HomeMy WebLinkAbout166269 GARNEY CO - INSURANCE CERTIFICATE (7)his cern6cate is executed by Liberty Mutual Insurance Group w resineis such ancraree as is afforded by those earniames BM0068
Certificate of Insurance
Phis cemfi,ate u said as a matter of a to irchan only and confem no rights upon you the cerhf tale holder Thes comb ate is not an insurance pohev and does not amend emend, or alter Me coverage
afforded by the p.1 aes listed below
This is to certify that (Name and address of Insured)
GARNPY CONS 1 RUCl ION
10822 W rOLLER DRIVE, SUITE 100
LITFLETON CO 80127
is, at the Issue date of this CcRrt Kate In
is not altered by an} regmre nenl, term or
Ex iration T e
Continuous*
Extended
Policy Term
X
Workers Compensation
General Liability
Claims Made
X Occurrence
Betio Date
Automobile Liability
X Owned
X Non -Owned
X Hired
msuran,
10/O1/2007 / 10/01/2008 1 WA2-14D-426942-737
10/O1/2007 / 10/01/2008 1 TB2-141-426942-727
FE
e afforded by the listed pohcytieal is subject to all then terms, exclusions and con,h ni., ead
s ecrtificate may be,ssued
Limits of Liability I
Coverage afforded under WC law of Employers Liability
the following states Bodily Injury By Accident
AL AB Az Co FL GA KS, KY, MO NF, $1,000,000 Each Accident
OK, SD TN, Tx Bodily Injury By Disease
$1 000,000 i Policy Limit
Bodily Injury By Disease
51,000 000 Each Pei son
General Aggregate -Other than Prod/Completed Operations
$2,000,000
Products/Completed Operations Aggregate
Bodily Injury and Property Damage Liability I Per
$1,000,000 Occurience
Personal and Advertising Injury Per Person /
Othei Liability Other Liability'
$300,000 Fire Legal $10,000 Medical
10/01/2007 / 10/01/2008 AS2-141-126942-717 Each Accident - Single Limit - B I and P. D Combined
$1 000,000
EaLh Person
Sanitary Sewer Irnprovements/Eastdale Dme
C
O
M
M
E
N
T
S
Each Accident or Occurrence
Each Accident or Occurrence
1 ldnn,s 1
Office OVERLANDPARK,KS Phone 913-681-1700
Certificate Holder
City of Fort Collins
300 Laporte Avenue
Fort Collins, CO 80522
CHRISTINA GRAVELY
Date Issued 09/20/2007 Prepared By CH
this rt a, are vs exec t d by Liberty Mrtuel Insurance Group es respcc to wch msw anw as "afforded by those companies BM0068
Cerldh ate of Insurance
I his certificate is issued as a matter of interned.. only and content no rights upon you the „ atintate holder 7 his oerhficate is not an insurance pohpv and does not amend extend or alter the c s�cragc
attended by the pohmes listed below
This is to ccrnfy that (Name and address of Insured)
GARNEY CONS rRUCTION
10822 W TOLLhk DRIVE SUITE 100
LIM ETON, CO 80127
e,attheusuedateofthucer,h.te ivsuned by the Company uvden die polies Qe.7 hsied below theinswanceanordcdbvihehsledpolicv(es)tasublec
,,a altered by en re uirement term or coudiaon of an eons act of other document with red eot to which Bits cenitieate ma bo "area
Libe- fir
to all then terms exclusions and conditions and
Ea nation Type
Eff./Exp.I Wets)
Pohuy Number(s)
Limits of
Liability
Continuous*
10/01/2007/ 10/01/2008
WA2-14D-426942-737
Coverage afforded under{VClaw of
Employers Liability
Extended
the folluxng states
Bodily Injury By Accident
X
AL AR A7 CO F1. GA KS KY MO NE
OK SD IN TX
Policy Tenn
S1 000,000 Each Accident
Bodily Injury By Disease
$1 000,000 Policy Limit
Workers Compensation
Muddy Injury By Disease
S1000000 Each Person
10/01/2007 / 1010112008
TB2-141-126942-727
Genet a] Aggregate -Other than Prod/Completed Operations
General Liability
$2,000,000
Products/Completed Operations Aggregate
$2,000 000
CImms Made
X
Bodily Injury and Property Damage Liability
$1 000 000
Per
Occurrence
Occurrence
Retro Date
Personal and Advertnmg Injuty
$1000000
Per Person /
Organization
Other Liability
Other Liability
$300,OW lure Legal
SW OW Medical
10/01/2007/ 10/01/2008
AS2-141-426942-717
Each Accident- Single Limit- B. 1 and P D Combined
Automobile Liability
$1 000 000
_
Each Person
X Owned
Each Accident or Occurrence
X Non -Owned
X Hired
Each Accident or Occurrence
RE Dry Creek Drainage Improvcmants- East Vine Diversion Channel Subdrain City of fort Collins and DRS Corporation are additional rusun,d with respect to general
liability w here requited by wntion contract
O
M
M
E
N
T
S
sonmotcaacellanea Beforeiheovaexpneuonderenmeompauy will voi motel or redm¢ibemmrance affirJed vvder Ne above
pohnes nnhl it leaa60 airs non i of such cancellation has h:,en in Bled to
Office OVERLAND PARK, KS Phone 913-681-1700
Certificate Holder
CHRISTINA GRAVELY
City of Fort Collins
Authorized Rr.press illative
300 Laporte Avenue
Fort Collins, CO 80522
Datelssued 09/20/2007 Prepared By CH