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USA Waste of California - A-2005-036
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USA Waste of California - A-2005-036
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Last modified
1/3/2012 1:53:07 PM
Creation date
10/7/2005 9:06:12 AM
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Contracts
Company Name
Waste of California, Inc
Contract #
A-2005-036
Agency
Public Works
Council Approval Date
2/22/2005
Insurance Exp Date
1/1/2008
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CERTIFICATE OF INSURANCE Date4/6/2007) <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Lockton Companies of Houston 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 />866-260-3536 (Phone) <br />666-492-1055 (Fax) INSURERS AFFORDING COVERAGE <br />INSURED: Waste Management Holdings, Inc. & All 111SUrer Q: '.; ACE American Insurance Company <br />Affiliated, Related & Subsidiary Companies including: <br />Insurer B: Indemnit Insurance Company of North America <br />Y <br />Waste Management of Orange County <br />1800 South Grand Avenue Ir1SUrer C: National Union Fire Insurance Company of Pittsburgh, PA <br /> <br />Santa Ana, CA 92705 <br />If1SUrer lJ: <br />Allied World Assurance Company, Ltd. <br /> Insurer E: <br /> <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 MAV 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. P.GGREGATE LIMITS SHOWN N1AY BE EXHAUSTED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION <br />OATS LIMITS <br />LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 <br />A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANYONE rIREI $ S,000,ODO <br /> X OCCURRENCE HDO 623718200 1!112007 1/1/2008 MED EXP (PER PERSON) <br /> X xcu wcwDEp PERSONAL & ADV INJURY $ 5,000,000 <br /> GEN~L AGGREGATE OMIT APPLIES PER-. GENERAL AGGREGATE $ 6,000,000 <br /> X PROJECT Or LOCATION PRODUCTS/COMP. OP. AGG $ 6,000,000 <br /> AUTOMOBILE LIABILITY 1/1/2007 1/1/2008 COMBINED SINGLE LIMIT $ 1,000,000 <br />A X ANV AUTO ISA H08226994 (EACH ACCIDENT) <br /> <br /> X HIRED AUTOS <br /> <br /> X NDN-OWN[D AUTOS <br /> <br /> X MCS-90 <br />A EXCESS AUTO LIABILITY XSAH0822707A 1/1/2007 1/1/2006 coMBINEDSINGLELIMIr $ 9,000,000 <br /> EACH ACCIDEN <br /> EXCESS LIABILITYIUMBRELLA EACH OCCURRENCE $ 100,000,000 <br />A X OCCURRENCE X00623792886 1/1/2007 1/1/2008 AGGREGATE $ 100,000,000 <br />G` CLAIMS MADE 8766369 1!112007 1!112008 <br />p 0001389/004 1!1 /2007 1/1120D8 <br /> <br /> WO RKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY <br />B and EMPLOYERS LIABILITY WLR 044458226 (ADS) 1!112007 1!1/2008 EL EACH ACCIDENT $ 1,000,000 <br />A WLR 044458196 (CA) 1/1/2007 1/1/2008 EL DISEASE-EA EMPLOYEE $ 1,000,000 <br />A SCFC44458214(WI) 1!112007 1!1/2008 EL DISEASE-POLICY LIMIT $ 1,000,000 <br />REMARKS DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIE%CLUSIONS ADDED BV ENDORSEMENT PROVISIONS. <br />CHECK ®gLANKET WAIVER OF SUBROGATION IS GRANTED {N FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE ANO TO THE EXTENT REQUIRED BY WRITTEN <br />BOx <br />CONTRACT WHERE PERMISSIBLE BV LAW. <br />® CERTIFICATE HOLDER IB NAMED AB AN ADDITIONAL INSURED (E%CEPT FOR WORNERS' COMPIEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. <br />Re: Self insured for auto physical damage. <br />Additional Insured in favor of City of Santa Ana, its officers agents and employees (on all policies except Workers' <br />Compensation/EL) where and to the extent as required by written contract. The Above Auto Liability policy provides liability <br />covers a to the trucks awned b the Cit of Santa Ana that are operated and maintained b Waste Mana ement of Oran a Count . <br />CERTIFICATE HOLDER: CANCELLATION: <br />SHOULD ANY OF THE ABOVE OESCRIBEO POLICIES BE CANCELLED BEFORE THE <br />p >[I EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 300AVS WRITTEN NOTICE <br />t, ~' O EZNI TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />T?T~ <br />Al 1 A~J Y ~ ~) t,D 1 <br />1 <br />A <br />/ <br />f S <br />t <br />C <br />na <br />/ <br />~ <br />an <br />a <br />ity o <br />ED REPRESENTATIVE <br />~ <br />_ AUTHORIZ <br />20 Civic Center Pla <br />~~-~ <br />P.O. Box 1988 Lacta Stl Si.oe~y <br />` <br />te ^nnr'1°v <br />Santa Ana, CA 92701 P,esistitnl <br />
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