HomeMy WebLinkAbout166269 GARNEY HOLDING CO - INSURANCE CERTIFICATE (14)'oR" CERTIFICATE OF LIABILITY INSURANCE
DATE (MMDD/YYYY)
19
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(les) 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
PRODUCER
Arthur J. Gallagher & Co. Insurance Brokers of CA.
1255 Battery Street #450
San Francisco CA 94111
INSURED
Garvey Holding Company/Gamey Construction
/Garvey Pacific. Inc./Carney Federal, Inc.
1333 NW Vivion Road
Kansas City MO 64118
4
A: Liberty Mutual Fire Insurance Company
a: Travelers Property Casualty Co of America
COVERAGES CERTIFICATE NUMBER:653682826 REVISION NUMBER:
415-391-1882
25674
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,
INSR TR TYPE OF INSURANCE POUCYNUMBER MWD M�NIroDNY LIMITS
A
X
I COMMERCIAL GENERAL LIABILITY
n
CLAIMS -MADE I I OCCUR
Y
Y
I
T82641426942729
10/112019
10/1/2020
EACH OCCURRENCE
$2.000.000
RENTED
PREMISE Es occurrence
$300,000
MED EXP (Any one person)
$10,000
PERSONAL a ADV INJURY
$2.000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY -�] JECT 71 LOC
OTHER:
GENERAL AGGREGATE
$4.000,000
PRODUCTS - COMP/OP AGG
$4,000,000
$
A
AUTOMOBILE LIABILITY
_
X ANY AUTO
OWNED SCHEDULED
AUTO$ ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
Y
Y
AS2641426942719
1011/2019
10/1/2020
OMSINEOSINGLE LIMIT
accident
$2,000.000
BODILY INJURY (Per person)
$
BODILY INJURY (Par aocident)
$
PROPERTY DAMAGE
Par so Gdg
$
$
B
X
UMBRELLAUAB 11
EXCESS UAB I
X
OCCUR
CLAIMS -MADE
ZUP14S7845219NF
1011/2019
10/1/2020
EACH OCCURRENCE
$15.000,000
AGGREGATE
$15.000,000
DIED I I RETENTION$
$
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNERlEXECUTIVE ❑
OFFICER'MEMBEREXCLUDED4
(Mandatory In NH)
II yes, describe under
DESCRIPTION OF OPERATIONS toolow
N/A
Y
WA264D426942739
WC2641437723909
10/1/2019
10/1/2019
10/1/2020
10/112020
X gTUTE R
—
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 r LOCATIONS I VEHICLES (ACORD 101, Additional Ramarka Schedule, may be attached It more apace Is required)
Gamey Job # Work Order Job Name. 1416 Castlerock Sanitary Sewer Investigation City of Fort Collins is additional insured with regards to general liability
and automobile liability, as their interest may appear, where required by written contract.
nuLUCI-I
City of Fort Collins
PO Box 580, 700 Wood Street
Fort Collins CO 80522-0580
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE VVITH THE POLICY PROVISIONS.
)REPRESENTATIVE _
fir-?
® 1988.2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016I03) The ACORD name and logo are registered marks of ACORD
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