<br />02/20/2004
<br />
<br />17: 52
<br />
<br />P.2/3
<br />Dalo~ (MMlDDIYY)
<br />212012004
<br />HIS OERTIFICA-n; IS ISSUED /',S A MATTEI! Of IIIFOI!MAT1OII
<br />lY AND CONFSI!S IIO RIGHTS UPON THi" c;tT1FICATE
<br />HOLDER. THIS CERTIfiCATE pees NOT AMEND, EXTEND OR
<br />lTER THE COVERAGE AFFORDED BY THE POliCIES BELOW.
<br />U R8 DING CO RAGE
<br />AOE AmerICan Insurance CQrnpeny
<br />Indemnity InOUrllllCe CQmpany of Nor1l1 Amel1cø
<br />\I"tlonol Union Fire t...ro- Canlpany of PjItsþ~r9Þ, PA
<br />Alii... World Assurance ccmpllny, ~td.
<br />
<br />17145585525
<br />
<br />WMOC
<br />
<br />-. FEB.19.2Ø10
<br />
<br />6:37PM
<br />
<br />
<br />
<br />CER
<br />
<br />P~OPUCE~
<br />Lock\IIn"".....,.l\otncyol_n,1no.
<br />"47680 Fell"", 50'10 '20
<br />Hou&\OII, lJt 77057
<br />."-210"'" (1'11008)
<br />."".'-105' (F")
<br />hi" Cer1ffica18 Voiclo .nó SO_del any p-Iy lHulClOllJtlflatto.
<br />INSURED: WASTE MANAGEMI!NT and
<br />WaIte Managemllf1l of 0'811\18 County
<br />1800 SOuth Grand Auenue
<br />BsntaAns. CI\ 92705
<br />
<br />THE POl-ICIES OF INSURANÇ:: ~ .~."'" HAVE BEeN ISSUIW TO TH~ ItISURIW NoIMID AIIOV~ FOR THI ~O~ICY ~eRIOD INDlCAT&!).
<br />ND1VI'ITIISTA~","" ANY ~EQUIIIEMWr, Tel'llol 0/\ COI'lOl1'ION Of Atff OON11'ACT OR OTHER OOC~ WIT>! ~ESPECT TO \I\I1Q~ THI$
<br />
<br />~~~~¡:: !~II~=SO~ '1^u~~~1:~r.~~~::~\:I~~=:: :m~::;:~~~~~~ sueJECT TO ALL THI TliIlMS,
<br />
<br />TYPE OF INSURANCe POUCYNUMB¡¡R ..._~... LIIIITS
<br />GEIII!IW. UA81U BACH OCCURRetfCe
<br />FIRE DAMAGE -...-
<br />
<br />"OR
<br />c'"
<br />
<br />A
<br />
<br />
<br />Insurer A:
<br />Insurer B:
<br />Insurer c;
<br />Insl.lrer D:
<br />Insurer !::
<br />
<br />HOC G216930!54
<br />
<br />1111~O04
<br />
<br />1/1/2005 MliD EXP ""._,
<br />paRSo"". 6 AOV tNJU~Y
<br />GENEAALAGGfU'GATE
<br />P~ODUCTs{cOMl', OP. AGG
<br />
<br />PAGE
<br />
<br />02/03
<br />
<br />A
<br />
<br />x
<br />x
<br />X N""OVòtEO AUTos
<br />X ~.....
<br />1!XCE811 LlA LI
<br />
<br />X
<br />
<br />ISAHO8010948
<br />
<br />1/112004
<br />
<br />COI.1aINEP 8lNo.e ~lMrr
<br />1/112005 ( 01
<br />
<br />$
<br />$
<br />
<br />ð,ooo,ooo
<br />5,000,000
<br />
<br />A
<br />C
<br />D
<br />
<br />
<br />XOOG21B08234
<br />876-3254
<br />0001388/002
<br />
<br />EACH OCCUIUIEIICI!
<br />111/2005 AGG~iGATi
<br />
<br />$ 5,000,000
<br />$ 6,000,000
<br />$ 6,000,000
<br />$ 10,000,000
<br />
<br />$ 100,000,000
<br />$ 100,000.000
<br />
<br />
<br />f'fiM"",": ""'0~II'T1ONOF""""^TIOI'IIII.O"^TI_""'~"'1<'I_"~NpoflS""'NTP"",,,,,I"""
<br />
<br />Ø()X III-_W""'OF_'11O!""""r<TIII>lN"IIOAOFClA'nn"",._"".....- _.-"""IiXIII""_"'fIY"'"",,'~.
<br />
<br />~ CfA-T<-"""IIA-" A«ADomOIAl.'.."'."""""""-"co"", _AN. ,o"..sxr.,.,.-- ÞYWIItTTEN CO_CT,
<br />118: SeW_f","ulaphYsIcoI_lIIIo.
<br />Ad-.,lln8urw<1ln IoYor of City 0/ 8- An" Its oIftoen ,tII\II..ó 'mplo,... (on all pollolll...",. -",'
<br />Oomponaatlon/El.)whI.. end ta III, 'ocI8n! II ~1'Id 11\1 WI"'" co-. The - Auto Ulblilty policy provldll 11IbII11I'
<br />co tøthe..-- theCI 01- _... "'.... l1l8I nod -..- to/DrIn CO
<br />
<br />CERTIFICATE HOI.DER: CANCEI.LATION:
<br />
<br />"".A T D¡!~,",""t",lt'8E""<LL"'.t ""t
<br />='6;=~~~~uj!!,..It":~;;WI""",^,L" 0.\\'1 Wl'ITTENI'OTI""
<br />
<br />0"....-
<br />
<br />WO NSATIOfI
<br />B and EMPlO'ÆRS LIABILITY
<br />A
<br />
<br />Cily 01 S.nla Ana
<br />20 Civic Cenlor PIezoo
<br />P.O. Bo>< 1988
<br />Sa"", Ana, CA 92701
<br />
<br />1/112004
<br />
<br />WlR 043972785
<br />SCF C43972728 (\NI)
<br />
<br />,/1/2004
<br />
<br />WORIO!~S' COMI'I!NSIITION
<br />1/112005 ELEACHACCIOE~T
<br />E~ DI&Ð\5E-EA EMPLOYEE
<br />eLPIßr;ASE.pOLlCY.~
<br />
<br />UTHORLJ:EO REPR¡æENTATlVe: ~--~
<br />
<br />
<br />APPROVE S 'TO IURM
<br />
<br />
<br />ichaci Vigliotta . ~ -
<br />Deputy City .~",.",T~~
<br />
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