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HomeMy WebLinkAboutInsurance Certificate: Stantec Consulting Services ~ 1 A~ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) sn/2o1g 4/29/2017 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). PRODUCER LOCKTON COMPANIES NAME: 444 W. 47TH STREET, SUITE 900 _ Arc, No, Ext : ,vc, No KANSAS CITY MO 64112-1906 E-MAIL (816) 960-9000 ADDRESS: INSURER S AFFORDING COVERAGE NAIC # INSURER A : Zurich American Insurance Com an 16535 INSURED STANTEC CONSULTING SERVICES INC. INSURER B ; Travelers Property Casualty Co of America 25674 1426517 8211 SOUTH 48TH STREET INSURER C : American Guarantee and Liab, Ins. Co. 26247 PHOENIX AZ 85044 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 14644961 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMfDDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N GL05415704 5/1/2017 5/1/2018 EACH OCCURRENCE 2 OOO OOO CLAIMS-MADE ~ OCCUR DAMAGE TO RENTED 3OO OOO PREMISES Ea occurrence X CONTRACTUAL/CROSS MED EXP An one erson 25 OOO X XCU COVERED PERSONAL & ADV INJURY $ 2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4 OOO OOO POLICY❑ PRO- ❑ LOC PRODUCTS - COMPIOP AGG $ 2 OOO OOO JECT OTHER: $ g AUTOMOBILE LIABILITY N N TC21-CAP-8E086819 5/1/2017 5/1/2018 Ea aBcdeDtSINGLE LIMIT $ 1 B X ANY AUTO TJ-BAP-8E086820 5/112017 5/1/2018 gODILY INJURY (Per person) $XXXXXXX OWNED SCHEDULED BODILY INJURY (Per accident $XXXXXXX AUTOS ONLY AUTOS $XXXXXXX HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $XXXXXXX C X UMBRELLA LIAB X OCCUR N N AUC9184637 5/1/2017 5/1/2018 EACH OCCURRENCE $ 5 000 000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ S 000 000 DED X RETENTION $10,000 $XXXXXXX WORKERS COMPENSATION B AND EMPLOYERS' LIABILITY N TC21-UB-8E08592 (AOS) 5/1/2017 5/1/2018 X STATUTE ER B Y ~ N TRJ-UB-8E08593 (MA WI) 511/2017 5/1/2018 $ 1 000 000 ANY PROPRIETORIPARTNERlEXECUTIVE ' E.L. EACH ACCIDENT B OFFICERlMEMBER EXCLUDED? N N ~ A EXCEPT FOR OH ND WA WY 11 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE 1 000 000 If yes, describe under !n1 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 000 Oll0 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GRANTS PASS, OR. RE: CITY OF ASHLAND GUN CLUB PROJECT. THE CITY OF ASHLAND, OREGON AND ITS ELECTED OFFICIALS, OFFICERS AND EMPLOYEES ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND THIS COVERAGE IS PRIMARY AND NON-CONTRIBUTORY, IF REQUIRED BY WRITTEN CONTRACT. THE COVERAGE SHALL NOT BE CANCELLED OR NON RENEWED EXCEPT AFTER THIRTY (30) DAYS 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. 14644961 AUTHORIZED REPRESENTATIVE CITY OF ASHLAND 20 EAST MAIN STREET ASHLAND, OR 97520 =£r°,~~ v, ACORD 25 (2016103) ©1g~8-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD