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acoRl7 CERTIFICATE OF LIABILITY INSURANCE DATE(MM(MYYYY) <br /> I Ar 202? <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND.EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S).AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. <br /> IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED.the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. <br /> K SUBROGATION IS WAIVED.subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), <br /> PRODUCER LOCKTON COWI ANTES CONTACT <br /> 3657 BRIARPARK DRIVE SUITE TX M. <br /> HOUSTON T X 17042 AJC.No.E>I AIC.No <br /> E-MAN. <br /> 866-260-3-538 A <br /> INSUR AFFOROM COVEMG1 wic a <br /> INSURER i?b.Ic-41111:-Ini7tr:J?;cd(ool-Nh,rth America 43i71 <br /> INSURED WASTE MANAGEMENT HOLDINGS.INC.$ALL AFFILIATED INSURER B AC1;Aawrwan ttL.urance Cann am 22667 <br /> 1300,99 RELATED$SUBSIDIARY COMPANIES INCLUDING INSURER C: ACI'.Fitt:I lnd1 mriwTs Irestuance Coui t n <br /> WASTE M+ANAGEMENT OF ILLINOIS.INC"-DECATUR 20702 <br /> r 145 BEAR RD , D. <br /> �P."„,;-,,,.a:.n sn:, :n,-�: 71)690 <br /> DECATUR IL 825222 INSURER <br /> INSURER <br /> COVERAGES CERTIFICATE NUMBER: 19228089 REVISION NUMBER: XXXXXXX <br /> THIS IS TO CE=RTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED NO i WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> INSLTRR TYPE OF INSURANCE ADM SUER I POLICY NUMBER EFF POLICY EXP <br /> *15D ANDYYYI UMTS <br /> I; x COMMERCUIL GEMJERAL LIABIUTY }- }- y t« �I_'i _ III '1 EACH OCCURRENC- ,000,000 <br /> _. c S <br /> C:AWS461DE OCCUR ANAG'rO RREEN OE <br /> IREMISES IF.oarvrona 5.000.000 <br /> ti.(; 1*iCl.i;I)FU EDEXP,AnYone � ,, XVtxXXX <br /> X I.,Fc RNICtAX;1Ju)al3 PERSONALSAOVIN.XJRY S 5.000.000 <br /> GENTL AGGREGATE UM IT APPLIES PER ENTERAL AGGREGATE s 6.000,000 <br /> POLICYO'�7 Q LOC <br /> PRODUCTS-COMP:OP AGG S 6,000,000 <br /> OTHER <br /> S <br /> J3 AUTOMOBILE E LIA841TVt- SINGLE}- }' '-1ATI-i1_�57S31Jt I!I12rB21 i!1/2t}2a �GA7&NVED GLIMIT S ( 000,0(K) <br /> �. ANY AUTO CIL Y INJURY(P.,p.sw) S XXXx xvx <br /> AU 0.DON+1Y SCHEDULEDTOBOLTLY INJURY(Pe r accident S XXXXXXX <br /> HIRED A TTOS ONLY X AI UTC t-jryry'D . <br /> (Par xndenn A s XXXXXXX <br /> 1) AGG <br /> X UMBRELLA LIAR CCCUP. }' }' \i-.1 i(i2T12c+T{t Orl% Ilil?l)?i i/j J?Ii7-i EACH OCCURRENCE $ <br /> 15.000.000 <br /> EXCESS Lae cLaIM;.Annpe REGATE $ 15,000 000 <br /> KERS COM>ENBATION <br /> liEC RETENTIChs $ XX?��XXX <br /> MNOR <br /> AND EM.PLOYERW LIABILf7Y YIN }' W7-R C 70$111104(AOS) Il112U23 lel/2U2"I \ I SrAiU'E Of? <br /> 'i .Nrµ4✓G4IETCRP+iiriii:fi�XEG:IT.YE WI-K 070111)37(A7"_.CA.I•M 1/11.1)_'3 1/1"(124 <br /> ( FFG-�E>J+ti<EuaEa{;,y:cuGE�s ❑' NIA "CP C7n311136(WII III INC.'. 1/1/2124 E:EACm ACcCfn S j Qt}(}.0tj0 <br /> (uaMne,Y In NMI <br /> ws aeM;ae rae E_C:3fASE"EA EUTA.LE S 3.000.000 <br /> [£SCR:?T..:OrI 0.%OPERA'?DNS bebe. <br /> _:O3£A "PDUCr hurt ?,000()00 <br /> ,)tllflY nAt- Y ll2023- <br /> 111."21124 l'IHIRItiI?DSIX(il$LIJIi1' <br /> f E.iCl I ACC'II)6�Il <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORO 101,Adw6oml Rtmarks S,,,,Wt,may be allached R mat space is square.) <br /> 111.ANKEI W VV1 R Ul'~UBR(.KIA1'1(-)N IS GWILN11:1)IN FAVOR 01:C1 1(I II IC A11=11()1.1)),IL ON ALL POLICIES W111:f(1?ANI)7 U"1711_i:)C1'LIV l' <br /> itls(k111LIs!)1fY WIU I-I-EN CON I72AC1-W7[I-RI,PLkhdissIBLl'BY[AW'. (I RI11JLCA11:116LI)ER IS NAivILD AS AN Xj3brriONAI.INSUk1:l)ON <br /> ALL 1'I 11JC21:5 IF XCLIYI [:OR WORKI: Cf IDAI'If:t.1 WIIL'Ri:ANI)T()Iltl:EKI EN1 Ki--QUIRL'.0 BY WRrI'11 N C()Nr1(ACI <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED !N <br /> ACCORDANCE'MTH THE POLICY PROVISIONS. <br /> 19228089 AUTHORIZED REPRESENTATIVE <br /> THE CITY OF DECATUR,ILLINOIS <br /> DEPARTMENT OF FINANCEILICENSING <br /> #1 GARY K.ANDERSON PLAZA <br /> DECATUR IL 6"2523 <br /> ACORD 25(2016103) :')1988-2015 ACORD CORPORATIOM.All rights reserved <br /> The ACORD name and logo are registered marks of ACORD <br />