The URL can be used to link to this page

Home My WebLink About102511 LAFARGE NORTHERN INC - INSURANCE CERTIFICATE (6)CERTIFICATE OF LIABILITY INSURANCE DATE(MM DD/YYYY) o77%2009 vxuuUCER 'rHis CERTIFICATE IS ISSUED AS A MATTER Or INFORNIATION ONLY Aon Risk Services central, Inc. AND CONFERS NO RIGHTS UPON T'HE CERTIFICATE HOLDER. THIS Philadelphia PA Office one Liberty Place CERTIFICATE DOES NOT AMl1 NU, EXTEND OR ALTER THE 1650 Market Street COVERAGE AFFORDED BY THE POLICIES BELOW. suite 1000 Philadelphia PA 19103 USA INSURERS AFFORDING COVERAGE NAIL # VHONE-(866) 283-7122 VAX C647 953-5390 INSVRERA National union Fire ins Co of Pittsburgh 19445 INSURED Lafarge west, Inc INSLRERB: Insurance Company of the state of PA 19429 1800 North Taft Hill Road, 23809 Fort Collins Co 90521 USA INSURER Granite State Insurance Company INSURER D: Illinois National Insurance Co 23817 z SnsuR> R E: x COVERAGES THE POLICIES OF INSURANCE LISTED BELOW I•IAvh BEEN ISSUED 1*0'L'HE INSURED NAMED ABOVG FUR'1'HE POLICY PERJC)U INDICATED. N0TW11'HSfANDING ANY REQUIREMENT, TERM Olt CONDITION OF ANY CONTRACT Ott OTHER DOCUMENT WITH RESPECT' TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN•'1'HE 1N5[]RANCE AFFORDED 13Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMI'1'5 ! MOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED LNSREXPIRATION 'SR TYPE OF LNSURANCE POLICY NUMBER POLICY EFFF,CYyV Puu Lu11T5 LTR ua'[ ' Mt.1rDD/YYw nar t.1MND/YYYv) (& *DD-'VV") A GL9723097 (CM) 07/01/2009 07/01/20'10 EACHOCCVRUNCE $2,000,D00 Y` J1RALUAJ1IUTY DAMAGE TO RENTED SSOO,ODO OMMLRCIALGENERAUABU.ITY CL PREMISES (Ea wm x CAS NUDE p OCCUR O PERSONAL &ADV INJURY $2,000,000 GENERAL AGGREGATE S2,000,000 01 O1 r (ieN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS • COMFoOP AQU S2 , 000 , 000 p POLICY PAL' LOG A AUTOMaBD.ELIABILITY CA1607650 07/01/2009 07/01/2010 COMBINGDSINGLE LIMrr a 2~ A CA1607651 (IAA) 07/01/2009 07/01/2010 (F,U Ku Nlt.) $2,000,000 A ANY AUTO CA1607652 (Oft) 07/Di/2009 07/01/2010 A ALL OWNED AUTOS CA1607653 (VA) 07/01/2009 07/01%2010 BDDILY INJURY SCHEDIJLEDAUTOS ( Par y;i*ml) HIREO AUTOS BODILY INJURY v (,) NON O WNED AUI W (Pa "CrLkw) PPOPERTY DAMAL2 IR (Pa Kaident) GARAGX LIABILITY AUTO ONLY- EA ALCIDEN"r ANY AUTO DINER THAN BA ACC AUTO ONLY AOG EXCMS i u-me LLA LIABILITY EACH pCCURR>:NC1' DCLIIk GLAIMSMADE ACOKEGATZ DEDUCTIBLE IIiTL•NT10N g WC ADS XTATH- 10 C WURKVAS COMPENSATION AND V WC /01/2009 07/01/2010 nCyv eIU $2,000,000 C EMPLOYBJeS'LIABILm' WC5145499 (FL) 07/01/2DO9 07/01/2010 r•L.EACHACCIDENT ANY PROPRILTOR/PARTNEK/EXECUTIVE WC5145490 (LA,etC) 07/Ol/2009 07/01/2010 ILL. DISEASE-EAEMYAYEE $2.000,000 D oFFICER/M�-NWRR EXCLUDED? (!HmduorytaNH) WC5145491(MI) 07/01/2009 D7/01/2010 EA.,DIsEASB-POLiCYumrr $2,000,000 9 it len, d.—r x undo' WEC AL PROVISIONS bebw WC5145492 (NJ) 07/Ol/2009 07/Ol/2010 p'S HER D-ItKAIFI'ION OF OPeLKI'ION&'LOCH-rION"EIOCLESIXXCLUSIONS ADPCD 9Y ENDORSF.MEMr/SPECIAL PRUVLIONS City of Fort Collins is included as Additional insured (except on workers' compensation) as respects to -r the named insured where required by written contract, Waiver of subrogation is granted in favor of operations of certificate holder as required by written contract but limited to the operations of the insured under said CERTIFICATE HOLDER CANCELLATION City Of Fort Collins sHOULD ,W Y uF'TF1E ABOVE okSCYJbED PDLIC:LLS UE CANCELLED BISPOL2E THE r-xvIILATION PO Box 580 DATE THEREUF•THE ISSU1Nc INSUItER WILL LNDEAVORTO MAIL 30DAY5WRI'11'ENNOT=TO'fHECERTIMKI'13HOL.DERNAMED ToTHELRFr, 215 N. Mason St 2nd Floor BUT }ALLURE TO DO SO SHALL W1K)Sti NO OBLIGATION OR LJABLLITY Fort Collins Co 80522 USA QFANYKIND UK)NYI•IL'INSURER. OS AGENTS OR RBPRESENTATIVIZI:. AUTHORIZLDREsPRESENTAXIVE C19118.2009 ACORD CORPORATION. All rights reserved— ACUkD 25 (2U091UI) ACORD ACORD nILHe and lugu are registered t Wks of ACORD Z0 39Vd 39dtidC-1 006EL0b0L6 5Z:60 600Z/LZ/L0 Attachment to ACORD Certificate for Lafarge west, inc The teens, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage at3'orded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. INSURED Lafarge west, 2nc 1800 North Taft Hill Road, Fort Collins CO 80521 USA If a policy below does nc INSURER IirSUkER INSURER TNSURER ENSURER t «tcludc limit information, refer to the corresponding policy on the ACORD ADDITIONAL POLICIES certificate form for policy limits ADD'L POLICY NUMBER P .V POLICY I rIYE > XPUMATION LIMITS IN.AK 'NtiMD TYPEOFINSUKANCE POLICY DEtiCKWTIUN DATE DA'IT LTA WORKERS COMPENSATION WC5145493 (OR) 7/01/2009 07/01/2010 A WC5145494 (WI) 7/01/2009 07JO112010 B DEsCWPTION OF vPIKATIONSJLOCA:nuNSNEHICLE&'I:XCLUSIONS ADDen 1sY GNDORSEMEN'7sPfiL1 1. PROVUIONS contract, and always subject to the policy terms, conditions and exclusions_ Certificate No 570035599940 E0 39Vd 398VJV-1 006EL0b0L6 5Z:60 600Z/LZ/L0