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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