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AGENCY CUSTOMER ID: <br /> LOC#: <br /> ACO° ADDITIONAL REMARKS SCHEDULE <br /> AGENCY NAMED INSURED <br /> REPUBLIC SERVICES, INC. <br /> POLICY NUMBER 5353 E. CITY NORTH DRIVE <br /> See First Page PHOENIX,AZ 85054 <br /> CARRIER NAIC CODE <br /> See First Page EFFECTIVE DATE: <br /> ADDITIONAL REMARKS CERTIFICATE NUMBER: 3059276 <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM. <br /> FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br /> Policy No.XSC0000501 —MSIG SPECIALTY INSURANCE USA, INC(NAIC#34886)-$1.5MM Each Occurrence/Annual Aggregate part of$5MM— <br /> Excess of$35MM(6/30/26—6/30/27) <br /> Policy No.XSC0000502—MSIG SPECIALTY INSURANCE USA, INC(NAIC#34886)-$1.5MM Each Occurrence/Annual Aggregate part of$10MM— <br /> Excess of$40MM(6/30/26—6/30/27) <br /> Policy No. 13012022—AIG Specialty Insurance Company(NAIC#26883)-$4MM Each Occurrence/Annual Aggregate part of$10MM—Excess of <br /> $40MM(6/30/26—6/30/27) <br /> Policy No. B08011142359-Lloyd's Syndicates(Canopius/QBE/Hiscox/Arch/AXIS/Allied World/AXA XL/Beazley)-$2.5MM Each <br /> Occurrence/Annual Aggregate part of$10MM-Excess of$40MM(6/30/26—6/30/27) <br /> Policy No. 25099U25—Helix Underwriting Partners on behalf of Lancashire Insurance Company Ltd-$2MM Each Occurrence/Annual Aggregate part of <br /> $10MM-Excess of$40MM(6/30/26—6/30/27) <br /> Contractor's Pollution Liability Details of Cover: <br /> Steadfast Insurance Company(Zurich)(NAIC#26387)-Policy No. PEC 0792830-03-$25MM-06/30/26-06/30/27 <br /> Applicable to the Contractor's Pollution Liability Coverage Parts Only: <br /> $25,000,000-Damage Limit for Each Claim or Pollution Condition <br /> $25,000,000-Claims Expense Limit for Each Claim <br /> $25,000,000-General Aggregate Limit <br /> Applicable to Professional Liability Coverage Parts Only: <br /> $25,000,000-Damage Limit for Each Claim or Wrongful Act <br /> $25,000,000-General Aggregate Limit <br /> Contact Name: CCMSI Certificate Team <br /> Phone:800-853-6155 <br /> Email:certificateteam@ccrosi.com <br /> Additional Insured includes: City of Santa Ana, its City Council,officers,officials,employees,agents, and volunteers,when required by written contract. <br /> ACORD 101(2008/01) ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />