HomeMy WebLinkAbout109256 BARKER CONSTRUCTION CO INC - INSURANCE CERTIFICATE (11)To: 9702216707 From: Flood 6 Peterson Ins 9-13-11 6:07pm p. 2 of 3
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RARCO
ACORD CERTIFICATE OF LIABILITY INSURANCE
DA09/13/2011YY)
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: N the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 8 Peterson Ins., Inc.
P. O. Box 578
Greeley, CO 80632
970356-0123
N„ME, Jennifer Winter
v11CNE A C Ne Ea 970 28B-7747 A,c, Nq 970 506.6846
ADDRESS, Jennifer.Winterpfpinsurance.com
CUSTOMER ID f,
INSURERIS) AFFORDING COVERAGE
NAICI
INSURED
Barker Construction Company, Inc.
142 North Timberline Road
Fort Collins, CO 80524
INSURER A: Bituminous Insurance
INSURER BPinn icol Assurance
INSURER C
INSURED 0:
NSURER E:
INSURER F:
nn DEC F¢ r FRTIFICATP NIIMRFR- REVISION NUMRER:
THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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 T
TYPE OF INSURANCE
POLICYNUMBER
fMWDDIYYYY
POLICY
OMITS
A
GENERALUABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS-MADEA OCCUR
X PD Ded:1,000
CLP3552974
5/01/2011
05/01/2012
EACHOCCURRENCE
$1000000
PREMISES(Ea ocomeno
$300,000
MEDEXP(AuVone Person)
$10000
PERSONAL& ADV INJURY
$1 000 000
GENERALAGGREGATE
s2,000,000
GEN'LAGGREGATE
POLICY
LIMIT APPLIES PER.
X PRO CDC
PRODUCTS COMP/OP AGO
s2,000,000
$
A
AUTOMOBILEUASILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
AWNED AUTOS
Drive Other Car
CAP3552975
5/01/2011
05/01/2012
COMBINED SINGLE LIMB
(Ea a«uem)
$1000000
BODILY INJURY (Per person)
$
BODILY I NJURY(Per redden)
$
1XXX
PROPERTY DAMAGE
(Per ecddeni)NON
$
$
UMBRELLA OAS
EXCESS DAB
OCCUR
CLAIMS -MADE
EACH OCC ORR ENCE
$
AGGREGATE
$
DEDUCTIBLE
RETENTION
$
$
B
WORKERS COMPENSATION
AND EMPLOYERS UABIL rYJ7ST
ANY PROPRIETOWPARTNEIEXECUTIVEY/R
OFFICERRAEM.BER EXCLUDED? ❑
(Myendel., In NH)
DIf ES,RI PTION OF OR ERATI ONS balaw
WA
4033353
0/01/2011
I
10/01/2012
X we STATU. oTH-
LIM17S ER
ER
E.L EACHACCIDENT
$1000000
EL DISEASE - EA EMPLOYEE
$1 000 DOD
EL.DISEASE - POLICY LIMIT
1$1,000,000
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Anach ACORD 101, Addillonal Ramarka Schedule, It mom 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Purchasing De rtrnent;Attn: James O'Neil THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
9 Pa ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
R Collins, CO 80522 AUTHORIZED REPRESENTATIVE
/=i<>od 7, All-.4vsowl , z.✓C.
01988.2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD
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