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Home My WebLink About166269 GARNEY CO INC - INSURANCE CERTIFICATE (8)Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I Garney Holding Comppa%Garney Companies Inc./ Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND j Encore Construction Group, Inc. ADDRESS j 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE L is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terns, exclusions and Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION Inrl;vles Cc..ara� 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and 10/1/2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL GA, IA KS SC, N,MXO, UT, VA,, N �M EMPLOYERS LIABILITY Bodily In ury by Accident i OOO OOOr�cnnc dens Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2016 TB2-641-426942-725 General Aggregate $2,000,000 Products / Completed Operations Aggregate $2,000,000 m OCCURRENCE ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1, 000, OOO Per Person / Organizanon RETRO DATE Other $$300,000 Damage to Premises Rented to YouAUTOMOBILE )they $10.000 Medical Expense LIABILITY 10/1/2016 AS2-641-426942-715 Each AccidentCoSingleLimit $2,000,000 B.I. And P.D. Combined ❑ OWNED Each Person Each Accident or Occurrence ❑ NON -OWNED HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMEN'[S City of Fort Collins, Colorado is an additional insured under the General Liability and Automobile Liability 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. If the certificate expiration date is continuous or extended tern, you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Right of Way License F—City of Fort Collins P.O. Box 580 Fort Collins CO 80522 a J Liberty Mutual Insurance Group [J Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/17/2015 OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456105 I LM_2660 1 10/15-10/16 - All Lines I Nicholas Misori 1 9/27/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI C01 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I Garney Holding Comppany/Garney Companies Inc./ Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND INSURANCEA Encore Construction Group, Inc. ADDRESS Libert a 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 Ka is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY POLICY TERM WORKERS 10/1 /2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: EMPLOYERS LIABILITY COMPENSATION Coverage 3C, Other AL, AR, AZ, CO, FL GA IA KS KY, LA, MO, MS, Nb, Nt, W, b Bodily In ury by Accident 1 000 000 cacn Aczidcr,t Inc!udes States Insurance: All States SC, > N, TX, UT, VA, WV Bodily Injury By Disease except those listed and the states of ND, OH, WA, and 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL 10/1/2016 TB2-641-426942-725 General Aggregate $2,000,000 GENERAL LIABILITY Products / Completed Operations Aggregate OCCURRENCE $2,000,000 Each Occurrence ❑ CLAIMS MADE $1 000,000 Personal & Advertising Injury $1 000 000 Per Person /Organization RETRO DATE Other $$300,000 Damage to Premises I Other $10,000 Medical Expense Rented to You AUTOMOBILE 10/1 /2016 AS2-641-426942-715 Limit E.I. And Accident —Single Combined $2,000,000 B.I. And P.D. Combined LIABILITY Each Person 21 OWNED Each Accident or Occurrence NON -OWNED 10 HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS Job # 6653 LaPorte 27‐lnch Waterline Swagelining WO #2 City of Fort Collins, Colorado and Stantec Consulting Services are an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. " If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: 1City of Fort Collins 300 LaPorte Avenue R Fort Collins CO 80521 1� 9 d— Liberty Mutual Insurance Group Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/17/2015 IOFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456332 1 LM_2660 110/15-10/16 - All Lines I Nicholas Misoni 1 9/17/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI C01 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBL.IMIT/LIMITS NOT LISTED BELOW. This is to Certify that Garvey Holding Comppany/Garney Companies Inc./ Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND I�ie Encore Construction Group, Inc. ADDRESS 1 jMutual. 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE S U R A N C E Ka is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terns, exclusions and Conditions and is not altered by anv requirement, term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE ❑ CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS 10/1/2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: EMPLOYERS LIABILITY COMPENSATION AL, AR, AZ, CO, FL GA IA KS KY; LA, MO; MS. Nb. Nit. W, b Bodily In'uryobynAnncciden�tl nCiudes Coverage 3C, Other SC, TN, TX, UT, VA, WV t V V V V V V Each Accident Bodily Injury By Disease States Insurance: All States except those listed and the states of ND, OH, WA, and 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL 10/1/2016 TB2-641-426942-725 General Aggregate $2,000,000 GENERAL LIABILITY Products / Completed Operations Aggregate ❑ OCCURRENCE $2,000,000 Each Occurrence ❑ CLAIMS MADE $1 000 000 Personal & Advertising Injury $1 000 000 Per Person /Organization RETRO DATE Other 10thei $$300,000 Damage to Premises I $10,000 Medical Expense Rented to You AUTOMOBILE 10/1/2016 AS2-641-426942-715 Each Accident —Single Limit $2,000,000 B.I. And P.D. Combined LIABILITY Each Person R1 OWNED ❑ NON -OWNED Each Accident or Occurrence ❑ HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6661 Mulberry Street Water & Sanitary Sewer Line Relocations. City of Fort Collins, Colorado, Stantec Consulting Services is an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced hetore the cerrtrcate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: RE: Job # 6661 Liberty Mutual Insurance Group FCity of Fort Collins 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park / 0448 AUTHORIZED REPRESENTATIVE r_ o 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/17/2015 OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NIM 772 07-10 26456372 i LM_2660 i 10/15-10/16 - All Lines I Nicholas Misoni i 9/17/2015 12:01:02 PM (CDT) i Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I Garvey Holding Comppany/Carney Companies Inc./ r Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND i 'Lr E Encore Construction GroupInc. INSURANC 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 L is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terns, exclusions and Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION Includes Coverage 'I Other States Insurance: All States except those listed and the states of ND, OH, WA, and 10/1 /2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL GA IA KS KY, -A, MO, MS, N� Nit, W, b SC, I N, T X, LIT, VA, `VVV EMPLOYERS LIABILITY Bodily In u , by Accident 1 000 OOO� c Accident y Bodily Injury By Disease 1 000 000 Mw% Lima Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2016 TB2-641-426942-725 General Aggregate $2,000,000 Products / Completed Operations Aggregate $2,000,000 m OCCURRENCE Each Occurrence ❑ CLAIMS MADE $1 000,000 Personal & Advertising Injury $1 000 000 Per Person /Organization RETRO DATE Other $300,000 Damage to Premises Reed You tiler $10,000 Medical Expense AUTOMOBILE 10/1 /2016 AS2-641-426942-715 Each Accident —Single Limit $2'000,000 B.I. And P.D. Combined LIABILITY � R1 OWNED Each Person -7� L NON -OWNED YJ Each Accident or Occurrence HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6665 Nancy Gray Avenue 8" Sanitary Sewer Line Repair City of Fort Collins, Colorado and Stantec Consulting Services is an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. • If the certificate expiration date is continuous or extended tern, you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: RE: Job # 6665 Liberty Mutual Insurance Group FCity of Fort Collins \�� J��JWI. 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park / 0448 AUTHORIZED REPRESENTATIVE f �_ 6800 College Blvd, Suite 700 U Overland Park KS 66211-1123 913-681-1700 9/17/2015 OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456377 I LM_2660 1 10/15-10/16 - All Lines I Nicholas Misoni 1 9/17/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW, POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I Garney Holding Comppany/Garney Companies Inc./ Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND '(i Mutual Encore Construction Group, Inc. ADDRESS j 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terns, exclusions and Conditions and is not altered by any requirement, tern or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY Q POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance All States except those listed and the states of ND, OH, WA, and 10/1/2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL GA IA KS KY: LA, MO, MS, Nt N�, tJM. b SC, TN, TX, UT, VA, V/V EMPLOYERS LIABILITY Bodily !n ury by Accident e�, r^1 r^� UCU CCO Fach Acndent Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2016 TB2-641-426942-725 General Aggregate $2,000,000 Products / Completed Operations Aggregate $2,000,000 m OCCURRENCE ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1, 