HomeMy WebLinkAboutWASTE MANAGEMENT - INSURANCE CERTIFICATE (6)CERTIFICATE OF INSURANCE 1
Date: (MM/DD/YY)
12/10/2005
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lockton Companies of Houston
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
5847 San Felipe, Suite 320
HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Houston, TX 77057
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
866-260-3538 (Phone)
INSURERS AFFORDING COVERAGE
866-492-1055 (Fax)
INSURED: Waste Management Holdings, Inc. & All Affiliated,
Insurer A:
ACE American Insurance Company
Related & Subsidiary Companies including:
Insurer B:
Indemnity Insurance Company of North America
Y P Y
Waste Management
Insurer C:
Colorado Landfill Division
(CSI/ DADS/ CSLF/ MWSLF/ NWSL)
7780 East 96th Avenue
Insurer D:
Insurer E:
Henderson, CO 80640
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
TYPE OF INSURANCE
POLICY NUMBER
EFFECTIVE DATE
EXPIRATION
DATE
LIMITS
LTR
GENERAL LIABILITY
HDO G21714318
1/1/2006
1/1/2007
EACH OCCURRENCE
$ 5,000,000
A
X
COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (ANYONE FIRE)
$ 5,000,006
X
OCCURRENCE
MED EXP (PERPERSON)
X
XCUINCLUDED
PERSONAL BADVINJURY
$ 5,000,000
X
ISO FORM CG 00 01 12 04
GENERAL AGGREGATE
$ 6,000,000
PRODUCTS/COMP. OP. AGG
$ 6,000,000
GENT AGGREGATE LIMIT APPLIES PER:
X
PROJECT
X
LOCATION
AUTOMOBILE
LIABILITY
ISAH08218997
1/1/2006
1/1/2007
COMBINED SINGLE LIMIT
$ 10,000,000
A
X
ANY AUTO
(EACH ACCIDENT)
X
ALL OWNED AUTOS
X
HIRED AUTOS
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
1/1/2006
1/1/2007
1/1/2007
1/1/2007
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/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS:
CERTIFICATE HOLDER:
CANCELLATION:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL 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
City of Fort Collins
AGENTS OR REPRESENTATIVES.'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT.
6570 Portner Road
Fort Collins, CO 80521
AUTHORIZED REPRESENTATIVE: