HomeMy WebLinkAbout166269 GARNEY HOLDING CO - INSURANCE CERTIFICATE (6)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
LISTEDALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW
This is to Certify that
I Garvey Holding Company/Garney Companies Inc./
Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND
Encore Construction Group, Inc. ADDRESS L iertvy' al
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(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.
TYPE OF POLICY
EXP DATE
El 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
10/1/2019
WA2-64D-426942-738
all other states
WC2-641-437723-908
(Wisconsin)
COVERAGE AFFORDED UNDER WC
LAW OF THE FOLLOWING STATES:
AL, AR, AZ, CA, CO, FL GA, HI,
IA IN KS KY LA, MD MO MS
Nit, NE, NM, 6K, SC, tN, Y)-, Uf
VA, VT, WV
WC2-641-437723-908 policy - WI
EMPLOYERS LIABILITY
Bodily l 'ury by Accident
1 O0O OOO Each Accident
Bodily Injury By Disease
$1,000,000
Bodily Injury By Disease
1 000 000
COMMERCIAL
GENERAL LIABILITY'
10/1/2019
T62-641-426942-728
General Aggregate
$4,000,000
Q OCCURRENCE
Products / Completed Operations Aggregate
❑ CLAIMS MADE
$4,000,000
Each Occurrence
$2 000 000
RETRO DATE
Personal & Advertising Injury
$2 000 000 Per Person/ Organization
Other 10thei
$300,000 Damage to Premises
Rentedo You
$10,000 Medical Expense
AUTOMOBILE
LIABILITY'
10/1/2019
AS2-641-426942-718
Each Accident --Single Limit
$2,000,000 B.I. And P.D. Combined
Each Person
OWNED
Each Accident or Occurrence
NON -OWNED
HIRED
Each Accident or Occurrence
OTHER
ADDITIONAL COMMENTS
Garvey Job # 7267 Job Name: East Community Park Underdrain Phase 2
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: -
Garvey Job # 7267 Job Name: East Community Park Underdrain Phase 2
Liberty Mutual
Insurance Group
F—Pity of Fort Collins, Colorado ;5� ✓\1 Wt�
43 6 LaPorte Avenue Stacy Spieker
Fort Collins CO 80522 Overland Park / 033S AUTHORIZED REPRESENTATIVE
9
x° 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 afforded by those Companies NM 772 07-10
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