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CERTIFICATE OF INSURANCE <br />Dao1.2ll� 08 <br />PRODUCER <br />Loddon Companies, LLC <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />5847 San Felipe, Suite 320 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Houston, TX 77057 <br />886 -260- 3538(Phone) <br />866- 492 -1055 (Fax) <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS <br />AFFORDING COVERAGE <br />INSURED: Waste Management Holdings, Inc. & A Il <br />Insurer A: <br />ACE American Insurance Company <br />Affiliated, Related & Subsidiary Companies including: <br />Waste Management of Orange County <br />1800 South Grand Avenue <br />Insurer B: <br />Indemnity Insurance Company R North America <br />Insurer C: <br />National Union Fire Insurance Company of Pittsburgh, PA <br />Santa Ana, CA 92705 <br />Insurer D: <br />Allied Work) 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 <br />LTA <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />EFFECTIVE DATE <br />EXPIRATION <br />DATE <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 5,000,000 <br />A <br />X <br />COMMERCMAGENERALLIASLITY <br />FIRE DAMAGE owoY ENRq <br />$ 5,000,000 <br />X <br />X <br />_ <br />OCCURRENCE <br />XCU INCLUDED <br />HDO 623736767 <br />11112008 <br />1/1/2009 <br />MED PB+PEReONI <br />PERSONAL 3ADV INJURY <br />$ 5,000,000 <br />GEWL AGGREGATE UNIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 6,000,006 <br />X PROJECT., LOCATION <br />PROOUCTS/COMP. OP. AGG <br />$ 6,000,000 <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />— <br />$ 1,ODO,000 <br />A <br />ISAH08240395 <br />111/2008 <br />1/12009 <br />X <br />X <br />ANY AUTO <br />HIREDAUTOS - - -_- <br />imHACCIDENTi <br />X <br />NON-OVMED AUTOS <br />- -- <br />X <br />-. <br />MCS-BD <br />A <br />EXCESS AUTO LIABILITY <br />XSAH08240231 <br />1N /2008 <br />1/1 /2009 <br />COMBINED SINGLE LIMIT <br />(EACH ACCIDENT) <br />$ 9,000,000 <br />EXCESS LIABILITY /UMBRELLA <br />EACH OCCURRENCE <br />$ 100,ODO,ODO <br />_. ^._ <br />lC <br />XOOG23889389 <br />1112008 <br />1/1 /2009 <br />X <br />OCCURRENCE <br />AGGREGATE <br />$ 100,000,000 <br />cLAIMS MADE __- - <br />8766439 <br />COD138911108 <br />1112008 <br />1/12008 <br />1/1 /2009 <br />1/12009 <br />D <br />WORKERS' COMPENSATION <br />WORKERS' COMPENSATION <br />STATUTORY <br />EL EACH ACCIDENT <br />$ 1,000,000 <br />B <br />and EMPLOYERS LIABILITY <br />WLR C43997646 (AOS) <br />1/12008 <br />1/1 /2009 <br />EL DISEASE -EA EMPLOYEE <br />$ 1,000,DOD <br />WLR C43997609 (CA) <br />111 /2006 <br />1/1 /2OD9 <br />A <br />SCF C43997567 (WI) <br />1/12006 <br />1/1 /2009 <br />ELDISFASE- POLICYLIMR <br />$ 1,000,0 00 <br />REMARKS: DESCRIPTION OF OPERAT] OtJ WLOCATIONSNEHICLESJEXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS <br />_ __ ___ __ _.._ -- ___._._ .. _ -- <br />- _ — <br />CHECK ® — <br />BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN <br />BOX <br />CONTRACT WHERE PERMISSIBLE BY LAW. <br />® CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORMW COMPIELI WHERE AND TO THE EKMNT REOMRED BY WRIREN CONTRACT. <br />Re: Self insured for auto Physical damage. <br />Additional Insured In favor of City of Santa Ana, Its oRicars agents and employees (on all policies except Workers' <br />Compensation/El.) Why and to the extent as required by written cordreaL The Above Auto Uabllity, policy provides liability <br />coverage to the trucks owned by the City of Santa Ana that era operated and maintained by Waste Management of Orange Co <br />CERTIFICATE HOLDER: CANCELLATION: <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE <br />O THE CERTIFICATE HOLDER NMED TO THE LEFT <br />City of Santa Ana <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE: <br />P.O. Box 1988 Ac(il <br />Santa Ana, CA 92701 <br />A—;�coc' -07 / <br />