HomeMy WebLinkAbout109244 WASTE MANAGEMENT - INSURANCE CERTIFICATE (3)ncoiro° CERTIFICATE OF LIABILITY INSURANCE vuzola
DATE
12/2012
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 endorsement(s).
PRODUCER LOCKTON COMPANIES, LLC
5847 SAN FELIPE, SUITE 320
HOUSTON TX 77057
866-260-3538ADDRESS'
CONTACT
NAM
INC,riffliihj No, Eat: FAX No
E-MAIL
INSURER AFFORDING COVERAGE
NAIC It
INSURER A: ACE American Insurance Company
22667
INSURED WASTE MANAGEMEN I HOL INGS, INC. & ALL AFFILIATED,
RELATED & SUBSIDIARY COMPANIES INCLUDING: G WASTE MANAGEMENT
COLORADO LANDFILL DIVISION
7780 EAST 96TH AVENUE
HENDERSON CO 80640
INSURER B: Indemnity Insurance Co of North America
43575
INSURER C : ACE Property & Casualty Insurance Co
20699
INSURER D
INSURER
INSURER F:
COVFRAGFS AT 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
rypE OF INSURANCE
ADDL
N
SUBR
POLICY NUMBER
POLICY EFF
MMID
POLICY EXP
MM/DD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMSNIADE OCCUR
X XCU INCLUDED
N
N
I1DO027015189
I/l/2013
1/I/2014
EACH OCCURRENCE
SOOOOOO
PREMISES (EaEoccur ence
5,000,000
MED EXP An one rson
XXXXXXX
PERSONAL &AOV INJURY
$ 5,000 000
X
ISO FORM CG 00011207
GENERAL AGGREGATE
$ 6,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY[X JRa X LOG
PRODUCTS-COMPIOP AGG
$ 6,000,000
8
A
AUTOMOBILE
LIABILITY
ANY AUTO
AUTOSNEO gUTOSULED
HIRED AUTOS X AOTOSWNED
MCS-90
N
N
MMT1108712293
I/l/2013
I/l/2014
Fd ....EeDISINGLELIMIT
$ 1,000,000
X
BODILY INJURY (Per person)
$ XXXXXXX
X
BODILY INJURY (Per accident
$ XXXXXXX
X
PROPERTY DAMAGE
$ XXXXXXX
X
$ XXXXXXX
C
X
UMBRELLA LAB
EXCESS LAB
X
OCCUR
CLAIMS -MADE
N
N
XOOG27048201
1/I/2013
1/l/2014
EACH OCCURRENCE
$ 15,000000
AGGREGATE
$ 15,000 OOO
DED I I RETENTION $
$ XXXXXXX
B
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUmVE YIN
OFFICERNIEMBER EXCLUDED? N❑
(Mandatory in NID
u yes. dMienee adder
DESCRIPTION OF OPERATIONS MI.
NIA
N
WLR C47128249 ((AOS))
WLRC4712R250(CA&MA)
SCF C47128262(WI)
I/I/2013
I/l/2013
I/l/2013
I/1/2014
1/1/2014
1/I/2014
WC STIM OTH
X TORY LIMITS
E I. EACH ACCIDENT
$ 1000000
E.L. DISEASE - EA EMPLOYEE
3,000,000
E.L. DISEASE -POLICY LIMIT
3,000,000
A
EXCESS AUTO
LIABILITY
N
N
XTR 110871230A
I/l/2013
1/1/2014
COMBINED SINGLE LIMIT
$9.000.000
(EACH ACCIDENT)
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required)
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.
ACORD 25 f2010/05)
The ACORD name and logo are registered marks of ACORD