Laserfiche WebLink
`'` °� °' CERTIFICATE OF LIABILITY INSURANCE,,, DA;EA I—I YYW) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADDL .UBR POLICY EFF POLICY EXP <br />LTR TYPE OF INSURANCE IN.R NND POLICY NUMBER <br />MM/DD /YYYY MM /DD /YYW LIMITS <br />A GENERAL LIABILITY Y Y HDO626436886 1/1/2012 1/1/2013 EACH OCCURRENCE 5,000,000 <br />X COMMERCIAL GENERAL LIABILITY RAVAGE OERENTED. <br />ce 5,000,000 <br />CLAIMS -MADE X� OCCUR MEO EXP An one erson XXXXXXX <br />X XCU INCLUDED PERSONAL & ADV INJURY $ 5,000,000 <br />X. ISO FORM CG 00011207 GENERAL AGGREGATE $ 6,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 6,000,000 <br />POLICY X JECT X LOC $ <br />q AUTOMOBILE LIABILITY Y Y MMT H08692853 1/1/2012 MBINED SINGLE LIMI <br />1/1/2013 Eaamident $ 1,000,000 <br />X ANY AUTO BODILY INJURY (Par person) $ XXXXXXX <br />X <br />ALL OWNED AUTOS BODILY BODILYINJURY (Pera —dent $ XXXXXXX <br />X HIRED AUTOS X NON- OWNED PROPERTY DAMAGE <br />Peraccide t $ XXXXXXX <br />X MCS -90 $ XXXXXXX <br />C X UMBRELLA LIAB X OCCUR Y Y XOO 625834501 1/1/2012 1/12013 EACH OCCURRENCE $ 100,000,000 <br />D EXCESS LIAB CLAIMS -MAD 35650746 1/1/2012 1/120)3 AGGREGATE <br />E C121350 1/12012 1/1/2013 _ <br />F DED RETENTION$ COO 1389/010 1/1/2012 1/1/2013 $- jf +XX74".d:J{X <br />H WORKERS COMPENSATION p S TW- <br />A EMPLOYERS' LIABILITY Y WLR 046 774 7 3 5 (ADS) ♦ 1/1/2012 1/1/2013 X TORY LIMIT OT <br />q ANY PROPRIETOR/PARTNER,EXECUT— YIN W L'R C46774747 (CA c�`c MA) 1/1/2(]12 1/1 /2()13 E.L. EACH ACCIDENT <br />A oFFIOER/MEMBER I— CLUDED4 N/A SCF C4677579A(WI) )/12012 1/1/2013 $ 3 OQO,TQI�TO <br />iMmdatory in NH) EL DISEASE -EA EMPLOYEE 3 QQQ `100 <br />DES describe under E.L. DISEASE - POLICY LIMIT 3 QQQ Q <br />DESCRIPTION OF OPERATIONS below <br />A EXCESS AUTO Y Y XTR H08692865 1/1/2012 1/1/2013 1 COMBINED SINGLE LIMIT <br />LIABILITY $ROOO - - <br />,OOD s <br />(EACH ACCIDENT) <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional R.—M. Schedule, If more space la required) J .. <br />BLANKET WAIVER. OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTEN IREDff��1l(( <br />WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR W�RK,S COICEL) <br />WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT_ ADDITIONAL INSURED IN FAVOR OF CITY OF SANTA ANA, ITS OFFICE AGEN "-rrS –AND <br />EMPLOYEES (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE AND TO THE EXTENT AS REQUIRED BY WRITTEN CONTRACT. THE ABOVE <br />AUTO LIABILITY POLICY PROVIDES LIABILITY COVERAGE TO THE TRUCKS OWNED BY THE CITY OF SANTA ANA THAT ARE OPERATED AND <br />MAINTAINED BY WASTE MANAGEMENT OF ORANGE COUNTY. <br />'1 P P RU V I'D <br />11582709 <br />/2. <br />CITY OF SANTA ANA A,s�istan � ity Attorney' <br />20 CIVIC CENTER PLAZA <br />P.O. BOX 1988 <br />SANTA ANA CA 92701 <br />Laura ti Sheerly <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS_ <br />The ACORD name and logo are registered marks of ACORD <br />III r,..f._ re�er..e.f <br />AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(.). <br />PRODUCER LOCKTON COMPANIES, LLC N <br />N ME: <br />ac No EXL ac No <br />- <br />INSURERS AFF ROI G C VE E I <br />IC 0 <br />INSURERA: ACE AmerlDan 1n5Uran Ce COm HIl <br />,INSURED WASTE MANAGEMENT HOLDINGS INC. ALL AFFILIATED. I <br />2 <br />43575 <br />INSURER C. ACE Property asua <br />& Cl Insurance Co <br />20699 <br />wsuRER D : National Union Fire Ins Co Pittsburgh PA 1 <br />19445 <br />INS RER E : Ai o Re Ltd. <br />SANTA ANA CA 92705 I <br />I U E F: Allied World Assurance Company, Ltd <br />POLICY X JECT X LOC $ <br />q AUTOMOBILE LIABILITY Y Y MMT H08692853 1/1/2012 MBINED SINGLE LIMI <br />1/1/2013 Eaamident $ 1,000,000 <br />X ANY AUTO BODILY INJURY (Par person) $ XXXXXXX <br />X <br />ALL OWNED AUTOS BODILY BODILYINJURY (Pera —dent $ XXXXXXX <br />X HIRED AUTOS X NON- OWNED PROPERTY DAMAGE <br />Peraccide t $ XXXXXXX <br />X MCS -90 $ XXXXXXX <br />C X UMBRELLA LIAB X OCCUR Y Y XOO 625834501 1/1/2012 1/12013 EACH OCCURRENCE $ 100,000,000 <br />D EXCESS LIAB CLAIMS -MAD 35650746 1/1/2012 1/120)3 AGGREGATE <br />E C121350 1/12012 1/1/2013 _ <br />F DED RETENTION$ COO 1389/010 1/1/2012 1/1/2013 $- jf +XX74".d:J{X <br />H WORKERS COMPENSATION p S TW- <br />A EMPLOYERS' LIABILITY Y WLR 046 774 7 3 5 (ADS) ♦ 1/1/2012 1/1/2013 X TORY LIMIT OT <br />q ANY PROPRIETOR/PARTNER,EXECUT— YIN W L'R C46774747 (CA c�`c MA) 1/1/2(]12 1/1 /2()13 E.L. EACH ACCIDENT <br />A oFFIOER/MEMBER I— CLUDED4 N/A SCF C4677579A(WI) )/12012 1/1/2013 $ 3 OQO,TQI�TO <br />iMmdatory in NH) EL DISEASE -EA EMPLOYEE 3 QQQ `100 <br />DES describe under E.L. DISEASE - POLICY LIMIT 3 QQQ Q <br />DESCRIPTION OF OPERATIONS below <br />A EXCESS AUTO Y Y XTR H08692865 1/1/2012 1/1/2013 1 COMBINED SINGLE LIMIT <br />LIABILITY $ROOO - - <br />,OOD s <br />(EACH ACCIDENT) <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional R.—M. Schedule, If more space la required) J .. <br />BLANKET WAIVER. OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTEN IREDff��1l(( <br />WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR W�RK,S COICEL) <br />WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT_ ADDITIONAL INSURED IN FAVOR OF CITY OF SANTA ANA, ITS OFFICE AGEN "-rrS –AND <br />EMPLOYEES (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE AND TO THE EXTENT AS REQUIRED BY WRITTEN CONTRACT. THE ABOVE <br />AUTO LIABILITY POLICY PROVIDES LIABILITY COVERAGE TO THE TRUCKS OWNED BY THE CITY OF SANTA ANA THAT ARE OPERATED AND <br />MAINTAINED BY WASTE MANAGEMENT OF ORANGE COUNTY. <br />'1 P P RU V I'D <br />11582709 <br />/2. <br />CITY OF SANTA ANA A,s�istan � ity Attorney' <br />20 CIVIC CENTER PLAZA <br />P.O. BOX 1988 <br />SANTA ANA CA 92701 <br />Laura ti Sheerly <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS_ <br />The ACORD name and logo are registered marks of ACORD <br />III r,..f._ re�er..e.f <br />11582709 <br />/2. <br />CITY OF SANTA ANA A,s�istan � ity Attorney' <br />20 CIVIC CENTER PLAZA <br />P.O. BOX 1988 <br />SANTA ANA CA 92701 <br />Laura ti Sheerly <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS_ <br />The ACORD name and logo are registered marks of ACORD <br />III r,..f._ re�er..e.f <br />