HomeMy WebLinkAboutMORROW HOLDINGS LLC DBA RISK REMOVAL - INSURANCE CERTIFICATE (3)UPDATED
� o® CERTIFICATE OF LIABILITY INSURANCE INSURANCE
A
DATE(MMR)DYYYY)
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 endorsemengs).
PRODUCER
Bonding & Insurance Specialists Agency, Inc.
CONTACT
NAME: KAREN O'CONNELL
PNONE 708-598-5355 Fac Na; 708-598-6686
noenesS: koconnell@bisa-inc.com
In California, DBA Bonds and Insurance Services, Lic. #0795489
INSURE S AFFORDING COVERAGE
NAICY
9340 S. Hadem Avenue
INSURER A: ARCH SPECIALTY INSURANCE COMPANY
21199
Bridgeview IL 60455
INSURED
INSURER B:
MORROW HOLDINGS, LLC D/B/A RISK REMOVAL
INSURER C:
6250 IRON FORGE ROAD
NSURER D:
INSURER E
TIMNATH CO 80547
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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.
INTRR
TYPE OF INSURANCE
ADDL
UBR WD
POLICY NUMBER
MPMIDDY/YYYY
MPOLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL UABILITY
Y
Y
EACH OCCURRENCE
$ 1,000,000
culMs4dADE ❑ occuR
12 EMP 71965 03
10/01/14
10/01/15
PREMISES Ea occurrence
$ 50,000
X
MED EXP (Any one person)
$ 5,000
*Contractors Pollution Liabilii
X
Includes Asbestos 8 Lead
PERSONAL a ADV INJURY
$ 1,000,000
GENT AGGREGATE LIMIT APPLIES PER
GENERAL AGGREGATE
$ 2,000,000
POLICY [X] jECT LOC
PRODUCTS -COMPIOPADS
$ 2,000,000
*PER CLAIM
$ 1,000,000
OTHER:
AUTOMOBILE UTABIUTY
COMBINED SINGLE LIMIT
Ea acc dent
$
BODILY INJURY(Per person)
$
ANYAUTO
ALL OVYWED SCHEDULED
AUTOS AUTOS
NON MED
HIRED AUTOS AUTOS(per.
BODILY INJURY (Per aoadent)
$
PROPER' DAMAGE D
Per acdtl7
$
$
A
X
UMBRELLA LAB
X
OCCUR
Y
Y
12 EMX 71966 03
10/01/14
10/01/15
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
EXCESS LAB
CLAIMSMADE
DELI
I I RETENTION$
$
WORKERSCOMPENSATION
ANY YIN
ANY PROPRIETORIPARTNER/EXECUTIVE
PERT OH
STAUTE ER
E.L. EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED? ❑
NIA
(Mandatory in NH)
E.L. DISEASE -EA EMPLOYE
$
H yes, descnbe antler
DE SCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$
A
LITY
MOLD OPS-OCCURRENCE FO I M
Y
Y
12 EMP 71965 03
10/01/14
10/01/15
�;M;�MOLD AccRecATe
PROFESSIONAL LIABILITY- CLAIMS MADE FORM
$$t.000.00OPER CLAM
$2.000.000 AGGREGATE
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It mom apace Is required)
PROJECT: LINCOLN CENTER, 417 W. MAGNOLIA, FORT COLLINS, CO 80521 - ABATEMENT
PROJECT
CITY OF FORT COLLINS AND THE LINCOLN CENTER, 417 W. MAGNOLIA, FORT COLLINS, CO 80521
ARE NAMED AS ADDITIONAL INSUREDS UNDER THE GENERAL LIABILITY POLICY.
CITY OF FORT COLLINS
P.O. BOX 580
FORT COLLINS, CO 80522-0580
mej
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
rC)19RR•2011 ACORO CORPORATION. All rinhfR
ACORD 25 (2013104) The ACORD name and logo are registered marks of ACORD