WM Proof of Insurance 2023-2024 DATE(MM/DD/YYYY)
ACORO® CERTIFICATE OF LIABILITY INSURANCE
�...----- 1/1/2024 12/7/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF IN • -,iv,... • ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR •, { L. / - D, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANC- $Z'- NOT CO'. !,TE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND TH- • -'TIFICATE HOLDE••
IMPORTANT: If the certificate holder is an ; :4 ITIONAL INSURED,the •• 'cy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to t • •rms and conditions of t .olicy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to th V rtificate ho pr bgilu of s endorsement(s).
PRODUCER LOCKTON COMPANIES �' '� • TACT
• E:
3657 BRIARPARK DRIVE,SUITE 'i 1 IL'I ONE FAX
HOUSTON TX 77042 , MAILo.Ext): (NC,No):
866-260-3538 Q, `ADDRESS:
6 INSURER(S)AFFORDING COVERAGE NAIC#
W y et <<0` INSURER A:Indemnity Insurance Co of North America 43575
INSURED WASTE MANAGEMENT HOLDINGS,INC.&ALL AFFILIATED, INSURER B:ACE American Insurance Company 22667
1300299 RELATED&SUBSIDIARY COMPANIES INCLUDING: INSURER C:ACE Fire Underwriters Insurance Company 20702
OKEECHOBEE LANDFILL INC. INSURER D:ACE Property and Casualty Insurance Company 20699
WASTE MANAGEMENT INC.OF FLORIDA
10800 NORTHEAST 128TH AVENUE INSURER E:
OKEECHOBEE FL 31971 INSURER F:
COVERAGES FLOKEECH CERTIFICATE NUMBER: 13111768 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 SUBR POLICY EFF POLICY EXP
LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
B X COMMERCIAL GENERAL LIABILITY Y Y HDO G72955924 1/1/2023 1/1/2024 EACH OCCURRENCE $ 5,000,000
DAMAGE TO RENTED
CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $ 5,000,000
X XCU INCLUDED MED EXP(Any one person) $ XXXXXXX
X ISO FORM CG00010413 PERSONAL&ADV INJURY $ 5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000
POLICY X jERCOT X LOC PRODUCTS-COMP/OP AGG $ 6,000,000
OTHER: $
B AUTOMOBILE LIABILITY y y MMT H25575398 1/1/2023 1/1/2024 COMBINED NGLE LIMIT $
(Ea accident)SI 1,000,000
X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX
XOWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS XXXXXXX
X H X NON-OWNED PROPERTY DAMAGE $ � �
AUTOSIRED ONLY AUTOS ONLY (Per accident)
X MCS-90 $ XXXXXXX
D x UMBRELLA LIAB X OCCUR Y Y XEUG27929242 008 1/1/2023 1/1/2024 EACH OCCURRENCE $ 15,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $ 15,000,000
DED RETENTION$ $ XXXXXXX
A WORKERS COMPENSATION Y X PER OTH-
AND EMPLOYERS'LIABILITY WLR C70311094(AOS) 1/1/2023 1/1/2024 STATUTE ER
B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WLR C70311057(AZ,CA&MA) 1/1/2023 1/1/2024 E.L.EACH ACCIDENT $ 3,000,000
C OFFICER/MEMBER EXCLUDED? N N/A SCF C70311136( I) 1/1/2023 1/1/2024
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 3,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 3,000,000
B EXCESS AUTO Y Y XSA H25575350 1/1/2023 1/1/2024 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 ON ALL POLICIES(EXCEPT FOR
WORKERS'COMP/EMPLOYER'S LIABILITY)WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
13111768 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
THE CITY OF OKEECHOBEE ACCORDANCE WITH THE POLICY PROVISIONS.
55 SE 3RD AVENUE OKEECHOBEE FL 34974 AUTHORIZED REPRESENTATI
I
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