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