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Home My WebLink About166269 GARNEY COMPANIES INC - INSURANCE CERTIFICATE (5)P52W. nW2 Arthur.l. Gallagher Risk Management Services, Inc. 2345 Grand Blvd., Suite 400 Kansas City, MO 64108 2013M10"16 Electronic Service Requested MIXED ADC 800 1417 3.5562 MB 1.337 tltlllltltlltrlullltdllrllP11911111P114hlllPollrurru City of Fort Collins 97 P.O. BOX 580 FORT COLLINS, CO 80522-0580 EBIX BPO This document was brought to you by Ebix/CertificateeNow and Arthur J. Gallagher Risk - Managenent Services, Inc. in Kansas City, MO. - Any documents forwarded with the certificate request were reviewed for the sole purpose of completing the certificate. - I£ you have questions, regarding the content of this document, please contact - the Producer/Agent listed on the certificate of insurance. - The data included in this notice and in the attached document is, confidential to - Ebix/CertificateeNow and Arthur J. Gallagher Risk Management Services, Inc_ - cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Q z w Certificate Delivery by CertificafeSNow - www.ConfirmNet.com - 877.669.8600 PSELW EtlLYn f1COR0 ® CERTIFICATE OF LIABILITY INSURANCE D09/09RID/YYYY) 09/09/2013 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. 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 endorsement(s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT NAME: Aubrey Beyer PHONE FAX .W6 No.EM); 1816)_395-8593 (uC NP); (816) 467-5593 E-MAIL aubie ADDRESS:_ y_meyerPajg.com 2345 Grand Blvd., Suite 400 _ ___ INSURERI$)AFFORDINGCOVERAGE _ _ NAIC4 Kansas City, MO 64108 ___,_ INSURER A: St Paul Fire and Marine Insurance Cc 24767 Tanner Burns _ _ INSURED INSURERS: Gainey Holding Company / Carney Companies, Inc. / Gainey Construction Company, Inc. / Griam Construction Company, INSURER C: - - --- INSURER D: Inc. / Weaver Construction Hanagement, Inc. / Encore Construction Group, Inc. - 1333 HW Vivion Road Kanea6 City, MO 64118 INSURER E: — INSURER F: nnVFRAnFS CFRTIFICATF NIIMRFR- 35633850 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. IC I TYPE OF INSURANCE ADDL SUBNPCLJ INSR FOLICY NUMBER I MMID-POLICOYfYYYY�EFFMIOD/YYYY I LIMITS GENERAL LIABILITY EACHOCCURRENCE $ -DAMAGE TO RENTED- COMMERCIAL GENERAL LIABILITY . PREMISES (Ea occurrerce)_ $ _ _ CLAIMS -MADE [] OCCUR _MET E%P (Any_ N..)_ $ $ PERSONAL S ADV INJURY GENERA -AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ --_-- $ JECT POLICY PRO- --LOC AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per Person) $ OWNED -) SCHEDULED AUTOS AUTOS _ _ BODILY INJURY (Per amdenl) $ _ALL NON -OWNED _ HIRED AUTOS _ AUTOS PROPERTY DAMAGE .(Paacocene_ _ f A X UMBRELLA UAe Y OCCUR X X EUP-14578452-13-NF 10/01/131 10/01/14 EACHOCCURRENCE $ 15, 000, 000 _ AGGREGATE _ $ 15, 000, 000 EXCESS LIAR CLAIMS -MADE _I OED I x (RET_ENTION $ NONE $ AND EERS MPLOYECOMPENSATIONS'LIUIT) AND EMPLOYERS'LIABILITY YIN TH- _ __ ORY UMITS.... DER_ ANVCEWMEETOREXCLUDED' CUTIVE E_L EACH ACCIDENT $OFFI EXCLUDED? NIA (MandMory In Fin E. L. DISEASE - EA EMPLOYEE $ It DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ FT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD tot, Addaunal RM &AS Schraule, It mrn FPan it re9elred) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy #M2-641-426942-713 Eff. 30-1-2013/10-1-2014 Employers Liability/Workers' Compensation Policy IIWA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 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 Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 AUTHORQED REPRESENTATIVE {/ Port C011i ns, CO 80522 �"� 1)"� I USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35633850 Aa' D CERTIFICATE OF LIABILITY INSURANCE 09/09/2013� 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 policy(ies) must be endorsed. M 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 endorsement(s). PRODUCER 1-816-421-7700 Arthur J. Gallagher Risk Management Services, Inc. CONTACTNAMAubrey Meyer PHONE FAX Co. (816) 395-8593 (F. Nu)_ (816) 467-5593 EAA UXESs: IIuhtey_meyetCLajg.C® 2365 Grand Blvd., Suite 600 INSURERS AFFORDING COVERAGE NAICS Maras City, NO 6A108 INSURER A: St Paul Fite and Marine Insurance Co 26767 TIInner Burns INSURED Gamey Holding Company / Gamey Companies, Inc. / Gamey INSURER B: Construction Company, Inc. / Grimm Construction Company, INSURERC: INSURER D: Inc. / Weaver Construction Management, Inc. / Encore Construction Group, Inc. - 1333 RW Vivion Road Kansas City, MO 64118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER- 35633884 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. INSR LTR TYPE OF INSURANCE AOOL SUER POLICY NUMBE0. MOLICY EFF MWODPOLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES F. OLLNm. S MEDEXP( onepnm) $ CWMSMADE ❑OCCUR PERSONAL 6 ADV INJURY S GENERA -AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO 1 POLICY PR0. LCC JFCT $ AUTOMOBILE U MUTY COMBINED1 SINGLE LIMIT Ee N 3 INJURY (Pm "BODILY ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY 'PaerddwU 1 PROPERTY DAMAGE Peramdenl $ NONOWNED HIRED AUTOS AUTOS f A E UMBRELLA UAB N OCCUR E E ZUP-16S78452-13-NP 10/01/1 10/01/14 EACH OCCURRENCE S15,000,000 AGGREGATE S 15, 000, 000 EXCESS UAB CLAIM&MADE DED I E I RETENTION NONE 1 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORRARTNEILEXECUTIVE WC STATU- DIN Y E.L. EACH ACCIDENT 6 OFFICEWMEMBER EXCLUDED? ❑ NIA EL. DISEASE - EA EMPLOYE S (Mu,Wbry In NH) R yes, describe uM DE SCRIPTIONOFOPERATIONSO E.L DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAaach ACORD 101, Md111wuI Rw,u,Ne SclleduY, N mom spu is requbed) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #M2-661-626942-723 Eff. 10-1-2013/10-1-2016 Auto Liability Policy IIAS2-661-426962-713 Eff. 10-1-2013/10-1-201d Employers Liability/Workers- Compensation Policy aWA2-64D-626962-733 Eff. 10-1-2013/10-1-2016 Following Form Including Blanket Additional Insured, Primary and Non -Contributory Bud 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. LaPorte Avenue AUTHORgEO REPRESENTATIVE p Collins, CO 00521 \— I%"l� USA / ®1989-2010 ACORD CORPORATION All dnhte roanrveA ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD alun yer 35633884 AtO o® D09/09/2013ATE T CERTIFICATE OF LIABILITY INSURANCE 09/09/2013 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 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 certificate holder In lieu of such endorsements . PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT Aubrey Meyer NAME. PHONE , (816) 395-8593 1 nlC Na; (816) 467-5593 2345 Grand Blvd., Suite 400 EMAIL ADDRESS: aubrey_meyer2ajg•c= INSURE8IS) AFFORDING COVERAGE NAILS Kansas City, NO 64108 INSURER A: St Paul Fire and Harine Insurance Cc 24767 Tenser Burne INSURED Garney Bolding Company / Carney Companies, Inc. / Carney INSURER B : Construction Company, Inc. / Grim Construction Company, INSURER C: INSURER D: Inc. / Weaver Construction management, Inc. / Encore Construction Group. Inc. - 1333 NW Vivion Road Kansas City, NO 64118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER- 35633362 RFVISION NUMRFR- 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 LTR rypE OF INSURANCE DL UBR POLICY NUMBER POLICY EFF YYID POLICY UP MMIDD DYRS GENERAL LIAB117Y EACH OCCURRENCE S COMMERCIFL GENERAL LVV31lITY DAMAGETURENTEDPREMISES Ee oaunence S CLAIMS -MADE F—IOCCUR MEDEXP(Anone Pemm) $ PERSONAL S ADV INJURY F GENERAL AGGREGATE S GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S POLICY PM LOC S AUTOMOBILE UABRUDY _ COMBINED SINGLE LIMIT Ea aaiCeM) BODILY INJURY (Pw PNson) $ -- ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Pa amaenl) S NONOWNED HIREDAUT0$ AUTOS PROPERTY DAMAGE Pa amUKl $ $ A E UM8RF[IA LAS E OCCUR E E ZUP-14S78452-13-MP 10/01/1 10/01/14 EACH OCCURRENCE S 25, 000, 000 AGGREGATE S 25,000,000 EXCESS LPB CLAIMS -MADE LED E RETENTION NONE I S f WORKERS COMPENSATION NC STATU4 OT& FR AND ENROYERS' UABILRY YINDRY EL. EACH ACCIDENT S ANY PROPRIETOWPARTNEWEXECUTIVE OFFICERAIEMBER EXCLUDED? ❑ MIA E.L. DISEASE - EA EMPLOYE S (Yanaalory In NH) I(ye6, dKGlle Ua40! DESCRIPTION OF OPERATIONS bsb E.L. DISEASE -POLICY LIMIT 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaacb ACORD 101, Addi lond Ra ns A SchsduN, H mom sPau Is rsquba0) Pollowing Porn Primary/Underlying Policies with Liberty Mutual Pire Insurance Company: General Liability including Completed Operations Policy #M2-641-426942-723 Bf. E. 10-1-2013/10-1-2014 Auto Liability Policy tM2-641-426942-713 Bff. 30-1-2013/10-1-2014 Employers Liability/Workers- Compensation Policy aWA2-64D-426942-733 eff. 10-1-2013/10-1-2014 PollosIing 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 City of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 300 LaPorte Avenue AUTHORED REPRESENTATIVE Port Colline, CO 80521 1✓ 1)'"` USA / fa i; RR_7D1n ACORn rnRPnRATMYM all cinHFa roenn,nN ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35633362 PSEtlnEau2 A� D® CERTIFICATE OF LIABILITY INSURANCE U09/09ATE 2013Y) 09/09/2013 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 policy(les) must be endorsed. H SUBROGATION IS WAIVED, subject to the terns 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 endorsement(s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT Aubrey Meyer NAME:FAX N NE (816) 395-8593 Np; (816) 467-5593 Ea1AIL ADDRESS: aubrey_meyar@ajg.com 2345 Grand Blvd., Suite 400 INSURER(S) AFFORDING COVERAGE NAIC# RanBas City, NO 64108 INSURERA: St Paul Fire and Marine Insurance Co 24767 Tanner Burns INSURED Carney Holding Company / Carney Companiae, Inc. / Garney INSURER a: Construction Company, Inc. / Grimm Construction Company, INSURER C; INSURER D: Inc. / Weaver Construction Hanagemnnt, Inc. / encore Construction Group. Inc. - 1333 NEW Vivion Road Kansas City, MO 64118 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 35633188 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. LTDISR TR TYPE OF INSURANCE AOOLSUBR POLICY NUMBER MMNOYEFF MPIOOOOCOYEXP LIMITS GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES ES oau.nce r CLAIMSMADE ❑ OCCUR MED EXP (Any one parson) $ PERSONALSADV INJURY $ GENERALAGGREGATE s GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPW AGG 1 POLICY PRO- LOC $ AUTOMOBAE MBILJTY CEaOMBINED SINGLE LIMIT accident BODILY INJURY(P. Person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILYMURY(Peracodenq S PROPERTYD GE ParaaJtlenl S NON-0WNED HIREDAUTOS AUTOS $ A E UMBRELLA LIAR % OCCUR E E ZUP-IAS78452-13-NF 30/01/1 10/01/14 EACH OCCURRENCE S 25, 000, 000 AGGREGATE S 25,000,000 EXCES9 L1A8 CLAIMS -MADE DED I E I RETENTION $ NONE $ WORKERS COMPENSATION AND EMPLOYERS' MBILITY YIN ANY PROPRIETORRARTNEWEXECU INN OFFICEILMEMBER EXCLUDED? NIA WO STATU- I OT& O E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE $ (Mmdabr In NN) 11 yes e antler DESCRRIPTIOIPTION OF OPEMTION6 Oebw EL DISEASE -PoDCY LIMIT f DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. AddlUonM Ramada 9chdaM, N men apace la n,uInn!) Pollowiag Form Primary/underlying Policies With Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-661-426962-723 Eff. 10-1-2013/10-1-2016 Auto Liability Policy #M2-641-426942-713 Eff. 10-1-2013/10-1-201# Employers Liability/Workers- Compensation Policy #WA2-64D-626962-733 Eff. 10-1-2013/10-1-2016 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/Undarlying 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. LaPorte Avenue AUTHORIZED REPRESENTATIVE p C011ino, CO 80521 �✓ 11 I USA / ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35633108 �PSEWw3Mer3 A� oe CERTIFICATE OF LIABILITY INSURANCE E (MMDD1YVYY) °AT/09/20 3 09/09/2013 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 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 certificate holder in lieu of such endorsements). PRODUCER 1-816-421-7108 Arthur J. Gallagher Risk Management Services, Inc. CONTACT AUbrey Meyer PAYE. PNO tl (816) 395-8593 j No; (816) 467-5593 E-MAIL sabre _sTe erBa ADDRESS: Y Y jg•cOm 2345 Grand Blvd., Suite 400 INSURERS AFFORDING COVERAGE NMC4 eanaae City, NO 64108 INSURERA: St Paul Fire and marine Insurance Cc 24767 Tamer Burns INSURED INSURER B: Garvey Bolding Company / Garvey Companies, Inc. / Carney Construction Company, Inc. / Grimm Construction Company, INSURER C: INSURER D: Ins. / Weaver Construction Management, Inc. 1333 WIN VSvion Road Kansas City, HO 64118 INSURER E: INSURER F : 1'-r3VFRAGFS CFRTIFICATF NIIMRFR• 35632149 RFVISInN NUMRFR- 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. WSR TYPE OF WSDRANCE AODL SOBTL POLICY NUMBER POLICY EFF MMD POLICY EXP MMATD UNITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCNLGENERALLIABILITY DME SEES f n1 CLAIMS -MADE �OCCUR MED EXP M meperm $ PERSONAL a ADV INJURY 3 GENERALAGGREGATE $ GENT. AGGREGATE LIMIT APPLIES PER: PRODUCTS - OOMPIOP AGG $ POLICY PRO- LOC JECT S COMBINED SINGLE LIMIT INJURY (P. person) 3 NYAUTOBODILY BODILY INJURY(Pa a a t) 3 FMOB,LEU_M__ LLOWNEDSCHEDULED UTOSAUTOS PROPERTYDAMAGE emfdMl S NON-0 NED HIREpATOS AUTOS 3 A E UMBRELLA LIAR E I OCCUR E E ZOP-14S78457-13-HP 10/01/1 10/01/14 EACH OCCURRENCE $25,000,000 AGGREGATE S 25,000,000 EXCESS LIAR CLAIMS -MADE DEO I E I RETENTION NONE $ WORMERS COMPENSATION WC ST OT11- AND EMPLOYERS' LIABILITY YIN ANY MOPRIETORIPARTNEWEXECUrIVE❑ E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA EL DISEASE - EA EMPLOYE $ (MenMbry In NH) B Yes, des M under DESCRIPTION OF OPERATIONS WI E.L. DISEASE -POLICY LIMIT 3 DESCNPTWNOFOPEMTIONS/LMATONSIVEHICLES(A bACOWlet,AddXbntl RwnerlaadWub.Manon.Wubr ub ) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy OM2-641-426942-723 BEE. 10-1-2013/10-1-2014 Auto Liability Policy #m2-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/Workers• Compensation Policy M2-64D-426942-733 Bff. 10-1-2013/10-1-2014 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 Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 300 LaPorte Avenue — — — AUTHORIZED REPRESENTATIVE Fort C011iI USA a, CO 80521 --I-1)"^J / 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aemeyer 35632149 PUUX)2Ne2 `� Ee D09/09/00f13 CERTIFICATE OF LIABILITY INSURANCE 09/09/2013 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 policy(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 certificate holder In lieu of such endorsement(s). PRODUCER 1-816-421-7708 Arthur J. Gallagher Risk Namgament Services, Inc. CONTACT Aubrey Myer NAYS: AIPHONE M,a= (816) 395-0593 gall (816) 467-5593 2345 Grand Blvd., Suite 400 ADDRESS: aubrey_meyergajg.com INSURER(S) AFFORDING COVERAGE NAICS Kansas City, NO 64108 INSURERA: St Paul Fire and Marine Insurance CO 24767 Tanner Buns INSURED Garrey Bolding / Garrey Inc. / INSURER B: moan, mm Cones Compey COIIBCIVCC10n Company, Inc. / Grl® Construction COIDDany, any, INSURE0. C: INSURER D: Inc. / Weaver Construction Management, Inc. / Encore Construction Group. Inc. - 1333 NW Vivion Road Kansas City, ED 64118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER- 35633917 RFVISIOM 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. INS0. rypE OF INSURANCE ADDL SUER POLICYEFF POLICY EXP Lm POLICY NUMBER YIAODMlYY MMIDD LIMITS GENERAL LMBIUTY EACH OCCURRENCE S ETORENTED PREMISES Ea ooTED GANACOMMERCIALGENERALLIABILITY PREMISES f MEDEXP(Mrywepaeon) $ CLAIMSMAOE 0 OCCUR PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S POLICY n PRO LOGjECT S AUTOMOBILE LIABILITY !— COMBINED SINGLE LIMIT - BODILY INJURY(Peipeoonl ANY AUTO ._ - ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(P. ecpdml) S NON DWNED HIREOAUiOe AUTOS PROPERTY DAMAGE PeOPERTnl S 1 A UMBRELLA LAS X OCCUR E E ZUP-14S78457-13-NF 10/01/1 10/01/14 EACH OCCURRENCE $15, 000, 000 AGGREGATE 515, 000, 000 JX EXCESS LIAR CLAIMS MADE DED x IRETENTIONS NONE $ WORKERS COMPENSATION WC STATU- OTH- ANDEMPLOYERS' LIABIDTY YIN ANY PROPRIETORIPARTNERO ECUTIVE OFFICERIMEMBER EXCLUDED) ❑ NIA E.L. EACH ACCIDENT S EL DISEASE - EA EMPLOYE i (MwMa"in NH) Bmde m0 under DE SCRIPTIONOFCFERATIONSWe E.L. DISEASE -POLICY LIMIT S DESCRIPDONOFOPERATIONSILOCADONSIVEHICLES (Alhcp ACORD101,Addllbnal RamaA.Saha ula,Hmooapawisnqulnd) Following Porm Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #M2-641-426942-723 Bff. 10-1-2013/10-1-2014 Auto Liability Policy 9AS2-641-426942-713 Bff. 10-1-2013/10-1-2014 Employers Liability/Workers- Campaneation Policy MWA2-64D-426942-733 Eff. 30-1-2013/10-1-2014 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 ty of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 0. Box 500 ACCORDANCE WITH THE POLICY PROVISIONS. tn: Purchasing Division 5 North Mason Street, 2nd Flolor AUTHORgEO REPRESENTATIVE rt Collins, CO 80522 1✓ �)"'� USA / rn imuR-201n ACORn OnRPnRATInM All d..bee .nunevnA ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35633917 fssu.x.ux A� oe CERTIFICATE OF LIABILITY INSURANCE °09/09/ATE 013 09/09/2013 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 certificate holder In lieu of such endorsement(s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT Aubrey MB er NAME: Y Y iA j4,X.lug (016) 395-8593 F C.No: (816) 467-5593 2345 Grand Blvd., Suite 400 EMAIL ADDRESS: aubrey_meyerPajg.ccm INSURERS) AFFORDING COVERAGE NAIC0 Ranges City, NO 64108 INSURERA: St Paul Fire and Marine Insurance CO 24767 T... or Snare INSURED Carney Bolding Company / Carney Companies, Inc. / Carney INSURER B: Construction Company, Inc. / Grimm Construction Company, INSURER C: INSURER D: Inc. / Weaver Construction Management, Inc. / Encore Construction Group, Inc. - 1333 NW Vivian Road Xaneas City, NO 64118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 35633913 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. INSR TYPE Of INBURAN.. ADDL SUSR POLICY EFF POLICY EXP LIYRS LTR POLICY NUMBER MMIDD MMIDD GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGETI RENTED PREMISES (Ea oco Ywce) S MED EXP (Any we Person) f CLAIMS -MADE D OCCUR PERSONAL& ADV INJURY $ GENERALAGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPA)P AGG S POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT En..ewnt BODILY INJURY(Per Person) i ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY Perauefent ( ) 1 NON.EO HIREDAUTOS AUTOS PROPERWIRAMAGE Per aaident S f A X UMBRELLA LMS X OCCUR X X ZUP-14S78452-13-NF 10/01/1 10/01/14 EACH OCCURRENCE f 15,000,000 AGGREGATE f 15,000,000 EXCESS LIAR CLAIMS -MADE DELI I X I RETENTION NONE f WORXERS COMPENSATION WCSTATU� OTH- ANDEMPLOYERS' LIABIURY YIN ANY PROPRIETORIPARTNEWEXECUTWE OFFICERIMEMBER EXCLUDE09 ❑ NIA ORYLallT ER_ E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE f (Mendel., In NHl It yyeess deswW UMW DESCRIPTION OF OPERATIONS OebN EL DISEASE - POLICY LIMIT f DESCRIPTION OF OPERAnONS I LOCATIONS I VEHICLES (Atlech ACORD 101, A4CNbe) Remarks schedule. If mou epee le.eRube41 Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy i1TB2-641-426942-723 off. 10-1-2013/10-1-2014 Auto Liability Policy BA82-641-426942-713 Eff. 10-1-2013/10-1-2014 Employer. Liability/Workers• Compensation Policy eWA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 Following POM Including Blanket Additional Insured, Primary and Non-Contributo ry and Blanket Waiver of Subrogation as reGuired 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 Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Purchasing Division 215 North Mason Street, 2nd Flolor AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 �✓ 1)•"- USA 4)1988-2010 ACORD CORPORATION. All rights reserve. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35633913 x K W W A� o® D09/09ATE ODI13 CERTIFICATE OF LIABILITY INSURANCE 09/09/2013 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. 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 endorsement(s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT Aubrey Meyer NAME: A&N Ert). (816) 395-8593 W. NnT (816) 467-5593 2345 Grand Blvd., suite 400 E# AILADDRESS: aubrey_msyer@ajg.c= INSURER(S) AFFORDING COVERAGE MAC Kansas City, NO 64108 INSURERA: BE Paul Fire and Marine Insurance Cc 24767 Tanner Burne INSURED Garnet' Holding Company / Gamey Companies, Inc. / Garnet' INSURER B: Construction Company, Inc. / Gri® Construction Company, INSURER C: INSURER D: Inc. / Weaver Construction Management, Inc. 1333 NW Vivion Road Kansas City, NO 64118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 35632158 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. IN30. rypE OF INSURANCE ADOL Sum POLICY EFF POLICY EXP LTR POLICY NUMBER MN D MMIDO LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LABILITY DAMAGE Td RENTED PREMISES Ea Ocomena+ $ MED EUn (Any ore peman) $ CLAMS -MADE ❑OCCUR PERSONAL A ADV INJURY $ GENERALAGGREGATE f GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S POLICY PRO LOC 3 AUTOMOBILE LIABILITY - _ COMBINED SINGLE LIMIT (EO acddenll ;- BODILY INJUNY(Per oenonl. 3-- —�- -� ANY AUTO - - -- - ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Pwauddenl) S NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Pw amdenl 3 f A UMBRELLA LAB X OCCUR X X ZUP-14S78452-13-NF 10/Ol/1 10/01/14 EACH OCCURRENCE 125, 000, 000 AGGREGATE 3 25,000,000 JX EXCESS LAB CLAIMS -MADE DED TX RETIWIONSNONB 3 WORKERS COMPENSA➢ON STATU- OTH- ANDfMPLOYERS'LIABILITY YIN ANY PROPRIFLORIPARTNERIEXECUTIVE OFFICER(MEMBEREXCLUOED) ❑ NIA —JAY-1IND E.L. EACH ACCIDENT 3 E.L. DISEASE - EA EMPLOYE 3 (Mandatory In NH) 11 yea desente under DESCRIPTION OF OPERATIONS bebr. E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Amch ACORD 101, Addabnal RamarMa SChaduN, if mon apace Ia n9ulnd) Following Form Primary/underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy 8TB2-641-426942-723 Rff. 10-1-2013/10-1-2014 Auto Liability Policy 4AS2-641-426942-713 BEE. 10-1-2013/10-1-2014 Employers Liability/Workere• Compensation Policy #WA2-64D-426942-733 Bff. 10-1-2013/10-1-2014 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 City of Fort Collins I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Boz 580 ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Purchasing Division 215 North Mason Street, 2nd Flolor AUTHORUEO REPRESENTATIVE Collins, CO 80522 USA I T✓ I%�'` // ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD aumayer 35632158 Atb o® CERTIFICATE OF LIABILITY INSURANCE D09/09ATE IOOI13 09/09/2013 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 policy(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 certificate holder In lieu of such endorsement(s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACTNAME Aubrey Meyer PHONE FAX JAJC�No,EAI.(B16) 395-8593 LLB NgL (816) 467-5593 2345 Grand Blvd., Suite 400 EHIAIL ADDRESS: sabre y_meyerBajg•com INSUREfl S) AFFORDING COVERAGE NAICS Kansas City, NO 64108 INSURER A: St Paul Fire and Marine Insurance CO 24767 Tannar Burns INSURED Carney Holding Company / Gamey Companies, Inc. / Gernay INSURER 6: Construction Company, Inc. / Grimin Construction Company, INSURER C: INSURER D: Inc. / Weaver Construction Management, Inc. 1333 NW vivion Road Kansas City, NO 64118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 35632337 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, 'rHE 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. WISHttPE OF INSURANCE ADOL T. POLICY NUMBER POLICY EFF MMAODIYYYY POLICY UP MMIDp LIMITS GENERAL LIABILITY EACH OCCURRENCE 6 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Eaoccunc rree $ MED UP (A, one ne.) r I CLAIMS -MADE D OCCUR PERSONAL A ADV INJURY $ GENERALAGGREGATE r GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO S POLICY n PRO- 7LOC $ AUTOMOBILE UJURLMY COMBINED SINGLE LIMIT Ea accident BODILY INJURY(Por PNamn) A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Poraccrum) $ HIRED AUTOS NON-0WNED AUTOS PROPERTY DAMAGE Pwawldenl S 1 A Y UMBRELLALIAB Y OCCUR Y Y ZUP-14S78452-13-NF 10/01/1 10/01/14 EACHOCCURRENCE i 25, 000, 000 AGGREGATE A25,000,000 EXCESS LIAR CLAIMS MADE DIED Y RETENTION $NONE $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERRAEMBER EXCLUDED? ❑ MIA T E.L. EACH ACCIDENT r EL.DISEASE-EAEMPLOYE $ (MaMMory In NH) If yea, doerhL ,mdnr DESCRIPTION OF OPERATIONS Lebw ' E.L. DISEASE - POLICY LIMIT $ GESCRIPTON OF OPEMVONS I LDOAPONS I VEHICLES (Mlach ACORD 101. Ado lonal Romero Schedule, if more a Woe Ie required) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426942-723 Bff. 10-1-2013/10-1-2014 Auto Liability Policy eA52-641-426942-713 Bff. 10-1-2013/10-1-2014 Employers Liability/Workers' Compensation Policy BWA2-64D-426942-733 Bff. 10-1-2013/10-1-2014 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 Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division North Mason Street, 2nd Flolor ) AUTHORIIEp REPRESENTATIVE ColliI USA ns, CO 80522 I 1✓ 1)"'� / 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumayer 35632337 A� om D09/09/2013ATE Y) CERTIFICATE OF LIABILITY INSURANCE 09/09/2013 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) 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 endorsement(s). PRODUCER 1-016-621-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT Aubrey tleyar NAME: MPNE . (816) 395-0593 FAc No: 1816) a61-5593 E.YAIL ADORE55: aubrey_meyar8alg.com 2365 Grand Blvd., Suite 400 INSURER(S) AFFORDING COVERAGE NAICC Keneas City, NO 64108 INSURER A: St Paul Fire and Marine Insurance CO 26767 Taaaer Burns INSURED Carney Bolding Con,pany / Gamey Companies, Inc. / Carney INSURER B: Construction Company, Inc. / Grim Construction Company, INSURER C: INSURER O: Inc. / Weaver Construction Management, Inc. / Encore Construction Group. Inc. - 1333 WIN Vivion Road Raneas City, NO 66118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER- 35633189 RFVISInN 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 INSURANCE ADOL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMNO MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE It COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(EaO Toncel_ S MEO EXP (Any a,e Person) S CLAIMS MADE OCCUR PERSONAL S ACV INJURY S GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPMP AGO $ POLICY PRO- LOC S AUTOMOBNE WBILITY COMBINED SINGLE LIMIT Ea ectl J BODILY INJURY(PW Peaonl j ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per acddenl ( ) $ MIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per ari Eenl $ f A % UMBRELLA LAB % OCCUR X % ZUP-16S78a52-13-NP 10/01/1 10/01/14 EACH OCCURRENCE $ 25, 000, 000 AGGREGATE $25,000,000 EXCESS LAB CLAIMS MADE DED E RETENTION $ NONE $ MRNER5 COMPENSATION WC STATU- OTH- AND EMPLOYERS' LABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCWDED7 ❑ MIA RY LIM T - El, EACH ACCIDENT S EL. DISEASE - EA EMPLOYE S IMnuI&IryIn NH) It yyee dnoneurldW DESCRIPDONOFOPERAT10NSb EL. DISEASE - POLICY LIMIT f DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES IAnMh ACORD 101, A&OIM IRe &*@ SCMduk. Nmon apace is, uO ) Following Porm Primary/Underlying Policies With Liberty Mutual Fire Insurance Company: General Liability including Coopleted Operations Policy aT82-661-626962-723 Bff. 10-1-2013/10-1-2016 Auto Liability Policy IIA82-6Q1-Q269U-713 off. 10-1-2013/10-1-2014 Bmployere Liability/Workers- Compensation Policy #WA2-64D-626962-733 BEE. 10-1-2013/10-1-2016 Pollowing 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 City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Purchasing Division 215 North Mom Street, 2nd Flolor AUTHORED REPRESENTATIVE p Fort Collins, CO 80522 �✓ 11 USA / &) 19RA.2A1n ACORn Cn RPn2A71nN All .InHfe maurvnd ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35633189 P524W31nu2 ® CERTIFICATE OF LIABILITY INSURANCE ACORO UI°DI 09/ o9/o9/2013 li../ 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 policy(ies) 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 endorsement(s). PRODUCER 1-816-421-7788 CONTACT Aubrey Meyer NAME_ Arthur J. Gallagher Risk Management Services, Inc. jaC Nu,EU): (816) 395-8593 _ jac, Nvp, I816) 467-5593` 2345 Grand Blvd., Suite 400 EMAIL ADDRESS:_ Aubrey=Meyer@ajg.Cnm_ Nonses City, NO 64108 \lq/� 1y INSURER(S) AFFORDING COVERAGE _ NAIC M_ MSURERA: St Paul Fire and Marine Insurance CO 24767 Tanner Burns \ � V INSURED \ INSURER B: _ Garry Molding Company / Garney Companies, Inc. / Carney Construction Company, Inc. / Griffin Construction Company, MSURERC: INSURER D: Inc. / Weaver Construction Management, Inc. _ 1333 NW Vivion Road Aeneas City, NO 64118 INSURER E: INSURER F: COVFRAGFS CFRTIFICATF NUMBER- 35632078 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. IMSR rA00L SUER POLICY NUMBER MMIODYIYYYY MMIDDIYYYY LIMITS LTR TYPE OF INSURANCE GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea 0aurrence)_ E $ _ __I CLAIMS MADE DOCCUR NED EXPIAnyone Person) $ PERSONAL S AOV INJURY_ $ GENERAL AGGREGATE GEHL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ POLICY I PRO LOC E AUTOMOBILE LIABILITY UT _ COMBINED SINGLE LIMIT .(Ea aaAen0____ ; $ ANYAUTO BODILY INJURY (Per person) t ALL OWNED SCHEDULED AUTOS _ AUTOS BODILY INJURY (Peramdenl) $ NON -OWNED _ HIRED AUTOS _ AUTOS PROPERTY DAMAGE (?er. aoxent) S A X UMBRELLA LIAB Y OCCUR X X ZUP-14S78452-13-NF 10/O1/13 10/01/14 OCCURRENCE EACH OCCU S 25, 000, 000 _ _ $25, 000, 000 EXCESS LAB _I _ CLAIMSMADE_AGGREGATE_ _ E DED X RETENTION$NONE WORMERS COMPENSATION AND EMPLOYERS' LIABILITY YIN TU- WC ___ TORY LIMIT$ - _ OTH ------ ANY PROPRIETOWPARTNEWEXECUTIVE E.L. EACH ACCIDENT $ OFFICEWMEMBER EXCLUDED' NIA - - — _---- Mandatory inNN) E_L DISEASE - EA EMPLOYEES 11M dO..er j'ein DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaa.h ACORD 101, Addftion.l R..&. S.b .I.. it Mon .pace is r.Rulmdl Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy BT02-641-426942-723 SEE. 10-1-2013/10-1-2014 Auto Liability Policy i1A52-641-426942-713 off. 10-1-2013/10-1-2014 Employers Liability/Workers' Compensation Policy DWA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 Following Form Including Blanket Additional Insured, Primary and Non -Contributory sod 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 AUTHORIZED REPRESENTATIVE Port Collins, CO 80522 —"— Q) I USA / 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Surveyor 35632078 Y534Ui3NiX�2 f` O o® D09/09/2013ATE ) CERTIFICATE OF LIABILITY INSURANCE 09/09/2013 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 policy(ies) 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 certificate holder In lieu of such endorsement(s). PRODUCER 1-016-421-7788 Arthur J. Gallagher Risk Manag—t Services, Inc. CONTACTNAME AUDLBy tleyBr PHONE FAX LAG . (816) 395-0593 uc No: (816) 467-5593 2345 Grand Blvd., Suite 400 EMAIL ADDRESS: aubrey_meyergajg•com INSURER(S) AFFORDING COVERAGE NAICa Kansas City, NO 64108 INSURERA: St Paul Fire and Marine Insurance CO 24767 Tanner Burn, INSURED Garrey Molding Company / Carney Companies, Inc. / Garrey INSURER B: Construction Company, Inc. / Grimm Construction Company, INSURER C: INSURERD: Inc. / Weaver Construction Hanagement, Inc. / Encore Construction Group. Inc. - 1333 NW Vivion Road Bases City, NO 64118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 35633777 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. INSR DDLSUBR POLICY EFF POLICY EXP LIFTTYPE Of INSURANCE INSR Me POLICY NUMBER 4MMMDNUUDDfYYYYlLIMITS GENERAL LIABILITY EACH OCCURRENCE f COMMERCIAL GENERAL LIABILITY UAMNOE TO RENTED PREMISES Ea mnrs f MED EXP (My one person) f _ CLAIMS -MADE D OCCUR PERSONAL a ADV INJURY S GENERALAGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO S POLICY PRO- LOCJFCT f AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT BODILY INJURY (Per pnnon) f ANV AUTO - � -- .- - - . .. _ - �... - - . -_ - ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acnlenl) S NON-0WNEO HIRED AUTOS g1IT05 PROPERTY DAIMGE Pw amdenl S f A % UMBRELLAWIB X OCCUR X X ZUP-14S78452-13-NP 10/01/1 10/01/14 EACH OCCURRENCE $ 15,000,000 AGGREGATE s 15,000,000 EXCESS UAB CLAIMS MADE DEO E I RETENTIONS NONE S WORKERS COMPENSATION WC STATU- OTH- ANDEMPLOYERS' LIABRITY YIN ANY PROPRIETOWPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? ❑❑ NIA LIMITS I I EH_ E.L EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE f (Manealory In NH) If pyaass 4auAbe uMw DESCRIPRONOFOPERATIONSIH,w EL. DISEASE - POLICY LIMIT f OESCMPMN OF OPEMTIONS I LOCANONS I VEHICLES (AagcN ACOBD 101, A4QXb,W Rwaha acAFduM, H mon aWu M rpuhtl) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy IITB2-641-426942-723 SEE. 10-1-2013/10-1-2014 Auto Liability Policy kAS2-641-426942-713 SEE. 10-1-2013/10-1-2014 Rapt."" Liability/Workers- Compensation Policy #WA2-64D-426942-733 eff. 10-1-2013/10-1-2014 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 Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. BDE 580 AUTHORSID REPRESENTATIVE ColliI USA us, CO 80522 I --I—I)�'` / ^O All A.M. --A ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35633777 Mt$,YXI]HXIL A 6 oe CERTIFICATE OF LIABILITY INSURANCE D0ATE 9/09/D0112013 09/09/ 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 INSUREFI AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If 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 endorsement(s). PRODUCER 1-816-621-7780 Arthur J. Gallagher Risk Management Services, Inc. CONTACT Aubrey tlByeI PHONE FAX (yC ��. (816) 395-8593 ,� No: (816) 467-5593 ADDRESS aubrey_meyer Aajg•ccm 1365 Grand Blvd., Suite e00 INSURERS AFFORDING COVERAGE NNC 0 Kan um, City, NO 66108 INSURER A: St Paul Fire and Marine Insurance Cc 26767 Tanner Burns INSURED Carney Holding / Gamey Companies, Inc. / Carney NSURER B: moan, CODBtIVCtlOs COIDj1My, Inc. / Grit® Construction Company, INSURER t: INSURER O: Inc. / weever Construction Management, Inc. / Encore Construction Group, Inc. - 1333 MW Vivion Road Kansas City, NO 64118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER- 35633699 RFVISION MHMRFR- 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. WSR TYPE OF INSURANCE ADM 5UBii POLICYEFF POLICYERP LIN POLICY NUMBER MMIDDIYY(Y MMA)D LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea acwnence)_ $ MEDEXP(Anyow,.) f _ CIAIMS-MADE 0OCCUR PERSONAL a ADV INJURY 1 GENERA -AGGREGATE S GENT AGGREGATE UMIT APPLIES PER: PRODUCTS - COMPIOP AGO S POLICY PRO- LOGJFCT S AUTOMOBILE _(Ea LWBIUTY COMBINED SINGLE LIMIT acrtlent BODILY INJURY 1Pw Demon) S ANY AUTO -- .— AU OS AUTOS SCHEDULED AUTOS AUTOS BODILY INJURY ae on ) S NON OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE IP., accident S S A X UMBRELLA UMB X OCCUR X X ZT1P-1408652-13-NF 30/01/1 10/01/14 EACH OCCURRENCE S 15,000,000 AGGREGATE S 15,000,000 EXCESS LUB CLAIMS MADE DEC I X RETENTION $ NONE 3 WORKERS COMPENSATION WC1TAT1U I OTH AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOTUPARTNER,EXECUTIVE OFFICE"EMBER EXCLUDED? NIA .WfSER- E.L. EACH ACCIDENT $ ELDISEASE-EAEMPLOYEE $ (Mandatory In NH) If yes, describe mdM DESCRIPTION OF OPERATIONS beb EL. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 01Wch ACORD 101, AddNbnd RSmMYs SchSEuN, If mom spats N mRuVad) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy 9TB2-641-626962-723 Bff. 10-1-2013/10-1-201d Auto Liability Policy $A32-661-426942-713 Bff. 10-1-2013/10-1-2016 employere Liability/Worker.' Compensation Policy aWA2-64D-626962-733 Bff. 10-1-2013/10-1-201a 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 City of Fort Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, PO BOX 580 AUTHORIZED REPRESENTATIVE Q Fort Collins, CO 80522 USA m 1988-2010 ACORD CORPORATION. All H.M. reserved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aUmeyer 35633699 PSi,un2tluii A� �® CERTIFICATE D09/09/2013Y) OF LIABILITY INSURANCE 09/09/2013 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 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 1-816-421-7788 Arthur J. Gallagher Risk HanageIaent Services, Inc. CONTACT Aubrey Meyer PHONE FAX WCNQ.ES01 (816) 395-B593 (AK NRI;(016) 467-5593 2345 Grand Blvd., Suite 400 EH ft- ADDREBs: aubrey_alsyerCrajg.c® INSURERIS) AFFORDING COVERAGE NAC4 Raneae City, YO 6410E INSURER A: St Paul Fire and Marine Insurance Cc 24767 Tamer Burns INSURED Garney Bolding Ccavany / Carney Companies, Inc. / Garney INSURER 9: Construction Company, Inc. / grinn Construction Company, INSURER C: INSURER D: Inc. / Weaver Construction Hanegenent, Inc. 1333 NEW Vivion Road Mamas City, NO 64118 INSURER E: INSURER F: COVFRAGFS CFRTIFICATF NIIMRFR- 35632327 DCVICWru MlmRco• 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. )NSA LTR TYPE OF INSURANCE ADDL BR POLICY NUMBER POLICY EFF MYIDD POLICY EXP MIKDOAEYYYI LIYRs GENERAL LIABILT' EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea or .. $ MEDE%P(Myaw,srw) $ CWMS-MADE ❑ OCCUR PERSONAL S ADV INJURY S GENERAL AGGREGATE $ GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S POLICY PRO LOG S AUTOMOBILE UJUMnY Ea COMBINED SINGLE LIMIT aaimnt BODILY INJURY (PerALL ANY AUTO OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY Per ecc nl ( ) S NON-0WNEO MIRED AUTOS AUTOS PROPERTY DAMAGE Per �nl S S A Y UMBRELLA LAB Y OCCUR Y Y ZUP-14S78452-13-NF 10/0111 10/01/14 EACHOCCURRENCE S 25,000,000 AGGREGATE r 25, 000, 000 EXCESS LAB CLAIMS MADE DED I Y I RETENTIONS NONE $ WORKERS COMPENSATION WC STATU OT+ AND EMPLOYERS' LABILITY YIN ANY PROPRIETORIPARTNER,EXECUTIVE OFFICERIMEMBEREXCLUDED9 ❑ NIA IOBY'L61[i5 FR E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE $ (Manaelory In NH) 0 yBs descriW under DESCRIPTION OF OPERATIONS Ixr w E.L. DISEASE -POLICY LIMIT : DESCMI NOFOPEMTIONSILOCAnONS)VEHICLES (AM�cM1 ACORD 101, AddlUe,ui Rwnwke SCM1etlule, ll more spars h,pulM) Following Form Primary/Underlying Policies with Liberty Nutual Fire Insurance Cospany: General Liability including Coavleted Operations Policy ♦i 2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy #M2-641-426942-713 Eff. 10-1-2013/10-1-2014 Raployere Liability/Workers' COMpansation Policy BWA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 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 Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Box 580 AUTHORLIED REPRESENTATIVE Collins, CO 80522 �✓ �)-'-' USA n ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35632327 All rinhra ....A AATE � o® CERTIFICATE OF LIABILITY INSURANCE RU1UDD1vYY) °09/09/ 013 09/09/2013 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 policy(les) must be endorsed. H SUBROGATION IS WAIVED, subject to the terns 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 endorsement(s). PRODUCER 1-816-621-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT Aubrey Meyer PHONE F" UyC Ng. EAN. (816) 395-8593 L Np; (816) e67-5593 EMAIL ADDRESS: sabre y_meyer8ajg•c= 2305 Grand Blvd., Suite 600 INSURERS AFFORDING COVERAGE NAIC$ Kansas City, NO 63108 INSURERA: St Paul Fire and Marine Insurance CO 24767 Tanner Bum, INSURED Gamey Bolding Company / Gamey Companies, Inc. / Gamey INSURER B Construction Company, Inc. / Gri® Conat=ctlon Company, INSURERC: INSURER D: Inc. / Weaver Construction Management, Inc. / Encore Construction Group, Inc. - 1333 NN Vivlon Road Kansas City, NO 66118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 35633213 RFVISION 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. INSR LTH rypE OF ADOL SUER POLICY NUMBER POLICY EFF MMMDNYYn POLICY EXP (MMMDNYYYJ LIMITS GENERAL LIABILITY EACHOCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES EaocCmmnce S MED EXP(My we person) S CLAIMS -MADE ❑OCCUR PERSONAL S ADV INJURY $ _ GENERAL AGGREGATE $ GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPN)P AGG $ POLICY PRO. LOC S AUTOMOBILE LUMBILTY COMBINED SINGLE LIMIT Ea ecc6m) A -- BODILY INJURY(Per perm) S ANY AUTO ALL OSCHEDULED AUTOS AUTOS S BODILY INJURY (Pmacddenl) 3 NONOWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Peramdml 3 s A X UMBRELLA LIAR X OCCUR E E ZUP-1dS78652-13-NP 10/01/1 10/01/14 EACH OCCURRENCE 3 25, 000, 000 AGGREGATE S 25,000,000 EXCESS LU9 CLAIMS -MADE DED X I RETENTION S NONE 3 WORKERS COMPENSATION WC STATU- OTM AND EMPLOYERS LIABILITYYINS ANY PROPRIETORIPARTNERIEXECUTIVE OFFICEILMEMBER EXCLUDED? ❑ NIA EL EACH ACCIDENT s E.L. DISEASE - EA EMPLOYE S IMandalery In NH) H Yat. 0esmhe under DESCRIPTION OF OPERATIONS heIos E.L. DISEASE - POLICY LIMIT 3 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ANech ACORD 101, Additional Ramada Schedule, if mom apace Is rpulmen Following Form Primary/Underlying Policies With Liberty Nutual Fire Insurance Company: General Liability including Completed Operations Policy IITB2-661-426962-723 Sff. 30-1-2013/10-1-201a Auto Liability Policy eAS2-661-626942-713 aff. 10-1-2013/10-1-2013 employers Liability/Workers' Compensation Policy aWA2-64D-426962-733 Bff. 10-1-2013/10-1-2016 Pollowing 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 Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. BOr 580 AUTNORIIE) REPRESENTATIVE Collins, CO 80527 T✓ I)"""r I USA / n All dne3e assarvod ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35633213 A " a CERTIFICATE OF LIABILITY INSURANCE °ATE'09/0/20139/2013' 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 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 certificate holder in lieu of such endorsement(s). PRODUCER 1-816-421-7780 Arthur J. Gallagher Risk Management Services, Inc. CONTACT Aubrey Meyer NAME: PHONE (816) 395-8593 FAX LAIC No M. LAIC Nel' (816) 467-5593 2345 Grand Blvd., Suite 600 ADDRESS: aubrey_meyerElajg.com ADDRE INSURERS AFFORDING COVERAGE NAIC0 Son sea City, NO 64108 INSURER A: St Paul Fire and Marine Insurance CO 24767 Tanner Burns INSURED Garney Bolding Company / Carney Companies, Inc. / Garney INSURERe: Construction Company, Inc. / Grim Construction Company, INSURER C: INSURER D: Inc. / Weaver Construction Management, Inc. 1333 NW Vivion Road Xaneae City, NO 64118 INSURERE: INSURER F: COVICKAUIth CERTIFICATF NIIMRFR• 35632128 OFVICIAM MImOCD- 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 rypE OF INSURANCE AeOL SUER POLICY EFF POLICY "I, L. POLICY NUMBER MMMO MMn'D LIMITS GENERAL LIABILITY EACH OCCURRENCE T COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTEDPREMISES IEaoccunenml S MEDEXP Anyone Pmdml 1 PERSONAL IT ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY — _ _ COMBINED SINGLE LIMIT Ea e¢i0enlf BODILY INJURY (Pm Perim) { ANY AUTO AOSCHEDULED AUTOS AUTOS BODILY INJURY( Per aaINKII ) S HIRED AUTOS AUTOS ED AUTOS PROPERTYDAMAGE Peramitlml 1 S A X UMBRELLA LAB i X OCCUR X E ZUP-14878452-13-NF 10/01/1 10/01/14 EACH OCCURRENCE S 25,000, 000 EXCESS LAB CLAIMS MADE AGGREGATE 6 25, 000, 000 DEG I E I RETENTIONS NONE $ WORKERS COMPENSATION WCSTATU- I OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNEP XECUTIVE OFFICERIMEMBER EXCLUDE07 ❑ NIA TORY El. EACH ACCIDENT S EL DISEASE -EA EMPLOYE 1 IMwnlMoy In NNl Ilyas tlesmho OMO DESCRIPTION OF OPERATIONS beg EL. DISEASE - POLICY LIMIT S DESCM"ONOFOPERATIONS1LOCADONSIVEHICLES(AN hACORDIOI.AddlWnal Remarlw Scheduw,IImwe.Pa ler .il l Following Form primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy 8TB2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy aAS2-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/Workers' Compensation Policy RWA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 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 y of Port Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Box 580 AUTHOROED REPRESENTATIVE Q t Collins, CO 80522 T✓ I)-^� USA 1 / 01988-2010 ACORD CORPORATION. All rights reserve ACORD 2512010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35632128 ) " CERTIFICATE OF LIABILITY INSURANCE U09/09/201ATE YY) 09/09/2013 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 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 endorsement(s). PRODUCER 1-816-421-7788 CONTACT AubreyMeyer Arthur J. Gallagher Risk Management Services, Inc. PHONE - FA% (NC.No.Eat):_ (816) 395-8593_ (AIC, Nol:_(816) 467_5593 2345 Grand Blvd., Suite 400 E-MAIL _ aubre _ _ ADDRESS: y_meyerBalg.com %ansas City, NO 64108 ______ INSURER(S) AFFORDING COVERAGE _- NAIC 4_ Tanner Sums WSURERA: St Paul Fire and Marine Insurance Cn 24767 _ INSURED INSURERS: Gainey Holding Company / Gamey Companies, Inc. / Gainey ConBtrUCtion Company, Inc. / Grimm Construction Company, INSURER t: INSURER D: Inc. / Weaver Construction Management, Inc. / Encore Construction Group, Inc. - 1333 NW Vivion Road Ransas City, NO 64118 INSURER E. INSURER I: COVERAGES CERTIFICATE NUMBER: 35633852 REVISION NUMBER: -1"HIS iS-TO"CERfIFY 1HAI THE POLICIESOFINSURANCE 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, EXXjCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTR TYPEOFINSURANC�ADOLISUBR INSHPOLICY NUMBER MMIOD%YYYTNMIODIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY —I CLAIMSMADE EI OCCUR J _ DAMAGE TO RENTED PREMISES(Eaocwnence)_ MED EXP(Anywe person)_ _$ $ _ $ _ PERSONAL H ADV INJURY __ ____ _ GENERALAGGREGATE _$ $ GEN.L AGGREG— ATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO _ POLICY 1 PRO. I LOC __$ _ $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE UMIT (Ea acatlen0—_ BODILY INJURY tPer person) 16 ALL OWNED SCHEDULED _ AUTOS AUTOS BODILY INJURY (Per acadenO S S — NON -OWNED MIRED AUTOS AUTOS — PROPERTY DAMAGE _(Pwaccitlenp__ E A X UMBRELLA LIAR % OCCUR X % 2UP-14S78452-13-111? 10/01/13, 10/01/14 EACHOCCURRENCE S 15,000,000 AGGREGATE _ E 15, 000, 000 EXCESS LIAR CLAIM'WADE _ DEDIX I RETENTION$ HOME S WORKERS COMPENSATION WORKERS COMP NATION WC STATU H- AND YIN TOR, UMITG I� ER_ E.L. EACH ACCIDENT E ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? NIA " EL DISEASE - EA EMPLOYE $ (Myantlatory in NH) DESCRIPTION OF OPERATIONS UeIow E.L. DISEASE -POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1m1, AtltlWmnal RamarFa ScbtleN, M mwa apau is requiratl) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy NTB2-641-426942-723 BEE. 10-1-2013/10-1-2014 Auto Liability Policy NAB2-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/workers• Compensation Policy kWA2-64D-426942-733 Bff. 10-1-2013/10-1-2014 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 Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Laporte Ave. AUTHORIZED REPRESENTATIVE p Collins, CO 80522 1— 1%"'�� USA / © 1988-2010 ACORD CORPORATION. All rights reserved. M z W ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35633852 A� o® CERTIFICATE OF LIABILITY INSURANCE °09/09ATE 0013 09/09/2013 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsement($). PRODUCER 1-816-421-7788 CONTACT NAMEAubrey Meyer : Arthur I. Gallagher Risk Management Services, Inc. PHONE (FAX fA1C.No,ExtT_(816)_395-0593—_—_I(uc, Nol:_(Blfi) 467-5593 2345 Grand Blvd., Suite 400 [MAIL aubre me ADDRESS: y_ YerPajg.com Kansas City, MO 64108 -_ _-_ INSURER)S)AFFORDINGCOVERAGE_ _ NAICI Tamer Burns INSURER A: St Paul Fire and Marine Insurance Co 24767 INSURED— INSURER_8 Carney Holding Company / Carney Companies, Inc. / Garrey Construction Company, Inc. / Grinan Construction Company, INSURER C INSURER °: Inc. / Weaver Construction Management, Inc. / Encore Construction Group, Inc. - 1333 NW Vivicn Road _ Kansas City, MO 64118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 35633324 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. INSR ___AOSDRUI R POLICY EFF POLICY EXP LTRI TYPE OF INSURANCE POLICY NUMB Efl MMIODIYYYY I MMIDDNYYY I LIMITS GENERAL LIABILITY EACH OCCURRENCE $ _ COMMERCIAL GENERAL LIABILITY -_l CLAIMS -MADE CJ OCCUR DAMAGE TO RENTED _ PREMISES TEX occurrence)_ MED EXP(Any one perun)_ $ $ $ PERSONAL B ADV INJURY GENERAL AGGREGATE_ _ $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S PRO- I TOD POLICY I 1 --- $ AUTOMOBILE LIABILITY CO �BIINEEDISINGLE LIMITE. $ — $ ANY AUTO BODILY INJURY (Par person) ALL OWNED — SCHEDULED AUTOS - AUTOS BODILY INJURY( Per aroden, — NON-OWNED HIRED AUTOS AUTOS PROPERTYDAMAGEGE -(Peraaidenq_ .$ S __ $ A X UMBRELLA LIAB Y_ CCU OUIMSft X X ZOP-14S78452-13-NF 10/01/13 10/01/144 EACHO_CCURRENCE $ 25,000,000 25,000, 000 EXCESS LU C_MADE rB DED X RETENTION $ NONB (AGGREGATE IIIfIS WORKERS COMPENSATION WC STAID OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETORPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? ❑ NIA _ TORY LIMITS L_ I_ER-_ E L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE_ S (Myandatoq in NH) DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addalonal Remarks Schedule, i1 more space Is rsqubad) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426942-723 BEE. 10-1-2013/10-1-2014 Auto Liability Policy #M2-641-426942-713 B£f. 10-1-2013/10-1-2014 Employers Liability/Workers' Compensation Policy MWA2-64D-426942-733 B£f. 10-1-2013/10-1-2014 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. 300 Laporte Ave. AUTHORIZED REPRESENTATIVE Q Port ColliIOe, CO 80522 T✓ I1 I USA / © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 2512010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35633324 n m W W AC O® D09/09 DDI13 CERTIFICATE OF LIABILITY INSURANCE 09/09/2013 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 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 endorsement(s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACTNAME: Aubrey Meyer PHONE FAX IAIC, No,FaI;, �Blfi) 395-8593 [FAX Na): (816) 467-5593 EMAIL ADDRESS:_ au_brey_meyerBaig.Com 2345 Grand Blvd., Suite 400 Kansas City, MO 64108 —INSURER(S) AFFORDING COVERAGE_______NAIC4 INSURER A: St Paul Fire =it Marine Insurance Co 24767 Tanner Burns INSURED Garney Holding Company / Garney Companies, Inc. / Garney .-—_----— INSURER B: _ Construction Company, Inc. / Griman Construction Company, INSURERC__ INSU_RERD: Inc. / Weaver Construction Management, Inc. 1333 HW vivion Road Kansas City, MO 64118 INSURER E: INSURER F: COVERAGES CFRTIFICATF NIIMRFR- 35632347 RFVISION NIIMRFR- -THIS IS TO CERTIFY 'THAT -THE 'POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED 10 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. INSH1 INSR, BR POLICY NUMBER MM.C'C. YYY MMIDDIYYXP IE LTR TYPE OF INSURANCE II YY LIMITS GENERAL LIABILITY EACH OCCURRENCE S _ oOMMEROIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES [Ea omnence)_ _ S $ CLAIMS�MADE 11 OCCUR MED EXP(Any one Person)_ $ PERSONAL B ADV INJURY GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. _ PRODUCTS-COMPIO_PAGG E POLICY 1 FrT PRO.71 LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea a,adent)_.E _ $ ANY AUTO BODILY INJURY(Per person) _ _ ALUL OWNED SCHEDULED ATOS AUTOS BODILY INJURY (Per a<cide") _ E $ _- _ $ _ NON OWNED HIRED AUTOS _ AUTOS PROPERTY DAMAGE _(Per accident)_ A X UMBRELLA LIAR % OCCUR X X ZDP-16878452-13-NF 10/Ol/13 10/01/ld EACH OCCURRENCE $ 25,000,000— _ AGGREGATE $ 25,000,000 EXCESS WB CLAIMS -MADE _ _ DIED I 1 RETENTION$ NONE $ WORKERS COMPENSATION I AND EMPLOYERS' LIABILITYYIN LTCRY HMRS I_1OT" S ANY PROPRIETORIPARTNEIn ECUTIVE❑ E.L. EACH ACCIDENT OFFICEWMEMBER EXCLUDED? MIA — E.L. DISEASE - EA EMPLOYEES (Myandatory In NH) DE SCRIPTION OFOPERATIONS onA v: EL. DISEASE -POLICY LIMIT S I I DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORO 101, Additional Remarks Schedule, It man apace is required) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy eTB2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy IIAS2-641-426942-713 Eff. 10-1-2013/10-1-2014 Eblployers Liability/Workers• Compensation Policy kWA2-640-426942-733 Eff. 10-1-2013/10-1-2014 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, Laporte Ave. Collii USA n., CO 80522 I T✓ 1)"� / M ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35632347 AN einhte .me rl P,a.xnNxU `R oe CERTIFICATE OF LIABILITY INSURANCE D09/09 R2013 Y) 09/09/2013 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(ies) 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 endorsemant(s). PRODUCER 1-816-421-7788 Arthur G. Gallagher Risk Managament Services, Inc. CONTACT Aubrey Meyer NAMEPHONE FA% I G NQ.w. (�) 395-8593 ac Nol: (816) 467-5593 2345 Grand Blvd., Suite 400 EAAIL ADDRESS: eubray_meyer0ejg.com INSURERS AFFORDING COVERAGE XAICa Kansas City, NO 64108 INSURERA: at Paul Fire and Nerine IIIeurance Co 24767 Tanner Burns INSURED Carney Bolding Crnury, / Gamey Coufas Inc. / Gamy, INSURER B: Gr Conie,ti CODBCLLCt10n CO➢Ipany, IDC. / Gr1® CODBtIVC[lOv L'p�any, INSURER C: INSURER D: Inc. / Weaver Construction Nanagerant, Inc. / Encore Construction Group, Inc. - 1333 NW Vivion Road Kansas City, NO 64118 INSURER E: INSURER F: COVFRAr.FS rP0TIFIr ATF MIIMRFO- 35631065 ractnctnu women. 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. WAR LTR rypE OF INSURANCE ADBL UBe POLICY NUMBER POLICY EFF MMmD/YYYY) POLICY EXP IMM1DO)YYYYj LIMITS GENERAL LIABILITY EACH OCCURRENCE f COMMERCIAL GENERAL LIABILITYDAMAG E TO RENTED PREMISES Eao mnca j MED EXP(My one panwi) f CLAIMS -MADE OCCUR PERSONAL S ADV INJURY j GENERALAGGREGATE f GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO f PLICYRLOC f AOOB DO COMBINED SINGLE LIMIT Ea ectl0ent BODILY INJURY(P. PBROn) f ANY AUTO H ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(PtY amd.t) j NON-0WNED HIRED ALTOS AUTOS PROPERTY DAMAGE Pera¢Menl j f 1 A UMBRELLA LAB X OCCUR X A SUP-14878452-13-1F 10/01/1 10/01/14 EACHOCCURRENCE j 25, 000, 000 AGGREGATE f 25, 000, 000 NE..E SS LAB "INS MADE DED % I RETENTIONSNONX j WORKERS COMPENSATION WCSTATLL OTH- AND EMPLOYERS' LABILITY YIN ANPHOPRIETOR/PARTNER,RXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ N/A U. TSFR E.L. EACH ACCIDENT j E.L. DISEASE -EA EMPLOYEE f (ManMbry In NH) If yes na. fx, uMw DESCRIPTION OF OPERATIONS Oebw E.L. DISEASE -POLICY LIMIT j DESCMPTONOFOPERATIONSILOCATIONSIVEHICLES (Attach ACORD101,AMftbn lRwnwlo SchWuw,Nmmaapaw Isr ub ) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Ccetpany: General Liability including COnVIeted Operations Policy #M2-641-426942-723 Bff. 10-1-2013/10-1-2014 Auto Liability Policy aAS2-641-426942-713 Bff. 10-1-2013/10-1-2014 Hinployere Liability/Workers• Compensation Policy aWA2-64D-426942-733 Bff. 10-1-2013/10-1-2014 Following Form Including Blanket Additional Inured, Primary and Non -Contributory and Blanket Waiver of Subrogation an required by written contract. Includee All Work and Operations Performed by inured covered by Primary/Underlying policies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Fort Collin, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. BOY 580 AUTHORIED REPRESENTATNE Collins, CO 80522 I USA / 01988-2010 ACORD ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35633065 rinhhR reaarvud A� oe CERTIFICATE D09/09/2013 ) OF LIABILITY INSURANCE 09/09/2013 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 policy(ies) 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 certificate holder in lieu of such endorsement(s). PROOUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT Aubrey MByeL NAME: PHONE FAX Wg Na ,. (816) 395-8593 A�NP; (816) 667-5593 2345 Grand Blvd., Suite 400 E-MAIL ADDRESS: euhrey_meyargejg.com INSURERIS) AFFORDING COVERAGE NAIC9 Raneae City, MO 64108 INSURERA: St Paul Fire and Marine insurance CO 24767 Tanner Burns INSURED Garaey Holding Company / Gamey Companies, Inc. / Carney INSURERS Construction Company, Inc. / Grim Construction Company, INSURER C: INSURER D: Inc. / weaver Construction Management, Inc. / Encore Construction Group. Inc. - 1333 NW Vivion Road Kansas City, NO 64118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER- 35633070 RFVICInM MIINI 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. ILTR TYPE OF INSURANCE MUL SUER POLICY NUMBE0. POLICY EFF MWDD POLICY EXP MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE f COMMERCIAL GENERAL LIABILITY RENTED DAMAGES IEa PREMISES f MED EXP (M an penm f CLAIMS -MADE OCCUR PERSONAL A ADV INJURY f GENERAL AGGREGATE 1 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPMP AGG f POLICY PRO LOC f AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ev.ux%m BODILY INJURYM-LO(Pw pram) S ANY AUTO SCHEDULED AUTOS BODILYINURY(PaaTtiOaY) f NONUWNED HIREDAUTOS AUTOS PROPERTYDAMAGE Per ea t f f A % UMBRELLA LUB % BUR % Z 30/01/1 10/01/14 EACH OCCURRENCE f 25,000,000 AGGREGATE f 25,000,000 EXCESS LAB CLAIMS -MADE �ZUP-14878452-13-101? DEO % RETENTION NONE f WORKERS COMPENSATION WC STATO OTH- ANDEMPLOYERS' ILABILTTY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER E%CLUDED9 NIA E.L. EACH ACCIDENT 3 E.L. DISEASE -EA EMPLOYE f HhmdMeryln NH) Il yes, aasaze.Ww DESCRIPTION OF OPERATIONS 6ebw E.L. DISEASE - POLICY LIMIT f DESCRIPTION OF OPENATONS I LOCAMNS I VEHICLES (AaACN ALORD 101, AaEMMIW Remarks SCNMUM, M anon apw N rpubM) Following Form Primary/Underlying Policies with Liberty mutual Fire Insurance Company: General Liability including Completed Operations Policy #M2-641-4269e2-723 Bff. 10-1-2013/10-1-2014 Auto Liability Policy 9AS2-641-426942-713 off. 10-1-2013/10-1-2014 employers Liability/Workers• Compenention Policy eWA2-64D-426942-733 aft. 10-1-2013/10-1-201a Following POrm Including Blanket Additional Insured, Primary and Non -Contributory and Blanket Waiver of Subrogation ae 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 Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division North Mom Street, 2nd Flolor AUTHORIZED REPRESENTATNE Collins, CO 80522 --%- �)✓ I BSA 1 / 0 ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aDmeyer 35633070 All Holds reserved. b W Fmrnxua,xu ® CERTIFICATE OF LIABILITY INSURANCE ACORO D09/09 DO 3 YYJ 09 ATE (MM1DD 13 IIII.I 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 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 endorsement(s). PRODUCER 1-816-421-7788 CONTACT NAME Aubrey Meyer : Arthur O. Gallagher Risk Management Services, Inc. _ _____ ]FAX PHONE 395-8593_ (816) 467-5593 (NC,No,ErO:.(816) __- _ _ (,VC, N,): 2345 Grand Blvd., Suite 400 E-MAIL aubrey�yer@ajg.com ADDRESS:_ y_meyerBajg.com Kansas City, NO 64108 __ ______INSURER(S) AFFORDING COVERAGE NAICN Tanner Burns INSURERA: St Paul Fire and Marine Insurance CO 24767 — INSURED— INSURER Garney Holding Company / Garvey Companies, Inc. / Garvey _B_—_--____—__----__--_---_— - Construction Company, Inc. / Grimm Construction Company, INSURER C: INSURER O_: Inc. / Weaver Construction Management, Inc. 1333 NW Vivion Road Kam.. City, NO 64118 INSURERE__ INSURER F: rnvao AGFc 1-90TIPICATF NLIMRFR- 35632294 RFVISION 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. INBR I NSR WVD SUER POLICY NUMBER MMIODIriYY MMR)Dlriri LIMITS LS TYPE OF INSURANCE GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED COMMERCUILGENERALUABILITY _ PREMISES (Ea orcunerce)._ S __ _ _ _I CI-AIMSAUDE n OCCUR MEDEXP(Mya ,xt n)_ S i PERSONAL a ADV INJURY GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS � COMPIOP AGO $ POLICY I PFrT HI n LOC _ $ AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT -(Ea acciaen0____—_._ _ $.__ S ANY AUTO BODILY INJURY( Pm pe,wn) _ S AOI SCHEDULED AUTOS AUTOS _ _ _ _ BODILY INJURY IPe acclJenl) S NON-0WNED HIREDAUTOS AUTOS PROPERTY DAMAGE (Per accitlenQ_ __._ S A % UMBRELLA HAS % OCCUR X % ZUP-14S78452-13-NF 10/01/13 10/01/14 EACHOCCURRENCE S 25,000,000 AGGREGATE s25,000,000 EXCESS LIAs l CLAIMS MADE DED X RETENTIONS NONE _ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ITORY LIMITS —I_ER. - I S ANYPROPRIETORIPARTNERi ECUTIVE❑ EL. EACH ACCIDENT OFFICERIMEMBER E%CLUDEO? NIA - - (MyyanaalorylnNNl E.L. DISEASE EA EMPLOYE S _ DESCRIPTION OF OPERATIONS 6elmw E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAMch ACORD101,AddRbnel Ramad�SchMul.,Ifmo,a pawbn9ulnd) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy #AS2-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/Workers' Compensation Policy #WA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 Following Form Including Blanket Additional Insured, Primary and Non -Contributory sad 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. Box S80 AUTHORIZED REPRESENTATIVE {1 Collin., CO 80522 1-- 1%"`� I USA / ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35632294 ZZIIIIIIII FZ! — Psmeummz A� oa D09/09ID0I13 CERTIFICATE OF LIABILITY INSURANCE 09/09/2013 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 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 certificate holder in lieu of such endorsement(s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT Aubreytl Mayer PHONE FAX 4V4. its . (816) 395-8593 AIC N0: (816) 467-5593 2345 Grand Blvd., Suite 400 E-MAIL ADDRESS: aubre y_meyer@aig•c= INSURERS AFFORDING COVERAGE NAIC a Kansas City, NO 64108 MSURERA: BE Paul Fire and Marine Insurance CD 24767 Teener Burns INSURED Garrey Bolding Company / Gamey Companies, Inc. / Gamey INSURER B: Construction Company, Inc. / Grim Construction Company, INSURERC: INSURERD: Inc. / Weaver Construction Management, Inc. / Encore Construction Group, Inc. - 1333 NN vivion Road Kansas City, NO 64118 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 35633644 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. INSR LTR rypE OF ADDL SUER POLICY NUMBE0. POLICY EFF MMMH POLICY EXP MWOD LIMITS GENERAL LABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY OHMAGE TO RENTEp PREMISES Ea-NMD ce f CLAIMS -MADE 11 OCCUR WED EXP(My one person) 1 PERSONAL a ADV INJURY = GENERALAGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG 1 $ POLICY PRO LOC AUTOMOBILE LU BILITY COMBINED SINGLE LIMIT Ea auAent BODILY INJURY(Perpersan) 1 ANY AUTO ALCOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per arudan0 $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DMACE Pera¢,d S 1 A Y UMBRELLA LAB % OCCUR Y Y ZUP-16S78452-13-NP 10/01/1 10/01/14 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 EXCESS LAB CLAIMTMAOE DIED I Y I RETENTIONS MOVE $ WORKERS COMPENSATION WCSTAT'U OTH- ANDEMPLOYERS'UABILIrY YIN ANY PROPRIETORIPARTNEWEXECUVVE❑ OFFICERRAEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ El DISEASE -EA EMPLOYE 6 Amr (Mmdy In WIN) II yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AMch ACORD 101. Additional Remadu achWula. Nmom sPan Nr ubd) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy eAS2-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/Workers- Compensation Policy eWA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 Pollowing Form Including Blanket Additional Insured, Primary and Non -Contributory and Blanket Waiver of Subrogation as required by written contract. Include$ 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. LaPorte Avenue AUTHOWED REPRESEMATIVE Collin$, Co 00521 1✓ USIA / ®1988-2010 ACORD CORPORATION. All rights reserve) ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35633644 z W PR41wEwx,E A� ne CERTIFICATE OF LIABILITY INSURANCE D09/09/ 0113 09/09/2013 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 certificate holder In lieu of such endorsement(s). PRODUCER 1-816-021-7788 Arthur T. Gallagher Risk Naoagaaent Services, Inc. CONTACT Aubrey tlay0r NAYS: ENE (816) 395-0593 F,V�p NP; (816) 667-5593 2365 Grand Blvd., Suite 600 EWAN. ADDRESS: aubray_meyarBejg •com INSURERS AFFORDING COVERAGE NAICO Kansas City, NO 64108 INSURER A: St Paul Fire and Nation Insurance CO 24767 Tanner Burns INSURED Gamey Bolding Company / Carney Companies, Inc. / Carney INSURER B: Construction Company, Inc. / Grim Construction Company, INSURERGrim INSURER D: Inc. / Weaver Construction management, Inc. 1333 NW Vivion Road Kansas City, NO 64118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 35632396 REVISION NUMRFR- 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. DISK TYPE OF INSURANCE ADDL SUaR POLICY NUMBER PODCYEFF Y PODCYEXP MY p ITYM Us" GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DANAA T RENTED PREMISES(Eaamrtwwa i MED EXP JArri we anwa) $ CLAIMS -MADE OCCUR PERSONAL S ADV INJURY i GENERAL AGGREGATE i GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGO i POLICY PR0. El LOC i AUTONOSSE LIABILITY COMwGEMIBINED SINGLE LIMIT e 60DILYIWURY(Pa Panan) S ANY AUTO ALL OS AMOSSCHEDULED AUTOS AUTOS GOOILY INJURY(P. arn'ma) f NON-O MED HIRED AUTOS AUTOS PROPERTY OMUGE Pw e2i0erd i i A E UMBRELLA LIAR E OCCUR I I ZSTP-16E78452-13-21P 10/01/1 10/01/14 EACH OCCURRENCE $ 25,000,000 AGGREGATE 525,000,000 EXCESS LIAR CLAIMS MADE DIED I I I RETENTION S NONE $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILnY YIN E.L. EACH ACCIDEM i ANY PROPRIETORIPPRTNER,EXECUTIVE OFFICERMEMBEREXCLUOED9 ❑ NIA EL. DISEASE -FA EMPLOYE S (WndNwy In NH) If yymf desaMe ands OESCRI"ON OF OPERATIONS6ebx I E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aa hACORO 101, Addlflonal Romans So6aduk, Hmwa apwbnpubad) Following Form Primary/U derlying Policies with Liberty Nutual Fire Insurance Company: General Liability including Completed Operations Policy OM2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy #AS2-661-426942-713 Eff. 10-1-2013/10-1-201a Employers Liability/Workers- Compensation Policy a9TA2-64D-426942-733 Eff. 10-1-2013/10-1-201Y PolloWing 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 Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. LaPorte Avenue AWHORUED REPRESENTATIVE p Collins, CO 80521 �✓ I1 USA / 01988-2010 ACORD CORPORATION. All rights reserved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD auaTOyer 35632396 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 LISPED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. is to Certify that This I Garney Holding Company/Garney Companies Inc./ Construction Grimm Construction Co. Construction Mona ement Inc./Encore Construction Group, INC. NAME AND _ ADDRESS6 Liberty Mutual. e 1333 W Vivion Road Kansas City MO 64118-4554 OF INSURED I INSURANCE is, at the issue date of this ccnificatc, insured by the Company under the policy(iee) listed below. The insurance afforded by the listed policy(ics) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition ofany contractor other document with respect to which this certificate may be issued. EXP DATE ❑ CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS 10/1/2014 WA2-64D-426942-733 COVERAGE AFFORDED UNDER WC LAW OF THE E FOLLOWING STATES: EMPLOYERS LIABILITY COMPENSATION AL AR, AZ CO FL GA IA KS, Kl' MO, M$ NC Nt:, NM, bK, Bodily ln'uryby Accident Includes Coverage 3C, Other SC, TN, TX, VA, WV 1 000 000 each Accident Bodily Injury By Disease States insurance: Al! States except those listed and the states of ND, OH, WA, and W 1 000 000 Bodily Injury By Disease 1 000 000 .. COMMERCIAL 10/1/2014 T62-641-426942-723 General Aggregate GENERAL LIABILITY $2,000,000 m OCCURRENCE Products/ Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury RETRO DATE $1,000,000 Per Person/Organization Other her $300,000 Fire Legal $10,000 Medical AUTOMOBILE 10/1/2014 AS2-641-426942-713 Limit Each And P.D.Combined $Z,000,OOO B.1. And P. . Combined LIABILITY r�I Each Person LJ OWNED Each Accident or Occurrence m NON -OWNED ❑ HIRED Each Accident or Oceomencc 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. If the ccnificatc expiration date is continuous or extended term, you will be notified ifcovcmgc 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: 7089 City of Fort Collins Purchasing Division P.O. Box g80 Y z 215 North Mason Street, 2nd Floor Fort Collins CO 80522 L J Liberty Mutual Insurance Group Stacy Spieker AUTHORIZED REPRESENTATIVE Overland Park / 0448 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/12/2013 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 CERT NO.: 17607986 CLIENT CODE: LM 2660 Stacy Spieker 9/12/2013 6:49:28 AP Page 1 of 1 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 I Garvey Holding Company/Garney Companies Inc./ py'Mutual. Grim 9 Construction Co. Inc./Weaver Constructlon NAM17E AND Ll�lil 1 ♦ Marta ement Inc./Encore Construction Group, Inc. ADDRESS // 1333 W Vivion Road OF INSURED Kansas City MO 64118-4554 I INSURANCE is, at the issue date fthis certificate, insured by the Company under the policy(ics) listed below. The insurance afforded by the listed puliey(ics) 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 cenifcato may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION S Other Includes Coverage All States Insurance All States except those listed and the states of ND, OH, WA, and W1. 10/1/2014 WA2-64D-426942-733 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR AZ CO FL GA IA KS, W7 Ma, MS NC Nt, NM, bK, r SC, TN,'TX, X, �/A, UN EMPLOYERS LIABILITY Bodily Injury by Accident. 1 000 OOO eaan ncdeem Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2014 T82-641-426942-723 General Aggregate $2,000,000 m OCCURRENCE Produces /Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1 QQQ QQQ Per Person/Orgamzatwn IiETRO DATE Other $300,000 Fire Legal her $10,000 Medical AUTOMOBILE LIABILITY 10/1/2014 AS2-641-426942-713 Each Accident —Single Limit $2,000,000 B.I. And P.D. Combined t� LJ OWNED Each Person Each Accident m Occurrence ❑ NON -OWNED d HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6665 Nancy Gray Avenue 8" Sanitary Sewer Line Repair City of Fort Collins, Colorado and Stantec Consulting Services 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. Ifthc certificate expiration date is continuous or extended term, you will be notified ifem erage is terminated or induced before the certifreatc expiration date. NOTICE OF CANCELLATION: (NO'F 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 # 6665 Liberty Mutual Insurance Group City of Fort Collins \ U �lY/Wl 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park / 0448 AUTHORIZED REPRESENTATIVE z 6800 College Blvd, Suite 700 I Overland Park KS 66211-1123 913-681-1700 9/12/2013 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 DEEP NO.: 17607984 CLIEYr CODE: IA 2660 Stacy Spieker 9/12/2013 6:49:28 AP Page 1 of 1 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 TIE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED Bi:LOW This is to Certify that I Garney Holding Compa%Garney Companies Inc./ Grimm g Construction CCo. Ilnc./Weaver Construction NAME AND _ Llblri 1 ♦ MUtUg Mana ement Inc./Encore Construction Group, Inc. ADDRESS i • 1333 W Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE LIL is, —at the issue date of this ccnificatc, insured by the Company under the p.Iicy(ic,) lived below. The ins um nee afforded by the listed polieyres) 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 maybe issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY m POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: All Ste.es except those listed and the states of ND, OH, WA, and W 10/1/2014 WA2-64D-426942-733 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR AZ CO FL GA IA KS, SC, TNb, T ISM, 1/A tnNIE, NM, bK, EMPLOYERS LIABILITY Bodily ln' 'OlyAcndem 1 000 OOO Each Aceidem Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 F,teh Person COMMERCIAL GENERAL LIABILITY 10/1/2014 T62-641-426942-723 General Aggregate $2,000,000 m OCCURRENCE Products / Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1,000,000 Per Person/Organization RF.TRO DATE Other $300,000 Fire Legal her $10,000 Medical AUTOMOBILE LIABILITY 10/1/2014 AS2-641-426942-713 Limit Each D. Combined $2,000,000 B.I. Anndd P.D. Combined [21 OWNED LJ Each Person Each Accident or Occurrence 10 NON-OWN13D - 0 HIRED Each Accident or Occurrence OTHER ADDITZONAL 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. If the cenific tie expiration date is continuous or extended term, you will be notified ifcovemgc 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 Liberty Mutual Insurance Group [—City of Fort Collins 7 x� I � "v 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park 10448 AUTHORIZED REPRESENTATIVE .E 6800 College Blvd, Suite 700 I Overland Park KS 66211-1123 913-681-1700 9/12/2013 J 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 CERT NO.: 17607982 CLIENT CODE: L24_2660 Stacy spleker 9/12/2013 6:49:28 PM Page 1 of 1 LDI C01 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 TITAN THOSE LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED 13FI-OW. This is to Certify that I Garney Holding Comppanyy/Garney Companies Inc./ Construction Grimm Construction Co. Construction Management Inc./Encore Construction Group, Inc. ANAME DDRESS 77„ sw� �/{ 4 • Lil l.1' 1 � iUl.ug. 1333 NW Vivion Road Kansas City MO 64118-4554 OF INSURED I INSURANCE iLat the issue date of this certificate, insured by the Company under the poiicy(ics) listed Conditions and is not altered by any rcquiremcut, term or condition of any commet or below. The insurance afforded by the listed policy(ics) is subject m all their tams, exclusions and 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 Includes Coverage 3C, Other States Insurance: All States except those listed and the states of NO, OH, WA, and W 10/1/2014 WA2-64D-426942-733 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR, AZ CO FL GA IA KS, Kl/, MO , MS NC NE, NM, bK, SC, TN, TX, VA, WV EMPLOYERS LIABILITY Bodily bury by Accidcm 1 000-000P.cn ncddem Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2014 T62-641-426942-723 Gcnctal Aggregate $2,000,000 m OCCURRENCE Products/ Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1,000,000 Per Person/Organi2ation 2ETR0 DATE' Other $300,000 Fire Legal her $10,000 Medical AUTOMOBILE LIABILITY 10/1/2014 AS2-641-426942-713 Each Accident —Single Limit $2,000,000 B.I. And P.D. Combined LJ OWNED Each Person Each Accident ., Occurrence mNON -OWNED ❑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. If the certificate expiration date is continuous or a.hoded corm, you will be notified ifcovemge is terminated or reduced before the cemifcate 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 # 6639 Liberty Mutual Insurance Group ,City of Fort Collins \ T 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Pak / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 I Overland Park KS 66211-1123 913-681-1700 9/12/2013 LJ 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 CERT NO.: 17607981 CLIENT COOS: L1 2660 6[acy Spieker 9/12/2013 6A9:28 AN Page 1 of 1 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 SUBLIMFULIM ITS NOT LISTED BEI.OW. This is to Certify that I Garney Holding Comppanyy/Garney Companies Inc./ Grimm Construction cor Construction Construction NAME AND Liberty Mutual Management Inc./Encore Construction Group, Inc. ADDRESS - 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE i�at the issue date ofthis certificate, insured by the Company under the policy(ics) listed below. The insurance afforded by the listed poliey(ics) is subject to all their terms, exclusions and Conditions and is not altered by anv rcouircmcnt. term or condition ofany contract or other document with respeet to which this cenificem may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY m POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and W 10/1 /2014 WA2-64D-426942-733 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR, AZ CO FL GA IA KS, KV, MO, Mt I NC Nt, NM, 1JK, SC; TN, TX, VA, P✓V EMPLOYERS LIABILITY Bodily ln'uryby Accident 1.0OA OOO Paen nedn—m Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2014 T62-641-426942-723 General Aggrcgatc $2,000,000 Products / Completed Operation Aggropir OCCURRENCE $2,000,000 ❑ CLAIMS MADE Each Occurencc $1 000 000 Personal & Advenising Injury . $1,000,000 Per Person/Organusoon RETRO DATE Other $300,000 Fire Legal her $10,000 Medical AUTOMOBILE LIABILITY 10/1/2014 AS2-641-426942-713 Each Accident —Single Limit $2,000,000 B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence NON -OWNED r� l:J HIRED Each Aceideat or Occurrence OTHER ADDITIONAL- COMM F.N'rs Re: Job #6652 Canal Importation Ponds and Outfall WO # 18 ‐ 2013 Glenmoor Maintenance City of Fort Collins is additional insured as their interest may appear where required by written contract on Auto Liability and General Liability. If the 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 CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Job #6652 Canal Importation Ponds Liberty Mutual Insurance Group FCit of Fort Collins —1 N� I �tY/[.Vl 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park 10448 AUTHORIZED REPRESENTATIVE =s .` x 6800 College Blvd, Suite 700 I Overland Park KS 66211-1123 913-681-1700 9/12/2013 LJ 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 CERT NO.: 17607980 CLIENT CODE: LM_2660 Stacy Spieker 9/12/2013 6:99:28 AM Page 1 of 1 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 I Garney Holding Comppa%yGarney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction NAME AND Liberty Mutual Management Inc./Encore Construction Group, Inc. ADDRESS - 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE is, at the issue date of this certificate, insured by the Company under the policy(ics) listed below. The insurance afforded by the listed Etticy(ics) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition crony contract or other document with respect to which this certificate maybe issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY m POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: Alt States except those listed and the states of ND, OH, WA, and W 10/1/2014 WA2-64D-426942-733 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR, AZ CO FL GA IA KS, KV, MO, M§ Nb+ Nt:, NM, bK, SC, TN, TX, VA, N`✓ EMPLOYERS LIABILITY Bodily In uryby Accident 1 0OA O00 Fe a n��mem Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2014 TB2-641-426942-723 General Aggregate $2,000,000 m OCCURRENCE Products / Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1,000,000 Per Person/Organ¢ation kETRO DATE Other $300,000 Fire Legal her $10,000 Medical AUTOMOBILE LIABILITY 10/1/2014 AS2-641-426942-713 Lim[ Each And P.D.Combined $2,000,000 B.I. And P. . Combined r�1 LJ OWNED Each Person Each Accident ar Occurrence NON -OWNED 1❑1 LJ HIRED Each Accidcm 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. tribe certificatc expiration date is continuous or extended term, you will be notified ifcovcmgc 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: Liberty Mutual Insurance Group FCity of Fort Collins �T 30y LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Pak 10448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 I Overland Park KS 66211-1123 913-681-1700 9/12/2013 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 CERT NO.: 17607979 CLIENT CODE: 111_2660 Stacy Spieker 9/12/2013 6:49:28 AN Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance THIS C17RTIFICATE 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 I Garney Holding Comppanyy/Garney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction Management Inc./Encore Construction Group, Inc. NAME AND Liberty Mutual ADDRESS - 1333 NW Vivion Road Kansas City MO 64118-4554 OFINSURED INSURANCE is, at the issue date of this certificate, insured by the Company under the policy(ics) listed Conditions and is not altered by any requirement, term or condition of any commet or below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and 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 Includes Coverage 3C, Other States Insurance: Ali States except those listed and the states of ND, OH, WA, and VVI. 10/112014 WA2-64D-426942-733 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOW ING STATES: AL AR AZ CO FL GA IA KS, W7,, Md, Mt t NC, NI, NM, 6K, SC, TN, TX, vA, IVN EMPLOYERS LIABILITY Bodily ln' .O Accidem 1 000 OOO Earh .n«idrm Bodily Injury By Disease $1,000,000 Pith — Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2014 T62-641-426942-723 General Aggregate $2,000,000 OCCURRENCE products / Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Ach enising Injury $1 QQQ QQQ Per Person/Orgenrzanon RETRO DATE Other $300,000 Fire Legal ther $10,000 Medical AUTOMOBILE LIABILITY 10/1/2014 AS2-641-426942-713 id Each APlCoSingle Limit $Z,000 OOO B.I. Andd P.D.D. Combined 10 L•J OWNED Each Person Each A.ahem or Occ.mose NON-OWNED tml LJ HIRED Each Accident or Occurrence OT'l1ER' ADDITIONAL COMMENTS RE: Job # 6628 Emergency Pipeline Repair Mobilization 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. If the cenilicme expiration date is continuous or extended term, 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: Liberty Mutual Insurance Group rCity of Ft. Collins 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Pak / 0448 AUTHORIZED REPRESENTATIVE St a 6800 College Blvd, Suite 700 u Overland Park KS 66211-1123 913-681-1700 9/12/2013 LJ 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 CERT NO.: 17607997 CLIENT CODE: 1M 2660 Stacy Spieker 9/12/2013 6:49:28 AM Page 1 of 1 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 I Garney Holding Comppa%yGarney Companies Inc./ T �/[ {, Grimm Construction Co. Inc./Weaver Construction AD E sD - Liberty Mutual. Management Inc./Encore Construction Group, Inc. ,/ 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE is,.t 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 Conditions and is not altered by any requirement, term 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 Includes Coverage 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and W 10/1/2014 WA2-64D-426942-733 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR AZ CO FL, GA IA KS, KNP, Mb, M$ NC NE, NM, bK, SC, TN, TX, VA, WV EMPLOYERS LIABILITY Bodily Injury by Accident 1 000 A0 Eaeh Arcidem Bodily injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 Each COMMERCIAL GENERAL LIABILITY 10/1/2014 TB2-641-426942-723 General Aggregate $2,000,000 ❑ OCCURRENCE Products / Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1,000,000 Per Person/Organ¢ation RETRO DATE Other $300,000 Fire Legal the, $10,000 Medical AUTOMOBILE LIABILITY 10/1/2014 AS2-641-426942-713 Limit B.I. And l.D. Combined $2,000,000 B.I. And P.D. Combined r�l LJ OWNED Each Person Each Accident or Occurrence NON -OWNED HIRED - Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6650 LaPorte 27‐lnch Pipeline WO #1 Pre Purchase HDPE. 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. If the certifcate expiration data is continuous c, extended term, you will be notified ifeoverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: CNOT 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: Job # 6650 LaPorte 27‐lnch Pipeline WO #1 1—City of Fort Collins, Colorado 300 LaPorte Avenue Fort Collins CO 80521 $x u Liberty Mutual Insurance Group -1 Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/12/2013 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 CERT NO.: 17607991 CLIENT CODE: LM_2660 StaCy Spieker 9/12/2013 6:49:28 AM Page 1 Of 1 LDI C01 268896 02 11 VSEtxxetlluE CERTIFICATE OF LIABILITY INSURANCE O09/09 3 ATE ACORO 09/09/2013 L 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 policy(ies) 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 endorsement(s). PRODUCER 1-816-421-7788 nmCONTACT Aubrey Meyer _ Arthur J. Gallagher Risk Management Services, Inc. PNONE _ NAME: _f816) 395-8593 FAX .,..,.(816) 467-5593 2345 Grand Blvd., Suite 400 Kansas City, NO 64108-.--__--. _1.1^_ "I"•_^^ — Tamer Burns INSURERA: St Paul Fire and Marine Insurance CO INSURED__ -----__—_--INSURER B: Carney Holding Company / Carney Companies, Inc. / Garner Construction Company, Inc. / Grim Construction Company, INSURER C: _ Inc. / Weaver Construction Managemant, Inc. INSURER D:_____ 1333 NM Vivion Road INSURER E: Kansas City, NO 64118 CnVFRAGFS CFRTIFICATF NUMBER- 35632348 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. INSR ADDL SUBR I POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDD YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S — COMMERCW.GENERALLIABILITY _ DAMAGE TO RENTED _PREMISES [Ea occurtence) $ _ _ CLAIMS -MADE �--]OCCUR MEDEXP(Any..,xI.n)_ $ $ PERSONAL S AOV INJURY GENERAL AGGREGATE S GENT AGGREGATE LIMIT APPLIES PER _ PRODUCTS-COMPA3PAGG _ S POKY I PR6 I I LOD — - —_— f — AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ,(Eaamdenl)_ _ S ANY AUTO BODILY INJURY (Pe, person) BODILY INJURY(Pe,auidenl) S ALLOWNED SCHEDULED AMOS AUTOS S _ _ NON-0WNED HIREDAUTOS AUTOS PROPERTY DAMAGE _(PNaixXwnt)___ _ _ A X UMBRELLA LIAR X OCCUR X X XUP-14S78452-13-N7 10/01/1 10/01/14 EACHOCCURRENCE $ 25,000,000 AGGREGATE $ 25, 000, 000 EXCESS LIAR CLAIMS -MADE _ _ __ DED IX (RETENTION$ NONB S WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANY PROPRIETORIPARTNERIEXECUTIVE pRY IMT$J_ TH El. EACH ACCIDENT_ S OFFICERIMEMBER EXCLUDED? MIA _ (WnEnory In NH) E.L. DISEASE - EA EMPLOYEE S USCRON OF OPERATIONS bebw ELDISEASE-POLICYLIMIT $ 7 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAID0 ACORD 101, AJdMlonal RamaHla Schadob, It mon apace la ngeln4) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy #AS2-641-426942-713 SEE. 30-1-2013/10-1-2014 Employers Liability/Workers' CompDonation Policy #WA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 Following Porm Including Blanket Additional Insured, Primery 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. Box 580 AUTHORIZED REPRESENTATIVE C011iICa, CO 80522 �•i �)'^.� I USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35632348 r i W 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 SUBLIMIDLIMITS NOT LISTED BELOW This is to Certify that I Garvey Holding Comppa%yGarney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction NAME AND Liberty Mutual Management Inc./Encore Construction Group, Inc. ADDRESS - 1333 NW Vivion Road OFINSURED Kansas City MO 64118-4554 I INSURANCE is, at t at the issue date of this certificate, insured by the Company under the policy(ma) listed below, The insurance affoNed by the listed policy(ics) is subject to all their terms, exclusions and Conditions and is not altered by avy requirement, term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE ❑ CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS 10/1/2014 WA2-64D-426942-733 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: EMPLOYERS LIABILITY COMPENSATION AL AR, AZ CO FL GA IA KS, bK, Bodily ln' Accidem Includes Coverage3C, Other K-7 MO, M§ NC NE, NM, VA, VV`J .,Iy 1 000.000s.rn Arcmrvt Slates Insurance: All States - SC, TN, TX, Bodily Injury By Disease except those listed and the states of ND, OH, WA, and W 1 000 000 Bodily Injury By Disease 1 000 000 Faih Proscor COMMERCIAL 10/1/2014 T82-641-426942-723 General Aggregate GENERAL LIABILITY $2,000,000 m OCCURRENCE Products / Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury RETRO DATE $1 OOQ,Q0f) Per Person/Organ¢ation Other he, $300,000 Fire Legal $10,000 Medical AUTOMOBILE 10/1/2014 AS2-641-426942-713 Each Aeeideat—sngleLimit $2,000,000 B.I. And P.D. Combined LIABILITY r�l Each Person LJ OWNED Each Accident or Occurrence mNON-OWNED 0 HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # G628 Emergency Mob ilizatian Contract Through 2013. City of Fort Collins, Colorado, Stantec Consulting Services 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 expiation 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 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 # 6628 Liberty Mutual Insurance Group FCity of Fort Collins \ 30LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park / 0448 AUTHORIZED REPRESENTATIVE .z ce 6800 College Blvd, Suite 700 f Overland Park KS 66211-1123 913-681-1700 9/12/2013 J 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 CERT NO.: 17607978 CLIENT CODE: LM_2660 Stacy Spieker 9/12/2013 6:49:28 AM Page 1 of 1 LDI C01 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 BYTE IE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/IAMITS NOT LISTED BELOW. _ is to Certify that This I Garney Holding Comppanyy/Garney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction Management Inc./Encore Construction Group, Inc. Vivion Road ADAMEDR SS Liberty Mutual. 1333 NW Kansas City MO 64118-4554 ID OF INSURED INSURANCE is, at the issue date ofthix certificate, insured by the Company under the policy(ics) listed below. The insurance afforded by the listed policy(ics) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition ofany convect or other document with respect to which this certificate may be issued. EXP DATE El CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY m POLICY TERM WORKERS 10/1/2014 WA2-64D-426942-733 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: EMPLOYERS LIABILITY COMPENSATION Includes Coverage 3C, Other AL AR, AZ CO FL GA IA, KS, KY, MO, MS NI; Nt_, NM, OK, 'TX, Bodily Injury by Accident 1 000 OOO Each Accident Stales Insurance: All States SC, TN,VA, WV Bodily Injury By Disease except those listed and the states of ND, OH, WA, and W 1 000 000 Bodily Injury By Disease 1 000 000 ... COMMERCIAL 10/1/2014 TB2-641-426942-723 General Aggregate GENERAL LIABILITY $2,000,000 m OCCURRENCE Products /Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury RETRO DATE $1,000,000 Pcr Person/Organizeuon Other the' $300,000 Fire Legal $10,000 Medical AUTOMOBILE 10/1/2014 AS2-641-426942-713 Each Accident —Single Limit $2,000,000 B.I. And P.D. Combined LIABILITY [21 Each Person LJ OWNED Each Ateidem or Occuncncc NON -OWNED rat 0 HIRED Each Accident or Occurrcncc OTHER ADDITIONAL COMMENTS RE: Job # 6661 Mulberry Street Water 8 Sanitary Sewer Line Relocations. City of Fort Collins, Colorado, Stantec Consulting Services 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. 11'the certificate expiration date is continuous or extended terns, you will be notified ifcovemge is terminated or reduced before the cenificate expimtion data 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 # 6661 Liberty Mutual Insurance Group FCity of Fort Collins 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park/0448 AUTHORIZED REPRESENTATIVE c a 6800 College Blvd, Suite 700 I Overland Park KS 66211-1123 913-681-1700 9/12/2013 LOFFICE PHONE DATEISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 CERT NO.: 17607977 CLIENT CODC: IIA_2660 Stacy Spleker 9/12/2013 6:49:28 AM Page 1 of 1 LDI COI 268896 02 11 Pnwuau: Arthur J. Gallagher Risk Management Services, Inc. 2345 Grand Blvd., Suite 400 Kansas City, MO 64108 A ILHI01, 16 Electronic Service Requested MIXED ADC 800 1416 4.2002 MB 1.537 Itltllltuultlrtu�trlldmP6rinplt�tdlltlhtgttdltPl Cityy of Fort Collins, Colorado 97 4316 LAPORTE AVENUE FORT COLLINS, CO 60521-2153 EBIX BPO This document was brought to you by Ebix/CertificatesNow and Arthur J. Gallagher Risk - Management Services, Inc. in Ranses City, No. - Any documents forwarded with the certificate request were reviewed for the sole purpose of completing the certificate. - If you have questions regarding the content of this document, please contact - the Producer/Agent listed on the certificate of insurance. - The data included in this notice and in the attached document is confidential to - Ebix/CertlficatesNow and Arthur J. Gallagher Risk Management Services, Inc. - cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. a z Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 P]2NXnwX)2 AYYYJ® CERTIFICATE OF LIABILITY INSURANCE CORO D09/09 OD)13 09 (MM!DD 13 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 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 endorsement(s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT NAME. Aubrey Mayer _ ,jutH(816) 395 8593 IEV .No): (816) 467-5593 2345 Grand Blvd., Suite 400 E-MAIL aubrey_meyerPajg.com ADDRESS: — _._ ___ MSURER(S) AFFORDING COVERAGE _ NAIC4 Kansas City, HO 64108 ___ IN_SURERA: St Paul Fire and marine Insurance CO 24767 Tamer Burns _ INSURED INSURERS: Garvey Holding Company / Carney Companies, Inc. / Garney Construction Company, Inc. / Grimm Construction Company, INSURER C: Inc. / Weaver Construction Management, Inc. INSURER O: INSURER E____ 1333 NW Vivion Road Masao City, M0 64118 _ INSURER F: rnVFRAGFS CFRTIFICATF NUMRFR- 35632226 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. INSR----------------ADDLSUBR- - POLICY EFF FOLICVEXP - ------------- LTD TYPE OF INSURANCE 11 MID POLICY NUMBER I MMIDONYYYI (MMIDONY"l LIMITS GENERAL LIABILITY EACH OCCURRENCE $ -- COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES LES accune,eel_ _ S _ ICUUMS-MADE r )OCCUR MED EXP(Anymep vron)_ E S PERSONAL S ADV INJURY GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER _ PRODUCTS - COMPIOPAGG $ --- -_ $ --- -- POLICY I1 PR T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accidenll_ _ _ - _ $__ ANY AU TO BODILY INJUHY(Per Person) _ E $ _ __ ALL OWNED SCHEDULED _ AUTOS AUTOS HIREDAUTOS _ NON -OWNED — AUTOS(Per BODILY INJURY (Per acciden0 PRIIE_acc T"ANAGE — -$ S A X UMBRELLA LAB X I OCCUR ZUP-14S78452-13-14F 10/01/13 10/01/14 EACHOCCURRENCE S 25, 000, 000 AGGREGATE $ 25,000,000 EXCESS LAB CLAIMGMADE DEDIX RETENTION$NONR _ _ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOWARTNERIEXECUTIVE - I_TORY LIMITS.).__ ER E.L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA ___ (Myandatory In NH) E.L. DISEASE - EA EMPLOYEES E L. DISEASE -POLICY LIMIT I $ DESCRIPTION OF OPERATIONS hebw DESCRIPTION OF OPERATIONS I LOCATIONS)VEHICLES (Atmch ACORD 101. Additlonsl Remarks Schadula, If anon sWa 1..,.i.d) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy aTB2-641-426942-723 Eff. 30-1-2013/10-1-2014 Auto Liability Policy #M2-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/Workers- Compensation Policy eWA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 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 Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 4316 LaPorte Avenue AUTHORgED REPRESENTATIVE Fort Collins, CO 80525 I USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35632226 YSENXIEWXIE A� M CERTIFICATE OF LIABILITY INSURANCE D09/09/201ATE Yy) 09/09/2013 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 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 endorsement(s). PRODUCER 1-816-421-7788 CONTACT NAME: __ ___ _______ Aubrey Meyer Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX WC, No.Ep): (816) 395-8593 NC,N (816) 467-5593 _--__ ._._._ 1 of_.— _- 2345 Grand Blvd., Suite 400 EMAIL ADDRESS:aubrey_meyerPajg.cop —_— Kansas City, NO 64108 _ _ -_ _-___ INSURERS) AFFORDING COVERAGE_ NAICIL Tanner Burns INSURERA: St Paul Fire and Marine Insurance Co 24767 INSURED INSURER B:_—__— Carney Holding Company / Carney Companies, Inc. / Carney Construction Company, Inc. / Grinmt Construction Company, INSURER C_ Inc. / Weaver Construction Management, Inc. INBURERD:_ 1333 NW Vivion Road INSURER E: Kansas City, MO 64118 rnvc.A r_ee rCRTICIr ATR NIIMRRR- 35632320 RPVISION 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. TINI TYPE OF INSURANCE IAOOLI WO POLICY NUMBER MMKID MMDDIYY" LIMITS GENERAL IABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED _ PREMISES (Ea ocwnence)__ $ _ _ CLAIMS -MADE I-]OCCUR_MEDEXP_IAny o_,vr nl_ $ $ PERSONAL 4 ADV INJURY GENERAL AGGREGATE S AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGO S _GENT POLICY 1 FRO- LOC JECT I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANYAUTO BODILY INJURY(ft pa,vvI) BODILY INJURY(Pe,acdideM) PROPERTY DAMAGE _(P_cgacodenl)___ $ _ ALL OWNED SCHEDULED AUTOS AUTOS — NON -OWNED HIRED AUTOS AUTOS $ _ $ A X UMBRELLA LIAR Y OCCUR X Y ZDP-14578452-13-117 10/01/13, 10/01/14 EACH OCCURRENCE $ 25,000,000 _ AGGREGATE j S25,000,000 EXCESS Due I ICLAIMSMADE _ DED X RETENTION$NONR $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ER —My PROPRIETOPIPARTNEREXECUTIVIE WCSTATU OTH- TORY LIMITS __ .._ - EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED' (!Mmddo In NH) NIA E.L. DISEASE - EA EMPLOYEES I EL. DISEASE -POLICY LIMIT IDES6RPTONOFOPERATIONS $ If Wbw DESCRIPnONOFOPERATIONSILOCATIONS/VEHICLES (Attach ACORD101,AddNlonalR.n *k SCMdub,lfmonapxrlsrpulndl Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426942-723 Bff. 10-1-2013/10-1-2014 Auto Liability Policy #M2-641-426942-713 Bff. 10-1-2013/10-1-2014 Employers Liability/Workers- Compensation Policy #WA2-64D-426942-733 SEE. 10-1-2013/10-1-2014 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, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. LaPorte Avenue AUTHORIZED REPRESENTATIVE g Conine, CO 80525 �'� 1)''�- USA © 1988-2010 ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35632320 reserved. IvyL` b Z W PRNxnxlxR S A� o® CERTIFICATE OF LIABILITY INSURANCE °09/09/2013") 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 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 endomement(s). PRODUCER 1-816-421-7788 CONTACT Aubrey Beyer Aubrey NAME: Arthur J. Gallagher Risk Management Services, Inc. _ NE 467-5593 P/c NP EaO; (816) 395-8593 _ __I INC. No): _(816) 2345 Grand Blvd., Suite 400 E-MAIL ADDRESS:_eubrey_meyerPajg. com _ _—_ Kansas City, NO 64108 _____ _._ RISURER(S)AFFORDINGCOVERAGE NAIC# INSURERA: St Paul Fire and Marine Insurance CO 24767 Tanner Burns INSURED— INSURERB____"—_._—__.—_._— Carney Holding Company / Carney Companies, Inc. / Gamey INSURERC__ Construction Company, Inc. / Grim Construction Company, INSURER D: Inc. / Weaver Construction Nsnagement, Inc. 1333 NW Vivlon Read INSURER E: Kansas City, NO 64118 _ —----"-"-_-- INSURER F: PCDTICNr ATC MIIunCR- 19612322 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. INSR------ _ -- SUBR POLICY Err POLICY EXP — --- ------------ #DDL LTR TYPE OF INSURANCE POLICY NUMBER I MMNDIYYYY MMIDDJYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Iran Irrerce)__ _ $ _ -1CLAIMS�4ADE 000CUR MEDEXP(Anyawperson)_ $ S PERSONAL B ADV INJURY _ GENERAL AGGREGATE _ S _ GEN'L AGGREjGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ —_— — S " POLICY PRO, JFCTLOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _(Ea $ ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED _ AUTOS AUTO NON OWNED HIREDAUTOS AUTOS BODILY INJURY (Per acadenl) PROPERTY DAMAGE ,(Per aaidenl)_-__ S S A % UMBRELLA UAB Y I— OCCUR Y Y ZUP-14S7B452-13-NP 10/01/13 10/01/14 EACH OCCURRENCE_ s 25,000,000 AGGREGATE S 25, 000, 000 EXCESS UAB CIAIMS4IADE DED I Y [RETENTION $ NCNB $ WORMERS COMPENSATION AND EMPLOYERS' LIABILITY YON ANY PROPRIETORIPARTNERIEXECUTIVE❑ WCSTATU- OTH- TORYLIMITS ER_ E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mrdalvry in NH) NIA _ E.L. DISEASE - EA EMPLOYE $ EL. DISEASE -POLICY LIMIT $ II y desclide DESCRIPTION OF OF OPERATIONS Uebw DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 141, AddMlPnd Ranadn SchMNM, N non.pan la ,,.Intl) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy #AS2-641-426942-713 off. 10-1-2013/10-1-2014 Employers Liability/Workers- Compensation Policy #WA2-64D-426942-733 Eff. 30-1-2013/10-1-2014 Following Form xncluding 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. bCR I Ir IbN I C R V L V CR bnna,LLLR I Ivn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Port Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 4316 LaPorte Avenue AUTHORIZED REPRESENTATIVE {� Port Collins, CO 80522 T'� 1,'�_ USA 40 SgAAJO'IR Ar..0Rn CORPORATION_ All rimhtR reserved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35632322 P53NM13Nu1 ^. CERTIFICATE OF LIABILITY INSURANCE D09/09 D013 r ACORO ATE(MM 2013 �/ 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 policy(ies) 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 endorsement(s). PRODUCER 1-816-421-7788 CONTACT NAME _ Aubrey Meyer : ___________ ____ Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX (NC.N0.Eaq;_(816) 395_8593 _ _ WC,NP): (816) 467-5593 2345 Grand Blvd., Suite 400 E-MAIL bme erPa ADDRESS:_aure_ _y=Y 3g•COm Masao City, NO 64108 _-__ __ INSURERS) AFFORDING COVERAGE _ _ NA1C4 Tanner Burns INSURER A: St Paul Fire and Marine Insurance Cc 24767 INSURED INSURER B: Garvey Holding Company / Garvey Companies, Inc. / Carney Construction Company, Inc. / Grim Construction Company, INSURER Inc. / Weaver Construction Management, Inc. INSURER D: 1333 NW Vivian Road Xanea6 City, NO 64118 INSURER E:__ INSURER F rnweoenee rFRTIPH-ATF NUMRFR- 35632333 RFVISIDN 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. POLICY Err POLICY EXP IINSADDL BURR MMIDDNYYY MMMDIYYYY LTR ppLICY NUNBER LIMITS LTR TYPE OF INSURANCE GENERAL LIABILITY EACH OCCURRENCE S -- COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED - PREMISES IEa occunencal_ $ _ CIAIMS-MADE I OCCUR MED E%P )Any ore person)_ $ $ _ PERSONALSAOVINJURY GENERAL AGGREGATE 3 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGOIFrT i E --___-_ 3 —_ POLICY PRO- —_l LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _(Ea ocoo nq __ $ ANY AUTO BOOILVINJURY(Perpenco) _ ALL OWNED SCHAUTEDULED BOO ILYIN JUSY(Per acci0engi3 ALTAUTOS_ I3 --_ PROPERTYDANAGE__ HIREDAUTOSONWNED If A X UMBRELLA LIAR X OCCUR X X ZUP-14S78452-13-NF 10/01/1 10/O1/ld EACH OCCURRENCE 325, 000, 000 AGGREGATE $ 25, 000, 000 EXCESS LIAR CLAIMS MADE _I DE D IX I RETENTION 3 NONE $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN - ANYPROPRIETORJPARTNERIEXEOUTIVE EL EACH ACCIDENT 3 OFFICMMEMBER EXCLUDED? ❑ MIA -- _ (MIn NH) E L DISEASE - EA EMPIOVEE 3 I S yandator, UDESCRIPTION OF OPERATIONS bemw EL DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AaaCh ACORD 101, Admional Immense Schedule, it more space is required) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #M2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy #M2-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/Workers' Compensation Policy NWA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 Following Form Including Blanket Additional Insured, Frippery 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. L.CKI Ir IGAlt of Port Collins, Colorado LaPorte Avenue Collins, CO 80522 ACORD 25 (2010105) aumeyer 35632333 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 USA Q �✓ I) J' ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD P53axnlup3 ® A " D CERTIFICATE OF LIABILITY INSURANCE D 02 09/9013 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 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 endorsement(s). PRODUCER 1-816-421-7788 CONTACT Aubrey Meyer NAME: Arthur J. Gallagher Risk Management Services, Inc. _ PHONE FAX 395=8593 I(MC,No): (816) 467-5593 IAJC. No. Enl:_1816) _ _ 2345 Grand Blvd., Suite 400 EMAIL e erDa tom _ ADDRESS:aubr ___ Y_meY 3g._ _ Xaneas City, NO 64108 __ ______ MSURERISIAFFORDING COVERAGE_ NMC4 Tanner Burns INSURERA: BE Paul Fire and Marine Insurance CO 24767 INSURED INSURERS: Garvey Holding Company / Carney Companies, Inc. / Carney Construction Company, Inc. / Gril® Construction Company, INSURERC:______ D:___ Inc. / Weaver Construction Ranagement, Inc. / Encore Construction Group, Inc. - 1333 NM V1vion Road _INSURER INSURER E: Kanses City, NO 64118 ---- '--- INSURER F CnVFRAnFS CFRTIFICATF NUMBER- 35633232 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 BY PAID CLAIMS. ,REDUCED POLICY."- POLICYEXP INSR SiSR ADmISV O POLICY NUMBER MMMONYYY MMIODNYYY LIMITS LTR TYPE Of INSURANCE GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Fawamence)__ $ _ CI -MADE �I OCCUR MEOEXP(Any mepmsw $ $ PERSONAL A ADV INJURY GENERAL AGGREGATE $ _ GENE AGGREGATE LIMIT APPLIES PER. PRODUCTS COMPIOP AGO $ $ POLICY I IJECT 1-1 PRO LOC AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT (Ea a-menl)--_.___ _$- $ ANY AUTO BODILY INJURY (Per person) _ SODILY INJMY(Per _fl) PROPERTY DAMAGE (P¢r.aunwll $ ALL OWNED SCHEDULED _ AUTOS NON-0OW _ HIREOAUTOS _ AUTOS $ $ A X UMBRELLA LIAB X DGCAR ZUP-14S78452-13-NF 10/01/13 10/01/14 EACH OCCURRENCE $ 25, 000, 000 AGGREGATE $ 25, 000, 000 EXCESS LAB CIAIM%ADE _ DED X I RETENTION $ NONB $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE TH- -CSTATTS._IOER_ $ _ E_L EACH ,CCIOENT OFFICEWMEMBER EXCLUDED? ❑ NIA -- — (MYandatm,inNH) E.L. DISEASE_ EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DISC PTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATONS I VEHICLES (Aluch ACORD 101, AddllMnal Ramm1m ScImdula, N moo space Is re9ulrad) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426942-723 Bff. 10-1-2013/10-1-2014 Auto Liability Policy #A52-641-426942-713 Bff. 10-1-2013/10-1-2014 Employers Liability/Workers• Compensation Policy #WA2-64D-426942-733 Bff. 30-1-2013/10-1-2014 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 Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 4316 LaPorte Avenue I AUTHORIZED REPRESENTATIVE l Fort Collins, CO 00525 �"� �)r� I USA / 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35633232 P53d1U3Mp3 ® CERTIFICATE OF LIABILITY INSURANCE ACORO L./ DdYI 09/ 09/09/2013013 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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 endorsement(s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACT NAME: Aubrey Meyer PHONE FAX (NC,N..,q: (816) 395-8593 _ _ (" N., (816) 467-5593 2345 Grand Blvd., Suite 400 EMAIL sabre y_meyer8ajg.com_ ADDRESS:_ _ _ _ iNSURER(S) AFFORDING COVERAGE NNC4 Moses City, NO 64108 _______._ INSURERA: St Paul Fire and Marine Insurance Co 24767 Tanner BYIDB INSURED INSURERS: _ Garney Holding Company / Garvey Companies, Inc. / Garvey Construction Company, Inc. / Grimm Construction Company, INSURER C: INSURER D: Inc. / Weaver Construction Hallagement, Inc. / Rncore INSURER E: Construction Group, Inc. - 1333 W Viv1On Road Mnsas City, NO 64118 INSURER F: rAVPDAMPQ rFRTIFICATF NUATRFR- 35633285 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. LITX TYPE OF INSURANCE ��DLI�� POUCYNUNBER I MIDDYIYYYY 101mo YYYY I LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL_ LIABILITY DAMAGE TO RENTED PREMISES.(Ea=unenw)_ S _ CLAIMSlMAOE I--] OCCUR MED EXP(Anyone Person)_ S PERSONALS ADV INJURY _ GENERAL AGGREGATE_ _E S GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGO E -- s POLICY I PRO I LOC JFCT AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT E ANY AUTO BODILY INJURY(Per Perron) $ ALLOWNED SCHEDULED BODILY INJURY (Per aden0 w AUTOS AUTOS NON-0 NED HIREDAUTOS _ AUTOS PROPERTY DAMAGE ,(Pena udenl)__ S A % UMBRELLA LIAR X OCCUR X X ZUP-14S78452-13-NP 10/Ol/1 10/Ol/14 EACH OCCURRENCE__ S 25,000,000 S 25, 000, 000 EXCESS LLIIAO CLAIMSlAADE _ DEO X RETENTION f NONB _AGGREGATE _ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIEfORIPARTNERIEXEOUTIVE I 11 __ TORV.0 ITS. LJ�ER_ El EEACH ACCIDENT S OFFICEAMEMBER EXCLUDEDi NIA _ _ (MYandrAM In Nin EL DISEASE - EA EMPLOYE E EL DISEASE -POLICY LIMIT $ DESC PTION OF OPERATONS UeIow DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaach ACORD ISI, Adddbnal Rwnaha Schodule, II mars span isapulnd) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy eTB2-641-426942-723 Off. 30-1-2013/10-1-2014 Auto Liability Policy RAS2-641-426942-713 Off. 10-1-2013/10-1-2014 Employers Liability/Workers' Compensation Policy BWA2-64D-426942-733 Off. 10-1-2013/10-1-2014 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 Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. LaPorte Avenue AUTHORRED REPRESENTATIVE Collins, CO 80525 --I—Y)s USA / ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35633285 b V z W P53,AN1]tllXlt ACOROOR ® CERTIFICATE OF LIABILITY INSURANCE DATE09 D013 ATE(MM DNY 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 LL 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 policylies) must be endorsed. If SUBROGATION IS WAIVED, subject to v 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 endorsement(s). PRODUCER r-aro-Nca-r roo Arthur G. Gallagher Risk Management Services, Inc. 2345 Grand Blvd., Suite 400 Kansas City, NO 64108 Tanner Burns INSURED Carney Holding Company / Carney Companies, Inc. / Carney Construction Company, Inc. / Grimm Construction Company, Inc. / Weaver Construction Management, Inc. / Encore Construction Group. Inc. - 1333 HW Vivion Road Kansas City, NO 64118 Aubrey Meyer No. Eat); (B16) 395-8593 _ _ _ _Ijuc, (816) 467-5593 :«<. aOlI mev.r@.Ia.com INSURER(S)AFFORDINGCOVERAGE - NAIc/_ RFRA St Paul Fire and Marine Insurance Co 124767 INSURER 6: D: C.nVFRAGFS CERTIFICATE NUMBER: 35633352 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.` PO INSR7 MDDL $UBR� I MMre YEFF LTq TYPE OF INSURANCE POLICY NUMBER L1MIpDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY _ PREMISES. IPA omununce) $_ (CLAIMS -MADE 17 OCCUR MEDEXP(Anyonepo.) PERSONAL d AOV_INJURY $ GENERAL AGGREGATE $ _ PRODUCTS COMPIOP AGG GEN'L AGGREGATE LIMIT APPLIES PER _$ LOU POLICY I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AU IO BODILY INJURY (Per pmsv) $ _ ALL OWNED SCHEDULED BODILY INJURY (Per amidenl) AUTOS AUTOS I$ — NON,DWNED PROPERTY DAMAGE HIREDAUTOS AUTOS .(Peraceiden0-__ A % UMBRELLA LIAR X OCCUR X X ZUP-14S78d52-13-N7 10/Ol/11 10/01/14 EACH OCCURRENCE $ 25, 000, 000 AGGREGATE 25, 000, 000 EXCESS LIAR CLMMSMADE _$ $ DED IX I RETENTION$ NONEATU WORKERS COMPENSATION I IOER_ AND EMPLOYERS' LUBILNY YIN _LTORY IMT51.- _ ANY PROPRIEIZPART.1./ XECUTIVE E.L. EACH ACCIDENT $ EXLLUOED? ❑ NIA _ _ _ OFFICaRIMEMIIIIIII I. EI. DISEASE -EA EMPLOYE $____ DESC PTION OF OPEMTION$belox EL. DISEASE -0OLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AUdNional RsmarXs Schsnule, it more space Is requlrad) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy eTB2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy #M2-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/Workers- Compensation Policy e40,2-64D-426942-733 Eff. 10-1-2013/10-1-2014 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 Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. LaPorte Avenue AVTNORMED REPRESENTATIVE {� Collins, CO 80522 1— 1%''� USA / ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35633352 Y53GNIEtlIXl2 ® CERTIFICATE OF LIABILITY INSURANCE DATE IM 09 200Y17Y) - ACORO 09/09/2013 L 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: It 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 endorsement(s). PRODUCER 1-816-421-7788 CONTACT Aubrey Meyer Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX (AIC,N.,EXO: (816) 395-8593___-__I(AIC, No): (816) 467-5593 2345 Grand Blvd., Suite 400 Kansas City, NO 64108 Tamer Burns INSURED Carney Holding Company / Carney Companies, Inc. / Carney Construction Company, Inc. / Grisml Construction Company, Inc. / Weaver Construction Management, Inc. / Encore Construction Group, Inc. - 1333 MIN Vivion Road Rome. City, NO 64118 __ _ INSURER(5) AFFORDING COVERAGE_ _ A, St Paul Fire and Marine Ineuran COVFRAGFS CERTIFICATE NUMBER: 35633170 REVISION NUMBER: 24767 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. IPO ) !pppLISUBR POLICY NUMBER MMA)DYIYYYY Err —I MMIDDIYYYY LIMITS LTRTYPE OF INSURANCEINS, M GENERAL LIABILITY EACH OCCURRENCE $ -DAMAGE TO RENTED _ COMMERCIAL GENERAL LIABILITY PREMISES (Ea ocaunen )__$ CLAIMS-0MADE �IlOCCUR NED EXP(Any one Person)_ 9 $ PERSONAL IT ADV INJURY GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ GEN'L AGGREGATE LIMIT APPL IES PER $ POLICY 7 PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _(Ea acadenl)____ __ $_ _ $ ANY AUTO BODILY INJURY Per person)AUTOS $ _ ALL OWNED 1SCHEDULED BODILY INJURY (Per arwenHNON-O — HIRED AUTOS - AUTOSWNED PROPERTYl)AGE—_S $ A % UMBRELLA LIAB Y OCCUR (CLAIMS X % 10/01/13' to/01/14 EACH OCCURRENCE $ 25, 000, 000 AGGREGATE _ $ 25, 000, 000 EXCESS lAO MADE �ZUP-1408452-13-" DED Y I RETENTION$MOM $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE WRY LIMITS.(— 0TH- -- ER ---- E.L. EACH ACCIDENT --- $_ OFFICEWMEMBER EXCLUDED? u MIA -- _ (Mandstory In NH) EL. DISEASE EA EMPLOYE $ If DESC PTION OF OPERATIONS Wow E. L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaach ACORD 101, Addilmnal Rea As Schsduls, 11 mom spec. is required) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426942-723 Eff. 30-1-2013/10-1-2014 Auto Liability Policy #AS2-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/Workers• Compensation Policy #WA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 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. ?.0. Box 580 AUTHORIZED REPRESENTATIVE Q rort Collins, CO 80522 -"� ) I USA / ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD anmeyer 35633170 P52dXIltlWl acoRO® NICE CERTIFICATE OF LIABILITY INSURAD(0912013 ) 09/ATE09/2013 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 policy(ies) 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 endorsement(s). PRODUCER 1-816-421-7780 CONTACT Aubrey Meyer Arthur J. Gallagher Risk Management Services, Inc. NAME: _________ WC Bo. Erg: _(616) 395-8593 __ _-_I_INC. No): (816) 467-5593 2345 Grand Blvd., Suite 400 Kansas City, NO 64108 Tenser Burns INSURED Garney Holding Company / Gamey Companies, Inc. / Darney Construction Company, Inc. / Grim Constmction Company, Inc. / Weaver Construction Management, Inc. / Encore Construction Group, Inc. - 1333 WIN Vivion Road Kansas City, HO 64118 INSURERS) AFFORDING COVERAGE _ _ NA ,or A- St Paul Fire and Marine Insurance Cc I24767 Prlyro Ar_FC CFOTIPWATF NIIMRFR- 35633686 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 BY CLAIMS. IR�EDUCED rPAID YMIDDIYYYY EXP_I ILTRI UBR Y TYPE OF INSURANCE INSR POLICY NUMBER MMIDOIYYYY YLIMITS GENERAL LIABILITY EACH OCCURRENCE I $ COMMERCIAL GENERAL LIABILITY __ -DAMAGE TO RENTED PREMIS_E_S(Eaocrs) $ ECLAIMS-MADE OCCUR MED EXP $ PERSONALS ADV INJURY GENERAL AGGREGATE S GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ $ P01 PJECT RO n LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IF ... nl)__ E $ ANY AUTO BODILY INJURY IPe, person) BODILY INJURY (Pe, ceitlenl) PROPERTY DAMAGE lPera +Ce^II____I $ _ ALL OWNED SCHEDULED AUTOS AUTOS — NON,OWNED M_ AUTOS $ A % UMBRELLA LJAS % OCCUR X % ZUP-14S78452-13-HF 10/01/13 10/01/14 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 EXCESS LIAR l—I CLAIMS#_UDE - DED IX RETENTIONSNGNH $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWARTNERIEXECUTIVE WC STATU OR - TORYUMRS .__ER_ El. EACH ACCIDENT S OFFICERIMEMBER EICLUDED9 ❑ ndyewadrtory In FIN) MIA E.L. DISEASE - EA EMPLOYEE $ EL. DISEASE - POLICY LIMIT $ If DESCRIUPTIONOFOPERATIONS GeIvw DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaach ACORD 101. AOBK ] Romadu SCIw4ula, H mom IHAC. Ir rX9u1rM) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Comi;any: General Liability including Completed Operations Policy #M2-641-426942-723 Bff. 30-1-2013/10-1-2014 Auto Liability Policy YAS2-641-426942-713 eff. 10-1-2013/10-1-2014 Employers Liability/Workers- Compensation Policy 8WA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 Following Form Including Blanket Additional Insured, Primary and Non -Contributory and Blanket Waiver of Subrogation as m,aimd by written contract. Includes All Work and Operations Performed by insured covered by Primary/Underlying policies. rGOTIFIr ATF urn nFO CANCFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Port Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 4316 LaPorte Avenue AUTHORIZED REPRESENTATIVE Port Collins, CO 80525 Q �"� 1)'~� I USA © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35633686 PSSNx,Stlu,S A� H CERTIFICATE OF LIABILITY INSURANCE °09/0 / 0 3") 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 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 endorsement(s). PRODUCER 1-816-421-7788 CONTACT NAME: Aubrey Meyer Arthur J. Gallagher Risk Management Services, Inc. -pgdpe FAX (8161 395-8593 46 7-5593WC. No. 2345 Grand Blvd., Suite 600 EMAIL sabre IQQ erPa com _ ADDRESS: y_ Y Jg• INSURER(S)AFFORDINGCOVERAGE NAJCt Maness City, NO 64108 _ INSURER A_: St Paul Fire and Marine Insurance Co 24767 Tanner Burns INSURED INSURERB — Carney Holding Company / Garney Companies, Inc. / Carney Construction Company, Inc. / Grimm Construction Company, INSURER C: INSURER D: Inc. / Weaver Construction Managenesent, Inc. / encore INSURERS_ Construction Group, Inc. - 1333 NW Vivion Road Mane s; City, NO 6d118 INSURER F: Pnv.RAI_oe PCRTICIPATP NUMRCD- 35633698 REVISION NUMRFR- 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 BY PAID CLAIMS. 7REDUCED _ IPOUC NS-RI TYPE INSURANCE IAINSROOLISUBRI VAID POLICY NUMBER MMIDDI9YYYI UAKH3 11 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ -DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY (Ea o rune)_ $ _ JCLAIMS -MADE Ll OCCUR _PREMISES MED EXP (Any_ person)_ $ $ PERSONAL d ADV INJURY GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGO $ $ — POLICY I PRO- LOC--- AUTOMOBILE LlAmutY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) BODILY INJURY (Per amtlem) PROPERTY DAMAGE APer au om)_ $ ALLOWNED SCHEDULED AUTOS AUTOS NON-0WNED HIRED AUTOS AUTOS $ Is A X UMBRELLA LAB X OCCUR X X 2UP-14S78452-13-NP 30/01/13' 10/01/14 EACHOCCURRENCE $ 15, 000, 000 AGGREGATE _ $ 15, 000, 000_ EXCESS LAB- CLAIMS -MADE DIED IX I RETENTION$ NONE $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE� WC STAID OTH- TDRY LIMITS.__ _ER I--- EL EACH ACCIOENT_ $_ OFFICE"EMBER EXCLUDED? NIA _ (Mandatary In NH) EL. DISEASE - EA EMPLOYEE $_ E.L. DISEASE -POLICY LIMIT $ IIy desibe under DESCcrRIPTION OF OPERATIONS bebI DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Much ACORD 101. Additional Immerse Schedule, It mom space Is motored) Following Porm Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy aTB2-641-426942-723 off. 10-1-2013/10-1-2014 Auto Liability Policy #M2-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/Workers• Conmensation Policy aWA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 Following Porm Including Blanket Additional Insured, Primary and Non -Contributory and Blanket Waiver of Subrogation as reQ ired 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 Fort Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 4316 LaPorte Avenue AUTHORIZED REPRESENTATIVE Rl Fort Collins, I CO 80522 1-- 1/''�- USA I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35633698 YStnx41up3 g ^ ® CERTIFICATE OF LIABILITY INSURANCE DATE09 ODI13 ACORO ATE(MM DN ItsI 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 LL BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ry REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy)ies) must be endorsed. If SUBROGATION IS WAIVED, subject to N the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the PRODUCER r-tlra-¢t1-S See Arthur J. Gallagher Risk Management Services, Inc. 2345 Grand Blvd., Suite 400 Kansas City, NO 64108 Tanner Burns INSURED Garney Holding Company / Garney Companies, Inc. / Garney Construction Company, Inc. / Grimm Construction Company, Inc. / weaver Construction Management, Inc. / Rotors Construction Group, Inc. - 1333 !AY Vivion Road Kansas City, NO 64118 NAME�� Aubrey Meyer WC No.Evtl:_(816) 395-8593_-.___ INC, NeL_181 EMAIL ADDRESS: __aUbrey_meyexflajg. COm _ _ _ INSURER(S)AFFORDINGCOVERAGE INSURER A: St Paul Fire and Marine InsuranCe CO INSURER B : _ INSURE_RC: INSURER D : INSURER E : rnVFRanpq rFRTIFIrATF NIIMRFR- 35633783 REVISION NUMBER - 5593 v 7 [zi] 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 ADOLISUBRr I POLICY EFF I POLICY E%P LTR TYPE OF INSURANCE POLICY NUMBER MMRJDIYYYY NM�IDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY _ _ _ DAMAGE TO RENTED PREMISES(Eaoc rrenu)__ _ CLAIMS MADE 0OCCUR MEDE%P(Anyor,epLs2.)_ $ $ PERSONAL S_ADV INJURY GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGO $ GENT AGGREGATE LIMIT APPLIES PER: POLICY I I PRO I� LOG $ AUTOMOBILE LIABILITY ANT AUlO COMBINED SINGLE LIMIT _(Ea amidenl)___ BODILY INJURY (Per Pereonl_� $ _ ALL OWNED SCHEDULED BODILY INJURY (Per accident$ AUTOS _ AUTOS NON -OWNED PROPERTY DAMAGE fS-- _ HIRED AUTOS _ AUTOS .(Per. aaiden0—__ A X UMBRELLA LIAfi Y I X OCCUR I ZUP-14S78452-13-NF 10/01/13 10/01/14 $ 15,000,000 _EACHGCCURRENCE AGGREGATE $ 15,000,000 EXCESS LAB CLAIMS -MADE DED IX RETENTION$NONS - $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WC STATU- EF — iCRY LIMIT$._ ER_j ANY PROPBIETORRARTNERL ECUTIVE ELEACH ACCIDENT OFFICEWMEMBER EXCLUDED? MIA - -_IS (MessmerylnNH) E.L. DISF_ASE-EA EMPLOYEE$It _ 1$ OESCRIPTa OF OPERATIONS WIew EL DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aruch ACORD 101, A4dkRlnal Remarks ScwmI*, If more apace Is mr,irM) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy 4TB2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy MA32-641-426942-713 off. 10-1-2013/10-1-2014 Employers Liability/Workers• Compensation Policy BWA2-6413-426942-733 off. 10-1-2013/10-1-2014 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 Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. LaPorte Avenue AUTHORIZED REPRESENTATIVE p Collins, CO 90525 �"� ) i USA / ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35633783 Y53eM3axl3 Acc h® CERTIFICATE OF LIABILITY INSURANCE °09/0" 2013"' 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 policy(iss) must be endorsed. If SUBROGATION IS WANED, 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 endorsement(s). PRODUCER 1-816-421-778B CONTACT NAME: Aubrey Meyer Arthur J. Gallagher Risk Management Services, Inc. ..__--- PHONE NP E.IY (016) 395-8593_ �a ,Not; (816) 46_7_-5593 2345 Grand Blvd., Suite 400 E-MAIL aubiey_meyer@a.COm_ _jg ADDRESS;_ _ Xansaa City, NO 64108 _ _ _ INSURERS)AFFORDINGCOVERAGE _ NAICe _ INSURER A: St Paul Fire and Marine Insurance CO 26767 Tamer Burns _ _ INSURED INSURER B: Garrey Holding Company / Garney Companies, Inc. / Carney INSURERG_ Construction Company, Inc. / Grimm construction Company, INSURER D Inc. / Weaver Construction Nanagament, Inc. / Encore INSURER E__ Construction Group. Inc. - 1333 NW Vivion Road Eames City, NO 64118 INSURER F: rnve.A r_ee PCRTHPIPATr wWRPR- 35633857 RFVI.RIf1N NHMF FR- 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 ADDUSUBR POLICY EFF POLICY EXP LIMITSLTR TYPE OF INSURANCE I POLICY NUMBER MMIDOIYYYY MMAIDIYYYY GENERAL LIABILITY EACH OCCURRENCE_ $ COMMERCIAL GENET LIABILITY _ _ DAMAGE TO RENTED )__ S __ _ ICLAIMS-MADE L]OCCUR _PREWSES(Eaacumm MEDEXP(AnypMW—)_ S $ PERSONAL A ADV INJURY GENERAL AGGREGATE $ GENT. AGGREGATE LIMIT APPLIES PER. PR6 LOC POLICY 7 PRODUCTS - COMPIOP AGO $ ---- $ — AUTOMOBILE LABILITY COMBINED SINGLE LIMIT S ANY AUTO _ _ ALL OWNED SCHEDULED BODILY INJURY (Per person) BODILY INJURY(Pereu nNIS HIITOS AUTOS REDAUTOS _�AUTOS PROPERTY Its A UMBRELLA LAB E I—{ OCCUR IX X Z-1dS78652-13-NF LTP 10/01/13 10/01/14 EACHOCCURRENCE $ 1_5, 000, 000 _ _ AGGREGATE s15,000,000 �x—�-D-ED—iX—iR—ETE—NYIO-N—$N—OM-- EXCESSLAB CLAIMSIMDE1 $ WORKERS COMPENSATION AND EMPLOYERS' LABILITY YIN ANY PROPRIETOPARTNERIEXECUTIVE WC STATU- OTH- TDRY LIMIT$ E.L. EACH ACCIDENT S OFHCERIMEMBER EXCLUDED? MIA — HfimAaW, In NMI E.L. DISEASE - EA EMPLOYEE $ E L. DISEASE - POLICY LIMIT $ if DESCRIPTION OF OPERATIONS peWv DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AKach ACORD 191, Addalaeel R.n . SchedulA, If Moro aPecr la rpuiAd) Following Form Primary/Underlying Policies With Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426962-723 SEE. 10-1-2013/10-1-201d Auto Liability Policy #AS2-641-426962-713 Sff. 10-1-2013/10-1-201d Employers Liability/Workers- Compensation Policy #WA2-64D-426942-733 Eff. 30-1-2013/10-1-201d 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 Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. LaPorte Avenue AUTHORIZED REPRESENTATIVE p Collins, CO 80522 �"� ) USA / O 1988-2010 ACORD CORPORATION. All rights reserve, ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35633857 a W Y51(AxndxN AC40R o® OF OIDDtt ATE CERTIFICATE LIABILITY INSURANCE 09/09/2013 09/09 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 policy(ies) 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 endorsement(s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Management Services, Inc. CONTACTNAME Aubrey Meyer PHONE FAX IAIC.NVE.U:.(816) 395-8593 _]DVC, N.): (81fi) 467-5593 2345 Grand Blvd., Suite 400 E-MAIL aubrey_meyer@a com ADDRESS: jg• _ __-_ INSURERIS) AFFORDING COVERAGE _NAICt itaneas City, NO 64108 24767 Tanner Burns INSURERA: St Paul Fire and Marine Insurance Co INSURED --- — Gamey Holding Company / Garnet' ComDaniae, Inc. / Garrey --- INSURER B: --- Construction Company, Inc. / Grimm Construction Company, INSURER C: INSURER D: Inc. / Weaver Construction Management, Inc. 1333 NW Vivion Road Kansas City, MO 64118 INSURERS. INSURER F: COVERAGES CERTIFICATE NUMBER: 35632079 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 ]HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN BY PAID CLAIMS. `REDUCED MTR TYPE OF INSURANCE iADOLSUBR�OLICY NUMBER MMIDOrcYYY MMIODIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S ITY _ICOMMERCIAL GENERAL LIABILITY TO RENTED PREMISES F. orwrrarce)_ S S CLAIMS MADE 0 OCCUR MEO E%P IAny me Put ann)_ PERSONAL B ADV INJURY $ GENERAL AGGREGATE GENI AGGREGATE LIMIT APPLIES PER: _I$ PRODUCTS - COMPIOP AGG S POLICY PRO- LOC 8 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _(Ea accinen)______,§ S ANY AUTO BODILY INJURY(Per Parson) ALL OWNED r SCHEDULED AUTOS _— AUTOS ' BODILY INJURY IPer accitlenl) $ = OWNED H NONMAGE HIRED AUTOS AUTOS _ PROPERTY DA _ $ $ L(PaLaccitlen9____ A % UMBRELLA LIAB X (KCUR X X ZUP-14S78452-13-N7 10/01/13 10/01/14 EACHOCCURRENCE S 25,000,000 ..REGATE s25,000,000 EXCESS LA� QAIMB-MADE DED I rB X RETENTION S NONE g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN STATUT11 —`TDRYLIMNSI_IC _ s R EXCLUDED, TNERIEXECUTIVE❑ EL EACH ACCIDENT OFFICERIMEM EANY NIA _ EL DISEASE - EA EMPLOYE $ (Myyandstory In NHl 0 as deanibe unit r SCRIPTIONOFOPERATIONBbelow EL DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Scbadub, 11 more space is required) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operation. Policy #TB2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy NA52-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/Workers' Compensation Policy RWA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 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. City of Fort Collins 4316 LaPorte Avenue Fort Collins, CO 80522 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 USA I �) (719RR-2n10 ACORn CORPORATInN All rinhte meArwAd ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aumeyer 35632079 P53(AU$MYi1 2 A� o® D09/09ATE IOOI13 CERTIFICATE OF LIABILITY INSURANCE 09/09/2013 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 policy(ies) 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 endorsement(s). PRODUCER :k 1-816-421-7788 CONTNAME pCT Aubrey Meyer Arthur J. Gallagher Risk Management Services, Inc. PHONE (8161 395-8593 _ ap Rq. (816) 967-5593 (A1C,No,En):_ - 1 6_ 2345 Grand Blvd., Suite 400 EMAIL sabre me erBaJ' cam ADDRESS: y_ y g __ ____ INSURER(S)AFFORDING COVERAGE__HAILY Kansas City, MO 64108 INSURERA: St Paul Fire and Marine Insurance CO 24767 Tanner Burns _ _ INSURED INSU_R_ER B : Garney Holding Company / Garney Companies, Inc. / Gurney Construction Company, Inc. / Grimm Construction Company, INSURERC: IN_SURERD: Inc. / Weaver Construction Management, Inc. / Encore Construction Group. Inc. - 1333 MW Vivian Road - Eansas City, MO 64118 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 35633708 REVISION NUMBER- -.THIS IS TO -CERTIFY - THAT 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. ILTR IAOOL'SUBRi POLICY NUMBER �MMIDDICYNYYY MMIODIYYYY LTRNSRJ TYPE OF INSURANCEINSHLIMITS GENERAL LIABILITY EACH OCCURRENCE $ _ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ed occurrence)_ $ CLAIMS -MADE 11 OCCUR MED E%P (Any one person) _ $ PERSONALBADV INJURY GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS - COMPIOP A_GG S I POLICY FI PRa I ( I LOCJECT I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Eaamitlent)__.f_- ANY AUTO peron) BODILY INJURY (Per s � ALLOSCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) E NON OWNED -0AUTOS HIRED AUTOS _ PROPERTY DAMAGE ,(Per accOen)_ $ $ A X UMBRELLAUAB OCCMUR X X ZUP-14S78452-13-NF 10/01/13 10/01/14 EACH OCA ERRENCE $ 15,000,000 EXCESS S MADE DED]xLRETENTIONSNONE Is WORKERS COMPENSATION I I 11ITATU-LIMITS AND EMPLOYER$' LIABILITY YIN _� 1._LEH $ ANY PROPRIETORIPARTNEWE%ECUTIVE E.L. EACH ACCIDENT OFFICERIMEMEER E%CLUOED? ❑ NIA E.L. DISEASE - EA EMPLOYE $ (Myandatory in NH) DE SCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ � I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AUach ACORD 101, Additional Remarks Schedule, it more apaca It required) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy 4TB2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy #M2-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/Workers' Compensation Policy #WA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 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 Collins THE EXPIRATION DATE .THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1316 LaPorte Avenue AUTHORIZED REPRESENTATIVE Collins� , CO 80522 _ 1)'f'� I USA / ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD aulRever ., 35633708 76 M CERTIFICATE OF LIABILITY INSURANCE ACORO 09 ATE IMAUDD 13 D09/09 2013 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 policy(ies) 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 endorsement(s). PRODUCER 1-816-421-7788 CONTACT NAME: Aubrey Meyer Arthur O. Gallagher Risk Management Services, Inc. PHONE FAX 395-8593467-5593 WC.No.E.O:_(816) lac, M.,(816) 2345 Grand Blvd., Suite 400 E-MAIL aubre me er0a com ADDRESS: y_ Y 3g Kansas City, NO 64108 AFFORDING COVERAGE_ _ NAICt _ ______INSURERIS) UMURERA: St Paul Fire and Marine Insurance Co 24767 Tamer Burns INSURED INSURER B: Barney Holding Company / Barney Companies, Inc. / Barney Inc. / Grim Construction Construction Company, Company, INSURER C: INSURER O:_ Inc. / Weaver Construction management, Inc. / Encore Construction Group, Inc. - 1333 NW Vivion Road INSURERE: Kansas City, MO 64118 —'--'--- — INSURER F COVFRAC.FS CERTIFICATE NUMBER: 35633249 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. ILTH TYPE OF INSURANCE ------'ADD IN ID POLICY NUMBER I MMIODYIYYVY MMMDIYYYY LIMITS GENERAL LIABILITY EACHOCCURRENCE S — COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Eaoccunerca)__ $ _ _ _l CIAIMSMADE n OCCUR MED EXP (Any one Person)_ S f PERSONAL B ADV INJURY GENERAL AGGREGATE S _ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ POLICY I PRO- LOC -- f _ AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT ILA am,nenll.___..... — i _ S ANY AUTO BODILY INJURY( Per Person) BODILY INJURY (Per accitlenQ _ $ ALL OWNED SCHEDULED AUTOS AUTOS f _ _ NON,DW NED HIRED AUTOS AUTOS PROPERTY DAMAGE _(PeraaaenlJ___ $ A X UMBRELLA LIAR X OCCUR E X ZUP-141S70452-13-W 10/O1/13 10/01/14 EACHOCCURRENCE f 25,000,000 AGGREGATE_ $ 25, 000, 000 EXCESS LIAR CLAIMSMADE — DED X RETENTIONSNONH f WORKERS COMPENSATION ANO EYPLOYEAT LIABILT' ANY PROPRIETORIPARTNERE ECUTIVEr WC STATU- OTH — TORY LIMITS ER_. EL EACH ACCIDENT f OFFICERIMEMBER EXCLUDED? NIA — (Man"or, In NH) E_L. DISEASE --EA EMPLOYEI S IIyy deswiWe r DESCRIPTIONOFOPERATIONSbebw — E.L. DISEASE-POLICYLfl S DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES (AKsch ACORD 101, A4CNomi Ramw s SLhsduM, IT mon space Is rpuir") Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Coo any: General Liability including Completed Operations Policy #M2-641-426942-723 Bff. 10-1-2013/10-1-2014 Auto Liability Policy #M2-641-426942-713 off. 10-1-2013/10-1-2014 Employers Liability/Workers- Compensation Policy #WA2-64D-426942-733 Bff. 10-1-2013/10-1-2014 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. Box 580 I �"� p AUTHORIZED REPRESENTATIVE Collins, CO 80522 ) I USA / 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ,,,mayor 35633249 YSldxuexu ACORO ® CERTIFICATE OF LIABILITY INSURANCE le.� D09/09ATE A2013 Y) 09/09/2013 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 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 endorsement(s). PRODUCER 1-816-421-7788 Arthur J. Gallagher Risk Managament Services, Inc.PHO CONTACT NAME: Aubrey Meyer Wi N..E.II: (816) 395-8593_ FAX Rol; (816) 467-5593 2345 Grand Blvd., Suite 400 E-MAIL ' jg.com ADDRESSe_ubry_meyerPa __e _ _ _ AFFORDICOVERAGE________,G _____ _NAIC# Kansas City, NO 64108 _______NSURER($) INSURER A: St Paul Fire and Marine Insurance Co 24767 Teller Burns _ _ _ _ _ INSURED INSURER B: Garney Holding Company / Garney Companies, Inc. / Carney Construction Company, Inc. / Grimm Construction Company, INSURER C: INSURER D: Inc. / Weaver Construction Management, Inc. / Encore INSURER E: Construction Group, Inc. - 1333 NW Vivion Road 1$ensas City, NO 64118 INSURER F: COVFRAOFS CFRTIFICATF MHMRFR- 35633316 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. NSRI TYPE OF INSURANCE INSRIWVQ POLICY NUMBER MMJODYIYYYY MMIDDYIYYYYI LIMITS ILTREXP GENERAL LMBLLJTY EACH OCCURRENCE $ _ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Eaaminerce)_ _ $____ _I CLAIMSIAADE �I OCCUR MED EV(Any one Person)_ $ S PERSONAL S ADV INJURY GENERAL AGGREGATE $ GENt AGGREGATE LIMIT APPLIES PER PRODUCTS -- COMPIOP AGG $ POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY (Per Person) $ S _ ALLOWNED SCHEDULED AUTOS BODILY INJURY (Per exerenl) $ _. = HIREDAUTOS _i AUTOS 101WNED PROPERTYDAMAGE $ A UMBRELLA LIA6 Y OCCUR X X 2UP-14S78452-13-NF 10/01/13 10/01/14 EACHOC_C_URR_ENCE $ 25,000,000 _ _ $ 25, 000, 000 JX EXCESS Lure CLAIMS -MADE DED Y RETENTION$NONE _AGGREGATE $ WORKERS COMPENSATION AND AND EMPLOYERS'LIABILIIY YIN ANY PROPRIETOR?ARTNERIE%ECUTWE TH _ TORV LIMITS E.L. EACH ACCIDENT S OFFICER¢EMBEREXCUDEDi ❑ NIA --- M rout. y In NH) E.L. DISEASE - EA EMPLOYEE $ DE SCRIPDe OF OPERATIONS Oebw E L DISEASE - POLICY LIMIT I $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ARach ACORD101,AddNlanal R.Mad.Sch.dul.,ltmom.p.ul.rsqui.d) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-6dl-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy #A52-641-426942-713 Eff. 10-1-2013/10-1-201d Employers Liability/Workers' Compensation Policy #WA2-6411-426942-733 Eff. 10-1-2013/10-1-2014 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 City of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 AUTHORIZED REPRESENTATIVE Port Collins, CO 80522 I USA / ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aurneyer 35633316 0 v W W PSItn1iWX11 CERTIFICATE OF LIABILITY INSURANCE DATE09/2 I13 ACORO ATE(M 2013 L� 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 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 endorsement(s). PRODUCER 1-816-421-7788 CONTACT Arthur J. Gallagher Risk Management Services, Inc. 2345 Grand Blvd., Suite 400 Kansas City, NO 64108 INSURED Garney Holding Company / Gamey Companies, Inc. / Gamey Construction Company, Inc. / Grin® Construction Company, Inc. / Weaver Construction Management, Inc. / Encore Construction Group, Inc. - 1333 NW Vivion Road Kansas City, MO 64118 COVFRAGFR CFRTIFICATF NUMBER- 35633768 NAME: Aubrey Meyer PHNEA1C.No i816) 395-8593 . uc, No (816) 467-5593 E-MAIL aubrey_meyerBajg.C= Ao0NE55: _ INSURERIS) AFFORDING COVERAGE _ NAIL /__ INSURER A: St Paul Fire and Marine Insurance CO 124767 INSURER B : INSURERC: INSURER D : INSURER E:-___— 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. _ _—_—__ —1_._-- POUC POLICY NSR ILINI TYPE OF INSURANCE iADDL SUER POLICY NUYBER I MMIDDlY9YY 1010 'YY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE S _ COMMERCIAL GENERAL LIABILITY _ DAMAGE TO RENTED PREMISES Ire occurterve)_ _ S _I CLAIMS -MADE L-1OCCUR MED E%P(Anyone person)_ $ PERSONAL& ADV INJURY _ GENERA - AGGREGATE _ S _ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOPAGG E $ -I POLICY PRO- lOC JFCT AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT IEa eccmanll.— E ANY AUTO BODILY INJURY (Par person) _ ALL OWAUTOSNED SCHEDUTOSULED BODILY INJURY (Per acuaen0 E _ HIRED AUTOS �AUTOOSWNED ROPERTY DAMAGE _(Per ao,rxnIL_ 5 A X (UMBRELLA LIAR X _ I OCCUR X % ZfIP-16S78452-13-NP 10/Ol/13 10/Ol/14 EACH OCCURRENCE S 15, 000, 000 AGGREGATE $ 15, 000, 000__ EXCESS LAB "_MA" DED I X RETENTIONS NONE _ S AND EMPLOYERS'LIABILITY A COMPENSATION AND EMPS YERS'LSAILIT OYIN TIT --- ORY IIMTS. _ IoER_1_- __ - — - ANYPROPRIETOWPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ' NIA - ---- I'mestoryinNH) E. L. DISEASE - EA EMPLOYE S It yos, 4escri6e un4er _ DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT E _T DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES IAaach ACORD 101, Adi itional RamaM1s Scbduls, If mom span Is rpuimd) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426942-723 Eff. 10-1-2013/10-1-2014 Auto Liability Policy #AS2-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/Workers' Compensation Policy #WA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 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/UnderlyiDg 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 AUTHORIZED REPRESENTATIVE {�) Port Collins, CO 80522 1-- 1"�- I USA / ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35633768 PSILIMISWMYI s ^ ® CERTIFICATE OF LIABILITY INSURANCE DATE09/2 I1 YYYYT ACORO 09/9/203 L 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 policyfies) 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 endorsement(s). PRODUCER 1-816-421-7788 CONTACT NAME: Aubrey Meyer Arthur J. Gallagher Risk Management Services, Inc. - - (AXN c EUI (816) 395-8593 _ —_ FAX ,xo):_(816) 467-5593 2345 Grand Blvd., Suite 400 EMAIL ADDRESS:sabrey_meYerBajg.com Karn sea City, NO 64108 Tamer Burns INSURED Garney Holding Company / Carney companies, Inc. / Carney Construction Company, Inc. / Grimm Construction Company, Inc. / Weaver Construction Management, Inc. / Encore Construction Group, Inc. - 1333 HIM Vivion Road Kansas City, NO 64118 A. St Paul Fire and CnwCGAr_Ce PFRTICH'ATF NIIYRFR- 35633805 RFVICIr1N NIIMRFR- NAIC r 24767 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. —IADnLISUBR POLmYEFF MUCY"P r LLTR TYPE OF INSURANCE I POKY NUMBER MMIODIYYYY MMIDDIYYYY I LIMITS GENERAL LDLBILITY EACH OCCURRENCE f --- CO_MMEROWLGENERALLUBILITY DAMAGE TO RENTED PREMISES (Ea w nwr,e)—_ S _ CLAIMS -MADE 1-1 OCCUR MED EXP (Mydre renon)_ S S PERSONAL A_ADV INJURY f _ GENERAL AGGREGATE_ GEN L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS - COMPIOP AGO f POLICY PHI [—IOC L JECT ---___--_.—.—_ 3 — —_ AUTOMOBILE LMBLLnY COMBINED SINGLE LIMIT IEaaaaenl)_______3 f ANY AUTO BODILY INJURY (Pe, pawn) BODILY INJURY (Per ecadenl) _ ALL OWNED SCHEDULED AUTOS IRED $ $ AUTOS �TOS NON -OWNED HIAMOS _jP� DAMAGE f II A % I % I OCCMS#1ADE % % ZUP-14378452-13-NF 10/01/13 10/01/14 RENCE EACHAGGOCCURRENCE _— --- — �=1000 ,000 �UMBRELLALIAB— EXCESS LIAB DIED X (RETENTION $ MOM f WORMERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORNARTNER,FJ(ECUTIVE WC STATU _ ORY IMITS...—OTH ER__ E.L. EACH ACCIDENT - S OFFICEWMEMBER EXCLUDED? ❑ NIA - --- ----- WandalorylnNH) E.L. DISEASE - EA EMPLOYE $ DEIf SCRIPTION OF OPERATIONS heb., EL. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS(VEHICLES (Aa hACORDT01,Md@bnMRrmwkr Schr le,Ifmanrpacrhl Wnd) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy 8TB2-641-426942-723 Eff. 30-1-2013/10-1-2014 Auto Liability Policy YA52-641-426942-713 Eff. 10-1-2013/10-1-2014 Employers Liability/Workera' Compensation Policy YWA2-64D-426942-733 Eff. 10-1-2013/10-1-2014 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. '.0. Box 580 AUTHORIZED( REPRESENTATIVE Collins, CO 80522 --I—) I USA / 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 35633805