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Home My WebLink About166269 GARNEY CO - INSURANCE CERTIFICATE (13)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 Companies Inc NAME AND Liberty1333 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(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 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 0TYO0,000 Fire Legal lovo 000 Medical AUTOMOBILE LIABILITY 10/1/2011 AS2-641-426942-710 Each AccidentCoSingleLimit $1,000,000 BA. And P.D. Combined OWNED Each Person Each Accident or Occurrence NON -OWNED HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS Re: Work Order No. Stover-1, Contstruction of the Stover Street Infrastructure Improvements (City of Fort Collins, CO). • 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: Constr of the Stover St Infrastructure n Fty of Fort Collins (Ct : t tea-• L`G`_ C�� ~� Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road 300 LaPorte Ave. 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 Companies Inc NAME AND 'Liberty 1333 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(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. 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 BodilyIn'urybyAccidem 1 OOO OOO Each 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 2 000 000 ❑ CLAIMS MADE Each Occurrence 1000 0 Personal & Advertising Injury 1 OOO OOO Per Person /Organization RETRO DATE OT 00,000 Fire Legal rvTo 000 Medical AUTOMOBILE LIABILITY 10/1/2011 AS2-641-426942-710 Each AccidentCoSingleLimit $1,000,000 B.I. And P.D. Combined 0 OWNED Each Person Each Accident or Occurrence ❑ 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: Liberty Mutual Insurance Group Re: Work Order #10 City of Fort Collins (C� �US� •��`G�'�� Laura Rudolph St. Loins / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road m 300 Laporte Ave. St. Louis MO 63127 800-392-9223 9/13/2010 Fort Collins CO 80522 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 , �64k .: e irs •i•v: .wtls '*�'',i,. o t'S m'?" ��t NAMED INSURED CERTIFICATE HOLDER 9/13/2010 Garvey Companies Inc City of Fort Collins 1333 NW Vivion Road 300 Laporte Ave. Kansas City MO 64118 Fort Collins CO 80522 Re: Canal Importation Ponds and Outfall—Work Order #10-Turf Reinforcement, Site Armament and Punchlist Work. The City of Fort Collins, Colorado, Anderson Consulting Engineers (located at: 375 E Horsetooth Road, Bldg 4102, Fort Collins, CO), and Ayres Associates (located at: 3665 JFK Parkway, Building 2, Suite 200, Fort Collins, CO 80525) are additional insured as their interest may appear where required by written contract on Auto Liability and General Liability. Iv Adz zooz Created at mmeCertsONLINExom � 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 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(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 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 0 00 Personal & Advertising Injury 1 Q00 Q00 Per Person / Organization RETRO DATE 1 00,000 Fire Legal rTT0,000 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 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. 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: Re: Work Order No. MBF-2010-1 City of Fort CollinsJ Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE t ; 12250 Weber Hill Road 300 Laporte Ave. 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 AMATTER 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 Companies Inc NAME AND LibertX1333 NW Vivion Road ADDRESS L� OF INSURED Kansas City MO 64118 I Mutual J 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. 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 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 0 0 Personal & Advertising Injury 1 OOO OOO Per Person /Organization RETRO DATE 0000,000 Fire Legal rT0,000 Medical AUTOMOBILE LIABILITY 10/1 /2011 AS2-641-426942-71 O Each Accident —Single Limit $1,000,000 B.I. And P.D. Combined lJ OWNED Each Person Each Accident or Occurrence mNON -OWNED HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS Re: Springwood Water Main Replacement - 2009 Water System Improvement (City of Fort Collins, CO). 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: Springwood Water Main Replacement F —city of Fort Collins C�: ��GL,f `.� Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road 300 LaPorte Ave. 