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DocuSign Envelope ID: 88A54057 -CC31- 4328 - 9012- 2BO21842D3E4 <br />CLEAHAR -01 GAIKWADSM <br />CERTIFICATE OF LIABILITY INSURANCE DATE(MMrDQ1YYYY) <br />�� 1 0/2712 01 6 <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: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Willis of Massachusetts, Inc. <br />~l0 26 Century Blvd <br />P.O. Box 3D5191 <br />Nashville. TN 37230 -5191 <br />INSURED <br />Clean Harbors Environmental Services, Inc. <br />and its affiliates <br />42 Longwater Drive <br />Norwell, MA 02061 <br />COVERAGES <br />CERTIFICATE NUMBER: <br />'NafAE 41 Willis Towers Watson Certificate Center <br />Arco, a . Exrl: (871)1945 -7378 FAX . No): (888) 467 -2378 <br />ADDRESS: certificates@willls.com <br />INSURERS) AFFORDING COVERAGE NAIL It <br />INSURER A: ACE American Insurance Company 22667 <br />INSURER B :American Guarantee and Liability Insurance company 26247 <br />INSURER c ; Indemnity Insurance Company of North America 43575 <br />INSURER 0: <br />INSURER E: <br />INSURER F <br />REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN fSSUED 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 WHICH 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 />ILIA TYPE OF INSURANCE g V,IVD POLICY NUMBER MMIDDNYY MMiDD )YYYP LIMITS <br />A <br />X <br />COMMERCIAL GENERAL UABILITY <br />AUTHORIZED REPRESENTATIVE <br />Attn: Kr[stina Witosky <br />1207 Eubanks Road, PO Box 17177 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS-MADE FRIOCCUR <br />HDOG2785$47$ <br />1110112016 <br />111{}112017 <br />PREMISES Ea. occurrence <br />$ 500,000 <br />X <br />MED EXP (Any one person} <br />$ 5,000 <br />XCU <br />X <br />Contractual <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GEWL AGGREGATE LIMIT APPLIES PER, <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />POLICY JET LOC <br />PRODUCTS- COMP/CPAGG <br />$ 4,000,00 <br />I <br />OTHER: <br />$ <br />AUTOMOBILE LIABILITY - <br />COMBINED SINGLE LIMIT <br />Ea aoddnt e <br />$ S,OOt1,0{1 <br />A <br />X ANY AUTC} <br />ISAH09051107 <br />11/01/2016 <br />1 11/01/2017 <br />BODILY INJURY (Par person) <br />$ <br />X ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per a(xident) <br />$ <br />_ <br />$ <br />X X NON -OWNED <br />HIRE6AUTOS AUTOS <br />PROPERTY DAMAGE <br />PeraxiJont <br />_ _. - - -__ <br />$ <br />X MCS -90 <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCUR ENCE <br />$ 10,000,00 <br />AGGREGATE <br />� 10,000,000 <br />B <br />EXCESS LIAR <br />GLAIMS -MADE <br />AUC 4275262 -12 <br />11101/2016 <br />11/0112017 <br />'El X RETENTION $ 0 <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRiETOWPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? 0 <br />(Mandatory In NH) <br />NIA <br />j <br />WLRC49103554 (AO$) <br />11101/2016 <br />11101120'17 <br />X STATUTE OR, H <br />E.L. EACH ACCIDENT <br />$ 2,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 2,000,00 <br />N as, describe under <br />DESCRIPTION OF OPERATIONS below <br />$ - 2,0{10,00 <br />E.L. DISEASE - POLICY OMIT <br />A <br />Work Comp & Emp Liab <br />WLRC49103530 (AZ, CA, MA) <br />1'1/0112016 <br />11/91/2017 <br />See Attached <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Scope of Work: Permanent Household Hazardous Waste Collection Program. <br />CERTIFICATE HOLDER CANCELLATION <br />C9 1988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Orange County Solid Waste <br />AUTHORIZED REPRESENTATIVE <br />Attn: Kr[stina Witosky <br />1207 Eubanks Road, PO Box 17177 <br />Cha el Hill NC 27516 <br />C9 1988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />