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CERTIFICATE OF LIABILITY INSURANCE (592)ACORD® `R CERTIFICATE OF LIABILITY INSURANCE pa ge 1 of 2 /Y DATE (MM/DDYYY) 11/19/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. 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). PRODUCER Willis Insurance Services of Georgia, Inc. c/o c/o 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230 -5191 CONTACT NAME: PHONE EX FAX (NC. NO. T): 877- 945 -7378 888- 467 -2378 ADDRlESS: certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC # INSURER A: Liberty Mutual Fire Insurance Company 23035 -001 INSURED Waste Pro USA, Inc. 2101 W State Road 434 Longwood, FL 32779 INSURER B: Lexington Insurance Company 19437 -002 INSURER C: Liberty Mutual Insurance Company 23043 -000 INSURER D: North American Specialty Insurance Compan 29874 -000 INSURER E: INSURER F: X COVERAGES CERTIFICATE NUMBER: 22357499 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL INSD WVD WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y TB262109378 319.4,,., [ r, I' I 99 .... Z,A 2ri/,201411/22/2015 rj i $ 1,000,000 CLAIMS -MADE X OCCUR ppEAApCCIHOOEFCCCUU�RRpRENCE PREMISES(taoccurence) $ 500,000 GEN'L MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 AGGREGATE POLICY OTHER: X LIMIT APPLIES JECCT X PER: LOC GENERAL AGGREGATE $ 10,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS N-OWNED AUTOS AS26210 11 X22/2811411/22/2015 COMBINEDSINGLELIMIT (Ea accident) $ 1,000,000 BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 018423515 11/22/201411/22 /2015 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ DED RETENTION $ C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEja OFFICER/MEMBER EXCLUDED? I (MandatoryinNH) f yes, describe under DESCRIPTION OF OPERATIONS below N/A WA562D093780044 EW562N093780054 11/22/201411/22/2015X 11/22 /201411 /22/2015 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 D Excess Liability EXS200006701 11/22/201411/22 /2015$25,000,000 Limit DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached if more space is required) See attached for Pollution Liability coverage CERTIFICATE HOLDER CANCELLATION City of Clearwater PO BOX 4748 Clearwater, FL 33758 Co11:4567525 Tp1:1888177 Cert:2 9- 2014ACORDCORPORATION .Allrightsreserved. ACORD 25 (2014/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ACO DR AGENCY CUSTOMER ID• 22014190 LOC #- ADDITIONAL REMARKS SCHEDULE Paged of _2_ AGENCY Willis Insurance Services of Georgia, Inc. NAMED INSURED Waste Pro USA, Inc. 2101 W State Road 434 Longwood, FL 32779 POLICYNUMBER See First Page CARRIER See First Page NAIC CODE EFFECTIVE DATE: See First Page THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE. CERTIFICATE OF LIABILITY INSURANCE Pollution Liability Carrier: Chartis Specialty Insurance Company / NAIC 26883 -003 Policy Number: PLC1959416 Policy Term: 01/01/2014 - 01/01/2015 $25,000,000 Limit $ 25,000 Deductible $ 1,000,000 Storage Tank Liability Certificate Holder is an Additional Insured with respects liability where required by written contract. ACORD 101 (2008/01) Co11:4567525 Tp1:1888177 Cert: 22357499 © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • Additional Named Insureds for Waste Pro USA, Inc. include the following: Waste Pro of AL Inc. Waste Pro of FL Inc. Waste Pro of GA Inc. Waste Pro of LA Inc. Waste Pro of MS Inc. Waste Pro of TN Inc. Waste Pro of NC Inc. Waste Pro of SC Inc. Applewhite Recycling LLC American Recycling of GA LLC American Recycling of Alabama LLC Delta Sanitation LLC, Talley Disposal LLC