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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