000, OOO Per Person /Organization RETRO DATE Other $$300,000 Damage to Premises Rented to YouAUTOMOBILE Other $10,000 Medical Expense LIABILITY 10/1/2016 AS2-641-426942-715 cidem—single Limit $2,000,000 B.I. B.l. AAnnd P.D. Combined 21 OWNED Each Person Each Accident or Occurrence NON -OWNED 10 HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMEN'rs RE: Garney Job # 6690, West Vine Outfall Work Order #1 - Gradual Rock Drop Outlet Structure. City of Fort Collins and Anderson Consulting Engineers are an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. . If the certificate expiration date is continuous or extended tenn, you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: RE: Garvey Job # 6690 Liberty Mutual Insurance Group rCity of Fort Collins 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park / 0448 AUTHORIZED REPRESENTATIVE c = 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/17/2015 OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456627 1 LM_2660 1 10/15-10/16 - All Lines I Nicholas Misoni 1 9/17/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I Garvey Holding Comppa%Garney Companies Inc./ Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND 7� Encore Construction Group, Inc. ADDRESSLibrtj! lb INSURANCE 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 is, at the the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION Includes Coveraoe 3C. Other States Insurance: All States except those listed and the states of ND, OH, WA, and 10/1 /2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL GA IA, KS KY, LA, MO, MS, Ne , NE, NM, b SC, IN, 1 X, U r, VA, VW EMPLOYERS LIABILITY Bodily In'wy by Accident n n 00. 0 0 E° I' A�;em Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2016 TB2-641-426942-725 General Aggregate $2,000,000 Products / Completed Operations Aggregate $2,000,000 m OCCURRENCE ❑ CLAIMS MADE Each Occurrence $1,000 000 Personal & Advertising Injury $1,000,000 Per Person /Organization RETRO DATE Other $300,000 Damage to Premises Rented to You ther $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1/2016 AS2-641-426942-715 Each AccidentSingle Limit $2,000,000 C B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence ❑ NON -OWNED HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6690 West Vine Outfall Work Order #2 - Bridge and Concrete Pipe Procurement City of Fort Collins is additionally insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. • If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) Liberty Mutual BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE y INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE Insurance Group OF SUCH CANCELLATION HAS BEEN MAILED TO: Job # 6690 West Vine Outfall Work Order #2 - Bridge and Concrete Pipe Procurement %/� ,� FCity of Fort Collins \�� ✓\ Ufa 300 LaPorte Avenue01 Stacy spieker t Fort Collins CO 80521 Overland Park / 0448 AUTHORIZED REPRESENTATIVE r = 6800 College Blvd, Suite 700 I Overland Park KS 66211-1123 913-681-1700 9/17/2015 J OFFICE. PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456634 I LM_2660 110/15-10/16 - All Lines I Nicholas Misoni 1 9/17/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I Garney Holding Comppanyy/Garney Companies Inc./ Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND L�bert �� Encore Construction Group,Inc. 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 �aINSURANCE is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terns, exclusions and Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY POLICY TERM WORKERS COMPENSATION Includes rovara0a 3C, OthPr States Insurance: All States except those listed and the states of ND, OH, WA, and 10/1/2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL GA IA KS KY, LA, MO, MS, Nt, NE , <JM, b SC, TN, TX, U r, VA, VW EMPLOYERS LIABILITY Bodily In ury by Accident `�1 CCC CCC Earl, acoidera Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2016 TB2-641-426942-725 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1 000 QQQ Per Person/Organization RETRO DATE Other $300,000 Damage to Premises RentedYou I Cher $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1/2016 AS2-641 426942-715 Each Accident —Single Limit $2,000,000 B.I.- And P.D. Combined M OWNED Each Person Each Accident or Occurrence NON -OWNED 10 HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMEIYfS RE: Garvey Job # 6690 WO # 3. West Vine Outfall - Work Order #3 - Construction. City of Fort Collins is an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. • Ifthe certificate expiration date is continuous or extended tens, you will be notified ifcoverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Garvey Job # 6690 WO # 3 Liberty Mutual Insurance Group FCity of Fort Collins 0� 300 LaPorte Avenue Stacy PRESENTATIVE r Fort Collins CO 80521 Overland Park / 0448 AUTHORIZED REPRESE L 9 = 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/17/2015 OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456654 I LM_2660 1 10/15-10/16 - All Lines I Nicholas Misoni 1 9/17/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. is to Certify that This I Garvey Holding Comppa%Garney Companies Inc./ Grimm Construction Co. Inc./Garney Federal, Inc./ Encore Construction Group, Inc. NAME AND ADDRESS 1333 NW Vivion Road Kansas City MO 64118-4554 Ka OF INSURED MqINSURANCE is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terns-, exclusions and Conditions and is not altered by any requirement, tern or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION !ncludes Cevcrcge °C Other States Insurance: All States except those listed and the states of ND, OH, WA, and 10/1/2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL GA IA KS KY, Imo, MO, MS, N� Nt. 0, b SC, TN, TX, UT, VA, VVv EMPLOYERS LIABILITY Bodily Idury by Accident i UUO UOO Fach Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2016 TB2-641-426942-725 General Aggregate $2,000,000 ❑ OCCURRENCE Products / Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & .Advertising Injury $1 00(] 000 Per Person /Organization RETRO DATE Other $$300,000 Damage to Premises Rented to You )then $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1/2016 AS2-641-426942-715 Each Accident —Single Limit $2,000,000 B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence ❑ NON -OWNED HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6694 Poudre River Sewer Crossing City of Fort Collins is additionally insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. " Ifthe certificate expiration date is continuous or extended term, you will be notified ifcoverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Job # 6694 Poudre River Sewer Crossing Liberty Mutual Insurance Group 1City of Fort Collins �• O3�D/(.C/l� 300 LaPorte Avenue Stacy Spieker A Fort Collins CO 80521 Overland Park / 0448 AUTHORIZED REPRESENTATIVE L 9 s 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/17/2015 OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456633 i LM_2660 i 10/15-10/16 - All Lines i Nicholas Misoni i 9/17/2015 12:01:02 PM (CDT) i Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I Garney Holding Comppa%Garney Companies Inc./ Grimm Construction Co. Inc./Carney Federal, Inc./ NAME AND L ►e �-„ y #�L Encore Construction Group, Inc. ADDRESS ilf _ l o 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terns, exclusions and Conditions and is not altered by any requirement, tern or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION !ncludes Coverage 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and 10/1/2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL GA IA, KS KY, LA. MO, MS. N�. N� NM, b SC, TN, TX, UT, VA, WV EMPLOYERS LIABILITY Bodily Inury by A�1cc��i11d��el1n^^t 1 000 V V V Eacn Accidem Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2016 TB2-641-426942-725 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1 O(]0 000 Per Person/Organization RETRO DATE Other $$300,000 Damage to Premises Rented to YoV I then $10,000 Medical Expense AUTOMOBILE 10/1/2016 AS2-641-426942-715 Each AcciSingle Limit $2,000,000 B.I. And P..D.D. Combined LIABILITY d OWNED Each Person Each Accident or Occurrence ❑ NON -OWNED 10 HIRED Each Accident or Occurrence OTHER ADDITIONAL, COMMENTS RE: Master Contract City of Fort Collins is an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. • If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: RE: Master Contract Liberty Mutual Insurance Group City of Fort Collins \��L{JLCJI. Purchasing Division Stacy spieker R P.O. BOX 580 Overland Park 10448 AUTHORIZED REPRESENTATIVE r 215 North Mason Street, 2nd Flolor 6800 College Blvd, suite 700 Fort Collins CO 80522 Overland Park KS 66211-1123 913-681-1700 9/17/2015 LI OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456048 1 LM 2660 1 10/15-10/16 - All Lines I Nicholas Misoni 1 9/17/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I Garvey Holding Company/Garney Companies Inc./ Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND TieM tu m Encore Construction Group, Inc. ADDRESS 1*�a 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE Lis, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by anv requirement, term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE ❑ CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS 10/1/2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: EMPLOYERS LIABILITY COMPENSATION AL, AR, AZ, CO, FL GA IA KS KY. LA, MO, MS, N�, NE. f�M, b Bodily Idury by Accident Includes Coverage 3r, Other States Insurance: All States SC, TN, TX, UT, VA, WV 1 00 0 CC0 Each Accident Bodily Injury By Disease except those listed and the states of ND, OH, WA, and 1 000 000 Poi- 1.1mil Bodily Injury By Disease 1 000 000 Each P—gri COMMERCIAL 10/1/2016 TB2-641-426942-725 General Aggregate GENERAL LIABILITY $2,000,000 Products / Completed Operations Aggregate m OCCURRENCE $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1,000,000 Per Person / Organization RETRO DATE Other 10ther $$300,000 Damage to Premises $10,000 Medical Expense Rented to you AUTOMOBILE 10/1/2016 AS2-641-426942-715 Each Accident —Single Limit $2,000,000 B.I. And P.D. Combined LIABILITY Each Person ❑ OWNED mNON -OWNED Each Accident or Occurrence HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job #6205 - Rigden Water Storage Reservoir City of Fort Collins Services is an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. - If the certificate expiration date is continuous or extended terra, you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Job #6205 - Rigden Water Storage Reservoir [City of Fort Collins 30y LaPorte Avenue Fort Collins CO 80521 L Liberty Mutual Insurance Group 7 Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/17/2015 OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456680 i LM_2660 i 10/15-10/16 - All Lines i Nicholas Misoni i 9/17/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW, POLICY LIMITS ARE NO LESS THAN THOSE LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. is to Certify that This f Garvey Holding Comppanyy/Garney Companies Inc./10� Grimm Construction Co. Inc./Garney Federal, Inc./ Construction GroupInc. NAME ADDRESSD �"` Li .Mutual.Encore 1333 NW Vivion Road Kansas City MO 64118-4554 OF INSURED INSURANCE is, at the issue date ofthis certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY m POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and W 10/1 /2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL GA IA KS KY, LA, MO, MS, NC N�, tJM, b SC, Tip, TX, UT, 'VA, VVV EMPLOYERS LIABILITY Bodily Injury by Accident 9 000 OOO ea r, :"e „t Bodily Injury By Disease $1 000 000 Bodily Injury By Disease 1 000 000 : COMMERCIAL GENERAL LIABILITY 10/1/2016 TB2-641-426942-725 General Aggregate $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1,000,000 Per Person/Organization RETRO DATE Other $$300,000 Damage to Premises Rented toou Cher $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1 /2016 AS2-641-426942-715 Each Accident oSingle Lim t $2,000,000 B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence NON -OWNED �❑ LI HIRED Each Accident or Occurrence OTHER ADDI"f1ONAL COWMEN IS Re: Garvey Job #6216 North Shields Street Sanitary Sewer Extension City of Fort Collins is an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. . If the certificate expiration date is continuous or extended terra, you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Re: Garvey Job #6216 Liberty Mutual Insurance Group City of Fort Collins I��'[CJI. 300 LaPorte Avenue Stacy Spieker Fort Collins CO 80521 Overland Park / 0448 AUTHORIZED REPRESENTATIVE L 9 6800 College Blvd, Suite 700 I Overland Park KS 66211-1123 913-681-1700 9/17/2015 LJ OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456784 I LM_2660 1 10/15-10/16 - All Lines I Nicholas Misoni 1 9/17/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I Garney Holding Comppany/Garney Companies Inc./ Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND T mutu Encore Construction Group, Inc. ADDRESS r 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE L is, at the the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION Includes Coveraae 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and 10/1/2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL GA IA KS KY, LA, MO, MS, Nb, N�, W, b SC, TN, TX, UT, VA, JW EMPLOYERS LIABILITY Bodily Idury by Accident 1 000,r) 00 ad,A du'znt Bodily Injury By Disease 1 000 000 Pol,c, Luria Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1/2016 TB2-641-426942-725 Gcncral Aggregate $2,000,000 M OCCURRENCE Products / Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1 000,000 Personal & Advertising Injury $1 000 000 Per Person /Organization