Certificates of Insurance
At~~.lllt.. CERTIFICATE OF INSURANCE
ISSUE DATE (MM/DD/YY)
5/13/94
PRODUCER
NEAR NORTH INS BROKERAGE
875 NORTH ~ICHIGAN
CHICAGO, IL 60611
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
COMPANIES AFFORDING COVERAGE
JAS
t~~~NY A
CONTINENTAL CASUALTY
AI'Pf<<)\JtO BYRISl< M~NAGEMENT
:C;VJt}:flr;
W~'VER: N/A -I--- VES
-
106/72914
INSURED
t~~~~Y B
WHEELABRATOR CLEAN ~ATER
SYSTEMS INC.
180 ADMIRAL COCHRANE DR., #305
ANNAPOLIS, ~D 21401
t~~~~NY C
t~T~~~Y D
,
\
I COVERAGES -,-,'.~,"~,"~,-",-~"""'-'-',,,,,-, "",.. ..,
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.
t~~~NY E
iCO
~TR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY)
ALL LIMITS IN THOUSANDS
GENERId.. LIABILITY
.
A )( COMMERCIAL GENERAL LIABILITY G L 90251 794 3 +
X CLAIMS MADE X OCCUR.
X OWNER'S & CONTRACTOR'S PROTo
X PROD/COMF. OPERATIONS
X CONTRACTUAL
AUTOMOBILE LIABILITY
A X ~Y~ro 8UA802517949
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
5/15/94
GENERAL AGGREGATE $
5/1 5 / 97 PRODUCTS-COMP/OPS AGGREGATE $
PERSONAL & ADVERTISING INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MEDICAL EXPENSE (Anyone person) $
COMBINED
SINGLE $
5/15/97 LIMIT 5,000
BODILY
INJURY $
(Per person)
BODILY
INJURY $
(Per accident)
5,000
5,000
5,000
5,000
2,000
5/15/94
6~~~~~TY $
EXCESS LIABILITY
EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
A
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY
WC202517941
5/15/94
5/15/97 $
$
$
1 , 0 0 ~ACH ACCIDENT)
5, 0 0 ~'SEASE-POLlCY LIMIT)
1 , 0 0 ~ISEASE-EACH EMPLOYEE)
OTHER
~t~,2'C~:"') ved
DESCRIPTION OF OPERA T10NS/LOCA TIONS/VEHICLES/SPECIAL ITEMS
Risk Mgmt .& Loss Control
DATE ...--~- ~_.:!.-'Y-.._
1]\f(CU\'. __.,_..,~ O?~
-----
EQUIPME~T OF THE INSURED.
COUNTY CO~MISSIONERS IS NAMED AS
ON
COUNTY OF MONROE
BOARD OF COUNTY COMMISSIONERS
5001 COLLEGE RD, RM. 506, WING
KEY wEST, FL 33040
ATTN: BARRY BOLDISSAR
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ----2..0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
I 1- B LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 2S-S (11/89)
At...III... CERTIRCATEOF INSURANCE
,
ISSUE DATE (MM/DD/YY)
5/13/94
PRODUCER
NEAR NORTH INS BROKERAGE
875 NORTH MICHIGAN
CHICAGO, IL 60611
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
COMPANIES AFFORDING COVERAGE
J AS
f~T~~~NY A
CONTINENTAL CASUALTY
106/72865
INSURED
f~T~~NY B
TRA~SPORTATION INSURANCE CO.
WHEELABRATOR CLEAN WATER SYSTEMS
MID-wESTERN REGION
P.O. SOX 924
DAYTON, OH 45401
f~~::Y C
f~T~~NY D
f~T~~~NY E
COVERAGES
TIolIS 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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
TR DATE (MM/DD/YY) DATE (MMIDD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $ 5,000
A X COMMERCIAL GENERAL LIABILITY GL902517943 5/15/94 5/15/97 PRODUCTS-COMP/OPS AGGREGATE $ 5,000
X CLAIMS MADE X OCCUR. PERSONAL & ADVERTISING INJURY $ 5,000
X OWNER'S & CONTRACTOR'S PROTo EACH OCCURRENCE $ 5,000
X PROD/COMF. OPERATIONS FIRE DAMAGE (Anyone fire) $ 2,000
X CONTRACTUAL MEDICAL EXPENSE (Anyone person) $
AUTOMOBILE LIABILITY COMBINED
SINGLE $
A X ANY AUTO 8lJA802517949 5/15/94 5/15/97 LIMIT 5,000
ALL OWNED AUTOS BODILY
INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODiLY
INJURY $
X NON-OWNED AUTOS (Per accident)
GARAGE LIABILITY PROPERTY
DAMAGE $
EXCESS LIABILITY EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION STATUTORY
8 GL702517944 5/15/94 5/15/97 $ 1 , 00 OEACH ACCIDENT)
AND
(l'TOP GloP) $ 1 , 00 ((DISEASE-POLICY LIMIT)
EMPLOYERS' LIABILITY
$ 1 , 00 OOISEASE-EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATlONSIVEHICLES/SPECIAL ITEMS
ALL OPERATIONS AND THE EQUIP~ENT OF THE INSURED.
MONRCE COUNTY BOARD OF COUNTY CO~MISSIONERS IS NAMED AS ADDITIONAL INSURED ON
00500
COUNTY OF MO~ROE
BOARD OF COUNTY COMMISSIONERS
5001 COLLEGE RD, RM. 506, WING
KEY WEST, FL 33040
ATIN: BARRY BOLDISSAR
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ---2..l.1 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
I 1- B LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25-S (11/89)
~
RECEIVED JUN 1 6 ~g7it
'~A.:f"tl.s
~'l' ..:
CERTFICATE OF INSURANCE
ISSUE DATE (MM/DD/YY)
; I I';: 4
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
PRODUCER
~.;. j \", 'T' h I ('i
~' j.; ~,; C h: 0' f.
;\1 U r: r~ j\' :: ~ I '~~ \~
Cr~T""l~.:;, lL
1 -,
, I
COMPANIES AFFORDING COVERAGE
Jo.- / ," ,~
f~~~~NY A
C C ,",., ,. I i-'~ _ t. Tit
:: I
iT V
',... . ,
INSURED
f~T~~~NY B
iPA ~,F";'T
f, ,; G::' {.'. (
".. f: L. ~ n .:., ;..
)~. ~,L.t-
.;, AT f,
'{ ,
f~T~~~JY C
" S T r:
..
. ~
c:t
'. '"
f~T~~NY D
/
. ,
'~... '. ,
f~T~~~NY E
OVERAGES
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.
CO
TR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DDIYY)
ALL LIMITS IN THOUSANDS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
GENERAL AGGREGATE
$
, '-
J ~ .,
1 ; '.' lOt :5
~ !
;.,..
'":.! I
j., i' PRODUCTS-COMP/OPS AGGREGATE $
PERSONAL & ADVERTISING INJURY $
CLAIMS MADE,
OCCUR.
OWNER'S & CONTRACTOR'S PROTo
EACH OCCURRENCE
, l"
,Ct
(,leG
(CiT~A(Tl,.,~
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
<.' 5 1 "7 '"'! "+ ":'1
)i1'CI"i,
',/1)/..,7
$
FIRE DAMAGE (Anyone fire) $
MEDICAL EXPENSE (Anyone person) $
COMBINED
SINGLE
LIMIT
BODILY
INJURY
(Per person)
$
'~~1 ,c< i ( 'J .':-' r
~ F
T 1 "
. I.""
", ,
'..:(:
$
BODILY
INJURY
(Per accident)
$
PROPERTY
DAMAGE
$
EXCESS LIABILITY
EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
,.
! ,,4
51 "'I'~!...
~/1 ,1';7 $
$
$
STATUTORY
I , C U '.JEACH ACCIDENT)
1 , C C. (DISEASE-POLICY LIMIT)
1 , C C (DISEASE-EACH EMPLOYEE
, T I;:;
OTHER
DESCRIPTION OF OPERATIONS/LOCATlONS/VEHICLES/SPECIAL ITEMS
" l.. (~;: R .: T 1 U :,
,', r L
ON ~J \~F :H~ l~~~L~r,c~
1 ~. ..; U i-i t l S
p .....~, ,. (' -; ,~:I'
_ 'J T Y \/ IC OJ ~.. ~. C c.
., ~. F ,- Q L i\ r (
C.,\'l;YllSS.;..C....1
k S
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
r
c -~} l '- ;:: .;~'
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r-r- :"<. 5 I... ;'.> ,
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AUTHORIZED REPRESENTATIVE
ACORD 25-S (11/89)
Atttt.i.t..
CERTIFICATE OF INSURANCE
ISSUE DATE (MM/DD/YY)
PRODUCER
6/27/94
GREAT LAKES AGENCY, INC.
120 S. Riverside Plaza
Chicago, IL 60606
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
COMPANIES AFFORDING COVERAGE
f~T~~NY A
National Union Fire Insurance Company
of Pittsburgh, PA
INSURED
f~~~~NY B
APPROVEO BY R'~l< M~N~r.n.4fNT
:TE C{):t:i;:r
//
N/~)<- YES
.
WHEELABRATOR CLEAN WATER SYSTEMS
Southern Region
908 Belcher DRive
Pelham, AL 35124
f~T~~NY C
f~T~~NY D
iCOVERAGES
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.
f~~~~NY E
WAIVER:
CO
.LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY)
ALL LIMITS IN THOUSANDS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
GENERAL AGGREGATE
$
PRODUCTS-COMP/OPS AGGREGATE $
CLAIMS MADE
OCCUR.
PERSONAL & ADVERTISING INJURY $
$
$
$
OWNER'S & CONTRACTOR'S PROTo
EACH OCCURRENCE
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABiLITY
FIRE DAMAGE (Anyone fire)
MEDICAL EXPENSE (Anyone person)
COMBINED
SINGLE
LIMIT
BODILY
INJURY
(Per person)
BODILY
INJURY
(Per accident)
$
$
$
PROPERTY $
DAMAGE
EXCESS LIABILITY
EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY
$
$
$
(EACH ACCIDENT)
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYEE)
OTHER
A Pollution legal
liability
PRM 9210461
4/25/94
4/25/95
$1,000, Anyone claim
$1,000, Annual aggregate
DESCRIPTION OF OPERATlONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
RE: Environmental Sciences Corp., P.O. Box 915139, Longwood, FL 32791
CERTIFICATE HOLDER
CANCEL LA TION
COUNTY OF MONROE
Public Services Bldg.
Wing 2B
5100 Jr. College Rd.
Key West, FL 33040
! Loan II: 60
l ACORD 25-S (11/89)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRA~8N DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUC OTICE S L IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON TH COMP N'Ii SA NTS OR REPRESEN ATIVES.
AUTHORIZED REPRESENTATIVE
T.N. Thoelecke
PRODUCER 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
Receive AI TFR THF COVFRAGE AFFORDED BY THF POL ICIES BELOW.
ltisk Mgmt. & Lo.~ r. . COMPANIES AFFORDING COVERAGE
;.; I,., l/l Io--COMPANYA NATIONAL UNION FIRE INSURANCE CO. OF
D^TE~/ I /e" c.; PITTSBURGH PA
r ';:: .!.I.':".~
::e" COMPANY B "' IIV: '-; IJ nr;:m ""A/
U l:lV ------r..ll&-t.. - F;/J pr fIlA
Wheelabrator Clean Water Systems Inc. COMPANYC (jft"......IVt:.U MAR 1 11~~~
8 'I OATE ~ ....,;20,. fL5'
1 0 Admiral Cochrane Dr. lr305 ~
Annapolis, MD 21401 COMPANY 0 . /'
I WA!VER: NfA 1/ YES
:\~Ml:~\l~l:~~~:~:fUlr\~\~\:\~\\\~\::Umlfm~:::f~:~\~~~\~\~::\:\:\:\::ffUmUI1~lll\::ff~:~:~:~:l~\~:~\~\~:~l:l:l:l:::::r:l~:r~:r~::~\U~r:::~:::~:~:UlU~rrrrrrrrr:~r:U~:lrrlmf:~~:~~~:~i:l:m\:\~:~\:\:rl~rrrrrrr:~:~~~r~~\~:~\~\~\~\~\~l~~~~~~~~~\~\m~~~mm~m~m\\~\~:~~~\~:~\~~~:~:~:\:~~~\~\~:~~:~:l~i:~rr\
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 B Y 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.
ROLLINS HUDIG HALL OF ILLINOIS, INC.
123 NORTH WACKER DRIVE
CHICAGO, ILLINOIS 60606
ATTN: DORA CONNELL (312) 701-4974
INSURED
INITIAL
CO TYPE OF INSURANCE
LTR
GENERAL LIABILITY
f--
COMMERCIAL GENERAL LIABILITY
:= ~ CLAIMS MADE D OCCUR
OWNER'S & CONTRACTOR'S PROT
-
-
AUTOMOBILE LIABILITY
- I
ANY AUTO
f--
ALL OWNED AUTOS
~
- SCHEDULED AUTOS
- HIRED AUTOS
NON-OWNED AUTOS
-
-
GARAGE LIABILITY
-
ANY AUTO
-
-
EXCESS LIABILITY
R UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR! R INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
OTHER
A Pollution Legal
Liability
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE (MM/DDIYY) DATE (MM/DD/YY)
GENERAL AGGREGATE $
PRODUCTS COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
I STATUTORY LIMITS
EACH ACCIDENT $
DISEASE POLICY LIMIT $
DISEASE EACH EMPLOYEE $
04/25/94 04/25/95 $1,000,000 Any one claim
and annual aggregate
PRM 9210461
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS
Monroe County Board of County Commissioners is named as Additional Insured.
#,m"~m_'UUUUl:U:JJ:U:::J:::lJ::tJt:UIUUUUUUUUltlIUUUUUUU::UU::U:t::t:U::U::l@'~l~::~::::\:ll\U:1UUUUUUUUUIUIlllttMMM1UUUllUUI:1UlmUIUmmIUUml:t:UUIU
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
County of Monroe EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Board of County Co Commissioners _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Attn: Michael Lawn, Dir. of Ops. BUT FAILURE TO MAIL SUCH NOTICESHALLlMPOSE NO OBLIGATION OR LIABILITY
5001 College Rd., Room 506, Wing II-B OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES.
.........~.:.~...!~~~.~.~.....~.~......33040 .. ..AUTHORIZEDR:~~ (/, ~
~~Ar:'<":""'"'':'':~:''''''''':::''''':~:''''''~'''''il.t:~~~t:~~~~~~~~~~~~~~H~tf:III\ffff:IIIIIII::IIg~I:~~f~IIIlfff~:I:~lIII:fffffffffffffffffffffffft~Hffff;fffffIl::~:f~I:~::I:~:~I:Illlf~:fI~?:':::':':~:':<':<':'>~~:<'~:<:>":<'''~:':':':':':':::'iBfHiijf:::
PRODUCER
Near North Ins Brokerage
875 North Michigan
chicago, IL 60611
WM
106/72620
INSURED
Wheelabrator Clean Water
Systems Inc.
180 Admiral Cochrane Dr., #305
Annapolis, MD 21401
THIS CERTIFICATE IS ISSUED AS A MAlTER 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.
COMPANIES AFFORDING COVERAGE
COMPANY A
LEITER
COMPANY B
LEITER APPROVED BY RISK MANf\GfMENT
COMPANY C --1,....'
LEITER BY
COMPANY 0 DATE
LEITER
COMPANY E w~rvER: N/A __ YES
LEITER
THIS IS TO CERTIFY THAT 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.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
GENERAL LIABILITY
A
COMMERCIAL GENERAL LIABILITY G L9 0 2 51 7 9 4 3
CLAIMS MADE [X] OCCUR.
OWNER'S & CONTRACTOR'S PROTo
OPERATIONS
AUTOMOBILE LIABILITY
A X_ ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
BUA802517949
~ HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
l-
OTHER THAN UMBRELLA FORM
A
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
WC202517941
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDDIYY) DATE (MMIDDIYY)
ALL LIMITS IN THOUSANDS
5/15/94
GENERAL AGGREGATE
5/15/97 PRODUCT!HX)MP/OPS AGGREGATE
PERSONAL & ADVERTISING INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MEDICAL EXPENSE (Anyone person)
COMBINED $
SINGLE
5/15/94 5/15/97 LIMIT
BODILY $
INJURY
(Per Person) .
BODILY $
INJURY
(Per Accident)
PROPERTY $
DAMAGE
AGGREGATE
$
5/15/94
5/15/97 $
$
$
(EACH ACCIDENT]
(DiSEASE-POLICY L1MIl)
.EACH EMPLOYEE)
j(d Mgmt. & Loss Control
,-
;' I _. )/''' r
D^TL 'V'./.J I -'1 i
/
....-.,
il'..'lTI/\1.
LL OPERATIONS AND THE EQUIPMENT OF THE INSURED.
ONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS NAMED AS ADDITIONAL INSURED ON
iff??tJdistft.ffff . .......... .::::::'::::::::::::::::::::::::::::::::::::::. ??:~???!~:~~~Ak9~~~tg~fi?tr:~~~ft/fftftft?fjrr~rf.......
COUNTY OF MONROE
BOARD OF COUNTY COMMISSIONERS
5001 COLLEGE RD, RM. 506, WING
KEY WEST, FL 33040
ATTN: MICHAEL LAWN, DIR.
.. ....................
........................... .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
............................
.........................
......................
....................
.....................
...................... .
......................
...................... .
II-a
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ---9...0 DAYS WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
........OF ,:~r.'"-"""~"='~=,~~~f~~_f_;
>*~p~t)~~~~dJj(i.~}: .... ..... .....
C'c .' ~
A.~..III.~ CERTIFICATE OF INSURANCE
ISSUE DATE (MM/DD/YY)
4/15/97
PRODUCER
NEAR ~ORTH INS BRO<ERAGE
875 NORTH MIC~IGAN
CHICAGO, IL 63611
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
COMPANIES AFFORDING COVERAGE
LAT
f~T~~NY A
CONTINENTAL CASUALTY COMPA~Y
V'
317/97~29
i INSURED
I
I
I
I
l'-l/
WHEELABRATOR WATER TECHNOLOGIES
INC., ~IO GRO DIVISION AND
ENVIROLAND, I~C., ~IDWEST REGION
55J E. DAYTON YELLOw SPRINGS RD.
FAIRBJRN, OH 45324
f~T~~~NY B
f~T~~~NY C
f~T~~~NY D
f~T~~~NY E
COVERAGES
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.
rCO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
TR DATE (MM/DD/YY) DATE (MMIDDIYY)
GENERAL LIABILITY GENERAL AGGREGATE
ALL LIMITS IN THOUSANDS
$
1
5,OOJ1i
5,000
5,000
5,000
5,0001
I
!
A ;(
COMMERCIAL GENERAL LIABILITY
GL 161790505
5/15/97
5/15/00
PRODUCTS-COMP/OPS AGGREGATE $
PERSONAL & ADVERTISING INJURY $
I
I
I
I
!A
i
CLAIMS MADE X OCCUR.
)( OWNER'S & CONTRACTOR'S PROTo
X PROD/COMPo
X CO~TRACTUA...
AUTOMOBILE LIABILITY
OPERATIONS
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
$
$
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
)( HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
aUA161790472
5/15/00
MEDICAL EXPENSE (Anyone person) $
COMBINED
SINGLE
LIMIT
BODiLY
INJURY
(Per person)
$
5/15/97
$
5,000
x MCS-90
EXCESS LIABILITY
F ':::;;srn:m:EMEm
-t:J- I ~., . q 7
BODILY
INJURY $
(Per accident)
:;~~~~~TY $
OTHER THAN UMBRELLA FORM
w~"!ER:
N/A ./
YES
EACH AGGREGATE
OCCURRENCE
$ $
f'\-f
A,
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
wC15179j469
STOP GAP
5/15/97
$
5/15/00 $
$
STATUTORY
5 , 00 ;)<EACH ACCIDENT)
5 , 00 Q(DISEASE-POLlCY LIMIT) ,
5 , 00 O<DISEASE-EACH EMPLOYEE)!
OTHER
,)'~i -@/1!J,;
I f)" c C'. (J iJ
, C1ij~'# ;i\.-()"
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DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS R E : EN \I I RON MEN TAL S C I EN C ESe 0 R ? . ,
P.O. 3))( 915139, LONGwOOD, FL 32791. AL~ OPERATIONS AND THE EQUIPMENT OF T~E
I~SURE~. COU~TY Of ~ONROE IS ~A~ED AODITIONAL I~SU~2D ON THE A30VE GENERAL
CERT'FICATE HOLDER
00374
CANCELLATION
COU"ry OF MONRJE
~U8LIC SERVICES BLD~.,
510J JR. COLLEGE RD.
<EY WtST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
~ IN G 28 MAIL --.i..Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
L) / :::+:9-/Cj ~ORIZED REPRESENTATIVE
/
DATE (MM/DDNY)
4/25/97
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.
COMPANI~$_ AffQRDING COVERAGE
COMPANY NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA
A
PRODUCER
AON RISK SERVICES, INC. OF ILLINOIS
123 NORTH WACKER DRIVE
CHICAGO, ILLINOIS 60606
ATTN: INSURANCE VERIFICATION CENTER
1-800-4-VERIFY / FAX 1-312-701-4143/4144
Serial #: 0889
INSURED
WHEELABRATOR WATER TECHNOLOGIES INC.
180 ADMIRAL COCHRANE DR. #305 "..I \
ANNAPOLIS, MD 21401
COMPANY
B
REc:r:r\TEt < .
APR 1 8 1997
eo!
COMPANY
C
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.
TYPE OF INSURANCE I POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION I
DATE (MM/DDNY) DATE (MM/DDNY)
CO I
LTR.
LIMITS
GENERAL LIABILITY
~:...c.' O~MERCIAL GENERAL LIABILITY
, CLAIMS MADE OCCUR
OWNER'S & CONTRACTOR'S PROT!
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
PERSONAL & ADV INJURY
$
$
FIRE DAMAGE (Anyone fire) $
EACH OCCURRENCE
MED EXP (Anyone person) $
AUTOMOBILE LIABILITY
I I ANY AUTO
[-----j
I ' ALL OWNED AUTOS
n SCHEDULED AUTOS
r--!
I i HIRED AUTOS
F NON-OWNED AUTOS
COMBINED SINGLE LIMIT $
INCL !
i EXCL
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
! $
I
I
I
$
DATE
PROPERTY DAMAGE
GARAGE LIABILITY
ANY AUTO
WA!lftR:
AUTO ONLY. EA ACCIDENT I $
OTHER TH~~;~:~C~~~;NT I $
AGGREGATE $
EACH OCCURRENCE $
$
$
EXCESS LIABILITY
~ UMBRELLA FORM
, I OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND
EMPLOYERS' LIABILITY
STATUTORY UMITS
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE
OTHER
A POLLUTION LEGAL
LIABILITY
EACH ACCIDENT $
DISEASE - POLICY LIMIT $
DISEASE. EACH EMPLOYEE $
PRM 9210461
04/25/97
04/25/98
IANY ONE CLAIM
IANNUAL AGGREGATE
,
$1,000,000
$1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlSPECIAL ITEMS
RE: ENVIRONMENTAL SCIENCES CORP. P.O. BOX 915139, LONGWOOD, FL. 32791. LOAN #60 MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS IS NAMED AS ADDITIONAL INSURED.
COUNTY OF MONROE
SOLID WASTE MANAGEMENT
5100 COLLEGE ROAD ROOM 506
KEY WEST, FL 33040
FAX# 305-292-4555
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
60 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
. CERTIFIC~TE OF LI~BILITYINSURANC~M~2
.: ACORD. DATE (MMIDDIYY)
06/06/97
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Woller-Anger & Company, LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
930 E1m Grove Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Elm Grove WI 53122-2529 COMPANIES AFFORDING COVERAGE
Timothy J. Sca110n COMPANY
A CNA Insurance Companies
Phone No. 414-789-2500 FexNo. FAX-789-2511
INSURED COMPANY
B American Internationa1 Group
A&J Cartage, Inc. Southeast COMPANY ~~, 1I1"\....~
Jim Ja10vec C
2841 South 5th Court COMPANY fl fl~ V IvCU
Mi1waukee WI 53207 0 -.....
COVERAGES ........ "".., II" 1\./1'\' I: uvr t.:n\)L:Ut:~
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A&~~l'rIilGATES
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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDNY) DATE (MM/DDNY)
GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000
-
A X COMMERCIAL GENERAL LIABILITY TO BE DETERMINED 05/01/97 05/01/98 PRODUCTS. COM PlOP AGG $ 1,000,000
I CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
-
- FIRE DAMAGE (Anyone fire) $ 50,000
MED EXP (Anyone pereon) $ 5,000
AUTOMOBILE LIABILITY
- COMBINED SINGLE LIMIT $ 1,000,000
A ~ ANY AUTO TO BE DETERMINED 05/01/97 05/01/98
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per pereon)
-
X HIRED AUTOS A~~R(11 B~~Ul '.UIA~ BODILY INJURY
- {) r--. IPJlr eccldent) $
X NON-OWNED AUTOS 01h ~ ~tiR(j
- C'O
- BY \J It" r,. _ "'-, "1 PROPERTY DAMAGE $
GARAGE LIABILITY DAlE In cc'.~, AUTO ONLY - EA ACCIDENT $
- /'
ANY AUTO ./ OTHER THAN AUTO ONLY:
- WAlVfR: NfA Vf.5
EACH ACCIDENT $
-
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000
A ~ UMBRELLA FORM TO BE DETERMINED 05/01/97 05/01/98 AGGREGATE $ 5,000,000
OTHER THAN UMBRELLA FORM SIR $ 10, ~OO
WORKERS COMPENSATION AND X I ~R~TOL'i'Ts I 10TH.
ER
EMPLOYERS' LIABILITY $1,000,000
EL EACH ACCIDENT
A THE PROPRIETOR! ~ INCL TO BE DETERMINED 05/01/97 05/01/98 EL DISEASE. POLICY LIMIT $ 1,000,000
PARTNERSJEXECUTIVE
OFFICERS ARE: EXCL EL DISEASE. EA EMPLOYEE $1 000,000
OTHER
B Po1lution PLS 8194214 05/01/97 05/01/00 1,000,000 Aggregate
Liabi1ity
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlSPECIAL ITEMS
WORKERS COMPENSATION APPLIES TO NAMED INSURED ONLY. THE MONROE COUNTY BOARD
OF COMMISSIONER~ITS EMPLOYEES AND OFFICIALS WILL BE INCLUDED AS
"ADDITIONAL INS D" .
CERTIFICATE HOLDER CANCELLATION
MONRO-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
COUNTY OF MONROE RECEIVED ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
5100 COLLEGE ROAD JUN - 9 1997 BUT FAILURE TO MAIL SUCH NOTIC~d~ IMPOSE NO OBLIGATION OR LIABILITY
ROOM 506 OF ANnlND UPJlIN THWO"~ GENTS OR REPRESENTATIVES.
KEY WEST FL 33040 /1)(1 ~~.r~oe1?i~/
BY: _.z~ 1 on
ACORD 25-5 (1/95) @ACORD CORPORAT'ON 1988
CERT 'ICATE OF INSURANCE Date: (MMlDDIYY)
1/28/2003
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lockton Insurance Agency of Houston, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Houston, Texas 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED: Insurer A: American International Specialty Lines
A & J Cartage Southeast, Inc. Insurer B: Zurich American Insurance
6220-A Hackers Bend Court Insurer C:
Winston-Salem, NC 27103
Insurer D:
COVERAGES
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 BE EXHAUSTED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS
LTR DATE
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABiLITY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000
X OCCURRENCE EG3779024 11/1/2002 02101/2004 MED EXP (PER PERSON) $ 5,000
X XCUINCLUDED PERSONAL & ADV INJURY $ 1,000,000
X ISO FORM CG 00 0110 93 GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMPo OP. AGG $ 2,000,000
X PROJECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000
B X ANY AUTO BAP 2347047-01 (O/S) (EACH ACCIDENT)
B ALL OWNED AUTOS TAP 2347048-01 (TX) 11/1/2002 02101/2003
B SCHEDULED AUTOS MA 2347049-01 (MA)
B x HIRED AUTOS BAP 2347050-01 (VA) DEDUCTIBLE: COLLISION & $ 1,000
X NON-OWNED AUTOS OTHER THAN COLLISION $ 1,000
POLLUTION & REMEDIATION EACH LOSS $ 1,000,000
LEGAL
A EG3779024 11/1/2002 02101/2004 TOTAL ALL LOSSES $ 1,000,000
RETENTION - EACH LOSS $ 250,000
EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000
A X OCCURRENCE BE619 26 61 11/1/2002 02101/2004 AGGREGATE $ 5,000,000
CLAIMS MADE RETENTION $ 10,000
WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY
B and EMPLOYERS LIABILITY WC 2347044-01 (O/S) 11/1/2002 02101/2003 EL EACH ACCIDENT $ 1,000,000
B WC 2347046-01 (MA, WI) EL DISEASE.EA EMPLOYEE $ 1,000,000
EL DISEASE-POLICY LIMIT $ 1,000,000
A PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000
LEGAL - GENERAL COPS6192166 11/1/2002 02101/2004 AGGREGATE $ 1,000,000
CONTRACTOR'S FORM RETENTION $ 100,000
REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS:
C~~~K [8J BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT.
[8J CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT.
Re: Project Description: Removal and Disposal of Septage and Blosolids Generated In Monroe County
Additional Insured In favor of The Monroe County Board of County Commissioners, Its employees and officials (on ali policies except Workers'
Compensation/ELl where and to the extent required by written contract.
CERTIFICATE HOLDER: CANCELLATION:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 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 MAIL SUCH NOTICE
SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS
OR REPRESENTATIVES. .EXCEPT 10 DAYS NOTICE FOR NON,PAYMENT.
Monroe County IAUI "_~_, II A IIVt:: ~-~~
Solid Waste Management Division
5100 College Road, Room 506
Key West, FL 33040
.4U /JI~ 'lJP~ -
. CERT.":ICATE OF INSURANCE Date: (MM/DDIYY)
1/28/2003
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lockton Insurance Agency of Houston, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Houston, Texas 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED: Insurer A: American International Specialty Lines
A & J Cartage Southeast, Inc. Insurer B: Zurich American Insurance
6220-A Hackers Bend Court Insurer C:
Winston-Salem, NC 27103
Insurer D:
COVERAGES
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 BE EXHAUSTED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS
LTR DATE
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000
X OCCURRENCE EG3779024 11/1/2002 02101/2004 MED EXP (PER PERSON) $ 5,000
x XCU iNCLUDED PERSONAL & ADV INJURY $ 1,000,000
X ISO FORM CG 00 01 1093 GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMPo OP. AGG $ 2,000,000
X PROJECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000
B X ANY AUTO BAP 2347047-02 (O/S) (EACH ACCIDENT)
B ALL OWNED AUTOS TAP 2347048-02 (TX) 02101/2003 02101/2004
B SCHEDULED AUTOS MA 2347049-02 (MA)
B x HIRED AUTOS BAP 2347050-02 (VA) DEDUCTIBLE: COLLISION & $ 1,000
X NON.OWNED AUTOS OTHER THAN COLLISION $ 1,000
POLLUTION & REMEDIATION EACH LOSS $ 1,000,000
LEGAL
A EG3779024 11/1/2002 02/01/2004 TOTAL ALL LOSSES $ 1,000,000
RETENTION - EACH LOSS $ 250,000
EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000
A X OCCURRENCE BE619 26 61 11/1/2002 02/01/2004 AGGREGATE $ 5,000,000
CLAIMS MADE RETENTION $ 10,000
WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY
B and EMPLOYERS LIABILITY WC 2347044-02 (0/5) 02101/2003 02/01/2004 EL EACH ACCIDENT $ 1,000,000
B WC 2347046-02 (MA, WI) EL DISEASE.EA EMPLOYEE $ 1,000,000
EL DISEASE.POLlCY LIMIT $ 1,000,000
A PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000
LEGAL. GENERAL COPS6192166 11/1/2002 02/01/2004 AGGREGATE $ 1,000,000
RETENTION
CONTRACTOR'S FORM $ 100,000
REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS:
C~~~K [gI BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POUCIES WHERE AND TO THE EXTENT REQUIRED BY WRmEN CONTRACT,
[gI CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT.
Re: Project Description: Removal and Disposal of Septage and Biosollds Generated In Monroe County
Additional Insured in favor of The Monroe County Board of County Commissioners, its employees and officials (on all policies except Workers'
Compensation/EL) where and to the extent required by written contract.
CERTIFICATE HOLDER: ." \f " ('~RISKMANA( 16~~LLATION:
u'...1.->I I ..,~ ! ~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
!. ....-r- ~ A:: REOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30. DAYS WRITTEN NOTICE
DATE j.' L~rc -_ TO THE ~RTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE
SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS
- r ENTATIVES. .EXCEPT 10 DAYS NOTICE FOR NON.PAYMENT.
Monroe County WAIVER N/A --1- YES ,,~. ,~~~,. I A liVe: ~-~~
Solid Waste Management Division
5100 College Road, Room 506
Key West, FL 33040