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109256 BARKER CONSTRUCTION CO - INSURANCE CERTIFICATE (12)
BARKCON-01 MARE A�CO'RO CERTIFICATE OF LIABILITY INSURANCE OATE R/?R/7niaVV) 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 riahts to the certificate holder in lieu of such endorsementisl. 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 PHONE (A/C. No, Ezy: (720) 962-0930 (Nt, No):(72( E MAIL RESS: @s•-gm9• smarlin tx ev' eom ADD _ INSURER(S)AFFORDING COVERAGE INSURER A: Employers Mutual Casualty Company_ INSURER C : INSURER E : COVERAGES CERTIFICATE NUMBER- RFVISInN NUMRFR- %2-0942 21415_ _ 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. MSR I TYPE OF INSURANCE ADOLISUBR POLICY NUMBER POLICY EFF POLICY EXP ILTR A X. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR 5X86476 5/1/2019 5/1/2020 _ X DAMAGE TO RENTED PREMISES (Ea occurrence). _ $ 500,000 MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY s 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X� JECT ` LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CO eBIINdED SINGLE LIMIT I S �EaX 1,000,000 ANY AUTO 5X66476 511/2019 5/1/2020 BODILY INJURY Per arson $ OWNED 'SCHEDULED AUTOSONLY AUTOS SSyy BODILY INJURY (Per accident)__$ _ Ep A11T030NLV AUTOS ONLY PerOe�iC�nt AMAGE $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE 1,000,000 EXCESS LIAR CLAIMS-MADEI 5X86433 5/1/20119 5/1/2020 AGGREGATE DED X RETENTION$ 0 1,000,000 _ B WORKERS COMPENSATION X EA OTH AND EMPLOYERS'LIABILITY YIN 4033353 10/1/2019 10/112020 TE 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/M MBER EXCLUDED? N NIA E.L. EACH ACCIDENT S —_ (Mandatory n ) NH E.L= DISEASE —EA _E_M_PLOYEEj $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - P LILY 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 N 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 Purchasing Dept. Attn: Jarrros O'Neil 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. AUUTHOREWD REPRESENTATIVE ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD