HomeMy WebLinkAbout166269 GARNEY HOLDING CO - INSURANCE CERTIFICATE (4)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 Comppany/Garney Companies Inc./
Grimm Construction Co. Inc./Garney Federal, Inc./ NAMF.AND INSURANCE
Encore Construction Group, Inc. ADDRESS Libertyis .
1333 NW Vivion Road
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 terns, exclusions and
Conditions and is not altered by any requirement, term or condition of any contract m other document with respect to which this certificate may be issued.
EXP DATE
❑ CONTINUOUS
TYPE OF POLICY
❑ EXTENDED
POLICY NUMBER
LIMIT OF LIABILITY
0 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 i<Y LA, MD lw0 MS
Bodily Injury by Accident
1 OOO OOOEacb A ci enl
States Insurance: All States
Nit, KE, NM, 6K, SC,1-N, tx U'f
Bodily Injury By Disease
except those listed and the
WC2-641-437723-908
VA, VT, WV
states of ND, OH, WA, and
(Wisconsin)
WC2-641-437723-908 policy - WI
1 000 000
Bodily Injury By Disease
1 000 000 Each P—gn
COMMERCIAL
10/1/2019
T62-641-426942-728
General Aggregate
GENERAL LIABILITY"
$4,000,000
OCCURRENCE
Products / Completed Operations Aggregate
$4,000,000
ElCLAIMS MADE
Each Occurrence
$2 000 000
Personal & Advertising Injury
RETRO DATE?
$2,000,000 Per Person /Organization
Other
ther
$$300,000 Damage to Premises r
10,000 Medical Expense
Rented toAUTOMOBILE
10/1/2019
AS2-641-426942-718
Each Accident —Single Limit
$2,000,000 B.I. And P.D. Combined
LIABILITY'
Each Person
`0 OWNED
Each Accident or Occurrence
QNON -OWNED
HIRED
Each Accident or Occurrence
OTHER
ADDITIONAL COMMENTS
RE: Job #6290 Boxelder Creek Outfall Phase 5 Plant Watering and Upper Channel Weed Control
City of Fort Collins and Anderson 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.
Job #6290 Boxelder Creek Outfall Phase 5 Plant Watering and Upper
Channel Weed Control
F—City of Fort Collins, Colorado
4316 LaPorte Avenue
Fort Collins CO 80522
L 9
u
L
Liberty Mutual
Insurance Group
Stacy Spieker
Overland Park / 033S AUTHORIZED REPRESENTATIVE
8700 Indian Creek Parkway, Suite 350
I Overland Park KS 66210 913-681-1700 9/26/2018
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
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