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HomeMy WebLinkAbout109244 WASTE MANAGEMENT OF COLORADO INC - INSURANCE CERTIFICATE (3)ACOR"' CERTIFICATE OF LIABILITY INSURANCE 1/1/2020 F DATE(MM/DD/YYYY) 1 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: PHONEArc, No, EXt : a/c, No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300299 RELATED & SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT OF ARIZONA, INC. INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE Fire Undemriters Insurance Company 20702 INSURER D : 222 S MILL AVE, SUITE 333 INSURER E : TEMPE AZ 85282 INSURER F : COVERAGES AZPHOEOI CERTIFICATE NUMBER: 14948306 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 `r A 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 occurrence S 000 000 X MED EXP (Any oneperson) XXXXXXX XCU INCLUDED X ISO FORM CG00010413 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JERCOT LOC GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMP/OP AGG $ 6,000,000 1 $ OTHER: A AUTOMOBILE LIABILITY Y MTH2527863A 1/12019 1/2020 COMBINED SINGLE aI $ l 000000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO AUTOS ONLY AUTOSED ULED X BODILY INJURY (Per accident $ XXX)CyyA X Per0accldentDAMAGE $XXXXXXX AUTOS ONLY X NON-OWNED ONE X $ XXXXXXX MCS-90 A X UMBRELLA LIAB pq CCUR Y Y XOO G27929242 004 1/1/2019 111 /2020 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 EXCESS LIAB LAIMS-MADE DED I I RETENTION $ $ XXXXX} x B A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A Y WLRC65435846 AOS) WLR C65435809 �CA & MA) SCF C65435883 (WI) 1/1/2019 1/1/2019 1/1/2019 1/1/2020 1/1/2020 1/1/2020 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 3,000,000 E.L. DISEASE - EA EMPLOYEE $ 3,000 000 E.L. DISEASE - POLICY LIMIT 3 000 000 A EXCESS AUTO LIABILITY N 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 TT EN ByL CERTIFICATE HOLDER IS AN ADDITIONAL ERE POYEE KE SF ON HE A'BLE ENSATIION/E ) WHERE AND TAS ADDITIONAL INSURED IN FAVOR EPTDOY, WTO OFFICERCOMPLAW* FrNTSS EMPLPOLICCIES (ENT EXCEPT PBY T WRITTEN CONTRACT. O EXTENT REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION 14948306 PURCHASING DIRECTOR CITY OF FORT COLLINS P.O. BOX 580 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 ACORD 25 (2016/031 ©1988-2015 ACORD CORPORATICM_ All rights reserved The ACORD name and logo are registered marks of ACORD