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HomeMy WebLinkAbout109256 BARKER CONSTRUCTION CO - INSURANCE CERTIFICATE (3)�1 BARKCON-01 MARSH1 ,4CORO CERTIFICATE OF LIABILITY INSURANCE 7D.TE(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 c CT Shaleen Martin Six & Geving Insurance, Inc. PHONE FAX 225 Union Blvd. #575 (A/C, No, : 20) 962-0930 Nc No.(720) 962-0942 Lakewood, CO 80228 AODAR s: smartin@six-geving.cQm INSURED Barker Construction Co Inc. Flip 142 North Timberline Road Fort Collins, CO 80524 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 EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X 5X86476 5/1/2019 5/1/2020 EACH OCCURRENCE DAM dGE TOPREES (Ea RE r0en 1,000,000 500,000 MED EXP (Any one arson 10,000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMPlOP AGG 2,000,000 Is A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONLDY 5X86476 5/1/2019 5/1/2020 COMBINED SINGLE LIMIT Me accident) 1,000,000 BODILY INJURY Perperson) $ BODILY INJURY (Per accident) $ Pena dent AMAGE $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 2 SM/2019 5/1/2020 EACH OCCURRENCE $ 1,000,000 AGGREGATE _ $ 1,000,000 DED I X I RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY 4033353 (A�NNY PROPRIETOR/PARTNER/EXECUTIVE Y � N` I � Wn My In NH) EXCLUDED? IN / A If yes, describe under DESCRIPTION OF OPERATIONS below 10H/2018 10/1/2019 X PER OER TH- E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYE 1,000,000 $ E.L. DISEASE - POLICY LIMIT _ 1,D00,000 $ A Equipment Floater 5X86476 5/1/2019 5/1/2020 Leased/Rented 300,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is named as additional insured on a primary & non contributory basis as respects General Liability if required by written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Engineering Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty g 9 p 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