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Home My WebLink About109244 WASTE MANAGEMENT COLORADO LANDFILL DIVISION - INSURANCE CERTIFICATE,acoRo° CERTIFICATE OF LIABILITY INSURANCE �i 1/1/2018 DATE(MM/DD/YYYY) 12/7/2016 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 NAME: T ac No Ext : A/C No): 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, RELATED & SUBSIDIARY COMPANIES INCLUDING: 1300436 WASTE MANAGEMENT INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE Property & Casualty Insurance Co INSURER D : ACE Fire [Jnderwriters Insurancc Company F�d COLORADO LANDFILL DIVISION 7780 EAST 96TH AVENUE INSURER E HENDERSON CO 80640 INSURER F : rw�t�wnrc !`CDTICIr`ATC KIHRA 1=R• 1,14A001 RFVISION 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 -MAD E OCCUR XC[J INILIXEIED N N HDO G27860825 1/1/2017 1/1/2018 EACH OCCURRENCE 5,000 000 DAMAGES( RENTED PREMISES 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. HPOLICXPRO LOG OTHER GENERAL AGGREGATE $ 6,000,000 PRODUCTS -COMP/OP AGG $ 6,000,000 $ AUTOMOBILE LIABILITY X ANY AUTO X AUTOS ONLY SCHEDULED X AUTOS ONLY X AUUTOS ONEDY }{ MCS-90 N N MMTH09052884 1/1/2017 1/1/2018 COMINEDA EaaaBcdentSINGLELIMIT $ 1 000000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERAUTOS TY DAMAGE Per accident $ XXXXXXX $ XXXXXXX X UMBRELLA LIAB EXCESS LIAR NCLAIMS-MADE OCCUR N N XOOG27929242002 1/1/2017 1/1/2018 EACH OCCURRENCE $ 15000000 AGGREGATE $ 15.000.000 DED I I RETENTION $ $ XXXXXXX li A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AN OFFICERMEMBER/ EXCLUDED? [N] (Mandatory in NH) � If yes, describe under DESCRIPTION OF OPERATIONS below N/A N WLR C49106944 (AOS) WLR C49106907 (WAZ,CA,&MA SCF C49106981 ( ) I/l/2017 1/1/2017 1/1/2017 1/1/2018 1/1/2018 1/1/201g OTH- X STATUTE ER E.L. EACH ACCIDENT $ 3,000,000 E.L. DISEASE - EA EMPLOYEE 3,000,000 E.L. DISEASE - POLICY LIMIT 3000,000 A EXCESS AUTO LIABILITY N N XSA H09052872 11112011 1/ 112U 1 r, COMBINED SINGLE LIM1I $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER l.Hly l.tLLHI1Vry 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 FORTNER ROAD FORT COLLINS CO 80521 r 014RR-9019 ACORn CORPORATICM. All riahts reserved The ACORD name and logo are registered marks of ACORD