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Home My WebLink AboutWASTE MANAGEMENT - INSURANCE CERTIFICATE (7)CERTIFICATE OF INSURANCE Date: (M 12/21/2003 Y) 003 PRODUCER Lockton Companies of Houston, Inc. 5847 San Felipe, Suite 320 Houston, TX 77057 866-260-3538(Phone) 866-492-1055 (Fax) 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 INSURED: WASTE MANAGEMENT and Waste Management Colorado Landfill Division (CSI/ DADS/ CSLF/ MWSLF/ NWSL) 7780 East 96th Avenue Henderson, CO 80640 Insurer A: ACE American Insurance Company Insurer B: Indemnity Insurance Company of North America Insurer C: 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 HDO G21693054 1/1/2004 1/1/2005 EACH OCCURRENCE $ 5,000,000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 5,000,006 X OCCURRENCE MED EXP (PER PERSON) X XCU INCLUDED PERSONAL & ADV INJURY $ 5,000,000 X ISO FORM CG 00 01 10 01 GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMB APPLIES PER: PRODUCTS/COMP. OP. AGG $ 6,000,000 X PROJECT X LOCATION AUTOMOBILE LIABILITY I SA H08010948 1 /1 /2004 1 /112005 COMBINED SINGLE LIMIT $ 10,000,000 A X ANY AUTO _ (EACH ACCIDENT) ALL OWNED AUTOS X HIREDAUTOS X NON-OWNEDAUTOS X MCS-90 EXCESS LIABILITY/UMBRELLA XOOG21808234 1/1/2004 1/1/2005 EACH OCCURRENCE $ 15,000,000 A I X OCCURRENCE AGGREGATE $ 15,000,000 CLAIMS MADE WORKERS' COMPENSATION WLR C43972765 SCF C43972728 (WI) 1/1/2004 1/1/2005 WORKERS' COMPENSATION STATUTORY Band EMPLOYERS LIABILITY EL EACH ACCIDENT $ 3,000,000 A EL DISEASE -EA EMPLOYEE $ 3,000,000 EL DISEASE -POLICY LIMIT $ 3,000,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSrVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: CERTIFICATE HOLDER: CANCELLATION: City of Fort Collins / Fleet Management P.O. Box580 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.'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. AUTHORIZED REPRESENTATIVE: CERTIFICATE OF INSURANCE Date: (M Y) 1 12/2112003 003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Companies of Houston, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5847 San Felipe, Suite 320 Houston, TX 77057 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 866-260-3538 (Phone) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE 866-492-1055 (Fax) 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, INSR LTR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS DATE GENERAL LIABILITY HDO G21693054 1/1/2004 1/1/2005 EACH OCCURRENCE $ 5,000,000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANYONE FIRE) $ 5,000,000 X OCCURRENCE MED EXP (PER PERSON) X XCU INCLUDED PERSONAL & ADV INJURY $ 5,000,000 X ISO FORM CG 00 01 10 01 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 H08010948 1/1/2004 1/1/2005 COMBINED SINGLE LIMIT $ 10,000,000 A X ANY AUTO (EACH ACCIDENT) ALL OWNED AUTOS X HIRED AUTOS X NON -OWNED AUTOS X MCS-90 EXCESS LIABILITY/UMBRELLA XOOG21808234 1/1/2004 1/1/2005 EACH OCCURRENCE $ 15,000,000 A X OCCURRENCE AGGREGATE $ 45,000,000 CLAIMS MADE WORKERS' COMPENSATION WLR C43972765 SCF C43972728 (WI) 1/1/2004 1/1/2005 WORKERS' COMPENSATION STATUTORY B and EMPLOYERS LIABILITY EL EACH ACCIDENT $ 3,000,000 A EL DISEASE -EA EMPLOYEE $ 3,000,000 EL DISEASE -POLICY LIMIT $ 3,000,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSMEHICLESIEXCLUSIONS 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' COMPIEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT Additional Insured In favor of City of Ft. 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