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AC"R& CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY)
<br />�._.- 1/l/2018
<br />12/7/2016
<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 />LOCKTON COMPANIES
<br />5847 SAN FELIPE, SUITE 320
<br />HOUSTON TX 77057
<br />866-260-3538
<br />CONTPRODUCER
<br />NAME: T
<br />P o A/C, NE
<br />No, F
<br />Ext): AIC, No
<br />E-MAIL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURER A: ACE American Insurance Company 22667
<br />INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED,
<br />1306000 RELATED & SUBSIDIARY COMPANIES INCLUDING:
<br />WM CURBSIDE, LLC
<br />5101 E. LA PALMA AVENUE
<br />ANAHEIM CA 92870
<br />INSURER B: Indemnity Insurance Co of North America 43.575
<br />INSURER C: ACE Property & Casualty Insurance Co 20699
<br />INSURER D: ACE Fire Underwriters Insurance Company 20702
<br />INSURER E:
<br />INSURER F:
<br />nnVFRAQFR CFRTIFICATF NIIMRFR• 11076601 RFVIRIAN NIIMRFR• 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 COMMERCIAL OE NERAL LIABILITY
<br />Y
<br />Y
<br />HDOG27860825
<br />I/I/2017
<br />1/1/2018
<br />EACH OCCURRENCE 5,000,000
<br />CLAIMS -MADE OCCUR
<br />1
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence $ 5,000,000
<br />MED EXP An one person) XXXXX
<br />X XCU INCLUDED
<br />X ISO FORM CG00010413
<br />PERSONAL & ADV INJURY s 5,000 000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY PRO - LOC
<br />GENERAL AGGREGATE s 6,000,000
<br />PRODUCTS - COMP/OP AGG s 6,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />MMT 1-109052884
<br />1/1/2017
<br />1/1/2018
<br />Ea COMBINED
<br />I EDSIN LE MIT $ 11000,000
<br />BODILY INJURY (Per person) $ XXXXXXX
<br />1xxxANYAUTO
<br />AAUTOSDONLY AUTODULEDBODILY
<br />INJURY (Per accident $ XXXXXXX
<br />AUTOS ONLY X AUUTOS ONLYY
<br />Pe�accltlenDAMAGE$ XXXXXXX
<br />$ XXXXXXX
<br />MCS -90
<br />C
<br />X
<br />UMBRELLA LIAB}{
<br />OCCUR
<br />Y
<br />Y
<br />XOOG27929242002
<br />1/1/2017
<br />1/1/2018
<br />EACH OCCURRENCE $ 15000,000
<br />AGGREGATE $ 15,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DED I I RETENTION $
<br />$ XXXXXXX
<br />S
<br />A
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />OFFICERIMEMBEREXCLUDEDP N❑
<br />(Mandatory In NH)
<br />N/A
<br />Y
<br />WLR C49106944 (ADS)
<br />WLR C49106907(AZ,CA,&MA
<br />SIZE C49106981 (WI)
<br />1/1/2017
<br />(/1/2017
<br />1/1/2017
<br />1/1/2018
<br />1/1/2015
<br />I/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 />If yes, describe under
<br />DESCRIPTION OF OPERATIONS baiow
<br />E.L. DISEASE- POLICY LIMIT 3,000,000
<br />A
<br />EXCESS AUTO
<br />LIABILITY
<br />Y
<br />XSAH09052872
<br />1/1/2017
<br />1/1/2018
<br />COMBINED SINGLE LIMIT
<br />S9,ODU,000
<br />�_y
<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' C'ObIP/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 IS PRIMARY AND NON-CONTRIBUTORY TO ANY
<br />SIMILAR COVERAGE MAINTAINED BY THF. ADDITIONAL INSURED WHERE AND TO THE EXTENT REQUIRED BY CO TRACT
<br />REVIEWED BY-, NICE 4 VE REDIA (M.,, � OF �� )
<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 />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 CORPORATI All rinhta racprvprf
<br />The ACORD name and logo are registered marks of ACORD
<br />
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