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STANTEC (5)
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STANTEC (5)
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Last modified
6/15/2020 11:34:17 AM
Creation date
3/4/2020 3:05:02 PM
Metadata
Fields
Template:
Contracts
Company Name
STANTEC
Contract #
A-2020-015
Agency
PUBLIC WORKS
Council Approval Date
2/4/2020
Expiration Date
7/2/2021
Insurance Exp Date
5/1/2020
Destruction Year
0
Document Relationships
STANTEC (2)
(Amends)
Path:
\Contracts / Agreements\S
STANTEC (3)
(Amends)
Path:
\Contracts / Agreements\S
STANTEC (4)
(Amends)
Path:
\Contracts / Agreements\S
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ACC)Ro® CERTIFICATE OF LIABILITY INSURANCE <br />�� 5/1/2021 <br />DATE(MMIDDIYYYY) <br />4/10/2020 <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 endorsement(s). <br />PRODUCER Lockton Companies <br />444 W. 47th Street, Suite 900 <br />Kansas City MO 64112-1906 <br />(816) 960-9000 <br />CONTACT <br />PHONEo Ex FAX <br />No <br />E-MAI L <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Berkshire Hathaway Specialty Insurance Company <br />22276 <br />INSURED STANTEC CONSULTING SERVICES INC. <br />1415077 370 UQTERLOCKEN BOULEVARD, SUITE 300 <br />INSURER B: Travelers Property Casualty Co of America <br />25674 <br />INSURER C: <br />BROOMFIELD CO 80021-8012 <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 15553615 RFVI.SInN NIIMRFR- vvvS <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 <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBft <br />POLICY NUMBER <br />POLICY EFF <br />M DDIYYYY <br />POLICY E%P <br />MM/DD <br />LIMITS <br />A <br />X <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS-MADE1XI OCCUR <br />Y <br />N <br />47-GLO-307584 <br />5/1/2020 <br />5/12021 <br />EACH <br />$ 2,000,000 <br />AMAGE TORR�ERCE <br />PREMISES Edoccunence <br />$ 1,000,000 <br />X <br />MEDEXP(Anyoneperson) <br />$25000 <br />CONTRACTUAL/CROSS <br />X <br />XCU COVERED <br />PERSONAL B ADV INJURY <br />$ 2,000,000 <br />GENT <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JEC LOC <br />GENERALAGGREATE <br />$ 4 000 000 <br />PRODUCTS - COMP/OP AGG <br />$ 2000000 <br />$ <br />OTHER'. <br />B <br />BANY <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />0 <br />N <br />N <br />TC2J-CAP-8E086819(ADS) <br />TJ-BAP-8E086820 <br />TC2I-CAP-8E087017 (NJ) <br />5/1/2020 <br />5/1/2020 <br />5112020 <br />5/12021COMBINED <br />5/1/2021 <br />5/1/2021 <br />OMBIfEaaccEDISINGLELIMIT <br />$ 1000000 <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />OWNED <br />OWNED SCHEDULED <br />AUTOS ONLY NCN-O <br />HIRED NON -OWNED <br />AUTOS ONLY AUrOS ONLY <br />accitlent) <br />$ XXXXXXX <br />PROPSBODILY TYMA AG(Pa <br />PROPERTY DAMAGE <br />Per accident t <br />$ XXXXXXX <br />$ 7{XK'7Cxyx <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />N <br />N <br />47-UMO-307585 <br />5/12020 <br />5/1/2021 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />X <br />AGGREGATE <br />$ 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEO I I RETENTION$ <br />$ XX 'X) J{J{ <br />B <br />BANY <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />PROFRIETORIPARTNERIEXECUTIVE YIN <br />(Mandatory In H) EXCLUDED? � <br />(Mandatory In NH) <br />yes, <br />NIA <br />Y <br />UB-3P635310(AOS) <br />UB-3P533004(MA, WI <br />EXCEPT FOR OH ND WA WY <br />5/12020 <br />5/12020 <br />5/1/2021 <br />5/1/2021 <br />PER OTH- <br />'X STATUTE ER <br />E.L EACH ACCIDENT <br />$ 1000 QQQ <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1000000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />PTI Nunder <br />DESCRIPTIIf <br />DON OF OPERATIONS be. <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be allachad if more space Is requlmd) <br />RE: STANTEC PROJECT #224801401; CLIENT PROJECT A-2018-172,A-2019-015 and A-2020-075-04 COST OF SERVICE STUDY FOR WATER AND SEWER <br />ENTERPRISES. CITY OF SANTA ANA AND ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE ADDITIONAL <br />INSUREDS AS RESPECTS GENERAL LIABILITY AND THESE COVERAGES ARE PRIMARY, IF REQUIRED BY WRITTEN CONTRACT. WAIVER OF <br />SUBROGATION APPLIES TO WORKERS COMPENSATION/EMPLOYER'S LIABILITY WHERE ALLOWED BY STATE LAW AND IF REQUIRED BY <br />WRITTEN CONTRACT <br />15553615 RL T I L TT L- <br />CITY OF SANTA ANA By Risk MANAGEMENT <br />RISK MANAGEMENT DIVSION <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92702 I \Vffiy <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />TH PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDIkKEWITH THE POLICY PROVISIONS. <br />ACORD 25 (2016/03) <br />the ACORD name and logo are registered marks of ACORD <br />reserved. <br />
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