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<br />"'"' -. CERTIFICATE OF INSURANCE Dale: (MMlDDIYY) <br /> 12/2312008 <br />PRODUCER A. - :2-007- II \ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Locklon Companies. LtC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />5647 San Felipe, Suile 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Houslon, TX 77057 <br />866-260.3538 (Phonel ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />866-492-1055 (Fax) INSURERS AFFORDING COVERAGE <br />INSURED: Waste Management Holdings, Inc. & All Insurer A: ACE American Insurance Company <br />Affiliated, Related & Subsidiary Companies Including: Insurer B: Indemnity Insurance Company of North America <br />Wasle Management 01 Orange County <br />1800 South Grand Avenue Insurer c: Haltonal Union Fire Insurance Company of Pittsbulgh. PA <br />Santa Ana, CA 92705 Insurer 0: American Guarantee & Liability Insurance Co. <br /> Insurer E: Allied World Assurance Company. LId. <br />I:HE POLICIES OF INSURANCE LISTED BELOW HAve BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br /> INOTVv1THSTANOING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT wtTH RESPECT TO IIMICIi THIS <br /> jCERTlFICA TE MAYBE ISSUeD OR MAY PERTAIN. THe INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIN '5 SUBJECT TO Al.L TIle TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCN POLICIES. AGGREGATE lNITS SHOWN MAY eE EXHAUSTEO BY PAlO ClAIMS. <br />"'R TYPE OF INSURANCE POLICY NUMBER EFFecnvE DATE EXPIRUION LIMITS <br />'TR OATE <br /> GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 <br />A X COMMERCIAl GENERALllA81LITY FIRE DAMAGE CANYOt.IeFIREI $ 5,000,000 <br />~. HDO G23748228 11112009 1/112010 MEO EXP lP'ER PERSON! <br /> ~ OCCURRENCE <br />- -- -- _..._--~- $ 5,000,000 <br /> X XCU INCLUDED PERSONAL & AOV INJURY <br />--. GENERAL AGGREGATE $ 6.000,000 <br /> GENl AGGREGATE UMfT APPLIES PER <br /> X PROJECT or lOCATION PRODUCTSlCOMP OP. AGO $ 6.000,000 <br /> AUTOMOBILE LIABILITY COMBINED S1NGLE LIMIT $ 1.000,000 <br />A x ANY AlITa ISA H08250224 11112oo9 1/112010 (EACH ACCIDENT) <br />. -- ~ ~ <br /> X HIRED AUTOS <br /> ~ NON.OWNED AUTOS <br />~- MCS.go <br /> X <br />A EXCESS AUTO LIABILITY XSA H08250261 1I112009 1/112010 COMBINEO SINGLE LIMIT $ 9,000,000 <br /> EACH ACCIDENT! <br /> EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 100.000,000 <br />A X OCCURRENCE XOOG23892510 11112009 11112010 AGGREGATE $ 100,000.000 <br /> ----- 8766516 11112009 1/112010 <br />C ClACMS MADE <br />0 AEC-5945109.oo 11112009 11112010 <br />E Cool3891OO7 1/112009 1/112010 <br /> WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY <br /> and EMPLOYERS LIABILITY ~~ WLR C44356260 (AOS) 1/112010 $ <br />B 1/112009 EL EACH ACCIDENT 3,000,000 <br />A WLR C44358773 (CA) 11112009 1/112010 El DISEASE-EA EMPLOYEE $ 3,000,000 <br /> ---~. SC F C44358815 (WI) 1/112009 1/1/2010 3,000,000 <br />A El DISEASE-POLICY LIMIT $ <br />REMARKS DESCRIPTION OF OPERATIONSltOCATlONSNEHlClESlEXCLUSIONS ADD.eO BY ENDORSEMENT PROVISIONS <br />C~~K-{8J BLANKET WAIVER OF SUBROGAnoH IS GRANTe~ ;'~YOR OF CERnFJCA TE H~LDIER ON ALL-;OUQES WHERe AND TO THE EXTENT REQUIRED BY WRITTEN <br /> CONTRACT WHERE PERMISSIBLE BY LAW. <br /> ['8J CERl1FICATE HOLDER tS NAMED AS AN AOIMnOHAL INSURED IEXCEPT FOR WORKERS' COMP/ELJ WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. <br /> Re: Self Insured for auto physical damage. <br /> AddiUonal Insured in favor of CIl1 of Santa Ana, its officers agents and employees (on al' policies except Workers' <br /> CampensationlEL) where and to the extent as required by written conncL The Above Auto Liability policy provides liability <br /> coveraoe to the trucks owned by the City of Santa Ana that are oDerated and maintained b; Waste Manaaement of Orange County. <br />CERTIFICATE HOLDER: ~NCELLATION: <br /> OULD ANY OF ntE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORe THE <br /> APPROVE; IS TO r IRATlON DATE mEREOF. mE lS'UING "SURER "'LL MAll 30 OAYS WRITTEN NOTICE <br /> '~f : " I h TG 'HE CERTFlCATE HOlGER HAMEG TO mE LEFT <br /> I/JNJI-L ;;,;, ';1/12- <br /> City GI Sanla Ana I- <br /> 20 Civic Cenler Plaza 77 LauTa S~i~ eeay AUTHORIZED REPRESENTATIVE: c:::5-.----- .,. <>- <br /> P.O. Box 1988 A istanl C' Attorney <br /> Sanla Ana, CA 92701 ss <br />