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Lila R CERTIFICATE F LI ILITY INSURA C DATE(MMDI1711A ) <br />�..�"" t,tnnlr, 1211(1/201d <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 pollcy(los) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the tarts and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confor rights to the <br />certificate holder in lieu of such endorsemont(s). <br />PRODUCER LOCKTON COMPANIES <br />5847 SAN FELIPE, SUITE 320 <br />HOUSTON TX 77057 <br />o Eat), INa <br />t <br />866-260-3538 <br />22667 <br />INSURERA: ACT-' American In .. m <br />INSURED WASTE N H L I GS IN & ALL A IL <br />RELATED S SUBSIDIARY COMPANIES INCLUDING: <br />1348279 WASTE MANAGEMENT OF ORANGE COUNTY <br />GREAT WESTERN RECLAIMATION <br />1800 SOUTH GRAND AVENUE <br />SANTA ANA CA 92705 <br />INSURERB : ACE Pro & Casualty Insumnce Cc <br />2pfi <br />INSU ERC: National Union Fire Ins Co Pittsburgh PA12445 <br />d <br />INSURrRr . Allied World Assurance Com anY. Ltd <br />94 <br />Irtr1•I �:7iiet*.: fr::; attly tN'tlty:1H[IiIII IIIY)!tl! <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER100 <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 />I <br />TYPE OF INSURANCE <br />a <br />POUCYNUMBER <br />UMITS <br />A <br />COMUERCIALGENEFIALLIAECUTY <br />Y <br />Y <br />HIDOG27341251 <br />1/1/2015 <br />I/1/2Ot6 <br />EACH OCCURRENCE 5000000 <br />CLAIMS -MADE OCCUR <br />RENTIED— <br />$,000.000 <br />MED EXP(Any one Doman) <br />XXXXXXX <br />XLU2L 11Lf1 <br />PERSONAL & ADV INJURY_ <br />S 5.000000 <br />15I?FORMCGOOQ10413 <br />OEN'LAGGREGATE <br />LIMIT APPLIES PER ' <br />GENERALAGGREGATE <br />s 6.000000 <br />PRODUCTS. COMROPAGG <br />s 6.000 000 <br />POLICY® EGT LOC <br />S <br />OTHER <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />MMT1108830472 <br />1/l/2015 <br />LIU2016 <br />0 BI SINGLE LIMIT <br />S 1000,000 <br />ANLY®AyUTTO <br />BODILY INJURY (Per Portion) <br />S XXXXXXX <br />1xxx <br />gg EEpp <br />AED <br />UTOS E® AUTNp}OgpS� <br />BODILY INJURY(Per acadent <br />s XXXXXXX <br />wIREDAUTOS XgIOJT&NED <br />P PERTV DAMAGE <br />S XXXXXXX <br />SICS-90 <br />$XXXXXXX <br />B <br />X <br />UMBRELLA UAB X OCCuR <br />Y <br />Y <br />X00 G2742305A <br />11112O I5 <br />1 / 1/2016 <br />EACH OCCURRENCE <br />$ 100 000 000 <br />C <br />p <br />EXCESSLIAB CLAcusMAD <br />35650783 <br />PG1$31350 <br />1/1/'UIS <br />1/1/_015 <br />I'll 016 <br />1/1,201h <br />AGGREGATE <br />s IQQ 000 QQO <br />DED RETENTtaNs <br />s XXXXXXX <br />E <br />C00131i9,1013 <br />1/1/2015 <br />1/1/2016 <br />A <br />WORKEAND mLSaCS BiuTNY Y/N <br />Y <br />W1.R C48141821 (CA MA) <br />I/1(2015 <br />1/1/2016 <br />X STATUTE Tw <br />Ez- <br />E t fnC�I ACCmEM <br />5 3.000.000 <br />VO PROPRIETORlPARTNERAXECUTNE yl <br />0"F CEWEMBER EXCLUDED 1 V <br />N/ A <br />E L DISEASE . fiA EMPLOYEE <br />3.0Q0 000 <br />(TQry In Mil <br />`R""ONOF <br />I As -POLICY Y IAlli 3.000000 <br />0 <br />DESCRIPTION OF OPERATtON5 btUv <br />A <br />EXCISSAUTO <br />yr <br />Y <br />XSA1108830460 <br />1/1/2015 <br />I/l/2016 <br />COMBINED SINGLE LIMIT <br />LIABILITY <br />Sq,000,000 <br />(EACH ACCIDENT) <br />DESCRIP'NON OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101. Additianai Romaft Schodulo, may be attached it mare tpaco it roquirod) <br />BLANKET WAIVER OF SURROOA11ON IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WIIERE AND TO THE EXTENT RL'QtARED BY <br />WRITTEN CONTRACT WHERE PER %IISSIULF BYLAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP4:1.) <br />W1tERE AND TO TILE EXTENT REQUIRED IiY WRITTEN CONTRACT. ADDITIONAL. INSURED IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS AGENTS AND <br />EMPLOY ITS (ON ALL POLICIES EXCEPI' WORKERS' COMPENSATIONIEL) WHERE AND TQ. TIIF. EXTENT AS REQUiREn BY WRITTEN CONTRACT THE ABOVE <br />AUTO LIABIL lTY POLICY PROVIDES LIABILITY COVERAOr TO THE'TRUCKS OWNED BY'THE CITY, OI' SANTA ANA THAT ARE OPERATED AND <br />MAINTAINED BY WASTE MANAGEMENT OF ORANGE COUNTY <br />I <br />WASTE MANAGEMENT A-2009-070 REVIEWED BY: �� ���... "��.� EUNI E HEREIDIA (Pig. 1 of 2) <br />I1-41.1.j�-1F 14 <br />I�r�•r■IrT.*a <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIESBE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE VATH THE POLICY PROVISIONS. <br />11582709 <br />AUTHORIZED REPRESENTATIVE <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />P.O. BOX 1988 <br />SANTA ANA CA 92701 <br />r. rr s t re 88-2014 ACCIRD #-Pe« a4 , <br />.4 .t• wi •- 1 <br />