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109256 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