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109256 BARKER CONSTRUCTION CO - INSURANCE CERTIFICATE
�•'1 BARKCON-01 MARSHI CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/24/2019 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 rc�AhNlEACT Shaleen Martin Six $ Geving Insurance, Inc. PHONE FAX 225 Union Blvd. #575 Wc, No, Ext): (720) 962-0930 (AfC, No>:(720) 962-0942 Lakewood, CO 80228 I�6, smartin@six-geving.com INSURED Barker Construction Co Inc. Flip 142 North Timberline Road Fort Collins, CO 80524 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. _ ICY EXP LIMITS LTRA INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF75/1/2020 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X 5X86476 5/1/2019 DAMAGE TO RENTED -PRMED $ 500,000 EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY 1,000,000 _ GENL AGGREGATE LIMIT APPLIES PER: POLICY FX PIS [7] LOC GENERAL AGGREGATE 2,000,000 PRODUCTS_ COMP/OP AGG 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 dent) X ANY AUTO X .5X86476 5/1/2019 5/1/2020 BODILY INJURY (Perpersonl OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY fPer accident) , $ AUTOS ONLY AUTOS ONE OPERTY MAGE er accident $ S A X uMBRELLALim X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESSLIAB CLAIMS -MADE SX86433 5/1/2019 5/1/2020 AGGREGATE $ DIED I X I RETENTION $ 0 1,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIET EER/PARTNER/EXECUTIVE N ggO �AandER/M in NH) EXCLUDED? atoryE.L. N/A 4033353 10/1/2018 10I112019 X I PER OTH- TALI!TE E.L. EACH ACCIDENT 1,000,000 DISEASE - EA EMPLOYEE $ 1r000,000 H • as, dascrbe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Equipment Floater 5X86476 5/1/2019 5/1/2020 Leased/Rented 300,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins is included as additional insured with respects General and Automobile Liability as required by written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD