The URL can be used to link to this page

2019/01/01 Waste Management Holdings, Inc. and all affiliated Related and Subsidary Companies Certificate of Liability InsuranceACOR"® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) i n /2o20 12/4/2018 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 3657 BRIARPARK DRIVE, SUITE 700 HOUSTON TX 77042 866-260-3538 CONTACT NAME: PHONE Ext): LAIC. XNo E-MAIL DDRESS1 INSURER(S)AFFORDJNQ COVERAGF N 1 INSURER A: ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1306000 RELATED & SUBSIDIARY COMPANIES INCLUDING: WASTE MANAGEMENT MORENO VALLEY TRANSFER STATION INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE Fire Underwriters Insurance Company 20702 INSURER D: 17700 INDIAN STREET INSURER E : MORENO VALLEY CA 92551 INSURER F : COVERAGES CERTIFICATE NUMBER: 13848309 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. I R R TYPE OF INSURANCE AODL N50 SUER WVD POLICY NUMBER POLICY EFF /DDIYYYY POLICY EXP W LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y HDO G71212993 1/1/2019 1/1/2020 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE ® OCCUR PREMISE TORENTED I $ 5,000,000 X IMED EXP JAny oneperson) $ XXXXXXX X(IL1 INCLUDED X ISO FOP �Sj,0,�0(0¢(3 (PERSONAL &ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PE � LOC GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMP/OP AGG $ 61000,000 OTHER: A AUTOMOBILE LIABILITY Y Y MMT H2527863A 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT Eaa dent $ 1,000 000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO AUTOS ONLY SCHEDULED X BODILY INJURY (Per accident $ XXXXXXX AUTOS ONLY X AUUTOS ONLY X (PR., .a DAMAGE $ XXXXXXX X $ XXXXXXX MCS-90 A X UMBRELLA LIAB X OCCUR Y Y XOO G27929242 004 1/1/2019 1/1/2020 EACH OCCURRENCE $ 15,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 1 S 00O 000 DED I I RETENTION $ $ XXXXXXX B AANYPROPRIETO C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y r N OFFICER/MEMBER EXCLUDED? ECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A Y WLR C65435846 AOS)) WLR C65435809 (CA & MA WI ) SCF C65435883 ( ) 1/1/2019 1/1/2019 1/1/2019 1/1/2020 1/1/2020 1/1/2020 PER OTH- X STATUTE ER E L, EACH ACCIDENT $ 3 QQQ QQQ E L. DISEASE - EA EMPLOYEE 3,000,000 = . DISEASE -POLICY LIMIT 3,000,000 A EXCESS AUTO LIABILITY Y Y XSA H25278598 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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' COMPEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. vnnv��LrL 1 Ivl\ F UCa LLaU]1111QJIL City of Menifee City Clerk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. JAN 07 13848309 2019 AUTHORIZED REPRESENTATIVE QUAIL VALLEY VOLUNTEER FIRE DEPARTMENT Received 29714 HAUN ROAD MENIFEE CA 92586 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATI(M. All rinhtg rpgp_rvprl The ACORD name and logo are registered marks of ACORD Attachment Code: D446557 Master ID: 1306000, Certificate ID: 13848309 POLICY NUMBER: HDO G71212993 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 Page 1 of 1