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<br /> . <br />,. <br /> CERTIFICATE OF INSURANCE Date: (MMlDDIYY) <br /> 12/2112003 <br /> PRODUCER THIS CERTIFICATE is iSSUED AS A MATTER OF INFORMATION <br /> Lockton Companies of Houston, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Houston, TX 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 866-260-3538 (Phone) <br /> 866-492-1055 (Fax) INSURERS AFFORDING COVERAGE <br /> INSURED: WASTE MANAGEMENT and Insurer A: ACE American Insurance Company <br /> Waste Management of Orange County Insurer B: Indemnity Insurance Company of North America <br /> 1800 S, Grand Avenue Insurer C: <br /> Santa Ana, CA 92705 <br /> Insurer D: <br /> Insurer E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br /> 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. AGGREGATE LIMITS SHOWN MAY BE EXHAUSTEO BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS <br /> LTR DATE <br /> GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 <br /> A X COMMERCiAl GENERAL LIABILITY FIRE DAMAGE IM<YO","RE) $ 5,000,000 <br /> X OCCURRENCE HOO G21693054 1/1/2004 1/1/2005 MED EXP (pER PERSON) <br /> X xcu INCLUDED PERSONAL & ADV INJURY $ 5,000,000 <br /> <br />X ISOFORMCGOO011DO1 <br /> <br />GEN'LAGGREGATE LIMIT APPLIES PER <br />X PROJECT <br />X LOCATION <br /> <br />AUTOMOBILE LIABILITY <br /> <br />A <br /> <br />X ANY AUTO <br />ALL OWNED AUTOS <br /> <br />X HIRED AUTOS <br />X NON.QWNED AUTOS <br /> <br />X MCS-90 <br />EXCESS LIABILITY/UMBRELLA <br /> <br />A <br /> <br /> <br />B <br />A <br /> <br /> <br />GENERAL AGGREGATE <br />PRODUCTS/COMPo OP. AGG <br /> <br />$ <br />$ <br /> <br />6,000,000 <br />6,000,000 <br /> <br />$ <br /> <br />10,000,000 <br /> <br />COMBINED SINGLE LIMIT <br />(EACH ACCIOENTI <br /> <br />ISA H08010948 <br /> <br />1/1/2004 <br /> <br />1/1/2005 <br /> <br /> EACH OCCURRENCE $ 15,000,000 <br />XOOG21808234 1/1/2004 111/2005 AGGREGATE $ 15,000,000 <br /> WORKERS' COMPENSATION STATUTORY <br />WLR C43972765 1/1/2004 1/1/2005 EL EACH ACCIDENT $ 3,000,000 <br />SCF C43972728 (WI) EL DISEASE-EA EMPLOYEE $ 3,000,000 <br /> EL DISEASE-POLICY LIMIT $ 3,000,000 <br /> <br />REMARKS, DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS, <br />C~g~K BLANKETWA:VER OF 9UBROGATION IS GRANTED IN FAVOR DF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. <br />~ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMPIEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT, <br />City Df Santa Ana, Its Dffice.., emplDyeea, agents end volunt.... a'e nemed as AddnlDnallneureds with ..spect to all DperatlDns by the Named <br />Insu..d Dn all Ollclas exce Wo"e..' Com nsatlonlEL whe.. and to the extant ae r. ull'ed b written cDntract <br /> <br />CERTIFICATE HOLDER: <br /> <br />City of Santa Ana <br />20 Civic Center Plaza <br />P,O, Box 1988 <br />Santa Ana, CA 92702 <br /> <br />CANCELLATION: <br /> <br />SHOULD AAY OF THE ABOVE DESCRIBED POLICIES BE CAACELLED BEFORE THE <br />EXPIRATION DAre THEREOF, THE ISSUING INSURER WILL MAIL "30 DAYS WRITTEN NOTICE <br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. "EXCEPT 10 DAYS NOTICE FOR NON- <br />PAYMENT <br /> <br />AUTHORIZED REPRESENTATIVE ~-.,...~ <br /> <br />fVlhr <br /> <br />