HomeMy WebLinkAboutInsurance Certificate: Stantec Consulting Services (3)
ACC?R°' CERTIFICATE OF LIABILITY INSURANCE [__DATE (MM/DD1YYYY)
11*./ 10/1/2017 7/29/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT
PRODUCER Lockton Companies NAME:
444 W. 47th Street, Suite 900 A006NE FAX
/C, No, Ext : A/C, No):
Kansas City MO 64112-1906 E-MAIL
(816) 960-9000 ADDRESS:
INSURERS AFFORDING COVERAGE NAIC #
INSURER A : Lloyds of London
INSURED STANTEC CONSULTING SERVICES INC. INSURER B : AIG Specialty Insurance Company 26883
1414100 8160 S HIGHLAND DRIVE, SUITE A4 INSURER C :
SANDY UT 84093
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 14188478 REVISION NUMBER: XXXXXXX
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR ADDL SUBR POLICY EFF POLICY EXP LIMITS
TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE XXXXXXX
PREMISES ENTED XXXXXXX
CLAIMS MADE ❑ OCCUR NOT APPLICABLE DAMAGES ( EaR occurrence
MED EXP An one person) XXXXXXX
PERSONAL & ADV INJURY $ XXXXXXX
POTHER: 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX
POLICY❑ PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ XXXXXXX
$
AUTOMOBILE LIABILITY Ea accidentSINGLE LIMIT $ XXXXXXX
ANY AUTO NOT APPLICABLE BODILY INJURY (Per person) $ XXXXXXX
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per accident $XXXXXXX
HIRED NON-OWNED PROPERTY DAMAGE $XXXXXXX
AUTOS ONLY AUTOS ONLY Per accident
UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX
EXCESS LIAB CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX
DED RETENTION $ $
WORKERS COMPENSATION STATUTE OT
AND EMPLOYERS' LIABILITY Y / N NOT APPLICABLE
E.L. EACH ACCIDENT $ XXXXXXX
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $xxxxxxx
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT XXXXXX
A Professional Liab N N GLOPRI601673 1011/2016 10/1/2017 $3,000,000 PER CLAIM/AGG
A NO RETROACTIVE DATE INCLUSIVE OF COSTS
B Contractors Pollution Liab CP08085428 10/1/2016 10/1/2017 $3,000,000 PER LOSS/AGG
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: THIS COVERAGE SHALL NOT BE CANCELLED WITHOUT THIRTY (30) DAYS, EXCEPT TEN (10) DAYS FOR NONPAYMENT OF PREMIUM,
WRITTEN NOTICE TO THE CERTIFICATE HOLDER.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE: POLICY PROVISIONS.
14188478 AUTHORIZED REPRESENTATIVE
CITY OF ASHLAND
20 E. MAIN STREET
ASHLAND OR 97520
ACORD 25 (2016/03) @108-2015 ACORD CORPORATION. All rights reserved
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