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Insurance Certificates 2020/21 Burrtec Waste & RecyclingINSR ADDL SUBR LTR INSR WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: LOCJECT COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person)$ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS AUTOS ONLY HIRED PROPERTY DAMAGE $AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below POLICY NON-OWNED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 any rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) ACORDTM CERTIFICATE OF LIABILITY INSURANCE Lexington Insurance Company Zurich American Insurance Company American Zurich Insurance Company Navigators Specialty Insurance Company Liberty Insurance Underwriters, Inc. 3/13/2020 Marsh & McLennan Agency LLC Marsh & McLennan Ins. Agency LLC PO Box 85638 San Diego, CA 92186 constructioncerts@marshmma.com Burrtec Waste Group, Inc. 9890 Cherry Avenue Fontana, CA 92335 19437 16535 40142 36056 19917 A X X X BI/PD Ded:25000 X X 023627374 03/15/2020 03/01/2021 1,000,000 300,000 0 1,000,000 2,000,000 2,000,000 B X X X X BAP014157403 03/15/2020 03/01/2021 2,000,000 A X X X 10,000 021391622 03/15/2020 03/01/2021 5,000,000 5,000,000 C N X WC014157303 03/15/2020 03/01/2021 X 1,000,000 1,000,000 1,000,000 D E XS of $5M XS of $8M SF20EXC868057IC 100014503906 03/15/2020 03/15/2020 03/01/2021 03/01/2021 $3M Per Occ/Agg $1M Per Occ/Agg Job: Operations pertaining to named insured for certholder. City of La Quinta, its elective and appointive boards, commissions, officials, employees, agents and volunteers are additional insureds, primary and non-contributory per endorsements attached. Umbrella/Excess liability follows form of Primary policies. City of La Quinta 78495 Calle Tampico La Quinta, CA 92253-2839 1 of 1 #S4758185/M4757893 BURRTWASTEClient#: 437902 WSADH 1 of 1 #S4758185/M4757893 ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONALREMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 12 Marsh & McLennan Insurance Agency LLC Burrtec Waste Group, Inc. 25 Certificate of Liability Insurance Named Insured Schedule Burrtec Waste Group, Inc. Burrtec Waste Industries, Inc. Agua Mansa MRF, LLC AVCO Disposal, Inc. Burr Group, LP Burr Group, Inc Burr Properties, LLC Burr Properties, G.P. Burrline, LLC Burrtec Environmental, LLC Burrtec Recovery & Transfer, LLC Burrtec Waste & Recycling Services, LLC Burrtec Retirement Savings Plan Burrtec Waste Industries, Inc. (formerly PSP Waste Services, Inc.) Burrtec Waste Industries, Inc. DBA: Burbank Recycling Burrtec Waste Industries, Inc. DBA: Agua Mansa Recycling & Transfer Co. Burrtec Waste Industries, Inc. DBA: Burrtec Recycling & Transfer Co. Burrtec Waste Industries, Inc. DBA: Burrtec Recycling Center Burrtec Waste Industries, Inc. DBA Coachella Valley Compost Burrtec Waste Industries, Inc. DBA Coachella Valley Transfer Station Burrtec Waste Industries, Inc. DBA Desert Disposal Burrtec Waste Industries, Inc. DBA: East Valley Recycling & Transfer Burrtec Waste Industries, Inc. DBA: Inland Empire Recycling Burrtec Waste Industries, Inc. DBA:Marks Disposal Burrtec Waste Industries, Inc. DBA: Tri-Co Burrtec Waste Industries, Inc. DBA: Tri-County Disposal Burrtec Waste Industries, Inc. DBA: Trico Disposal Burrtec Waste Services, LLC Crestline Disposal Currans Rubbish Disposal, Inc. E. Cole Burr, individually E. Cole Burr, Trustee of the Burr Family Trust EDCO Disposal Edward G. Burr Sandra L. Burr Cole Burr Tracy A. Burr Burr Properties Empire Disposal, LLC Fontana Rubbish Collectors, Inc. ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONALREMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 22 Marsh & McLennan Insurance Agency LLC Burrtec Waste Group, Inc. 25 Certificate of Liability Insurance Named Insured Schedule Inland BioEnergy, LLC Jack's Disposal, Inc. DBA Yukon Disposal Jack's Disposal, Inc. Kaiser Recycling Corporation KGB Properties, LLC (formerly Burr Girls, LLC Lake Arrowhead Disposal Lucerne Valley Disposal Monte Vista Disposal , Inc. Mountain Disposal Services, Inc. Rancho Disposal Service, Inc. Rialto Services, Inc. Running Springs Disposal TECMEC Maintenance Enterprise, Inc. Tracy A. Burr, individually Tracy A. Burr, Trustee Tri-County Disposal, Inc. Tri-County Disposal, Inc. DBA: Gary's Disposal Victorville Disposal, Inc. West Valley MRF, LLC West Valley Recycling and Transfer, Inc. Yucaipa Disposal, Inc. Desert Properties, LLC Burr Family Trust Yukon Disposal Cal Disposal Co., Inc. Universal Waste Systems, Inc. INSURED: POLICY #: POLICY PERIOD: TO Burrtec Waste Group, Inc. 023627374 03/15/2020 03/01/2021 ENDORSEMENT LX9466 (10/03) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED REQUIRED BY WRITTEN CONTRACT Page 1 of 2 In the event that the Limits of Insurance provided by this policy exceed the Limits of Insurance required by the written contract or written agreement, the insurance pro- vided by this endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations under Item 3. Limits of Insurance pertaining to the coverage provided herein. The insurance provided to such an additional insured does not apply to "bodily injury" or "property damage" arising out of an architect's, engineer's or surveyor's rendering of or failure to render any pro- fessional services including: The preparing, approving or failing to prepare or approve maps, shop draw- ings, opinions, reports, surveys, field orders, change orders, or drawings and specifications; and The person or organization is only an ad- ditional insured with respect to liability arising out of "your work" or "your pro- duct" for that additional insured. Section II - Who Is An Insured is amended to include any person or organization you are re- quired to include as an additional insured on this policy by a written contract or written agreement in effect during this policy period and executed prior to the "occurrence" of the "bodily injury" or "property damage." This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products-completed operatons hazard" unless you are required to provide such coverage by written contract or written agreement and then only for the period of time required by the written contract or written agreement and in no event beyond the expiration date of the policy. Supervisory, inspection, architectural or engineering activities. COVERAGE A BODILY INJURY AND PROPERTY DAMAGE (Section I - Coverages) only. A. B. 1. 2. 3. 5. ii i 4. The insurance provided to the above described additional insured under this endorsement is limited as follows: Includes copyrighted information of the Insurance Services Offices, Inc. with its permission. All rights reserved. LEXINGTON INSURANCE COMPANY INSURED: POLICY#: POLICY PERIOD: TO: Burrtec Waste Group, Inc. 023627374 03/15/2020 03/01/2021 LX9466 (10/03)Page 2 of 2 Authorized Representative OR Countersignature (In states where applicable) Any coverage provided by this endorse- ment to an additional insured shall be excess over any other valid and collectible insurance available to the additional insured 6. whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary or non-contributory basis. C. D. In accordance with the terms and conditions of the policy and as more fully explained in the policy, as soon as practicable, each additional insured must give us prompt notice of any "occurrence" which may result in a claim, forward all legal papers to us, cooperate in the defense of any actions, and otherwise comply with all of the policy's terms and conditions. Subparagraph (1)(a) of the Pollution exclusion paragraph 2.f., Exclusions of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY (Section I - Coverages) does not apply to you if the "bodily injury" or "property damage" arises out of "your work" or "your product" performed on premises which are owned or rented by the additional insured at the time "your work" or "your product" is per- formed. Includes copyrighted information of the Insurance Services Offices, Inc. with its permission. All rights reserved. ENDORSEMENT LX9493 (Ed. 02/04) AGGREGATE LIMITS OF INSURANCE - PER LOCATION AMENDMENT AND OVERALL GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the policy: It is further understood and agreed that the following changes are made to the policy: Overall General Aggregate Limit - $ All other terms and conditions remain unchanged. Authorized Representative OR Countersignature (In states where applicable) (1) (2) Subject to the Overall General Aggregate Limit stated in Item 3 of the Declarations, the General Aggregate Limit under LIMITS OF INSURANCE (Section III) applies separately to each of your "locations". Item 3, Limits of Insurance in the Declarations is amended by the addition thereto of the following Limit: SECTION III-LIMITS OF INSURANCE is amended by the addition thereto of the following paragraph under paragraph 6. 7. The Overall General Aggregate Limit is the most we will pay under Coverages A and B for the sum of all Limits of Insurance as provided in this SECTION III regardless of the number of your "locations"; except for damages because of "bodily injury" and "property damage" included in the "products-completed operations hazard". For the purpose of this endorsement, "locations" means premises involving the same lot, or connecting lots or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad. LEXINGTON INSURANCE COMPANY 5,000,000 INSURED: POLICY#: POLICY PERIOD: TO: Burrtec Waste Group, Inc. 023627374 03/15/2020 03/01/2021 POLICY NUMBER: COMMERCIAL AUTO CA 20 01 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 20 01 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 2 LESSOR – ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Endorsement Effective Date: SCHEDULE Insurance Company: Policy Number: Effective Date: Expiration Date: Named Insured: Address: Additional Insured (Lessor): Address: Designation Or Description Of "Leased Autos": ALL LESSORS WHERE REQUIRED BY WRITTEN CONTRACT ZURICH AMERICAN INSURANCE COMPANY ALL LEASED AUTOS 03/01/2021 Burrtec Waste Group, Inc. Burrtec Waste Group, Inc. BAP014157403 BAP014157403 03/15/2020 03/15/2020 Page 2 of 2 © Insurance Services Office, Inc., 2011 CA 20 01 10 13 Coverages Limit Of Insurance Covered Autos Liability $ Each "Accident" Comprehensive Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus $ Deductible For Each Covered "Leased Auto" Collision Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus $ Deductible For Each Covered "Leased Auto" Specified Causes Of Loss Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus $ Deductible For Each Covered "Leased Auto" Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage 1. Any "leased auto" designated or described in the Schedule will be considered a covered "auto" you own and not a covered "auto" you hire or borrow. 2. For a "leased auto" designated or described in the Schedule, the Who Is An Insured provision under Covered Autos Liability Coverage is changed to include as an "insured" the lessor named in the Schedule. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: a. You; b. Any of your "employees" or agents; or c. Any person, except the lessor or any "employee" or agent of the lessor, operating a "leased auto" with the permission of any of the above. 3. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the "leased auto", whichever occurs first. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto". 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your premiums. E. Additional Definition As used in this endorsement: "Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. INSURED: POLICY #: POLICY PERIOD: TO: Burrtec Waste Group, Inc. BAP014157403 03/15/2020 03/01/2021 INSURED: POLICY #: POLICY PERIOD: TO: Burrtec Waste Group, Inc. WC014157303 03/15/2020 03/01/2021