Laserfiche WebLink
<br />. . <br /> <br />Date: (MM/DDIYY) <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 America <br /> <br />CERTIFICATE OF INSURANCE <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 />Insurer A: <br />Insurer B: <br />Insurer C: <br />Insurer D: <br />Insurer E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUEO 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 /> <br />'~,s: TYPE OF INSURANCE <br />GENERAL LIABILITY <br /> <br />A <br /> <br />X COMMERCIAL GENERA' ClABICITY <br /> <br />X OCCURRENCE <br /> <br />X XCU INCWDED <br /> <br />X ISOFORMCGDaO1'OO1 <br /> <br />GEN" AGGREGATE ClMIT APPLIES PER <br />X PROJECT <br /> <br />X COCATION <br />AUTOMOBILE LIABILITY <br /> <br />A <br /> <br />X ANY AUTO <br />ALL OWNED AUTOS <br /> <br />X HIRED AUTOS <br />X NON-OWNED AUTOS <br />X MCS.90 <br />EXCESS LIABILITY/UMBRELLA <br /> <br /> <br />A <br /> <br />POLICY NUMBER <br /> <br />EFFECTIVE DATE <br /> <br />EXPIRATION LIMITS <br />DATE <br /> EACH OCCURRENCE $ 5,000,000 <br /> FIRE OAMAGE ¡ANYONERREI $ 5,000,000 <br />1/1/2005 MED EXP 'PER PERSO,", <br /> PERSONAL & ADV INJURY $ 5,000,000 <br /> GENERAL AGGREGATE $ 6,000,000 <br /> PRODUCTS/COMPo OP. AGG $ 6,000,000 <br /> <br />HDO G21693054 <br /> <br />1/1/2004 <br /> <br /> <br />$ <br /> <br />10,000,000 <br /> <br />COMBINED SINGLE LIMIT <br />tEACH ACCIDENT) <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 ACCIOENT $ 3,000,000 <br />SCF C43972728 (WI) EL OISEASE-EA EMPLOYEE $ 3,000,000 <br /> EL DISEASE-POLICY LIMIT $ 3,000,000 <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUStONSADDED BY ENDORSEMENT PROVISIONS: <br /> <br />BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIRCATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REOUIRED BY WRITTEN CONTRACT. <br />¡g¡ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED IEXCEPT FOR WORKERS' COMPIELI WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. <br />City or Santa Ana, Its office... employees, agents and vDlunteB" are named as Additional Insureds with respect to all Dpe..tlons by the Named <br />Insured on all IIcles exce t Worke..' Com ensatlon/EL where and to the extent as re ulred b written contract <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 />SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING INSURER WICC MAle "30 DAYS WRITTEN NOTICE <br />TO THE CERTIFICATE HOLOER NAMED TO THE LEFT. "XCEPT 10 DAYS NOTICE FOR NON. <br />PAYMENT. <br /> <br />AUTHORIZED REPRESENTATIVE <br />c::::5----.r-- "~r <br /> <br />fÞlhr <br /> <br />