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HomeMy WebLinkAbout6215 - Stantec Consulting Services - McDougal Creek,a�� o�® CERTIFICATE OF LIABILITY INSURANCE 5/1/2022 DAOai22I2O ) 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 INSURED STANTEC CONSULTING SERVICES INC. � 4� 5077 370 INTERLOCKEN BOULEVARD, SUITE 300 BROOMFIELD CO 80021-8012 COVERAGES CERTIFICATE NUMBER: INSURERA: Berkshire REVI City 22276 25674 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/OD/YYYY POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR CONTRACTUAL/CROSS Y Y 47-GLO-307584 05/01/2021 05/01/202 EACH OCCURRENCE $ 2 OOO OOO DAEA SES ERENTED $ 1 OOO OOO MED EXP An one erson $ 25 000 X PERSONAL&ADVINJURY $ 2 OOO OOO X XCU COVERED GENERAL AGGREGATE $ 4 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE � � LOC OTHER: PRODUCTS -COMP/OP AGG $ 2 OOO OOO $ B B B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY N N TC2J-CAP-8E086819 (AOS) TJ-BAP-8E086820 TC2J-CAP-8E087017 (NJ) 05/01/2021 05/01/2021 05/01/2021 05/01/202 05/01/202 05/01/202 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 gODILY INJURY (Per person) $ XXXXX)CX BODILY INJURY (Per accident) $ X)<XXX)CX PROPERTY AMAGE Per accident $ �(�(�(�(�(XX $ X)<XXX>CX A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N 47-UMO-307585 05/01/2021 05/01/202 EACH OCCURRENCE $ 5,000�000 )( AGGREGATE $ S,000,OOO DED RETENTION $ $ B B B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY y/N ANY PROPRIETORlPARTNERlEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) DESCRIPTION Of OPERATIONS below N/A N UB-3P635310(AOS) UB-3P533004 MA, WI) EXCEPT FOR OH ND WA 05/01/2021 05/01/2021 05/01/202 05/01/202 X PER OE H- E.L. EACH ACCIDENT $ 1,000,000 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, maybe attached if more space is required) RE: MCDOUGAL CREEK/WHEATON WAY CULVERT REPAIR PERMIT SUPPORT. CITY OF BREMERTON IS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND THIS COVERAGE IS PRIMARY AND NON-CONTRIBUTORY, IF REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY WHERE ALLOWED BY STATE LAW AND IF REQUIRED BY WRITTEN CONTRACT. See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 17451244 AUTHORIZED REPRESENTATIVE CITY OF BREMERTON PUBLIC WORKS AND UTILITIES 100 OYSTER BAY AVE. N BREMERTON WA 98312 ACORD 25 (2016/03) ©1988-2015 The ACORD name and logo are registered marks of ACORD CORPORATION. All rights reserved