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HomeMy WebLinkAboutBARKER CONSTRUCTION CO INC - INSURANCE CERTIFICATEBARKCON-01 MARE CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/1l7 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 CONTACT Sllaleen Martin NAME: _ Six & Geving Insurance, Inc. PHONE FAX 225 Union Blvd. WC, No, Ext): (720) 962-0930 (AIC, No):(720) 962-0942 Suite 575 ADDRIElss: smartin@six-geving.com Lakewood, CO 80228 INSURED Barker Construction Co Inc. Flip 142 North Timberline Road Fort Collins, CO 80524 INSURER E : INSURER F : Corn COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 10677 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 LTR TYPE OF INSURANCE ADDL SUBR pOUCY NUMBER POLICY EFF POLICY EXP IDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR ENP X EACH OCCURRENCE 05/01/2017 05/01/2018 DAMAGE TO RENTED PREMISES (Ea occurrence) 1,000,000 500,000 $ __ _ _ _ _ _ MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY 1,000,000 $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I —XI ipp E] LOC GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $ 2,000,000 $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a acci t 1,000,000 X BODILY INJURY Per Person)$ ANY AUTO __ _ OWNED SCHEDULED X EBA0383715 05/01/2017 05/01/2018 _ AUTOS ONLY AUTOS BODILY INJURY Per accident PPeOaERde DAMAGE AUTOS ONLY AUTOS ONE $ A► X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE EXCESS LIAB CLAIMS -MADE ENP 0383715 05/01/2017 05/01/2018 1,000,000 DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� (Mand Rory in NE1� EXCLUDED? NIA A 4033353 � 10/01 /2017 X PER OTH- SAT ER 10/01 /2018 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE 1,000,000 $ 1,000,000 If DES IPTIO under DESCRIPTION OF OPERATIONS below i E.L. DISEASE -POLICY LIMIT 1,000,0'00 q Leased/Rented Equip ENP 0383715 05/01/2017 05/01/2018 Limit 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 DATE THEREOF, NOTICE WILL BE DELIVERED IN Y P ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD