HomeMy WebLinkAbout103009 PORTER INDUSTRIES - INSURANCE CERTIFICATE (3)Clienfa14405
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ACORD- CERTIFICATE OF LIABILITY INSURANCE I°ATEI"w°
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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 pollcy(In) must be endorsed. N SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an Endorsement A statement on this cartMcafa does not confer rights to the
certificate holder In lieu of such andon emends).
PRODUCER
Flood & Peterson Ins., Inc.
P. O. Box 578
Greeley, CO 80632
970 356-0123
Me; KslI Beawals
.970 268.7121 FAR
xR OUR, No, 970 508 8815
's ADDRESS. KBeauvaisWoodpeterson.win
weusa AFronolxocovaRAx
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TrIt"Nrs Insurance Company
INSURED
Porter Industries, LLC
dba Porter Industries;Maid Clean
129 South Madison Ave Unit 2
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PUBSUM DI Assuraf ce
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Loveland, CO 80537
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9 P:
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 CONDITIONOF MY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCEFS DESCRIBED HEREIN la SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MY HAVE BEEN REDUCED By PAID CLAIMS.
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$5000
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$1000, 000
DESCRIPTION OF OPERATIONS I LOCATIONS; VEMICLES (ANoh ACON° 101, Admm-N Romans Sd1Mule, Nmore EPq M upW,Ml
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.
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.
ACORD 25 (2010105) 1 of 1 The ACORD name and logo am registered marks of ACORD
#S969323/M969278 KLB
Clients: 14405 PORIN2
ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE,MMO°"""'
02/02/2015
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 INSURERS, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certlecab holder Is an ADDITIONAL INSURED, the polla Liss) must be eldoraed. H SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certlficale does not confer rights to the
cartl0cats holder In lieu of such endolsement(s).
PRODUCER
Flood 8 Peterson Ins., Inc.
P.O. Box 578
XaMEAST: Kell B9auVBIa
x x . 970 28&7121 AIc Mu . 970 506$645
Social KBeauvals@floodpeterson.com
Greeley, CO 80632
970 356-0123
INSURE $ AFFO MC° CE MRCS
Daniel Travelers Insurance Company
INSURED
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Porter Industries, LLC
dba Porter Industries;Rlald Clean
129 South Madison Ave Unit 2
INSURER e:
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Loveland, CO 80537
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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. NOTNITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF MY 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.
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$100 000
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$1,000,000
EL DISEASE- EAEMPLDYEE
S11,000,000
ELO2FA9E-PCUCY LIMN
1$1,000,000
DESCRIPTION OF OPERATORS I LOCATIONS I EHICLES UkX ACORD 101, Addlllmal Remnb S[MdUla, amon ePoO YrpuIIND
The City of Fort Collins, Its o6icers, 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.
CERTIFICATE HOLDER CANCELLATION
City Of Fort Collins SHOULD NE MOVE DESCRIBED POUCHES CANCELLED EXPIRATIONDAM THEREOF,NOTICE WILL BE DEBEFORE LIVERED N THE
300 W. Laporte ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80521
AUTxOR6ED REPRESENTANVE
019884010 ACORD CORPORATION. All rights nN arved.
ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S969320/M969278 KLB