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A r-.•. DATE(MMIDD/YYYY) <br /> �-/ CERTIFICATE OF LIABILITY INSURANCE krie 10/1!2017 1/31/2017 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> CONTACT <br /> PRODUCER Lockton Companies _ <br /> 444 W.47th Street,Suite 900 PAX <br /> dA N.Elly WO.Mak <br /> Kansas City MO 64112-1906 EWA& <br /> (816)960-9000 609R1S3: <br /> 1 INSURCOVERAGE ERS$)AFFORDINGCOV [ NAIC# <br /> INSURER A;Lloyds of London_....�,... €.. .. <br /> INSURED STANTEC CONSULTING SERVICES INC. MSURER B:AIG Specialty Insurance Company t 26883 <br /> 1414100 8211 SOUTH 48TH STREET INSURER C: <br /> PHOENIX AZ 85044 INSURER 0 <br /> IN$URER E ' <br /> INSURERFY _.. <br /> COVERAGES CERTIFICATE NUMBER: 14490898 REVISION NUMBER: XXXXXXX <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> !NSR - - -- _ .ADDr _.... ,. POLICY EFF ; POUCYfii(F' 1. _... <br /> LTR. _... TYPE OF INSURANCE INS() INFO POLICY NUMBER IMMIDDIYYYY) GRAIODIYYYYI LIMITS <br /> I COMMERCIAL GENERAL LIABILITY NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX <br /> CLAIMS-MADE 0OCCUR PREMIGI%TOia=un $ XXXXXXX <br /> PREMISES Ma ar } <br /> MED EXP(Anyone person) S XXXXXXX: <br /> _ PERSONAL&ADV INJURY S XXXX,XXX__.. <br /> GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX_.. <br /> POLICY X JECT X LOC PRODUCTS-COMP/OP,AGG $ XXXXXXX <br /> OTHEI $ <br /> AUTOMOBILE LIABILITY NOT APPLICABLE t-. t#.E LAM IT $ XXXXXXX <br /> ANY AUTO BODILY INJURY(Per person)? $ XXXXXXX <br /> OWNED SCHEDULED BODILY INJURY(Per accident) i <br /> AUTOS ONLY ,AUTOS XXXXXXX .._..... <br /> HIRED NON-OWNED $ XXXXXXX <br /> AUTOS ONLY _'AUTOS ONLY „jPeybotidOr1) <br /> $ XXXXXXX <br /> UMBRELLA LIAR OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX <br /> EXCESS LIAB CLAIMS-MADE tg° AGGREGATE $ XXXXXXX <br /> QED RETENTION$ $ XXXXXXX <br /> WORKERS COMPENSATIONII I 0114- <br /> AND EMLIABILITYPLOYERS•LIABILITYNOT APPLICABLE a; TE 1. <br /> ANY PROPR!ETOR/PARTNER/EXECUTIVE YQ 4 EL EACH ACCIDENT $ XXXXXXX „. <br /> OFFICER/MEMBER EXCLUDED? N I A t ---- <br /> (Mandatory In NH) l EL DISEASE EA EMPLOYEE s XXXXXXX <br /> Ifes,describe under <br /> DESCRIPTION OF OPERATIONS bebar r EL DISEASE-POLICY LIMIT $ XXXXXXX <br /> A Professional Liab N N GLOPR1601673 10/1/2016 10/1/2017 $3,000,000 PER CLAIMIAGG <br /> A NO RETROACTIVE DATE INCLUSIVE OF COSTS <br /> B Contractors Pollution Liab CP08085428 10/1/2016 ,10/1/2017 $3,000,000 PER LOSS/ACG <br /> DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If rams space sequtrod) <br /> RE:PROJECT'NAME 2017-2018 ON-CALL SURVEYING SERVICES.STANTEC PROJECT#2002. <br /> CERTIFICATE HOLDER CANCELLATION See Attachment <br /> 14490898 <br /> CITY OF EVERETT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 3200 CEDAR STREET; THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> EVERETT WA 98201 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTA /y� <br /> /-f <br /> ©198 015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />