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HomeMy WebLinkAbout109256 BARKER CONSTRUCTION CO - INSURANCE CERTIFICATE (6)BARKCON-01 AC- "K" CERTIFICATE OF LIABILITY INSURANCE 1DATE 4/24/20 9YY) 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 CONTACT Shaleen Martin NAME: Six & Geving Insurance, Inc. PHONE FAX 225 Union Blvd. #575 A/C, No, Eat : (720) 962-0930 aC, No :(720) 962-0842 Lakewood, CO 80228 oeessz smartin@slx-goving.com INSURED Barker Construction Co Inc. Flip 142 North Timberline Road Fort Collins, CO 80524 INSURER C : INSURER.E INSURER F : el -IN"eoAnce reoTlclr ArC 41111012=0- I79:V14Intd tJIIMRFR- 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. INSRL.TYPE OF INSURANCE 11ADDL SINSD viUBR POLICY NUMBER MOLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGEEMISETO RENTED Cam,_ 500,000 CLAIMS -MADE X OCCURX $X86476 $/1/2019 $/1/2020 — MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC �X GENERAL AGGREGATE , $ 21000,000 PRODUCTS - COMP/OP AGG 1 $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Scciden 1,000,000 BODILY INJURY Per arson X ANY AUTO X 5X86476 5/1/2019 5/1/2020 BODILY INJURY Per accident f OWNED I... SCHEDULED AUTOS ONLY AUTOS orMkid AMAGE or accident AUTOS ONLY AUTOSWONLDY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE EXCESS LAB CLAIMS -MADE 5X86433 5/1/2019 5/1/2020 $ 1,000,000 DELI I X RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YNN QEFICER/MEMBER EXCLUDED? a ,datory in NH) - N / A 4033353 1011/2018 10/1/2019 OTH- PER T EIR X I E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE $ 1,000,000 -- if yes. ,,���.,yo „�.a�. I DESCRIPTION OF OPERATIONS below - --- --- - --- — E.L. DISEASE - POLICY LIMIT ---- — — S 1,OrSC,Cvu A IEquipment 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) Certificate Holder is named as additional insured as respects General and Automobile Liability if required by written contract. RE: Hauling Services 2016 Ia SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins John Stephen, CPPO, LEED AP THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y P ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason 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