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HomeMy WebLinkAbout109256 BARKER CONSTRUCTION CO INC - INSURANCE CERTIFICATE (16)Client#: 20175 t3AKl.V ACORDTM CERTIFICATE OF LIABILITY INSURANCE TDATE 9117/04DnvvY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4821 Wheaton Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 Fort Collins, CO 80527 INSURED Barker Construction Company, Inc 142 North Timberline Road Fort Collins, CO 80524 GES INSURERS AFFORDING COVERAGE INSURERA: Zurich INSURER B: Pinnacol Assurance INSURER C: INSURER D: INSURER E: NAIC # v 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWDD/1^/ POLICY EXPIRATION DATE MMIDDIYY LIMITS - A GENERAL LIABILITY CP0375786001 05/01/04 05/01/05 EACH OCCURRENCE $1 000000 AMAGEX PREM SETOE ENTED occurrenc-) $30- 0 OOO COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $10 000 CLAIMS MADE Fx_1 OCCUR PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY X PRO LOC JECT A AUTOMOBILE LIABILITY ANY AUTO CP0375786001 05/01/04 05/01/05 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS X BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO 0 $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY AUC375786101 05/01/04 05/01/05 EACH OCCURRENCE $5 000 000 AGGREGATE $5 000 000 X1 OCCUR CLAIMS MADE $ DEDUCTIBLE S X RETENTION $ O B WORKERS COMPENSATION AND 4033353 10/01/01 10101!05 X T WCRSTATU- OTH- 'Y I T E.L. EACH ACCIDENT $500,000 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE s500,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED By ENDORSEMENT I SPECIAL PROVISIONS Certificate holder is named as additional insured, but only as respects liability arising out of work performed by the named insured (Excluding Workers' Compensation).General liability coverage is primary and non-contributory. City of Fort Collins Purchasing Department PO Box 580 Ft Collins , CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL '10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORIZED Arnon is /�nnunax , _& o «..nnwcco Ulu n ACORD CORPORATION 1988