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CERTIFICATE OF LIABILITY INSURANCE (107)o:Waste Pro Certificate of Insurance (17275624052) 10:26 1110511OGMT-04 Pg 02-03 A °a CERTIFICATE OF LIABILITY INSURANCE 1DATE 1/4/2010) PRODUCER (407) 898-2211 FAX: (407) 898-1850 Closson Insurance Agency, LLC P.O. Box 547275 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orlando FL 32854-7275 INSURERS AFFORDING COVERAGE NAIC # INSURED Waste Pro USA Inc. Waste Pro of FL Inc. INSURERA:Liberty Mutual Insurance Co 23035 Waste Pro of GA Inc. Waste Pro of SC Inc. INSURERB Liberty Insurance Corporation 42404 Waste Pro of NC Inc. Waste Pro of AL Inc. INSURERC:Chartis Specialty Insurance 26683 Waste Pro of MS Inc. Waste Pro of LA Inc. INSURERD:Amer. Guarantee & Liab. Co. 26247 Box 917 09 Longwood FL 32791-7209 INSURERELexington Insurance Co. 19437 rr%%1=0A91_cc 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 OfSUCH POLICIES- AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. D' NS TYPE OF INSURANCE POLICY NUMBER ????EE?????? EE DATECMMIOU/YYYY POLICY DATE M EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 r X COMMERCIAL GENERAL LIABILITY A TENTED PDR MICSES Ea occurrence $ 100,000 A OCCUR CLAIMS MADE XY 2-621-09378D-020 1/1/2010 1/1/2011 MEDEXP(Anyoneperson) $ 5,000 X .. Blanket Add'1 Ins'd 2-621-093780-021 1/1/2011 1/1/2012 PERSONAL & ADV INJURY $ 1,000,000 X Blanket Waiver GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOPAGG S 2,000,000 POLICY X PJECT F7 RO- LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 A ALL OWNED AUTOS FLS2-621-093760-010 1/1/2010 1/1/2011 BODILY INJURY $ SCHEDULED AUTOS 2-621--093780-011 1/1/2011 1/1/2012 (Per Person) X X HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per acddeM) $ X Blanket Add'1 Ins'd R , w CE[VF PROPERTY DAMAGE F X] Waiver ???+++r ?a (Per ac ident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO NC V 0 2010 OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY ` p R ORDS D EACH OCCURRENCE 9 25,000 000 X OCCUR 7 CLAIMS MADE c4891941-00 (ItfStll8a?4D1 c JC? D 1/2011 N AGGREGATE $ 25 000 000 E $ DE DEDUCTIBLE 13510205 (Insurer E) 1/1/2010 1/1/2011 $ IX RETENTION $ 10,000 $ B WORKERS COMPENSATION ' , - Self Insured/Excess F _ X WeSTATU- 10TH. TORY LIMITS ER AND EMPLOYERS LIASILfTY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE -62N-093780-050 11/6/2010 11/6/2011 E.L. EACH ACCIDENT $ 1,000,000 OFFICEPJMEMBER EXCLUDED? L-i (Nlandatoryin NH) A5-62D-093760-040 (DED) 11/6/2010 11/6/2011 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes descnhe urder SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 L" OTHERPOllution Liability LC1959416 1/1/2010 1/1/2011 $25,000,000 Limit $25,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Clearwater is listed as additional insured with respect to GL. *Ten days notice in the event of nonpayment. rF;RTIFlr_ATF i4ni nFR CANCELLATION 7275624052@myfax.com SHOULD ANY OF THEABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL City of Clearwater 1701 N Hercules Ave IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR FL 33765 Clearwater REPRESENTATIVES. , AUTHORIZED REPRESENTATIVE Lenise Zika/LMA '°- ACORD 25 (2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200901).01 The ACORD name and logo are registered marks of ACORD