Laserfiche WebLink
ACCII - CERTIFICATE OF LIABILITY INSURANCE <br />L./ I/l2021 <br />DATE(MWDDIYVYY) <br />1 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 previsions or be endorsed. <br />R SUBROGATION IS WAIVED, subject to the terns, and conditions of the policy, certain policies may require an endorsement A statement on <br />this certificate does not confer rights to Me Certificate holder in lieu of such 9ndonemem(s). <br />PRODUCER LOCKTON COMPANIES <br />CONTACT <br />3657 BRIARPARK DRIVE, SUITE 700 <br />HOUSTON TX 77042 <br />866-260-3538 <br />I a No Evil: C xo <br />22667 <br />INSURERA: ACE AmericatilitsurAnceComparrN <br />INSURED WASTE RELATEDMANAGEMENT <br />UBSIDIARY COMPANIES INCLUDING <br />1348279 WASTE MANAGEMENT OF ORANGE COUNTY <br />GREAT WESTERN RECLAMATION <br />INSURER INSURER B: e Attached <br />INSURER C; <br />INSURER D <br />1800 SOUTH GRAND AVENUE <br />SANTA ANA CA 92705 <br />F: <br />COVERAGES CFRTiFICATF AIIIMRFR• 115R770U O"IcInM Muuece. YY V V V V V <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 />TYPE OF INSURANCE <br />19 <br />POLICY NUMBER <br />IE F <br />P P <br />LIMITS <br />A <br />X <br />COMMERCIALOENEBIILLMMI <br />CLAIMS -MADE Fx-1 OCCUR <br />Y <br />Y <br />HDOG71237345 <br />1/1/2020 <br />1/12021 <br />EACHOOCURRENCE <br />5000000 <br />PR I E T NTEDn <br />51000,000 <br />MED EXP An one n <br />XXXXXXX <br />XCU INCLIIDFD <br />X <br />ISO FORM C00001041 T <br />PERSONAL S ADV INJURY <br />5 5.000.000 <br />GEN'L AGGREGATE LIM.IT APPLIES PER <br />POLICY JECpT Fx-1 LOC <br />GENERAL AGGREGATE <br />5 6.000000 <br />PRODUCTS- COMPIOP AGG <br />5 6,000,000 <br />OTHER <br />$ <br />A <br />AUTOMOBILELIABILIT' <br />X <br />X <br />X <br />X <br />ANYAUTO <br />��Ep <br />RUTEOpS ONLY AUTO�SWULED <br />AUTOS ONLY X A�pg pNLS <br />MCS-90 <br />y <br />N' <br />MMTH25290008 <br />UU2020 <br />RL2021 <br />COMBINED de,ISINGLE LIMIT <br />E 1000.000 <br />BODILY INJURY (Per Person) <br />3 XXXXXXX <br />BODILY INJURY IPeramCem <br />S XXXXXXX <br />PRIXeE dTnDAM4GE <br />SXXXXXXX <br />5 XXXXXXX <br />B <br />X <br />UMBRELLA Use <br />X' <br />OCCUR <br />Y <br />Y <br />Sec Attached <br />1/1/2020 <br />Vlf.7021 <br />EACH OCCURRENCE <br />5 100000000 <br />EXCESS DAS <br />CLAIM&MADE <br />AGGREGATE <br />5 100,000,000 <br />DED I I RETENTION <br />5 XXXXXXX <br />A <br />WORKERS COMPENSATION1 <br />AND EMPLOYERS' LIABILITY YIN <br />FROPIMETM PAR CUnVE <br />OFFEU <br />Iaruud.,N NMI <br />IpE9CflITpN OF OPERATIONS q,px <br />N <br />Y <br />WLR C66043010(.AZ.CA&M <br />)111/20_1 0 <br />n <br />I/L_011 <br />TH <br />X STATUTE ER <br />EACH ACCIDENT <br />5 3.000 QQQ <br />El Da EEAEMPIOYEEs <br />3.000.000 <br />>_ daEA9E -POUCrUkflff <br />s 3,000,000 <br />A <br />EXCESS ALTO <br />LIABILITY <br />Y <br />Y <br />XSAH25289961 <br />1/12020 <br />111,2021 <br />COMBINED SINGLE LIMIT <br />S9.000,000 <br />(EACH ACCIDEYTI <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remmb Schedule, may be attached If mole space Is required) <br />BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT <br />REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED <br />(EX EPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />�T�HEEUPPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />1 AryalruANCE WITH THE POLICY PROWSiONS <br />11582709 ENTATNE <br />CITY OF SANTA ANA SA NTHA f 4.LAMBERT <br />RISK MANAGEMENT DIVISION, 4TH FLOOR, M-28 <br />20 CIVIC CENTER PLAZA <br />P.O. BOX 1988 <br />SANTA ANA CA 92701 --4 <br />(2016/03) <br />88-2015 ACORD CORPORATION. All rights <br />The ACORD name and logo are registered marks of ACORD <br />