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HomeMy WebLinkAbout109244 WASTE MANAGEMENT HOLDINGS INC - INSURANCE CERTIFICATE (2)ACORO' CERTIFICATE OF LIABILITY INSURANCE
`i I/l/201616
DATE/1
12/l 1/2014 l/2014
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
5847 SAN FELIPE, SUITE 320
HOUSTON TX 77057
866-260-3538
CONTACT
" Arc No Ex No
E-MAIL
ADDRESS,
INSURER(S)AFFORDING COVERAGE
NAIC
INSURER A: ACE American Insurance Company
22667
INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED,
1300436 RELATED & SUBSIDIARY COMPANIES INCLUDING:
WM PRODUCT RECOVERY SERVICES, L.L.C.
451 W 69TH STREET
LOVELAND CO 80537
INSURER B : Indemnity Insurance Co of North America
43575
INSURERC: ACE Property & Casualty Insurance Co
20699
ACE Fire Underwriters Insurance Com an
20702
R E
INSURERF
COVERAGES CERTIFICATE NUMBER: 13262526 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.
INSRLm
TYPE OF INSURANCE
ADDL
SUER
POLICY NUMBER
MM%0 V EFF
POLICY y
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X(91 INCI.I IDFD
N
N
HDOG27341251
I/l/2015
I/l/2016
EACH OCCURRENCE
5000000
DAMAGE TO RENTED
PREMISESEa ocrvrzence
5,000,000
X
MED UP An one person)XXXX}i{i{
X
ISO FORM CG00010413
PERSONAL & ADV INJURY
$ 5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICV� JECT � LOC
OTHER
GENERAL AGGREGATE
$ 6,000,000
PRODUCTS - COMP/OP AGO
$ 6,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
AUTOS NED SCHEDULED
MIRED AUTOS X AUTOSWNED
MCS-90
N
N
MMTH08830472
I/l/2015
I/l/2016
COMBINED SINGLE LIMIT
$ 1,000,000
X
BODILY INJURY (Per person)
$ ){XXXXX}(
X
BODILY INJURY (Per accident
$ yy) YX VXX�{
X
(PaaOPMERda DAMAGE
$ XXXXXXX
X
$ xxxxXXX
C
X
UMBRELLALIAS
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
N
N
XOO G2742305A
1/l2015
1/1/2016
EACH OCCURRENCE
$ 15000000
AGGREGATE
S 15,000,000
DED 1 1 RETENTION $
$ XXXXXXX
H
A
D
WORKERS COMPENSATION
AND EMPLOYER$' LIABILITY
ANY PROPRIETO ARTNEW CLTRE YrN
OFFICERiMEMBER EXCLUDED?
(NanMorr in NH)
If ye .dnsulM under
DESCRIPTION OF OPERATIONS ceIw
NIA
N
WLR C4814181 A ((AOS)
WLR C48141821 (CA&MA)
SCP C4$141833 (WI)
1/1/2015
1/1/2015
1/1/20I5
I/l/2016
I/l/2016
I/l/2016$
PER OTH-
X STATUTEER
EL EACH ACCIDENT
3,000,000
EL DISEASE - FA EIAM0`rEE
3000000
EL DISEASE -POLICY LIMIT is
3000000
A
EXCESS AUTO
LIABILITY
N
N
XSA H08830460
1/l/2015
1/1/2016
COMBMED SNGLE LIMIT
$9,000,000
(EACH ACCIDENT)
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, may be attached if more space is required)
VLK I IFILYA IC HVLIJCK UAINUCLLAHLIN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
13262526
AUTHORIZED REPRESENTATIVE
CITY OF FORT COLLINS
ATTN: PURCHASING DEPT.
P.O. BOX 580
FORT COLLINS CO 80522
ACORD 25 (2014101) ©1988-2014 ACORD CORPORATION. All riahts reserved
The ACORD name and logo are registered marks of ACORD