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HomeMy WebLinkAbout109244 WASTE MANAGEMENT OF NORTHERN COLORADO - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDNYYY)
1/1/2019
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
3657 BRIARPARK DRIVE, SUITE 700
HOUSTON TX 77042
866-260-3538
NCONTACT
AME:
Arc, NF
No, Ext : A/c, No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: ACE American Insurance Company
22667
INSURED WASTE MANAGEMENT HOLDINGS AND ALL AFFILIATED,
1300299 RELATED & SUBSIDIARY COMPANIES INCLUDING:
WASTE MANAGEMENT OF COLORADO, INC.
INSURER B : Indemnity Insurance Co of North America
43575
INSURER C : ACE Fire Underwriters Insurance Company
20702
INSURER D
7780 E. 96TH AVENUE
HENDERSON CO 80640
INSURER E :
INSURER F :
COVERAGES CFRTIFICATF NI IMRFR• 1 d51 RCQd Drtneinei ke RAMOM vvvvvvv
. AA A AAA
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
AVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
y
y
HDO G27873091
1/1/2018
1/1/2019
EACH OCCURRENCE
5,000,000
CLAIMS -MADE OCCUR
PREMISES (Ea occTO ur RENTED
)
$ 5,000,000
X
MED EXP (Any oneperson)
XXXXXXX
XCU INCLUDED
X
ISO FORM CG00010413
PERSONAL & ADV INJURY
$ 5 000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 6,000,000
POLICY LOC
J
JE�
PRODUCTS - COMP/OP AGG
$ 6,000,000
OTHER:
A
AUTOMOBILE
LIABILITY
y
y
MMT H25097890
1/1/2018
1/1/2019
CO aB,1NEDtSINGLE LIMIT
$ 1 000 000
X
BODILY INJURY (Per person)
$ XXXXXXX
ANY AUTO
X
BODILY INJURY (Per accident
$ XXXXXX
}L'
OWNED SCHEDULED AUTOS ONLY AUTOS
AUTOS ONLY X AUOTNO ONLDY
X
PROPERTY DAMAGE
Per accident
$XXXXXXX
X
$ XXXXXXX
MCS-90
A
X
UMBRELLA LIAB
X
OCCUR
y
y
1/1/2018
1/1/2019
EACH OCCURRENCE
$ 15,000,000
AGGREGATE
$ 15,000,000
EXCESS LIAB
CLAIMS -MADE
�XOOG27929242003
DEC) I I RETENTION $
$ XXXXXXX
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
Y
WLR C6462278A (AOS)
I/l/2018
1/1/2019
_
X STATUTE OER
A
C
ANY PROPRIETOR/PARTNER/EXECU I
OFFICER/MEMBER EXCLUDED? N I
N / A
WLR C64622778 (AZ,CA,&MA
SCF C64622791 (W 1)
1/1/2018
1/1/201 8
1/1/2019
1/1/2019
E.L. EACH ACCIDENT
$ 31000,000
E.L. DISEASE - EA EMPLOYEE
3,000,000
(Mandatory in NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT
3,000,000
DESCRIPTION OF OPERATIONS below
A
EXCESS TO
y
y
XSA H25097889
1 / l /2018
1/1/2019
COMBINED SINGLE LIMIT
LIABILITY
$9,000,000
(EACH ACCIDENT)
DESCRIPTION OF OPERATIONS / LOCATIONS / 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
REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED
(EXCEPT FOR WORKERS' COMPEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
14518694 AUTHORIZED REPRESENTATIVE
THE CITY OF FORT COLLINS
PO BOX 582
FORT COLLINS CO 80522
ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATIoK. All riahts rPservarf
The ACORD name and logo are registered marks of ACORD