Laserfiche WebLink
<br />, <br /> <br />'- <br /> <br />CERTIFICATE OF INSURANCE <br /> <br />Date: (MMIDDIYY) <br />12/2112003 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />ACE American Insurance Company <br /> <br />Indemnity Insurance Company of North Amenca <br /> <br />Insurer A: <br />Insurer B: <br />Insurer C: <br />Insurer 0: <br />Insurer E: <br /> <br />PRODUCER <br />Lockton Companies of Houston, Inc. <br />5847 San Felipe, Suite 320 <br />Houston, TX 77057 <br />866-260-3538 (Phone) <br />866-492-1055 (Fax) <br />INSURED: WASTE MANAGEMENT and <br /> <br />Waste Management of Orange County <br />1800 S, Grand Avenue <br />Santa Ana, CA 92705 <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABDVE FDR THE PDLlCY PERIDD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT. TERM DR CONDITION DF ANY CDNTRACT DR DTHER DDCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFDRDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TD ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY BE EXHAUSTED BY PAID CLAIMS. <br /> <br />INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE OATE EXPIRATION LIMITS <br />LTR OATE <br /> GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 <br />A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANYON"'." $ 5,000,000 <br /> X OCCURRENCE HDO G21693054 11112004 11112005 MED EXP "'E. ".SON) <br /> X XCU INCLUOEO PERSONAL & ADV INJURY $ 5,000,000 <br /> X ISO FORM CG 000' '00' GENERAL AGGREGATE $ 6,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER j/Z PRODUCTS/COMP. Op, AGG $ 6,000,000 <br /> X PROJECT M <br /> X LOCATION '-dun :-.: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 10,000,000 <br />A X ANY AUTO (EACH ACCIOENTI <br /> ALL OWNEO AUTOS ISA H08010948 1/112004 11112005 <br /> X H(REO AUTOS <br /> X NON-OWNEO AUTOS <br /> X MCS-SO <br /> EXCESS LlABILlTYIUMBRELLA EACH OCCURRENCE $ 15,000,000 <br />A X OCCURRE"CE XOOG21808234 11112004 11112005 Þ.GGREGATE $ 15.000.000 <br /> WilMS MAOE <br /> WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY <br />B and EMPLOYERS LIABILITY WLR C43972765 11112004 1I112D05 EL EACH ACCIDENT $ 3,000,000 <br />A SCF C43972728 eNl) EL DISEASE-EA EMPLOYEE $ 3,000,000 <br /> EL DISEASE-POLICY LIMIT $ 3,000,000 <br /> <br />REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONSADDED BY ENDORSEMENT PROVISIONS: <br />C~6~K BLANKETWAJVE. OF SUBROGATION IS GRANTED (N FAVOR OF CE.TIFICATE HOLOER ON ALL POLICIES WHERE ANa TO THE EXTENT ""QUIREO BY WRITTEN CONTRACT, <br />[8] CERTIFICATE HOLDER (B NAMEO AS AN ADDITIONAL (NSURED (EXCEPT FOR WORKERS' COMPIEL) WHERE AND TO THE EXTENT REQUIREO BY WRITTEN CONTRACT, <br />City of Santa Ana, Its offica... BmploYBaa, agents and volunt.... are named as Addltlonallnau,eds with ..apact to all opa..Uona by the Nomad <br />Inaured on all ollclee exee Wo"'a..' Com nsaUon/EL whe" and to the extent as re ulred b written cont..ct, <br /> <br />CERTIFICATE HOLDER: <br /> <br />CANCELLATION: <br /> <br />SHOULO ANY OF THE ABOVE OESCRIBEO POLICIES BE CANCELLEO BEFORE THE <br />EXP(RATION OATE THEREOF. THE ISSUING (NSURER WILL MAIL "30 DAYS WRITTEN NOTICE <br />TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT. 'EXCEPT 10 OAYS NOTICE FOR NON- <br />PAYMENT. <br /> <br />City of Santa Ana <br />20 Civic Center Plaza <br />P,O, Box 1988 <br />Santa Ana, CA 92702 <br /> <br />AUTHORIZED REPRESENTATIVE ~--:o-~ <br /> <br />fWtr <br /> <br />