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HomeMy WebLinkAbout166269 GARNEY CO - INSURANCE CERTIFICATE (14)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 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 In'trry by Accident 1 Q0 QQQ each Accident Bodily Injury By Disease 1 000 000 F-lyInjury 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 1 000 000 Per Person / Organization RETRO DATE Ot$300,000 Fire Legal her lovo'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 HIRED - Each Accident or Occurrence OTHER ADDITIONAL COMMENTS Ifthe 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: �ty of Fort Collins Purchasing Division P.O. Box 580 u S 215 North Mason Street, 2nd Flolor 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 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 of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICArE 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 terns, 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'uryby /Alccid5m 1 OOO OO OEach Accident Bodily Injury By Disease 1 000 000 PolicvLimit Bodily Injury By Disease 1 000 000 FgghPgson 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 - GtT300,000 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 • Ifthe 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: Liberty Mutual Insurance Group �ty of Fort Collins (Ct �L1GL•�L`G�� Purchasing Division Laura Rudolph P.O. Box 580 St. Louis / 0442 AUTHORIZED REPRESENTATIVE =_ 12250 Weber Hill Road 215 North Mason Street, 2nd Flolor 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