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 Companies Inc NAME AND Liberty1333 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(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 Bodilyln'urybyAccidein 1 0OA 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 0 0 000 Personal & Advertising Injury 1 OOO OOO Per Person / Organiza[ion RETRO DATE J "000,000 Fire Legal rvTo 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 �m l_ I HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS Re: Alpine St. Human Bean Alley Sanitary Sewer Replacement. The City of Fort Collins, Colorado is an 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: Alpine St. Human Bean Alley Sanitary Sewer Repl. [ Clity of Fort Collins L 9 max° 300 Laporte Ave. L Fort Collins CO 80522 1 Liberty Mutual Insurance Group �- �! _'CL&C -3 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 Companies Inc NAME AND ''• Liberty1333 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(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 OO OEach 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 $1,000.00 Personal & Advertising Injury 1 OOO OOO Per Person /Organization RETRO DATE OtT 00,000 Fire Legal T10,000 Medical AUTOMOBILE LIABILITY 10/1 /2011 AS2-641-426942-710 Each Accident —Single Limit $1,000,000 B.I. And P.D. Combined IJ OWNED Each Person Each Accident or Occurrence NON -OWNED ❑ HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS See Addendum Attached. • Ifthe certificate expiration date is continuous or extended term, you will be notified ifcovemge 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: Re: Work Order #1 City of Fort CollinsC� Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE c 12250 Weber Hill Road 300 Laporte Ave. 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 MED INSURED CERTIFICATE HOLDER 9/13/2010 Garvey Companies Inc City of Fort Collins 1333 NW Vivion Road 300 Laporte Ave. Kansas City MO 64118 Fort Collins CO 80522 Re: Work Order #1 - Bryan and Construction Storm Sewer Project The City of Fort Collins, Colorado, 4316 LaPorte Avenue, Fort Collins, Colorado 80522; Ayres Associates, 3665 JFK Parkway, Building 2, Suite 200, Fort Collins, CO 80525; and Anderson Consulting Engineers, 375 E Horsetooth Road, Bldg 4102, Fort Collins, CO, are additional insured as their interest may appear where required by written contract on Auto Liability and General Liability. 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 Companies Inc � NAME AND 6'�� Liber 1333 NW Vivion Road ADDRESS t)1 OF INSURED Mutual Ka ® nsas City MO 64118 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 1 000,000 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 ❑ OCCURRENCE 2,000,000 ❑ CLAIMS MADE Each Occurrence 1000 0 Personal & Advertising Injury 1 OOO OOO Per Person /Organization RETRO DATE J GT300,000 Fire Legal lovo 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 ❑ HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS Re: Water Service Replacements in Locust Street. The City of Fort Collins, Colorado is an 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: Water Service Replacements in Locust Street F —clty of Fort Collins � 9 'f 300 Laporte Ave. 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 of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE 1S 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 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(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 7. by Accident 1 OOO O O O 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 D OCCURRENCE 2 000 000 ❑ CLAIMS MADE. Each Occurrence $1,000,000 Personal & Advertising Injury 1 0QQ 000 Per Person /Organization RETRO DATE GTY00,000 Fire Legal lovTo 000 Medical AUTOMOBILE LIABILITY 10/1 /2011 AS2-641-426942-710 Each Accident —Single Limit $1 ,000,000 B.1. And P.D. Combined LI 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: Liberty Mutual Insurance Group Re: Work Order #9 rCity of Fort Collins Laura Rudolph St. Loins / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road 300 Laporte Ave. 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 ADDENDUM F NAMED INSURED CERTIFICATE HOLDER 9/13/2010 Garvey Companies Inc City of Fort Collins 1333 NW Vivion Road 300 Laporte Ave. Kansas City MO 64118 Fort Collins CO 80522 Re: Canal Importation Ponds and Outfall — Work Order #9 — Taft Hill Road Curb, Gutter and Sidewalk. The City of Fort Collins, Colorado, Anderson Consulting Engineers (located at: 375 E Horsetooth Road, Bldg 4102, Fort Collins, CO), and Ayres Associates (located at: 3665 JFK Parkway, Building 2, Suite 200, Fort Collins, CO 80525) are additional insured as their interest may appear where required by written contract on Auto Liability and General Liability.