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HomeMy WebLinkAbout109256 BARKER CONSTRUCTION CO - INSURANCE CERTIFICATE (10)BARKCON-01 MARS A�IRO CERTIFICATE OF LIABILITY INSURANCE DATE 2912019 ' 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 endorsemeMfs). PRODUCER Six & GevingI surance,Inc. 225 Union Blvd.#575 Lakewood, CO 80228 INSURED Barker Construction Co Inc. Flip 142 North Timberline Road Fort Collins, CO 80524 uc°,No, Ext): (720) 962-0930 FAX, Not(720) 962.0942 ise; smartin@six-geving.com INSURER A: CmptOyers Mutual it:asuaRy. t:Ompany INSURERS: Plnnacal Assurance INSURER C : INSURER D : INSURER E : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 FF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE X OCCUR X $X86476 5/1/2019 5/1/2020 PREMSES EGE TO aoc�Dnce) . $ 500,000 10,000 MED EXP (Any one person) $ _ 1,000,000 PERSONAL& ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY X jECT I LOC 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 5/1/2020 BODILY INJURY (Per person) i OWNED SCHEDULED AUTOS ONLY AUTOS SSwNE BODILY INJURY (Per aalderd)� S AUTOS ONLY AUU ONLDV _ {PerOecca�erd $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LUIB CLAIMS -MADE 5X86433 5/1/2019 5/1/2020 AGGREGATE $ DEDETENTIONS 0 _ 1,000,000 _ B WORKERS COMPENSATION X PER OTH- STATU AND EMPLOYERS LIABILITY YIN 4033353 10/1 /2019 10/1I2020 'ANY 1,000,000 PROPRIETOR/PARTNERIEXECUTIVE N NIA E.L. EACH ACCIDENT $ _ WQ�n'CER/MEM%W EXCLUDED' 1,000,000 j (Mandatory l^ NX) E L. DISEASE - EA EMPLOYEE, $ if yes describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT A Equipment Floater 5X86476 5/1/2019 5/1/2020 Leased/Rented 300,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Certificate Holder Is named as additional insured on a primary & non contributory basis as respects General Liability if required by written contract. City of Fort Collins Engineering Dept 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 CJ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD