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Home My WebLink About166269 GARNEY COMPANIES INC - INSURANCE CERTIFICATE (3)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 [Gamey Companies Inc \bbti�� NAME AND Liberty Ka 1333 NW Vivion Road ADDRESS OF INSURED MutualCity 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(iss) 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 cenificate 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 Bodilyln'uryby Accident �1.000-000 r"h Aeddent 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 El CLAIMS MADE Each Occurrence 1 0 Personal & Advertising Injury 1 0cr0O 0O0 PPcrson / Organaauon RETRO DATE 100,000 Fire Legal tN0,000 Medical AUTOMOBILE LIABILITY 10/1/2013 AS2-641-426942-712 Lim t Each And P.D.Combined $2,000,000 B.I. And P.. Combined 10 OWNED L Each Person Each Accident or Occurrence NON -OWNED rm IL HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6639 Shealy Water and Sewer Improvements ‐ Phase I. The City of Fort Collins and Stantec Consulting Services are 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 cenificate expiration date is continuous or extended term, you will be notified ifcorerage 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 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 # 6639 City of Fort Collins !J Laura Rudolph St. Louis / 0442 AUTHORIZED REPRESENTATIVE s 12250 Weber Hill Road ae 300 LaPorte Avenue St. Louis MO 63127 800-392-9223 9/6/2012 Lort Collins 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 YSEGN11MM11 A� a CERTIFICATE OF LIABILITY INSURANCE °ATE14/201Y' 09/le/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. N SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Certain policies may require an endorsement. A statement on this certificate does not writer rights to the certificate holder In lieu of such andorsemen s . PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT gLLBm McCaffrey NAVE: PRONE , 816-395-8695 1,Fg.No): 816-467-5694 AWRESM euem_mccaffrsygajg.com 7345 Grand Blvd., Suite e00 INSURERS AFFOROUIG COVERAGE NAN:I Ran sag City, NO 64108 INSURERA: ST PAUL PISS 4 MARINE INS CO 75767 Tanner Burns INSURED Onrney Bolding Company / Gamey Coenaniee, Inc. / aarnay INSURER B: Construction Company, Inc. / ori® COnetructien Company, INSURER C: INSURER D: Inc. / Weaver Conatructim Mmagament, Inc. 1333 NN VSvion Road Kansas City, MD 65118 INSURER E: INSURER F: COVERAGES CERTIFICATE MIIMRFR- 2906565a RFVLa1r3M h111Mmco. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN" TYPE OF VIBURAMCE AwLISU POLN:Y NUYBER OUCYEFFuNDDIYyYn M LNINYTO 71 Leas GENERAL LUBILRY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ZIAS-MADE1:1 PREMISES PREMISE o Imnc S MEDEXP wa rim $ OCCUR PERSONAL A AOV INJURY $ GENERALAGGREGATE S GENL AGGREGATELIMIT APPLIESPER: PRODUCTS AGO S POLICY PRO_ LOC S AUTOMOBILE LIABILITY EOMBINOEEDISINGLE LIMIT BODILY INJURY(PE$1510001000 ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY P ( NON-0WNED HIREDAUTOS AUTOS PROPERTY DAMA$ w w A i UNeRELLA LUUI Z OCCUR Y Z SDP-14878452-12-NF 10/O1/1 10/01/13 EACH OCCURRENEXCESS AGGREGATEDED LUI9 CLAIMSMADE Y RETENTION NONE WORKERS COMPENSATION WC STATU-ANDEMPLOYER6'UIBIIRY YIN ANY PROPRIETOMPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUCEDi ❑ NIA E.L. EACH ACCIDENT i E.L. DISEASE - EA EMPLOYE $ (Ye,0A M In NX) Il�eess tl0un6a un ks DESCRIPTION OF OPERATIONS 601ow E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHN:IE8 (Aae:h ACORD 101, Aed11lenal Rwnnht schedule, N n we sPw Is rpuhed) PollwFing Form Primary/Underlyia9 Policies with Liberty Mutual Fire Insurance Compmy: General Liability including Completed Operations Policy aTB2-641-426942-722 Eff. 10-1-2012/10-1-2013 Auto Liability Policy aAs2-641-426942-717 Eff. 10-1-2012/10-1-2013 Employers Liability/porkers- Compensation Policy aNA2-64D-476942-732 Eff. 10-1-2012/10-1-2013 Po11owing Form Including Blanket Additioml Insured, Primary and Hon -Contributory and Blanket waiver of Subrogation as required by written contract. Includes All York and Operations Performed by insured covered by Primary/Underlying policies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Pt. Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Doreen N. College Ave AUTHOR ON) REPRESENTATIVE Collin", CO 80521 �✓ �)�"'- I USA / 01988.2010 ACORD CORPORATION. All rights reserve ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD micbor 29065650 Y111A111.1.2 ACC) & CERTIFICATE OF LIABILITY INSURANCE DATE(MM) 012 09/ll/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. H SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . ' PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT SUBm McCaffrey NAME: y PRONE1No ,,, 016-395-8694 / NO, 816-e67-569e 2345 Grand Blvd., Suite 400 EdIMt euemJeccaffre a em ADDRESS, yg 1g• INSUIRERIs AFFORDING COVERAGE NAIC6 Rancas City, MO 64108 INSURER A: ST PAUL FIRS a MARINE INS CO 26767 Tam or Sums INSURED Goner Holdctionag Coanmy / Garrey Inc. / Gamey INSURER 9: Grim Construction Company, Inc. / Grimm Construction Company, INSURER C: INSURER D: Inc. / Weaver Construction Management, Inc. 1333 NN Vivian Road Raneas City, MO 64118 INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: 29065525 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR TR TYPE OF INSURANCE AD" U POLICY NUMBER POLICY EFF M POLICY UP MMAR UNITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LWBILITY DAM04E TO RENTED PREMI ES Ee oaurrenm S MED EXP one pesos) S CLAIMS -MADE OCCUR PERSONAL a ADV INJURY S GENERALAGGREGATE 3 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO 6 "C' LOC POLICY JFQT $ AUTOMOBILE W&LRY EOMBINOEDI SINGLE LIMIT acANY -a BODILY INJURY(P. enon) $ AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY P eLv0W0 (°f ) S MIRED AUTOS NON -OWNED AU708 PROPERTY DAMAGE tie l S i A % UMBRELLA LIAB X OCCUR % X ZUP-1eS78e52-12-NF 10/01/1 10/01/13 EACH OCCURRENCE i 15,000,000 AGGREGATE 1 f 15,000, 000 EXCESS I. CLAIMS MADE CEO X I RETENTIONS NONE S WORKERS COMPENSATION I LIMITS I OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICEROAEMBEREXCLUDED! ❑ NIA E.L. EACH ACCIDENT S El. DISEASE - EA EMPLOYEE S (MandMM In NH) Ilyes deeoSM,edw DESCRIPTION OF OPERATIONSt E.L. DISEASE - POLICY LIMIT E 7. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (A1McN ACORD 101, AddNNnal Rena,Ns ScxeduM, N mom spew M n uNed) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy aTB2-6e1-626942-722 Eff. 10-1-2012/10-1-2013 Auto Liability Policy eAB2-641-426962-712 Eff. 10-1-2012/10-1-2013 Employers Liability/Workers, Compensation Policy IIWA2-64D-426962-732 Eff. 10-1-2012/10-1-2013 Following Foxm Including Blanket Additional Insured, Primary and Non -Contributory, and Blanket Waiver of Subrogation as required by written contract. Includes All Work and Operations Performed by insured covered by Primary/Underlying policies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 300 Laporte Ave. AUTHORIZED REPRESENTATIVE p Fort Collina, CO 00522 — 0 ACORD CORPORATION. All Hants reserved_ ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD micbor 29065525 z w vsmwxvxc A 6 DM D09/14/2012 Y) CERTIFICATE OF LIABILITY INSURANCE 09/ll/3013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder Is an ADDITIONAL INSURED, the polley(les) must be endorsed. H SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cerUflcate does not confer rights to the certificate holder in Ileu of such andorsement(s). PRODUCER 1-816-631-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTA Buena McCaffrey PHONE FA% ,AtC No Pni. 816-395-8694 Mimi, 816-467-5694 AODRE E-MAIL S: enBan_mCCaffreygajp.COm 2345 Grand Blvd., Suite 600 INSURER)AFFOROINGCOVERAGE NNCa Kansan City, NO 64108 INSURERA: ST PAUL FIRS 6 NARINB INS CO 36767 Tanner Burns INSURED Onrney Holding Company / Carney Compeaias, Inc. / Barney INSURER B: Constriction Company, Inc. / Grimm Construction Company, INSURER C: INSURER D: Inc. / Weaver Construction