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Home My WebLink About166269 GARNEY CO INC - INSURANCE CERTIFICATE (6)PSSW,SYUS a s e CERTIFICATE OF LIABILITY INSURANCE I °09/19/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: H the certificate holder is an ADDITIONAL INSURED, the policy(tes) 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 1-816-421-7788 CONTACT Aubrey Meyer Arthur J. Gallagher Risk Hamgement Services, Inc. NAME: uC N1EM):.(816) 395-8593 - _I W No); (816) 417-5593 � l 7345 Grand Blvd., Suites 400 oe. aubrev meveroaia.com Kansas City, NO 64108 I1\ 1nI C Tanner Burns INSURED Garney Holding Company/Carney Companies, Inc./Garney Construction Company, Inc./Gri® Construction Company, Inc weaver Construction Management, Inc./Encore Construction Group, Inc./Gamey Colorado, LLC - 1333 HW Vivion Road San Sao City, NO 64118 INSURE AFFORDING COVERAGE_ NA Travelers Property Casualty Cowman of �25674 COVERAGES CFRTIFICATF MUMRFR- 41513122 RFVIQlnw MLIMRFo- 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. INSRi__ _ _1Ap0LT5UBRI _-__� MOUC YYYY I YXIDIY _POUCYEXP I LTN TYPEOFIXSURANCE I POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE f _ CON ERCIALGENERALUABILITY DAMAGE TO RENTED PREMISES(Eaonwnenm)__ _ _ S f CLAIMS -MADE f OCCUR MED E%P(My are person)_ S PERSONALBADV INJURY_ GENERAL AGGREGATE GENT AGGREGATE LIMIT APPLIES PER. POLICY I JEC- LOC PRODUCTS - OOMPIOP ADD S S AUTOMOBILE _ UJUN ITY COMBINED SINGLE LIMIT (Ea e nl).__ ___ .$_ _ _ ANY AUTO BODILY INJURY(P., person) f _ ALLOWNED SCHEDULED AUTOS AUTOS _ BODILY INJURY IPereaYenl) $ NONOWNED HIREDAUTOS _ AUTOS PROPERTY DAMAGE _ i A X UMBRELLA LAB X_ OCCUR X X EUP-14S78452-14-NF 10/01/14 10/01/15 EACH OCCU_R_RENCE $15,000,000 AGGREGATE__ f 15, 000, 000 EXCESS LAB CLAIMS=MADE DED I I RETENTIONS NONE f WORXERS COMPENSATION WC STATU- OTH- AN°EMPLOYERS' LIABILITY YIN ANYCER)MEETORNARTNERIE%ECUTIVE ANYPROPRIETERE%CLUDEDT ❑ NIA __I TORYIIMITSI__I_ER-_____ E.L. EACH ACCIDENT SOFFI E.L. DISEASE - EA EMPLOYE f — -- $ (YlDdelmy In NH) Dyes, describe OF SCRIPTION OPERATIONS helve E L. DISEASE - POLICY LIMIT I OESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AtlacN ACORp 1e1, M4Nb,W Remuks SrNetlule, If mom spw 4 rpuNW) Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #Te2-641-426942-724 Eff. 30-1-2014/10-1-2015 Auto Liability Policy #AS2-641-426942-714 Eff. 10-1-2014/10-1-2015 Employers Liability/Workers- Compensation Policy #WA2-64D-426942-734 Eff. 10-1-2014/10-1-2015 Following Porm 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 Avenue AUTHORUED REPRESENTATIVE p Port C011ino. CO 00521 I1'�� USA / 01988.2010 ACOR13 CORPORATION_ All rinhtR ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 41513122 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 T I Garney Holding Comppa%yGarney Companies Inc./ Grimm Construction Co. Inc.ANeaver Construction NAME AND Libei L.1 Mul.{. g Management Inc./Encore Construction Group, Inc. ADDRESS - a/ • 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 I INSURANCE is,.t the issue date ofthis certificate, insured by the Company under the poliey(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, tern or condition 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 ❑ POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and W1 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO FL GA IA KS KY, LA MO, M$, NC N1=, NM, tb SC. Tr4, TX, UT. VA, t/N/ EMPLOYERS LIABILITY Bodily Injury by Accidem 1 000 OOOI:arn Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2015 T82641-426942-724 General Aggregate $2,000,000 Products / Completed Operations Aggregate m OCCURRENCE $2 000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1 0001]7)0 Per Person/Orgamrahon RETRO DATE Other s300,000 Damage to Premises RRented to You Cher $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1/2015 AS2-641-426942-714 Each Accidcm—Single L $2,000 000 B.I. And P.D. Combined r-�Iimit LJ OWNED Each Person Each Accident or Occurrence m NON -OWNED HIRED Each Accident or Occurrence OTHER '1 ONAL COMMENTS Garney Job # 6690 WO #3. West Vine Outfall - Work Order #3 - Construction. of Fort Collins is an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the r ed Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Ifthe certificate expiration date is continuous or extended term, you will be notified ifcoverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Garvey Job # 6690 WO # 3 FCity of Fort Collins 300 LaPorte Avenue Fort Collins CO 80521 �e L Liberty Mutual Insurance Group Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/15/2014 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.: 21SS79e5 CLIENT CODE: rM 266a Nicholas Misoni 9/15/2014 9:56:02 PA (EDT) Page 1 or 1 LDI COI 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLNAND 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 T ' Garney Holding Comppa%yGamey Companies Inc./ Grimm Construction Co. Inc./(Veaver Construction NAME AND Managgement Inc./Encore Construction Group, Inc. Liberty Mutual ADDRESS • 1333 NW Vivion Road Kansas City MO 64118-4554 OF INSUREDtk INSURANCE is, at the issue date ofthis 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 cenificate may be issued. EXP DATE. ❑ CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY POLICY TERM WORKERS 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: EMPLOYERS LIABILITY COMPENSATION AL AR, AZ, CO FL GA IA KS KY, LA MO, MSc, NC Nit 0M, 0 Bodily Injury by Accidem Includes Coverage 3C, Other States Insurance: All States SC, TIJ, TX, UT, VA, WV 1 0OA OOOeaen A«�aem 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 /2015 TB2-641-426942-724 General Aggregate GENERAL LIABILITY $2,000,000 Products /Completed Operations Aggregate m OCCURRENCE $2 000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury RETRO DATE $1,000,000 Per Person/Organisation Other 5300,000 Damage to Premises St10,000 Medical Expense ented to You AUTOMOBILE 10/1/2015 AS2-641-426942-714 Each AccidentCSingle Limit $2 OOO OOO B,1, And P.D. Combined LIABILITY r�I Each Person l:J OWNED Each Accident or Occurrence mNON -OWNED [A HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job 1116661 Mulberry Street Water & Sanitary Sewer Line Relocations. City of Fon 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 expiration date is continuous or extended term, you will be notified ifcoverage is tcrinum ed 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 I.EAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: RE: Job # 6661 FCityy of Fort Collins 300 LaPorte Avenue Fort Collins CO 80521 ,x L Liberty Mutual Insurance Group Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/15/2014 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.: 21557158 CLIENT CODE: IA 2660 Nicholas Mison1 9/15/2014 9:56:02 La (EDT) 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 CERTIFICAE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. is to Certify that This I Garney Holding Comppa%yGarney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction NAMED Management Inc./Encore Construction Group, Inc. AD Liberty Mutual. 1333 NW Vivion Road Kansas City MO 64118-4554 Its, —at I OFINSURE INSURANCE the issue date oflhis certificate, insured by the Company under the policy(ies) listed Conditions and is not altered by any requirement, term or condition army contract 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 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 NO, OH, WA, and W1. 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES. AL, AR, AZ, CO, FL GA IA KS KY, LA MO, MS;NC N�, rJM, b SC, T14, TX. UT, 1A, VP EMPLOYERS LIABILITY Bodily In ury by Accidem �1 000 OOO earn Araaeat Bodily Injury By Disease 1 000 000 Policy I art Bodily Injury By Disease 1 000 000 Fic,h Prison COMMERCIAL GENERAL LIABILITY 10/1/2015 T62-641-426942-724 General Aggregate $2,000,000 Products / Completed Operations Aggregate $2,000,000 m OCCURRENCE ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1,000,000 Per Person/Organteanon RETRO DATE Other $300,000 Damage to Premises hir $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1/2015 AS2-641-426942-714 Each AccidemCoSingle Limit $2,000,000 B.I. And P.D. Combined DOWNED - Each Person Each Accident or Occurrence [23 NON -OWNED LJ HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6628 Emergency Mobilization Contract Through 2013. City of Fort Collins, Colorado, Stanlec 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. Iftbe cenific to 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: RE: Job # 6628 Liberty Mutual Insurance Group rCityy of Fort Collins \ x 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/15/2014 L 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.: 21S57160 CLIENT CODE: LM 2660 Nicholas Mieoni 9/15/2014 9:56:02 AM (EDT) 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 CERTIFICN'E 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 Manegement Inc./Encore Construction Group, Inc. ADDRESS - 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 I INSURANCE is, at the issue date ofthis certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ics) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition ofany contract or other document with respect to which this certificate may be issued. EXP DATE ❑ CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE. FOLLOWING STATES EMPLOYERS LIABILITY COMPENSATION Includes Coverage 3C, Other AL AR, AZ, CO FL GA IA KS K7 LA MO, M$, NC NE, I m, b Bodily ln'ury by Accidem 1 OOO OOO earn Accident States Insurance: All States SC, N. TX, UT. VA, t/JJ Bodily Injury By Disease except those listed and the states of NO, OH, WA, and 1 000 000 Bodily Injury By Disease 1 000 000 Fiah Person COMMERCIAL 10/1 /2015 T62641426942-724 General Aggregate GENERAL LIABILITY $2,000,000 m OCCURRENCE Products / Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 RETRO DATE Personal & Advertising Injury $1,000,000 Per Person/Organization Other bar $300,000 Damage to Premises S10,000 Medical Expense Rented to You AUTOMOBILE 10/1/2015 AS2-641-426942-714 Each Accident —Single Limit $2,000 000 B.I. And P.D. Combined LIABILITY Each Person r�l L•J OWNED Each Accident or Occurrence mr1 NON -OWNED CJ HIRED Each Accident m Occurrence OTHER ADDITIONAL. COMMENTS 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. Ifthe cenificate expiration date is continuous m extended tern, you will be notified ifcoverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Job #6652 Canal Importation Ponds Liberty Mutual Insurance Group FCity of Fort Collins —1 % IYJWI 30y LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park/0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/15/2014 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.: 21557114 CLIENT CODE: LM 2660 Nicholas M190ni 9/15/2014 9:56:02 AM (EDT) 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. is to Certify that This I Garney Holding Comppa%yGarney Companies Inc./ Construction Grimm Construction Co. NAME AND Construction Monagement Inc./Encore Construction Group, Inc. Liberty Mutual AnnRess - • 1333 NW Vivion Road Kansas City MO 64118-4554 —at OFINSURED I INSURANCE the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policyres) is subject o all their terms, exclusions and Conditions and is not altered by any requirement, tern 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 m POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: All States except those listed and the states of NO, OH, WA, and 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATESr AL AR, AZ, CO FL GA IA KS KV LA MO, MS', NC Nit W, b SC, TN, TX, UT, VA, Wv EMPLOYERS LIABILITY Bodily ln'ury by Accident 1 000 OOOeaen A1,.dem Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2015 TB2-641-426942-724 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/Organvation RETRO DATE Othe$300,000 Damage to Premises RR ented to You $10.000 Medical Expense AUTOMOBILE LIABILITY 10/112015 AS2-641-426942-714 Linat Each And $2 000,000 B,I, And P.. Combined P.D.Combined r-�I 0 OWNED Each Person Each Accident or Occurrence mNON -OWNED 121 HIRED Each Accident or Occunence 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. Ifthe cenificate expiration date is continuous or extended term. you will be notified ifeaverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOTAPPLICABLE 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 FCityy of Fort Collins \ 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park 10448 AUTHORIZED REPRESENTATIVE .y ° 6800 College Blvd, Suite 700 u Overland Park KS 66211-1123 913-681-1700 9/15/2014 LOFFICE 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.: 21557116 CLIENT CODE: LM_2660 Nicholas Miaonl 9/15/2014 9:56:00 AM (EDT) 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 CERTIFICNE 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 SUBf.IMIT/LIMITS NOT LISTED BELOW. This is to Certify that I Garney Holding Cornpa%yGarney Companies Inc./ Grimm Construction Co. Inc.ANeaver Construction Management Inc./Encore Construction Group, Inc. 1333 NW Vivion Road Kansas City MO 64118-4554 L NAME AND Liberty Mutual ADDRESS - • OF INSURED I INSURANCE is, at the issue data of this cerificate, insured by the Company under the policyocs) listed below. The insurance afforded by the listed policy(ics) is subject to all their tcCus, 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 Slates Insurance: All States except those listed and the states of ND, OH, WA, and 10/1/2015 WA2-64D 426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR, AZ, COFL GA IA KS K�, LA MO, MEi NC NE, NM, b SC, TN, TX, UT, A, M EMPLOYERS LIABILITY BodilInjury by Accidem y 1 OOO OOOearn Acc�arni Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 OOO OOO Firs Person COMMERCIAL GENERAL LIABILITY 10/1/2015 T82-641-426942-724 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/Organrzahon RETRO DATE 53er k00000,000 Damage to Premises the, $10 Medical Expense ented to u AUTOMOBILE LIABILITY 10/1/2015 AS2-641-426942-714 Each And P.D. Combine Limit $2,000,000 B.I. And P.D. Combined r�I L•J OWNED Each Person Each Accident or Occurrence NON -OWNED rm LJ HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6694 Poudre River Sewer Crossing City of Fort Collins is additionally insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Ifthe certificate expiration date is continuous or extended term, you will be notified ifcov mge 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 # 6694 Poudre River Sewer Crossing Liberty Mutual Insurance Group FCityy of Fort Collins 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park 10448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 I Overland Park KS 66211-1123 913-681-1700 9/15/2014 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.: 21557424 CLI EMr CODE: L11_2660 Nicholas Misonl 9/15/2014 9:56:02 AN (EDT) 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 SUB LHOLLTIMITS NOT LISTED BELOW. is to Certify that This I Garney Holding Comppanyy/Garney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction NAME AND Managgement Inc./Encore Construction Group, Inc. Road - Liberty Mutual ADDRESS • 1333 NW Vivion Kansas City MO 64118-4554 OF INSURED I INSURANCE —bellow. is, at the issue date of this certificate, imtired by the Company tinder the policy(ies) listed The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and r—din.nx and it nor nbnmd by— nounremern term or condition Oran 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 m POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: All States except those listed and the states of NO, OH, WA, and W1. 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES. AL AR, AZ, CO FL GA IA KS Kd, LA MO, MS', NC Nit NM, b SC, TN, TX, UT, VA, Wv EMPLOYERS LIABILITY Bodily Injury by Accidem 1 oOO OOOenen naiaent Bodily Injury By Disease $1,000,000 Bodily Injury By Disease 1 000 000 Each Perm, COMMERCIAL GENERAL LIABILITY 10/1 /2015 T62-641-426942-724 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/Organization RETRO DATE $300,000 Damage to Premises Rented to You $10.000 Medical Expense AUTOMOBILE LIABILITY 10/1/2015 AS2-641-426942-714 Each Accident —Single Limit $2,000,000 B.I. And P.D. Combined r�I lJ OWNED Each Person Each Accident or Occurrence NON -OWNED trap LJ HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6690 West Vine Outfall Work Order #2 - Bridge and Concrete Pipe Procurement City of Fort Collins is additionally insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Ifthe certificate expiration date is continuous or extended term, you will be notified ifcoverage is terminated or reduced before the cenificate 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 01: SUCH CANCELLATION HAS BEEN MAILED TO. Job # 6690 West Vine Outfall Work Order #2 - Bridge and Concrete Pipe Procurement rCity of Fort Collins 300 LaPorte Avenue Fort Collins CO 80521 Ex L J Liberty Mutual Insurance Group Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/15/2014 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 CENT NO.: 21557425 CLIENT CODE: LM_2660 Nicholas MiSOni 9/15/2014 9:56:02 AM (EDT) Page 1 or 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 NOTLISTED BELOW This is to Certify that I Garney Holding Compa%Garney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction NAME AND Liberty � Mutual. Mana ement Inc./Encore Construction Group, Inc. ADDRESS • 1333 W Vivion Road OF INSURED Kansas City MO 641184554 INSURANCE Ilis, a,tthe issue date ofthis certificate, insured by the Company under the policyHes) 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 crony contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: All Slates 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL GA IA KS KY, LA, MO, MS, NC NI`_, Nm b SC, TN, TX, UT, VA, tM/ EMPLOYERS LIABILITY Bodily Injury by Accidem 1 000 000 Each aeeieem Bodily Injury By Disease 1 000 000 except those listed and the states of ND, OH, WA, and W _ Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2015 T82-641-426942-724 General Aggregate $2,000,000 Products / Completed Operations Aggregate m OCCURRENCE ❑ CLAIMS MADE $2,000,000 Each Occurtence $1 000 000 Personal & Advertising Injury $1 0Ot) 000 Per Person/Organiaauon RETRO DATE 3 00,000 Damage to Premises S10,000 Medical Expense ented to You AUTOMOBILE LIABILITY 10/1/2015 AS2-641-426942-714 Each AccidemCoSingle Limit $2,000,000 D.I. And P.D. Combined r�I * OWNED Each Person Each Accident or Occurrence mNON -OWNED HIRED Each Accident or Occurtence OTHER ADDITIONAL COMMENTS RE: Garvey Job # 6690, West Vine Outfall Work Order #1 - Gradual Rock Drop Outlet Structure. City of Fort Collins and Anderson Consulting Engineers are an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Ifthe certificate expiration date is continuous or extended tern, you will be notified ifcmxmge 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 MAILEDTO: RE: Garvey Job # 6690 Liberty Mutual Insurance Group FCityy of Fort Collins 7 "� OS�OIV/LY/l. 