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HomeMy WebLinkAboutMORROW HOLDINGS LLC - INSURANCE CERTIFICATEl ® DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE1 3 4 2010 PRODUCER Phone: 303-837-8500 Fax: 303-831-5295 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1515 Wynkoop, Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80202 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER AAmeri can International Underw Morrow Holdings, LLC. INSURER B: Commerce and Industry Insuran dba Risk Removal, LLC. INSURER c: Pinnacol Assurance 1925 Timberline Rd, Office I Fort Collins CO 80525 INSURER D: INSURER E: rnVPPAr:PC 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDDIYYYY1 POLICY EXPIRATIONLQ LIMITS EACH OCCURRENCE $ 1 000 000 A - GENERAL LIABILITY PROP1064650 10/1/2009 10/1/2010 X COMMERCIAL GENERAL LIABILITY DAMAGE ( RENTED PREMISESS Ea occurrence) $ 100, 000 MED EXP (Any one person) $ 10 0 0 0 CLAIMS MADE R:1 OCCUR PERSONAL 8 ADV INJURY $ 1 0 0 0 000 GENERAL AGGREGATE $ 2 0 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 0 0 O 0 0 0 POLICY X PRO- LOC B AUTOMOBILE X LIABILITY ANY AUTO CA4 9 610 74 10/1/2009 10/1/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X X HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY X I OCCUR CLAIMS MADE PROU1954986 10/1/2009 10/1/2010 EACH OCCURRENCE $2 000 000 AGGREGATE $ 2 0 0 0 0 0 0 $ DEDUCTIBLE $ X RETENTION $ 10 0 0 0 C, WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? 4063346 10/1/2009 / / 2 0 () 9 10 / 1/ 2 O 10 *R Y STATU-I OTH- X T R E.L. EACH ACCIDENT $ ]- 0 0 0 0 0 0 E.L. DISEASE - EA EMPLOYE $ 1 000, 000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT 1 $ 1 0 0 0 000 SPECIAL PROVISIONS below A OTHER Pollution Liability PROP1064650 10/1/2009 10/1/2010 $1,000,000 Occurrence $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS e: Water Utilities, 700 Wood Street, Fort Collins, CO s required by written contract or written agreement, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability with respect to the above referenced. City of Fort Collins Purchasing PO Box 580 Fort Collins CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM. AUTHORIZED REPRESENTATIVE ' 0 ,.0,je ry AUUKU zs (ZUU9IU1) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD No Text