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HomeMy WebLinkAbout109244 WASTE MANAGEMENT HOLDINGS INC - INSURANCE CERTIFICATEa`orzo° CERTIFICATE OF LIABILITY INSURANCEIIIL2015 °iziliroi3' 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 NAME: INC, PHONE Ex FAX A/C No E-MAIL a DRESS: AFFORDING COVERAGE NAIC a 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 CO80524©q2p� INSURER B: Indemnity Insurance Co of North America 43575 INSURER C : ACE Property & Casualty Insurance Co 20699 Ns R " NSR N R RF: COVERAGES CERTIFICATE NUMBER: 72 REVISION NUMBER: XXXXXX 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. I TYPE OF INSURANCE ADDL NS SUBR POLICY NUMBER POLICY EFF I IYYYY POLICY EXP (MMIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X XCU INCLUDED Y N HDOG2732924A 1/1/2014 I/l/2015 EACH OCCURRENCE 5000000 PREMISETORENTIEDD 5000000 MEO EXP (Any one non XXJ(.XXXX PERSONAL S ADV INJURY S 5 000 000 X ISO FORM CG 00011207 GENERAL AGGREGATE s 6 000 000 GEN'L AGGREGATE UMIT APPLIES PER: 17 POI V X JET X PRODUCTS - COMP/OP AGG s 6.000.000 $ A AUTOMOBILE LIABILITY ANY AUTO g Ep ALL OWNED AUTOSULED HIRED AUTOS X AUTOS NED MCS-90 Y N MMT H09816025 1/1/2014 1/1/2015 (EaCOMBINED SINGLE LIMIT coidentI $ 1,000,000 X BODILY INJURY (Per Pen m) S XjC)�{X X BODILY INJURY (Per accident S )C)C)C)= X PROPER A GE (Per accident) S .. X 4 XXXX}xX C X UMBRELLALIAB EXCESS LIAB X OCCUR CLAIM&MADE Y N NODG27054961 1/1/2014 1/1/2015 EACH OCCURRENCE s 15000000 AGGREGATE s 15,000,000 DEC I I RETENTIONS s XXXXXXX B A A WORKERS COMPENSATION AND EMPLOYERS'LIABILfTY ANDS PLOYERTUARIE%ECVINE YIN WFICEMEMBER EECLUDEDi N❑ (M�Mad�MM In NN) DESCRIPTION OF OPERATIONS W. NIA N WLR C47876345 (AOS)) MLR C47876357(4SPA&MA) SCF C47876369( ) 1/12014 1/1/2014 1/12014 1/1/2015 1/1/2015 1/1/2015 W STAT - OTH- X 7 Y IMIi E.LEACHACCIDENr s 3 000000 E.L DISEASE - EA EMPLOYEE 3,000,000 E.L DI$WE-PQVCY LIMIT s3,000,000 A EXCESS AUTO LIABILITY Y N XSA H08816013 1/1/2014 1/1/2015 COMBINED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHIC S I(AOach ACORD 101, Additional Remarks Schedule, If more spew Is required) NS R DW IN FAVOR REQ OUIRF THE ED BY IIOFF FORT COTTEN LCONTRLINS (COLORADO) (ON ALL POLICIES EXCEPT WORKERS' ADDITIONALINSURED COM[PEN 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. 3429072 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS P.0 BOX 580 FT. COLLINS CO 80524 ACORD 25 (2010/05) 9)1988-2010 ACORD CORPORATI019. All rights reserved The ACORD name and logo are registered marks of ACORD acorzo° CERTIFICATE OF LIABILITY INSURANCE �� uuzols DATE 12/11/2013 /11/ 013 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 INC,i FAX Na EXt: INC, No): E-MAIL ADDRESS- INSURER(S)COVERAGE INSURER A: ACE American Insurance Cornpmv 22667 INSURED WASTE MANAGEMENT H LDINGS, INC. 8 ALL A ILIATED, 1300436 RELATED & Y COMPANIES INCLUDING: 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 I s 1PER COVERAGES 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 IM TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF IMMID/YYYYI POLICY EXP IMM/DOA`YY)fILIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLA.INIS-MADEFRI OCCUR X XCU INCLUDED N N HDOG2732924A 1/l/2014 1/1/2015 EACH OCCURRENCE s 5000000 PREMISES Ea occumn 5,000,000 MED EXP (Any one eraw XXXX= PERSONAL S ADV INJURY S 5,000,000 X ISO FORM CG 00011207 GENERAL AGGREGATE $ 6 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: 17 P LI Y X JECOT X PRODUCTS-COMP/OP AGG S 6000000 $ A AUTOMOBILE LIABILITY ANY pAUTO AUTOS NED A�HrFODULED HIRED AUTOS X q�7pSWNED MCS-90 N N MMITH08816025 1/1/2014 1/l/2015 Ca BINeDtSINGLELIMI $ 1,000,000 X BODILY INJURY (Par Person) S X)I;XXj(X7{ X BODILY INJURY (Peracdden $ )C)C)Cy= X Per acodentDAMAGE $ XX)CKXXX }{ $ xxxx xx C X UMSRELLAUAB EXCESS LIAR X OCCUR CLAIMS -MAD N N XOOG27054961 1/1/2014 1/1/2015 EACH OCCURRENCE $ 150 00000 AGGREGATE $ 15 000 000 DED RETENTION $ $ XXXXXXX B A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORNARTNERIFFECLMVE YIN OFFICEMEMBER EXCLUDED? N❑ (Myaeneero, M NH) DESCRIPTION OF OPERATIONS below NIA N WLR C47876345((AOS)) WLRC47876357(AZ,CA&MA) SCF C47976369 ((WWI)) 1/12014 1/1/2014 1/1/2014 1/1/2015 1/1/2015 1/12015 WC STATU- OTH. X T RY LIMITS FIR E.L.EACH ACCIDENT $3000000 E.L. DISEASE - FA EMPLOYEE 3 000 000 E.L. DISEASE-POLICYUMIT 3000000 A EXCESS AUTO LIABILITY N N XSA H08816013 1/1/2014 1/1/2015 COMBINED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I(Anach ACORD 101, Additional Remarks Schedule, Ifman, apace 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 I FLEET MANAGEMENT P.O. BOX 580 FORT COLLINS CO 80522 The ACORD name and logo are registered marks of ACORD AcoIRO° CERTIFICATE OF LIABILITY INSURANCE �i ul/tots DATE/11/2013 12/11/2013 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 endamement(s). PRODUCER LOCKTON COMPANIES, LLC 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 NCONTACT AME: A/C. No Ert: INC, No E-MAIL ADDRESS, INSURIERM AFFORDINGCOVERAGE INSURER A: ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOIDI IN &ALL AFFILIATED,INSURER RELATED & SUBSIDIARY COMPANIES INCLUDING: 1300436 WASTE MANAGEMENT COLORADO LANDFILL DIVISION 7780 EAST 96TH AVENUE HENDERSON CO 80640 B: Indemnity insurance Co of North America 43575 INSURER C : ACE Property & Casualty Insurance Co 20699 INSURER F COVERAGES CERTIFICATE NUMBER: 3446992 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 TYPE OF INSURANCE ADDL R SUBR MD POLICY NUMBER POLICY EFF IMMn)DIYYYY 1/l/2014 POLICY EXP IMMIDD 1/1/2015 LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS.MADEFx—] OCCUR X XCU INCLUDED N N HDOG2732924A EACH OCCURRENCE 5000000 RMMIsEsEeoocEDn 5000000 MED EXP (Any one non XXXXXXX PERSONAL S ADV INJURY s5,000,000 X ISO FORM CG 00011207 GENERAL AGGREGATE s 6 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: Y X PRO X LOC PRODUCTS-COMP/OP AGG s 6000000 $ A AUTOMOBILE LIABILITY ANY AUTO AANtINED AUTEDULED TTOOSS NONOOOSSWNED X HIRED AUTOS AUTOSaccident) MCS-90 N N MMTH08816025 i/1/2014 I/1/2015 OMBISINGLELIMIT Cd�Dt JEa s 1,000,000 X BODILY INJURY (Per pemn) s XXXXX}pL X BODILY INJURY (Per accident $ XXXXXXX X PROPERTY DAMAGE $ XXXXXXX X s XXXXXXX C X UMBRELLA LMEI EXCESS LIAR X OCCUR 1CLAIMS-MADE N N XOO G27054961 I/l/2014 1/1/2015 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 DED RETENTIONS s XXXXXXX B A A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIEIORPARTNEHIEXECUTNE YIN OFFICERN MBEREXCLUDEDP N❑ IMyMmlWbrrMNNI DESCRIPe TIO OF OPERATIONS Cabx NIA N WLR C47876345 (ADS) WLR C47876357 AZ,CA&MA) SCFC47876369( ) 1/1/2014 1/1/2014 I/l/2014 1/1/2015 1/1/2015 1/1/2015 WC STATL1- OTH- X YLIMIT E.L. EACHACCIDENT s 3000000 El, DISEASE - EA EMPLOYEE 3000000 E.L. DISEASE - POLICY UMR IS 3000000 A EXCESS AUTO LIABILITY N N XSA H08816013 1/12014 1/12015 COMBINED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I(AlMch ACORD 101, Additional Remarks Schedule, N mare apace Is ;;Bulled) 3446992 CITY OF FORT COLLINS 413 SOUTH BRYAN 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 The ACORD name and logo are registered marks of ACORD