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Home My WebLink AboutWASTE MANAGMENT OF NORTHERN COLORADO - INSURANCE CERTIFICATECERTIFICATE OF INSURANCE Date: 12/17/20047/2004 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Companies of Houston San Felipe, Suite 320 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hou Houston, TX 77057 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 866-260-3538 (Phone) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 866-492-1055 (Fax) INSURERS AFFORDING COVERAGE INSURED: WASTE MANAGEMENT and Insurer A: ACE American Insurance Company Waste Management of Northern Colorado Insurer B: Indemnity Insurance Company of North America 500 East Vine Street Insurer C: Fort Collins, CO 80524 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. INTR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS DATE GENERAL LIABILITY HDO G21712978 1/1/2005 1/1/2006 EACH OCCURRENCE $ 5,000,000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANYONE FIRE) $ 5,000,006 X OCCURRENCE MED EXP (PER PERSON) X XCU INCLUDED PERSONAL & ADV INJURY $ 5,000,006 X ISO FORM CG G0 01 10 of GENERAL AGGREGATE $ 6,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMP, OP. AGG $ 6,000,000 X PROJECT X LOCATION AUTOMOBILE LIABILITY ISA H07932704 1/1/2005 1/1/2006 COMBINED SINGLE LIMIT $ 10,000,000 A X ANY AUTO (EACH ACCIDENT) ALL OWNED AUTOS X HIREDAUTOS X NON -OWNED AUTOS X MCS-90 EXCESS LIABILITY/UMBRELLA XOOG22082334 1/1/2005 1/1/2006 EACH OCCURRENCE $ 15,000,000 A X OCCURRENCE AGGREGATE $ 15,000,000 CLAIMS MADE WORKERS' COMPENSATION WLR C44173803 (AOS) WLR C44181095 (CA) SCF C44181058 (WI) 1 1/1/2005 1/1/2005 1/1/2005 1 1/1/2006 1/1/2006 1/1/2006 WORKERS' COMPENSATION STATUTORY B and EMPLOYERS LIABILITY EL EACH ACCIDENT $ 3,000,000 A I EL DISEASE -EA EMPLOYEE $ 3,000,000 A FLDISEASE-POLICY LIMIT $ 3,000,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: CHECK BOX BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ® CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. Additional Insured in favor of City of R. Collins (on all policies except Workers' Compensation/ EL) where and to the extent as required by written contract. Re: All Operations 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 AGENTS OR REPRESENTATIVES.'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. City of Ft. Collins Attention: John Stephen AUTHORIZED REPRESENTATIVE 256 W. Mountain Avenue Fort Collins, CO 80522 CERTIFICATE OF INSURANCE Date: (MM/DD/YY) 12/17/2004 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Companies of Houston San Felipe, Suite 320 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Houston, 77057 Houston, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 866-260-3538 (Phone) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 866-492-1055 (Fax) INSURERS AFFORDING COVERAGE INSURED: WASTE MANAGEMENT and Insurer A: ACE American Insurance Company Waste Management of Northern Colorado Insurer B: Indemnity Insurance Company of North America 500 East Vine Street Insurer C: Fort Collins, CO 80524 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. INTR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS DATE 1 GENERAL LIABILITY HDO G21712978 1/1/2005 1/1/2006 EACH OCCURRENCE $ 5,000,000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANYONE FIRE) $ 5,000,006 X OCCURRENCE MED EXP (PER PERSON) X XCU INCLUDED PERSONAL & ADV INJURY $ 5,000,000 X ISO FORM CG Co 01 10 o1 GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMP. OP. AGG $ 6,000,000 X PROJECT X LOCATION AUTOMOBILE LIABILITY iSA H07932704 1/1/2005 1/1/2006 COMBINED SINGLE LIMIT $ 10,000,000 A X ANY AUTO (EACH ACCIDENT) ALL OWNED AUTOS • y iiREDAUTOS v ; ION-OWNF_O AUTOS I 1 ;X , dAC� 90 EXCESS LIABILITY/UMBRELLA XOOG22082334 1/1/2005 1/1/2006 EACH OCCURRENCE $ 15,000,000 i A � OCCURRENCE AGGREGATE $ 15,000,000 cLc,Ms�,AOE 1VCRi'ERS' COIf4 ENSATION WLR C44173803 (AOS) WLR C44181095 (CA) SCF C44181058 (WI) 1/1/2005 1/1/2005 1/1/2005 1/1/2006 1/1/2006 1 1/1/2006 WORKERS' COMPENSATION STATUTORY B and EMPLOYERS LIABILITY EL EACH ACCIDENT $ 3,000,000 A EL DISEASE EA EMPLOYEE $ 3,000,000 A EL DISEASE -POLICY LIMIT $ 3,000,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: CHECK BOX BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ® CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER: CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL'90 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.'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. City of Fort Collins P.O. Box 580 AUTHORIZED REPRESENTATIVE Ft. Collins, CO 80522-0580 ��—