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._ • �'. ® DATE(MM/DDIYYYY) ACORrfl CERTIFICATE OF LIABILITY INSUMNCE11112012 1 4/13/2011 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-POE.NOT,COF4STITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE EEFtTIF1GATE FiOItR;': i 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 poNcies may require.an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemeri0)':.' PRODUCER LOCKTON COMPANIES, LLC - °MEncr PHOFAX NE 5847 SAN FELIPE, SUITE 320 A/c No HOUSTON TR 77057 E-MAIL ADDRESS: 866-260-3538 INSURERS AFFORDING COVERAGE NAIC # INSURERA: ACF. American Insurance Com an 2266' INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATE SURER B: I w6uiau - 1306000 RELATED & SUBSIDIARY COMPANIES INCLUDING: INSURER C: ACE Prope & Casualtv Insurance Co 20699 WM CURBSIDE, LLC n a0 4' 0 /_ INSURER D : 500 S. JEFFERSON �7' I1 (D INSURER E: PLACENTIA CA 92870 �� D p /LO n / INSURER F: xxx COVERAGES AJ CERTIFICATE NUMBER: V 11076601TLJC ,n,e, ip�RE REVISION NUMBER: THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS I EU bELVVV HAV t Dery iaovc , - � � ,� �� . •� NAMED ABOVE: _ . _ 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. INSR TYPE OF INSURANCE ADD IN SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MWDDNYYY LIMITS LTR A GENERAL LIABILITY X MMERCIAL GENERAMABILITY CLAIMS -MADE X OCCUR X XCU INCLUDED Y Y HDO G25524937 1/1/2011 1/1/2012 A H R N CE s 5-000-000 DAMAGE TO RENTED 55,00 PREMISES (Ea occurrence) $ 000 000 MED EXP (Any oneperson) $ xxxxxxx PERSONAL & ADV INJURY $ 5,000,000 GENERAL AGGREGATE $ 6.000,000 X ISO FORM CG 00011207 PRODUCTS - COMP/OP AGG GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JECT X LOCcomETNED $ A AUTOMOBILE LIABILITY Y Y MMT H08631463 1/1/2011 1/1/2012 (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ XXxXxxx X ANY AUTO X ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS BODILY INJURY Per accident $ XXXXXXX PROPERTY DAMAGE $ XXXXXXX fPar accident) $ XXXXXXX C X MCS -90 X UMBRELLA LIAB j{ OCCUR EXCESS LIAB CLAIMS -MADE Y Y XOO 625828562 1/1/2011 1/1/2012 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15.000.000 B A A DED I I RETENTION $I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE AN ER/MEMBEREXCLUDED? 1 NIA Y WLR 046469768 (AOS) WLR C4646977A CA & MA ) SCFC46469781(WI) 1/1/2011 ]/1/2011 1/1/2011 1/1/2012 1/1/20123,000,000 1/1/2012 WC A U- _ X TORY LIMIT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ 3000000 A (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below EXCESS AUTO LIABILITY XTR H08631475 1/1/2011 1/1/2012 E.L. DISEASE - POLICY LIMIT $ 3-000,000 C$09, BINED 00 SINGLE LIMIT (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMPEL) WORINSURED ICIES CIES ADDITIONAL ERI S COMPENSAION/EL) WHERE REQUIRED BYA, ITS WRITTEN CONTRACT. AGENTS, VOLUNTEERS AND REPRESENTATIVES (ON ALL POAND TO THE EXTENT REQUIRED BY WRITTEN L WAIVER OF SUBROGATION IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. nvl_UCM 11076601 `tCy A It o r CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS ATTN: CHRISTY KENDIG 20 CIVIC CENTER PLAZA, M-21 SANTA ANA CA 92702 diOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.