HomeMy WebLinkAbout166269 GARNEY HOLDING CO - INSURANCE CERTIFICATE (3)Certificate of Insurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN
INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE
LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW.
This is to Certify that
I Garvey Holding Comppany/Garvey Companies Inc./
Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND INSURANCEEncore Construction Group, Inc. ADDRESS Lib r
1333 NW Vivion Road y Mutual
Kansas City MO 64118-4554 OF INSURED
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
Q POLICY TERM
WORKERS
10/1/2019
WA2-64D-426942-738
COVERAGE AFFORDED UNDER WC
LAW OF THE FOLLOWING STATES:
EMPLOYERS LIABILITY
COMPENSATION
Includes Coverage 3C, Other
all other states
AL, AR, AZ CA, CO, FL GA, HI,
IA IN KS ICY LA, MD MO MS
Bodily Injury by Accident
States Insurance: All States
N�, NiE, Nim, OK, SC, tN, YX, UT
1 000 OOOEach A i n
Bodily Injury By Disease
except those listed and the
WC2-641-437723-908
VA, VT, VW
states of ND, OH, WA, and V'v
(Wisconsin)
WC2-641-437723-908 policy - VVI
1 000 000
Bodily Injury By Disease
1 000 000 Each Pgrs,,
COMMERCIAL
10/1/2019
TB2-641-426942-728
Genera I Aggregate
GENERAL LIABILITY'
$4,000,000
0 OCCURRENCE
Products / Completed Operations Aggregate
$4,000,000
❑ CLAIMS MADE
Each Occurrence
$2 000 000
RETRO DATE
Personal & Advertising Injury
$2 000 000 Per Person /Organization
Other lother
$300,000 Damage to Premises
$10,000 Medical Expense
RentedYou
AUTOMOBILE
10/1/2019
AS2-641-426942-718
Each Accident —Single Limit
$2,000,000 B.I. And P.D. Combined
LIABILITY
Each Person
123 OWNED
Each Accident or Occurrence
NON -OWNED
1Q/
L' I HIRED
Each Accident or Occurrence
OTHER
ADDITIONAL COMMENTS
RE: Garvey Job #6248 2D, Boxelder Creek Outdall - Overflow Channel and Urban Design Features
The City of Fort Collins and Andersen Consulting Engineers are additional insured with regards to general liability and automobile liability, as their
interest may appear, where required by written contract.
• If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date.
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 #6248 2D
Liberty Mutual
Insurance Group
Cityy of Fort Collins
—1
1�� I"�.
w
4316 LaPorte Avenue
U Stacy Spieker
C 9
Fort Collins CO 80522
Overland Park / 033S AUTHORIZED REPRESENTATIVE
=
8700 Indian Creek Parkway, Suite 350
Overland Park KS 66210 913-681-1700 9/26/2018
OFFICE PHONE DATE ISSUED
This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is atlorded by those Companies NM 772 07-10
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