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o CERTIFICATE OF LIABILITY INSURANCE <br />DATE/4/2018 <br />i. <br />�...�� tnrzozo <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(los) 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: <br />la <br />PHONE t <br />A C No Ext : AC No): <br />E-MAIL <br />ADDRESS: <br />INSURER DING COVERAGE NAIC If <br />HDOG71212993 <br />INSURER A: ACE American Insurance Company 22667 <br />e. <br />INSURED WASTE MANAGEMENT OLDI S,INC. & ALL AFFILIATED, <br />1348279_RELATED&SUBSIDIARY. COMPANIES INCLUDING_--__ <br />WASTE MANAGEMENT = F ORANGE COUNTY <br />GREAT WESTERN REC'AIMATION <br />1800 SOUTH GRAND A 9NUE <br />INSURERS : ACE Pro ert & Casualty Insurance Co 20699 <br />_. _ <br />INSURER C : Allied World Assurance Comp=Ltd 94128 --- <br />SURE D • Ann Re Ltd. <br />INSURER E <br />SANTA ANA CA 92705 <br />INSURER F: <br />rn%1PPAr FS rCDTICIr ATC KHIRRGCG• t t SR97110 oovrmnur unenove. wvvvvv <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 />ILTR <br />TYPE OF INSURANCE <br />INSD <br />SUB9 <br />POLICY NUMBER <br />OYWW <br />F10P EXV <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />HDOG71212993 <br />1/1/2019 <br />1/1/2020 <br />EACH OCOURRENCE 5,000,000 <br />CLAIMS-MADED OCCUR <br />PA GES Roccu e e 5,000,000 <br />MED EXP (Any one arson XXXXXXX <br />X XCIJ INCLUDED <br />X ISO FORM 0.00 00 1 04 1 3 <br />PERSONAL & ADV INJURY $ 5,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY JROi FX LOC <br />GENERAL AGGREGATE $ 6,000,000 <br />PRODUCTS. COMP/OP AGG $ 6,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />Y <br />Y <br />MMT H08866326 <br />1/1/2019 <br />1/!/2020 <br />EOMe,'OdED1SINGLE LIMIT $ 1,000,000 <br />an <br />X ANYAUTO <br />BODILY INJURY (Per person) $ XXXXXXX <br />u <br />X <br />AUTOS ONLY <br />SCCYOS ED�rUyLEEDp"""""-- <br />q <br />BODILY INJURY (Per accident $ Xj{}{}{�{}{�' <br />X <br />AUTOS ONLY <br />X <br />AUTOSONLY <br />Pao eltle DAMAGE $ XXXXXXX <br />$ XXXXXXX <br />X <br />MCS -90 <br />B <br />C <br />}{ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />NOCCUR <br />CLAIMS -MADE <br />Y <br />Y <br />X00627929242004 <br />C035009/003 <br />1/1/2019 <br />I/l/2019 <br />1/1/2020 <br />1/1/2020 <br />EACH OCCURRENCE $ 100.000,000 <br />AGGREGATE $ 100,000,000 <br />DED RETENTION$ <br />$ XXXXXXX <br />C <br />C001389/017 <br />1/1/2019 <br />1/1/2020 <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />OFF CERIMEMBER EXCLUDED? <br />(Mandatory In Ne) <br />It yes, dPnbe ander <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />Y <br />WLR 065435809 (AZ,CA&M <br />1/1/2019 <br />1/1/2020 <br />PER OTH- <br />X STATUTE <br />E.L. EACH ACCIDENT 3,000,000 <br />E.L. DISEASE - EA EMPLOYEE 3,000,000 <br />E.L. DISEASE - POLICY LIMIT 3,000,000 <br />A <br />EXCESS AUTO <br />LIABILITY <br />Y <br />Y <br />XSAH25278598 <br />1/1/2019 <br />!/1/2020 <br />COMBINED SINGLE LIMIT <br />$9,000,000 <br />(EACH ACCIDENT) <br />DESCRIPTION OF OPERATIONS / LOCATIONS / 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 1S NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL <br />WHERE AND TO THE EXTENT RE OWED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF SANTA ANA ITS OFFICERS AGGNTS AN� <br />EMPLOYEES (ON ALL POLICIAS EXCEPT WORKERS' COMPENSATION/EL) WHERE AND TO THE EXTENT AS REQUIRED BY WRITTEN CONTRACT. THE ABOVE <br />AUTO LIABILITY POLICY PROVIDES LIABILITY COVERAGE TO THE TRUCKS OWNED BY THE CITY OF SANTA ANA THAT ARE OPERATED AND <br />MAINTAINF-D BY WASTE MANAGEMENT OF ORANGE COUNTY. <br />REVIEWED BY: EUNICE HEREDiA (PG 1 OF fi) <br />UEKIIVIOAILNLJLUEK CANCELLATION Nee Attachment <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />11582709 <br />AUTHORIZED REPRESENTATIVE <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />PFO. BOX 1988 <br />SANTA ANA CA 92701 <br />ACORD 25 (2018/03) ©1988.2015 ACORD CORPORATIC111. All rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />