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HomeMy WebLinkAbout109256 BARKER CONSTRUCTION CO INC - INSURANCE CERTIFICATE (17)rrPnrhe• 7111175% _i.11ara 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