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HomeMy WebLinkAbout107125 BIVENS TRUCKING & EXCAVATING INC - INSURANCE CERTIFICATE (6)ACORD- CERTIFICATE OF LIABILITY INSURANCE PRODUCER U4%291USD"YTY) 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 Y1 Box 270370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW t Collins CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED Barker Construction Company Inc INSURERA Zurich INSURERB Pinnacol Assurance 142 North Timberline Road INSURER C Fort Collins CO 80524 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 Imam LTR ADD' NSR TYPE OF INSURANCE POLICY NUMBER P LICY EFFECTIVE DATE y POLICY EXPIRATION M LIMITS A GENERAL LIABILITY CP0375786003 05101/08 05/01/09 EACH OCCURRENCE $1 QQQ QQQ X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR DAMAGE TO RENTEDPREMISE Ea mcurrencel_ $300 Q00 $1 Q 000 MED EXP (Any one person) PERSONAL & ADV INJURY $1 QQQ 000 GENERAL AGGREGATE s2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOPAGG s2000000 POLICY X JEOT 7 LOC A AUTOMOBILE X LIABILITY ANY AUTO CP0375786003 05/01108 05/01I09 COMBINED SINGLE LIMIT (Ea accident) $1 000 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Par person) $ HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Par accident) $ X PROPERTY DAMAGE (Per acc dent) $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ FAUTO ANY AUTO $ ONLY AGO A EXCESSIUMBRELLALIABILITY X OCCUR CLAIMS MADE AUC375786104 05/01/08 05101109 EACH OCCURRENCE $2000000 AGGREGATE $2 OOO OOO DEDUCTIBLE IS X RETENTION $ 0 $ B WORKERS COMPENSATION AND 4033353 10/01/07 10/01108 TATU OTH X I TWORYSIER MITEL EMPLOYERS LIABILITY EACH ACCIDENT $1 QQQ QQQ ANY PROPRIETOR/ EL DISEASE EA EMPLOYE $1 000 000 If yeOFFIs EXCLUDED? R/MEMBER E%CLUDEDi nder E L DISEASE POLICY LIMIT $1 QQQ QQQ SPECIAL SPECIAL PROVISIONS below ALPRdescribe PROVISIONS 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 U) ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL '411_ DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO 30 SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AU1H0R1ATVE 7C H4VRV LO tLVV"1Ive) T Ot 2 #M413605 MAE 0 ACORD CORPORATION 1988