USA Waste of California - A-2007-171

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CERTIFICATE OF INSURANCE Date: (MM/DDIYY) 4/6/2007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Companies of Houston ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston, TX 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 866-260-3538 (Phone) 866-492-1055 (Fax) INSURERS AFFORDING COVERAGE INSURED: Waste Management Holdings, Inc. & All Insurer A: !ACE American Insurance Company Affiliated, Related & Subsidiary Companies including: Insurer B: Indemnity Insurance Company of North America Waste Management of Orange County 1800 South Grand Avenue Insurer C: National Union Fire Insurance Company of Pittsburgh, PA Santa Ana. CA 92705 Insurer D: Allied World Assurance Company. Ltd. Insurer E: ITHE 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 lAAY 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. AGGREGATE LIMITS SHOWN lAAY BE EXHAUSTED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 ~, X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE, $ 5,000,000 X OCCURRENCE HDO G23718200 1/1/2007 1/1/2008 MED EXP (PER PERSON) --- $ 5,000,000 X XCU INCLUDED PERSONAL & ADV INJURY -. GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 6.000.000 X PROJECT or LOCATION PRODUCTS/COMPo OP. AGG $ 6.000.000 AUTOMOBILE LIABILITY 1/1/2007 1/1/2008 COMBINED SINGLE LIMIT $ 1,000,000 A X ANY AUTO rSA H08226994 (EACH ACCIDENT) X HIRED AUTOS --.-- - c---- - ------- X NON,OWNED AUTOS X MCS-90 A EXCESS AUTO LIABILITY XSAH0822707A 1/1/2007 1/1/2008 COMBINED SINGLE LIMIT $ 9.000,000 EACH ACCIDENTI EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 100,000,000 -- XOOG23792886 1/1/2007 1/1/2008 $ 100,000,000 A X OCCURRENCE AGGREGATE C CLAIMS MADE 8766369 1/1/2007 1/1/2008 0 COO 1389/004 1/1/2007 1/1/2008 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY B and EMPLOYERS LIABILITY WlR C44458226 (AOS) 1/1/2007 1/1/2008 EL EACH ACCIDENT $ 1.000,000 ---- A WLR C444581 96 (CA) 1/1/2007 1/1/2008 EL DISEASE-EA EMPLOYEE $ 1.000,000 ... ._- A SCF C44458214 (WI) 1/1/2007 1/1/2008 EL DISEASE-POLICY LIMIT $ 1.000,000 REMARKS DESCRIPTION OF DPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS. C~~;K [2J BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON All POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT WHERE PERMIS51BLE BY LAW. rgJ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' CaMP/ELl WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. Re: Self insured for auto physical damage. Additional Insured in favor of City of Santa Ana, its officers agents and employees (on all policies except Workers' CompensationJEL) where and to the extent as required by written contract. The Above Auto liability policy provides liability coverage to the trucks owned bv the City of Santa Ana that are operated and maintained bv Waste Manaaement of Orange County. CERTIFICATE HOLDER: CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TO FORM EXPIRATION OATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE APPROVED A~" TO THE CERTIFICATE HOLOER NAMED TO THE LEFT City of Santa Ana ~~(:.:~;~- 20 Civic Center Planl AUTHORIZED REPRESENTATIVE <.::5--.-~~~r P.O. Box 1988 Santa Ana. CA 92701