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Home My WebLink AboutLAFARGE WEST - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE 04/01/2008 03/28/2007' PRODUCER LOCKTON COMPANIES, LLC•1 KANSAS CITY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 444 W. 47th Street, Suite 900 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Kansas City Mo 64112-1906 ALTER THE COVERAGE AFFORDED BY THE POLIOW. (816) 960-9000 INSURERS AFFORDING COVERAGE INSURED LAFARGE WEST INC INSURER A: AMERICAN HOME ASSURANCE CO. 1060502 CONCRETE/AGGREGATE INSURER B: NATIONAL UNION FIRE INS CO. 1800 N. TAFT HILL RD. IN5URER C INS CO. STATE OF PA FORT COLLINS CO 80525 ILLINOIS NATIONAL INS. CO. T w T T�nI THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSIIINn 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWDDlYY POLICY EXPIRATION DATE MWDDNY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 2 OOO 000 A X COMMERCIAL GENERAL LIABILITY X CLAIMS MADE OCCUR 5836153 04/01/2007 04/01/2008 FIRE DAMAGE (Any one fire $ 500,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 200,000 GEN'L AGGREGATE LIMIT APPLIES X o- POLICY JPRECT PER: LOC PRODUCTS- COMP/OP AGG 1 $ 2,000,000 AUTOMOBILE LIABILITY A ANY AUTO 6074990 (AOS) 04/01 /2007 04/01/2008 (O accident, INGLE LIMIT $ 2,000,000 A ALL OWNED AUTOS 6075856 (MA) X B SCHEDULED AUTOS 6075857 (OR) BODILY INJURY (Per person) S XXXXXXX A X HIRED AUTOS 6075858 (VA) NON -OWNED AUTOS BODILY INJURY (Per accident) S XXXXXXX X PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX $ XXXXXXX AUTO ONLY: AGG EXCESS LIABILITY OCCUR CLAIMS MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX S XXXXXXX El XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ C WORKERS COMPENSATION AND 29214I0 (AO$) 04/01/2007 04/0I/2008 X NIC STA11U. OTH- B EMPLOYERS' LIABILITY 2921416 (OR) E.L. EACH ACCIDENT $ 2,000,000 C 2921417 (WI)/2921415 (NJ) E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 A 2921411 CA D D D OTHER WORKERS COMPENSATION 2921412(FL) 2921414 (MI) 2921413 (LA, ND, OH, WA, WV, WY) DESCRIPTION OF OPERATIONS20CATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE OF INSURANCE PERTAINS TO ANY PARTICULAR LOCATION/CONTRACTATEM/VEHICLE OR IF THERE ARE ANY SPECIAL REQUIRMENTS. CITY OF FORT COLLINS IS ADDITIONAL INSURED (EXCEPT ON WORKER'S COMP) AS RESPECTS OPERATIONS OF THE NAMED INSURED WHERE REQUIRED BY WRITTEN CONTRACT. RE. JOB: CITY OF FORT COLLINS LIGHT & POWER 2006. 2491751 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY FORTCOLLINS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 ATTN: JOHN STEPHEEPHEN DAYS WRITTEN PO BOX 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL FORT COLLINS CO 80522-0580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S (7/97) For questions regarding thi.certificate,comaetthenumher listed inthe 'Pmducer' section ahoveand specitythe client code 'LAFNOet'. a AEOF1151 CORPORATION I QRR ACORQ,. CERTIFICATE OF LIABILITY INSURANCE W01/2008 DATE ii8/2007' PRODUCER LOCKTON COMPANIES, LLC-1 KANSAS CITY 444 W. 47th Street, Suite 900 Kansas City Mo 64112-1906 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. INSURERS AFFORDING COVERAGE (816) 960-9000 INSURED LAFARGE WEST, INC. 1060502 NORTHERN PAVING INSURER A: AMERICAN HOME ASSURANCE CO. INSURER B: NATIONAL UNION FIRE INS CO. NaLIRER C INS CO. STATE OF PA 1800 N. TAFT HILL ROAD FORT COLLINS CO 80521 iNsugrg D ILLINOIS NATIONAL INS. CO. r IIIJ 4Cn llt-IVMIC Vf•IIYJYr5N1YVC UVCJ 1YV 1 l U!V I I I U I CA �VIN I HAU 'tSt I WCCN I Pit: 1 bUING COVERAGES I.QITICIHI T•]t tucntacnrm AUTunnnen ocooccurtwrrvc nm 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWDD/YY POLICY EXPIRATION DATE MMIDDlYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 FIRE DAMAGE (Any one fire $ 500,000 A X COMMERCIAL GENERAL LIABILITY X CLAIMS MADE OCCUR 5836153 04/01/2007 04/01/2008 MED EXP (Any oneperson) $ 5 000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES X POLICY JECT PER: LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY A ANY AUTO 6074990(AOS) 04/01/2007 04/01/2008 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 X BODILY INJURY (Per person) $ XXXXXXX A B ALL OWNED AUTOS SCHEDULEDAUTOS 6075856 (MA) 6075857 (OR) A HIRED AUTOS NON -OWNED AUTOS 6075858(VA) X BODILY INJURY (Per accident) $ XXXXXXX X PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX OTHER THAN EA ACC $ XXXXXXX ANY AUTO NOT APPLICABLE $ XXXXXXX AUTO ONLY: AGG EXCESS LIABILITY OCCUR CLAIMS MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX $ XXXXXXX UMBRELLA XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ C WORKERS COMPENSATION AND 2921410 (AOS) 04/01/2007 04/01/2008 OTH- X TORY LIMIT B EMPLOYERS' LR IABILY 2921416 (OR) E.L. EACH ACCIDENT $ 2,000 000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 C 2921417 (WI)/2921415 (NJ) E.L. DISEASE -POLICY LIMIT 1 $ 2,000,000 A 2921411 CA D D D OTHER WORKERS COMPENSATION 2921412(FL) 2921414 (MI) 2921413 (LA, NO, OH, WA, WV, WY) DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE CITY OF FORT COLLINS AND THE CITY OF FORT COLLINS ENGINEERING DEPARTMENT ARE ADDITIONAL INSUREDS (EXCEPT ON WORKER'S COMP) AS RESPECTS OPERATIONS OF THE NAMED INSURED WHERE REQUIRED BY WRITTEN CONTRACT. RE: ASPHALT OVERLAY PROJECT 2005 2257039 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 ATTN: JAMES O'NEILL DAYS WRITTEN PO BOX 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL FORT COLLINS CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S (7/97) Forquestlonsragardingthiscertmoste,contactthenumlerlistedInths'Producersectionalowendspecifytheclientcode'LAFNOeI'. a AE'0Ffb CORPORATIONI9RR