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HomeMy WebLinkAboutInsurance Certificate: Stantec Consulting Services (3) ~ 1 A~ CERTIFICATE OF LIABILITY INSURANCE 5/1/2 DATE(M~IDDlYYYY) ois 5/1/017 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 ,vc, No, Ext : Alc, 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 1415571 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: 14670699 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 MMIDDlYYYY MMIDDlYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y GL05415704 5/1/2017 5/1/2018 EACH OCCURRENCE 2 OOO OOO CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED 3OO OOO X 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 PE ~ ~ LOC PRODUCTS - COMPIOP AGG $ 2 OOO OOO OTHER: $ B AUTOMOBILE LIABILITY N N TC2J-CAP-8E086819 5/1/2017 5/1/2018 E~ aBcdeDtSINGLE LIMIT $ 1 OOO OOO B X ANY AUTO TJ-BAP-8E086820 5/l /2017 5/1/2018 BODILY INJURY (Per person) $XXXXXXX OWNED SCHEDULED BODILY INJURY P XXXXXXX AUTOS ONLY AUTOS (er accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $XXXXXXX $XXXXXXX C X UMBRELLA LIAB X OCCUR N N AUC9184637 5/1/2017 5/1/2018 EACH OCCURRENCE $ 5 OOQ QQO X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5 OQO OOQ DED X RETENTION $10,000 $XXXXXXX WORKERS COMPENSATION PER OTH- B AND EMPLOYERS' LIABILITY N TC2J-UB-8EO8592 (AOS) 5/1/2017 5/1/2018 X STATUTE ER B ANY PROPRIETOR/PARTNERIEXECUTIVE YIN TRJ-UB-8EO8593 (MA, WI) SIlI2O1 ~ SI1I2O 18 E.L. EACH ACCIDENT B OFFICERlMEMBER EXCLUDED? a N 1 A EXCEP'T' FOR OH ND WA WY $ 11 OOQ QQO (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE 1 OOO OOO If yes, describe under t DESCRIPTION OF OPERATIONS below _ E.L. DISEASE - P_OLIC_Y_LIMIT 1 OOO,OOO A PROPERTY N N MCP4819323 5/1/2017 5/1/2018 A>✓L RISK DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SANDY, UT THE CITY OF ASHLAND, OR AND ITS ELECTED OFFICIALS, OFFICERS AND EMPLOYEES ARE ADDITIONAL INSUREDS W[TH RESPECTS TO GENERAL LIABILITY, AUTO LIABILITY AND UMBRELLA/EXCESS LIABIILTY, AND THIS COVERAGE IS PRIMARY & NON-CONTRIBUTORY, IF REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION APPLIES IF REQUIRED BY WRITTEN CONTRACT AND ALLOWED BY STATE LAW. THIS COVERAGE SHALL NOT BE CANCELLED WITHOUT THRITY (30) DAYS WRITTEN NOTICE T 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. 14670699 AUTHORIZED REPRESENTATIVE City of Ashland 20 E, Main Street ASHLAND OR 97520 ~ ' ~ ACORD 25 (2016103) ©1 8-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD