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l e DATE(MM/DDIYYYY) A�CGRD CERTIFICATE OF LIABILITY INSURANCE 5/1/2017 9/26/2016 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). NTACT PRODUCER Lockton Companies NAAME: 444 W.47th Street,Suite 900 PHONE FAX Kansas City MO 64112-1906 McAILo.Ext): (A/C,No): (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Zurich American Insurance Company 16535 INSURED STANTEC CONSULTING SERVICES INC. INSURER B:Sentry Insurance a Mutual Company 24988 1415077 8211 SOUTH 48TH STREET INSURER C:American Guarantee and Liab.Ins.Co. 26247 PHOENIX AZ 85044 INSURER D: INSURER E: I INSURER F: COVERAGES CERTIFICATE NUMBER: 14278863 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y N GL05415704 5/1/2016 5/1/2017 EACH OCCURRENCE $ 2,000,000DAMAGE TO _ CLAIMS-MADE X OCCUR PREMISES(EaENTED occurrence) $ 300,000 _ X CONTRACTUAL/CROSS MED EXP(Any one person) $ 10,000 XCU COVERED PERSONAL&ADV INJURY $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X ECT X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY y N 90-17043-08AOS) 5/1/2016 5/1/2017 (Ea accidentSINGLE LIMIT $ 1,000,000 B 90-17043-09 MA) 5/1/2016 5/1/2017 B x ANY AUTO 90-17043-10 CA) 5/1/2016 5/1/2017 BODILYINJURY(Perperson) $OWNED )OX0000( AUTOS ONLY AUTOSULED BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ XXXXXXX ONLY AUTOS ONLY (Per accident) $ C X UMBRELLA LIAB X OCCUR N N AUC918463701 5/1/2016 5/1/2017 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 $ XXXXXXX WORKERS COMPENSATION N X STATUTE ERPER H B AND EMPLOYERS'LIABILITY 90-17043-06 AOS) 5/1/2016 5/1/2017 B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 90-17043-07 HI) 5/1/2016 5/1/2017 E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? n N/A EXCEPT FO OH ND WA WY (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) RE:PROJECT NAME 3 LAKES VALVE VAULT STRUCTURAL SUPPORT AND QA/QC.CITY OF EVERETT,ITS OFFICERS AND EMPLOYEES ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY,AND THESE COVERAGES ARE PRIMARY,AS REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION See Attachments 14278863 CITY OF EVERETT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: RICHARD HEFTI THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3200 CEDAR STREET, ACCORDANCE WITH THE POLICY PROVISIONS. EVERETT WA 98021 AUTHORIZED REPRESENTATIVF�,' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(201 6/03) The ACORD name and logo are registered marks of ACORD