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AC"Ro CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />vl /2020 <br />12/4/2018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER LOCKTON COMPANIES <br />3657 BRIARPARK DRIVE, SUITE 700 <br />HOUSTON TX 77042 <br />866-260-3538 <br />NAME: T <br />P E F <br />"°, EXt : A/c, No <br />E-MAIL <br />-M <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A : ACE AITlerlcan Insurance Company <br />22667 <br />INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, <br />1306000 RELATED & SUBSIDIARY COMPANIES INCLUDING: <br />WM CURBSIDE, LLC q <br />INSURER B : Indemnity Insurance Co of North America <br />43575 <br />INSURER C : ACE Fire Underwriters Insurance Company <br />20702 <br />INSURER D : <br />5101 E. LA PALMA AVENUE 1t �oLC) % �—/ c' <br />INSURER E : <br />ANAHEIM CA 92870/ j3 <br />INSURER F : <br />C1 <br />COVERAGES CERTIFICATE NUMBER: 11076601 REVISION NUMBER: XXXXXXX <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />HDO G71212993 <br />1/1/2019 <br />1/1/2020 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />CLAIMS -MADE OCCUR <br />EK]PREMISES <br />DAMAGE TO RENTED <br />Ea occurrence <br />$ 5,000,000 <br />X <br />MED EXP (Any oneperson) <br />$ XY_� <br />XCU INCLUDED <br />X <br />ISO FORM C000010413 <br />PERSONAL & ADV INJURY <br />$ 5,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PECOT- LOC <br />GENERAL AGGREGATE <br />$ 6,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 6,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />MMT H2527863A <br />1/1/2019 <br />1/1/2020 <br />COMBINED SINGLE LIMIT <br />Es accident <br />$ 1000000 <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />ANY AUTO <br />AUTOS ONLY AUTODULED <br />1xx <br />BODILY INJURY (Per accident <br />$ XX )CX,CX <br />AUTOS ONLY X AUUTOS ONLDY <br />Perr accidentDAMAGE$XXXXXXX <br />$ XXXXxxX <br />MCS-90 <br />1 <br />• <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />Y <br />Y <br />XOO G27929242 004 <br />1/1/2019 <br />1/1/2020 <br />EACH OCCURRENCE <br />$ 15000,000 <br />AGGREGATE <br />$ 15,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ xxxxxxx <br />B <br />A <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N <br />OFFICER/MEMBER EXCLUDED? N❑ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below I <br />NIA <br />Y <br />I I <br />WLR C65435846 (AOS) <br />WLR C65435809 (CA & MA) <br />SCF C65435883 (WI) <br />I <br />1/1/2019 <br />1/I/2019 <br />1/I/2019 <br />I <br />1/1/2020 <br />1/1/2020 <br />1/1/2020 <br />PER OTH- <br />X I STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 31000,000 <br />E.L. DISEASE- EA EMPLOYEE <br />$ 3,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />3,000,000 <br />A <br />EXCESS AU10 <br />LIABILITY <br />Y <br />Y <br />XSAH25278598 <br />1/1/2019 <br />1/1/2020 <br />COMBINED SINGLE LIMIT <br />$9,000,000 <br />(EACH ACCIDENT) <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY <br />WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMPEL) <br />WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS, <br />EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE REQUIRED BY WRITTEN <br />CONTRACT. WAIVER OF SUBROGATION IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES <br />ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. THE INSURAN E AFFORDED TO THE ADDITIONAL INSURED <br />AS DESCRIBED IN THIS CERTIFICATE OF INSURANCE FOR WORK PERFORMED BY THE NAMED INSURED IS P MARY AND NON-CONTRIBUTORY TO ANY <br />SIMILAR COVERAGE MAINTAINED BY THE ADDITIONAL INSURE WHERE AA'D TO EXTENT REQUIRE CONTRACT. _ <br />�� �� L <br />a. L t\111 -1L IIVLVLI\ l,M1Yl,LLL/}rIV IY OUQ P1LLaU1U11G11LJ t P—AI Vd be / <br />11076601 <br />CITY OF SANTA ANA <br />DEPARTMENT OF PUBLIC WORKS <br />ATTN: CHRISTY KENDIG <br />20 CIVIC CENTER PLAZA, M-21 <br />SANTA ANA CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED I <br />THE EXPIRATION DATE THEREOF, .NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) <br />©1988-2015 ACORD CORPORATICYM- All riahtw rpcprvpri <br />The ACORD name and logo are registered marks of ACORD <br />