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Home My WebLink About102511 LAFARGE NORTHERN INC - INSURANCE CERTIFICATE (10)$ C d t t ssrwy 2 t t KIEe h$ y ? "' j " d M'IFF ". rim ...c n r r r r'::r r r r r nr".... r r r rr r r r r r. n £ _ .... 153 S _ ligry 'Sup € 2 CERTIFICATE NUMBER �y11r�' 1��i HOU 000108375-05 .' }4 h 2i PRODUCER MARSH USA INC 1601 ELM STREET 2100 THANKSGIVING TOWER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. DALLAS, TEXAS 75201 COMPANIES AFFORDING COVERAGE EMILY GUERRERO 2141765-8636 COMPANY 14815 --ALL-04/05 ARVADA A AMERICAN HOME ASSURANCE CO INSURED LAFARGE WEST, INC. LAFARGE NORTH AMERICA, INC. COMPANY B INSURANCE COMPANY OF THE STATE OF PA COMPANY 6870 W. 52nd AVE., SUITE 203 ARVADA, CO 80002 C NATIONAL UNION FIRE INSURANCE CO. COMPANY D N/A Qy :i:.y�y.��y�n,. �jyyj r4 54�. ry 4 t § id: n'4i d F-. 2 yr 82f�l Prig 944v rr 4 r r d F d 'i4 i3 :i rr{'jV� : r4 rrh4 24 S' i �r f$r {,'} _ .. m sd §, �' _:.: . '.... .. d t �. .. .. .. i kd;th.�3..:^v s?fl'h:}i' k ... THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIDD/YY) OMITS GENERAL LIABILITY GENERAL AGGREGRATE $ SEE BELOW A X COMMERCIAL GENERAL LIABILITY _I!5. X CLAIMS MADE OCCUR RMGLA 3314706 04/01/04 04/01/05 PRODUCTS-COMP/OP AGO $ 10,000,000 PERSONAL SAD/ INJURY $ 2,D00,000 OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 2,000.000 FIRE DAMAGE (Any one fire) $ 2,000.000 MED EXP (Any one parson) $ 5.000 A AUTOMOBILE LIABILITY CA5295930 AOS 04/01/04 04/01/05 A X ANY AUTO CA5295931 MA 04Po1Po4 04Po1Po5 COMBINED SINGLE LIMIT $ 5,000,000 A ALL OWNED AUTOS CAS295932 TX 04/01/04 04/01/05 BODILYINJURY A SCHEDULED AUTOS CA5295933 VA 04/01/04 04/01/05 (Pa Person) $ C HIREDAUTOS NON-OWNEDAUTOS CA5295934 OR 04/01/04 04/01/05 BODILY INJURY (Per accidenp $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WG3599061 AOS WC3599062 CO 04/01/04 04/01/04 04101/05 04/01/05 X WC STATU- OTH TORY LIMITS ER EL EACH ACCIDENT f'd z,y.:h $ 2,000,000 r' C THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE WC3599063 OR 04/01/04 04/01Po5 EL DISEASE -POLICY LIMIT $ 2,000,000 B OFFICERSARE: EXCL WC3599094 WI 04/01/04 04/01/05 EL DISEASE -EACH EMPLOYEE $ 20000p0 OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS GENERAL LIABILITY POLICY IS SUBJECT TO A PRODUCTS -COMPLETED OPERATIONS AGGREGATE ONLY. NO GENERAL AGGREGATE APPLIES AS THE POLICY WILL RESPOND TO EACH AND EVERY OCCURRENCE WITH A $1,000,000 LIMIT OF LIABILITY. . ate, }i: +. ...v.z:hti }.3.§..§g'� }y�ki +}§#mod.. i4, �hh ,�",_hS.k yr ,y h11 rii#�.'xi d. :: v11 .v:.. v ti hd'2i 'rvva R r.h h h • a .. 1 2 Gv..::. §"sth.�i.i*:s '3s 'r�v. y: .. v. -a r: d d i Lh ` SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS 256 WEST MOUNTAIN AVENUE WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH FT COLLINS, CO 80521 NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. MARSH USA INC BY Rex Cook S 'd3t F _ tir'3r.}� S4 rvivi. i+tivt 3 2::' r4S'Sd id:'rS+B vv Rv:d�'r':d :.lih. _ R: A30F . 04/01/04,, - a S r § i; i t "t II "a�jmqlivmg CERTIFICATE NUMBER RD El HOU 000113257 05 nr r4 F:_.+ 5 ;ii3 .... .. v.:: r r M. r.:i ' -� r r r rr S .... .. v .. h. _ h € ..:..v: mmm PRODUCER MARSH USA INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 1601 ELM STREET NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 2100 THANKSGIVING TOWER AFFORDED BY THE POLICIES DESCRIBED HEREIN. DALLAS, TEXAS 75201 COMPANIES AFFORDING COVERAGE EMILY GUERRERO 214l765-8636 COMPANY 14815 --ALL-04/05 FORT C A AMERICAN HOME ASSURANCE CO INSURED LAFARGE NORTH AMERICA, INC. COMPANY LAFARGE WEST, INC. B INSURANCE COMPANY OF THE STATE OF PA 1800 N. TAFT HILL ROAD COMPANY FORT COLLINS, CO 80521 C NATIONAL UNION FIRE INSURANCE CO. COMPANY D N/A v., . Sh 3A "i�vr$ P.Fill THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (I DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGRATE $ SEE BELOW A X COMMERCIAL GENERAL LIABILITY -AMIR RMGLA 3314706 04/01/04 04/01/05 PRODUCTS-COMP/OP AGO $ 10,000,000 CLAIMS MADE OCCUR PERSONAL &ADV INJURY $ 2,000,000 EACH OCCURRENCE $ 2,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 2,000,000 MED EXP (Any one person) $ 5.000 A AUTOMOBILE LIABILITY CA5295930 AOS 04/01/04 04/01/05 A X ANYAUTO CA5295931 MA 04/01l04 04/01/05 COMBINED SINGLE LIMIT $ 5,000,OD0 A ALL OWNED AUTOS CA5295932 TX 04/01/04 04/01/05 BODILY INJURY A SCHEDULED AUTOS CA5295933 VA 04/01/04 04/01/05 (Per person) $ C HIREDAUTOS CA5295934 OR 04/01/04 04/01/05 BODILY INJURY $ NON -OWNED AUTOS (per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANYAUTO OTHER THAN AUTO ONLY. "h;hhmil ;iiili! EACHACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ B WORKERS ON AND WC3599061 AOS 04/01A04 04l01/05 X UT LMITS EMPLOYERS' LIABILITY ToER A WC3599062 CO 04/01/04 04/01/05 EL EACH ACCIDENT $ 2,000,000 C THE PROPRIETOR/ X INCL PAFTTNERS/EXECUTIVE WC3599063 OR 04/01/04 04101/OS EL DISEASE -POLICY LIMIT $ 2,000,000 B OFFICERS ARE: IXCL WC3599094 WI 04/01/04 04/01/05 EL DISEASE -EACH EMPLOYEE $ 2000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS GENERAL LIABILITY POLICY IS SUBJECT TO A PRODUCTS -COMPLETED OPERATIONS AGGREGATE ONLY. NO GENERAL AGGREGATE APPLIES AS THE POLICY WILL RESPOND TO EACH AND EVERY OCCURRENCE WITH A $1,000,0D0 LIMIT OF LIABILITY. RE: MAKE ROAD IMPROVEMENTS ^h€�%€v�'�"hk h 3# ik .�: -:§.vdSsr § yip' h# 3 .u.'vli ."h' :Y'.uh {hll i SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 GAYS ATTN: MATT BAKER WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH 256 W MOUNTAIN AVE. NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER P.O. BOX 580 AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS FORT COLLINS, CO 80522-0580 CERTIFICATE. MARSH USA Rex eallm COOkCdS ..A§BY - � R� d d i/�$* �+ y�� vS !i:n ._ 2 .S $v 83i +}' k+, d.hd:i S'$ :hi§ Far; vt.d v�ir'':{'S�.'r y '' ,VALIDAS OF 04/01/04 v.: a 1e t t;{ j >• 4 t" : + t CERTIFICATE NUMBER R. H OU-00041780 - : 4 rvv ....................r r r 4.4ir. - v c ..hS 2.v r'y4S t 2 PRODUCER MARSH USA INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 1601 ELM STREET NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 2100 THANKSGIVING TOWER AFFORDED BY THE POLICIES DESCRIBED HEREIN. DALLAS, TEXAS 75201 COMPANIES AFFORDING COVERAGE EMILY GUERRERO 214/765-8636 COMPANY 14815 -•ALL-D4/05 FORT C A AMERICAN HOME ASSURANCE CO INSURED LAFARGE NORTH AMERICA, INC. COMPANY LAFARGE WEST, INC. IS INSURANCE COMPANY OF THE STATE OF PA 1800 N. TAFT HILL ROAD COMPANY FORT COLLINS, CO 80521 C NATIONAL UNION FIRE INSURANCE CO. COMPANY D N/A e� j , ,py��:,],y��'`y`yy�y ��II :v,111 v�.,- !�,},ml .v..r . r r 1+:2..^'L' L'£" v. .2.:�. 4Si. r ..:. � • SF p'Ell 4:4!T THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION OMITS LTR DATE (MMIDDIYY) DATE (MMIDDIYY) GENERAL LIABILITY GENERAL AGGREGRATE $ SEE BELOW A X COMMERCIAL GENERAL LIABILITY RMGLA 3314706 04/01/04 04/01/05 PRODUCTS-COMP/OP AGO $ 10,000,000 _!1 X CLAIMS MADE OCCUR PERSONAL &ADV INJURY $ 2,000,D00 EACH OCCURRENCE $ 2,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 2.000,000 MED EXP (Any we person) $ 5,000 A AUTOMOBILE LIABILITY CA5295930 AOS 04/01/04 04/01/05 A X ANY AUTO CA5295931 MA 04/01/04 04/01/05 COMBINED SINGLE LIMIT $ 5,000,000 A ALL OWNED AUTOS CA5295932 TX 04/01/04 04/01/05 BODILYINJURY A SCHEDULED AUTOS CA5295933 VA 04/01/04 04/01/05 (Per pal $ C HIREDAUTOS CA5295934 OR 04/01/04 04/01/05 BODILY INJURY NON-OWNEDAUTOS (Per acddanll $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: l EACH ACCIDENT $' AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ B WORKERS COMPENSATION AND WC3599061 AOS 04/01)04 04/01/05 �( WC STATU- OTH-,!!�5!'h4'„*,p; A EMPLOYERS' LIABILITY WC3599062 CO 04/01/04 04/01/05 TORY LIMITS ER EL EACH ACCIDENT gtf,:F r:+ha ;;,t;4;;'; $ 2,OD0,000 C THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE WC3599063 OR 04/01/04 04/01/05 EL DISEASE -POLICY LIMIT $ 2,000,000 B OFFICERS ARE: EXCL WC3599094 WI 0001/04 04/01/05 EL DISEASE -EACH EMPLOYEE $ 2,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS GENERAL LIABILITY POLICY IS SUBJECT TO A PRODUCTS -COMPLETED OPERATIONS AGGREGATE ONLY. NO GENERAL AGGREGATE APPLIES AS THE POLICY WILL RESPOND TO EACH AND EVERY OCCURRENCE WITH A $1,000,000 LIMIT OF LIABILITY. RE: 2002 SERVICE AGREEMENT. tii"i: -- 3 33 y+ ,,,,3,. ,�yy 33 r.3r.3yy �:T�S` 4 si ys�' :3¢. y,4i �h 'i �4;'t'2 g NON hvl,iS%R:.Yivnfv.ih3rbva v'�y'SvS v�..hFt y:'}�, N'£..r."S4 r.v .vv "^ry.viry.ct .M1 v4 ... t. :. F SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS P. O. BOX 580 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH FORT COLLINS, CO 80522 NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. MARSH USA INC BY Rex Cook hS +�. -0t4£h!'_I vrt v^v i5 {v Sv{'IrvS. v!'rvi. hvS; P::t: ?i4'S'L h.+v Fh h§.jj$ 's's`�'v4 llviSSf h'Z v= 2Srv$ i '3v: ."., :..4 :.t.:`s r .{E£'£::'t $: P4 .:5h'L 6 i h.. iX �`;°h.tt p.'�4t '�'� £h tk �vx. ik.,t'� VALIDASOF 04/01/04;'! 