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Home My WebLink About166269 GARNEY CO - INSURANCE CERTIFICATE (22)ACCPRf> CERTIFICATE OF LIABILITY INSURANCE DATE IMr1DDnVYY) 9/28/2017 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be erlle "S" If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsements . CONTACT PRODUCER NAME: Carolyn Short Arthur J. Gallagher Risk Management Services, Inc. PHONE 816-395-8558 (1C No,: 816-467-5558 2345 Grand Blvd., Suite 400 (AIC-No, Kansas City MO 64108 EbE MAIL . caroIyn_short9ajg.corn Travelers Property Casualty Co of America 125674 INSURED GARNCOM-01 Garvey Holding Company (See attached list of Additional Named Insureds) 1333 NW Vivion Road Kansas City MO 64118 INSURER 8: INSURERC: _ INSURERD: - ---. INSURER E : — INSURER F : rCnnCAC7a ortnctntu ttuueQro• IiV VCKMVGJ vL-r�lu vrl�n�mv�r�. •••••,_-'--- ------------------- 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. _, INSR LTR _ —�A13DE3UBR` TYPE OF INSURANCE INSD' WVD ___. POLICY EFF POLICY EXP POLICY NUMBER MM/DDlYYYY MMIDDNYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 71 OCCUR EACH OCCURRENCEDAMAGE E TO RENTED PREMISES�LEaoccurrence $ ME EXP (Any one person) $ PERSONAL & ADV INJURY E GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT OTHER: GENERAL AGGREGATE E PRODUCTS - COMP/OP AGG $ S AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY ___ AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY I', COMBIN1777= LIMIT Ea accident)$ BODILY INJURY (Per person) E BODILY INJURY (Per accident) E PROPERTY DAMACE___—$ Per accident $ A X UMBRELLA LIAB X I OCCUR EXCESS LIAB CLAIMS -MADE I Y Y ZUP-14S78452-17-NF 10/1/2017 10/1/2018 EACH OCCURRENCE $15 000,000 AGGREGATE E15 000,000 _ - $ --- DED X RETENTION$None WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE E E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) See Attached... CER I IF IGA 1 E HULUER Ii MIY I,GLLM I IVI11 City of Fort Collins, Colorado 4316 LaPorte Avenue Fort Collins CO 80525 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTH RIZED REPRESENTATIVE W -I Ut$?J-LV 10 fi%.VKU l'IJK Y'VKMI IVIY. r.0 l lynaa Icacl vcv. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: GARNCQM-01 LOC #: ACC)REIf ADDITIONAL REMARKS SCHEDULE 'Pic AGENCY Arthur J. Gallagher Risk Management Services, Inc. NAMED INSURED Garney Holding Company (See attached list of Additional Named Insureds) 1333 NW Vivion Road Kansas City MO 64118 POLICY NUMBER CARRIER :1C CODE EFFECTIVE DATE: UNAL KtIVIAKKJ THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE For the following additional Named Insureds: Garney Holding Company Garney Companies, Inc. Grimm Construction Company, Inc. Garney Wyoming, Inc. Garvey New Mexico, Inc. Garney Federal, Inc. Encore Construction Group, Inc. Garney Colorado, LLC Garvey Water Partnership Garvey P3, LLC Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-426942-727, Eff. 10-1-2017/10-1-2018 Automobile Liability Policy #AS2-641-426942-717, Eff. 10-1-2017/10-1-2018 Employers Liability/Workers' Compensation Policy #WA2-64D-426942-737, Eff. 10-1-2017/10-1-2018 Employers Liability/Workers' Compensation Policy #WC2-641-437723-907 — WI only, Eff. 10-1-2017/10-1-2018 Following Form Coverage A - Excess Liability includes Blanket Additional Insured, Primary and Non -Contributory and Blanket Waiver of Subrogation as required by written contract. Includes All Work and Operations Performed by insured covered by Primary/Underlying policies. For the following additional Named Insureds: Garney Pacific, Inc. Garney Hawaii, Inc. Following Form Primary/Underlying Policies with Liberty Mutual Fire Insurance Company: General Liability including Completed Operations Policy #TB2-641-444498-027, Eff. 10-1-2017/10-1-2018 Automobile Liability Policy #AS2-641-44498-017, Eff. 10-1-2017/10-1-2018 Employers Liability/Workers' Compensation Policy #WA2-64D-444498-037, Eff. 10-1-2017/10-1-2018 Following Form Coverage A - Excess Liability includes Blanket Additional Insured, Primary and Non -Contributory and Blanket Waiver of Subrogation as required by written contract. Includes All Work and Operations Performed by insured covered by Primary/Underlying policies. ACORD 101 (2008/01) IV ZUUB AUtJKU L tJKYUKA I IUrv. Nn ngnts reservvu. The ACORD name and logo are registered marks of ACORD