HomeMy WebLinkAbout109244 WASTE MANAGEMENT OF COLORADO - INSURANCE CERTIFICATEAC"R"' CERTIFICATE OF LIABILITY INSURANCE
1i I / l /2019
DATE(MM/DDNYYY)
1 12/ 11 /2017
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
CONTACT
NAME:
-Fllz5N FAX
A/C, No, Ext : A/C, No),
3657 BRIARPARK DRIVE, SUITE 700
HOUSTON TX 77042
866-260-3538
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURERA: ACE American Insurance Company
22667
INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED,
1300436 ESUBSIDIARY COMPANIES INCLUDING:
WASTE MANAGEMENT
COLORADO LANDFILL DIVISION
7780 EAST 96TH AVENUE
INSURER B : Indemnity Insurance Co of North America
43575
INSURER C : ACE Fire Underwriters Insurance Company
20702
INSURER D :
INSURER E :
HENDERSON CO 80640
INSURER F :
COVERAGES CERTIFICATE NUMBER: 3446993 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
CLAIMS -MADE OCCUR
XCU INCLUDED
N
N
HDO G27873091
I/l/2018
1/1/2019
EACH OCCURRENCE
5,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
5,000,000
X
MED EXP (Any oneperson)
XXXXXXX
X
ISO FORM C000010413
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
$
AUTOMOBILE
LIABILITY
ANY AUTO
AUWNTOS ONLY SCHEDULED
AUTOS
HIRED AUTOS ONLY X AUTOS ONLDY
MCS-90
N
N
MMT H25097890
1/1/2018
1/1/2019
COBA
(EaacccidentSINGLE LIMIT
$ 1,000, O00
X
BODILY INJURY (Per person)
$ XXXXXXX
X
BODILY INJURY (Per accident
$ XXXXXXX
X
PROPERTY cident DAMAGE
(Per a
$ XXXXXXX
X
$ XXXXXXX
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
N
N
XOO G27929242 003
I/l/2018
l/l/2019
EACH OCCURRENCE
$ 15,000,000
AGGREGATE
$ 15,000,000
DIED I I RETENTION $
$ XXXXXXX
B
APROPRIETOR/
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
OFFICER/MEM ER EXCLUDED? ARTNER/EXECUTIVE
(Mandatory in NH)
If yoo, descr be under
DESCRIPTION OF OPERATIONS below
N / A
N
WLR C6462278A (AOS)
WLRC64622778 AZ,CA,&MA
SCF C64622791 (WI)
I/l/2018
1/1/2018
1/1/2018
l/l/2019
1/1/2019
1/1/2019
X STATUTE ER
E.L. EACH ACCIDENT
$ 3 000 600
E.L. DISEASE - EA EMPLOYEE
3,000,000
E.L. DISEASE - POLICY LIMIT
3,000,000
A
EXCESS AUTO
LIABILITY
N
N
XSA H25097889
1/1/2018
1/1/2019
COMBINED SINGLE LIMIT
$9,000,000
(EACH ACCIDENT)
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
I.CR 1 Ir iuA I C riu L.Limm
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
3446993 AUTHORIZED REPRESENTATIVE
CITY OF FORT COLLINS
6570 PORTNER ROAD
FORT COLLINS CO 80521
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