Loading...
HomeMy WebLinkAbout166269 GARNEY CO - INSURANCE CERTIFICATE (16)Certificate of Insurance THIS CERTIFICATE 1S 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 INSURANCE Encore Construction Group, Inc. ADDRESSL"b,, 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 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 0 POLICY TERM WORKERS COMPENSATION Includes Coverage 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and 10/1/2018 WA2-64D-426942-737 all other states WC2-641-437723-907 (Wisconsin) COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CO, FL, GA, IA, KS, KY LA, MD, M0, MS, NC, NE, NIV, OK, SC, TN, TX, UT, VA, WC2-641-437723-907 policy - WI EMPLOYERS LIABILITY Bodily Injury by Accident 1 OOO OOO Each Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 Each Person COMMERCIAL GENERAL LIABILITY 10/1/2018 TB2-641-426942-727 General Aggregate $4,000,000 0 OCCURRENCE Products / Completed Operations Aggregate $4,000 000 ❑ CLAIMS MADE Each Occurrence $2 000 000 Personal & Advertising Injury $2,000,000 Per Person /Organization RETRO DATE Other $300,000 Damage to Premises Rented You ther $10,000 Medical Expense AUTOMOBILE LIABILITY 10/1/2018 AS2-641-426942-717 Each Accident —Single Limit $2,000,000 B.I. And P.D. Combined © OWNED Each Person Each Accident or Occurrence 0 NON -OWNED 0 HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS Re: Master Contract Agreement. The City of Fort Collins and Andersen Consulting Engineers are additional insured with regards to genera! liability and automobile liability, as their interest may appear, where required by written contract. . 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: Liberty Mutual Insurance Group FCity of Fort Collins 4316 LaPorte Avenue Stacy Spieker Fort Collins CO 80522 Overland Park! 033S AUTHORIZED REPRESENTATIVE 8700 Indian Creek Parkway, Suite 350 ` Overland Park KS 66210 913-681-1700 6/4/2018 LOFFICE 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 42331765 1 LM 2660 1 10/17-10/18 - All Lines I Stacy Spiekex 1 6/4/2018 12:20:14 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11