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HomeMy WebLinkAbout166269 GARNEY COMPANIES INC - INSURANCE CERTIFICATE (2)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 Carney Companies Inc NAME AND Liberty 1333 NW Vivion Road ADDRESS OF INSURED Mutuale Kansas City MO 64118 is, at the issue date ofthis cenificate, 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 aad is not altered by any requirement, tern 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 10/1/2013 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 Bodilylduryby Accidem 1000000 En<h 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 Injury 1 OOO OOO Per Person/Orgamzanon RETRO DATE 0TY00,000 Fire Legal T10,000 Medical AUTOMOBILE LIABILITY 10/1/2013 AS2-641-426942-712 Each AccidemCoSingle Limit S2,000,000 B.I. And P.D. Combined r�I L'J OWNED Each Person Each Accident or Occurrence NON -OWNED tm LI HIRED Each Accident or O"nornmee OTHER ADDITIONAL COMMENTS RE: 7089 - Water, Wastewater and Stormwater utilities Infrastructure Design and Construction Services Contractor. City of Fort Collins is an additional insured under the General 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 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 bb DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: 7089 City of Fort Collins Purchasing Division a s P.O. Box 580 215 North Mason Street, 2nd Flolor Lort Collins CO 80522 Liberty Mutual Insurance Group �I- �i 1 Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/6/2012 JOFFICE 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/LIMITS NOT LISTED BELOW. This is to Certify that Garney Companies Inc NAME AND 0 Liberty 1333 NW Vivion Road ADDRESS OF INSURED Mutual® Kansas City MO 64118 is, at the issue date of this cerificate, insured by the Company under the policy(ies) listed below. The ins mince afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is act ahered by anv requirement. it.. or condition ofanv 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 /2013 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 Bcdilyln'uryby Accident 1 000 OOO Each n CidCm 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 RE'1'RO DATE Personal & Advertising Injury 1 OOO OOO Per Person/Organization dd,, D5Y00,000 Fire Legal tV0,000 Medical AUTOMOBILE LIABILITY 10/1/2013 AS2-641-426942-712 Limit Each . . Combined $2,000,000 B.I. Anndd PP.D. Combined 1� LJ OWNED Each Person Each Accident or Occurrence mNON -OWNED 0 HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6627 &#8208; 2012 Manhole Lining. City of Fort Collins is an additional insured under the General 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 continnous 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 Cj� CEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST t) DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Job # 6627 &#8208; 2012 Manhole Lining city of Fort Collins CiA l �0. L Laura Rudolph St. Louis / 0442 .AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road 4316 La Porte Avenue St. Louis MO 63127 800-392-9223 9/6/2012 Lort 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 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 TI IF- COVERAGE AFFORDED BY'THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS TI IAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDF ADDITIONAI SUB[ IMI F/f IMITS NOT LIS"1'ED BELOW This is to Certify that Gainey Companies Inc NAME AND Liberty 1333 NW Vivion Road ADDRESS °FINS°RED Mutuale Kansas City MO 64118 is, at the issue dhim.fthls certificate, insured by the Company under the policy{ies) listed below. The insurance afforded by the listed policy(ies) is subject to it their terms, exclusions and Conditions and is not altered by any r..uinnumt, term or condition ofany contract or other document with respect to which this certificate may be issued. TYPE OF POLICY EXP DATE El CONTINUOUS ❑ 8Xl'CNDED POLICY NUMBER LIMIT OF LIABILITY ® POLICY TERM WORKERS COMPENSATION 10/1/2013 WA2-64D-426942-732 COVERAGE AFFORDED UNDER WC LAW OFTHE FOLLOWING STATES: AL,AR,AZ,CO3FL,GA,IA,KS,KY,M O,MS,NE,NM,OK,SC,TN,TX,VA EMPLOVERS[,]ABILITY Bodilyln'ury by Accidc I 1 000000eachAccident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 Einlilsorse, COMMERCIAL GENERAL LIABILITY 10/1/2013 TB2-641-426942-722 General Agy°gat° $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE 2 000 000 ❑ CLAIMS MADE Each Occurrence 1 000 000 Personal & Advenising Injury . nt 1 000000 Per Person /Orgazetion RETRO DATE p utt " 5Y00,000 Fire Le9a1 OT10,000 Medical AUTOMOBILE LIABILITY 10/1/2013 AS2-641-426942-712 Each AccidentC.inglc Limit $2 000 OOO B.I. And P.D. Combined 1�1 L:J OWNED Each Person Each Accident or Occurrence NON -OWNED LJ HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS See Addendum Attached. • Ifshe certificate expiration date is continuous or extended terra, you will be notified ifcovemge is terminated or reduced before the certificate expiration dam. 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: F-CIty of Fort Collins, Colorado dx 4316 LaPorte Avenue Lort Collins CO 80522 J Liberty Mutual Insurance Group Cal -xa— j6--*')L,ct&C °Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE 12250 Weber Hill Road St. Louis MO 63127 800-392-9223 9/6/2012 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''ADDENDUM w r NAMED INSURED CERTIFICATE HOLDER 9/6/2012 Garvey Companies Inc City of Fort Collins, Colorado 1333 NW Vivion Road 4316 LaPorte Avenue Kansas City MO 64118 Fort Collins CO 80522 City of Fart Collins, Colorado, Anderson Consulting Engineers, and Ayres Associates are an additional insured under the General Liability and Automobile Liability policy if required by written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. General Liability policy includes contractual liability and explosion, collapse and underground coverage. Created at www.eCertsONLINE corn _ _ IV-AD2 (2002) Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER THIS CERTIFICA'fB 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 SUBUMIT/LIMITS NOT LISTED BELOW. This is to Certify that Carney Companies Inc NAME Liberty 1333 NW Vivion Road ADDESSD OF INSURED Mutual® Kansas City MO 64118 is, at the issue date ofthis certificate, insured by the Company under the pclicy(ics) listed below. The insurance afforded by the listed pidney(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 incy be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ® POLICY TERM WORKERS COMPENSATION 10/1 /2013 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 Boltlylnuryby Accident 1 OOO OOOPam Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2013 TB2-641426942-722 General Aggregate $2,000,000 Products / Completed Operations Aggregate 2 000 000 ❑ OCCURRENCE ❑ CLAIMS MADE Each Occurrence 1 000 000 Personal & Advertising Injury . 1 000 000 Per Person / Organization RETRO DATE DSth Y00,000 Fire Legal GV0,000 Medical AUTOMOBILE LIABILITY 10/1/2013 AS2-641 426942-712 Each Accident —Single Limit $2,000,000 B. I. And P D. Combined t� LJ OWNED Each Person Each Accident or Occurrence NON -OWNED tml IJ HIRED Each Accident or Occurrence OTHER ADDITION,\L COMMENTS See Addendum Attached. lithe certificate expiration date is continuous or extended term you will be notified ifcoverage 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 CNCEL OR REDUCE THE. INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST (70 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Garvey Job No. 6612 F -city of Fort Collins, Colorado w`0 J6 Laura Rudolph St. Louis / 0442 AUTHORIZED REPRFSENTT VE 12250 Weber Hill Road 4316 LaPorte Avenue St. Louis MO 63127 800-392-9223 9/6/2012 Lort Collins CO 80525 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' ADDENDUM' a NAMED INSURED CERTIFICATE HOLDER 9/6/2012 Garvey Companies Inc City of Fort Collins, Colorado 1333 NW Vivion Road 4316 LaPorte Avenue Kansas City MO 64118 Fart Collins CO 80525 RE: Project Ref: Garvey Job No. 6612 CIPO WO #16 Red Fox Meadows Balance to Complete. City of Fort Collins, Colorado, Anderson Consulting Engineers and Ayres Associates are an additional insured under the General Liability and Automobile Liability policy if required by written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. r" � u=--- r Createtl at www'eCertsONLINE com _x',L ,1; , ' .� - .:. _ IV=AD2 (2002) 4 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTERTHE IE COVERAGE AFFORDED BY THE POLICI ES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BLIAW. 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{es) listed below. The insurance afforded by the listed policyres) is subject to all their terms, exclusions and .-__�:.:---.._a:..._...e...a s...—,...:.......,, ,.....—. del—nr--mrvctnr.,her 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 10/1/2013 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 Boddyln'uryby Arddem 1 OOO000EachAcodem 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 2 000 000 ❑ OCCURRENCE ❑ CLAIMS MADE Each Occurrence 1 000 000 Personal & Advertising Injury 1 000000 Per Person/Organrzanon RETRO DATE p �, 5Y00,000 Fire Legal tb10,000 Medical AUTOMOBILE LIABILITY 10/1 /2013 AS2-641-426942-712 Each Accident —Single Limit $2,000 000 B.I. And P.D. Cmntured �1 J OWNED Each Person Each Accident or Occurrence mNON -OWNED HIRED Each Accident or Occurrence OTHER ADDI'FIO,NAL COMMENTS See Addendum Attached. Ifthe certificate expiration date is continuous or emended term you will be notified ifcovcrage is terminated or reduced torture the cemhcare expnaaon rate. 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 Garney Job No. 6622 F -arty of Fort Collins, ColoradoCLCV�GL Laura Rudolph 1 $t. L0U1a (0442 AUTIIORIZED REPRESENTATIVE 12250 Weber Hill Road 4316 LaPorte Avenue St. Louis MO 63127 800-392-9223 9/6/2012 LFortCollinsCO 80525 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 ADDENDUM . " NAMED INSURED CERTIFICATE HOLDER 9/6/2012 Garvey Companies Inc City of.Fort Collins, Colorado 1333 NW Vivion Road 4316 LaPorte Avenue Kansas City VIO 64118 Fort Collins CO 80525 RE: Project Ref: Garvey Job No. 6622 CIPO WO #17 Glenmoor Pond Balance to Complete. City of Fort Collins -Colorado, Anderson Consulting Engineers, and Ayres Associates are an additional insured under the General Liability and Automobile Liability policy if required by written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. General Liability policy includes contractual liability and explosion, collapse and underground coverage. .Created IV-AD2 (2002) at www eCertsONLINE com _ .. ,. ....