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HomeMy WebLinkAbout103009 PORTER INDUSTRIES - INSURANCE CERTIFICATE (5)rlle.,r>N• IAAns anPIN9 ACORD,,. CERTIFICATE OF LIABILITY INSURANCE DATE03I4I2024/20/Y5 15 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 CONTACT NAME: Kelly Beauvais n CONNo Ect : 970 266'7121 FAX No), 970 506-6845 ADDRESS: KBeauvais@floodpeterson.com ADDRESS: l:." P Greeley, CO 80632 970 356-0123 INSURERS AFFORDING COVERAGE NAICi INSURER A: Travelers Insurance Company INSURED Porter Industries, LLC dba Porter Industries;Maid Clean 129 South Madison Ave Unit 2 INSURER B: Plnnacol Assurance INSURER C INSURER D: Loveland, CO 80537 INSURERS: 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 ADDL IN SUB POLICY NUMBER POLICY EFF MMfDD POLICY EXP MM/DD LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX-I OCCUR P6602B955731TIA15 2/05/2015 02/05/2016 EACHOCCURRENCE$1 000000 PR EMISES o¢urrc Ea nce $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 PRO- LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED ALTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS IX P8102B955731COF15 2/05/2015 02/05I201 COMEa BIKEDBINED SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE PSMCUP2B955731TIL1 2/05/2015 02/05/201 EACH OCCURRENCE s5 000 000 AGGREGATE s5,000,000 DED RETENTIONS 1 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) if be under DESCRIPTION OF OPERATIONS below N / A 4153522 "CANCELLED" D710112014 0=W2015 X T ITLA 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, N more space is required) City of Fort Collins Carpet Maintenance 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 #S978117/M978070 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KLB flionind- 1AAn5 p0PIN9 ACORD.,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 03124/2015 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 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 NT CT NAME: Kelly Beauvais PH aONNE..Est): 266-7121 vc No : 970 506-6845 E-MAIL flood KBeauvais eterson.com ADDRESS: KBeauvais@floodpeterson.com Greeley, CO 80632 970 356-0123 INSURERS AFFORDING COVERAGE NAIC R INSURER A: Travelers Insurance Company INSURED Porter Industries, LLC dba Porter Industries;Maid Clean 129 South Madison Ave Unit 2 INSURER B: Plnnacol Assurance INSURER C: INSURER D: Loveland, CO 80537 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 DD I R SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DDNYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 5XI OCCUR P6602B955731 TIA15 2105/2015 02/05/2016 EEpAAqCCkIHHp OCCURRENCE 1URRENCE $000 000 PREM �ES ISEaExwErtDence $100000 MED EXP (Any one person) $ 5 000 PERSONAL & ADV INJURY $1 00O 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 1-1 CTPOLICY PRO- JE LOC PRODUCTS - COMP/OP AGG s2 000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOSAUTOS HIRED AUTOS X NON -OWNED AUTOS IX P8102B955731COF15 2/05/2015 02/0512016 EOMBBIINdEDISINGLELIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per amdent) $ PROPERTYDAMAGE (Per accident $ $ A X UMBRELLA LIAS EXCESS LU1B X OCCUR CLAIMS -MADE PSMCUP2B955731TIL7 2/05/2015 02/05/201 EACH OCCURRENCE $5000000 AGGREGATE s5,000,000 DED RETENTION S $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? 7 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4153522 ''CANCELLED" 7/01/2014 03/03/201 OTH- J( TWC ORY LIMIT 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) 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) 1 Of 1 #S978115/M978070 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KLB r iiantfh 1ddn5 PORIN2 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE 24/20IY 15 03/4/205 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 CONTACT NAME: Kelly Beauvais PHONE 970 266.7121 A/C No E:t : A/C No), 970 506-6845 EWAIL ADDRESS: KBeauvais@floodpeterson.com Aood eterson.com Greeley, CO 80632 970 356-0123 INSURERS AFFORDING COVERAGE NAIC9 INSURER A: Travelers Insurance Company INSURED INSURERS: Plnnacol Assurance Porter Industries, LLC dba Porter Industries;Maid Clean 129 South Madison Ave Unit 2 INSURER c INS D Loveland, CO 80537 INSURER URERE: 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 rypE OF INSURANCE DDL SUB POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx-] OCCUR P6602B955731TIA15 2/05/2015 02105/2016 EACH OCCURRENCE 1 OOO OOO PREMS EaExcu.D nce $100 000 MED EXP Any one person) s5,000 PERSONAL & ADV INJURY $1 00O 000 GENERAL AGGREGATE $2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER'. POLICY PRO- LOC CT PRODUCTS - COMP/OP AGO $2000000 $ A AUTOMOBILE LIABILITY OWNED SCHOSEDULED IXANY AUTO AUTOS X NON -OWNED AUTOS P81026955731COF15 01210512015 02105/2016 EesBINEDSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ALL BODILY INJURY (Per accident)AUTOSAUTHIRED PROPERTY DAMAGE$ Per accident A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PSMCUP2B955731TIL1 2/05/2015 02/05/2016 EACH OCCURRENCE s5 00Ow, 000 AGGREGATE sS 00O 000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED' (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS t,elow NIA 4153522 "CANCELLED" 7101/2014 03/03/2015 X WCSTLAQW OTH- �(JJmrR E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 00O 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) 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 #S978118/M978070 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KLB rrenfif- tuns PnRIN7 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 03/24/2015 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 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 EACTKelly Beauvais PHONE 970 266-7121 A/C No 970 506 6845 JC No Ext E-MAIL ADDRESS: KBeauvais@floodpeterson.com KBeauvaisd eterson.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Insurance Company INSURED Porter Industries, LLC dba Porter Industries;Maid Clean 129 South Madison Ave Unit 2 INSURER B: Plnnacol Assurance INSURER C INSURER D : Loveland, CO 80537 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. LTR TYPE OF INSURANCE I D SUB POLICY NUMBER MM/LDDY� MM/DDIIYYYYP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1--X1 OCCUR P660213955731 TIA1 5 2/05/2015 02/05/201 EACH OCCURRENCE $ 1 00000 0 ECCCURRENCE PREMISES EaEoNcc7uErrDence $1 OO 000 MED EXP (Any one person) s5,000 PERSONAL B ADV INJURY $1 OOO UOO GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOc PRODUCTS - COMP/OP AGG $2 00O 000 $ A AUTOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X AUTO-0OWNED IX P8102B955731COF15 2/05/2015 02/0512016 EaaBINEDSINGLELIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per aEcRe DAMAGE $ A UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE PSMCUP2B955731TIL1 2/05/2015 02/05/201e EACH OCCURRENCE $5 000 000 AGGREGATE $5 000 000 DELI I I RETENTION $ $ B AND EMPLOYERS'LIABILITY AND EMPS YERS' LI A ILIT ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? N] (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 4153522 "CANCELLED" 7/01/2014 03/03/201 X WC STATU- 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 I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) RE: Transfort; Transit South; Transit North City of Fort Collins is listed as an Additional Insured as their interest may appear as respects General Liability. City of Fort Collins 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 #S978113/M978070 C 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KLB