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park / 0448 AUTHORIZED REPRESENTATIVE E ° 6800 College Blvd, Suite 700 u Overland Park KS 66211-1123 913-681-1700 9/15/2014 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.: 21557418 CLIENT CODE: LM 266o Nicholas Mascot 9/15/2014 9:56:03 AN (EDT) Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance TI [IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGI ITS 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/1-I611TS NOT LISTED BELOW. is to Certify that This I Garney Holding Comppanyy/Carney Companies Inc] Grimm Construction Co. Inc./Weaver Construction NAMEAND Management Inc./Encore Construction Group, Inc. Liberty Mutual ADDRESS • 1333 NW Vivion Road Kansas City MO 64118-4554 OF INSURED I INSURANCE is, at the issue date 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 ❑ CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS 10/1 /2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES' EMPLOYERS LIABILITY COMPENSATION AL AR, AZ, CO, FL GA IA KS KY, LA, MO, MS, NC Nt, NM, b Bodily ln'ury by Accidem Includes Coverage 3C, Other States Insurance: All States SC, TN, TX, UT, t/A, `NV 1 00A OOOEseh Accident Bodily Injury By Disease except those listed and the states of ND, OH, WA, and 1 000 000 Bodily Injury By Disease 1 000 000 Path I= COMMERCIAL 10/1/2015 TB2-641-426942-724 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/Orgam2auon Other her $300,000 Damage to Premises $10,000 Medical Expense Rented AUTOMOBILE 10/1/2015 AS2-641 426942-714 Each Accident —Single Limit $2 000,000 B.I. And P.D. Combined LIABILITY Each Person OWNED Each Accident or Occurrence NON -OWNED rm IL HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job #6205 - Rigden Water Storage Reservoir City of Fort Collins Services is an additional insured under the General Liability and Automobile Liability policy if required by a mitten contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional Insured endorsement. Ifthe certificate expiration date is continuous or extended wr m 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: Job #6205 - Rigden Water Storage Reservoir 1—Cityy of Fort Collins 300 LaPorte Avenue Fort Collins CO 80521 t„x v L Liberty Mutual Insurance Group �- Stacy Spieker Overland Park/0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/15/2014 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.: 21557471 CLIEIIT CODE: LM_2660 Nicholas Miaonl 9/15/2019 9:56:02 AM (EDT) Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance "FHIS 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 T I Garney Holding Comppa%yGarvey Companies Inc./ Grimm Construction Co. Inc./Weaver Construction Managgement Inc./Encore Construction Group, Inc. NAME AND Liberty Mutual ADDRESS • 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 I INSURANCE is, at issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ics) is subject to all their terns, 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. TYPE OF POLICY EXP DATE ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY m POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: All Slates except those listed and the states of ND, OH, WA, and 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES' K1', LA, O, A AZ M3, NCFL ON�IANM Sb SC, LTIN,A TX, UT, VA, Wv EMPLOYERS LIABILITY Bodily ln'ury by Accidem 1 OOO OOO EUh Aeeidem Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 OOO OOO COMMERCIAL GENERAL LIABILITY 10/1/2015 T62-641-426942-724 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 Prr Person/Organicutmn RETRO DATE 0300,000 Damage to Premises $10,000 Medical Expense ented to You AUTOMOBILE LIABILITY 10/1/2015 AS2-641 426942-714 ILLEacndLP.D.CoSingleLimit $2 OOO,OOO B.I. And P.D. Combined r-� LJ OWNED Each Person Each Accident or Occurrence mNON -OWNED HIRED Each Accident or Occurrence OTHER ADDITIONAL COMM ENT RE: Job # 6650 LaPorte 27‐Inch Pipeline WO #1 Pre Purchase HOPE. - City of Fort Collins and Stantec Consulting Services are an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Ifthe certificate 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: Job # 6650 LaPorte 27‐Inch Pipeline WO #1 FCity of Fort Collins, Colorado 300 LaPorte Avenue Fort Collins CO 80521 tx v L Liberty Mutual Insurance Group Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/15/2014 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.: 21557108 CLIENT CODE: LM 2660 NiChOlaa Misoni 9/15/2014 9:56:02 AM (EDT) Page 1 of 1 LDI COI 268896 02 11 P521 UW. 2 A� oe CERTIFICATE OF LIABILITY INSURANCE D09/ 9ATE /201m6 1 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(les) must be endorsed. H SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the CartNkate holder In lieu of such endorsemen s). PRODUCER 1-816-621-7788 Arthur J. Gallagher Risk Mansgament Services, Inc. CONTACT Aubrey Meyer PHONE FAX IAIC.N9 . (816) 395-8593 NR; (816) 467-5593 E4AIL AODRE89: aubreY_meYerBajg.em 2365 Grand Blvd., Suite 600 MISURER(Iij AFFORDING COVERAGE NAICH Ranges City, NO 64106 INSURERA: Travelers Property Casualty Company of 25674 Tamer Bums INSURED INSURER B: Gamey Holding Coamary/Carney Companies, Inc./Gamey Construction Company, Inc./Grim Construction Company, Inc INSURER C: INSURER D: wear Construction Management, Inc./Encore Construction Group, Inc./Garrey Colorado, LLC - 1333 NW Vivion Road Kansas City, NO 64118 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER- 51513128 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. INSLR m OF INSURANCE ADDLTYPE im SUER POLICY NUMBER MMM YEFF POYE%P Lams GENERAL LU BUTT EACH OCCURRENCE f GE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES EeoaM,mnca S CLAIMS -MADE ❑ OCCUR MED EXP (Any aM p.)f PERSONAL A ADV INJURY f GENEHALAGGREGATE f GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO 3 $ POLICY PR0. LOC AUTOMOBILE. IL191UfY _ COMBINED SINGLE LIMIT_ BODILY INJURY (Pap ) S ANY AUTO AILGWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Pa eccNe,Y) s PROPERTY DAMAGE xamOanl f NON -OWNED HIRED AUTOS AUTOS $ A Z UMBRELLALUB Z OCCUR . Z Z ZUP-16S78652-16-HF 10/01/1 10/01/15 EACHOCCURRENCE f 15, 000,000 AGGREGATE 5 15, 000, 000 EXCESS LAS CLAWGMADE DED I Z I RETENTION NONE f WORNERSCOMPENSATION WC STATU OTH, ANDEMPLOVER9'LIABILHY YIN ANY PROPRIETORRAmNERIEXECUDVE E.L. EACH ACCIDENT f OFFICERIMEMBEft E%CLUOEDT ❑ NIA E.L. DISEASE- EA EMPLOYE $ (Mm utarr h NH; H yBf 6n.w uldw DESCRIPTION OF OPERATIONS BeIvx EL DISEASE - POLICY LIMIT f DESCRIPTIONOFOPERADONSILOCADONSIVEHICLEB (AHxh ACORD 101, AOOIIbnN RwnrrtF 9cNMUN, HIMfF cpAraMl.yull.el Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy eTB2-641-626962-724 Eff. 10-1-2014/10-1-2015 Auto Liability Policy aAS2-641-626962-713 Off. 10-1-2014/10-1-2015 Employers Liability/Workers- Compensation Policy #MA2-64D-626962-736 Off. 10-1-201a/10-1-2015 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. of Port Collins Bo: 580 Purchasing Division North Ha9on Street, 2nd Flolor 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. �r ✓ USA I 1) M All dnhte mmerved. uzi ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aumeyer 41513128 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 Compa%�/Garney Companies Inc./ Grimm Construction Co. Ino. Construction Construction NAME AND Liberty ♦ Mud.{ ad Management Inc./Encore Construction Group, Inc. ADDRESS - / • 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE L is, at the issue date 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 ofany contras m other document with respect to which this certificate maybe issued. EXP DATE ❑ CONTINUOUS TYPE OF POLICY EXTENDED ElEXTEN POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS 10/1/2015 WA2-64D-426942-734 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, LA, MO, Nb Nit NM, b g0dily ln'ury by Accident .States Insurance: All States IM$, T SC, N, TX, J VA, vVV 1 000 000 a.m Aedeent Bodily Injury By Disease except those listed and the states of NO, OH, WA, and W 1 000 000 Bodily Injury By Disease 1 OOO OOO COMMERCIAL 10/1/2015 10/1/2015 T62-641426942-724 General Aggregate GENERAL LIABILITY ❑ OCCURRENCE Products /Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 RETRO DATE Personal & Advertising Injury $1,000,000 Per Person/Orgamzanon Other lother $300,000 DRented to Yamage to Premises ou $10,000 Medical Expense AUTOMOBILE 10/1/2015 AS2-641-426942-714 Each Accident —Single Limit $2,000 OOO B.I. And P.D. Combined LIABILITY Each Person rat LJ OWNED Each Accident or Occurnmea mNON -OWNED HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS City of Fort Collins, Colorado is an additional insured under the General Liability and Automobile Liability policy if required by written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Ifthe certificate expiration date is continuous or extended term, you will be notified ifcoveoge 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: Right of Way License Liberty Mutual Insurance Group 1—City of Fort Collins �UIWI P.O. Box 580 Stacy Spieker Fort Collins CO 80522 Overland Park / 0448 AUTHORIZED REPRESENTATIVE z 6800 College Blvd, Suite 700 L Overland Park KS 66211-1123 913-681-1700 9/15/2014 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 CENT NO.: 21556889 CLIENT CODE: LM_2660 MrhOlae M19on1 9/15/2019 9:56:02 AM (EDT) 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 CERTIFIC/PE 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 SUBLIMMLIMITS NOT LISTED BELOW. is to Certify that This I Garney Holding Corn a%Garney Companies Inc./ Construction Grimm g Construction Co. Inc./Weaver Mana ement Inc./Encore Construction Group, Inc. NAME AND ADDRESS Libel/ 1 ♦ MUtuA• 1333 W Vivion Road Kansas City MO 64118-4554 OF INSURED I INSURANCE is, at the issue dale ofthis certificate, insured by the Company under the pol.cy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions end is not altered by any requirement, tern or condition of any contract or other document with respect to which this cenificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other Stales Insurance: All States except those listed and the stales of ND, Of, WA, and 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR, AZ, CO FL GA IA KS K�, LA MO, MSa, NC Nit, NM, b SC, TN, TX, UT, VA, M EMPLOYERS LIABILITY Bodily In'nry by Accdent 1 OOO OOOFaen Anddant Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 each Person COMMERCIAL GENERAL LIABILITY 10/1 /2015 TB2-641-426942-724 General Aggregate $2,000,000 m OCCURRENCE Products / Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $10000(]0 Per Person/Organization RETRO DATE 0300,000 Damther age to Premises ented to Y S10,000 Medical Expense AUTOMOBILE LIABILITY 10/1/2015 AS2-641-426942-714 Each AccidentCoSingle Limit $2,OOQ000 B.1. And P.D. Combined lJ OWNED Each Person Each Accident or Occurrence NON -OWNED �m U HIRED Each Accident or Occurrence OTHER 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 certificate 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 FCityy of Ft. Collins � \ �. `�"�"""' 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park / 0448 AUTHORIZED REPRESENTATIVE .f x 6800 College Blvd, Suite 700 I Overland Park KS 66211-1123 913-681-1700 9/15/2014 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.: 21557025 CLIENT CODE: LM_2660 Nicholas Misoni 9/15/2014 9:56:02 AM (EDT) Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance "PHIS 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 is to Certify that This 1 Garrey Holding Comppa%YGarney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction Management Inc./Encore Construction Group, Inc. T NAME AND Liberty Mutual. 1333 NW Vivion Road Kansas City MO 64118-4554 OF INSURED I INSURANCE is, at the issue date ofthis cerificate, 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 LIN11T OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION Includes altes Insurance AllStaattesef except those listed and the states of ND, OH, WA, and VVI 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR, AZ, CO FL GA IA KS SC, TNT, tTXX � UT OVA VW' tJM, b EMPLOYERS LIABILITY Bodily ln'ury by Accdent 1 000 OOO eseb A«iaem Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILI"fY 10/1/2015 T62-641-426942-724 General Aggregato $2,000,000 Products /Completed Operations Aggregate m OCCURRENCE ❑ CLAIMS MADE $2,000,000 Each Occurrence $1 000 000 Personal & Advertising Injury $1,000,000 Per Person/Organization RETRO DATE Other300,000 Damage to Premises ente to V $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1 /2015 AS2-641-426942-714 Each Accidem—Smidc Limit $2 00O 000 B.I. And P.D. Combined �I LJ OWNED Each Person Each Accident or Occurrence mNON -OWNED 0 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. • Ifthe cenificale expiration darn 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 A1" LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: RE: Job # 6665 Liberty Mutual Insurance Group City of Fort Collins - 1 �lk/lf/l. 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park 10448 AUTHORIZED REPRESENTATIVE fz 6800 College Blvd, Suite 700 1 I Overland Park KS 66211-1123 913-681-1700 9/15/2014 L1 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.: 21557163 CLIENT CODE: LN 2660 Nicholas Misoni 9/15/2014 9:56:02 AN (EDT) 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 SUBLIMITILIMITS NOT LISTED BELOW This is to Certify that I Garney Holding Company/Garney Companies Inc./ Grimm g Construction Co. Inc./Weaver Construction Mana ement Inc./Encore Construction Group, Inc. NAME AND ADDRESS Ll�lil ♦ MU QUA a 1333 W Vivion Road Kansas City MO 64118-4554 OF INSURED / INSURANCE is. m tthe issue data fthis certificate, insured by the Company under the mlicyres) 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 crony contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY m POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: All States except those listed and the states of NO, OH, WA, and W 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO FL GA IA KS KY, LA MO, MS', NC Nit, NM, b SC, TN, TX, JT, VA, WV EMPLOYERS LIABILITY Bodily Injury by Accidem 1 000 000Farn Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2015 T82641-426942-724 General Aggregate $2,000,000 Products / Completed Operations Aggregate OCCURRENCE $2,000 OOO ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1,000,000 Per Person/Orgam2auon RETRO DATE 030r Other 0,000 Damage to Premises $10,,000 Medical Expense en AUTOMOBILE LIABILITY 10/1/2015 AS2-641-426942-714 Each AccidentCoSingle Limit $2,000,000 B.I. And P.D.Combined t� LJ OWNED Each Person Each Accident or Occurrence mNON -OWNED HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: 7089 - Water, Wastewater and Slormwater utilities Infrastructure Design and Construction Services Contractor. City of Fort Collins is an additional insured under the General Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Ifthe certificate expiration date is continuous or extended term, you will be notified 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. 7089 City of Fort Collins Purchasing Division 3 ; P.O. Box 580 215 North Mason Street, 2nd Floor Fort Collins CO 80522 L Liberty Mutual Insurance Group Stacy Spieker ADTHORIZEn RFPPPe FNTdTIVF Overland Park / 0448 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 JOFFICE PHONE 9/15/2014 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.: 21556/73 CLIENT CODE: LM_2660 Nicholas Misoni 9/15/2014 9:56:02 AM (EDT) 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 TI IF POLICIES LISTED 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 Carney 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 L OF INSURED I INSURANCE is, at the issue date ofthis certificate, insured by the Company under the policy(ies) listed Conditions and is not altered by any requirement, tern or condition army contract or below. The insurance atTorded by the listed policy(ies) is subject to all their terns, exclusions and 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 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR, AZ, CO FL GA IA KS KY, LA MO, M$, NC N�, IJM, b SC, TIC, TX, UT, VA, WV EMPLOYERS LIABILITY godly lri ury by Accident 1 by OOO earn acddent Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2015 T62641426942-724 General Aggregate $2,000,000 OCCURRENCE Products / Completed Operations Aggregate $2,000 000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1000000 Per Person/Organization RETRO DATE Other $$300,000 Damage to Premises Rented to you s10,o00 Medical Expense AUTOMOBILE LIABILITY 10/1/2015 AS2-641.426942-714 Each idem—Single Limit $2,000,000 B.I. Anndd P.D. Combined r�1 LJ OWNED Each Person Each Accident or Occurrence NON -OWNED rat L'J HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Master Contract Ifthe certificate 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: RE: Master Contract City of Fort Collins Purchasing Division t P.O. Box 580 E 215 North Mason Street, 2nd Flolor Fort Collins CO 80522 Liberty Mutual Insurance Group Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 JOFFICE PHONE 9/15/2014 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.: 21556831 CLIENT CODE: LM_2660 Nicholas Misoni 9/15/2014 9:56:02 AM (EDT) 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 CERTIFICA'E 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 Mainegement Inc./Encore Construction Group, Inc. 1333 NW Vivion Road NAME AND ADDRESS Liberty Mutual • Kansas City MO 64118-4554 OF INSURED I INSURANCE is, m the issue date fthis certificate, insured by the Company under the polmytes) 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, tarn 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 3talteselnsu�ance All 3taOtesef except those listed and the states of ND, OH, WA, and VVI. 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR, AZ, CO FL GA IA KS SC, TN, IT�, UT�VAE, OM, O EMPLOYERS LIABILITY Bodily In ury by Accidem 1 000 000 ern Acddent Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1 /2015 TB2-641-426942-724 General Aggregate $2,000,000 Products / Completed Operations Aggregate m OCCURRENCE ❑ CLAIMS MADE $2,000,000 Each Occurrence $1 000 000 Personal & Advertising Injury $1,000,000 Per Person/Organira[ion RETRO DATE 330r 0,000 Damage to Premises RRented to You the, S10,000 Medical Expense AUTOMOBILE LIABILITY 10/1/2015 AS2-641 426942-714 Each Accidem—Single Limit $2,000,000 B.1. And P.D. Combined Each Person r�I 10 OWNED Each Accident or Occurrence mNON -OWNED 121 HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Pro ry Project Ref: Gamey Job No. 6612 CIPO WO #16 Red Fox Meadows Balance to Complete. City of Fort Collins, Colorado, Anderson Consulting Engineers and Ayres Associates are an additional insured under the General Liability and Automobile Liability policy if required by written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. If the certificate expiration date is continuous or extended term, you will be notified ifeuverage 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: Garney Job No. 6612 Ex u [—City of Fort Collins, Colorado 4316 LaPorte Avenue Fort Collins CO 80525 L Liberty Mutual Insurance Group .