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HomeMy WebLinkAbout128247 PIONEER SAND COMPANY INC - INSURANCE CERTIFICATE (14).
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P 0 Box 39117
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10l28/04
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.
COMPANIES AFFORDING COVERAGE
5755 Mark Dabl i ng Blvd Ste 300
COMPANY
Colorado Springs CO 80949-9117
(719) 592-1177
A Zurich American Insurance Company
INSURED
COMPANY
Pioneer Sand Company, Inc. B Arch Specialty Insurance Co.
Pioneer Landscaping Materials COMPANY
Is 0 Box 7650 Ci Pinnecol Assurance
Colorado Springs, CO 80933 COMPANY
Lexington Insurance
Ci3
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEENISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOT W ITHSTANDINGANYREOUIREMENT,TERMORCONDITION OFANY CONTRACTOR OTHERDOCUMENT W ITHRESPECT TO W HICHTHIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B.Y 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.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDDIYY)
POLICY EXPIRATION
DATE(MMIDDIYY)
LIMITS
A
GENERALLIASLITY
GL03757932-01
9101/04
9/01105
GENERAL AGGREGATE
S 2,000,000
X
PRODUCTS-COMP/OP AGO
$ 2,000,000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FX] OCCUR
PERSONAL 5 ADV INJURY
S 1,000,000
EACH OCCURRENCE
f
OWNER'S 8 CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
S 300,000
MED EXP (Any one person)
S 10,000
A
AUTOMOSLELIABLITY
ANY AUTO
SAP3757938-01
9101/04
9101105
COMBINED SINGLE LIMIT
f
1,000,000
X
BODILY INJURY
(Per person)
f
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
S
•
GARAGE LIABILITY
AUTO ONLY • EA ACCIDENT
S
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
S....
AGGREGATE
S
B
EXCESS LIABILITY
ULP000226500
11/01/04
9/01/05
EACH OCCURRENCE
S 10,000,000
AGGREGATE -
$ 10,000,000
X UMBRELLA FORM
S
OTHER THAN UMBRELLA FORM
C
WORKERS COMPENSATION AND
EMPLOYERS'LIABLITYLIMITS1
4018785(COLORADO)
2101104
2101/05
XIT'ORyC STATU I Fil
EL EACH ACCIDENT
S 500,000
-
THE PROPRIETOR/
PARTNERS/EXECUTIVE X INCL
- -
-.
EL DISEASE -POLICY LIMIT
S 500,000
OFFICERS ARE: EXCL
EL DISEASE -EA EMPLOYEEIS
500.000
OTHER
0
Property/Inland Marine
9182535
9/01/04
9101105
5,000,000 Per Occurrence
C
Leased/Rented Equipment
9182535
9/01104
9101105
600,000 Per Occurrence
C
Motor Caro Le al Llab.
9182535
9101/04
9101/05
100,000 Le al Liability
DESCRIPTION OF OPERATIONSLOCATIONSIVEHICLE (SPECIAL ITEMS
RE: Bid *5148 Infield Soil Mix
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SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE
City of Ft: Collins -
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WLL BNDEAVOR TO MAL
P. 0. Box 580 -
10 -DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Ft. Collins, CO 8052j-0580
BUT FAILURE TO MAL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
_
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
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CERTIFICATE: 187/001/ 00176