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HomeMy WebLinkAboutWARE DISPOSAL 2a- A-2006-077INSURANCE N01 ON FILE A-2006-077 WORK MAY NOT PROCEED CLERK OF COUNCIL DATE: 7-,)0 -()b FIRST AMENDED AND RESTATED D; Pul iq L) AGREEMENT FOR COLLECTION AND HANDLING OF CONSTRUCTION AND DEMOLITION DEBRIS GENERATED, (77C/O2) PRODUCED AND/OR ACCUMULATED AT TEMPORARY CONSTRUCTION SITES IN THE CITY OF SANTA ANA This FIRST AMENDED AND RESTATED AGREEMENT, made and entered into this ,3g°1 day of ___ IL, 2006 by and between the City of Santa Ana, a charter city and municipal corporation duly authorized under the Constitution and laws of the State of California (referred to herein as "City")," and Ware Disposal, Inc. (hereinafter "CONTRACTOR'). RECITALS 1. The Legislature of the State of California, by enactment of the California Integrated Waste Management Act of 1989, Division 30 of the California Public Resources Code, commencing with Section 40000 ("CIWMA"), declares that it is within the public interest to authorize and require local agencies to make adequate provisions for Solid Waste handling within their jurisdictions. 2. In the opinion of the City Council of the City of Santa Ana, the public health, safety and well being desire the recycling and reuse of construction and demolition debris and inert debris that may otherwise be disposed in landfills. 3. On October 3, 2005, CITY and CONTRACTOR entered into an agreement for such Solid Waste collection and handling (the "Original Agreement"). 4. Since the execution thereof, CITY and CONTRACTOR jointly concur that it would be in the best interest of the CITY, its residents and businesses therein that the Original Agreement be amended to extend the term of the Agreement and to ensure the fees charged to Customers remain affordable and competitive. 5. The Original Agreement is scheduled to terminate on June 30, 2008, and provides an option to extend the Original Agreement for an additional seven (7) years. 6. On April 3, 2006, the City Council of the City of Santa Ana voted to authorize a ten- year extension of the Original Agreement upon termination of the Original Agreement. The Parties hereto desire to amend the term of said Original Agreement until June 30, 2018. 7. In addition, the CITY hereby desires that the fees charged to Customers remain affordable and competitive. To effectuate this goal the CITY desires to incorporate a new term that will allow the CITY the flexibility to regularly evaluate the Customer rate. NOW, THEREFORE, for the reasons recited above, and in consideration of the respective and mutual covenants and promises hereinafter contained and made, and subject to all the terms and conditions hereof, the parties hereto do hereby agree as follows: PARAGRAH 2 of the Original Agreement is amended to read as follows: 2. TERM OF CONTRACT: CONTINUATION OF RIGHTS The term of this Agreement shall begin upon execution of this Agreement and shall extend to June 30, 2018. PARAGRAPH 5 of the Original Agreement is amended by adding new section "d" to read as follows: 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. Adiustments The Hauling Rate and Processing Rate will be adjusted effective July 1 each year in an amount equal to 90% if 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. d. Evaluation of Rates The CITY will take steps to ensure that the Hauling Rate and Processing Rate remain competitive with other Orange County facilities. Commencing in 2008, the CITY will conduct a rate comparison every three (3) years of surrounding Orange County facilities. The CITY will meet and confer with the Contractor to adjust rates to a level that is competitive with the market hauling and processing rates for the surrounding Orange County facilities. Except as expressly amended herein to extend the term of the agreement and to allow for a rate comparison, the Original Agreement shall remain in full force and effect. 2 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year first hereinabove written. ATTEST: PATRICIA A. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: GlllFl� Loren C. P"oza Assistant City Attorney RECOMMENDED FOR Al'PR AL: i J S G. OSS Ecutive Director, Public Works Agency CITY OF SANTA ANA By: DA ID N. REAM City Manager CONTRACTOR Ware Disposal, Inc., . r+ , By: Title: t ✓?,, k��/. n 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 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 WARPn4 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE SMWWNYYYI 0411412DOB PRODUCER a Insurance Services, Inc. nn ) Dodge H " �i O% - 0-7 7 Arroyo Insurance Services THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL III 3510 Torrence Blvd. Suite 305 Torrance, CA 00503 Waum Were Disposal Company, Inc. RISURERA: Redwood Fire and Casualty Co. 11673 INSURER R INWMRC Madison Materials, Inc. DSIIRER 0: P. O. Box $206 Newport Beach, CA 92658 INSURER E: COVERAGES 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 EPERTAINPOLICIESTO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLIOAFATESHOWN HAVE INTHE INSURANCEDESCRIBED HEREIN IS CLAIMS. wwtm L TYPE OF INSURANCE GENERAL LIABILITY TAMMERCULL GENERAL LlA&UTY POLICYNUMBER OF LICY ON UM" EACH OCCURRENCE $ E RENTEO S E CLAIMS MADE F7OCCUI MED EXP M me anon) PERSONALaADVINJIRIY E OENERALAUOREGATE S GENLAGGREOIITE LIMRAPPDEB PER PRODUCTS-NLIP(OPAGO 3 POLICY PR6 LOC AUTOMOBILE LIABILITY DDMBINEDSINGLEUMIT (Ee AotldenQ S ANYAUTO ALL OWNED AUTOS EDGILY IWUNY PK "Rw) $ SCHEDIAEDAUTOS HIRED AUTOS BODLY INJURY (Perawdelt) S NON-OWNEOAUfOS PROPERTY DAMAGE (PNeCJdeM) S AVTOONLY-EA ACCESNT S OTHER THAN FA ACC AUTO ONLY. AGG $ rUA� S BILITYEACH OCCURRENCECWMS AGGREGATE S MADE S S DEWCTIBLE x S A REfENTgN $ WORXERBCOMPERSATIONAND EMPLOYERY LIABILITY W7836805 08101107 08101108 EL.EACHACGOENT E1000000 EI.DSFASE•EAEMPLOYEE $1 OOO 000 ANYPROPIEETORIARmERIEIECUTWE DFFICEIUAEMBEREXCLUDEOT FL. DISEASE -POLICY LIMIT $1000000 Eriv duw wdr belm OTHER GEECRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUtlONS AWED BY ENDORSEMENT I SPECIAL PROVISIONS Premi lation A10 Day Noticeof ggreg to Policy Li rung of --- Emp to Insured of Limit $1,00 for (Per Accident/Aggregate Payroll. "Employers Liability Limit 51,000,000 (Per AceidenUAggregate Policy Limit" City of Santa Ana City Clerks Office Ross Annex 20 Civic Center Plaza Santa Ann, CA 92702 (20011091 4 of 2 tIM67432 POLICIES BE CANCELLED BEFORE THE EXPIRATION SOF,THESSUNGINSURERWILLENDEAVORTOMAIL 211' DAYSWRRTEN THE CERTIFICATE HOLDER NAKED TO THE LEFT. BUT FAILURE TO DO SO SHALL OBLIGATION OR LIABILITY OF ANY WO UPON THE INSURER, ITS; AGENTS OR DXM M ACORD CORPORATION 1981 IMPORTANT If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement on this certlficate 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 cerg8cate 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 affirmativey or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-8 (2001108) 2 of 2 #M47492 AC09D CERTIFICATE OF LIABILITY INSURANCE OF ID TM DATE(MNUDIVYYYY) WARED-1 1 08 08 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 3B48 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 /1 —T INSURER Redwood Fire c casualty ins Co N / INSURER Ware Dis= S�reet� Sant E. 33 Santa Ana CA 92701-4750 Kd1`11i4:? CI:K 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 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, BR DD' POLICY EFFECTIVE POLICY EXPIRATION - LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE IMMIDDri DATE (MMIDDIM LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGETOR -_-_-- COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $ _ r CLAIMS MADE OCCUR MED EXP (Any one person) $ FPERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGO $ I GENT AGGREGATE LIMIT APPLIES PER: I I— POLICY J'ECL LOC -- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _— ANY AUTO (Ea accltlenU $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS I (Per person) $ I HIRED AUTOS I BODILY INJURY NON OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC ANY AUTO $ AUTO ONLY AGO $ ESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE \ p�q -y( /, l 7/ y EACH OCCURRENCE_ $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS CONPENSATION AND X TWUbIMITS I ER A EMPLOYERS LIABILITY 44080066805-081 08/01/08 08/01/09 EL EACHACCIDENT $ 1000000 ANY PROPRIETORIPARTNERIEXECUTIVE ---- OFFICERIMEMBER EXCLUDED' EL. DISEASE - EA EMPLOYEE $ 1000000 If yes describe under SPECIAL PROVISIONS below EL DISEASEPOLICYLIMIT $1000000 OTHER DESCRIPTION OF OPERATIONS l LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS *10 days notice of cancellation applies to non-payment of premium and/or non -reporting of payroll. CERTIFICATE HOLDER CANCELLATION CITSANT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN CITY OF SANTA ANA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City clerks office - Ross Annex IMPOSE NO OBLIGATION OR LIA B IND FANUPON THE INSURER, ITS AGENTS OR 20 Civic Center Plaza REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 Marc Bergman ^T ACORD 25 (2001108) N �` 0 ACORD CORPORATION 7M8 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. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) ACORD A-.� o o6 -o 77 BCD Insurance Services, Inc. 3848 Carson Street, Suite 300 Torrance CA 90503 Phone:310-316-5500 Fax:310-316-5518 INSURED Ware DisT1 osal Inc. 1035 E. &th Street Santa Ana CA 92701-4750 THIS CERTIFIGAI t IS Isa=u Na ac mn r �•. ..• ••-• --•-••••--- ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A -_Redwood Fuv c Casuelcy ln- Co INSURER B. INSURER C'. INSURER D. NAIC # COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING THE POLICIES OF INSURANCE OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS POLICIES. AGGREGATE POLICY EFFE TIVE POLICY E%PIRATION' LIMITS TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY DATE MM/DDIYY LTR NSR� 8GENERAL LIABILITYTURENTEDCOMMERCIAL $LAIMSMADE GENERAL LIABILITYS LEAGHCCURRENCE (Ea ecru um [] OCCURP (Any one person) $ — - 4- PERSONAL 8 ADV INJURY$ GENERAL AGGREGATE $ - - PRODUCTS-COMPIOP AGG $ GENL AGGREGATE LIMIT APPLIES PER. - - PRO- LOG POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea acadenll ANY AUTO ALL OWNED AUTOS F BODILY INJURY $ IIr. `Per person) SCHEDULED AUTOS HIRED AUTOS BODILYaideINJURY $ accitle (Per n[I NON -OWNED AUTOS PROPERTY DAMAGE IS (Peramidenl) ,AUTO ONLY EA ACCIDENT IS GARAGE LIABILITY C EAACC ANY AUTO — �/ J OTHER THAN AUTO ONLY AGG $ _H EACH OCCURRENCE $ E%CESSIUMBRELLA LIABILITY _ _ JOCCUR L CLAIMS MADE AGGREGATE _ L$ DEDUCTIBLE RETENTION $ - R TORY LIMITS ER WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 44080066805-081 08/01/08 08/01/09 EL. EACH ACCIDENT $1000000 A ANY PROPRIETORIPARTNERIEXECUTIVE E.L. DISEASE -EA EMPLOYEE $ 1000GO0 OFFICERIMEMBER EXCLUDED? Ityes" describe under - EL DISEASEPOLICYLIMIT IS 1000000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS •10 days notice of cancellation applies to non-payment of premium and/or non -reporting of payroll. ...uro I wnnu CITY OF SANTA ANA City clerks office Ross Annex 20 Civic Center Plaza Santa Ana CA 92701 CITSANT SHOULDANYOF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURfikWILL ENDEAVOR TO MAIL 30• DAYS WRITTEN NOTICE TO THE CERTIFJORELLDIR ED TO THE LEFT, BUT FAILURE TO DO 30 SHALL IMPOSE NO OBLIGATION r+�Y�UPON THE INSURER, ITS AGENTS OR T REPRESENTATWEE fl I r 25120011081 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. 25 (20011081 rINSUREID ORD CERTIFICATE OF LIABILITY INSURANCE OP ID TM DATE(MWDDNM R WAREII 02 26/09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GHTS UPON THE CERTIFICATE nsurance Services, Inc. HOLDER. THS CERTIFICAONLY AND CONFERS NO TIE DES NOT AMED, EXTEND OR Carson Street, Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. nce CA 90503 :310-316-5500 Fax:310-316-5518 INSURERS AFFORDING COVERAGE NAIC ffi R�00,& �0-7 NSURERA continental casualty its. Co. �,7 / INSURER B: evarcet National meuaanca co. Ware D.isp Osal Inc. �INSURERD 1035 E. 3th Street Santa Ana CA 92701-4750 COVFRAI:FR OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING MENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMSEXCLUSIONS AND CONDITIONS GREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMSTYPE OF SUCH OF INSURANCE FP POLICY NUMBER OMMlDIY OATE MNVDO/Y LIMITS E LIABILITY O I COMMERCIAL GENERAL LIABILITY 3012989912 02/28/09 02/28/10 EACH OCCURRENCE $1,000,000 CLAIMS MADE L OCCUR PREMISES(Ba cccurende s300,000 MED EX P (qny one person) s5,000 PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $1,000,000 POLICY PE� LOC Emp Ben. 11000,000 B AUTOMOBILE LIABILITY X ANY AUTO CA 653-14-76 02/28/08 02/28/0g COMBINED SINGLE LIMIT (Eaacutlant) $1 r 000r 000 ALL OWNED AUTOS CHEDULED AUTOS BODILY INJURY (Per Person) $ REDAUTOS APPROVE AS TORM ION 9 BODILY INJUR-OWNEDAUTOS (Per accident) I ✓G r PROPERTY DAMAGE (Per accident) $ RLC GARAGE LIABILITY ASS1Stan ty Attorne AUTO ONLY - EA ACCIDENT $ ANYAUTO OTHER THAN EA ACC $ AUTO ONLY: AGO $ E%CESSIUMBRELLA LIABILITY C X OCCUR CLAIMS MADE 71G7000037-091 EACH OCCURRENCE $10,000,000 02/28/09 02/28/10 AGGREGATE $ 10, 000 000 DEDUCTIBLE ' $ X RETENTION $NOne 8 i $ WORKERS COMPENSATION AND EMPLOYLRS' LIABILITY TORYLIMITS FR ANY PROPRIETORl RIEXECUTIVE OFFICER/MEMBER E%CLUDED9 EXCLUDED? —r_ E.L. EACH ACCIDENT $ If yes, describe under LE.L. DISEASE- EA EMPLOYEE $ SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ OF OPERATIONS/LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS rDESCIUPTION ays Notice of Cancellation if Cancelled for Non -Payment of Premium. ficate Holder is included as Additional Insured per attached ement. CERTIFICATE Him nFR _...__.. __. _.. City of Santa Ana City Clerks Office Attn: Teri Cable 20 Civic Center Plaza Santa Ana, CA 92702 CITSAAN I 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 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 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. 25 (20011091 CNA G-134802-C (Ed. 11/04) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NONCONTRACTOR'S ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization (called additional insured) described in paragraphs 2.a.through 2.g, below whom you are required to add as an additional insured on this policy under a written contract or agreement but the written contract or agreement must be: 1. Currently in effect or becoming effective during the term of this policy; or 2. Executed prior to the 'bodily injury," "property damage" or "personal injury and advertising injury," but Only the following persons or organizations are additional insureds under this endorsement and coverage provided to such additional insureds is limited as provided herein: a. State or Political Subdivisions A state or political subdivision subject to the following provisions: (1) This insurance applies only with respect to the following hazards for which the state or political subdivision has issued a permit in connection with premises you own, rent, or control and to which this insurance applies: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults, street banners, or decorations and similar exposures; or (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance. (2) This insurance applies only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. This insurance does not apply to "bodily injury," "property damage" or "personal and advertising injury" arising out of operations performed for the state or municipality. b. Controlling Interest Any persons or organizations with a controlling interest in you but only with respect to their liability arising out of: (1) Their financial control of you; or (2) Premises they own, maintain or control while you lease or occupy these premises. This insurance does not apply to structural alterations, new construction and demolition operations performed by or for such additional insured. c. Managers or Lessors of Premises A manager or lessor of premises but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the premises leased to you and subject to the following additional exclusions: This insurance does not apply to: (1) Any 'occurrence" which takes place after you cease to be a tenant in that premises; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such additional insured. d. Mortgagee, Assignee or Receiver A mortgagee, assignee or receiver but only with respect to their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of a premises by you. This insurance does not apply to structural alterations, new construction or demolition operations performed by or for such additional insured. e. Owners/Other Interests — Land is Leased An owner or other interest from whom land has been leased by you but only with respect to liability arising out of the ownership, maintenance or use of that specific part of G-134802-C (Ed. 11/04) Page 1 of 2 CNA G-134802-C (Ed. 11/04) the land leased to you and subject to the following additional exclusions: This insurance does not apply to: (1) Any "occurrence" which takes place after you cease to lease that land; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such additional insured. f. Co-owner of Insured Premises A co-owner of a premises co -owned by you and covered under this insurance but only B. with respect to the co -owners liability as co- owner of such premises. g. Lessor of Equipment Any person or organization from whom you lease equipment. Such person or organization are insureds only with respect to their liability for "bodily injury," "property damage," or "personal and advertising injury" caused, in whole or in part by your maintenance, operation or use of equipment leased to you by such person or organization. A person's or organization's status as an insured under this endorsement ends when their written contract or agreement with you for such leased equipment ends. With respect to the insurance afforded these additional insureds, the following additional exclusions apply: This insurance does not apply G-134802-C (Ed. 11/04) (1) To any "occurrence" which takes place after the equipment lease expires; or (2) To "bodily injury" or "property damage" arising out of the sole negligence of such additional insured. Any insurance provided to an additional insured designated under paragraphs a. through g. above does not apply to "bodily injury" or "property damage" included within the "products -completed operations hazard." As respects the coverage provided under this endorsement, Paragraph 4.b. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is deleted and replaced with the following: 4. Other Insurance b. Excess Insurance This insurance is excess over: Any other insurance naming the additional insured as and insured whether primary, excess, contingent or on any other basis unless a written contract or agreement specifically requires that this insurance be either primary or primary and noncontributing. Where required by written contract or agreement, we will consider any other insurance maintained by the additional insured for injury or damage covered by this endorsement to be excess and noncontributing with this insurance. Page 2 of 2 ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company: Continental Casualty Ins Co. This endorsement modifies such insurance as is afforded by the provisions of Policy # 3012989912 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 included as additional insureds , but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" solely and directly caused by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf, other than the additional insured(s); in the performance of your ongoing operations within the City of Santa Ana, CA. The insurance provided to the additional insureds does not apply to liability arising out of the acts or omissions of the additional insured(s). 2. Coverage afforded to the additional insureds by the policy under the terms of this endorsement is primary insurance and we will not seek contribution from 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 Insurance. 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. This insurance shall not be cancelled, or materially reduced in coverage or limits (other than by impairment of an aggregate limit) except after thirty (30) days written notice (10 days notice if cancellation is for nonpayment of premium) has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 02-28-2009/10 this endorsement form as a part of Policy # 30129899I2 Issued to _WARE DISPOSAL, INC. Named Insured Countersigned by __ �y^r Authorized Representative 40080. CERTIFICATE OF LIABILITY INSURANCE OP I D 1!� I DATE (MWOONWYI PRODU CER L 07/30/09 7 S ERT'FICATE IS ISSUE THIS CERTIF CATE IS ISSUED AS A MATTER OF INFORMATION 3C Inc.RED BCD Insurance Services, Inc. n360 L AND C ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4 r, Street, t 3 3848 Carson Street, Suite 300 HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ".,2. _. r Torrance CA 90503 L T COV R ae ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Pl�To o, ne: Fax:310-316-5516 I 11 .310-316-5500 INSURED AFFORDING COVERAGE INSURERS NAIC 0 10 -7 7 valley Forge Insurance- CO. INSURER 0, VWM DISPOSAL INC. 1035 E. 4th Street ]INSURER C Santa Ana CA 92701-4750 COVERAGES INSURER E PC, 13`EI) BELOW HAV-z PEEN kSS€ EO TO ThE INSJREDNAME0A8QVE FOR THE PO A��'Y REQUIRFILIF NT TFR&I OR CON01 NON O� ANVC0NTRAr_- OR 07HER DOCL'YEN7 MAI PER.-AIN -HE IN SURANCE AFFORDED L IC� PERIO;) INLI:CATED NO-r=,HIST,;��%-)ING WIT,i RUSPECT TO WHIr;H IHIS CEAI`IP;CATE MAY BY T11C POL *IES 14EREIN iS SMECT I AnGH S SHOWN MAY HAVE EIEEN REUL CEO By PAID C LAIMS BE ISSUED OR -0 A" L THE TERMS, EXCL�ISIQNS AND CONol rIoNS OF �;U- 4INISRADO'4 LTR INS RD TYPE OF INSU RANCE POLICY NUMBER i FXP1RAT - GENERAL LIABILITY JMMIDDN !Ra!Y LIMITS L GrWO,IERCIAL f,;ENER1LJABJL1-Y EAC�l OCC`JRRENCE TAWGE To RENTED CLA V.,S MAZE 0 ME 1) FX111 S PERSONAL 6 AD).'INJURY S I INVT AI`i'Llel� PER GINERAI ArL3R�;CiA71� POLICY ... ... LOC �'RCCJCTS S A UTOMOSIL E LIA RILIT Y A.NY A,, -0 CO&18IN*0 S'N,2;LE LN'01- A _L CIVY-47-D AL17CS r 0 S BCZ^ILY'NJURY 141 R r[j A t j r, rjice, NON-D'A'SEDAUTOS 5001LY N'JURY 'Par S PROPERTY GARAGE LIABILITY AN' Aj70 AU7, 0 ONLY - EAACCiDEN-j GATHER 7HAN EA ACC. EXCESWUNISR ELLA LIABILITY AUTO ON, Y 1*1 C, G C, U P CLA'y--5 MADE EA.C,,H O1--r-j9R_rN0C AOGRkCSAIFF R REIEN7CAN S S WORKERS COMPFENSATIDN AND A EMPLOYERS' LIABILITY A wily 4016'79375S# OTHER X TORY JIMJR0!-"_111 ER QTH_ I EA1,; f- A:* IDE NT 1,30a0 if! EL D*F1(SF EA 0AFXYF E 510()0000 -� L-clisi;s-,-----P,O,L,ICYLI&I;T S I C)OOOOO VEHICLE'S 1: : ''I EXCLUSIONS :1 14 1!i E l�: I i *10 days notice of ENDORSEMENT I SPr;C:AL PRO'WiSIONs Cancellation applies to non-pAyajent non -reporting of payroll. Of Pte=ium and/or CERTIFICATE HOLDER CANCELLATION CISANTA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLE02jrQR6 rKE EXPIRATION DATE THEREOF. THE ISSUING IMSVItSR WILL ENDEAVOR TO MAIL 30* DAYS WRIT Tfk NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LIFT, BUT FAILURE TO 00 50 SMALL CITY OF SAI;TA ANA IMPOSE NO Oft)GAIM)NORL"IlITYOF ANY KIND UPON TI4EINSURER, tTSA46NrS0R Ross Annex REPRESENTATIVES_ SantaAna CA 92702 AUr Rite EISEN ACORD wD (2001108) V ACOR D CORPORATION 1988 AtE�!Ri:y® CERTIFICATE OF LIABILITY INSURANCE OP IDPK DATE(MfNDD/YYYY) WAKED-1 03/04/10 DUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aliant ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Specialty Ins Svcs HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ?.0. sox 609015 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Diego CA 92160 Phone: 858-541-1900 Fax: 858-277-4519 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A', Continental Casualty (CNA) INSURER B: Hudson Insurance Company 25054 Ware Disposal, Inc. Lucille Aguilar INSURERC: Everest National Ins. Co. INSURERD: Valley Forge (C.N.A.) 1035 E. 4th Street Santa Ana CA 92701-4750 f --i� 006 r--0'7 INSURER E: clluDb cyebom xm a cc�arrY :OVERAGES 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. INSR LTR DDT NSRD TYPE OF INSURANCE POLICY NUMBER ATE (' DDNYIVE DATE (MMIDD/YYY1/) DATEPOLI( EXPIRATION DATE (MM'DDIYYYY) 'LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY 4015806303 02/28/10 02/28/11 DAMAGE TO RENTED PREMISES (E. a¢urerce> S 300, 000 MED UP (Arty ene person) $ 5,000 CLAIMS MADE [X ] OCCUR PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO E 1,000,000 PRO POLICY JECT LOC Empl Ben 1,000,000 AUTOMOBILE LIABILITY B X ANY AUTO HAS00033000CA 02/28/10 02/28/11 COMBINED SINGLE LIMIT (Ea a¢aem) E 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per Person) $ HIRED AUTOS NON VANED AUTOS APPROVED AS TO FORM BODILY INJURY (Per a=W&M) S PROPERTY DAMAGE (Pere W.N) E a �`T.,/ ra L t Sheed GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANYAUTO Assistant City Attorney OTHER THAN EA ACC $ $ AUTO ONLY: AGO EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE E 4,000,000 C 7C OCCUR CLAIMS MADE 71G7000037101 02/28/10 02/28/11 AGGREGATE E 4,000,000 S $ DEDUCTIBLE $ RETENTION S WORKERSCOMPENSAigN AND EMPLOYERS' LIABILITY YIN STATU- x I TORY LIMITS M TS OER E.L. EACH ACCIDENT $ 1,000,000 D ANY PROPRIETORIPARTNEWEXECUTIVE ❑ OFFICEPMEMBER EXCLUDED? 4016793729 08/01/09 08/01/10 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, dii—be — E.L. DISEASE - POLICY LIMIT I S 1 , 000 , 000 SPECIAL PROVISIONS bebw OTHER E Pollution 37312830 02/28/10 02/28/11 Each Loss 1,000,000 $25,000 Ded. Aggregate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVSIONS *10 days notice of cancellation if cancelled for non-payment of premium. The City of Santa Ana its officers, employees, agents, volunteers and representatives are named as 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. laK I INUA It MULUtK CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITYS07 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Santa Ana REPRESENTATIVES. 20 Civic Center Plaza Santa Ana CA 92803 AUTNORIED REPRESENTATIVE Marc Bergman ACORD 25 (2009/01) ©1988-2009 ACORD CO RATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Ware Disposal, Inc. Policy No. 4015806303 Policy Term: 02/28/10-02/28/11 t3-13 (Ed. 1 i/04) 11/04) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NONCONTRACTOR'S ADDITIONAL INSURED ENDORSEMENT This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LiABILITY COVERAGE PART A. WHO IS AN INSURED (Section II) is amended to Include as an insured any person or organization (called additional Insured) described In paragraphs 2.0hrough 2.9. below whom you are required to add as en additional Insured on this policy under a written contract or agreement but the written contract or agreement must be: 1. Currently in effect or becoming effective during the term of this policy; or 2. Executed prior to the "bodily Injury," "property damage" or "personal injury and advertising Injury," but Only the following persons or organizations are additional insureds under this endorsement and coverage provided to such additional Insureds Is limited as provided herein: a. State or Political Subdivisions A state or political subdivision subject to the following provisions: (1) This insurance applies only with respect to the following hazards for which the state or political subdivision has Issued a permit In connection with premises You own, rent, or control and to which this insurance applies: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, holstaway openings, sidewalk vaults, street banners, or decorations and similar exposures; or (b) The construction, erection, or removal of elevators; or (a) The ownership, maintenance, or use of any elevators covered by this Insurance. (2) This Insurance applies only with respect to operations performed by you or on Your behalf for which the state or political subdivision has Issued a permit. This Insurance does not apply to "bodily Injury," "property damage" or "personal and advertising Injury" arising out of G-134802-C (Ed. 11104) operations performed for the state or municipality. b. Controlling Interest Any persons or organizations with a controlling Interest In you but only with respect to their liability arising out of. (1) Their financial control of you; or (2) Premises they own, maintain or control while you lease or occupy these premises. This Insurance does not apply to structural alterations, new construction and demolition operations performed by or for such additional Insured. c. Managers or Lessors of Premises A manager or lessor of premises but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the premises leased to you and subject to the following additional exclusions: This Insurance does not apply to: (1) Any "occurrence" which takes place after you cease to be a tenant In that premises; or (2) Structural alterations, new construction or demolition operations Performed by or on behalf of such additional Insured. d. Mortgagee, Assignee or Receiver A mortgagee, assignee or receiver but only with respect to their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of a premises by you. This insurance does not apply to structural alterations, new construction or demolition operations performed by or for such additional Insured. 6, Owners/Other Interests - Land Is Leased An owner or other Interest from whom land has been leased by you but only with respect to liability arising out of the ownership, maintenance or use of that specific part of Page 1 of 2 the land leased to you and subject to the following additional exclusions: This insurance does not apply to: (1) Any "occurrence" which takes place after you cease to lease that land, or (2) Structural alteratlons, new construction or demolition operations performed by or on behalf of such additional insured. f. Co-owner of insured Promises A co-ov ner of a premises co•owned by you and covered under this insurance but only N. with respect to the co -owners liability as co- owner of such premises. g. Lessor of Equipment Any person or organization from whom you tease equipment. Such person or organization are Insureds only with respect to their liability for "bodily Injury;' ''property damage," or "personal and advertising Injury" caused, In whole or in part by your maintenance, operation or use of equipment leased to you by such person or organization. A person's or organIzation`s status 08 an Insured under this andorsernant ends when their written contract or agreement with you for such leased equipment ends. With respect to the insurance afforded. these additional Insureds, the following additional exclusions apply: This insurance does not apply; G-134802-C (Ed, 11104) G-134002-C (Ed. 11/04) (1) To any "occurrence" which takes place after the equipment lease expires; or (2) To "bodily Injury" or "property dainage" arising out of the sale negligence of such addlllonail Insured. Any Insurance provided to an additional Insured designated under paragraphs 0. through g, above does not apply to "bodily injury" or "property damage" Included within the "products-cornpieted operations hazard:' As respects the coverage provided under this endorsement, Paragraph 4.14. SECTION IV -. COMMERCIAL. GENERAL LIABILITY CONDITIONS Is deleted and replaced with the. following: 4. Other insurance. b. Excess Insurance This Insurance Is excess over: Any other insurance naming the additional insured as and insured whether brimarv. Page 2 of 2 ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company C D rift,4 tV 1 Sua �� CC Nf i This endorsement modifies such insurance as is afforded by the provisions of Policy # AQ1!5SCo303 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 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective ? 1'210 , this endorsement form as a part of Policy # V>O(c 3 Issued to Named Insured Countersigned by 0,,— Au#orized R res tative CERTIFICATE OF LIABILITY INSURANCE oplD v% ..... THIS CERTIFICATE IS ISSUED A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT1FICATE 'ns Svc* HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 88LOW. $nn 0,1-7o CA 92160 a59-541-190C. Fax: INSURERS AFFORDING COVERAGE NAIC 9 Malley Forqu (C, N, A *pr, 1035 E 41th st'zoet. s4z'ta Pcn& (,A 9"701-475-D x COO 000 ----------------- rion-paprjef',L ot p1cm-LLM .�nd/or Sic LL-- 14 El' CERTIFICATE HOLDER CANCELLATION t'r SAN2 '-LtY Of �,Inta Ana Ctt-Y LC-k rkr's,'� Axjf.�x 20 pla-a At,.,i -=Zh 92701 —varc —4.rqman OIL "0 1988-200 ACORN TION. All rights reserved, The ACORD nan-to and 1090 WO'rofjistcred marks of ACORD ME 163167 ,acoR CERTIFICATE OF LIABILITY INSURANCE D/DD/YYYY) o4n /12/2 z/2o 11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYLD IAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY. OR N (3ATtVEL11 AM D; r.XTEND 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, p6licy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certalrt;policies may require.an-An-dorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: Rocco Leon John 0. Bronson Co. / #0425149 PHONE 916-480-4134 3636 American River Drive Suite 200 E-MAIL A/C No): 916-480-4134 Sacramento, CA 95864 ADDRESS: rleon@'ohnobronson.com 916-974-7800 INSURER(S) AFFORDING COVERAGE NAIL # INSURED Ware Disposal Company Inc. INSURER A: Financial Pacific Ins. Co. (Sacramento, CA) INSURER B : Starr Indemnit & Liability Co.(WFI LA, CA) (See below for additional named insureds, if any) 1035 E. 4th Street Santa Ana, CA 92701 (( (/ "l T of INSURER C : Princeton Excess & Surplus(WFI Los Angeles,CA) INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 ADDL SUBR LTR TYPE OF INSURANCE IN POLICY NUMBER MOLICYMIDD EFF MM ICY/YYYY LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 182323A 2/28/2011 2/28/2012 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP An one arson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS No AUTOS 182323A 2/28/201 1 2/28/2012 COMBINED L I Ea accident 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS SISCSEL00004111 (Lead Excess) 2/28/2011 2/28/2012 EACH OCCURRENCE $ 5,000,000 -MADE DED RETENTION $ AGGREGATE $ 5,000,000 WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICERIMEMBER EXCLUDED? ❑ N / A (Mandatory in NH) WC STA IU- OTH- TQRY TR E.L. EACH ACCIDENT $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ Excess Liability - 2nd Layer 66A3F0000031100 C 2/28/2011 2/28/2012 $5,000,000 Each Occurrence/$5,000,000 Agg DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: Work performed by the insured for certificate holder per written contract .,y City of Santa Ana; its officers, employees, agents, volunteers and representative Inter Interests: Forms: CG2010 021 OR CERTIFICATE HOLDER CANCELLATION *30 Day Notice of Cancellation/10 Dav for Non-Pav/Non-Rnto* SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana Public Works Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA, M-21 ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABLILTY POLICY NUMBER: 182323A CG 20 10 Blanket Additional Insured 02 10 R Named Insured: Ware Disposal Company Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (WITH LIMITED COMPLETED OPERATIONS COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART BUSINESSOWNERS COVERAGE FORM SCHEDULE NAME OF PERSON OR ORGANIZATION: Any person or organization to whom or to which the named insured is obligated by a virtue of a written contract to provide insurance that is afforded by this policy. Where required by contract the officers, officials, employees, directors, subsidiaries, partners, successors, parents, divisions, architects, surveyors and engineers are included as additional insureds. All other entities, including but not limited to agents, volunteers, servants, members and partnerships are included as additional insureds, if required by contract, only when acting within the course and scope of their duties controlled and supervised by the primary (first) additional insured. If an Owner Controlled Insurance Program is involved, the coverage applies to off - site operations only. if the purpose of this endorsement is for bid purposes only, then no coverage applies. WHO IS AN I NSU RED: (Section II) This section is amended to include as an insured the person or organization shown on the Certificate of Insurance, but only to the extent that the person or organization is hold liable for your acts or omissions in the course of "your work" for that person or organization by or for you. The "products -completed operations hazard" portion of the policy coverage does not apply to any work involving or related to properties intended for residential or habitational occupancy (other than apartments). WAIVER OF SUBROGATION: We waive any right of recovery, when required by written contract, that we may have against the person or organization shown in the Certificate of Insurance because of payments we make for injury. LOCATION OF JOB: The job location must be within the State of domicile of the named insured, or within any contiguous State thereto. DESCRIPTION OF WORK: The type of work performed must be that as described under classifications in the CGL Part GARBAGE, ASH OR REFUSE COLLECTING PRIMARY CLAUSE: When this endorsement applies and when required by written contract, such insurance as is afforded by the general liability policy is primary insurance and other insurance shall be excess and shall not contribute to the insurance afforded by this endorsement. EXCLUSION: The insurance provided to the additional insured does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of an architect's, engineer's or surveyor's rendering or failure to render any professional services, including: 1. The preparing, approving, or failing to prepare or approve, maps, designs, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications; and 2. Supervisory, inspection, architectural or engineering activities. Endorsement 2/28/2011 EFFECTIVE DATE: Endorsement EXPIRATION DATE: 2/28/2012 CG 20 10 Blanket Additional Insured 02 10 R Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission 175487 , k---- CERTIFICATE OF LIABILITY INSURANCE 08/01/ 011 YYYI7 OS/Ol/201 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF M CSRMATfOFsQ NLY, AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGAT)VELY AMENDI,-EXTENC) ;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 CERTIIPICATE HOLDER. - IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, thepolicy(-Ras)-.must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polici"rnay require an-endorserRent. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER John O. Bronson Co. / #0425149 3636 American River Drive Suite 200 Sacramento, CA 95864 916-974-7800 CON ACT NAME- ROCiO Leon - 916-480-4134 916-480-4134 p,' c No : E-MAa ADDRESS: Aeon@'ohnobronson.com INSUMERISI AFFORDING COVERAGE NAIC 4 INSURER A: Alaska National Insurance Company (San Fmncisco,C, 38733 INSURED Ware Disposal Inc./Madison Materials P.O. BOX 8089 Newport Beach, CA 92658 G O - / INSURER B : INSURER C : INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 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. ILTR TYPE OF INSURANCE ADDL SUBRPOLICY POLICY NUMBER MMIDDDY EFF MM/DD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY MAGE TO RENTED DAPREMI E Ea occurrence $ MED EXP An one p arson $ CLAIMS -MADE = OCCUR PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY "' LOG $ AUTOMOBILE LIABILITY Ea accitlent BODILY INJURY (Per parson) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accltlent) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAR H OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY Y / N I I WS 05450 08/01/2011 08/01/2012 X. WC STATU- OTH- I E.L. EACH ACCIDENT $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXEGUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes. descri ba —de, E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Ramarha Schedule, If more space Is required) RE: Work performed by the insured for certificate holder per written contract Add- Laura Stitt yh- -dy------- In[eresfs: Assistant City AtlUrn C4 Forms: �.cK I Irra..ra 1 c AVLUCK CANGCLLA I ION a30 "aV Notice of Cancellation/10 Day for Non-Pay/Non-Rptg+ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana Public Works Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y g y ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA, M-21 SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 190090 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD IYYY) 02/29/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO UPON THE CERTIFICATE HOLDER. THIS �RIIIGHTS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AM� .4E.X�ELNT&Og�tTTB! ENOVE GE AFFORDED BY (S)THE POLICIES BELOW: THIS CERTIFICATE OF INSURANCE DOES NOT CON THE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURE�SI the-poiiey(ies) must be, endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may requi I,aFt endorsement. A-statemeti) on this certificate does not confer rights to the Carl holder in lieu of such endorsements . - : ., ....., i._ PRODUCER AO NAME' RoCio Leon John O_ Bronson Co. / #0425149 3636 American River Drive Suite 200 Sacramento, CA 95864 - 916-480-4134 .vc No : 916-480.4134 EMAIL ADDRESS: rleon(d)"ohnobroson.orn 916-974-7800 INSURERS AFFORDING COVERAGE NAIC # INSu RER A: Financial Pacific Insurance Co (Sacramento, CA) INSURED Ware Disposal Inc. INSURER B : Princeton F—e$5 & Surplus WFI, Los Angeles, CA INSURER C : Alaska National Insurance Co (San Francisco, CA) P.O. BOX 8089 NEWPORT BEACH, CA 92658 INSURER D : Rockhill Insurance Com an WFI Los Angeles, CA INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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. ILTR TYPE OF INSURANCE ADDL 3UBRPOLICY POLICY NUMBER MMIODY EFF MM/DD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7x] OCCUR 182323B 2/28/12 2/28/13 DAMAGE TO RENTED PR MI $ 50,000 MED EXP An one p.rson $ 5,000 PERSONAL s ADV INJURY $ 1 .000,000 A X $1,000 Per Occurrence PE) Ded. GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2.000,000 POLICY X PRO- LOC $ AUTOMOBILE LIABILITY ANY AUTO 182323B 2/28/12 2/28/13 (E.— tlenl 1 000 000 BODILY INJURY (Per parson) $ALL AAUTOS OWNED SCHEDULED AUTOS $5,000 BI/PD Deductible BODILY INJURY (Per accid—) $ p NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per..,.,[ $ X UMBRELLA LIAR OCCUR 66A3UB000124700 2/28/12 2/28/13 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 B EXCESS LIAR CLAIMS -MADE (Lead Umbrella) DED I X I RETENTION$ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A 11 HWS05450 8/01/11 8/01/12 X WC STATU- IT" E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Excess Liability - 2nd Layer P-XSLTRU00009600 2/28112 2/28/13 $5,000,000 Each Occurrence/$5,000,000 Agg TO FORM DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Sehatlula, If more space Is required) / RE: Work performed by the insured for certificate holder per written contract 2 Add-1 City of Santa Ana; its officers, employees, agents, volunteers and representative _ _.; Interests: , Attorr.cr Forms: CG2010 021 OR L.CKIIr IGAIG AVLUCK t.:AN(-LCLLA l 1UN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Santa Ana Public Woks Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y S y ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA, M-21 SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE l © 1988-2010 ACORD CORPORATION. All rights reserved,' �! ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1% COMMERCIAL GENERAL LIABLILTY POLICY NUMBER: 182323B CG 20 10 Blanket Additional Insured 02 10 R Named Insured: Ware Disposal Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (WITH LIMITED COMPLETED OPERATIONS COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART BUSINESSOWNERS COVERAGE FORM SCHEDULE NAME OF PERSON OR ORGANIZATION: Any person or organization to whom or to which the named insured is obligated by a virtue of a written contract to provide insurance that is afforded by this policy. Where required by contract the officers, officials, employees, directors, subsidiaries, partners, successors, parents, divisions, architects, surveyors and engineers are included as additional insureds. All other entities, including but not limited to agents, volunteers, servants, members and partnerships are included as additional insureds, if required by contract, only when acting within the course and scope of their duties controlled and supervised by the primary (first) additional insured. If an Owner Controlled Insurance Program -is .involved, the coverage applies to off - site operations only. If the purpose of this endorsement is for bid purposes only, then no coverage applies. WHO IS AN INSURED:(Section 11) This section is amended to include as an insured the person or organization shown on the Certificate of Insurance, but only to the extent that the person or organization is held liable for your acts or omissions in the course of "your work" for that person or organization by or for you. The "products -completed operations hazard" portion of the policy coverage does not apply to any work involving or related to properties intended for residential or habitational occupancy (other than apartments). WAIVER OF SUBROGATION: We waive any right of recovery, when required by written contract, that we may have against the person or organization shown in the Certificate of Insurance because of payments we make for injury. LOCATION OF JOB: The job location must be within the State of domicile of the named insured, or within any contiguous State thereto. DESCRIPTION OF WORK: The type of work performed must be that as described under classifications in the CGL I.l=itl MI C-nc.]ao-7 GARBAGE, ASH OR REFUSE COLLECTING PRIMARY CLAUSE: When this endorsement applies and when required by written contract, such insurance as is afforded by the general liability policy is primary insurance and other insurance shall be excess and shall not contribute to the insurance afforded by this endorsement. EXCLUSION: The insurance provided to the additional insured does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of an architect's, engineer's or surveyor's rendering or failure to render any professional services, including: 1. The preparing, approving, or failing to prepare or approve, maps, designs, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications; and 2_ Supervisory, inspection, architectural or engineering activities. Endorsement 2/28/ 12 EFFECTIVE DATE: Endorsement 2/28/ 13 EXPIRATION DATE: _ CG 20 10 Blanket Additional Insured 02 10 R Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission 223428 AC FDP CERTIFICATE OF LIABILITY INSURANCE °" 13°"""" THIS CERTIFICATE DI ISSUED AS A MATTER OF INFORMATION.Ok Y AND COf1F9{S AO RIGHTS UPON THE CERTIFICATE HOLDER, TINS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND' OR ALT£1( THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Bb AUTHORIZED REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER IMPORTANT: N the eerU kate holder Is an ADDITIONAL INSURED, th POEcyIMs) must he endorsed. IL SUBROGATION IS WAIVED, subject to the terms and condillone of the policy, cerlain policies may require an endoreemem. Astetoment on tbk svtifleete does not confer rights to the certificate hailer In lieu of such endorseman ■ I'moucaR 7ohn O. Bronson Co. /SM25149 3636 Amrfam River Drive Stub 200 Saamnento, CA 958W NAYF: Rmiolccm a 916d804134 yy,:916-4BOdl3i sera • dean@ tatATCmon. 916.9747800 B3 AFFORWrCDVBRAGE _ niece POWER At FinuacialPwific lnsuffi po Co Sacummm,CA) 31453 "'RIME" Were Disposal Inc mslmFAe: Hwsm CsKW9Co(BumgA WKo—mi, San Fmciso) 42374 36733 (Sw bdow for additional Harmed lnswWs, if soy) P.O. BOX WO NEWPORT BEACH, CA 92658 �� G 07 mumoso, Aluta Ndioml lnsvOoee Cc(Sm pnechco, CA) lowummal Emmn Inc rackup a: W1i,es em n erci ro) a: 33378 01" Im ERf: �VGR INDICATED. N IS TO CN iTWIIFY THAT THE POLICES DU 11-MENT.ITE LISTED MEINIT NAVE BEEN ONTA TO THE THER D NAMED WTH FOR THE POLICY B ANY R�UIRPAIENT, CONDITION ANY CONTRACT OR DOCUMENT YNTH CERTIICANOTWITHSTANDING RESPECT TO WHICH TNl3 E ISSUES) H T411 A INSURANCE D THE IS SHOWN AFFORDED BY THE CEIl01E8 DECLAIMED HEREIN IS 8U8JECT TO All THE TTiD4S, DESCRIBED HERII CERTIFICATE MAY O 188OED OF MAY P POLICIES. E%CI.U8ION8 AND CONDITIONS OF SUCH PIX.ICIE8. LIMITS SHOWN MAY HAVE BEE! REIXICEDMY PAD CLAIMS, TYPE W MURANCE 7/28/13 2128114 11er10 A GEYRULt111m1rY X CCNhEPL.'NLGENFNAL u Lw GAa61MDE � oCCVR X Slq)DPkr tJxnsmmPD Ded. X 60425093 lic. wri Project ABtrepm applies Per rrriem rQo1Rd EACHOWptEMtg ).BDB.00D _Mti. LSa.?eP1PtnIe1_ FXP eta eepn s IO5AM i SA01) r�oNa6aAw WORM i IAW,000 oalR+At At>a¢cATe s 2.OW,OW GENT. AGGI®GATE;; APPLES X PER: tlF MOWCIe•CCMPAIP�SG 7 2A40,000 i Aero ICOU OSIM AAV•08 I ANYAHlO60t2409J � teN tyros AUTO $5.000 SUED Dad%4ble 2f1$/t3 7lIBR4 1,000.000 OWLTUAAnoww ) t OWLY WIRY 0; w-dsate i t i B X VIrEhHIALIAB aacw twa X oCtalR ISAsaapoe HI3XC30223-00 (Irt Layer) 2/26113 7128114 EAEH011lWmrCE B 5,000,000 A(1GFr"TE 3 5400.000 rtnlowI Immeroiis MDILvtovm.L n N ANY PRwuTgwAgmmmxwrft E1rR B(t1110EO! X e C NIA 12HWSOWO W1/12 8.ro1/13 E.L.EMJI ACCODIT IAD0,000 EL.deEASE-EAFIaY.OYE s I,Ooo,000 LRarASE-PacrLMrt t D Excess LIAdb9-2Dd Layer XOBW4339113 2118/13 2JM14 $5AK000 Each OasnencoW.000AWAS& RMt Wohpedotmed ly the ioamd Ttv cenifinmlmMerperT.YlnprwRran ItZiTWa&pedomkaNarlounoxaTveTseeBs(Amer.AtnTlaatm,AeYorltraaa.Y.suNdN,VNN.wwatidj> 3ROVRO AS TO FORM ChyofBamAa;Wms,esq�byees,a4mu,valualeeleaadrepeeaeotadve --s /-___,-,j! 13 Laura t S6eedy Penut O(MIOR17JI Assistant Ity Attorney City of Santa Ana Public Weft Asency 70 CWIC CENTER PLAM, M-21 SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DCICRIMO POLICIES BE CA11C O, m BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED m ACCORDANCE WITH THE POLICY PIOVISON9, �a..Q ..��..� .. �.......: ,.m n....w trttw area 1099 are re9mlele0 ISM M AGORD Namedinsurad: W=Dkpoulim POLICY NUMBPA 60425093 CO 2010R 1211 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS (WITH LIMITED COMPLETED OPERATIONS COVERAGE) This endorsementmodipas Insurance provided under thef0towln0: COMMERCIAL GEl SIM UAZuTY COVERAGE PART pgE pM BIJB0 ESSaWNERSCOVERAGEFORM SCHEDULE t6_0Fe68M0RrS aarrsej= Any person or orparitsUanto whore orio which the nonned banned Is obligated by a virtue of a W ftw OOntW to provide Insurance that Is afforded by this policy. Where mquhW by contact, ft oUbers, ofltdals, employees, daectom, subsidiaries, panders, u=assors, parents, dkAslana, atct&Kbk aurvayors and angineom am Included as additional insureds. AD other enfl les, UtduW4 but not limited to BOOM, vdmttaws, servants, members and If mquulmd by cmftc% a* aaddlilonactIng wlthhIn the course and scope of their dales oortbolled and supwvtsed by the pftary (Ifisi) additional laused. tt an Comer Controlled Insurance Pregram Is Imulved, the coverage applies to offs alto gW&Iona Only. If the purpose Of this andomorneat Is tot bid purposes a*. then no average applies. VMISANINWW-IX(GecIIonlI) This section Is amended to Include as an insured the person or Organtzedon wbhln the scope of the W language above, but only petsen or otpankation In held tlaWe for you acts or cmiselone in the coarse of 'yocs wortr for that person or agaffration by or for you. The products. completed operations h¢aard' pentan of the policy coverage as teepeots lire additional loaned does not apply to any work MvoNhtg or Waited to properties hdatded for msldenum or ha6Nallonal ocaipancy (other than apartments). Thty clause does not affect the 'products• completed operations' coverage provkfed to the named Msured(s). WA OF 6U8R0CAT M-, We Wdve any right of rewvery, w1m required by won st 01ia person or ocontract, rgenIZABOA WUhthat vve 1t the sehave �m opeOf to qusibNng language above because of payments We mokefar". LSE;: The jab lecallon must be Within the State of domicile of the named hmured, or wlthln any contiguous side thereto. ,10BCRIPTIepi off WOiaC• The type of wont pWfomnod must be that as described under doadilc Bons in the COL e a So Dodwations. R TO GMRAL LIMILM SMED yORM CC 71 54 Ol D? Wham this andorsamod applies and wham mq*ed by written coabact, such Insurance as Is aftonied by the general left policy is 01mary i wmnce and other Iranian shag be wma and shall not ecrdribute to the Insurance afforded byd6 andomement. This Insurance provided m the additional insured does not apply to 'body Injury, 'properly damage° or •personal and advertising h*W arLMng out or an archiecl's, engineer's or adveyces rendering or failure to railer any professional seMae% trduding: 1. Tho preparing. approving. or talAng to prepare or approve, maps, designs. shop dtuwine, opidorse. repots, surveys, held orders, change orders, or drawings and speciions; and 2. SUPWASOrY. irispecUat, embitedwal Or- anohceedng scum". EndasementEFFECTIVEDATt BrA DEC Endorsement EXPIRATION DATE: 013 DEC CS 20 MR 1212 indu&B cOWNh W taWxal athwanu aannaee Oaks, Inc..nmt b permbdan Page 1 of 1 k 130E 02-28-2013 POLICY NUMBER: 60425093 COMMERCIAL GENERAL LIABILITY SUPPLEMENTAL DECLARATIONS -ADDITIONAL INSUREDS 8alyduM ofAddM mdlourwM RSf LESSEES OR CONTRACTORS (LIMITED COMPLETED OPERATIONS COVERAGE) 700 CO2010R——CALIFORNIA ENDORSEMENT EFFECTIVE FRONa 02/28/2013 TO$ 02/28/2014 THIS ENDORSEMENT APPLIES TO THE FOLLOWING CLASSES ON TEE POLICY 47146 RECYCLING COLLECTION CENTERS FOR PROFIT INCL PR/CO 95233 GARBAGE ASH OR REFUSE COLLECTING INCL PR/CO VP 11 Dow] ul 2'j�)bUl A�iGi°'Rbr CERTIFICATE OF LIABILITY INSURANCE �.A 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 polioy(les) must be endorsed, If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate dons not confer rights to the certificate holder In Ilau Of Ruch endorsement a . PRODUCERr'4ZTaff Rocio Leon John 0. Broaw Co. / #0425149 3636 American River Drive Mte 200 Sacramento, CA95864 ENDIVE 916-480-4134 916-4844134 L . doenOohnObnmsun.Dom 74-78 916.974-7800 INSURE AFFORDING COVERAG E NAIC$ INSURERA: Financial PacWclnsurance CD(Sanramento,CA) 31453 INSURED Were DispD6al Inc. INSURER a : Houston Casualty Co (Bums & Wilcox San Pranciso 42374 INS RERC: Alaska National Insurance Cc (San Francisco, CA) 39733 (See below for addillodal Named hLsureds, if any) P.O. Box 8099 Newport Beach, CA 92658 INSURER D :, Evmaton loS CO (Boma & Wil=, San Francisco) 35378 NSURER E INSURER F COVERAGES CERTIFICATE NUMBER: RPMAInN MI MANOR. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BCLOW 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. ILTR NSR TYPE OF INSURANCE INSR WW1 POLICYNUMBER POU EFF IMMIDDrrCM UMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE �OCOUR X $I,000Per Occnrnlnw PDDed. X 60425093 Per Project Aggrcgateapplies per written contract 20/13 2128114 EACH OCCURRENCE $ 1,0Iq,00D OAAIAGE TOREMM I E Eaeonmence MEOFOCP M n $ 100,B00 $ 5,000 PERSONAL d AAV INJURY S 1,OWODD GENERALAGMEGATE a 2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER X oT LOp EBODUCTS,COMPIOPArr S 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO 60425093 2728/13 2/28/14 EnacWdm W T L000000 $ X BODILY INJURY(Pw pdn=), A ALL OWNED SCHEDULED AUTOS AUTOS ED HIRED Alir06 X NOR -OWNED $5,0W HVPD Deductible BODILY INJURY(Pefacdtlenh f X ROPa OANLIOE Pa $ $ UMBRELLA UAB X OCCUR H13XC50223-00 212g/13 2nV14 EACH OCCURRENCE $ 51()WI000 X AGGREGATE S 5100010OD B EXCESS UAR CLAIMS -MADE (Ist Layer) RETEtMON 11S (" WORKERS COMPENSATION ANDEMPLOYERS•LIABILRY YIN ANY PROPRIETORIPARTNEPoFJ(ECUTNE OFFICERMEMBER EXCLUDED? (Mandatory In NH) IP deeaine ender p RIPnON OFOPERATIONSt)Glbtl N/A 13HWS05450 S/01f13 8/01114 X WC STATL'- OTN- E.L. EACH ACCIDENT s 110001OW -EL DISEASE-EAEMPLOYE $ 1,0()0,()00 IEL. DI6EASE •POLLCVLIMB $ 11000000 D Suess Liability - tad Layer XOBW4359113 2129113 2f2$/14 $5,000.000 Each Occunenc;a35,ODO,OOO Agg DESCRIPTION OF OPERATIONS/ LOCATIONS I VBNICLES (JUWt ACORD Tel, Addtnonal Ramerks Sahodula, Kmma apace In mqulrad) RE: WorLpedomledby the insured for certificate holder per written contract APPROVEDAS TO .FORM Addy City of Santa Ana; its officers, employers, agents, volunteers and representative /" , T { F ...�'a_ 12 artastss :IJ',�e� Forms, CG2010R1211,CG7t54O1W Laura S' Sheedy ra S L---mo.._.�... 'A- Sistant it Attornev City of Santa Ana Public Works Agency 20 CIVIC CENTEIR PI ABA 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. flMT =I Narnedlnsured: WamMsposaltuc. POLICY NUMBER, 60425093 CG 20101q 1211 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE. BEAD IT CAREFULLY. ADDITIONAL CONTRACTORS M n ii This endorsementModifies1£ provided underfollowlngz COMMERCIAL BUSINESSOMNERS COVERAGE FORM PRERIUM SCHEDULE NAME OF FEMN OR ORMIZATION Any person or organization to venom or to whim the named Insured Is Obligated by a virtue of a written contract to provide Insurance that is afforded by this polloy, Where required by contract, the Officers, ofNclals, employees, directors, subsidiaries, partners, successors, parents, dluisfons, architects, surveyors and engineers are included as addtttonailnsureds. All other witilles, Including but not limited to agetiis, volunteers, servants, members and partnerships are included as additional Insureds, If required by contract, only when acting within the course and amps of their duties controlled and supervised by the primrary (first) additional Insured. if an Owner Controlled Insurance Prograin is involved, the coverage applies to Off site operations only. ff the purpose of We endorsement is for bid purposes only, then no coverage applies. ISAi4INSUREQ: (Section II) Tills section Is amended to Indude as an Insured the person or Organization within the scope of the qualifying language above, but only to the wtent that the person or organization Is held Ilable for your acts or omissions In the course of "your work" for that person or cagranizallon by or for you. The 'products - completed operations hazard" portion of the policy coverage as rospects the additional Insured does not apply to any work involving or related to properties Intended for residential or habitational occupancy (other than apartments). This clause does not affect the ^products. completed operations" coverage provided to the named insured(s). �0i the qualifljing language above because of payments we make for injury. LOCATION OF MSi The job location must be within the State of domicile of the named Insured, or within any contiguous state thereto, QES�iPFi�11i OF WORK• The type of work performed must be that as described under classifications In the CGL KR TO GENERAL LIABILITY FORM CG 71 54 01 07 Mien this endorsement applies and when required by written contract, such insurance as is afforded by the general liability policy is primary Insurance and other Insurance shall be excess and shall act contribute to the insurance afforded by this endorsement. E LUSION This Insurance provided to the AddftiOnal Insured does not apply to 'badlly Injury', 'property damage" or 'parsonal and advertising lnjuV arising Out of an architect's, engineer's or surveyor's rendering or failure to render any professional servlcbs, including; 1. no preparing, approving, or failing to prepare Or approve, maps, designs, shop drawings, opinions, reports, surveys, ,laid orders, change orders, or drawings and specifications; and 2. SupeMsory, Inspection, arohitedural or engineering activilles. Endorsement EFFECTIVE DATE: SEE DEC - Endorsement EXPIRATION DATE; SSE DAC CG 2010tt 1213, lnoiudos oopyriahted materlai of Inairanoo Sorvines OOko, Ino.,wrul to pornfoolon Page 1 of 1 POLICY NUMBER: 60425093 Schedule of Addliiuml lnuwede Premium OWNERS, LESSEES OR CONTRACTORS (LIMITED COMPLETED OPERATIONS COVERAGE) 700 CO2010R— —CALIFORNIA ENDORSENENT EFFECTIVE FRON3 02/28/2013 TOs 02/28/2014 THIS ENDORSEMENT APPLIES TO THE FOLLOWING CLASSES ON THE POLICY 47146 RECYCLING COLLECTION CENTERS FOR PROFIT INCL PR/CO 95233 GARBAGE ASH OR REFUSE COLLECTING INCL PR/CO L;u 11 64 u7 07 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/ A�oRo® CERTIFICATE OF LIABILITY INSURANCE DATE (MMI DN r 2/27/2018 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 International Insurance Services Inc. License #0757776 CONTACT NAME: ROCIO Leon PHONE FAX A/c No Ext : 916-480-4134 AIc No): 916-993-7234 3636 American River Drive, Suite 200 Sacramento CA 95864 ADDRESS: Rocio.Leon@hubinternational.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: Greenwich Insurance Company 22322 INSURED WAREDIS-02 Ware Disposal Inc. P.O. Box 1318 INSURER B : Westchester Surplus Lines Insurance Company 10172 INSURER C : Alaska National Insurance Company 38733 INSURERD: Evanston Insurance Company 35378 Santa Ana CA 92702 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1861647094 REVISIr)N N1IMRPR• 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. IPOLICY LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER EFF MMIDDIYYYY POLICY EXP MM/DDNYYY LIMITS A X ! COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y GEC3000730-03 2/28/2018 2/28/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO ENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 X $1,000 PD Ded. Per Occurrence PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEo LOC GENERAL AGGREGATE $ 2.000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY AECO04538603 2/28/2018 2/28/2019 COMBINED SINGLE LIMIT Ea accident $ 1.000.000 X ANY AUTO BODILY INJURY (Per person) $ ALL OS OWAUTOS NED SCHEDULED AUT BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ BI/PD Deductible $ 5,000 B UMBRELLA LIAR N OCCUR G46863306001 2/1/2018 2/28/2019 EACH OCCURRENCE $ 10,000,000 AGGREGATE $10,000,000 CLAIMS -MADE LEXCESS ED RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A 17H WS 05450 8/112017 8/1/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below D Environmental Impairment Liability/CPL 17CPLOWE00598 2/28/2018 2/28/2019 Each Loss 1,000,000 Aggregate 1,000,000 Deductible 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be 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:TItA EUNICE HEREDIA (PG I OF } u r-m I Ir 1{..H 1 C riu LUCK 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 REPRESENTATIVE ��/R14-- U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: GEC300073003 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 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. 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 Page 1 of 2 REVIEWED BY: EUNICE HEREDIA (PG2,0F �p) 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., 201 h CG 20 10 0413 REVIEWED BY: EUNICE HEREDIA (PG3 OF ) POLICY NUMBER:GEC30073003 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: EUNICE HEREDIA (P of ) ENDORSEMENT # This endorsement, effective 12:01 a.m., 02/28/2018 forms a part of Policy No: GEC300073003 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. 41 REVIEWED BY: EUNICE HEREDIA (PG5 OF ) ENDORSEMENT # This endorsement, effective 12:01 a.m., 02/28/2018, forms a part of Policy No: GEC300073003 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. REVIEWED BY. EUNICE HEREDIA (PG( OF ) 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