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HomeMy WebLinkAbout5872 - Stantec Consulting - Anderson Creek Fish -�1 A� o' CERTIFICATE OF LIABILITY INSURANCE 1o/v2o22 DAT9/16/20 E (MMIDD i ) 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). PRODUCER F RECEIVED NAME: NI Lockton Com anies NAME: 444 W. 47th Street, Suite 900 HONE FAX A/C, No, EXt : A/C, No): Kansas City MO 64112-1906 E-MAIL (816) 960-9000 S E P 2 0 2021 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # City of Bremerton INSURER A : Berkshire Hathaway Specialty Insurance Company 22276 INSURED STANTEC CONSULTING LTD. City Attorney's Office I INSURER B : AIG Specialty Insurance Company 26883 1414100 370 INTERLOCKEN BOULEVARD, SUITE 300 INSURER C : BROOMFIELD CO 80021-8012 COVERAGES CERTIFICATE NUMBER: 15400417 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR NOT APPLICABLE EACH OCCURRENCE eeeeeeeee XXXXXXX DAMAGE TO RENTED PREMISES Ea occurrence XXXXXXX MED EXP (Any oneperson) XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXXXXX GENT AGGREGATE LIMIT APPLIES PER: POLICY❑ PE� El LOC OTHER: PRODUCTS - COMP/OP AGG $ XXXXXXX $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUUTO ONLY NOT APPLICABLE COEa as deDtSINGLE LIMIT $XXXXXXX BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY acctlentDAMAGE $ XXXXXXX UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOPJPARTNER/EXECUTIVE ElN OFFICER)MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below / A NOT APPLICABLE PER STATUTE I OTH- I ER E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE - EA EMPLOYEE XXXXXXX E.L. DISEASE - POLICY LIMIT XXXXXXX A A B Professional Liab Contractors Pollution Liab N N 47-EPP-308810 NO RETROACTIVE DATE CP08085428 10/1/2021 10/1/2021 10/1/2022 10/l/2023 $35000,000 PER CLAIM/AGG INCLUSIVE OF COSTS $310005000 PER LOSS/AGG DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: PROJECT NAME: ANDERSON CREEK FISH HABITAT ANALYSIS. STANTEC PROJECT #20180905. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 15400417 AUTHORIZED REPRESENTATIVE CITY OF BREMERTON 345 6TH STREET SUITE 600 BREMERTON WA BREMERTON *001 Ar, 00zv ACORD 25 (2016/03) ©1-4 8-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD CERTIFICATE LIABILITY INSURANCE COVERAGES CERTIFICATE NUMBER: 15614658 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 ADDL INSD SUB WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR CONTRACTUAL/CROSS Y Y 47-GLO-307584-04 05/01 /202 05101 /202 EACH OCCURRENCE $ 2 000 000 DAMAGE TO RENTED PREMISES (Ea occurre $ 11000,000 X MED EXP An one person)$ 25 000 PERSONAL & ADV INJURY $ 2,000,000 X XCU COVERED GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT � LOC OTHER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ B B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY N N TC2J-CAP-8EO86819(AOS) TJ-BAP-8E086820 05/01/202 05/01/202 05/01/202 05/01/202 Ea acccidentED slNGLELIMIT $ 11000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident) $ XXXXXXX PROPERTY AMAGE Per accident $XXXXXXX $XXXXXXX A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N 47-UMO-307585-04 05/01/202 05/01/202 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 51000,000 DED RETENTION $ $ B B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOPJPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N (Mandatory In NH) If describe under DESCRIPTION OF OPERATIONS below N/A N UB-3P635310 AOS) UB-3P533004(MA,WI) EXCEPT FOR OH ND WA 05/01/202 05/01/202 05/01/202 05/01/202 X PERUTE I TAT OT - ER E.L. EACH ACCIDENT $10000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 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: CITY OF BREMERTON: ANDERSON CREEK DAM REMOVAL AND FEASIBILITY PLANNING IL PROJECT LOCATION: ANDERSON AND MCDOUGAL CREEKS, IN BREMERTON AND PORT ORCHARD, KITSAP COUNTY, WASHINGTON. CITY OF BREMERTON IS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND THIS COVERAGE IS PRIMARY AND NON-CONTRIBUTORY, AS REQUIRED BY WRITTEN CONTRACT, WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY WHERE ALLOWED BY STATE LAW AND AS REQUIRED BY WRITTEN CONTRACT. 15614658 CITY OF BREMERTON ATTN: RISK MANAGEMENT 345 6TH STREET, SUITE 100 BREMERTON WA 98337 52@ Hti8C1111'113r1[S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ram' ACORD 25 (2015/03) ©1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD Attachment Code : D522032 Certificate ID : 15614658 POLICY NUMBER: 47-GLO-307584-04 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Locations) Of Covered Operations NY SUCH PERSON OR ORGANIZATION BUT ONLY TO LIABILTfIES ARISING OUT OF OUR NAMED INSURED'S EXTENT REQUIRED BY A WRITTEN CONTRACT ONLY. EXECUTED PRIOR TO THE "OCCURANCE" FOR OFFENSE. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section 11 —Who Is An Insured is amended to include as an additional insured the persons) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the inju CG 20 00413 ©Insurance Services Office, Inc., 2012 Page 1 of 2 Attachment Code : D522032 Certificate ID : 15614658 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 PAGE 2 of 2 Attachment Code : D522054 Certificate ID : 15614658 POLICY NUMBER: 47-GLO-307584-04 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Organizations) ANYSUCH PERSON OR ORGANIZATION BUT ONLYTO THE EXTENT REQUIRED BYA WRITTEN CONTRACT EXECUTED PRIOR TO THE "OCCURANCE" FOR OFFENSE. A. Section II —Who Is An Insured is amended to include as an additional insured the persons) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 Location And n Of Completed Operations REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRIl7EN AGREEMENT , EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 Page 1 of 1 Wolters Kluwer Financial Services � Uniform FormsTM Attachment Code : D522092 Certificate ID : 15614658 ENDORSEMENT This endorsement, effective 12:01 AM: 05/01/2022 Forms a part of Policy No.: 47Us Us 07584-04 Issued to: SEE ATTACHED CERTIFICATE By: Berkshire Hathaway Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided underthe following: COMMERCIAL RETAINED LIMIT LIABILITY POLICY FOLLOW FORM EXCESS LIABILITY POLICY PRODUCTS/COMPLETED OPERATIONS LIABILITY POLICY The following Condition is added to the policy: Primary Noncontributory— Other Insurance The insurance provided by this policy is primary, and will not seek contribution from any insurance available to an additional insured underthis policy, provided that: (a) The additional insured is a named insured under such other insurance; and (a) Prior to an "occurrence" you agreed, in a fully executed written contract or agreement, that this insurance would be primary and would not seek contribution from any insurance available to that additional insured. All otherterms and conditions of this policy remain unchanged. Page 1 � CLP-UN-065-10/2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Attachment Code : D522055 Certificate ID : 15614658 BERKSHIRE HATHAWAY SPECIALTY INSURANCE ENDORSEMENT This endorsement, effective 12:01 AM: OS/01/2022 Forms a part of Policy No.: 47-GL0-307S84-04 Issued to: SEE ATTACHED CERTIFICATE By: Berkshire Hathaway Specialty Insurance Company WAIVER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided underthe following: COMMERCIAL GENERAL LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY COMMERCIAL RETAINED LIMIT LIABILITY POLICY PRODUCTS/COMPLETED OPERATIONS LIABILITY POLICY SCHEDULE Name Of Person Or Organization: Any person ororganization that requires you to waive your rights of recovery, in a written and executed contract or agreement with you that is executed prior to the "occurrence" or "offense". The following Condition is added to the policy: We waive any right of recoverywe may have against the person ororganization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a written and executed contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. The Transfer of Rights of Recovery condition in the policyis deleted to the extentof the waiverprovided in this endorsement for the person ororganization shown in the Schedule above. All otherterms and conditions of this policy re main unchanged. Page 11 CL-UN-045-10/2016 CERTIFICATE OF LIABILITY INSURANCE 10/1/2023 DATE(MWDD 2 ) 