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Angie Digitally signed by <br />Angie Aceved <br />CERTIFICATE OF LIABILITY INSURApl edd�'Sa9: a Al <br />A I M 10 1aaULU As A MA I I EK Ut• INYOKMATION ONLY AND CONFERS NO RIGHTS UPI <br />DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVEI <br />CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />TIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this <br />certificate does not confer riahts to the certificate hnlder in lien of sueh endnrenmen9el <br />CANNON COCHRAN MANAGEMENT SERVICES, INC. <br />17015 N. SCOTTSDALE RD <br />SCOTTSDALE, AZ 85255 <br />REPUBLIC SERVICES, INC. <br />18500 N. ALLIED WAY <br />PHOENIX, AZ 85054 <br />COVERAGES CERTIFICATE NUMBER: 2088213 REVISION NOMRFP: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR NSR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MWDDNYYY) <br />POLICY EXP <br />(MM/DDNYYY) <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE M OCCUR <br />HDO G72462074 <br />06/30/2021 <br />06/30/2022 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />$ 5,000,000 <br />MED EXP (Any one person) <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PERSONAL & ADV INJURY <br />$ 5.000,000 <br />GENERAL AGGREGATE <br />$ 5,000,000 <br />POLICY PROJECT ❑ LOC <br />PRODUCTS -COMP/OP AGG <br />$ 5,000,000 <br />OTHER: <br />AAUTOMOBILE <br />LIABILITY <br />X ANY AUTO <br />ISA H25549752 <br />06/30/2021 <br />06/30/2022 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 5.000,000 <br />X OWNED AUTOS ff] SCHEDULED <br />BODILY INJURY(Per person) <br />ONLY AUTOS <br />X HIRED AUTOS [XK]NON-OWNED <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />ONLY AUTOS ONLY <br />71 <br />(Per accident) <br />UMBRELLA LIAR OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB CLAIMS -MADE <br />GGREGATE <br />DED RETENTION $ <br />B <br />A <br />C <br />A <br />D <br />WORKERS COMPENSATION YIN <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOPoPARTNER/EXECUTIVEIN] <br />FFICERIMEMBER EXCLUDED? <br />Mandatory In NH) <br />If yes, describe under <br />NIA <br />WLR C67824D64 ADS <br />WLR C67824027 CA/MAIOR <br />SCF C67824106 - WI <br />WCU C67824143-OH XS <br />TNS C68990592 -TX NSXS <br />06/30/2021 <br />06/30/2021 <br />06/30/2021 <br />06/30/2021 <br />06/30/2021 <br />O6/30/2022 <br />06/30/2022 <br />06/30/2022 <br />06/30/2022 <br />06r30/2022 <br />X PER OTHER <br />STATUTE Ll <br />E.L. EACH ACCIDENT <br />$ 3.000.000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 3,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />1$3,000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Division Number. 3876 - Named Insured Includes: Republic Waste Services of Southern California, LLC - Dba: Anaheim Disposal q Brea Disposal // Chino Hills Disposal // <br />Garden Grove Disposal // Placentia Disposal // Yorba Linda Disposal /1 Villa Park Disposal // Republic Services of Southern California -Anaheim <br />CANCELLATION e <br />f?EVIEV/ED 6 APPROV®BY: <br />SHOULD ANY OF THE ABOVE DESCFI+� 11�,• <br />BEFORE THE EXPIRATION DATE THE It I A+ Aeweda <br />ACCORDANCE WITH THE POLICY PF `�' Risk Management SpedzBs[ <br />n, iTunoorn oonn�c�.,r.. r,..� <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />United States <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />