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Insurance- Waste Mnagement - 2013-12-11, R CERTIFICATE OF LIABILITY INSURANCE DATE 6.. �/ i/l /2015 12/11/2013 /11/2013 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 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, LLC E C E I V E® 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866 - 260 -3538 2 DEC 6 2Q13 E: N IVC No Ezt : A C No E -MAIL ADDRE IN UREFffSl AFFORDING COVERAGE NAIC N 1/1/2015 INSURER A: ACE American Insurance Company INSURER B: Indemnity Insurance Co of North America 22667 43575 STA INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFIL D, 1306000 RELATED & SUBSIDIARY COMPANIES INCLUDING: WM CURBSIDE, LLC INSURER C; ACE Property & Casualty Insurance Co 20699 INSURER D 500 S. JEFFERSON URER -E! D AMAGE PREMISES PLACENTIA CA 92870 NSURER F MED EXP (Any one person) XXXX3M COVFRAnPA CFRTIFICATP lU11MRFR- l lf)7A. 11 octnnr�u unaaece. vvvvvvv 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 INSR SUBR iWD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP IDD/YYYY LIMITS A GENERAL LIABILITY Y Y HDO G2732924A 1/1/2014 1/1/2015 EACH OCCURRENCE 5,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR 628 WEST 19TH STREET D AMAGE PREMISES TO RENTED Ea occurrence 5,000,000 MED EXP (Any one person) XXXX3M X XCU INCLUDED PERSONAL & ADV INJURY $5,000,000 X ISO FORM CG 00011207 GENERAL AGGREGATE $ 6,000,000 GENT AGGREGATE LIMIT APPLIES PER POLICY X JECOT X LOC PRODUCTS - COMPIOP AGG $ 6,000,000 $ A AUTOMOBILE LIABILITY Y Y MMT H08816025 1/1/2014 1/1/2015 COMBINED SINGLE LIMIT Ea accid.rVi $ 1,000,000 X BODILY INJURY (Per person) $ XXXir ANY AUTO AUTS OWNED AUTOSULED • BODILY INJURY (Per accident $ XXXXX7{X HIRED AUTOS X pUTO3WNED • PP(e0amtle DAMAGE $ XXXXXXg X $ XXXXX. }{X MCS -90 C X UMBRELLA LIAB X OCCUR Y Y XOO G27054961 1/1/2014 1/1/2015 EACH OCCURRENCE $ 151000100-0 AGGREGATE $ 15,000,000 EXCESS LAB CLAIMS -MADE DED RETENTION $ $ XXX�XX B A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERE CUTIVE YIN OFFICERIMEMBER EXCLUDE S N❑ (Mandatory In NH) It yes, deemhe under DESCRIPTION OF OPERATIONS halo. NIA Y WLR C47876345 (ADS) WLR C47876357 AZ,CA &MA) SCF C47876369 1/1/2014 1/1/2014 1/1/2014 1/1/2015 1/1/2015 1/1/2015 WC STATU- OTH X TORY IM ITS IR .. E L EACH ACCIDENT $ 3,000,000 E I DISEASE - EA EMPLOYEE 3,000,000 EL. DISEASE - POLICY LIMIT 3,000,000 A EXCESS AUTO LIABILITY Y Y XSA H08816013 1/1/2014 11112015 COMBINED SINGLE LMT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) BLANKET WAIVER OF SUBROGAON IS GRANTED IN FAVOR OF CERpTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT (EX EEPT FOR WAORKRKKEERRSS COMP/EL WHERE O THE EXT POLONTR CT. OFANDE INSURED IN FAVOR AND EMPLOYEES (W APT WORKERS' OF COSTA CONIPENSATION/EL) WHERE REQUIRE() BY WRITTEN CONTRACT. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 11076631 ` \ ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE COSTA MESA SANITARY DISTRICT \ \ ATTN:TOM FAUTH 628 WEST 19TH STREET COSTA MESA CA 92627 ZD 25 (2010/05) ©1988 -2010 ACORD CORPORATI0111. All riahts re- The ACORD name and logo are registered marks of ACORD POLICY NUMBER: HDO G2732924A ENDT. #38 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 would 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 11 85 Copyright, Insurance Services Office, Inc., 1984 Attachment Code: D446557 Master ID: 1306000, Certificate ID: 11076631