HomeMy WebLinkAboutMORROW HOLDINGS LLC DBA RISK REMOVAL - INSURANCE CERTIFICATE (2)UPDATED
ACORO CERTIFICATE OF LIABILITY INSURANCE INSURANCE
DATE(MM)DDIYYYY)
10/20/2014
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
Bonding & Insurance Specialists Agency, Inc.
In California, DBA Bonds and Insurance Services, Lic. #0795489
9340S.HademAvenue
Bridgeview IL 60455
CO"TAT
NAME: KAREN O'CONNELL
p"o" a 708-598-5355 Fasc Np: 708-598 6686
AEffil LE$$, koconnell@bisa-inc.com
INSURER(S) AFFORDING CMRAGE
MAICN
INSURER A: ARCH SPECIALTY INSURANCE COMPANY
21199
INSURED
MORROW HOLDINGS, LLC D/B/A RISK REMOVAL
6250 IRON FORGE ROAD
TIMNATH CO 80547
INSURER B :
NSURER C:
INSURER D:
INSURER E :
INSURER F:
nn..vOwr_ee: CERTIFICATE NUMBER: REVISION NUMBER:
V 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
rypE OF INSURANCE
KDOLISUM
POLICY NUMBER -
MM BDYIYYYY
MMID POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE ❑ OCCUR
12 EMP 71965 03
10/01/14
10I01/15
MAZIATTOMEIMO
PREMISES Ea ocacrerce
$ 50,000
X
MED EXP(An oneperson)
$ 5,000
'Contractors Pollution Llablllt)
X
Includes Asbestos& Lead
PERSONAL B ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -COMPIOPAGG
$ 2,000,000
POLICY ❑JEC ❑ LOC
OTHER:
'PER CLAIM
$ 1,000,000
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea amcienl
$
BODILY INJURY (Per Person)
$
ANY AUTO
BODILY INJURY (Per aaiderr)
$
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
Peracodent
$
$
A
X
UMBRELLA LIAB
X
OCCUR
Y
Y
12 EMX 71966 03
10101114
10/01/15
EACH OCCURRENCE
$ 2,000,000
EXCESS LUIB
CLAIMS -MADE
AGGREGATE
$ 2,000,000
DED I I RETENTIONS
1$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
AW ECUTIVE
PER OTH-
TA ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
FFICERIMEMBEEF
OEXCLUDED? ❑
(Mandatory In NH)
NIA
E. L. DISEASE -POLICY LIMIT
$
If Ye., de.mb. under
DhSCRIPTION OF OPERATIONS W.
A
ON LIABIUWCONTRACTORS
MOLD OPSOCCURRENCE FORM
Y
Y
12 EMP 71965 03
10/01/14
10/01115
a;e...o.e Mo1D AGOREOAiE
PROFESSIONAL LIABILITY- CLAIMS MADE FORM
$1,0NNO-PERCWM
$? Dap,Ooe AGGREGATE
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACCORD 101, Additional Remark, SCNedWe, may 0r atYched a mom space Is Mqui ed)
RE: WATER UTILITIES, 700 WOOD STREET, FORT COLLINS, CO
AS REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT, THE CERTIFICATE HOLDER IS
INCLUDED AS ADDITIONAL INSURED FOR ONGOING OPERRATIONS UNDER GENERAL LIABILITY
WITH RESPECT TO THE ABOVE REFERENCED.
CITY OF FORT COLLINS
ATTN: PURCHASING
P.O. BOX 580
FORT COLLINS, CO 80522-0580
M
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 Zff
ACORD 25 (2013/04)
HFJ IMed-LVIJ XIiVRU IiVRrVRM 11VR. Mll llglllif ro}WFYtlY.
The ACORD name and logo are registered marks of ACORD