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Home My WebLink About103009 NORTHERN COLORADO CLEANING LLC DBA PORTER - INSURANCE CERTIFICATEClient#: 14405 NCCLE ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/OD YYYY) 6/18/2013 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 Kelly Beauvais Flood & Peterson Ins., Inc. PHONE 970-266-7121 FAx 970-506-6836 A/C No Esl: AIC, No P. O. Box 578 E-MAIL ADDRESS: KBeauvais@FloodPeterson.com Greeley, CO 80632 PRODUCER CUSTOMER ID M: 970 356-0123 INSURERS) AFFORDING COVERAGE NAIL x INSURED INSURER A: Travelers Insurance Company Northern Colorado CI ning, LLC INSURER B: Pinnacol Assurance dba Porter Industries;Maid Clean 5202 Granite Street INSURER L 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. INSR LTR TYPE OF INSURANCE %DDL3UBR NSA NVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DDNYVY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR P636213955731TIA13 2/05/2013 02/05/2014 EACH OCCURRENCE $1 000000 PREMISES Ed oOR tturrponce $300000 MED EXP (Any one person) $5,000 PERSONAL& ADV INJURY S1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO n LOD PRODUCTS - COMPIOP AGG $2,000,000 S A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS P8102B955731 2/05/2013 02/05/2014 COMBINED SINGLE LIMIT (Ea accident) $1 000000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ 1XX PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB )( OGGUR CLAIMS -MADE PSMCUP2B955731 2/05/2013 02/05/201 EACH OCCURRENCE $1 000000 AGGREGATE $1000000 DEDUCTIBLE RETENTION $ S B WORNERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVEV/N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) II ySS, dead be under DESCRIPTION OF OPERATIONS below WA 4153522 7/01/2013 07/01/2014 X WCSTATU- OTH- E.L. EACH ACCIDENT S71000000 EL DISEASE - EA EMPLOYEE S1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H 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 ACORD 25 (2009109) 1 Of 1 #S795883/M795822 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KMM Client#: 14405 NCCLE ACORD. CERTIFICATE OF LIABILITY INSURANCE D6;18;2o;3YYY) 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 Flood & Peterson Ins., Inc. O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT NAME: Kelly Beauvais PRO"' E t _ 970-266-7121 Fn c, Ne: 970-506-6836 k.P. E-MA L KBeauvais@FloodPeterson.com ADDRESS: PRODUCER CUSTOMER ID C INSUflER(S)AFFOflOING COVERAGE NAICN INSURED Northern Colorado Cleaning, LLC dba Porter Industries;Maid Clean 5202 Granite Street INSURER A. Travelers Insurance Company INSURER B Pinnacol Assurance INSURER C Loveland, CO 80536 INSURER 0: 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE DDL N UBRI D POLICY NUMBER POLICY EFF MWDDNYYY POLICY EXP MM/DDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR P636213955731TIA13 2105/201302/05/2014 EACH OCCURRENCE S1000000 DAMAGE TO PREMISESEaoccurrOence $300000 MED EXP (Anyone person) $5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE 17 POLICY LIMIT APPLIES PER: PRO- n LOC PRODUCTS - COMP/OP AGO $2,000,000 S A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS OWNED AUTOS P8102B955731 2/05/2013 02/05/2014 COMBINED SINGLE LIMIT (Ea accident) S 1,000,000 BODILY INJURY (Per Person) S BODILY INJURY (Per accident) $ 1XX PROPERTY DAMAGE (Per accitlent)NON $ A )( UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PSMCUP2B955731 2/0512013112105/201 EACH OCCURRENCE $1000000 AGGREGATE $1,000,000 DEDUCTIBLE RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVEY)N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, descnba under DESCRIPTION OF OPERATIONS below N)A 4153522 7/01/2013 07/01/2014 X WCSTATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT S11,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) RE: 6120 Carpet Maintenance City of Fort Collins is listed as an Additional Insured as their interest may appear as respects General Liability. City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Purchasing Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 P ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80524 I AUTHORIZED REPRESENTATIVE @1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S795881/M795822 KMM Client#: 14405 NCCLE ACORD,M CERTIFICATE OF LIABILITY INSURANCE OATE(MM/DD/YYYY) 6/18/2013 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 Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970356-0123 CONTACT NAME: Kelly Beauvais PHONE g70-266-7121 FAX 970-506-6836 A/C No E,, : A/C, No E-MAIL ADDRESS: KBeauvais@FloodPeterson.com PRODUCER CUSTOMER ID 0: INSURER(S) AFFORDING COVERAGE NAICIf INSURED Northern Colorado Cleaning, LLC dba Porter Industries;Maid Clean 5202 Granite Street INSURER A: Travelers Insurance Company INSURER BPinnacol Assurance 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R LTM/DDNYYY TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY MMIOD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR P6362B955731TIA13 2/05/2013 02/05/2014 EACH OCCURRENCE $1000000 DAMAGEPREM SES Eaoccur ante $300 000 MEDEXP(Anyoneperson) $5000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2 000,000 GEN'L AGGREGATE 17 POLICY LIMIT APPLIES PER PI'llRo- n LOC PRODUCTS - COMPIOP AGO $2,000,000 $ A AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SOHEDULEDAUTOS HIRED AUTOS AUTOS P8102B955731 2/05/2013 02J05/2014 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ 1XX PROPERTY DAMAGE (PeraccideqNON-OWNED $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PSMCUP2B955731 1211,9120130210512111 EACH OCCURRENCE $1000000 AGGREGATE $1 GOO GOO DEDUCTIBLE RETENTION S $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IN ANY PROPRIETOWPARTNEWEXECUTIVEY OFFICERIMEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS helow NIA 4153522 7/01/2013 07/01/2014 X IWCSTATU- I OTH' TORY LIMITS EB E. L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $1,000,000 EL.DISEASE - POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins is listed as an Additional Insured as their interest may appear as respects General Liability. City of Fort Collins Northside PO Box 580 Fort Collins, CO 80524 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 ACORD 25 (2009109) 1 of 1 #S795880/M795822 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KMM Client#: 14405 NCCLE ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE""`DDNYVV) 6/18/2013 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 Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970356-0123 CONTACT Kelly Beauvais PHONE g70-266-7121 FAX 970-506-6836 A/C IN Est: A/C, No E-MAIL ADDRESS: KBeauvais@FloodPeterson.com PRODUCER CUSTOMER ID N: INSURER(S) AFFORDING COVERAGE NAICk INSURED INSURER A: Travelers Insurance Company Northern Colorado Cleaning, LLC dba Porter Industries;Maid Clean 5202 Granite Street INSURER B: Pinnacol Assurance 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. ILTR NSR OF INSURANCE kDDTYPE ry RL UDR POLICY NUMBER EFF MMIDDNYYY MM%DDNYYV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 4 OCCUR P6362B955731 TIA13 2/05/2013 02/05/2014 EACH OCCURRENCE $1 OOO OOO DAMAGE TO RENTED PREMISES Ea occurrence $300000 MED EXP (Any one person) $$ 000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: 17 POLICY PRO- n LOG PRODUCTS - COMPIOP AGO s2,000,000 IS A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 1 P810213955731 2/05/2013 02105/2014 COMBINED SINGLE LIMIT (Ea amidem) 1,000,000 BODILY INJURY (Par person) S BODILY INJURY (Per BLCitlenl) $ PROPERTY DAMAGE (Per accident) $ XI XI $ $ A X UMBRELLA LAB EXCESS LIAB )( OCCUR CLAIMS -MADE PSMCLIP2B955731 2/05/2013 02/05/201 EACH OCCURRENCE $1 00D000 AGGREGATE $1 00D 000 DEDUCTIBLE RETENTION S $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICENMEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA 4153522 7/01/2013 07/01/201 X TWoCg`sTLA1TmU1TS ER OTH- E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $130003000 E.L. DISEASE -POLICY LIMIT $1 DOD 000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, U more space is required) City of Fort Collins is listed as an Additional Insured as their interest may appear as respects General Liability. City of Fort Collins Mulberry Pool PO Box 580 Fort Collins, CO 80524 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 ACORD 25 (2009109) 1 off #S795879/M795822 (91988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KMM Client#: 14405 NCCLE ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 6/18/2013 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 Flood & Peterson Ins., Inc. P. O. BOX 578 Greeley, CO 80632 970 356-0123 CONTACT NAME: Kelly Beauvais PHONE 970-266-7121 AIC 970-506-6836 A/C No Etl: AX, No MAIL KBeauvaisC�FloodPeterson.com ADDRESS: PRODUCER CUSTOMER ID#: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Insurance Company Northern Colorado Cleaning, LLC Elba Porter Industries;Maid Clean 5202 Granite Street INSURER B: Pinnacol Assurance INSURER C Loveland, CO 80538 INSURER 0: 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. INSL R TYPE OF INSURANCE DDL UBIL D POLICY NUMBER MOMI�DNYYY POLICY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR P6362B955731TIA13 2105/201302/05/201 EACH OCCURRENCE $1000000 DAMAGE TO PREMISES Ea occurrence) $300OOO MED EXP(Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO 1 LCC PRODUCTS - COMP/OP AGG $2,000,000 S • AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS P8102B955731 2/05/2013 02/05/20141 COMBINED SINGLE LIMIT (Ea accident) S 1000000 BODILY INJURY(Per person) S BODILY INJURY(Per accitlent) S 1XX PROPERTY DAMAGE (Per accitlent) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS MADE PSMCUP2131955731 2/05/2013 02/05/2014 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DEDUCTIBLE RETENTION $ Is B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVEY7 OFFICERIMEMBER EXCLUDED? (Myandatory In NH) (DEcape under SCRIPes. desTION OF OPERATIONS below N/A 4153522 7/01/2013 07/01/2014 X WC $TATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) City of Fort Collins is listed as an Additional Insured as their interest may appear as respects General Liability. City of Fort Collins Lincoln Center PO Box 580 Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) 1 Oft #S795878/M795822 . 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KMM Client#: 14405 NCCLE ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDO/YYYY) F 6/18/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT NAME: Kelly Beauvais PHONE g70-266-7121 FAX 970-506-6836 A/C No E,, : AIC, No E-MAIL ADDRESS: KBeauvais@FloodPeterson.com CUSTOMER ID N: INSURER($) AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Insurance Company Northern Colorado Cleaning, LLC dba Porter Industries;Maid Clean 5202 Granite Street INSURER BPinnacol Assurance INSURER C Loveland, CO 80538 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 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. INSR LIEL TYPE OF INSURANCE UDD$UBRJ SR MN POLICY NUMBER MW�DNYYY POLICY EXP MWDDNYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F—XI OCCUR P6362B955731TIA13 2/05/2013 02/05/201 EACHOCOURRENCE S11,000,000 DAMAGE 'REM"ES BaEoccur ence $300000 MED EXP(Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: RO LOC POLICY PFPT PRODUCTS - COMPIOP AGG $2,000,000 S A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS AUTOS P810213955731 2/05/2013 02105/2014 COMBINED SINGLE LIMIT (Ea accident) $1000000 BODILY INJURY (Per person) $ BODILY INJURY(Peraccldwt) $ 1XX PROPERTY DAMAGE Feracciden)NON-OWNED $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PSMCUP213955731 2/05/2013 02/05/201 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 DEDUCTIBLE RETENTION S $ S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVEV� OFFICENMEMBER EXCLUDED? (Mandatory in NH) DESIf Cdeacnbe under RIPTION OF OPERATIONS below WA 4153522 7/01/2013 07101/2014 X WC STATU- I OTH- lmlTq FIR E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1 OOD 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1 D1, Additional Remarks Schedule, if more space is required) City of Fort Collins is listed as Additional Insured as their interest may appear as respects General Liability. City of Fort Collins EPIC Center PO Box 580 Fort Collins, CO 80522 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 ACORD 25 (2009109) 1 Off #S795877/M795822 @1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD