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Home My WebLink About103009 PORTER INDUSTRIES LLC - INSURANCE CERTIFICATE (3)Client#: 14405 PORIN2 ACORD,,., CERTIFICATE OF LIABILITY INSURANCE GATE01/10/20140/20I14 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()es) 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. a"CONri Eat): 970 266-7121 A/c No ; 970 506-6846 P. O. Box 578 ADDRES S: SS: kbeauvais@floodpeterson.com Greeley, CO 80632 INSURER(S) AFFORDING COVERAGE NAIL e 970 356-0123 Travelers Insurance Comoanv INSURED INSURERS: Pinnacol Assurance Porter Industries, LLC l030�9 dba Porter lndustries;Maid Clean INSURER c: INSURER D: 5202 Granite Street INSURER E Loveland, CO 80538 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 CLAMS. INSR LTR TYPE OF INSURANCE DLSUB D POLICY NUMBER POLICY MM/DD MM/DI D/YYYW LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F—R OCCUR P6362B955731 2105/2014 02/0512015 E 1 000 000 pEgACCHp�OEC7CURRENCE PREMISES ESE rrence $100000 MED EXP (Any one person) E 5 000 PERSONAL S ADV INJURY E1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PRO-JECT LOC PRODUCTS-COMP/OP AGO s2,000,000 E A AUTOMOBILELIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS 8102B955731 2/05/2014 02/0512015 COMBINED 1,000,000 BODILY INJURY (Per person) f BODILY INJURY (Per accident) E PROPERTYDAMAGE Poracddenl E E A X UMBRELLA LIAS EXCESS LIAB X OCCUR CLAIMS -MADE SMCUP2895573 2/05/2014 02105/2011 EACH OCCURRENCE $1 000 000 AGGREGATE E1 00O 000 DED I I RETENTIONS E B WORKER COMPENSATION AND EMPLOYERS' DASILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandator, In NH) describe under DESCRIPTION OF OPERATIONS bola. N/A 4153522 7101/2013 07/01/201 TH- X WCSTAT, OER E.L. EACH ACCIDENT E1 00O 000 E.L. D19EASE - EA EMPLOYEE s1 000 000 E.L. DISEASE -POLICY LIMIT E1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach 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 9)1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S855214/M855163 KLB