HomeMy WebLinkAbout6215 - Stantec ConsultingCERTIFICATE OF LIABILITY INSURANCE
10/1/2022
DATE(MMIDD/YYYY)
1 9/16/2021
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. 471I, Street, Suite 900
Kansas City MO 64112-1906
(816) 960-9000
CONTACT
HAM
NE
A/C, No, Ext : A1C, No :
E-MAiL
ADDRESS,
S E GE
INSURER A : Berkshire Hathaway Specialty Insurance Company
22276
INSURED STANTEC CONSULTING
1414100 SERVICES INC.
3701NTERLOCKEN BLVD
SUITE 300
BROOMFIELD CO 80021-8012-INSURERE:
INSURER B : AIG Specialty Insurance Com an
26883
INSURER C
INSURER D
INSURER F,
COVERAGES CERTIFICATE NUMBER: 14000405 REVISION NHMRFR- YYYY-YYY
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
IN
SUBR
yWyD
POLICY NUMBER
p LICYEFF
POLICYEXP
LIMITS
COMMERCIAL GENERAL LIABILITY
_IMM1EIQ.1YyyyI(M.Mf0D1yYYY
EACH OCCURRENCE
XXXXXXX
CLAIMS -MADE❑ OCCUR
NOT APPLICABLE
p�gn�GE TO RENTED
H1{CR91 E oc�usrence
IXXXXXXX
MED EXP (Any oneperson)
XXXXXXX
PERSONAL & ADV INJURY
$ XXXXXXX
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY❑ PE� LOC
GENERALAGGREGATE
$ XXXXXXX
PRODUCTS - COMP/OP AGG
$ XXXXXXX
$
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
NOT APPLICABLE
OMBi ED SINGLE LIMIT
a acc ent
$ XXXXXXX
BODILY INJURY (Per person)
$ XXXXXXX
AUTOS ONLY SCHEDULED
BODILY INJURY (Per accident
$ XXXXXXX
AUTOS ONLY AUUTOS ONLY
PROPERTY
deniDAMAGE
$ XXXXXXX
UMBRELLA LIAR
ppCVR
EACH OCCURRENCE
$ Xx'XXXX
EXCESS LIAB
CLAIMS -MADE
NOT APPLICABLE
,AGGREGATE
$ XXXXXXX
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORMAR7NEWEXECUTIVE
OFFICERlMEMBER EKCLUME137 E]NIA
IMondatbty In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NOT APPLICABLE
OTH-
STATUTE ER
E L EACH ACCIDENT
$ XXX`X7�Tv�XT
E L DISEASE - EA EMPLOYEE
XXXI-I� n i]
SL DISEASE -POLICY LIMIT
XXXXXXX
A
A
Professional Liab
N
N
47-EPP-308810
NO RETROACTIVE DATE
10/1/2021
10/1/2022
$3,000,000 PER CLAIM/AGG
INCLUSIVE OF COSTS
B
Contractors Pollution Liab
CP08085428
10/1/2021
10/1/2023
$3,000,000 PER LOSS/AGG
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: PROJECT NAME ANDERSON CREEK DAM REMOVAL & FEASIBILITY PLANNING. STANTEC PROJECT #2002.
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.
14600405
AUTHORIZED REPRESENTATIVE
CITY OF BREMERTON
100 OYSTER BAY AVE N.
BREMERTON WA 98312
ACORD 25 (2016/03) 0)113A 9-2015 ACORD CORPORATION_ All rinhtc rARArVP_rl
The ACORD name and logo are registered marks of ACORD
'4cQRoe CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYYY)
10/1/2022
1 9/16/2021
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
CONTACT
NAME.
PHONE
A/C. No. Ext : INC. N❑
E-MAIL
ADDRESS:
I SURE SAFFORD COVERArgE
NAIC #
INSURER A: Berkshire Hathaway Specialty Insurance Company
22276
INSURED STANTEC CONSULTING SERVICES INC.
1414100 370 INTERLOCKEN BOULEVARD, SUITE 300
BROOMFIELD CO 80021-8012
INSURER B : AIG Specialty Insurance Company
26883
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 17451248 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,
IN R
LT
TYPE OF INSURANCE
ADDL
SUBR
p
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
XXXXXXX
CLAIMS -MADE ❑ OCCUR
NOT APPLICABLE
ppppMAGE TO RENTED
PFiEMiS S a rren
XXXXXXX
MED EXP An one person)XXXXX�l�
PERSONAL & ADV INJURY
$ XXXXXXX
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY 'R,()r LOC
GENERAL AGGREGATE
$ XXXXXXX
PRODUCTS - COMP/OP AGG
$ XXXXXXX
$
OTHER:
AUTOMOBILE
LIABILITY
ANY AUTO
NOT APPLICABLE
COMBINED SINGLE LIMIT
a atx x! nl
$ XXXXXXX
iBODILY INJURY (Per person)
$ XXXXXXX
AUTOS ONLY SCHEDULED
iBODILY INJURY (Per accident
$ XXXXXXX
AUTOS ONLY NON
S ONLY
PeOPERTY DAMAGE
$ XXXXXXX
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ XXXXXXX
EXCESS LIAB
CLAIMS -MADE
NOT APPLICABLE
AGGREGATE
$ XXXXXXX
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
NOT APPLICABLE
PER OTH-
STATUTE E
1- L EACH ACCIDENT
VVV��p Vp
$ Y_xXxAAA
E L. DISEASE - EA EMPLOYEE
XXXXXXX
EL DISEASE- POLICY LIMIT
vv
XXXXXXX
A
A
Professional Liab
N
N
47-EPP-308810
NO RETROACTIVE DATE
10/1/2021
10/1/2022
$3,000,000 PER CLAIWAGG
INCLUSIVE OF COSTS
B
Contractors Pollution Liab
CP08085428
10/1/2021
10/1/2023
$3,000,000 PER LOSS/AGG
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: MCDOUGAL CREEK/WHEATON WAY CULVERT REPAIR PERMIT SUPPORT.
CERTIFICATE HOLDER CANCELLATION
17451248
CITY OF BREMERTON
PUBLIC WORKS AND UTILITIES
100 OYSTER BAY AVE. N
BREMERTON WA 98312
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 (2016/031
(c�1RHR-7nIA ACnRr1 r0RPCIRATIAN All rinhfc racamarf
The ACORD name and logo are registered marks of ACORD