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ACO ® CERTIFICATE OF LIABILITY INSURANCE °ATE(MM/°°/YYYY) <br />07/17/2025 <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. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT NAME: <br />CANNON COCHRAN MANAGEMENT SERVICES, INC. PHONE (A/C No.Ext): FAX (A/C No.Ext): <br />17015 NORTH SCOTTSDALE ROAD E-MAIL ADDRESS:certificateteam@ccmsi.com <br />SCOTTSDALE, AZ 85255 INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A: ACE American Insurance Co. 22667 <br />INSURED INSURER B: Indemnity Insurance Co. of North America 43575 <br />REPUBLIC SERVICES, INC. INSURER C: Illinois Union Insurance Company 27960 <br />18500 N. ALLIED WAY INSURER D: <br />PHOENIX, AZ 85054 INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 2681499 REVISION NUMBER: 2 <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 />(MM/DD/YYYY) <br />POLICY EXP <br />(MM/DD/YYYY) <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />HDO G48981793 <br />06/30/2025 <br />06/30/2026 <br />EACH OCCURRENCE <br />$ 10,000,000 <br />CLAIMS -MADE FX—] OCCUR <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />$ 10,000,000 <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />$ 10,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PROJECT F LOC <br />GENERAL AGGREGATE <br />$ 30,000,000 <br />PRODUCTS -COMP/OP AGG <br />$ 20,000,000 <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />AUTO <br />ISA H1137119A <br />06/30/2025 <br />06/30/2026 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 10,000,000 <br />BODILY INJURY(Per person) ) <br />EXANY <br />OWNED AUTOS � SCHEDULED <br />BODILY INJURY (Per accident) <br />ONLY AUTOS <br />X HIRED AUTOS M NON -OWNED <br />ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />❑ <br />(Per accident) <br />X <br />UMBRELLA LIAB X OCCUR <br />SEE ATTACHED <br />06/30/2025 <br />06/30/2026 <br />EACH OCCURRENCE <br />$ 50,000,000 <br />EXCESS LIAB CLAIMS -MADE <br />AGGREGATE <br />$ 50,000,000 <br />DED RETENTION $ <br />B <br />A <br />A <br />A <br />C <br />WORKERS COMPENSATION Y/N <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE [—N] <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />NSA <br />WLR C72793894 - AOS <br />WLR C72793882 - OR <br />SCF C72793900 - WI <br />WCU C72793912 - OH XS <br />TNS C72627490 - TX NS/XS <br />06/30/2025 <br />06/30/2025 <br />06/30/2025 <br />06/30/2025 <br />06/30/2025 <br />06/30/2026 <br />06/30/2026 <br />06/30/2026 <br />06/30/2026 <br />06/30/2026 <br />X PER OTHER <br />STATUTE <br />E.L. EACH ACCIDENT <br />$ 3,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 3,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 3,000,000 <br />DESCRIPTION OF OPERATIONS below <br />Contractor's Pollution Liability: <br />See page 2 for details <br />06/30/2025 <br />06/30/2026 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Division Number: 3916 - Named Insured Includes: Republic Waste Services of Southern California, LLC <br />APPROVED <br />By Tu Tran Nguyen at 7:29 am, Jul 21, 2025 <br />Digitally signed <br />Tu Tran byTuTran <br />Nguyen <br />N a u e n Date: zgz5.o .z <br />CERTIFICATE HOLDER <br />CITY OF SANTA ANA <br />RISK MGMT DIVISION <br />20 CIVIC CENTER PLAZA, 4TH FLOOR <br />SANTA ANA, CA 92701 <br />United States <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />