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ACORD Ci RT1 ICATE � 4f I E E'1 UR DATE IMM/DD YVI <br /> _. ... /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 0 Box 60130 COMPANIES AFFORDING COVERAGE <br /> Grand Junction, 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 /> eov�iACEs <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 /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BE BY PAID CLAIMS, <br /> CO POLICY EFFECTIVE POLICY EXPIRATION <br />-- dTR-- TYPE OF INSURANCE _-_POLICY NUMBER LIMITS <br /> 1^tAM',DDIYYI -OATHMF•VDO/YY7 - - - <br /> A GENERAL LIABILITY CPP0097700 01/01/2006 01/01/2007 GENERAL AGGREGATE $ 2, 000, 000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP 00, 000 <br /> CLAIMS MADE [XI OCCUR PERSONAL&ADV INJURY $ 1, 000, 000 <br /> OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE a1, 000, 000 <br /> FIRE DAMAGE(Any one fire) $ l0 0, 000 <br /> MED EXP(Any one person) $ 10,000 <br /> A AUTOMOBILE LIABILITY BAP0097700 01/01/2006 01/01/2007 <br /> X ANY AUTO COMBINED SINGLE LIMIT $ 1, 000, 000 <br /> ALL OWNED AUTOS <br /> Y INJURY $ <br /> SCHEDULED AUTOS IPer person) <br /> X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NON OWNEDAUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> A EXCESS LIABILITY UMB0097700 01/01/2006 01/01/2007 EACH OCCURRENCE $3, 000,000 <br /> X UMBRELLA FORM AGGREGATE $3, 000, 000 <br />_ OTHER THAN UMBRELLA FORM _ _ _ _ _ _ __ _ $ _ <br /> B WORKERS COMPENSATION AND 4051321 01/01/2006 01/01/2007 X TORY IM TS OTR <br /> EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 500, 000 <br /> THE PROPRIETOR! INCL EL DISEASE POLICYLIMIT $ 500, 000 <br /> PARTNERS/EXECUTIVE <br /> OFFICERS ARE: F1 EXCL EL DISEASE-EA EMPLOYEE $ 500, 000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS <br /> Permit #M-66-160, Sunnyside Gravel Pit <br /> 77777777777 <br /> IGATE HOL.CfER CANCELLATION <br /> CERTI <br /> State of Colorado SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Mined Land Reclaimation Div EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> Dept of Natural Resources 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> i�days notice for non-payment <br /> 1313 Sherman St., Rm. 215 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> Denver, CO 80203 OF ANY KIND UPOL THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESEN E <br /> ACOAi?,25 S WSW @ AGORD�UN t986> <br /> Ods#4442816 400GJ <br />