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HomeMy WebLinkAbout109244 WASTE MANAGEMENT OF NORTHERN COLORADO - INSURANCE CERTIFICATE (3)ACORlj' CERTIFICATE OF LIABILITY INSURANCE 16-.� 1/1/2019 DATE(MM/DD/YYYY) 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 CONTACT NAME: HONE A c, No, Ext : Arc, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300436 RELATED & SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT OF NORTHERN COLORADO INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE Fire Underwriters Insurance Company 20702 INSURER D : 500 EAST VINE DRIVE INSURER E : FORT COLLINS CO 80524 INSURER F COVERAGES CERTIFICATE NUMBER: 3429072 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 (MMIDD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y N HDO G27873091 1/1/2018 1/1/2019 EACH OCCURRENCE 5,000 000 CLAIMS -MADE FX—] OCCUR DAMAGE TO RENTED PREMISES Ea occurrence S,000 OOO X MED EXP (Any oneperson) XXXXXXX XCU INCLUDED X ISO FORM C000010413 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. P1POLICY JERCOT LOC GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMP/OP AGG $ 6,000,000 $ OTHER A AUTOMOBILE LIABILITY Y N MMTH25097890 1/1/2018 1/1/2019 COMBINEDSINGLE$ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO AOUTOS ONLY AUTOSULED X BODILY INJURY (Per accident $ XXXXXXX X AUTOS ONLY X AUTOS OINLDY PROPERTY accldenDAMAGE $ XXXXXXX X $ XXXXXXX MCS-90 A X UMBRELLA LIAB NCLAIMS-MADE OCCUR Y N XOO G27929242 003 1/1/2018 1/1/2019 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 EXCESS LIAR DED I I RETENTION $ $ XXXXXXX B A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED (Mandatory in NH) pJ / A N WLR C6462278A (AOS) WLRC64622778/`A,Z,CA,&MA SCF C6462279I (W 1) 1/1/2018 1/1/2018 1/1/201 g 1/1/2019 1/1/2019 I/I /20I9 PER OTH- X STATUTE ER EL EACH ACCIDENT } $ 3,000,000 E.L. DISEASE - EA EMPLOYEE 3,000,000 E.L. DISEASE - POLICY LIMIT 3,000,000 Ifyes. describe under DESCRIPTION OF OPERATIONS below A EXCESS AUTO LIABILITY Y 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) ADDITIONAL INSURED IN FAVOR OF THE CITY OF FORT COLLINS (COLORADO) (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE REQUIRED BY WRITTEN CONTRACT. 1, IFNI11 1l m I L UlwL rN I,HIYV CLLH I 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 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATI - All riahts reserved The ACORD name and logo are registered marks of ACORD