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CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYYY) <br />1/1/7021 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(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 endorsementls). <br />3557 BRIARPARK DRIVE, SUITE 700 <br />HOUSTON TX 77042 <br />866-26(3538 <br />INSURED WASTE MANAGEMENT HOLDINGS, <br />I306000 RELATED & SUBSIDIARY COMPANIE <br />COVERAGES <br />r.FRTIFIrATFMtIINIRFR• lin'/AAA1 <br />KCVIRIUN NUMBER: XXXXXXX <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED <br />ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH <br />RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT <br />TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN ADoL SUBR <br />L R TYPE OF INSURANCE INSD POLICY NUMBER POD pY EFF POLIMMADNYYY pY.EXP LIMITS <br />A X COMMERCIAL GENERAL LIABILITY Y Y HDOG71237345 1/112020 11/[/2021 EACH OCCURRENCE 5000000 <br />CLAIMS-NMDEFX-1 OCCUR 11 PREMISES EAErrence 5,000,000 <br />}� XCU INCLUDED .... MED EXP An one erson XXXXXXX <br />X ISO FORM CG000 10413 PERSONAL &ADV INJURY $ 5,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POUCy F--1 % LOC GENERAL AGGREGATE $ 6,000,000 <br />PRODUCTS - COMPIOP AGO $ 6,000,000 <br />OTHER: <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />MMT H25290008 <br />1/1/2020 <br />1/1/2021 <br />COMBINEDSINGLE LIMIT <br />Ea eccldor <br />$ 1,000,000 <br />X <br />X <br />ANY AUTO <br />OWNED SCHEDULED <br />BODILY INJURY (Per Person) <br />$ v <br />Va ^VV�/VV�X <br />BODILY INJURY (Per accident <br />$ }[XXX}0Xj( <br />AUTOS ONLY AUTOS <br />X <br />HIRED N-OWNED <br />AUTOS ONLY X AUTNOOS ONLY <br />PROPERTY DAMAGE <br />$ XXXXXXX <br />7t <br />Mcs-90 <br />$ XXXXXXX <br />D <br />J( <br />UMBRELLA LIAR X OCCUR <br />Y <br />Y <br />XOO G27929242 005 <br />I/I2020 <br />I/l/2021 <br />EACH OCCURRENCE <br />$ 15,000,000 <br />EXCESS LIAB I ICILAIMS-MADE <br />AGGREGATE <br />$ 15,000,000 <br />DED RETENTION$ <br />$ XXXXXXX <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />Y <br />WLR C66043058 (ADS) <br />I/I/2020 <br />1/12021 <br />X STATUTE OER <br />C <br />AOFFICEMdEMUEREXCLUDED? ECUnVE <br />NIA <br />CIF C66043095 ( �'CA & M <br />) l 112020 <br />111/2020 1 /2021 <br />EL EACH PCGOEM <br />$ 3 000 000 <br />(10Y-datary in N1B <br />EL. mSEASE-EA EMPLOYEE§ <br />3,000,000 <br />E.L DISEASE -POLICY IIMIT 3,000,000 <br />nESCNPTION OF OPERATIONS babes <br />A <br />EXCESS AUTO <br />LIABILITY <br />Y <br />Y <br />XSA H25289961 <br />1/12020 <br />1112021 <br />COMBINED SINGLE LIMIT <br />$9A 000 <br />H <br />(EACH ACCIDENT) <br />AC <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached IF move 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 CONTRA( "I' W I [ERE PERMISSIBLE BYLAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMPEL) <br />WHERE <br />AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS, <br />EMPLOYEES. AGENTS, VOLOTE RS AND REPRESENTATIVES <br />(ON ALL POUCIES EXCEPT WORKERS' COMPENSATION, EL) WHERE REQUIRED BY WRITTEN <br />WAIVER OF IN FAVOR OF CITY OF SANTA <br />ONNA LL POLICIES WHERE REQUCT <br />IRED BY WRITTEN CONTRACT WHERE PERATION <br />M SSIB EITS IBY LAW. THE INSURANAGENTS, <br />E AFFORDED TO HE <br />TOLUNTEERS <br />ADDITIONAL INSURED <br />AS DESCRIBED IN THIS CERTIFICATE OF INSURANCE FOR WORK PERFORMED BY THE NAMED INSURED IS PRIMARY AND NON-CONTRIBUTORY <br />TO ANY <br />SIMILAR COVERAGE MAINTAINED BY THE ADDITIONAL INSURED WHERE AND TO THE EXTENT REQUIRED BY CONTRACT, <br />rFRTIFIrATF uni Oro .....�_.. -_._-. ,- <br />REVIEWED & A{'t'KU V `' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />By Risk M NAG PENT �ivisiON THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />O <br />11076601 D F AUTHORIZED REPRESENTATNE <br />CITY OF SANTA ANA IF SC01T-LEISTRA <br />RISK MANAGEMENT DIVISI , HWag <br />20 CIVIC CENTER PLAZA <br />P. 0. BOX 1988 <br />SANTA ANA CA 91701 <br />ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All riohts rel <br />l De AuuKu name ana logo are registered marks of ACORD <br />