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HomeMy WebLinkAbout128247 PIONEER SAND COMPANY INC - INSURANCE CERTIFICATE (19)1' I" ........................................ ......... ................ MMIDDIYY) off ... ......... .... ...... .................... .............. ppbiSUCER ..: 9106/05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Acordia Mountain West ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Dept 1775 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80291-1775 COMPANIES AFFORDING COVERAGE 1719) 592-1177 COMPANY A Zurich American Insurance Company INSURED COMPANY Pioneer Sand Company, Inc. B Arch Specialty Insurance Co. COMPANY Pioneer Landscaping Materials P 0 Box 7650 C Pinnacol Assurance COMPANY Colorado Springs, CO 80933 I D Lexinoton Insurance .... 949 X. . ..... . .. "..N. XXX THIS IS TO CERTIFY THAT 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 ANYCONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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 (MMFDDIYY) POLICY EXPIRATION DATE (MMVDDfYY) LIMITS A GENERAL LIABILITY GL03757932-02 9/01105 9/01/06 GENERAL AGGREGATE $ 2,000,000 X PRODUCTS-COMP/OP AGO $ 2,000,000 COMMERCIAL GENERAL LIABILITY —1 CLAIMS MADEF-X] OCCUR PERSONAL & ADV INJURY S 1,000,000 EACH OCCURRENCE $ 1,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 10,000 A AUTOMOBLE LIABLITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS BAP3757938-02 M 9101105 1E 9/01106 717 COMBINED SINGLE LIMIT $ 2,000,000 X BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS SE 2005 BODILY INJURY (Per accident) $ C] y op "pcll'� PROPERTY DAMAGE $ CARAGELIABLITY ANY AUTO RISK MAINAG EMENT AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY. I EACH ACCIDENT $ AGGREGATE $ B EXCESS LIABILITY ULP0002265-01 9/01/05 9101106 EACH OCCURRENCE S 10,000,000 AGGREGATE $ 10,000,000 UMBRELLA FORM $ OTHER THAN UMBRELLA FORM C WORKERS COMPE COMPENSATION AND EMPLOYERS'LIABLITY 4018785() COLORADO 2/01/05 2101106 =Tt" I I OTH- ER EL EACH ACCIDENT $ 500,000 THE PROPRIETOR/ �X INCL PARTNERS/EXECUTIVE EL DISEASE -POLICY LIMIT $ 500,000 OFFICERS ARE: EXCL EL DISEASE -EA EMPLOYEE $ 500,000 OTHER D Property/inland Marine 7479127 9101105 9/01106 5,000,000 Per Occurrence D Leased/Rentod Equipment 7479127 9/01/05 9101/06 600.000 Per Occurrence D I Motor Cargo Legal LI&6. 7479127 1 9101/05 9101106 100,000 Local Liability DESCRIPTION OF OPAR*"WMU=ATIONSIVENICLESISPECIAL ITEMS — RE: Bid &5148 Infield Soil Yix .......... S.M1CAE. T .............. 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 10 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 LIABLITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ......... I ALT142RIZED REPRESENTATIVE Ellen Puerta 100520 CERTIFICATE: 1911001/ 00176