HomeMy WebLinkAbout193076 RISK REMOVAL - INSURANCE CERTIFICATE (3)`.� CERTIFICATE OF LIABILITY INSURANC�*'NSURD D oio'DD"Y)
THIS CERTIFICATE IS ISSUED AS I MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR NEGATIVELYAMEND, EXTEND OR ALTER THE COVERAGEAFFORDEDBYTHE 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: d the certificate holder is an ADDITIONAL INSURED, I 1 11 icy(ies) must be endorsed. If SUBROGATION IS WAIVEDsubject to the
terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights certificate holder in lieu of such endorsements .
PRODUCER g is to the
BONDING 8 INSURANCE SPECIALISTS
NE�
9340 S. HAREEM AVENUE
N0`B
BRIDGEVIEW, IL 60455
SS:
IN CALIFORNIA, DBA BONDS AND INSURANCE SERVICINSUREDRER
A07964ag
A'INSURER
MORROW HOLDINGS,LLC D/B/A RIRER
INSURER 6
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1925 TIMBERLINE ROAD,OFFICE 1FORT
C:
COLLINS, CO 80525RER
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INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEIS WITH RMBP R.TT T��
RANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOC
CERTIFICATE MAY gE 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
WHICH THIS
TR TYPE OF INSURANCE ADDL SUER
A GENERAL LIABILITY IN SR VJVD POLICY NUMBER POLICY EFF POLICY E%P
Y Y MM OD YWy MM/00 YYYY LIMITS
X COMMERCIAI, GENERAL LIABILITY EACH OCCURRENCE S 1,000,(
CLAIMS -MADE Z OCCUR R MI It- ocwrtence) ISX -CONTRACTORS POLLUTION
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INCLUDES ASBESTOS 6 LEAD
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IANech ACOR
RE: WATER UTILITIES, 700 WOOD STREET, FORT COLLINS, CO
AS REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENTTHE CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL
INSURED FOR ONGOING OPERATIONS UNDER GENERAL LIABILITY WITH RESPECT TO THE ABOVE REFERENCED.
CITY OF FORT COLLINS
ATTN: PURCHASING
P.O. BOX 580
FORT COLLINS, CO 80522-0580
KAO
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
CORD 25 (2010/05)
The ACORD name and logo are registered marks of ACORDACORD CORPORA