HomeMy WebLinkAbout109244 WASTE MANAGEMENT OF COLORADO INC - INSURANCE CERTIFICATEACORO" CERTIFICATE OF LIABILITY INSURANCE
L,,/ 1/1/2020
DATE(MM/DDNYYY)
12/4/2018
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 have ADDITIONAL INSURED provisions or 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
3657 BRIARPARK DRIVE. SUITE 700
HOUSTON TX 77042
866-260-3538
CONTACT
NAME:
PHONE FA
a/c, No, EXt : AIc, No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: ACE American Insurance Com anV
22667
INSURED WASTE MANAGEMENT HOLDINGS AND ALL AFFILIATED,
INSURER B : Indemnity Insurance Co of North America
43575
1300299 RELATED & SUBSIDIARY COMPANIES INCLUDING:
WASTE MANAGEMENT OF COLORADO, INC.
INSURER C : ACE Fire Underwriters Insurance Company
20702
7780 E. 96TH AVENUE
INSURER D :
INSURER E :
HENDERSON CO 80640
INSURER F :
COVERAGES CERTIFICATE NUMBER: 14518694 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
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
HDO G71212993
1/1/2019
1/1/2020
EACH OCCURRENCE
5,000,000
CLAIMS -MADE � OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
S 000000
X
MED EXP (Any oneperson)
XXXXXXX
XCU INCLUDED
X
ISO FORM CG00010413
PERSONAL & ADV INJURY
$ 5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 6,000,000
POLICY JERCOT I LOC
PRODUCTS - COMP/OP AGG
$ 6,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
Y
Y
MMTH2527863A
1/1/2019
1/1/2020
EOaacccidentsINGLEUMIT
$ 1 000000
BODILY INJURY (Per person)
$ XXXXXXX
ANY AUTO
AUTOS ONLY SCHAUTEDULED
BODILY INJURY (Per accident
$ XXXXXXX
AUTOS ONLY X NON-OWNED
ONLDY
PerOacadentDAMAGE
$ XXXXXXX
xi
$ XXXXXXX
MCS-90
A
X°
UMBRELLA LIAR
I X
OCCUR
Y
Y
XOO G27929242 004
1/1/2019
1/1/2020
EACH OCCURRENCE
$ 15,000,000
AGGREGATE
$ 15,000,000
EXCESS LIAR
CLAIMS -MADE
DED I I RETENTION $
$ XXXXXXX
B
A
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
OFFICEPJMEMBER EXCLUDED ECUTIVE 7
(Mandatory in NH)
NIA
Y
WLR C65435846�OS�
WLR C65435809AMA
SCF C65435883 () )
1/1/2019
1/l/2019
1/1/2019
1/1/2020
1/1/2020AN
1/1/2020
PER OTH-
X STATUTE ER
E.L. EACH ACCIDENT
$ 3000 000
E.L. DISEASE - EA EMPLOYEE
$ 3,000,000
If
DESCRIPTION OF OPERATIONS below,
E.L. DISEASE -POLICY LIMIT
3,000,000
A
EXCESS AUTO
LIABILITY
Y
Y
XSA H25278598
1/1/2019
1/1/2020
COMBINED SINGLE LIMIT
$9,000,000
(EACH ACCIDENT)
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT
REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED
(EXCEPT FOR WORKERS' COMPEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT.
,-r-m i rnt.m t rz nvt_ucrc I Mill
14518694
THE CITY OF FORT COLLINS
PO BOX 582
FORT COLLINS CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORn 25 12n16/031
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