HomeMy WebLinkAboutGARNEY HOLDING COMPANY - INSURANCE CERTIFICATE (2)A`� b CERTIFICATE OF LIABILITY INSURANCE DATE mwDDNY
9129/2019
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 IN 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 AODMONAL 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 endorseme B .
PRODUCER
Arthur J. Gallagher B.Co. Insurance Brokers of CA.
1255 Battery Street #450
San Francisco CA 94111ADDRESS;
" -
CONTACT
NAME:
PNONE 415-39.1-_1500 ...__ _._. a No:415-391-1682.:
_
-
INSURER(S)AFFORDING COVERAGE ..
NAICO
INSURER A. Liberty Mutual Fire Insurance, Company-
23035
INSURED GARNCOM-02
Garney Holding Companyll3whey Construction
/Gamey Pacific, Inc./Gamey Federal, Inc.
1333 NW Vvion Road
Kansas City MO 64118
INSURERB:Travelers .PrO a Casualty Co of. America
25674
INSURERC:
INSURER0:
INSURER E:
INSURER F: .... .. .... ...
r>NTco AACQ r-F:9MFICAT1c NIIMRFR-A10335AA NEVIN10114 Numbftm:
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. ..
..
_vivo
INSR
TYPEOF*Guli NCE
%
BN
POLICYNUtMBER
U YEXP
6IYY
.. ..
LUNTSLTR ...,
A.
X
CONMERCIALGENERALUABUITY
CLAIMS41ADE � OCCUR
Y
Y
TB2641426942729 -
10/12019
1011/2020
EACH OCCURRENCE
$2.000,000
PREMISES Eaoccurrence)
$300,000
MED EXP IAny one person)
$10,000
PERSONAL B ADV INJURY
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY j CT ❑ LOC
OTHER:
GENERAL AGGREGATE.
$4,000,000
PRODUCTS-COMP/OP AGG
$4,000,000
$
A
AUTOIIOBLELURUTY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED - NON -OWNED
AUTOS ONLY X AUTOS ONLY
Y
Y
,AS264142694Z719
10/1l2019
2
10/1/2020
COMBINED SINGLE
$2,000.000
X
BODILY INJURY (Per person)"
$
BODILY INJURY (Per accident)
5
X
PROPERTY DAMAGE
Per accident
$
E
e
X
UMBRELLALIAB
EXCESS UAB
X
OCCUR
CLAIMS -MADE
ZU014S7645219NF
10/12019
10/1/2020
.EACHOCCURRENCE
$15;000,000
AGGREGATE'
$15,000.000
DED RETENTION$
A
A
"
wopla:RscO1rPENSAT1oN
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICERIMEMBEREXCLUDED7
(Mandatory In NM
IIyes dasaibe under
DESCRIPTION OF"OPERATIONS tiebw �
LNi
Y
WA264D426942739
WC2641437723909
10/12019
10/12019
10/112020
10l12020
-
XI STATUTE ER '
E.L. EACHAOCIOENT
$1.000,000
E.L. DISEASE- EA EMPUOYE1
E 1,000,000
E.L. DISEASE - POLICY LIMIT
E 1,000,000
DESCRIPTION OE OPERATIONS I LOCATIONS I VIDUCLES (ACORD 101, AddMonal Remarks Schedule, may be dtwJ ad.H more epees Is requaec!) -
RE: Job: Magnolia Street Outfall 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.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City Of Fort Collins, Colorado
ACCORDANCE NRTHTHE'POLICYPROVISIONS.
4316 LaPorte Avenue
Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE
USA
.-
ACORD 25 (2016/03)
01988-2015 ACORD CORPORATION. All rights; ieserve
The ACORD name and logo are registered marks of ACORD
2' of 81 4742