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co CERTIFICATE OF LIABILITY INSURANCE D02/22/2016 )
<br /> HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> :ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> IELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> IEPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> VIPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
<br /> ie terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> ertificate holder in lieu of such endorsement(s).
<br /> )DUCER CONTACT
<br /> NAME ANDREA OTTO
<br /> AON REED STENHOUSE INC. pet,Ext):1-952-807-0679 ( ,No):1-312-381-6608
<br /> AON RISK SERVICES CENTRAL,INC. ADDRESS:ANDREA.OTTO@AON.COM
<br /> 900-10025-102A AVENUE INSURER(S)AFFORDINGCOVERAGE NAIC#
<br /> EDMONTON,AB T5J 0Y2 INSURER A: ZURICH AMERICAN INSURANCE COMPANY 16535
<br /> URED INSURER B: SENTRY INSURANCE A MUTUAL COMPANY 24988
<br /> STANTEC CONSULTING SERVICES INC. INSURER C: ZURICH INSURANCE COMPANY
<br /> 11130 NE 33RD PLACE SUITE 200 INSURER D: SENTRY INSURANCE A MUTUAL COMPANY_ 24988
<br /> BELLEVUE,WA 98004 INSURER E: ALLIANZ GLOBAL RISKS US INSURANCE
<br /> 'INSURER F:
<br /> )VERAGES CERTIFICATE NUMBER: 980 REVISION NUMBER:
<br /> HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> VDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> :ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> :XCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> I TYPE OF INSURANCE INSR SVWD POLICY NUMBER (MM/DCD/YYYY�) (MM%DDrYYYY) LIMITS
<br /> GENERAL LIABILITY X GLO5415704 05/01/15 05/01/16 EACH OCCURRENCE $ 2,000,000
<br /> X COMMERCIAL GENERAL LIABILITY XCU COVER INCLUDED PREMISES TORENTED
<br /> $ 300,000
<br /> CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000
<br /> X CONTRACTUAUCROSS LIABILITY PERSONAL&ADV INJURY $ 2,000,000
<br /> X OWNRS E &CONTRACTORS GENERAL AGGREGATE $ 4,000,000
<br /> DROTF(:TIVF
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> POLICY X 7C,, X LOC
<br /> AUTOMOBILE LIABILITY , X 90-17043-08 05/01/15 05/01/16 CO BINdEeD>SINGLE LIMIT $ 1,000,000
<br /> X ANY AUTO Ep BODILY INJURY(Per person) $
<br /> AUTSS NED AUTOSULED BODILY INJURY(Per accident) $
<br /> HIRED AUTOS SONO-OWNED PROPERTY DAMAGE
<br /> (Per accident) $
<br /> $
<br /> X UMBRELLA LIAB X OCCUR X 8831307 05/01/15 05/01/16 EACH OCCURRENCE _ $ 5,000,000
<br /> X EXCESS UAB CLAIMS-MADE EXCESS GENERAL,AUTO AND AGGREGATE $ 5,000,000
<br /> DED X RETENTION$10,000 EMPLOYERS LIABILITY(FOLLOW
<br /> FORM) $
<br /> WORKERS COMPENSATION VVC STATU- OTH-
<br /> AND EMPLOYERS'LIABILITY 90-17043-06 05/01/15 05/01/16 TORY LIMITS ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVEn N/A STOP GAP/EMPLOYERS E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) LIABILITY ONLY E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> iCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required)
<br /> ILLEVUE WA. STANTEC PROJECT#2002. CLIENT PROJECT#OCSS16, RE: ON-CALL SURVEYING SERVICES. THE CITY OF
<br /> 'ERETT IS INCLUDED AS ADDITIONAL INSUREDS BUT ONLY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. THE
<br /> )VERAGE SHALL NOT BE CANCELLED OR NON RENEWED EXCEPT AFTER THIRTY(30) DAYS WRITTEN NOTICE TO THE
<br /> RTIFICATE HOLDER AND ADDITIONAL INSUREDS. ENDORSEMENTS#CG 20 10 07 04 AND#CA 20 48 02 99 ARE ATTACHED.
<br /> RTIFICATE HOLDER CANCELLATION
<br /> CITY OF EVERETT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 3200 CEDAR STREET ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> EVERETT, WA 98201
<br /> AUTHORIZED REPRESENTATIVE
<br /> f -'^--- ' oit_
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<br /> ORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
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