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[■h- �■L. 'ems} {� ! fyi j j � � . �n,t - ,�- <br /> ACORD,M Ct.RTIFICA a E MF LIABILIT f E� JRA � DATE AA ,DD YYI <br /> _. .... �.,.,01/04/2006 <br /> PRODUCER Vikki Bell THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Talbot Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 2742 Crossroads Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P O Box 60130 COMPANIES AFFORDING COVERAGE <br /> Grand ,function, Co 81506 COMPANY Mountain States Insurance Company <br /> 970-245-8011 970-245-8016 A <br /> INSURED COMPANY Pinnacol Assurance Company <br /> Parkerson Construction, Inc. B <br /> 710 South 15th Street <br /> COMPANY <br /> C <br /> Grand Junction CO 81501 <br /> COMPANY <br /> D <br /> COVERAGES _ <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLU ONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO TYPE OF INS RANCE__ POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> *T Ij— DATEF,MMIDD,IY> DATEyMMlDDPfY) — <br /> A GENERAL LIABILITY CPP0097700 01/01/2006 01/01/2007 GENERAL AGGREGATE s 2, 000, 000 <br /> X COMMERCIAL G ILITY PRODUCTS-COMP/OP AGO 52, 000, 000 <br /> CLAIMS MADE X OCCUR PERSONAL&ADV INJURY Is1, 000, 000 <br /> OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE 51, 000, 000 <br /> FIRE DAMAGE Any one fire) 5100, 000 <br /> MEO EXP(Any one person) $ 10, 000 <br /> A AUTOMOBILE LIABILITY BAP0097700 01/01/2006 01/01/2007 <br /> X ANY AUTO COMBINED SINGLE LIMIT 3 1 <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> BODILY INJURY <br /> NON OWNED AUTOS (Per accitlentl <br /> PROPERTY DAMAGE $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> AGGREGATE $ <br /> A EXCESS LIABILITY UMB0097700 O1/01/2006 01/01/2007 EACH OCCURRENCE s3, 000, 000 <br /> X UMBRELLA FORM AGGREGATE s3, 000, 000 <br />_ OTHER THAN UMBRELLA FORM 5 <br /> B WORKERS COMPENSATION AND 4051321 01/01/2006 01/01/2007 X TORYLMITS DER <br /> EMPLOYERS'LIABILITY <br /> EL EACH ACCIDENT s 500, 000 <br /> THE PROPRIETOR/ INCL PARTNERS,EXECUTIVE EL DISEASE-POLICY LIMIT S SOD, OOO <br /> OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE Is 500, 000 <br /> OTHER <br /> DESCRIPTION OF OPERAT199§4LOCATIONSNEHICLESISPECIAL ITEMS <br /> Permit IN-81-22 V Valley Vista Pit <br /> CEftT10I0ATE HOLDER CANCELLATION, . <br /> State of Colorado SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Mined Land Reclamation Div EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> Dept Of Natural Resources 3 0 DAYS WRITTEN NOTICE TO THE <br /> CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> 1313 Sherman St. , Rm. 215 BUT FFAILURE TOce for MAIL SUCH NOTFIICE ent <br /> SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> Denver, CO 80203 OF ANY KIND UPOhL THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESEN z <br /> ACORN 2SS t1t55) eACflRp�(3N i988' <br /> @ds44442815 40OGJ <br />