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HomeMy WebLinkAbout6215 - COI - Stantec Consulting Services -2024�`� �® CERTIFICATE OF LIABILITY INSURANCE 5/1/2024 DA04/21/2023) 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 kcasu@lockton.com INSURER A : Travelers INSURED STANTEC CONSULTING INSURER B: 1415077 SERVICES INC. INsuRER c 410 17TH STREET SUITE 1400 INSURER D DENVER CO 80202-4427 INSURER E COVERAGES CERTIFICATE NUM6ER: AFFORDING COVERAGE of America 25674 • � � it C �����AZI 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 SHOVVN 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 B X COMMERCIAL GENERAL LIABILITY CLAIMS-IJIADE � OCCUR CONTRACTUAL/CROSS Y Y 47 - GLO-307584 05/01/202 05/01/202 EACH OCCURRENCE 5 2 OOO OOO DAMAGE�RENTED P E Ea o rr 5 1 OOO OOO X MED EXP An one erson 5 25 000 X XCU COVERED PERSONAL&ADVINJURY 5 2 OOO OOO GENERAL AGGREGATE 5 4 OOO,OOO GEN'L HGGREGATE LIMIT APPLIES PER: POLICY JECT � LOC OTHER: PRODUCTS -COMP/OP AGG 5 2 OOO OOO 5 A '4 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY A�TOS ONE1D' N N TC2J -CAP - 8E086819 (AOS TJ -BAP - 8E086820 05/01/202 05/01/2023� 05/01/202 05/01/202 COMBINED SINGLE LIMIT Ea accident 5 1,000,000 X BODILY INJURY (Per person) 5 XXi(XXXX BODILY INJURY (Per accident) 5 XXXXXXX Pe�accRdentDAMAGE 5 XXXXXXX SXXXXXXX B �( UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS-t✓,ADE N N 47 - UMO-307585 05/01/202 05/01/202 EACH OCCURRENCE S rj 000 OOO AGGREGATE 5 S,000,OOO DED RETENTION 5 5 A A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICERIMEMBER EXCLUDED? (Mandatory in NHl If yes describe under DESCRIPTION OF OPERATIONS below NIA 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 P R 5 ATUTE OTH- E.L. EACHHCCIDENT 5 1,000,000 E.L. DISEASE -EA EMPLOYEE 5 1,000,000 E.L. DISEASE -POLICY LIMIT 5 1 OOO OOO DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schetlule, may be attached if more space is required) RE: PROJECT NAME: CITY OF BREMERTON: ANDERSON CREEK DAM REMOVAL AND FEASIBILITY PLANNING II. 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 Bl' WRITTEN CONTRACT. WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY WHERE ALLOWED BY STATE LAW AND AS REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER 15614658 CITY OF BREMERTON ATTN: RISK MANAGEMENT 345 6TH STREET, SUITE 100 BREMERTON WA 98337 RECEIVE[ MAY 0 8 2023 City of Bremerton Risk Management CANCELLATION wee H>aacnments 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 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Attachment Code : D564542 Certificate ID : 15614658 Dear Valued Client: In our continuing effort to provide timely certificate delivery, Lockton Companies is utilizing paperless delivery of Certificates of Insurance. To ensure electronic delivery for future renewals of this certificate, we need your email address. Please contact us via the email below and reference Certificate ID: ��:�� �'��_�� You must reference this Certificate (D number in order for us to complete this process. Cer�ifieat�� ter: €SG���E��€ i> Lmaii:lccasrr@Locicto�.cc�rn �s-rb�e�. L ine: �k:L�-Deiitrer�f NOTES: Signing up for this will NOT sign you up for any solicitation emails -your email will only be used to forward updated or renewal certificates direct from Lockton. Your certificates will come via a secure link to our database (see below) with the following email "certificates@locktoncerts.com". This is how you know it is from Lockton directly. Also -please do not send any emails to "certificates@locktoncerts.com" as it is not an actual email address. If you do need a pdf of a certificate, please email kcasu@lockton.com to request one. The link will look like this: F xx ttis,t::c� trs.reu :e^'.an..-. ,7d.X +,Lr_. ._i xd+ity-� r.�s�h;d°.3t If you received this letter with a certificate via email, no further action on your part is necessary. If you no longer need this certificate, please contact us at kcasu@lockton.com, reference the Holder ID number and use this subject line: "Certificate Removal" Thank you for your cooperation. Lockton Companies Account Services Unit r:,��i � i��u�r;�. �.�c, � i =uii!t; i i:vi.�r Attachment Code : D522032 Certificate ID : 15614658 POLICY NUMBER: 47 - GLO-307584 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Oraanizationfs) IY SUCH PERSON OR ORGANIZATION BUT ONLY TO E EXTENT REQUIRED BY A WRITTEN CONTRACT ECUTED PRIOR TO THE "OCCURANCE" FOR OFFENSE. Locations) Of Covered Operations DNS COVERED UNDER THIS POLICY, FOR ARISING OUT OF OUR NAMED INSURED'S ONLY. if not shown above, will be shown in the Declarations. A. Section II —Who Is An Insured is amended to include as an additional insured the persons) or organizations) 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 insureds) at the locations) 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 insureds) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 ©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 Ill —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 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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 Oraanization(s) ANYSUCH PERSON OR ORGANIZATION BUT ONLY TO 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 organizations) 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 Description Of Completed Operations ANY LOCATION OR PROJECT WHERE YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT , IXCEPT 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 I Uniform FormsTM Attachment Code : D522092 Certificate ID : 15614658 ENDORSEMENT This endorsement, effective 12:01 AM: 05/01/2023 Forms a part of Policy No.: 47 - GLO-307584 Issued to: SEE ATTACHED CERTIFICATE By: Berkshire Hathaway Insurance Company . .. ., �. � 3 .. � . �. ,�_ ., . �� , n . ti_ �.. � � � ; _ , _ �,� �l ;k_ � � .� .� ��- .� � ,. This endorsement modifies insurance provided under the following: COMMERCIALGENERAL LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY 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: 05/01/2023 Forms a part of Policy No,: 47 - GLO-307584 Issued to: SEE ATTACHED CERTIFICATE By: Berkshire Hathaway Specialty Insurance Company 1 I � 1 __ . # � � � THlS 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 policy is deleted to the extent of the waiver provided in this endorsement for the person ororganization shown in the Schedule above. All otherterms and conditions of this policy remain unchanged. Page 1 � CL-UN-045-10/2016