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A�oRo® CERTIFICATE OF LIABILITY INSURANCE DATE (MMI DN r 2/27/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER HUB International Insurance Services Inc. License #0757776 CONTACT NAME: ROCIO Leon PHONE FAX A/c No Ext : 916-480-4134 AIc No): 916-993-7234 3636 American River Drive, Suite 200 Sacramento CA 95864 ADDRESS: Rocio.Leon@hubinternational.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: Greenwich Insurance Company 22322 INSURED WAREDIS-02 Ware Disposal Inc. P.O. Box 1318 INSURER B : Westchester Surplus Lines Insurance Company 10172 INSURER C : Alaska National Insurance Company 38733 INSURERD: Evanston Insurance Company 35378 Santa Ana CA 92702 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1861647094 REVISIr)N N1IMRPR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IPOLICY LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER EFF MMIDDIYYYY POLICY EXP MM/DDNYYY LIMITS A X ! COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y GEC3000730-03 2/28/2018 2/28/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO ENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 X $1,000 PD Ded. Per Occurrence PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEo LOC GENERAL AGGREGATE $ 2.000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY AECO04538603 2/28/2018 2/28/2019 COMBINED SINGLE LIMIT Ea accident $ 1.000.000 X ANY AUTO BODILY INJURY (Per person) $ ALL OS OWAUTOS NED SCHEDULED AUT BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ BI/PD Deductible $ 5,000 B UMBRELLA LIAR N OCCUR G46863306001 2/1/2018 2/28/2019 EACH OCCURRENCE $ 10,000,000 AGGREGATE $10,000,000 CLAIMS -MADE LEXCESS ED RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A 17H WS 05450 8/112017 8/1/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below D Environmental Impairment Liability/CPL 17CPLOWE00598 2/28/2018 2/28/2019 Each Loss 1,000,000 Aggregate 1,000,000 Deductible 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) (General Liability Per Project Aggregate applies per written contract) RE: Work performed by the insured for certificate holder per written contract Additional Insured: City of Santa Ana; its officers, employees, agents, volunteers and representative Forms: CG2010 0413, CG2037 0413, IX1405 0910, XIL431 0605 REVIEWED BY:TItA EUNICE HEREDIA (PG I OF } u r-m I Ir 1{..H 1 C riu LUCK CITY OF SANTA ANA PUBLIC WORKS AGENCY PO BOX 1988 M-21 SANTA ANA CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ��/R14-- U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD