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HomeMy WebLinkAbout109256 BARKER CONSTRUCTION CO - INSURANCE CERTIFICATE (11)BARKCON-01 MAR; CERTIFICATE OF LIABILITY INSURANCE DATEa/iiMMat�n�o7nioVY) 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 endorsements . PRODUCER CONTACT Shaleen Martin NAME: Six & Geving Insurance, Inc. 'PHONE FAX !7 225 Union Blvd. #575 (A/C. No. Ext); (720) 962-0930 Alt, Ro:(720) 9624)942 Lakewood, CO 80228 E-MAIL ADDRESS: smartin@six-geving-com INSURED Barker Construction Co Inc. Flip 142 North Timberline Road Fort Collins, CO 80524 INSURER A: Employers Mutual C INSURER B : Pinnacol Assurance INSURER D : 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 �ADOCSUBR' POLICY NUMBER POLICY EFF POLICY EXIPLTR LIMBS A X I COMMERCIAL GENERAL LIABILITY _ EACH OCCURRENCE _ _ _ _$ _1,000W CLAIMS -MADE X OCCUR SX88476 5/1/2019 5/112020 DAMAGE(Es RCo �. $ 500,000 10,000 MED EXP (Any one person) $ 1,000,006 PERSONAL& ADV INJURY $_ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2r006'000 POLICY X] JpECT F LOC _ PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY `EOMBIBI'NdEDISINGLE LIMIT $ 1,000,000 X ANY AUTO 5XB6476 5/1/2019 5/1/2020 _BODILY INJURY Pej_ro"son $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident HIRES NON yyNEp AUTOS ONLY ONN PROPERTY pAMAGE $ AUTO (Per accident) _ _ It A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 $ EXCESS LIAe CLAIMS -MADE SX86433 5/1/2018 5/1/2020 _ AGGREGATE DED X RETENTION 0 1,000,000 _ B WORKERS COMPENSATION PER OTH X AND EMPLOYERS'LIABILITY Y / N _-STASUTE-1— $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE 4033353 10/1 /2019 10/1l2020 N NIA E.L. EACH ACCIDENT jpa�,15 R/MEMgW EXCLUDED? (IY4ndMeryla NM) 1,000,000 E.L. DISEASE - EA EMPLOYE $ If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 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 if more space is required) License DM-374 City of Fort Collins Neighborhood & Building Services 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