Orange County NC Website
DocuSign Envelope ID: E53DCC3C-B8E8-410C-BB50-A039C27BD393 <br /> AGENCY CUSTOMER ID: <br /> LOC#: <br /> A Rn� ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> AGENCY NAMED INSURED <br /> Tradebe Environmental Services, LLC <br /> Willis of Illinois, Inc. 1433 E 83rd Ave. Suite 200 <br /> POLICY NUMBER Merrillville, IN 46410 <br /> See Page 1 <br /> CARRIER NAIC CODE <br /> See Page 1 See Page 1 1 EFFECTIVE DATE: See Page 1 <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br /> Waiver of Subrogation applies in favor of Orange County North Carolina with respects to Workers Compensation, where <br /> required by written contract or contractual obligation, as permitted by law. <br /> INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company NAIC#: 36940 <br /> POLICY NUMBER: PECO04703902 EFF DATE: 04/01/2018 EXP DATE: 12/31/2019 <br /> TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br /> Contractor's Pollution Liability & Each Occurrence $15,000,000 <br /> Professional Liab.-Claims Made Aggregate $15,000,000 <br /> INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company NAIC#: 36940 <br /> POLICY NUMBER: PECO045639 EFF DATE: 04/01/2015 EXP DATE: 12/31/2019 <br /> TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br /> Site Pollution Liability Each Loss $10,000,000 <br /> Claims Made - Covers CT, MA, NY Aggregate $30,000,000 <br /> INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company NAIC#: 36940 <br /> POLICY NUMBER: PECO045637 EFF DATE: 04/01/2015 EXP DATE: 12/31/2019 <br /> TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br /> Site Pollution Liability Occurrence $5,000,000 <br /> Claims Made - Covers IN, TN Aggregate $20,000,000 <br /> INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company NAIC#: 36940 <br /> POLICY NUMBER: PEC000096406 EFF DATE: 04/01/2016 EXP DATE: 12/31/2019 <br /> TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: <br /> Site Pollution Liability Each Poll. Condition $2,000,000 <br /> Claims Made - Non RCRA Locations Aggregate $2,000,000 <br /> ADDITIONAL REMARKS: <br /> Non-Owned Disposal Site <br /> $5,000,000/ $10,000,000 <br /> Third Party Transportation <br /> $5,000,000/ $10,000,000 <br /> ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> SR ID: 18134634 BATCH: 1249440 CERT: W11664816 <br />