CERTIFICATE OF LIABILITY INSURANCE (1120) A [3IC7� FDA Inrlwal�rnrYYYY}
-. CERTIFICAITE CSF LIa BILITY IN'S�1I�ANCE 712023
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 have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION 15 WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement can
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
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Marsh USA Inc. JmmqPHO ..,...,u..---
1560 'ass Corporate PIE Suite 300 (AIC NN FAX
p Pkwy, Are.Nr#.Extl• �. _..�v �- -- IArc.Nola
Sundse� 33323 E-MAIL
dDRESS: _..._.w.
INsuRERlssra�I=ts�I�I �couElaAGE_ nrA�ca.� .
CN105058554-•GAVVUP"22.24 INSURER A Greenwich lnsuraltce C2TP pY._...—._. 22322
INSURED
Waste Pro USA Inc. INSURER B:XL Insurance America,Inc. 24554, _.
2101 Voest State Road 434,Sidle#305 INSURER c ACE Property&Casualty LnsuranpejCclnkgy 20699
Lollgwoad,FL 32770 .tNSUR R a.w,XL Spec alts lnsurarrce Cor paaty�. 37885
INSURER E:Lloyd's Of London EC145
INSURER F:
COVERAGES CERTIFICATE NUMBER- ATL-004675451.26 REVISION NUMBER: 1
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 A0DL SURR — POLICY�F POLICY EStP
TYPE OF INSURANCE - —. ........, m...,.�.,..
LTR POLICYNUIlABC4R �tNIltdDfYYYY rArDDPYYYY � LIMITS
A X COMMERCIAL GENERAL LIABILITY GEC300138205 1112212022 1112212023 EACH OCCURRENCE $ 2,000,0 30
_DAMAGE TO RENTEDCLAIMS-MADE �OCCUR 500,000.
�..w PREMISES EaoC,�urrercej m.
MED EXIT(Arvy one person) $ 5.000
PERSONAL&ADV 1NJ.URY $ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
_ ._.,.. ...d....
POLICY ®�PRO PRODUCTS-COMPIOP AGG $
JECT LOC 2 WOI.O00
OTHER: $,
A AUTOMOBILE LIABILITY RAE943788405 1112212022 1112212023 COMBINED SINGLE LIMIT $ 4,000,000
--X. . ANY AUTO 'SIR$2,000,000 BODILY INJURY(Per person)
_....... . .._r_
AUYNED SOIIEDtJLED BODILY INJURY(Per r Idem) $
AUTOS ONLY AUTOS
HIRED _® NON-OWNED PROPERTY DAMAGE $
_ AUTOS ONLY AUTOS ONLY ( Per aq aJenCZ..." ,.--
I I $
X UMBRELLA LIAR X OCCUR XO0G71761885004 1112212022 11122120235,000,000
EACt°I OCCURRENCE $
EXCESS LtAB CLAWS-MADE AGGREGATE:
DED 4y RETENTION$ _
B WORKERSCOMPENSATION IRWD300138005(AOS) 1172212023 X PFR _L?TH-
ANDEMPLOYERS`LIABILITY I SeA6lSTE �_
p Y I N g RWE943543705 FL„GA 1112212072 1112212023 _ -_
AI'F CER
EMBE EXCL DEO?ECtJ`IVE. € Iw L.. EACH f�CGICt.IENT $ 1
(OF Mandatory in 3Ef�EXCI Llr�Eo? � N a A �SIR 1 0€101000
(Mandatory descr Ire NII) ( $500,000) E.L-DISEASE•EA EMPLOYEE $
C1 yes describe under NF . ---1.I3QQ,4GLI
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $
E Umbrella Liability(over Aulo) B050980VVCN2251462 1112212022 �1112212023 Limit 5,000„000
p
DESCRIPTION OF OPERATIONS i LOCATIONS/VEHICLES(ACORD 101,.Additional RemarRs Schedule,may be attached it more space is required)
CERTIFICATE HOLDER CANCELLATION
Clearwater Gas System RE 1 IN-1 EL) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE.
400 N Myrtle.Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Clearwater,FL 33755 ACCORDANCE WITH THE POLICY P€2OVISIONS,
,
AUT'HORiZED RE.PRESENTATIVE
0 1988-2O16 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
AGENCY.CUSTOMER ID: CNIO5058554
Loc#: Lauderdale
,4c'oRt7 ADDITIONAL REMARKS. SCHEDULE Page 2 4f 2
L�-
AGI~NCY NAMED INSURED
Marsh USA Inc. Waste Pro USA,Inc,
2101 West:Slate.Road 434,Suite.#305
POLICY NUMBER Longwood,FL'32779
CARRIER NAIC CODE
EFFECTIVE DATE;
ADDITIONAL REMARKS
THIS ADDITIDNAL.REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM-NUMBER: 25 FORM TITLE: Certi€icale of Liability Insurance
Contractors Pollution Legal.Liability-Job Sife
Pal€Mian Confton reselling from Contracting Seruicas defined as:
Trash compactor installation.and iriamtenanm
Carrler.Indian.}Iarbor Insufance Company
Policy Number PPC604900306
Cates-02812023—.020024
Limit$2,000,006 each Pollution Condition;$2,000,000 Annual Aggregate
Sell-insured Retention:$250,60[}
ACORD 104{2008107} C 2008 ACORD CORPORATION. Ail rights I
The ACORD name and logo are registered marks of ACOR.ID
006M1-00-0004345.0002.0009551