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HomeMy WebLinkAboutLAFARGE WEST - INSURANCE CERTIFICATE (4)' DATE(MM/DD/YYYY) S ACORQ. CERTIFICATE OF LIABILITY INSURANCE 06/06/2008 PRODUC FIT Aon Risk Services Central, Inc. 'PHIS CERTIFICATE IS ISSUED AS A MA ITER OF INFORMATION ONLY fka AOn Risk Services, Inc. Of PA AND CONFERS NO RIGMIB UPON THE CERTIFICATE HOLDER. T111S One Liberty Place CERTIFICATE DOES NOT AMEND, EXTEND Olt ALTER 'I'HE 1650 Market Street Suite 1000 COVERAGE AFFORDRD BV THE POLICIES BELOW. 19103 USA rnoNPhilE (866)1pp2837122Fvx (847) 953-5390 INSURERS AFFORDING COVERAGENAIC# INSURED INSURER A: American Home Assurance Co. 19380 Lafarge west, Inc BJSURT:R n: National union Fire Ins Co of Pittsburgh 9 19445 1800 North Taft Hill Road, Fort Collins CO 80521 USA INSURER( Insurance Company of the State of PA 19429 INSURER o: Illinois National Insurance Co 23817 INSURER IT CovuaA�Fs T] 117 POLICIES OF INSURANCE LIS I ED BELOW HAVE BEEN ISSUED 'TO "I']IF INSURED NAMED ABOVE? FOR "I I IF POLICY PERIOD INDICA"I "I ED. NOI WIT EIS ANDING ANY REQUIREMEN 1, THEM OR CONDITION OF ANY CON I RACI OR OTHER DOCUMENT WI"I'I I RESPECI'I'0 W HICI I "I'Ii IS CER'I'IFICA FN MAY FIF ISSUED OR MAY PFR I-AIN, I I IF INSURANCE AFFOR DED BY "1'HB POLICE CS DGSCI2II3BD 118121'iIN' IS SUI311F,C'P'I'O ALL THf_'I'1312MS, fiXCLl1S10NS AN'D CONDITIONS OF SUCH POLICIES. AGGRE GA'Tii LIMITS SHOWN' MAY HAVE BEEN RFDU TD RY PAID CLAIMS, LIMITSSHOWN ARE AS REQUESTED 1651t ADD'I I:FR 16.SItI 'I'vl'1'.OPIp'SUILNGI? POLICY NUM1IDP:Ii i'OLICVIM"DIAIIV[ {P XPIRA n,cn:(MmvDDvvv) Dn-rn(manuDvvvJ Llnn'rs A GENERAL LIABIIrl, S95365 (VA/CM) 07/01/07 07/01/08 En('II OCCURRENCE "EI $2,000,000 X COMMERC'IAL GRNERAI. LIABILI TY DAMA NII NI11) $500,000 X CLAIMS MADI? OC('UR PliliMl$E$(liu oca,mnwT 0 MEI IiX' Nry one Paimn $, PERSONALS ADV;LJUIRY $2,000,000 GENERAL AGGREGATE $2,000,000 C f:N'1. AGGRLGA'D! LIMI'I'APPLII:S Plili: PRODUCI"s COMP/OPAGG $2,000,000 © POLICYRo; Loc � i❑ A AUEOMOBILE LIABILITY 1606931 07/01/07 07/01/08 A X ANY AN TO 1606932 (MA) 07/01/07 07 01/08 / ( 10'MBINED SINGLE LIMA' B 1606933 (OR) 07/01/07 07/01/08 (Ex emidcno $2,000,000 A X n1.I.oww;0 nuro8 1606934 (VA) 07/01/07 07/01/08 SCHEDULED AUTOS TINNILY INJURY (I'cr pcnron) jUEEDAUI'OS X X NONO\VNEDAUTOS TINNILY INJURY (rcr accdmnl 1 ROPERTY DAMAGE p'nr na;a�op GARAGE LIABIL11 Y AUTO ONLY - EA Ica DE N'I' ANY