HomeMy WebLinkAboutALLIED WASTE NORTH AMERICAN - INSURANCE CERTIFICATEACOR ... CERTIFICATE OF LIABILITY INSURANCE page 1 of 3 12/13/2007
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 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
P 0 Box 305191
Nashville, TN 372-105191 n nn 2 �`INSUREIRS AFFORDING COVERAGE NAICk
1 u I' III I I' 1
INSURED Allied Waste North America, Inc.
v u III 1INSURERA American Home Assurance Company 19380-005
(Named Insd Cont Below) �INSURERB Illinois National Ine Co 23817-002
18500 North Allied Way I DEC 2 6 2007
Phoenix, AZ 85054 1IINSURERC Ine Co of the State of PA 19429-000
INSURER. New Hampshire Insurance ComDanv 23841-001
GUVI, 1Ai
THE POLICIES OE 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
LTR
kDD'L
N
TV OFINSURANCE
POLICY NUMBER
POLICY EFFEC TIVE
ATE MM/D [YY1
POLICY EXPIRATION
DATE fMWDDNY
LIMITS
A
GENERAL LIABILITY
GLI595716
1/1/2008
l/l/2009
EACH OCCURRENCE
$ 2,500,000
PREMISES Ea NTtElnce
$ lOO 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE L_J OCCUR
-
MED EXP(AnyonePerson/
$ -- -
PERSONAL6ADVINJURY
$ 215001000
GENERAL AGGREGATE
$ 10,000,000
_
GEN LAGGREGATE LIMIT APPLIES PER
PRODUCTS COMP/OPAGG
$ 5,000,000
POLICY 71 JECOT [—] I cc
A
A
AUTOMOBII
E LIABILITY
ANvnuTo
CA1607261
CA1607262
l/l/2008
1/1/2008
1/1/2009
1/1/2009
COMBINED SINGLE LIMIT
(Ea accident)
$ 5. 000,000
X
BODILY INJURY
(Per person)
$
A
ALOWNEDAUTOS
SCHEDULED AUTOS
CA1607263
l/1/2008
1/l/2009
BODILY INJURY
(Per see dent)
$
HIRED AUTOS
NON -OWNED AUTOS
PROP E RTY DAMAGE
(Peracclsent)
$
GARAGE LIABILITY
AUTOONLV EAACCIDENT
$
OTHERTHAN EA ACC
$
ANVAUTO
$
AUTOONLY AGO
EXCESSUMBRELLALIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
S
$
DEDUCTIBLE
$
RETENTION $
A
WORKERS COMPS NSATION AND
EMPLOYERS LIAEIILIT
WC5145026
1/1/2008
1/1/2009
X WO STATI DER
EL EACH ACCIDENT
$ 1,000,000
A
ANY PROPRIETOF/PARTNER/EXECUTIVE
WC5145027
I/1/2008
1/1/2009
EL DISEASE EA EMPLOYEE
$ 1,000,000
B
OFFICEWMEMBER EXCLLDi
WC5145029
1/1/2008
1/1/2009
A
It Yes present. antler
SPECIAL PROVISIONS below
WC5145022
1 1 2008
1 1 2009
EL DISEASE POLICY LIMIT
$ 1 OOQ QQQ
C
OTHER
WC5145025
1 1 2008
1 1 2009
C
Workers CoesPeresation
WC5145023
1/l/2008
1/l/2009
$1,000,000 Each Accident
D
WC5145024
l/1/2008
l/l/2009
$1,000,000 Disease Policy Limit
$1,000,000 Limit Each Employee
DESCRIPTION OF OPERATIONWLOCADONSNEFIICLES/EXCLUSIONS ADDED BY ENDORSEMENTMPECIAL PROVISIONS
Named Insured Includes BFI Northern Colorado
CERTIFICATE HOLDER CANCFI 1 ATION e...,,.,,,.,
SHOULD AINY 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 AGENTS OR
City OC Fort Collins
REPRESENTATIVES
JRRIZE DMEPRESE VE
P O Box 580
Fort Collins, CO 80522
V
n'I
ACORD 25(2001/08) Coll:2200812 Tp1:709700 Cet—V-995,8511 1� OACORD CORPORATION 1988
W111IS
CERTIFICATE OF LIABILITY INSURANCE page 2 of 3
DATE
12/13/2007
PRODUCER
Willis North America, Inc
26 Century Blvd
P 0 Box 305191
Nashville, TN 372705191
877-945-7378
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
I
Allied Waste North America,
(Named Insd Coot Below)
18500 North Allied Way
Phoenix, AS 85054
Inc
D
nMn
17
J
DEC 2 g 2007
-INSURERA American Home Assurance Company
19380-005
I
INSURERS Illinois National Ins Cc
23817-002
�INSURERC Ins Cc of the State of PA
19429-000
INSURERO New Hampshire insurance Company
23841-001
NSURERE
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLEWEXCLUBIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Employers Liability (Stop Gap) coverage for Monopolistic States is included.
Additional Workers Compensation Policy:
Insurance Company Policy # Eff./Exp. Dates
New Hampshire_ Insurance Company WC5145028 01/01/08-01/01/09
Limits:
$1,000,000 Each Accident
$1,000,000 Disease - Policy Limit
$1,000,000 Disease - Limit Each Employee
Certificate ]colder is Additional Insured, except for Workers Compensation, if required by written
contract.
Coll:2200812 Tnl:709700 Cert.9958511
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 encorsement(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
Iholder 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
AGORU 25(2001/08) C011:22uuhlz 'TP1- 709/uu Gert:B9S8b11