HomeMy WebLinkAbout103009 PORTER INDUSTRIES INC - INSURANCE CERTIFICATE (31)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID G DATE (MMlDD VYYY)
PORT E-1 OB 06 03
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
' 614 Oakridge Drive Unit A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
art Collins CO 80525
Phone:970-229-9304 Fax:970-229-1398
INSURED
Porter Industries, Inc.
Attn: Cheryl Kendrick
5202 Granite Street
Loveland CO 80537
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INSURERS AFFORDING COVERAGE NAIC #
INSURER A: The Hartford
INSURER B: Pinnacol 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.
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INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDOfYY)
POLICY
DATE (MMIDDNY)N
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
34UUNTX0464
04/30/03
04/30/04
PREMISES (Ea occurence)
$300,000
CLAIMS MADE a OCCUR
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
POLICY X JECOT F7 LOC
Emp Ben.
1,000,000
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 1 OQQ QQQ
A
X
ANY AUTO
34UUNTX0464
04/30/03
04/30/04
(Ea accident)
r r
BODILY INJURY
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
$
HIRED AUTOS
BODILY INJURY
$
X
j NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
$
i
AUTO ONLY AGO
uiCJWUMtlKLI.LA LIAnLL1I T
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' ANY PROPRIETORlPARTNER/EXECUTNE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
OTHER
4038253
07/01/03
07/01/04
X TORY LIMITS ER
E.L. EACH ACCIDENT
500,000
E.L. DISEASE - EA EMPLOYEE
$ 500 , 000
E.L. DISEASE -POLICY LIMIT
I $500, 000
DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES / EXCLUSIONS ADDED BY
All Operations - All Locations
PROVISIONS
CERTIFICATE HOLDER CANCELLATION
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 OE ANYtitIND41RO�THE INSURER, ITS AGENTS OR
215 Mason, 2nd Floor REPRESENTATIVES.
Fort Collins CO 80524 AUTHORIZED REPRESENTATIVE !I
Michael D. Pierce�.,,
ACORD 25 (2001/08) �''•w GGRD-60RRORATION 1988