HomeMy WebLinkAboutWASTE MANAGEMENT - INSURANCE CERTIFICATECERTIFICATE OF INSURANCE 1
Dat5/25200�)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lockton Companies, LLC
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
5847 San Felipe, Suite 320
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Houston, TX 77057
866-260-3538(Phone)
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
866-492-1055 (Fax)
INSURERS AFFORDING COVERAGE
INSURED: Waste Management Holdings, Inc. & All Affiliated,
Insurer A:
ACE American Insurance Company
Related & Subsidiary Companies including:
Insurer B:
Indemnity Insurance Company of North America
v P Y
Waste Management, Inc.
Insurer C:
5500 South Quebec Street
Greenwood Village, CO 80111
Insurer D:
Insurer E:
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 BE EXHAUSTED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
EFFECTIVE DATE
EXPIRATION
DATE
LIMITS
GENERAL LIABILITY
HDOG23718200
1/1/2007 ,..
O08MEDEXP
EACH OCCURRENCE
$ 5,000,000
A
X
COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (ANYONE FIRE)
$ 5,000,000
X
OCCURRENCE
(PER PERsoN)
X
XCU INCLUDED
PERSONAL & ADV INJURY
$ 5,000,000
X
ISO FORM CG 00 01 12 04
GENERAL AGGREGATE
$ 6,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS/COMP. OP. AGG
$ 6,000,006
X I PROJECT or LOCATION
AUTOMOBILE
LIABILITY
ISAH08226994
1/1/2007
1/1/2008
COMBINED SINGLE LIMIT
$ 1,000,000
A
X
ANY AUTO
(EACH ACCIDENT)
X
ALL OWNED AUTOS
X
HIRED AUTOS
X
NON -OWNED AUTOS
X
MCS-90
A
EXCESS AUTO LIABILITY
XSAH0822707A
1/1/2007
1/1/2008
COMBINED SINGLE LIMIT
$ 9,000,000
EACH ACCIDENT
EXCESS LIABILITY/UMBRELLA
EACH OCCURRENCE
$ 15,000,000
A
XOOG23792886
1/1/2007
1/1/2008
X
OCCURRENCE
AGGREGATE
$ 15,000,000
CLAIMS MADE
WORKERS' COMPENSATION
WLR C44458226 (AOS)
WLR C44458196 (CA)
SCF C44458214 (WI)
1/1/2007
1/1/2007
1 1/1/2007
1/1/2008
1/1/2008
1/1/2008
WORKERS' COMPENSATION
STATUTORY
B
and EMPLOYERS LIABILITY
EL EACH ACCIDENT
$ 3,000,000
A
EL DISEASE -EA EMPLOYEE
$ 3,000,000
A
JEL DISEASE -POLICY LIMIT
$ 3,000,000
REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS:
Additional Insured in favor of City of Ft. Collins (on all policies except Workers Compensation/EL) where and to the extent required by written contract.
Waiver of Subrogation in favor of City of Ft. Collins on all policies where and to the extent required by written contract where permissible by law.
CERTIFICATE HOLDER:
CANCELLATION:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 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
City of Fort Collins
AGENTS OR REPRESENTATIVES. -EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT,
P.O. Box 580
AUTHORIZED REPRESENTATIVE:
Ft. Collins, CO 80522