Digitally signed by Francine R.
<br />Francine R. Villareal Villareal
<br />ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br />l)AT/20DDIYYIY)
<br />1/1/2023
<br />2/9/2022
<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 />CONT
<br />NAMEACT
<br />3657 BRIARPARK DRIVE, SUITE 700
<br />PHONE FAX
<br />Ext : A/C Na
<br />HOUSTON TX 77042
<br />E-MAIL
<br />866-260-3538
<br />ADDRESS:
<br />AFFORDING COVERAGE
<br />NAIC #
<br />ACE
<br />INSURER A: ACE American Insurance Conipany
<br />22667
<br />INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATE
<br />1306000
<br />INSURER B : Indemnity Insurance Co of North America
<br />43575
<br />RELATED & SUBSIDIARY COMPANIES INCLUDING:
<br />INSURER C : ACE Fire Underwriters Insurance Company
<br />20702
<br />INSURER D : ACE Property & Casualty Insurance Co
<br />20699
<br />WM CURBSIDE, LLC
<br />5101 E. LA PALMA AVENUE
<br />ANAHEIM CA 92870
<br />INSURER E :
<br />INSURER F :
<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 />MMIDDIYYYY
<br />POLICY EXP
<br />MMIDD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE FX7 OCCUR
<br />Y
<br />Y
<br />HDO G72492365
<br />1/1/2022
<br />1/1/2023
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />DA MAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 5,000,000
<br />X
<br />MED EXP (Any one person)
<br />$ XXXXXXX
<br />XCU INCLUDED
<br />X
<br />ISO FORM CG00010413
<br />PERSONAL & ADV INJURY
<br />$ 5,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 6,000,000
<br />JPRO-
<br />POLICY XLOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 6,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />MMT H25550328
<br />1/1/2022
<br />1/1/2023
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$ XXXXXXX
<br />ANY AUTO
<br />X
<br />BODILY INJURY (Per accident)
<br />$ XXXXXXX
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />Xr
<br />PROPERTY DAMAGE
<br />Per accident
<br />$ XrXrXXrXrXrXr
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />X
<br />$ XXXXXXX
<br />MCS-90
<br />D
<br />X
<br />UMBRELLA LAB
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />XEUG27929242 007
<br />1/1/2022
<br />1/1/2023
<br />EACH OCCURRENCE
<br />$ 15,000,000
<br />AGGREGATE
<br />$ 15,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$ XXXXXXX
<br />B
<br />`A
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />OFFICER/MEMBER EXCLUDED? N
<br />(Mandatory in NH)
<br />NIA
<br />Y
<br />WLR C68918595 (AOS)
<br />WLR C68918558 (AZ, ,N & MA)
<br />SCE C68918637 (WI)
<br />1/1/2022
<br />1/1/2022
<br />1/1/2022
<br />1/1/2023
<br />1/1/2023
<br />1/1/2023
<br />PER
<br />X STATUTE EERH
<br />E.L. EACH ACCIDENT
<br />$ 3,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 3,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 3,000,000
<br />A
<br />EXCESS AUTO
<br />Y
<br />Y
<br />XSA H25550286
<br />1/1/2022
<br />1/1/2023
<br />COMBINED SINGLE LIMIT
<br />LIABILITY
<br />$9,000,000
<br />(EACH ACCIDENT)
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />THIS CERTIFICATE SUPERSEDES ALL PRF.VTOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TF.RM(S) REFERENCED.
<br />BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN
<br />CONTRACT WHERE PERMISSIBLE BYLAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE
<br />EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF SANTAANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND
<br />REPRESENTATIVES (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION IN FAVOR OF CITY
<br />OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE
<br />PERMISSIBLE BY LAW. THE INSURANCE AFFORDED TO THE ADDITIONAL INSURED AS DESCRIBED IN THIS CERTIFICATE OF INSURANCE FOR WORK PERFORMED BY THE
<br />NAMED INSURED IS PRIMARY AND NON-CONTRIBUTORY TO ANY SIMILAR COVERAGE MAINTAINED BY THE ADDITIONAL INSURED WHERE AND TO THE EXTENT
<br />REQUIRED BY CONTRACT.
<br />11076601
<br />CITY OF SANTA ANA
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE
<br />CANCELLED BEFORE
<br />RISK MANAGEMENT DIVISION, 4TH FLOOR
<br />THE EXPIRATION DATE THEREOF,
<br />NOTICE WILL
<br />BE DELIVERED IN
<br />20 CIVIC CENTER PLAZA
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />P. O. BOX 1988
<br />SANTA ANA CA 91701
<br />AUTHORIZED REPRESENTATIVE
<br />�:
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<br />Disk Momg7P ere Divisilm
<br />REVIEWED & APPROVED BY:
<br />C, 1988-2015 ACORD C
<br />ACORD 25 (2016/03) The ACORD name and
<br />logo are registered marks of ACORD
<br />�__�,�
<br />Risk Management Analyst
<br />
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