HomeMy WebLinkAbout166269 GARNEY HOLDING CO - INSURANCE CERTIFICATE (11)ACDATE (MMiDO,NYVY)
CERTIFICATE OF LIABILITY INSURANCE 9/29/2019
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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, 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
Arthur J. Gallagher & Co. Insurance Brokers of CA.
1255 Battery Street #450
San Francisco CA 94111
INSURED
Garney Holding Company/Garney Construction
/Garney Pacific, Inc./Garney Federal, Inc.
1333 NVV Vivion Road
Kansas City MO 64118
RER(S) AFFORDING COVERAGE
itual Fire Insurance Company
Pronertv Casualty Co of America
COVERAGES CERTIFICATE NUMBER: 1865603618 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.
NSRL
TYPE OF INSURANCE
sumLTR
POLICY NUMBER
DDnY
M�IM�ODNP
T LIMITS
A
X
COMM ERCIALGENERAL LIABILITY
CLAIMS -MADE lsJ OCCUR
Y
Y
T82641426942729
10M12019
10/1/2020
EACH OCCURRENCE
$2,000,000
PREMISES Eeocourrence
$300,000
MED EXP (Any one arson)
$10.000
PERSONALS ADV INJURY
$2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY [�] JPEC LOC
OTHER:
GENERAL AGGREGATE
$4,000.000
PRODUCTS-COMP/OP AGG
$4,000,000
$
A
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLYHIRED F AUTOSAUTOS ONLY X AUTOS ONLY I NON -OWNED
Ix
Y
Y
AS2641426942719
10/112019
10/1/2020
COMBINED SINGLE LIMIT
Me accident)
It2.OD0,000
BODILY INJURY (Per parson)
$
BODILY INJURY (Peraxidant)
S
Per Po�enEAMAGE
$
$
8
X
UMBRELLA UAB
EXCESS UAB
X
OCCUR
CLAIMS -MADE
I
ZUP14S7545219NF
1011/2019
10/112020 EACH OCCURRENCE
AGGREGATE _
I
$15,D00,000
$15,D00,000
DEC) I I RETENTION$
$
A WORKERS COMPENSATION
A AND EMPLOYERS'LIAaILITY YIN
ANYPROPRIETORPARTNERIEXECUTIVE ❑
((Ma�daory In EXCLUDED?
I II yes, describe wrier
DESCRIPTION OF OPERATIONS bebw
NIA
Y
WA264D426942739
'WC2641437723909
10l1P2019
10/1/2019
1011/2020
10/1f2020
X AT TE ER
E.L.EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1.000,000
E.L. DISEASE - POLICY LIMIT
$1,000.000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more speu Is required)
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.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City Of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
N Mason St. Floor
Fort Collins CO 80522522
Fort
USA
AUTHORIZEDREPRESSIVE
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