HomeMy WebLinkAbout193076 RISK REMOVAL LLC - INSURANCE CERTIFICATE (2)ACORO® CERTIFICATE OF LIABILITY INSURANCE
10 4 DATE
4/202011
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 endorsements .
PRODUCER
CO TA T
NAME:
PHONE FAX
AIC, No Ext ;,}-Q3=B}7-Q 0 AIC, N._oL3-0 1-5295
Van Gilder Insurance Corp.
1515 Wynkoop, Suite 200
Denver CO 80202
EWAIL
ADDRESS:ContraCt SEycliC.com
INSURER(SI AFFORDING COVERAGE
NAIC it
INSURER A:
INSURED
INSURER Swes tfield insurance ComnanyID
INSURER C:
Morrow Holdings, LLC.
dba Risk Removal, LLC.
1925 Timberline Rd, Office I
INSURER D:
Fort Collins CO 80525
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 1682555519 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
INSR
SUBR
VAD
POLICY NUMBER
POLICY Err
MMIDDIYI'YV
POLICY EXP
MMIDDIVYYY
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERALLIABILITY
CLAIMS -MADE ❑ OCCUR
EACH OCCURRENCE
$
DAMAGE TO RENTED
PREMISES Ea occurrence
$
MED EXP (Any one person)
$
PERSONAL &ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE
POLICYGAj
LIMIT APPLIES PER:
PRO- F LOC
PRODUCTS-COMPIOP AGO
$
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALLOWNED
AUAUTS O�SCHEDULEO
O
NON -OWNED
HIRED AU1 % AUTOS
Y
Y
CNP730639S
10/1/2011
0/1/2012
Ea aaitlen[
1, 000, 000
%
BODI LY I NJU RY(Per person)
$
BODILY INJURY (Per accident)
$
X
PROPERTY DAMAGE
Per accident
$
Is
UMBRELLA LIAB
EXCESS LIATB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$1
�'�
DED R ETENTION$
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE ❑
OFFICER/MEMBER EXCLUDED? Y
(Mandatory in NH)
If yy describo under,
DESCRIPTI ON OF OPERATIONS below
NIA
y
I9063396
�0/1/2011
0/1/2012
% WCSTATU-
TORY LIMITS ER
E.L. EACH ACCIDENT
$1, 000, 000
EL. DISEASE EA EMPLOYE
$1, 000, 000
E.L. DISEASEPOLICYLIMIT
$1, 000, 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
Re: Water Utilities, 700 Wood Street, Fort Collins, CO
lilJiiiiila:t
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.
Purchasing
PO BOX 580 AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522-0580 17 i - _
n 1QAR.9010 ar.nRn Cr1RPr1RATinhJ All rinH1� rocurvud
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD