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Home My WebLink About166269 GARNEY CO INC - INSURANCE CERTIFICATE (7)This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies LDI COI 268896 02 11 NM 772 07-10 Personal & Advertising Injury GENERAL LIABILITY NFORMATION ONLY AND CONFERS NO RIGHTS UP INSURANCE POLICY AND DOES NOT AMEND, EXT THIS CERTIFICATE IS ISS This is to Certify that NAME AND ADDRESS OF INSURED 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. OFFICE PHONE DATE ISSUED TYPE OF POLICY EXP DATE CONTINUOUS EXTENDED POLICY TERM POLICY NUMBER LIMIT OF LIABILITY WORKERS COMPENSATION RETRO DATE OCCURRENCE CLAIMS MADE AUTOMOBILE LIABILITY OWNED NON-OWNED HIRED OTHER ADDITIONAL COMMENTS * 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 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: EMPLOYERS LIABILITY Bodily Injury by Accident Bodily Injury By Disease Bodily Injury By Disease Policy Limit Each Person Each Accident Each Accident—Single Limit Products / Completed Operations Aggregate Other Other Each Person Each Accident or Occurrence Each Accident or Occurrence UED AS A MATTER OF I ON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN END, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. Certificate of Insurance General Aggregate Per Person / Organization B.I. And P.D. Combined This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies LDI COI 268896 02 11 NM 772 07-10 Personal & Advertising Injury GENERAL LIABILITY NFORMATION ONLY AND CONFERS NO RIGHTS UP INSURANCE POLICY AND DOES NOT AMEND, EXT THIS CERTIFICATE IS ISS This is to Certify that NAME AND ADDRESS OF INSURED 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. OFFICE PHONE DATE ISSUED TYPE OF POLICY EXP DATE CONTINUOUS EXTENDED POLICY TERM POLICY NUMBER LIMIT OF LIABILITY WORKERS COMPENSATION RETRO DATE OCCURRENCE CLAIMS MADE AUTOMOBILE LIABILITY OWNED NON-OWNED HIRED OTHER ADDITIONAL COMMENTS * 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 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: EMPLOYERS LIABILITY Bodily Injury by Accident Bodily Injury By Disease Bodily Injury By Disease Policy Limit Each Person Each Accident Each Accident—Single Limit Products / Completed Operations Aggregate Other Other Each Person Each Accident or Occurrence Each Accident or Occurrence UED AS A MATTER OF I ON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN END, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. Certificate of Insurance General Aggregate Per Person / Organization B.I. And P.D. Combined This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies LDI COI 268896 02 11 NM 772 07-10 Personal & Advertising Injury GENERAL LIABILITY NFORMATION ONLY AND CONFERS NO RIGHTS UP INSURANCE POLICY AND DOES NOT AMEND, EXT THIS CERTIFICATE IS ISS This is to Certify that NAME AND ADDRESS OF INSURED 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. OFFICE PHONE DATE ISSUED TYPE OF POLICY EXP DATE CONTINUOUS EXTENDED POLICY TERM POLICY NUMBER LIMIT OF LIABILITY WORKERS COMPENSATION RETRO DATE OCCURRENCE CLAIMS MADE AUTOMOBILE LIABILITY OWNED NON-OWNED HIRED OTHER ADDITIONAL COMMENTS * 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 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: EMPLOYERS LIABILITY Bodily Injury by Accident Bodily Injury By Disease Bodily Injury By Disease Policy Limit Each Person Each Accident Each Accident—Single Limit Products / Completed Operations Aggregate Other Other Each Person Each Accident or Occurrence Each Accident or Occurrence UED AS A MATTER OF I ON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN END, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. Certificate of Insurance General Aggregate Per Person / Organization B.I. And P.D. Combined Certificate Holder Liberty Mutual Insurance Group AUTHORIZED REPRESENTATIVE POLICY LIMITS ARE NO LESS THAN THOSE LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. COMMERCIAL Each Occurrence ✓ Stacy Spieker 9/15/2014 Overland Park / 0448 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 Garney Holding Company/Garney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction Management Inc./Encore Construction Group, Inc. 1333 NW Vivion Road Kansas City MO 64118-4554 Job # 6694 Poudre River Sewer Crossing City of Fort Collins 300 LaPorte Avenue Fort Collins CO 80521 60 Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. City of Fort Collins is additionally insured under the General Liability and Automobile Liability policy if required by a written contract with the RE: Job # 6694 Poudre River Sewer Crossing $1,000,000 $1,000,000 $1,000,000 $2,000,000 $2,000,000 $1,000,000 $1,000,000 $2,000,000 10/1/2015 TB2-641-426942-724 ✓ $300,000 Damage to Premises Rented to You $10,000 Medical Expense 10/1/2015 AS2-641-426942-714 ✓ ✓ ✓ 10/1/2015 WA2-64D-426942-734 AL, AR, AZ, CO, FL, GA, IA, KS, KY, LA, MO, MS, NC, NE, NM, OK, SC, TN, TX, UT, VA, WV Includes Coverage 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and WY. CERT NO.: 21557424 CLIENT CODE: LM_2660 Nicholas Misoni 9/15/2014 9:56:02 AM (EDT) Page 1 of 1 Certificate Holder Liberty Mutual Insurance Group AUTHORIZED REPRESENTATIVE POLICY LIMITS ARE NO LESS THAN THOSE LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. COMMERCIAL Each Occurrence ✓ Stacy Spieker 9/15/2014 Overland Park / 0448 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 Garney Holding Company/Garney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction Management Inc./Encore Construction Group, Inc. 1333 NW Vivion Road Kansas City MO 64118-4554 RE: Master Contract City of Fort Collins Purchasing Division P.O. Box 580 215 North Mason Street, 2nd Flolor Fort Collins CO 80522 60 RE: Master Contract $1,000,000 $1,000,000 $1,000,000 $2,000,000 $2,000,000 $1,000,000 $1,000,000 $2,000,000 10/1/2015 TB2-641-426942-724 ✓ $300,000 Damage to Premises Rented to You $10,000 Medical Expense 10/1/2015 AS2-641-426942-714 ✓ ✓ ✓ 10/1/2015 WA2-64D-426942-734 AL, AR, AZ, CO, FL, GA, IA, KS, KY, LA, MO, MS, NC, NE, NM, OK, SC, TN, TX, UT, VA, WV Includes Coverage 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and WY. CERT NO.: 21556831 CLIENT CODE: LM_2660 Nicholas Misoni 9/15/2014 9:56:02 AM (EDT) Page 1 of 1 Certificate Holder Liberty Mutual Insurance Group AUTHORIZED REPRESENTATIVE POLICY LIMITS ARE NO LESS THAN THOSE LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. COMMERCIAL Each Occurrence ✓ Stacy Spieker 9/15/2014 Overland Park / 0448 6800 College Blvd, Suite 700 Overland Park KS 66211-1123 913-681-1700 Garney Holding Company/Garney Companies Inc./ Grimm Construction Co. Inc./Weaver Construction Management Inc./Encore Construction Group, Inc. 1333 NW Vivion Road Kansas City MO 64118-4554 7089 City of Fort Collins Purchasing Division P.O. Box 580 215 North Mason Street, 2nd Floor Fort Collins CO 80522 60 the Named Insured, but only for the coverage and limits provided by the policy and the additional insured endorsement. City of Fort Collins is an additional insured under the General Liability policy if required by a written contract with RE: 7089 - Water, Wastewater and Stormwater utilities Infrastructure Design and Construction Services Contractor. $1,000,000 $1,000,000 $1,000,000 $2,000,000 $2,000,000 $1,000,000 $1,000,000 $2,000,000 10/1/2015 TB2-641-426942-724 ✓ $300,000 Damage to Premises Rented to You $10,000 Medical Expense 10/1/2015 AS2-641-426942-714 ✓ ✓ ✓ 10/1/2015 WA2-64D-426942-734 AL, AR, AZ, CO, FL, GA, IA, KS, KY, LA, MO, MS, NC, NE, NM, OK, SC, TN, TX, UT, VA, WV Includes Coverage 3C, Other States Insurance: All States except those listed and the states of ND, OH, WA, and WY. CERT NO.: 21556773 CLIENT CODE: LM_2660 Nicholas Misoni 9/15/2014 9:56:02 AM (EDT) Page 1 of 1