HomeMy WebLinkAbout128247 PIONEER SAND COMPANY INC - INSURANCE CERTIFICATE (21):::::::.i.::::.:.::.>::::::.::;...........yii::i:::'....... '::i:::i: :::: is ':i: .:.::: ::y;::::i: ::: .; ::; ::: .. :: a::%::::::;;`;::i:;:.:::::. DATE (MMI
RD.:::.;:.:.:::::.<;.;:.;;;;:.::.;:.;:.:;:.;;: 8125106
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Acordia Mountain Nest 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
(719) 592-1171 COMPANY
A Wausau Underwriters Ins. Co.
INSURED
COMPANY
Pioneer Sand Company, Inc.
B Arab S ocialty insurance Co.
Pioneer Landscaping Materials
P 0 Box 7650
COMPANY
C Pinnocol Assurance
Colorado Springs, CO 80933
COMPANY
Fireman's Fund Insurance Co.
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 W ITHSTANDING ANY REQUIREMENT,TERMOR CONDITIONOF ANYCONTRACT OR 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,
CO
LTR
TYPE OF INSURANCE
POLICY
POLICY NUMBER DATE
EFFECTIVE
(MMIDDIYY)
POLICY EXPIRATION
DATE (MMIDDIYY)
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [j] OCCUR
TZJZ91439861036
1101/05
1/01107
GENERAL AGGREGATE
f 2,000,000
PRODUCTS-COMP/OP AGG
f 2,000,000
PERSONAL & ADV INJURY
f 1,000,000
EACH OCCURRENCE
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one Ilre)
$ 100,000
MED EXP (Any one person)
f 5,000
A
AUTOMOBILE
LIABILITY
ASJZ91439861026
1/01/06
1101107
COMBINED SINGLE LIMIT
S
ANY AUTO
2,000,000
X
BODILY INJURY
(Per person)
f
ALL OWNED AUTOS
SCHEDULED AUTO$
BODILY INJURY
(Per accident)
$
HIRED AUTOS
X
X
NON -OWNED AUTOS
PROPERTY DAMAGE
f
GARAGELIABLITY
-
AUTO ONLY - EA ACCIDENT
f
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
f
8
EXCESSLIABLITY
ULP0002265-01
9/01/05
1101/07
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
f 10,000,000
X UMBRELLA FORM
f
OTHER THAN UMBRELLA FORM
C
WORKERS COMPENSATION AND
EMPLOYERS'LIABLrtY
4018785(COLORA00)
2/01/06
2/01/07
X WC STA U- OTH•
EL EACH ACCIDENT
f 500,000
EL DISEASE -POLICY LIMIT
$ 500,000
THE PROPRIETOR/
PARTNERS/EXECUTIVE INCL
OFFICERS ARE: X EXCL
EL DISEASE -EA EMPLOYEE
$ 500,000
OTHER
D
Property & Inland Marine
MXI98474115
9101/06
1/01/08
$10,000,000 per Occurrence
$ 500,000 per Occurrence
$ 100,000 Legal Liability
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL REMS
RE: Bid 55148 Infield Sall MixZ.
"*.................................::.::..:....................
.'
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 FAILURE TO MAL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Sue Ellen Puerto 100520
......................................................................................:.:::::::::::::::::,::::::::::::::::::::::::-:::::::::::::::.
CERTIFICATE: 191/001/ 00176