REiRO DATE Other $$300,000 Damage to Premises Rented to YouAUTOMOBILE ther $10,000 Medical Expense LIABILITY 10/1/2016 AS2-641-426942-715 Each Accident —Single Limit $2,000,000 B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence mNON -OWNED 0 HIRED Each Accident or Occurrence OTHER ADDI IIONAL COiMMEN IS RE: Garney Job # 6219, NECCO Phase 3 BNSF Culvert Installation. City of Fort Collins and Ayres Engineering are an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. Ifthe certificate expiration date is continuous or extended term you will be notified ifcoverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: RE: Garvey Job # 6219 Liberty Mutual Insurance Group FCity of Fort Collins 30y LaPorte Avenue Stacy Spieker AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 Overland Park 10448 c` r 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/17/2015 J OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456603 1 LM 2660 1 10/15-10/16 - All Lines I Nicholas Misoni 1 9/17/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. is to Certify that This I Garney Holding Comppany/Garney Companies Inc./ Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND jibe Encore Construction Group, Inc. ty M a ADDRESS jar a 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 L INSURANCE is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition of a» y contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION In(111 ifle_ C.nveraga 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and 10/1 /2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL GA IA KS KY, LA, MO, MS, N�, N�, t�iM, b SC, IN, IX, UT, VA, WV EMPLOYERS LIABILITY Bodily In ury by Accident `�1 OOO QOOsa"; Bodily Injury By Disease 1 000 000 Po[IcN Limit Bodily Injury By Disease 1 000 000 Each Pgr,,r COMMERCIAL GENERAL LIABILITY 10/1/2016 TB2-641-426942-725 General Aggregate $2,000,000 Products / Completed Operations Aggregate $2,000,000 M OCCURRENCE ❑ CLAIMS MADE Each Occurrence $1,000 000 Personal & Advertising Injury $1 , OOO, OOO Per Person / Organization RETRO DATE Other $$300,000 Damage to Premises Rented to You her $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1 /2016 AS2-641-426942-715 Each Accident —Single Limit $2,000,000 B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence ❑ NON -OWNED HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6628 Emergency Mobilization Contract Through 2013. City of Fort Collins, Colorado, Stantec Consulting Services is an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. • Ifthe certificate expiration date is continuous or extended term you will be notified ifcoverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: RE: Job # 6628 FCityy of Fort Collins 300 LaPorte Avenue Fort Collins CO 80521 9 v= u Liberty Mutual Insurance Group 7 Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/17/2015 J OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456374 1 LM 2660 I lo/15-10/16 - All Lines I Nicholas Misoni 1 9/17/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI C01 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I Garney Holding Comppanyy/Garney Companies Inc./ Grimm Construction Co. In./Garney Federal, Inc./ ANAME DDRESSD��..[ l #.i� Encore Construction Group,Inc.ry 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE L is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terns, exclusions and Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and 10/1 /2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL GA IA KS KY, I_A MO, MS, N� , NE`; tJM; b SC, TN, TX, UT, VA, WV EMPLOYERS LIABILITY Bodily In T, by Accident 1 OOG G OO Each Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 10/1 /2016 TB2-641-426942-725 General Aggregate $2,000,000 Products / Completed Operations Aggregate $2,000,000 OCCURRENCE ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1, OOO, OOO Per Person /Organization RETRO DATE Other $$300,000 Damage to Premises Rented to YouAUTOMOBILE ther $10,000 Medical Expense LIABILITY 10/1/2016 AS2-641-426942-715 B.I. Anci.D.Co Accident —Single $2,000,000 B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence NON -OWNED 1❑71 LI HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS RE: Job # 6632 Elizabeth Street Waterline Replacement. The City of Fort Collins is an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. • Ifthe certificate expiration date is continuous or extended term, you will be notified ifcoverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: RE: Job # 6632 FCity of Fort Collins 300 LaPorte Avenue Fort Collins CO 80521 c` c u— L� I Liberty Mutual Insurance Group Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/17/2015 OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456253 1 LM_2660 1 10/15-10/16 - All Lines I Nicholas Mi6oni 1 9/17/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFIC/TE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW._ _ This is to Certify that I Garney Holding Comppany/Carney Companies Inc./ Grimm Construction Co. Carney Federal, Inc./ ANAME DDRESS Libe Mutual. Encore Construction Group, Inc.I 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 INSURANCE Liss, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by anv requirement, term or condition of any contract or other document with respect to which this certificate may be issued. TYPE OF POLICY EXP DATE ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION Inc!udes Coverage 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and 10/1/2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL GA IA KS KY. LA, MO, MS, Nb, Nit, <�i M, b SC, TN, TX, UT, VA, WV EMPLOYERS LIABILITY Bodily In uty by Accident �1 000 O�Ocac, Accideu Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 Each Per,� COMMERCIAL GENERAL LIABILITY 10/1/2016 TB2-641-426942-725 General Aggregate $2,000,000 Products / Completed Operations Aggregate $2,000,000 mOCCURRENCE ❑ CLAIMS MADE Each Occurrence $1 000 000 Personal & Advertising Injury $1, 000, OOO Per Person /Organization RETRO DATE Other $$300,000 Damage to Premises Rented toAUTOMOBILE Other $10,000 Medical Expense LIABILITY 10/1/2016 AS2-641-426942-715 Each AccidentCoSingleLimit $2,000,000 B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence mNON -OWNED HIRED Each Accident or Occurrence OTHER ADDi i ZONAL COMMENTS RE: Job # 6650 LaPorte 27‐lnch Pipeline WO #1 Pre Purchase HDPE. City of Fort Collins and Stantec Consulting Services are an additional insured under the General Liability and Automobile Liability policy if required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Job # 6650 LaPorte 27‐Inch Pipeline WO #1 [Cityy of Fort Collins, Colorado 300 LaPorte Avenue Fort Collins CO 80521 1� S t u— I Liberty Mutual Insurance Group 13�� . Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 9/17/2015 OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456322 1 LM_2660 1 10/15-10/16 - All Lines I Nicholas Misoni 1 9/17/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I Garvey Holding Comppany/Garney Companies Inc./ Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND Encore Construction Group, Inc. ADDRESS 1333 NW Vivion Road OF INSURED Kansas City MO 64118-4554 � ` s INSURANCE is, at the issue date ofthis certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE ❑ CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY POLICY TERM WORKERS 10/1 /2016 WA2-64D-426942-735 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: EMPLOYERS LIABILITY COMPENSATION AL, AR, AZ, CO, FL GA IA KS KY, lA. MO, MS. N� N f lM; Bodily In ury��Accident Includes Coverage 3C Other States Insurance: All States . SC, TN, TX, UT, VA, WV ., I UUv OOO Each ACCAwt Bodily Injury By Disease except those listed and the states of ND, OH, WA, and 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL 10/1/2016 TB2-641-426942-725 General Aggregate GENERAL LIABILITY $2,000,000 Products / Completed Operations Aggregate ❑ OCCURRENCE $2,000,000 Each Occurrence ❑ CLAIMS MADE $1,000 000 Personal & Advertising Injury $1, OOO, OOO Per Person /Organization RETRO DATE Other 10ther $300,000 Damage to Premises $10,000 Medical Expense Rented AUTOMOBILE 10/1/2016 AS2-641-426942-715 Limit E.I. And Accident —Single Combined $2,000,000 B.I. And P.D. Combined LIABILITY Each Person OWNED Each Accident or Occurrence NON -OWNED HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS Re: Job #6652 Canal Importation Ponds and Outfall WO # 18 ‐ 2013 Glenmoor Maintenance City of Fort Collins is additional insured as their interest may appear where required by written contract on Auto Liability and General Liability. . If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Job #6652 Canal Importation Ponds FCity of Fort Collins 300 LaPorte Avenue Fort Collins CO 80521 C 9 v— u` I� Liberty Mutual Insurance Group 7 � Stacy Spieker Overland Park / 0448 AUTHORIZED REPRESENTATIVE 6800 College Blvd, Suite 700 I Overland Park KS 66211-1123 913-681-1700 9/17/2015 J OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 26456328 1 LM_2660 110/15-10/16 - All Lines I Nicholas Misoni 1 9/17/2015 12:01:02 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11