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HomeMy WebLinkAbout109244 WASTE MANAGEMENT OR NORTHERN COLORADO - INSURANCE CERTIFICATEacol70 CERTIFICATE OF LIABILITY INSURANCE I / I /2014 DATE 12/12/20 j 12/2012(MMIDDINNN2 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 AM INC,No Ea : FAXWC, No E-MAIL ADORESSi IN RE AFFORDING COVERAGE NAIC# INSURER A: ACE Annerican Insurance Com anV 22667 INSURED WASTE MA14AGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300436 RELATED & SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT OF NORTHERN COLORADO 500 EAST VINE DRIVE FORT COLLINS CO 80524 INSURER B: Indemnity Insurance Co of North America 43575 INSURER C: ACB Property & Casualty Insurance Co 20699 IN R INSURER COVERAGES A] 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 YND POLICY NUMBER POLICY EFF MI Dn-Mi POLICY EXP MM/DDrYYYYI LIMITS A GENERAL LIABILITY Y N 14DOG27015189 1/12013 I/I/2014 EACH OCCURRENCE 5000,000 X COMMERCIAL GENERAL LIABILITY PREMISES E.o ,Yoy 5,000,000 71 CLAIMS -MADE I OCCUR MED EXP (Any oneperson) XXXXXXX PERSONAL & ADV INJURY $ 5,000,000 X XCU INCLUDED X ISO FORM CC, 00011207 GENERAL AGGREGATE $ 6.000 000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 6,000 000 POLICY X JECOT X LOC $ A AUTOMOBILE LIABILITY Y N MMT H08712293 1/12013 I/l2014 COMBINED SINGLE LIMIT Ea accident $ 1000.000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO AUTOS NEDNSCHEDULED U X BODILY INJURY (Per accident $ XXXXXXX X p¢,..,d DAMAGE $ XXXXXXX HIRED AUTOB AUTO WNED }( $ XXXXXXX MCS-90 C X UMBRELLA LIAB X OCCUR Y N XOOG27048201 1/12013 1/1/2014 EACH OCCURRENCE $ 15,OK000 AGGREGATE $ 15,000,000 EXCESSI. CLAIMS -MADE DED RETENTION $ Is XXXXXXX B A A WORKERS COMPENSATION AND EMPLOYERS'LMBILITY ANY PROPRIETOR/PARTNER/EXECUrIVE YIN OFHCEwMEMBEREXCLUDED' punradory in NH) If yes desenfe ewer DESCRIPTION OF OPERATIONS rel. "/A N WLR C47128249((AO$ WLR C47128250(CA &MA) SCFC47128262(WI) 1/1/2013 1/1/2813 1/I/2013 1/12014 1/12014 I/I/2014 WC STATU- OTH- X T RYLIMITS E.L, EACH ACCIDEM $3000000 EL DISEASE - EA EMPLOYEE Is 1000000 E.L. DISEASE - POLICY LIMIT I s 3000000 A EXCESS AUTO LLABILTI Y Y N XfR H0871230A 1/1/2013 I/l/2014 COMBINED SINGLE LIMIT $9,000.000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) ADDITIONAL INSURED IN FAVOR OF THE CITY OF FORT COLLINS (COLORADO) (ON ALI, POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE REQUIRED BY WRITTEN CONTRACT. GEK I IH IGA 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. 3429072 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS P.O. BOX 580 FT. COLLINS CO 80524 ACORD 25 (2010106) 91988-2010 ACORD CORPORAT1019. All rights reserved The ACORD name and logo are registered marks of ACORD e►co120 CERTIFICATE OF LIABILITY INSURANCE uvzola DATE12/2/YYVY) 12/12/2012 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 enclosed. 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 AM A/C FAX Ert : III No E-MAIL ADDRESS INSURER AFFORDING COVERAGE NAIC# INSURER A : ACE ArrlCHcan Insurance COm my 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300436 RELATED & SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT, INC. 5500 SOUTH QUEBEC STREET GREENWOOD VILLAGE CO 80111 INSURER B: Indemnity Insurance Co oFNorth America 43575 INSURER C: ACE Property & Casualty Insurance Co 20699 INSURER N E ' RE F' COVERAGES AJ CERTIFICATE NUMBER: 10995809 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 WVD POLICY NUMBER POLICY EFF IMMIDDITYYY POLICY EXP IMIWDDITYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FKI OCCUR X XCD INCLUDED N N IIDOG27015189 1/1/2013 1/1/2014 EACH OCCURRENCE 5,000,000 PREMISESOEaEoorwEl erne 5.000 000 MED EXP (Any oneperson) XXXXXJIX PERSONAL & ADV INJURY $ 5,000,000 X ISO FORM CG 00011207 GENERAL AGGREGATE $ 61000,000 GENT AGGREGATE LIMIT APPLIES PER: P LICV X JE � X LOC PRODUCTS - COMP/OP AGO s 6D00000 $ A AUTOMOBILE LIABILITY ANY AUTO ALLOWNED gUTOSULED HIRED AUTOS X AOTOSWNED MCS-90 N N MMT 1108712293 I/l/2013 1/1/2014 COMBINED SINGLE LIMIT Ea accident $ 1 000 000 }�' BODILY INJURY (Per person) $ XXXXXXX X BODILY INJURY accident $ XXXXXXX X Perr aeuden DAMAGE $ XXXXXXX �{ $ XXXXXXX C X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE N N XOOG27048201 1/1/2013 1/1/2014 EACH OCCURRENCE $ 15000000 AGGREGATE $ 15 000,000 DED I RETENTION $ $ XXXXXXX B A A WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY AN V PROPRIETOR/PARTNEWEXECUTWE YIN OFFICERIMEMBERExcwpeox N❑ (Mandatory in NEI if yes, de5ai0e unrer DESCRIPTION OF OPERATIONS IeIow N/A N WLR C47128249 /)AOS WI'R C47128250`CA&MA) SCFC47128262(WI) 1/1/2013 1/1/2013 1/1/2013 1/1/2014 1/1/2B14 1/1/2014 WC STATU- OTH- X T RVLIMITS FR E.L EACH ACCIDENT s 3000000 EL.DISEASE -EA EMPLOYEE 3000000 EL DISEASE - POLICY LIMIT 000000 S 3,000,000 A EXCESS AUTO LIABTLII'Y _ N N XFR 1-10871230A 1/1/2013 1/1/2014 COMBINED SMGLE LTMIT $9,000,000 (EACH ACCIDEtdr) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) UCR I IrrUA I C nULUEM UAINGtLLA 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. 10895809 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS P.O. BOX 580 FT. COLLINS CO80524 ACORD 25 (2010105) ©1988-2010 ACORD CORPORATIC111. All rights reserved The ACORD name and logo are registered marks of ACORD acoRO CERTIFICATE OF LIABILITY INSURANCE vuzola DATE12 tz/12/201z/zolz 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 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 CONTACT NAME: PHONE NC No Est : NC No: E-MAIL ADDRESS - INSURERS) AFFORDING COVERAGE N IC p INSURER A: ACE American Insurance CornpanV 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, RELATED & SUBSIDIARY COMPANIES INCLUDING: 1300436 WASTE MANAGEMENT COLORADO LANDFILL DIVISION 7780 EAST 96TH AVENUE HENDERSON CO 80640 INSURERS: Indemnity Insurance Co of North America 43575 INSURER C : ACF Properly & Casualty Insurance Co 20699 INSURER In R N RER F COVFRAGFS A I CFRTIFICATE 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 R TYPE OF INSURANCE ADDL INSR SUER MAD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP IMMIDD)YYYY)LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMSWADE OCCUR X XCU INCLUDFD N N I]DO G27015189 I/l/2013 1/1/2014 EACH OCCURRENCE 5000000 DAMAGE ES Ea occurrence 5000000 MEDEXP (My one persori IS XXXXXXX PERSONAL & ADV INJURY $ 5,000 000 X I ISO FORM CG 00011207 GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICYX JECOT FX1 L PRODUCTS - COMP/OP AGG $ 6,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL UTS OWNED SCHEDAUTOS HIRED AUTOS X NON -OWNED MCS-90 N N MM1'I108712293 1/I/2013 I/l/2014 OMBINEDISINGLE LIMIT $ 1000000 X BODILY INJURY (Per person) $ )(?O(X'XXX X X BODILY INJURY (Per awitlent $ }(xX'X'xxx PeOP.ER1ZCAMAGE $XXXXXXX X $ XXXXXXX C X UMBRELLAUAB EXCESS LIAB X OCCUR CLNNIS-MADE N N XOO G27048201 1/1/2013 1/1/2014 EACH OCCURRENCE $ 15000000 AGGREGATE $ 1 5 000 000 DED RETENTION$ $ XXXXXXX U A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANT PR OPRIETOR/PARTNERIEXECUTIVE ❑ OFFICERIMEMBER IXcwoeov N (Mandatory in NH) If yes desenlee under DESCRIPTION OF OPERATIONS... NIA N WLR C47128249(A.OS) VTLRC47128250 (CA&MA) SCFC47128262(VWJ1) I/l/2013 I/l/2013 I/l/2013 1/1/2014 1/1/2014 1/I/2014 WC STATU- OTH- X TORYTAWIT EL. EACH ACCIDENT $ 3000000 E.L. DISEASE - FA EMPLOYEE 3000000 EIFDISEASE- POLICY LIMIT I s 3000000 A EXCESS AUTO LIABILITY N N I XTR 110871230A I/l/2013 1/1/2014 COMBINED SINGLE LIMIT $9,000000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) L.Crt I II-la.A I C ITVLUCK I.ANI.CLLA I IVN 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 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS / FLEET MANAGEMENT P.O. BOX 580 FORT COLLINS CO 80522 ACORD 25 (2010/051 9)1988-2010 ACORD CORPORATICA_ All ricI rPserved The ACORD name and logo are registered marks of ACORD �coRl� CERTIFICATE OF LIABILITY INSURANCE vuzola DATE12/2/VYYY) 12/12/2012 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 NAME: PHONE INC,No Est: MC No: E-MAIL ADDRESS INSURER AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance COm anV 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1J00436 RELATED & SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT, INC. 5500 SOUTH QUEBEC STREET GREENWOOD VILLAGE CO80111 INSURER B : Indemnity Insurance Co of North Amcrica 43575 INSURER C: ACE Property & Casualty Insurance Co 20699 N R INSURER F COVFRAOFS A I CFRTIFICATF NIIMRFR- 3446916 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 yryD POLICY NUMBER POLICY EFF HMMIDD POLICY EXP (MMADD/YYYY'l LIMITS A GENERAL LIABILITY Y Y 100 G27015189 1/1/2013 1/1/2014 EACH OCCURRENCE 5,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea RENTED 5,000,000 CLAIMS -MADE X� OCCUR MED EXP (Any oneperson) XXXXXXX PERSONAL & AD / INJURY $ 5,000,000 X XCU INCLUD17D X ISO FORM CG 00011207 GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO $ 6000000 PRO- POLICV X JE T X $ A AUTOMOBILE LIABILITY Y Y MMTI108712293 1/I/2013 1/1/2014 COMBINED SINGLE LIMIT Ea accident $ 1 000 000 BODILY INJURY(Per person) $ XXXXXXX ANY AUTO AUTOS NED gUTOSULEDBODILY Mx INJURY(Per accident $ XXXXXXX PerOac,dDAMAGE $X,X.XX.XXX HIRED AUTOS XgUTOSWNED $XXXXXXX MCS-90 C X UMBRELLA LIAB X OCCUR Y Y XOO G27048201 1/1/2013 I/l/2014 EACH OCCURRENCE $ 15,000.000 AGGREGATE $ 15,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX B A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOP/PARTNER/EXECUDVE YIN OFFICERnnEMBEREXCLUDEOT BI❑ IMardatory,n NH) N/A Y WLR C47128249 S(AOS WLR C47128250 (CA & MA) SC17 C47128262 (WI) 1/1/2013 1/1/2013 1/l/2013 1/1/2014 1/l/2014 I/l/2014 WC STATU- OTM X TORVLIMITS E.L. EACH ACCIDENT $ E.L. DISEASE - EA EM0.0YEE 0,000000 J 000 000 If yes. desmee finder DESCRIPTION OF OPERATIONS neIwr EL DISEASEPOLICYLIMIT 3,000000 A EXCESS AUTO LIABILITY Y Y XTR 1fO871230A I/l/2013 1/I/2014 COMBUTD SQdGLE LIMIT S9,000.000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) ADDITIONAL INSURED IN FAVOR OF CITY OF FIT. COLLINS (ON ALL POLICIES EXCEPT WORKERS COMPENSATION/1-1 WHERE AND TO THE EXTENT REQUIRED BY WRIFFHN CONTRACT. WAIVER OF SUBROGATION IN FAVOR OF CITY OF FT. COLLINS ON ALL POLICIES WHERE AND'I'O THE EXTENT REQUIRED 13Y WRITTEN CONTRACT WFIERE PERMISSIBLE BY LAW. CERTIFICATE 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. 3446916 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS P.O. BOX 580 FT. COLLINS CO 80522 >-� ACORD 25 (2010105) ©1988-2010 ACORD CORPORATICK All rights reserved The ACORD name and logo are registered marks of ACORD