CERTIFICATE OF LIABILITY INSURANCE (91).4? °®
CERTIFICATE OF LIABILITY INSURANCE KMDNYYY)
I
Page 1 of 2 3/2009
1i/0
PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Willis of Arizona, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
F. O. Box 305191
Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE NAIC#
INSURED Waste Services of Florida, Inc. INSURERA:National Union Fire Insurance Company of 19445-005
2893 Executive Park Drive
Suite 305 INSURERS: National union Fire Ins. Co. of Pittsburg 19445-001
Weston, FL 33331 INSURER C: New Hampshire insurance Company 23841-001
INSURER D:
INSURER E:
nnvizRaI:IFC
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR DD'
N R
TYPE OF INSURANCE
POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LIMITS
A GENERAL LIABILITY 6506485 12/1/2009 12/1/2010 EACHOCCURRENCE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
PREMISES Ea o.curence
$ 3 O O O O O
PERSONAL& ADV INJURY $ 2,000,000
GENERAL AGGREGATE $ 10,000,000
GEN'L AGGREGATE LIMIT APPLIES PER- PRODUCTS -COMP/OP AGG $ 4 000 000
POLICY PRO -
T LOC
A AUT
]( OMOBILE LIABILITY
ANY AUTO 6647371
n L5 2)1/2010
r`
COMBINED SINGLE LIMIT
(Ea accident)
S 2,000,000
ALLOWNEDAUTOS Y?
u I
i) i BODILY INJURY
SCHEDULED AUTOS
I I
l
l
(Per person) S
HIRED AUTOS I i BODILY INJURY
NON-OWNED AUTOS
(Peraccident) $
R - `? PROPERTY DAMAGE
L GI IVE SRJCS D (Per accident) $
GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHERTHAN EA ACC $
AUTO ONLY: AGG $
$ EXCESS/ UMBRELLA LIABILITY 8461156 12/1/2009 12/1/2010 EACH OCCURRENCE $ 5,000,000
][ OCCUR 71 CLAIMS MADE AGGREGATE $ 5,000,000
S
I DEDUCTIBLE S
X RETENTION $ 10.000 S
L, WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY 004289446 12/1/2009 12/1/2010 g WcsTATU- oTH-
IM S
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE7-1
:
=
E.L. EACH ACCIDENT
$ 2,000,000
:
- -0FFICERRAEMBER
EXCLUDED-7--------
-
(Man
ec
ry In ry In NH)
an
E.L. DISEASE - EA EMPLOYEE
$ 2,000,000
, ad
under
scribe
it yes
SPECIAL PROVISIONS w
E.L. DISEASE - POLICY LIMIT
$ 2 0 0 0 0 0 0
OTHER
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS
Division / Location : Pinellas Hauling
s-rm I Irn-A 1 r- nULUr-M UANULLLA I IUIV
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of Clearwater
112 South Osceola Avenue
Clearwater, FL 33756
REPRESENTATIVES.
ACORD 25 (2009/01) CO11:2852203 TD1:1006443 Cart:
574 01988-200 0CORD CORPORATION. All riahtr, renervpd.
The ACORD name and logo are registered marks of ACORD
Page 2 of 2
K
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized
representative or producer, and the certificate holder, nor does it affirmatively or negatively amend,
extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2009/01) Coll:2852203 Tpl:1006443 Cert:13337574