on Companies of Houston
<br />San Felipe, Suite 320
<br />:on, TX 77057
<br />60 -3538 (Phone)
<br />92 -1055 (Fax)
<br />CERTIFICATE OF INSURANCE Date:(MM/DDYY>
<br />5/5/2006
<br />IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAT
<br />JLY AND CONFERS NO RIGHTS UPON THE CERTIFIC
<br />)LDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND
<br />TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />TWOOLC nianayenleru nolamgs, Inc. a An Insurer A: ACE American Insurance Company
<br />Affiliated, Related & Subsidiary Companies including:
<br />Waste Management of Orange County Insurer B: Indemnity Insurance Company of North America
<br />1800 South Grand Avenue Insurer C: National Union Fire Insurance Company of Pittsburgh, PA
<br />Santa Ana, CA 92705
<br />Insurer D: Allied World Assurance Company, Ltd.
<br />Insurer E:
<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 />INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE
<br />LTR EXPIRATION
<br />LIMITS
<br />BOX
<br />WORKERS' COMPENSATION I STATUTOF
<br />and EMPLOYERS LIABILITY WLR C44338440 (AOS) 1/1/2006 1/1/2007 EL EACH ACCIDENT $ 1,000,E
<br />r
<br />WLR C44338427 (CA) 1/1/2006 1/1/2007 ELDISFaSE -EA EMPLOYEE 1 $ 1,000,1
<br />SCF C44338403 (WI) 1/1/2006 1/1/2007 JEL DISEASE - POLICY LIMIT 1 $ 1,000,1
<br />i. DESCRIPTION OF OPERATIONS/ LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS:
<br />® BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT WHERE
<br />PERMISSIBLE BY LAW.
<br />® CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP /EL) 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 />coverage to the trucks owned by the City of Santa Ana that are ooerated and mainfainnd H., Md...- u.,...,.._...__.
<br />t,", I IUN DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE
<br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
<br />City of Santa Ana
<br />20 Civic Center Plaza _R- �Z AUTHORIZED REPRESENTATIVE:
<br />P.O. Box 1988 7 Santa Ana, Ana, CA 92701
<br />GENERAL LIABILITY
<br />HDO G21714318
<br />111/2006
<br />DATE
<br />1/1/2007
<br />EACH OCCURRENCE
<br />A
<br />X
<br />COMMERCIALGENERAL LIABILITY
<br />FIRE DAMAGE(ANYONE FIRE)
<br />ANYAUTO
<br />XXCJINCLUDED
<br />OCCURRENCE
<br />TED EXP(PER PERSON)
<br />X
<br />HIREDAUTOS
<br />PERSONAL &AD /INJURY
<br />GENT AGGREGATE LIMIT APPLIES PER
<br />GENERAL AGGREGATE
<br />X PROJECT
<br />PRODUCTS /COMP. OP. AGG
<br />BOX
<br />WORKERS' COMPENSATION I STATUTOF
<br />and EMPLOYERS LIABILITY WLR C44338440 (AOS) 1/1/2006 1/1/2007 EL EACH ACCIDENT $ 1,000,E
<br />r
<br />WLR C44338427 (CA) 1/1/2006 1/1/2007 ELDISFaSE -EA EMPLOYEE 1 $ 1,000,1
<br />SCF C44338403 (WI) 1/1/2006 1/1/2007 JEL DISEASE - POLICY LIMIT 1 $ 1,000,1
<br />i. DESCRIPTION OF OPERATIONS/ LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS:
<br />® BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT WHERE
<br />PERMISSIBLE BY LAW.
<br />® CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP /EL) 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 />coverage to the trucks owned by the City of Santa Ana that are ooerated and mainfainnd H., Md...- u.,...,.._...__.
<br />t,", I IUN DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE
<br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
<br />City of Santa Ana
<br />20 Civic Center Plaza _R- �Z AUTHORIZED REPRESENTATIVE:
<br />P.O. Box 1988 7 Santa Ana, Ana, CA 92701
<br />"l I F
<br />ISA H08218997
<br />1/1/2006
<br />1/1/2007
<br />COMBINED SINGLE LIMIT
<br />$ 10,000,000
<br />A
<br />X
<br />ANYAUTO
<br />(EACHACCIDENT)
<br />X
<br />HIREDAUTOS
<br />X
<br />NON -OWNED AUTOS
<br />X
<br />MCS -90
<br />EXCESS LIABILITY /UMBRELLA
<br />XOOG23572503
<br />8764638
<br />C001389/004
<br />1/1/2006
<br />1/1/2006
<br />1/1/2006
<br />1/1/2007
<br />1/1/2007
<br />1/1/2007
<br />EACH OCCURRENCE
<br />$ 100,000,000
<br />A
<br />X
<br />OCCURRENCE
<br />AGGREGATE
<br />$ 100,000,000
<br />C
<br />CLAIMS MADE
<br />D
<br />BOX
<br />WORKERS' COMPENSATION I STATUTOF
<br />and EMPLOYERS LIABILITY WLR C44338440 (AOS) 1/1/2006 1/1/2007 EL EACH ACCIDENT $ 1,000,E
<br />r
<br />WLR C44338427 (CA) 1/1/2006 1/1/2007 ELDISFaSE -EA EMPLOYEE 1 $ 1,000,1
<br />SCF C44338403 (WI) 1/1/2006 1/1/2007 JEL DISEASE - POLICY LIMIT 1 $ 1,000,1
<br />i. DESCRIPTION OF OPERATIONS/ LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS:
<br />® BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT WHERE
<br />PERMISSIBLE BY LAW.
<br />® CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP /EL) 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 />coverage to the trucks owned by the City of Santa Ana that are ooerated and mainfainnd H., Md...- u.,...,.._...__.
<br />t,", I IUN DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE
<br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
<br />City of Santa Ana
<br />20 Civic Center Plaza _R- �Z AUTHORIZED REPRESENTATIVE:
<br />P.O. Box 1988 7 Santa Ana, Ana, CA 92701
<br />
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