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HomeMy WebLinkAbout109244 WASTE MANAGEMENT OF NORTHERN COLORADO - INSURANCE CERTIFICATE (5)ACORU° CERTIFICATE OF LIABILITY INSURANCE 1/1/2019 DATE(MM/DD/YYYY) 12/ 1 1 /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 NAME: A/c, PHONENo, Ext : FAX A/C, No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A : ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300299 RELATED & SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT OF ARIZONA, INC. 222 S MILL AVE, SUITE 333 TEMPE AZ 85282 INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE Fire Underwriters Insurance Company 20702 INSURER D : INSURER E : INSURER F : rAVFRAr;FC A7PI40POI rFRTIFF IrATNIIMRFR• 149dR,06 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 T TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF M/DD/YYYY POLICY EXP M / LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR Y Y 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 XCU INCLUDED X ISO FORM CG00010413 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 ]POLICYa JECOT FLOC PRODUCTS - COMP/OP AGG $ 6,000,000 1 $ OTHER: A AUTOMOBILE LIABILITY Y Y MMT H25097890 1/1/2018 1/1/2019 (CEO, eBlcdeDiSINGLE LIMIT $ 1,000, 000 BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED ONLY AUTOS AUTOS ONLY X AUOTOS ONLDY 1xx BODILY INJURY (Per accident $ XXXXXXXAUTOS Pe�acadenDAMAGE$XXXXXXX $ XXXXXXX MCS-90 A UMBRELLA LIAB X OCCUR Y Y XOO G27929242 003 1 i 1 /2018 1/1/2019 EACH OCCURRENCE $ 15,000,000 I AGGREGATE $ 15,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $XXXXXXX B A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N❑ (Mandatory in NH) N/A Y WLR C6462278A (AOS) WLR C64622778 ((AZ,CA,&MA SCFC64622791 (WI) 1/1/2018 1/1/2018 1/1/2018 1/1/2019 1/1/2019 1/1/20I PER X STATUTE ER E.L. EACH ACCIDENT $ 3,000,000 E.L. DISEASE • EA EMPLOYEE 3,000,000 If yes, describe under DES^_R!PT!ON OF OPERP.T!ONS be!a .L. DISEASE -POLICY LIMIT - 3,000,000 A 1EXCESSAUTO LIABILITY Y Y 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) BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT BY WRITTEN CONTRACT WHERE PERMISSIBLE CERTIFICATE HOLDERAS ANINSURED (EXCEPT OR WORKERS' COMP/ELWHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONLINSURDINAVOR CF OF THE CITY, ITS OFFICERS, AGENTS AND EMPLOYEES ON ALL POLICIES (EXCEPT WORKERS' COMPENSATION/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. l IZM 1 IF 1\. IC If E P111*1I11 PURCHASING DIRECTOR CITY OF FORT COLLINS 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 Arnan it rinia/nz► Cc�19RR-2015 ACORD CORPORATION- All riahts reserved The ACORD name and logo are registered marks of ACORD CONTINUATION DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS (Use only if more space is required) ALL POLICIES INCLUDE A BLANKET NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS ENDORSEMENT, PROVIDING FOR 30 DAYS' ADVANCE NOTICE IF THE POLICY IS CANCELLED BY THE COMPANY OTHER THAN FOR NONPAYMENT OF PREMIUM, 10 DAYS' NOTICE IF THE POLICY IS CANCELLED FOR NONPAYMENT OF PREMIUM. NOTICE IS SENT TO CERTIFICATE HOLDERS WITH MAILING ADDRESSES ON FILE WITH THE AGENT OR THE COMPANY. THE ENDORSEMENT DOES NOT PROVIDE FOR NOTICE OF CANCELLATION IF THE NAMED INSURED REQUESTS CANCELLATION. ACORD 25 (2016/03) Certificate Holder ID: 14948306