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COI - Waste Connections US, Inc. - Expires 2021-08-01CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/23/2024 I 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 Aon Risk services Southwest, Inc. Houston TX Office CONTACT NAME: (aC No. Ezt): (866) 283-7122 IX C No.): (800) 363-0105 E-MAIL ADDRESS: 5555 San Felipe Suite 1500 Houston Tx 77056 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: ACE American Insurance Company 22667 waste Connections US, Inc. 3 waterway square Place, suite 110 The woodlands Tx 77380 USA INSURERB: ACE Property & Casualty Insurance Co. 20699 INSURER C: Indemnity Insurance Co of North America 43575 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570083212859 REVISION NUMBER: 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYY MM/DD/YYYY LIMAS A X COMMERCIAL GENERAL LIABILITY HDOG EACH OCCURRENCE $2 , 000 , 000 CLAIMS MADE x OCCUR DAMAGE TO RENTED PREMISES Ea occurrence)$100 , 000 MED EXP (Any one person) PERSONAL & ADV INJURY $2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5 , 000 , 000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS -COMP/OPAGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY ISA H25302229 08/01/2020 08/01/2021 COMBINED SINGLE LIMIT accident) $5,000,000 BODILY INJURY ( Per person) X ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED PROPERTY DAMAGE ONLY AUTOS ONLY Per accident B X UMBRELLA LIAB X OCCUR XOOG27614620006 08/01/2020 08/01/2021 EACH OCCURRENCE $ 5 , 000 , 000 EXCESS LIAB CLAIMS -MADE SIR applies per policy terns & conditions AGGREGATE $5 , 000, 000 DED I X RETENTION C WORKERS COMPENSATION AND WLRC67456348 08/01/2020 08/01/2021 X PER STATUTE OTH- ER EMPLOYERS' LIABILITY YIN A05 E.L. EACH ACCIDENT $1, 500, 000 A ANY PROPRIETOR / PARTNER i EXECUTIVE [flN/A wLRC67456385 08/Ol/2020 08/01/2021 OFFICER/MEMBEREXCLUDED? (Mandatory in NH) CA, MA E.L. DISEASE -EA EMPLOYEE $1, 500, 000 It yes, describe under DESCRIPTION OF OPERATIONS below 1-t I F.L. DISEASE -POLICY LIMIT I S1,500,000 T DESCRIPTION OF OPERATIONS I 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 Liability policies. A waiver of Subrogation is granted in favor of City of Gilroy in accordance with the policy provisions of the General Liability, Automobile Liability and workers Compensation policies. umbrella Liability follows form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy AUTHORIZED REPRESENTATIVE 7351 Rosanna street Gilroy CA 95029 USA c�a �/� gPvO- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD