HomeMy WebLinkAbout128247 PIONEER SAND COMPANY INC - INSURANCE CERTIFICATE (20)1.
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9101/05 O 5
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Acordis 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 80291-1715
COMPANIES AFFORDING COVERAGE
(719) 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
Ci Pinnacol Assurance
COMPANY
Colorado Springs, CO 80933
Lexin ton Insurance
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
BELOW HAVE BEENISSUED TO THE INSURED NAMED ABOVEFOR THE POLICY PERIOD
INDICATED,NOT W ITHSTANDING ANYREOUIREMENT,TERMOR
CONDITION OF ANYCONTRACTOR OTHER DOCUMENT W ITH RESPECT TO W HICHTHIS
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.
CC
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDDIYY)
POLICY EXPIRATION
DATE(MWDDIYY)
LIMITS
A
GENERALLIABLITY
SL03757932-02
9/01105
9/01/05
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS-COMP/OP AGG
$ 2,000,000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [j] OCCUR
PERSONAL S ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$
OWNER'S &CONTRACTOR'S PROT
FIRE DAMAGE (Any one tire)
$ 300,000
MED EXP (Any one person)
$ 10,000
A
AUTOMOBILE
LIABILITY
BAP3757938-02
9101/05
9/01106
COMBINED SINGLE LIMIT
S
X
ANY AUTO
2,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
GARAGELIABLITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY:
...................................
EACH ACCIDENT
$
AGGREGATE
$
6
EXCESS LIABILITY
ULP0002265-01
9101105
9/01/06
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
X UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
c
WORKERS COMPENSATION AND
EMPLOYERS' LIABLITY
4018785(COLORADO)
2101/05
2/01/06
X WC TTOR LIMITS ER
EL EACH ACCIDENT
Is 500,000
THE PROPRIETOR/ INCL
PARTNERSfEXECUTIVE X
EL DISEASE -POLICY LIMIT
$ 500,000
EL DISEASE -EA EMPLOYEE
4 500,000
OFFICERS ARE: EXCL
OTHER
D
Property/Inland Marine
7479127
9101/05
9/01106
5,000,000 Per Occurrence
0
Leased/Rented Equipment
7479127
9/01/05
9101/06
600,000 Per Occurrence
D
I Motor Caro Legal Liab.
7479127
9101/05
9/01/06
100,000 Legal Liability
DESCRIPTION OF OPERATIONSLOCATIONSIVEHICLEB/BPECIAL ITEMS
RE: Bid #5148 Infield Soil Mix
R 1. :..
0,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ft. Collins
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL 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.
AUTHORMO REPRESENTATIVE
�IghfiLe.
Ellen Puerta 100520
40.
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CERTIFICATE: 191/001/ 00176
