HomeMy WebLinkAbout166269 GARNEY HOLDING CO - INSURANCE CERTIFICATE (22)CERTIFICATE OF LIABILITY INSURANCE
DATE (MM,00'YYYY)
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 poiicy(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 ac.No:415-391-1882
1255 Battery Street #450 E-MAIL
San Francisco CA 94111 ADDRESS:
INSURED
Garrey Holding Company
1333 NW Vivion Road
Kansas City. MO 64118
: Travelers Property Casualty Co
COVERAGES CERTIFICATE NUMBER.1537515778 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.
---- -
INBR' ppl�I�yy
LTR TYPE OFINSURANCE POLICY NUMBER PMWDWYY MMLD�YYYP I LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I X _I OCCUR
Y
Y
T82641426942729
10/112019
10/1/2020 EACHOCCURRENCE
1 DAMAGE To RENTED
PREMISES (Ea occurrence)
ME D EXP (My one parson)
PERSONAL& ADV INJURY
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGG
s$OD0,000
$300,000
110,000
s2,10D0,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICYa JE�7 LOC
OTHER:
$4,000.000
$4,000,000
I
A
AUTOMOBILE LIABILITY
X ANY AUTO
OWNEDONLY AUTOS SCHEDULED
AUTOS
X HIRED I X I NON -OWNED
AUTOS ONLY AUTOS ONLY
Y
Y
AS2641426942719
10/112019
10/1/2020
t0M INEDSINGLELIMIT
4 40*1100,000
$2.000as
BODILY INJURY (Per person)
s
BODILY INJURY (Par acradent)
s
PROPERTY DAMAGE
Perilden
I
$
8
X
UMBRELLAUAB X
EXCESI I VAB
I OCCUR
CLAIMS -MADE
ZUP14S7845219NF
1111121111
10112/12/
EACH OCCURRENCE
$15.000,000
AGGREGATE
$15,000,000
DED I I RETENTION $
I
A
A
WOR KERS COMPENSATION
AND EMPLOYERS' LIABILITY Y r N
ANYPROPRIETOR,PARTNEWEXECUTIVE ❑
OFFICER/MEMSEREXCLUOEDY
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
NiA
Y
WA264D426942739
WC2641437723909
10/12019
10/1/2019
10112020
10/12020
X 11 STEFI`
ATUTE i i 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 r LOCATIONS' VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required)
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.
300 LaPorte Avenue
AUTHORIZED REPRESENTATIVE
l�
Fort Collins CO 80521
USA
® 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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