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ALC" . .
<br /> '1Mrr+'^C*'R, DATE(MMIDDIYYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 5/1/2017 WI/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 /> PRODUCER Lockton Companies !
<br /> ofNAffst
<br /> 444 W.47th Street,Suite 900 PHONE
<br /> T
<br /> Kansas City MO 64112-1906 i>4c. la
<br /> (816)960-9000
<br /> INSURER(S AFFORDING COVERAGE .....NAIC St
<br /> INSURER A:Zurich American Insurance Company 16535
<br /> INSURED STANTEC CONSULTING SERVICES INC. INSURER a Sentry Insurance a Mutual Company 24988
<br /> 1415077 -_ �
<br /> 8211 SOUTH 48TH STREET INSURER C:American Guarantee and Liab.Ins.Co. 26247
<br /> PHOENIX AZ 85044 INSURER 0
<br /> INSURER E: _.
<br /> INSURER F
<br /> COVERAGES CERTIFICATE NUMBER: 14490883 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 /> INSR qADDLISUBR POLICY EFF 1 POLICY EXP
<br /> LTR. TYPE OF INSURANCE IJNSD WyDN POLICY HUMBER IMMIDD7YYYYl I{M DmfYY'YY) LIMBS
<br /> A X 1.COMMERCIAL GENERAL LIABILITY 'y N GL05415704 .5/1/2016 5!112017 TEACH OCCURRENCE $ 2 000
<br /> L000
<br /> I CLAIMS-MADE ^E OCCUR PPR. ISGES(E( trr
<br /> o cncel $ 300,,000.
<br /> X CONTRACTUAL/CROSS MED EXP(Ar/one person) $ 10,000
<br /> XCU COVERED .,PERSONAL&ADV INJURY $ 2,000,000
<br /> GE 'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4.900.000
<br /> _ POLICY JE T LOC I PRODUCTS COMPIOP ADD $ 2,000,000
<br /> OTHERI
<br /> B AUTOMOBILE LIABILITY y N 90-17043-08{AOS) 5/1/2016 5/1/2017 �OMBINE°SINGLE LIMIT $ 1,000,000
<br /> B 90-17043-09(MA) 5/1/2016 511/2017
<br /> BODILY INJURY(Per person) $ XXXXXXX
<br /> B ' ,ANY AUTO 90-17043-10 CA) 5/1/2016 5/1/2017
<br /> ,—,1..... OWNED ^ SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ XXXXXXX
<br /> HIRED
<br /> �,,,,_.
<br /> - `-- NON-OWNED 1"5-
<br /> $ XXXXXXX
<br /> .—
<br /> AUTOS ONLY AUTOS ONLY
<br /> $ XXXXXXX
<br /> C x UMBRELLA LIAR OCCUR N N' AUC918463702 5/1/2016 5/1/2017 EACH OCCURRENCE $ 5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000.
<br /> DEO X I RETEN11QN$ 10,000 $ XXXXXXX
<br /> WORKERS COMPENSATION PER 10TH
<br /> B AND EMPLOYERS'LIABILITY -....N 917043416 AOS) 5/1/2016 5/1/2017 XL§T T.If
<br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE Yt N 9047043-0 1) 5/1/2016 5/1/2017 E.L EACH ACCIDENT $),990,000
<br /> NIA Exa , NDWAWY ,,
<br /> B (MaOFFndatory
<br /> In NH)MBER EXCLUDED? E L.DISEASE-EA EMPLOYEE.$ 1000,00}0
<br /> (Mandatory In NN) ', ..... ......... _.."......,_. LOOM°
<br /> , ...
<br /> I/yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1„000.090
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required)
<br /> RE:PROJECT NAME 2017-2018 ON-CALL SURVEYING SERVICES.STANTEC PROJECT#2002.THE CITY OF EVERETT,ITS OFFICERS,
<br /> EMPLOYEES AND AGENTS ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY,AND THESE COVERAGES
<br /> ARE PRIMARY AND NON-CONTRIBUTORY,AS REQUIRED BY WRITTEN CONTRACT.
<br /> CERTIFICATE HOLDER CANCELLATION See Attachments
<br /> 14490883
<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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> EVERETT WA 98201
<br /> AUTHORI2ED REPRESENT AYI
<br /> AT *fie
<br /> ©1988,-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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