2 ^• t st t j ",scm s� 'v y "" i i� + CERTIFICATE NUMBER �� HOU-000559037.07 € PRODUCER MARSH USA INC 1601 ELM STREET 2100 THANKSGIVING TOWER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. DALLAS, TEXAS 75201 COMPANIES AFFORDING COVERAGE EMILY GUERRERO 2141765-8636 COMPANY 14815 --ALL-04/05 FORT C WAIVER ADDITI PRIMAR A AMERICAN HOME ASSURANCE CO INSURED LAFARGE NORTH AMERICA, INC. LAFARGE WEST, INC. COMPANY B INSURANCE COMPANY OF THE STATE OF PA COMPANY 1800 N. TAFT HILL ROAD FORT COLLINS, CO 80521 C NATIONAL UNION FIRE INSURANCE CO. COMPANY D 'v �Ny//A ,Fry yyr, fgy jj,�y :�Yr�.. h v n-,r�i"1:411 F2 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGRATE $ SEE BELOW A X COMMERCIAL GENERAL LIABILITY m X CLAIMS MADE OCCUR RMGLA 3314706 04/01/04 04/01/05 PRODUCTS-COMP/OP AGO $ 10,000,000 PERSONAL &AOV INJURY $ 2,000,ODO EACH OCCURRENCE $ 2.000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any we fire) $ 2,000,000 MED EXP (Any one person) $ 5,000 A AUTOMOBILE LIABILITY CA5295930 AOS D4/01/04 04/01/05 A X ANY AUTO CA5295931 MA 04/01/04 04/01l05 COMBINED SINGLE LIMIT $ 5,000,000 A A ALL OWNED AUTOS SCHEDULEDAUTOS CA5295932 TX CA5295933 VA 04/01/04 04/01/04 04/01/05 04/01/05 BODILYINJURY (Per person) $ C HIREDAUTOS NON -OWNED AUTOS CA5295934 OR 04/01/04 04/01/05 BODILY INJURY (per accidenp $ PROPERTYDAMAGE $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY- EACHACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC3599061 AIDS WC3599062 CO O4101/04 04/01A04 04/01/05 04/07/05 X I WC STATU- OTH- TORY LIMITS ER EL EACH ACCIDENT hFs . 'I. $ 2,000,000 C THEPROPRIETOR/ X INCL PARTNERS/EXECUTIVE WC3599063 OR 04/01/04 04/01/05 EL DISEASE -POLICY LIMIT $ 2,000,000 B OFFICERSARE: EXCL WC3599094 WI 04/01/04 04/01/05 EL DISEASE -EACH EMPLOYEE $ 2D00000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS GENERAL UABIUTY POLICY IS SUBJECT TO A PRODUCTS -COMPLETED OPERATIONS AGGREGATE ONLY. NO GENERAL AGGREGATE APPLIES AS THE POLICY WILL RESPOND TO EACH AND EVERY OCCURRENCE WITH A $1,000,000 LIMIT OF LIABILITY. RE: 2004 MATERIAL SALES. CERTIFICATE HOLDER IS AN ADDITIONAL INSURED (EXCEPT ON WORKERS' COMP) AS RESPECTS OPERATIONS OF THE NAMED INSURED WHERE REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER IS PROVIDED ON THE ,.v:... m'.:.c .a .. •:::: r.yaah 3h3.a r-::. v.i S. 2'.f':4 '8£lE my $dh'S {}arty .v _. . .v.ar'v'r3a'i �.r..:a... 'S.'..a a._r'. r- �r%.v. Ivv:§'f'ivi u'.: .v$$. ryR}..F' SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS P. O. BOX 580 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH FORT COLLINS, CO 80522 NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. MARSH USA INC BY Rex Cook AW �m -r4n-iti A; )'virs f4 ih3 ih'S ri4 riti h.' ri 55v+v '�.r-iSA by i4:�3h }k.§h .: Aa: 2i ri'2vv'.}4 }L _ ..._ :. , +. ih .. "Fn 3;a's '�'�.. $.fh 2. VALID,A30F ,04/01/04,4! No Text d ddi`+d�y d i 82 2.F ; 2 ��e��.t r.v :•r.i:•••r rtr, v{.r •r• -. v.i r. : CERTIFICATE NUMBER ; f a dt Tim HOU-00047142406 r. vvnfr:r PRODUCER THIS CERTI RCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH USA INC NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE 1601 ELM STREET POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 2100 THANKSGIVING TOWER AFFORDED BY THE POLICIES DESCRIBED HEREIN. DALLAS, TEXAS 75201 COMPANIES AFFORDING COVERAGE EMILY GUERRERO 214/765-8636 COMPANY 14815 --ALL-04/05 FORT C A AMERICAN HOME ASSURANCE CO INSURED LAFARGE NORTH AMERICA, INC. LAFARGE WEST, INC. COMPANY B INSURANCE COMPANY OF THE STATE OF PA COMPANY 1800 N. TAFT HILL ROAD FORT COLLINS, CO 80521 C NATIONAL UNION FIRE INSURANCE CO. COMPANY D N/A h mr 'i :'i : � j •h R C. n I' I� �iiiimii I r- YR Ir'�R�2' 'ri'c4'�� '� 8 2 1ir4 ,•h' :R ter. 3 a y, ,S y m ,r'�}y pi } S h.h• .v.. .. Fnn•--.