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WM Proof of Insurance 2020-2021
ACCPRGY CERTIFICATE OF LIABILITY INSURANC,JA �� r..i)'1i/21)23 DATE( .. ) 019 �nf nn124it THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON T EC' RTIFICATE HOLDE�_R.' ElIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE F• -DED BY THE POI IES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUIN go RER(S), AU y IZED Cb REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. / IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSUR 's If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endo a -n . • r; .te 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 , Ext): FAX PicONn oA No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : ACE American Insurance Company 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300299 RELATED & SUBSIDIARY COMPANIES INCLUDING: NICHOLS SANITATION 7700 SOUTHEAST BRIDGE ROAD HOBE SOUND FL 33455 INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE Fire Underwriters Insurance Company 20702 INSURER D : ACE Property & Casualty Insurance Co 20699 INSURER S : $ 5,000,000 INSURER F : CLAIMS -MADE x OCCUR COVERAGES FLHOBESO CERTIFICATE NUMBER: 3422440 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 INSD SUER WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A x COMMERCIAL GENERAL LIABILITY y y HDO G71237345 1/1/2020 1/1/2021 EACH OCCURRENCE $ 5,000,000 PREMISES (OEa occur ence) $ 5,000,000 CLAIMS -MADE x OCCUR MED EXP (Any one person) $ XXXXXXX X XCU INCLUDED PERSONAL & ADV INJURY $ 5,000,000 X ISO FORM CG00010413 GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIES PECOT- X PER: LOC PRODUCTS - COMP/OP AGG $ 6,000,000 $ A AUTOMOBILE X X X LIABILITY ANY AUTO AUTOS AUTOS ONLY MCS -90 X SCHEDULEDXAU AUTOS ONLY Y Y MMT H25290008 1/1/2020 1/1/2021 COMBINi ED ED SINGLE LIMIT OMBI $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX (Per acciden DAMAGE $ XXXXXXX $ XXXXXXX D XX LIAB EXCESS LIAB X' OCCUR CLAIMS -MADE Y Y X00 G27929242 005 1/1/2020 1/1/2021 EACH OCCURRENCE $ 15,000 000 AGGREGATE $ 15,000,000 DED RETENTION $ $ XXXXXXX B A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under -DESCRIPTION OF OPERATIONS below Y / N N N/A Y WLR 066043058 (AOS) WLR 066043010 (AZ,CA & MA)1/1/2020 SCF C66043095 (WI) 1/1/2020 1/1/2020 1/1/2021 1/1/2021 1/1/2021 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 3,000,000 E.L. DISEASE - EA EMPLOYEE $ 3,000,000 _ E.L. DISEASE - POLICY LIMIT $ 3,000n ,000n 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 Schedu e, 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 WR1I l'EN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIF CATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. RE: ALL OPERATIONS PERFORMED BY THE NAMED INSURED. CERTIFICATE HOLDER CANCELLATION 3422440 CITY OF OKEECHOBEE 55 SOUTHEAST 3RD AVENUE OKEECHOBEE FL 33474 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) ©1988-2015 ACORD CORPORAT10110. All rights reserved The ACORD name and logo are registered marks of ACORD