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STANTEC CONSULTING SERVICES, INC. (3)
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STANTEC CONSULTING SERVICES, INC. (3)
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Last modified
5/24/2022 3:05:25 PM
Creation date
5/24/2022 3:04:41 PM
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Contracts
Company Name
STANTEC CONSULTING SERVICES, INC.
Contract #
A-2022-080
Agency
Public Works
Council Approval Date
5/17/2022
Expiration Date
5/16/2025
Insurance Exp Date
5/1/2023
Destruction Year
2030
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I vl I r ICI DUI 1 <br />-oraa <br />ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />14.i 5/1/2023 <br />DATE(MMMD/YYYY) <br />1 4/22/2022 <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 />PHC NE fAIA No: <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />INSURER A: Berkshire Hathaway Specialty Insurance Company <br />22276 <br />INSURED STANTEC CONSULTING SERVICES INC. <br />1415077 370 INTERLOCKEN BOULEVARD, SUITE 300 <br />INSURER B: Travelers Property Casualty Co ofAmerica <br />25674 <br />INSURERC: <br />BROOMFIELD CO 80021-8012 <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 16289289 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD <br />POLICY EXP <br />MMMD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE Fx] OCCUR <br />Y <br />Y <br />47 - GLO-307584 <br />5/l/2022 <br />5/1/2023 <br />EACH OCCURRENCE <br />$ 2000000 <br />DAMAGE TO RENTED <br />Ea occurrence <br />$ 1000 000 <br />X <br />-PREMISES <br />MED EXP (Any one person) <br />s 25,000 <br />CONTRACTUAL/CROSS <br />X <br />XCU COVERED <br />PERSONAL 8 ADV INJURY <br />$ 2,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JEO <br />� F—xl LOC <br />GENERAL AGGREGATE <br />$ 4,000.000 <br />PRODUCTS-COMPIOP AGO <br />$ 2,000,000 <br />S <br />OTHER: <br />B <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />N <br />N <br />TC2J-CAP-8EO86819 AOS <br />I ) <br />TJ-BAP-SE08fi820 <br />5/l/2022 <br />5/I/2022 <br />5/l/2023 <br />5/1/2023 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per perwn) <br />$OWNED <br />BODILY INJURY (Per neediest) <br />$ <br />AUTOS ONLY AUTOSULEO <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Peracddent <br />$ �{�{]{�{}{XX <br />$ X)CK)= <br />A <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />N <br />N <br />47 - UMO-307585 <br />5/l/2022 <br />5/1/2023 <br />EACH OCCURRENCE <br />$ 5.000.000 <br />X <br />AGGREGATE <br />$ 5,000,000 <br />EXCESS UJul <br />CLAIMSWADE <br />DED RETENTION$ <br />$ XX)D X <br />B <br />B <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOWPARTNERIEXECUTIVE YIN <br />OFFICERIMEMBER EXCLUDED? <br />N /A <br />Y <br />UB-3P635310 CA�DAS) <br />UB-3P533004(MA WI) <br />EXCEPT FOR OH ND A WY <br />5/1/2022 <br />5/l/2022 <br />5/1/2023 <br />5/1/2023 <br />PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />1 $ 1000000 <br />DESCRIPTION OF OPERATIONS I 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. CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS <br />AND REPRESENTATIVE ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND THIS COVERAGE IS PRIMARY AND NON- <br />CONTRIBUTORY, IF REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY, AND WORKERS <br />COMPENSATIOMEMPLOYER'S LIABILITY WHERE ALLOWED BY STATE LAW AND IF REQUIRED BY WRITTEN CONTRACT, <br />16289289 <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTAI P.�Moagonna bia, <br />w-Nd 06 Arrow®Br: <br />{!1�+ %du ;Vrtndost <br />n 1gss n15 ACORn C( �RbkAia„aee„Fn aAir.,IAar <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD it <br />
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