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Home My WebLink About166269 GARNEY CO - INSURANCE CERTIFICATEChis certificate is executed by Liberty Mutual Insurance Group as respects such insurance as is afforded by those companies. BM0069 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policies listed below. This is to certify that (Name and address of Insured) GARNEY CONSTRUCTION 10822 W TOLLER DRIVE, SUITE 100 LI1- LETON, CO 80127 is not altered by any requirement, term Ex0ration Tvpe Continuous* Extended Policy Term X Workers Compensation Liberty mutudlym to all thew terms, exclusions and conditions and 10101120C16 / 10/01/2007 WA2-14D426942-736 Coverage afforded under W C law of the following states: Employers Liability Bodily Injury By Accident $1,000,000 Each Accident AR, AZ, CO, FL, GA, KS, KY, MO, NE, OK, SC, SD,'IN, TX, UT, WY Bodily Injury By Disease $1,000,000 Policy Limit Bodily Injury By Disease $1,000,000 Each Person 10101120M 1 10/01/2007 1 TB2-141-426942-726 I General Aggregate -Other than Prod/Completed Operations General Liability $2,000,000 Products/Completed Operations Aggregate Claims Made $2,000,000 X Occurrence Bodily Injury and Property Damage Liability Per $1,000,000 Occurrence �Retro Date Personal and Advertising Injury Per Person / �� $1,000,000 Or anvatior Other Liability Other Liability $300,000 Fire Legal $10,000 Medical 10/01/2006 / 10/01/2007 AS2-141-426942-716 Each Accident - Single Limit - B. 1. and P. D. Combined Automobile Liability $1,000,000 Each Person X Owned X Dion -Owned X Hired Each Accident or Occurrence Each Accident or Occurrence C *WA Policy includes deductible endorsement with $250,000 deductible per occurrence/claims (disease) with the provision that Liberty Mutual will (may) advance payment of O the deductible amount. -- Project: Nelson Farm Pond - Soil Haul. City of Fort Collins, Colorado is additional insured as respects general M liability. M E N T 'ft the certificate expiration date is continuous or extended term, you wfll be notified it coverage is terminated or reduced before the certificate expiration date. However, you will not be nolitied annually of the continuation of coverage. Special Notice - Ohio: Any person who, with intent to defraud or knowing that he / she is facilitating, a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. Important information to Florida policyholders and certificate holders: in the event you have any questions or need information about this certificate for any reason, please contact your local sales producer, whose name and telephone number appears in the lower left turner of this certificate. The appropriate local sales office mailing address rosy also be obtained by calling this number. Notice of cancellation: (not applicable unless a number of days is entered below) . Before the stated expiation date the company will not cancel or reduce the insurance afforded under the above policies until at least 60 days notice of such cancellation has been mailed to: Office: OVERLAND PARK, KS Phone:913-681-1700 Certificate Holder: City of Fort Collins, Colorado 4316 LaPorte Avenue Fort Collins, CO 8OS22 CHRISTINA GRAVELY r Date Issued: 09/11/2006 Prepared By. CH 'his certificate is executed by LibertyMutual Instance Group as respects such insurance as is afforded by those companies. _ BM0068 Certificate of Insurance This certificate is issued as a matter of infomation only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policies listed below. This is to certify that (Name and address of Insured) GARNEY CONSTRUCTION 10822 W TOLLER DRIVE, SUITE 100 LITTLETON, CO 90127 is not altered by any rmuirement Expiration TvDe Continuous* Extended Policy Term dX Workers Compensation General Liability HClaims Made X Occurrence LibertX all their terms, exclusions and conditions and contract or other document with recoect to which this certificate may be 10/01/2006 / 10/Ol/2007 WA2-14D426942-736 Coverage afforded under WC law of the following states: Employers Liability Bodily Injury By Accident $1,000,000 Each Accident AR, AZ, CO, FL, GA, KS, KY, MO, NE, OK, SC, SD, TN, TX, UT, WY Bodily Injury By Disease $1,000,000 Policy Limit Bodily Injury By Disease $1,000,000 Each Person 10/01/2006 / 10/01/2007 1 TB2-141-426942-726 I General Aggregate -Other than Prod/Completed Operations Products/Completed