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ACII CERTIFICATE OF LIABILITY INSURANCE
<br />-. 1/1/2015
<br />DATE(MMIDOMY"
<br />12/11/2013
<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 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 canter rights to the
<br />certificate holder In lieu of such endorsement(s).
<br />PRODUCER LOCKTON COMPANIES, LLG
<br />5847 SAN FELIPE, SUITE 320
<br />HOUSTON TX 77057
<br />866- 260 -3538
<br />NAME:
<br />(AID, No, Ext): A!C No
<br />EMAIL
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: ACE AmericaH Insurance Corni:uy
<br />22667
<br />INSURED WASTE MANAGEMENT HOLDINGS, INC, & ALL AFFILIATED,
<br />RELATED
<br />1348279 MANAGEMENT OCOMPANIES OUNTYDING:
<br />GREAT WESTERN RECLAMATION
<br />1800 SOUTH GRAND AVENUE
<br />SANTA ANA CA 92705 2490 /
<br />7
<br />INSURER E Indemnity Insurance Cc of North America
<br />43575
<br />INSURER C : ACE Property & Casualty Insurance Co
<br />20699
<br />INSURER D: National Union Fire Ins Cc Pittsburgh PA
<br />19445
<br />INSURER E'. Argo Re Ltd.
<br />5 000 000
<br />INSURER F : Allied World Assurance Company, Ltd
<br />94128
<br />COVERAGES CERTIFICATE NUMBER: 1158 709 REVISION NUMBER: 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 />IITR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSIR
<br />SUBR
<br />MD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD
<br />POLICY EXP
<br />MMIDD/YYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />Y
<br />y
<br />HDO G2732924A
<br />1/1/2014
<br />1/1/2015
<br />EACH OCCURRENCE
<br />5 000 000
<br />H
<br />PREMISES Ee occurOrence
<br />5000,000
<br />X GENERAL LIABILITY
<br />COMMERCIAL
<br />CLAIMS -MADE � OCCUR
<br />MED ERE (Any one person)
<br />X}iX }{�j' i}(
<br />PERSONAL & AOV INJURY
<br />$ 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
<br />LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGO
<br />$ 6,000,000
<br />POLICV
<br />X PROT X LOS
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />MMTHOS816025
<br />1/1/2014
<br />1/1/2015
<br />OMBINEDtSINGLE LIMIT
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$ XXiXXi{i
<br />ANY AUTO
<br />gg�p
<br />AALL OWNED AUTOSULED
<br />X
<br />BODILY (Per accident
<br />$ XXg�X
<br />X
<br />pINJURY
<br />Pe' accldent)AMAGE
<br />$ XXX� X
<br />HIRED AUTOS X ALTOSWNED
<br />X
<br />$ xxxxxXX
<br />MCS -90
<br />C
<br />j�'
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />y
<br />y
<br />XOO G27054961
<br />1/1/2014
<br />1/1/2015
<br />EACH OCCURRENCE
<br />$ 100,000,000
<br />D
<br />E
<br />EXCESS HAS
<br />CLAIMS -MADE
<br />B01 0767
<br />35650 P01431350
<br />1/1/2014
<br />1/1 /2014
<br />1/1/2015
<br />1/1/2015
<br />AGGREGATE
<br />$ 100,000,000
<br />DED I I RETENTION $
<br />$ XXXXXXX
<br />F
<br />C001389/011
<br />1/1/2014
<br />1/1/2015
<br />B
<br />WORKERS COMPENSATION
<br />EMPLOYERS' LIABILITY
<br />Y
<br />WLR C47876345 ((ADS))
<br />1/1/2014
<br />1/1/2015
<br />WC STATU- 10TH
<br />X TORY LIMITS
<br />A
<br />A
<br />ANY PROPRIETORNARTNERrEXECUTNE YIN
<br />ExcwoEDa FN
<br />WLR C47876357(AZ'CA'&'MA'%
<br />SCF C47876369 (WI)
<br />1/1/2014
<br />1/1/2014
<br />1/1/2015
<br />1/1/2015
<br />E L, EACH ACCIDENT
<br />3,000,000
<br />EL DISEASE -EA EMPLOYEE
<br />3,000,000
<br />OFFICERAMEER
<br />IMyantlat.,m NH)
<br />do
<br />DESORIP9TION OF urder below
<br />EL DISEASE - POLICY LIMIT
<br />3,000,000
<br />A
<br />EXCESS AUTO
<br />Y
<br />Y
<br />XSA H08816013
<br />1/1/2014
<br />1/1/2015
<br />COMBINED SINGLE LIMIT
<br />LIA ILITY
<br />$9,000,000
<br />(EACH ACCIDENT)
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, If more apace Is required)
<br />BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY
<br />WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMPEL)
<br />)VILERE, AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT, ADDITIONAL INSURED IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS AGENTS 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 LIABQITY COVERAGE TO THE TRUCKS OWNED BY THE CITY OF SANTA ANA THAT ARE OPERATED AND
<br />MAINTAINED BY WASTE MANAGEMENT OF ORANGE COUNTY.
<br />/� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />/// THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />/f=... ._.., -.,. _. ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Lauia Stitt Slt �dy
<br />11582709 Assistant City Ati;orn,,: AUTHORIZED REPRESENTATIVE
<br />CITY OF SANTA ANA
<br />20 CIVIC CENTER PLAZA
<br />P.O. BOX 1988
<br />SANTA ANA CA 92701
<br />CTOISI
<br />The ACORD name and logo are registered marks of ACORD
<br />reserved
<br />
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