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DocuSign Envelope ID: E53DCC3C-B8E8-410C-BB50-A039C27BD393 <br /> I1= <br /> fI Tradebe Environmental Services, LLC. <br /> 0606E� <br /> 1433 E. 83 d Ave., Ste. 200 <br /> TRADEB E Merrillville, IN 46410 <br /> AGENCY CUSTOMER ID: <br /> , c ADDITIONAL REMARKS SCHEDULE Page 2 of = <br /> A3ENCY NAMM IN31PRED <br /> Willis of Illaao15, Inv. T dr. LEC <br /> 1433 It 93cd Av.. euLe 300 <br /> fhDUM MOSER k 'rkL1.Lli., I1 49410 LUk <br /> r— Fags 1 <br /> CARRIER NFIC__ <br /> .ace Fags i :— Page 1 EFFB0WEDATE:Sec Page 1 <br /> ADDrnON AL REMARKS <br /> THIS ADDMONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: t;ertifsaate a Liability Io..--oxanoe <br /> LR2 P.ER AFFChIbUAG e0VKAhGL: lndiav Haxba luau ance Cmpaoy HXICh: 3694: <br /> PCdUCY HEROM: PLC0047D3902 LFr D&M: GAIGIJ2011 I" hXTE: 12/91/201S <br /> TYPE of 1HgiftkHrA: LLt1LT DE9C92PTION: LIWIT JlAWNT: <br /> C=Lractar'a Pollution Liability a Each bccurracca $15,00D,DOD <br /> FrnueSaiunxl LLab_-tlaima Wadi Aggregatn $15,00D,D00 <br /> tNsd=AYIURbING COVERAGE: Indiav PJ bx Iuauravcr romp y NXtC#: 3694: <br /> Pu-ICY L4L%aXEi: PM0045637 Ur DATE: 04JQ1/2015 EXP bXM: 04/01/2019 <br /> nPE ut 1NSU AWC: LLHtT btsckIPTION: 11NIT kNOUbrT: <br /> rite Pollution Liability ❑ccurrenca $5.Q00.DQD <br /> Claiw made - Cna re 134, TN Aggregate $20,000.000 <br /> INGURLR AFZ-uRD1NU CuVki {it-- lndian Harbor iomraaar Comp vy HAICI: 3694 <br /> PbLICY L4uwi!R: elx.0d5639 EFIr cAlli: 04J01/2015 Z1P CWM: WD112D14 <br /> TY'P2 bt Ik99tMk L: LLHIT bMCkIPTiC&: L.7KIT AMOUNT <br /> rit■ Pollution Liability Eacb Lone 510.0.0.000 <br /> Claiaa Wads - Cva ra CT, NX, NY Aggregate $30.0.0.000 <br /> i5tGLWZ1 A!['OfthI9G COVLAKGL: lodiav Harbor Inao.raaaa Navy HXIC#: 3634: <br /> Po=!y HrJ6l16ER: PEe000096406 LEF bAT&: GAAW2016 MIL- hYTE: 0 4 01/213 14 <br /> TYPE of 119sttkXWE: ytKfT btscRIPTIoH: LIMIT ANOUNT: <br /> Site Paliution Liability Each Pall_ Condition $2.D00,000 <br /> Claie kadr - Hon RCVA Locatioca Aggregate $2.D00,OD0 <br /> ADhITLONAL XLffiknra <br /> H=-O ad biepu4#Y $ite <br /> $5,000,000f llor000,000 <br /> Third Party Tx»eportatioo <br /> $5,0D0,000} 110,000,00D <br /> ACORD 40l{2008JQl) T {{7Rf1 (D2003 ACORD CORPORATION. All eights reserved_ <br /> GRT-h S�`SSB�3E9 and Iugo•�¢rer 3�e$ed marks off AC RI 46161 <br /> Sustainability at Work 57 <br />