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.vim vEzo CERTIFICATE OF LIABILITY INSURANCE <br />`� I rl i2u2c1 <br />DATE(MMIDDIYYYY) <br />I 11 /26/2019 <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($). AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(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 />CUMAUT <br />3657 BRIARPARK DRIVE, SUITE 700 <br />HOUSTON TX T7042 <br />866-260-3538 <br />No Ext ; FAX <br />A/C No): <br />E-MAIL <br />ADDRESS: <br />INSURERIS) AFFORDING cv <br />INSURERA: ACE American Insurance Cum am <br />22667 <br />INSURED WASTE MANAGEMENT HOLDINGS I ILA <br />1348�79 RELATED & SUBSIDIARY COMPANIES INCLUDING: <br />WASTE MANAGEMENT OF ORANGE COUNTY <br />GREAT WESTERN RECLAIMATION <br />1800 SOUTH GRAND AVENUE <br />INSURER B : ACE Pro m• & Casualty Insurance Co <br />0699 <br />INSURER C: Allied World Assurance Company, Lid <br />4) 2g <br />Argo Re Ltd. <br />INSURER E, <br />SANTA ANA CA 92705 <br />INSURER F; <br />COVERAGES CERTIFICATE NUURFRr 115fi?709 RFVLCIflN MIIMR60& YYYYYYY <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 />LYR R <br />TYPE OF INSURANCE <br />ADD <br />B <br />POLICY NUMBER <br />OLICY EFF <br />POLICOMM <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />y <br />1' <br />HDOG71212993 <br />1/1/2019 <br />1/1!2o30 <br />EACHOCCURRENCE <br />. 500O,000 <br />CLAIMS -MADE � OCCUR <br />DAMAGERENTED r nce <br />S 000,DO0 <br />X <br />MED EXP tAny oneperson) <br />XXXXXXx <br />XCU INCLUDED <br />X <br />1S0 FORM CGWO 10413 <br />PERSONAL & ADV INJURY <br />s5,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />S 6.000 000 <br />POLICY PRO- � LOC <br />PRODUCTS - COMP/OP AGG <br />S 6,00D 000 <br />OTHER <br />S <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />MMTH0886632h <br />I/I,2019 <br />I-U202i1 <br />Caaeelde S)INGLELIMIT <br />$ 1000000 <br />X <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />X <br />Ep <br />AURTEO�SONLY ALITNNO.ppSyyUyyLEDpp <br />BODILY INJURY (Per acadenl <br />$ XXXXXXX <br />X <br />AUTOS ONLY X AUTOS 0 <br />denDAMA E <br />MerrPROPERTY <br />$ Xj(XXXXX <br />� XXXXXXX <br />X <br />MCS-90 <br />B <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />Y <br />Y <br />XOO G27929242 004 <br />111 /2019 <br />1 1112020 <br />EACH OCCURRENCE <br />$ 100,000,000 <br />C <br />D <br />EXCESS LIAB <br />CLAIMS -MADE <br />C035009/)03 <br />ARGO-CAS-OCC-000633 6 <br />I/1/2019 <br />1/1/2019 <br />1/1!2020 <br />1 / 1!2020 <br />AGGREGATE <br />$ 100,000,000 <br />DEC RETENTION $ <br />S XXXXX\X <br />C <br />C001389/017 <br />I/l/2019 <br />1!i!2020 <br />WORKERS CO MNSA i N <br />AND EMPLOYERS' LL481LITY y/ N <br />Y <br />WLR C65435809 (AZ.CA & M <br />1/1/2019 <br />1/12020 <br />?i STATUTE I E H <br />E L EACH ACCIDENT <br />$ 3,000,000 <br />OFFICER/MEMBER EXCLUANYPROPRIE'TORtPARTNOFEp XECUTIVEEE <br />N / A <br />E L DISEASE - EA EMPLOYEE <br />3,000000 <br />(mandatory In NH) <br />d c <br />DESCRIPTION OFnbe.n�OPERATIONS below <br />E L DISEASE -POLICY LIMIT <br />s 3,000,000 <br />A <br />EXCESS A170 <br />i <br />y <br />XSA 1­125278598 <br />1/12019 <br />D1 2020 <br />COkIBINEDSINGLE I.IMII <br />LIABILITY <br />59 000.000 <br />(EACH ACCIDENTI <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule. may be attached tr more space is required) <br />THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERMIS) REFERENCED <br />BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL. POLICIES WHERE- AND TO THE EXTENT <br />REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED <br />(EXCEPT FOR WORKERS* COMPEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CON TRACT <br />-ram -- - -- - sue. ._ . 'M l\ GLLM 1I%JA JOO I1lldwilulzlil <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE 2019 ACCORDANCE WITH THE POLICYFPROVISIONS., NOTICE ILL BE DELIVERED IN <br />11582709 AUTHORlZEO REPRESENTATIVE <br />CITY OF SANTA ANA A M. LAMBERT <br />RISK MANAGEMENT DIVISION, 4TH FLOOR, M-28 <br />20 CIVIC CENTER PLAZA <br />P.O. BOX 1988 <br />SANTA ANA CA 92701 <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATI04f All rinhtc roan va l <br />The ACORD name and logo are registered marks of ACORD <br />