HomeMy WebLinkAbout166269 GARNEY HOLDING CO - INSURANCE CERTIFICATE (19)A�ROa DATE (MM DDYYVY)
CERTIFICATE OF LIABILITY INSURANCE 912912019
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 endorsements .
PRODUCER CONTACT
NAME:
Arthur J. Gallagher & Co. Insurance Brokers of CA. PHONE 415-391-1500 ac No): 415-391-1882
1255 Battery Street #450 -MA_82IL
San Francisco CA 94111 ADDREss:
INSURER(S) AFFORDING COVERAGE NAIC f
INSURER A: Liberty Mutual Fire Insurance Company 23035
INSURED GARNCOM-02 INSURER B : pe Travelers Pro- Casual Co of America 25874
Garvey Holding Company -- —�.-- --
1333 NVV Vivion Road INSURERC:
Kansas City, MID 64118 INSURER D.
INSURER E
!`A\rrOAnCC PrI2TIr Ir^ATr N111u1GCG•9n G7I3771 nf: GIFVICION NIISfRFR-
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 REOUIREMENT, 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.
INSIR rI EEFF I POLI,%Y EXP — --
LTR TYPEOFINSURANCE POUCYNUMBER MMID IYY UMTS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
TB2641426942729
10/l/2019
1011/2020
EACH OCCURRENCE
s2,000,000
CLAIMS -MADE T OCCUR
DAMAGE TO RENTED
PRE I E Ea oaurrence
f 300,000
MED EXP (Any one Person)
s %000
PERSONAL f ADV INJURY
f 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
f4,000,000
POLICY [K] JJE& LOC
PRODUCTS - COMP/OP AGG
f 4,000,000
s
OTHER:
A
AUTOMOBILE LIABILITY
Y
Y
AS2841426942719
10/112019
10/1/2020
COMBINEDSINGLE LIMIT
Ea sodden)
s2,000,000
BODILY INJURY(Parperson)
f
X ANYAUTO
OWNED BOHEDULED
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
BODILY INJURY (Per accident)
f
PROPERTY DAMAGE
Per acdenil
f _
f
B
X UMBRELLA UAB X OCCUR
ZUP14S7845219NF
10/1/2019
10/12020
EACH OCCURRENCE
$15.000,000 _
' AGGREGATE
EXCESS UAB CLAIMS -MADE
$15.000,000 _
❑E0 1 RETENTIONS
f
A
A
WORKERSCOMPENSATION
AND EMPLOYERS'LIABILITY YIN
ANYPROPRIETOR PARTNEPUEXECUTIVE
Y
WA284D426942739
WC2841437723909
10/1/2010
10/l/2019
10/1/2020 IX I STAT TE F R
10/12020
E.L. EACH ACCIDENT
$1,000,000 _
OFFICERtMEMBEREXCLUDED4 ❑
(Mandatory In N►9
NIA
E.L. DISEASE - EA EMPLOYEE
f 1.000,000 _
It yes, describe under
DESCRIPTION OPERATIONS below
E.L. DISEASE - POLICY LIMIT
f 1,000.000
i
DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space Is required)
^COTICV ATM Vnl nCC (AN!-FI 1 ATIr1N
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.
4316 LaPorte Avenue
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522
USA
U 19S8-2U1 b AGUHU l;L)HFUMA I IUIN. An rlgmS reservea.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
34•of 49 1066