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HomeMy WebLinkAbout109256 BARKER CONSTRUCTION CO - INSURANCE CERTIFICATE (5)BARKCON-01 AC— """ DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 14/24/2019 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 k%IACT Shaleen Martin Six & ion Bl Insurance, Inc. A/C,N , �; 720) 962-0930 ( , No):(720) 962-0942 225 Union Blvd. #575 - Lakewood, CO 80228 . smartin@six7goving.com INSURED Barker Construction Co Inc. Flip 142 North Timberline Road Fort Collins, CO 80524 INSURER F : !A♦iCOAI±CC /`COTICU ATC 6111aa000. DC\/IQInfJ tiI IMRFD- 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 ADDLSus POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE - $ 1,000,000 CLAIMS -MADE I I- ] OCCUR X SX86476 5/1/2019 5/1/2020 DAMAGE TORENTED 500,000 MED EXP (Any oneperson) 0,000 PERSONAL & ADV INJURY 1,0000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FX] PROT - LOC EC GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident). 1,000,000 - X ANY AUTO 5X86476 5/1/2019 511=20 BODILY INJURY Per arson _ BODILY INJURY Per accident BODILY OWNED SCHEDULED AUTOS ONLY AUTOS P OPERTY AMAGE er accident Ep AUTOS ONLY AUTOS ONLY L 1 1 $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE EXCESS LIAR CLAIMS -MADE S s"n 5/1/2019 5(1/2020 1,000,000 DIED X RETENTION $ 0 111 B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE N OFFICER/MEMBFFR EXCLUDED? ((Ma ndatory In NMI N/A �4033353 10/1/2018 X POTH- STERI ER 10/1/2019 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE 11000,000 1,000,000 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT A Equipment Floater SX86476 5/1/2019 5/1/2020 Leased/Rented 300,000 DESCRIPTION OF OPERATIONS / LOCATIONS / 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 contributorybasis as respects General Liability if required by written contract. GtKIII IGAIt HULUtK LAM IMLLAIIUIV City of Fort Collins Purchasing Dept. Attn: James O'Neil P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD