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HomeMy WebLinkAbout109244 WASTE MANAGEMENT OF COLORADO INC - INSURANCE CERTIFICATE (2)AC"R"' CERTIFICATE OF LIABILITY INSURANCE lh� 1 / l /2020 DATE(MMIDDNYYY) 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 NAME: PHONE Arc, Ext : FAX Arc, No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300436 RELATED & SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT OF NORTHERN COLORADO 500 EAST VINE DRIVE FORT COLLINS CO 80524 INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE Fire Underwriters Insurance Company 20702 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 3429072 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/DDNYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR XCU INCLUDED Y N HDO G71212993 1/1/2019 I/1/2020 EACH OCCURRENCE 5,000,000 PREMISESOEa occurrrence 5,000,000 X MED EXP (Any oneperson) XXXXXXX X ISO FORM C000010413 PERSONAL & ADV INJURY $ 5,000,000 L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC POTHER: GENERAL AGGREGATE $ 6 00O000 PRODUCTS - COMP/OP AGG $ 6000 000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOS ONLY SCHEDULED AUTOS ONLY X NON-OWNED ONLDY MCS-90 Y N MMT H2527863A 1/1/2019 1/1/2020 Ee BINEDtSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) ${XXXXXX X BODILY INJURY (Per accident $ XXXXXXX X Per accede 'DAMAGE $XXXXXXX X $ XXXXXXX A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y N XOO G27929242 004 I/1/2019 I/1/2020 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 DIED I I RETENTION $ $ XXXXXXX B A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN in ERPROPRIETOR/EXCLUDED?ECUTIVE —1 (OFY ICEMandatory (Mandatory in NH) yes. describe under DESCRIPTION OF OPERATIONS below NIA N WLR C65435846 (AOS) WLR C65435809 (CA & MA SCF C65435883( ) ) 1/1/2019 1/1/2019 I/1/2019 1/l/2020 1/1/2020 1/1/2020 _ PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 3 000,000 3 E.L. DISEASE - EA EMPLOYEE 3,000,000 E.L. DISEASE -POLICY LIMIT 3,000, 000 A EXCESS AUTO LIABILITY Y N _ XSA H25278598 _ 1/1/2019 l/l/2020 COMBINED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ADDITIONAL INSURED IN FAVOR OF THE CITY OF FORT COLLINS (COLOR -ADO) (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE REQUIRED BY WRITTEN CONTRACT. 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.O. BOX 580 FT. COLLINS CO 80524 ACr1Rn 94 /9n1R/n4i Cc�19RR-2015 ACORD CORPORATI _ All rights reserved The ACORD name and logo are registered marks of ACORD