Orange County NC Website
County of Orange, NC <br />INSURANCE CERTIFICATES <br />RFP #5183 <br />`L °� CERTIFICATE OF LIABILITY INSURANCEpage 1 of 2 r 10/27/ <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: B the certificate holder Is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WANED, subject <br />to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights <br />to the certificate holder In lieu of such endorsement(-). <br />PRODUCER <br />CONTACT <br />Willis of Mosaachusetts, Inc. <br />c/o 26 Century Blvd. <br />P. O. Box 305191 <br />PRONE 7- 4 -7 7 FAX 888-467-2378 <br />NAIL 111 <br />Nashville, ITT 37230 -5191 <br />INSURER ORDING COVERAGE <br />NAICs <br />INSURERA: Zurich American Insurance Company <br />16535 -007 <br />1/1/2011 <br />INSURED <br />Clean Harbors Environmental Services, Inc. <br />INSURER S:American Guarantee and Liability Insuranc <br />26247 -003 <br />INSURERC_Steadfaet Insurance COWAny <br />26307 -001 <br />and its affiliates <br />42 Longwater Drive <br />Norwell, MA 02061 <br />INSU2ERM <br />X <br />INSURER E: <br />s 2 <br />INSURER F: <br />GENERALAGORECLATE <br />s 3,00010 a <br />NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VMICH 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 />EISR <br />TYPE OF INSURANCE <br />OD' <br />POLJOYNUMBER <br />-- For Rafsrenca Only -- <br />POUOY EXP <br />WITS <br />,�IOR_MED� <br />V <br />• <br />OENERALLIANLRY <br />X <br />COUMERCI L GENERAL LIABILITY <br />CLAMS-MADE[i] OCCUR <br />ECG <br />y <br />GLO 9681229 -05 <br />1/1/2011 <br />11/1/2012 <br />EACH OCCURRENCE <br />s <br />PRE S oWW <br />EMISE <br />100,000 <br />NEDEXP ore <br />E 5,000 <br />X <br />PERSOWV.b ADY YaAXrr <br />s 2 <br />Contractual <br />GENERALAGORECLATE <br />s 3,00010 a <br />GENL AGGREGATE UNIT APPLES PER: <br />PoLICY 7x PRO• LOC <br />PRODUCTe•OOMPKWAGG <br />a <br />a <br />• <br />AUTOMOBILELWIY <br />IRI <br />X ANY AUTO <br />ALL GMJED �SCHEOLLEO <br />AUTOS AUTOS X HIREDAUTOS NON Y04ED <br />X MCS -90 <br />Y <br />HAP 6681231 -05 <br />1/1/2011 <br />11/1/2012 <br />,M„ .,,I UMn <br />S 510001000 <br />SORRY INJURY(Per pem ) <br />$ <br />SONLY IKURY(Peracdders) <br />6 <br />S <br />s <br />13 <br />% <br />UMBRELIALMS <br />EXCESS LSAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />AlIC4275262 -07 <br />1/1/2011 <br />11/1/2012 <br />EACH OCCURRENCE <br />s <br />AGGREGATE <br />8 <br />OED I IRETENTIms <br />$ <br />A <br />WOMRSCOMPENSATION <br />AM EMPLOYERa'LU1BILm y <br />ANYPROPRETORIPARTNER'EXECIlNV AN <br />OFFICEWMEMBER EXCLLbFD'7 <br />BBY00. efr�e u�NkrOpERAT70Na Wbv� <br />DESCR <br />NIA <br />WC 9681232 -05 <br />1/1/2011 <br />11/1/2012 <br />x <br />EL EACH ACCIDENT <br />s 2,000,000 <br />EL DISEABE•EA EMPLOYEES <br />2,000,000 <br />EL.DISEASE-FOLICY mrr <br />S 2,000,000 <br />C <br />Contractors Pollution <br />Liability <br />PBC 3656681 -16 CPL <br />1 1 2011 <br />1171/203.2 <br />830,000,000 Each Claim <br />610,000,000 All Claims <br />MABRUPIRA-Housli.0 TpNSlvoaaes lAa.eh Ae ,AddEOael Mnrdu fthedule, E mnepaa k MqutM) <br />See Attaahadl <br />rANrFLLAT <br />ACORD 25 (2010105) <br />01988 -2010 ACORD CORPORATION. All fights reserVea. <br />The ACORD name and logo are registered marks of ACORD <br />Company Confidential 37 www.cleanharbors.com <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WTH THE POLICY PROVISIONS. <br />-- For Rafsrenca Only -- <br />ESENTA7ry <br />REPPRR� 8 <br />AU���R <br />,�IOR_MED� <br />V <br />ACORD 25 (2010105) <br />01988 -2010 ACORD CORPORATION. All fights reserVea. <br />The ACORD name and logo are registered marks of ACORD <br />Company Confidential 37 www.cleanharbors.com <br />