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HomeMy WebLinkAbout109244 WASTE MANAGEMENT OF NORTHERN COLORADO - INSURANCE CERTIFICATE (4)AcoRo CERTIFICATE OF LIABILITY INSURANCE 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: PHONE FA A/C, No, Ext : A/C, No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance COm ar1V 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300436 RELATED & SUBSIDIARY COMPANIES INCLUDING: WM PRODUCT RECOVERY SERVICES, L.L.C. 451 W 69TH STREET LOVELAND CO 80537 INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE Fire Underwriters Insurance Company 20702 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 13262526 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 1/1/2018 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 CG00010413 PERSONAL & ADV INJURY $ 5,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PE FILOC OTHER GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMP/OP AGG $ 6,000,000 1 $ A AUTOMOBILE LIABILITY X ANY AUTO X OOWNEDONLY SCHEDULED AUTOSAUTOS X AUTOS ONLY X NON-OWNED ONLY X MCS-90 N N MMT H25097890 1/1/2018 1/1/2019 SINGLE LIMIT Ea accident) $ 1 000 000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XX'}�}{xxx (PerPROPERTY a cede DAMAGE $ XXXXXXx $ XXXXXXX A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N XOO G27929242 003 1/1/2018 1/1/2019 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 DED I I RETENTION $ $ XXXXXXX B A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMeEREXCLUDED? (Mandatory in NH) if yes, dsscrLe ur.Car DESCRIPTION OF OPERATIONS below N/A N WLR C6462278A (AOS) WLR C64622778(AAZ,CA,&MA SCF C64622791 (WI) 1/1/2018 1/1/2018 1/1/2018 1/1/2019 1/1/2019 1/1/2019 PER OTH- X STATUTE ER E.L EACH ACCIDENT $ 3000,000 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) CERTIFICATE HOLDER CANCELLATION 13262526 CITY OF FORT COLLINS ATTN: PURCHASING DEPT. P.O. BOX 580 FORT COLLINS CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A(-r)Pr) 9S /gn1R/n'z1 Cc)1QRR_9n18 ACnRr) rORPORATI(7M All rinhts rpsprvpri The ACORD name and logo are registered marks of ACORD