HomeMy WebLinkAbout166269 GARNEY CO - INSURANCE CERTIFICATE (9)[life canifieato is accented by Liberty Mama) bianaace Giant, as respects such insnrw,ce as is all'orded by those corps ones. 13M0068
Certificate of Insurance
'I Itis e.-ihcaae is issued as a mare,ofinlonnation only and confers no [fails upon the certificate holden'I'],is cenitimdc is not an insurance lx,licy and does not allinnativedy of negatively mnu,d, extend, or
alai the coverage afbrrled by the policies listed ladle, policy limits are no less than those listed, although policies may include additional Sablin,i is not listed babes. Policy limits troy be r'edoced by claims
or otltc,' paymons
Ills is to eel -lily that (Nanro and address of Insured)
GARNLY CONSTRUCTION
10822 W l'OLLER DRIVE, SUITL 100
1,11"I LE'fON, CO 80127
is, at the issuedate ofthis ecuiftcate, insand by the Cotapany under the poliey(ics) listed blow. The insurance afforded by the listed psicy(ics) is sabjec
10�Liberty
Mutuaf.
to all their toots, exclusions and conditions mid
Is notmwman
tut termrcntenh taut
or ce11010e11
of mt•cmuracl pf other
OaennlCnt Willi fespecl towmchlhlscannicare
only Iwtssuad,
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Policy Numbei(s)
Limits of
Liability
lbx iratimr T e
Continuous"
10/01/2008/ 10/01/2009
WA2-141)-426942-738
Coverage afforded under WClaw of
Employers Liability
lixtended
the following states:
Bodily Injury By Accident
AL, AR, AZ, CO. H., GA, KS, KY, MO, NG.
so, IN. IX
X
POIIOy TCllll
$1,000,000 Each Accident
Bodily Injury By Disease
$1,000,000 Policy limit
Workers Compensation
Bodily Injury By Disease
$1,000,000 Each Person
10/01/2008 / 10/01/2009
'rB2-141-426942.728
General Aggregate -Other than Prod/Completed Operations
General Liability
$2,000,000
Products/Completed Operations Aggregate
$2,000 000
WClaims
Made
Bodily Injury and Property Damage Liability
$1,000,000
Per
Occurrence
X
Occurrence
Rc[ro Date
Personal and Advertising Injury
$1,000,000
Per Person /
Or ran irttion
Other Liability
Other Liability
$300,000 Fire Legal
$10,000 Medical
10/01/2008 / 10/01/2009
AS2-141426942-718
Each Accident - Single Limit - B. 1. and P. D. Combined
Automobile Liability
$1,000,000
Each Person
X Owned
IX Non -Owned
Each Accident at- Occurrence
X Hired
Eaeb Accident or Occurrence
C
RE: 11951 Waler, Wastewater and Slonnwaler Utility infrastructure Design and Construction. City of Port Collins is additional insured under the General Liability policy if
O
required by a written contract with the Named Insured, bur only for the coverage and limits provided by the policy and rite additional insured
M
endorsement.
M
E
N
.1
MPOII'rAN'1' If day C4niaanre horde, is m, ADDITIONAL INSUIi1:1), tho poly( l) mail be endorsed- A smteluera Ni this eenirmm doos non confer, nails to the eeniheme homer Ia lien of sash emos nW (s). Ir
SUBROCA'I ION IS WAIVED. sableca ao nh, to m,d wndilions of the policy, cennin policiu map rvpuvaam mulorsan,ena. A emmmm�a on ahia canifaala Joes not confer nahas to the cenihcnm hoiJcr in lien, ofsuch mdoraeman,
'rho following npplias only with rosywuo inrvmass I., amer w,nars registered in flood¢ As provldsI m1 as Ha. Sam § 320,n2(5)as, the hwd insa"", policy may nor be coneelled on less lhm, 30 days sann,a notice by the insma
Io the Dopnnm.n of) 1""' Sratly & Maim, Yehiclos, such 30 days nonce to eonm,v ass from date nett o is Wir,a,d b, Iha, Depnnmaa.
Notice orca a,diauma (nm.,,,[amble unless s number of days W.awed balm,). Ilefere Ihv`>Inlul a.epimtion datalhe wnp,mp will non email ortednco Iha insnrnnoenfmNeJ and,, a,, oboro policies until m Ienst 60due nma,o of
such nancellaaon has b,on maliodta Not,„of( ollmom down.lsppll'wIfi,oI0hey(Ies)m„aa.fo$ due tnaon,ii,ment erpr,namn,
Office : OVERI AND PARK, KS Phone: 913-681-1700
1, ,�h_L„"y. .,I. N'
f.
Certificate Holder:
CHRISTINA GRAVELY
City of Fort Collins
Authorizer[ Representative
P.O. Box 580
Fort Collins, CO 80522
Date Issued: 10/17/2008 Prepared By: CH