Loading...
HomeMy WebLinkAboutWASTE MANAGEMENT HOLDINGS INC - INSURANCE CERTIFICATE (3)ACOR"' CERTIFICATE OF LIABILITY INSURANCE 16.� 1 /1/2017 DATE(MM/DDIYYYY) 1 12/7/2015 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 endorsement(s). PRODUCER LOCKTON COMPANIES 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 CNACT NAME" PHONE FAx A/C No Ext : A/C No E-MAIL ADDRESS: INSURER AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE Property & Casualty Insurance Co 20699 1300436 RELATED & SUBSIDIARY COMPANIES INCLUDING: WM PRODUCT RECOVERY SERVICES, L.L.C. 451 W 69TH STREET INSURER DACE Fire Underwriters Insurance Company 20702 LOVELAND CO 80537 INSURER E : INSURER F : rnv=DArrcc CERTIFICATE NUMBER: 1 ;7F757A REVISION NUMBER: XXXXXXX vTHIS 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 SUER WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR XCU INCLUDED N N fIDOG27403311 1/1/2016 1/I/2017 EACH OCCURRENCE 5000.000 DAMAGE ( RENTED PREMISESS Ea occurrence 5,000,000 X MED EXP (Any oneperson) XXXXXXX X ISO FORM CG00010413 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY JECOT- � LOC OTHER GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMP/OP AGG $ 6,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO NED SCHEDULED X AUTOS X HIRED AUTOS fAUUTOSWNED X MCS-90 N N MMT II08866326 1/1/2016 1/1/2017 COaBcideDtSINGLE LIMIT000 BODILY INJURY (Per person) $ XXXX_XXX BODILY INJURY (Per accident $ XXXXXX X PROPERTY DAMAGE Per accident $ XXXXXXX $ XXXXXXX C X UMBRELLA LIAR EXCESS LIAB NCLAIMS-MADE OCCUR N N XOO G27929242 001 1/1/2016 1/l/2017 EACH OCCURRENCE $ 15 000000 AGGREGATE $ 15 000 000 DED I I RETENTION $ $XXXXXXX H A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, d—ribe under DESCRIPTION OF OPERATIONS below N/A N WLR C48596769 �OS) WLR C48596800A & MA) SCF C48596848 () 1/1/2016 1/1/2016 1 /1/2016 1/1/2017 l/1/2017ANYPROPMETOR/PARTNER/EXECUTIVE 1/1/201 X STATUTE E.L. EACH ACCIDENT $ ,,000,OOO E.L. DISEASE - EA EMPLOYEE 3,000,000 E.L. DISEASE - POLICY LIMIT 3,000,000 A EXCESS AUTO LIABILITY N N XSA H08866314 1/1/2016 I/l/2017 COMBINED SINGLE, LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CFRTIFICATF 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. 13262526 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS ATTN: PURCHASING DEPT. P.O. BOX 580 FORT COLLINS CO 80522 Arnon')c r9n1Arn11 Cc�19RR-9nl4 ACORD CORPORATI - All riahts reserved The ACORD name and logo are registered marks of ACORD ACORO' CERTIFICATE OF LIABILITY INSURANCE f`�— 1 / 1 /2017 DATE(M/201 YYY) 12/72015 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 endorsement(s). PRODUCER LOCKTON COMPANIES 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 CONTACT PHONE FAx AC No Ext : A/C No E-MAIL ADDRESS: INSURER AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE Property & Casualty Insurance Co 20699 1300436 RELATED & SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT OF NORTHERN COLORADO 500 EAST VINE DRIVE INSURER D : ACE Fire Underwriters insurance Company 20702 FORT COLLINS CO 80524 INSURER E : INSURER ER F : r^ rlw c r"CDTICIrATC All IMRF[7- '1429072 REVISION NUMBER: XXXXXXX _w V L-LJ v�.� •, .vr„ a.. .. v....r �... -. ..... � .. ..-. - -- - 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. ILTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y N HDOG27403311 1/1/2016 1/1/2017 EACH OCCURRENCE 5000000 PREMISES (ETO a RENTED ) $ 5,000,000 XCU INCLUDED X MED EXP (Any oneperson) XXXXXXX X ISO FORM C000010413 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMP/OP AGG $ 6,000,000 POLICY JERCOT � LOC $ OTHER A AUTOMOBILE LIABILITY Y N MMT H08866326 1/1/2016 1/1/2017 Ea acciidentINDSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ XXX�{XXX X ANY AUTO BODILY INJURY (Per accident $ }{X'3{�{}{xx X AUTS OWNED SCHEDULED UTOS X HIRED AUTOS X NON -OWNED xx PROPERTY DAMAGE $ xxxxxxx $ XXXXXXX MCS-90 C X UMBRELLA LIAB OCCUR Y N XOO G27929242 001 1/1/2016 1/1/2017 EACH OCCURRENCE $ 15 000,000 AGGREGATE $ 15,000,000 EXCESS LIAB NCLAIMS-MADE DED I RETENTION $ $XXxxxxx B D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OFFICER/MEMBEREXCLUDED? (Mandatory in NH) N/A N S) WLR C4H596769 �CA' WLR C48596800 & MA ) SCFC48596848() 1/1/2016 1/1/2016 1/1/2016 1/1/2017 1/1/2017AANYPROPRIETOR/PARTNER/EXECUTIVE I/l/2017 X STATUTE OTH- E.L. EACH ACCIDENT $ )000000 E.L. DISEASE - EA EMPLOYEE 3,000 000 E.L. DISEASE - POLICY LIMIT 3,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below A EXCESS AUTO LIABILITY Y N XSA H08866314 I/l/2016 l/l/2017 COMBINED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ADDITIONAL INSURED IN FAVOR OF THE CITY OF FORT COLLINS (COLORADO) (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLUER UAIVI.CLLAI IVIY 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 rOr„ AM4 (c)19RR-9n14 ACORD CORPORATIOW All riahts reserved The ACORD name and logo are registered marks of ACORD