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HomeMy WebLinkAboutLIABILITY INSURANCE12/21/2010 14:22 3606747138 WM—BREM—AIR DISPOSAL PAGE 02/02 :ACORGI® CERTIFICATE 4F LIABILITY INSURANCE012 2 DATE(MMIDDNYYY) 12/21/2010 PRODUCER LOCKTON COMPANIES, LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. D' SR TYPE OF INSURANCE INSURERS AFFORDING COVERAGE NAIC # INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300299 RELATED & SUBSIDIARY COMPANIES INCLUDING: INSURER A: ACE American Insurance Company 22667 INSURER B: Indemnity Insurance Co of North America 43575 WASTE MANAGEMENT OF WASHINGTON DBA BREM-AIR DISPOSAL 9300 BARNEY WHITE ROAD INSURER C: ACE Property & Casualty Insurance Co 20699 PORT ORCHARD WA 98367 INSURER D: INSURER E: COVERAGES WAPORTOR AJ THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING nc a:cn r rrr�w r ¢ nu,.urrc 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR D' SR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PATE (MWD POLICY EXPIRATION DATE MMIOD LIMITS GENERAL LIABILITY EACH OCCURRENCE 5,000,00o A X COMMERCIAL GENERAL LIABILITY HDO G25524937 1/1/2011 1/1/2012 DAMAGE TO RENTED PRE ESE ocwrrance $ 5,000,000 CLAIMS MADE XX OCCUR MED EXP (Any oneperson) $ XXXXXXX X XCU INCLUDED PERSONAL & ADV INJURY $ 5,000,000 X ISO FORM CG 00011207 GENERAL AGGREGATE $ 6,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 6,000,000 POLICY X jE� X LOC AUTOMOBILE LIABILITY A XCOMBINED ANY AUTO MMT H08631463 ]/1/2011 ]/]/2012 SINGLE LIMIT (Eeaccident) E 1,000,000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) XXXXXXX X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY - (Per accident) $ XXXXXXX X MCS -90 PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ X}(j{}xxx NOT APPLICABLE h:i_ OTHER THAN EA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ C X OCCUR 15.000,000 'EICLAIMSMADE XOOG25828562 1/1/2011 1/1/2012 AGGREGATE $ 15000000 QUMBRELLA $ DEDUCTIBLE )000Mx FORM $ RETENTION $ XXXXXXX WORKERS COMPENSATION $ XJC1 xxxx X WC STATT- OTH- B AND EMPLOYERS' LIABILITY YIN WLR C46469768 (AOS) 1/1/2011 1/1/2012 A ANY EXCLUD PROPRIETOWPARTNERIEXD4 ECUTIVE � WLR C4646977A (CA &. MA) I/l/201 1 1/1/2012 E.L. EACH ACCIDENT $ 3,000,000 A (Mandatory In NH) SCF 046469781 (WD 1/1/2011 1/I/2012 If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 3,000,000 SPECIAL PROVISIONS below A OTHER XTR H08631475E.L. DISEASE - POLICY LIMIT $ 3,000,000 EXCESS AUTO 1/1/2011 1/1/2012 COMBINED SINGLE LIMIT LIABILITY S9,000,000 I (EACH ACCIDENT) DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, AP ]CABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. CANCELLATION: 30 DAYS EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. BLANKET WAI VER 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 AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' IS NAMED COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF BREMERTON (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION 3438521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF BREMERTON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN ADMINISTRATIVE SERVICES DIRECTOR NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 345 6TH STREET, SUITE 600 BREMERTON WA 98337 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REP ENTATIVE ACORD 25 (2009/01) �_ ©1988-2009 ACORD CORPORATIUM. All rights reserved, The ACORD name and logo are registered marks of ACORD For questions regarding this arlMcole, contact the number listed In th-'Pmd—.....tion abw- and .poclty the client code WAPORTOR'. ACORCI° CERTIFICATE OF LIABILITY INSUR�4NCE �i 1/1/2014 DATE (MM//2012Y) 12/12/2012 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 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, LLC 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 CONTACT NAME: ISRUNEA/c, No, Ext):(A/C, No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # y INSURER A: ACE American Insurance Company 22667 HDO G27015189 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, 1300299 RELATED EAS EMANAGEMEN SUBSIDIARY INCLUDING: OF WASHINGTON DBA BREM-AIR DISPOSAL 9300 BARNEY WHITE ROAD INSURER B: Indemnity Insurance Co of North America 43575 INSURER C: ACE Property & Casualty Insurance Co 20699 INSURER D: INSURER E: PORT ORCHARD WA 98367 INSURER F COVERAGES WAPORTORAJ CERTIFICATE NUMBER: 3438521 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 INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDNYYY LIMITS A GENERAL LIABILITY y y HDO G27015189 1/1/2013 1/1/2014 EACH OCCURRENCE 1..5,000,000 COMMERCIAL GENERAL LIABILITY 7XCOMMoccur BREMERTON WA 98337 C51— PREM ence 5,000,000 CLAIMS -MADE I OCCUR MED EXP (Any oneperson) XXXXXXX PERSONAL & ADV INJURY $ 5,000,000 X XCU INCLUDED X ISO FORM CG 00011207 IGENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 61000,000 POLICY X JRCOT X LOC $ A AUTOMOBILE LIABILITY y y MMT H08712293 1/1/2013 1/1/2014 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX X ANY AUTO X AUTOS MED AUTOSULED BODILY INJURY (Per accident $ )LXXXXXX OWNED HIREDAUTOS XAUTOS PROPERTY (Per accident) $ XXXXXXX $ XXXXXXX X MCS -90 I I C X UMBRELLA LIAB X OCCUR Y Y XOO G27048201 1/1/2013 1/1/2014 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 EXCESS LIAB i CLAIMS -MAD DED I I RETENTION $ $ XXXXXXX B AOPRIETORIPARTNERIEX A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICER/MEMBEER XCLUDED7 ECUTIVE 1 (Mandatory in NH? If yes, describe under DESCRIPTION OF OPERATIONS below NIA Y WLR C47129249 AOS)) WLR C47128250 (CA & MA) SCF C47128262 (WI) 1/1/2013 1/1/2013 1/1/2013 1/1/2014 1/1/2014 1/I/2OI4 WC STATU- OTH- X TORY LIMITS E. L. EACH ACCIDENT $ 3,000,000 E.L. DISEASE - EA EMPLOYEE s 3,000,000 E.L. DISEASE - POLICY LIMIT is 3,000,000 A EXCESS AUTOy LIABILITY y XTR H0871230A 1/1/2013 1/1/2014 COMBINED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, 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' COMPEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF BREMERTON (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. RECEIVED CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD DEC 2 7 20112 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cifyof erton Brem ACCORDANCE WITH THE POLICY PROVISIONS. 3438521 RiNkManagemenf AUTHORIZED REPRESENTATIVE CITY OF BREMERTON ADMINISTRATIVE SERVICES DIRECTOR 345 6TH STREET, SUITE 600 BREMERTON WA 98337 C51— ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) �1 vt/2o15 12/11/2013 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain p igst pyikebElfysement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). K C V 1 �/ CONTACT PRODUCER LOCKTON COMPANIES, LLC NAME: 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 JAN 4 7 2014 AIC, No, Ext): AIC, No E-MAIL 866-260-3538 ADDRESS: City of Bremerton INSURERS AFFORDING COVERAGE I INSURER A: ACE American Insurance Company INSURED WASTE MANAGEMENT HOLDINGS, INC. & INSURER B: Indemnity Insurance Co of North America ELATED & SUBSIDIARY COMPANIES 1300299 WASTE MANAGEMENT OF WASHINGTON INCLUDING: INSURER C : ACE Property & Casualty Insurance Co DBA BREM-AIR DISPOSAL 9300 BARNEY WHITE ROAD INSURER