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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