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AC"Ra11'1 CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) <br />�...�� 1/1/2012 F 4/13/2011 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE- q E� NOT,COIJSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE £ �tT2161 4TE:`101 161 , <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certao �1PHeies may. require, an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement` <br />PRODUCER LOCKTON COMPANIES, LLC CONTACT <br />5847 SAN FELIPE, SUITE 320 PHONE FAx <br />HOUSTON TX 77057 E-MAIL A/C No <br />866-260-3538 ADDRESS: <br />INSURER A: ACE American Insurance Com an 22667 <br />INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATE SURER B: Indemnityr 43575 <br />1306000 RELATED & SUBSIDIARY COMPANIES INCLUDING: INSURER C: ACE Property & Casualty Insurance Co 20699 <br />WM CURBSIDE, LLC /I a00 <br />O <br />500 S. JEFFERSON �T INSURERD: <br />PLACENTIA CA 92870 'Lo D&�D / INSURER E <br />INSURER F: <br />rnVFRAnFA AT CPRTICICATC IUIIU12CD• 11111AAn1 o�Inc�i�u vvvvvvv <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 />INSRTYPE <br />LTR <br />OF INSURANCE <br />ADD <br />IN <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />Y <br />Y <br />HDO G25524937 <br />1/1/2011 <br />I/l/2012 <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) $ 5,000,000 <br />X MMERCIAL GENERA (ABILITY <br />CLAIMS -MADE X OCCUR <br />MED EXP (Any oneperson) $ xxxxxxx <br />X XCU INCLUDED <br />PERSONAL & ADV INJURY $ 5,000,000 <br />X ISO FORM CG 00011207 <br />GENERAL AGGREGATE $ 6.000,000 <br />GENE AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ 6000_000 <br />PROJECT X LOC <br />POLICY X' JEC <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />y <br />y <br />MMT H08631463 <br />1/1/2011 <br />1/1/2012 <br />(Ea accident) $ 1 000,000 <br />X <br />ANY AUTO <br />BODILY INJURY (Per person) $ XXXXXXX <br />'Y <br />AUTOS OWNEDALL AUTOSULED <br />BODILY INJURY Per accident $ XXXXXXX <br />PROPERTY DAMAGE $ XXXXXXX <br />(Per acmdent) <br />X <br />HIRED AUTOS X AUUTOSWNED <br />X <br />MCS -90 <br />$ XXXXXXX <br />C <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />Y <br />Y <br />XOO 625828562 <br />1/1/2011 <br />1/1/2012 <br />EACH OCCURRENCE $ 15,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE $ 15,000.000 <br />DED I I RETENTION $ <br />$ xxxxxx <br />B <br />WORKERS COMPENSATION <br />Y <br />- <br />A <br />AND EMPLOYERS' LIABILITY Y / N <br />WLR 046469768 (AOS) <br />1/1/2011 <br />1/1/2012 <br />X ORY LIMITS ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />WLR C4646977A (CA & MA) <br />1/1/2011 <br />1/1/2012 <br />E.L. <br />A <br />OFFICER/MEMBER EXCLUDED? a <br />NIA <br />SCF 046469781 (WI) <br />1/1/2011 <br />1/1/20]2 <br />EACH ACCIDENT $ <br />3,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE - EA EMPLOYEE $ 3,000,000 <br />E.L. DISEASE - POLICY LIMIT $ 3.000-000 <br />DESCRIPTION OF OPERATIONS below <br />CH08631475 <br />1/1/2011 <br />1/1/2012 <br />COMBINED SINGLE LIMIT <br />ILIA <br />BILITY <br />$9,000,000 <br />(EACH ACCIDENT) <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY <br />TERM(S) REFERENCED. <br />BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY <br />WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMPEL) <br />WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, <br />AGENTS, VOLUNTEERS AND REPRESENTATIVES (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE REQUIRED BY WRITTEN CONTRACT. <br />WAIVER OF SUBROGATION IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ON ALL <br />POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. <br />V• JGG ALLAG11111G11L <br />A l ' ( ' v-0 <br />4OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />��- ACCORDANCE WITH THE POLICY PROVISIONS. <br />11076601 "I icC 'y' AUTRORIZED REPRESENTATIVE <br />CITY OF SANTA ANA <br />DEPARTMENT OF PUBLIC WORKS <br />ATTN: CHRISTY KENDIG <br />20 CIVIC CENTER PLAZA, M-21 <br />SANTA ANA CA 92702 <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ©1988-2010 ACORD CORPORATfUN. All rights reserved <br />