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Home My WebLink AboutALLIED WASTE NORTH AMERICA BFI NORTHERN COLORADO - INSURANCE CERTIFICATEACQffL7T, CERTIFICATE OF LIABILITY INSU PRODUCER 877-945-7378 THIS CERTIF ONLY AND Willis North America, Inc. - Regional Cert Center HOLDER. T 26 Century Blvd. ALTER TH P. 0. Box 305191 Nashville, TN 372305191 INSURERF INSURED Allied Waste North America, Inc. INSURERA: American Bole .. (Named Inod. Con.t Below) 15880 N. Greenway-Rayden INSURERS: Illin Loop, Suite 100 INSURER C: Ameri Scottsdale, AZ 85260 COVFRAnFS National Ins. Lam. Assurance any i Fire Ins. Co. of DATE '16/2005 )RMATION iTIFICATE TEND OR i BELOW. NAIC# 23817-002 19380-005 19445-001 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 ADDI rypEOFINSURANCE POLICY NUMBER POLICYEFFECTIVE DATE INtMIDDrM l/l/2006 POLICY EXPIRATION DATE fMNVQD0YYi LIMITS A X GENERAL LIABILITY GL5752016 1/1/2007 EACHOCECCURRENCE $ 2,500,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ® OCCUR PR MI3ES EaEcNccuranoa $ 100,000 MED EXP (Any one person) $ PERSONAL&ADV INJURY $ 2 50O 000 GENERALAGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 51000,000 POLICY PRO LOC B C AUTOMOBILE LIABILITY ANY AUTO CAS887317 CA5887316 l/l/2006 l/l/2006 l/l/2007 l/l/2007 COMBINED SINGLE LIMIT (Ea accident) $ 5,0D0,000 X BODILVINJURv (Perperson) $ A A ALL OWNED AUTOS SCHEDULEDAUTOS CA5887315 CASS87314 l/l/2006 l/l/2006 l/l/2007 l/l/2007 BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTYDAMAGE (Paraccident) $ GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHERTHAN EAACC AUTO ONLY: AGG $ - ANYAUTO $ D EXCESS LIABILITY BE4485071 l/l/2006 l/l/2007 EACHOCCURRENCE $ 5,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 51000,000 $ $ DEDUCTIBLE $ RETENTION $ - A A WORKERS COMPENSATONAND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC6610861 WC6610860 1J1/2006 l/l/2006 1/1/2007 l/l/2007 CS ATU- ITH- X WORYLIMT EB- E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,00C) B OFFICER/MEMBER EXCLUDED? WC6610862 l/l/2006 l/l/2007 E If yes, describe under SPECIAL PROVISIONS below WP 6610864 14142006 1 1 2007 E.L. DISEASE - POLICY LIMIT $ 1 0 00 E OTHER WC6610865 l/l/2006 1 1 2007 A Workers Compensation NC6610863 1/1/2006 l/l/2007 $1,000,000 Each Accident $1,000,000 Disease Policy Limit $1,000,000 Limit Each Muolovee DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Named Insured Includes BFI Northern Colorado \,G17I IrR.N 1 c r1ULUL11 1,AN%o=LLN I IUN statutory Notice For Mon -Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 O 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 of Fort Collins REPRESENTATIVES. P O SOX 580 RIZE EPRESE VE Fort Collins, CO 80522 ACORD 25 (2001108) Coll:1489185 Tpl:442983 Ce : 619595 ®ACORDCORPORATION 1988 Willis CERTIFICATE OF LIABILITY INSURANCE page 2 of 3 DATE 12/16/2005 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. - Regional Cart Center 26 Century Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED Allied Waste North America, Inc. INSURERA:American Rome Assurance Company 19380-004 (Named Ined. Con.t Below) 15880 N. Greenway-Bayden INSURERB: Illinois National Ina. Co. 23817-002 INSURERC:American Home Assurance Company 19380-005 Loop, Suite 100 Scottsdale, AZ 85260 INSURERD:National Union Fire Ins. Co. of Pittsburg 19445-001 INSURERE: Ins. Co. of the State of PA 19429-000 Employers Liability (Stop Gap) coverage for Monopolistic States is included: Certificate Holder is Additional Insured, except for Workers Compensation, if required by written contract. :1489185 Tnl:442983 Cert:6619595 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 endorsement(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 holder 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. C011:1489185 Tp1:442983 Cert:661959