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Home My WebLink About109256 BARKER CONSTRUCTION CO INC - INSURANCE CERTIFICATE (9)Client#: 20175 BARCO ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) F 04/26/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT NAME: Jennifer Winter PHONE g70 266-7127FAX A/c No Ezt : ac, No : 970 506-6846 AooREsa Jennifer.Winter@fpinsurance.com CUSTOMER ID 0: INSURER(S) AFFORDING COVERAGE NAIL a INSURED Barker Construction Company, Inc. 142 North Timberline Road INSURER A: Bituminous Insurance INSURER B: Pinnacol Assurance Fort Collins, CO 80524 INSURER C INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREM ENT, TERM OR CONDITION OF ANY CONTRACTOR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTIL TYPE OF INSURANCE POLICY NUMBER MWDO/YYY MWDO/YVY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F7x OCCUR X PD Ded:1,000 CLP3552974 5/O7/2011 05/01/2012 EACH OCCURRENCE $1000000 PREMISES Eacccurranca s3000OO MED EXP (Any one parson) $10,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: RO LOC POLICY X PIFQT PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS -OWNED AUTOS$ Drive Other Car CAP3552975 5/01/2011 05/01/2012 COMBINED SINGLE LIMIT La accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ]XXX PROPERTY DAMAGE (Per accident) $NON IS UMBRELLA LIAB EXCESS DAB OCCUR CIAIMS-MADE EACH OCCURRENCE S AGGREGATE $ DEDUCTIBLE RL NTION $ S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY� OFFICER/MEMBER EXCLUDED? (Mandatory In NH) It yes, descnbe under DESCRIPTION OF OPERATIONS below N/A 4033353 10/01/2010 10/01/201, X `^/C srnTO OTH- MITS ER EL EACH ACCIDENT $1,000,000 E.L. DISEASEEAEMPLOYEE $1,000,000 E.L DISEASE - POLICY UMIT $1000000 DESCRIPTION OF OPERATIONS LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, R more apace la required) 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 PO Box 580 Ft Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE F/Ooo: 'r 04_Jgdso04.J rNf✓/'al..t/GA r Xi Jt, 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) 1 of 1 #S608197/M608192 The ACORD name and logo are registered marks of ACORD JZS BARCO Client#: 20175 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE"" D/YYYY) 04/26/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Flood & Peterson Ins., Inc. P.O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT NAME: Jennifer Winter PHONE 970 266-7127 970 506-6846 A/C No EH : A/C, No Aflo,ESS: Jennifer.Winter@fpinsurance.com CUSTOMER to INSURER(S) AFFORDING COVERAGE NAIC A INSURED Barker Construction Company, Inc. 142 North Timberline Road INSURER A: Bituminous Insurance INSURER B: Pinnacol Assurance Fort Collins, CO 80524 INSURER C INSURER 0: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LILL TYPE OF INSURANCE POLICY NUMBER MOMIDD/YYYY IM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fxll OCCUR X PD Ded:1,000 CLP3552974 5/01/2011 05/01/2012 EACH OCCURRENCE $1000000 PREMISES Ea occurrence s300OOO VIED EXP (Any one person) $10,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRa LOC PRODUCTS - COMP/OP AGO s2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car CAP3552975 5/01/2011 05/01/2012 COMBINED SINGLE UMIT (Ed amident) $1000000 BODILY INJURY (Per person) 5 BODILY I NWRY(Per accident) S X PROPERTY DAMAGE (Per accident) S X X S X $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAM$ -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYMijS ANY PROPRIETOR/PARTNERIEXECUTIVEY� OFFICER/MEMBER EXCLUDED? (Mandatory In NH) Ii yes, describe under DESCRIPTION OF OPERATIONS below N/A 4033353 10/01/2010 10/01/2011 X 'T STATu OTH- E.L. EACH ACCIDENT $1000000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more apace Is required) Certificate holder is named as additional insured, but only as respects liability arising out of work performed by the named insured (Excluding (See Attached Descriptions) City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Department ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Ft Collins, CO 80522 AUTHORIZED REPRESENTATIVE F16ral r o� .sow r.�iO. JCA it INC. ®1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 2 The ACORD name and logo are registered marks of ACORD #S608199/M608192 JZS