Certificate of Insurance MARSH USA INC. CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
ATL-000128150-00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
Two Liberty Square POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE
75 Beattie Place AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Suite 300 COMPANIES AFFORDING COVERAGE
Greenville,SC 29601-2130
Ann:Amy Browning COMPANY
000717 A AMERICAN HOME ASSURANCE CO
INSURED COMPANY
SAFETY-KLEEN(FS),INC. B NATIONAL UNION FIRE INSURANCE COMPANY
170 BARTOW MUNICIPAL AIRPORT
BARTOW,FL 33830 COMPANY
C INSURANCE CO STATE OF PA
COMPANY
D VARIOUS INSURERS
COVERAGES This certificate supersedes and replgd$waoy preciosity issued certificate. - 7
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.LIMNS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MMIDD(Y) DATE(MMIDDMY)
A GENERAL UABIUTY GL1737655 09I01/00 09I01I01 GENERAL AGGREGATE $ 2,000.000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2•000,000
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $ 500,000
b
OWNERSO &CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000
X $SOD 000 SIR FIRE DAMAGE(Any me fire) $ 500,000
MED EXP(Any one cen'm) $ 50,000
A AUTOMOBILE LIABILITY AL5273342 09/01/00 09/01/01 COMBINED SINGLE LIMIT $ 2,000,000
X ARV AUTO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS .' q Il•. (Perperwn)
N
rI
HIRED AUTOS BODILY INJURY $
(Per accident)
NON OWNED AUTOS x .... xi
X MCS-90
' C/�Kl PROPERTY DAMAGE $
GARAGE UARIUTY AUTO ONLY-EA ACCIDENT $
ANY AUTO , - - - OTHER THAN AUTO ONLY
A�( EACH ACCIDENT $
Cijt -L. rniA ,J_ AGGREGATE $
B EXCESS LIABILITYLIABILITYM
0 11 NCT EACH OCCURRENCE $ 10000,000
X UMBRELLA FORM AGGREGATE $ 10,000.000
OTHER THAN UMBRELLA FORM 'N/A TO INSURER'D' $
c WORKERS COMPENSATION MID WC4066579 09/01/00 09/01/01 X I WCsrIAXTIITsl 1 ER
EMPLOYERS'UABIUTY
EL EACH ACCIDENT $ 1,000,000
THE PROPRIETOR/ INCL EL DISEASE.POLCY LIMIT $ 1,000,000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE $ 1,000,000
OTHER STEADFAST INSURANCE CO EACH LOSS b,000,0(.10
D CONSULTANTS ENVIR LIAB PEC3783117-00 09/01/00 09/01101 AGGREGATE 10,000,000
---- ---- RELIANCE INSURANCE CO EACH LOSS 5,000,000
D POLLUTION LEGAL NTL163264701 03/01/99 09/01/02 AGGREGATE 10,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSMEHICLESISPECIAL ITEMS ILIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
MONROE COUNTY IS LISTED AS ADDITIONAL INSURED BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE OPERATIONS OR
PREMISES OWNED BY OR RENTED BY THE NAMED INSURED UNDER GENERAL 8 AUTOMOBILE LIABILITY POLICIES ONLY.
CERTIFICATE HOLDER 0 CANCELtATION �'.
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EYPIRATION DATE THEREOF.
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ilil DAYS WRITTEN NOTCE TO THE
COUNTY OF MONROE CERTIFICATE MOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OxIwTION OR
ATTN: MARIA DEL RIO,RISK MANAGEMENT
5100 COLLEGE ROAD LIAB0.nv OE ANY KIND UPON THE INSURER AFFORDING COVERAGE.ITS AGENTS ORREFRESENTATIES.
KEY WEST,FL 33040
MARSH USA INC.
BY: cat-pc
MG11919916: VALID AS OF: memo
if