2023/01/01 Waste Management Holdings, Inc. and all affiliated Related and Subsidary Companies4479oiQo'CERTIFICATE OF LIABILITY INSURANCE 12t07 t2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C€RTIFICATE 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). AUTHORIZEO REPRESENTATIVE
OR PRODUCER, AND THE CERTIFICATE HOLOER.
IMPORTANT: lf the cenificat€ holder is an ADDITIONAL INSURED, the policy(i€s) mu3t havo AODITIONAL INSURED provi3ion3 or b6 endorsed. tf
SUBROGATION lS WAIVED, subject to tho termr and condltions of lho policy, cortaln polici.s may r€quiro an 6ncloB6m6nt. A statement on thiscertiflcate does nol confer rights to the ceniticata holder in li6u ofsuch sndo.loment{!).
PRODUCER LOCKTON COMPANIES
3657 BRIARPARK ORIVE, SUITE 7OO
HOUSTON TX 77042
866-260-3538
nsuRERA: ACE American lnsurance Company 22667
II{SUREO WASTE MANAGET,ENT HoLDINGS, INc, & ALL AFFILIAT
1306OOO RELATED & SUBSIDIARY COMPANIES INCLUDING:
WM CURBSIDE. LLC
10633 RUCHTI ROAD
SOUTH GATE CA 90280
rNsuRER B: lndemnity lnsurance Co of North America 4357 5
rr,lsURER c r ACE Fire Underwriters lnsurance Comoanv 20702
lrJSUR€i O: ACE oertv & casuallv I[sltan@ Oo 20699
1t1DA24
RAG ES CERTIFICATE N R: 11118
ee
REVISION NUMBERi
me
XXX
CERTIF HOLDER
THIS IS TO CERTIFY THAT T
PERIOD INDICATED. NOTWTHSIANDING ANY REQUIREMENI. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO
WHICH THIS CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN. THE INSURANCE AFFOROEO 8Y THE POLICIES OESCRIBED HEREIN IS SUEJECT TO
A!.1 THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMiTS SHOWN MAY HAVE EEENSEDIJCED BY PAIO CLAIMS
EACF]OCCURRENCE s 5,000.000
$ 5.000.000
MEO EXP lArv one etso.)I XXXXXXX
PERSONAL A ADV INJURY r 5,000,000
GENERAL AGGREGATE $ 6,000,000
PROOUCTS . COMP/OP AGG $ 6.000.000
COMMERCIAL GENERAI. !IABILITY
XCI] ]NCLUDED
lso FoRM cG00010413
NLAGGREGATE L M T APPL ES PER
X
X X
X
X
X
CLALMS MAOE
LOC
OTI.lER
JECT
Y Y
HDO G72955924 01t41t2a23 a1ta1l2a2
s
NGLE L MIT r '1,000,000
BOOILY INJURY (Per peBon)5 XXXXXXX
BOOILY INJURY (P.r aaldent)5 XXXXXXX
S XXXXXXX
AUIOMOBILE LIAAILITY
SCH€DULED
NON!!!NEOAUTOS ONLYHIREO X
x
X
x
x
M
OW!EO Y Y
t\,{t\,4T H25575398 o1to1t2023 41t01t2424
5 XXXXXXX
X s 15.000,000X
IMS.MADE r 15,000,000
D
RETENTION S
Y Y xEUG27929242 008 01t01t2023 o1t01t2024
5
X
r 3.000,000
E L OISEASE- EA EMPLOYEE s 3,000,000
B
C
WORI(ERS COMPENSATION
AND EMPLOYERS' LIABILIry
N Y &M,
(AOS)
(AZ CA(wt)
wLR C70311094wLR C70311057scF c70311136
0p
0
t01t2023
/01t2023
/01t2023
01/01t2024
01t01t2024
01t01t2024
EL OTSEASE pOLrCYr rMll 5 3,000.000
EXCESS AUTO
LIABILITY Y Y
xsA H25575350 01t01t2023 01toIt2024 COMBINED SINGLE LIMIT
$9,000,000(EACH ACCTOENT)
OESCiIPTIoN OF OPEFATIONS/ LOCATIoNS /vEHICLEs (ACORO 1ol, Addltlon.l R.m.rt Sch.dul., m.y b. .tt .h!d ll6016 .p.c. b r.qulr.d)BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ATL POLICIES WHERE AND TO THE EXTENT REOUIRED BYWRITTEN CONTRACT WHERE PERMISSIALE BY LAW, CERTIFICATE HOLDER IS NAMED AS AN ADOITIONAL INSUREO (EXCEPT FOR WORKERS' COMP/EL)
WHERE ANO TO THE EXTENT REOUIRED BY WRITTEN CONTRACT.
SHOULDANYOFTHE ABOVE DESCRIEED POLICIES BECANCELLEO BEFORETHE EXPIRATION OA]E THEREOF. NOTICE WLL BE OELIVERED IN
ACCORDANCE WTH THE POLICY PROVISIONS,
T18 P1
>&tt^.v
AUTI]ORIZED REPRESENIATIVE
The ACORD name and logo are registered marks of ACORD
s
oeo I I
I
11118309
CITY OF IVIENIFEE
29844 HAUN ROAD
MENIFEE CA 92586
acoRo 2s (2016/03)
Attachment Code : D446557 l\4aster lD: 1306000, Certificate lD: 11118309
2
POLICY NUMBER: HDO G72955924 Endorsement Number 49
COMMERCIAL GENERAL LIABILITY
cG 20 10 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED _ OWNERS, LESSEES OR
CONTRACTORS _ SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance pro\,ided under the follc ing
COI\,4MERCIAL GENERAL LIABILIry COVERAGE PART
SCHEDULE
Name Of Additional lnsured Person(s)
All locations where you are perbrming ongoing
operations for such additional insured pursuant to any
Any Owrer, Lessee or Contractor vrhom you ha\e
agreed to include as an additional insured under a
prior to the date of loss.
4479
A. Section ll - Who Is An lnsured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property
damage" or "personal and ad\€rtising injury"
caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalt
in the oerformance of vour onqoinq oDerations forthe additional insured(s) at the tocation(s)
designated abo\e.
Howe\er
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law, and
2. lf corerage poridod to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily inJury" or
"property damage" occuning after
1. All work, including materials, parts or
equipment fumished in connection with such
work. on the project (other than seftice.
maintenance or repairs) to be performed by or
on behalf of the additional insured(s) at the
location of the co\ered operations has been
completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of tl-te same prciect.
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section lll - Limits Of lnsurance.
lf co\erage pro\,ided to the additional insured is
cG 20 10 1219 O lnsurance SeMces Offce, lnc., 2018 Page 1 of 2