Laserfiche WebLink
�1 <br />,Aco/iv CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br />lill 1/1/2021 12/6/2019 <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(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 />LOCKTON COMPANIES <br />3657 BRIARPARK DRIVE, SUITE 700 <br />HOUSTON TX 77042 <br />866-260-3538 <br />INSURED WASTE MAt <br />1306000 RELATED & <br />WM CURBSI <br />5101 E. LA F <br />ANAHEIM C, <br />COVERAGES CFRTIFIrtATP MIIMRPR• I 1 n4660! <br />IAAAAA <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEE FOR THE POLICYY 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 OFINSURANCE <br />ADDL <br />INSO <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />1/1/2020 <br />POLICY EXP <br />M/DDIYYYY <br />I/l/2021 <br />LIMITS <br />A <br />X <br />COMMERCIALGENERAL LIABILITY-1 <br />IABILITY <br />CLAIMS -MADE OCCUR <br />Y <br />Y <br />HDO G71237345 <br />EACH <br />OCCURRENCE <br />5,000,000 <br />PREMISES <br />(Ea occurence <br />$000000 <br />X <br />MEO ESP (Any oneperson) <br />XYXYYY X <br />XCU INCLUDED <br />X <br />ISO FORM C600010413 <br />PERSONAL & ADV INJURY <br />$ 5,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POUCVF PRo FX LOC <br />GENERAL AGGREGATE <br />$ 6000000 <br />PRODUCTS -COMP/OPAGG <br />$ 6 000 000 <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />AUTOS ONLYMAUTOSULEO <br />y <br />y <br />MINT H25290008 <br />1/1/2020 <br />1/1/2021 <br />Ea accd.iffi LE LIMIT <br />$ 1000000 <br />X <br />BODILY INJURY (Per Person) <br />$ XXXXXXX <br />X <br />BODILY INJURY (Per accident <br />$ XXXXXXX <br />AUTOS ONLY AUTOS ONLY <br />MCS-90 <br />X <br />PPeOPEF_Qe DAMAGE <br />$ xx�}x <br />X <br />$ XXXXJUQ{ <br />D <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />Y <br />Y <br />X00 G27929242 005 <br />1/1/2020 <br />1/1/2021 <br />EACH OCCURRENCE <br />$ 15,000,000 <br />AGGREGATE <br />$ 15,000,000 <br />EXCESS LIAB <br />I <br />ICI -AIMS -MADE <br />DEO I I RETENTION $ <br />$ XXXXXXX <br />B <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />OMy FFICRRIMEMe RIPARTUOEW�CUTIVE YIN <br />OFFIC RIME BE � <br />( yes, desgiha NIT) <br />DESCRIPTION OF OPERATIONS balm <br />NIA <br />Y <br />WLR C66043058 (AOS)) <br />WLR C66043010 (AZ,CA& <br />SCF C66043095 (WWI) <br />1/I/2020 <br />1/I/2020 <br />l/l/2020 <br />1/1/2021 <br />1/1/2021 <br />1/1/2021 <br />X STATUTE ER <br />EL EACH ACCIDENT <br />$ 3 000 000 <br />E.L. DISEASE - EA EMPLOYEE <br />3,000,000 <br />EL DISEASE -POLICY LIMIT <br />3,000,000 <br />A <br />EXCESS AUTO <br />LIABILITY <br />Y <br />Y <br />XSA H25289961 <br />1/1/2020 <br />I/l/2021 <br />COMBINED SINGLE LIMIT <br />$9, <br />(EACCHH ACCIDENT) <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached R 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' COMP(EL) <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 />REVIEWED FD & APPiOO EWOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />(uY Risk I NA EM T Divi51 )N THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />D <br />11076601 AUTHORIZED REPRESENTATIVE <br />CITY OF SANTA ANA {{ RIF S �- E6 T <br />RISK MANAGEMENT DIVISIO FL00 <br />20 CIVIC CENTER PLAZA <br />P. 0. BOX 1988 <br />SANTA ANA CA 91701—� <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATIM All rii,.ht. -—A <br />The ACORD name and logo are registered marks of ACORD <br />