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ACURO" CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DDIYYYY) <br />k....-� I/l/20 t 7 <br />L 12/7/2015 <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 LOCKTON COMPANIES <br />5847 SAN FELIPE, SUITE 320 <br />HOUSTON TX 77057 <br />866-260-3538 <br />CONT CT <br />NAME: <br />Plc, E Ext : FAX <br />A/c, No <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING OVERAGE <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 />WASTE MANAGEMENT OF ORANGE COUNTY <br />GREAT WESTERN RECLAIMATION <br />1800 SOUTH GRAND AVENUE <br />INSURER e : ACE Property &Casual[ hisurance Co <br />20699 <br />INSURER C : National Union Fire Ins Co Pitts. PA <br />19445 <br />INSURER D : Ara Re Ltd. <br />INSURER E : Allied World Assurance Company, Ltd <br />94128 <br />SANTA ANA CA 92705 <br />INSURER F : <br />COVFRAGFR CFRTIFICATF NIIMRFR- 1 1 5R?70c) RF\/Iglr1N NI IMRFR• XXXXXXX <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />HDOG27403311 <br />I/l/2016 <br />I/l/2017 <br />EACH OCCURRENCE <br />5,000,000 <br />CLAIMS -MADE L OCCUR <br />PREMISES (Ea occur ence) <br />s 5,000,000 <br />X <br />MED EXP (Any oneperson) <br />$ XXXXXXX <br />XCU INCLUDED <br />X <br />ISO FORM CG00010413 <br />PERSONAL & ADV INJURY <br />$ 5,000,000 <br />GEML AGGREGATE LIMIT APPLIES PER: <br />POLICY JE [X LOC <br />GENERAL AGGREGATE <br />s 6,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 61000,000 <br />$ <br />OTHER <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />MMT H08866326 <br />1/1/2016 <br />1/1/2017 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />X <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />X <br />AUTOWNED SCHEDULED <br />BODILY INJURY (Per accident <br />$ XXXXXXX <br />X <br />NED <br />HIRED AUTOS X NON-OWNED <br />(Per "PROPERTY <br />$ XXXXXXX <br />$ XXXXXXX <br />j{ <br />MCS-90 <br />B <br />X <br />UMBRELLA LIAB <br />OCCUR <br />Y <br />Y <br />XOO G27929242 001 <br />1/1/2016 <br />I/L/2017 <br />EACH OCCURRENCE <br />$ 100,000,000 <br />C <br />D <br />EXCESS LIAB <br />N <br />CLAIMS -MADE <br />35650807 <br />ARGO-CAS-OCC-000633.3 <br />I/l/2016 <br />I/l/2016 <br />1/1/2017 <br />1/ 1 /20 l 7 <br />AGGREGATE <br />$ 100,000,000 <br />DIED RETENTION$ <br />$ XXXXXXX <br />E <br />0001389/014 <br />I/l/2016 <br />1/l/2017 <br />A <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY Y/N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />N / A <br />Y <br />WLR C48596800 (CA <br />I/l/2016 <br />I/1/2017 <br />PER OTH- <br />X STATUTE <br />E.L. EACH ACCIDENT <br />/l!,/� <br />$ 3,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />/' /� <br />' 3,000 000 <br />If yes, describe under, <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />s3,000 000 <br />A <br />EXCESS ALTO <br />LIABILITY <br />Y <br />Y <br />XSAH08866314 <br />I/l/2016 <br />1/1/2017 <br />COMBINED SINGLE LIMIT <br />$9,000,000 <br />(EACH ACCIDENT) <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach 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 PERNIISSIBLE BY LAW, CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPTFOR WORKERS' COMP/EL) <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 <br />AUTO LIABILITY POLICY PROVIDES LIABILITY COVERAGE TO THE TRUCKS OWNED BY THE CITY OF SANTA ANA THAT ARE OPERATED AND <br />MAINTAINED BY WASTE MANAGENIENT OF ORANGE COUNTY. <br />RE.VCEVIJEO ESY: "' � EUNICE HERED4A (PG 1 OF a <br />LCR I Ir ILA I C rIVLLJCR LAIVLCLLAI Ivry aee A tilacnirient <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 />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 />ACORD 25 (2014/011 <br />©1988-2014 ACORD CORPORATI - All rinhtc raearvefi <br />The ACORD name and logo are registered marks of ACORD <br />