HomeMy WebLinkAbout103009 PORTER INDUSTRIES INC - INSURANCE CERTIFICATE (34)ACORD CERTIFICATE OF LIABILITY INSURANCE OPID R
DATE (MM DDIYYYY)
PORTE-1
04 14 06
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
LBN Insurance 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
NAIC#
INSURED
INSURER A: The Hartford
INSURER B: Pinnacol Assurance
Porter Industries, Inc.
Attn: Cheryl Kendrick
INSURER C:
INsuRERO:
5202 Granite Street
Loveland CO 80537
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
DATE MMIDDIYY EFFECTIVECY
POLICY
M/DDIEXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [X] OCCUR
X Blanket Waiver
34UUHTX0464
04/30/06
04/30/07
EACH OCCURRENCE
a 1 r ODD , ODD
PREMISES (Ea occurence)
$ 300,000
MED EXP (Any one person)
$ 10 , 000
PERSONAL & ADV INJURY
GENERAL AGGREGATE
$ 1 , 000 , 000
X
Blanket Add' 1 Ins
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X JFCOT LOC.
PRODUCTS - COMP/OP AGG
$2,000,000
Emp Ben.
1,000,000
A
A
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
34UUNTX0464
04/30/06
04/30/07
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
I
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
a
$
$
WORKERS COMPENSATION AND
EMPLOB ANY NYPRPRYERS'LIABILITYOPRIETOR/PARTNERlEXECUTIVE
OFFICERIMEMBER EXCLUDED?
It yes, describe antler
SPECIAL PROVISIONS below
4038253
07/01/05
07/01/06
X UTFr
TORY LIMITS ER
E.L. EACH ACCIDENT
$110001000
E.L. DISEASE - EA EMPLOYEE
$ 1 , 000 , 000
-�------
E.L. DISEASE -POLICY LIMIT
--
I $ 1 000 000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES) EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
All Operations - All Locations
CERTIFICATE HOLDER CANCELLATION
CITYFT3
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
Mulberry Pool
IMP08E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O. BOX 580
REPRESENTATIVES.
AU R¢ REPREs
Ft. Collins, CO 80524
ACORD 25 (2001/08) 0ACORD CORPORATION 1988