HomeMy WebLinkAboutWASTE MANAGEMENT OF NORTHERN COLORADO - INSURANCE CERTIFICATEACORDr CERTIFICATE OF LIABILITY INSURANCE ^I/l/2009 12/132/I3DAT WYYYYI
/2007
PRODUCER LOCKTON COMPANIES, L'LC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
5847 SAN FELIPE, SUITE 320 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOUSTON TX 77057 1HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
866-260-3538 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURED
1300436 WASTE MANAGEMENT HOLDINGS, INC & ALL AFFILIATED,
RELATED & SUBSIDIARY COMPANIES INCLUDING
WASTE MANAGEMENT, INC,
5500 SOUTH QUEBEC STREET
GREENWOOD VILLAGE CO 80111
INSURERS AFFORDING COVERAGE NAIC#
INSURER A ACE American Insulana C"E ny
IUSURER8 Indcnufit, insurance Co of NoIIIL America 43575
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 RE 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
T
DD
POLICY NUMBER
POLICY EFFEGTIVE
DATyf(I�M D Y
POLICY EXPIRATION
LIMITS
GENERAL
LIABILITY
EACH OCCURRENCE_
$$,OOQ000
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMSMADE I j OCCUR
HDO G23736767
1/l/2008
I/1/2009
OHMAGETORENT -
PREMISES Ea occDrence
,_--
$5,000,000
MED EXP(Any one Derson)
I$XXXXXXXXXX
X
PERSONAL A_DV_ INJURY
S$0_00,000
XCUWCLUDED I
X
ISO CG 00011204
GENERAL AGGREGATE
s6,000,000
L AGGREGATE LIMIT APPLIES PER
POLICY X PRO X' tOC
PRODUCTS - COMPIOP AGG
56,000.000
GEN
_
A
AUTOMOBILE
X
LIABILITY
ANYAUTO
ISA 1108240395
1/1/2008
I/l/2009
COMBiNED SINGLE LIMIT
(Ea aredlentl
$( OOO 000
X
_
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per Demn)
$XXXXXXXXXX
HIRED AUTOS
NON OWNED AUTOS
X
BODILY
Perr ccdenOYSXXXXXXXXXX
rx
MCS•90
PROPERTY DAMAGE
(Per aCeld..Il
SXXXXXXXXXX
'
GARAGE UABIUTY
I AUTO ONLY EA ACCIDENT
SXXXXXXXXXX
ANYAUTO
NOT APPLICABLE
I0 rHER THAN EAACC
AUTO ONLY AGO
$XXXXXXXXXX
I $XXXXXXXXXX
A
FXCESSIUMBRELCA
X
UABIUTY
n
OCCUR J CLAWSMADE
XOOG23889389
_
1/1/2008
1/1/2009
EACH OCCURRENCE
s15,000,000
AGGREGATE
$15,000,000
❑X UMBRELLA
DEDUCTIBLE FORM
$XXXXXXXXXX
_
I
SXXXXXXXXXX
RETENTION $
IsXXXXXXXXXX
H
A
A
WORKERS COMPENSATION AND I
EMPLOYERS UASILITY
ANY PROPr11Fi0RIPARTNEIVE%ECUTIVF
OFFICERWEMBER EXCLUDED?
NO
S yes describe PROVfind.ISIONS
SPECIAL PROVISIONS nalow
WLR C43997646(ADS)
WLR C43907609 (CA)
SCFC43997567(WI)
1/1/2008
III/2008
I/l/2008
I/l/2009
1/1/2009
I/l/2009
X WC STATU OTH
SOHV DdiIT
EI. EACH ACCIDFNT
$3000000_
EL DISEASE EA EMPLOYEE
53,000,000
E L DISEASE POLICY LIMIT
S3 000 000
A
OTHER
EXCI.SS AUTO I [ABILITY
XSA H08240231
I/I/2008
1/1/2009
COMBINED SINGLE LIMIT
S9 000 000
(EACI I ACCIDLN 0
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CANCELLATION 30 DAYS 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT ADDITIONAL INSURED IN FAVOR OF CITY OF IT COLLIN'S(ON
ALL POLICIES EXCEPT WORKERS COMPENSATION/EL WHEREANDTOTHEEXTENf RE UIREUBYWRYIYGNCONTRACf W'AIVEROF
SUBROGATION IN FAVOR OF CITY OFIF1' COLLINS ON POLICIES
ALL WHERE ANU 7"O THC EXTENT REQUIRED BY WRITTEN CONTRACT
WHERE PERMISSIBLE BY LAW
3446916
CITY OF FORT COLLINS
P O BOX 580
FT COLLINS CO 80522
IDS) For quest —
SHOULD ANY OF THE ABOVE DESC RISED 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 UABIUTY OF ANY KIND UPON THE INSURER ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
conl�cl Om —11.1 LeteJ in too Pro-e cotton ee.-
0
ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATER/13/2VYYYI
1/I/2G09 12/13/2007
PRODUCER LOCKTON COMPANIES, LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
5847 SAN FELIPE, SUITE 320 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOUSTON TX 77057 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
866-260 3538 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE INAIC#
INSURED INSURER A ACE Amcr can Insurance Company _ 22667
1300436 WASTE MANAGEMENT HOLDINGS INC & ALL AFFILIATED,
RELATED & SUBSIDIARY COMPANIES INCLUDING INSURER B InAemnpy Imur nce Cel of North ArnI 43575
WASTE T VINEMANAGEMENT0F NORTHERN COLORADO INSURER C
WA EAST VINE DRIVE .---
FORT COLLINS CO 80524 INSURER D
rnvannrcc
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
LT R
ADD L
POLICY NUMBER
POLICY EFFECTIVE
OAT MMI
I POLICY EXPIRATION
D M DD VY
LIMITS
A
GENERAL LIABILITY
X C OMMERCIALGENERAI. LIABILITY
CLAIMSMADE LOC6Up
HDO G23736767
I/1/2008
1/I/20G9
_
I EACH OCCURRENCE
OAMA>�TGb
PREMISES Ea otxurancel
$5 000,000
$5_000,000
VIED EXP Any one career)
SXXXXXXXXXX
PERSONAL& ADV INJURY
$5,000,000
.X XCU INCLUDED _
ISO CG 00011204
GENERAL AGGREGATE
s6,000,000
GEN
L AGGREGATE
POLICY A
LIMIT APPLIES PER
I PpOT 1 XI1-0C
PRODUCTS COMPIOP AGG
s6 000,000
A
AUTOMOBILE
X
LIABILITY
gNYAVTO
ISA H08240395
I!I/2008
I/I/2009
COA1BINED SINGLE 4M IT
iEa acclddnn
01,000,000
X
ALL OWNED AUTOS
SCHEDULED AUTOS �
Dar pa, INJURY
(Par dcrsonl
SXXXXXXXXXX
_
X
X
HIRED AUTOS
NON OWNED AUTOS
BODILY INJURY
Peaccident)
SXXXXXXXXXX
X
MCS-90
PROPERTY DAMAGE
(Pal dCcldpntf
SXXXXXXXXXX
LIABILITY I
AUTO ONLY EA ACCIDENT
I $XXXXXXXXXX
�GAFAGE
ANYAUTO
NOT APPLICABLE
OTHERTHANEA ACC
SXXXXXXXXXX
9XXXXXX XXXX
AUTO ONLY A.
BXCESSIUMBIRELLA UABRITY
EACH OCCURRENCE
1515,000 000
A
X OCCUR CLAIMSMADE
XOOG23889389
I/1/2008
1/1/2009
$15 000 000
=�Isxxxxxxxxxx
sXXXXXXXXXX
Ex UMBRELLA
sXXXXXXXX\XRETENTION
DEDUCTIBLE FORM 1
5
B
A
A
WORKERS COMPENSATION AND I
EMPLOYERS LIABILITY
ANY PROPRETORIPARTNERIEXECUTIVE I
OFFICERIMEMBER EXCWDED7 I
If yea deacnbe ardor NO I
SPECIAL PROVISIONS below I
WLR C431197646(AOS)
WLR('410976(10(C'A)
SCP C43997567(WI)
1/1/2008l� I
1/1/2R(1„
1/1/2008
1/1/2009
I/I120G9
1/1/2009
AT
X DRyLMI S) OIL
EL EACH ACCIDENT
9300E G00
.. _—_�...__.......
EL DISEASE EA EMPLOYEEI
..__
s3,000000
EL DISEASE -POLICY LIMIT
-
a3,000.000
A
OTHER
6XCESSAUI01.IABILi'TY 1
XSA H08240231
1/1/2008
1/1/2009
COMBINEDSWOLI LIMIT
$9060000
I
(EACH ACCIDENT)
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CANCELLATION 30 DAYS -EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT
1
3429072 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS' DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
P 0 BOX 580
FT COLLINS CO 80524 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
AUTHORISED REPRESENTATIVE
ACORD25(2001/08) Fora...Bono namalne lb,m cnrRFo.I. eJmnG<m.n1iniInlet In In. ACORD 1".01PPnRATInN 10RR