Loading...
HomeMy WebLinkAboutMORROW HOLDINGS LLC DBA RISK REMOVAL - INSURANCE CERTIFICATE (4)Iq A� o® CERTIFICATE OF LIABILITY INSURANCE DDrYYY DATE(04/2019Y) 10/04/2019 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: Karen O'CONNELL P"C"E 708-598-5355 F�ACC No, 708-598-6686 Bonding &Insurance Specialists Agency, Inc. ADDRESS: koconnell@bisa-inc.com In California, DBA Bonds and Insurance Services, Lic. #0795489 INSURERS AFFORDING COVERAGE NAIC# 13841 Southwest Highway INSURERA: Starr Surplus Lines Insurance Company 13604 Orland Park IL 60462-1354 INSURED INSURER B: American Interstate Insurance Company 24759 INSURERC: Morrow Holdings, LLC D/B/A Risk Removal 6250 Iron Forge Road INSURER 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. I LTDWYY LTR TYPE OF INSURANCE INSD SUERPOLICY WVD POLICYNUMBER MM Y MM nnrYYYY LIMITS A X COMMERCWLGENERALUABIUTY Y Y EACH OCCURRENCE $ 1,000,000 CLAIM&MADE OCCUR 1000067137191 10/01/19 10/01/20 PREMISES Ea occurrence $ 100,000 X MED EXP(Any one person) $ 5,000 `Contractors Pollution Liability X Includes Asbestos & Lead PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PEA LOC PRODUCTS - COMP/OP AGG $ 2,000,000 'PER CLAIM $ 1,000,000 OTHER. B I AUTOMOBILE LIABILITY X ANY AUTO Y Y 1000626154191 10/01/19 10/01/20 COMBINED SINGLE LIMIT Be accident $ 1,000,000 BODILY INJURY (Per person) $ OWNEDONLY AUTOS SCHEDULED AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A X UMBRELLALIAB X OCCUR Y Y 1000337430191 10/01/19 10/01/20 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS -MADE CGL (Incl. CPL/PL/Mold), Auto & Employers Liability AGGREGATE $ 2,000,000 DIED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICE (MEMBR/PARTNER/EXECUTIVE YIN in N REXCLUDED9 ❑Y (Mandatory in NH) (Mandatory N/A Y AVW CCO2836632019 10/01/19 10/01 /20 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMiT $ 1,DDD,000 A MOLD OPS- OCCURREN OCCURRENCE Y Y 1000067137191 10/01/1 10/01/2 $1,000,000-MOLD AGGREGATE PROFESSIONAL LIABILITY- CLAIMS MADE FORM S1,M0,000 - PER CLAIM $2,000,000 - AGGREGATE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 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. CERTIFICATE HOI nFR CANCELLATION CITY OF FORT COLLINS ATTN: PURCHASING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. FORT COLLINS, CO 80522-0580 KAO AUTHORIZED REPRESENTATIVE I XD", M -`� @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD