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- \DDITIONAL INSURED ENDORSEMENT <br /> —ski" - <br /> - .—.. .92/87/20<15....1 G 22 17145!. ,�6 -. .---�--ItlMOC � PAGE 02/03 <br /> •�.r. Date:(MMIDD 8 <br /> • CERTIFICATE OF INSURANCE rate: <br /> PRODUCER Y... THIS CERTIFICATE 1$ ISSUED AS A MATTER OF INFORMATION <br /> ' Leckton Companies of Houston ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 5847 San Felipe,Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> I loueton,TX 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 888-280.353E(Phone) <br /> Me-492-1055(Fay) INSURERS AFFORDING COVERAGE _ <br /> 'ACE American Insurance Company <br /> Waste WASTE MANAGEMENT and Insurer A: I <br /> Waldstee Management of Orange county Insurer B: lltlemnity Insurance Company of North America <br /> 1800 South Grano Avenue 1 nsurer C., Nallonal Union Fire Insurance Company of I'laeburan,PA <br /> Santa Ana,CA 92705 .Allied world Assuitne0 Company,Ltd. <br /> insurer D: _ <br /> Insurer E: <br /> ^THE POLICIES OF INSURANCE LISTED BELOWt VE BEENISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br /> NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTaORI STEER O9C9FabenHE T IS 5 RESE TO THEWHICH <br /> THIS <br /> CERTIFICATE MAV BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE <br /> EHCLusIONS AND cONnITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY BE EXHAUSTED EY PAID CLAIMSTha . <br /> R EPFE4INB DATE-EN?IAATIDN —_� LIMITS <br /> LTA TYPE OF INSURANCE POLICY NUMGER EACH OCCURRENCE $ 5,000,000 <br /> GENERAL LIABILITY <br /> -. X FIRE DAMAGE wwOWnew •$ 5,000.000 <br /> _ OOMWEncLa.GENERaL unEa r <br /> 12970 1/1/2005 111)2006 MED EXP ma pewee)X OCCURRENCE _ HOC GZI7 PERSONAL B ADV INJURY S 5,000,000 <br /> x PRoJECI <br /> DE <br /> RCGGREGmEPATL•LIMIY APPLIES PER; GENEPALAOGREGAIE $ e,000,606 <br /> — OPRODUCTS/COMP,OP.AGG $ 8,000,900 <br /> X PRO EC <br /> tAATH1N <br /> • pU OMOBILE LIABILITY, COMBINED SINGLE LIMIT $ 10,900,000 <br /> ,.. ISA H07932704 1/1/2005 1/1/2006 - IFACMAccwNT <br /> E )` <br /> A X ANY POD <br /> 1 <br /> X HIRED AUTOS <br /> x NDN-OWNED AUTOS <br /> x NCS-BO <br /> EXCESS LAWNY/UMBRELLA EACH OCCURRENCE $ 100,000,006 <br /> A x OCCURRENCE X00022082334 1G/2005 111/2006 AGGREGATE S 100,000,000 <br /> C cLAPPE',MDT 67832$G 1/1/2005 1/5/2006 <br /> D _ C0913tr91903 111)2005 1/1/2005 --, <br /> WORKERS'COMPENSA'rtON WORKERS'COMFCN6ATION STATUTORY <br /> 6 and gMPLOVERS LIABILITY WLR 044173803(ADS) 1/1!2005 1/1/2008 El,EACH ACCIDENT $ 1,000,000 <br /> A — <br /> A WLRC44181095(CA) 1/1/2005 1/142006 ELDISEASE,EAEMPLOYEE $ 5,000,000 <br /> SCF 0441810501 WI) 1/1/2005 IA/2006 ELDIAeAeE-POLICYLIMIT $ 1.000,000 <br /> ,am —.. .. „ <br /> REWIRES:UESCRePTYJN OF OPERATIONSILOCATIONENEHIOLEPC?FLUsioN9 ADDED BY ENDORSEMENT PROVISIONS. <br /> CFA7a( DLnw¢T wwwaR OF eueenaA.,ew a ecatann N ravOA OF CERTIFICATE HOLDER eN ALL POLICIES WHERE AND TO THE CXTENY REQUIRED EYwnnM A COITAAGT. <br /> EOX <br /> 23 CERTIPICATE HOLDER 6MANED AS AN AaDIYIONIL INSURED tEYCRPI'FOR woman=weep WHERE AND TO THE EXTENT REQWLED evyaeIYEN CONTRACT. <br /> Re: Self Insured for auto physical damage- <br /> , AddlIEonal!neaten In favor of City of Santa Ana,Its officers agents and employees(en all pollcioseKCePt Workers' <br /> COmpensattanrtL)whore Mid lo the extent as required by written contract.The Abnva Auto Lionises/policy Ofavldes liabilty <br /> coverage to the trucks owned by the City of Santa Ma that ere operated and maintained by Waste Managenteat et mega County. <br /> CERTIFICATE HOLDER: CANCELLATION: • a <br /> SHOULD ANY OF THE ABOVE COIORIBEO POLICIES BE CANCELLED REBORE THE <br /> EXPIRAI LIN LIME TMEneOr.ME ISSUING IHSlN1CI WILL NAIL 3e DAVS WRITTEN NOTICE <br /> TO THE CERTIFICATE HOLDER NAMED TO THE LAPT. <br /> City of Santa Ana <br /> 20 Civic Canter P1E20 AUTHOtiILkU ftCPRESENTATlVE: y_„ <br /> P.O.Box 1988 1 <br /> T Santa Ana,CA 92701 APPROVED V '� T •1'' Its <br /> L. e <br /> Miciiao Vignola <br /> Deputy City Attorney <br /> I •d 690S-Lbs-OIL Mid eUU enues ,}O 8313 dee :CO SO IT .HdU <br />