HomeMy WebLinkAbout166269 GARNEY HOLDING CO - INSURANCE CERTIFICATE (17)ACOROCERTIFICATE OF LIABILITY INSURANCE
DATE (MMiDD,'YYYY)
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 CONTA
CT
NAME:
Arthur J. Gallagher & Co. Insurance Brokers of CA. PHONE 415-391-1500 FA
ac No:415-391-1882
1255 Battery Street #450 E-MAIL
San Francisco CA 94111 ADDRESS:
INSURED
Garvey Holding Company/Garney Construction
/Gamey Pacific, Inc./Garney Federal, Inc.
1333 NVV Vivion Road
Kansas City MO 64118
INSURERS) AFFORDING COVERAGE
Liberty Mutual Fire Insurance Company
Travelers Property Casualty Co of America _
COVERAGES CERTIFICATE NUMBER: 1130863905 REVISION NUMBER:
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.
— ... -- .- - --- — -
SR
�TRR I TYPE OF INSURANCE POLICYNUMBER MAY �'DOYYY ITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
TB2641426942729
10/12019
10/112020 EACH OCCURRENCE
$2.000,000
CLAIMS -MADE FXI OCCUR
DAMAGE TO RENTED
PREMISES Esocmrrence
$300.000
$10,000
MED EXP (Ay one non)
52,000,000
PERSONAL$ ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
$4,000,000
GENERAL AGGREGATE
POLICY�J LOC
PRODUCTS - COMPIOP AGO
$4,000,000
$
OTHER:
A
AUTOMOBILE LIABILITY
Y
Y
A52641426942719
10/112019
10/112020
COMBINED SINGLE LIMIT
._LE8 acddem
$2,000,000
$
ANY AUTO
BODILY INJURY (Par pi son)
OWNED SCHEDULED
S AUTOS ONLY AUTO
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
Ix
a001LV INJURY (Par accident)
$
PROPERTY DAMAGE
$
$
B
X
UMBRELLA UAB
X
OCCUR
ZUP14S7845219NF
10/12019
10/1/2020 EACHOCCURRENCE
$15,000,000
$15,000,000
EXCESS UAB
CLAIMS -MADE
AGGREGATE
DED RETENTION $
$
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOP,PARTNER:EXECUTIVE
Y
WA284D426942739
WC2641437723909
10/12019
10/12019
10/l2020 X ATUTE EA
10/12020
E.L. EACH ACCIDENT
$1,000,000
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
MIA
E.L. DISEASE • EA EMPLOYEE
$1,000,000
$ I.000,000
If yes, describe under
DESCRIPTION OF OPERATIONS oeiow
E.L. DISEASE • POLICY LIMIT
I
DESCRIPTION OF OPERATIONS) LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 11 more spew Is required)
RE7089 - Water, Wastewater and Stormwater utilities Infrastructure Design and Construction Services Contractor City of Fort Collins is an additional insured
under the General 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.
t trl I Ir IUA I It MUL.UIcK
City of Fort Collins, Purchasing Division
P O. Box 580
215 North Mason Street, 2nd Floor
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
F..r <
01988.2015 ACOHU GURPORAVION. All rlgntS reserve0.
ACORD 25 (2016;03) The ACORD name and logo are registered marks of ACORD
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