D: PORT ORCHARD WA 98367 IIJCI IQPQ F envPDAcrg AX7APC)I?Tf11? RCRTICIfIATC MIIMRPP- Zd1257I RFVIgInN fU11MRFR• YYYYYYY 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 ISR SUBR WVD, POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDNYYY LIMITS A GENERAL LIABILITY Y Y HDO G2732924A 1/1/2014 1/1/2015 EACH OCCURRENCE 5,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea RENTED 5,000,000 CLAIMS -MADE OCCUR MED EXP (Any oneperson) XXXXXXX PERSONAL & ADV INJURY $ 5,000,000 X XCU INCLUDED X ISO FORM CG.00011207 GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 6,000,000 FDPOLICY X JE� X LOC $ A AUTOMOBILE LIABILITY Y Y MMT H08816025 1/1/2014 1/1/2015 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX X ANY AUTO X ALLOWNED SCHEDULED BODILY INJURY (Per accident $ X)CXXXXX FIR PERTI' DAMAGE $ XXXXXXX Per accident X NON -OWNED HIRED AUTOS X AUTOS $ XXXXXXX X MCS -90 C X UMBRELLA LIAB X OCCUR Y Y XOO G27054961 I/l/2014 1/1/2015 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXxxX B A A WORKERS COMPENSATIONWC AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? 1V (Mandatory in NH) If yes, tlescribe under DESCRIPTION OF OPERATIONS below NIA Y WLR 047876345 (AOS) WLR C47876357(AZ,CA&MA) SCF 047876369 (WI) 1/1/2014 1/1/2014 1/1/2014 1/1/2015 1/1/2015 1/1/2015 STATU- OTH- X TORY LIMITSrR E.L. 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 H08816013 1/1/2014 I/l/2015 COMBINED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, 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' COMPEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF BREMERTON (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION 3438521 CITY OF BREMERTON ADMINISTRATIVE SERVICES DIRECTOR 345 6TH STREET, SUITE 600 BREMERTON WA 98337 ACORD 25 (2010/051 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 r n 198E-2010 ACORD CORP173RATIa10_ All rinhts reserved The ACORD name and logo are registered marks of ACORD lIql� 1 AC6R6° CERTIFICATE OF LIABILITY INSURANCE 1/1/2016 DATE(MM/DD/YYYY) 12/10/2014 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 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 certific to does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCKTON COMPANIES 5847 SAN FELIPE, SUITE 320ac, HOUSTON TX 77057 866-260-3538 CONTA NAME: No, Ext): A/c, No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # y INSURER A: ACE American Insurance Company 22667 HDO G27341251 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, RELATED & SUBSIDIARY COMPANIES INCLUDING: 1300299 WASTE MANAGEMENT OF WASHINGTON INSURER B: Indemnity Insurance Co of North America 43575 INSURER C : ACE Property & Casualty Insurance Co 20699 DBA BREM-AIR DISPOSAL 9300 BARNEY WHITE ROAD INSURER D: ACE Fire Underwriters Insurance Company 20702 INSURER E: PORT ORCHARD WA 98367 INSURER F: COVERAGES WAPORTOR CERTIFICATE NUMBER: 3438521 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 TEMAS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY y y HDO G27341251 1/1/2015 1/1/2016 EACH OCCURRENCE 5,000,000 CLAIMS-MADEEx I OCCUR DAMAGE TO RENTED 5,000,000 PREMISES Ea occurrence MED EXP (Any oneperson) XXXXXXX X XCU INCLUDED X ISO FORM CG00010413 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT FX LOC GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMP/OP AGG $ 6,000,000 $ OTHER A AUTOMOBILE LIABILITY Y Y MMT H08830472 1/1/2015 1/1/2016 COaBcltlEDtSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX X ANY AUTO X AUTOS NED AUTOSULED BODILY INJURY (Per accident $ XXXXXXX NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ XXXXXXX $ XXXXXXX X MCS -90 C X UMBRELLA LIAB X OCCUR Y Y XOO G2742305A 1/1/2015 1/1/2016 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX B A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNDED? PROPRIETOR/PARTNER/EXECUTIVE � InOFFICER/MENH) EXCLUDED? (Mandatory (Myantlatory in NH) DESCRIPTION OF OPERATIONS below N/A Y WLR C4814181A(AOS) WLR 048141821 (CA & MA) SCF C48141833 (WI) 1/1/2015 1/1/2015 1/1/2015 1/1/2016 1/1/2016 1/1/2016 PER OTH- X STATUTE E.L. EACH ACCIDENT $ 31000,000 E.L. DISEASE - EA EMPLOYEE 3,000,000 E.L. DISEASE -POLICY LIMIT Is3,000,000 A EXCESS AUTO LIABILITY y y XSA H08830460 1/1/2015 1/1/2016 COMBINED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach 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' COMPEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF BREMERTON (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. <.CR l lrl%.,M IC MIVLIJCI[ 3438521 CITY OF BREMERTON ADMINISTRATIVE SERVICES DIRECTOR 345 6TH STREET, SUITE 600 BREMERTON WA 98337 ACORD 25 (2014/011 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 r ©1988-2014 ACORD CORPORATION- All riahts reserved The ACORD name and logo are registered marks of ACORD (4 9 21 ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1/1/2017 DATE(MM/DDIYYYY) 1 12/7/2015 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 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 CONTACT NAME: FAX (A/C, No, Ext): A/C, No): 5847 SAN FELIPE, SUITE 3201- HOUSTON TX 77057 866-260-3538 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # Y INSURER A: ACE American Insurance Company 22667 1/1/2016 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, RELATED & SUBSIDIARY COMPANIES INCLUDING: 1300299 WASTE MANAGEMENT OF WASHINGTON INSURER B: Indemnity Insurance Co of North America 43575 INSURER C : ACE Propea & Casualty Insurance Co 20699 DBA B AIR DISPOSAL 9300 BARNEYRN WHITE ROAD PORT ORCHARD WA 98367 INSURER D: ACE Fire Underwriters Insurance C 20702 INSURER E: INSURER F C--0VFRnC,FR WAPORTC)R CERTIFICATE NUMBER: 3419521 REVISIOALNUM$ER: 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 SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y Y HDO 027403311 1/1/2016 1/1/2017 EACH OCCURRENCE 5,000,000 DAMAGE TO RENTED 5,000,000 PREMISES Ea occurrence MED EXP (Any oneperson) XXXXXXX X XCU INCLUDED X ISO FORM CG00010413 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 POLICY PEO LOC PRODUCTS - COMP/OP AGG $ 6,000,000 $ OTHER A AUTOMOBILE LIABILITY Y Y MMT H08866326 1/1/2016 1/1/2017 Ea a.,d.niSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX X ANY AUTO X AUTOS NED AUTOSULED NON OWNED X HIRED AUTOS X AUTOS BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE $ XXXXXXX Per accident $ XXXXXXX X MCS -90 C X UMBRELLA LIAB X OCCUR Y Y XOO G27929242 001 1/1/2016 1/1/2017 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 EXCESS LIAB CLAIMS -MAD DED I I RETENTION $ $ XXXXXXX B A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY Y 1 N OFFICER/MEMBER /EXCLUDED?ECUTIVE (Mandatory in NH) NIA Y WLR C48596769 (AOS) WLR C48596800 CA & MA SCF 048596848( I) ) 1/1/2016 1/1/2016 1/1/2016 1/1/2017 1/1/2017 1/1/2017 X STATUTE E.L. EACH ACCIDENT $ 3,000,000 E.L. DISEASE- EA EMPLOYEE 3,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT Is3,000,000 A EXCESS AUTO LIABILITY Y Y XSA H08866314 1/1/2016 1/1/2017 COMBINED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS i LOCATIONS / VEHICLES (Attach 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. ADDITIONAL INSURED IN FAVOR OF CITY OF BREMERTON (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. i i l.CR 1Iri%,AIC r1VLUCR liA1YVCLLA I IVI4 3438521 CITY OF BREMERTON ADMINISTRATIVE SERVICES DIRECTOR 345 6TH STREET, SUITE 600 BREMERTON WA 98337 OCf)RD 2512(114/011 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 0)1988-2014 ACORD CORPORATICIfa. All rights reserved The ACORD name and logo are registered marks of ACORD Ac"R"' CERTIFICATE OF LIABILITY INSURANCE 1/1/2018 DATE(MMIDD/YYYY) 12/7/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES TYPE OF INSURANCE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED SUBR WVD REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. POLICY EFF MM/DD/YYYY IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. LIMITS If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on X COMMERCIAL GENERAL LIABILITY this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). Y PRODUCER LOCKTON COMPANIES CO NAME: T 1/1/2018 PHONE FAX AJC, No, Ext): NC, No DAMAGE ( RENTED 5,000,000 PREMISESS Ea occurrence 5847 SAN FELIPE, SUITE 320 HOUSTON TX 77057 866-260-3538 -M E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Compariv 22667 INSURED WASTE MANAGEMENT HOLDINGS, INC. & ALL AFFILIATED, RELATED & SUBSIDIARY COMPANIES INCLUDING: 1300299 WASTE MANAGEMENT OF WASHINGTON DBA BREM-AIR DISPOSAL 9300 BARNEY WHITE ROAD INSURER B: Indemnity Insurance Co of North America 43575 INSURER C: ACE Property & Casualty Insurance Co 20699 INSURER D: ACE Fire Underwriters Insurance Company 20702 INSURER E PORT ORCHARD WA 98367 INSURER F COVERAGES WAPORTOR CERTIFICATE NUMBER: 3438521 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 SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y HDOG27860825 1/1/2017 1/1/2018 EACH OCCURRENCE 5,000,000 DAMAGE ( RENTED 5,000,000 PREMISESS Ea occurrence CLAIMS -MADE OCCUR MED EXP (Any one person XXXXXXX X XCU INCLUDED X ISO FORM 0000010413 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 MMT 1/1/2017 1/1/2018 COMBINED SINGLE LIMIT Eaaccldent $ 1000000 BODILY INJURY (Per person) $ XXXXXXX X ANY AUTO X AOUTOS ONLY AUTOSULED BODILY INJURY (Per accident $ XXi,,VY,-VX PROPERTY DAMAGE Per accident $ XXXXXXX X HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY XXXXXXX X MCS -90 1 1$ C X UMBRELLA LIAB X OCCUR Y Y XOO G27929242 002 1/1/2017 1/1/2018 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15 OOO OOO EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ XXXXXXX B A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N OFFICER/MEMBER/EXCLUDED? ECUTIVE N❑ (Mandatory in NH) N / A Y WLR 049106944 AOS) WLR C49106907 AZ, A,&MA SCF 049106981 ( ) 1/1/2017 1/1/2017 1/1/2017 1/1/2018 1/1/2018ANY 1/1/2018 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 3000000 J E.L. DISEASE - EA EMPLOYEE 3,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 3,000,000 A EXCESS AUTO1 LIABILITY XSA H09052872 1/1/2017 1!112018 COMBINED SINGLE LIMIT $9,000,000 (EACH ACCIDENT) DESCRIPTION OF OPERATIONS I LOCATIONS I 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' COMPEL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED IN FAVOR OF CITY OF BREMERTON (ON ALL POLICIES EXCEPT WORKERS' COMPENSATION/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. I+tKI Wlt AIt nVLLPr_K 11V1Y 3438521 CITY OF BREMERTON ADMINISTRATIVE SERVICES DIRECTOR 345 STH STREET, SUITE 600 BREMERTON WA 98337 Arnim ,,%s /gnia/n zi 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 rc)19RR_2n15 ArORn roRPORATI - All rinhts reserved The ACORD name and logo are registered marks of ACORD