HomeMy WebLinkAbout103009 PORTER INDUSTRIES INC - INSURANCE CERTIFICATE (29)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID R DATE(MM/DD/YY)
RTE-1 04/20/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Linden/Bartels S Noe Agency FC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1614 Oakridge Drive, Unit A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone:970-229-9304 Fax:970-229-1398
INSURED
Porter Industries, Inc.
Attn: Cheryl Kendrick
5202 Granite Street
Loveland CO 80537
COVERAGES
INSURERS AFFORDING COVERAGE
INSURER A: The Hartford
INSURER B'. Pinnacol Assurance
INSURER C:
INSURER D:
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.
IN R
LTR
TYPE OF INSURA
POLCY NUMBER
POLICYEFFECTIVEPOLICY
DATE MM/DDIYY
XPIRA I N
DATE MMPIRA
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [*] OCCUR
34UUNTX0464
04/30/04
04/30/05
EACH OCCURRENCE
$ 1 , 000 , 000
FIRE DAMAGE (Anyone tire)
s300,000
MED EXP (Any one person)
$ 10 , 000
PERSONAL & ADV INJURY
$ 1 , 000 , 000
GENERAL AGGREGATE
$2,000,000
NENT AGGREGATE LIMIT APPLIES PER.
POLICY X JE LOC
PRODUCTS - COMP/OP AGG
$2,000,000
Em Ben.
1,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
34UUNTX0464
04/30/04
04/30/05
COMBINED SINGLE LIMITt1r
(Ea accitlent)
000r 000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY. AGG
$
$
EXCESS LIABILITY
OCCUR �� CLAIMS MADE
I
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
4038253
07/01/03
07/01/04
X I TORY LIMITS I ER
E.L. EACH ACCIDENT
_
$500,000
E.L. DISEASE - EA EMPLOYEE
$ SOO , OOO
E.L. DISEASE -POLICY LIMIT
$500, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
All Operations - All Locations
I i=m I IriVm I C nw"iw CR LY I AUUI IIUNAL INDUKLU; INJUKLK LC I ICK: liN1YU GLLH I IUIY
CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
215 Mason, 2nd Floor REPRESENTATIVES.
Fort Collins CO 80524 Au Rlz REPRES
CACORD CORPORATION 1986