Operations Aggregate Bodily Injury and Property Damage Liability I Per Retro Date Personal and Advertising Injury Per Person / $1.000,000 1 Or aniiatioi Other Liability Other Liability $300,000 Fire Legal $10,000 Medical 10101/2006 / 10/01/2007 A92-141-426942-716 Each Accident - Single Limit - B. I. and P. D. Combined Automobile Liability $1,000,000 Each Person X Owned X Non -Owned X Hired Each Accident or Occurrence Each Accident or Occurrence C *WA Policy includes deductible endorsement with $250,000 deductible per occurrence/claims (disease) with the provision that Liberty Mutual will (may) advance payment of O the deductible amount. — Project: Dry Creek Drainage Improvements - Larianer County Canal Improvernents/Reservoir #3 Gate Structure. City of Fort Collins, Colorado, Water M Supply and Storage Company, Windsor Reservoir and Canal Company and URS Corporation, Inc., are additional insured as respects general M liability. E N T 'll me certificate expiration date is continuous or extended term, you wuh be notdted it coverage is terminated or reduced before the certuicate expiration date. However, you will not be notated annually or the continuation of coverage. Special Notice - Ohio: Any person who, with intent to defraud or knowing that he / she is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. Important information to Florida policyholders and certificate holders: in the event you have any questions or need information about this certificate for any reason, please contact your local sales producer, whose name and telephone number appears in the lower left comer of this certificate. The appropriate local sales office mailing address may also he obtained by calling this number. Notice of cancellation: (not applicable unless a number of days is entered below) . Before the stated expiration date the company will not cancel or reduce the insurance afforded under the above policies until at least 60 days notice of such cancellation has been mailed to: Office: OVERLAND PARK, KS Phone: 913-681-1700 Certificate Holder: City of Fort Collins, Colorado 4316 LaPorte Avenue Fort Collins, CO 80522 CHRISTINA GRAVELY Date Issued: 09/11/2006 Prepared By: CH Phis certificate is executed by Liberty Mutual Insurance Group as respects such insurance as is afforded by those companies. BM0068 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not arttend, extend, or alter the coverage afforded by the policies listed below. y This is to certify that (Name and address of Insured) GARNEY CONSTRUCTION 10822 W TOLLER DRIVE, SUITE 100 LITTLETON, CO 80127 is, at the issue date of tins certificate, r is not altered by anv rcduirement. term Expiration Type Continuous* Extended Policy Term X Workers Compensation Liberty10��a,�st� 11 iR Y ,R.��4i.its all then terms, exclusions and conditions and or other document with resoea to which this certificate mmav be issued 10/01/2006 / 10/01/2007 WA2-14D426942-736 Coverage afforded under WC law of the following states: Employers Liability Bodily Injury By Accident $1,000,000 Each Accident AR, AZ, CO, FL, GA, KS, KY, MO, NE, OK, SC, SD, IN, TX, UT, WY Bodily Injury By Disease $1,000,000 Policy Limit Bodily Injury By Disease $1,000,000 Each Person 10/01/2006 / 10/01/2007 1 TB2-141-426942-726 I General Aggregate -Other than Prod/Completed Operations General Liability $2,000,000 Products/Completed Operations Aggregate HClaims Made $2,000,000 X Occurrence Bodily Injury and Property Damage Liability Per $1,000,000 Occurrence Retro Date Personal and Advertising Injury Per Person / $1,000,000 Or anizatior Other Liability Other Liability $300,000 Fire Legal $10,000 Medical 10/01/2006 / 10/01/2007 AS2-141426942-716 Each Accident - Single Limit - B. I. and P. D. Combined Automobile Liability $1,000,000 Each Person X Owned X Non -Owned X Hired Each Accident or Occurrence Each Accident or Occurrence C I *WA Policy includes deductible endorsement with $250,000 deductible per occurrence/claims (disease) with the provision did Liberty Mutual will (tray) advance payme O the deductible amount. -- RE: Spring Creek Pre -Disaster Mitigation BNRR Embankment Stabilization. City of Fort Collins, Colorado is additional insured with respect to M general liability where required by written contract. E N T S *If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of the continuation of coverage. Special Notice - Ohio: Any person who, with intent to defraud or knowing that he / she is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. Important information to Florida policyholders and certificate holders: in the event you have any questions or need information about this certificate for any reason, please contact your local sales producer, whose name and telephone number appears in the lower left turner of this certificate. 'The appropriate local sales office mailing address may also be obtained by calling this number. Notice of cancellation (not applicable unless a number of days is entered below) . Before the stated expiration date the company will not cancel or reduce the insurance afforded under the above policies until at least 60 days notice of such cancellation has been mailed to: Office: OVERLAND PARK, KS Phone: 913-681-1700 Certificate Holder. City of Fort Collins 4316 LaPorte Avenue Fort Collins, CO 80522 CHRISTINA GRAVELY Date Issued: 09/11/2006 Prepared By: CH Phis certificate is executed by Libertv Mutual Insurance Group as respects such insurance as is afforded by those ocimpartics. BM0068 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend. extend, or alter the coverage afforded by the policies listed below. This is to certify that (Name and address of Insured) GARNEY CONSTRUCTION 10822 W TOLLER DRIVE, SUITE 100 L11TI-ETON, CO 80127 s, at the issue date of this certificate, insured by the Company under the policy(im) listed below. The insurance afforded by the listed policy(ies) is subjee is not uttered by any requirement, term or ExPiration Type Continuous* Extended Policy Term X Workers Compensation General Liability HClaims Made X Occurrence Retro Date Automobile Liability X Owned X Non -Owned X Hired to all their terms, exclusions and conditions and 10/01/2006 / 10/01/2007 WA2-14D-426942-736 Coverage afforded under WC law of the following states. Employers Liability Bodily Dllt'Y B u Accident Y $1,000,000 Each Accident AR, AZ, CO, FL, GA, KS, KY, MO, NE, OK, SC, SD, TN, Tx, UT, WY Bodily Injury By Disease $1,000,000 Policy Limit Bodily Injury By Disease $1,000,000 Each Person 10/01/2006 / 10/01/2007 1 TB2-141-426942-726 I General Aggregate -Other than Prod/Completed Operations Products/Completed Operations Aggregate Bodily Injury and Property Damage Liability I Per Personal and Advertising Injury I Per Person / Other Liability Other Liability $300,000 Fire Legal $10,000 Medical 10/01/2006 / 10/01/2007 AS2-141-426942-716�Each Accident - Single Limit - B. I. and P. D. Combined Each Person Each Accident or Occurrence Each Accident or Occurrence C I *WA Policy includes deductible endorsement with $250,000 deductible per occurrence/claims (disease) with the provision that Liberty Mutual will (may) advance payment of O the deductible amount. --Project: Spring Creek Pedestrian Bridge. The City of Fort Collins is additional insured with respect to general liability where required by written M contract. E N T -it the certificate expiration date is continuous or extended term, you will be notified it coverage is terminated or reduced before the certificate expiration date. However, you wili not be notified annually of the continuation of coverage. Special Notice - Ohio: Any person who, with intent to defraud or knowing that he / she is facilitating a fraud against an insurer, submits an application a files a claim containing a false or deceptive statement is guilty of insurance fraud. Important information to Florida policyholders and certificate holders: in the event you have any questions or need information about this certificate for any reason, please contact your local sales producer, whose name and telephone number appears in the lower left corner of this certificate. The appropriate local sales office mailing address may also be obtained by calling this number. Notice of cancellation: (not applicable unless a number of days is entered below) . Before the stated expiration date the company will not cancel or reduce the insurance afforded under the above policies until at least 60 days notice of such cancellation has been mailed to: Office: OVERLAND PARK, KS Phone: 913-681-1700 Certificate Holder. City of Fort Collins 4316 LaPorte Avenue Fort Collins, CO 80522 CMUSTINA GRAVELY Date Issued: 09/11/2006 Prepared By: CH