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HomeMy WebLinkAbout109256 BARKER CONSTRUCTION CO - INSURANCE CERTIFICATE (8)BARKCON-01 MAR: ,4t�0/ZO CERTIFICATE OF LIABILITY INSURANCE DATDfVYYV) 8/281228/2019 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(les) 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(sh PRODUCER Six & Geving Insurance, Inc. 225 Union Blvd. #575 Lakewood. CO 80228 INSURED Barker Construction Co Inc. Flip 142 North Timberline Road Fort Collins, CO 80524 Eat): (720) 962-0930 PC', No):(720) 962-0942 I; smartin@six-geving.com INSURER A:tmplOyerS MUtUal G8 INSURER s : Pinnacol Assurance INSURER C : INSURER D : INSURER E INSURER F 11e101vI4:7_Ldmlzdq4A11J[of3t412LS1,5I34 :4AVI& fe1:9:mh1-14: 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 Lam A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 CLAIMS -MADE X OCCUR X SX86476 5/1/2019 511/2020 DAMAGE AMSET RENTED occurrence) PRE_ .$ 500,000 MED EXP (Any one person) $ 10'000 PERSONAL S ADV INJURY $ 1'000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY X JET LOC PRODUCTS - COMP/OP AGG $ 2' '� OTHER: A AUTOMOBILE LIABILITY OE flBBIIINEEDD SINGLE LIMIT COMBINED 11000,000 $ X ANY AUTO X 5X86476 5/1/2019 5/1/2020 BODILY INJURY Per person _SCHEDULED OWNED AUTOS ONLY AUTOS BODILY INJURY Per accident BODILY $ AUTOS ONLY AUTOS ONLY (Per acciidentDAMAGE 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 YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICEto" in NH) EXCLUDED? N NIA (Mandatory In NH) X PERI OTH- 4033353 10/1/2019 10/1/2020 1,000,000 E. L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOVEE3 $ 1'000'000 11 yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMB 1,000,000 A Equipment Floater 5X86476 5/1/2019 5/1/2020 Leased/Rented 300,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached i1 more space is required) The City of Fort Collins is included as additional insured with respects General and Automobile Liability as required by written contract. City of Fort Collins 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 I U{THORIZEED�REP�RES\ENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD