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COI - Waste Connections US, Inc. - Expires 2023-08-01Edgewood Partners Insurance Center 425 California Street, Suite 2400 San Francisco, CA 94105 6030 1 MB 0.512 6030 11111tt1ui111llniItiJI 1111111111111.11.11111n1111111111111111 CITY OF GILROY 7351 ROSANNA ST GILROY, CA 95020-6141 GII. ,OY C, CLERKS OFFICE 1 of 3 6030 ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 7/22/2022 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 Edgewood Partners Insurance Center 5909 Peachtree Dunwoody Road Suite 800 Atlanta GA 30328 INSURED Waste Connections US, Inc. 3 Waterway Square Place, Suite 110 The Woodlands, TX 77380 CONTACT Certificate Unit PHONE (NC, No. Ext): 404-781-1700 E-MAIL ADDRESS: certificate@epicbrokers.com FAX No): INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : ACE American Insurance Company 22667 INSURER B : ACE Property & Casualty Insurance Company INSURER C : 20699 INSURER D_ INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:2070387859 REVISION NUMBER: THIS INDICATED. CERTIFICATE EXCLUSIONS INSR LTR IS TO CERTIFY THAT THE POLICIES OF INSURANCE NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY PERTAIN, AND CONDITIONS OF SUCH POLICIES. ADDL SUBR TYPE OF INSURANCE INSD,WVD LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN REDUCED POLICY NUMBER ISSUED TO CONTRACT THE POLICIES BY POLICY EFF (MM/DD/YYYY) THE INSURED OR OTHER DESCRIBED PAID CLAIMS. — POLICY EXP (MM/DD/YYYY) NAMED ABOVE FOR THE POLICY PERIOD DOCUMENT WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS A X j COMMERCIAL GENERAL LIABILITY HDO G72949882 8/1/2022 8/1/2023 EACH OCCURRENCE $2.000,000 CLAIMS -MADE (X OCCUR DAMAGE TO RENTED PREMISES La occurrence) $ 100,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 2.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: r 1 �J LOC GENERAL AGGREGATE $ 5,000,000 X POLICY T I PRO- ;1 JECT PRODUCTS - COMP/OP AGG $ 2,000,000 I OTHER: $ A AUTOMOBILE LIABILITY X 1 ANY AUTO ISA H25570832 8/1/2022 8/1/2023 COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $5,000.000 $ OWNED AUTOS ONLY i SCHEDULED , AUTOS BODILY INJURY (Per accident) $ 1 HIRED AUTOS ONLY I NON -OWNED I AUTOS ONLY PROPERTY DAMAGE (Per accident) $ $ — B X 1 UMBRELLA LIAB X OCCUR XEU G27614620 008 8/1/2022 8/1/2023 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB I CLAIMS -MADE AGGREGATE $ 1,000,000 $ ' DED I I RETENTION $ r A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) II yes, describe under DESCRIPTION OF OPERATIONS y / N N/A WLR C68919939 (ADS) 8/1/2022 8/1/2023 - X 1 STATUTE 1 1 VP E.L. EACH ACCIDENT $ 1,500,000 $1,500,000 N E.L. DISEASE - EA EMPLOYEE below E.L. DISEASE - POLICY LIMIT $ 1,500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Named Insured Includes: Waste Connections, Inc. and all wholly owned subsidiaries. City of Gilroy is included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Lie.' ' • • '-s,A Waiver of Subrogation is granted in favor of City of Gilroy in accordance with the policy provisions of the General Liability, Automobile Liability ..T=7 jeers yr iiiens-., •�••• , tides. Umbrella Liability follows form. \.: ,I_=1 \``I - mod AL':. O. ZG%2 (II R-''r i'11' `I ;,o n--.A.. CERTIFICATE HOLDER ATIONON City of Gilroy 7351 Rosanna Street Gilroy CA 95029 USA 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 `I ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2 of 3 6030 14 POLICY NUMBER: HDO G72949882 Endorsement Number: 112 COMMERCIAL GENERAL LIABILITY CG20261219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): City of Gilroy Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured 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 advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided 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 provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. R ©LOWED AUG 0 3 2022 GILROY CITY CLERK'S OFFICE CG 20 26 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 3 of 3 6030