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HomeMy WebLinkAbout103009 PORTER INDUSTRIES LLC - INSURANCE CERTIFICATE (4)Client#: 14405 PORIN2 ACORD. CERTIFICATE OF LIABILITY INSURANCE DIE 71071200nrrrl no7/zola 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 970 266-7121 FAX 970 506-6846 A/C No Eat): AIC No P. O. Box 578 E-MAIL ADDRESS: KBeauvais@floodpeterson.com eterson.com Greeley, CO 80632 INSURER(S)AFFORDING COVERAGE NAICp 970 356-0123 INSURER A: Travelers Insurance Company INSURED INSURER B : Plnnacol Assurance Porter Industries, LLC dba Porter Industries;Maid Clean INSURER C 5202 Granite Street INSURER D: Loveland, CO 80538 NSURER 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 ADDLSUBR INSR WD POLICY NUMBER POLICY EFF MM/DO/YYYY POLICY EXP MMIDDIWYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR P6602B955731TIA14 2/05/2014 02/05/2011 EACH OCCURRENCE $1 000000 oAMAGE TO RENTED PREMISES Ee occunenca $1001 000 MED EXP (Any one person) $5 000 PERSONAL &ADV INJURY $11000 000 GENERAL AGGREGATE s2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMPIOP ADS s2,000,000 $ A AUTOMOBILE LIABILITY PANY AUTO ALLOWNED SCHEDULED AUTOS AUON-0TOSHIRED AUTOS X WNED AUTOS P8102B955731COF14 2/05/2014 02/051201E IEsO.dcul.MBINEDrtSINGLELIMIr 1,000,000 BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ PROPERTYDAMAGE$ Per acddent A )(UMBRELLALIAB EXCESS LIAB j( OCCUR CLAIMS -MADE PSMCUP2B955731TIL1 2/05/2014 02/05/2015 EACH OCCURRENCE $1000000 AGGREGATE $1 o0O 000 BED RETENTIONS S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYLIMITS ANY PROPRIETOR/PARTNERt XECUTIVEY/N OFFICEWMEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4153522 7/01/2014 07/01/201 X WCSTATU- GTH- E.L. EACH ACCIDENT §1000000 E.L. DISEASE - EA EMPLOYEE $1 000000 EL.DISEASE -POLICY LIMIT $1,000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) The City of Fort Collins, Its officers, agents and employees are 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 W. Laporte ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80521 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 #S910579/M902219 KMM