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Last modified
7/1/2026 1:27:36 PM
Creation date
10/28/2021 4:12:07 PM
Metadata
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Contracts
Company Name
REPUBLIC SERVICES
Contract #
A-2021-171
Agency
Public Works
Council Approval Date
8/17/2021
Expiration Date
6/30/2032
Insurance Exp Date
6/30/2027
Destruction Year
2037
Notes
For Insurance Exp. Date see Notice of Compliance
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ACC) 06/30/22026026® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ Y) <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 endorsements . <br /> PRODUCER CONTACT NAME: <br /> CANNON COCHRAN MANAGEMENT SERVICES,INC. <br /> 17015 NORTH SCOTTSDALE ROAD PHONE(A/C No.Ext): FAX(A/C No.Ext): <br /> SCOTTSDALE,AZ 85255 E-MAIL ADDRESS:certificateteam@ccmsi.com <br /> INSURERS 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 /> 5353 E.CITY NORTH DRIVE INSURER D: <br /> PHOENIX,AZ 85054 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:3059276 REVISION NUMBER: <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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) <br /> A X COMMERCIAL GENERAL LIABILITY HDO G75474337 06/30/2026 06/30/2027 EACH OCCURRENCE $10,000,000 <br /> CLAIMS-MADE FX]OCCUR DAMAGE TO RENTED <br /> PREMISES(Ea occurrence) $10,000,000 <br /> MED EXP(Any one person) <br /> PERSONAL&ADV INJURY $10,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br /> EJ <br /> GENERAL AGGREGATE $30,000,000 <br /> X POLICY PROJECT �LOC PRODUCTS-COMP/OP AGG $20,000,000 <br /> OTHER: <br /> AAUTOMOBILE LIABILITY ISA H11370950 06/30/2026 06/30/2027 COMBINED SINGLE LIMIT <br /> XANY AUTO (Ea accident)T $10,000,000 <br /> X OWNED AUTOS SCHEDULED BODILY INJURY(Per person) <br /> ONLY ff]AUTOS BODILY INJURY(Per accident) <br /> X HIRED AUTOS M NON-OWNED <br /> ONLY AUTOS ONLY PROPERTY DAMAGE <br /> (Per accident) <br /> X UMBRELLA LIAB X OCCUR SEE ATTACHED 06/30/2026 06/30/2027 EACH OCCURRENCE $50,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $50,000,000 <br /> DED RETENTION$ <br /> B WORKERS COMPENSATION Y/N NSA WLR C72811367-AOS 06/30/2026 06/30/2027 X PER OTHER <br /> AND EMPLOYERS'LIABILITY WLR C72811355-OR 06/30/2026 06/30/2027 STATUTE <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE SCF C72811379-WI 06/30/2026 06/30/2027 E.L.EACH ACCIDENT $3,000,000 <br /> A OFFICER/MEMBER EXCLUDED? WCU C72811380-OH XS 06/30/2026 06/30/2027 E.L.DISEASE-EA EMPLOYEE $3,000,000 <br /> A (Mandatory in NH) TNS C74596976-TX NS/XS 06/30/2026 06/30/2027 E.L.DISEASE-POLICY LIMIT $3,000,000 <br /> C If yes,describe under <br /> DESCRIPTION OF OPERATIONS below <br /> X See page 2 for details 06/30/2026 06/30/2027 <br /> Contractor's Pollution Liability: <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Division Number:3876-Named Insured Includes: Republic Waste Services of Southern California,LLC-Dba:Anaheim Disposal//Brea Disposal//Chino Hills Disposal <br /> Garden Grove Disposal//Placentia Disposal//Yorba Linda Disposal//Villa Park Disposal//Republic Services of Southern California-Anaheim <br /> Division Number:3916-Named Insured Includes: Republic Waste Services of Southern California,LLC <br /> APPROVED <br /> By Tu Tran Nguyen at 12:47 pm,Jul 01,2026 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> CITY OF SANTA ANA BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> RISK MGMT DIVISION AUTHORIZED REPRESENTATIVE <br /> 20 CIVIC CENTER PLAZA,4TH FLOOR <br /> SANTA ANA,CA 92701 _. <br /> United States <br /> ©1988-2016 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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