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<br />. . <br /> <br />PRODUCER <br />Locklon Companies of Houston, Inc. <br />5847 San Felipe, Suile 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 />CERTIFICATE OF INSURANCE Da~e;)~1~~~~) <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 />Indemnity Insurance Company of North America <br /> <br />Insurer A: <br />Insurer B: <br />Insurer C: <br />Insurer 0: <br />Insurer E: <br /> <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 EXHAUSTED BY PAID CLAIMS. <br />,~: TYPE OF INSURANCE <br />GENERAL LIABILITY <br /> <br />A <br /> <br />X COMMERCIAL GENERAL lIABILITY <br /> <br />X OCCURRENCE <br /> <br />X XCU INCLUDED <br />X ISOFORMCGaaa11aa1 <br /> <br />POLICY NUMBER EFFECTlVB aATE EXPIRATION LIMITS <br /> DATE <br /> EACH OCCURRENCE $ 5,000,000 <br /> FIRE DAMAGE IANY ON' "Re, $ 5,000,000 <br />HOO G21693054 1/1/2004 1/1/2005 MED EXP !PER "RSONI <br /> PERSONAL & ADV INJURY $ 5,000,000 <br /> GENERAL AGGREGATE $ 6,000,000 <br /> /lZ PRODUCTS/COMPo OP. AGG $ 6,000,000 <br /> COMBINED SINGLE LIMIT $ 10,000,000 <br /> lEACH ACCIDENT) <br />ISA H08010948 1/1/2004 1/1/2005 <br /> <br /> <br /> <br />GEN'l AGGREGA" LIMIT APPLIES PER <br />X PROJECT <br />X lOCATION <br /> <br />AUTOMOBILE LIABILITY <br /> <br />A <br /> <br />X ANYAUTO <br />ALL OWNED AUTOS <br /> <br />X HIRED AUTOS <br />X NON-OWNED AUTOS <br /> <br />X MCS-go <br />EXCESS LIABILITY/UMBRELLA <br /> <br />A <br /> <br />X OCCURRENCE <br />CLAIMS MADE <br /> <br /> EACH OCCURRENCE $ 15,000,000 <br />XOOG21808234 1/1/2004 1/1/2005 AGG!>EGATE $ 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 eNl) EL DISEASE-EA EMPLOYEE $ 3,000,000 <br /> EL DISEASE-POLICY LIMIT $ 3,000,000 <br /> <br />WORKERS' COMPENSATION <br />B and EMPLOYERS LIABILITY <br /> <br />A <br /> <br />REMARKS: DESCRIPTION OF OPERATIONS!LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: <br /> <br />C~6~K BLANKeT WAiveR OF SUBRooATlON " GRANTOD IN FAVOR OF ceRTIFICATE HOLDER ON ALL POUC'" WHERE ANO TO THE EXTENT REQUIRED BVWRITTEN CONTRACT. <br /> <br />¡g¡ CERTlFleATE HOlaER IS NAMED AS AN AaaITIONACINSU"O (EXCEPT FOR WORKERS' COMPIEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. <br /> <br />City of Santa Ana, Ita office.., employees, agenta and voluntee.. are nsmod es Addltlonallneured. with resp.ct to all operations by the Named <br />Insured on all ollcle. exce Worke..' Com nsation/EL where and to tho extent as re ulred b written contract. <br /> <br />CERTIFICATE HOLDER: <br /> <br />CANCELLATION: <br /> <br />SHOULD ANV OF THE ABOVE DEseRI.Ea POLICIES BE CANCEllED ."ORE THE <br />EXPIRATlDN DATE THEREOF, THE ISSUING INSURER Will MAIL '30 DAYS WRITTEN NOTICE <br />TO THE CERTIFICATE HOlaER NAMED TO THE lEFT. "EXCEPT 10 DAYS NOTICE FOR NON- <br />PAYMENT. <br /> <br />City of Santa Ana <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Sanla Ana, CA 92702 <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br />~-.,..~ <br /> <br />¡2Æ1tr <br /> <br />