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). PRODUCER Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 kctsu@lockton.com INSURED STANTEC CONSULTING LTD. INsuRER B : AIG S eciait Insurance Com an 26883 1414100 370 INTERLOCKEN BOULEVARD, SUITE 200 INSURER C : BROOMFIELD CO 80021-8009 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 15400417 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 ADDL INSD SUB WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX E T T PREMISES ( a occurrence) $ XXXXXXX MED EXP (Any oneperson) $ XXXXXXX PERSONAL 8 ADV INJURY $ XXXXXXX GENERAL AGGREGATE s XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT- El LOC OTHER: PRODUCTS - COMP/OP AGG $ XXXXXXX $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY NOT APPLICABLE CO(Ea accclden SINGLE LIMIT $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident) $ XXXXXXX PROPERTY AMAGE Per accident $XXXXXXX UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS below NIA NOT APPLICABLE I P R T - E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE - EA EMPLOYEE $ XXXXXXX E.L. DISEASE - POLICY LIMIT $ XXXXXXX A A B Professional Liab Contractors Pollution Liab N N I 47-EPP-308810 NO RETROACTIVE DATE I CP08085428 10/01/202 10/01/2021 �10/01/20234 10/01/202 $3,000,000 PER CLAIM/AGG INCLUSIVE OF COSTS $3,0001000 PER LOSS/AGG DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: PROJECT NAME: ANDERSON CREEK FISH HABITAT ANALYSIS, STANTEC PROJECT #20180905. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 15400417 AUTHORIZED REPRESENTATIVE CITY OF BREMERTON 345 6TH STREET SUITE 600 BREMERTON WA BREMERTON ACORD 25 (2016/03) ©1988-2015 The ACORD name and logo are registered marks of ACORD � CORPORATION. All rights reserved Allktmw� �® CERTIFICATE OF LIABILITY INSURANCE 10/1/2024 DA0 (MMIDD YYY) 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). ACT PRODUCER Lockton Companies NAME: 444 W. 47th Street, Suite 900 PHONE FAX A/C No Ext : A/C Not: Kansas City MO 64112-1906 E-MAIL (816) 960-9000 ADDRESS: kcasu@lockton.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Berkshire Hathaway Specialty Insurance Company 22276 INSURED STANTEC CONSULTING INSURERB: AIG Specialty Insurance Company 26883 1414100 SERVICES INC. INSURER C : 410 17TH STREET SUITE 1400 INSURER D DENVER CO 802024427 INSURER E : COVERAGES CERTIFICATE NUMBER: 15614660 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 ADDL INSD SUB WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX CLAIMS -MADE ❑ OCCUR P E'VF DAMAGE TO RENTED PREMISES( Ea occur a ce $ XXXXXXX MED EXP An one person)$ XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX RE GENERAL AGGREGATE $ XXXXXXX 0 C 012 2011 1 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑ dECT LOC PRODUCTS - COMP/OP AGG $ XXXXXXX 17] OTHER: $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS NOT APPLICABLE city Risk f Bremerton anat ,n' COMBINED SINGLE LIMIT Ea accident $XXXXXXX BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident) $ XXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY AMAGE Per accident $XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS -MADE AGGREGATE $ XXXXXXX DED RETENTION $ $ WORKERS COMPENSATION EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA NOT APPLICABLE PER TATU E I OTH- ER E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE - EA EMPLOYEE $ XXXXXXX If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ XXXXXXX A A Professional Liab N N 47-EPP-308810 NO RETROACTIVE DATE 10/01/202 10/01/202 $31000,000 PER CLAIM/AGG INCLUSIVE OF COSTS B Contractors Pollution Liab I I CP08085428 10/01/202 10/01/202 $31000,000 PER LOSS/AGG DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: PROJECT NAME: CITY OF BREMERTON: ANDERSON CREEK DAM REMOVAL AND FEASIBILITY PLANNING IL PROJECT LOCATION: ANDERSON AND MCDOUGAL CREEKS, IN BREMERTON AND PORT ORCHARD, KITSAP COUNTY, WASHINGTON, 15614660 CITY OF BREMERTON ATTN: RISK MANAGEMENT 345 6TH STREET, SUITE 100 BREMERTON WA 98337 CANC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. RIZED REPRESENTATIVE AUTHO U 7ytiS-LU95 AGUKU GUKYUKA I IUN. All rlglttS reS ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD