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CERTIFICATE OF INSURANCE Date(MM/DD/YY) <br /> (MoD/) <br /> 03 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Lockton Companies of Houston, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Houston,TX 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 866-260-3538 (Phone) <br /> 866-492-1055(Fax) INSURERS AFFORDING COVERAGE <br /> INSURED: WASTE MANAGEMENT and Insurer A: ACE American Insurance Company <br /> Waste Management of Orange County Insurer B: Indemnity Insurance Company of North America <br /> 1800 S. Grand Avenue Insurer C: <br /> Santa Ana, CA 92705 <br /> Insurer D: <br /> Insurer E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br /> 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. AGGREGATE LIMITS SHOWN MAY BE EXHAUSTED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS <br /> LTR DATE <br /> GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 <br /> A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(ANY ONEFIRE) $ 5,000,000 <br /> X OCCURRENCE HDO G21693054 1/1/2004 1/1/2005 MED EXP(PER PERSON) <br /> X XCU INCLUDED PERSONAL&ADV INJURY $ 5,000,000 <br /> X ISO FORM CG 00 01 10 01 APPROVED AS TO FORT1. GENERAL AGGREGATE $ 6,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMP.OP.AGG $ 6,000,000 <br /> X <br /> PROJECT <br /> X LOCATION Laura SLio1lhccdy <br /> AUTOMOBILE LIABILITY .ASSis Lain C.i Ly ALlul nuy COMBINED SINGLE LIMIT $ 10,000,000 <br /> A x ANY AUTO (EACH ACCIDENT) <br /> ALL OWNED AUTOS ISA H08010948 1/1/2004 1/1/2005 <br /> X HIRED AUTOS <br /> X NON-OWNED AUTOS <br /> X MCS-90 <br /> EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 15,000,000 <br /> A -x OCCURRENCE XOOG21808234 1/1/2004 • 1/1/2005 AGGREGATE $ 15,000,000 <br /> CLAIMS MADE <br /> WORKERS'COMPENSATION WORKERS'COMPENSATION STATUTORY <br /> B and EMPLOYERS LIABILITY WLR C43972765 1/1/2004 1/1/2005 EL EACH ACCIDENT $ 3,000,000 <br /> A SCF C43972728 (WI) EL DISEASE-EA EMPLOYEE $ 3,000,000 <br /> EL DISEASE-POLICY LIMIT $ 3,000,000 <br /> REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: <br /> CHECK ® BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. <br /> BOX <br /> ® CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED(EXCEPT FOR WORKERS'COMP/EL)WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT, <br /> City of Santa Ana,Its officers,employees,agents and volunteers are named as Additional Insureds with respect to all operations by the Named <br /> Insured(on all policies except Workers'Compensation/EL)where and to the extent as required by written contract. <br /> CERTIFICATE HOLDER: CANCELLATION: <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL MAIL'30 DAYS WRITTEN NOTICE <br /> TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.*EXCEPT 10 DAYS NOTICE FOR NON- <br /> PAYMENT, <br /> City of Santa Ana <br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE — Y <br /> P.O. Box 1988 <br /> Santa Ana, CA 92702 �q® <br />