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Home My WebLink About166269 GARNEY CO - INSURANCE CERTIFICATE (12)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 Garney Construction NAME AND LibertX7911 Shaffer Parkway ADDRESS OF INSURED Mutual® Littleton CO 80127 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) 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. TYPE OF POLICY EXP DATE ❑ CONTINUOUS [:]EXTENDED POLICY NUMBER LIMIT OF LIABILITY ® POLICY TERM WORKERS COMPENSATION 10/1/2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily[n'urybyAccident 1 OOO OOOEach Accident Bodily Injury By Disease 1 000 000 Injury By Disease Fly 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2 000 000 ❑ CLAIMS MADE Each Occurrence 1 000 000 Personal & Advertising Injury 1 OOO OOO Per Person /Organization DATE �RETRO c� Dy300,000 Fire Legal rt V0,000 Medical AUTOMOBILE LIABILITY 10/1/2011 AS2-641-426942-710 Each Accident —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: P951 Water, Wastewater and Stormwater Utility Infrastructure Design and Construction. City of Fort Collins is additional insured under the General Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. • 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 City of Fort Collins Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE '—_ 12250 Weber Hill Road P.O. Box 580 St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICUE 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 Construction NAME AND ''• LibertX7911 Shaffer Parkway ADDRESS OF INSURED Mutual® Littleton CO 80127 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by anv requirement, term or condition of any contract or other document with respect to which this certificate may be issued. TYPE OF POLICY EXP DATE ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ® POLICY TERM WORKERS COMPENSATION 10/1 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily [n'ury by Accident 1 OOO OO O Each Accident Bodily Injury By Disease 1 000 000 Policylimit Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate 2 000 000 ❑ OCCURRENCE ❑ CLAIMS MADE Each Occurrence 1 00 000 Personal & Advertising Injury 1 Q00 0Q0 Per Person /Organization RETRO DATE DT300,000 Fire Legal rTT0,000 Medical AUTOMOBILE LIABILITY 10/1 /2011 AS2-641-426942-710 Each Accident —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: Canal Importation Ponds and Outfall - Work Order #2 - RFM & Kane Ponds. City of Fort Collins, Colorado, Anderson Consulting Engineers and Ayres Associates are an additional insured under the General and Auto Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. 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: RE: Canal Importation PondsOutfall - Work Order 2 F—city of Fort Collins 7 is v 5x P.O. Box 580 Lort Collins CO 80522 1 Liberty Mutual Insurance Group Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 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 Gamey Construction � �ber NAME AND ''� Li 7911 Shaffer Parkway ADDRESS _'y Littleton CO 80127 OF INSURED Mutual. is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) 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 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY BodilyldurybyAccideor 1 OOO OOO Each Accident Bodily Injury By Disease 1 000 000 njury By Disease Filyl$1,000,000 EwhNrsori COMMERCIAL GENERAL LIABILITY 10/1/2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate 2 000 000 ❑ OCCURRENCE ❑ CLAIMS MADE Each Occurrence 1 0 000 Personal & Advertising Injury 1 000 000 Per Person /Organization RETRO DATE 'T 00,000 Fire Legal OrVTO,000 Medical AUTOMOBILE LIABILITY 10/1 /2011 AS2-641-426942-710 QQ Each Accident —Single Limit $1 ,000,000 B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence mNON -OWNED MHIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: North College Sanitary Sewer Manhole Replacement. City of Fort Collins is an additional insured under the General Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. * If the certificate expiration date is continuous or extended term, you will be notified ifcovemge 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: RE: North College Sanitary Sewer Manhole Rpl. I City of Fort Collins tG 9 P.O. Box 580 Lort Collins CO 80522 1 Liberty Mutual Insurance Group Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 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 Garvey Construction NAME AND LibertX7911 Shaffer Parkway ADDRESS OF INSURED Mutual® Littleton CO 80127 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) 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. TYPE OF POLICY EXP DATE ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ® POLICY TERM WORKERS COMPENSATION 10/1 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily Injury by Accident 1 OOO OOOEach Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 FacbPerson COMMERCIAL GENERAL LIABILITY 10/1 /2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate 2 000 000 ❑ OCCURRENCE ❑ CLAIMS MADE Each Occurrence 10 00 Personal & Advertising Injury 1 OOO OOO Per Person /Organization DATE �RETRO GTYO0,000 Fire Legal rTT0,000 Medical AUTOMOBILE 10/1/2011 AS2-641-426942-710 Each AccidentCoSingleLimit $1,000,000 13.1. And P.D. Combined LIABILITY ❑ OWNED Each Person Each Accident or Occurrence mNON -OWNED ❑ HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS See Addendum Attached. • 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: RE: Stover Alley Utilities Improvements Project I —City of Fort Collins ic` v �o P.O. Box 580 Lort Collins CO 80522 J Liberty Mutual Insurance Group Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 CERTIFICATE -ADDENDUM AT;ti; Garney Construction 7911 Shaffer Parkway Littleton CO 80127 City of Fort Collins P.O. Box 580 Fort Collins CO 80522 9/ 13/2010 RE: Stover Alley Utilities Improvements Project - Install 508 linear feet of 8" PVC sewer. Connect 12 sanitary services and abandon 490 linear feet of 6" clay pipe sanitary sewer. Install 90' of 12" RCP storm sewer and 95' of 15" RCP storm sewer. Install 135' of 18" RCP storm sewer. Install 3 new storm sewer inlets. City of Fort Collins, Anderson Consulting Engineers and Ayres Associates are additional insured under the General Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. 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 Garvey Construction 6NAME AND ''� Liberty 7911 Shaffer Parkway ADDRESS Littleton CO 80127 OF INSURED Mutual® is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, tern 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 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily ln'urybyAccident 1 OOO OO OEach Accident Bodily Injury By Disease 1 000 000 rdilyInjury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2 000 000 ❑ CLAIMS MADE Each Occurrence $1,000.00 Personal & Advertising Injury 1 OOO OOO Per Person /Organization RETRO DATE "000,000 Fire Legal V0,000 Medical AUTOMOBILE LIABILITY 10/1 /2011 AS2-641-426942-710 Each Accident —Single Limit $1,000,000 B.I. And P.D. Combined El OWNED Each Person Each Accident or Occurrence mNON -OWNED HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS See Addendum Attached. • 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: Re:Work Order #13-Canal Importation Ponds/Outfall F —city of Fort Collins � 9 `o P.O. Box 580 Lort Collins CO 80522 1 Liberty Mutual Insurance Group Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 CERTIFICATE' ADDENDUM NAMED INSURED CERTIFICATE HOLDER 9/13/2010 Garvey Construction City of Fort Collins 7911 Shaffer Parkway P.O. Box 580 Littleton CO 80127 Fort Collins CO 80522 RE: Canal Importation Ponds and Outfall — Work Order #13 — 2010 Construction Activities. Site of the work is located approximately at the intersection of Prospect Road and Taft Hill Road, Fort Collins, Colorado as shown on the Drawings. Site is in the Canal Importation Basin in west central Fort Collins, Colorado. City of Fort Collins, Anderson Consulting Engineers and Ayres Associates are additional insured under the General Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. 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 Construction NAME AND ' Liberty 7911 Shaffer Parkway ADDRESS ® Littleton CO 80127 OF INSURED Mutual is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by anv requirement, tern 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 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily Injury by Accident 1 OOO OOO Each Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2 000 000 ❑ CLAIMS MADE Each Occurrence 1 00 00 . Personal & Advertising Injury 1 OOO OOO Per Person /Organization RETRO DATE "000,000 Fire Legal lovTo 000 Medical AUTOMOBILE LIABILITY 10/1/2011 - AS2-641-426942710 Each Accident —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 See Addendum Attached. . 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: Re: Canal Importation Ponds/Outfall-Work Order #11 F_6 lty of Fort Collins, Colorado e a` �x PO Box 580 Lort Collins CO 80522 Liberty Mutual Insurance Group 1' Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 CERTIFICATE = ADDENDUM NAMED INSURED CERTIFICATE HOLDER 9/13/2010 Garney Construction City of Fort Collins, Colorado 7911 Shaffer Parkway PO Box 580 Littleton CO 80127 Fort Collins CO 80522 RE: Canal Importation Ponds and Outfall - Work Order #11 - Fairbrook Pond Landscaping. City of Fort Collins, Colorado, Anderson Consulting Engineers and Ayres Associates are an additional insured under the General Liability and Automobile Liability policy if required by written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Created at ww,w eCertsONLINE.com' IU AD2 (2002)" ; n 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 Garney Construction NAME AND LibertX 7911 Shaffer Parkway ADDRESS OF INSURED Mutual® Littleton CO 80127 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) 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 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily In'urybyAccidem 1 0A OOOEach Accident Bodily Injury By Disease 1 000 000 Injury By Disease Bodily 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2,000000 ❑ CLAIMS MADE Each Occurrence 1 000 000 Personal & Advertising Injury 1 OOO OOO Per Person / Organization RETRO DATE 0TY00,000 Fire Legal rTT0,000 Medical AUTOMOBILE LIABILITY 10/1 /2011 AS2-641-426942-710 Each Accident —Single Limit $1,000,000 B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence NON -OWNED �m IJ HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS See Addendum Attached. • 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: Re: Canal Importation Ponds/Outfall-Work Order 12 F-61ty of Fort Collins, Colorado iC 9 dx° PO Box 580 Lort Collins Liberty Mutual Insurance Group Laura Rudolph St. Loins / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/13/2010 CO 80522 J 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 07-10 CERTIFICATE=.ADaDENDUIVIk4N ,k,sk y NAMED INSURED CERTIFICATE HOLDER 9/13/2010 Garvey Construction City of Fort Collins, Colorado 7911 Shaffer Parkway PO Box 580 Littleton CO 80127 Fort Collins CO 80522 RE: Canal Importation Ponds and Outfall - Work Order #12 - Red Fox Meadows Pond Landscaping. City of Fort Collins, Colorado, Anderson Consulting Engineers and Ayres Associates are an additional insured under the General Liability and Automobile Liability policy if required by written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Created at wWw eCertsONLINE.com , � IV AD2 (2002) 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 Garvey Construction NAME AND LibertX7911 Shaffer Parkway ADDRESS OF INSURED Mutual® Littleton CO 80127 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) 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. TYPE OF POLICY EXP DATE ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ® POLICY TERM WORKERS COMPENSATION 10/1 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily leery Accident 1 OOO O OO Each Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2 000 000 ❑ CLAIMS MADE Each Occurrence $1,000,000 Personal & Advertising Injury 1 OOO OOO Per Person /Organization RETRO DATE Ot$300,000 Fire Legal her otf 10,000 Medical AUTOMOBILE LIABILITY 10/1/2011 AS2-641-426942-710 Each Accident —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: Taft & Laporte 27" Waterline Modifications Field Work. City of Fort Collins is an additional insured under the General Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. 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: RE: Taft & Laporte 27" Waterline Mod. Field Work sty of Fort Collins P.O. Box 580 L Fort Collins CO 80522 J Liberty Mutual Insurance Group 6 U1__o__ J& _2' a _'&C V'l_D Laura Rudolph St. Loins / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 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 Garney Construction NAME AND LibertX7911 Shaffer Parkway ADDRESS OF INSURED Mutual® Littleton CO 80127 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) 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 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily Injury by Accident 1 0OA OOO Each Accident Bodily Injury By Disease 1 000 000 PolicyLimit Bodily Injury By Disease 1 000 000 EachPgnm COMMERCIAL GENERAL LIABILITY 10/1 /2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2 000 000 ❑ CLAIMS MADE Each Occurrence 1 000 00 Personal & Advertising Injury 1 OOO OOO Per Person /Organization RETRO DATE 1Y00,000 Fire Legal IOT10,000 Medical AUTOMOBILE LIABILITY 10/1 /2011 AS2-641-426942-710 Each Accident —Single Limit $1,000,000 B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence .m NON -OWNED HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS See Addendum Attached. 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: Re:Canal Importation Ponds/Outfall - Work Order 5 sty of Fort Collins, Colorado � 9 ` o PO Box 580 Lort Collins CO 80522 Liberty Mutual Insurance Group Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 CERTIFICATE ADDENDUM. .. ... NAMED INSURED CERTIFICATE HOLDER 9/13/2010 Garney Construction City of Fort Collins, Colorado 7911 Shaffer Parkway PO Box 580 Littleton CO 80127 Fort Collins CO 80522 RE: Canal Importation Ponds and Outfall - Work Order #5 - Outfall Phase II and Fairbrooke Pond City of Fort Collins, Colorado, Anderson Consulting Engineers and Ayres Associates are an additional insured under the General Liability and Automobile Liability policy if required by written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Created at www eCertsONLINE com .. , IW�AD2 (2002)= 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 Garvey Construction NAME AND LibertX7911 Shaffer Parkway ADDRESS OFINSURED Mutual® Littleton CO 80127 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) 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 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily ln'urybyAccident 1 OOO OOO Each Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2 000 000 ❑ CLAIMS MADE Each Occurrence $1,000,000 Personal & Advertising Injury 1 OOO OOO Per Person / Organization RETRO DATE J Ot�Y00,000 Fire Legal Or�10,000 Medical I AUTOMOBILE LIABILITY 10/1 /2011 AS2-641-426942-710 Each Accident —Single Limit $1,000,000 B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence NON -OWNED �❑ IJ HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS See Addendum Attached. * 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 Q�NCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Re: Canal Importation Ponds/Outfall-Work Order 7 FCity of Fort Collins, Colorado IG 9 ems` PO Box 580 Lort Collins CO 80522 Liberty Mutual Insurance Group Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 CERTIFICATE ADDENDUM e NAMED INSURED CERTIFICATE HOLDER 9/13/2010 Garney Construction City of Fort Collins, Colorado 7911 Shaffer Parkway PO Box 580 Littleton CO 80127 Fort Collins CO 80522 Re: Canal Importation Ponds and Outfall-Work Order #7 - Kane and Red Fox Meadows Ponds Mainline Irrigation and Snags City of Fort Collins, Colorado, Ayres Associates and Anderson Consulting Engineers are an additional insured under the General Liability and Automobile Liability policy if required by written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. L 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 Garney Construction NAME AND LibertX7911 Shaffer Parkway ADDRESS OF INSURED Mutual® Littleton CO 80127 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) 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 /201 1 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily In ury by Accident 1 OOO OOOEach Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2 000 000 ❑ CLAIMS MADE Each Occurrence 1 000,000 Personal & Advertising Injury 1 OQQ 06o Per Person /Organization RETRO DATE 0TYO0,000 Fire Legal rvT0,000 Medical AUTOMOBILE LIABILITY 10/1/2011 AS2-641-426942-710 Each Accident —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: Canal Importation Ponds/Outfall-Work Order #6 - Phase II Outfall and Avery Park Modifications. City of Fort Collins, Colorado and Ayres Associates are an additional insured under the General Liability and Automobile Liabilty policy if required by written contract with the Named Insured, but only for the coverage and limits provided by the policy and additional insured endorsement. • If the certificate expiration date is continuous or extended term, you will be notified ifcoverage 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: RE: Canal Importation Ponds/Outfall-Work Order #6 F—alty of Fort Collins, Colorado v v¢ PO Box 580 Lort Collins CO 80522 Liberty Mutual Insurance Group Laura Rudolph St. Loins / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 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 Garvey Construction NAME AND LibertX7911 Shaffer Parkway ADDRESS OF INSURED Mutual® Littleton CO 80127 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, tern or condition of any contract or other document with respect to which this certificate may be Issued. TYPE OF POLICY EXP DATE ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ® POLICY TERM WORKERS COMPENSATION 10/1/2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily Injury by Accident 1 OOO OOO Each Accident Bodily Injury By Disease 1 000 000 PolicvLimit Bodily Injury By Disease 1 000 000 EachPerson COMMERCIAL GENERAL LIABILITY 10/1/2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2,000000 ❑ CLAIMS MADE Each Occurrence 10 00 Personal & Advertising Injury 1 OOO OOO Per Person /Organization RETRO DATE "000,000 Fire Legal OtfV0,000 Medical AUTOMOBILE LIABILITY 10/1 /2011 AS2-641-426942-710 Each Accident —Single Limit $1 ,000,000 B.I. And P.D. Combined ❑ OWNED Each Person Each Accident or Occurrence NON -OWNED �❑ IJ HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Locust Street Outfall - Sanitary Sewer Improvements/Endicott Street City of Fort Collins and Stantec Consulting, Inc. are an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. * 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: Locust Street City of Fort CollinsCi: Laura Rudolph v St. LOUTS / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road � P.O. BOX 580 St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 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 Garvey Construction NAME AND Liberty7911 Shaffer Parkway ADDRESS OF INSURED Mutual® Littleton CO 80127 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) 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 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily ln' by Accident 1 OOO O OO Each Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 EachPersort COMMERCIAL GENERAL LIABILITY 10/1/2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2 000 000 ❑ CLAIMS MADE Each Occurrence 1 00 000 Personal & Advertising Injury 1 000 000 Per Person / Organization RETRO DATE OtT 00,000 Fire Legal lovo 000 Medical AUTOMOBILE LIABILITY 10/1 /2011 AS2-641-426942-71 O Each Accident —single Limit $1,000,000 B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence NON -OWNED �m IJ HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Locust Street Outfall-Sanitary Sewer Improvements/Endicott Street City of Fort Collins, Colorado and Stantec Consulting are an additional insured under the General and Auto Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. • 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. Liberty Mutual NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) Insurance Group 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: City of Fort Collins Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road P.O. Box 580 St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 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 Garvey Construction NAME AND LibertX7911 Shaffer Parkway ADDRESS OF INSURED Mutual® Littleton CO 80127 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, tern or condition of any contract or other document with respect to which this certificate may be issued. TYPE OF POLICY EXP DATE ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ® POLICY TERM WORKERS COMPENSATION 10/1 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily Injury by Accident 1 OOO OOOE.&Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2 000 000 ❑ CLAIMS MADE Each Occurrence $1,000,000 Personal & Advertising Injury 1 OOO 000 Per Person /Organization RETRO DATE 0TY00,000 Fire Legal lovTo 000 Medical AUTOMOBILE LIABILITY 10/1 /2011 AS2-641-426942-710 Each Accident —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: Canal Importation Ponds and Outfall - Work Order #4. City of Fort Collins, Anderson Consulting Engineers and Ayres Associates are additional insured under the General Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. . 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: RE: Canal Importation Ponds/Outfall-Work Order #4 1-City of Fort Collins � 9 ?; s P.O. Box 580 Lort Collins CO 80522 1 Liberty Mutual Insurance Group Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 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 Garvey Construction NAME AND LibertX7911 Shaffer Parkway ADDRESS OF INSURED Mutual® Littleton CO 80127 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below, The insurance afforded by the listed policy(ies) 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 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily Injury by Accident 1 OOO OOOE.6,1.i&.r Bodily Injury By Disease 1 000 000 Injury By Disease Fly 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1 /2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2 000 000 ❑ CLAIMS MADE Each Occurrence 1 000 Personal & Advertising Injury 1 00Q QQQ Per Person /Organization RETRO DATE OT 00,000 Fire Legal rtvfo 000 Medical AUTOMOBILE LIABILITY 10/1 /2011 AS2-641-426942-710 Each Accident —Single Linut $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 Aztlan #1 — Aztlan Properties Storm Drainage Outfall (to Poudre River) Reconstruction City of Fort Collins is is an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. * 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: RE: Work Order Aztlan #1 — Aztlan Properties Fty of Fort Collins V 9 �x P.O. Box 580 L Fort Collins 7 CO 80522 1 Liberty Mutual Insurance Group Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 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 Garney Construction NAME AND LibertX7911 Shaffer Parkway ADDRESS OF INSURED Mutual® Littleton CO 80127 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by anv requirement. tern or condition of anv 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 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily In ury by Accident 1 000,000 Each Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1 /2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate 2 000 000 ❑ OCCURRENCE ❑ CLAIMS MADE Each Occurrence $1,000,000 Personal & Advertising Injury 1 OOO OOO Per Person / Organization RETRO DATE OV00,000 Fire Legal lovTo 000 Medical AUTOMOBILE 10/1 /2011 AS2-641-426942-710 Each Accident —Single Limit $1,000,000 B.I. And P.D. Combined LIABILITY OWNED Each Person Each Accident or Occurrence mNON -OWNED HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: CIPO Outfall Phase I - Work Order #3. City of Fort Collins, Anderson Consulting Engineers and Ayres Associates are additional insured under the General Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. . 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: CIPO Outfall Phase I - Work Order #3 City of Fort Collins '�GL L'�C� •L`C�gl_C' Laura Rudolph St. Loins / 0442 AUTHORIZED REPRESENTATIVE z = 12250 Weber Hill Road P.O. Box 580 St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 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 Garney Construction NAME AND LibertX7911 Shaffer Parkway ADDRESS OF INSURED Mutual® Littleton CO 80127 1 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) 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 /2011 WA2-64D-426942-730 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL,AR,AZ,CO,FL,GA,IA,KS,KY,L A,MO,MS,NE,OK,TN,TX,VA EMPLOYERS LIABILITY Bodily Injury by Accident 1 OOO OOOEach Amle., Bodily Injury By Disease 1 000 000 rdflyInjury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2011 TB2-641-426942-720 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2 000 000 ❑ CLAIMS MADE Each Occurrence 1 00 0 0 Personal & Advertising Injury 1 000 00 0 Per Person / Organization RETRO DATE OcrPy300,000 Fire Legal 1OTT0,000 Medical AUTOMOBILE LIABILITY. 10/1 /2011 AS2-641-426942-710 Each Accident —Single Limit $1,000,000 B.1. And P.D. Combined OWNED Each Person Each Accident or Occurrence mNON -OWNED 21 HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS See Addendum Attached. * 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 F —city of Fort Collins J6 ua eo_L3 Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road P.O. Box 580 St. Louis MO 63127 800-392-9223 9/13/2010 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 07-10 09 CERTIFICATE ADDENDUM a a rl r r NAMED INSURED CERTIFICATE HOLDER 9/13/2010 Garvey Construction City of Fort Collins 7911 Shaffer Parkway P.O. Box 580 Littleton CO 80127 Fort Collins CO 80522 Project: Canal Importation Ponds and Outfall - Work Order #1 - Pre -Irrigation Work. The City of Fort Collins, Colorado, Anderson Consulting Engineers and Ayres Associates are is an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. n {� 1" 6a 9'� W ,�, i� ��G.tt 4-r ��pi ;Created at wWW eCertsONLINE IV AD2 (2002) a fig