USA Waste of California - A-2003-108

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r. - CERTIFICATE OF INSURANCE Date: (MMIDDIYY) 5/5/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Locktan Companies of Houston ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston, TX 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 866-260-3538 (Phone) 866-492-1055 (Fax) INSURERS AFFORDING COVERAGE INSURED: Waste Management Holdings, Inc. & All Insurer A: ACE American Insurance Company Affiliated, Related & Subsidiary Companies including: Insurer B: Indemnity Insurance Company of North America Waste Management of Orange County 1800 South Grand Avenue Insurer C: National Union Fire Insurance Company of Pittsburgh, PA Santa Ana, CA 92705 Insurer 0: Allied World Assurance Company, ltd. Insurer E: THE POLICIES OF INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY BE EXHAUSTED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 5,000,000 c-c. HDO G21714318 1/1/2006 1/1/2007 MED EXP (PER PERSON) X OCCURRENCE X XCU INCLUDED PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 X PROJECT PRODUCTS/COMPo OP. AGG $ 6,000,000 X LOCATION AUTOMOBILE LIABILITY 1/1/2006 1/1/2007 COMBINED SINGLE LIMIT $ 10,000,000 A X ANY AUTO I SA H08218997 (EACH ACCIDENT) X HIRED AUTOS - - r-- X NON-OWNED AUTOS X MCS90 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 100,000,000 A X OCCURRENCE XOOG23572503 1/1/2006 1/1/2007 AGGREGATE $ 100,000,000 t---. 8764638 1/1/2006 1/1/2007 C CLAIMS MADE 0 C001389/004 1/1/2006 1/1/2007 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY B and EMPLOYERS LIABILITY WLR C44338440 (AOS) 1/1/2006 1/1/2007 El EACH ACCIDENT $ 1,000,000 --- -r---- .- WLR C44338427 (CA) 1/1/2006 1/1/2007 $ 1,000,000 A El DISEASE-EA EMPLOYEE A T --- SCF C44338403 (WI) 1/1/2006 1/1/2007 EL DISEASE-POLICY LIMIT $ 1,000,000 REMARKS. DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS CHECK [g] . BOX BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. ~ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMPfEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. Re: Self insured for auto physical damage, Additional Insured in favor of City of Santa Ana, its officers agents and employees (on all policies except Workers' Compensation/Ell where and to the extent as required by written contract. The Above Auto Liability policy provides liability coveraae to the trucks owned bv the City of Santa Ana that are operated and maintained by Waste Management of Orange County, CERTIFICATE HOLDER: CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT City of Santa Ana ~-t{7'//Z 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE: <::5--.- --".-;. <..... P.O. Box 1988 .r- Santa Ana, CA 92701 ct.lL , "''', l../ t.'"1 i"j: Pt