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HomeMy WebLinkAboutWASTE MANAGEMENT COLLECTION & RECYCLING INC (DBA WASTE MANAGEMENT OF OC)A-2017-366-01 INSURANCE NOT ON FILE MAYOR WORK MAY NOT PROCEED Miguel A. M CLERK OF COUNCIL MAYOR PRO TETE Juan Villages COUNCILMEMBERS Cecilia Iglesias David Penaloza Vicente Sarmiento Jose Solorio DATE: JUL 0 2 2019 CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza Santa Ana, California 92701 www.santa-ana.oro June 4, 2019 Waste Management of Orange County Attn: Public Sector Manager 1900 S. Grand Ave. Santa Ana, CA 92702 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvaiho ACTING CLERK OF THE COUNCIL Norma Mitre Re: Further extension of Agreement #A-2005-259 for collection and handling of construction and demolition debris generated, produced and/or accumulated at temporary construction sites To the Public Sector Manager: Pursuant to the terms detailed in the Extension of Agreement No. A-20t7-366 ("Extension") entered into by Waste Management Collection and Recycling, Inc. dba Waste Management of Orange County and the City of Santa Ana, dated December 19, 201,7, the time period for the original Agreement (#A-2005-259) ("Agreement"), as amended, was extended until June 30, 2020, with an option to extend for one year. By operation of this letter, the parties hereby agree to extend the Agreement for an additional one (1) year period until June 30, 2021. The insurance certificates are required to be extended and/or renewed to cover thus e�x(tension. All other terns and conditions of said Agreement, as amended, remain unchanged and in full fotice fmd effect. Fuad Si Executi CITY ( ss, PE, PLS Director, Public Works Agency City Manager M APPROVED AS TO FORM: Sonia R. Carvalho City Attorney Igi. -f Jol M. Funk Assistant City Attorney WASTE MANAGEMENT COLLECTION & REf;YL Norma Mitre Acting Clerk of the Council SANTA ANA CITY COUNCIL. INC. California Area Miguel A. Palidc Juan vitlegas ftwae sarrc ento DaAd Penaloza Jose Solorio vacant Cecilia Iglesias Mayor Mayor Pro Tom, Ward 5 Word Ward Ward Word Wad m^uli2V_&anla-angora ffiiU.@ &oaanta-am, oro v_g.Qfn t foZ t - n rg Joenaloza(aZsanta-ana.e-rg 'soloi ofou2santa-anyy�ry cialesias(olsantmana oro H� /Cu CERTIFICATE OF LIABILITY INSURANCE GATE (14/20 VYYY) vv2o2o ]2/4/2D18 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pelicy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on this eerti6aste does not confer rights to the certificate holder in Ilea of such endorsemends). PRODUCER LOCKTON COMPANIES - 3657 DRIARPARK DRIVE, SUITE 700 HOUSTON TX 77042 866-260.3538 C No, Exalt .— • No 104—k8s: NSURERI-91 AFFORDING COVERAGE INSURER A; ACE American Insurance Company INSURERS: ACE Property &.Casualt HlsonliceCc 22667 2069 INC,&ALL ATED, INSURED WA MANAGEMENT COMPAOLDINGNIES 1348279 _RELATED & SUBSIDIAR COMPANIES INCLUDING: ___ WASTE MANAGEMENT PORANGE COUNTY GREAT WESTERN RECL, NU TION 1800 SOUTH GRAND AVENUE SANTA ANA CA 92705' ""— - INsuREft C: Allied World Assurance Col» an ,Ltd ___ 4128 J&S—UBEB D : Argo Re Lid. INSURER E 1195URER F: COVERAGES CFRTIPICATF MIIMRFG- 115R97f10 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I LS TYPE OF INSURANCE ADOL NBU U q POLICY NUMBER LICYE F I/I/2019 P I YEXY. 1/112020 LIMITS A X COMMERCIAL GENERAL LIASUrry CLAIMS -MADE ©OCCUR Y Y 11DOG71212993 EACH OCCURRENCE 1 5000000 PDAMMIG�Ertmene 55,000,00 X MED EXP Anyone arson XXXXXXX XCU INCLUDED X IISO FORM C6001110413 PERSONAL BADVINJURY S 5000000 GEN'L AGGREGATE qLIMIT APPLIES PER: POLICY JELQT � LOG GENERAL AGGREGATE 6,000000 PRODUCTS -COMPIOP AGO $ 6 000 000 OTHER: $ A ._— AUTOMODILELIASILII'Y X X X �( ANYAUTO OWNEp_'_._.. gCHEpULEO...__ AUTOS ONLY AUUpTNIJOS EEpp FIRED X ALI7050NLV Mcs-90 Y __._. Y _..-,,. MMTHI08866326 . ___. _.__,.,,.-... ._-._-_ I/I/2019 ____.._..�,-_ 1/1/2020 «.,4..--_ AMBcWa t ' E 'tl $ 1,000,000 BODILY INJURY IPer person) $ XXXXXXX BODILY INJURY (Par ecddenl$XXXXXXX PI(i0PE1eryl GE $ XXXXXXX $ XXXXXXX R C D C A X' N UMBRELLA LIAR UMBRELLA LIABEXCESS LIAR X OCCUR CLAIMS -MADE Y N/A Y Y XOD G27929242004 C0350091003 ARGO-CAS-OCC-000633.E C001389/017 WLR C65435809(AZ,CA&TAP 1/1/2019 1/l/2019 I/l/2019 1/1/2019 1/1/2019 1/1/2020 1/l/2020 1/1/2020 I/I/2020 1/1/2020 EACH OCGUftftENCE $ jQQ QQQ QQQ AGGREGATE $ 1000QQO i1Q DED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFlCEUMEWHER EXCLUDED, N f rYO,d ory In MAI e,d DbSCRIPTION OF OPERATIONS IN. ER X I PEARTUT, OTANY H- $ XXXXXXX E.LEACHACCH)VOT 2 3,000,000 E.L. DISEASE- EA EMPLOYEE 3.000.000 E.L.OIBEA9E-POLICYLI IT 3 J QOQ,QQQ A EXCESS AUTO LIABILITY Y Y X5A H2527R598 1/1/2019 III/2o20 COMBINHD 9MOLE LIMIT (EEACHACH ACCIDENT) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACOR0101. Atlditlonal Remarks Schedule, may be attached If more apace is required) BLANKET WAIVER OF SUBROGATION 1S GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND'TO THE EXTENT REpl11RED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT' FDI( WORKERS' COMP/E1,) WHERE AND TO THE EXTENT REQUIRED 131' WRITTEN CONTRACT, ADDITIONAL INSURED IN FAVOR OP CITY Or SANTA ANA ITS OFFICERS AGENTS AND EMPLOYEES fON ALL POLICIES EXCEPT WORKERS' COMPENSATION;EL) W71CRE AND 10 THE EXTENT AS REpUIRLD BY WRITTEN CONTRACT. THE ABOVE AUTO LIABILITY POLICY PROVIDES LIABILITY COVERAGE'TO THE TRACKS OWNED BY THE CITY OF SAN"PA ANA THAT ARE OPERATED AND MAINTAINED BY WASTE MANAGEMENT OF ORANGE COUNTY. h=.____--__—. —_- ) rrR�L"VIEWLD 8Y: 1=11NICC HEREDIA (Pc) of �j) G44/1I occ f1LK10UIllClll SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11582709 AUTHORIZED REPRESENTATIVE CITY OF SANTA ANA 20 CIVIC CENTER PLAZA P.O. BOX 1088 SANTA ANA CA 92701 ACORD 25 (2016103) ©1988.2015 ACORD CORPORATICIM. All rights reserved I na A+ VKU, name ana logo are registered marks of ACORD ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company ACE American Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # HDO G71212993 relating to the following:----------_-_--__.------_ ___----. ----____-- --------,—__-�--- * 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of scuts arising from the operations and uses performed by or on behalf of the named insured. *2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom clahn is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to malce this endorsement effective.) Effective 01/01/2019 , this endorsement form as a part of Policy # HDO G71212993 Issued to WASTE MANAGEMENT OF ORANGE COUNTY Named Insured Countersigned by Authorized Representative ^' where and to the extent required by written contract. Attaclunent Code: D470838 Certificate ID : 1/582709 Exhibit B REVIEWED 13Y: T EUNiCE HEREDIA p,G2or Z.) Francine R. r'9'm'""gned byantlne Villareal °9e1030 80° 12""' ACORO® CERTIFICATE OF LIABILITY INSURANCE �i. DATE(MMIDDIYYYY) 7/27/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER HUB International Insurance SerVICES Inc. 3636 American River Drive, Suite 200 Sacramento CA 95864 CONTACT NAME: ROCIo Leon AIONNo Exl: 916-4BO-4134 FAX No:916-993-7234 E-MAIL ADDRESS: Rocio.Leon@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIL# INSURERA: Greenwich Insurance Company 22322 License#: 0757776 INSURED WAREDIS-02 Ware Disposal Inc. P.O. Box 1318 INSURER B: Westchester Surplus Lines Insurance Co. 10172 INSURER C: Alaska National Insurance Company 38733 INSURER D: Indian Harbor Insurance Company 36940 Santa Ana CA 92702 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 278481332 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR R TYPE OF IN SURANCE ADDL MD POLICYNUMBER YEFF MMIDDYYYY POLICY EXP MMIDDYYYy LIMITS A X COMMERCIAL GENERAL LIABILITY V GEC3000730-05 2/28/2020 2/28/2021 EACH OCCURRENCE $1,000,000 CLAIMS -MADE 1XI OCCUR PREMSREIFID ES Eeoccomence $100,000 X MED EXP(Any one person) $5,000 $1, 000 PD Ded. Per Occurrence PERSONAL&ADVINJURY $1,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 Fyl POLICY PEO LOC PRODUCTS - COMP/OP AGO $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY y AECO04538605 2/28/2020 2/28/2021 COMBINED SINGLE LIMIT Ea accident) $1,000,000 X BODI LV I NJURV(Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accitlent) $ Per accitlent $ HIRED NONOWNEDPROPERTVDAMAGE AUTOS ONLY AUTOS ONLY BI/PD Deductible $10,000 B UMBRELLA LIAB X OCCUR G46863306003 2/28/2020 2/28/2021 EACH OCCURRENCE $10,000,000 X AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERSLIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE 20H WS 05450 8/1/2020 8/1/2021 X PER OTH- STATUTE ER EL EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCWDED9 N N/A EL DISEASE - EA EMPLOYEE $1,000,000 (Mlnfail in NH) If yes, describe under DESCRIPTION OF OPERATIONS brow EL DISEASE -POLICY LIMIT $1,000,000 D Pollution &Remediation Legal PECO056139 2/28/2020 2/28/2023 Each Poll. Condition $5,000,000 Liability/CPL Aggregate $10,000,000 Retention $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, A#tliti onal Remarks Schindel e, may be atta chef if more space is required) (General Liability Per Project Aggregate applies per written contract) RE: Work performed by the insured for certificate holder per written contract Additional Insured: City of Santa Ana; its officers, employees, agents, and representatives are additional insured with respect to General Liability and Auto Liability as required by contract. Forms: CG2010 0413, CG2037 0413, IX1405 0910, XIL431 0605, XIC411 1013 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division, 4th Floor 20 Civic Center Plaza AUTHORIZED REPRESENTATFIE Santa Ana CA 92701 „/j �— ,SdPMlJ"< Risk ManagementDiuiaian +�REVIEWED&APPROVED BY: ©1988-2015 ACORD `�9�IiLllJC1` ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD '®' Nick Management Analyst POLICY NUMBER: GEC3000730-05 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations City of Santa Ana, its officers, employees, agents, Any Location volunteers and representatives. 20 Civic Center Plaza, Santa Ana CA 92701 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury' caused, in whole or in part, by: 1. Your acts or omissions, or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: The insurance afforded to such additional insured only applies to the extent permitted by law: and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed, or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 �• Rime Mrmagemerd DMsian BY.' rrREVIEWED&{APPRIOV�ED r�✓vNG�MZ R. V�fZ�.f ® Risk Management Analyst C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 Risk Mrmagemerd DMsisn REVIEWED &{APPRIOV�ED BY.' ® Risk Management Analyst POLICY NUMBER: GEC300730-05 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations City of Santa Ana, its officers, employees, agents, volunteers and representatives. 20 Civic Center Plaza, Santa Ana CA 92701 Any Location Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury' or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law, and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement, or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 0 Insurance Services Office, Inc., 2012 Rime Mrmagemerd DMsian &{APPRIOV�ED BY.' �rrREvEWED r�lHY�h2 R. V�fZ�.f ® Risk Management Analyst ENDORSEMENT# This endorsement, effective 12:01 a.m., 02/28/2020 forms a part of Policy No: GEC3000730-05 issued to Ware Disposal, Inc by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of premium, advanced written notice will be mailed or delivered to person(s) or entity(ies) according to the notification schedule shown below: Name of Person(s) or Entity(ies) Mailing Address: Number of Days Advanced Notice of Cancellation: City of Santa Ana 20 Civic Center Plaza, Santa Ana CA 92701 30 All other terms and conditions of the Policy remain unchanged. IXI 405 0910 © 2010 X.L. America, Inc. All Rights Reserved. May not be copied without permission. Rime Mrmagemerd DMsian &{APPRIOV�ED BY.' �REVIEWED r�✓vNG�MZ R. V�fZ�.f ® Risk Management Analyst ENDORSEMENT# This endorsement, effective 12:01 a.m., 02/28/2020, forms a part of Policy No: GEC3000730-05 issued to Ware Disposal, Inc by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. :7hyJ_1:Ya121111:7_12[d=IrdA_111,61 =1 =1IBig] :11=1l41=11Y11111113d:I=1bill 4=1ll: This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM It is agreed that to the extent that insurance is afforded to the following Additional Insured under this policy, this insurance shall apply as primary and not contributing with any insurance carried by such Additional Insured, as required by written contract. Name of Person or Organization: City of Santa Ana, its officers, employees, agents, volunteers and representatives. 20 Civic Center Plaza, Santa Ana CA 92701 All other terms and conditions of this policy remain unchanged. XIL 431 0605 ©, 2005, XL America, Inc. 5s' Rime Mrmagemerd DMsian BY. rrREVIEWED&{APPRIOV�ED r�✓vNG�MZ R. V�fZ�.f ® Risk Management Analyst ENDORSEMENT #044 This endorsement, effective 12:01 a.m., July 20, 2020 forms a part of Policy No. AECO04538605 issued to WARE DISPOSAL, INC. by Greenwich Insurance Company. 110.16E:10II I.R]:I�ilq►lril:I_ 0lei *91aago] I[N'M,I7_F901111:77_1111101111Ill :7g11111]1119 CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of premium, advanced written notice will be mailed or delivered to person(s) or entity(ies) according to the notification schedule shown below: Number of Days Name of Person(s) or Entity(ies) Mailing Address: Advanced Notice of Cancellation: City of Santa Ana Risk Management Division, 4th Floor, 20 Civic Center Plaza 30 Santa Ana, CA 92702 All other terms and conditions of the Policy remain unchanged. IXI 405 0910 JABR 07/20/2020 © 2010 X.L. America, Inc. All Rights Reserved. May not be copied without permission. oti Risk MuagnnentDMsian REVIEWED&APPROVED BY: V:r ldd RBk Management Analyst POLICY NUMBER: AECO04538605 XIC 411 1013 ENDORSEMENT #011 This endorsement, effective 12:01 a.m., February 28, 2020 forms a part of Policy No. AECO04538605 issued to WARE DISPOSAL, INC. by Greenwich Insurance Company. 10:1R2=12UZ67:11=141=12Ydrd:l_VN*bd:1=l4Pl'A»=F_F-4=1;1=FM97Ydrd_ I=11114WM I_1111 Cal IT, 1_V 0 191-11 a] a] 1110 [a] � I_101 � &111 N =1 I] This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM A. COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured, is amended to include as an "insured" any person or organization you are required in a written contract to name as an additional insured, but only for "bodily injury" or "property damage" otherwise covered under this policy caused, in whole or in part, by the negligent acts or omissions of: You, while using a covered "auto", or 2. Any other person, except the additional insured or any employee or agent of the additional insured, operating a covered "auto" with your permission, Provided that: a. The written contract is in effect during the policy period of this policy, b. The written contract was signed by you and executed prior to the "accident" causing "bodily injury" or "property damage" for which liability coverage is sought, and C. Such person or organization is an "insured" solely to the extent required by the contract, but in no event if such person or organization is solely negligent. B. The Limits of Insurance provided for the Additional Insured shall not be greater than those required by contract and, in no event shall the Limits of Insurance set forth in this policy be increased by the contract. C. General Conditions, Other Insurance is amended as follows: Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to the additional insured whether such insurance is primary, excess, contingent or on any other basis unless the contract specifically requires that this policy be primary. All terms, conditions, exclusions and limitations of this policy shall apply to the liability coverage provided to any additional insured, and in no event shall such coverage be enlarged or expanded by reason of the contract. All other terms and conditions of this policy remain unchanged. XIC 411 1013 © 2013 X.L. America, Inc. All Rights Reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc., with its permi I[/XXYIxIPA1 111 'IIS[y Page 1 of 1 Rime Mrmagemerd DMsian &{APPRIOV�ED BY.' �REVIEWED r�✓vNG�MZ R. V�fZ�.f ®6 Risk Management Analyst Westchester A Chubb Company Declarations ACE Catastrophe Liability Plussm Policy Policy Number: G46863306 003 1 Previous Policy Number: G46863306 002 COVERAGE IS PROVIDED IN THE COMPANY DESIGNATED BELOW Westchester Surplus Lines Insurance Company NAMED INSURED AND ADDRESS PRODUCER NAME AND ADDRESS Ware Disposal, Inc. CRC Insurance Services Inc. (As Per Underlying Insurance) 1 Metroplex Drive P.O. Box 1318 Suite 400 Santa Ana, California 92702 Birmingham, AL 35209 PRODUCER CODE 101571 Policy Period: From 02/28/2020 To 02/28/2021 12:01 A.M Local Time at the Address of the Named Insured as stated herein Limits of Insurance $ 10,000,000 Each Occurrence $ 10,000,000 Aggregate Premium $ Advance Premium © Flat Except For Acquisitions ❑ Adjustable Surplus Lines Tax $ Total Amount Due Stamping Office Fee $ Annual Premium Policy Fee: - Schedule of Underlying Insurance First Policy of Underlying Insurance Company: See Schedule A Limits of Insurance Policy Period: See Schedule A $ See Schedule A Each Occurrence $ See Schedule A Aggregate, Where Applicable $ Not Applicable Forms attached to and forming a part of this policy at inception: Policy Form: ACE Catastrophe Liability Plus Policy XSC-27266 Schedule of Underlying Insurance: ❑ XSWO02 ❑X XSWO04 Endorsements as Listed on the Schedule of Endorsements CPfs2 Authorization Information: 9ZJOHN J. LUPiCA. President XSWO01 (07/10) OChubb. 2016. A rghts reserved. Rime Mrmagemerd Division r(R�EVIEWED&pAPPP1RL,OVVrED BY.' ® Risk Management Analyst SCHEDULE A - SCHEDULE OF UNDERLYING INSURANCE Named Insured Endorsement Number Ware Disposal, Inc. Policy Symbol Policy Number Policy Period Effective Date of Endorsement MLW G48883308 003 02/2 8/2020 To 02/28/2021 02/28/2020 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: ACE CATASTROPHE LIABILITY PLUS POLICY TYPE OF POLICY APPLICABLE LIMITS INSURER - POLICY PERIOD (A) Automobile "Bodily Injury" and "Property Damage" Liability Combined Single Limit $ 1,000,000 Each "Occurrence" Uninsured / Underinsured Motorist $ Not Applicable Each "Occurrence" (B) General $ 1,000,000 Each "Occurrence" Limit Liability $ 2,000,000 General Aggregate Limit (X) Per Project/Location $ 2,000,000 Products/Completed Operations Aggregate Limit $ 1,000,000 Personal & Advertising Injury Limit (C) Employers Coverage B- Employers Liability Liability 'Bodily Injury" by Accident $ 1,000,000 Each Accident "Bodily Injury" by Disease $ 1,000,000 Each Employee Bodily Injury" by Disease $ 1,000,000 Policy Limit (D) Employee $ 1,000,000 Each "Claim" Benefits $ 1,000,000 Aggregate Liability (E) Automobile "Bodily Injury" and "Property Damage" Liability Combined Single Limit $ 1,000,000 Each "Occurrence" (Excess of Item (A) above) Greenwich Insurance Company 02/28/2020 - 02/28/2021 Greenwich Insurance Company 02/28/2020 - 02/28/2021 Western World Insurance Company 02/28/2020 - 02/28/2021 Alaska National Insurance Company 08/01/2019 - 08/01/2020 Greenwich Insurance Company 02/28/2020 - 02/28/2021 Crum & Forster Specialty Insurance Company 02/28/2020 - 02/28/2021 XSWO04 (07/10) ©Chubb. 2016. All rights reserved. Risk Management Division /R' EvEWED &{AP'PIRIOeVeEDBY.' 3'llllLtll[-� r�lVf.lN4�e Tom. V�RK ®' ® Risk Management Analyst