• ... .hir•I§_11Vr r�r "• r£ F}:. • ... S .i THIS IS TO CERTI FY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDING ANY REOUI REMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 3UBJ ECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDIYY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGRATE $ SEE BELOW PRODUCTS-COMP/OPAGG $ 10,000,000 A X COMMERCIAL GENERAL LIABILITY RMGLA 3314706 04/01/04 04/01/05 X CLAIMS MADE OCCUR PERSONAL &ADV INJURY $ 2,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 2,000,000 FIRE DAMAGE (Any we fire) $ 2,000,000 MED EXP (Any one person) $ 5,000 A A X AUTOMOBILE LIABILITY ANY AUTO CA5295930 AOS CA5295931 MA 04/01/04 04/01/04 04/01/05 04/01/05 COMBINED SINGLE LIMIT $ 5,000.000 BODILY INJURY (Per person) $ A A ALL OWNED AUTOS SCHEDULED AUTOS CA5295932 TX CA5295933 VA 04/01/04 04/01/04 04/01/05 04/01/05 BODILY INJURY (per eoddenp $ C HIRED AUTOS NON -OWNED AUTOS CA5295934 OR 04/01/04 04/01/05 PROPERTYDAMAGE $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: f' fm"`i' i `" i 1,111111 ; EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ $ OTHER THAN UMBRELLA FORM B A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WC3599061 AOS WC3599062 CO 04/01/04 04/01/04 04/01/05 04/01/05 WC OTH- X TORY LLIMIIMITS ER EL EACH ACCIDENT "t*'•v>= ¢ > $� .2,000,000 C THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE WC3599063 OR 04/01/04 04/01/05 EL DISEASE -POLICY LIMIT $ 2,000,000 EL DISEASE -EACH EMPLOYEE $ 2000000 B OFFICERS ARE: EXCL WC3599094 WI 04/01/04 04/01/05 OTHER DESCRIPTION OF OPERATONS/LOCATIONSNEHICLES/SPECIAL ITEMS GENERAL LIABILITY POLICY IS SUBJECT TO A PRODUCTS -COMPLETED OPERATIONS AGGREGATE ONLY. NO GENERAL AGGREGATE APPLIES AS THE POLICY WILL RESPOND TO EACH AND EVERY OCCURRENCE WITH A $1,000,0()0 LIMIT OF LIABILITY. RE: CITY OF FORT COLLINS - ASPHALT OUTSIDE SALES. limiglimilimM d . f t,4 'h _+u� .h.. hdd d yi..F h .... f^�f^�yy:: h•' i'li ..._:S._ } - .• itv:. •.•. :4 rry v. r.F :d• v r hi'h h C $ Yi h"h T 3'3v1 v, i`. h �'yyy�. i € R. ira` h tm v:+'i' 'SI+: hr .'+yhy.. .tt•• ....yd4F F yFy44,} 33 .n millavgy..2:. h %§ y •::-:a c:c :a .�. a 2 2"'i Fi .•F {"'4S d.r. Slit 2' 4rd4 2� FSh ii v S.$` Sh: }h`.t .CB SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVORTO MAIL 30 DAYS P. O. BOX 580 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH FORT COLLINS, CO 80522-0580 NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. MARSH USA INC BY., Rex Gook 2 vi 2 b r'F 5 R 5! 8 :3•'i h+ : £ '4 • h: ,3y ,y�r'i$ Jh'i i' ri'd:d 'th Y: i r,r v..v .d .i3 i .r, v., '•': d;,_S;h y4 h dy3i F Fd h+h 3:' „ „ n. '� v i Sd h..S $ .y h h § h .f.,h 38 r£, .