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166269 GARNEY HOLDING CO - INSURANCE CERTIFICATE (23)
CERTIFICATE OF LIABILITY INSURANCE DATE IMMlDDNYYY) 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 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of CA. 1255 Battery Street #450 San Francisco CA 94111 INSURED Garrey Holding Company/Garney Construction /Garney Pacific, Inc./Garney Federal, Inc. 1333 NW Vivion Road Kansas City MO 64118 415-391.1500 COVERAGES CERTIFICATE NUMBER:2144501346 REVISION NUMBER: 415.391-1 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 TYPEOFINSURANCE ,A Sl'laA POLICcY EFF PO`'..Y INS WVIDLTRPOUCYNUMBER MWODlYY N IUMIT$ A X COMMERCIAL GENERAL LIABILITY '�_] OCCUR 4 Y y TB2641426942729 10/1/2019 10/1/2020 EACH OCCURRENCE $2,000,000 DAMAGETCLAIMS-MADE PREMISES Ea xarrrrence $300,000 MEO EXP (Any oneperson) $10,000 PERSONAL &ADV INJURY $2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY AI JERK 71 LOC OTHER: GENERAL AGGREGATE $4, 000,000 PRODUCTS-COMP/OP AGO $4.000,000 $ A AUTOIAOWZUABKM X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X WIRED ONLY X NON-OWNED AUTOSaccitlen Y Y AS2641426942719 10/1/2019 10/1/2020 OMBINED SINGLE LIMIT dent) $2,000,000 BODILY INJURY(Perperson) $ BODILY INJURY (Per accidenl) $ Par PERTYDAMAGE $ $ B X UMBRELLA LIAB EXCESS UAS X OCCUR CLAIMS -MADE ZUP14S7845219NF I 10/1/2019 10/12020 EACH OCCURRENCE $15,000,000 AGGREGATE $15,000,000 DIED RETENTION$ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOFIPARTNER/EXECUTIVE ❑ OFFICERrMEMBEREXCLUDED? (Mandatory In NM It yes, describe under DESCRIPTION OF OPERATIONS below N/A y WA264D426942739 WC2641437723909 10/12019 10/12019 10/12020 10/12020 IX 1 TATUTE 1 7177"' 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 I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached It more space Is required) RE: Job - Remington Street Storm Sewer Design Assistance City of Fort Collins and Anderson Consulting Engineers are additional insured with regards to general liability and automobile liability, as their interest may appear, where required by written contract. L City of Fort Collins Utilities PO Box 580 Fort Collins CO 60522-0580 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. O REPRESENTATIVE cC < ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD NIZ4a►iP:Y�1