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Home My WebLink AboutALLIED WASTE NORTH AMERICA - INSURANCE CERTIFICATEACORD., CERTIFICATE OF LIABILITY INSURANCE page 1 of 3 DATE 12/04/2006 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. 26 Century Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED Allied Waste North America, Inc. INSURERA: American Nome Assurance Company 19380-004 INSURERS: American Home Assurance Company 19380-005 (Named Ined. Cont. Below) 18500 North Allied Way INSURERC: Illinois National Ins. Co. 23817-002 Phoenix, AZ 85054 INSURERD: National Union Fire Ins. Co. of Pittsburg 19445-001 INSURERE: Ins. Co. of the State of PA 19429-000 COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICYNUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMBS A X GENERAL UABIUTY GL5835900 1/1/2007 l/l/2008 EACHOCCURRENCE $ 2,500,000 X COMMERCIAL GENERAL LIABILITY CLAIMSMADE ® OCCUR PREMISES EREoNccTurence $ 100 Q00 MED EXP(Anyone person) S PERSONAL &ADV INJURY $ 2,500,000 GENERAL AGGREGATE $ 10,000,000 PRODUCTS-COMP/OP AGG $ S 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC A B X X AUTOMOBILE LIABILITY ANY AUTO CASS36660 CA5836661 l/1/2007 1/1/2007 1/1/2008 1/1/2008 COMBINED SINGLE LIMIT (Es accident) $ 5,000,000 X BODILY INJURY (Per person) $ C X ALL OWNED AUTOS SCHEDULED AUTOS CAS836662 l/l/2007 1/1/2008 BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTYDAMAGE (Peraccident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC $ ANY AUTO $ AUTO ONLY: AGG D X EXCESS LIABILITY X OCCUR CLAIMS MADE BE4485809 1/1/2007 1/1/2008 EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 51000,000 $ DEDUCTIBLE $ RETENTION $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC2920646 WC2920647 l/l/2007 1/l/2007 1/1/2008 1/1/2008 X WcsTATu- oTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 *, A OFFICER/MEMBEREXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC2920648 NC2 20649 1/l/2007 14142007 1/1/2008 1 1 2DQ8 E.L. DISEASE - POLICY LIMIT $ 11000,000 E OTHER WC2920650 l/l/2007 1 1 2008 E Workers Compensation NC2920651 l/l/2007 1/1/2008 $1,000,000 Each Accident A WC2920652 1/1/2007 l/l/2008 $1,000,000 Disease Policy Limit $1,000,000 Limit Each Emoloves DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Named Insured Includes BFI Northern Colorado GI -Ill I IFICA 1 E MULUbH CANCELLATION statutory notice For Non -Payment SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Fort Collins REPRESENTATIVES. P O BOX 580 T RIZE EPRES VE Fort Collins, CO 80522 ACORD 25 (2001M) Coll:1821828 Tpl:571017 CeW.9195420 ®ACORDCORPORATION 1988 DATE Wilk CERTIFICATE OF LIABILITY INSURANCE page 2 of 3 12/04/2006 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willie North America, Inc. 26 Century Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, IN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED Allied Waste North America, Inc. INSURERA: American Nome Assurance Company 19380-004 (Named Insd. Cont. Below) 18500 North Allied Way INSURERB: American Home Assurance Company 19360-005 Phoenix, AZ 85054 INSURERC: Illinois National Ins. Co. 23817-002 INSURERD: National Union Fire Ins. Co. of Pittsburg19445-001 INSURERS: Ins. Co. of the State of PA 19429-000 Employers Liability (Stop Gap) coverage for Monopolistic States is included. Certificate Holder is Additional Insured, except for Workers Compensation, if required by written contract. Col1:1821828 Tn1:571017 Page 3 of 3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD25(2001M) Co11:1821828 To1:571017 Cert:8195420