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HomeMy WebLinkAboutWARE DISPOSAL 2- A-2005-242INSURANCE NQT ON FILE A-2005-242 WORK MAY NOT PROCEED CLERK OF COUNCIL DATE: /f'3-emu AGREEMENT FOR COLLECTION AND HANDLING OF CONSTRUCTION AND DEMOLITION DEBRIS C PW� GENERATED, PRODUCED AND/OR ACCUMULATED AT TEMPORARY CONSTRUCTION SITES IN THE CITY OF SANTA ANA This AGREEMENT is made and entered into this 3 42t day of MDbek , by and between the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City") and Ware Disposal, Inc. (hereinafter CONTRACTOR). RECITALS 1. The Legislature of the State of California by enactment of California Integrated Waste Management Act (CIWMA) of 1989 requires local agencies to make provisions for solid waste handling and recycling within their jurisdictions. 2. The City Council of the City of Santa Ana desires the recycling and reuse of construction and demolition debris and inert debris that may otherwise be disposed in landfills. 3. The City Council of the City of Santa Ana desires that small businesses be encouraged and allowed to maintain a business presence in the City. 4. The City Council of the City of Santa Ana declares its intention of maintaining reasonable rates for collection, transportation and recycling of C and D debris. NOW, THEREFORE, in consideration of the respective and mutual covenants and promises contained and made, and subject to all the terms and condition hereof, the parties hereto do hereby agree as follows: 1. NON-EXCLUSIVE GRANT OF CONTRACT CITY hereby grants to CONTRACTOR, for the term hereafter specified, a non- exclusive right to collect, recycle, divert, and transport to appropriate facilities as set forth in this Agreement any Construction and Demolition Debris and other Incidental Waste which is generated, produced, and/or accumulated at a Temporary Construction Site and which is being disposed of in a roll -off container and/or a bin in the City of Santa Ana. CONTRACTOR, subject to all of the terms hereof hereby accepts and agrees to faithfully perform such obligations. 2. TERM OF CONTRACT: CONTINUATION RIGHTS The term of this Agreement shall begin on the date of execution and shall extend through June 30, 2008, and may be extended for an additional 7-year term upon agreement of both parties. CONTRACTOR acknowledges that, to the extent applicable, the terms and conditions of this Agreement constitute the mailed notification required to be given by the City under Public Resources Code Section 49520, et seq. prior to the City's award of exclusive solid waste handling services. 3. DEFINITIONS a. Construction and Demolition Debris (or C&D Debris) means any solid waste resulting from temporary construction activities, including without limitation, construction, remodeling, repair, demolition, site preparation and grading occurring at a Temporary Construction Site. C&D Debris does not include other waste materials generated at a site or location that are not directly and primarily related to the construction activities. b. Construction and Demolition Debris Processine Facility means a site that receives C & D Debris for the purpose of storage, sorting, handling, transfer, and/or processing. 2 c. Customer means a person or entity utilizing those services of CONTRACTOR which are the subject of this Agreement. d. End User means a facility that accepts, processes, uses, and/or sells C&D Debris only if it is source separated by material type at the point of generation and does not include a facility that accepts mixed loads of C&D Debris. e. Executive Director means the Executive Director of the Public Works Agency of the City of Santa Ana. f. Gross Receipts means and includes all revenues actually received by CONTRACTOR arising from, or attributable to, the services provided by CONTRACTOR to its Customers in the CITY pursuant to this Agreement. Gross receipts include all revenues collected from such Customers as payment for recycling costs, tipping fees, gates fees, or other similar costs associated with depositing materials at facilities and End Users as required by this Agreement. g. Incidental Waste means solid waste generated at Temporary Construction Sites which is incidental to construction activities occurring thereon, such as solid waste generated at a construction office/trailer, food packaging and other wastes generated by construction workers. h. Madison Materials means the Large Volume Transfer/Processing Facility located at 1035 E. 4"' Street, Santa Ana, California, which for purposes of this Agreement is deemed to be a Construction and Demolition Debris Processing Facility. i. Materials Recovery Facility or "MRF" means a facility permitted as a Transfer/Processing Operation or Facility pursuant to California Code of Regulations, Title 16, Section 17400, et. seq. j. Non -Conforming Material means material which cannot be accepted for delivery under any license, approval or permit issued 3 to a Construction and Demolition Debris Processing Facility, or to an End User. k. Recycline means collecting, sorting, cleansing, treating, processing and reconstituting recyclable solid wastes for the purpose of reuse. I. Santa Ana Customers means one or more customers of the Madison Materials Facility that meet all of the following criteria: (1) the customer is an entity that holds a Non -Exclusive Hauling Agreement with the City of Santa Ana; and (2) the customer is depositing C&D Debris or Incidental Wastes generated at Temporary Construction Sites in the City of Santa Ana at the Madison Materials Facility for processing. m. Temporary Construction Site means a location upon which temporary construction activities are occurring, including without limitation, construction, remodeling, repair, demolition, site preparation or grading occurring at or on streets, houses, commercial buildings, and other structures or sites. n. Willing and Able to Accept C&D Debris means that Madison Materials will accept all C&D Debris and Incidental Waste delivered by each Santa Ana Customer until daily capacity is met or until 6 p.m. whichever occurs first. Madison Materials must process all deliveries, determine the gross weight, receive, inspect, provide for the unloading of C&D Debris and Incidental Waste, and determine the tare weight of all delivered loads on a first -come first -served basis. Fifteen minutes after arrival at the Madison Materials Facility, all Santa Ana Customers will be given priority over all of Madison Material's other customers, in the order of their arrival. CONTRACTOR shall have the right to operate anywhere within the City limits. El 5. MAXIMUM RATES a. Hauling Rate CONTRACTOR shall charge rates for collection of C&D Debris that are no higher than those rates set forth in Attachment A. b. Processing Rate CONTRACTOR shall pay Madison Materials for processing of C&D Debris rates that are no higher than those set forth in Attachment B. c. Adjustments The Hauling Rate and Processing Rate will be adjusted effective July 1 each year in an amount equal to 90% of the April Consumer Price Index for All Urban Consumers (base year 1982-1984 = 100) for Los Angeles -Anaheim -Riverside area, published by the United States Department of Labor, Bureau of Labor Statistics. In calculating new rates, the program surcharge and host fees shall be excluded from the rates before such adjustment (increase or decrease) is made. 6. LEGAL RESPONSIBILITIES CONTRACTOR shall at all times comply with all applicable provisions of the Santa Ana Municipal Code, now in effect or hereafter enacted, as well as all other applicable County, State and Federal laws and regulations. Should any City, State or Federal law become effective after the date of execution of this agreement that materially impacts the performance of this agreement ("Change in Law"), which both parties agree require modifications to the terms hereof, the parties agree to meet and confer in a good faith effort to arrive at any such modifications. 61", Uc111 TWEXTO J 5 a. Effective July 1, 2005 CONTRACTOR shall pay to the CITY a solid waste program surcharge equal to 12.8% of CONTRACTOR'S gross receipts as defined in section 3. b. Payments to the CITY of said solid waste surcharges shall be made to the CITY on a monthly basis and shall be due and payable on or before the last calendar day of the following month. Accompanying each payment will be a listing of the gross receipts for that corresponding month as well an explanation and supporting documentation of adjustments and/or credits made. CONTRACTOR shall, whenever requested to do so, make available such records to the Executive Director for review at any reasonable time. c. Failure of CONTRACTOR to make any of the payments or provide explanations and documentation of adjustments provided for in sections (a) and (b) above on or before the dates due will result in a penalty of ten (10%) percent per month of CONTRACTORS gross receipts for the month(s) delinquent. 8. RECYCLING REQUIREMENTS a. General Requirement All C & D Debris and Incidental Waste (excluding City operations provided at no cost) collected in the City by CONTRACTOR shall be either (1) taken to a Construction and Demolition Debris Processing Facility for processing or (2) taken to an End User. CONTRACTOR shall utilize the Madison Materials Facility as the Construction and Demolition Debris Processing Facility if Madison Materials is Willing and Able to Accept C&D Debris, City and Madison Materials have a valid Host Fee Agreement in place, and City has determined that Madison Materials is in substantial compliance with the Host Fee Agreement. CONTRACTOR shall not deliver Non -Conforming Material to a 2 Construction and Demolition Debris Processing Facility or End User and agrees to comply with all reasonable requirements of such facilities relating to the use of said facility (such as those relating to insurance, disposing of hazardous materials and security for payment.) b. Landfill Prohibition. No C&D Debris collected pursuant to this Agreement may be taken directly to a landfill for disposal. CONTRACTOR shall ensure that any C&D Debris or Incidental Waste which is not required to be taken to Madison Materials in accordance with Section 8a shall be transported to a Construction and Demolition Debris Processing Facility, MRF or End User, shall be processed and that the portion thereof which is recyclable shall be recycled. Notwithstanding the foregoing, CONTRACTOR is not in breach of this requirement in the event that Madison Materials fails to process or recycle C&D Debris and Incidental Waste delivered to it by CONTRACTOR. 9. REPORTING REQUIREMENTS CONTRACTOR shall maintain records for all C and D Debris and Incidental Waste taken to Madison Materials, a MRF, a Construction and Demolition Debris Processing Facility, or an End User for audit by the CITY. CONTRACTOR shall prepare and submit to the CITY, on forms previously approved by the CITY, a monthly report stating the amount of solid waste collected from Temporary Construction Sites and delivered to a MRF, a Construction and Demolition Debris Processing Facility, or an End User. In addition thereto, CONTRACTOR shall provide to the CITY an annual report which provides a collated summary of all the information contained in the monthly reports referred to above. CITY may require additional reports from CONTRACTOR should the reports requested, or submitted, pursuant to this section not satisfactorily fulfill the CITY'S reporting requirements under CIWMA. 7 10, AUDIT REQUIREMENTS CONTRACTOR shall maintain records of all transactions related to the terms and conditions of this Agreement in accordance with normal industry accounting procedures. CITY and/or their audit representatives shall have access for the sole purpose of auditing CONTRACTOR's performance under this Agreement, to records, including, but not limited to weight tickets, books, documents and papers directly related to CONTRACTOR'S performance under this Agreement. CITY shall schedule any desired audit at CONTRACTOR's place of business, and at a date and time to be mutually agreed upon by CITY and CONTRACTOR, which date shall be at least 14 days following City giving written notice to CONTRACTOR of its desire to perform an audit, and the information that will be required to be provided in connection therewith. Nothing herein shall be construed to require access to any privileged or confidential information as set forth in federal or state law. All records and information subject to the audit provisions of this contract shall remain confidential. City agrees that its audit representative shall be subject to the same requirements as City regarding any portion of this agreement 11. CONFIDENTIALITY Pursuant to the above Audit provision, if City receives information from its auditing representatives or consultants which due to the nature of such information is reasonably understood to be confidential and/or proprietary, City agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the City disclosed in a publicly available source; (c) is in rightful possession of City's consultant without an obligation of confidentiality; 9 (d) is required to be disclosed by operation of law; or (e) is independently developed by the City without reference to information disclosed by City's consultant. 12. COMPLIANCE WITH LAW CONTRACTOR hereby agrees and guarantees to the CITY that, CONTRACTOR will do each, every and all things required to ensure that performance under this Agreement will at all times be in full compliance with all of the provisions of the California Integrated Waste Management Act, and amendments thereto adopted hereafter. 13. INDEMNIFICATION CONTRACTOR agrees to and shall indemnify and hold harmless the CITY, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including health, and claims for property damage, which may arise from the direct or indirect operations of the CONTRACTOR or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due arising from the award of this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. CONTRACTOR will protect, indemnify, pay, save, defend, and hold the CITY harmless from any and all loss, expense, damage, fines, penalties and liability of every kind and nature whatsoever by virtue of any non-compliance by CONTRACTOR with such CITY and statutory requirements with respect to the waste stream covered by the Agreement, provided, however, that 0 CONTRACTOR shall not be responsible to the extent C and D Debris and Incidental Waste is generated in the CITY and collected by other than CONTRACTOR. CONTRACTOR agrees to protect, defend, with counsel approved by the CITY, and indemnify CITY against any and all fines and/or penalties imposed by the California Integrated Waste Management Board in the event that the diversion quantities contained in the CITY's SRRE are not met. CONTRACTOR shall not be responsible to the extent that C and D Debris and Incidental Waste generated in the CITY is collected by other than CONTRACTOR. 14. DEFAULT, DAMAGES AND TERMINATION OF AGREEMENT a. In the event CONTRACTOR defaults in the performance of any of the obligations, covenants or agreements to be kept, done or performed by it under the terms of this Agreement, or any other applicable Federal, state, or local law or regulation, the CITY shall notify CONTRACTOR in writing of the nature of such default. b. The Executive Director may, in such written instrument, set a reasonable time within which correction of all such deficiencies is to be made. Unless otherwise specified, a reasonable time for correction shall be thirty (30) days from the receipt by the CONTRACTOR of such written notice. If the CONTRACTOR cannot reasonably correct or remedy the breach within the time set forth in such notice, Contractor shall commence to correct or remedy the violation within such time as set forth in the notice and shall diligently achieve such correction or remedy as soon thereafter as possible, but shall in no case fail to cure any such defect in less than ninety (90) days. Failure to cure within ninety (90) days as stated will be considered a material violation of this agreement, subject to termination as set forth in subsection (c) below. 10 c. The rights of termination of imposition as set forth in herein, are in addition to any other rights of the City upon a failure of CONTRACTOR to perform its obligations under this Agreement. The City further reserves the right to immediately terminate this agreement or impose damages in the event of the following: (1) If the CONTRACTOR practices or attempts to practice fraud upon the City; (2) If the CONTRACTOR becomes insolvent, unable or unwilling to pay debts, or upon listing of any order for relief in favor of CONTRACTOR in a bankruptcy proceeding; (3) If the CONTRACTOR fails to provide or maintain any insurance requirements in this agreement (4) If the CONTRACTOR willfully violates any orders or rulings of any regulatory body having jurisdiction over the CONTRACTOR relative to this agreement, provided that the CONTRACTOR may contest such orders or rulings by appropriate proceedings conducted in good faith, in which case, no breach of this agreement shall have occurred; (5) If CONTRACTOR willfully fails to make any payments required under this agreement and/or refuses to provide the City with required information and/or reports in a timely manner as provided in this agreement; or, (6) Any other act or omission by the CONTRACTOR directly related to its performance under this Agreement which materially violates the terms, conditions, or requirements of the Agreement, CIWMA, as it may be amended from time to time, or any order, directive or rule, or regulation . d. CONTRACTOR expressly agrees and acknowledges that it is the intent of both parties that in the event that the City or any third party fails to perform any obligation created by this Agreement or if 11 CONTRACTOR elects to terminate this Agreement pursuant to Section 14 (c), as applicable, CONTRACTOR'S sole remedy and City's sole liability, shall be to terminate this Agreement by delivering written notice of termination to City. In the event of such termination and cancellation by CONTRACTOR, this Agreement shall terminate and the parties hereto shall have no further rights, obligations, or liabilities hereunder. CONTRACTOR expressly agrees and acknowledges that no extrinsic evidence may be offered in any proceeding regarding the interpretation of this clause. CITY SHALL NOT BE LIABLE UNDER ANY CIRCUMSTANCES FOR ANY INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES OF ANY NATURE WHATSOEVER WHETHER SUCH DAMAGES BE PREDICATED UPON AN ALLEGED BREACH OF THIS AGREEMENT, NEGLIGENCE BY THE CITY, STRICT LIABILITY IN TORT, OR UPON ANY OTHER BASIS WHATSOEVER. 15. INSURANCE Prior to undertaking performance of work under this Agreement, CONTRACTOR shall maintain insurance as described below: a. Commercial General Liability Insurance. CONTRACTOR shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting there from and damage to property, resulting from any act or occurrence arising out of CONTRACTOR's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, 12 including death resulting there from, and property damage, in the total amount of $5,000,000 per occurrence. CONTRACTOR shall supply City with a fully executed additional insured endorsement in substantially the form attached hereto as Exhibit B upon execution of this Agreement and shall be approved in form by the City Attorney. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $5,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non - owned automobiles. c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, CONTRACTOR, if CONTRACTOR has any employees, is required to be insured against liability for worker's compensation or to undertake self- insurance. Prior to commencing the performance of the work under this Agreement, CONTRACTOR agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. The following requirements apply to the insurance to be provided by CONTRACTOR pursuant to this section (1) CONTRACTOR shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (2) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (3) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City e. If CONTRACTOR fails or refuses to produce or maintain the 13 insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect CONTRACTOR's right to be paid for its time and materials expended prior to notification of termination. CONTRACTOR waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 16. USE AND MAINTENANCE OF BINS AND ROLL -OFF CONTAINERS a. All collection of C&D Debris and Incidental Wastes at Temporary Construction Sites pursuant to this Agreement shall occur in bins or roll -off containers. b. Bins and roll -off containers provided by CONTRACTOR shall be of a design and size to contain, at all times, the contents therein in such a manner as to promote best possible housekeeping conditions. Bins and roll -off containers supplied by the CONTRACTOR shall, at all times, be maintained by it in a well - kept appearance and shall be marked with reflectorized material where such bins and/or roll -off containers are or may reasonably be expected to be located in the public right-of-way. Bins and roll -off containers shall be fitted with a protective device, as current technology provides, for the wheels in order to protect streets and sidewalks from damage from bins or roll -off containers. Bins and roll -off containers shall be a specific color provided in writing to CITY to assist CITY with identification, and shall be labeled with the name and phone number of CONTRACTOR's company such that said information is reasonably visible to Customers in a manner reasonably acceptable to City. 14 c. CONTRACTOR shall cause to have graffiti removed from bins and from roll -off containers within five (5) business days of a request by CITY to do so, at the rates set forth herein, or remove the bin or roll -off containing graffiti from active use within the City within such time. Failure to remove the graffiti within the required five (5) business days excluding holidays, shall result in the assessment of a two hundred dollar ($200) fine to the CONTRACTOR for each bin or roll -off containing graffiti. 17. NOTICES Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or if mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 telefacsimile (714) 647-6956 With courtesy copies to: Executive Director of the Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, California 92702 15 and, City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-6515 To CONTRACTOR: Ware Disposal, Inc. P.O. Box 8206 Newport Beach, CA 92658 Attn: Judith Ware, President A party may change its address by giving notice in writing to the other party. Thereafter, any notice, tender, demand, delivery, or other communication shall be addressed and transmitted to the new address. If sent by mail, any notice, tender, demand, delivery, or other communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or other communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 18. VALIDITY The invalidity in whole or in part of any provision of this Agreement shall not void or affect the validity of the other provisions of this Agreement. 16 19. ASSIGNABILITY Inasmuch as this Agreement is intended to secure the specialized services of CONTRACTOR, CONTRACTOR may not assign, transfer, delegate, or subcontract any rights, obligations or interest herein without the prior written consent of the City, except for an assignment to an affiliate, and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. 20. DISCRIMINATION CONTRACTOR shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. CONTRACTOR affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 21. JURISDICTION - VENUE This Agreement and all questions relating to its validity, interpretation, performance, and enforcement shall be government and construed in accordance with the laws of the State of California. This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 22. LICENSES AND PERMITS CONTRACTOR shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other 17 governmental agencies. CONTRACTOR shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 23. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify each other party fully, including reasonable costs and attorney's fees, for any injuries or damages caused in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. c. The scope of this Agreement is limited to its subject matter. It is not intended to in any way regulate or impede the right of any solid waste enterprise to engage in hauling activities associated with recycling endeavors which are exempt from regulation by the City by statute or case law. (signatures on next page) KI IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: �PATRICIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: v Michael Vigliotta Deputy City Attorney AS Director, Public Works X1 CITY OF SANTA ANA DAVID N. REAM City Manager CONTRACTOR JVDfrH WARE sident, Ware Disposal Inc. gs' 317'3.-72-5 Employer ID # Attachment A CITY OF SANTA ANA CONSTRUCTION AND DEMOLITION RATES JULY 1, 200S Service Maximum Hauling Host Fee Maximum Rates With and Processing Rate 12.8% Surcharge Roll -off containers $386.00 $21.00 $466.74 - mixed C and D Up to 7 tons/4 days Roll -off containers To be determined by Actual Rate Charged plus - end user loads CONTRACTOR 12.8% of gross receipts Per ton over 7 $38.20 per ton $3 per ton $47.25 per ton Days 5-14 $5 $5.73 3 yard bin $92.24 $105.78 Up to .5 tons/14 days Cancellation fee 50 $57.34 Trip/relocation fee 50 $57.34 Graffiti removal $25 $28.67 Hard to handle $10 $11.47 loadsper ton* *May only be charged to Customers if actually charged to Contractor by Madison Materials. Hard to handle loads include loads that contain 50% or more of the following: • Items over 20 feet in length or 3 feet in diameter, including large chunks of concrete, boulders, inert materials mixed with rebar, and tree stumps • Appliances • Fine dust, such as sawdust and marble powder • Tires • Universal or E-wastes 20 Attachment B CITY OF SANTA ANA MADISON MATERIALS RATES FOR SANTA ANA CUSTOMERS JULY 11 2005 Item Description Maximum Processing Host Fee Maximum Rate Rate With 12.80/6 Surcharge Roll -off containers and $38.20 per ton $3.00 per ton $47.25 per ton bins - mixed C&D Hard to handle loads - $ 10 $11.47 added perton* * Hard to handle loads include loads that contain 50% or more of the following: • Items over 20 feet in length or 3 feet in diameter, including large chunks of concrete, boulders, inert materials mixed with rebar, and tree stumps • Appliances Fine dust, such as sawdust and marble powder • Tires • Universal or E-wastes 21 ACORD,p CERTIFICATE OF LIABILITY INSURANCE WAREDI5•01 ERTH DATE IMMIDOIYYI PRODUCER Solid Waste Insurance Managers 115 N' FII Molino Aye P.O. .T072 Pasanena, CA 91101 Ware Disposal, Inc. P. O. Box 8206 Newport Beach, CA 92658 COVERAGES COenA""T Discover Property A Casualty Ins. Co. A °OTAPPNY U.S. Fidality & Guaranty Co. R COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF x`ISURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT `NIT" RES➢ELT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE GLEN REDUCED BY PAID CLAIMS CO LTR TYPE OF INSURANCE T— POLICY NUMBER POLICY EFFECTIVE DATE IMMIODIYY) POLICY E%PIRATION DATE IMWDDNYj 4MI!TS OENsRAL omaILny 022SP00035 2/28/2005 2/2812006 GENERAI,AGGAEGATE 1 2.00000 PRODUCTS-COMPNPPGG S 1000O D A XI COMMERCIAL CENEPAILLIAMUTY CLAIMS MADE X OL'CUp i 10 pay rwt Eo of Cance lRilOn In !h9 evert P non p2Vment OI pr�"Um. PERSON NAL & AOV INJURY S 1,DDO,000 EACM OCCURRENCE �3 iOOOOO OWNER'SM A CONTRACTOR PROT FIRE DAMAGE .Any pna lNA) I3 11000 DD MEG EXP JAIWIN t 10.000 B AAWOMORILE A LIABILITY ANY AUTO ID225A00037 2/26/2005 2128/2006 coMBINED SING LE LIMIT .r 1,000.0 INJURY tPRl Penn) 3 Al All OWNED AUTO$ SCNEOIAF,p AVTOS OCDILY VJURY (P. Amwaml .— S -, IRED AUTOS NON -OWNED AUTOS iPROPERTY DAMAGE E Is GARAGE LIABILITY AUTO ONLY EAACCIOENT ANY AUTO i OTHER THAN AUTO ON.Y APPRov. — FORM FOtll✓{ EACH ACCIDENT T —' AGGREGATe 15' EXCESS LIAMLITY - i EACH OCCURRENCE r AOOREGATE 9OT..ER WBRELLA FORM ^^�„_ THANUMePELLA FORM Id kI(_. p. .,.�.. 1 WOAXERS COMPEHSAT!ON AND EMPLOYER3'VMNWTY A5"Sla"t Lily Al4 O11 NC 3TATU OTH� �jgAY wt 1�) _1!y THE PROPRIETO R/ F-� PARTNERB/EXECUTIVE r--� INC, I EL EACH ACCIDENT L$ EL DISEASE• POLICY LIMIT I r EL DISEASE - CA EMPLOYEE f OFFICERS ARE ERCL OTHER _ mPmAt OF OPEA%T!DH91LOCATIONSNEMCLEErEPEE!AL REM3 e= Rubbish Hauling 1e certificate holder Is Included as additional insured per attached CG2010.97pw. _1 City of Santa Ana City Clerks Orloe - 20 Civic Center Plaza, Ross Annex Santa Ana, CA 92702- SHOM40 ANY OF THE ABOVE DEEGRIOED PCL%Dk* DE CANCELLED RRFORE TNT EXPIRATION DATE THEREOF. THE 133NN9 COMPANY WRt k'X*0(W;= MAIL 30 DAYe wTUTreN NDTIE€TOTHE tETrTMTOATE RD•aER NAVAEa TC THe LEFT, XKK0WjO( XXX �[n pepK<[UT.\Yi\r[ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ " CAREFULLY. CG20100391 ADDITIONAL INSURED -- -OWNERS, LESSEES OR CON TRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided ender the follewina: COMMERCIAL GENERAL LIABILITY COVERAGE PART This endorsement changes the Dolicv effective on the inceetion date of the oo!Icv unlsts another d.=_re !s ied!care,t hpla,,,, Endorsement effective! Policy No. 0225P00035 2/29l2005 12,01 A.M. standard time Named Insured Ware Coun-��� ' Disposal CO.. Inc. (Authorized hlepre5®rltattve) SCHEDULE Name of Person or organization: City of Santa Ana, its officers, employees, agents, Re. Rubbish Hauling Agreement volunteers & representative (If no entry appears above, information required to complete this endorsement will be shown in the Declarations ?pplicable to this endorsement.) WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. FORA4 2 Lacra ";tat Sl:;;edy As,istant CitY Attorney CG 20 10 03 97 Copyright, Insurance Sinices Office, Inc., 1996. Dec. 2. 2005 2:46°iM, Se'ect Program le;orance Seri cc -12l02/2885 09:30 7148648596 WARS c 12p P. 5 PAW 02 hrttaanee Company Discover Property 6 Casualty This endorsement modifies such insurance as is afford^.» by the provisions of Policy # D225P00035 relating to the following; f. The City of Santa Asa, 20 Civic Center Plea, Sams Ana, California 927o i; its officers, employees, agents, volunteers and representatives arc armed as additional inatueds ("additional innards') with regard to liability and defpnse of anits arising Awn the operations and users performed by or on behalf of rice named insured. 2. With respect to claims wising out of the operations and uses performed by or on behalf of the named Insured, such insurance as is afBaded by this policy is primary and b not additional to or contributing with any otter insurance carrier( by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the oompays limits of liability. The inclusion of any person or organization as an iasorod aball 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 ina ranee shall not be cancelled, or materially reduced in coverage of titmits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, Califbmia 92701. (Completion of the following, including eountereignattre, is required to make this endorsement effective.) Ef&odve 02128105 this endorsement form as a Part of Policy N D225POo035 fssuedto Ware Disposal Company, Inc. �.: -.... , Pil I � 13 .J'n: its�V Alt AcoRp. CERTIFICATE OF LIABILITY INSURANCE OF ID M DATE IMMIDDII'1Yrl WAKED-1 07 27/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Select Programs Ins. Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 249 E. Ocean Blvd., Ste. 712 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Long Beach CA 90802 Phone: 562.216. 9016 Fax:562.216. 9028 INSURERS AFFORDING COVERAGE NAIC # INSURED - - INsuRERAA-�j_-4a s c seaicy. 364_63 A —A"— vr(rl INSUREP. B L10Arty tnmr cna a untlerr-. tera II `_ Ware Disposal Company, Inc. INSURERC P.O. Box 8206 --- -- - - - - Newport Beach CA 92658 INSURERD '. INSURER COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEFN 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RiSR ADD __ _ __— _ _ ...T — —. ___ LTR INSR TYPE OF INSURANCE POLICY NUMBER D PDLZV-EFF�YIV� POTCY EXPIRATION'' ___- _-_ _ _ '�. DATE MMIDOIYY DATE AVIII LIMBS GENERALLIABILITY EAOH OCCURRENCE 81, 000,000 A X X COMMERCIAL GENERAL LIABILITY D225P00084 02/28/06 02/28/07 DAMAISES (E NTED. .. ..__-• ._._ _ PREMISES IE oY,J1 ce) $1,000,000 C AIMS MADE X J OCCUR MEDEXP (Any ....... ) 000 PERSONAL B ADV INJURY 81 DO0,000 GENERAL AGGREGATE 82 ODD, OOO $2, GE N'LAGGREGATE LIMIT PER _—. PRODUCTS COMP/OP AGG j $ 1, 000, 000 POLICY PRO ECT OC Em Ben. 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A X ANY AUTO D225A00088 02/28/06 02/28/07 (E ai°en'( ALL OWNED AUTOS — BODILY INJURY _-SCHEDULED AUTOS (Per person) 8 I, MIRED AUTOS BO NON -OWNED AUTOS IF GiNON-OWNEDr accden - -- PROfEHtY DAMAGE (Per accident)5 GARAGE LIABILITY AUTOONLY EAACCIDENI 5 ANY AUTO OTHERTHAN EA ACC IS AUTO ONLY AGG $ ,EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $10,000,000 B X !,Ix �occuR _J CLAIMS MADE LQIB71183717025 02/28/06 02/28/07 AGGREGATE $10,000,000 DEDUCTIBLE _ X 1 RETENTION $NONE --- 5 WORKERS COMPENSATION AND - I I_ BY LIMIT r � FIR EMPLOYERS' LIABILITY _ — ANY PROPRIETORIPARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDER? E L. DISEASE EA EMPLOYEE $ II Yee. do DIY. untler S PECIALPROVISIONS Hi EL DISEASE -POLICY LIMIT $ 1 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS *10 Days Notice of Cancellation if Cancelled for Non -Payment of Premium. The Certificate Holder is included as Additional Insured per attached Additional Insured Endorsement for Commercial General Liability policy. City of Santa Ana City Clerks Office Attn: Teri Cable 20 Civic Center Plaza Santa Ana CA 92702 ACORD 25 (2001108) CSANTAA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI, DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Ir3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITYF A D UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company DISCOVER PROPERTY 6 CASUALTY This endorsement modifies such insurance as is afforded by the provisions of Policy 4 D225P00084 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 suits 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 claim 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 92 70 1. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective A07/22/06 this endorsement form as apart of Policy 9 _ D225P00084 Issued to Ware Disposal, Inc. Named Insured Countersigned by Authorized Repre tative �4 I TE (MhIMDIYYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE ROP ED p Da02/28/07 WAKED-1 02 28 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Select Programs ins. Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 249 E. Ocean Blvd., Ste. 712 A-2WS-,2L12 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Long Beach CA 90802 Phone: 562.216. 9016 Fax:562.216.9028 INSURERS AFFORDING COVERAGE NAIC # INSURED /I b-ZOD/ -Q'� INSURERA: American Int'1 Specialty ~ INSURER8: Commerce & Industry Ware Disposal Company, Inc. INSURERC: Everest National Enaurance Co. P.O. BOX 8206 INSURER D. Newport Beach CA 92658 — INSURER E. 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L NSR TYPE OF INSURANCE POLICY NUMBER P LI Y M DATE MMETIV IDD P LI VEX IRATI N DATE (MMA)DIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $1, 000,000 PREMISES (Esoccurence) A X X COMMERCIAL GENERAL LIABILITY EG2223762 02/28/07 02/28/09 $300,000 CLAIMS MADE OCCUR MEDEXP(Anycnepersw) $101000 PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $1,000,000 POLICY jEo LOC 1,000 000 Emp Ben. B AUTOMOBILE LIABILITY X ANY AUTO 6531476 02/28/07 02/28/08 COMBINED SINGLE LIMIT (Ea accident) $1 r 000,000 BODILY INJURY (Per person) $ ALL OW NED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC ANYAUTO $ AUTO ONLY: AGG $ C X EXCESSIUMBRELLA LIABILITY X1OCCUR DCLAIMSMADE 71G7000037072 02/28/07 02/28/08 EACH OCCURRENCE AGGREGATE $10,000,000 $10,000,000 $ _ DEDUCTIBLE !^ _ -�*a [,;ORM 1Yl $ X RETENTION $NONE $ WORMERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOPJPARTNEPtEXECUTIVE OFFICER/MEMBER EXCLUDED? H yes, tlescdbe untler SPECIAL PROVISIONS below `" t�S., A n - _ g iC-C ` �1, ., i.l, 3 ..y ��` TORV LIMRS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE $ $ —_ $ —. E.L. DISEASE -POLICY LIMB OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 Days Notice of Cancellation if Cancelled for Non -Payment of Premium. The Certificate Holder is included as Additional Insured per attached Additional Insured Endorsement for Commercial General Liability policy. CSANTAA SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALE ENDEAVOR TO MAIL * 30 DAYB WRITTEN City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City Clerks Office Attn: Teri Cable IMPOSE NO OBLIGATION LIME O NY HIND UPON THE INSURER, ITS AGENTS OR 20 Civic Center Plaza REPRESENTATIVE Santa Ana CA 92702 AUTHORREDREPRESENT V Marc BeEgMn ACORD 25 (ZUUTIUC) %_.f © ACORD CORPORATION 19 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. U31 V1812EJUI 1/:lb I14004UDD0 ACQRQ, CERTIFICATE OF LIABILITY INSURANCE OPIO R DATE IMMmD/YW WAYI RED-1 OB 09 06 PROD ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Select Programs Ins. Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 249 E. Ocean Blvd., Ste. 712 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Long Beach CA 90802 Phone:562.216.9016 Sax:562.216.9028 INSURERS AFFORDING COVERAGE NAIGN URED ._�yz INSURERA Redwood Fire 6 Casualty INSURER a Ware DispoSal Company, Inc. RsuRERc. Madison Materials, Inc. �1 .�n� n NewportxBeach CA 92658 fl'2oo�.0V INSURER Dc INSURER E' V THE POLICIES OF WSUPANOELISTED 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 ISSUEO OR MAY PERTAIN, THE INSURANCE AF FORCED BY THE POLICIES DESCRIBED HEREIN B SUBJECT TO ALL THE TERMS. UCUJSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMBS SHOWN MAY HAVE BEENREOUCED BY PAm CLAINIEPOLICY LTR R TnIE DF INSURANCE POUCYNWABER EFFECT DATE MMIDOTYY OATS MMIDDIW LIMITS GENERAL LUABRITY EACHOCCURRENCE I PREMISES AIR, Ccc.c ce) B COMMERCIAL GENERAL LIABILITY MED EIP(AAY Pnepe+Rnl S LUIMS LUOE � OCCUR PERSONAL B ADY INJURY S �� I 1 GENERAL AGGREGATE $ GENL AGGREGATE LIppMpIT. APPLIES PER. PRODUCTS-COMP/OP AGG S POLICY JECT LOC AUTOMOBILE LIARILTTY ANY AUTO COMBINED SINGLE LIMIT (U ACCIBHII) $ BODILY INJURY (re, perm( } ALL DWNSD AUTOS SCHEDULED AUTOS I BODILY IN.IURY (Par eo:lVlPO } HIRED AUTOS ~ NON-OWNEOAUTOS PROPERTY DAMAGE (PB 6EDBM11 p 1 LIggILITY AUTO ONLY• EA ACCIDENT S AQ HERTHAN EA ACC UT ONLY. AGO } —GATRnOE ANY AUTO S EAGESSNMBR£LLA LIABILITY EACNOCCURRENCE S AGGREGATE S OCCUR 17CLAIMS MADE } } OEOUCTIHLE } RETENTION S VA'RINFRSCOMPENSATIONAND XITORY LIMITS ER E.L. EACH ACCIDENT cl 000,000 ]°l EMPLOYERS" IABILMY ANY PROPRIETORJPARTNEWE%ECUTIVE OFFIOER?AEMBER EICLUDEDT N683-6805 08/01/06 08/01/07 IEL. DISEASE - FA FAIPLOVE 31,000,000 E.L. DISEASE' POLICY LIMIT S 1 ODD ODD IIyl9."nCPCl UAlN SPECIAL PROV181ONS 1)81 w OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EICLUBIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS A10 Days not.Loe for nonpayment of premium or nonreporting of payroll. CERTIFICATE HOLDER L.AnL ,ELLAT ILA. CITSANT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ERPIRATIO "ATE THEREOF, THE ISSUING INSURER WILL CNOCAVOR TO MAIL ABO DAYOWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TQTHE LEFT. BUT FAILURE TO DO SO SHALL NPOSENDODUGATIONORLIABRI A YIANO THEIN611RER, Ii9 AGENTS OR City of Santa Ana 20 Civic Center IITHOREPRESENTATIVES. Santa Ana CA 92701 ARRED REPREBENTATNE B Marc er an _— — aReoaeoRwtloRa9ea-� —ACDRD__. -._... - •:: .__— —...— \`I ' C. IMPORTANT If the certificate holder is an ADDITIONAL INSURED. the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). It SUBROGATION IS WAIVED, subject to the farms 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). DISCLAIMER The Certificate of insurance on thereverse side of this form does not constitute a Contract between the issuing Insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon. ENDORSEMENT NO. This endorsement, effective 12:01 AM, February 28, 2007 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By: Select Programs Insurance Services THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EAGLE MULTI -PACK GENERAL LIABILITY BROADENING ENDORSEMENT This endorsement modifies insurance provided under SECTION I, COVERAGES, COVERAGE A, COVERAGE B, and COVERAGE C of the COMMERCIAL GENERAL LIABILITY AND POLLUTION LEGAL LIABILITY COVERAGES FORM: You may use the index to locate these coverage features quickly. INDEX SUBJECT PAGE Coverage A 2 01. Expected or Intended Injury 2 02. Non -owned Aircraft 2 03. Non -owned Watercraft 2 04. Property Damage Liability - Borrowed Equipment 2 05. Property Damage Liability - Elevators 2 06. Fire, Lightning or Explosion Damage 3 Supplementary Payments - Coverage A and B 3 07. Supplementary Payments 3 Who is an Insured 4 08. Broad Form Named Insured 4 09. Newly Formed or Acquired Organizations 4 10. Additional Insureds by Contract, Agreement or Permit 4 11. Additional Insured - Broad Form Vendors 5 12. Additional Insured - Volunteers 6 Limits of Insurance and Deductible 7 13. Per Location Aggregate Limits 7 Conditions 7 14. Unintentional Failure to Disclose Hazards 7 15. Duties in the Event of Occurrence, Offense, Claim or Suit 7 16. Other Insurance - Primary Additional Insured 8 Definitions 9 17. Mental Anguish Resulting From Bodily Injury 9 18.Incidental Malpractice Liability 9 19.Insured Contract 10 20. Mobile Equipment Redefined 10 21. Personal And Advertising Injury 10 77479 (1/01) PAGE 1 OF 11 CI 1266 This endorsement, effective 12:01 AM, February 28, 2007 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, INc. By; Select Programs Insurance Services EAGLE COMMERCIAL GENERAL LIABILITY BROADENING ENDORSEMENT COVERAGE A 1. EXPECTED OR INTENDED INJURY SECTION 1, COVERAGE A, Paragraph 2., Exclusions, a. is deleted in its entirety and replaced with the following: a. Expected or Intended Injury Bodily Injury or Property Damage expected or intended from the standpoint of the insured. This exclusion does not apply to bodily Injury or property Damage resulting from the use of reasonable force to protect persons or property. 2. NON -OWNED AIRCRAFT a. The following is added to SECTION 1, COVERAGE A, Paragraph 2., Exclusions h. as paragraph 16): (6) An aircraft hired, chartered or loaned with a paid crew; but not owned by any insured; however, this exception shall not apply if the insured has any other insurance for bodily injury or property damage liability that would also be covered under this provision, whether the other insurance is primary, excess, contingent or an any other basis. In that case, this exception shall not provide any insurance. 3. NON -OWNED WATERCRAFT Paragraph (2) of SECTION 1, COVERAGE A, Paragraph 2., Exclusions h. is deleted in its entirety and replaced with the following: (2) A watercraft you do not own that is: (al Less then 61 feet long; and 77479 (1101) CI1266 (b) Not being used to carry persons for a charge. This exception shall apply to any person, who, with your expressed or implied consent, either uses or is responsible for the use of the watercraft; however, this exception shall not apply if the insured has any other insurance for bodily injury or property damage liability that would also be covered under this provision, whether the other insurance is primary, excess, contingent or on any other basis. In that case, this exception does not provide any insurance. 4. PROPERTY DAMAGE LIABILITY — BORROWED EQUIPMENT SECTION I, COVERAGE A Paragraph 2., Exclusions, Subparagraph k. (4) is deleted in its entirety and replaced as follows: JQ Personal Property in the care, custody or control of the insured; except this exclusion shall not apply to property damage to borrowed equipment while not being used to perform operations; however, the insurance afforded by reason of this exception is excess over any other valid and coltectible property insurance (including any deductible or portion thereof) available to the insured whether primary, excess, contingent or on any other basis, and the Other Insurance condition of this policy is changed accordingly. S. PROPERTY DAMAGE LIABILITY — ELEVATORS The following is added to the end of SECTION 1, COVERAGE A, Paragraph 2., Exclusions, k: Paragraphs (3) and (4) of this exclusion do not apply to the use of elevators; however, the insurance afforded by reason of this exception is excess over PAGE 2 OF 11 This endorsement, effective 12:01 AM, February 28, 2007 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By: Select Programs Insurance Services any other valid and collectible property insurance (including any deductible or portion thereof) available to the insured whether primary, excess, contingent or on any other basis, and the Other Insurance condition of this policy is changed accordingly, 6. FIRE, LIGHTNING OR EXPLOSION DAMAGE a. The word fire is Changed to fire, lightning or explosion where it appears in: (1) SECTION III - Limits Of Insurance, paragraph 6.,, and (2) SECTION IV, Paragraph 4., Other Insurance, Subparagraph b, b. SECTION VI. - DEFINITIONS, Paragraph 13, subparagraph a. is deleted in its entirety and replaced with the following: a. A contract for lease of premises, Any coverage afforded by Section 6. of this Endorsement shall be subject to SECTION III - LIMITS OF INSURANCE, paragraph 6. c. The last paragraph of SECTION I - COVERAGE A (after the exclusions) is replaced by the following: Exclusions c, through n. do not apply to damage by fire, lightning or explosion to premises rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in SECTION III - LIMITS OF INSURANCE. d. The Limit of Insurance shown in the Declarations will apply to all damage proximately caused by the some event, whether such damage results from fire, lightning or explosion or any combination of the three. e. The Damage To Premises Rented To You Limit referred to in Paragraph S. is 77479 (1101j CI1266 replaced by a new Damage To Premises Rented To You Limit, which will be subject to all of the terms of SECTION III - LIMITS OF INSURANCE. The new Damage To Premises Rented To You Limit is the higher of: (1) $300,000; or (2) The amount shown in the Declarations for Damages to Premises Rented To You Limit. However, this Limit will not apply if coverage for Damage To Premises Rented To You, provided by SECTION I, COVERAGE A, is excluded either by the provisions of the Coverage Part or by endorsement. SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 7. SUPPLEMENTARY PAYMENTS SECTION I, SUPPLEMENTARY PAYMENTS - COVERAGES A AND 13, Paragraph I., Subparagraphs a, and d, are deleted in their entirety and replaced with the following: b. Up to $1000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability coverage applies. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or suit, including actual loss of earnings up to $500 a day because of time off from work. PAGE 3 OF 11 This endorsement, effective 12:01 AM, February 28, 2007 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By; Select Programs Insurance Services WHO IS AN INSURED S. BROAD FORM NAMED INSURED The following is added to SECTION R - WHO IS AN INSURED, Paragraph 2., as Subparagraph (e): (e) Any subsidiary and subsidiary thereof. of yours which is a legally incorporated entity of which you own a financial interest of more than 50% of the voting stock on the effective date of Coverage. The insurance afforded herein for any subsidiary not listed as a named insured does not apply to injury or damage with respect to which such an insured is also an insured under another policy or would be an insured under such policy but for its termination or the exhaustion of its limits of insurance. S. NEWLY FORMED OR ACQUIRED ORGANIZATIONS SECTION li - WHO IS AN INSURED, Paragraph 4., Subparagraph a. is deleted in its entirety and replaced with the following: a. Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier, provided that coverage of the newly formed or acquired organizations is not excluded either by the provisions of the Coverage Part or by endorsement; 10, ADDITIONAL INSUREDS BY CONTRACT. AGREEMENT OR PERMIT a. The following is added as Paragraph 6. to SECTION It - WHO IS AN INSURED: 6. Any person or organization with whom you agreed, because of a written contract or agreement or permit, to provide insurance such as is afforded 77479 (1101) C11266 under this Policy, but only with respect to your operations, "your work" or facilities owned or used by you provided: (1) The written contract or agreement has been executed or permit has been issued prior to the bodily Injury, property damage or personal and advertising injury; (2) The person or organization is not included as an insured under Section 11. of this Endorsement; or (3) The person or organization is not included as an insured by an endorsement issued by us and made a part of this Coverage Part. b. When an engineer, architect or surveyor becomes an insured under Section 10. of this Endorsement, the following additional exclusions apply: Bodily injury, property damage or personal and advertising injury arising out of the rendering of or the failure to render any professional services by or for you, including: (1) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or specifications; and (2) Supervisory, inspection, or engineering services. c. When a lessor of leased equipment becomes an insured under Section 9. of this Endorsement, the following additional exclusions apply; (1) To any occurrence which takes place after the equipment lease expires; or PAGE 4 OF 11 This endorsement, effective 12:01 AM, February 28, 2007 Poems a part of Policy No: EG223762 Issued to: Ware Disposal Company, Inc. By: Salect Programs Insurance Services {2) To bodily injury or property damage a. The Insurance afforded the vendor arising out of the sole negligence of does not apply to: the lessor. (1) Bodily Injury or property d. When owners or other interests from damage for which the vendor whom land has been leased become an is obligated to pay damages insured under Section 9. of this by reason of the assumption Endorsement, the following additional of liability in a contract or exclusions apply: agreement. This exclusion does not apply to liability for (11 Any occurrence which takes place damages that the vendor after you cease to lease that land: or would have in the absence of the contract or agreement: 12) Structural alterations, new constructions or demolition operations 12) Any express warranty performed by or on behalf of the unauthorized by you; owners or other interests from wham land has been leased. (2) Any physical or chemical change in the product made e. When managers or lessors of premises intentionally by the vendor; become an insured under Section 9, of this Endorsement, the following additional (4) Repackaging, unless exclusions apply: unpacked solely for the purpose of inspection, (1) Any occurrence which takes place demonstration, testing, or after you cease to be a tenant in that substitution of parts under premises; or instructions from the manufacturer, and then (2) Structural alterations, new repackaged in the original construction or demolition operations container; performed by or on behalf of the manager or lessors of the premises. (5) Any failure to make such inspections, adjustment, tests 11. ADDITIONAL INSURED - BROAD FORM or servicing as the vendor has VENDORS agreed to make or normally undertakes to make in the a. The following is added as Paragraph 7. to usual course of business, in SECTION II -WHO IS AN INSURED: connection with the distribution or sale of the 7. Any organization with whom you products; agreed, because of a written contract or agreement to provide insurance, but (6) Demonstration, installation, only with respect to bodily Injury or servicing or repair operations, property damage arising out of your except such operations products which are distributed or sold performed at the vendor's in the regular course of the vendor's premises in connection with business, subject to the fallowing the sale of the product; additional exclusions: (7) Products which, after distribution or safe by you, 77479 (1�01) PAGE 5 OF 11 C11266 This endorsement, effective 12:01 AM, February 28, 2007 Forms a part of Policy No: EG223762 Issued to: Ware Disposal Company, Inc. By: Select Programs Insurance Services have been labeled or relabeled or used as a Container, part or ingredient of any other thing or substance by or for the vendor. b. Coverage provided by Section 11. of this Endorsement does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. a Coverage provided by Section 11. of this Endorsement does not apply to any vendor Included as an insured by an endorsement issued by us and made a part of this Coverage Part. d. Coverage provided by Section 11. of this Endorsement shall not apply if bodily injury or property damage included within the products -completed operations hazard is excluded either by the provisions of the Coverage Part or by endorsement. 12. ADDITIONAL INSURED — VOLUNTEERS a. The following is added to SECTION II — WHO IS AN INSURED as Paragraph B.: 8. Any person(s) who are volunteer workerW for you, but only while acting at the direction of, and within the scope of their duties for you.; however, none of these volunteer worker(s) are insureds for: (1) Bodily injury, property damage or personal and advertising injury arising out of rendering or the failure to render professional services by a volunteer worker. (2) Bodily injury or personal and advertising injury: 77479 (1101) CI1266 (a) To you, to your partners or members (if you are a partnership or joint venturel, to your other volunteer worker(s) or to your "employees" arising out of and in the course of their duties for you; (b) To the spouse, child, parent, brother or sister of your volunteer worker(s) or our employees as a consequence of Paragraph (2) (a) above; or (3) Property damage to property: (a) Owned, occupied or used by, (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your other volunteer worker(s), your employees or if you are a partnership or joint venture, any partner or member. b, SECTION I, COVERAGE C, Paragraph 2., Exclusions, Subparagraph a. is deleted in its entirety and replaced with the following: a. To any insured, except volunteer workers. c. For purposes of Section 12, of this Endorsement, volunteer worker(s) means a person who is not paid a fee, salary or other compensation. PAGE 6 OF 11 This endorsement, effective 72:01 AM, February 28, 2007 Forms a part of Policy No: EG223762 Issusdto: Ware Disposal Company, Inc. By: Select Programs Insurance Services LIMITS OF INSURANCE AND DEDUCTIBLE CONDITIONS 13. PER LOCATION AGGREGATE LIMITS a. SECTION III — LIMITS OF INSURANCE AND DEDUCTIBLE, Paragraph 2. Is deleted in its entirety and replaced with following: 2. General Aggregate Limit. The General Aggregate Limit is the most we will pay for Loss under Coverages D-1 or D-2 and damages under Coverage A because of bodily injury or property damage included in the products-oompleted operations hazard, Per Location Aggregate Limit Solely with respect to Coverages A, B, and C, the General Aggregate Limit shall apply separately to each Location owned or rented by you and is the most we will pay for the sum of: a. Medical expenses under Coverage C; b, Damages under Coverage A, except damages because of bodily injury or property damage included in the products -completed operations hazard; and c. Damages under Coverage B. b. For purposes of Section 13. of this Endorsement only, Location means promises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad. 77479 (1/01) CI1266 14. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Except with respect to coverage provided by SECTION 1, COVERAGE D, it is agreed that based on our reliance on your representations as to existing hazards, if unintentionally you should fail to disclose al) such hazards at the inception date of your policy, we shall not deny coverage under the applicable Coverage Part because of such failure. 15.DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT a. SECTION IV — CONDITIONS, Paragraph 2., Subparagraph a. is deleted in its entirety and replaced with the following: a. When an occurrence or offense is known to: 0) You, if you are an individual; (ii) A partner, if you are a partnership; (iii) A manager, if you are a limited liability company; or (iv) an executive officer or insurance manager, if you are a corporation. You must $ee to it that we are notified as soon as practicable in writing of an occurrence or offense which may result in a claim. Notice should Include: (1) How, when and where the Occurrence or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the occurrence or offense. Notice to a broker or independent insurance agent does not constitute notice to us. PAGE 7 OF 11 This endorsement, effective 12:01 AM, February 28, 2007 Forms a part of Policy No: EG223762 Issued to: Ware Disposal Company, Inc. $y� Select Programs Insurance Services b. SECTION IV - CONDITIONS, Paragraph 2., a. Primary Insurance Subparagraph b. is deleted in its entirety and replaced with the following: This insurance is primary. We will not seek contributions from other b. If a claim is received by any insured, insurance available to the person or you must see to it that we receive organization with whom you agree to prompt notice of the claim. If notice is include in SECTION It - WHO IS AN given verbally, you must confirm such INSURED, except when b. applies. notice to us in writing as soon as practicable, but not later than sixty b. Excess Insurance (60) days from the date you received the claim. However; the requirement This Insurance is excess over: that you must see to it that we receive notice of a claim will not be (1) Any of the other insurance considered breached unless the breach whether primary, excess, occurs after such claim is known to: contingent or on any other basis: (1) You, if you are a partnership; (a) That is Fire, Extended Coverage, Builder's Risk, (2) A partner, if you are a partnership; Installation Risk or similar coverage for your work; (3) A manager, If you are a limited liability company; or (b) That is Fire Lightning or Explosion Insurance for (4) An executive officer or Insurance premises rented to you; or manager, if you are a corporation. temporarily occupied by you with permission of the owner; 1S.OTHER INSURANCE - PRIMARY ADDITIONAL (c) That is insurance purchased by INSURED you to cover your liability as a tenant for property damage: to In the event a written contract or agreement premises rented to you or or permit requires this insurance to be primary temporarily occupied by you for any person or organization with whom you with permission of the owner; agree to include in SECTION li - WHO IS AN or INSURED, SECTION IV - CONDITIONS, Paragraph 4., Other Insurance, with respect (d) If the loss arises out of the to Coverage A only is deleted and replaced maintenance or use of aircraft, with the following. Paragraph 4., with respect auto or watercraft to the to Coverage 8, shall remain unchanged. extent not subject to SECTION I -COVERAGE - A. Paragraph 4. Other Insurance 2., Exclusions, h. Coverage A (2) Any other primary insurance available to you covering liability If other valid and collectible insurance is for damages arising out of the available for a loss we cover under premises or operations for which Coverage A of this Coverage Part, our you have been added as an obligations are limited as follows: additional insured by attachment of an endorsement. 77479 (1101) PAGE $ OF 11 Cl1266 ��5 This endorsement, effective 12:01 AM, February 28, 2007 Forms a part of Policy No: EG223762 Issued to: Ware Disposal Company, Inc. By: Select Programs Insurance Services When this insurance is excess, we will have no duty under Coverage A or B to defend any claim or suit that any other insurer defends. We will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. When this insurance is excess over other insurencer we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self - insured amounts under all that otherinsurance. We will share the remaining loss, if any, with any other insurance that I$ not described in this Excess Insurence provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method of Sharing If all the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the toss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each Insurer's contribution is based on the ratio of its applicable limits of insurance to the total applicable limits of insurance of all insurers. 77479 (1101) CI1256 Section 16. of this Endorsement provides such insurance as is afforded under this policy, but only with respect to your operations, your work or facilities owned or used by you. DEFINITIONS 17. MENTAL ANGUISH SECTION VI - DEFINITIONS, Paragraph 3. bodily injury, is deleted in its entirety and replaced with the following: S. Bodily injury means, with respect to Coverages A, B, and C, bodily injury, sickness or disease sustained by a person, including mental anguish or death resulting from any of these at any time. Bodily injury means, with respect to Coverages 0-1 and D-2, physical injury, or sickness, disease, mental anguish or emotional distress sustained by any person, including death resulting therefrom. 18.INCIDENTAL MALPRACTICE LIABILITY a. The following is added to SECTION IV - DEFINITIONS, Paragraph 3.: With respect to Coverages A., B., and C. bodily Injury shall include injury arising out of the rendering or failure to render medical or paramedical services to persons by any physician, dentist, nurse, emergency medical technicians or paramedic who is employed by you to provide such services. b. SECTION H - WHO IS AN INSURED is amended as follows: Paragraph 2., Subparagraph a- (1) (d) does not apply to nurses, emergency medical technicians or paramedics referred to in Paragraph a• of Section 18. Of this Endorsement above. PAGE 9 OF 11 This endorsement, effective 12:01 AM, February 28, 2007 Forms a part of Policy No: EG223762 Issued to: Ware Disposal Company, Inc. By: Select Programs Insurance Services c. Section Ia. of this Endorsement does not apply if you are engaged in the business or occupation of providing any services referred to in Paragraph a. of Section 18. of Ihis Endorsement above. 19. INSURED CONTRACT SECTION VI — DEFINITIONS, Paragraph 13, Insured Contract is replaced by the following: 13. Insured contract means: a. A contract for a lease of premises. (a) Preparing, approving Or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage; However, that portion of the contract (2) Under which the insured, if an for a lease or premises that indemnifies architect, engineer or surveyor, any person or organization for damage assumes liability for an injury by fire to premises while rented to you or damage arising out of the or temporarily occupied by you with insured's rendering or failure to permission of the owner is not an render professional services, Insured contract; including those listed in Paragraph (1), above and b. A sidetrack agreement. supervisory, inspection, architectural or engineering c. Any easement or license agreement; activities. Of. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality: e. An elevator maintenance agreement; f. That part of any other contract or agresment pertaining to your business (including an indemnification of a municipality) under which you assume the liability of another party to pay for bodily injury or property damage to a third person or organization. Paragraph f., above, does not include that part of any contract or agreement: (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: 77479 0101) CI1266 20. MOBILE EQUIPMENT RE -DEFINED SECTION I., COVERAGE A, Paragraph 2., Exclusions, Subparagraph I. shell not apply to self-propelled vehicles of less than 1000 pounds gross vehicle weight. 21. PERSONAL AND ADVERTISING INJURY a. The following is added to SECTION VI - DEFINITIONS, Paragraph 21. Personal and advertising injury: h. Discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only if such discrimination or humiliation is: PAGE 10 OF 11 This endorsement, effective 12:01 AM, February 28, 2007 Forms a part of Policy No: EG223762 Issued to: Ware Disposal Company, Inc. By: Select Programs Insurance Services (a)The insured; or (b) The Any executive officer, director, stockholder, partner or member of the insured; and (2) Not directly or indirectly related to the employment, prospective employment or termination of employment of any person or persons by any insured. b. SECTION VI • DEFINITIONS, Paragraph 21., Subparagraph h., above, does not apply in the states of Kansas or Nebraska. c. Section 21. Of this Endorsement does not apply if SECTION I - COVERAGE B. Personal And Advertising Injury Liability is excluded either by the provisions of the coverage part or by endorsement, All other terms, conditions, and exclusions shall remain the same. 3R = AUTHORIZED REPRESENTATIVE or countersignature (in states where applicable) 77479 (1101) C11266 PAGE 11 OF 11 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID PB DATE(MM/DD/YYYY) WARED-1 1 02 29 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BCD Insurance Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3848 Carson Street, Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Torrance CA 90503 Phone:310-316-5500 Fax:310-316-5518 INSURED 4 — /� � c) I FS Ware Disp osal Inc. -C�� �- C1 / 1) 1035 E. Street Santa Ana CA 92701-4750 "1`Ia:falei:61 INSURERS AFFORDING COVERAGE NAIC # INSURER A: American International INSURER B: Commerce 6 Industry Ins. Co. INSURER C: Everest National Insurance Co. INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INQ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ® OCCUR EG2223762 02/28/08 02/28/09 EACH OCCURRENCE $ 1 , 000 , 000 PREMISES (Ea occurence) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1 , OOO , OOO X Pollution Legal GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRO- POLICYLI JECT LOC PRODUCTS - COMP/OP AGG $ 1 , 000 , 000 Emp Ben. 1,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA 653-14-76 02/28/08 02/28/09 CO accident) (EaCOMBINED SINGLE LIMIT $ 1 000 000 r X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN AUTO ONLY: AGG $ $ C EXCESS/UMBRELLALIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $None 71G7000037-071 02/28/08 02/28/09 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 $ $ COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below �STATWORKERS TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT ! SPECIAL PROVISIONS *10 Days Notice of Cancellation if Cancelled for Non -Payment of Premium. Certificate Holder is included as Additional Insured per attached endorsement. ��n I lrwn I c nvL_Ur_rc GANGtLLATIVN City of Santa Ana City Clerks Office Attn: Teri Cable 20 Civic Center Plaza Santa Ana, CA 92702 CITSAAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION O BILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVER^_ Marc ACORD 25 (20011081 © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. fir, OP ID PE DATE (MM/DDNYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE wARED_1 02 29 os PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BCD Insurance Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3848 Carson Street, Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Torrance CA 90503 Phone:310-316-5500 Fax:310-316-5518 INSURED Ware Disposal Inc. 1035 E. Ath Street Santa Ana CA 92701-4750 4Uvcrcwvr_0 INSURERS AFFORDING COVERAGE NAIC # INSURER A: American International INSURER B: Commerce 6 industry Ins. Co. INSURER C: INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MNUDD POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, OOO , OOO A X COMMERCIAL GENERAL LIABILITY EG2223762 02/28/08 02/28/09 ED PREMISEAUES Eao�ccurence) $ 300,000 MED EXP (Any one person) $ 10,000 CLAIMS MADE ® OCCUR PERSONAL & ADV INJURY $ 1, 000 , 000 X Pollution Legal L GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1 , 000 , 000 POLICY PRO- JECT LOC Ben. 1, 000, 000 AUTOMOBILE LIABILITY B ANY AUTO CA 653-14-76 02/28/08 02/28/09 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS X BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND TO C LIMITS T OER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER B Physical Damage CA 653-14-76 02/28/08 02/28/09 Comp Ded 3,000 Coll Ded 3,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 Days Notice of Cancellation if Cancelled for Non -Payment of Premium. Certificate HOlder is included as Additional Insured per attached endorsement to Insured's General Liability Policy. CERTIFICATE HOLDER CANCELLATION CITSAAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN City Clerks Office NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Ross Annex J�/i/[> 2 0 Civic Center Plaza T IMPOSE NO OBLIGATIOI�;Oi� LUIBILO ANY KIND UPON THE INSURER, ITS AGENTS OR Santa Ana, CA 92702 REPRESENTATIVESd'' [AUTHORIZED REPRESENT Marc Bergman ACORD 25 (2001/08) _.' © ACORD CORPORATIAN IQRR IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. A rnon H. I-. ENDOMEMENT No. This endorsement, effective 12:01 AM, February 28, 2008 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By: BCD Insurance Services, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EAGLE MULTI -PACK GENERAL LIABILITY BROADENING ENDORSEMENT This endorsement modifies Insurance provided under SECTION 1, COVERAGF,.'3, COVERAGE A, COVERAGE El, and COVERAGE C of the COMMERCIAL GENERAL LIABILITY AND POLLUTION LEGAL LIABILITY COVERAGES FORM: You may use the Index to locate these coverage features quickly. INDEK SUBJECT PAGE Coverage A 2 01. Expected or Intended Injury 2 02. Non -owned Aircraft 2 03. Non -owned Watercraft 2 04. Property Damage Liability - Borrowed Equipment 2 05. Property Damage Liability- - Elevators 2 06. Fire, lightning or Explosion Damage 3 Supplementary Payments - Coverage A and B 3 07. Supplementary Payments 3 Who Is an Insured 4 08. Broad Form famed Insured 4 09. Newly Formed or Acquired Organizations 4 10. Additional Insureds by Contract, Agreement or Permit 4 11. Additional Insured - Broad Form Vendors _ 5 12. Additional Insured - Volunteers a Limits of Insurance and Deductible . 7 13. Per Location Aggregate Limits 7 Conditions 7 14. Unintentional Failure to Disclose Hazards 7 15. Duties in the Event of Occurrence, Offense, Claim or Suit 7 1 S. Other Insurance - Primary Additional Insured a Definww" . g 17. Mental Anguish Resulting From Bodily Injury 8 18. Incidental Malpractice Liability 9 19. Insured Contract 10 20. Mobile Equipment Redefined 10 21. Personal And Advertising Injury 10 77479 (1/01) PAGE 1 OF 11 Cl1288 This endorsement, effective 12:01 AM, February 28, 2008 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By: BCD Insurance Services, Inc. EAGLE •COMMERCIAL, GENERAL UABILITY 13ROADENING MOORSlEMENT COVERAGE A 1. EXPECTED OR INTENDED INJURY SMTION 1. COVERAGE A, Paragraph 1 2., Exclusions, a. Is deleted in its entirety and replaced with the following: a. Expected or Intended injury 06dily Injury or Property Damage expected or intended from the standpoint of the insured. This exclusion does not apply. to badly Injury or property Damage resulting from the use of reasonable force to protect persons or property. 2. MON«WNED AIRCRAFT .. a. The following is, added to SECTION 1, COVERAGE A. Paragraph 2., Exoluefone h. as paragraph (6): 18) An aircraft hired, chartered or loaned with a paid crew, but not owned by any insured:: however,' this exception shall not apply if the Insured has any other insurance for bodily injury or property damage liability that would - also be covered under this provisions whether the other Insurance is primary, excess, contingent or on any other basis. In that case, this exception shall not provide any insurance. 3. NON -OWNED WATERCRAFT Paragraph (2) of SECTION 1, COVERAGE A. Paragraph 2., Exclusions fi. is deleted in its entirety and replaced with the following: (2) A watercraft you do not own that is: (a) Less then 61 feet long; and 77479 (1 t01) C11266 (b) Not being used to carry persons for a charge. This exception shall apply to any person, . who, . with your expressed or imprred consent, either uses or is responsible for the use of the watercraft; however, this exception shall not apply If the insured has any other insurance for bodily injury or pr4Perty damage liability that would also he covered under this provision, whether the.: other insurance is primary, excess, contingent or on any other basis. in that case, this exception does not provide any insurance. 4. PROPERTY DAMAGE LIABILITY - BOFIAOWM EQUIPMENT SECTION 1, COVERAGE A Paragraph 2., Exclusions, Subparagraph it. (4) Is deleted in its entirety and replaoed as follows: (4) Personal Property_in the care, custody or control of the insured: except this exclusion shall not apply to property damage to borrowed equipment while not being used to perform operations: however, the insurance afforded by reason of this exception Is excess over any other valid end collectible Prop" insurance (including any deductible or portion thereof) available to the insured whether primary, excess, contingent or on any other basis, and the Other Insurance condition of this policy is Changed accordingly. S. PROPERTY immAw LJmnrrY - ELEVATORS The following Is added to the and of SECTION 1, COVERAGE A, Paragraph 2., Exclusions, k: Paragraphs (3) and (4) of this exclusion do not apply to the use of elevators; however, the insurance afforded by reason of this exception Is excess over PAGE 2 OF 11 This endorsement, effective 12:01 AM, February 28, 2008 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By: BCD Insurance Services, Inc. any other valid and collectible. property insurance (including any .deductible or portion thereof) available to the insured whether primary,. excess, contingent or on any other basis, and the Other Insurance condition of this policy is changed accordingly, 6.. FiRE. LIGHTNiNG OR EXPLOSION DAMAGE a. The word .fire is changed to fire, iighb*#g or explosion where It appears in: (1) SECTION IiI - Limits Of Insurancs, paragraph 6.; and (2) SECTION IV, Paragraph 4., Other Insurance, Subparagraph b: b. SECTION Vl. - DERNITIONS, Paragraph 13, subparagraph a, is deleted in its entirety and replaced with the following: a. A contract for lease of premises; Any coverage afforded by Section 6. of this Endorsement shall be subject .to SECTION Iii - LIMITS OF INSURANCE, Paragraph 6. c. The last paragraph of SWTION I - COVERAGE A (after the exclusions) is replaced by the following - Exclusions c. through - n. do not apply to damage by fire, lightning :or explosion to premises rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in SECTION III - LIMITS OF INSURANCE. d.' The Limit of Insurance shown In the Declarations will apply to all damage proximately caused by the same event, whether such damage resuks from -fire, rightning or explosion or any combination of the three. e. The Damage To Premises Rented To You Limit referred to in Paragraph 6. is 77479 (1101) C1126& replaced by a new >3arnsge To Premises Rented To You Limit, which will be subject to all of the terms of SECTION ill - LIMITS Of INSURANCE. The new Damage To Premises Rented To You Limit is the higher of: (1) $300.000; or 12)_ The amount shown in the Declarations for Damages to Premises Rented To You Limit. However, this Limit will not apply if coverage for Damage To Premises Rented To You, provided by SECTION I, COVERAGE A, Is excluded aither by the proviaione of the Coverage Part or by endorsement. SUPPLEMENTARY PAYMENTS , GOVERAGM A AND 8 7. SUPPLEMENTARY PAYMENTS SECTION i, SUPPLEMENTARY PAYMENTS - COVERAGEsS A AND, S, Paragraph •1.1 Subparagraphs a. and d. are deleted in their entirety and replaced with the following: b. Up to $1000 for cost of bail bonds required because of accidents or traffic law violation$ edging out of the use of any vehicle to which the Bodily injury Liability coverage applies. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist .us in the investigation or defense of the ellsiirn or suit, .including actual loss of esmings up to $500 a day because of time off from work. PAGE 3 OF 1 1 This endorsement, effective 12:01 AM, February 28, 2008 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By: BCD Insurance Services, Inc. WHO iS AN INSURED 8. BROAD FORM NAMED INSURED The following is added to SECTION 11 -WHO 18 AN INSURED, Paragraph 2:, as subparagraph (e): (a) Any subsidiary and subsidiary thereof, of yours which is a legally inoorporated entity of which you own a financial interest of more then 50% of the voting stock on the effective date of Coverage. The insurance afforded herein for any subsidiary not Rated as a named insured does not apply to injury or damage with respect to which such an insured is also an insured under another poliay or would be an insured under such policy but for its termination or the exhaustion of its limits of insurance. S. NEWLY FORMED OR ACQUiRED ORGANIZATIONS SECTION 11 - WHO IS AN INSURED, Paragraph 4., Subparagraph a. is deleted in Its entirety.and replaced with the following: a. Coverage under this provleion is afforded only until the 184th day after you acquire or form the organization or the end of the policy period, whichever is earlier, provided that coverage of the newly formed or .acquired organizations is not excluded either by the provisions of the Coverage Part or by endorsement; 10. ADDITIONAL I ISUREW BY CONTRACT, AGREEMENT OR PERMIT a. The following is added -as Paragraph 6. to SECTION 11 - WHO IS AN iiNSURED: 6. Any person or organization with whom You agreed, because of a written contract or agreement or permit, to provide insurance such as is afforded 77479 (1101) C11266 under this Policy, but only with respect to your operatione, "your work or facilities owned or used by you provided: (1) The written contract or agreement has been executed or permit has been Issued prior . to the bodey Wury, wowty damage or personal and advertising injury; (2.) The person or :organization is not Included as an insured under Section 11, of this Endorsement; or (3) The person or organization is not Included as an insured 'by an endorsement issued icy us and made a part of this Coverage Part. b. When an engineer, architect or surveyor becomes an insured under Section 1 o. of this Endorsement, the following additional exclusions apply: Bodily b*ry, property damage or personal and advertising injury arising out of the rendering of or the failure to render any professional services by or for you, Inoluding: (1) The preparing, .$pproving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or specifications; and (2) Supervisory, inspection, or engineering services. a. When a lessor of leased equipment becomes an insured under Section 9. of this Endorsement, the following additional exclusions apply: (1) To any occurrrence which takes place after the equipment lease expires; or PAGE 4 OF 11 This endorsement, effective 12:01 AM, February 28, 2008 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By: BCD Insurance Services, Inc. (2) Tp bodily injury or property damage a. The Insurance afforded the vendor arising out of the sole negligence of does not apply to; the lessor. t 1 } Badity kjrtry or . property d. When owners or other interests from damage for which the vendor whom land has been leased -become an is obligated to pay damages insured under Section .9. of this by. reason of the assumption Endorsement, the following additional of liability in a contract or exclusions apply: agreement. This exclusion does not apply to liability for (1) .Any occurrence_ which takes .place damages . that . the vendor after you cease to lease that land: or would have in the absenoe 8f the the contract or agreement; (2) Stnutur®1 alterations, now or demolition operations (2) Any express warrenty performed by or on behalf of the unauthorized by you; owners or other interests from whom land has been leased. (3) Any physical or chemical change in the product made e. When managers or lessors of promises intentionally by the vendor; become an insured under Section 9. of this Endorsement, the -following additional (4) Repackaging, unless exclusions apply: unpacked solely for the purpose of Inspection, (1) Any occurrence which takes place demonstration, testing, or after you cease to be a tenant in that substitution of parts under premises; or instructions from the manufacturer, and then (2) Structured alterations, new repackaged in the original construction or demolition operations container; performed by or on behalf of the manager or lessors of the premises. (5) Any failure to make such inspections, adjustment, tests M ADDITIONAL INSURED -- BROAD FORM or servicing a i the.vendor has VENDORS agreed to make or normally undertakes to make in the a. The following is added as Paragraph 7. to usual course of business, in SECTION 11 —WHO IS AN INSURED: connection with the distribution or sale of the 7. Any organization with .whom you products; agreed, because of a written contract or agreement to provide insurance, but (6) Demonstration, installation, only with respect to bodily injury Or servicing or repair operations, property damage arising out of your except such operations products which are distributed or sold performed at the vendor's In the regular course of. the vendor's premises in' connection with business, subject to the following the sale of the product; additional exclusions: (7) Products which, after distribution or sale by you, 77479 t1/41} PAGE 5 OF 11 C11266 I12fi This endorsement, effective 12:01 AM, February 28, 2008 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By: BCD Insurance Services, Inc. have been labeled or relabeled or used as a container, part or ingredient of any' other thing or substance by or for. the vendor. b. Coverage provided by Section 11. of this Endorsement does not apply to any Insured person or organization, from whom you have acquired suoh products, oir any Ingredient, part or container, entering into, accompanying or containing such products. c. Coverage provided by Section 11. of this Endorsement does not apply to any vendor included as an insured by an endorsement Issued by us and mode a part of this Coverage Part. d. Coverage provided by Section 11. of this Endorsement shah not apply if bodlly injury or property damage Included within the products -completed operations hazard Is excluded either by the provisions of the Coverage Part or by endorsement. 12. ADDIMMA1. UMBIED -VOLUNTEERS a. The following Is added to SECTION R - WHO IS AN INNSURM as Paragraph S.: 8. Any person(s) who are volunteer worker(a) for you, but only while acting at the direction of, and within the scope of their duties for you.; however, none of these volunteer workers) are insureds for; (1) Bodily bdury, property damage or personal 'and advertising injury arising out of rendering or the failure to render Professional services by a volunteer worker. (2) Bodily injury or personal and advertising injury: 77479 (1101) C11266 (a) To you, to your partners or members (If you are . a partnership or joint . venture), to . your other volunteer worker($) or to Your "employees" Arising out of and in the course of .their duties for you. (b) To the spouse, child, parent, brother or sister of your volunteer worker(s) or our employees as a consequence of Paragraph (2) (a) above; or (3) Property damage to property: (a) Owned, occupied or used by, (b) Rented to, in the care, custody or control of, or over which physical control Is being exercised for any purpose by you, any of Your other volunteer worker(e), Your employee¢ or -if you are a partnership or joint . venture, any Partner or member: b. SEMWN i. COVERAGE C, Paragraph 2., Exclusions, Subparagraph e. Is deleted In its entirety and replaced with the following: a. To any insured, except volunteer workers. a. For purposes of Section 12, of this Endorsement, volunteer worker(s) means e . person who is not paid a fee, salary or other compensation. PAGE 6 OF 11 This endorsement, effective 12:01 AM, February 28, 2008 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By: BCD Insurance Services, Inc. LIMITS OF INSURANCE AND DEDUCi1BLE 13. PER LOCATION AGGREGATE LIMITS a. SECTION 01 LIMITS OF INSURANCE AND DEDUCTIi3LE, Paragraph 2. is deleted in its errtirety and replaced with following: 2. General Aggregate LkM. The General " Aggregate Limit is the mostwe will pay for Loss under Coverages 0-1 or a-2 and damages under Coverage A because of bodily kdurv..or property darrarge Included In the : producte-aampleted . operations hazard. Per Location Aggrugtrta Limit Solely with respect to Coverages A. 8, and C, the General Aggregate Limit shall aRpiy separately to each Location owned or rented by you and is the most we will pay for the sum of: a. Medical expenses under Coverage C; b. Datnages under Coverage A, except- damages because of bodily Ink" or property damage included in the products-Gompleted operations hazard; and c. Damages under Coverage B. b. For purposes of Section 13. of this Fridoreement . only, Location means promises involving the saline or connecting lots, or premises whose connecttion Is Interrupted only by a streat, roadway, waterway or right-of-way of a railroad. 77479 (1 /01) Cl1266 14- NYINTERMONAL FAILURE TO DISCLOSE HAZARDS Except with respect to coverage provided. by SECTION 1, COVERAGE D, It is agrsed that based on our reliance on your representations as to existing hazards, If unintentionally you should fall to disclose ell . such hazards at the inception date of your policy, we shall not deny coverage under the appucabie Coverage Part because of such failure. 15. DUTZS .IN THE EVENT OF OCCURRENCE. OFFS; CLAIM OR SUiT a. SECTION IV — CONDITIONS, Paragraph 2., Subparagraph a. is deleted in its entirety and replaced with the following: a. When, 2n occurrence or offense is known to: (i) you, if you are on individual; (a) A partner, if you Bra a partnership; Jiii) A manager, if you are a limited llabifity company; or (lv) an executive officer or insurance manager, if you are a corporation. you must see to it that we are notified as soon ae practicable in writing of an occurrence or offense which may result in a claim. Notice should Include:* (1) How, when and where the - ocarrrence or offense took piarei (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any Injury or damage arising out of the occurrence or offense. Notice to a broker or independent Insurance agent does not constitute notice to us. PAGE 7 OF 11 This endorsement, effective 12:01 APA, February 28, 2008 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By: BCD Insurance Services, Inc. b. SECTION 1V — CONDITIONS. Paragraph 2.. Subparagraph b. is .deleted in He entirety . and replaced with the foDowing: b. if a claim is received by any insured, you must see to It that we receive prompt notice of the claim. If notice is givenverbally, you must confirm such notice to . us in writing as soon as practicable, but not lamer than sixty (64) days from the date ,you received the claim. However, the requirement that you must see to it that we receive notice of a claim will not be considered brefthed unless the breach occurs after such claim is known to: (1) You, if you are a -partnership; (2) A partner, if you are a partnership; (3) A manager, If you are a limited liability company; or (4) An executive officer or mmirano manager, if you are a corporation. 1S.OTMER INSURANCE — PRIMARY ADDITIONAL INSURED in the event a written Contract or agreement or permit requires this insuranoe to be primary for any person or organization with whom you agree to include in SECTION it — WHO IS AN INSURED, SECTION IV — CONDITIONS, Paragraph 4.. Other insurance, with respect to Coverage A only is deleted and replaced with the following. Paragraph 4., with respect to Coverage 8, shall remain unchanged. 4. Otherinsurance Coverage A If other valid and collectible insurance is available for a loss we cover under Coverage A of this Coverage Part, our obligations are limited as follows: 77479 (1 /01) Ci 1268 a. Primary, insurance This Insurance is primary. We will not seek contributions from other insurance- available to the person or organization with whom you agree to include in SECTION ii WHO iS AN INSURED, except when b. applies. b. Excess Insurance This insurance is excess over- (1) Any of the other insurance whether primary, exams, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for your worlr; (b) That is . Fire Lightning or Explosion 'Insurance for premises ranted to you; or temporarily occupied by you with permission of the owner, (c) That is insurance purchased by You to cover your liability as a tenant for property damage: to premises rented to you or temporarily occupied by you with permission of the owner; or 1d) If the loss arises out of the maintenance or use of aircraft, auto or watercraft to the extent not subject to SECTION I —COVERAGE - A. Paragraph 2., Exclusions, h. (2) Any other primary insurance available to You covering liability for damages arising out of the premises or Operations for which you he" been added as an additional Insured by attachment of an endomseerrierrt. PAGES OF 11 This endorsement, effective 12:01 AM, February 28, 2008 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By: BCD Insurance Services, Inc. When this insurance is excess, we will have no duty under Coverage A or 8 to defend any clskl or suit that any other insurer defends. We will undertake to do so; but we will 'be .entftied to the insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, If any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and seif- insured amounts under all that other insurance. We will share. the remaining. foss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought apeoifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method of Shering If all the other insurance permits contribution by equal shares, we win follow this method also. Under this approach, each Insurer contributes equal amounts . until it has paid its applicable. limit of insurance or none of the loss remains, whichever conies first. If eny of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each Insurer's contribution is based on the ratio of its applicable limits of insurance to the total applicable limits of insurance of all insurers. 77479 (1101) Ci1266 Section 16. of this Endorsement provides such Insurance as Is afforded under this policy, but only with respect to Your operations, your work or facilities owned or used by you. ' DEFINITIONS 17. MENTAL ANGUISH SE0710M VI — ce"MTIONS. Paragraph 3. bodRV lrrjury, Is deleted in its entirety and replaced with the following: 3. Bodily l^j►" means, with respect to Coverages A, B, and C, bodily -injury, sioknese or disease sustained by a person, including mental anguish or death resulting from any of these at any time. Bodily Injury means, with - respect to Coverages D-1 and D-2, physical Injury, or sickness, disease, mental anguish or emotional distress sustained by any person, including doath resulting therefrom. 18. iNCMENTAL MAi_PMCTICE UAIMLITY a. The following is added to SECTION IV — DEF7NI1iiONS, Paragraph 3.: With respect to Coverages A., 13., and C. bod8y injury shall fnclude injury arlsing out Of the rendering or failure to render Medical -or paramedical services to persons by any physician, dentist, nurse, emergency medical technicians or paramedic who is employed by you to Provide such services. b. SEMON If — WHO IS AN )NSURRb is amended as follow$: Paragraph 2., Subparagraph a., (1) (d) does not apply to nurses, emergency medical technicians or Paramedics referred to in Paragraph a. of Section IS. Of this Endorsement above. PAGE 9 OF 11 This endorsement, effective 12:01 AM, February 28, 2008 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By: BCD Insurance Services, Inc. o. Section .18. of this Endorsement does not apply if you are engaged in the business or occupation of providing any services referred to in paragraph a. of Section 18. of this Endorsement above. 19. INSURED CONTRACT SECTION Vl — i3 INMONS. Paragraph 13, Insured Contract is replaced bar the following: 13. Insured contract means: a. A contract for a lease of premises. However, that portion of the contract for a iease or premises that Indemnifies any person or organization for damage by fire to premises wink rented to you or temporarily occupied by you with permission of the owner is not an insured contract; 'b. A sidetrack agreement; .c. Any easement or license agreement; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to your business (including . an indemnification of a municipality) under which you assume the liability of another partly to pay for bodily. injury or propertp damage to a third person or organization. ' Paragraph f., above, does not include that part of any contract or agreement: (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: 77479 (1101) C11266 W- Preparing, approving or failing to prepare or approve reaps, shop . drawings, opinions, reports, surreys, field orders, change orders, drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury ' or damage; (2) Under which the insured, If an architect, engineer or surveyor, assumes (lability for an injury .or damage arising out of the Insured's rendering or failure to render professional services, including those listed in Paragraph (1). above and suPerviisory, inspection, srchitectursl or engineering activities. 20. MOBILE EMPMENT RE-DEMED SECTION I., COVERAGE A, Paragraph 2„ Exclusions, Subparagraph I. shelf not apply to Self-propelled vehicles of less than 1000 pounds gross vehicle weight. 21. PERSONAL AND ADVERTISING iNJURy at. The following is added to SlWn N YI - DEFINITIONS, Paragraph 21. Personal and adverdsirm, injury: h. Digcdmintrtlon or humiliation that results In Injury to the feelings or reputation of a natural person, but only If such discrimination or humiliation is: PAGE 10 OF 11 This endorsement, effective 12:01 AM, February 28. 2008 Forms a part of Policy No: EG2223762 Issued to: Ware Disposal Company, Inc. By: BCD Insurance Services, Inc. (a) The insured; or (b) The Any executive officer; director, stockholder, partner . or memberof the Insured-, and (2) Not directly or indirectly related to the employment, prospective employment or . termination of employment of any person or .persons by any insured. b. SECTION VI - DE RNIT MNS, Paragraph. 21., Subparagraph h., above, does not .apply in the states of Kanses or Nebraska. c. Section 21. Of this Endorsainent does not apply If -SECTION 1 -- COVERAGE EL Pamonsd And..Advertisfj Injury liabitttY is excluded either by the _provisions. of the coverage part or by endorsement. All other terms, conditions, and exclusions shall rsmaln the same. AUTHORIZE RETATIVE or countersignature (in states where eppl(cabie). 77479 (1/01) C11266 PAGE" 41 qF 11 _ACCCERTIFICATE OF LIABILITY INSURANCE % TM DATE YV RD R8 wAED-1 08/08 oe os PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BCD Insurance Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3848 Carson Street, Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Torrance CA 90503 Phone: 310-316-5500 Fax: 310-316-5518 INSURERS AFFORDING COVERAGE NAIC # INSURED -7INSURER A' Redwood Fire c casualty xna Co � INSURER B. Ware Disposal, Inc. INSURER 1035 E. 4th Street INSURER D: Santa Ana CA 92701-4750 COVERAULb THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING BEEN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR AFFORDED BY THE DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RA - FFECTIVIE DATE(ICYMMIDD/YY Cy N LIMITS LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MMDO/YY EACH OCCURRENCE $ GENERAL LIABILITY DAMAGE TOi:ENTED _ COMMERCIAL GENERAL LIABILITY $ PREMISES (Ea accurence7� CLAIMS MADE �!, OCCUR MED EXP (Any one person) $ 8 ApV INJURY b . rPERSONAL RAL AGGREGATE $ CTS-COMPIOPAGG $ GEN'L AGGREGATE LIMIT APPLIES PER. POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ I ANY AUTO (Ee accident) ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS - --- HIRED AUTOS BODILY INJURY $ (Per ... denry NON-OWNEDAUTOS -. PROPERTY DAMAGE $ - (Per a W dent) AUTO ONLYEAACCIDENT $ GARAGE UABILITY - - ANY AUTO OTHER THAN EA ACG $ AUTO ONLY AGG $ EXCESS)UMBRELLA LIABILITY L _ EACH OCCURRENCE $ S OCCUR CLAIMS MADE AGGREGATE J $ DEDUCTIBLE - -- $ RETENTION $ WORKERS COMPENSATION AND _ R TORY LIMITS ER EMPLOYERS' LIABILITY 44080066805-081 08/01/08 08/01/09 EL EACHACCIDENT $ 1000000 A ANY PROPRIETOREARTNEWEXECUTIVE E.L. DISEASE - EA EMPLOYEE $ 1000000 OFFICERMIEMSER EXCLUDED' If yes, describe under E L DISEASE - POLICY LIMIT I $ 1000000 SPECIAL PROVISIONS below OTHER OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS DESCRIPTION *10 days notice of cancellation applies to non-payment of premium and/or non -reporting of payroll. CITY OF SANTA ANA City clerks office Ross Annex 20 Civic Center Plaza Santa Ana CA 92701 CITSANT I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIA/BJI��_F AN ND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. J_ _ ACORD 25 A�?Dm CERTIFICATE OF LIABILITY INSURANCE E (MMIDDIY ATEMMM2018YYY) r 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 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 Int'I - CAL Bronson - License #0757776 3636 American River Drive, Suite 200 Sacramento CA 95864 CONTACT NAME: ROCIO Leon PHONE FAX A/C No E t : 916-480-4134 A/c No): 916-993-7234 ADDRESS: Rocio.Leon@hubintemational.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Greenwich Insurance Company22322 INSURED WAREDIS-02 Ware Disposal Inc. P.O. Box 1318 INSURER B : Evanston Insurance Company35378 INSURERC: GuideOne National Insurance Company 14167 INSURER D : Alaska National Insurance Company 38733 Santa Ana CA 92702 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 445521118 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 LTR TYPE OF INSURANCE ANDDL SWVD UER POLICY NUMBER MM/DDY/YYYY MMIDD/YYXP I LIMITS A X i COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y GEC3000730-02 2/28/2017 2/28/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE(RENTED PREMISESSEa occurence $ 100,000 MED EXP (Any one person) $ 5,000 X ! $1,000 PD Ded. _ Per Occurrence PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY AECO04538602 2/28/2017 2128/2018 COMBINED SINGLE LIMIT Ea accident $ 1 000 000 BODILY INJURY (Per person) $ X 1 ANY AUTO ALL OWNED SCHEDULED 'AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS I BODILY INJURY (Per accident) I PROPERTY DAMAGE Per accident $ I $ BI/PD Deductible I $ 5,000 C ! UMBRELLA LIAR X OCCUR 560000069 00 11/14l2017 2/28/2018 EACH OCCURRENCE j $ 5,000,000 X EXCESS uA8 I CLAIMS -MADE I j AGGREGATE $ 5,000,000 DED RETENTION $ $ I D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? ❑N N / A 17H WS 05450 8/1/2017 8/l/2018 I X SPER TATUTE ERH E.L. EACH ACCIDENT I $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 B Environmental Impairment Liability/CPL 17CPLOWE00598 2/28/2017 I 2128/2020 � Each Loss 1,000,000 Aggregate 1,000,000 Deductible 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached 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, volunteers and representative Forms: CG2010 0413, CG2037 0413, IX1405 0910, XIL431 0605 REVIEWED BY: EUNICE HEREDIA (PG I OF ) i,r-m I Irta.r>, i c riuLur-m CITY OF SANTA ANA PUBLIC WORKS AGENCY PO BOX 1988 M-21 SANTA ANA CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED RE P RESE NTATIVE O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: GEC300073002 COMMERCIAL GENERAL LIABILITY CG20100413 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) I Location(s) 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 B 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: 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. 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 0413 © Insurance Services Office, Inc., 2012 Pagel of 2 REVIEWED BY: EUNICE HEREDIA (PG2,OF ) 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 CG 20 10 04 13 REVIEWED BY: EUNICE HEREDIA (PG 0F (p ) POLICY NUMBER:GEC30073002 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 0413 © Insurance Services Office Inc. 2012 Page 1 of 1 REVIEWED BY: <Ai EUNICE HEREDIA (PG 10F ) ENDORSEMENT # This endorsement, effective 12:01 a.m., 01/04/2018 forms a part of Policy No: GEC300073002 issued to Ware Disposal, Inc by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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: 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. REVIEWED BY:24 EUNICE HEREDIA (PG 5 OF ) ENDORSEMENT # This endorsement, effective 12:01 a.m., 01/04/2018, forms a part of Policy No: GEC300073002 issued to Ware Disposal, Inc by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE CLAUSE ENDORSEMENT - SCHEDULED 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. Iff REVIEWED BY: EUNICE HEREDIA (PG F U/ 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