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Home My WebLink About128247 PIONEER SAND COMPANY INC - INSURANCE CERTIFICATE (7)uux�n ACORD- CERTIFICATE OF LIABILITY INSURANCE DAT12/31/12/31/2008D/ PRODUCER Wells Fargo Insurance Services Mountain West Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 39117 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Colorado Springs, CO 80919 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 719-592-1177 INSURERS AFFORDING COVERAGE NAIC q INSURED Pioneer Sand Company, Inc wsuREa A: Wausau Underwriters Insurance Company 26042 INSURER B: National Union Fire Ins. Co. of Pittsburgh, PA 19445 Pioneer Landscaping Materials, Inc INSURER C: Pinnacol Assurance PO Box 7650 INSURER D: Firenan's Fund Insurance Company 21873 Colorado Springs, CO 80933 INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITI{STANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITI I RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED I IEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR1 TYPE OF INSURANCE POLICY NUMBER —POLICY —EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDIVV LIMITS A BE ERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE IT]OCCUR TBJZ91439861039 01/01/09 01/01/10 EACH OCCURRENCE 5 1,000.000 DAMAGE TO RENTED PREMISES Ea occurrence 5 100.000 MED FXP (Any one person) S 5.000 PERSONAL A ADV INJURY $ 1,000,000 .. GENERAL AGGREGATE $ 2,000,000 GENT AGGREGAI E LIMIT APPLIES PER: POLICY X PRO LOG PRODUCTS-COMP/OPAGG 5 2,000.000 A AUTOMOBILE X LIABILITY ANY AUTO ASJZ91439861029 01/01/09 01/01/10 COMBINED SINGLE t. IMI I' (Ea accitlenl) $ 2,000,000 ALL OWNED AUTOS SCI IFDULED AU lOS BODILY INJURY (Per person) $ HIRED AUTOS NONOWNEDAUTOS BODILY INJURY (Per accidenQ $ PROPERTY DAMAGE (Per aCGltlenl) $ GARAGE LIABILITY AULOONLY-FAACCIDENI $ _ ANY AUTO 01I1E1t'I HAD EA AUG S 5 AUTO ONLY:- AGO B EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MAUL BE 7275133 01/01/09 01/01/10 FAG I OCCURRENCE S 10.000,000 AGGREGATE $ 10,000,000 $ DEDUCTIBLE $ X RFTPNTION £ 10000 G WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 4018785 02/01/08 92/91/99 IORYAID IAIII IDS Out 12 Eel FA C 1ACUDINI $ 500.000 C ANY PROPRIE"TORIPARTNERIEXECUUVE OFFICERIMFMBER FXCLUDED9 4018785 02/01/09 01/01/10, E.L. DISEASE IA EMPLOYEE $ 500,000 If yes. Jc,Obe um, F.L. DISEASE - POIICY LIMI I 5 500,000 SPECIAL PROVISIONS bd. OTHER D D D Inland Marine/Property Leased/Rented Equipment Motor Cal go Legal Liability MX198476005 MX198476005 MX198476005 01/01/09 01/01/09 01/01/09 01/01/10 01/01/10 01/01/10 $10,000000 5 1.000000 5 100.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Bid 45148 Infield Soil Mix SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City Of FL C0111115 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PO BOX 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR Ft Collins CO 80522-0580 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _ /J n n.ei. i, ACORD 25 12001/081 4 s o IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-5 (2001108) 2 of 2 #S915260/M915043