HomeMy WebLinkAbout166269 GARNEY COMPANIES INC - INSURANCE CERTIFICATE (4)Certificate of Insurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFIC/TE 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
�
1333 NW Vivion Road
NAME AND '� Liberty
ADDRESS ..
OF INSURED Mutual®
Kansas City
MO 64118
is, at the issue date of this certificate, insured by the
Conditions and is nor altered by any requirement,
Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and
icrm 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 /2013
WA2-64D-426942-732
COVERAGE AFFORDED UNDER WC
LAW OF THE FOLLOWING STATES:
AL, AR, AZ, CO, FL, GA, IA, KS,
KY, MO, NC, NE, NM, OK. SC,
TN, TX, VA
EMPLOYERS LIABILITY
Bodily In ury by Accident
1. 000 OOOaaenAeei&m
Bodily Injury By Disease
1 000 000 PolkyLimu
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
1 000 000 Per Person / Orgamrarion
RETRO DATE
O 00,000 Fire Legal t�{0,000 Medical
AUTOMOBILE
LIABILITY
10/1/2013
AS2-641 426942-712
Each Accident —Single Limit
$2,000,000 B.I. And P.D. Combined
OWNED
Each Person
Each Accident or Occurrence
❑/I NON -OWNED
11.1 HIRED
Each Accident or Occurrence
OTHER
ADDITIONAL COMMENTS
Job # 6653 LaPorte 27‐lnch Waterline Swagelining WO #2
City of Fort Collins, Colorado 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.
- If the certificate expiration date is continuous or extended term, you will be notified if coverage 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:
rCity of Fort Collins
Laura Rudolph
St. LOUTS / 0442 AUTHORIZED REPRESENTATIVE
12250 Weber Hill Road
300 LaPorte Avenue St. Louis MO 63127 800-392-9223 10/31/2012
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