HomeMy WebLinkAboutUSA Waste of California - A-2005-036
. m,:H,JJ~d~,,:~ Uh\ tIlt
WORK MAl PROCEED
UNTIL INSURANCE EXPIRES
,-/-00
CLERK OF COUNCIL
DATE: .1/- _'II~o 5
c.' f'J1,lj I't
tl- mt.J.L,~
A-2005-036
SIXTH AMENDMENT TO AGREEMENT FOR COLLECTION
AND HANDLING OF SOLID WASTE GENERATED AND
OR ACCUMULATED IN THE CITY OF SANTA ANA
THIS SIXTH AMENDMENT, made and entered into this 2.71'\"hay of FeloruafLI , 2005, by and
between USA Waste of California Inc., formally Great Western Reclamation, a division of Waste
Management Collection and Recycling, Inc ("Contractor") and the City of Santa Ana, a charter city and
municipal corporation duly organized and existing under the Constitution and laws of the State of
California ("City"), collectively referred to herein as "the Parties".
RE~IIA1S.
I. On June 19, 1998 CITY and CONTRACTOR entered into a Second Amended Agreement
(hereinafter referred to as "said Agreement") for collection and handling or solid waste
generated and/or accumulated in the City.
2. Section 18 (g) of the said Agreement provides that CONTRACTOR is responsible for
development and management of grants pursuant to regulations contained in the California
Integrated Waste Management Act and/or adopted by the California Integrated Waste
Management Board, subject to approval of the Executive Director of Public Works.
Section 26 of said Agreement allows the CONTRACTOR to obtain compensation for the
management of these grants.
3. Since execution of said Agreement, grants have also been made available to cities from the
Department of Conservation.
4. The State grant auditors have recommended that the CITY and CONTRACTOR amend
their Agreement to indicate the amount of compensation that CONTRACTOR will
receive for the development and management ofthese grants.
5. The Parties hereto now desire to amend Section 18(g) of said Agreement in order to
comply with the State's recommendations.
WHEREFORE, in consideration of the mutual and respective covenants and prornises hereinafter
contained and made, and subject to all of the terms and conditions of said Agreement as hereby amended,
the parties hereto do hereby agree as follows:
1. Section 18 of said Agreement pertaining to Grants is hereby amended to expand 18 (g) to include
the Department of Conservation and other governmental agencies that offer grants related to
collection and recycling services provided under said Agreement. In fiscal year 04-05
CONTRACTOR will receive:
. $5500 per month for the collection of used oil containers and filters. This includes all
manpower, vehicle, fuel and administrative costs associated with the collection program.
. $75 per hour for grant administrator's time to develop and administer the grant programs.
Section 18 of said Agreement may be amended to provide for any increased grant compensation
paid to CONTRACTOR upon a writing executed by the Executive Director of Public Works and
the City Attorney.
2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged
and in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date
and year first above written.
ATTEST:
~~~.
PATRICIA E. HEALY q
Clerk ofthe Council
CITY OF SANTA ANA
Q //
;1 ." /"/ ,/
c-<</v?c2 c--_.
David N. Ream
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney ~
By:
Michael Vigliotta
Deputy City Attorney
CONTRACTOR
(..~)O- d-.L> - ~ \ ~ L
Employer ill # or Individual SS
B'2/B6i~OOS .-H.: 22
ADDITIONAL INSURED ENDORSEMENT
17t46bQi6.26-. -- -------w-M-OC~...-. __, .^...
PAGE
a2lB3
- CERtIFICATE Of INSURANCE Oa,.: (MMlODIYY)
" 1213\/2004
IlOOUCER H/5 CfRTlFICATE IS ISSU"" i>!J A MAT'TI!R OF INFORMATION
~elc'lon Compatft$ of Houston ONLY AND CONFERS NO fllGHTll UPOI< THo, CEflTlFlCATE
5647 San Fillipe, $uite 320 HOlDER. THIS CERTIFICATE DOES NOT AMEND, E)(TEND OR
~~. TX 77067 AlTER THE CQVERA"'F AFFORDED BY THE POLICIES BELOW.
8-260-3038Il'hon.)
H6-l92-1D55(F3ll) INSURERS AFI'ORDlNC COIlER.lGE
IIlSUREO' WASTE MANAGEMI:MT ami Insurer A: ACE Am.rICOn Insurance COl1'lllany
Iwallle Ma"'gemoo' of Orange COunIY "'surer B: Irlaemnity Insuranc;l!) Company of North Ame,rtca
1800 South Gr:al'lCf AveJ'luo Insurer C: Nallonal un10n "ire Il'ISlJRlnctl CDmDllny Di p""burgh, PA-
Santa !\n., CA 92705
InSLlrerD: Allied world Assu...nee Company, Ltd.
Insure r E:
THe. POllClES Of INSlRANCE I.ISTED eeL.OW HAVe; BEEN I$$UEO TO THE lNSLREO NAMED /l800E FOR THE POl.lCY ~RIOO INlJKiATEO.
NQ1WITHST"NOIt.lG /\NV REOLMRIUENT, nRM OR CONDITION OF ANY CON'TRACT 00 OTHER DOeuMmf W1TH RESPECi TO WHlCH 1101IS
CERTIFICATE MAlt BE ISS:lJED OR MAY PERTAIN. Tf'Ii INSURANCil: 1.ffOROED BY THIii POL.IOES DESCRIBeD M!.RE1N iA ~h..JB..r;e'r TO All Tl-tE T6AUS,
EXOLusIONS....1oIO CON~I'I'IONS 011 SUD'I pouCIES. ~GAU LI\4ITa sHOWN MAY alii IiiO~HAUSTF.D fiY ~A'O CLAIMS .
I.... TYPE o~ iN~URAIICE POLICY NUIIBER I!PR:cTNE DATE P"lRATIDN LIMITS
m OAT<
GENERAL llABlLm' EAt.... OCCURRENCE $ 5,ooO,OOC
A X cou~...... ~!IW.\.lf\Bl\.1lY ~IRE 0AMAtH: llIHI' CHt FIIti.l S 5.000.000
~ """",,,lICE HOD G217\2910 111/2005 '1112006 MI!O EXP .e:Il:P'f~
-- iGtJlf'lC;LUgIiP PE!RSl:NA.I-" JU)V INJLfN S 5.000.000
l<
OEN"LAGGREGATE llMlT ~Ie$ pEA; G'f.~~'FW.Mi11ioRlillAlt: ~ 8,000,000
X POOJEC' PROC~MP.OP.AOO $ 6,000,000
.- -
X Ll)~"iOt4 ,
IUI OMOIIIU! L1ABll,lJY COtJIDINED $iNGLE UtJn: $ 10.000,000
A X Atl/YNfl'O ISA H07932704 '111201I' 11112006 ~MOClCEH1j'"..
'-'- ~ ~';Rai^U'l'OS --
-
X NQ~N"OAUTOS
.-
X MC$-!kI
EXCESS U,ulUTV/UMBREllA ~H OCC\J~RENCE S 100,000,000
A X OC~~ XODG22082:l34 1111200. 1J'l12OO6 A,GGREGATE $ 100,000,000
C CLAIIID fMDt: 8763289 1/1/2005 1/1/2006
D c001J!l\lfl)03 1/112005 1/112006
-
IWll KiRS' C""PENSA'hON WORK~ OOMrCHM.1'lQN STA,UTOIlY
B and EMPLOYERS U....LnY WlR C4417380J (AOS) '/1(2000 1ft/20M E\. EA,C11 ACCIDENT $ 1,000.000
A I WLR C44181090 (CA) "112005 1/11201J6 EL DISv.s&.EA.EMPL6YU $ 1.oo0JlOO
A '1 -- ,--- SCF CH1810iXl(W1l ,I1I2DD5 1I112D1lB EL DISCASI!!.1IOI.1CV lIWlT 5 1,OOO,Olii
A;;t,WiI(!k t'ESCR_TION ~ OfEIUI11ONiS/l...or.AlIOJ'1$IVEHICLl:~Cl.USIONSADOEO 1'1' ENoollSE~T PRCM$IONS.
1::=": ~ ~",--'-"'OF ~..,.... ~Fft;'~\IOIl OFCI!!t~TEIH(>>.DER~M.L POUOlllS ~.lNOTOnlI!I!XTI!If1'UQtJlItlDJ'1I1d1IT19C0'6RIICT.
~ CI!RftJICATii HalMA I$IiI>>I!O AS AtUODl1lOIllAL.1HStJItfO (lilC:ll'T faR WORKIlW' ctI....L)VM!!M AND TO tlEEIllENT flEQUIII\m In'WlUtfIti CONTRACT.
Re: salf IMlfid tor auto phy!oIcaI damage..
. ~IIOI"IIIIMwed In Iwor of CIty of s.nIa Ana, its ofIIcH'S .gMrts lIInd em,lo,Mt (an all poPci.'Halpt W0rker3'
~='.lQnlEL) w..... 1111~ ~ -:-. -;c..;.; *' requlrnl by _itmn QVmr:tet. Th.. ~ AulD. liabilitY DOllev 0ftWIdn NabJIIY
C otothUl'cIIs ownod .... of SontoAna um.... ...._ ........,ntolnod bvW_.... '.to?o1'l- Countv.
CERTifiCATE HOLDER: CANCELLATION: ,
St10lILDNfY Of Trt~ADQVi ~II.D POLII:l1iii9.. CAt,lC~ 81i!FORe THE
UI"l_IIUN.....'e:Trt~~,THI!!;SMJtHlQ lw.iUIll!;;"WILL_n.'.\l(lelA_~Io4~'f1Cr.
rO,...CF."'flFlC.'.Tf ~QU)GA"'''''I>TOTHelU'T.
City nf S::ln~ Ana
2D Civic CeM~r P1I!9 AUTHOK"'tU KEP"II:~t:NT^TIVC.: <::9-.--~ ~-<
P,O. Bc>>c 1988 I.
Santa AI1Il, CA 92701 A~PF.O~ED A~ TW "Ii r
i\ lh \/ J v.. --...
Michael ViglioUR J
'"
Depllt) CIty ^lfflTney
1'01
6905-Lt.9-t.IL
~Md eu~ e~ues jQ R~l~
oIZE'EO 50 II ~0I~
ADDITIONAL INSURED ENDORSEMENT
FOn. COMMERCIAL GENERAL IIABILliY POUCY
IIISuIlInce Company fleE AMERICAN INSURANCE COMPANY
lbis endorsement modifIeS sucb IDSurance lIS is afforded by rhe ptOYisions of Policy # HtlO 0217]2978 relating to l~
following:
'I. The City of Santa Ana, 20 Civic Center Plaza, SlifI\.lI Ana, California 92701; its ofticers, empl<>ye.., agents, volunteers
and "'Presentative. are named as additional insutedo ("addttie"al insureds") with regard to liability and defense Qf ",its arising
from the op..._iM\s a"d ".." performed by or on bEhulf of the named ;\lSUred.
'2. With ....poet 10 claim. an""! out of the operations a"d uses performed by or 011 behalf of the named insured, such
;...........c. .. i. .ffonled bY this policy is primary amI i. not additional ro or contributing with IIIIY other ilUluran"" tMried by or
for the benefit of the additional inSllT<:ds.
3. Thi, ins\lfanccllPplie~ ~parately to each ilt'lured against whom claim is made or 5Ui1 is brought except with respecllo
the company's limits of liabihiy. The ipelll.ion l>f any person or organiZlllion as an insured shan not AIr"", -cry right _hie. .....
person or olianization would ha~c as a claimant if nor <0 included.
4, With ,",~peet to rhe additional in.ured!l, tbis insurance sball nOl1le cancelled, UT ..."torially redueed in coverage or Umih
c:J<.ccpt after thiny (30) doy< written notice h.. been given ro tbe City of Santa Ana, 20 Civic Cen~ Plaza, Sallla Ann, California
92701.
(CQlI1pleriOll of the following. incLoding countersigualUto. is required to male. this on(\Oroement effeclive.)
Effective 0110110:[ ,thiS ernlorscmcnl funD's, part of Policy # HDO 021112918
ISSlIad to WASTE MANAGeMENT OF OMNGlO COUNiV
Named IMUted
Counlcrsi!;l1ed by
<:.~_~~I'
.;-
^uthDrized RepreaentMiv@
. wlwec Atld 10 the exlenl required by wrincn C011Uact.
Exbibit B
APlV o.r \J:J
MiclulCl ViglioWl I
Depuly Ciry ^ 11 nrm'v
ORM
...11..
~ ~J
I . <I
890S-1.i-9-ldl.
~Md QU~ Q~UQS JO ~~~~
<lee:eo SO II ~<I~
U~/U~/LUdO L~;~O
L(~'f:)bObbLb
WMUl>
r'Ac;o. 02f03
.
MAY 5 2006 4'28PM
~
NO 588
P 2
~" - -\Oac.: (MMlOD/YY)
CERTIFICATE OF INSURANCE 61512006 .
PRODUCER !'HIS ceRTIFICATE IS ISSUED N3 A ""~ OF INFORMATION
Loddun c--. 0It-.. 0Nl. Y AND CONFERS NO RIGHTS UPON THE CERTlF1CA Te
~-$.......... _!ZO HOLDER. THIS CeRTIRCA.TE DOES NOT AMEND. ~TENO OR
,1)( 'T7OST ~~~~~~~~~~~~~
~(PIlonel
1G65(1'A><l INSURERS COVERAGE
\IIISUMED: _ ...III.....nt Ilolllnp,lnc:. & AI Insurer A:. \ACE AmelIcan l1'ISlmlnCe Campeny
R8Iated & .lbcillary ~..._d'_ inckdng; Insurer B: l\ndenlnitr 1........- COII'of*lY of North AmeOca~..,...
WIlIte~ olOrllnge ~
1110O SOUIIlGnmd A....... Insurer c: Fie -- Compony ofPillSDurgh. PA
SlInt8 -. CA 92706 ~WCllld AIlsur8/lCe Company, Ltd, -----.---
Insurer 0:
Ill8UTer E:
'I'IE POlJCES OF lNSURQICE l.J6TED BELCJ1'14 ""VIi. ... tISUED TO tHE INSURED NAMED ABOVE FOR ntI PQUCV PEFl.1OO INDICATED.
__ NN _, 1ERII OR COHIlITIOII OF NN COIlTRACT 011 _ IlOOUIEI/T WITH RESPECT TO W!1ICH TMI$
C2RT1P1CATa IllAY" JIIUIO OA MAV PeJn'''''' nfE IN5URAHCE AFFORDSJ BY l11E POLIC,es DnCRIIED tEfltOI IS SUBJECT TO All THE' TERMS,
EXCLUSI)NSAND CCIfIOITIJN8 OF 8UCtt POLICIM. aGGltlG'TI LNITS SHOWN IMY BE EXHAIJIn'EI) BY PM) ClANS..
.... 1YPE OF _IIWICE POUCY~ 1-...... ~T1ON \JMITS
L11\ DA11i
c.~ UABILJlY ElICH OCCURllEllCE $ 5,000,000
A x --.........,. II'N --- $ 6.000,000
HDO 021714318 11112006 1/112007 MIiIlIXP__ ..
