HomeMy WebLinkAboutWASTE MANAGEMENT - INSURANCE CERTIFICATE (10)P
( r;�I.�-VprL lnc✓ P,12v`i_{IzvV4 /�4-Al
CERTIFICATE OF INSURANCE
Date: 12l10/20050/2005
PRODUCER
Lockton Companies of Houston
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 Holdings, Inc. & All Affiliated,
Related & Subsidiary Companies including:
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
HDOG21714318
1/1/2006
1/1/2007
EACH OCCURRENCE
$ 5,000,005
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 0001 12 04
GENERAL AGGREGATE
$ 6,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS/COMP. OP. AGG
$ 6,000,005
X
PROJECT
X
LOCATION
AUTOMOBILE
LIABILITY
ISA H08218997
1/1/2006
1/1/2007
COMBINED SINGLE LIMIT
$ 10,000,000
A
X
ANY AUTO
(EACH ACCIDENT)
X
ALL OWNED AUTOS
X
HIREDAUTOS
X
NON -OWNED AUTOS
X
MCS-90
EXCESS LIABILITY/UMBRELLA
XOOG23572503
1/1/2006
1/1/2007
EACH OCCURRENCE
$ 15,000,000
A
X
OCCURRENCE
AGGREGATE
$ 15,000,000
CLAIMS MADE
WORKERS'
COMPENSATION
WLR C44338440 (AOS)
WLR C44338427 (CA)
SCF C44338403 (WI)
1/1/2006
1/1/2006
1 1/1/2006
1/1/2007
1/1/2007
1/1/2007
WORKERS' COMPENSATION
STATUTORY
Band
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/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS:
CERTIFICATE HOLDER:
CANCELLATION:
City Of Fort Collins
413 South Bryan
Fort Collins, CO 80521
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: