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2020/01/01 Waste Management Holdings, Inc. and all affiliated Related and Subsidary Companies Certificate of Liability Insurance
ACORII�� CERTIFICATE OF LIABILITY INSURANCE 1/1/2021 DATE(MM/DD/YYYY) 12/6/2019 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 7i1 CITY OF 1l1rts11AX HOUSTON TX 77042 l'lN,ItTC£ 866-260-3538 ` NCnRTArT AME: Arc. No. Ext : Arc, No E-MAIL ADDRESS: INSURER AFFORDING C V RAGE NAIC# INSURER A : ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1306000 RELATED & SUBSIDIARY COMPANIEflNC3L'L�b1J WASTE MANAGEMENT MOREN' VALL �''i' A STATION 17700 INDIAN STREET MORENO VALLEY CA 92551 INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE Fire Underwriters Insurance Company 20702 jNSURER D . ACE Property & Casu Ity Insurance Co 120699 E • -INSURER INSURER 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. INSR LTR TYPE OF INSURANCE ADDL INSID SUER WVD POLICY NUMBER POLICY EFF iMMIDONYYYI POLICY EXP (MWDD(YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y HDO G71237345 1/1/2020 1/1/2021 EACH OCCURRENCE 5.000 000 CLAIMS -MADE � OCCUR DAMAGE M SETO RENTED S fEp n 5,000 000 X IMED EXP (Any one erson XXXXXXX XCU INCLUDED X ISQ C000010413 (PERSONAL & ADV INJURY $ 5.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- � LOC GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMP/OP AGO $ 6,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y Y MMTH25290008 1/1/2020 1/1/2021 COMBINEDSINGLELIMIT ccident Ea accident) $ 1,000 000 X ANY AUTO (BODILY INJURY (Per person) $ XXXXXXX X AUTOS ONLY SCHEDULED IBODILY INJURY (Per accident $ XXXXXXX X AUTOS ONLY X AUUTOS ONLY PROPERTY .,DAMAGE tl $ XXXXXXX X MCS-90 $ XXXXXXX D UMBRELLA LIAB X OCCUR Y Y XOO 627929242 005 1/1/2020 1/1/2021 EACH OCCURRENCE $ 15,000,000 JX $ 15,000,000 EXCESS LIAB I 1CLAIMS-MADEAGGREGATE DED I I RETENTION $ $ }{X'}{X'X'XX B A CEHI WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANYPROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA Y WLR C66043058(AOS) WLR C66043010 (AZ,CA & M SCF C60043095 (WI) 1/1/2020 )1 /1 /2020 1/1/2020 1/1/2021 1/1/2021 1/1/2021 PER O - X STATUTE ER IeL EACH ACCIDENT $ 3,000,000 E L DISEASE - EA EMPLOYEE 3,000,000 E L DISEASE- POLICY LIMIT 3,000,000 A EXCESS AUTO LIABILITY Y Y XSA H25289961 1/1/2020 1/1/2021 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' COMP/LL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. 13848309 VOLUNT E DEPARTMENT 29714 HAUN ROAD MENIFEE CA 92586 v!'1nvGLLM I IWI\ JOUl LLAWILLIVIIr SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©15IRR-2n15 ACORD CORPORATIfyll3 All rinhtc rPSPNPrf The ACORD name and logo are registered marks of ACORD Attachment Code : D446557 Master ID: 1306000, Certificate ID: 13848309 POLICY NUMBER: HDO G71237345 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 Monday, December 9, 2019 Valued Certificate Holder Re: Waste Management, Inc. - 1/1/2020 Certificate of Insurance Dear Waste Management Certificate Holder: Enclosed for your records you will find the 1/1/2020 renewal Certificate of Insurance for Waste Management, Inc. and its subsidiaries. Please note: ■ This will be the final hard copy of this certificate that is mailed out. We will no longer mail hard copies unless required. • Going forward we will send out all certificates electronically. • If you wish to receive renewal certificates going forward, please email the below information to Houston-ECertDeliver lockton.corn: 1. Do you wish to receive renewal certificates: Yes [ ] No [ ] 2. Certificate Holder Name and Address: 3. Email Address: 4. Certificate Number*: *Note: This information can be found at the bottom left hand corner of the certificate next to the certificate holder's information. PLEASE NOTE: If we do not receive a response from your company, we will assume that this certificate is no longer needed and the certificate will be inactivated in our system.