HomeMy WebLinkAbout103009 PORTER INDUSTRIES INC - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF
LIABILITY INSURANCE OP ID R
PORTE-1
DATE(MMIDDNYYY)
04 26 07
PRODUCER
HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
LBN Insurance Agency
4 848 Thompson Pkwy
Johnstown CO 80534
Phone:970-635-9400 Fax:970-635-940
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OLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ILTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
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i�SURERS AFFORDING COVERAGE
NAIC0
INSURED !
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I14SURER A: The Hartford
INSURERS: Plnnacol Assurance
Porter Industries, Inc..
Attn: Cheryl Kendrick
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NSURER C:
5202 Granite Street
Loveland CO 80537
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INSURERD:
INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY E
DATE EFFECTIVE
POLICY EXPIRATION
DATE EXPIRATI
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx7 OCCUR
X Blanket Waiver
34UUNTX0464
04/30/07
04/30/08
EACH OCCURRENCE
$ 1,000,000
PREMISES (Ea occurence)
$ 300,000
MED EXP (Any one person)
$ 10,000
PERSONAL B ADV INJURY
$ 1 , 000 , 000
X
Blanket Add' l ins
GENERAL AGGREGATE
s 2 , U00 , 000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY X EC LOC
PRODUCTS - COMP/OP AGG
s2,000,000
Emp Ben.
1,000,000
A
A
A
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
Blanket Waiver
34UUMX0464
04/30/07
04/30/08
COMBINED SINGLE LIMIT
(Ea accident)
$1, 000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
a
It
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
4038253
07/01/06
07/01/07
I WC
X TORY LIMITS ER
E. L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1 , 000 , 000
E.L. DISEASE- POLICY LIMIT
'$i 000 000
OTHER
DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
All Operations - All Locations
Ut-K I IFIGATE MOLDER CANCELLATION
FTCOLLI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City Of F t . Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Carpet Maintenance Attn: Joan Barrie IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O. BOX 580 REPRESENTATIVES.
Fort Collins CO 80522 AU uE REPRE r
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