�lfi �- 11A� Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 J Overland Park KS 66211-1123 913-681-1700 9/15/2014 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.: 21556948 CLIENT CODE: LM 2660 Nicholas Misoni 9/15,2014 9:56:02 PA (EDT) 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 TFIE CERTIFIC/PE 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. is to Certify that This I Garney Holding Comppanyy/Garney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction Management Inc./Encore Construction Group, Inc. NAME AND Liberty Mutual ADDRESS • s CityVIO Road nsas City MO 64118-4554 Kansas OF INSURED I INSURANCE is, at the issue date 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 terrru, 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 Stapes Insurance All Siatesef except those listed and the states of NO, OH, WA, and 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR, AZ, CO FL GA IA KS SC', TAN, TX; UT 'VA b v�� NM b EMPLOYERS LIABILITY Boddy Injury by Accident 1 000 OOOe.rancdde�r Bodily Injury By Disease 1 000 OOO Bodily Injury By Disease 1 000 000 Each COMMERCIAL GENERAL LIABILITY 10/1/2015 TB2641426942-724 General Aggregate $2,000,000 Products / Completed Operations Aggregate m OCCURRENCE ❑ CLAIMS MADE $2 000,000 Each Occurrence, $1 000 000 Personal & Advertising Injury $1,000,000 Per Person/Organtzanon RETRO DATE Other $300,000 Damage to Premises RR ther $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1/2015 AS2-641-426942-714 Each AccidentCosingle Lima $2,000,000 B.I. And P.D. Combined r�I LJ OWNED Each Person Each Accident or Occurrence mNON -OWNED 0 HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS City of Fort Collins, Colorado, Anderson Consulting Engineers, and Ayres Associates are an additional insured under the General Liability and Automobile Liability policy if required by written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. General Liability policy includes contractual liability and explosion, collapse and underground coverage. Ifthe certificate expiration date is continuous or extended term, you will he notified ifcoremge 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: F—Cityy of Fort Collins, Colorado 4316 LaPorte Avenue Fort Collins CO 80522 :x u 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 9/15/2014 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.: 21556902 CLIENT CODE: LM 2660 Nicholas MSaOnl 9/15/2014 9:56:02 AM (EDT) 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. CERTIFICAE HOLDER THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. Tis to Certify that FGarney Holding Comppanyy/Carney Companies Inc./ Grimm Construction Co. Construction Construction NAME AND Liberty MUtua1 Management Inc./Encore Construction Group, Inc. ADDRESS 1333 NW Vivion Road OF INSURED - Kansas City MO 64118-4554 INSURANCE is, at the issue date fthis cenificate, insured by the Company under the policv(ies) listed below. The insurance afforded by the listed policyfes) is subject to all their terms, exclusions and Conditions and is not altered by an, nouirement. term or condition Draw, comma or other document with respect to which this certificate 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 NO, OH, WA, and 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR, AZ, CO FL GA lA KS Kd, LA MO, M$, NC Nit, NM, d SC, TP/, TX, UT, VA, M EMPLOYERS LIABILITY Bodily Injury by Accidem 1 000 OOOEach Acddcm Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 ONO COMMERCIAL GENERAL LIABILITY 10/1/2015 TB2-641-426942-724 General Aggregate $2,000,000 ❑ OCCURRENCE Products /Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advenising Injury $1,000,000 Per Person/Orgamrauon RETRO DATG Other $300,000 Damage to Premises RR nted to You titer $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1/2015 AS2-641-426942-714 Each Accident —Single Limit $2,000 OOO B.I. And P.D. Combined r�l LJ OWNED Each Person Each Accident or Occurrence m NON -OWNED HIRED Each Accidem or Occurrence OTHER ADDITIONAL COMMENTS RE: Project Ref: Garvey Job No. 6622 CIPO WO #17 Glenmoor Pond Balance to Complete. City of Fort Collins -Colorado, Anderson Consulting Engineers, and Ayres Associates are an additional insured under the General Liability and Automobile Liability policy if required by written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. General Liability policy includes contractual liability and explosion, collapse and underground coverage. IFthe cenificate expiration date is continuous or extended tern, you will be notified ifcovemge is terminated or reduced before the cenificate 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: Garvey Job No. 6622 City of Fort Collins, Colorado 43y6 LaPorte Avenue Fort Collins CO 80525 to L J Liberty Mutual Insurance Group Stacy Spieker AUTHORIZED REPRESENTATIVE Overland Park 10448 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/15/2014 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.: 21556996 CLIENT CODE: 1,M_2660 Nicholas Misoni 9/15/2014 9:56:02 AM (EDT) 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 is to Certify that This I Garney Holding Compfl%Garney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction Management Inc./Encore Construction Group, Inc. NAME AND ADDRESS py►}�� Ll�l�i 1 ♦ MUtUA • 1333 W Vivion Road Kansas City MO 64118-4554 OF INSURED / INSURANCE i�at the issue date fthis cenificate, insured by the Company under the policy(ics) listed below. The insurance afforded by the listed policyiies) is subject to all their terms, exclusions and Conditions and is not shared by any requGemem, term or condition of any comma or other document with respect to which this certificate maybe issued. EXP DATE TYPE. OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: All Stales 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR, AZ, CO FL GA IA KS KY, LA, MO, MSr, NC N�, NM, b C. TN, TX, UT, VA, Wv EMPLOYERS LIABILITY Bodily ln'ury by Accident 1 000 OOOEa�n Bodily Injury By Disease 1 000 000 except those listed and the slates of ND, OH, WA, and Bodily Injury By Disease 1 000 000 Eno Nrson COMMERCIAL GENERAL LIABILITY 10/1 /2015 T82-641-426942-724 Gcncral Ayyrcgate $2,000,000 m OCCURRENCE Products / Completed Operations Aggregate ElCLAIMS MADE $2,000,000 Each Ocamence 1 000 000 RETRO DATE Personal & Advertising Injury $1,000,000 Per Person/Orgamaanon Other $300,000 Damage to Premises Rented he, $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1/2015 AS2-641 426942-714 Each Accidem—Single Limit $2.000.000 B.I. And P.D. Combined Each Person t�I LJ OWNED Each Accident or Ocaurence NON -OWNED rm lLl HIRED Each Accdent or Occurrence OTHER ADDITIONAL- COMMENTS RE: Job # 6627 ‐ 2012 Manhole Lining. City of Fort Collins is an additional insured under the General Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Ifthe certificate expiration date is 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 NIAILED TO: Job # 6627 ‐ 2012 Manhole Lining Liberty Mutual Insurance Group Cityy of Fort Collins \� U �7 lY/Wl 4316 LaPorte Avenue Stacy Spieker Fort Collins, CO 80522 Overland Park/0448 AUTHORIZED REPRESENTATIVE t z 6800 College Blvd, Suite 700 L Overland Park KS 66211-1123 913-681-1700 9/15/2014 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.: 21557024 CLIENT CODE: LM_2660 Nicholas Mi sonl 9/15/2014 9:56:02 AM (EDT) 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 ' Garney Holding Compa%Garney Companies Inc./ pyr}�� Grimm g Construction Co. Inc./Weaver Construction NAME AND Liberty ♦ MUtuA Mana ement Inc./Encore Construction Group, Inc. ADDRESS / • 1333 W Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE is, at the issue date ofthiP certificate, insured by the Company tinder the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition ofany contract or other document with respect to which this certificate 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 Slates except those listed and the states of NO, OH, WA, and W1 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR, AZ, CO FL GA IA KS SC, TAA' Mb; UT N tN t iJm 6 EMPLOYERS LIABILITY Bodily Injury by Ac' it 1 000 OOOaaeh Aeddast Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1 /2015 T62�41-426942-724 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE $2 000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1,000,000 Per Person/Organisation RF.TRO DATE Other 300,000 Damage to Premises ented to You Cher $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1/2015 AS2-641-426942-714 Each And P.D.ombineLmv $Z OOO,OOO B.I. And P.. Combined rat LJ OWNED Each Person Each Accident or Occurrence NON -OWNED 1❑ lL HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6639 Sheely Water and Sewer Improvements &#8208: Phase I. The City of Fort Collins and Stantec Consulting Services are an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Ifthe certificate expiration date is continuous or extended term, you will be notified ifcovemge is terminated or reduced before the certificate expiration dam. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: RE: Job # 6639 Liberty Mutual Insurance Group �CitYy of Fort Collins \ U �lY/GC/l 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park 10448 AUTHORIZED REPRESENTATIVE is 3 E s 6800 College Blvd, Suite 700 I Overland Park KS 66211-1123 913-681-1700 9/15/2014 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 CENT NO.: 2155/064 CLIENT CODE: LM_2660 Nicholas Misoni 9/15/2014 9,56:02 AM (EDT) 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 SUBLUVICULIMITS NOT LISTED BELOW. This is to Certify that T I Garney Holding Comppa%yGarney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction Manegement Inc./Encore Construction Group, Inc. NW Vivion Road NAME AND ADDRESS Liberty Mutual • 1333 Kansas City MO 64118-4554 OF INSURED INSURANCE is, at the issue dare ofthis certificate, insured by the Company under the pclicv(ies) listed below. The insurance afforded by the listed policy(ies) is subject m all their terns, exclusions and Conditions and is not altered by any requirement, term or condition ofany contract or other document with respect to which this cenificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY m POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and W1 10/1/2015 WA2-64D-426942-734 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL AR, AZ, CO FL GA IA KS KY, LA MO, M$, NC Nt, NM, b SC, TN: TX, UT, VA, VW EMPLOYERS LIABILITY Bodily ln'ury by Accident 1 0OA OOOEaeh AcOamt Bodily Injury By Disease 1 000 000 Pon IT u I Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2015 T62-641426942-724 General Aggegate $2,000,000 Products / Completed Operations Aggregate m OCCURRENCE $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1,000,000 Per Person/Organaahon RETRO DATE Other $300,000 Damage to Premises Rented You the, $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1/2015 AS2-641 426942-714 Each Accident —Single Limit $2 000 000 B.I. And P.D. Combined 1�I LJ OWNED Each Person Each Accident or Occurrence ❑ NON -OWNED 121 HIRED Each Accidem or Occurrence OTHER ADDITIONAL. COMMENTS RE: Job If 6632 Elizabeth Street Waterline Replacement. The City of Fart Collins is an additional insured under the General Liability and Automobile Liability policy if required by a Written contract With the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Ifthe certificate expiration date is continuous or extended 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. rl�tn�xxn Liberty Mutual Insurance Group FCi 6of Fort Collins \ U �7 U/Wl 30LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 I Overland Park KS 66211-1123 913-681-1700 9/15/2014 LOFFICE 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.: 2ISS7039 CLIENT CODE: LM_2660 Nicholas Misoni 9/15/2014 9:56:02 AM (EDT) Page 1 of 1 LDI COI 268896 02 11