HomeMy WebLinkAbout166269 GARNEY CO - INSURANCE CERTIFICATE (11)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. POLICY LIMITS ARE NO LESS THAN THOSE
LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW.
This is to Certify that
Carney Companies Inc
NAME AND LibertX1333 NW Vivion Road ADDRESS
OF INSURED Mutual®
Kansas City MO 64118
is, at the issue date of this certificate, insured by the Company under the policy(ics) listed below. The insurance afforded by the listed policy(ics) is subject to all their terms, exclusions and
Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued.
EXP DATE
TYPE OF POLICY
❑ CONTINUOUS
❑ EXTENDED
POLICY NUMBER
LIMIT OF LIABILITY
® POLICY TERM
WORKERS
COMPENSATION
10/1/2010
WA2-64D-426942-739
COVERAGE AFFORDED UNDER WC
LAW OF THE FOLLOWING STATES:
AL,AR,AZ,CO,FL,GA,KS,KY,
LA,MO,NE,OK,TN,TX,VA
EMPLOYERS LIABILITY
Bodilyln' by Accident
1 OOO OOOEach Accident
Bodily Injury By Disease
-
-
1 000 000
Bodily Injury By Disease
1 000 000
COMMERCIAL
GENERAL LIABILITY
10/1/2010
TB2-641-426942-729
General Aggregate
$2,000,000
Products / Completed Operations Aggregate
❑ OCCURRENCE
2 000 000
❑ CLAIMS MADE
Each Occurrence
$1,000,000
Personal & Advertising Injury
1 000 000 Per Person/ Organization
RETRO DATE
Ot1$ ,�00,000 Fire Legal rtV0,000 Medical
AUTOMOBILE
LIABILITY
10/1/2010
AS2-641-426942-719
EachAccidcnt—Single Limit
$1,000,000 B.I. And P.D. Combined
OWNED
Each Person
Each Accident or Occurrence
mNON -OWNED
HIRED
Each Accident or Occurrence
OTHER
ADDITIONAL COMMENTS
Re: Work Order No. MBF-2010-1 - Downtown Alley Sewer Replacement Project.
City of Fort Collins and Stantec Consulting Services, Inc. are additional insured as their interest may appear where
required by written contract on Auto Liability and General Liability.
• 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.
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:
Liberty Mutual
Insurance Group
Re: Work Order No. MBF-2010-1
City of Fort Collins
tGt:.t,'�GL-•�`G��
Laura Rudolph
St. Louis / 0442
AUTHORIZED REPRESENTATIVE
12250 Weber Hill Road
300 Laporte Ave.
St. Louis
MO 63127 800-392-9223 1/11/2010
Fort Collins
CO 80522 I
OFFICE
PHONE DATE ISSUED
_
This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772