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ACG7�►�� <br />CERTIFICATE OF LIABILITY INSURANCE0 <br />ATE(MM/DD/YYYY) <br />1106/2015 <br />r <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 confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Services Southwest, Inc. <br />Dallas TX Office <br />CONTACT <br />NAME: <br />PHONE (866) 283-7122 FAX 800-363-0105 <br />(A/C. No. Ezt): A/C. No.): <br />cityPlace Center East <br />2711 North Haskell Avenue <br />E-MAIL <br />ADDRESS: <br />Suite 800 <br />Dallas TX 75204 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: AIG Specialty Insurance Company <br />26883 <br />Waste Manaqement, Inc. <br />1001 Fannin <br />INSURER B: <br />INSURER C: <br />Suite 4000 <br />Houston TX 77002-6711 USA <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />GOVtKAII CERTIFICATE NUMBER: b700b6526745 REVISION NUMBER: <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. Limits shown are as requested <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MMIDD/YYW <br />MM/DD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />CLAIMS -MADE ❑ OCCUR <br />DAMAGE TORENTED— <br />PREMISES Ea occurrence <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />POLICY DPRO- <br />JECT LOG <br />PRODUCTS - COMP/OP AGG <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />BODILY INJURY ( Per person) <br />_ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />Per accident <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />L <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />DED RETENTION <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR / PARTNER / EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N / A <br />R PEOTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />E.L. DISEASE -EA EMPLOYEE <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />A <br />Poll Legal Liab <br />PLS5444079 <br />SIR applies per policy terns <br />01/01/2015 <br />& condi <br />07/01/2016 <br />ions <br />Each Incident Limit <br />Aggregate Limit <br />$10,000,000 <br />$20,000,000 <br />SIR <br />$5,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Named insured Site Location: Waste Mgmt. Collection & Recycling Inc., dba Waste Management of Orange County, 1800 S. Grand <br />Ave., Santa Ana, CA 92705. A waiver of Subrogation is granted in favor of certificate Holder in accordance with the policy <br />provisions of the Pollution Liability policy. / <br />E��E E BY- ° ✓. � El.j pCE HEREC IIA (fFIGS&F ) <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />City of Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />Po Box 1988 <br />Santa Ana CA 92701 USA <br />cXX�a tom? cJeG2lrceD c/ar�,s c /azct <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />m <br />