HomeMy WebLinkAbout166269 GARNEY CO - INSURANCE CERTIFICATE (28)Certificate of Insurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICME 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/Garvey Companies Inc./
Grimm Construction Co. Inc./Garney Federal, Inc./ NAME AND Libe. Mutual.
Encore Construction Group, Inc. ADDRESS _y
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 terms, 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
❑ CONTINUOUS
TYPE OF POLICY
❑ EXTENDED
POLICY NUMBER
LIMIT OF LIABILITY
❑ POLICY TERM
WORKERS
10/1/2018
WA2-64D-426942-737
COVERAGE AFFORDED UNDER WC
LAW OF THE FOLLOWING STATES:
EMPLOYERS LIABILITY
COMPENSATION
Includes Coverage 3C, Other
all other states
AL AR, AZ, CO FL GA IA KS
Kl', LA, MO, MSS, NC` Nit, NM, b
1M/
Bodily In ury by Accident
1 OOO OOO Each Accident
States Insurance: All States
SC, TN, TX, UT, VA,
Bodily Injury By Disease
except those listed and the
WC2-641-437723-907
states of ND, OH, WA, and WY.
WC2-641-437723-907 policy - WI
1 000 000 Poll- Limit
(Wisconsin)
Bodily Injury By Disease
1 000 000
COMMERCIAL
10/1/2018
T62-641-426942-727
General Aggregate
GENERAL LIABILITY
$4,000,000
Products / Completed Operations Aggregate
OCCURRENCE
$4 000 000
❑ CLAIMS MADE
Each Occurrence
$2 000 000
Personal & Advertising Injury
RETRO DATE
$2,000,000 Per Person /Organization
Other 10ther
$300,000 Damage to Premises
$10,000 Medical Expense
Rented
AUTOMOBILE
10/1/2018
AS2-641-426942-717
Each Accident —Single Limit
$2,000,000 B.I. And P.D. Combined
LIABILITY
Each Person
OWNED
Each Accident or Occurrence
mNON -OWNED
HIRED
Each Accident or Occurrence
OTHER
ADDITIONAL COMMENTS
RE: Garvey Job #6248 2D, Boxelder Creek Outdall - Overflow Channel and Urban Design Features
The City of Fort Collins and Andersen Consulting Engineers are additional insured with regards to general iiability and automobile liability, as their
interest may appear, where required by written contract.
* 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:
Garvey Job #6248 2D
Liberty Mutual
Insurance Group
FCity of Fort Collins OSp�
436 LaPorte Avenue Stacy Spieker
a Fort Collins CO 80522 Overland Park / 0448 AUTHORIZED REPRESENTATIVE
= 6800 College Blvd, Suite 700
1 Overland Park KS 66211-1123 913-681-1700 9/26/2017
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
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