Orange County NC Website
AGENCY CUSTOMER ID: 076900 <br />LOC #: <br />A� ADDITIONAL REMARKS SCHEDULE <br />AGENCY <br />NAMED INSURED <br />Willis of Massachusetts, Inc. <br />Clean Harbors Environmental Services, Inc. <br />and its affiliates <br />42 Longwater Drive <br />POLICY NUMBER <br />Norwell, MA 02061 <br />See First Page <br />CARRIER <br />NAIC CODE <br />See First Page <br />AnnIT10NA1 REMAR <br />I <br />EFFECTIVE DATE: See First Page <br />KS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />Environmental Impairment Liability <br />Carrier: Steadfast Insurance Company <br />Policy Number: PLC374393612 <br />Policy Period: 11/1/2011 - 11/1/2012 <br />Limits: $10,000,000 Each Claim <br />$10,000,000 Aggregate <br />Umbrella Policy follows form over General Liability, Auto Liability and Employers Liability. <br />Orange County, North Carolina is named as an Additional Insured for General Liability, Auto <br />Liability and Umbrella Liability, as their interests may appear if required by written contract but <br />only with respect to liability arising out of operations of the Named Insured. <br />Aftnon 4n4 Pmncmel _, , _ <br />-•, -- •�•_��,� iidi ;"J OzJ.l %.erz:i /V -30007 vZUU0 AWKUCUKPORATION . All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />