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Home My WebLink About109244 WASTE MANAGEMENT COLORADO LANDFILL DIVISION - INSURANCE CERTIFICATE (2),d►`o�to" CERTIFICATE OF LIABILITY INSURANCE 1/1/2018 DATE(MM/DDNYYY) 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 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 NAMEA -CONTCT (, " FAX A/C No Ext): A/C No E-MAIL ADDRESS: INSURER AFFORDING COVERAGE NAIC # INSURER A: ACE Amcrican 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 20699 ACE Fire Underwriters Insurance Company INSURER D ' 20702 COLORADO LANDFILL DIVISION 7780 EAST 96TH AVENUE HENDERSON CO 80640 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 3446994 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 MMIDDIYYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR N N HDO G27860825 1/1/1-017 1/1/2018 EACH OCCURRENCE 5 OOO OOO DAMAGE ( RENTED PREMISESS Ea occurrence 5,000,000 MED EXP (Any oneperson) XXXXXXX XCII INCLUDED X X ISO FORM CGO000413 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 N N MMT 1109052884 1/1/2017 1/1/2018 COMBINED a.,dentSINGLE LIMIT $ 1 OOO OOO BODILY INJURY (Per person) $ ]�y{?(. XX X ANY AUTO BODILY INJURY (Per accident $ XXXXXXX X OWNED AUTOS ONLY SCHEDULED AUTOS X AUTOS ONLY X AUOTOS ONLDY }{ MCS-90 Perr .c ,en DAMAGE $ XXXXXXX $XXXXXXX (' X UMBRELLA LIAB OCCUR N N XOO G27929242 002 1/1/2017 1/1/2018 EACH OCCURRENCE $ 15,000 000 AGGREGATE $ 15,000,000 EXCESS LIAB NCLAIMS-MADE DED I I RETENTION $ $ XXXXXXX H A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AN OFFICER MEMBER EXCLUDED? ECUTIVE N❑ (Mandatory in NH) N / A N WLR C49106944 AOS)) WLR C49106907 �AZO A,&MA SCF C49106981 (WI) I/l/2017 1/1/2017 1/1/2017 1/1/2018 1/1/2018 1/1/2018 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 If yes, describe under DESCRIPTION OF OPERATIONS below A I EXCESS AUTO LIABILITY N N XSA H09052872 1/1/2017 1/1/2018 COMBINED SfNGLE LIM -1 $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) nC VtEIr ATC unl ncD 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. 3446994 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS / FLEET MANAGEMENT P.O. BOX 580 FORT COLLINS CO 80522 n1gRR-,?n15 AC(-)Rn CnRPORATI - All riahts reserved r,..v n� �o tcv twva/ The ACORD name and logo are registered marks of ACORD