HomeMy WebLinkAbout109256 BARKER CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (2)5/l/2013 9:06 AM FROM: Flood and Peterson
TO: 9702216707
RARrn
P. 2
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE MIAM ON
5/01/2013yYY)
5/O7l2013
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, subjectto
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 and Peterson
Corporate Mailing Address:
P.O. Box 578 +''��
Greeley, CO80632 Q Y��
CONTACT
NAME: Brianne Danielson
PHONE 970 266-7118 AIC No 970 506-6846
A/C No Ext
ADDREss. &D:a nielsonC&FloodPelerson.com
cusroMER ID BARCO
INSURERIS)AFFORDING COVERAGE
NAIC4
INSURED
Barker Construction Company, Inc.
142 North Timberline Road
INSURER A: Bituminous Insurance
INSURER BPinnacol Assurance
:
Fort Collins, CO 80524
INSURER C
INSURER D:
INSURER E :
INSURER F :
nnVCCAn=Q "DT1CIPATC MIIMRCG. GCVISInMMIIMRFR-
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LtL
TYPE OF INSURANCE
POLICY NUMB ER
MWDDNYYV
MM/DOIPYYYY
LIMITS
A
GENERALUASIUTY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FXIOCCUR
X PD Ded:1,000
CLP3587252
5/01/2013
05/0112014
EACHOCCURRENCE
S1000000
PREMISES Ea ocanrw,,a
$300000
MEDEXP(Myonspereon)
$10000
PERSONAL& ADV INJURY
$1 000 000
GENERALAGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY f X PRO LOG
PRODUCTS COMPIOPAGG
$2000000
$
A
AUTOMOBILE
UASILRV
ANY ALTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
Drive Other Car
CAP3587253
1
5/01/2013
05101/2014
CEOMeBepl&D' INGLE LIMIT
$1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Par acddmil
$
1XXX
PROPERTY DAMAGE
(Pe-erdden¶$
$
$
UMB RELLA UAB
EXCESS UPS
OCCUR
CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
RETENTION
$
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIEIORrPARTNEWEXECUTIVEYIN
OFFICERIMEMBER EXCLUDE07
(Mand.I.,y In NH)
II yyes descrte under
DESG�RIPTION OF OPERATIONS Da'ow
NIA
4033353
0101/201210101/201
X W'-STATU-OTH
El EACHACCIDENT
$1000000
EL.DISEASE EA EMPLOYEE
$1 OOO OOO
EL. OISEASEPOLICY LIMIT
$1,000000
DESCRI PINION OF OPERATIONS, LOCATIONS I VEHICLES (Anach ACORD 101. AddWonal Remarks Schedule, It more apam Is requimd)
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 rtment;Attn: James O'Neil THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
g Pa ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Ft Collins, CO 80522 I AUTHORIZED REPRESENTATIVE
01988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S783705/M783696 BXD