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HomeMy WebLinkAboutMORROW HOLDINGS LLC DBA RISK REMOVAL - INSURANCE CERTIFICATE (13)A� �® CERTIFICATE OF LIABILITY INSURANCE INSUDRANCE DATE (MM/DDIYYYY) 10/11 /2017 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 Bonding & Insurance Specialists Agency, Inc. CONTACT NAME: Karen O'CONNELL P"C.N Ext: 708-598-5355 (FAX No, 708-598-6686 E-MAIL SS: koconnell@bisa-inc.com In California, DBA Bonds and Insurance Services, Lic. #0795489 INSURERS AFFORDING COVERAGE NAIC# 13841 Southwest Highway INSURERA: ARCH Specialty Insurance Company 21199 Orland Park IL 60462-1354 INSURED INSURERB: ARCH Insurance Company 11150 Morrow Holdings, LLC D/B/A Risk Removal INSURERC: INSURER D: 6250 Iron Forge Road INSURER E: Timnath CO 80547 [INSURER F: --A 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 INSD SUBR WVD POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ❑X OCCUR 12 EMP 71965 06 10/01/17 10/01/18 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 X MED EXP (Any one person) $ 5,000 "Contractors Pollution Liabilit} X Includes Asbestos & Lead PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000, 000 F1POLICY K PEC LOC PRODUCTS - COMP/OPAGG $ 2,000,000 "PER CLAIM $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY F BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED9 (Mandatory in NH) NIA Y EBWCCO0125-02 10/01/17 10/01/18 X I PER 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 $ 1,000,000 A MOLD O STOCCURRENCEOFORM LIABILITY Y Y 12 EMP 71965 06 10/01/1710/01/1 $1,000,000-MOLD AGGREGATE IM PROFESSIONAL LIABILITY -CLAIMS MADE FORM $1,000,000-PER CLAIM $2,000,000. AGGREGATE DESCRIPTION OF OPERATIONS I LOCATIONS I 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. CITY OF FORT COLLINS ATTN: PURCHASING P.O. BOX 580 FORT COLLINS, CO 80522-0580 M L9G.aR99 �LlLL•1CJ 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD