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Ac "R" CERTIFICATE OF LIABILITY INSURANCE P9/13/2019 <br />ATE(MWDDlYYYY) <br />ill. ' 10f1J202U <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 can <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements). <br />PRODUCER Lockton Companies CONTACT <br />444 W. 47th Street, Suite 900 PHONE FAX <br />-.... <br />Kansas City MC) 641 I2-1906 E-MAIL <br />(816) 960-9000 AppRESs: _._......_ ...... <br />INSU9i,ER(S) AFFORDING COV RA E INAIC # <br />INSURED STANT'I='C CONSULTING SERVICES INC. <br />_...� Hathaway Specialty Insurance Cc7mpaaay 27276 <br />INSURER A: BerkshieHatl7 <br />INSURERS : A1G $)enrol Insurance C orn aarty 26883 <br />1414100 370 INTERLOC'KEN BOULEVARD, SUITE 300 INSURERC : <br />BROOMFIELD CO 80021-8012 INSURER <br />INSURER E <br />INSURER F <br />COVFRAGES r:FRTIFIrATF?JI[MopR. t,1z1 2ri,IQ ®i=i✓tatnr.tKit taaan-n. <br />_--.--..--_--.--.---_.-. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS ,SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. (LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY EFF POLICY EXP ....... _ _,...... <br />tLT R. ......... ADDL SUBR .... _.- _._ . _..._ .__.. <br />LTR TYPE OF tNSURAN�CE _...-,.- - ..........._ <br />p ❑ POLICY MM/DOIYYYY frflMIDpPYYYY.. LIMITS <br />-11 COMMERCIAL GENERAL LIABILITY <br />NOTAPPLICABLE <br />EACH OCCURRENCE <br />$ rxxxxxxx <br />I <br />CLAIMS -MADE CI OCCUR <br />DAMAEYO RENTEI]..... <br />PREMISES Ea occurrence <br />.. .....'.'...... <br />xirxxxxxx <br />MEd EXP (Any one. person) <br />$ a'�xX.�:xxx <br />............. <br />_..,_..... <br />PERSONAL & ADV INJURY <br />$ rxXX�'s.X1�C. <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />_. ......L(iC <br />.. <br />GENERAL AGGREGATE $ i'1S'.)S'�.,,. <br />I F PRO- <br />. _ — <br />POLICY JECT <br />PRODUCTS - COMP/OP , $ i{r�l'.` xxixx <br />OTHER: <br />r <br />$ <br />AUTOMOBILE <br />LIABIL:TTY <br />NOT APPLICABLE <br />? <br />COMBINED SINGLE LIMIT <br />accudenl) ..., $ exxxxx.ryiri. <br />ANY AUTO <br />( <br />.. _I ....._...., <br />BODILY INJURY (Per person) $ xxxxxxx <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per acodenM (} <br />I )" $ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />........ <br />PROPERTY DAMAGE <br />ieer accident) $ ) .rkXh'XxXX <br />$ xxxxxxx <br />UMBRELLA LIAB OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />� $ xxxy—h,'xx <br />EXCESS L9AB CLAIMS -MADE:.... <br />_.-..-I' <br />AGGREGATE <br />$ XJC=x <br />DED_ RETENTION$ <br />$ x'* xxxxx <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y' I N <br />NOT APPLICABLE <br />PER OTH- <br />STATUTE ..,,. ER <br />i <br />.......... <br />ANY PROPRIETOMPARTNERiEXECUTIVE <br />OFFICER/MEMBER EXCLUDED'? <br />NIA <br />E.L. EACH ACCIDENT <br />-.-� <br />$ xxy—xxx <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE <br />-- <br />$ <br />If yes, describe under <br />DESCRtPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT�x <br />,xxxx <br />A <br />Professional Lialt <br />N <br />N <br />47-EP`P-308810 <br />10/1/2019 <br />10/1/2020 <br />$3,000,000 PER C"LAINvVAGG <br />A <br />NO RETROACTIVE DATE <br />INCLUSIVE OF COSTS <br />B <br />C'ontraclors Pollution Liaab <br />CPO8085428 <br />10/1/2019 <br />10/l/2021 <br />$3,000,000 PER LOSS/AGG <br />!DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />RE: ST'AN 1'Ec PROJI C'T #224801401; CLIENT PROJECT A-2018-172, A-2019-015 and A-2021-075-04. COST OF SERVICE STUDY FOR WATER AND SEWER <br />ENTERPRISES. <br />c..trc 111-IO.rA I t In1.JI_ut:K V_ CANCELLATION Sec Attachment <br />CITY O19 " kIYIEI°IT �VgStO'' SHOULD ANY C7� Ttl' ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE; RISK M SAIti E Al1A F�H� THE EXP tON DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />RISK MANAGEMENT 1 DIVISIG ACC Rd'XNCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA <br />SANTA A dA CA 92702 AUTHORIZED REPRESENTATIV <br />a ✓ w arc IZAManagemed'Divisian <br />Y 1988 _015 ACORD COI x REUAEWED & APPRovm BY.- <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />` —� Risk Management AnTly5t <br />