AUTOO'I'llEli l'J, 11AN RA ACT e nUi'OONI.Y: ncc Excess mmnla;la.n unal,rry Encn occuaalsNcr: OCCUR ❑ CLAIMS MADE AGGREGATE DEDIR I']BIT, RII'EN'IHON CADSA WORKERS COMPEN'SA'I ION' AND 1 1 28 07101107 X \VC' SIMIIS I" EMPLOYERS'LIARILI"FY 16162$9 (CA) (CA) 07/01/07 07/Ol/OS TORY LIMITS FIR Elt _ D A ANY PIiOPIiIETOR / PAIiTNilli / EX T;CU"fl VI? 1616290 (FL) 07/01/07 07/01/08 11.l-EACH A('(:IDENI' $2,000,000 — 1)OFFICI!IUMEMTII?it liX('IADED7 1616291 (LA, etc) (PIT) 1616292 MI 07/Ol/07 07/Ol/08 Ii.L DISI!All !-EA EMPLOYItIt $2, 000, 000 ,w C Iry,,n,va.ac unda SPECIAL PROVISIONS bcluw 1616293 (NJ) 07/01/07 07/01/07 07/01/08 07/01/08 1i.i.. DISI:nSl:roucv LIMN $2,000,0003 5 OTHER a, DIiSCRiP'I'ION OP OPLRA"fIONSILO(IATIONSNEHIC'LCS/EXCWSIONS ADDED nV ENDORSEMISNI'/SI'ECIAI, PROVISIONS L CITY HALL PARKING LOT OVERLAY / 308# 72286 .Z City of Fort Collins is Additional Insured (except on worker's comp) as respects to operations OF the named insured where required by written Contract. CERTIFICATE HOLDER CAN ELI,A1'ION d CITY OF FORT COLLINS P.O. BOX 580 SHOULD ANY NET UP ABOVE: DESCRIBED POLICIES TII (AN('Ei LCDBIIORL IIIEIXPIItATION DATE 'THEREOF,IHI! 1Mn1I. FORT COLLINS CO 80522 USA ISSUING INSURERWI.I.ENDEAVD1t'f 30 DAYS\YIi1'I EN'NO'ICI"10 TLECER1'ImCA'I'E110LA EIt NTO MAI(O Tlili LliPf, AMIED BUT ' FAILURE 10 DO SO STALL IMPOSE NO OBLIGA'ION OR 10 F tl OPAN'Y KIND UPON'I'Hli INSUIiIiR, "fS AGI1N1:5 OR IiEPRESENINI'IVES. i. i2 ANI{012121iD RGPRESEN'fA'I'IVii e.�. UeRuAuPIL ✓I9R AORW25 OT: A .BIRD . )R Attachment to ACORD Certificate for Lafarge West, Inc The terns, conditions and provisions noted below are hereby attached to the captioned certificate as additional description oft liccoverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. INSURED Lafarge West, Inc 1800 North raft Hill Road, Fort Collins Co 80521 USA ADDITIONAL POLICIES If a policy below does no INSURER INSURER INSURER INSURER INSURER I include limit information, refer to the Corresponding policy on the ACORD certificate form for policy [Units. INSR L'Plt ADD% INSRD 'IVPR OP INSURANCE POLCY NUMBER POLICY DESCRI 11I'1 ON POLICY RFFE(I VVE DATE POLICY ENPIRAF ION DALE LIMITS WORKERS COMPENSATION 0 1616294 (OR) 07/01/07 07/01/08 C 1616295 <WI) 07/01/07 07/01/08 DLSCR I P'I ION OF OPF.IIAI IONS/FOCAIIONSNG I WILES/EXCLUSIONS ADDED BY RNDORSEM ENT/SPCCIAL PROVISIONS Certificate No : 570028880471