2012-131 Solid Waste - Clean Harbors Environmental Services Inc

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A °® CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 0DATE 5/3 %2o a 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 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 CONTACT Willis of Massachusetts, Inc. c/o 26 Century Blvd. P. O. BOX 305191 PHONE 877- 945 -7378 FAX 888 - 467 -2378 E -MAIL certificates@willis.com INSURER(S)AFFORDINGCOVERAGE NAIC# Nashville, TN 37230 -5191 INSURERA:Zurich American Insurance Company 16535 -002 GLO 9681229 -05 INSURED Clean Harbors Environmental Services, Inc. and its affiliates INSURER B: American Guarantee and Liability Insuranc 26247 -003 INSURER C: Steadfast Insurance Company 26387 -001 INSURERD: 42 Longwater Drive Norwell, MA 02061 INSURER E: INSURER F: $ 5 000 - AI"Uncom 1 �0c a r a a REVISION NUMBER: VVVQF NVQJ - - - - -- 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. INSR T. TYPE OF INSURANCE DD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY Y GLO 9681229 -05 11/1/2011 11/1/2012 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Eaoccurence $ 100,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5 000 CLAIMS- MADE�OCCUR PERSONAL &ADV INJURY $ 2,000,000 X XCU X Contractual GENERALAGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $ 2,00 000 $ POLICY X PRO- LOC A AUTOMOBILE LIABILITY Y BAP 6681231 -05 11/1/2011 11/1/2012 COMBINEDSINGLELIMIT (Ea accident) $ 5,000,000 BODILY INJURY(Per person) $ X ANYAUTO BODILY INJURY(Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED (PeOraccitlent)AMAGE $ X HIREDAUTOS X AUTOS $ X MCS -90 B X UMBRELLALIAB X OCCUR y AUC4275262 -07 11/1/2011 11/1/2012 EACHOCCURRENCE_ $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED I RETENTION $ $ A WORKERS COMPENSATION WC 9681232 -05 11/1/2011 11/1/2012 X I WCS Aru- H- E.L. EACH ACCIDENT $ 2,000,000 ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE� NIA E.L. DISEASE - EA EMPLOYEE $ 2,000,000 OFFICER/MEMBEREXCLUDEDI I Mandatory in NH) E.L. DISEASE - POLICY LIMIT $ 2,000,000 f yes, describe under DESCRIPTION OF OPERATIONS below C PEC 3656681 -16 CPL 11/1/2011 11/1/2012 Contractors Pollution $10,000,000 Each Claim Liability $10,000,000 All Claims DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach Acord 101, Additional Remarks Schedule, it more space is required) Scope of Work: Operation of permanent HHW collection center. see attached: r- Alurrl 1 ATInN V CRI Ir IVI1I C nVLV Gr. _, .. -_ - - -. ... _._ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Orange County, North Carolina AUTHORIZED REPRESENTATIVE Attn: Pam Jones P.O. Box 8181 Hillsborough, NC 27278 -8181 Coll:3746952 Tpl:1355231 Cert:17938689 © 1988- 2010ACORD CORPORAIION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD