The URL can be used to link to this page

Home My WebLink About103009 PORTER INDUSTSRIES INC - INSURANCE CERTIFICATER6r . k. O� CERTIFICATE OF LIABILITY INSURANCE D/2//DD/Y2015 10/2/5 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: Whitney Morgan, CLCS, CISR Flood and Peterson PO BOX 578 PHONE (97O) 356-0123 FAX (970)330-1867 A/C No): EMAIL ,WMorgan@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC # Greeley CO 80632 INSURERA:Cincinnati Indemnity Co 23280 INSURED INSURERB:Pinnacol Assurance 41190 INSURERC: Porter Industries, LLC 129 South Madison Ave INSURER D: Unit 2 INSURER E : Loveland CO 80537 INSURER F COVERAGES CERTIFICATE NUMBER:CL1510106131 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 CONTRACT OR 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100, 000 A CLAIMS -MADE DOCCUR EPP0347942 8/15/2015 2 /3/2016 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X Blanket AI/WOS/Primary **CANCELLED** GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY OMS' EDtSINGLELIMIT 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS EPP0347942 8/15/2015 2 /3/2016 HIRED AUTOS NON -OWNED **CANCELLED** PROPERTY DAMAGE Per accident $ AUTOS Medical pavments $ 5,000 X UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB EPP0347942 DED I I RETENTION$ **CANCELLED** 8/15/2015 2 /3/2016 B WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ 11000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE n OFFICER/MEMBER EXCLUDED? (Manuatary in NH) N / A 4183855 6/16/2015 / 15/2016 E.L. DISEASE- EA EMPLOYE $ 1,000,000 If yes, describe under E.L. DISEASE- POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS below * *CANCELLED* * A Employee Dishonesty EPP0347942 8/15/2015 /3/2016 Limit 25,000 **CANCELLED** DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) a.r-n r ina.rA I c nUL.UmIll GANGtLLA I IUN City of Fort Collins Utilities Department 700 Wood Street Bldg A Fort Collins, CO 80521 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 W Morgan, CLCS, CISR/ AC:UKi) 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ArnRn