HomeMy WebLinkAbout166269 GARNEY CO INC - INSURANCE CERTIFICATECertificate of Insurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICVE HOLDER THIS CERTIFICATE IS NOT AN
INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISPED 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 IncNAME
tbbZ
1333 NW Vivian Road ADDRESSD Liberty
OF INSURED Mutual®
Kansas City MO 64118
is, at the issue data Fthis 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 crony 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
10/1 /2013
WA2-64D-426942-732
COVERAGE AFFORDED UNDER WC
LAW OF THE FOLLOWING STATES:
EMPLOYERS LIABILITY
COMPENSATION
AL,AR,AZ,CO,FL,GA,IA,KS,KY,M
O,MS,NE,NM,OK,SC,TN,TX,VA
Bodily la'uryby
Accident
1 OOOOOOEachAccident
Bodily Injury By Disease
1 000 000 Poficvhmn
Bodily Injury By Disease
1 000 000
COMMERCIAL
GENERAL LIABILITY
10/1 /2013
TB2-641-426942-722
General Aggregate
$2,000,000
Products /Completed Operations Aggregate
❑ OCCURRENCE
2 000 000
❑ CLAIMS MADE
Each Occurrence
RETRO DATE
Personal & Advertising Injury
1 OOO OOO Per Person/Orgeni>ation
OT300,000 Fire Legal N,000 Medical
AUTOMOBILE
LIABILITY
10/1/2013
AS2-641-426942-712
Each Accident —Single Limit
$2,000,000 B.I. And P.D. Combined
I�
L'1 OWNED
Each Person
Each Accident or Occurrence
mNON -OWNED
0 HIRED
Each Accident or Occarrence
OTHER
ADDITIONAL COMMENTS
RE: Master Contract
Uric 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 C'CEL OR REDUCE THE
INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 115 DAYS NOTICE
OF SUCH CANCELLATION HAS BEEN MAILED TO:
Liberty Mutual
Insurance Group
RE: Master Contract n
city of Fort Collins
Purchasing Division Laura Rudolph
a P.O. Box 580 St. Louis / 0442 AUTHORIZED REPRESENTATIVE
E s 12250 Weber Hill Road
215 North Mason Street, 2nd Flolor St. Louis MO 63127 800-392-9223 9/6/2012
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
LDI COI 268896 02 11
Certificate of Insurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICAE 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
Liberty
1333 NW Vivion Road
ADDRESS
OF INSURED Mutual®
Kansas City
MO 64118
is, at the issue data 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
r�„dn�,,,,� and k om vhnmd by wn� rcnuiremenr.
term or condition ofanv contract or other document with respect to which this certificate maybe issued.
EXP DATE
TYPE OF POLICY
❑ CONTINUOUS
❑ EXTENDED
POLICY NUMBER
LIMIT OF LIABILITY
® POLICY TERM
WORKERS
COMPENSATION
10/1/2013
WA2-64L)-426942-732
COVERAGE AFFORDED UNDER WC
LAW OF THE FOLLOWING STATES:
AL,AR,AZ,CO,FL,GA,IA,KS,KY,M
O,MS,NENM,OK,SC,TN,TX,VA
EMPLOYERS LIABILITY
Bodilylnuryby Accidem
1000000 Eeh Accident
Bodily Injury By Disease
1 000 000
Bodily Injury By Disease
11,000,000
COMMERCIAL
GENERAL LIABILITY
10/1/2013
T82-641-426942-722
General Aggregate
$2,000,000
Products /Completed Operations Aggregate
❑ OCCURRENCE
2 000 000
❑ CLAIMS MADE
Each Occurrence
$1,000,000
Personal & Advenising Injury
1 QOQ QQD Per Person/Organization
PETRO DATE
tt7h�
DSr300,000 Fire Legal tV0,000 Medical
AUTOMOBILE
LIABILITY
10/1/2013
AS2-641 426942-712
Each Accident —Single Limit
$2,000,000 B.I. And P. D. Combined
L•J OWNED
Each Person
Each Accident or Occurrence
NON -OWNED
rm
LJ HIRED
Each Accident or Occurrence
OTHER
ADDITIONAL COMMENTS
RE: Job # 6632 Elizabeth Street Waterline Replacement.
The City of Fort Collins 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.
Ifthe certificate expiration date is continuous or extended terra, 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: Job # 6632
�s
Ex
Liberty Mutual
Insurance Group
Fity of Fort Collins
Laura Rudol h
p
St. Louis / 0442 AUTHORIZED REPRESENTATIVE
12250 Weber Hill Road
300 LaPorte Avenue " "'°" "11 "' "'
LFortCollins CO 80521 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
LDI COI 268896 02 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/I.IMITS NOT LISTED BELOW
This is to Certify that
Garney Companies Inc
� �
NAME ANDLiberty
1333 NW Vivion Road
ADDRESS
OF INSURED Mutual®
Kansas City
MO 64118
is, at the issue date fthis 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 ofany 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
1011 /201 3
WA2-64D-426942-732
COVERAGE AFFORDED UNDER WC
LAW OF THE FOLLOWING STATES:
AL,AR,AZ,CO,FL,GA,IA,KS,KY,M
O,MS,NE,NM,OK,SC,TN,TX,VA
EMPLOYERS LIABILITY
Bodilylnury
by Accident
1000000 Each Accident
Bodily Injury By Disease
1 000 000
Bodily Injury By Disease
1 000 000
COMMERCIAL
GENERAL LIABILITY
10/1/2013
TB2-641-426942-722
General Aggregate
2 000 000
Products / Completed Operations Aggregate
❑ OCCURRENCE
2 000 000
❑ CLAIMS MADE
Each Occurrence
$1,000,000
Personal & Advertising Injuryt� 1 0hh00 000 Per Person / Orgamezuon
RFTRO DATE
OyY00,000 Fire Legal t510,000 Medical
AUTOMOBILE
LIABILITY
10/1/2013
AS2-641426942-712
Each Accident —Single Limit
$2,000,000 ILL And P, D. Combined
r�I
LCl OWNED
Each Person
Each Accident or Occurrence
NON -OWNED
rot
LJ HIRED
Each Accident or Occurrence
OTHER
ONAL COMMENTS
Job # 6628 Emergency Pipeline Repair Mobilization
of Fort Collins is an additional insured under the General Liability policy if required by a written contract with the
r
ed Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement.
Ifthe certificate expiration date is continuous or extended term, you will be notified ifcovcmge 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 Cp CEL OR REDUCE THE
INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST tj DAYS NOTICE
OF SUCH CANCELLATION HAS BEEN MAILED TO:
Liberty Mutual
Insurance Group
city of Ft. Collins
Laura Rudolph
St. Louis 10442 AUTHORIZED REPRESENTATIVE
i 4 12250 Weber Hill Road
300 LaPorte Avenue St. Louis MO 63127 800-392-9223 9/6/2012
LortCollins CO 80521 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
LDI COI 268896 02 11