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WM Proof of Insurance 2021-2022
ACORO®CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)1/1/2022 1 I2/I4/2020 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 FAX No Ext : A/C No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance CompanyCompanny 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATEI 1300299 RELATED & SUBSIDIARY COMPANIES INCLUDING: I INSURER B : Indemnity Insurance Co of North America INSURER c : ACE Fire Underwriters Insurance Company 43575 20702 INSURER D : ACE Property & Casualty Insurance Co 20699 NICHOLS SANITATION 7700 SOUTHEAST BRIDGE ROAD HOBE SOUND FL 33455 INSURER E INSURER F 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 TYPE OF INSURANCE ADDL D SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I —XI OCCUR Y Y HDO G71572985 1/1/2021 1/1/2022 EACH OCCURRENCE $ 5,000,000 PREMISES Ea occurrence $ 5,000,000 X MED EXP (Any one person) $ XXXXXXX XCU INCLUDED X ISO FORM CG00010413 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 POLICY PE� � LOC PRODUCTS - COMP/OP AGG $ 6,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y MMT H25308645 1/1/2021 1/1/2022 COMBINED SINGLE LIMIT Ea accident $ 1 000,000 X BODILY INJURY (Per person) $ XXXX ANY AUTO X AUTOS ONLY AUTOSULED BODILY INJURY (Per accident) $ XXXXXXX X NON -OWNED HIRED fx AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $Vx X $ XX3xxXX MCS-90 D X UMBRELLA LIAB X OCCUR Y Y XOOG27929242 006 1/1/2021 1/1/2022 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX B A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED? � N / A Y WLR C6781180A (AOS) WLR C67811768 (AZ,CA & MA) SCF C67811847 (WI) 1/1/2021 1/1/2021 1/1/2021 1/1/2022 1/1/2022 1/1/2022 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 3,000,000 E.L. DISEASE - EA EMPLOYEE $ 3,000,000 (Mandatory In NH) if Des e ESCd scribe under RIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 3,000,000 A EXCESS AUTO Y Y XSA H25308608 1/1/2021 1/1/2022 COMBINED SINGLE LIMIT LIABILITY $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/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. RE: ALL OPERATIONS PERFORMED BY THE NAMED INSURED. CERTIFICATE HOLDER rAkICFI I ATlnM 3422440 ----------- CITY OF OKEECHOBEE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 55 SOUTHEAST 3RD AVENUE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN OKEECHOBEE FL 33474 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE cf3�1! ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATIOFf. All rights reserved. The ACORD name and logo are registered marks of ACORD