Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
024-15 - Waste Management of Washington, Inc. - Contract 12-11-2017 Insurance
Monday, December 11, 2017 Valued Certificate Holder Re: Waste Management, Inc. - 1/1/2018 Certificate of Insurance Dear Waste Management Certificate Holder: Enclosed for your records you will find the 1/1/2018 renewal Certificate of Insurance for Waste Management, Inc. and its subsidiaries. Please note: This will be the final hard copy of this certificate that is mailed out. We will no longer mail hard copies unless required. Going forward we will send out all certificates electronically. If you wish to receive renewal certificates going forward, please send the following information to Houston-ECertDelivery@lockton.com: 1. Do you wish to receive renewal certificates: Yes K No[ ] 2. Certificate Holder Name and Address: SLe- 3. Email Address: �� `��'1� 1C_ r�phC-t 4. Certificate Number*: e- 6k-40,-e *Note: This information can be found at the bottom left hand corner of the certificate next to the certificate holder's information. PLEASE NOTE: If we do not receive a response from your company, we will assume that this certificate is no longer needed and the certificate will be inactivated in our system. �1 A`40RCERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS t/1/2019 12/11/2017 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 LOCKTONBRIA COMPANIES p - 3657 BRIARPARK DRIVE, SUITE 70 ®Y/ NAME: HOUSTON TX 77042 a/c, No, EXt : aC, No): 866-260-3538 E-MAIL ADDRESS: JAN 0 2 2018 INSURERS AFFORDING COVERAGE n eIr x INSURED ^�""^�^ •` • ��,n hl,icl lean Insurance I nm an WASTE MANAGEMENT HOLDINGS I INSURER B : IndemnityInsurance Co of North America 1300299 RELATED & SUBSIDIARY COMPAN uu�� 6 HAR WASTE MANAGEMENT OF WASHIN , IR S OFFICE INSURER C : ACE Fire Underwriters Insurance Com an 720 FOURTH AVENUE, SUITE 400 INSURER D KIRKLAND WA 98033 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW INDICATED. HAVE BEEN ISSUED TO THE INSURED NAMED BOIVEBEOR NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION THE POL EYE PERIOD OF ANY CONTRACT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, HAVE BEEN REDUCED BY PAID CLAIMS. NSR _TR TYPE OF INSURANCE -GENERAL ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL LIABILITY Y Y HDO G27873091 1/1/2018 1/1/2019 EACH OCCURRENCE 5 000 000 CLAIMS -MADE OCCUR DAMAGE TO RENTED X PREMISES Ea occurrence 5,000,000 X XCU INCLUDED MED EXP (Any oneperson) XXXXXXX ISO FORM CG00010413 GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL & ADV INJURY $ 5,000,000 POLICY PE O LOC FX GENERAL AGGREGATE $ 6,000,000 _E OTHER: PRODUCTS - COMP/OP AGG $ 6,000,000 A AUTOMOBILE LIABILITY Y Y MMT H25097890 1/1/2018 1/1/2019 COMBINED SINGLE LIMIT Ea 1,000,000 X ANY AUTO accident $ X OWNED SCHEDULED BODILY INJURY (Per person) $ XXXXXXX X AUTOS ONLY AUTOS X AUTOS AUUTOS ONLYY BODILY INJURY (Per accident $XXXXXXX X ONLY MCS-90 PROPERTY DAMAGE Per accident $ XXXXXXX A X UMBRELLA LIAB X OCCUR Y Y XOO G27929242 003 1/1/2018 1/1/2019 $XXXXXXX EXCESS LIAB CL EACH OCCURRENCE $ 15 000 000 AIMS -MADE DED RETENTION $ AGGREGATE $ 15,000,00 B WORKERS COMPENSATION $ XXXXXX AND EMPLOYERS' LIABILITY y/ N Y WLR C6462278A (AOS) 1/1/2018 1/1/2019 X PERTATUTE 0 R AANY WLR C64622778 (AZ,CA,&MA I/1/2018 1/1/2019 S C OFFICER/MEMBER/EXCLUDED? PROPRIETOR/PARTNER/EXECUTIVE N / A SCF C64622791 (WI) 1/1/2018 1/1/2019 E.L. EACH ACCIDENT $ 3,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - EA EMPLOYEE Is 3,000,000 DESCRIPTION OF OPERATIONS below A E.L. DISEASE - POLICY LIMIT 3,000.000 EXCESS AUTO ILITY Y Y XSA H25097889 1/1/2018 1/1/2019 COMBINED SINGLE LIMIT LIAB $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' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. CERTI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 13594985 AUTHORIZED REPRESENTATIVE CITY OF PORT ORCHARD 216 PROSPECT STREET PORT ORCHARD WA 98366 ACORD 25 (2016/03) ©1"?J-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD