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Home My WebLink About128247 PIONEER SAND COMPANY INC - INSURANCE CERTIFICATE (25)CERTIFICATE OF LIABILITY INSURANCE 1i2�i2o1s°"r"' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. 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 endorsements . PRODUCER The Wright Group, Inc. 101 N Cascade Avenue, Suite 410 Colorado Springs CO 80919 CONTACT Jill Russo PHONE Ell.719-354-4304 FAXWC.719-354-4112 EMAIL .jrusso@twgservices.com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: EMC. INSURED PIONE-1 INSURERS: PINNACOL ASSURANCE INSURER C:Liberty Mutual Insurance Group Pioneer Sand Company, Inc. PO Box 7650 Colorado Springs CO 80918 INSURER D:GREATAMERICAN INSURE0. E INSURER F cnVFRAr;FS CERTIFICATE NUMBER: 1963534079 REVISION NUMBER: __- --- .___ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDD POLICY UP MMIDD LIMITS C x COMMERCIA GENERALLUIBILITY CLAIMS-MADE X❑ OCCUR TB2-Z91-439861-064 (CO) 2/31/2014 12/31/2015 EACH OCCURRENCE $1000000 DAMAGE TO RENTE15--- PREMISES Es occurrence $100000 MED UP (Any one Person) $10,000 PERSONAL E ADV INJURY $1000000 GEN-L AGGREGATE LIMIT APPLIES PER: POLICY [X]jEa F—]LOC OTHER: GENERAL AGGREGATE $2000000 PRODUCTS - COMP/OP AGO $2000000 $ A AUTOMOBILE LU181LITY ANY AUTO AUTOSWED SCHEDULED AU NON -OWNED X1HIRED AUTOS AUTOS 5X24710 12/31/2014 12/31/2015 Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per a ent) E TYDAMA Per accident $ E D X UMBRELLA LIAS EXCESS LIAB X OCCUR CLAIMS -MADE TUU 016660-05 2/31/2014 12/31/2015 EACH OCCURRENCE $25000000 AGGREGATE $ OEO X I RETENTION$10.000 $ B WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANYPROPRIETORIPARTNER/EXECUTIVE YE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) Itdeeaiheunder DE SCRIPTION OF OPERATIONS below NIA 4018785 1/2015 12016 x PER OTH- STATUTE ER E.L. EACH ACCIDENT $500000 E.L. DISEASE- EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500000 A Leased/Rented Equipment 5X24710 2/31/2014 12/31/2015 1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, AddlUonal Remarks SUledule, may O attached If more space is mqulre I RE: Bid #5148 Infield Soil Mix CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ft. Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Ft Collins CO 80522-0580 AUTHOR ED REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 000570