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HomeMy WebLinkAbout128247 PIONEER SAND COMPANY INC - INSURANCE CERTIFICATE (3)ACORD,x THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Acordia Mountain West ONLY HOLDER. AND CONFERS NO RIGHTS THIS CERTIFICATE DOES UPON THE CERTIFICATE NOT AMEND, EXTEND OR Dept 1775 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Denver CO 80291-1775 COMPANY (719) 592-1177 A Wausau Underwriters Ins. Co. INSURED COMPANY Pioneer Sand Company, Inc. B Arch Specialty Insurance Co. COMPANY Pioneer Landscaping Materials PO Box 7650 Ci Pinnacol Assurance COMPANY Colorado Springs, CO 80933 D Fireman's Fund Insurance Co. 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 REOUIREMENT, TERMOR CONDITION OF ANY CONTRACTOR 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. LT R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDIYY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE F�] OCCUR OWNER'S & CONTRACTOR'S PROT TZCZ91439861037 1/01107 1/01/08 GENERAL AGGREGATE $ 2,000,000 X PRODUCTS-COMP/OP AGO _ S 2,000,000 PERSONAL & ADV INJURY $ 1,000,000 EACH OCCURRENCE _ S 1,000,000 FIRE DAMAGE (Any one fire) _ $ 100,000 MED 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 EXCESS LIABILITY 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 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE X OFFICERS ARE: EXCL 4018785 2/O1/07 2/O1l08 X WC STATU. OTH- RY IMI q EL EACH ACCIDENT $ 500,000 EL DISEASE -POLICY LIMIT $ 500,000 EL DISEASE -EA EMPLOYEE $ 500,000 D 0 D OTHER Property/ Inland Marine Leased/ Rented Equipment Motor Caro Legal Liab. MX198474175 MX198474176 MX198474175 9/01/06 9/01/06 9/01106 1 1/01/08 1/01/08 1/01/08 10,000,000 per Occurrence 600,000 per Occurrence 100,000 Leaal Liability IRE: Bid #5148 Infield Soil Mix LERATION D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Ft. Collins DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL P. 0. Box 580 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Ft. CoIIins, CO 80522-0580 ILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Y KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Sue Ellen Puerta 100520 CERTIFICATE: 198/001/ 00176