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DocuSign Envelope ID:813A5323-29B6-4DDD-A2B8-22B7F4A4A68C <br /> County of Orange, NC RFP#5183 <br /> AGENCY CUSTOMER ID: 076000 <br /> LOC#; <br /> A ADDITIONAL REMARKS SCHEDULE Page of_2__ <br /> AOENCY MINED INSURED <br /> Clean Harbors Environmental Services, Ina. <br /> Willis of Massachusetts, Ina. and its affiliates <br /> POLICYNUAiatn 42 Longwater Drive <br /> Norwell, MA 02061 <br /> See First Page <br /> GAMER NATO MDR <br /> See First Page EFEOfVEoA1I; See First Page <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER; 25 FORM TITLE: CERTIFICATE OF LIABILITY XN8URANCE <br /> Environmental Impairment Liability <br /> Policy Number: ?L0374393612 <br /> Carrier: Steadfast Insurance COMP�ny <br /> Policy Period: 11/1/2011 - 12012 <br /> Limits: <br /> 10,000,000 Each Claim <br /> 10,000,000 Aggregate <br /> ACORD 101(2008101) O 2008 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks o1ACORD <br /> Company Confidential 38 www.cleanharbbors.com <br />