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HomeMy WebLinkAbout128247 PIONEER SAND COMPANY INC - INSURANCE CERTIFICATE (6)ACORD,a CERTIFICATE OF
LIABILITY
INSURANCE 12128/MIDDIYY,
2 /28/07
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Wells Fargo Insurance
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Services Mountain West, Inc
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
Dept 1775
COMPANY
Denver CO 80291-1775
(719) 592-1177
A Wausau Underwriters Ins Co
INSURED
COMPANY
Pioneer Sand Company, Inc
B Arch Specialty Insurance Ca
COMPANY
Pioneer Landscaping Materials
PO Be. 7650
C. Pine acol Assurance
COMPANY
Colorado Springs, CO 80933
Fireman's Fund Insurance Ca
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTA NDING ANY REQUIREMENT, 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
LR
T
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDD/YY)
POLICY EXPIRATION
DATE(MM/DDIYY)
LIMITS
A
GENERAL
LIABILITY
TBJZ91439861038
1/01/08
1/01/09
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS COMP/OP AGG
$ 2,000,000
COMMERCIAL GENERAL LIABILITY
H7
CLAIMS MADE FX1 OCCUR
PERSONAL & ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
OWNERS& CONTRACTORS PROT
FIRE DAMAGE (Any one fire)
$ 100,000
MED EXP (Any one person)
$ 5,000
A
AUTOMOBILE
LIABILITY
ASJZ91439561028
1/01/08
1/01/09
COMBINED SINGLE LIMIT
$
X
ANY AUTO
2.000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
GARAGELIABILITY
AUTO ONLY EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
B
EXCESS LIABILITY
ULP000226503
1/01/08
1/01/09
EACH OCCURRENCE
$ 10,000,000
gGGREGATE
$ 10,000,000
X UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
C
EMPLOYSCOMPENSATION AND
4018785
_
2/01/07
2/01/08
WC STATU OTH
X R�L1/11
EL EACH ACCIDENT
$ 500,000
THE P OR IETOR/LITY
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
EL DISEASE POLICY LIMIT
$ 500,000
EL DISEASE EA EMPLOYEE
Is 500,000
OFFICERS ARE EXCL
OTHER
D
Inland Marina/Property
MX198476005
1/01/08
1101109
$10,000,000 / $5,000 Ded
0
Leased & Rented Equipment
MX198476005
1/01/08
1/01109
$ 1,000,000 / $5,000 Ded
D
Motor Cargo Le al Liab
MX198476005
1/O1/08
1101109
$ 100,000 / $5,000 Ded
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS
RE Bid #5148 Infield Soil Mix
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ft Collins
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
P 0 Box 580
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Ft Collins, CO 80522-0580
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF Alg KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES
AUTHOR ED REPRESENTATIVE
e
phanie Stegner 100520
ACORD 25S 1195)
© ACORD CORPORATION 1988
CERTIFICATE 205/001/ 00176