HomeMy WebLinkAboutInsurance Certificate: Stantec Consulting Services (4)
ACOR"' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
5/1/2019 4/26/2018
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).
CONTCT
PRODUCER LOCKTON COMPANIES N
AME:
444 W. 47TH STREET, SUITE 900 pHoN FAX
A~C No, E:t : vc, No
KANSAS CITY MO 64112-1906
E-MAIL (816) 960-9000 ADDRESS:
INSURERS AFFORDING COVERAGE NAIC #
INSURER A : Zurich American Insurance Company 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 EPF POLICY EXP
LTR TYPE OF INSURANCE INSD VJVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
A X COMMERCIAL GENERAL LIABILITY Y N GL00246172 5/1/2018 5/1/2019 EACH OCCURRENCE 2,000,000
CLAIMS-MADE ~ OCCUR PREMISES (Ea occurrence) 300,000
X CONTRACTUAL/CROSS MED EXP An one person) 25,000
X XCU COVERED PERSONAL & ADV INJURY $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000
RPOLICY jECT Fx-1LOC PRODUCTS - COMP/OP AGG $ 2,000,000
OTHER: $
B AUTOMOBILE LIABILITY N N TC2J-CAP-8E086819 5/1/2018 5/1/2019 ECOM a BINEDtSINGLELIMIT $ 1,000,000
B X ANY AUTO TJ-BAP-8E086820 5/1/2018 5/1/2019 BODILY INJURY (Per person) $ XXXXXXX
B OWNED SCHEDULED TC2J-CAP-8E087017 5/1/2018 5/1/2019 BODILY INJURY (Per accident $ XXXXXXX
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $XXXXXXX
AUTOS ONLY AUTOS ONLY Per accident
$XXXXXXX
C X UMBRELLA LIAB NXOCCUR N N AUC9184637 5/1/2018 5/1/2019 EACH OCCURRENCE $ 51000,000
N EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
DED X RETENTION $ 10,000 $ XXXXXXX
WORKERS COMPENSATION PER OTH-
B AND EMPLOYERS' LIABILITY N TC2J-UB-8E08592 (AOS) 5/1/2018 5/1/2019 X STATUTE ER
B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N TRJ-UB-8E08593 (MA, WI) 5/1/218 5/1/219
B OFFICER/MEMBER EXCLUDED? N❑ NIA EXCEPT FOR OH ND WA WY E.L. EACH ACCIDENT $ 1,000,000
(Mandatory in NH( E.L. DISEASE -EA EMPLOYEE 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / 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
III r'':'t ,,A:P ,+e..
ACORD 25 (2016/03) 19t8-2015 ACORD CORPORATION. All rights reserved
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