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HomeMy WebLinkAboutWASTE MANAGEMENT HOLDINGS INC - INSURANCE CERTIFICATE (2)ACORO° DATE (MM/DD/YYYY) L.� CERTIFICATE OF LIABILITY INSURANCE 1l1/2012 12i8i2010 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, INC. 5500 SOUTH QUEBEC STREET GREENWOOD VILLAGE CO 80111 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 INSURER E COVERAGES A_I THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 A- X COMMERCIAL GENERAL LIABILITY 1-IDOG25524937 1/1/2011 I/l/2012 15AMASET5aoRENTED aurence $ 5,000,000 CLAIMS MADE � OCCUR MED EXP (Any one person) $ XXXXXXX X XCU INCLUDF_D PERSONAL & ADV INJURY $ 5,000,000 X ISO FORM CG 00011207 GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 6,000,000 XPRO- POLICY JECT X LOC A AUTOMOBILE LIABILITY MMT H08631463 1/l/201 1 I/l/2012 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000 000 , X ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ XXXXXXX X HIRED AUTOS BODILY INJURY $ XXXXXXX X NON -OWNED AUTOS (Per accident) N MCS-90 PROPERTY DAMAGE $ XXXXXXX (Per accident) _ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX I EANY AUTO r AUTO ONLY: AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 15,000,000 C X ❑CLAIMS XOOG25828562 1/1/2011 1/I/2012 OCCUR MADE AGGREGATE s 15,000,000 $ XXXXXXX UMBRELLA DEDUCTIBLE FORM $ XXXXXXX $ xj{xxxxx RETENTION $ B WORKERS COMPENSATION AND - -- WLR C46469768 (AOS) i/1/20I1 1/1/2012 X TORYTA TS iJ OT EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ 3,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE W LR C4646977A (CA & MA) I/l/2011 I/l/2012 A OFFICER/MEMBEREXCLUDED? (Mandatory in NH) SCFC46469781 (WI) ( ) 1/l/2011 1/I/2012 3,000,000 If yes, describe under E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ 3,000,000 SPECIAL PROVISIONS below A OTHER XTR H08631475 1/l/2011 1/l/2012 COMBINED SINGLE LIMIT EXCESS AUTO $9,000,000 LIABILITY (EACH ACCIDENT) DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CANCELLATION: 30 DAYS EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. ADDITIONAL INSURED IN FAVOR OF CITY OF FT. COLLINS (ON ALL POLICIES EXCEPT WORKERS COMPENSATION/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION IN FAVOR OF CITY OF FT. COLLINS ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. v- -vim IV 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.O. BOX 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL FT. COLLINS CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIV ACORD 25 (2009/01) © 1�98��8�-2009777 ACORD CORPORATION. All rights reserved I ne r+I-.UMLJ narne ana logo are registerea marKS OT AI:VKu For auestions reaardino this certificate, contact the number listed in the 'Producer section above. ACORO® DATE (MM/DD/YYYY) L..i CERTIFICATE OF LIABILITY INSURANCE 1/1/2012 12/8/2010 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, INC. 5500 SOUTH QUEBEC STREET GREENWOOD VILLAGE CO 80111 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 INSURER E : COVERAGES A.1 THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRnr:T RFTWFFN TUF MQ111ur- ,Ra Mu1nVRICCu KCYKtStN IA I IVt OK PRODUCER AND THE CERTIFICATE HOLDER. 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 ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 A X COMMERCIAL GENERAL LIABILITY HDOG25524937 1/1/2011 I/l/2012 DAMAGE PREMSETOEaoNTED.ce $ 5000000 MED EXP (Any one person) $ x}(}{}(xxx CLAIMS MADE Fx_1 OCCUR X XCU INCLUDED PERSONAL & ADV INJURY $ 5,000,000 X ISO FORM CG 00011207 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 MMT H08631463 1/l/2011 I/l/2012 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS X BODILY INJURY $ XXXXXXX SCHEDULED AUTOS (Per person) HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ XXXXXXX X NICS-90 X PROPERTY DAMAGE $ XX,YXXXX (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX ANY AUTO AUTO ONLY: AGG $ XXXXXXX C EXCESS/UMBRELLA LIABILITY XOO G25828562 1/1/2011 I/l/2012 EACH OCCURRENCE $ 15,000,000 AGGREGATE s 15,000,000 X OCCUR ❑ CLAIMS MADE $ }(X'X'j(xxx Ell UMBRELLA DEDUCTIBLE FORM $ XXXXXXX $ XXXXXXX RETENTION $ B WORKERS COMPENSATION AND WLR. C46469768(AOS) 1/1/2011 - 1/1/2012 X WC A EMPLOYERS' LIABILITY Y / N LIMITSOT ER E.L. EACH ACCIDENT $ 3,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER N❑ WLR C4646977A (CA & MA) 1/1/2011 I/l/2012 A EXCLUDED? SCF C46469781 (Mandatory in NH) (WI) 1/l/2011 I/l/2012 It yes, describe under E.L. DISEASE - EA EMPLOYEE $ 3 000,000 , SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 3,000,000 A OTHER EXCESS AUTO XTR F108631475 1/I/2011 1/1/2012 COMBINED SINGLE LIMIT LIABILITY $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CANCELLATION: 30 DAYS EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. n rlJTl rinwrr Ili.. ..�.. v�l�v LLLA I IVIY 10895809 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.O. BOX 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL FT. COLLINS CO 80524 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIV ACORD 25 (2009/01) ©D198���8-22009»7 ACORD CORPORAION. All riahts rPcervPri I ne AL IJKU name ana logo are registered marks of ACORD For auestions moardino this certificate. contact the number listed in the 'Producer' section above. ACORO® DATE (MM/DD/YYYY) `� CERTIFICATE OF LIABILITY INSURANCE 1i1i2012 12i8i2010 PRODUCER LOCKTON COMPANIES, LLC 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 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 NAIC # INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300436 RELATED & SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT COLORADO LANDFILL DIVISION 7780 EAST 96TH AVENUE HENDERSON CO 80640 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 : INSURER E I COVERAGES AJ THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING VUUCER AND THE CERIIFR.HIE HOLDER. 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 ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 52000,000 A X COMMERCIAL GENERAL LIABILITY HDO G25524937 1/1/2011 1/1/2012 DAMAGE TO RENTED PREMISES (Ea occurence) $ 5.000,000 CLAIMS MADE I X I OCCUR - MED EXP (Any one person) $ XXXXXXX X XCU INCLUDED PERSONAL & ADV INJURY $ 5,000,000 X ISO FORM CG 0001 1207 GENERAL AGGREGATE $ 6,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 6,000,000 PRO - POLICY X JECT X LOC A AUTOMOBILE LIABILITY MMT H08631463 1/l/2011 1/I/2012 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS X BODILY INJURY SCHEDULED AUTOS (Per person) $ XXXXXXX HIRED AUTOS X BODILY INJURY X NON -OWNED AUTOS - (Per accident) $ XXXXXXX MCS-90 X PROPERTY DAMAGE $ XXXXXXX (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX ANY AUTO H - AUTO ONLY: AGG $ 'XXXXXXX C EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 15,000,000 X OCCUR ❑ CLAIMS MADE XOO G25828562 1/1/2011 I/1/2012 AGGREGATE $ 15,000,000 $ XXXXXXX UMBRELLA El DEDUCTIBLE FORM $ XXXXXXX $ XXXXXXX RETENTION $ B WORKERS COMPENSATION AND WLR C46469768 (AIDS) 1/1/2011 1/I/2012 X TORY L MITS OT ER EMPLOYERS' LIABILITY Y /N E.L. EACH ACCIDENT 3,000,000 $ A ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? WLR C4646977A (CA & MA) 1/l/2011 1/1/2012 A (Mandatory in NH) SCF C46469781 (WI) 1/1/2011 1/1/2012 3,000,000 It yes, describe under E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ 3,000,000 SPECIAL PROVISIONS below A OTHER XTR H08631475 I/l/2011 1/1/2012 COMBINED SINGLE LIMIT EXCESS AUTO $9,000,000 LIABILITY (EACH ACCIDENT) DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CANCELLATION: 30 DAYS EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. 3446994 CITY OF FORT COLLINS / FLEET MANAGEMENT P.O. BOX 580 FORT COLLINS CO 80522 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 (2009101) © 1988-2009 ACORD CORPOR^0N_ All rinhtc rPCPrUPrl The ACORD name and logo are registered marks of ACORD For auestions reaardina this certificate. contact the number listed in the'Pro ucer' section above. Alm OIL "® DATE (MM/DD/YYYY) `� CERTIFICATE OF LIABILITY INSURANCE 1i1i2012 12i8i2010 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 : INSURER E COVERAGES AJ THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INCIIPFP1CI AIITWnPI7Fr) PFPRFCFNTATI\rF r)P PPr)nIIr`PP AKIn TUF r`FOTIFIr`ATP Nr)i npp 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 A -X COMMERCIAL GENERAL LIABILITY.- CLAIMS MADE Fx—] OCCUR HDOG25524937 _ ..1/l/2011 1/1/2012 - DAMAGE TO RENTED PREMISES Ea occurencel $ 5,000,000 MED EXP (Any one person) $ XXXXXXX PERSONAL & ADV INJURY $ 5 000,000 X XCU INCLUDED. X ISO FORM CG 00011207 GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 6,000,000 PRO - POLICY I X I JECT X LOC A AUTOMOBILE LIABILITY ANY AUTO MMTH08631463 I/l/2011 1/1/2012 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 G25828562 1/1/2011 1/1/2012 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 $ XXXXXXX UMBRELLA $ XXXXXXX ❑ DEDUCTIBLE X FORM $ XXXXXXX RETENTION $ R A A WORKERS COMPENSATION AND- -- EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDEW (Mandatory in NH) WLR C46469768 (AOS) WLR C4646977A (CA & MA) SCFC46469781 ( WI) - 1/1/2011- ' I/l/2011 I/l/20I1 1/1/2012 - 1/1/2012 -1/l/2012 X ORY LIMITS OT E.L. EACH ACCIDENT $ 3,000,000 E.L. DISEASE - EA EMPLOYEE $ 3,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 3,000,000 A OTHER XTR H08631475 1/1/2011 1/1/2012 COMBINED SINGLE LIMIT EXCESS AUTO $9,000,000 LIABILITY (EACH ACCIDENT) DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CANCELLATION: 30 DAYS EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. 3446992 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 413 SOUTH BRYAN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL FORT COLLINS CO 80521 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIV �� ACORD 25 (2nn9/n11 © 19RR-2nn9 ACORD CORPOR ION_ All rinhtc racarvad The ACORD name and logo are registered marks of ACORD For questions reaardina this certificate, contact the number listed in the 'Producer section above.