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WM CURBSIDE, LLC. (SEE CURBSIDE INC.) (2)
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WM CURBSIDE, LLC. (SEE CURBSIDE INC.) (2)
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Last modified
3/2/2022 11:06:21 AM
Creation date
7/3/2019 5:32:28 PM
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Contracts
Company Name
WM CURBSIDE, LLC. (SEE CURBSIDE INC.)
Contract #
A-2018-129-01
Agency
Public Works
Council Approval Date
5/15/2018
Expiration Date
6/30/2021
Insurance Exp Date
1/1/2023
Destruction Year
2026
Notes
A-2008-062; A-2018-129
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ACC-0 CERTIFICATE OF LIABILITY INSURANCE <br />DADDIYVYY) <br />n/zozo <br />7/11//ll/2019 <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(les) 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 />AIC No Ezl : No <br />AIC <br />E-MAIL <br />A DRESS: <br />IN AFFORDING COVERAGE <br />INSURERA: ACE A—ricun Insuranee Compuv <br />22667 <br />INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, <br />1306000 RELATED & SUBSIDIARY COMPANIES INCLUDING: <br />WM CURBSIDE, LLC <br />INSURER B: Indemnity Insurance Co oFNorth America <br />43575 <br />INSURER c: ACE Fire Underwriters Insurance Company <br />20702 <br />RE <br />5101 E. LA PALMA AVENUE <br />ANAHEIM CA 92870 <br />N <br />INSURER <br />COVERAGES r•-PIxTIPIceTo uuunee. IIn'7uAA1 ___ <br />USMI-ION NUMBER: AAAAAAA <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />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 />TR <br />TYPE OF INSURANCE <br />ADDL <br />D <br />SUBR <br />MO <br />POLICY NUMBER <br />MMIDD EFF <br />1/1/2019 <br />POLICY <br />1/1/2020 <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />14DOG71212993 <br />EACH <br />5000000 <br />CLAIMS-MAOE� OCCUR <br />COCCURRENCE <br />PR AISES ERENTED noa <br />5,000,000 <br />MEDEXP (Any one arson <br />XXXY X <br />XCII INCLIFDED <br />X <br />ISO FORM CCn001041 T <br />PERSONAL 8 ADV INJURY <br />$ 5,000.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POUCVa] JECT- [y] LOC <br />GENERAL AGGREGATE <br />$ 6,000,000 <br />PRODUCTS -COMP/OPAGG <br />$ 6000000 <br />OTHER: <br />8 <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />MMT R2527863A <br />1/1/2019 <br />1/1/2020 <br />EOMBINBD SIN LE LIMIT <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per Person) <br />$ J{X')(]{xxx <br />ANY AUTO <br />X <br />g pU <br />AUTOS ONLY ASTO.ppSWLNE�Dp <br />BODILY INJURY (Per accident <br />s } YXXXXX <br />X <br />PROPERTY DAMAGE <br />Peraccitle t <br />$ a'i{X}{XJ(}{ <br />AUTOS ONLY X AUTOS ONLY <br />}{ <br />$XXXXXXX <br />MCS-90 <br />A <br />j( <br />UMBRELLALUIB <br />}L' <br />OCCUR <br />Y <br />Y <br />XOO G27929242 004 <br />1112019 <br />1/1/2020 <br />EACH OCCURRENCE <br />$ 15000000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />$ 15 00O 000 <br />DER RETENTIONS <br />$ XXXXXXX <br />A <br />COMPENSATION <br />WORKERS YERT LIABILITY <br />ANDPROPIETOM •LwBILITv YIN <br />Y <br />WLR C65435846 (AC <br />1/.2019 <br />1/1/2020 <br />_ <br />X STATUTE OER <br />C <br />OFFICERIMEMBERE%CLUDEp,CUTIVE N <br />❑ <br />NIA <br />WLRC65435809(WIAZ,CA&M <br />SCF C65435883( ) <br />1/12019 <br />1/I/2019 <br />1/1/202D <br />I/12020 <br />E.L.EACXACCIDENT <br />s3000000 <br />E.L. DISEASE - EA EMPLOYEE <br />3000000 <br />(Mantivlory in NH) <br />1(yee. tleccnpe antler <br />EL.DISEASE-POLICYLIMIT <br />3000000 <br />DESGaPTION OF OPERATIONSW. <br />A <br />EXCESS AUTO <br />LIABILITY <br />Y <br />Y <br />XSA H25278598 <br />1/I/20I9 <br />1/1/2020 <br />COMBINED SINGLE LIMIT <br />$ACH <br />A0 <br />(EACH ACCIDENT) <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. <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 INSURANCE AFFORDED TO THE ADDITIONAL INSURED <br />AS DESCRIBED IN THIS CERTIFICATE OF INSURANCE FOR WORK PERFORMED BY THE NAMED INSURED IS PRIMARY AND NON-CONTRIBUTORY TO ANY <br />SIMILAR COVERAGE MAINTAINED BY THE ADDITIONAL INSURED WHERE AND TO THE EXTENT REQUIRED BY CONTRACT. <br />�ttVIEWED &APPROVE <br />B RI <br />Y MANAGEMENT DIVISIO <br />11076601 612 <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 />AUTHORIZED REPRESENTATIVE <br />CITY OF SANTA ANA <br />2019 <br />RISK MANAGEMENT DIVISIO <br />20 CIVIC CENTER PLAZA, M-28 SAM <br />P. 0. BOX 1988 <br />NTHA M. LAMBERT <br />SANTA ANA CA 92702—� <br />tD 25 (2016/03) <br />91988-2015 ACORD CORPORATI0111. All rights reserved <br />I ne ACOKU name and logo are registered marks of ACORD <br />
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