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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