HomeMy WebLinkAbout166269 GARNEY HOLDING CO - INSURANCE CERTIFICATE (10)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%Garney Companies Inc./
Grimm Construction Co. Inc./Garney Federal, Inc./
Encore Construction Group, Inc.
NAME AND
ADDRESS
1333 NW Vivion Road
Kansas City MO 64118-4554
OF INSURED
L be rMutual.
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
El CONTINUOUS
TYPE OF POLICY
❑ EXTENDED
POLICY NUMBER
LIMIT OF LIABILITY
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 KY LA, MD ivl0 MS
Bodily Inu , by Accident
1 OOO OOO Each Accident
States Insurance: All States
except those listed and the
WC2-641-437723-908
NL, KE, NM, OK, SC, tN, YX, UT
VA, VT, WV
Bodily Injury By Disease
states of ND, OH, WA, and
(Wisconsin)
WC2-641-437723-908 policy - WI
1 000 000 Pnh" Luna
Bodily Injury By Disease
1 COO 000
COMMERCIAL
10/1/2019
TB2-641-426942-728
General Aggregate
GENERAL LIABILITY
$4,000,000
0 OCCURRENCE
Products / Completed Operations Aggregate
$4,000,000
❑ CLAIMS MADE
Each Occurrence
$2 000 000
Personal & Advertising Injury
RETRO DATE
$2,000,000 Per Person /Organization
Other Othei
$300,000 Damage to Premises
$10,000 Medical Expense
Rented to You
AUTOMOBILE
10/1/2019
AS2-641-426942-718
Limit
E.I. And Accident —Single Combined
$2,000,000 B.I. And P.D. Combined
LIABILITY
`0 OWNED
Each Person
Each Accident or Occurrence
NON -OWNED
HIRED
Each Accident or Occurrence
OTHER
ADDITIONAL COMMENTS
Re: 8106 Utility Infrastructure Construction Services for Water, Wastewater & Stormwater
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 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:
F_i',it of Fort Collins
PaBox 580
2315 N Mason St. 2nd Floor
s Fort Collins CO 80522
u
■
Liberty Mutual
Insurance Group
�� I r" �.
Stacy Spieker
Overland Park / 033S AUTHORIZED REPRESENTATIVE
8700 Indian Creek Parkway, Suite 350
Overland Park KS 66210 913-681-1700 6/12/2019
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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