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HomeMy WebLinkAbout2000 REPUBLIC SERVICES INC - INSURANCE CERTIFICATEA� CERTIFICATE OF LIABILITY INSURANCE F5D/1/2009;`/YY' PRODUCER Phone: 818-662-4200 Fax: 877-297-9262 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BB&T - Knight Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 535 North Brand Blvd., loth Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lic# 0619252 Glendale CA 91203 INSURED 2000 Republic Services, Inc. 18500 N Allied Way Phoenix AZ 85054 rnvGeer-Gc INSURERS AFFORDING COVERAGE INSURER A:ZURICH AMERICAN INS CO INSURER B: AMERICAN ZURICH INS CO INSURER C:AMERI CAN GUARANTEE & LIP INSURER-D: NAIC # 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 LTR ADVIL POLICY NUMBER POLICY EFFECTIVE D POLICY EXPIRATION DATE MM D LIMITS A GENERAL LIABILITY GL0370304202 6/30/2009 6/30/2010 EACH OCCURRENCE $ rj 00Q 000 X COMMERCIAL GENERAL LIABILITY _ DAMAGE ( RENTED PREMISESS Ea occurrence)$ OO 000 5, 000, CLAIMS MADE KIOCCUR MED EXP (Any one person) $ - PERSONAL & ADV INJURY $ 5 000, 000 ' GENERAL AGGREGATE $ 5 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 5 0 0 Q 000 - POLICY PRO X LOC A AUTOMOBILE LIABILITY BAP370304302 6/30/2009' 6/30/2010 COMBINED SINGLE LIMIT (Ea accident) $ 5, 0 0 0, 0 0 0 X ANY AUTO BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per penmen) ' X BODILY INJURY - $ HIRED AUTOS- - X NON -OWNED AUTOS ._ - (Per accident) - PROPERTY DAMAGE $ - (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $. OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG C EXCESS / UMBRELLA LIABILITY AUC594569901 6/30/2009 6/30/2010 EACH OCCURRENCE $rj 0 0 0 0 0 0 X I OCCUR CLAIMS MADE AGGREGATE $ 5 0 0 Q 0 0 0 $ DEDUCTIBLE $ RETENTION $ _ B WORKERS COMPENSATION - WC 3 7 0 3 0 4 0 0 2 6/ 3.0./-2.0. 0.9 6/30/2010 WC STATU- OTH- X TORY-LIMITS ER A AND EMPLOYERS' LIABILITY -- ---- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N WC 3 7 0 3 0 410 2 6/30/2009 6/30/2010 E.L. EACH ACCIDENT $ 1 0 0 0 0 0 0 A OFFICER/MEMBEREXCLUDED? N❑ EWS594527801 6/30/2009 6/30/2010 (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ 1 0 0 0 0 0 0 If yes, describe under- SPECIAL PROVISIONS below - E.L. DISEASE -POLICY LIMIT $ 1 000 0.0.0 - OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS , gamed Insured Includes BFI Northern Colorado Certificate Holder is Additional Insured, except for Workers Compensation, if required by written contract. Employers Liability (Stop Gap) coverage for Monopolistic States is included. UtKIIFIUAIh HULUtK UANUCLLAIIUNIO Day Cancellation for Non -Payment 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 City Of Fort Collins CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO P O Box 580 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Fort Collins CO 80522 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE .r i ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD