HomeMy WebLinkAboutWASTE MANAGEMENT - INSURANCE CERTIFICATE (8)CERTIFICATE OF INSURANCE
Date: (MM/
11 /25/2003003
PRODUCER
n Companies Houston, Inc.
5847
5847 San Felipe, Suite 320
Houston, TX 77057
866.260-3538 (Phone)
866-492-1055(Fax)
This Certificate Voids and Supercedes any previously issued certificate.
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 of Northern Colorado
500 East Vine Street
Fort Collins, CO 80524
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 G2058693A
1/1/2003
1/1/2004
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 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 H07840263
1/1/2003
1/1/2004
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
XOOG21740019
1/112003
1/1/2004
EACH OCCURRENCE
$ 15,000,000
A
X OCCURRENCE
AGGREGATE
$ 15,000,000
CLAIMS MADE
WORKERS' COMPENSATION
WLR C43510885
SCF C43510927 (WI)
1/1/2003
1/1/2004
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/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS:
CHECK BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT
BOX
® 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:
City of Fort Collins
P.O. Box 580
Ft. Collins, CO 80522-0580
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: