HomeMy WebLinkAbout109256 BARKER CONSTRUCTION CO - INSURANCE CERTIFICATE (7)/`aaaN BARKCON-01 MAR:
144C,C>M U CERTIFICATE OF LIABILITY INSURANCE DATE
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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
Six & Geving Insurance, Inc.
t25 Union Blvd. #575
-akewood. CO 80228
INSURED
Barker Construction Co Inc.
Flip
142 North Timberline Road
Fort Collins, CO 80524
CONTACT
NAME:
962-0930
INSURER a: Pinnacol Assurance
INSURER E :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
962-0942
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 BY PAID CLAIMS.
INDR' TYPE OF INSURANCE
LTR
II,
_REDUCED
NM VINDADDL�� POLICY NUMBER
POLICY EFF POLICY EXP
A X I COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
1,000,000
CLAIMS -MADE �i OCCUR
X 5X86476
5/1I2919
_
PREMISES RENTED
5I1/2020 PREMISETO S occurrence)
500,000
10,000
MED EXP (Any one oerson),
1,000,000
PERSONAL a ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
2,000,000
POLICY X PRO- JEC7 LOC
PRODUCTS-COMP/OP AGG
OTHER:
A AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
accident)
ix 000
S _ r
X ANY AUTO X 5XB6476
5/1/2019 5/1/2020 BODILY INJURY (Per person)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY JPer accident)
$ _
HIRED NON -OWNED
HI S ONLY AUTO
PROPERTY AMAGE
(Per acadent
$
A X UM13RELLALIAB X OCCUR
EACHOCCURRENCE
$ 1,000,000
EXCESS LIAB CLAIMS -MADE 5X86433
5/1/2019 5/1/2020 AGGREGATE_
$
DED X RETENTION $ 0
_
1+000,0()0
_
B WORKERS COMPENSATION
ANY EMPLOYERS' LI EIILITYRTNERI YIN 4033353
ANY PROPREIETgOER/PARTNER/EXECUTIVE
(IMFr1daM=ry fn NN) EXCLUDED? N NIA
(Ma 1 NH
X I PERTUTE OTH.
ER
10/1/2019 10/1/2020
E.L. EACH ACCIDENT _
E.L. DISEASE -EA EMPLOYEE
$ _ 1,000,000
1,000.00 0
$
If yau. descdbc under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
1,000,000
A Equipment Floater 5X86476
5/112019 5/112020 Leased/Rented
300,000
DESCRIPTION OF OPERATIONS I 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
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins John Stephen, CPPO, LEED AP THE EXPIRATION ACCORDANCE WITH THE POLICY ATE THEREOF,
NOPROVIONS.TICE WILL BE DELIVERED IN
215 N Mason
Fort Collins. CO 80522
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD