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HomeMy WebLinkAbout109244 WASTE MANAGEMENT - INSURANCE CERTIFICATE (4)A� u12o16 b' CERTIFICATE OF LIABILITY INSURANCE DATE(MMDDtYYYY) 12/10/2014 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 CONTACT ARk No, Eae : FAX No 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 E-MAIL INSURERtSl INSURER A: ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, RELATED & SUBSIDIARY COMPANIES INCLUDING: 1300436 WASTE MANAGEMENT COLORADO LANDFILL DIVISION 7780 EAST 96TH AVENUE INSURER B: Indemnity Insurance Co otNorth America 43575 INSURER C : ACE Property & Cwualty Insurance Co 20699 .ACE Fire Underwriters Insurance Com an 20702 HENDERSON GO 80640 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 1JTLA TYPE OF INSURANCE ADDL SUSR pOLICV NUMBER PMLICV EFF POEXP LIMBS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR XCI I INCLUDED N N IIDO G27341251 I/l/201$ I/l2016 EACH OCCURRENCE 5000000 DAMAGET EaENTErD 5,000,000 X MED EXP (My one rson XXXXXXX X IM FORM CG00010413 PERSONAL 8 ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICVFX7 JECOT 7 LOC OTHER GENERAL AGGREGATE $ 6,000,000 PRODUCTS -COMP/OP AGG $ 6,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO X AUTOWNED pUTOSULED X HIRED AUTOS X AUTOSWNED X MCS-90 N N MMT H08830472 1/1/2015 1/1/2016 COMaBBIINdEeD SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per Person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXxxX PROPERTY amEen DAMAGE $ X2{XXXXX s XXXXXXX C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N XOO G2742305A 1/1/2015 1/1/2016 EACH OCCURRENCE s 15,000,000 AGGREGATE s 15,000,000 DIED I I RETENTION $ $ XXXXXXX H A D WORKERS COMPENSATIONER AND EMPLOVERS'LIABILITY ANY PROPRIETOIVPARTNER/EXECUTIVE Y/N Miini tinYEMeen excwD®+ N� (MyanWtory in NH) OESCRIPTION OF OPERATIONS... N/A N WLR C4$141$IA((AG$)) WLR C4814I821 (CA&MA) SCF C48141833(WO 1/I201$ I/1/2815 I/l2015 1/I/2016 1/1/2D16 1/I/2016 JOTH-1 X STATUTE I FIR E.L EACH ACCIDENT $ 3 D00000 E.L. DISEASE -EA EMPLOYEE 3000000 E.L. DISEASE -POLICY LIMIT 3000000 A [EXCESS AUTO LIABILITY N N XSA H08830460 1/1/2015 1/1/2016 COMBINED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached B more space is required) 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. ©1988-2014 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD