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HomeMy WebLinkAbout103009 PORTER INDUSTRIES LLC - INSURANCE CERTIFICATEClient#: 14405 797 71 q `J ACORD,., CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 01110/2014 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 CONTNAME: Kelly Beauvais Flood & Peterson Ins., Inc. PHO"E 970 266-7121 970 506-6846 AIC E Ext : AIC No P. O. Box 578 E-MAIL ADDRESS: kbeauvais@floodpeterson.com eterson.com Greeley, CO 80632 INSURERS) AFFORDING COVERAGE NAIL 7t 970 356.0123 INSURER A: Travelers Insurance Company INSURED A INSURER B: Plnnacol Assurance Porter Industries, LLC ) Ob l l 0 dba Porter Industries;Maid Clean INSURER C : INSURER O: 5202 Granite Street Loveland, CO 80538 INSURER E : INSURER F Cr1VFRAn APR CFRTIFICATF NIIMRFR- 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 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. R LT R TYPE OF INSURANCE ADDL INSR WV D POLICY NUMBER LICY EFFIDIYY MMIDDIYYYY POLINXP MMI YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR P636213955731 _ _ _ _ _ 8102B955731 2/05/2014 02/0512015 EACH OCCURRENCE $1 000 000 PREMISES Ea occirance $100,000 MED EXP (Any one person) s5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1:1j R7 LOC PRODUCTS-COMP/OP AGG s2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULEDAUTOCIS H REDSAUTOS )( NON-0 NED gUTOg IX 2/05/2014 02105/2015 EOMaBINdEeDtSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) E PROPERTY DAMAGE Per accident $ A X UMBRELLA I EXCESS UAB OCCUR CLAIMS -MADE SMCUP2B95573 2/0512014 0210512015 EACH OCCURRENCE $1 000 000 N AGGREGATE $1 00O 000 DIED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatcry in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 4153522 7/01/2013 07/01/2014 X WC STATU- OTH- E.L. EACH ACCIDENT $1 0(),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, 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 Custodial Services 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 (2010/05) 1 of 1 #S855206/M855163 © 1988-2010 ACORD CORPORATION. All rights reserveo. The ACORD name and logo are registered marks of ACORD C I ient#: 14405 PORIN2 ACORD,,., CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 01 /1012014 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 NAMIEACT Kelly Beauvais _ Flood & Peterson Ins., Inc. P"C, N 970 266-7121 970 506-6846 H No Ext : A X No P. O. Box 578 E-MAIL ADDRESS: @ P kbeauvais flood eterson.com Greeley, CO 80632 INSURER(S) AFFORDING COVERAGE NAIL i 970 356-0123 INSURER A: Travelers Insurance Company INSURED Porter Industries, LLC dba Porter Industries; Maid Clean 5202 Granite Street Loveland, CO 80538 INSURER B : INSURER C : 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 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. LTRR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER MMLDDY� EXP MM/LDCDYfYYYY LIMITS A GENERAL LIABILITY MMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR P6362B955731 2/0512014 02/05/2015 EEAACCH� OECCCUR��RENCE $1000000 PREMISES Ea ocwr ante $100,000 MED EXP (Any one person) $ 5 000 PERSONAL 8 ADV INJURY $1,000,000 rGEWL GENERAL AGGREGATE $2,000,000 GGREGATE LIMIT APPLIES PER: ICY PRo LOC PRODUCTS - COMPIOP AGG $2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON OWNED X HIRED AUTOS X AUTOS 810213955731 0210512014 02/0512015 EO MBIINdE�D SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acddon t $ A X UMBRELLA UAS EXCESS LIAB X OCCUR CLAIMS -MADE SMCUP2B95573 2/05/2014 02/05/2015 EACH OCCURRENCE $1000000 AGGREGATE $1 000 000 DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below MIA 4153522 7/01/2013 07/01/201 X WC STATU- OTH- LIMIB E.L. EACH ACCIDENT $1 OOOOOO E.L. DISEASE-EAEMPLOYEE $1 000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins is listed as an Additional Insured as their interest may appear as respects General Liability. City of Fort Collins Senior Center PO Box 580 Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S855213/M855163 KLB This page has been left blank intentionally. Client#: 14405 PORIN2 ACORD.CERTIFICATE OF LIABILITY INSURANCE DATE01/10/20140120I14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endomement(s). PRODUCER NAME: Kelly Beauvais Flood & Peterson Ins., Inc. arcCNPAX t t : 970 266-7121 AIC No): 970 506-6846 P. O. Box 578 ADDRESS: kbeauvais@floodpeterson.com Greeley, CO 80632 INSURER(S) AFFORDING COVERAGE NAIL$ 970 356-0123 _..___ . _ Travnaorc Incuranr_o Cmmnanv INSURED INSURER B : Yinnacol Assurance Porter Industries, LLC INSURER C dba Porter IndustrieS;Maid Clean INSURER D 5202 Granite Street Loveland, CO 80538 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 ADDL INSR SUB WVO POLICY NUMBER POLICY EFF MMIDDIYYW POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR P6362B955731 2/05/2014 02/05/2015 EEACCHH OCCURRENCE $1 000 000 PREMISES Ea oaTu rrence $100 000 MED EXP(Any one person) $5 000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY j O- LOC PRODUCTS - COMPIOP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOSAUTOS HIREDAUTOS �( NON -OWNED AUTOS IX 8102B955731 2/05/2014 02/0512015 dED SINGLE LIMIacciT Me 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE $ A X UMBRELLA LIAB EXCESS UAB OCCUR CLAIMS -MADE SMCUP2B95573 2/05/2014 02105/2015 EACH OCCURRENCE $1000000 N AGGREGATE $1 000 000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 4153522 7/01/2013 07/01/2014 X WC STATU- OTH- E.L. EACH ACCIDENT $1 00O 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, 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northside ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE IJ 1988-21DW AGOKU GUKYUKA I IUN. An rlgms reservea. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD itSt155211 /M855163 KLB This page has been left blank intentionally. Client#: 14405 PORIN2 ACORD::., CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE DATE 01/10120o12o1a 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 TKE 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 NACT NAME: Kelly Beauvais PHONEo Ext : A No 970 266-7121 FAX A/C N970 506-6846 E-MAIL eterson.comi eauvas flood ADDRESS: kbCap P INSURERS) AFFORDING COVERAGE NAM• 970 356-0123 INSURER A: Travelers Insurance Company INSURED Porter Industries, LLC dba Porter Industries;Maid Clean 5202 Granite Street INSURER B: Plnnacol Assurance INSURER C INSURER D Loveland, CO 80538 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 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 ADDLSUB INSR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DDIYYYY LIMBS A GENERAL LIABILITY it COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX1 OCCUR P636213955731 2/05/2014 02105/2015 EACHOCCURRENCE $1 000 000 PREMISES Ea ocwrMr. $10O OOO MED EXP (Any one person) s5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE0. LOC PRODUCTS-COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS IX 81028955731 2/05/2014 0210512015 COMBINED SINGLE LIMIT Ea accident 1 r���r0�0 BODILY INJURY(Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per aoddeM $ E A X UMBRELLA UAB EXCESS LIAB X OCCUR CLAIMS -MADE SMCUP2B95573 2/051201402105/201 EACH OCCURRENCE $1000000 AGGREGATE $1,000,000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4153522 7/01/2013 07/01/2014 X WCSTATU- '- 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 I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space 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. ltlaGUliPlizFi:LS City of Fort Collins Attn: James B O'Neill 215 North Mason Street Second Floor 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 (2010/05) 1 of 1 #S855203/M855163 