HomeMy WebLinkAbout128247 PIONEER SAND COMPANY INC - INSURANCE CERTIFICATE (16){��.[(E B/��o/AE ...........���..11aatt....:.. ......■E.........ees::>:?:;::5,"';.:::..,,■■._■■::.,:::::.::...:,::::::>::>::>:::.:.:;:y.;;:,;:::
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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.
Acordia Mountain Hest
P 0 Box 39117
5755 Mark Dabl ing Blvd Ste 300
COMPANIES AFFORDING COVERAGE
COMPANY
Colorado Springs CO 80949-9117
(719) 592-1177
A Zurich Lommorclal
INSURED
COMPANY
Pioneer Sand Company, Inc.
B Pinnecol Assurance
Pioneer Landscaping Materials
COMPANY
P 0 Box 7650
C. Lexington Insurance
Colorado Springs, CO 80933
COMPANY
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOT WITHSTANDING ANY REOUIREMENT,TERMORCONDITION OFANY CONTRACTOR OTHER DOCUMENT WITHRESPECTTO 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.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDIYY)
POLICY EXPIRATION
DATE (MMIDDIYY)
LIMITS
A
GENERAL
LIABILITY
GL03757932-00
9101/03
9/01104
GENERAL AGGREGATE
f 2,000,000
X
PRODUCTS-COMP/OP AGG
f 2,000,000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PERSONAL & ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
f 300,000
MED EXP (Any one person)
$ 10.000
A
AUTOMOBLELIABLITY
ANY AUTO
BAP3757938-00
9/01/04
11/01/04
COMBINED SINGLE LIMIT
$
1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
S
GARAGELIABLITY
AUTO ONLY - EA ACCIDENT
S
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
S
A
EXCESS LIABILITY
AUC3757940
9/01/03
9/01104
EACH OCCURRENCE
$ 5,000,000
X UMBRELLA FORM
AGGREGATE
$ 51000,000
OTHER THAN UMBRELLA FORM
f
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
4018785(COLORADO)
2101/04
2/01/05
X WC STATU- OTH-
EL EACH ACCIDENT
f 500,000
THE PROPRIETOR/
PARTNERS/EXECUTIVE X INCL
OFFICERS ARE: EXCL
EL DISEASE -POLICY LIMIT
$ 500,000
EL DISEASE -EA EMPLOYEE
f 500 000
OTHER
C Property/Inland Marine 9182535
9/01104 9/01/05 5,000,000 Per Occurrence
C Leased/Rented Equipment 9182535
9/01/04 9/01/05 600,000 For Occurrence
C Motor Car o Le al Liab. 9182535
DESCRIPTION OF OPERATIONSLOCXTIONS11VEHICLES18PECIAL ITEMS
9/01/04 9101/05 100,000 Legal Liability
RE: Bid 55148 Infield Soil Mix
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ft. Collins
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WLL ENDEAVOR TO MAL
P. 0. Box 580
DAYS WRITTEN NOTICE TO THE CERTIFICATE. HOLDER NAMED TO THE LEFT,
Ft. Collins, CO 80522-0580
BUT FALURE TO MAL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON " THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
D P E TATIVE
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CERTIFICATE: 185/001/ 00175