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Home My WebLink About103009 PORTER INDUSTRIES INC - INSURANCE CERTIFICATE (24)To: 9702216707 From: Flood 6 Peterson Ins 6-13-11 4:07pm p, 2 of 3 Clientil: 14405 PORIN ACORD, CERTIFICATE OF LIABILITY INSURANCE oATE(MMmomyY) 06/13/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). vaopucER Flood 8 Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970356-0123 O O(} CONTACT NAME: Kelly Beauvais PHONE 970 266-7121 ac No Eat : (a/c, No : 970 506.6846 ADOREss: Kelly.Beauvais@Tpinsurance.com CUSTOMERIp : INSURER(S) AFFORDING COVERAGE NAIC4 INSURED INSURER A: Travelers Insurance Company Porter Industries, Inc. & Porter Industries, Inc, dba Maid Clean 5202 Granite Street INSURER B Pinnacd Assurance INSURER C: Loveland, CO 80538 INSURER D: INSURER E: INSURER F: ffdi1'l4:lF.Tt1 NMI. lly19_\121UILSI=1:1 ;1X7F-IC-7IL THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSA LIL TYPE OF INSURANCE DDL N UBR POLICY NUMB ER POLICY EFF MWDOPIYYY POLICY E%P MM/00/YYY UNITS A GENERALUABILITY X COMMERCIALGENERAL LIABILITY CLAIMSMADEOCCUR P6308107CO30 7/01/2011 0710112012 EACH OCCURRENCE $1000000 PREMISES E.o.rrence s3000OO MED EXP (Any ane person) $10000 PERSONALBADV INJURY $1 000 000 GENERALAGGREGATE s2,000,000 GEN'LAGGREGATE LIMITAPPLIES POLICY f7X PirCT RO PER LOC PRODUCTS-COMP/OPAGG $2000000 $ A AUTOMOBILELIABILTTY ANV AlJTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON,OWNED AUTOS 8108107CO30T 7/01/2011 07/0112012 COMBINED SINGLE LIMIT (Eaa¢Idenp $1000000 BODILY INJURY (Per pemn) $ BODILY INJURY (Per ecddenl) $ 1XX PROPERTY DAMAGE (Per.cad.HH$ $ A )( UMBRELLA BAR EXCESS LIAR OCCUR CLAIMSMADEAGGREGATE SMCUP8107CO3 7/01/2011 07/01/201 EACH OCCURRENCE $2000000 s2,000,000 DEDUCTIBLE RETENTION 10000 $ X B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROP RIETORIPARTNEWEXECUiIVEYIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) Ul yyes descrlbeunder DESCRIPTION OFOPERATIONS blow WA 4038253 7/01/2011 07/0112012 X W 6TATU OTH- -ER E. L. EACH ACCIDENT $1000000 E. L. DISEASEEAEMPLOYEE $1,000, 000 E. L. DISEASEPOLICYLIMIT g1,000,OOO DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AV.Eh ACO RD 101, Additional R.rirka SCAeEUIq 11 more ap.. la roquirad) City of Fort Collins is listed as an Additional Insured as their interest may appear as respects General Liability. City of Fort Collins PurchasingDe Department SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE ,ew 01958-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #SG20573/M620538 KLB