HomeMy WebLinkAbout103009 PORTER INDUSTRIES INC - INSURANCE CERTIFICATE (17)Client#: 14405
PORIN
ACORDTM CERTIFICATE OF LIABILITY
INSURANCE
06/29/2o a"""'
PRODUCER
Flood & Peterson Ins., Inc.
Corporate Mailing Address:
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. O. Box 578
Greeley, CO 80632
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Travelers Insurance Company
Porter Industries, Inc.
5202 Granite Street
Loveland, CO 80538
INSURER B: Pinnacol Assurance
INSURER C:
INSURER D:
INSURER E:
COVEBACES
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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
N R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
UNITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABLITY
CLAIMS MADE 51OCCUR
P6308107CO30TILl
07/01/10
07/01/11
EACH OCCURRENCE
$1000000
PREMISES fE no.) DAMAGETO RENTED
$.300 QOQ
MED EXP (Any one person)
$10000
PERSONAL & ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2,000,000
GEWL AGGREGATE LIMIT APPUES PER:
POUCYF_j PRa LOG
PRODUCTS - COMP/OP AGG
$2000000
A
AUTOMOBILE
X
LIABILITY
ANYAUTO
ALLOWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
PSIO8107CO30TILl
07/01/10
07/01/11
COMBINED SINGLE OMIT
(Ea accident)
$1,000,000
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
$
$
A
EXCESSIUMBRELLALIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $ 10000
PSMCUP8107CO30TI
07/01/10
07/01/11
EACH OCCURRENCE
$1000000
AGGREGATE
$1 OOO OOO
8
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
4038253
07/01/10
07/01/11
TU- 0TH-
X I WCSTAAITR PR
E.L. EACH ACCIDENT
$1 OOO OOO
E.L. DISEASE - EA EMPLOYEE
$1 000 000
EL.DISEASE - POLICY LIMIT
$1000000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT[ SPECIAL PROVISIONS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN
Utilities Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
700 Wood Street, Building A IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins, CO 80521-0580 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
F>o«st 'r #0.x..tc—I'Soo-0
ACORD 25 (2001/08) 1 Of 2 #S540399/M540361 JZS 0 ACORD CORPORATION 1988