HomeMy WebLinkAboutGARNEY HOLDING COMPANY - INSURANCE CERTIFICATE (4)AcoR& CERTIFICATE OF LIABILITY INSURANCE
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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 1NSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT:B 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
__Ihis:certifieata does not corifer.rf hts to the certificate.holder_in.11eu of.such endorsemen s ..____
,PRODUCER
Arthur J. Gallagher& Co. Insurance Brokers of CA.
San Francisco CA 941.11
NAME: ... ... ...
PHON AX
•415-391-1500 Arc 415-391A882.1255BatteryStreet#450
__ _... _ _. _..
INSU 6 AFFORDING COVERAGE
NAICC
INSURERA; Liberty Mutual Fire Insurance Company
23035
INSURED GARNCOM'02
Garvey Holding Company/Gamey Construction
/Gamey Pacific, Inc./Gamey Federal, Inc.
1333 NW Vivian Road
Kansas City MO 64118
*uREpB; Travelers Property Casualty Co of America
25674
INsul�Ro:
INSURER
INSURER E:
INSURER F:
.
COVERAGES CERTIFICATE NUMBER:606328938 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.
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_ TYPE OFINSURANCE.
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POLICY NUIIeERDIYYD"Y
U�.
A.
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
Y
Y.
T52641426942729
10/1/2019
10/12020
- -
EACH OCCURRENCE
$2,000,000
PREMISES Meoccurrence)
$300.000
MED EXP (Any oneperson)
$10,060
_
PERSONAL 6 ADV INJURY
$ 2,000,000
GENI AGGREGATE LIMIT APPLIES PER:
POLICY [KJPERCT. LOC
OTHER:.
'GENERAL AGGREGATE
54,000,000
PRODUCTS -COMP/0P AGG
$4,000,000
$
A
AUTONOBILELIA61LfIV
ANY AUTO
OWNED SCHEDULED-
AUTOS ONLY AUTOS
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
Y
Y
AS2641426942719
10/12019
10/12020
OOBBINNED SINGLE LIMIT
$2,000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
S
X
PROPERTY AMAGE -
P r acid nt
$
S
8
X
UMBRELLAUAB
EXCESS LIA9
X
OCCUR
CLAIMS -MADE
ZUP1457845219NF
10/12019
16/12020
,EACHOCCURRENCE
$.15,000,000
AGGREGATE
$15,000.000
DED I I RETENTION S
S.
A
A
WORKERS COMPENSATION--
AND EMPLOYERS' uABIUrTY YIN
ANYPROPRIETOR/PARTNEWEXEcunvE ElNIA.
OFFICEFUMEMBEREXCLUDED?
(Mandatory In NH)
II yyes. describe under
DE5CRIPTIONOF OPERATIONS below
Y
WA264D426942739
WC2641437723909
10M2019
10/12019
-
-
10/12020
10/12020
-
X 11 STAT TE ER
E.L. EACH ACCIDENT
$1,000,000
_
E.L. DISEASE- EA EMPLOYEE
- -
$1,000,000
_
E.L. DISEASE- POLICYIIMIT..$
_
1,000,000 .
DEBCRIPnON OF OPERATIONS I LOCATIONS I VENWAM (ACORO 101, AddiUonafmarks ReSohotltdo. nisi be Mtaehed if more ape le raputreM
City of Fort Collins, Colorado, Anderson Consulting Engineers, and Ayres Associates are an additional insured under the General Liability and Automobile
Uability policy if required by written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured
endorsement General Liability policy includes contractual liability and explosion, collapse and underground coverage.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED' BEFORE
THE EXPIRATION DATE THEREOF,, NOTICE WILL BE DELIVERED W
City of Fort Collins, Colorado
ACCORDANCE WITH THE POLICY PROVISIONS.
4316 LaPorte Avenue
AUTHORIZED REPRESENTATIVE
Ade NT
,%%_
Fort Collins CO 80522
USA.
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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