HomeMy WebLinkAbout109256 BARKER CONSTRUCTION CO INC - INSURANCE CERTIFICATE (17)rrPnrhe⢠7111175%
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ACORDTM CERTIFICATE OF LIABILITY INSURANCE
DATE (MWDDNYYY)
09/17/03
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527
INSURERS AFFORDING COVERAGE
NAIC IN
INSURED
INSURERA: Zurich
Barker Construction Company, Inc
142 North Timberline Road
INSURER B: Pinnacol Assurance
Fort Collins, CO 80524
INSURER C:
INSURER D:
INSURER E:
COVERAGES
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 MMIDDIYI'
POLICY EXPIRATION
DATE MWDDNY
LIMITS
A
GENERAL LIABILITY
CP0375786000
05/01/03
05/01/04
EACH OCCURRENCE
$1000000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE I X U OCCUR
DAMAGE TORENTEDPREMISES occurre
$300OOO
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
$1 000 000
X PD Ded:1,000
GENERAL AGGREGATE
s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
1-1 POLICY x PRO- LOC
JECT
A
AUTOMOBILE
LIABILITY
ANY AUTO
CP03757824
05/01/03
05/01/04
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
X
HIREDAUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
AUC375786100
05/01/03
05/01/04
EACH OCCURRENCE
s5,000,000
AGGREGATE
s5,000,000
RDEDUCTIBLE
X RETENTION so
$
B
WORKERS COMPENSATION AND
4033353
10/01/03
10/01/04
X I OR WC STATU- OTH-
EMPLOYERS' LIABILITY
ANY PROPRIETGRlPARTNERlEXECUTIVE
E.L. EACH ACCIDENT
$500000
E.L. DISEASE - EA EMPLOYEE
s500,000
OFFICERIMEMBER EXCLUDED?
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 _ n 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
e1VVRY LJ ILVV r/VOF 7 of z 4FM259975 JGH 0 ACORD CORPORATION 1988