Nanagamant, Inc. 1333 NN VSvion Road Kansas City, NO 64118 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 29065638 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBR L TYPE OF INSURANCESURA POLICY NUMBER POLICY EFF MM POLICY UP M D LIMITS GENERAL LIABILITY EACHOCCURRENCE f COMMERCIAL GENERAL LIABILITY DAMA ET RENTS ff— PREMISES E occurt nm f MED EXP me rem f CLAIMS -MADE OCCUR PERSONAL S AW INJURY f GENERAL AGGREGATE f GERI AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG f POLICY PRl1 LOC f AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea a enl BODILYIWURY(PW0Ms0n) f ANY AUTO ALL OWNED SCHEDULED ALTOS AUTOS BODRYIWURY (Pm ecUNMN ) f NON�GWNED HIRED AUTOS AUTOS PROPERTY DAMAGE f f A X UMBRELLA LIAB Z OCCUR Z X 2UP-1a878653-13-HF 30/01/1 10/01/13 EACH OCCURRENCE f 15,000,000 AGGREGATE f 15,000,000 EXCESS LAS CLAIMS -MADE DED Z RETENTION NONE f WORKERS COMPENSATION WC STATU- OTH- ANDEMPLOYERS' LMRIL1rY YIN ANY PROPRIETOWPARTNERIEXECUTIVF OFFICERIMEMBER EXCLUDED? NIA f E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE f (Menftt"In NH) If pee, desmiea Vn DESCRIPTION OF OPERATIONS Wn El. DISEASE - POLICY LIMIT f DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Winch Amen 101. AONNkcW Reln uts ScMduW. N mwe spew b n9ube0) Following Form Primary/underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #M2-6s1-436963-723 Eff. 10-1-2012/10-1-2013 Auto Liability Policy aA93-641-436913-713 Bff. 10-1-2012/10-1-2013 Moyers Liability/Norkera• Compensation Policy aNA3-64D-436943-733 Bff. 10-1-2012/10-1-3013 Following Form Including Blanket Additional Insured, Primary and Non -Contributory and Blanket Waiver of Subrogation as required by written contract. Includes All Work and Operations Performed by insured covered by Primary/underlying policies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Fort Collin THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. LaPorte Avenue AUTHORIZED REPRESENTATIVE Collins, CO 00521 USA / 01988.2010 ACORD CORPORATION. All rights reserve ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD micbor 3906563E z 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 SUBLI.MIT/LIMITS NOT LISTED BELOW. This is to Certify that Carney Construction NAME AND Liberty 7911 Shaffer Parkway ADDRESS OF INSURED MutuaIs Littleton CO 80127 is, at the issue dale ofthis certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ics) is subject to all their terms, exclusions and Conditimrs and is not altered by env mouiremenL term or condition ofany contract or other document with respect to which this cenificam may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ® POLICY TERM WORKERS COMPENSATION 10/1 /201 3 WA2-64D-426942-732 COVERAGE AFFORDED UNDER WC LA W 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 Bodilyhnryby Accident �1,000,OOOEachAccident 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 Personal & Advertising Injury 1 0pp00000 Per Person/Organization RETRO DATE Gtt��5tJ00,000 Fire Legal Iye{0,000 Medical AUTOMOBILE LIABILITY 10/1/2013 AS2-641-426942-712 Each Acdden—Singlel Limit $2,000,000 B.I. And P.D. Combined r�I LJ OWNED Each Person Each Accident or Occurrence NON -OWNED rm LJ HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS - City of Fort Collins, Colorado is 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. IFthe certificate expiration date is continuous or extended term, you will be notified ifcovemge is terminated or reduced before the cenificate 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�L�'CEL INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 66 OR REDUCE THE DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Right of Way License sty of Fort Collins �C1 v�Q j6�Ltc—L&Ce Laura Rudolph - St. Louis 10442 AUTHORIZED REPRESENTATIVE `9 12250 Weber Hill Road P.O. Box 580 St. Louis MO 63127 800-392-9223 9/6/2012 Lort 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 LIABILITY INSURANCE 09/lf/2012A9/"I°012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. TNIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: M the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not Confer rights to the certificate holder In lieu of such endorsements . PRODUCER 1-816-621-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT euean McCaffrey NAYS: PJdf�ri.EXu; 816-395-8694 Fives[ �; 816-667-5694 zrae , susauJmccaffreygajg•com 2345 Grand Blvd., Suite 400 INSURE IIAFFORDING COVERAGE NMC8 Raaeae City, MO 66108 INSURER A: ST PAUL PIRG 6 MARINE INS CO 26767 Tanner Burns INSURED Carney Holding Company / Garney Companies, Inc. / Carney INSURER a: Construction Company, Inc. / Crime Construction Company, INSURER C: INSURER O: Inc. / Heaver Construction Management, Inc. 1333 NW VSvion Road Rants City, NO 64118 INSURER E: INSURER F : COVFRAC.FS CFRTIFICATF NIIMRFR• 29065613 DRVISInM NIIMROD- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPE OF INSURANCE AN-LfSUla BR wril POLICY NUMBER MFOLICYEFF Y UCYEXP UNITS GENERAL LMERM EACHOCCURRENCE f COMMERCIAL GENERAL LIABILITY D Efi3 RENTED PREMISES Ea opu. f MED EXP one peeps) S CLAIMS -MADE OCCUR PERSONAL 6 ADV INJURY _ GENERAL AGGREGATE f GENT AGGREGATE UIDTAPPLIES PER : PRODUCTS - COMPAIP AGG f POLJCY PRO- LOCJEIT f AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea epiEml BOOILYINJURY(Pepesan) It ANY AUTO ALL OWNED SCHEDULED ALTOS AUTOS BOOILYIWURY(Pff d ) f HIRED AUTOS �US EO F OPERTY DAMAGE f f A E UMBRELLA LAB E OCCUR X E ZDP-14878652-12-11F 10/01/1 10/01/13 EACH OCCURRENCE f 15,000,000 AGGREGATE f 15,000,000 EXCESS LIAB CLAIMS -MADE DED I E I RETENTION S NOME f YN)RNERSCOMPENSATION WC STATU- OTH- ANDEMPLOYERVLIABIUTY YIN ANY PROPRIETORMARTNETLEXECUIV OFFICERAAEMBER EXCLUDED? ❑ NIA E.L. EACH ACCIDENT f E.L. DISEASE - EA EMPLOYE f (meneem,r In NX) B s�aaee aMm6e OF DESCRIPTION OF OPERATIONS 6ebN EL. DISEASE -POLICY LIAR i DESCRIPTION OP OPERATIONS I 100CATION3I VEHICLES (AftmA ACORD 10, AEtlMipul Remelu Bc6MUM, IT qen brpubM) Following ➢onm Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy BTB2-661-426942-722 Eff. 10-1-2012/10-1-2013 Auto Liability Policy eAS2-641-426962-712 Eff. 10-1-2012/10-1-2013 Employers Liability/Morksra• Compensation Policy #W-64D-426962-732 Eff. 10-1-2012/10-1-2013 Following Form Including Blanket additional Insured, Primary and Bon -Contributory and Blanket Waiver of Subrogation as required by written contract. Includes All Work and Operations Performed by insured covered by Primary/Underlying policies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Port Colllna THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 500 ACCORDANCE WITH THE POLICY PROVISIONS. Attuo Purchasing Division 215 North Use= Street, tad Flolor IAUTHORIZED REPRESENTATNE Callii USA.na, CO 80522 I --�✓ I)"'-`- / 01988-2010 ACORD ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD micbor 29065613 reserved. YSEIAn3MM13 g ACOROm CERTIFICATE °09/ld/2012 OF LIABILITY INSURANCE 09/ll/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. N SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on this c rtificate does not Confer rights to the certificate holder In lieu of such andorsemen s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. co "TABUBm McCaffrey NAME:PHON FAX WC N Ent 816-395-869a WC Rol. 816-467-5694 2345 Grand Blvd., Suite 400 =Is, suem_mccaffreyeajg.cem IMSURE S AFFORDVN: COVERAGE NAICI Kansas City, NO 66108 INSURERA: ST PAUL PIRG 6 NARIM INS CO 25767 Tamer Burns IMBUREO Carney Holctionap /Barney Inc. / Barney INSURER B: me Construction mpany,y, Construction Company, Inc. /Grimm Construction Campeny, INauRERc: INSURER D: Inc. / Weaver Construction Management, Inc. 1333 HIM Vivion Road Kansas City, NO 65118 INSURER E: INSURER F: COVERAGES CERTIFICATE NIIMRFR• 29065612 RN1SInu ullunco• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NMI LTMI TYPE OF INSURANCE POLICY NUMBER 111MA ITYf POImY EXP LIMITS GENERAL LUIBAm EACH OCCURRENCE f COMMERCV,L GENERAL 11ABILITY DAMAGT TO RENTED PREMISES (Ea a ..) i MEDEXP aupmem f CLMMS-MADE DOCCUR PERSONAL S AOV INJURY S GENERAL AGGREGATE S GENT. AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPNP AGG f PgJCV PRO LOG f AUTOMOBILE UJUN lTY 1 COMBINED SINGLE LIMB Ea er srft BODILY INJURY(P. person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Pa em00n1 ( I S HIRED AUTOS NONONRIED AUTOS PROPERIV OANAGE von f s A E UMBRELLA LIAR I OCCUR X E ZUP-14878452-12-NF 10/0111 10/01/13 EACH OCCURRENCE $ 15,000,000 AGGREGATE 1;15,000,000 UCE33 UM CLAIMS MADE DED I E I RETENTION NONE f WORKERSCOMPENSATIOM WC STATU- OTH- ANDEMPLOYERS'UABILTTY YIN ANY PROPRIETO W➢MTNER,EXECUn VE OFFICERMEMBER EXCLUDED? NIA ' E.L. EACH ACCIDENT i E.L. DISEASE - EA EMPLOYE f (Mandalay In NH) 11 yea Q wbe unOw DESCRIPTION OF OPERATIONS bebN E.L. DISEASE -POLICY LIMIT 3 DESCRIPTION OF OPERADONSI LOCATION!IVEHICLES 6unmh ACORD 101. AdmKlene R..SdwdO , NnHw spanbrpubM) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426942-722 Bff. 10-1-2012/10-1-2013 Auto Liability Policy eAS2-641-4269e2-712 Eff. 10-1-2012/10-1-2013 Employers Liability/Workers' Ceapeneation Policy e1D12-64D-126942-732 Bff. 10-1-2012/10-1-2013 Po11ow1ng Form Including Blanket Additional Insured, Primary and Boa -Contributory and Blanket Waiver of eubrogation as required by written contract. Includes All Work and Operations Performed by insured covered by Primary/Underlying policies. City of Port Collins P.O. Box 580 Atto: Purchasing Division 215 North Kason Street, 2nd Flolor Port Collins, CO 00522 ACORD 25 (2010105) micbor 29065612 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE T- f)r_ 08A 01988.2010 ACORD The ACORD name and logo are registered marks of ACORD reserved. e z w YtltaXlf:wni A` ) be D09/14 D012 CERTIFICATE OF LIABILITY INSURANCE 09/la/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endowed. N SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. NAM' CONTACT Susan McCaffrey PHONE 816-395-8691 PA% 816-667-5696 AK �DonesS: suean_mccaffreygajg•cow 2365 Grand Blvd., Suite 600 INSURERS AFFORDING COVERAGE NAK4 Kansas City, NO 64108 INSURERA: ST PAUL FIRS A YARLWR INS CO 24767 Tanner Burns INSURED Carney Holding Company / Oarvay Companies, Inc. / Carney INSURER B Construction Company, Inc. /, Grim Construction Company, INSURER C: INSURER D: Inc. / Weaver Construction Management, Inc. 1333 HW Vivion Road Kansas City, NO 62118 INSURER E: INSURER F: COVERAGES CERTIFICATE MUMRFR- 29065526 orvim u MIIuarm. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. UISR T TYPE OF INSURANCE ADOL POLICYMUMBER 06MYEFF Y POLICY E%P MNIDD UNITS GENERAL LIABILITY EACH OCCURRENCE i COMMERGUI GENERAL LIABILITY ETAMNGETORE-N NTEO 0 PREMI ES E. pc rt ace f MEDEXP(An anepers $ CLAIMS- A E F1 OCCUR PERSONAL a AOV INJURY S GENERALAGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ POLICY PRO- LOC f AUTOMOBILE LIABILITY CEOMBINtlEED SINGLE LIMIT BODILY INJURY (Pr paean) S ANY AUTO OWNED UTOUT SS AUTOS WDILYINJURY(PNeccNaU) f NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE P r t f $ A X UMBRELLA LAB = OCCUR X X ZUP-14878452-12-NF 10/01/1 10/01/13 EACH OCCURRENCE f 15, 000, 000 AGGREGATE S 15,000,000 EXCESS LIAB CLAIMS MADE DEO I = I RETENTION II NONE f WORKERS COMPENSATION WC STATU OTH AND EMPLOYERS' LMBILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE F OFFICERIMEMBER EXCLUDED? NIA E.L. EACH ACCIDENT f E.L. DISEASE - EA EMPLOYE S (Mewhdol In NIO It yyeese ass wNntler DESCRIPTK)NOFOPERATIONSWe E.L. DISEASE - POLICY LIMIT S 7— DESCMI N OF OPERAnON31 LOCATIONSI VEHKLES (ANKH Ac011D 1p1, AaVMkNW RemuNe SCNW VM, tt more space M nRubld) Follwring Form Primary/Underlying Policies rith Liberty Mutual Fire Insurance Companyl General Liability including Completed operations Policy aTB2-641-426942-722 eff. 10-1-2012/10-1-2013 Auto Liability Policy PAS2-661-426962-712 aff. 10-1-2012/10-1-2013 Employers Liability/Yorkers' Compensation Policy eNA2-66D-426962-732 aft. 10-1-2012/10-1-2013 Polloring Form Including Blanket Additional Insured, Primary and Non -Contributory and Blanket Waiver of Subrogation as required by mitten contract. Includes All Work and Operations Performed by insured covered by Primary/Underlying policies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 0. Box 580 AUTMORNED REPRESENTATNE Collins, CO 80522 I �✓ �)�'� i USA / El ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD micbor 29065526 All rights reserved. 6,e.T�;. e w w q� b" CERTIFICATE OF LIABILITY INSURANCE °A9/""/2012 09/1{/7017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: H the certificate holder Is an ADDITIONAL INSURED, the policy(Ies) must be Endorsed. H SUBROGATION IS WANED, subject to the terms and Conditions of the policy, certain policies may require an endorsement. A statement on this Cedlficate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACTSusan McCaffrey NONE FAx N9.ELt1: 816-395-8694 C e0; 816-{67-569{ 2345 Grand Blvd., Suite 400 EaIAIL ADORE : Bueaa_mccaffreygajg.com INSURE S AFFORDING COVERAGE NAILS Kansas City, YO 64100 INSURER A: ST PAUL FIRS 6 MARINE INS CO 24767 Tanner Burns INSURED Carney Bolding / Garrey Companies. Inc. / Carney INSURER B Company, Construction Company, Inc. / Or1® Construction Company, INSURER C: INSURER O: Inc. / Weaver Construction aanagamant, Inc. 1333 NW Vivlon Road Kansas City, YO 64118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 29065527 REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MEN LTR TYPE OFIN6URANCE AODLBUWf POLICY NUMBER POLN:YEFF YM PWDDNXP M LIYITS GENERAL LIABILITY EACHOCCURRENCE S COMMERCIAL GENERAL LIABILITY DAAVIGE TO RENTED PREMISES Ea .1 S MEOW one ran S CWMS-MADE El OCCUR PERSONAL A ADV INJURY $ GENERALAGGREGATE 6 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGO S POLICY jFr.TPRO MLOC S AUTOYOBRJ: LMBIUTY COMBINED SINGLE LIMIT ant BODILYIILURY(Pwpwron) $ ANV AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Pw as fl ( 1 S NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE p M NI S $ A 8 UMBRELLALua N OCCUR i E SOP-1{870{52-12-111? 30/01/1 10/01/13 EACHOCCURRENCE 6 15,000, 000 AGGREGATE $15,000,000 EXCESS LIAa CLAIMS#1ADE DIED I Z I RETENTION ROSE 1 WORKERS COYPENSAnON WC STATU- OTHL TORY_'IMITSF. AND EMPLOYER!' LABILITY YIN ANY PROPRIETOPIPARTNER,EXECUTIVE AI OFFICEREMBER EXCLUDED? ❑ NIA E L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Yandlmry In NH) It yyeese eeecicl6e slaw DES(:RIPMONOFOPERATIONSbebw E.L. DISEASE -POLICY LIMIT 6 DESCRIPTION OF OPERATION! I LOCATION! 1 VEHICLES (Aft o ACORD 101. Aada l Rw"s 3O uN, B more ePece Is ms,ulaa) Following Form Primary/U derlying Policies with Liberty Mutual Fire Insurance Companyi General Liability including Completed Operations Policy M2-641-426942-722 Bff. 10-1-2012/10-1-2013 Auto Liability Policy #AS2-641-476942-712 Bff. 10-1-2012/10-1-2013 Employers Liability/Norkere' Coapaneation Policy eNA2-6{D-426942-732 Bff. 10-1-2012/10-1-2013 Following Form Including Blanket Additional Insured, Primary and Non -Contributory and Blanket Waiver of Subrogation as required by written contract. Includes All Work and Operations Performed by insured covered by Primary/Underlying policies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. O. Box 580 AUTHORIZED REPRESENTATNE It Collins, CO 60527 T✓ f)""`- I USA // All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD micbor 29065527 zz 4I YRtaplHx,l A " & CERTIFICATE OF LIABILITY INSURANCE D09/14ATE 2012 Y, 09/1{/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. N SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the cerif icate holder In lieu of such endorsemen s . PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Mansq®ent Services, Inc. CONTACT euem McCaffrey PHONE FA% �NmEeII. 016-395-8694 a No: 816-{67-569{ ADDRESS: SS: suean-xccaffreygajq.ccm 7345 Grand Blvd., Suite 400 INSURER(s) AFFORDING COVERAGE me Kansas City, NO 64108 INSURERA: ST PAUL FIRE a MARINE INS CO 24767 Tanner Burns INSURED Carney Holding Company / Gamey Companies, Inc. / Gamey INSURER B: Construction m Cenetxvctlon CaoDeay, Inc. /Grimm Construction Company, INSURERC: INSURERD: Inc. / Weaver Construction Management, Inc. 1333 RW Vivion Road Kansas City, NO 64118 MSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER- 29065614 RFVIRION NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IMSR TYPE OF INSURANCE TYPE 61 US POLICY NUMBER MOLIOY EFF PoLICY ESP GENERAL LIABILITY EACH OCCURRENCE f CCMMERCIA GENERAL LIABILITY DAMA T RRENTED PREMISES Ee c D nc f MED EXPLA, one non) f CILMMS,MADE OCCUR PERSONAL A ADV INJURY S GENERALAGGREGATE S GENT AGGREGATE OMIT APPLIES PER: PRODUCTS - COMPIOP ADD S POLICY PR6 LOC f AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT- -Ma istlenl BODILY INJURY IF. perm) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS P INJURY BODILY INJ(er eai0ent ) f MIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (PW sawdist S f A I UMBRELLALIAR I ocCUR I I ZUP-1{878{52-12-RP 30/01/1 10/01/13 EACH OCCURRENCE f 15,000,000 AGGREGATE S15,000,000 EXCESS LIMB CLAIMS -MADE DED I Y I RETENTION WORK f WORKERS COMPENSATION WCSTATU OTH, AND EMPLOYERS' LIABILRY YIN ANY PROPMETORIPARTNEIVEXEOUTIVE OFFICERRAEMBER EXCLUDED? ❑ NIA E.L. EACH ACCIDENT f EL.DISEASE-EAEMPLOYE f (Yanddis YIn MH) II S Uesai0au,0e DESCRIPTION OF OPERATIONS 6ebw EL.DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS ( VEHICLES (Mesh ACORD 101. ABJISeeel RwneNU Schedule, N men spat,* is, u6sd) P011oerien Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Compainyl General Liability including Completed Operations Policy eTB2-641-426942-722 ME. 10-1-2012/10-1-2013 Auto Liability Policy eAS2-641-426942-712 Ef. E. 10-1-2012/10-1-2013 Employers Liability/Workers- Compensation Policy eNA2-64D-426942-732 Etf. 10-1-2012/10-1-2013 Following Form Including Blanket additional Insured, Primary and Won -Contributory and Blanket Waiver of Subrogation as required by written contract. Includes All Work and Operations Performed by insured covered by Primary/Underlying policies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 580 AUTHOROED REPRESENTATIVE p Port Collins, CO 80527 --I—`)�" i USA / ACORD CORPORATION. All dahls ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD micbor 29065614 0 O ptJGx,llux4 `R oe D09/14/2012ATE Y) CERTIFICATE OF LIABILITY INSURANCE G9/1�na1z THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: H the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. H SUBROGATION IS WAIVED, subject to the terms and Conditions of the policy, certain policies may require an endorsement A statement on this Certificate does not Confer rights to the certillcats holder In lieu of such endomemen s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Nanagament Services, Inc. CONTACT Susan McCaffrey NAYS: � NlEH. M. 816-395-869e Me: 816-467-5694 2355 Grand Blvd., Suite 400 �WRESE: susan_mccaffreyBajg.com INSURE E AFFORDUG COVERAGE NAIC0 Kansas City, San 60108 INSURERA: ST PAUL PIRG a WARINS INS CO 25767 Tamer Burns WSURED Carney Bolding any, /Berney Companies, Inc. / Carney INSURERS: m Construction Company, Inc. / Grimm Construction Company, INSURER C: INSURER G: Inc. / Weaver Construction Management, Inc. 1333 NN Vivian Road Kansas City, KO 64118 INSURER E: INSURER F: COVERAGES CFRTIFICATF NUMBER- 29065523 REVISION MIIIdpro. _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEAbWof POLICY EFF POLICY EXP PoLICY NUMBER Y D M LIMOS GENERAL LIABILITY EACHOCCURRENCE S _ COMMERCLLLGENERALLIABILITY CWMSMAOE OCCUR DAMAGE TO RENTED PREMISES Ea aXv $ MED EXP me perran f PERSONALEADVINJURY f GENERAL AGGREGATE f GENT AGGREGATE UNIT APPLIES PER: PRODUCTS - COMPIOP AGO f POLICY T LOC f AUTOMOBILE UABILRY COMB SINGLE LIMIT BODILY INJURY (Pa paaon) j ANYAUTO _ ALL OYMEO SCHEWLED AUTOS AUTOS BODILY INJURY IPW etdOenl ) f NON-0 EO HIREDAUTOS _ AUTOS PRPOP.ERTM OPERTY DAMAGE S i A Z UMHAHUL UAB I OCCUR X X ZOP-1e878A52-12-NP 10/01/1 10/01/13 EACHOCCURRENCE S 15,000, 000 AGGREGATE S 15,000,000 EXCESS UAS CLAIMS MADE DIED I A I RETENTION S RUNS j WORKERS COMPENSKMN WC STAU- OTK AND EMPLOYERS' LUJUUTY YIN I'ROPRIETORIPARTNER,EXEWTIVE OFFICERIMEMSER EXCLUDEW NIA My.ANY E.L. EACH ACCIDENT $ E.L. DISEASE -EA WPLOYEE S plaWby In MN) Ilyss OP PTTIONIONOOFFO DESCRIPERATXXVS Wbv E.L. DLSEASE- POIICY LIMIT j DESCRPTON OF OPERATIONS I LOCAT10N3 I VEHICLES(AWch ACORD 101. AddM RPmPHu EchMUM, amen Ppw 41pubM) Following Form Primary/underlying Policies with Liberty mutual Fire Insurance Company: General Liability including Completed Operations Policy aTB2-6E1-426942-722 Sff. 10-1-2012/10-1-2013 Auto Liability Policy eAS2-641-426942-712 Eff. 10-1-2012/10-1-2013 Moyers Liability/Workers- Compematim Policy #WA2-6eD-E26942-732 tiff. 10-1-2012/10-1-2013 Pollowing Form Including Blanket Additional Insured, Primary and Hon -Contributory and Blanket Waiver of Subrogation as required by written contract. Includes All Work and Operations Performed by insured covered by Primary/underlying policies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Port Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Bpz 580 AUTNORQFD REPRESENTATIVE Q Fort Collin, CO 80522 --.- tj�'"'- i 08A 1 01988.2010 ACORD CORP, ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD mlcbor 29065523 in 10 w vsarxxamx¢ A� o® °09; 41 �"T CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: M the Certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endoreement(s). PRODUCER 1-816-a21-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT BUBaD McCaffrey NAME: PHONE 816-395-8696 Noll 816-467-5696 ADDRIESS, Susan_mccaffrsygaJg.com 23e5 Grand Blvd., suits 600 INSURERS AFFORDING COVERAGE NAICa Kansas City, ILO 64108 INSURERA: ST PAUL FIRS a MARINE INS CO 26767 Tanner Bums INSURED INSURERS Garaey BO1d1aq Company / Carney companies, Inc. / Gamey Construction Company, Inc. / Grimm Construction Company, INSURER C: INSURER O: Inc. / Heaver Construction Management, Inc. 1333-NW Vivion Road Kansas City, NO 66118 - INSURER E: INSURER F: COVFRAGFS CFRTIFICATF N11MRFR- 29065524 RFVIRInN MIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED. BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF IMBUMNCE ADDL SUBS POLICY NUMBER POLICY EFF MM POLICY EXP M DIYYYY LIMITS GENERAL LIABILITY RENCE F ENTED COMMERCIALGENERALLIABILITY eomurmnm $ CIAIMS-MADE OCCUR y me wnnn) PGENE�LAGGREGKM $ ADV INJURY S GREGKMGEN'L AGGREGATE LIMIT APPLIES PER: COMPIOP AGO 6 POLICY PHI LOC 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT enl Ee eaM BODILY INJURY (P. pen.) F ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per eptil¢n1) 1 NON OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE IPw J.1 S 1 A Y UMBRELLA UAB Y OCCUR Y Y ZUP-14S78652-12-HP 10/01/1 10/01/13 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 EXCESS L41a CLAIMS -MADE DED I Y I RETENTION NONE 1 WORKERS COMPENSATION OTH ISM AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXEOUTIV F❑ OFFICERIMEMBEREXCLUDED9 NIA E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE $ (Nlwa q In NHI 11 yea deccribe uMm DESCRIPTION FGPERATIONS beL E.L. DISEASE -POLICY LIMIT 6 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaech ACORD 101. Aa0Nb,el Rannnrt 30".1e, IT spas ler .bwn Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-661-626962-722 Bff. 10-1-2012/10-1-2013 Auto Liability Policy YAS2-661-626962-712 Eff. 10-1-2012/10-1-2013 Employers Liability/Workerer Compensation Policy YWA2-64D-626962-732 Eff. 10-1-2012/10-1-2013 Following PC;= Including Blanket Additional Insured, Primary and Non -Contributory and Blanket Waiver of Subrogation as required by written contract. Includes All Work and Operations Performed by insured covered by Primary/underlying policies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Fort Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORMPD REPRESENTATIVE Q Fort Collin., CO 80522 T� I1 i USA / rinhla ronerved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD micbor 29065524