HomeMy WebLinkAbout128247 PIONEER SAND COMPANY INC - INSURANCE CERTIFICATE (18)EOM
PRODUCER
THIS CERTIFICATE IS ISSUED AS A
MATTER OF INFORMATION
ONLY
AND CONFERS NO RIGHTS
UPON THE CERTIFICATE
Acordia Mountain West
HOLDER.
THIS CERTIFICATE DOES
NOT AMEND, EXTEND OR
Dept 1775
ALTER
THE COVERAGE AFFORDED
BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
Denver CO 80291-1775
COMPANY
(719) 592-1177
A
Wausau Underwriters Ins. Co_._
INSURED
COMPANY
Pioneer Sand Company, Inc.
B
Arch Sp ec(alt Insurance Co.
COMPANY
Pioneer Landscaping Materials
P 0 Box 7650
Ci
Pinnacol Assurance
COMPANY
Colorado Springs, CO 60933
I
D
Lexinaton Insurance
THIS ISTOCERTIFY THAT THEPOLICIESOFINSURANCE LISTED BELOW HAVE BEENISSUED TO THE INSURED NAMED ABOVE FOR THEPOLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO 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
GENERALLIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [_X ] OCCUR
OWNER'S S CONTRACTOR'S PROT
TZJZ91439861036
1/01/06
1/01/07
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS-COMP/OP AGG
$ 2,000,000
PERSONAL 8 ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 11000, 000
FIRE DAMAGE (Any one fire)
$ 100,000
MED EXP (Any one person)
$ 5,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
ASJZ91439861026 ,71
C ry
R1,SKNA�EE
r 1 A%
l
1/01/07
T�'j�
�fJJ�
7��
IN
COMBINED SINGLE LIMIT
$
2,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
$
GARAGELIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY.
EACH ACCIDENT
$
AGGREGATE
$
B
EXCESS LIABILITY
X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
ULP0002265-01
9/01/05
9/01106
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
$
C
WORKERS COMPENSATION AND
EMPLOYERS• LIABILITY
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
4018785(COLORADO)
2/01/06
2/01/07
U-T OTH-
X TO YTAITMI
EL EACH ACCIDENT
$
EL DISEASE -POLICY LIMIT
$
EL DISEASE -EA EMPLOYEE
$
D
0
In
OTHER
Property/Inland Marine
Leased/Rented Equipment
U.+.. r..,.. I...I II.I.
1479127
7479127
7A79197
9/01/05
9/01/05
9/01/05
9101/06
9101/06
9101106
5,000,000 Per Occurrence
600,000 Per Occurrence
100.000 Local Liabilltv
IRE: Bid #5148 Infield Soil Mix
City of Ft. Collins
P. 0. Box 580
Ft. Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Ellen Puerta 1005201
CERTIFICATE: 191/001/ 00176