HomeMy WebLinkAbout166269 FARNEY HOLDING CO - INSURANCE CERTIFICATECERTIFICA'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INF(
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGA
BELOW. THIS CERTIFICATE OF INSURANCE DOES
If SUBROGATION IS WAIVED, subject to the terms and
this certificate does not confer rights to the certificate h
PRODUCER
Arthur J. Gallagher & Co. Insurance Brokers of CA.
1255 Battery Street #450
San Francisco CA 94111
INSURED
Garney Holding Coinpaliy/Garrley Construction
/Garney Pacific, Inc./Gamey Federal, Inc.
1333 NW Vivion Road
Kansas City MO 64118
OF LIABILITY INSURANCE I DATE(MWDDNYYY)
s29/2019
ATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
LY AMEND,, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
ltlons of
In lieu of
certain policies may require an endorsement. A statement on
COVERAGES CERTIFICATE NUMBER:1068746405 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR
TYPE OF INSURANCE
POLICY
NUMBER
POLICY YYY
pppp��ppyy
MAIIDD/VY67Y
UMITs
A
X
COMMERCIALGENERALLIABitm
CLAIMS -MADE a OCCUR
Y
Y
TB2641426
42729
10/112019
10/1/2020
EACH OCCURRENCE
$2.000,000
PREMISES Me occurrence
$300,000
MED EXP (Any.oneperson)
$10.000
PERSONAL &ADV INJURY
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY I JECT F7 LOC
OTHER:
GENERAL AGGREGATE
$4,000,000
PRODUCTS .COMP/OP AGG
$4,000,000
$
A
AUTOMOSILELiman
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
- AUTOS ONLY AUTOS ONLY
Y
Y
AS2641426942719
10/12019
10/12020
COMBIINdEeDISINGLELIMIT
(Ea acciX
$2.000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
It
PROPERTYDAMAGE.
Par ccldenl
$
$
B
X
UMBRELLA LIAB X
EXCESS VAS
OCCUR
CLAIMS -MADE
ZUP14S7845219NF
10/1I2019
10/12020
EACHOCCURRENCE
$.15.000.000
AGGREGATE
$15,000,000
DED I :RETENTION$.
A
A.
WORKERS COMPENSATION
AND EMPLOVERS'LIABILTTY Y/N
ANYPROPRIETOR/PARTNER/EXECUTIVE. ❑
OFFICERIMEMBEREXCLUDED?
(Mandatory In NH)
II yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
Y
WA264D426942739
WC2641437723909
10/12019
10/12019
10/12020
10112020
X ATUTE 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 I LOCATIONS I VEHICLES (ACORD 101, AddltionallRamarke
Job: Clearview Sanitary Sewer Repair. City of Fort Collins is add
appear, where required by written contract.
Schedule, may be attached II more epee Is required)
Onal insured With regards to general liability and automobile liability, as their interest may
CERTIFICATE HOLDER I CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Cittyy of Fort Collins - Utilities
ACCORDANCE WITH THE POLICY PROVISIONS.
70b Wood Street
AUTHORIZED REPRESENTATIVE
,% 16� 4`7 —"�%
Fort Collins CO 80522
USA
01988.2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016163) The ACORD name and logo are registered marks of ACORD
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