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<br />CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD1YYYY)
<br />1/1/22016
<br />12/[0/2014
<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 DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(pes) must be endorsed. if SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights, to the
<br />certificate holder in lieu of sttch endorsement(s).
<br />PRODUCER LOCKTON COMPANIES
<br />et�NTACT
<br />arc° No, Ext, ia10 Ne:
<br />5847 SAN FEUPE, SUITE 320
<br />HOUSTON TX 77057
<br />866-260-35311
<br />E-MAIL
<br />INSURER:s AFPORDIaGC E.
<br />y
<br />INSURER A,: ACE American h1Si11'ance Company 22667
<br />I DOG27341.i..51
<br />INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED,
<br />INSURER B: Int%enunit IaTsurarace Co bl'NcrrUa 4narica 43575
<br />13UG0410 RELATED & SUBSII34ARY COMPANIES INCLUDING:
<br />tiNd� CURBSIDE, LLC
<br />5101 E. LA PALMA AVENUE
<br />INSURER C: ACR 1"ro ert L� C11SURILY Isasuranec Co 20699
<br />ER D,: ACF Fire Underwriters Insurance Company 210702
<br />INSURER
<br />ANAHEIM CA 928701
<br />INSURER ' ,
<br />COVERAGEC:F..R'TIFICATE NLIMBER- I I (176601 REVISION NUMBER: XXXXXXX
<br />THIS IS Til CERTIFY THAI' THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE (INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATLD, 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 />INSR
<br />TYPE OF INSURANCE
<br />aD I
<br />VUO
<br />POLICY NUMBER
<br />POLICYDFF
<br />I"'C7LIpY EXP
<br />LIMITS
<br />A.
<br />X
<br />IER—ALUAOILITY
<br />COMMERCIALGENED
<br />CLAWS -MADE I R OCCUR
<br />{ l
<br />y
<br />'y
<br />I DOG27341.i..51
<br />1/I/701.5
<br />1/11209..6
<br />EAC'IOCCURRENCE 000,001 O
<br />DAMAGE
<br />R MISSES i(Es occurr racer 5001000
<br />MED EXP IAny one person XX XXXe1
<br />X
<br />�I] 14`1('.1.[IiDF`D
<br />PERSONAL & ADV INJURY $ -5,000,000
<br />XISO
<br />F (7000Q) 10413
<br />GENT AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $ 6 000 000
<br />I'OLICY� PRO 1XI LOC
<br />PRODUCTS - COMPIOP ACG I 6 000 000
<br />OTHER
<br />A
<br />AUTOMOBILE LIABILITY
<br />Y
<br />Y
<br />MMT I408830472
<br />I /1/21115
<br />1/1/2016
<br />� McB,N �11TINGLE LIMIT $ 1,000,000
<br />BODILY INJURY (Per persw) $ XXY_Y,
<br />X1 ANY AUTO
<br />ALL �yWNPD SCIIED
<br />X AUTt7S AUTOS
<br />1304ILY INJURY (Per eacidarrl'... $ x,�'
<br />PROPERTY DAMAGE ${X.ri.XX.IiX
<br />(Perarc1IT.II
<br />NON -OWNED
<br />X HIREDAUTO 1� AUTOS
<br />$ XXXxXXX
<br />X MCS -90
<br />C
<br />X
<br />UMBRELLA LIA13
<br />X
<br />100GUR
<br />y
<br />y
<br />XOO 'G2'N2105A
<br />I./l/2016
<br />EACHOCCURRENCE $ 15,000,000
<br />AGGREGATE S 15,000,000
<br />EXCESS UAB
<br />OLAIrv15-MTADE....'..
<br />.._1
<br />DBD RETENTION $
<br />F/I015
<br />_
<br />_ $ XXi.tXX Xi
<br />�..-
<br />F'
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />PFrHCCR:M1Et�ERLXIGLU1')EI� ECIVTIVE �i-i
<br />IMUndmtery in NII( I R I
<br />N/A
<br />lA/1_I�F.C4814I81A ACLS
<br />WT.1t (48141821 CA NIA)
<br />�"3i'4w141i �1�
<br />_
<br />f115
<br />015
<br />.015
<br />111I2016
<br />111/2016
<br />1/1/2016PI
<br />�'i STATUTE 07L
<br />CASH ArGIPCN7 $ 3000000
<br />.,»
<br />E.L. DISEASE EA EMPLOYEE $ 3,000' 0'00
<br />IF yes, ftseli e, Undo,
<br />''... DESCRIPTICsN OF OPERATIONS eraaw
<br />C L. DISEASE - POLICY LIMCT 3,000',000 '
<br />A
<br />EXCESS AUTO
<br />LIABLLITY
<br />y
<br />y
<br />XSNHO8830460
<br />11112{115
<br />1/1/21116
<br />CENIB11,1EDSINGLI;LFWT
<br />S9,000,000
<br />(TACH AC CTDLNC)
<br />DESCRIPTION OF OPERAT➢ONS t LOCATIONS'. t VEHICLES (Attach ACOR❑ 101, Additional Remarks Schedule, may he attached if more space Is required)
<br />BLANKET WAIVER Or SUB OGNI'lON IS GRANTED IN FAVOR, OF CFRTLFICATH HOLDER ON AIA, POLICIES WHI3RL AND TO '1HT EXI'LN-IS?kSRFTD BY
<br />WRTITFN CON'1'1t ACT il7HHL:RE PF-RMISSIBT.F BYLAW. CL,XVIFICATIi 1-IOLDE[t l: ri AME -D AS AN ADF)ITIONAL INSUIZL`D (I XCL'P1' CC1Lt WCyIt& LI; S' COND/LL)
<br />WHERE AND TO 1lIF FX'TENT REQUIRLD 13Y WRITTEN C091'1? -ACT. ADDITIONAL INSURED IN FAVOR OF CITY OF SAN X ANA, ITS OFFICERS,
<br />LMvPLOYF.FS, AGENT'S, VOLUNTEERS AND REPRESENTATIVES (ON ALIS POLICIES EXCEPT WORYIIRS" CONIPFNSATIONPEL) WIIERE REQUIRED 13'Y° WRlr'rf.,N
<br />CONTRACT. WAIVER OF SITBROGATION IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS EMPLOYEES, AGF-, NT:S, VOLIINTFERS AND R 3PRESE.N'IAf1VFS
<br />ON ALS. POLICIF5 WH -21F : ITQUH1 ED BY WIU'r"TEN CON'ITLAC'T WI-1ERI' PERMIS'SIIII.,T, BY LAW, THE M1 3U tANCF AFFORDED TCI TI1G riDD T1ClyihL 1N U1tPi7
<br />A,S DESCRIBED IN THIS CERTIFTCATF Or [INSURANCE FOR. WORK PERFORPvtED BY TB Nt".11 MD INSUREL [5 PRTMARY AND A ON-COTT1'I%ll311,TLCLY TO AIIY
<br />M, fLAR C'OVERAGF MAINTAINED BY THF:.�DL7I rfJONIAL INSURED WHERE AND TO TRE EXTENT Tui Q IED )3� CONY'RACT.
<br />M CURBSIDE A-2008-062 & N-2007-086-01 REVIIE'WEU BY 7,, � EUNICE HEREDIA (PG. 1 of 8)
<br />U rK I It -SIA. I G'. n6JL_wR _na x.—111x..vu�.,uaw.evu
<br />11076601
<br />CITY OF SANTA ANA
<br />DEPARTMENTOF PUBLIC WORKS
<br />ATTN: CHRISTY KENDIG
<br />20 CIVIC CENTER PLAZA, M-21
<br />SANTA ANA CA 92702
<br />Ai -nun •an r,)A4Arni i
<br />SHOULD ANY OF THE ABOVE. DESCRIBED POLICIES BE. CANCELLED BEFORE
<br />THE EXPIRATION DATE T11EREor, NOTICE WILL BE DELIVERED INI
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />AUTHORIZED
<br />r
<br />(r3 tiF/AR-7tI1+i A( ORD CORPORATICM AN rinhtc racrru4-ri
<br />The ACORD (tame and logo are registered rnalrks of AC ORD
<br />
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