2J-CAP-8EO87017 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />X UMBRELLA LIAB 'ti' OCCUR <br />N <br />N <br />47-UMO-307585 <br />A <br />X I EXCESS LIAR CLAIMS -MADE <br />❑ED RETENTION $ <br />WORKERS COMPENSATION <br />Y <br />TC2J•UB-008592 (AOS) <br />B <br />AND EMPLOYERS' LIABILITY Y / N <br />TRJ-UB-SE08593 (MA, WI) <br />B <br />ANY PROPRIETORIPARTPIERIEXECUTIVF <br />.W <br />EXCFPT FOR OH ND WA Y <br />B <br />arriCERMEMSER EXCLUDED? 7N <br />N / A <br />(Mandatory In NH) <br />tf yes, desa74v under <br />DESCRIPTION OF OPERATIONS below <br />i/1/2019 <br />5/1/2019 <br />5/1/2019 <br />5/1/2019 <br />5/1/2019 <br />5/1/2020 <br />5/l/2020 <br />5/1/2020 <br />5/1/2020 <br />5/1/2020 <br />EACH OCCURRENCE <br />$ L UUU UYU <br />S 1000 00(I <br />$ 25,.000 _ <br />AM M I19TrEOF <br />PREMISES Ea occurr 1 <br />MED EXP (An one p@t9>,!1 <br />PERSONAL & ADV INJURY <br />S 2 0UD 000 <br />GENERAL AGGREGATE <br />S 4 OOOOy00O <br />PRODUCTS - COMP/OP AGG <br />$ Z 000, flO <br />COMBI sIN <br />n <br />$ 1 000 000 <br />BOO DILYLY INJURY (Per person) <br />$ 3{3(}C}j{ <br />BODILY INJURY (Per accident) <br />POETenlDAMA <br />paaR <br />$ �)=XX <br />$ XXXXXXX <br />$xxxxxxx <br />5 5 0017,000_ <br />✓ ACHocCURRENCE <br />AGGREGATE <br />8 5 000 O00 <br />5/1/2019 5/1/2020 ^ I STATUIt I 1 1 <br />5/1/2019 5/1/2020 E.L. EAc4 ACCIDENT <br />E.L- DISEASE -EA FMP <br />E.L. DISEASE- POLICY <br />DESCRIPTION OF OP ERATIDNS 1 LOCATIONS I VEHICLES (ACORD 101. Addittonel Remarks Sahodule. may ba attached if mom space is requlrod) <br />RIB: 224901 546; A-2019-114 - STORMWArER FUNDING FEASIBILITY STUDY. CITY OF SANTA ANA. ITS OFFICERS. EMPLOYEES, AGENTS, <br />VOLUNTEERS AND RNI'RESSTJTNI'1VE ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABLUTY AND THIS COVERAGE 1S PRIMARY <br />AND WORKERS )NIP 1BLITORY, IF SATIONIEMPLOYIREID ER S LIABILITY EWHFRE ALLOWEDVER OF BY TS E LAW AND FROGATION APPLIESTO RhQU RED BY WRIT TENAL ICONTRACT- <br />CERTIFICATE <br />CANCELLATION See <br />�uSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />-I)" F EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Q ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTA <br />©198a 015 ACORD CORPORATION. All rights reserved. <br />5A NTHA M. LAMBERT <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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