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166269 GARNEY HOLDING CO - INSURANCE CERTIFICATE (13)
D$ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD;YYYY) 9/2912019 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 CONTACT NAME: _ Arthur J. Gallagher & Co. Insurance Brokers of CA. PHONE 415-391-1500 FAXNo:415-391.1882 1255 Battery Street #450 E-MAIL San Francisco CA 94111 ADDRESS: INSURED INSURER B: Travelers Property Casu Garney Holding Company 1333 NW Vivion Road INSURER C: Kansas City. MO 64118 INSURER0: COVERAGES CERTIFICATE NUMBER: 1223165397 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. ET IN TYPEOFINSURANCE i NSDL'5WVD POLICY NUMBER D 111WA/YY LILTS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR Y Y TB2641426942729 10/1/2019 10/1/2020 EACH OCCURRENCE $2.000.000 PREMISE Me xaurrrenr � $300,000 MED EXP (Any oneperson) $10,D00 PERSONAL a ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1K jER F1 LOC OTHER: GENERAL AGGREGATE $4,000.,000 PRODUCTS - COMP/OPAGG $4,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTO$ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY Y Y AS2641426942719 10/1/2019 10/l/2020 BMBINEDSINGLELIMIT ycdEenD $2,000,000 BODILY INJURY Per ( person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE Per m $ $ 8 X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE ZUP14S7845219NF 10/1/2019 10/1R020 EACH OCCURRENCE $15,000.000 AGGREGATE $15,000,000 DED 1 1 RETENTIONS $ A WORKERS COMPENSATION A AND EMPLOYERS' LIABILITY YIN ANYP ROPRIETORPARTNEWEXECUTIVE ❑ OFFICER'MEMBEREXCLUDED4 (Mandatory In NH) II yes. describe under DESCRIPTION OF OPERATIONS oflow NIA Y WA264D426942739 WC2641437723909 10/l/2019 10/1/2019 10/1/2020 10/1/2020 X AT TE R EL. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1.000,000 E.L. DISEASE - POLICY LIMIT S 1,DOO,000 __7 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) UtH I Ir ILA I t HULL)tH City of Fort Collins P.O. Box 580 Fort Collins CO 80522 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016,'03) The ACORD name and logo are registered marks of ACORD 18' of 49 1072