HomeMy WebLinkAbout128247 PIONEER SAND COMPANY INC - INSURANCE CERTIFICATE (2)ACORDM
Acordia Mountain West
Dept 1775
Denver CO 80291-1775
(719) 592-1177
Pioneer Sand Company, Inc.
Pioneer Landscaping Materials
PO Box 7650
Colorado Springs, CO 80933
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A Wausau Underwriters Ins. Co.
COMPANY
B Arch Specialty Insurance Co.
COMPANY
Ci Pinnacol Assurance
COMPANY
Fireman's Fund Insurance Co.
......................
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEENISSUED TO THE INSUREDNAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT, TERMOR CONDITION OF ANYCONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICHTHIS
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.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDD/YY)
POLICY EXPIRATION
DATE (MMIDD/YY)
LIMITS
A
GENERALLIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [?I] OCCUR
OWNER'S & CONTRACTOR'S PROT
TZCZ91439861037
1/01/07
1101/08
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS-COMP/OP AGG
$ 2,000,000
PERSONAL & ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$ 100,000
MEO EXP (Any one person)
$ 5,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
ASCZ91439861027
1/01/07
1/01/08
COMBINED SINGLE LIMIT
$
2,000,000
X
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
B
EXCESSLIABILITY
X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
ULP0002265-02
1/01/07
1/01/08
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000,000
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
PROPRIETOR/ INCLPARTNERS/EXECUTIVE
ARE: EXCL
4018785
2l01107
2/01l08
X WC
EAC500,000THE
_ _EL
=$-,nn
EL DISE500,000OFFICERS
EL DISE500,000
D
D
0
OTHER
Property/ Inland Marine
Leased/ Rented Equipment
Motor Caro Legal Liab. j
UXISS474176
MX198474176
MX198474176
9/01/05
9/01/06
9/01/06
1/01/08
1/01108
1/01/09
10,000,000 per Occurrence
600,000 per Occurrence
inn nnn I ... I l;.k; I;...
IRE: Bid #5148 Infield Soil Mix
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ft. Collins EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MALL
P. 0. Box 580 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Ft. Collins, CO 80522-0580 BUT FAILURE TO MALL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Sue Ellen Puerta
CERTIFICATE: 198/001/ 00176