HomeMy WebLinkAbout210418 JAMES M. BARB CONSTRUCTION,INCCOI - City of Wheat Ridge (1)JAMEM.B-01
DSILVA
ACORL70 CERTIFICATE OF LIABILITY INSURANCE
46,
DATE (MM/DD/YYYY)
1 4/25/2022
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
Berger Briggs Insurance &Risk Solutions, Inc. An ISU Network Member
4333 Pan American Fwy NE, Suite A
Albuquerque, NM 87107
CONTACT Dolores Silva
NAME:
PHONE -FAx
(arc, No, Ext): (505) 2470444 laic, No):
a oR�Ess: dsilva@bbirs.com
INSURERS AFFORDING COVERAGE
NAIC #
9/15/2021
INSURER A: American Casualty Company of Reading Pennsylvania
20427
$ 130003000
INSURED
INSURER B : COtltlll@t1tal Casualty Company
20443
wsuReR c :Continental Insurance Co
35289
James M. Barb Construction, Inc.
wsuReR v :National Fire Insurance Company of Hartford
20478
10701 Ranchitos N.E.
Albuquerque, NM 87122
INSURER E
GEN'L
INSURERF:
GENERAL AGGREGATE
$ 230003000
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
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
2025638735
9/15/2021
9/15/2022
EACH OCCURRENCE
$ 130003000
DAMAGE TO RENTED
PREMISES Ea occurrence
130003000
$
MED EXP (Any oneperson)_
$ 153000
PERSONAL & ADV INJURY
$ 130003000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY X JECOT LOC
OTHER.
GENERAL AGGREGATE
$ 230003000
PRODUCTS - COMP/OP AGG
$ 230003000
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
2025637911
9/15/2021
9/15/2022
COMBINED SINGLE LIMIT
Ea accident
130003000
$
X
BODILY INJURY Per person
$
BODILY INJURY Per accident
$
PROPERTY DAMAGE
Per accident
$
C
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
2025642090
9/15/2021
9/15/2022
EACH OCCURRENCE
$ 1030003000
AGGREGATE
$ 1030003000
DED X RETENTION $ 103000
$
D
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
2025638007
9/15/2021
9/15/2022
X PER
STATUTE ERH
E.L. EACH ACCIDENT
$ 130003000
E.L. DISEASE - EA EMPLOYEE
$ 130003000
E.L. DISEASE - POLICY LIMIT
130003000
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Cit of Wheat Ride
City eag
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
7500 W. 29th Ave.
Wheat Ridge, CO 80033
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
City and County of Denver
Community Planning and Development
www.denvergov org/mntractor_iicensing
E -Licensing
ssued To:
JAMES M. BARB CONSTRUCTION INC
7700 EAST ARAPAHOE RD STE 220
CENTENNIAL, CO 80112
License/Registration Number LIC00261068
Expiration Date: 04/30/2025
License Type: Building Contractor -Class B2
By Authority of the Executive Director of
Community Planning and Development
Amount FundfOrgRevenue Code Payment Date Trans # Status
$25000 R351800.'-01010-0141200 64/142022 8926459 Paid
RENEWAL INFORMATION Renewal notices vrill be e-mailed to e-mail address on file.
Renewal information is available at www.denvergov.org/Contractor_Licensing.
INSPECTION INFORMATION Inspection requests called in by 12:00 a.m. vrill usually be
scheduled for the following working day.
Please provide the following information when
you call for an inspection:
J Pernit number
J Type of inspection and inspection code
Automated Inspection Request System: 720-865-2501
Inspections are performed Mon day th to u gh Friday.
Wallet Contractor ID Card MUST BE KEPT IN YOUR POSSESSION AT ALL TIMES.
City and County of Denver
It r34, 0012 Ulet•■ 4L` ItW-11:4 r]
E -Licensing
Cut on outside of line, then fold in half
License/Registration LIC00251058
No.:
This is to certify that JAMES M. BARB CONSTRUCTION INC has
been issued a Building Contractor- Class B2 license in the City and
County of Denver, beginning on 14 April 2022 and ending on 30 Apr
2025, unless license is revoked.
By Authority of the Executive Director of
Community Planning and Development
LIC. 100 (4/100) CPDA
City and County of Denver
Community Planning and Development
201 W COLFAX AVE DEPT 205
DENVER, COLORADO 80202
DENVER
Licenses & Certificates: 720.865.2770
Pennit Counter: 720.865.2720
Inspection Administration: 720.865.2505
Automated Inspection Request: 720.865.2501