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Home My WebLink AboutALLIED WASTE NORTH AMERICA - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE DATE rN Page 1 of 3 12/18/2008 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis HRH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. 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: Zurich American Insurance Company 16535-007 (Named Insd. Cont. Below) 18500 North Allied WayINSURER American Zurich Insurance Company 40142-001 Phoenix, AZ 85054 INSURERC: INSURER D: UUVEHAGES 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 LT DD' N R TYPE OFINSURANCE POLICVNUMBER POLICYEFFECTIVE DA E DD Y POLICY EXPIRATION DATE WMIDDNYI LIMITS A GENERAL LIABILITY X COMMERCIAL. GENERAL LIABILITY CLAIMS MADE OOCCUR GLOS94527700 1/l/2009 6/30/2009 EACH OCCURRENCE $ 3 00O O00 DAMAGETORENTED PREMISES Eaoccurence $ 100,000 MED EXP(Any one person) $ PERSONAL &ADV INJURY $ 3 000,000 G EN ERAL AGG REGATE $ 51000,000 G ENT AGGREGATE LIMIT APPLI ES PE R: X POLICY 7 PRO-JECT LOG PRODUCTS COMP/OPAGG $ 5 000 000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAP594527600 l/l/2009 6/30/2009 COMBINED SINGLE LIMIT (Ea accident) $ 5,000,000 X BODILY INJURY (Parperson) $ BODILY INJURY (Peraccitlent) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ OTHEHAN EAACC AUTOONLY: AGO $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below, WC594527300 WC594527400 1/1/2009 1/1/2009 6/30/2009 6/30/2009 X I TURYTNTUTj I I GTR EL, EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 E.L. DISEASE. POLICY LIMIT $ 1,000,000 7OTHER 1 1-7 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Named Insured Includes BFI Northern Colorado MGII11rIVN1CIIVLVCfI UAVIIMLLA IIVHN Statutory Notice For Non-Paj cnt 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 City of Fort Collins IREPRESENTATIVES. P O BOX 580 T RIZE EPRESE VE Fort Collins, CO 80522 3 25 (2001/08) Coll:2566751 To1:864588 Ce 1840552 OACORD CORPORATION 19RR Willis CERTIFICATE OF LIABILITY INSURANCE page 2 of 3 12/18/2008 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis HRH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED Allied Waste North America, Inc. INSURERA: Zurich American Insurance Company 16535-007 (Named Insd. Cont. Below) INSURERS: American Zurich Insurance Company 40142-001 18500 North Allied Way Phoenix, AZ 85054 INSURERC: E' Employers Liability (Stop Gap) coverage for Monopolistic States is included. Allied Waste North America, Inc. and it's subsidiaries are registered non -subscribers to the Texas Workers Compensation Act. An approved Indemnity Plan has been filed with the Texas Department of Insurance therefore they are not required to carry Workers' Compensation insurance in Texas. A certificate referencing the Texas Excess Employers Indemnity policy can be provided upon request. The policy provides both Employers Liability and Excess coverage for the approved Indemnity plan. Certificate Holder is Additional Insured, except for Workers Compensation, if required by written contract. C011:2bbb/b1 '1'pl:bb45UU Cert:IIU40552 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. :2566751 Tp1:864588 Cert:11840552