HomeMy WebLinkAboutWASTE MANAGEMENT - INSURANCE CERTIFICATE (5)ACOR"® DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 1/1/2011 12i9i2009
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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED,
1300436 RELATED & SUBSIDIARY COMPANIES INCLUDING:
WASTE MANAGEMENT
COLORADO LANDFILL DIVISION
7780 EAST 96TH AVENUE
HENDERSON CO 80640
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: ACE American Insurance Company
22667
INSURER B : Indemnity Insurance Co of North America
43575
INSURER C : ACE Property & Casualty Insurance Co
20699
INSURER D :
I I I INSURER E: I I
COVERAGES AJ THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING
INCIID FD/C1 AI ITUn DI7Fn DP10 FQVNTATI\/G nD D nrulr CD ANTI TUC rC OTICIr ATC Unl 1',CD
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
ADUL
POLICY EFFECTIVE
POLICY EXPIRATION
LTR
INSRD
TYPE OF INSURANCE
POLICY NUMBER
DATE (MM/DD/YY)
DATE (MMIDD/YY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 5,000,000
A
X COMMERCIAL GENERAL LIABILITY
HDOG24938384
1/1/2010
1/1/2011
DAMAGE TO RENTED
PREMISES (Ea occcureence)
$ 51000,0_00
CLAIMS MADE u OCCUR
_
MED EXP (Any one person)
_
$ XXXXXXX
PERSONAL & ADV INJURY
$ S 0OO 000
X XCU INCLUDED
X
ISO FORM CG 0001 1207
GENERAL AGGREGATE
$ 6,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 6,000,000
PRO -
POLICY X JECT X LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
ISA H08583742
1/1/2010
I/l/2011
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
X
BODILY INJURY
(Per person)
$ XXXXXXX
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$ XXXXXXX
HIRED AUTOS
NON -OWNED AUTOS
X
X
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
MCS-90
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
ANY AUTO
NOT APPLICABLE
OTHER THAN EA ACC
$ XXXXXXX
AUTO ONLY: " AGG
$ XXXXXXX
C
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMS MADE
XOO G24902456
I/1/2010
1/I/201 l
EACH OCCURRENCE
$ 15,000,000
AGGREGATE
$ 15,000,000
$ XXXXXXX
UMBRELLA
$ XXXXXXX
DEDUCTIBLE El FORM
$ XXXXXXX
RETENTION $
B
•
A
_ WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE El
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
SPECIAL PROVISIONS below
WLR C4570936A (AOS)
C45709371 (CA)
SCFC45709383 WI
( )
1/1/2010
I/l/2010
I/I/20I0
I/l/2011
I/l/2011
1/I/2011
X I WC STATU- OTH-
TORY L,M,TS - EP
E.LEACHACCIDENT
$ 3,000,000
E.L. DISEASE - EA EMPLOYEE
$ 3,000,000
E.L. DISEASE -POLICY LIMIT
$ 3,000,000
A
OTHER
XTR 1-I08583754
I/I/2010
1/l/2011
COMBINED SINGLE LIMIT
EXCESS AUTO
$9,000,000
LIABILITY
(EACH ACCIDENT)
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS x
CANCELLATION: 30 DAYS EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT.
`Y
Win MR ill I I iiiiNfGUIRE i P1 A NJaG A9�lA wi�tla.
3446993
CITY OF FORT COLLINS
6570 FORTNER ROAD
FORT COLLINS CO 80521
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
AUTHORIZED REPRESENTATIV
ACORD 25 (2009/01)
ID 1988-2009 ACORD CORPORfflON. All rights reserved
The ACORD name and logo are registered marks of ACORD
For auestions reaardino this certificate. contact the number listed in the 'Producer' section above.