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ACCORE11® CERTIFICATE OF LIABILITY INSURANCE
<br />°0510112016 '
<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 be endorsed. if SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the
<br />certificate holder In lieu of such endorsement s .
<br />PRODUCER Ji�ACAMNEACT ANDREA OTTO
<br />AON REED STENHOUSE INC. I MEW Ext):1-952-807-0679 Net:1-312-381-6608
<br />AON RISK SERVICES CENTRAL, INC. ADDRESS: ANDREA.OTTO(cD-AON.COM
<br />900 - 10025 - 102A AVENUE INSURER(S) AFFORDING COVERAGE "Co
<br />EDMONTON, AB T5J OY2 INSURER A: ZURICH AMERICAN INSURANCE COMPANY 16535
<br />INSURED INSURER B: SENTRY INSURANCE A MUTUAL COMPANY 124988
<br />STANTEC CONSULTING SERVICES INC, INSURER c_ZURICH INSURANCE COMPANY
<br />38 TECHNOLOGY DRIVE, SUITE 100 INSURER D: SENTRY INSURANCE A MUTUAL COMPANY 24988
<br />IRVINE, CA 92618 INSURER E:
<br />INSURER F:
<br />uuvtKwutJ t;tKITI-IUAIE NIJMBEK: /13 KEVI5I0N NUMBER:
<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 />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ggEXCLUSIONS
<br />�LTR
<br />TYPE OF INSURANCE _
<br />INSR
<br />D POLICY NUMBER
<br />-_
<br />P�L�CY EFF
<br />tMN10UlY1YY1
<br />p�L�CY EXP LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X
<br />GL05415704
<br />05/01/16
<br />05/01/17 ', EACH OCCURRENCE
<br />$ 2,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />PREMjEs (Ee oc�curtoru o)
<br />_
<br />$ 300000
<br />CLAIMS -MADE iXII OCCUR
<br />XCU COVER INCLUDED
<br />MEOEXP(An one person)
<br />$ 10,000
<br />X CONTRACTUAUCROSS LIABILITY
<br />PERSONAL rR AOV INJURY
<br />5 2 OOO OOO
<br />_ ,---'-
<br />OWNERS 8 CONTRACTORS
<br />OWNER & CO---------
<br />GENERAL AGGREGATE
<br />-- -----
<br />v
<br />$ 4,000,000
<br />$ 2.000.000___
<br />G_ EN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS _COMPIOP AGG
<br />�
<br />POLICY I X I JECT X I LOC
<br />_ _ _
<br />5
<br />B
<br />AUTOMOBILE LIABILITY
<br />90-17C143-OS
<br />05/01/16
<br />INGLE LIMIT
<br />05/01/17 l a denq
<br />5 1,000,000
<br />X ANY AUTO
<br />BODILY INJURY (Per person)
<br />5
<br />AFL S NEO 08FULED
<br />HIRED AUTOS ATu�lOfEVNVED
<br />BODILY INJURY (Per accident)
<br />an
<br />(er aP - scciRdTYAMAGE t�
<br />5
<br />S
<br />S
<br />I
<br />C
<br />X UMBRELLA LIAB X-1 OCCUR
<br />8831307
<br />05/01/16
<br />05/01/17 , EACH OCCURRENCE
<br />$ _ 5,000,000
<br />X EXCESS LIAe l CLAIMS -MADE
<br />EXCESS GENERAL, AUTO AND
<br />AGGREGATE
<br />5 5,000,000
<br />OED X RETENTION 510,000
<br />EMPLOYERS LIABILITY (FOLLOW
<br />05/01/16
<br />05/01/17 XT'OR ILLIMITS ER
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />90'17043'06
<br />ANY PROPRIETOR/PARTNERIEXECUTIVE
<br />EXCLUDED?
<br />NIA
<br />E.L EACH ACCIDENT
<br />--
<br />S 1,000,000
<br />-
<br />%FFICERIMEMBER
<br />(MandatoryIn NNI
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1,000,000
<br />If as, des aibe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />S 1,000,000
<br />DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, t1 more space Is required)
<br />IRVINE, CA. STANTEC PROJECT # 2073. RE: RFP - ON -CALL ENGINEERING SERVICES. CITY OF SANTA ANA, ITS OFFICERS,
<br />EMPLOYEES, AGENTS, VOLUNTEERS, AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL INSUREDS BUT ONLY ARISING
<br />OUT OF THE OPERATIONS OF THE NAMED INSURED. THE COVERAGE SHALL NOT BE CANCELLED OR NON RENEWED EXCEPT
<br />AFTER THIRTY (30) DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER AND ADDI IONAL I SUREDS. ENDORSEMENT # CIS 20
<br />10 07 04 IS ATTACHED.
<br />(t SIC F WVED HY I11�1� k%F 1�E�7EA (arc, ��I -
<br />E
<br />l.._...:.... _...:: W/._.w
<br />CITY OF SANTA ANA
<br />ATTN: PURCHASING DEPARTMENT
<br />20 CIVIC CENTER PLAZA
<br />SANTA ANA, CALIFORNIA 92701
<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 REPRESENTATIVE
<br />�°"` R 0*
<br />reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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