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t' 9
<br />A� °' CERTIFICATE OF LIABILITY INSURANCE 111=14
<br />D 12/1212 2Y'
<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), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 13 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(s).
<br />PRODUCER LOCKTON COMPANIES, LLC
<br />5847 SAN FELIPE, SUITE 320
<br />HOUSTON TX 77057
<br />866 - 260538
<br />CONTACT
<br />NAM :
<br />Nc Ext ; Arc No:
<br />A-AtAIL
<br />INSURER(SI AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: ACE American Insurance Company
<br />22667
<br />INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED,
<br />1346044 RELATED & SUBSIDIARY COMPANIES INCLUDING:
<br />WM CURBSIDE LLC
<br />6141 E. LA PALWA AVENUE
<br />ANAHEIM CA 92870 �Q C
<br />INSURER B : Indemnity Insurance Co ofNotth America
<br />43575
<br />INsuRER c : ACE Property & Casualty Insurance Ca
<br />20699
<br />INSURER D'
<br />1/1/2014
<br />INSURER E:
<br />3 5,000,000
<br />INSURER F•
<br />5,000,000
<br />Pr%% /=0APr =Q r!FR Flf`ATG WtIMRFR• ll(176Fi III RFVMInNI M[iMRFR• XXXXXXX
<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 />NSR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />I Y F
<br />P P
<br />LIMITS
<br />•
<br />GENERAL LIABILITY
<br />y
<br />y
<br />HDO 027015189
<br />1/l/2013
<br />1/1/2014
<br />EACH OCCURRENCE
<br />3 5,000,000
<br />RA G a REN c TurreED
<br />n
<br />5,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS MADE I OCCUR
<br />MED EXP (Anyone erom
<br />3CXXXXXX
<br />PERSONAL 6 ADV INJURY
<br />s 5,000,000
<br />X XCU INCLUDED
<br />X
<br />ISO FORM CG 00011207
<br />GENERAL AGGREGATE
<br />$ 6-000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OPAGG
<br />s 6,000,000
<br />P L CY X JE RC x 1 LOC
<br />$
<br />•
<br />AUTOMOBILE
<br />LIABILITY
<br />y
<br />y
<br />MMT H08712293
<br />1/1/2013
<br />1/1/2014
<br />COMBI 1,ED SINGLE LIMIT
<br />g 1,000,000
<br />BODILY INJURY (Par persdn)
<br />$ �{YM
<br />ANY AUTO
<br />AUTOS N ED AUTOSUlED
<br />1xxx
<br />BODILY INJURY (Par accdent
<br />$ XXXXXXX
<br />HIREDAUTOS X NOOSWNED
<br />PaOPE dB oAMAGE
<br />$ XxixxxX
<br />$ j(x{} xXx
<br />MCS -90
<br />C
<br />X
<br />UMBRELLA LIAR
<br />A
<br />OCCUR
<br />Y
<br />Y
<br />XOO G27048201
<br />1/1/2013
<br />1/1/2014
<br />EACH OCCURRENCE
<br />s 15,000,000
<br />AGGREGATE
<br />s 15,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DED RETENTION s
<br />$ XXXXXXX
<br />A
<br />WORKERS Co OMP uRATION TI'r YIN
<br />O6mciipmEmbE°f'"R Ex =667 c
<br />niftyand�datary r NM
<br />IDESCR it011OFOPERATIONSbelow
<br />NIA
<br />Y
<br />WLR C47128249 (AOS)
<br />WLR C47128250 (CA & MA
<br />SCF C47128262 (WI) )
<br />11112013
<br />111/2013
<br />1 /1/2013
<br />1/1/2014
<br />11111014
<br />1/1/2014
<br />X we s P - OR
<br />EL EACHACCIDENY
<br />s3,000,000
<br />E.L DISEASE - EA EMPLOYEE
<br />3,000,000
<br />E.L.OISEASE - POUrYLIMIT
<br />1 3,000,000
<br />A
<br />1EESSSAYUTO
<br />y
<br />y
<br />XTR H0871230A
<br />1/1!2013
<br />1/1 12014
<br />$OMBINEDSINGLELIMIT
<br />(EACH ACCIDENT)
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES !(Attach ACORD 141, Additional Remarks Schedule, if more space is required)
<br />BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT SQUIRED BY
<br />WRITTEN CON'T'RACT WHERE PERp1MJISSIBLE BY LAW. CERTIFICATE HOLDER 13 NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL)
<br />WHERE EMPLOYEES AGENTS, , VOLUNTEERS BY WR.ITTEN CONTRACT. ADDITIONAL N ALL PO (C 5 EXCEPT FAVOR OF
<br />CO CITY OF SANTA ANA, ON /EL)) WHERE REQUIRED BY WRITTEN
<br />CONTRACT. WAIVER OF SUBROGATION IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES
<br />ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. THE INSURANCE AFFORDED TO THE ADDITIONAL INSURED
<br />AS DESCRIBED IN THIS CERTIFICATE OF INSURANCE FOR WORK PERFORMED BY THE NAMED INSURED IS PRIMARY AND NON - CONTRIBUTORY TO ANY
<br />SIMILAR COVERAGE MAINTAINED BY THE ADDITIONAL INSURED WHERE AND TO THE EXTENT REQUIRED BY CONTRACT.
<br />APPROVED AS TO 1-0
<br />11076601 ra Sti Shc.;d., �
<br />CITY OF SANTA ANA Assistant Citv Atior c,-
<br />DEPARTMENT OF PUBLIC WORKS
<br />ATTN: CHRISTY KENDIG
<br />20 CIVIC CENTER PLAZA, M-21
<br />SANTA ANA CA 92702
<br />26 (2010105)
<br />'MOULD 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 />(4) 1988 -2010 ACORD C
<br />The ACORD name and logo are registered marks of ACORD
<br />reserved
<br />
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