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