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Home My WebLink About109256 BARKER CONSTRUCTION CO INC - INSURANCE CERTIFICATE (20)BARKCON-01 A ORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/11 /2018 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 have ADDITIONAL INSURED provisions or 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 NqM•"-" " _ _ Six & Geving Insurance, Inc. P"coNN Exe : (720) 962-0930 FAX No :(720) 962-0942 225 Union Blvd. #575 Lakewood, CO 80228 . smartin@six-geving.com INSURERS AFFORDING COVERAGE NAIC K INSURER A: Em to ers Mutual Casualty Company 21415 INSURED INSURERS: Pinnacol Assurance _ _ 41190 Barker Construction Co Inc. INSURERC: Flip 142 North Timberline Road INSURERD: Fort Collins, CO 80524 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. INSR TYPE OF INSURANCE ADDL SUBR��, POLICY NUMBER POLICY EFF POLICY MMID Y PILTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X 5X86476 05/0112018 EACH OCCURRENCE 05/01/2019 DAMAGE TO RENTED PREMISES (Ea occu MED EXP (Any oneperson) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/0P AGG 1,000,000 500,000 10,000 110001000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY l X PE LOC OTHER: 1 2,000,000 $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONL� X 5X86476 05/01/2018 O5/0112019 CO aBINED ccident)SINGLE LIMIT $ 1,000,000 BODILY INJURY Per erson $ BODILY INJURY Per accident PPeOraccideTMnt AMAGE A X_ UMBRELLALIA13 EXCESSLUIB X OCCUR CLAIMS -MADE 5X86433 05/01/2018 05/01/2019 EACH OCCURRENCE AGGREGATE 1 1,000,000 1,000,000 DED X RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) �f � ec, d-=ft undar 1 DESCRIPTION OF OPERATIONS below N / A X I PER OTH- 4033353 10/0112018 10/01/2019 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE_ E.L. DISEASE - POLICY LIMIT 11000,000 1,000,000 1,000,000 A Equipment Floater 5X86476 05/01/2018 05/01/2019 iLeased/Rented 300,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, ma be attached if more space is required) Certificate Holder is named as additional insured as respects General and Automobile Liability if required by written contract. RE: Hauling Services 2016 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins John Stephen, CPPO, LEED AP THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY P ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE 3Q_,� ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD