HomeMy WebLinkAbout5724 - COI - Stantec Consulting SvcACORO� CERTIFICATE OF LIABILITY INSURANCE
5/1/2025
DATE(MMIDD/YYYY)
04/25/2024
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
CNTACT
NAME:
1.NE FAX
PHO0. C
E-MAIL
ADDRESS:
kcasu@lockton.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A : Travelers Property Casualty Company of America
25674
INSURED STANTEC CONSULTING SERVICES, INC.
INSURER B: Berkshire Hathaway Specialty Insurance Company
22276
INSURER C :
1415077 410 17TH STREET
SUITE 1400
DENVER CO 80202-4427
INSURER D :
INSURER E :
INSURER F :
KefelyI:IGVeT91a[N!\I=11110[I] I41:1=1 NMLV 611[0)00L IIIIT, 1:i=11.�.9.9.9;W9;9;4
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
MM/DD/YYYY
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
47 - GLO-307584
05/01 /202
05/0112025
EACH OCCURRENCE
$ 2,000,000
CLAIMS -MADE OCCUR
MAGE
DAETED
SESOER oNcu e ce
$ 1,000,000
X
MED EXP An one person)$
25 000
CONTRACTUAL/CROSS
Y
Y
X
XCU COVERED
PERSONAL&ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JE W LOC
GENERAL AGGREGATE
$ 4 OOO OOO
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
A
AUTOMOBILE LIABILITY
TC2J -CAP - 8E086819 (AIDS
05/01/202
05/01/202
ccidentSINGLE LIMIT
Ea acINED
$ 1,000,000
A
X ANY AUTO
TJ - BAP - 8EO86820
05/01/202
05/01/202t
BODILY INJURY (Per person)
$ XXXXXXX
OWNED SCHEDULED
AUTOS ONLY AUTOS
Y
N
BODILY INJURY (Per accident)
$ XXXXXXX
PROPERTY DAMAGE
Per accident
$XXXXXXX
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
$XXXXXXX
B
X
UMBRELLA LIAB
X
OCCUR
47 - UMO-307585
05/01/202
05/01/202
EACH OCCURRENCE
$ 5,000,000
EXCESS LIAB
CLAIMS -MADE
N
N
AGGREGATE
5,000,000
DED I I RETENTION $
_$
$ XXXXXXX
A
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
N
UB - 3P635310 AOS)
UB-3P533004�MA,WI)
EXCEPT FOR OH ND WA WY
05/01/202
05/01/202
05/01/202
05/0 1/202
X PER E OtTH-
E.L. EACH ACCIDENT
—
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
If yes, descdbe under
DESCRIPTION OF OPERATIONS below
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: STANTEC PROJECT #181710426 CLIENT PROJECT: PINE ROAD CULVERT REPLACEMENT. THE CITY OF BREMERTON, WASHINGTON IS AN ADDITIONAL
INSURED AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY, AND THESE COVERAGES ARE PRIMARY AND NON-CONTRIBUTORY WITH THE GENERAL
LIABILITY, IF REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY WHERE ALLOWED BY STATE LAW IF
REQUIRED BY WRITTEN CONTRACT.
I+GI[1Ir'IVH1G rlVLUCrc tiHIYVCLLH1iV1Y �+���i�aan ��������
15827987
THE CITY OF BREMERTON, WASHINGTON
345 6TH STREET, SUITE 100
BREMERTON WA 98337
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
-01 "el
a
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Attachment Code : D564542 Master ID: 1415077, Certificate ID: 15827987
STANTEC CONSULTING SERVICES, INC..; 1415077
OCT
15827987
THE CITY OF BREMERTON, WASHINGTON
345 6TH STREET, SUITE 100,
BREMERTON, WA 98337
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:
15827987. You must reference this Certificate ID number in order for us to complete this process.
0 Certificate ID: 15827987
0 Email: kcasu@Lockton.com
0 Subject Line: ASU E-Delivery
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. If you do need a pdf of a certificate,
please email kcasu@lockton.com to request one.
• 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
Ennad i fAiiling Update. - I Jabdity Certificates