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Home My WebLink About103009 PORTER INDUSTRIES INC - INSURANCE CERTIFICATE (25)Client#: 14405 PORIN ACORD. CERTIFICATE OF LIABILITY INSURANCE F Dos,';3""", " 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 policy(ies) 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). PRODUCER CONTACT NAME: Kelly Beauvais Flood & Peterson Ins., Inc. PHONE g70 266-7121 970 506-6846 A/C No Ep: A/C, No: P. O. Box 578 AODREss: Kelly.Beauvais@fpinsurance.com Greeley, CO 80632 PRODUCER 970 356-0123 CUSTOMER ID If: INSURER(S) AFFORDING COVERAGE NAIC If INSURED INSURER A: Travelers Insurance Company Porter Industries, Inc. & INSURER B : Pinnacol Assurance Porter Industries, Inc. dba Maid Clean 5202 Granite Street INSURER C Loveland, CO 80538 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. 1LIIL TYPE OF INSURANCE POLICY NUMBER MWDD/YCY FF POLICY EXP MWDDNYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL UABIUTY CLAIMS MADE OCCUR P6308107CO30 7/01 /2011 07/01/2012 EACH OCCURRENCE S1 000 000 PREMISES Ea occurrence $300OOO MED EXP(Any one Person) $10,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER X PRO LOC PRODUCTS - COMP/OP ADD $2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 8108107CO30T 7/01/2011 07/01/201 Ea aBINeDt'INGLE LIMIT BODILY INJURY (Par person) BODILY INJURY (Per accident) AS 1XX PROPERTY DAMAGE (Per accitlent) A X UMBRELLA LIAR EXCESS CLAIMS MADE SMCUP8107CO3 7/01/2011 07/01/2012 EACH OCCURRENCE $2000000 HOCCUp AGGREGATE s2,000,000 DEDUCTIBLE RETENTION S 10000 $ X S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIErOR/PARTNER/EXECURVEY7 OFFICER/MEMBER EXCLUDED' (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below N/A 4038253 7/01/2011 07/01/2012 X WC STATU- OTH- E.L. EACH ACCIDENT $1,000,000 ELDISEASE-EAEMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1 000 OOO DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) RE: Carpet Maintenance Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. City of Fort Collins Attn: James B O'Neill 215 North Mason Street Second Floor PO Box 580 Fort Collins, CO 8D522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2009109) 1 Of 1 #S620590/M620538 01988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KLB