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ACGRD . CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) Lee....' 5/1/2017 1/31/2017 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(les)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). ACT PRODUCER Lockton Companies NAMME: • 444 W.47th Street,Suite 900 PHONEFAX (A/C.No.Ext): (A/C.No): Kansas City MO 64112-1906 E-MAIL (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 48T11 STREET INSURER C:American Guarantee and Liab.Ins.Co. 26247 PHOENIX AZ 85044 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 14490883 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 LTR TYPE OF INSURANCE INSD SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMIDD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY y N GLO5415704 5/1/2016 5/1/2017 EACH OCCURRENCE $ 2,000,000 DAMAGE 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 JECT X LOC PRODUCTS-COMP/OPAGG $ 2,000,000 _ OTHER: $ B AUTOMOBILE LIABILITY Y N 90-17043-08((AOS) 5/1/2016 5/1/2017 (Ea Macccident'INGLE 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 BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED 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 X OCCUR N N AUC918463702 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 B WORKERS COMPENSATION N X PER OTH- AND EMPLOYERS'LIABILITY 90-17043-06 AOS) 5/1/2016 5/1/2017 STATUTE ER 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 2017-2018 ON-CALL SURVEYING SERVICES.STANTEC PROJECT#2002.THE CITY OF EVERETT,ITS OFFICERS, EMPLOYEES AND AGENTS ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY,AND THESE COVERAGES ARE PRIMARY AND NON-CONTRIBUTORY,AS REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION See Attachments 14490883 • CITY OF EVERETT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3200 CEDAR STREET; THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EVERETT WA 98201 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIV.,/ I Ate' Ai 47.,,,a ©1988 015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD