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WM CURBSIDE, LLC. (SEE CURBSIDE INC.)
A-2018-130-01 INSURANCE NOT ON FILE VNORK MAY NOT PROCEED MAYOR C Miguel A. PulidoLERK OF COUNCIL MAYaRVI PRO TEN) DATE. JUL () 2 2019 Juniggles COUNCILMEMBERS Cecflla Iglesias David Penaloza Vicente Sannlanto Jose Solorlo Cv t,,A A PUBLIC WORKS AGENCY 20 Civic Center Plaza Santa Ana, California 92701 mvW.Sanfa-ana.otd June 4, 2019 WM Curbside, LLC Attn: Public Sector Manager 1800 South Grand Avenue Santa Ana, CA 92702 Re: Extension of Agreement #N-2007-086 to provide small battery recycling To the Public Sector Manager: CITY MANAGER Krlstmo Ridge CITY ATTORNEY Sonia R. Carvalho ACTING CLERK OF THE COUNCIL Norma Mitre Pursuant to the terms detailed in the Third Amendment to Agreement #N-2007-086 ("Third Amendment') (#A-2018-130), entered into by WM Curbside, LLC and the City of Santa Ana, dated May 15, 2018, the time period for Agreement #N-2007-086 ("Agreement"), as amended, was extended until June 30, 2020, with an option to extend for one year, By operation of this letter, the parties hereby agree to extend the Agreement for an additional one (1) year period until June 30, 2021. The 'insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of said Agreement, as amended, remain unchanged and in full force and effect. ,PE, PLS Director, Public Works Agency CITY O� SANTA ANA: etisttne Ridge City Manager APPROVED AS TO FORM: Sonia R. Carvalho City Attorney WM CURBSIDE, LLC President Norma Mitre (4b, Actine Cleric of the Council n M. Funk Assistant City Attorney SANTA ANA CITY COUNCIL Miguel A. Pulldo Juan Villages Vicente Sannlanto David Penaloza Jose, Salodtl Mayor Mayor Pro Tom. Ward 5 Ward Wand Ward3 M,.jLdj@jsddsijagWiNlleoaslo)santaana pro warrtnenioN7senta-ana nre doenaiozatdrsaniaane.ao Vacant Cecilia Iglesias Wants Weed 19 ytBl�iag[gt5flniaane n o Digitally signed by Francine R. Francine R. Villareal Villareal ACOR" CERTIFICATE OF LIABILITY INSURANCE l)AT/20DDIYYIY) ., .i. 1/1/2023 2/9/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCKTON COMPANIES CONT NAMEACT 3657 BRIARPARK DRIVE, SUITE 700 PHONE FAX Ext : A/C Na HOUSTON TX 77042 E-MAIL 866-260-3538 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # A INSURER A: ACE Alnerlean Insurance Conipany 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATE 1306000 INSURER B : Indemnity Insurance Co of North America 43575 RELATED & SUBSIDIARY COMPANIES INCLUDING: INSURER C: ACE Fire Underwriters Insurance Company 20702 INSURER D : ACE Property & Casualty Insurance Co 20699 WM CURBSIDE, LLC 5101 E. LA PALMA AVENUE ANAHEIM CA 92870 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 11076601 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y HDO G72492365 1/1/2022 1/1/2023 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE � OCCUR DAMAGER( RENTED PREMISES Ea occurrence $ 5,000,000 X MED EXP (Any one person) $ XXXXXXX XCU INCLUDED X ISO FORM CG00010413 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 JPRO- POLICY XLOC PRODUCTS - COMP/OP AGG $ 6,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y MMT H25550328 1/1/2022 1/1/2023 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO X BODILY INJURY (Per accident) $ XXXXXXX OWNED SCHEDULED AUTOS ONLY AUTOS Xr PROPERTY DAMAGE Per accident $ XrXrXXrXrXrXr HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X $ XXXXXXX MCS-90 D X UMBRELLA LAB X OCCUR Y Y XEUG27929242 007 1/1/2022 1/1/2023 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ XXXXXXX B `A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) NIA Y WLR C68918595 (AOS) WLR C68918558 (AZ, ,N & MA) SCE C68918637 (WI) 1/1/2022 1/1/2022 1/1/2022 1/1/2023 1/1/2023 1/1/2023 X STER- ATUTE OETH E.L. EACH ACCIDENT $ 3,000,000 E.L. DISEASE - EA EMPLOYEE $ 3,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 3,000,000 A EXCESS AUTO Y Y XSA H25550286 1/1/2022 1/1/2023 COMBINED SINGLE LIMIT LIABILITY $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THIS CERTIFICATE SUPERSEDES ALL PRFN'TOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TF.RM(S) REFERENCED. BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BYLAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF SANTAANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION IN FAVOR OF CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. THE INSURANCE AFFORDED TO THE ADDITIONAL INSURED AS DESCRIBED IN THIS CERTIFICATE OF INSURANCE FOR WORK PERFORMED BY THE NAMED INSURED IS PRIMARY AND NON-CONTRIBUTORY TO ANY SIMILAR COVERAGE MAINTAINED BY THE ADDITIONAL INSURED WHERE AND TO THE EXTENT REQUIRED BY CONTRACT. 11076601 CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RISK MANAGEMENT DIVISION, 4TH FLOOR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. P. O. BOX 1988 SANTA ANA CA 91701 AUTHORIZED REPRESENTATIVE e.a.. RAM&flAg7P ere DR4si0R REVIEWED & APPROVED BY. - Cc, 1988-2015 ACORD C .. v ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD _ Risk Management Analyst CONTINUATION DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS (Use only if more space is required) Attachment Code: D446557 Master ID: 1306000, Certificate ID: 11076601 POLICY NUMBER: HDO G72492365 Endorsement Number: 39 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS LESSEES OR CONTRACTORS - (Form B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: Any Owner, Lessee or Contractor whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. CG 20 10 1185 Copyright, Insurance Services Office, Inc., 1984 cF RAMwagementDMsian REVIEWED & APPROVED BY: v --� Risk Pjanagement Analyst Attachment Code: D448223 Certificate iD: 1 ] 076601 POLICY NUMBER: HDO G72492365 1 Endorsement Number: 8 COMMERCIAL GENERAL LIABILITY CG24041219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE ime Of Person(s) Or Organization(s):Any person or organization against whom you have agreed to waive ur right of recovery in a written contract, provided such contract was executed prior to the date of loss. lInformation required to complete this Schedule, if not shown above, will be shown in the Declarations. II The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 © Insurance Services Office, Inc., 2018 cF RAManagementDMsian Jy/\'x REVIEWED & APPROVED BY.- V"° --� Risk janagement Analyst Miscellaneous Attachment: M504270 Certificate TD: 11076601 POLICY NUMBER: HDO G27860825 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS ENDT. #26 Named Insured Waste Manage nt, Inc. Endorsement Number 26 Policy Symbol Policy Number Policy Period Effective Date of HDO G27860825 01/01/2017 to Endorsement 01 /01 /2018 01 /01 /2017 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subseauent to the Dreoaration of the DOlicv. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY COVERAGE Schedule Organization Additional Insured Endorsement All persons or entities added as additional insureds through an endorsement with the term "Additional Insured" in the title. (If no information is filled in, the schedule shall read: All persons or entities added as additional insureds through an endorsement with the term "Additional Insured" in the title.) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to Section IVA.a: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. LD-20287 (0606) Page 1 of 1 cF RAManagement>< Msian Jy/\'x REVIEWED & APPROVED BY: V"° --� Risk janagement Analyst