HomeMy WebLinkAboutGARNEY HOLDING COMPANY - INSURANCE CERTIFICATE (3)A� & CERTIFICATE OF LIABILITY INSURANCE
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29/201
8/2912019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONONLY 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: It the certificate holder Is an ADDITIONAL INSURED, the pollcy(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 endorsemenL A statement on
this certificate does not confer rights to thecertiflcate holder in.11eu of such endon amen s ._
.PRODUCER
Arthur J. Gallagher & Co. Insurance Brokers of CA.
1255 Battery Street'#450
San Francisco CA 94111ADDRESS;
.
NAME: - .. -
PHONE P 4f53g1-f852
_._. _ _ _ _._.__ ._._ _ . A c
_-.415-391-1500
INSURERS AFFORDING COVERAGE -
.. NAIL 0
INSURER A: Liberty Mutual Fire Insurance company
23035
INSURED GARNCOM-02
Gamey Holding Company/Gamey Construction
/Gamey Pacific, Inc./Gamey Federal, Inc.
1333 NW Vvion Road
Kansas City MO 64118
.
INSURER B:Travelers.Property CasualtyCo of America'
25674
INSDRERc'
.
INSURER D:
INSURER E :
INSURER F: _..
_
rnvcoer_cc 4r`IP9MWIr-ATP N1UU1RFR-1nnAOA'%1e 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 A_NY'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.
IH
TR
TYPE OF INSURANCE
Al
I �'
.. - ..: POLICYNUIIIBER
C
DIY Y
L ..
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I ^ I.00CUR
Y
Y
TB2641426942729
- - -
10/12019
10/1/2020
EACHOCCURRENCE
$2.000.000'
PREMISES (Eaocrnrrence
$300,0D0
MED EXP (Any one arson)
E 10,000
PERSONAL B ADV INJURY
$2.000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X JERCOT LOC
OTHER: -
GENERAL' AGGREGATE -
$4,000.000
PRODUCTS-COMP/OP AGO
84.000,000
S .
A.
AUTOMOBILELIABILITY
ANY AUTO
OWNED ONLY SCHEEDULED
AUTOS
AUTOHIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY(Per
Y
Y.
A52641428942719
1011/2019.
10/112020
dEDSINGLELIMIT
$2,000,000
X
BODILY INJURY (Per person)
b
BODILY INJURY (Per ac ident)
$
X
PROPERTY DAMAGE
awdent
y
B
..
X
UMBRELLALIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
ZUP14S7845219NF
.4D..
10/1/2019
10/1/2020
..
EACH OCCURRENCE
$15,006,600
AGGREGATE
$15,000,000
DED . [RETENTIONS
- . _. .. ... -
A
'A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN,
ANYPROPRIETORPARTNER/EXECUTIVE ❑
OFFICER(MEMBEREXCLUDED7
(Mandatory In NH)-
If yes describe under
DESCRIPTION of OPERATIONS below
NIA
Y
WA26426942739
,WC2641437723909 � �
10/11/2019
/0/12019
10/1/2020
1O112020-
X .STATUTE £R�
_
E.L. EACH ACCIDENT
: -
$1.000.000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
El. DISEASE - POLICY LIMIT
01,000,000
DESCRIPnON OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 10}, AdNOonef Remake ScSoduta, maybe Wktiedlt aura apace 4 raqub'eo
Gamey Job # 7267 Job Name: East Community. Park Underdrain Phase 2 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 WITH THE POLICY PROVISIONS.
431 6r LaPorte Avenue
Fort Collins CO 80522 AumoRIZEDREPRESENT TIVE
USA AAe
ACORD 25 (2016103)
01988.2015 ACORD CORPORATION. All rights reserve
The ACORD name and logo areveglstered marks of ACORD
I m_e1 4742,