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD rlior,Ng• lddrlr. PnRIN9 ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE OWADD'YYYY) 101/10/2014 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 Kelly Beauvais Flood & Peterson Ins., Inc. P. O. Box 578 .970 266.7121 A C N, ; 970 506-6846 kaqkm kbeauvais@floodpeterson.com Greeley, CO 80632 970 356-0123 INSURER(S) AFFOREING COVERAGE NAlcn INSURERA:Travelers Insurance Company INSURED Porter Industries, LLC dba Porter Industries;Maid Clean 5202 Granite Street Loveland, CO 80538 INSURER B: Pinnacol Assurance INSURERC: INSURER D: INSURER E: & INtSL:iER F COVFRAGES 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 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. Mw TYPE MNS RANCE POLICY N➢ BERQ10%UNns A GENS ALUADurY X OOMM ERCLAL GENERAL LIABILFTY CLAIMS -MADE a CCCUi P636213955731 2014 02/05/201 E EACHODCURRENCE $1 000 000 o M11 1 $100.000 MM EXP ore sr $5 000 PERSONAL & ADV INJURY $1000,000 GENERA -AGGREGATE s2,0001000 GENLAGGREG4TELIMIT APPLIESPER PCUO(Fl LOc PRODUCTS -CmpwAGG $2000000 $ A AUTOMOBILE LIABILITY RANY AUTO D HREDAU OS X AU TOO 810213955731 /05/2014 02/05/201 a I u 1,000,000 $P BODILYIwLRY(PerPwsn) BODILYIwU RY(Perxddent) $ arlideri $ A X t=Ra-LALUAB EXCESS UAB X OCCUR CLAIMS -MADE BINDERSMCUP21B95573 DV051201402/051201 EACHOCCURRBJCE $1000000 AGGREGATE $1 000000 DED I I RETENTION$ $ —,- B WmRICEISOMPENSATxxr gA�NyD BAPLLIABILITY AgBILITYr OFFl�P CEX LIA FE"E� (M miclatory in NFQ I` ��22ss d QiW u rde DFY-RIP71CN OF OPERATIONS Won N/A 4153522 7/01/2013 07/01/2014 X EL 64GiALCIDLNr $1 OOO DOO E.L. DISEASE - FA EMR-OYEE $1 000 000 EL DISEASE -PCUCY UMT 1 $10002000 DESCH PTICN OF OPERATIONS LOCATIONS I VEHICLES (Attach AOORD 101, Adclitiad Rarerks ScteMe, if more s{ece 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. •PIVWGI City of Fort Collins Purchasing Department 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 ummmillsaii of 1 U 1988-2U1U ACOHU CORPORA I ION. All rights reserved. The ACORD name and logo are registered marks of ACORD rlio +- 1AAns l•'!rrnv: ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE( MM0/DD/YY YY) 011114 /20 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. NAME: Kelly Beauvais HONE ce Ext : 970 266.7121 ac No ; 970 506 6846 P. O. Box 578 Greeley, CO 80632 E-MAIL ADDRESS: kbeauvais floodP eterson.com INSURER(S) AFFORDING COVERAGE NAIL# 970 356-0123 INSURER A: Travelers Insurance Company INSURED INSURER B: Pinnacol Assurance Porter Industries, LLC dba Porter Industries;Maid Clean 5202 Granite Street INSURER C INSURER D Lovelanc' , CO 80538 INSURER E : INSURER F rnVFRnr Ffi 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 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 ADDLSUEIR INSR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY) POLICY EXP (MMIDDNYM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51 OCCUR P636213955731 2/05/2014 02/05/2015 OCCURRENCE $1 000000 pEpgAqCCMHqq PREMI9E5 EaoNccTurrence $100000 MED EXP (Any one person) $5 000 PERSONAL 8 ADV INJURY $1,000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS - COMP/OP AGG s2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOSAUTOS NON -OWNED HIRED AUTOS X AUTOS IX 8102BS55731 2/05/2014 02/05/201 EG accidentBINED51NGLE LIMIT 1,000,000 BODILY INJURY(Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE SMCUP2B95573 2/05/2014 02105/2015 EACH OCCURRENCE $1 000 000 AGGREGATE $1 00O 000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA 4153522 7/01/2013 07101/2014 X I WCSTATU- EB_ E.L. EACH ACCIDENT $1 GOO 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If 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. 2Lar_uN City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Department ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD GURPVRA I IUN. All ngnts reservea. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD ffSR55�1�IMR5i163 KLB This page has been left blank intentionally. C I i ent#: 14405 PORIN2 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/1012014 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 INSURED Porter Industries, LLC dba Porter Industries;Maid Clean 5202 Granite Street Loveland, CO 80538 NAME: I Kelly Beauvais PHONE B` 970 266-7121 fAfC. Net. 970 506-6846 we INSURER B : INSURER C : INSURER D : INSURERS) AFFORDING COVERAGE Travelers Insurance Company COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT TfIE 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 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 DLSUB INSR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD LINKS A GENERAL DABILMY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR P6362B955731 2/05/2014 02/05/201 EACH OCCURRENCE $1 000 000 PREMISES Ea occurrence $100,000 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 PR� LOC PRODUCTS-COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS !t AUTOS IX 8102B955731 2/05/2014 02/05/2015 EO accident) COMBINED SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY(Per accident) $ PROPERTY DAMAGE Per actldant $ A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE SMCUP2B95573 0210512014 02/05/2015 EACH OCCURRENCE $1 000000 N AGGREGATE $1 000 000 DED I I RETENTION $ $ B WORKERS COMPENSATION EMPLOYERS' DABILnY OFFICEOPRIET REXCLUD (E ECUTIVE� (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 415.3522 7/01/2013 07/01/201 X WC STATU- TH- TORY E.L. EACH ACCIDENT $1 000000 E.L. DISEASE - EA EMPLOYEE $1 OOD 000 E.L. DISEASE - POLICY LIMIT $1,000,000 711 DESCRIPTION OF OPERATIONS / LOCATIONS I 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. Cif of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mulberry Pool ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S855210/M855163 KLB This page has been left blank intentionally. rrPnt#-144ns 101N I. V ACORD.., CERTIFICATE OF LIABILITY INSURANCE DATE01/012010/20IY4 14 THIS CERTFF--ATE 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 NAME: Kelly Beauvais PHONE 970 266-7121 970 506.684B AIC No Ext : (AIC, NO ADDRESS: kbeauvais@floodpeterson.com INSURER(S) AFFORDING COVERAGE NAIL i 970 356-0123 INSURER A: Travelers Insurance Company INURED Porter Industries, LLC dba Porter Industries;Maid Clean 5202 Granite Street INSURER B: Pinnacol Assurance INSURER C INSURER D Loveland, CO 80538 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 R TYPE OF INSURANCE L NSR WVD POLICY NUMBER POLICY EFF MM OD MEXP POLICY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 5_1 OCCUR P6362B955731 2/05/2014 0210512015 EACHOCCURRENCE$1000000 PREMISES Ea occurrence $100 000 MED EX? (Any one person) $ 5 000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PR07 LOC AGG $2,000,000 LRODUCTS-COMPIOP $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS NONWNED HIREDAUTOS X AUTOS IX 8102B955731 2/05/2014 02/0512015 ccid. SINGLE LIMIT Ea COMBINED 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $AUTOS PROPERTY DAMAGE Per accident $ A X UMBRELLA LWB EXCESS UAS X OCCUR CLAIMS -MADE SMCUP2B95573 2/05/2014 02/05/2015 EACH OCCURRENCE $1 000 000 AGGREGATE $1 00O 000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICEW RIETOREMBER EXCLUDRIE ECUTIVE� (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below N/A 4153522 7/01/2013 07/01112014 X WCSTATU- E'R - E.L. EACH ACCIDENT $1 OOO OOO E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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 YAC 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 (2010105) 1 of 1 #S855202/M855163 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD This page has been left blank intentionally.