HomeMy WebLinkAbout103009 PORTER INDUSTRIES INC - INSURANCE CERTIFICATE (32)ACORD CERTIFICATE OF LIABILITY INSURANCE pORTE 1 R1
DATE [M/D Y )
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Linden/Bartels 5 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
Porter Industries, Inc.
Attn: Che, 1 Kendrick
5202 Granite Street
Loveland CO 80537
COVERAGES
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.
LTR
NSR
TYPE OF INSURANCE
POLICYNUMBER
DATE MM/DD TIVE
EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [j] OCCUR
34UUNTX0464
04/30/03
04/30/04
EACH OCCURRENCE
$ 1 , 000 , 000
PREMISES(Ea occirence
s300,000
MED EXP (Any one person)
s5,000
PERSONAL & ADV INJURY
$ 1 , 000 , 000
GENERAL AGGREGATE
s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY X PRO-
JECT LOC
PRODUCTS - COMP/OP AGG
s2,000,000
Emp Ben.
1,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
34UUNTX0464
04/30/03
04/30/04
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY: AGG
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
B
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETORJPARTNERIEXECUTIVE
OFFICERJMEMBER EXCLUDED?
If yes, describe under
SPECIALPROVISIONSbelow
4038253
4038253
07/01/02
07/01/03
07/01/03
07/01/04
X TORY LIMITS ER
E.L. EACH ACCIDENT
$500 000
F.L. DISEASE- EA FMPLOYEE$500,000
—-
E.L.DISEASE-POLICY LIMIT I
$500,0 00
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I 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.
GtK I IhIGA It HVLUtK L:ANI:tLLA I IVN
City of Ft. Collins
Attn: Jim O'Neill
256 West Mountain Avenue
Fort Collins CO 80521
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 00 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY/MWUM INSUREITSR, S AGENTS OR
REPRESENTATIVES. 1 .
ACORD 2512001/08)