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HomeMy WebLinkAbout103009 PORTER INDUSTRIES - INSURANCE CERTIFICATE (7)C I ient#: 14405 PORIN2 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/19/2015 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 ONT CT NAME: Kelly Beauvais Flood &Peterson Ins., Inc. PHONE 970 266-7121 FAX A/c No EXt : A/C. No): 970 506-6845 P. O. Box 578 E-MAIL eterson.comdfl i eauvas oo ADDRESS: KB� P Greeley, CO 80632 INSURER(S) AFFORDING COVERAGE NAIC # 970 356-0123 INSURER A: Travelers Insurance Company INSURED INSURERB: Pinnacol Assurance Porter Industries, LLC dba Porter Industries;Maid Clean INSURER C 129 South Madison Ave Unit 2 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR P6602B955731TIA15 2/05/2015 02/05/2016 EACH OCCCURRENCE S11,000,000 PREMISES Ea oNcE ence $1 OO,000 MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY S 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: x POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $2,000,000 _ $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS XNON-OWNED AUTOS P8102B955731 COF15 2/05/2015 02/05/2016 COMBaccINED CO(EaMBINED SINGLE LIMIT $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE PSMCUP2B955731TIL1 2/05/2015 02/05/201 EACH OCCURRENCE s51000,000 X AGGREGATE s5,000,000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYrR ANY PROPRIETOR/PARTNER/EXECUTIVE� OFFICERRdEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4183855 6/16/2015 07/01/201 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 / 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. GANGtLLA I IUN City f Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y oTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northside 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 #S978991/M978938 KLB