X lJCClMMMC'
X """.......... PERSONAL &AfN tutJR,Y $ 5.00<\000
$ --
erH'LAGGftIG\1E LIMIT APPI.&I PIiR; OENEMLA<l_Ta 6,000.000
X Ie -, ~CT8/COIoIP', GP. AOO $ 6,000,000
X lLllCA110N _..;_H_
AU'IOIIOIIILIi UAIIILI1Y 11112006 1/1/2007 OOUBItED SINGLE LNT $ 10.ooo,QOO
A X _AUtO 'SA H0821~ l"'CK """""""
X _AllTOO
X _AIITOO ~j
X ...... J
I!ACtt OCCUNlENCli $ 100,000,000 i
A x """,,_co X00G23572l103 11112006 1/1/2007 AGGREGATE $ 1OO.~0~~1
c ClMII ..... 8764638 111aoos 11112007
0 c00138l11OO4 11112006 111120fT1 I
COMFBISATION ~"'TION ~,ru'~'1
B ..... LfABI..lTY WLR 044338110 lAOS) 11112006 11112007 I!L IACtlACCIDeIT $ 1.000.000
A I WLR CU3390427 (CA) 1/1flOO6 111121107 El DlSEA$E.EA 'EMPlOYEE $ 1,000.000
A I SCF C44338403 (WQ 11112006 111/2Ot11 a DISEASE-POLICY LIMIT $ '1
1.000,000,
. ~0I10P1AA11QNIA.OCATlCNl.J1!!I-'-"-"I""""'ADCEDIY!NDQAtl!ll.lTPRCMSIONI; ~
I ~ l8f-a"wwr...... Of"1UIIMMM".~1IIIPAWltOF...,.oftCUINOUMIlONMLPOI.JCB ~"'lO 1ftIiEKTlM'..........~ COti1'RA~~~;;-
~""LAW. - i
~ ~~......,.ANADDI'ftOIW,.~(!:IICI!PTFORWOAICBtS'CQllPI&L)WNfIEMDlOl1tf:~~....WRJ\TGHCONTMCT. ~
RlI: _.......dfar_~-... i
__In_OfCllyaf__ i1s____d ....p1"... (OIl d polldo& ooccepIWooker.I'
~_I"'~:'~.~~-___-_l'he_~,~poIcyprovl~=~ountv.
lDtho__ the of___'" _..._ _ 01 c .
CERTIFICATE HOLDER: CANCEU.AnON:
~MY IE IeFQRETHE
>noN 1Ml1: lltEfQ;OF, 111& 16$U.... ~W&.L.1MlL IOOAYS WRmvl Ni)TICE !
TO TMiCIfmIICA'tE HOLDER JilHeDTOTtE LEPT.
pi .n"K ;
Cityof__ /\T-:'~t:,) 'j i~D h.S TO ~-.,...~...<.-I
20 Civic CMIer I'Ie%a ~'-I!/;L AUTHORIZED REPRESENTATIVE;
P.O. BOle 1988
santa Ana, CA92701 >-,
_'---:-;- ;::r-r .. -.----~---I
.',t fi....l',,'"cJy i
PC;,"ltlJ,yf ,.
., ....~.'v_ - 'i
.
..
NO. S88
t"04l.:ll:.. t:J.j/t'J,j
P. 3
U~FU~/LUUO L~.JO
.Lf.l.,,+;JOODOLO
"'........
MAY. 5. 2006 4: 28PM
ADDIT10NAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL UABIUTY POUCY
lDsumIce COJDPIlIY ACE AM1!RICAN IN!UJRANCE COMPANY
This endol'sement modifies sm:h iDsuraDCe as is aftlxded by the provisions of Policy # ~ G2171Cl& relating to the following:
*1. The City of Santa Ana, 20 Civic eeom: plaza, S&IIt& Ana, Califomla 92701; its officers, employees, agen1S, volunteers
8Dd representatJves are maned as oddiliaa&I iDsuteds ("addittoD8l iusared&") wtlb nogmI to liabI~ 8Dd defense of suits arh.I1g
from the "l""'..noos and uses pcdJnnod by or on bobaIf of the _eel insuted.
'2. W!Ib. respect to cIoims ItisD>g out of the operations IUd uses p<>&f.....ned by or on beha1f of the named insured, such
inswanoe as is affunIecI by 1hls policy is primarY 8Dd is not .","ti~.ll1O or C(lIIf:ributiDg wIIh lIIIY other insUl'8llce carried by or
fur Ihe benefit of the 8ddiIional iDSllII'eds.
3. This iosurIDcc applies separam!yto each insured against wholn claim is D1lIde or !IIJil: is braugbt """"'!'l with respent to
the comp&Il;y'S \Imits of liability. The inc:lmion of any person or ~lzation IS an iIlsured sha11 not affect any right whkh such
person or organ\zatioI1 would bave as . claimant if not so included.
4. WIth respect to the additioDal iDIuIeds, this inB1lIanCe 5ball not be canceIlecl, or pmtcriaIIy redoced in coverage or Umits
except aft<< thirty (30) da,ys written DOti<:e blls been given to the CiIy of Santa Ana, :'-0 Civic Center Plaza, Santa Ana, California
92701.
(ComplellOll of the followiDg, iIH:luding countenignatuIe is required to make this endorsement effec'live.)
Effective 01/01101; . this eDdorsemeut furm as a part of Policy # RDO G21714318
IS9l1Cd to W ASTB UAN AmlMl<NT OF ORANGB coUNTY
Named IDsured
Couotcrsigned by
~_--~I~
. ::>-
Authorized Representllive
. _*I01be_IOCjuiredby__
EUibit B
.' .~\O \:O~,.M
t.,,_~) .' ~
i,.I'?,?,i'-&?)J';L~"_
_",(,..,."",,_l'Y
\.,;1:'3-',1,:', -'-.. ..."v
.. t l..2i.iS Ai,::!)>-'
t,. ',-.."', ~" cl .
Jun
12 06 09:18a
05/08/2005 19:17
. Marsh, Inc.
Cit~ of Santa Ana
17145585520
6/6/2006 11:17 AM
PWA
WMOC
PAGE
714-647-5069
21002
Eastern Time
PAGE
Zone
c:sr""e.T..-Mif.~~" -1
nu ct\t1YKlAw: Illuutu a. AlUrniR a: 11lIfO'U.AlIC* CNLY ~=1t~~.1
IfGIItlIN'.UItOIlI1IU cnltFlCUEi MCl.O~ Ol1'lEltndM 'TMCIJEPROVID~ "THE
JOOUCY. 'PUI calt"'-IIIlAW Don NDT """D, EXlEillll 01 JiLlti.R mE COVERAGE
"'IFClttOEV... M 'OUClEI DE__D Ml'arw.
COMP'ANIEI A"OIIlDlNO COVIiMOl! ---i
OQ\4f'1tIV
I ..SOI20-PLl..Q8.Q8 A AMERICAN INlERNATIONALSPECIALlY LINES INS CO
MHI,,"D ('b//JfNr
WAllTEMANAG'M~T INC. ~ -;).0010- D7/ . I
ONO ,^"STE MANOGEMENT OF 11
ORANGS COUNTY co.tf>~y
18008 GRANDAVENUE c: I
SANTA ANA, CA 92705 I
~~v i
TWI~ IS TO (HT/fY THAl' PQ.IClES OF fNUNICE De8CRBBJ HERBN HA.~ 8m4 1Sl!lJB) TO lMl!! iN!lJREO N..weD I'iSElH FM T1-'€ !)~_Ie,. I'l"il'OO;~i:II~^Te,,~r1
NOTW'n-lM'A/IIQlNG.I\Il{Y'IEQJIRel/leNt, 'n;1tM~ OOIIIDlll<W CF AWoomlIl\CT ~ OTHER OOOJM:NTW~ ~TOWo!I(;H THE CfRl\FlCAl"E MAY il!~ISSJel) CR ","hV j
~RTAlN. 'floIlE 1"l&,JliMlCE ~ B'r' THE POiJa~ 0E.!DI115m HEREiN lSSUUCT TO Ii.L lHe l!RWS; OOr,!JITl0N.8 0\'110 EXa.L..:S<>>lS (F &J()i POlIC!;S A~^'t!: I
dMITS8-IO\IMMAVHAVEftEEi\irmJlJ~IIYPAt)aAlM.9: I
-~- 1
i
--!
NODUt:l:lt
MaIM USA Ine,
tOOOWaln StrfHll. Suite 3000
Houlton, TX nOO2
co
""
co.'"
lYl'&.OFI"'Ult~
~1CY.IJIiBER
UEIIE;RAL WrIlllt1V
l:E'\lERi\lAGGl9:l!:GATE _~ _._
_PRllO.1crs.<XJ.fl1IOP...GG. .j_S___.._.._
Pl":IIUJ'lN-.... ~IN.I.I~ ~!___._. ._.
E'AOoIClCOJ.Q.Qe.~ _.~_
FIREO~~e "'YG'I& $ _____.
. Ml!DIllP m...- $
~!lII\1EI)9NGLE l!MIT $
i QJMMI'!Il:OA. GeNIRN. UMi.rTY
-, o.AI~&M#OF 0 oce"" :
CMo\Il'=~~"'<XJIJTII'I:ACTOR'SAim
,
,
I
t
.J
I
1
I
I
I
i
-j
~<l
,
;
I
j
!
,
I
'. ~A~~=T , _--=-~\1'~~;j
-!:....~.p~CY.~~~I.!.-J!..___ i
~L :JISElI.!F.(l:""'" EMPtO'r'EE"I $ j
Each Inci~nf , , 1
A.... 1o,ooooon,
is Exceattle SIR
S.lf Ineu~ Retentton Limli
.....TotI<lII.El~TY
-;
: AW/iJTO
~ ,<Ill aMlE'D AUTOS
--! SO;~IJlI!'DAUTOS
! ..I~EO ItlTOS
- I NO\I.ClY\"IfO AUTOS
, 80DL '( IN..uRY
~plFtltn)
$
eoO:tVIN,lJAY
(p.~t)
,$
!'Aro,'E:Jnv DNlNJE
i$
)OAA'MELIlIhJ1"f
~H-j"'AUTO
f--
J\JTOQN/..V.l"AACODeNT
Ol"han,..:MALlTQONLV _
_.e~ACOOfifiT
I EkCU.UMll.nv
n UAflJtaLA fatM
. anERTt1ANUMMEL~"FORV
ClNPaI l)
1;"",.lOYr:It..L....1t"'f'
EAOiQCCtlliFlE'(I,lC!"
A,OO~__
o
T\1E' ~O~H~"ORI
PAIl:1NHSEllE'am\ot:
a:f'l~ME::
Pollution
Ll!!gftrUIbilIfr
~INCL
''''0.
PLS '88D328
01101108
QIJQ1/0e
City 013..,. Ana
20 CNro Cenler PIaol:a
PO Bmr 1988
SEll'Ita Ane, r-.A 82701
i
5.000 OC!9.!
1
I
,
-.I
:~"d
IIIOU.[) At<<C7'Tlllllo..UJ Df_eEIJ Hl!Itt'IN Uel,NCl;LL!OlerWTN! ~1(.O"'''llON''''T!! %~fr;.'!
nII!~" .u.-....a_"",. .....Il ~~ 10 M'Ill -a nA'l'SWlr'ITIHfN)f)C( T(' 71<." l
C8lT1'ICM~HCr.OfIl~IlEIU!iNIUfFI\lllfl;!TO"'11 ~""ICE'*L~~.~OIIlIMI'1~()' I
iJlIIfurYClf'_lllIftlflOlol~INIUII1It_CJl!)MQCOi'!!IIMle,I1VAQI!tIf801t ~_~.NTI\TMa "c.,.... i
,
. ----..--.-.,!
!
-'"~~LiD'i.OF~'~ ,,_=,.. J
Df:9CR.TION Of gp IUIlQCA"OIMMUtlClE.ICPICllLI",
Thoe City, Ita aftloer.. egenlR. and -.n IPIoyIlK are InGlluled a. addlonaJ inllIJed whfre relJ.Ilr8d by wtiaen oanlr8d' but 6nly for Il~Uy ariling out 01 thv
oper8tlort. otltle NMled Irl&lrad.
.' "~~.;-'-v-;-.,;:: '~'-~"""--'-~~-'~~~~~~l<>t' -
~~ , - - ,". .,~ _~2^', ,'."~""~~- ~~ _ -<x _.,
, ",,//
'///
I'
p.3
02/02
r.
- CERTIFICATE OF INSURANCE Date: (MMIDDIYY)
5/5/2006
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Locktan Companies of Houston ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Houston, TX 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
866-260-3538 (Phone)
866-492-1055 (Fax) INSURERS AFFORDING COVERAGE
INSURED: Waste Management Holdings, Inc. & All Insurer A: ACE American Insurance Company
Affiliated, Related & Subsidiary Companies including: Insurer B: Indemnity Insurance Company of North America
Waste Management of Orange County
1800 South Grand Avenue Insurer C: National Union Fire Insurance Company of Pittsburgh, PA
Santa Ana, CA 92705 Insurer 0: Allied World Assurance Company, ltd.
Insurer E:
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. AGGREGATE LIMITS SHOWN MAY BE EXHAUSTED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS
LTR DATE
GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000
A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 5,000,000
c-c. HDO G21714318 1/1/2006 1/1/2007 MED EXP (PER PERSON)
X OCCURRENCE
X XCU INCLUDED PERSONAL & ADV INJURY $ 5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000
X PROJECT PRODUCTS/COMPo OP. AGG $ 6,000,000
X LOCATION
AUTOMOBILE LIABILITY 1/1/2006 1/1/2007 COMBINED SINGLE LIMIT $ 10,000,000
A X ANY AUTO I SA H08218997 (EACH ACCIDENT)
X HIRED AUTOS
- - r--
X NON-OWNED AUTOS
X MCS90
EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 100,000,000
A X OCCURRENCE XOOG23572503 1/1/2006 1/1/2007 AGGREGATE $ 100,000,000
t---. 8764638 1/1/2006 1/1/2007
C CLAIMS MADE
0 C001389/004 1/1/2006 1/1/2007
WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY
B and EMPLOYERS LIABILITY WLR C44338440 (AOS) 1/1/2006 1/1/2007 El EACH ACCIDENT $ 1,000,000
--- -r---- .- WLR C44338427 (CA) 1/1/2006 1/1/2007 $ 1,000,000
A El DISEASE-EA EMPLOYEE
A T --- SCF C44338403 (WI) 1/1/2006 1/1/2007 EL DISEASE-POLICY LIMIT $ 1,000,000
REMARKS. DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS
CHECK [g] .
BOX 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 BY LAW.
~ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMPfEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT.
Re: Self insured for auto physical damage,
Additional Insured in favor of City of Santa Ana, its officers agents and employees (on all policies except Workers'
Compensation/Ell where and to the extent as required by written contract. The Above Auto Liability policy provides liability
coveraae to the trucks owned bv the City of Santa Ana that are operated and maintained by Waste Management of Orange County,
CERTIFICATE HOLDER: CANCELLATION:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE
TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
City of Santa Ana ~-t{7'//Z
20 Civic Center Plaza AUTHORIZED REPRESENTATIVE: <::5--.- --".-;. <.....
P.O. Box 1988 .r-
Santa Ana, CA 92701
ct.lL ,
"''',
l../
t.'"1 i"j:
Pt
. .
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company ACE AMERICAN INSURANCE COMPANY
This endorsement modifies such insurance as is afforded by the provisions of Policy # HDO G21714318 relating to the following:
*1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers
and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising
from the operations and uses performed by or on behalf of the named insured.
*2. With respect to claims arising out of the operations and uses performed by or on behalf ofthe named insured, such
insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or
for the benefit of the additional insureds.
3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to
the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such
person or organization would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits
except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California
92701.
(Completion of the following, including countersignature, is required to make this endorsement effective.)
Effective 01/01/06 , this endorsement form as a part of Policy # HDO G21714318
Issued to WASTE MANAGEMENT OF ORANGE COUNTY
Named Insured
Countersigned by
c:5-.- ~r;. -< -' :>-
Authorized Representative
* where and to the extent required by written contract.
Exhibit B
~/?t~dy#2-
:~j~-1i"!"
Oil
,~:~ /;11
PRODUCER
Marsh USA Inc.
1000 Main Street, Suite 3000
Houston, TX. 77002
CERTIFICATE NUMBER
HOU-000691 075-02
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
I -1012Q-PLL-06-08
COMPANY
A AMERICAN INTERNATIONAL SPECIALTY LINES INS CO
INSURED
WASTE MANAGEMENT INC.
AND WASTE MANAGEMENT OF
ORANGE COUNTY
1800 S. GRAND AVENUE
SANTA ANA, CA 92705
COMPANY
B
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDJCATED_
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDD1YYJ DATE (MMlDDIYY)
LIMITS
GENERAL UABlLlTY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
OWNER'S & CONTRACTOR'S PROT
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GENERAL AGGREGATE $
PRODUCTS - COMPfOP AGG $
PERSONAL & AnV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MED EXP An one erson $
COMBINED SINGLE LIMIT $
AUTOMOBILE LlABIUTY
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE $
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EAACCIDENT
OTHER THAN AUTO ONLY:
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPEN TION AND
EMPLOYERS' LIABILITY
,SlAflLy.
AGGREGATE
EACH OCCURRENCE
EACH ACCIDENT $
$
$
$
$
EXCESS L1AB1UTY
AGGREGATE
THE PROPRIETOR!
PARTNER~XECUTIVE
OFFICERS ARE'
A Pollution
Legal liability
INCL
EXeL
PLS 1669328
ER
01/01/06
01/01/08
$
EL DISEASE-POLICY LIMIT $
EL DISEASE_EACH EMPLOYEE $
Each Incident
A99regate
is Excess the SIR
Self Insured Retention Limit
10,000,000
DESCRIPTION OF OPERATlONSflOCATlONSNEHICLESfSPECIALITEMS
5 000 000
:~I, "'i';
City of Santa Ana
20 Civic Center Plaza
PO Box 1988
Santa Ana, CA 92701
SHOULD ANY OF THE POLICIES DESCRIBED HEREN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE NSURER AFFORDING COVERAGE \"JILL ENDEAVOR TO MAIL ---30 DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN, BUT FAIWRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR
L1AB1LrrY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES. OR THE
ISSUER OF THIS CERTIFICATE
MARSH USA INC.
BY: Stephanie S. Story
~
MARSH
CERTIFICATE OF INSURANCE
CERTIFICATE NUMBER
HOU-000691 075-04
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONfERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POUCIES DESCRIBED HEREIN.
PRODUCER
Marsh USA Inc.
1000 Main Street, Suite 3000
Houston, TX 77002
1
!- ---
COMPANIES AFFORDING COVERAGE
WASTE MANAGEMENT INC.
AND WASTE MANAGEMENT OF
ORANGE COUNTY
1800 S. GRAND AVENUE
SANTA ANA, CA 92705
---_-1
I
COMPANY
A AMERICAN INTERNATIONAL SPECIALTY LINES INS CO
I -10/20-PLL-06-08
INSURED
COMPANY
B
I~OMPA~~ ---0__-
C
I-~OMPAN;----
D
-,-----T-
Cr~ I TYPE OF INSURANCE
~NERAL UABlllTY
'_ :_-CMMERCIAL GENERAL LIABILITY I
t-I__I CLAIMS MADE r--I OCCUR I
~! OWNER'S & CONTRACTOR'SPROT I
11---- -
COVERAGES This certifICate supersedes and replaces any previously issued certificate for the policy periodf1otedbeIOw~
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTINITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POllCIES_ AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
--- -~-----'--~--T----.-'---~-- --------~---
POLICY NUMBER - POLICY EFFECTIVE I POLICY EXPIRATION 1 LIMITS
DATE (MMIDD/YVJ i DATE (MM/DD/YV)
I, GEN~RAL AGGREGAT~ !~____
~ PRODUC~CC?MPI()P AGG+~____
I PERSONAL.!ADVINJU~__,_L __
I_EACH OCCURRENCE_ ____lL_ _ ,,_
I, EIRED~_AGE(Anyonefire) I~ -._
MEDEXP{An oneperso~ $
1 COMBINED SINGLE LIMIT $
I BODILY INJU~Y---- j---;-
1_(perpe~~~_____J_ ___,
, ~p~?~Lc~_~~~~RY_ I $ __,__ _
I PROPERTY DAMAGE -- r;--
AUTOMOBILE L1ABIUTY
~ ANY AUTO
~II ALL OWNED AUTOS
I =J SCHEDULED AUTOS
HIRED AUTOS
II NON-OWNED AUTOS
1_.. .
-I ----
~ARAGE LIABILITY
,~ I ANY AUTO
~I-----
EXCESS LIABILITY
C UMBRELLA FORM
II laTHER THAN UMBRELLA FORM
1 WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
I L-- I
THE PROPRIETOR! I
" PARTNERS/EXECUTIVE INCL 1
OFFICERS ARE' EXCL
A THE Pollution I' PLS 1669328
I Legal Liability
I !
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLESlSPECIAL ITEMS
Certificate Holder is included as additional insured where required by written contract but only for liability arising out of the operations of the Named Insured.
01101/06
01101/08
AUTO ONLY - EAACCIDENT $
I..QT~ERT~AN AU,.OO~~~==r_=-:.', -, ,,-:
_ EACH_ACCIQ_~____
AGGREGATE I $
CH OCCU_RREN~__--f!____.
~~GREG~T~___ ,-----t~ ----
$
STA U. I IOJH-
I' ----.lq~Y L1MI~,~~ ~__~
EL EACH ACCIDENT $
r;:;-; - ---+ ----
1~ISEASE-POllCY LIMIT I $
'EL DISEA~E-EA~H ~MPLOYE'J$-'- ----- ----
Each Incident
I Aggregate
is Excess the SIR
I Self Insured Retention Limit
10,000,000
5 000 000
CERTIFICATEIiOLOER
CANCEUATION
City of Santa Ana
20 Civic Center Plaza
PO Box 1988
Santa Ana, CA 92701
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ----3.0. DAYS VllRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES. OR THE
ISSUER OF THIS CERTIFICATE
MARSH USA INC.
BY: Stephanie S. Story
~
VAUD AS OF: 06/07/06
CERTIFICATE OF INSURANCE Date4/6/2007)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lockton Companies of Houston ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Houston, TX 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
866-260-3536 (Phone)
666-492-1055 (Fax) INSURERS AFFORDING COVERAGE
INSURED: Waste Management Holdings, Inc. & All 111SUrer Q: '.; ACE American Insurance Company
Affiliated, Related & Subsidiary Companies including:
Insurer B: Indemnit Insurance Company of North America
Y
Waste Management of Orange County
1800 South Grand Avenue Ir1SUrer C: National Union Fire Insurance Company of Pittsburgh, PA
Santa Ana, CA 92705
If1SUrer lJ:
Allied World Assurance Company, Ltd.
Insurer E:
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 MAV 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. P.GGREGATE LIMITS SHOWN N1AY BE EXHAUSTED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION
OATS LIMITS
LTR
GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000
A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANYONE rIREI $ S,000,ODO
X OCCURRENCE HDO 623718200 1!112007 1/1/2008 MED EXP (PER PERSON)
X xcu wcwDEp PERSONAL & ADV INJURY $ 5,000,000
GEN~L AGGREGATE OMIT APPLIES PER-. GENERAL AGGREGATE $ 6,000,000
X PROJECT Or LOCATION PRODUCTS/COMP. OP. AGG $ 6,000,000
AUTOMOBILE LIABILITY 1/1/2007 1/1/2008 COMBINED SINGLE LIMIT $ 1,000,000
A X ANV AUTO ISA H08226994 (EACH ACCIDENT)
X HIRED AUTOS
X NDN-OWN[D AUTOS
X MCS-90
A EXCESS AUTO LIABILITY XSAH0822707A 1/1/2007 1/1/2006 coMBINEDSINGLELIMIr $ 9,000,000
EACH ACCIDEN
EXCESS LIABILITYIUMBRELLA EACH OCCURRENCE $ 100,000,000
A X OCCURRENCE X00623792886 1/1/2007 1/1/2008 AGGREGATE $ 100,000,000
G` CLAIMS MADE 8766369 1!112007 1!112008
p 0001389/004 1!1 /2007 1/1120D8
WO RKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY
B and EMPLOYERS LIABILITY WLR 044458226 (ADS) 1!112007 1!1/2008 EL EACH ACCIDENT $ 1,000,000
A WLR 044458196 (CA) 1/1/2007 1/1/2008 EL DISEASE-EA EMPLOYEE $ 1,000,000
A SCFC44458214(WI) 1!112007 1!1/2008 EL DISEASE-POLICY LIMIT $ 1,000,000
REMARKS DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIE%CLUSIONS ADDED BV ENDORSEMENT PROVISIONS.
CHECK ®gLANKET WAIVER OF SUBROGATION IS GRANTED {N FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE ANO TO THE EXTENT REQUIRED BY WRITTEN
BOx
CONTRACT WHERE PERMISSIBLE BV LAW.
® CERTIFICATE HOLDER IB NAMED AB AN ADDITIONAL INSURED (E%CEPT FOR WORNERS' COMPIEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT.
Re: Self insured for auto physical damage.
Additional Insured in favor of City of Santa Ana, its officers agents and employees (on all policies except Workers'
Compensation/EL) where and to the extent as required by written contract. The Above Auto Liability policy provides liability
covers a to the trucks awned b the Cit of Santa Ana that are operated and maintained b Waste Mana ement of Oran a Count .
CERTIFICATE HOLDER: CANCELLATION:
SHOULD ANY OF THE ABOVE OESCRIBEO POLICIES BE CANCELLED BEFORE THE
p >[I EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 300AVS WRITTEN NOTICE
t, ~' O EZNI TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
T?T~
Al 1 A~J Y ~ ~) t,D 1
1
A
/
f S
t
C
na
/
~
an
a
ity o
ED REPRESENTATIVE
~
_ AUTHORIZ
20 Civic Center Pla
~~-~
P.O. Box 1988 Lacta Stl Si.oe~y
`
te ^nnr'1°v
Santa Ana, CA 92701 P,esistitnl
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company ACE AMERICAN INSURANCE COMPANY
This endorsement modifies such insurance as is afforded by the provisions of Policy # HDO G237t82oo relating to the following
*1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers
and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising
from the operations and uses performed by or on behalf of the named insured.
*2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such
insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or
for the benefit of the additional insureds.
3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to
the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such
person or organization would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits
except afrer thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California
92701.
(Completion of the following, including countersignature, is required to make this endorsement effective.)
Effective 0 i i0 i /0 7 ,this endorsement form as a part of Policy # Al)o 623718200
Issued to WASTE MANAGEMENT OF ORANGE COUNTY
Named lnsured
Countersigned by ~,-~~
Authorized Representative
' where and to the extent required by written contract.
Exhibit B
APPROY,/{/J AS '1t:7 I i}ai,'vi
> L _w~
aura St` .i:~~cJy
A h;Ct?'lt t~ltV Ait ni'l')\'