HomeMy WebLinkAboutMORROW HOLDINGS LLC DBA RISK REMOVAL - INSURANCE CERTIFICATE (10),acoKl� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDlYYYY)10/05/2015
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).
CONTPRODUCER NAME Karen O'CONNELLCONT
Bonding &Insurance Specialists Agency, Inc. PHONE 708-598-5355 aIc No : 708-598-6686
In California, DBA Bonds and Insurance Services, Lic.:#0795489 E-MAIL koconnell@bisa-inc.com
ADDRESS_
13841 Southwest Highway INSURERS AFFORDING COVERAGE NAIC #
Orland Park IL 60462-1354 INSURERA: ARCH Specialty Insurance Company21199
INSURED -INSURER B: ARCH Insurance Company 11150
Morrow Holdings, LLC D/B/A Risk Removal INSURERC:
6250 Iron Forge Road INSURER D :
Timnath CO 80547 I INSURER F - I I
uao11710- RFVISION NI IMRFR-
VVYLr�MVLJ
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.
ILTRR
TYPE OF INSURANCE
ADDL
SUER
POLICY NUMBER
POLICY EFF
MMIDD
POLICY EXP
MM/DDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
EACH OCCURRENCE
$ 11000,000
12EMP7196504
10/01/15
10/01/16
PREMSES(EaocwrtRENTED
$ 50,000
CLAIMS -MADE rX OCCUR
ence)
X
MED EXP (Any one person)
$ 5,000
*Contractors Pollution Liability
X
Includes Asbestos 8r Lead
PERSONAL BADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY X❑ PRO ❑ LOC
JECT
'PER CLAIM
$ 1,000,000
OTHER_
SINGLE LIMIT
(EaCOMaccident)
$
AUTOMOBILE LIABILITY
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
ALL OWNED SCHEDULED
AUTOS AUTOS NON-OWNEDPROPERTY
DAMAGE
Per accident
$
HIRED AUTOS AUTOS
A
X
UMBRELLA LIAB
X
OCCUR
Y
Y
12 EMX 71966 04
10/01/15
10/01/16
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
WORKERS COMPENSATION
_
SPTATLITE ER
$
B
Y
EBWCCO0125-00
10/01/15
10/01/16
E. L. EACH ACCIDENT
$ 1,000,000
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETOR/PARTNER/EXECUTIVE
�Y
N / A
E.L DISEASE - EA EMPLOYE4
$ 1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
E.L. DISEASE -POLICY LIMIT $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
A
CONTRACTOR'S POLLUTION LIABILITY
Y
Y
12 EMP 71965 04
10/01/15
10/01/16
1,000,000.DDD-MOLD AGGREGACLAOM
TE
$1 000 ODD- MOLD AGGREGATE
MOLD OPS-0CCURRENCE FORM
$1,DOOIM ,ODD -PER CLAW
PROFESSIONAL LIABILITY -CLAIMS MADE FORM
$ZOOO,00D-AGGREGATE
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
ALL PROJECTS DONE DURING THE CAPTIONED POLICY TERM.
CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSUREDS UNDER THE
GENERAL LIABILITY POLICY.
THE INSURANCE EVIDENCED BY THIS CERTIFICATE WILL NOT REDUCE COVERAGE OR LIMITS AND WILL NOT BE
CANCELLED, EXCEPT AFTER THIRTY (30) DAYS WRITTEN NOTICE HAS BEEN RECEIVED BY THE CITY OF FORT COLLINS.
I t HULUtK
CITY OF FORT COLLINS
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.
AUTHORIZED REPRESENTATIVE �o _
ACORD 25 (2013104) The ACORD name and logo are registered marks of ACORD
®
ACORL7 CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
10/05/2015
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
13841 Southwest Highway
Orland Park IL 60462-1354
CONTACT NAME: Karen O'CONNELL _
_WC0 �' 708-598-5355 ac No: 708-598-6686
E-MAIL koconnell@bisa-inc.com
INSUR S AFFORDING COVERAGE
NAIC#
INSURERA : ARCH Specialty Insurance Company
21199
INSURED
Morrow Holdings, LLC D/B/A Risk Removal
6250 Iron Forge Road
Timnath CO 80547
INSURERB: ARCH Insurance Company
11150
INSURERC:
D:
-INSURER
INSURER E :
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.
INSR
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MMIDD_ _
POLICY EXP
MWDD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE u OCCUR
12 EMP 71965 04
10/01l15
10/01/16
PREME To Eoccurrence
PREMISES (Ea
$ 50,000
X
MED EXP (Any one person)
$ 5,000
`Contractors Pollution Liability
X
Includes Asbestos & Lead
PERSONAL & ADV INJURY
$ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER :
GENERAL AGGREGATE
$ 2,000,000
POLICY � PR LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
PER CLAIM
$ 1,000,000
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
ALL OWNED SCHEDULED
AUTOS AUTOS
PROPERTY DAMAGE
Per accident
$
NON -OWNED
HIRED AUTOS AUTOS
A
X
UM13RELLALIAB
X
OCCUR
Y
Y
12 EMX 71966 04
10/01/15
10/01/16
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YlN
ANY PROPRIETOR/PARTNER/EXECUTIVE �Y
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
Y
EBWCCO0125-00
10/01/15
10/01/16
PER OTH-
STATU TE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEd
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
tf es, describe under
DESCRIPTION OF OPERATIONS below
ACONTRACTOR'S
POLLUTION LIABILITY
MOLD OPS-OCCURRENCE FORM
Y
Y
12 EMP 71965 04
10/01/15
1oi01116
7,0D0,000-MOLD LIMIT- P R CLAIM
St,000,000-MOLD AGGREGATE
PROFESSIONAL LIABILITY- CLAIMS MADE FORM
S2,000,000-PER CLAIM
52,000,000 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 HOLDER CANCELLATION
CITY OF FORT COLLINS
ATTN: PURCHASING
P.O. BOX 580
FORT COLLINS, CO 80522-0580
W •
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
@ 1988-2013 ACORD CORPORATION. All rights reserved.
ACORD 25 (2013/04) The ACORD name and logo are registered marks of ACORD