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HomeMy WebLinkAbout128247 PIONEER SAND COMPANY INC - INSURANCE CERTIFICATE (14). ... .. ..............:::::::.�rv;.}:.}:;.:;.}:;.:x^iiH�r�}}}}:.}}:;;!.}}}}::...�:::::.v.v:::::::::::::::e::}:}}}:,.: plVobUCiep ....................... ,........... Acordla Mountain (lest P 0 Box 39117 Bhpa/��_,� }:;z^:.}::{\.v,.}i}: i:Y ...... ...............}...............:....rv.....:...:.rv.........»,.:::::.::::...:::.:.:::} :• v. .. }..{.. n......... .. ...... ...::v:.. n.a. .....:..v. ....:... .. 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 :.}.. .. .. }i. .'.� .. ..,.. t,.,..:.......::.v::;..,::.:.:rv;.::::...:............ rv...........; .:; .::.v:: s.rvx.. C.Eti�'1F1GA E.BQ� . :....:.z:..r.:.;,........:.........,.:::::.. ,::.... ..............:...........:...::.::.:..::.:::.....a.rv............:::. �::.:.....:....:::... ...............:;..:.. - .: .. : ..:::.: }{,.....rv, ..}:.... ;., Xtu.: •.:...,. .v.}n..•v:''+:�•::r :o::L.. at .:...,:..: c.... .�•::.,.:..:.:.$: .�k.�:�.�.�...�+l:rv......�......S.t.,rv:..Y...,.,....:.:}....:::..:.::.;:#:'.�6,R?...v. ':}:.2.:.:tk;C�.Hs.'±!.:;1 y:i:i::..,v':. 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 );;:,..:::........... y, � �. � o"* Ellen Puerto 100520 :. ,:vv..» ��yy (1�f �[ tltl��[[ 4:.}:{z;!.}:;.:}}i::}:.::n�}i4::}}}}:iy::,}}:.}}:.}i: �i': n::::::;v.v'nt';::.}::ini:iz:::ii.�:i.�:C.i �j:.i:.i vvn,.. .»::: .:...: .:....•q :..... .:.v.}: \nv.}.: .e:: ^'..:y v:vn.:,. �i}:: !v:. v:.. n 4 .., .. ...:.C. 4.:; y.. n:. y: {e..............v..: ....:n.. .... .�.. rv:..0.: .M»::: rv.: vnrv:: h : �(�y� •. :: CERTIFICATE: 187/001/ 00176