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ACORO° CERTIFICATE OF LIABILITY INSURANCE
<br />FDATE(MM/DDNYYY)
<br />1/1/2019
<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 />NCONTACT
<br />AME:
<br />AIC No,Ext): AIC No:
<br />E-MAIL
<br />ADDRESS:
<br />INSURER(Sl AFFORDING COVERAGE NAIC #
<br />HDOG27873091
<br />INSURER A: ACE American Insurance Company 22667
<br />1/1/2019
<br />INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED,
<br />1306000 RELATED & SUBSIDIARY COMPANIES INCLUDING:
<br />WM CURBSIDE, LLC
<br />5101 E. LA PALMA AVENUE ! 03
<br />INSURERB : Indemnity Insurance Cc of North America 43575
<br />INSURERC: : ACE Fire Underwriters Insurance Company 20702
<br />INSURER D :
<br />INSURER E:
<br />ANAHEIM CA 92870 / / OWI �4A
<br />INSURERF:
<br />COVERAGES CERTIFICATE NUMBER: 11076601 REVISION NUMBER: 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 />SUER
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD/YYYY
<br />POLICY EXP
<br />MMIDD/YYYY
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />HDOG27873091
<br />1/1/2018
<br />1/1/2019
<br />EACH OCCURRENCE 5,000,000
<br />CLAIMS-MADEFyl OCCUR
<br />X
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence 5,000,000
<br />MED EXP (Any oneperson) XXXXXXX
<br />X XCU INCLUDED
<br />PERSONAL & ADV INJURY $ 5,000,000
<br />X ISO FORM CG00010413
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POUCYF�E� LOC
<br />GENERAL AGGREGATE $ 61000000
<br />PRODUCTS-COMP/OPAGG $ 6,000,000
<br />OTHER:
<br />$
<br />A
<br />AUTOMOBILE LIABILITY
<br />Y
<br />Y
<br />MMT H25097890
<br />1/1/2018
<br />1/1/2019
<br />Eeaecld DISINGLE LIMIT $ 1,000,000
<br />X ANY AUTO
<br />BODILY INJURY (Per person) $ XXXXXXX
<br />X AAUTOS ONLY SCHEDULED
<br />BODILY INJURY (Per accident $ XXXXXXX
<br />X AUTOS ONLY X AUUTOS ONLY
<br />Pe�accldenDAMAGE $ XXXXXXX
<br />X MCS -90
<br />$ XXXXXXX
<br />A
<br />X UMBRELLA LIABX
<br />OCCUR
<br />Y
<br />Y
<br />XOO G27929242 003
<br />1/1/2018
<br />1/1/2019
<br />EACH OCCURRENCE $ 15,000 000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE $ 15 000,000
<br />DED I I RETENTION $
<br />$ XXXXXXX
<br />1
<br />B
<br />A
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANYPROPRIEfOR/PARTNERIEXECUTIVE YIN
<br />OFFICER/MEMBER EXCLUDED? N❑FN/
<br />(Mandatory In andNH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />Y
<br />WLR C6462278A (AOS)
<br />WLR C64622778 AZ,CA,&MA
<br />SCFC64622791 (WI)
<br />1/1/2018
<br />1/1/2018
<br />1/1/2018
<br />1/1/2019
<br />1/1/2019
<br />1/1/2018
<br />PER OTH-
<br />X STATUTE ER
<br />E.L. EACH ACCIDENT $ 3,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 3,000,000
<br />E.L. DISEASE - POLICY LIMIT 3 OOO,OOO
<br />A
<br />EXCESS AUTO
<br />LIABILITY
<br />Y
<br />XSA H25097889
<br />1/1/2018
<br />1/1/2019
<br />COMBINED SINGLE LIMIT
<br />$9,000,000
<br />(EACH ACCIDENT)
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / 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' COMP/EL)
<br />WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS,
<br />EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE REQUIRED BY WRITTEN
<br />CONTRACT. WAIVER OF SUBROGATION IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES
<br />ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. THE INSURANCE AFFORDED TO THE ADDITIONAL INSURED
<br />AS DESCRIBED IN THIS CERTIFICATE OF INSURANCE FOR WORK PERFORMED BY THE NAMED INSURED PRIMARY AND NON-CONTRIBUTORY TO ANY
<br />SIMILAR COVERAGE MAINTAINED BY THE ADDITIONAL INSURED WHERE AND TO THE EXTENT REQU BY CONTRA/CT�.
<br />44A
<br />CERTIFICATE
<br />11076601
<br />CITY OF SANTA ANA
<br />DEPARTMENT OF PUBLIC WORKS
<br />ATTN: CHRISTY KENDIG
<br />20 CIVIC CENTER PLAZA, M-21
<br />SANTA ANA CA 92702
<br />ACORD 25 (2016/03)
<br />T16K • See
<br />U'
<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 />©1988-2015 ACORD CORPORATI0% All rights reserved
<br />The ACORD name and logo are registered marks of ACORD
<br />
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