} ". �' :'i .: :rS :3•: '•4 �4 rh v4i4'r4 a hS'd F. t,i h S d _S'6'S,yFt tt.a $ t,VALID A90F 04/01/04 ;, a >• y�i + CERTIFICATE NUMBER s $i'!wMml ty d d ��' d s d� hM� $ HQU-000561801-11 ' day dj a 4fx i� dgg r --"+ -. F.r{u:• h:i + PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH USA INC NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE 1601 ELM STREET POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 2100 THANKSGIVING TOWER AFFORDED BY THE POLICIES DESCRIBED HEREIN. DALLAS, TEXAS 75201 COMPANIES AFFORDING COVERAGE EMILY GUERRERO 2141765-8636 COMPANY 14815 --ALL-04/05 FORT C WAIVER ADDITI PRIMAR A AMERICAN HOME ASSURANCE CO INSURED LAFARGE NORTH AMERICA, INC. LAFARGE WEST, INC. COMPANY g INSURANCE COMPANY OF THE STATE OF PA COMPANY 1800 N. TAFT HILL ROAD FORT COLLINS, CO 80521 C NATIONAL UNION FIRE INSURANCE CO. COMPANY D�y N/A yry��3y till" "i +v h!^^�TS, d'I b44RF1'T.e#u::8 uFi .r. ;"S'+'4"�3 h FF R r. .. • a.' S'd 4:S4$'vi{! .h' F:/Fr. S +F+:{ir§f fit§ t":. +' L�'y"{-0 !i THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YY) POLICY EXPIRATION DATE(MM/DD(YY) LIMITS GENERAL LIABILITY GENERAL AGGREGRATE $ SEE BELOW PRODUCTS-COMP/OPAGG $ 10,000,000 A X COMMERCIAL GENERAL LIABILITY RMGLA 3314706 04/01/04 04/01/05 -'17. ;15 X CLAIMS MADE OCCUR PERSONAL &ADV INJURY $ 2,000,000 EACH OCCURRENCE $ 2,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any we fire) $ 2,000,000 MED EXP (Any one person) $ 5,000 A AUTOMOBILE LIABILITY CA5295930 AOS 04/01/04 04/01/05 COMBINED SINGLE LIMIT $ 5,000,000 A X ANYAUTO CA5295931 MA 04/01/04 04/01/05 BODILYINJURY (Per purem) $ A A ALL OWNED AUTOS SCHEDULED AUTOS CA5295932 TX CAS295933 VA 04/01/04 04101/04 04/01/05 04/01/05 BODILY INJURY (per accident $ C HIRED AUTOS NON -OWNED AUTOS CA5295934 OR 04/01/04 04/01/05 PROPERTYDAMAGE $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: Ill ,zl+t�I;II!F,I;,!'j;t*41 t EACHACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC3599061 ADS WC3599062 CO 04/01/04 04/01/04 04/01/05 04/01/05 X WC STATU- OTH- TORY LIMITS ER,'�;,�#2t,!;!+"h"$jk3:#n EL EACH ACCIDENT Fii;, uiiiilh $ 2,000,000 C THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE WC3599063 OR D4/01/04 04/01/05 EL DISEASE -POLICY LIMIT $ 2,000.000 EL DISEASE -EACH EMPLOYEE $ 2 000 000 B OFFICERS ARE: EXCL WC3599094 WI 04/01/04 04/01/05 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VENICLES/SPECIAL ITEMS GENERAL LIABILITY POLICY IS SUBJECT TO A PRODUCTS —COMPLETED OPERATIONS AGGREGATE ONLY. NO GENERAL AGGREGATE APPLIES AS THE POLICY WILL RESPOND TO EACH AND EVERY OCCURRENCE WITH A $1,000,000 LIMIT OF LIABILITY. RE: ASPHALT OVERLAY PROJECT. CERTIFICATE HOLDER IS AN ADDITIONAL INSURED (EXCEPT ON WORKERS' COMP) AS RESPECTS OPERATIONS OF THE NAMED INSURED WHERE REQUIRED BY WRITTEN CONTRACT. WHERE REQUIRED BY WRITTEN CONTRACT, WAIVER OF SUBROGATION IN FAVOR OF THEgigc �L y y, "v'.v : ti3$'iS$2.iv .E +ahyav'k'v .2:.*_via 2-.' F N Z .v'+"'. SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS P. O. BOX 580 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH FORT COLLINS, CO 80522 NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. MARSH USA INC Aq BY: Rex Cook '-. 3 h .. h �^+ f: Gd d._ 'v3 T"i +d"i�4 'V' A{`fd+A+j.i i^'hF VALIDAS OF 04/01/04 rv: No Text