HomeMy WebLinkAbout103009 PORTER INDUSTRIES INC - INSURANCE CERTIFICATE (30)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID R DATE(MM/DD/YY)
RTE-1 1 04/20/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Linden/Bartels & 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 INSURERS AFFORDING COVERAGE
Porter Industries, Inc.
Attn: Cheryl Kendrick
5202 Granite Street
Loveland CO 80537
1916MARTC3*1
INSURER A. The Hartford
INSURER B: Plnnacol Assurance
INSURER C:
INSURER D:
INSURER E:
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.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM/DDIYY
POLICY EXPI TION
DATE MMIDD/YY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1 , 000 , 000
A
X COMMERCIAL GENERAL LIABILITY
34UUNTX0464
04/30/04
04/30/05
FIRE DAMAGE (Any onefre)
$300, 000
CLAIMS MADE OCCUR
MED EXP (Any one person)
$ 10 , 000
PERSONAL & ADV INJURY
$ 1 , 000 , 000
GENERAL AGGREGATE
$ 2 , 000 , 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OPAGG
$ 2 , 000 , 000
POLICY X JEo LOC
Em Ben.
1,000, 000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
34UUNTX0464
04/30/04
04/30/05
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 000 000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
X
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
4038253
07/01/03
07/01/04
OTH
X TORY LIMITS ER
E.L.EACHACCIDENT
$500,000
E.I. DISEASE - EA. EMPLOYEE
$ 500, 000
E.L.DISEASE- POLICY LIMIT
$500,)00
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: P509. Certificate holder is named as additional insured, but only as
respects liability arising out of work performed by the named insured.
L,CR I IrlIm I G n vV wcR LN j AUUI I IVNALINJUKGU; INJUKLKLC I I LK: 6.NIYliCLLJ1 I IVIY
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
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Ft. Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Attn, Jim O'Neill
256 West Mountain Avenue REPRESENTATIVES.
Fort Collins CO 80521 Au Rlz REPRES
ACORD 25-S (7/97) OACORD CORPORATION 1986