The URL can be used to link to this page

Home My WebLink About166269 GARNEY CO - INSURANCE CERTIFICATE (25),acofua► CERTIFICATE OF LIABILITY INSURAKIrF THIS CERTIFICATE IS ISSUED AS A MATTEF, OF INFORMATION ONLY AND COMSRS NO RIG;I It" �.t, Hcil C'_►' CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATFVELY #IIIIIE'ND, EXTEND 00, ALTER TME E A;: El.• SY: Tiff ;G BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEF :.sUK: REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) mull 1p" ADDITIONAL *8 U Pi ov*om or :•+ If SUBROGATION IS WAIVED, subject to the teens and conditions of th+. policy, cert ln#aNcies may require an andorsernelql.A state-.,,,, this certificate does not confer rights to the certificate holder in lieu of such endommft. CONTACT PRODUCER NAME: Carol n Short. Arthur J. Gallagher Risk Management Services, Inc. PHONE 816-395-8558 j�N,t: 816-467-5558 Kansas City MO 64108 2345 Grand Blvd., Suite 400 MESS: carolyn_short@ajq.com _ - INSURER(S) AFFORDNC COVERAGE NMC i INSURER A: 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 E : .. 17QQAO9ZQ2 DCtrlcinki PIIlIUR1:D_ "'—'"-"---- 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. INTR TYPE OF INSURANCE IAUULNSD WVD POLICY NUMBER POLICY EFF DIYYYYMfDDIYY POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ CLAIMS -MADE OCCUR PR MISAES (E occurrence) $ MED EXP (Any one person) E PERSONAL & ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT $ OTHER: AUTOMOBILE LIABILITY COMBINED 5INUIXTIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) S OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE -- Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY f A X UMBRELLA LIAB X I OCCUR Y Y ZUP-14S78452-17-NF 10/1/2017 10/1/2018 EACH OCCURRENCE $15,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $15•000.000 DIED X 1 RETENTION S None $ WORKERS COMPENSATION H STATUTE OR E.L. EACH ACCIDENT S AND EMPLOYERS' LIABILITY Y f N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N fA E.L. DISEASE - POLICY LIMIT It yes, describe under DESCRIPTION OF OPERATIONS below 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) See Attached... �rrir,r v+nTr []^I Rcn CANT-FI I ATInN City of Fort Collins, Colorado 4316 LaPorte Avenue Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ;7R.IZED REPRESENTATIVE U-tytStS-LUID FiI.VKU VVKY'VKMIIVIY. M11 rynaa w�.�-.+. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CA NCOM-01 _ LOC AC40RV An')� T inn& MARK; SewntILE pop AGENCY NASD NSSURED Arthur J. Gallagher Risk Management Services, Inc. Garney Hokftg Company POLICY NUMBER (See atta of Additional f111ed Insured 1333 NW ~ Road Kansas City00 64118 CARRIER NAIC CODE EFFECTIVE DATE: Ann[TWIRIAI DrRneDLrc 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. Garvey Federal, Inc. Encore Construction Group, Inc. Garvey 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. Garvey 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) LVUts Ht.vrcu vrcrvrtr� i war. nu y,.� ��... The ACORD name and logo are registered marks of ACORD