Laserfiche WebLink
,4coRb CERTIFICATE OF LIABILITY INSURANCE <br />`i I n 11021 <br />DATE(MRRDDrNM <br />1 12/6/2019 <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`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 />N 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 endomement(s). <br />PRODUCER LOCKTON COMPANIES <br />CONTACT <br />a No E.r : 113, Mel: <br />3657 BRIARPARK DRIVE, SUITE 700 <br />HOUSTON TX 77042 <br />866-2603538 <br />E-MAIL <br />ADDESS <br />INSURER A: ACE American Insurance CommCommy <br />22667 <br />INSURED INC.I <br />1348279 RELATED & SUBSIDIARY COMPANIES INCLUDING: <br />WASTE MANAGEMENT OF ORANGE COUNTY <br />GREAT WESTERN RECLAIMATION <br />INSURER 8: See Attached <br />INSURER C : <br />INSURER D <br />1800 SOUTH GRAND AVENUE <br />SANTA ANA CA 92705 <br />:N:'l RER F: <br />COVERAGES CERTIFICATE NUMBER: 11582709 REVISION NUMBER: 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 />TYPE OF INSURANCE <br />ADDL <br />AM <br />SUB" <br />POLICY NUMBER <br />POLICY EFF <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLMMS4AA.DE O OCCUR <br />XC I INCLUDED UDED <br />Y <br />IML <br />Y <br />HDOG71237345 <br />1/1/2020 <br />I/1/2021 <br />EACH OCCURRENCE <br />5000000 <br />PR AI EjfEIIIIcoumacalE TO RENTED <br />S 5,000,000 <br />MED UP (Any one <br />XXXXXXX <br />X <br />I NO FORM CG0001041 T <br />PERSONAL & ADV INJURY <br />S 5,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY jPER& [K] LOC <br />OTHER <br />ENERAL AGGREGATE <br />S 6,000,000 <br />PRODUCTS -COMPIOPAGG <br />S 6,000,000 <br />S <br />A <br />AUTOMOBILEUABILITY <br />ANY AUTO <br />Alp � ONLYJEWLED <br />N�pN1.p.pWyyEEp <br />AUTOS ONLY AUTO.SONLV <br />MCS-90 <br />Y <br />Y <br />MMTH25290008 <br />1/12020 <br />I/j2021 <br />LNEDSIN LE LIMIT <br />S 1 000000 <br />X <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />X <br />BODILY INJURY (Per am <br />$ XXXXXXX <br />X <br />PRO <br />P E <br />S XXXXXXX <br />X <br />$XXXXXXX <br />B <br />X <br />UMBRELLAUAB <br />EXCESS LIAa <br />X <br />OCCUR <br />CLAIMS -MADE <br />Y <br />Y <br />See Attached <br />1/12020 <br />1/1/2021 <br />EACH OCCURRENCE <br />S 100000000 <br />AGGREGATE <br />S 100 000 000 <br />DED RETENTIONS <br />$ XXXXXXX <br />A <br />MRKERSCOMPENSA N <br />AND EMPLOYERS' LIABILITY yI N <br />OMY <br />FFICEOPRIETEHPEXCLUDED C £ <br />(Mye.4., In NMI <br />IDESC Vl toN OF O TIDNS LMiw <br />NIA <br />Y <br />WLR C66043010 (AZ,CA & <br />I/12020 <br />1/l2021 <br />TH <br />X sTATUT R <br />LEACH ACCIDENT <br />s 3000000 <br />E.LpISEASE-EAEMPLQYM <br />3000000 <br />L. dafASE PoIICY LIMIT <br />1,3,000,000 <br />A <br />EXCESS AUTO <br />LIABILITY <br />y <br />y <br />XSA H25289961 <br />I/l2020 <br />1/12021 <br />COMBINED SINGLE LIMIT <br />$9.000,000 <br />(EAACH ACCIDE". <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ("CORD 101, Additional Remarks Schedule, may he aftachad N more space is required) <br />BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT <br />RE ABED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED <br />(EX EPT FOR WORKERS' COMPEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. <br />CA <br />11682709 <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION, 4TH FLOOR, M-28 <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 />rTT�HEpEaLXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />1 afIWIDANCE WITH THE POLICY PROVISIONS. <br />LAMBERT <br />©1988-2015 ACOI <br />The ACORD name and logo are registered marks of ACORD <br />