Loading...
HomeMy WebLinkAbout109244 WASTE MANAGEMENT - INSURANCE CERTIFICATE4coR0 CERTIFICATE OF LIABILITY INSURANCE uvzm3 DATE 12/5/2011 5/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 endomement(s). PRODUCER LOCKTON COMPANIES, LLC CONTACT NAM PPID IAX hj ac Nd Est): aC No): 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 E-MAIL ADDRESS INSURERINSURERISt AFFORDING COVERAGE AICY INSURERA: ACE American Insurance Corrvariv 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300436 RELATED& SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT COLORADO LANDFILL DIVISION 7780 EAST 96TH AVENUE INSURER e : Indemnity Insurance Co of North America 43575 INSURER C : ACE Property & Casualty Insurance Co 20699 IN HENDERSON CO 80640 INSURER COVERAGES AJ CERTIFICATE NUMBER: 3446994 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRrYYYY TYPE OF INSURANCE AIDDL SUBR POLICY NUMBER POLICY EFF DDffYYY POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X XCU INCLUDED N N HDOG26436886 1/l/2012 1/1/2013 EACH OCCURRENCE 5000000 PREMISESE.E ° . 5,000,000 MED EXP (ArIy one rson XXXXXX% PERSONAL & ADV INJURY s 5,000,000 X ISO FORM CG 00011207 GENERAL AGGREGATE s 6,000,000 GEN'L AGGREGATE P V LIMIT APPLIES PER'. X JECOT X LOC PRODUCTS - COMP/OP AGG $ 6000000 A AUTOMOBILE LIABILITY ANY AUTO ALLOWNED AUTOSULED HIRED AUTOS X gOTOSVINED MCS-90 N N MMTH08692853 1/1/2012 1/12013 Ea amidenCOMBINED tSINGLELIMIT $ 1,000,000 X BODILY INJURY (Per person) $ %XXXXXX X BODILY INJURY (Per accident $ %XX)XXX X Gera 4 DAMAGE s X•XXX}�XX X $ %XXXXXX C X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE jN N XOO G25834501 1/1/2012 1/1/2013 EACH OCCURRENCE $ 15,000,000 AGGREGATE s 15,000,000 DED RETENTION $ s %XXXXXX B A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEPo CUTI%E YIN OFFICER EMBER EXCLUDED? N❑ pMnd.., in NH) If yes, das�rte under OESCRIPTION OF OPERATIONS.). NIA NFIR WLR C46774735 (AOS WLRC46774747(CA MA) SCF C4677579A(WI) 1/12012 1/12012 1/1/2012 1/1/2013 1/1/2013 1/12013 X TORYUMITS OTH- E.L.EACHACCIDEW s3000000 E.L. DISEASE - EA EMROYEE 3000000 E L DISEASE - POLICY LIMIT 3,000,000 A EXCESS AUTO LIABUTY N N XTR 1108692865 1/l/2012 1/1/2013 COMDDdED SINGLE LIMIT $9,000,000 (EACH ACCUDENT) DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3446994 CITY OF FORT COLLINS / FLEET MANAGEMENT P.O. BOX 580 FORT COLLINS CO 80522 The ACORD name and logo are registered marks of ACORD acoRo CERTIFICATE OF LIABILITY INSURANCE �i 1n/2oI3 DATE/Y1 12/5/205/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endomement(s). PRODUCER LOCKTON COMPANIES, LLC 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 CONTACT AIM No Eat):INC,No EMAIL ADDRESS INSURERISI AFFORDING COVERAGE NAIC N INSURER A: ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300436 RELATED & SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT, INC. 5500 SOUTH OUEBEC STREET GREENWOOD VILLAGE CO 80111 INSURER B: Indemnity Insurance Co of North America 43575 INSURER C: ACE Property & Casualty Insurance Co 20699 INSURER COVERAGES AJ CERTIFICATE NUMBER: 10895809 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUER MAID POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY UP (MMIDDrYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X XCU INCLUDED N N HDO G26436886 1/1/2012 1/1/2013 EACH OCCURRENCE S 5,000,000 PREMISES LaEocccurrrence 5,000,000 MED UP (Any one rnon XXXXXXX PERSONAL & ADV INJURY $ 5,000,000 X ISO FORM CC, 00011207 GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE P LI V LIMIT APPLIES PER. X PRO- �.JECT L PRODUCTS-COMPIOP AGG s 6,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOSNED SCHEDULED HIRED AUTOS X AUTOSWNED MCS-90 N N MMI'1108692853 1/l/2012 1/l/2013 EOMaBINdEeDSINGLELIMIT ntl $ 1000000 BODILY INJURY Per person) $ XXXXX)a 1xxx BODILY INJURY(Per accidenl $ )(XXXY' {]{UTOS PPeOa�Rd1nDAMAGE$ XXXXXXX $ XXXXXXX C X I UMBRELLA LAB EXCESS LIAB I X OCCUR CLAIMS -MADE N N XOOG25834501 I/l2012 1/1/2013 EACH OCCURRENCE s 15000000 AGGREGATE $ 15,000,000 DED RETENTIONS $ XXXXXm B AANY A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFICEILME BEPROPRIETOe UCLUDE�i�C�l� IMandetory,n NH) If yes. dewme under DESCRIPTION OF OPERATIONS IcE. NIA N WLR C46774735 (AOS) WLR C46774747 (CA & MA) SCF C4677579A(WI) 1/1/2012 1/1/2012 1/1/2012 1/1/2013 1/1/2013 I/l/2013 WC STATU- OTH- X T RY LIMIT EL EACHACCIDENr $ 3000000 E.L DISEASE - EA EMPLOYEE 3000000 E.L. DISEASE - POLICYLIMIT 3000000 A EXCESS AUTO LIABILITY N N XTR 1108692865 1/1/2012 1/1/2013 COMBINGD SINGLE LIMIT $9,000,006 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) CEK I IH ICA I E HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10885809 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS P.O. BOX 580 FT. COLLINS CO 80524 ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD �`� "` CERTIFICATE OF LIABILITY INSURANCE uv2o13 DATE/5/2011VY) 12/5/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER LOCKTON COMPANIES, LLC 5647 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 CONTACT INC,VARFAX No EXt : AIC No): E-MAIL ADDRESS INSURER AFFORDING COVERAGE NAIC# INSURER A: ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300436 RELATED & SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT, INC. 5500 SOUTH QUEBEC STREET GREENWOOD VILLAGE CO80111 INSURER B : Indemnity Insurance Co of North America 43575 INSURER C: ACE Property & Cwualty Insurance Co 20699 I R N RERE: INSURER F "Li CERTlnrATE MUMEE : 3446916 RFVIBIDN NIIMRFR• XXXXXXX v THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL INSR SUBR IYVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP M/ D/YYYY LIMITS A GENERAL LIABILITY Y Y HDO G26436886 1/1/2012 1/1/2013 EACH OCCURRENCE 5,000.000 PREMISESOEa owu ante 5 000 000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one rson XXXXXXX CLAIMS -MADE Fx-1 OCCUR PERSONAL & ADV INJURY $ 5,000,000 X XCU INCLUDED X I$O FORM CG 00011207 GENERAL AGGREGATE $ 6,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 6000000 $ P LI V X PELT X LOC A AUTOMOBILE LIABILITY Y Y MMT H08692853 1/1/2012 1/1/2013 Fa amidenOMBBINEDtSINGLE LIMIT $ 1000000 X BODILYINJUBY(Pe,Cerson) $ XXXXXXX ANY AUTO X AUTS OWNEDPSCHEDULED HIRED AUTOS UTSWNEO BODILY INJURY Per accident $ XXXXXXX X Pra^I GEAOrreCdA $ XXXXXXX X $ XXXXXXX MCS-90 O X UMBRELLA LIAB X OCCUR Y Y XOO G25834501 1/1/2012 I/l2013 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 EXCESS LIAB CLAIMS -MADE DE I I RETENTION $ $ XXXXXXX B A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N❑ (Mandatory in NMI NIA Y WLR C46774747 CA& WI'RC467%4747tGA&MA) SCF C4677579A(WI) 1/1/2012 1/1/2B32 1/1/2012 1/12013 1/1/2613 1/1/2013 WCSTATU- OTH X TORV LIMITS E.LEACH ACCIDENT $3000000 EL DISEASEEAEMPLOYEE 3000 0 DESCRIPTION OF OPERATIONS bel. EL. DISEASE - POLICY LIMIT 1 3000000 A EXCESS AUTO LIABILITY Y Y XTR H08692865 1/1/2012 1/l/2013 COMBMED SINGLE LIMIT $9,000,000 (EACH ACCEDENT) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I(Anach ACORD 101, Additional Remarks Schedule, if more space is required) 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 O ALL POLICIES WHERE AND TO 'FHE EXTENT REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3446916 AUTHORIZED RtPKLStN l A live CITY OF FORT COLLINS P.O. BOX 580 FT. COLLINS CO 80522 / ArnRn 24 t2n1 nmsl Cc119RR-2010 ACORD CORPORATICIIIIII. All riahts reserved The ACORD name and logo are registered marks of ACORD 6k,i CERTIFICATE OF LIABILITY INSURANCE �/ l/v2o13 DATE(MM/DDl11 12/5/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED, the policyfes) must be endorsed. 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). PRODUCER LOCKTON COMPANIES, LLC 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 CONTACT NAME: INC,PHONE FAX No E:t:INC, No E-MAIL ADDRESS' INSURERINSUREFUSI AFFORDING COVERAGE C INSURER A: ACE American Insurance Com anV 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300436 RELATED & SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT OF NORTHERN COLORADO 500 EAST VINE DRIVE FORT COLLINS CO 80524 INSURER B: lndemnim Insurance Co of North America 43575 INSURER C: ACE Pro ertY & Casualty Insurance Co 20699 INSURER D, RER E RERF:: COVERAGES AJ CERTIFICATE NUMBER: 3429072 REVISION NUMBER- XXXXXXX THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR wvp POLICY NUMBER POLICY EFF IMMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx-1 OCCUR X XCU INCLUDED Y N HDO G26436886 1/l/2012 1/1/2013 EACH OCCURRENCE 5,000,000 PREMISES Esocceu o.ce 5,000,000 MED EXP (Any one rson XXXXXXX PERSONAL & ADV INJURY $ 5,000,000 X ISO FORM CG 00011207 GENERAL AGGREGATE $ 6 000 000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRO- POLICV X JECT X L PRODUCTS - COMP/OP AGG $ 6 000 000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOWNED SCHEDULED HIRED AUTOS X NAONOSWNED MCS-90 Y N MMT 1408692853 1/1/2012 I/l/2013 CEOMBINED SINGLE LIMIT a acy,dere) $ 1 000 000 X BODILY INJURY (Per person) $ XXXXXXX X BODILY INJURY (Per accident $ XXXXXXX X PROPERTYDAMAGE $ XXXXXXX X $ XXXXXXX C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y N XOOG25834501 IT2012 1/12013 EACH OCCURRENCE $ 15000000 AGGREGATE s 15 000 000 DED I I RETENTION $ $ XXXXXXX B A A WORKERS COMPENSATION AND EMPLO ERS'LABILIITY YIN OFFt ERfMEMBEREXCLUDEoiEOmIW N❑ (Mancuory,n NH) D yes,mxOmer DESCRIPTION OF OPERATIONS 41pw N/A N WLR C46774735((AOS) WLR C46774747 (CA&MA) SCFC4677579A(WI) 1/1/2012 1/1/2012 I/1/2012 1/1/2013 1/1/2013 1/1/2013 TH X TORYLIMR OFIR E.L. EACH ACCIDEM s 3,000,000 E.L. DISEASE - EA EMPLOYEE 3 QQQ QQQ EL DISEASE - POLICY LIMIT 3,000,000 A 7 EXCESSAUTO LIABILITY Y N XTR 1108692865 1/1/2012 1/1/2013 COMBINED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) ADDITIONAL INSURED IN FAVOR OF THE CITY OF FORT COLLINS (COLORADO) (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE REQUIRED BY WRITTEN CONTRACT. UCK I MLA I C 11 V LUCK L,ANL.tLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3429072 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS P.O. BOX 580 FT. COLLINS CO 80524 —} ACORD 25 (2010105) ©1988-2010 ACORD CORPORATICN. All rights reserved The ACORD name and logo are registered marks of ACORD