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Home My WebLink About109256 BARKER CONSTRUCTION CO INC - INSURANCE CERTIFICATE (15)ACORDTM CERTIFICATE OF LIABILITY INSURANCE 04129/04Dm"" 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 Barker Construction Company, Inc 142 North Timberline Road Fort Collins, CO 80524 COVERAGES INSURERS AFFORDING COVERAGE INSURERA: Zurich INSURER B: Pinnacol Assurance INSURER C: INSURER D: INSURER E: NAIC # 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 MMFECTI POLICY EXPIRATION DATE EXPIRATION LIMITS A GENERAL LIABILITY CP0375786001 05/01/04 05/01/05 EACH OCCURRENCE $1 000 000 DAA PRMM1 E TO RENTED occurrence) $300000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR MED EXP (Any one person) $1 U 000 PERSONAL & ADV INJURY $1 000 000 X PD Ded:1,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY X ECT LOC A AUTOMOBILE LIABILITY ANY AUTO CP0375786001 05/01/04 05/01/05 COMBINED SINGLE LIMIT (Ea accident) $1 r000 ,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY AUC375786101 05/01/04 05/01/05 EACH OCCURRENCE s5 000 000 AGGREGATE s5,000,000 X OCCUR F—ICLAIMS MADE $ FDEDUCTIBLE $ X RETENTION $ O B WORKERS COMPENSATION AND 4033353 10/01/03 10/01/04 SLIMITTATU- JTH X TWOOE E.L. EACH ACCIDENT $SOO,000 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $500,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins Engineering Department is named as additional insured, but only as respects liability arising out of work performed by the named insured (Excluding Workers' Compensation). City of Fort Collins Engineering Department Attn: Ann Marie Ferry P.O. Box 580 Ft Collins , CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In 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 s� I wv,w wJcvv owl I of 4 RMLDO I DO aV" " "••• "•`^••"•• •""" ACORD- CERTIFICATE OF LIABILITY INSURANCE 04/2910 °�`�" 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 INSURERS AFFORDING COVERAGE NAIC # INSURED Barker Construction Company, Inc 142 North Timberline Road Fort Collins, CO 80524 COVERAGES INSURERA: GUrIGn INSURER B: Pinnacol Assurance INSURER C: INSURER D: INSURER E: 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. INSR LTR DD NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDO/YY POLICY EXPIRATION DATE MMIDD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR X PD Ded:1,000 CP0375786001 05/01/04 05/01/05 EACH OCCURRENCE $1 000000 DAA PRMMI SES (Ea E TO RENTED n $300 000 MED EXP (Any one person) $1 O 000 PERSONAL& ADV INJURY $1000000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PROJECT LOC PRODUCTS -COMP/OP AGG $2 OOO OOO A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS CP0375786001 05/01/04 05/01/05 COMBINED SINGLE LIMIT (Ea accident) $1 OOO ,OOO X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC AUTO ONLY: AGG $ $ A EXCESS/UMBRELLA LIABILITY _X1 OCCUR CLAIMS MADE RDEDUCTIBLE X RETENTION $ O AUC375786101 05/01/04 05/01/05 EACH OCCURRENCE s5,000,000 AGGREGATE s5,000,000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? K yes, describe under SPECIAL PROVISIONS below 4033353 10/01/03 10/01/04 TATUjI X TWC SLIMIT I EEL E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE s500,000 E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS For License DM-374 City of Fort Collins Building & Zoning Department P.O. Box 580 Fort Collins, CO 80522 At,non 99l9nn4inm 4 _a H Auoen4a0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ 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 REPRESENTATIVES. AUTHORIZED RVESED TIV,E //� b lr-u (G /�j©Ca A,(C/OR�D C—OR�POORATION 198E ACORD- CERTIFICATE OF LIABILITY INSURANCE oai29104D"rrY' 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 INSURERS AFFORDING COVERAGE NAIC # IINSURED Barker Construction Company, Inc 142 North Timberline Road Fort Collins, CO 80524 lERAGES INSURERA: GUUIDfI INSURER B: Pinnacol Assurance INSURER C: INSURER D: INSURER E: 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 MM/DDIYY POLICY EXPIRATION DATE MMIDDNY LIMITS A GENERAL LIABILITY CP0375786001 05/01/04 05/01/05 EACH OCCURRENCE $1000000 AMAGE PREMISES (EE TEDoccur n $3OO OOO X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $10 000 CLAIMS MADE O OCCUR PERSONAL & ADV INJURY $1000000 X PDDed:1,000 P GENERAL AGGREGATE s2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $2000000 POLICY X PRO- LOC A AUTOMOBILE LIABILITY ANY AUTO CP0375786001 05/01/04 05/01/05 COMBINED SINGLE LIMIT (Ea accident) $1 000 . l000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS X BODILY INJURY (Per accident) $ HIREDAUTOS NON-OWNEDAUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO 1 $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY AUC375786101 05/01/04 05/01/05 EACH OCCURRENCE $5 000 000 AGGREGATE s5,000,000 X OCCUR CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $ 0 B WORKERS COMPENSATION AND 4033353 10/01/03 10/01/04 TH- X I OR WC STA LIjIT OEEL E.L. EACH ACCIDENT $500,000 EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I 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 'in 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 REPRESENTATIVES. 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