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HomeMy WebLinkAbout109256 BARKER CONSTRUCTION CO INC - INSURANCE CERTIFICATE (3)r He„fx. ona �F RARCO ACORD,,., CERTIFICATE OF LIABILITY INSURANCE 0°4�29108plvvvv) PRODUCER Flood & Peterson Insurance Inc 4821 Wheaton Drive P O Box 270370 Fort Collins, CO 80527 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Barker Construction Company, Inc 142 North Timberline Road Fort Collins, CO 80524 INSURERA: Zurich Pinnacol Assurance _ _NsuRERB: INSURFRC: INSURER _ INSURER E: rnVPPAnFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED'1'0 THE INSURED NAMEDASOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT','fERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE PERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR D' NSR TYPEOFINSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIpDIYY POLICY EXPIRATION _D TE MMIDDIYY LIMITS A GENERAL LIABILITY CP0375786003 05/01/08 05101/09 EACH OCCURRENCE $1000000 OHMAGE TO RENTED PHEMISEs..E a « - s300,000.. X COMMERCIAL GENERAL LIABILITY —�CIAIMS MADE uOCCUR MGD EXP(Any one person) $10,000 PERSONAL &ACV INJURY 3110001000 GENERALAGGREGATE 12.0001000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG 12,000, DOO POLICY X PF T LOC _. A AUTOMOBILE X _ LIABILITY I ANY AU TO CP0375786003 05/01/08 05/01/09 COMBINED SINGLE LIMIT (Ea accidonf) $1,000,000 BODILY INJURY (Per Person) $ ALL OWNED AUTOS $CH[DULEU nU'I Os X BODILY INJURY (Par accitlen0 _ S AIRED AUTOS NON,OWNEO AUTOS X PROPERTY DAMAGE. (Per accident) $ -- GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC 4 $ ANY AUTO _ $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY AUC375786104 05101/08 05/01/09 EACHOCCURRE.NCE__ $Z900,000 AGGREGATE $2i000�00Q_ X OCCUR CLAIMSMADE IS DEDUCTIBLE. ..—_ $ X RETI NOON $ O B WORKERS COMPENSATION AND 4033353 10/01/07 10/01/08 X .WCS iMIIT OiH E.L. EACH ACCIDENT $1,000,000 EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNC WEXECUTIVE OFFICEWMEMBEREXCLUDE:D? — E.1_.DSEASL.EAEMP1_OYIH $1,000,000 E.L. DISEASE, POLICY LIMIT 51 ,000,00_O II ycs, describe under SPECIAL PROVISIONS below __ _� OTHER !J— DESCRIPTION OF OPERATIONS/ 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 ACORD 25 (2001/08) 1 of 9 #M413605 SHOULD ANY Of fHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30._ DAYSWRITTEN 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 MAE © ACORD CORPORATION 198E IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25.3 (2001/08) 2 of 2 #M413605