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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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4COR0 CERTIFICATE OF LIABILITY INSURANCE <br />�� Ion/zozo <br />GATEYYYY) <br />9/13/203/2019 <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 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 />PHONE E : FAX16 No, Nc <br />EMAIL <br />ADDRESS: <br />INSURE $ AFFORDING COVERAGE <br />NAIC# <br />INSURER A: Berkshire Hathaway Specialty Insurance Company <br />22276 <br />INSURED STANTEC CONSULTING SERVICES INC. <br />1414100 <br />INSURER B: AIG Speciahy Insurance Company <br />26883 <br />INSURER C: <br />370 INTERLOCKEN BOULEVARD, SUITE 300 <br />BROOMFIELD CO 80021-8012 <br />INSURER D <br />NSURERE: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 15553619 REVISION NUMBER: vyX vvJ{ <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 />ADDL <br />INSD <br />SUER <br />D <br />I POLICY NUMBER <br />POLICY EFF <br />IMMIDDIYYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE1:1 OCCUR <br />NOTAPPLICABLE <br />EACH OCCURRENCE <br />$ A'JOQ{= <br />OREW— <br />PREMISES Ea occurrence <br />$ x'xxxxxx <br />MED EXP (Any one person) <br />$ xx)CiQ{){x <br />PERSONAL &ADV INJURY <br />$ )O{XXXXX <br />AGGREGATE LIMIT APPLIES PER: <br />POLICV ❑ PRO- ❑ <br />ECT LOG <br />GENERALAGGREGATE <br />$ XX)O= <br />GENIL <br />PRODUCTS - COMP/OPAGG <br />$ ]DCXX XX <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />NOT APPLICABLE <br />EO COMBINED SINGLE LIMIT <br />$ i i{x <br />BODILY INJURY(Per person) <br />$ i <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />BODILY INJURY (Per accident) <br />$ ii <br />PROPERTY DAMAGE <br />Per accident <br />— <br />$ XXxxx)x <br />$ �xxxxx <br />UMBRELLA LIAR <br />OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ xxxxggg <br />AGGREGATE <br />$ }(]{x}{j{}{x <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ 3{7{j{KJ{}{g <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? ❑ <br />(Mandatory In NH) <br />0 yes, describe antler <br />DESCRIPTION un OPERATIONS below <br />N/A <br />NOT APPLICABLE <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ i{xxxxi{�{ <br />E.L. DISEASE - EA EMPLOYEE <br />$ xxa'=x <br />EL.DISEASE - POLICY LIMIT <br />$ gggg$XX <br />A <br />Professional Liab <br />N <br />N <br />47-EPP-309810 <br />10/l/2019 <br />10/1/2020 <br />$3,000,000 PER CLAIM/AGG <br />A <br />NO RETROACTIVE DATE <br />INCLUSIVE OF COSTS <br />B I <br />Contractors Pollution Liab <br />CP08085428 <br />10/12019 <br />10/1/2021 <br />$3,000,000 PER LOSS/AGG <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <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. <br />15553619 ? I <br />CITY OF SANTA ANA RL <br />RISK MANAGEMENT DIVISIONY <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92702 <br />SHOULD ANY O ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXTJAATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACC-QR13ANCE WITH THE POLICY PROVISIONS. <br />ACORD 25 (2016/03) <br />M <br />The ACORD name and logo are registered marks of ACORD <br />All rights reserved. <br />
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