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HomeMy WebLinkAbout109244 WASTE MANAGEMENT - INSURANCE CERTIFICATE (2).1 CERTIFICATE OF LIABILITY INSURANCE �� v1/zol3 DATE/5/20/Y1 12/5l2011 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 CONTACT N M hi FAX INC,No Est: Ale No: 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 E-MAIL ADDRESS' N AFFORDING COVERAGE NAIC# I2 ✓�"f INSURERA: ACE Americn Insurance CornNI 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AF LATED, 1300436 RELATED& SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT COLORADO LANDFILL DIVISION INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE Property & Casualty Insurance Co 20699 7780 EAST 96TH AVENUE IN 'EHD : IN SURER E: HENDERSON CO 80640 INSURER F: COVERAGES AJ CERTIFICATE NUMBER: 3446993 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 WVD POLICY NUMBER POLICY EFF MMIDDNYYYI POLICY EXP (MMIDDrYNYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY DLAIMS-MADE Fx] OCCUR X XCU INCLUDED N N HDOG26436886 1/1/2012 1/l/2013 EACH OCCURRENCE 5000000 PREMISES To RENTED D nce 5,000,000 MED EXP (My one rson XXXXXXX PERSONAL & ADV INJURY s 5,000,000 X ISO FORM CC, 00011207 GENERAL AGGREGATE s 6,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRO- POLICV X JECT X LOC PRODUCTS -COMP/OP AGG $ 6,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOS NED AUTOS.. FOULED HIRED AUTOS X AUTOSWNED MCS-90 N N MMTH08692853 I/l/2012 1/1/2013 COMBINED MBBIN DtSINGLELIMIT $ 1000000 X BODILY INJURY (Per Person) $ X'X'y}{}{]{}{ X BODILY INJURY(Per accident $ XXXXXXX X PST. cRa DAMAGE $XXXXXXX }{ $ XXXXXXX C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N XOOG25834501 1/1/2012 1/1/2013 EACH OCCURRENCE $ 15000000 AGGREGATE $ 15,000,000 DED RETENTION $ $ XXXXX7 x A A A . WORKERS COMPENSATION AND EMPLOYERS'LABILITY YIN ANY PROPMETORIPARTNER/EXECI?IVE OFT,LERIMEMBER ExcwDEDs N -(Mandatory in NH) _ If yes, dese,rto under DESCRIPTION OF OPERATIONS mi. NIA N MICR C46774735 (AOS) WI'R C46774747 (CA MA) SCF C4677579A( I) _ - 1/12012 1/1/2D12 1/l/2012 1/1/2013 1/1/2013 1/I/2013 WC STATIT OTH- X TORY LIMITS EL EACHACCIDENT $3000000 EL.DISEASc-EAEMPLOYEE 3 ()0()()00 EL DISEASE POLICY LIMIT 3000000 A EXCESS AUTO LIABILITY(EEACH N N XTR H08692865 1/1/2012 1/1/2013 COMBINED SINGLE LIMIT ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) 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, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2010 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD alc6l?0 CERTIFICATE OF LIABILITY INSURANCE �/ In/zo13 DATE(MM/DD/Y1 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 endomement(s). PRODUCER LOCKTON COMPANIES, LLC CONTACT FAX IC No No Est): NC, 5847 SAN FELIPE, SUITE 320INC, HOUSTON TX 77057 866-260-3538 E-MAIL ADDRESS INSURER(S)AFFORDING COVERAGE N IC INSURER A: ACE American lnsurmce Company 22667 INSURED WASTE& ALL AFFILIATED, EMANAGEMENT HOO PANDINGS, I S C. RELA1300436 WASTE MANAGEMENT COLORADO LANDFILL DIVISION INSURER B : IndemnityInsurance Co of North America 43575 INSURER C : ACE Property & Casualty Insurance Co 20699 INSURER 1); 7780 EAST 96TH AVENUE HENDERSON CO 80640 INSURER COVERAGES A I CRRTIEICATF NIIMRFR• RddAQQ7 RFVISION NNMRER: 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 ADDLINSR SUER POLICY NUMBER POLICY EFF MM POLICY EXP MM/DDA`YYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR X XCU INCLUDED N N HDOG26436886 1/I/2012 1/1/2013 EACH OCCURRENCE IS 5000000 PRA MISETOEaE�r enee 5.000 000 MED EXP ADy onesensor) XXXXXXX PERSONAL 8 ADV INJURY Is 5 O0O 000 X ISO FORM CG 0001 ]207 GENERAL AGGREGATE $ 6.000A0 GEN'L AGGREGATE 17 P L v LIMIT APPLIES PER: X PRO X PRODUCTS - COMP/OP AGG $ 6000000 A AUTOMOBILE LIABILITY ANY AUTO AUTOWNEDMSCHEDULED AUTOS HIRED AUTOS AUTOS MCS-90 N N MMTH08692853 1/1/2012 1/1/2013 COMBINED SINGLELIMIT Ea amident $ 1000000 X BODILY INJURY (Per person) $ X'X'X'X'X'X'X X BODILY INJURY (Per III$ XXXXXXX X P OaeEeR a DAMAGE $ XXXXXXX }( $ XXXXXXX C X UMBRELLAUAB EXCESS LIAB X OCCUR CLAIMS -MADE N N XOOG25834501 1/1/2012 1/1/2013 EACH OCCURRENCE s 15000000 AGGREGATE $ 15,000,000 DIED I I RETENTION $ Is XXXXXXX B A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AN PROPRIETORNARTNER/E%ECOTIVE Y/N OFFICERRAEM6ER E CLUDEDa N❑ (Mandnoryln NI If yes III under DESCRIPTION OF OPERATIONS Wow N/A N WLR C46'74735 OS WLR C46774747 CA MA) SCF C4677579A( I) 1/]2012 1/1/2012 I/1/2012 1/1/2013 1/1/2013 1/1/2013 WC STATU- OTH- X TORY LIMITS ER El EACH ACCIDENT $3000000 E.L.DISEASE-EAEMPLOYEE 3,000000 EL DISEASE -POLICY LIMIT 1,3000000 A EXCESS AUTO LIABB.ITY N N XTR I-108692865 1/1/2012 1/1/2013 COMBWED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, If more space is required) ChK I IHIGA I h HULUEK CANCELLA I ILJN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3446992 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS 413 SOUTH BRYAN FORT COLLINS CO 80521 ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD