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ALc ?o tlr CERTIFICATE OF LIABILITY INSURANCE <br />L.►-� t/t/2o19 <br />D12/11/2017l <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 poiicy(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 certifcate 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 />CONTACT <br />NAME: <br />PHONE FAX <br />t AIC No): <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A: ACE AHTeriCaDInsurance COrD an <br />22667 <br />_ <br />INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, <br />1348279 RELATED & SUBSIDIARY COMPANIES INCLUDING: <br />INSURER a: ACE Property & Casualty Insurance Co <br />20699 <br />INSURER C : Allied World Assurance Company,Ltd <br />94128 <br />WASTE MANAGEMENT OF ORANGE COUNTY <br />GREAT WESTERN RECLAIMATION <br />INSURER,p Argo Re Ltd. <br />1800 SOUTH GRAND AVENUE <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: IIiR9700 RFVI-RInld M"1111RFR- VVvv <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 />DLSUaft <br />POLICY NUMBER <br />POLICY EFF <br />MM/DO/YY <br />POLICY E%P <br />MMIODIYYYY I <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />� CLAIMS -MADE 1OCCUR <br />Y <br />Y <br />HDO G27873091 <br />I/1/2018 <br />1/1/2019 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />Dirt IS iORE E <br />[Ee occurrence <br />$ 5,000,000 <br />X <br />-PREMISES <br />MED 5XP(Any one person) <br />XXXXXXX <br />XCU INCLUDED <br />X <br />ISO FORM COOOO10413 <br />_$ <br />PERSONAL & ADV INJURY <br />$ 5,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY FX]jEGOT- I]LOC <br />GENERAL AGGREGATE <br />$ 6000000 <br />GEN'L <br />PRODUCTS - COMP/OP AGO <br />$6000000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />y <br />Y <br />MMTH08866326 <br />I/1/2018 <br />1/I/2019 <br />COMBINED INGL LIMI <br />(Ea accident)__,_,__ <br />$ 1000000 <br />X <br />_ <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />X <br />BODILY INJURY (Per accident) <br />$ XXXXXXX <br />HIRED`X AUTOS ONLY `X AUTOS ONLY <br />Pe a cde DAMAGE <br />$ XXXXXXX <br />X <br />s XXXXXXX <br />MCS-90 <br />B <br />C <br />D <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />I OCCUR <br />CLAIMS -MADE <br />Y <br />Y <br />XOO G11111141 103 <br />C035009/00l <br />ARGO-CAS-OCC-000633,4 <br />1/1/2018 <br />1/1/2018 <br />1/1/2019 <br />I/I/2019 <br />1/1/2019 <br />1/1/2019 <br />EACH OCCURRENCE <br />$ 100000000 <br />AGGREGATE <br />$ 100 000 000 <br />DED RETENTION$ <br />-_ <br />s X XXXXX <br />C <br />C001389/015 <br />1/1/2018 <br />1/1/2019 <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETCWPARTNEWEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />NIA <br />Y <br />WLR C64622778(AZ,CA,&MA) <br />1/1/2018 <br />I/l/2019 <br />PER OTH- <br />X STATUTEER <br />E.L. EACH ACCIDENT <br />_ <br />$ 3 000 000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 3,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 3,000,000 <br />DESCRIPTION OF OPERATIONS below <br />A <br />EXCESS AUTO <br />LIABILITY <br />Y <br />Y <br />XSA 1121/11119 <br />11112111 <br />11111111 <br />COMBINED SINGLE LIMIT <br />$9,000,000 <br />(EACH ACCIDENT) <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If more space is required) <br />BLANKET WAIVER OF SUBROGATION IS GRANITE D IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY <br />WRITTEN CONTRACT WHERE PERMISSIBLE BYLAW. 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 AGENTS AND <br />EMPLOYEES (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE AND TO THE EXTENT AS REQUIRED BY WRITTEN CONTRACT. THE ABOVE AUTO <br />LIABILITY POLICY PROVIDES LIABILITY COVERAGE TO THE TRUCKS OWNED BY THE CITY OF SANTA ANA THAT ARE OPERATED AND MAINTAMED BY <br />WASTE MANAGEMENT OF ORANGE COUNTY. <br />REVIEWCD BY: EUNICE HEREDIA(PG OF2 ),,, <br />11582709 <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />P.O. BOX 1988 <br />SANTA ANA CA 92701 <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 />AUTHORIZED REPRESENTATIV <br />*:)—, <br />© 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD ZD (ZU1B/us) The ACORD name and logo are registered marks of ACORD <br />