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- ' - 4DDITIONAL INSURED ENDORSEMENT ^ <br /> . .---2„ 26 ---- - WMOC_._.._I — PAGE 32/@3 <br /> "e2/D7/200$ --. .,:t 22 171 dF1 ._fi <br /> Dare:(MM/DD/YY) <br /> CERTIFICATE OF INSURANCE 12/31/2004 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ' LPGktnn CPmpades of Houston ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 5647 San Felipe,Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 186-260153E(1711010)e) <br /> BEB-102-1055(Fall),TX 77e57 ALTER THE CPVERASE AFFORDED BY THE POLICIES BELOW. <br /> 608-260. INSURERS AFFORDING COVERAGE <br /> .." <br /> —• —~,ACE American insurance Company <br /> INSURED: WASTE MANAGEMENT and Insurer A: Inuemnily lrtsuran;a Company of Noah America <br /> Waste Management of orange County Insurer B: <br /> 1806 South Grano AvenueInsurer C: National Union Fire Insurance Company of Pittsburh,PA <br /> Santa Ana,CA 92705 <br /> Insurer D: Allied World Assumes Company,Ltd. <br /> Insurer E: <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IS$uED TO THE INSURED NAMED AECNE FOR THE POLICY PERIOD INDICATED. <br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF MY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> cfRTIFlCATE MAY EE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIeED HEREIN L4 SUBJECT TO ALL THE TERNS, <br /> C$OLuslolus ANG coNhITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY BE EXHAUSTED Ry PAID CLwMs. <br /> aPFECm'E DATE EXPIRATION �M LIMITS <br /> TA <br /> INSR TYPE IA INSURANCE r POLICY NUMBER DATE EACH OCCURRENCE $ 5,000,000 <br /> GENERAL LIABILITY <br /> A x 00MMERCW.GENERAL Ll,aILDY FIRE DAMAGE IA/NUN FRP) $ 5,000.000 <br /> X OCCURRENCE _ HDO 621712978 1/1/2005 111/2006 MFA EXP KRVERA0N1 — <br /> — - .• PERSONAL a ADV INJIMY $ 5,000,000 <br /> K XCO(newest, <br /> GENERAL AGGREGAI E $ 6,000,666 <br /> OER LAGGRE6Are LIMIT APPLIES PER; <br /> PROMO <br /> PRODVCTSICOMP.OP.AGG $ 8,000,000 <br /> x LDOATION <br /> AUTOMOBILE LIABILOY. . COMBINED SINGLE LIMIT $ 10,000,000 <br /> A x ANY AUTO' <br /> ISA 4407932704 1/12008 manna • r0Acllncacarr l <br /> X FADED <br /> -r x NON-OWNED AUTOS <br /> x MCS-BA 1 <br /> EXCESS LIARIUWIUMBRELLA^ 'EACH OCCURRENCE $ 1PD,o00,U00 <br /> A x OCCURRENCE X00022082334 1/1/2005 1n/200E AGGREGATE S 100,000,000 <br /> C cLAIMIPMDE 675326E 1/1/2005 1/1/2006 <br /> O _ 4001365/003 1/1/2005 1/1/2006 <br /> WORKERS'COMPENSAYION —"-- WORKER&oohT'ENDATION STATUTORY <br /> B and'EMPLOYERSLIABILITY`—T WLR 044173803(ADS) 1/1/3008 1/1/2008 E4 EACH ACCIDENT $ 1,000,000 <br /> A _ WLR C44101095(CA) 1/1/2DOS 111/2006 ELDISEASS•EAEMPI.&YEE $ 1,000,000 <br /> A SCF 044101050(WI) 1/1/2005 1!1/21306 EL DISEASE.POLICY LIMIT $ 1000,000 <br /> REMARKS.DESCRIPTOR OF OPERATIONSILOCATIONSVEHICLEVEacLUSIONS ADDEO BY ENOORSENENT PROVISIONS. <br /> CHECK ®nv,,,IOCT waive*of PuunoaAa,Cn 9°woo Fn IN rxvo4 Of DERT/ICATE HOLDER ON ALL POLICIES WHERE AND TO THE WENT REQUIRED RYWAfTEA CONTRACT. <br /> SOX <br /> ®CERTIFICATE HOLDER IS NAMED AS AN ADDGIONAL INSURED(EXCEPT FOR WORKERS'CORWEL)1AMPRE AND TO THE EXTENT REDO NDO SY vairPTEN CONTRACT. <br /> Re: Self Insured for auto physical damage- <br /> , Additional Insured In Favor of City of Santa Ma,Its officers agents and employees(on all policing except Workers' <br /> COmpensatlQ WEL)winn and to the extent Sc required by written contract.The Above Auto LiASi11W policy Levities UAW <br /> cnvarage to the trunks owned by the City et Banta Ana that ora operated and man:lined by Waste ManagaMertt et OranlM County. <br /> CERTIFICATE HOLDER: CANCELLATION: <br /> SHOULD ANY OF THE ABOVE PENCRIBE0 POLICIES8E CANCELLED BEFORETNE <br /> ExPIRAINN VMS TIIERCOF.YXE asthma INDUAEn WILL PAIL So PALS WRIT`N N0TIDP <br /> TO THE CRNTIFICATE HOLDER NAMED TO THE LEFT. <br /> City of Santa Ana <br /> 20 civic Cent&Plus ` AUTHORIGLU rtEPREDENTATTve: _„ � <br /> P.O.Box 1688 <br /> Santa Ana,CA 92701 APPROVED A, 5 '(I 'j, <br /> Michas Viglintrn I& <br /> Deputy City Atrarney <br /> I 'd 6905-Lb9-VII. Wild euy ezue9 .to 8240 012E ;CO SO II .+dy <br />