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ACOR" CERTIFICATE OF LIABILITY INSURANCE <br />16.� 1/1/2019 <br />DATE(MM/DDIYYYY) <br />12/11 /2017 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER LOCKTON COMPANIES <br />3657 BRIARPARK DRIVE, SUITE 700 <br />HOUSTON TX 77042 <br />866-260-3538 <br />CONTACT <br />NAME: <br />PHONE FAX <br />A/C No Ext : A/C No: <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: ACE American Insurance Company <br />22667 <br />INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, <br />1348279 RELATED & SUBSIDIARY COMPANIES INCLUDING: <br />INSURER B : ACE Property & CasualtyInsurance Co <br />20699 <br />INSURER C: Allied World Assurance Company, Ltd <br />94128 <br />WASTE MANAGEMENT OF ORANGE COUNTY <br />GREAT WESTERN RECLAIMATION <br />INSURER D : Argo Re- Ltd. <br />_ <br />1800 SOUTH GRAND AVENUE <br />INSURER E : - <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 11592709 REVISION NUMBER: YYY VYYY <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. <br />INTRR <br />TYPE OF INSURANCE <br />ADS L <br />SUBDR <br />POLICY NUMBER <br />MM DID/YYY <br />MMIDDIIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE L nl OCCUR <br />Y <br />Y <br />HDO G27873091 <br />1/1l2018 <br />1/I/2019 <br />EACH OCCURRENCE <br />$ 5 000 000 <br />-DAMAGE TO RENTED <br />S(Ea_occurrence <br />$ 5 000 000 <br />X <br />_PREMIs ____ <br />MED EXP (Any one person) <br />$ XXXXXXX <br />XCU INCLUDED <br />ISO FORM CG00010413 <br />PERSONAL & ADV INJURY <br />$ 5,000,000 <br />X <br />AGGREGATE LIMIT APPLIES PER: <br />_ GENERAL AGGREGATE <br />$ 6,000,000 <br />GEN'L <br />POLICY IX-1JE� X LOC <br />PRODUCTS - COMP/OP AGG <br />$ 6,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />y <br />y <br />MMT H08866326 <br />1/1/2018 <br />1/1/2019 <br />COMBINED SINGLE LIMIT <br />_(Ea_accidenl)-..._. <br />$ <br />1,000 000 <br />$ XXXXXXX <br />X <br />ANY AUTO <br />BODILY INJURY (Per person) <br />X <br />OWNED SCHED <br />AUTOS ONLY AUTOSULED <br />BODILY INJURY (Per accident) <br />$ XXXXXXX <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident) <br />$ XXXXXXX <br />$ XXXXXXX <br />X <br />MCS-90 <br />B <br />X <br />UMBRELLA LIAB <br />OCCUR <br />Y <br />Y <br />XOO G27929242 003 <br />1/1/2018 <br />1/1/2019 <br />EACH OCCURRENCE <br />$ 100 000 000 <br />C <br />D <br />EXCESS LIAB <br />CLAIMS -MADE <br />C035009/001 <br />ARGO-CAS-OCC-000633.4 <br />1/I/2018 <br />1/1/2018 <br />1/1/2019 <br />1/1/2019 <br />AGGREGATE _ _ _ <br />N <br />$ ) OQ 000,000 <br />DED RET <br />$ XXXXXXX <br />C <br />C001389/015 <br />1/l/2018 <br />1 1/l/2019 <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORMARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />y <br />WLR C64622778 (AZ,CA,&MA) <br />1/1/2018 <br />1/1/2019 <br />X STATUTE ERH <br />— _ <br />.. <br />E.L. EACH ACCIDENT <br />$ 3,000,000 <br />_ E.L. DISEASE - EA EMPLOYEE <br />$ 3 000 000 <br />(Mandatory in NH) <br />If yes describe under <br />DESCRIPTION OF OPERATIONS below <br />I <br />E.L. DISEASE - POLICY LIMIT <br />$ 3,000,000 <br />A <br />EXCESS AUTO <br />Y <br />Y <br />XSA H25097889 <br />1/1/2018 <br />1/1/2019 <br />COMBINED SINGLE LIMIT <br />LIABILITY <br />S9,000,000 <br />(EACH ACCIDENT) <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY <br />WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMPiEL) <br />WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS AGENTS AND <br />EMPLOYEES (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE AND TO THE EXTENT AS REQUIRED BY WRITTEN CONTRACT. THE ABOVE AUTO <br />LIABILITY POLICY PROVIDES LIABILITY COVERAGE TO THE TRUCKS OWNED BY THE CITY OF SANTA ANA THAT ARE OPERATED AND MAINTAINED BY <br />WASTE MANAGEMENT OF ORANGE COUNTY. <br />REVIEWED BY: EUNICE HEREDIA (PG OF'L ) <br />11582709 <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />P.O. BOX 1988 <br />SANTA ANA CA 92701 <br />.9l\C L'-1-11A-\ILai CI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />-4-, <br />©1988-2015 ACORD CORPORATIOIT. All riahts reserved <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />