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HomeMy WebLinkAbout109256 BARKER CONSTRUCTION CO - INSURANCE CERTIFICATE (4)BARKCON-01 MARSHI
'4co�ro CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDD/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 rciONJ;kCT Shaleen Martin
Six & Geving Insurance, Inc. PHONE X
225 Union Blvd. #575 AIC, No, Et): (720) 962-0930 1 (aFAc, No):(720) 962-0942
Lakewood, CO 80228 . smartin@six-geving.com
INSURED
Barker Construction Co Inc.
Flip
142 North Timberline Road
Fort Collins, CO 80524
INSURER D :
INSURER E : -
INSURER F :
rfl\/CDAf-CC rCOTICtr ATC kI1111ADCD• 0C\/ICIAk1 IJI IIMDCD-
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 ADDLSUBR' POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS
A
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE _
$ 1,000,000
__
500,000
CLAIMS -MADE X OCCUR 'SX86476
5/1/2019
5/1/2020
DAMAGE TO RENTED
I Ea_ occ__
10,000
MED EXP (Any oneperson)
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
2,000,000
GEML AGGREGATE LIMIT APPLIES PER:
POLICY I " F l -1 LOC
PRODUCTS - COMP/OP AGG
2,000,000
OTHER:
A AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
a accident)
1,000,000
BODILY INJURY (Perperson)
X ANY AUTO
5X86476
5/1/2019
5/1/2020
_
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident
_ _
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
P OPERTY DAMAGE
erecadent)
_
A X_ UMBRELLA LIAR X OCCUR
EACH OCCURRENCE
1,000,000
EXCESS LIAB CLAIMS -MADE
5X86433
5/1/2019
5/1/2020
AGGREGATE
_
DED X RETENTION $ 0.
1,000,000
B WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YNN
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N / A
4033353
10/1/2018
X PER OTH-
10M12019
E.L. EACH ACCIDENT
E.L. DISEASE_- EA EMPLOYE
1 ,000,000
1000000
r ' _
1,000,000
If yes, descrbo under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
A Equipment Floater
SX86476
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)
License DM-374
rrcDTlclrATc unl ncD rAWrFI I ATInIJ
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins Neighborhood & Building
tY 9 g
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Services
P.O. Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80522
ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD