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Home My WebLink About109256 BARKER CONSTRUCTION CO INC - INSURANCE CERTIFICATE (10)To: 9702216707 Clial 20175 From: Flood 6 Peterson Ins RARCO 7-21-11 2:51pm p. 2 of 3 ACORD,. CERTIFICATE OF LIABILITY INSURANCE oATEfMM/DD/YYYY) 7/21/2011 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 pollcy(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 CONTACT NAME. Jennifer Winter PHONE g70 266-7127 970 506-6S46 4/C No Ex : AIC, No t AooaESs: Jennifer.Winter@fpinsurance.com Greeley, CO 80632 - 970356-0123 RO CUSTOMER To : INSURER(S) AFFORDING COVERAGE NAICq INSURED Barker Construction Company, Inc. 142 North Timberline Road INSURER A. Bituminous Insurance INSURERS: Pinnacol Assurance Fort Collins, CO 80524 INSURER C: " INSURER 0: INSURER E: INSURER F: [TPI **ItIf;II-II=1d11]!11:7=: :141101212[1]211-3A:� THIS IS TO CERTIFY THATTHE 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. INSR TYPE OF INSURANCE D NSA U NYD POLICY NUMBER POLICY SEE MM/DDrYVYY POLICY UP MMIDD/YYYY LIMITS A GENERALUASILRY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 5XIOCCUR X PD Ded:1,000 CLP3552974 5/01/2011 05/01/2012 EACHOCCURRENCE $1 000 000 PREMISES IF co¢rwnce s300000 MEDEXP(Anyone Person) S10.000 PERSONAL B ADV INJURY S1,000.000 GENERALAGGREGATE $2.000,000 GEN LAGGREGATE LIMITAPPLIES PER: POLICY X PRO LOC PRODUCTS-COMP/OP AGO s2,000000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS Drive Other Car CAP3552975 5/01/2011 05/01/201 COMBINEDSINGLE LIMIT (Eaamldenl) $1.000000 BO DI LY INJURY (Per perm) $ BODILY INJURY (Per acddenl) $ ]XXX PROPERTY DAMAGE (Per eccitlem)$ $ UMBRELLA DAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION S $ b B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUiIVEY7 OFFICER/MEMSER EXCLUDED? (Myyandatory In NH) under.LDISEASE DESCIRIPTION OF OPERATIONS below NIA 4033353 0/01/2010 10/01/2011 X W RVTATU- OTn- E.L. EACH ACCIDENT S1.000000 EEAEMPLOYEE 57000, 000 E. L. DISEASE -POLICY LIMIT $1,000,600 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Anach ACORD tot, Addlaonal Remarks Schedule, I1 more apace is required) City of Fort Collins is listed as an Additional Insured as their interest may appear as respects General Liability. Insurance is primary and non-contributory. City of Fort Collins Purchasing Department Attn: James O'Neil PO Box 580 Ft Collins. CO 80522 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 to .,ii. ir .,0diLAte.0,,j I7%AJC. 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 - off The ACORD name and logo are registered marks of ACORD #S631473/MG08192 JZS To: 9702216707 From: Flood 6 Peterson Ins 7-21-11 2:51pm p. 3 of 3 This page has been left blank intendonally.