HomeMy WebLinkAbout109244 WASTE MANAGEMENT UNITED SITE SERVICES - INSURANCE CERTIFICATECERTIFICATE OF INSURANCE
Date:12/10/20050/2005
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 of Northern Colorado
500 E. Vine Dr.
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
HDOG21714318
1/1/2006
1/1/2007
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
ISOFORMCGDO011204
GENERAL AGGREGATE
$ 6,000.000
GEML AGGREGATE LIMIT APPLIES PER:
PRODUCTS/COMP. OP. AGG
$ 6,000,000
X
PROJECT
X
LOCATION
AUTOMOBILE
LIABILITY
ISAH08218997
1/1/2006
1/1/2007
COMBINED SINGLE LIMIT
$ 10,000,000
A
X
ANY AUTO
(EACHACCIDENT)
X
ALL OWNED AUTOS
X
HIRED AUTOS
X
X
NON -OWNED AUTOS
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 JEL
1/1/2007 1EL
WORKERS' COMPENSATION
STATUTORY
Band
EMPLOYERS LIABILITY
ELEACHACCIDENT
$ 3,000,000
A
DISEASE -EA EMPLOYEE
$ 3,000,000
A
DISEASE -POLICY LIMIT
$ 3,000,000
REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS:
CERTIFICATE HOLDER: CANCELLATION:
'For Bid Purposes Only"
C/O `+Vaste Management of Northern Colorado
SHOULD ANY OF THE ABOVE CESCR. BED PC..0 IS BE CANCELLED BEFCRE'FE
EXPIRATION DATE THEREOF. THE ISSUING INSURER IvILL ENOEAVCR TO MAIL'-C GAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLIER NAMED TO THE LEFT BUT FAILI;RE -C DC
SO SHALL IAPOSE NO CBLi3AT:0N OR LIABaITY CF ANY F' NO: PON Tr£ INS..RER S
AGENTS CR PEPRESENTATI'JES'EXCEPT'0 DAIS NOTCE FOR N ;N-PAYMENT
AUTHORIZED REPRESENTATIVE