HomeMy WebLinkAboutWASTE MANAGEMENT - INSURANCE CERTIFICATE (2)ACORD*. 1/ll2009 CERTIFICATE OF LIABILITY INSURANCE
MMIDDNYY
DATEI(1/13/22/13/2007Y)
PRODUCER LOCKTON COMPANIES, LLC
5847 SAN FELIPE, SUITE 320
HOUSTON TX 77057
866-260-3538
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
INSURER A ACE Amencan Insuance Company
22667
1300436 WASTE MANAGEMENT HOLDINGS, INC & ALL AFFILIATED,
RELATED & SUBSIDIARY COMPANIES INCLUDING
wsuRERB Indcmm Inwrance Co of North Amencg
h'
43575
INSURER C
WASTE MANAGEMENT
COLORADO LANDFILL DIVISION
INsuRER D
7780 EAST 96TH AVENUE
HENDERSON CO 80640
INSURER E
COVERAGES Al
CERTIFICATEHOLDERING
SIURERSFICATE OF AUTHORIZEDDRANCE DOES R REPRESENTATIT CONSTITUTE A VE OR PRODUCER AND THE CONTRACT
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 ADDL
p
POLICY NUMBER
POLICY EFFECTIVE
DATE MM DO ECYY
POLICY EXPIRATION
D M DDYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
55 000.00O
A
X COMM
COMMERCIAL GENERAL LIABILITY
HDO 023736767
I/I/2008
I/1/2009
DAMAGE TO RENTED
PREMISES Ea occurenee
55,000,000
MED EXP IAny one parson)
sXXXXXXXXXX
�y�
CLAIMSMADE " OCCUR
PERSONAL & ADV INJURY
$5,000,000
X XCU INCLUDED
X
ISO CG 00011204
GENERAL AGGREGATE
s6,000 000
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMP/OP AGG
s6,000,000
POLICY X PiFrTRO X LOC
A
AUTOMOBILE
UABIUTY
ANYAUTO
ISA F108240395
1/1/2008
I/I/2009
COMBINED SINGLE LIMIT
Be III
$1,000,000
X
X
BODILY INJURY
(Per person)
SXXXXXXXXXX
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Par accident)
SXXXXXX.X.X. X.X,
HIRED AUTOS
NON OWNED AUTOS
X
X
PROPERTY DAMAGE
(Per accident)
SXXXXXXXXXX
MCS-90
GARAGE LIABILITY
RANYAUTO
NOT APPLICABLE
AUTO ONLY EA ACCIDENT
sXXXXXXXXXX
OTHER THAN EAACC
SXXXXXXXXXX
SXXXXXXXXXX
AUTO ONLY AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
a15,000000
A
X1 OCCUR ❑ CLAIMSMADE
XOOG23889389
I/I/2008
I/I/2009
AGGREGATE
s15,000,000
�
SXXXXXXXXXX
DEDUCTIBLE FORMELLA
SXXXXXXXXXX
RETENTION $
B
WORKERS COMPENSATION AND
WLR C43997646(ADS)
1/1/2008
1/1/2009
WC ATE OTH
X q T
EL EACH ACCIDENT
1
5 ,000,OOO
A
EMPLOYERS LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
WILP. C4399-600 (CA)
SCF C43997567(WI)
I inn
./I/_,,,,3
1/1/2008
1/ /9 0
I _OO,
I/I/2009
EL DISEASE EA EMPLOYEE
s3000,000
If yes describe untler
SPECIAL PROVISIONS below NG
E L DISEASE POLICY LIMIT
I s3,000 000
A
OTHER EXCESS AUTO LIABILITY
XSA H09240231
1/1/2008
I/1/2009
COMBINED SINGLE LIMIT
$9 000 000
(EACII ACCIDEN I)
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CANCELLATION 30 DAYS *EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT
3446994
CITY OF FORT COLLINS / FLEET MANAGEMENT
P 0 BOX 580
FORT COLLINS CO 80522
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 AGENTS OR
REPRESENTATIVES
AUIHOHILGU H[YHt5GVIAI1VB
ACORD 25(2001/08) For Rwathrls regarding his oeHmcatecadaouee numwnisted in the Producer eeoeon aEo.e ACORD CORPORATION 1988