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Home My WebLink About103009 PORTER INDUSTRIES INC - INSURANCE CERTIFICATE (26)Client#: 14405 PORIN ACORD CERTIFICATE OF LIABILITY INSURANCE FDATE (MM Dp YYYY) O6/13/2011 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 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 o Flood &Peterson Ins., Inc. Peterson PnonE g70 266-7121 97 aLANa Ert: A/c, Na: O 506-6846 P. Box AooREss: Kelly.Beauvais@fpinsurance.com Greeley, CO 80632 PKUUUUEH 970 356-0123 CUSTOMER ID INSURER(S) AFFORDING COVERAGE NAIC0 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 INSURERD: e 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. TYPE OF INSURANCE POLICY NUMBER MWDD/YFF MM%DO/YVY LIMNS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR P6308107CO30 7/01/2011 07/0112012 EACH OCCURRENCE $1000000 DAMAGE TO RENTED PREMISES (Ea occurrence) $300000 MED EXP (Any one person) $10,000 PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X FR6 IFCT LOC PRODUCTS - COMP/OP AGG s2,000,000 $ A AUTOMOBILE UABILITY ANY ALTO ALL OWNED ALTOS SCHEDULED ALTOS HIRED AUTOS NON OWNED ALTOS 8108107CO30T 7/01/2011 07/01/201 COMBINED SINGLE LIMIT (Ea accident) S1 OOOOOO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ 1XX PROPERTY DAMAGE (Per accitlent) $ $ A X UMBRELLA LIAB EXCESS LAB OCCUR CLAIMS -MADE SMCUP8107CO3 7/01/2011 07/01/2012 EACH OCCURRENCE s2000000 AGGREGATE s2,000.000 DEDUCTIBLE RETENTION 3 10000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNEPJEXECUTIVE❑ OFFICER/MEMBER EXCLUDED? (Mandatary In NH) Il yes. descnbe under DESCRIPTION OF OPERATIONS below NIA 4038253 ♦ 7/01/2011 07/01/201 X we sTAru- OTH E.L EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT 1$1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ANach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins Utilities Department 700 Wood Street, Building A Fort Collins, CO 80521.0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 7ywr/1SL_ ACORD 25 (2009/09) 1 of 1 #S620740/M620538 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KLB