CERTIFICATE OF LIABILITY INSURANCE - RFP 27-15A`COR� DATE (MMIDD/YYYY)
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CERTIFICATE OF LIABILITY INSURANCE 05/01J2016
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 AITER 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 ceRificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 ce�tificate does not confer rights to the
certificate holder in lieu of such endorsement s.
PRODUCER NOMEACT ANDREA OTTO
AON REED STENHOUSE INC. a�NN E,� ; 1-952-807-0679 ac No :
AON RISK SERVICES CENTRAL, INC. ADDRESS:
900 -10025 -102A AVENUE INSURER(S) AFFORDING COVERAGE NAIC #
EDMONTON, AB TSJ OY2 iNSUReR n: ZURICH AMERICAN INSURANCE COMPANY 16535
INSURED iNSUReR e: SENTRY INSURANCE A MUTUAL COMPANY 24988
STANTEC CONSULTING SERVICES INC. wsuReR c ZURICH INSURANCE COMPANY
L205 N 20 STREET iNSURerz o SENTRY INSURANCE A MUTUAL COMPANY 24988
TAMPA, FL 33605 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 1036 REVISION NUMBER:
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 RE�UIREMENT, 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INTR TYPE OF INSURANCE INSR D POIICY NUMBER POLICY EFF POLICY EXP LIMITS
MM/DDIYYYY MM/DDM'YY
A GENERALIIABILITY X GL05415704 05/01/16 05/01/17 EACHOCCURRENCE 3 2,000,0�0
X COMMERCIALGENERALLIABILITY PREMI E(Eaoccurrence) $ 300,000
CLAIMS-MADE ❑X OCCUR XCU COVER INCLUDED MED EXP (Any one person) $ � O OOO
X CONTRACTUAUCROSS PERSONAL & ADV INJURY S 2 OOO OOO
X OWNERS & � GENERALAGGREGATE S 4,000,000
GEN'L AGGREGATE LIMIT APPIIES PER: PRODUCTS - COMP/OP AGG 3 2 OOO OOO
POUCY X jE a X LOC 3
B AUTOMOBILELIABIIITY X 90-17043-08 05/O1/16 05/01/17 (Eaaccident> �� S 1,000,000
X ANY AUTO E BODILY INJURY (Per person) $
AUTSSME� AUTOSUIED BODILY INJURY (Per accident) S
HIRED AUTOS AONOSWNED (Per accident) E
a
C X UMBRELLA LIAB X o�cuR 8831307 05/01/16 05/01/17 EACH OCCURRENCE rJ,000,0��
X EXCESS LIAB CLAIMS-MADE EXCESS GENERAL, AUTO AGGREGATE 3 S,OOO,OOO
DED X RETENTION$�0,000 AND EMPLOYERS $
WORKERS COMPENSATION . W A U- -
� AND EMPLOYERS' LIABILITY Y� N 90-17043-06 05/01/16 05/01 /17 x T 1 IT �
ANY PROPRIETOR/PARTNER/EXECUTIV N� A E.L EACH ACCIDENT $ �,OOO,OOO
OFFICER/MEMBER EXCLUDED? �
(MandatorylnNH) E.L.DISEASE-EAEMPLOYE $ �,Q��,QQQ
DESCR�IPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 'I ,OOO,OOO
DESCRIPTION OF OPERAiIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AddHfonal Ramarks Schedule, if more space la required)
TAMPA, FL. STANTEC PROJECT # BC #2156. CLIENT PROJECT # RFP # 27-15. RE: MASTER PLAN CONSULTING SERVICES -
MARINA AREA OF THE OLD BAY CHARACTER DISTRICT. THE CITY OF CLEARWATER IS INCLUDED AS AN ADDITIONAL INSURED
BUT ONLY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. THIS COVER IS PRIMARY AND OTHER INSURANCE IS
EXCESS AND NON CONTRIBUTORY. THE COVERAGE SHALL NOT BE CANCELLED OR NON RENEWED EXCEPT AFTER THIRTY (30)
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER AND ADDITIONAL INSUREDS. ENDORSEMENTS # CG 20 10 07 04 AND
#CA 20 48 02 99 ARE ATTACHED.
CERTIFICATE HOLDER CANCELLATION
CITY OF CLEARWATER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE 7HEREOF, NOTICE WILL BE DELIVERED IN
ATTN: PURCHASING DEPARTMENT, RFP # 27-15 ACCORDANCE WITH THE POLICY PROVISIONS.
P.O. BOX 4748
CLEARWATER, FL 33758-4748 AUTHOR¢EDREPRESENTATIVE
��� �
O 1988-2010 ACORD CORPORATION. All rights reserve
ACORD 25 (2010/OS) The ACORD name and logo are registered marks of ACORD
02.�1R`� �0•16 09:40
POLICY NUMBER: GL05415704 COMMERCIAL GENERAL LIABILITY
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 Person(s) Or Organization(s): AS PER WRITTEN CONTRACT
Location(s) Of Covered Operations: AS PER WRITTEN CONTRACT
Information required to complete this Schedule, 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 person(s) 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.
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 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.
NAMED INSURED: Stantec Inc. CONSULTANT INSURED: Stantec Consulting Services Inc.
Attached to and forming part of Policy of the Zurich American Insurance Company.
AON REED STENHOUSE INC., AON RISK SERVICES CENTRAL, INC., EDMONTON, ALBERTA
Branch.file
AlWork #CG20100704
POLICY NUMBER: 90-17043-08 COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
INSURANCE PRIMARY AS TO CERTAIN ADDITIONAL INSUREDS
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
Section IV - Business Auto Conditions, B. General Conditions, 5. Other Insurance, c is amended by the additional of the following
sentence:
The insurance afforded under this policy to an additional insured will apply as primary insurance for such additional insured where so
required under an agreement executed prior to the date of accident. We will not ask any insurer that has issued other insurance to such
additional insured to contribute to the settlement of loss arising out of such accident.
NAMED INSURED: Stantec Inc. CONSULTANT INSURED: Stantec Consulting Services Inc.
SCHEDULE
Name of Person(s) or Organization(s): AS PER WRITTEN CONTRACT
Attached to and forming part of this Policy of SENTRY INSURANCE A MUTUAL COMPANY
AON REED STENHOUSE INC., AON RISK SERVICES CENTRAL, INC. EDMONTON, ALBERTA
Branch.file PC AUTO #CA 20 48 02 99
Serial #: 1036