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Home My WebLink About102511 LAFARGE NORTHERN INC - INSURANCE CERTIFICATE (11)ACORD. CERTIFICATE OF LIABILITY INSURANCE 04/01/2006 DATE //10 oft s1 PRODUCER Lockton Companies 444 W. 47th Street, Suite 900 Kansas City Mo 64112-1906 (816)960-9000 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 Y THE POLICIES INSURERS AFFORDING COVERAGE INSURED LAFARGE NORTH AMERICA, INC. 1060502 LAFARGE WEST, INC. 1800 N. TAFT HILL ROAD FORT COLLINS CO 80521 I INSURER A: AMERICAN HOME ASSURANCE CO. INSURER B: NATIONAL UNION FIRE INS CO I IN5URER C : INS CO. STATE OF PA INSURER D LEXINGTON INS. CO INSURER E rnVFRAr.F_R T e>:M0 AI Py 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 __DATE POLICY EFFECTIVE DATE. J 1WDDMa POLICY EXPIRATION DATE MMIDDIYYt LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 FIRE DAMAGE (Any one (re $ 500,000 A X COMMERCIAL GENERAL LIABILITY X I CLAIMS MADE OCCUR GL3314756 04/01/2005 04/01/2006 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ Excluded GENT AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY A ANY AUTO CA2651851 (AOS) 04/01/2005 04/01/2006 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 X A ALL OWNED AUTOS CA2651853 (MA) A SCHEDULED AUTOS CA2651852 (TX) BODILY INJURY (Per person) $ XXXXXXX A B HIREDAUTOS NON -OWNED AUTOS CA2651854 (VA) CA2651855 (OR) BODILY INJURY (Per accident) $ XXXXXXX PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX OTHER THAN EA ACC AUTO ONLY: AGG XXXXXXX ANY AUTO NOT APPLICABLE $ XXXXXXX EXCESS LIABILITY OCCUR CLAIMS MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX XXXXXXX El XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ C WORKERS COMPENSATION AND WC3599065(AOS) 04/01/2005 04/01/2006 WC STA.TU- OTH- ITO A EMPLOYERS'LIABILITY WC3599067 CO ( ) E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 B WC3599068 (OR) E.L. DISEASE - POLICY LIMIT 1 $ 2,000,000 C WC3599066 WI /WC3599069 N OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS THE GENERAL LIABILITYPOLICY IS SUBJECT TO A PRODUCTS -COMPLETED OPERATIONS AGGREGATE ONLY. NO GENERAL AGGREGATE APPLIES AS THE POLICY WILLRESPOND TO EACH AND EVERY OCCURRENCE WITH A LIM►TOF LIABILITYSHOWN. RE: ASPHALT OVERLAY PROJECT. CERTIFICATE HOLDER IS AN ADDIT10NALYNSURED (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 THE CERTIFICATE HOLDER IS PROVIDED ON THE WORKERS' COMP. POLICY.'THIS INSURANCE IS PRIMARY AS RESPECTS THE NEGLIGENCE OF LAFARGE WEST, INC./LAFARGE. COVERAGE IS EXTENDED ONLY AS RESPECTS LAFARGE WEST, INC./LAFARGE'S ATL!_l .1L 11 n 2216174 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE ISSUING INSURER HALL ENDEAVOR TO MAIL 30 P. 0. BOX 580 DAYS WRITTEN FORT COLLINS CO 80522 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S (7197) For qa Wa . r.,"Iriq this aMfl.A., contact n» numbs Ilst•a in tM Produ., aw bow end sp.el/y tM cN m eod IMN001'. Q ACORD C-ORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE 04/01/2006 o DATE oos) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Companies 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 COVERAGEE THE POLICIES BELOW. (816) 960 9000 INSURERS AFFORDING COVERAGE INSURED LAFARGE NORTH AMERICA, INC. 1060502 LAFARGE WEST, INC. 1800 N. TAFT HILL ROAD FORT COLLINS CO 80521 COVERAGES LAFNO01 FK 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 MMIDDIYY POLICY EXPIRATION DATE MRJDIYI' LIMITS GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 A X COMMERCIAL GENERAL LIABILITY X CLAIMS MADE OCCUR GL3314756 04/01/2005 04/01/2006 FIRE DAMAGE (Any one fire $ 500,000 MED EXP Anyoneperson) $ 5,000 PERSONAL 8 ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ Excluded GENT AGGREGATE POLICY[71 LIMIT APPLIES PER: JECT MLOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY A ANY AUTO CA2651851 (AIDS) 04/01/2005 04/01/2006 (Ea accidentMINEDSINGLE LIMIT $ 2 000 000 X A ALL OWNED AUTOS CA2651853(MA) A SCHEDULED AUTOS CA2651852 (TX) BODILY INJURY (Per person) $ XXXXXXX A HIRED AUTOS CA2651854(VA) B NON -OWNED AUTOS CA2651855 (OR) BODILY INJURY (Per accident) $ XXXXXXX 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 171 CLAIMS MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX XXXXXXX UMBRELLA El XXXXXXX DEDUCTIBLE FORM XXXXXXX RETENTION $ C WORKERS COMPENSATIO14 AND WC3599065(AOS) 04/01/2005 04/01/2006 WC STATU- OTH- FR A EMPLOYERS' LIABILITY WC3599067 CO ( ) E.L. EACH ACCIDENT E 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 B WC3599068 (OR) E.L. DISEASE -POLICY LIMIT $ 2000000 C WC3599066 WI/WC3599069 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS THE GENERAL LIABILITYPOLICY 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 LIMIT OF LIABILITYSHOWN. RE: 2002 SERVICE AGREEMENT. 2219121 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY FORT COLLINS BO P. 0. BOX 580 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN FORT COLLINS CO 80522 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S (7/97) For gu.stb s m"Mi g this c.drew., -an.a mwt esritwr ua.a in the v aw.r..srwn shws o a.P.ury u..x.m r IAFNOor. 0 ACORD C PORATION 191118