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HomeMy WebLinkAboutWaste Pro COL 20230320 ....--'."""II ® DATE(MM/DDNYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 03/07/2023 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 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 CONTACTNAME: Marsh USA Inc. -- FAX PHONE 1560 Sawgrass Corporate Pkwy,Suite 300 IA/C.No.ExL; (A/C,No): Sunrise,FL 33323 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# CN105058554—GAWUP-22-24 _ INSURER A:Greenwich Insurance Company 22322 INSURED INSURER B:XL Insurance America,Inc. 24554 Waste Pro USA Inc.and its subsidiaries 20699 2101 W SR 434,Suite#301 INSURER C:ACE Property&Casualty Insurance Company . Longwood,FL 32779 INSURER D:XL Specialty Insurance Company 37885 INSURER E:Lloyd's Of London EC145 INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-004674379-26 REVISION NUMBER: 0 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. ILT R TYPE OF INSURANCE ADDL SUER POLICY NUMBER (MM/DDNYY�.,`LICY EFF POLICY EXP LIMITS LTR INSO yYVD MM/DDNYYY] A X COMMERCIAL GENERAL LIABILITY GEC300138205 11/22/2022 !11/22/2023 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED SOO,000 l CLAIMS-MADE X OCCUR PREMISES(Ea occurrence). $ MED EXP(Any one person) $ 5,000 — PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 PRO- PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY JECT LOC OTHER: $ COMBINED SINGLE LIMIT A AUTOMOBILE LIABILITY RAE943788405 11/22/2022 11/2212023 [Ea accident) $ 4,000,000 X ANY AUTO SIR:$2,000,000 BODILY INJURY(Per person) $ ---'OWNED — SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ I AUTOS ONLY AUTOS ONLY (Per accident) $ C X UMBRELLA LIAB X OCCUR X00G71761885004 11/22/2022 11/22/2023 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB + CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ $ B WORKERS COMPENSATION RWD300138005(AOS) 11/2212022 11/22/2023 x PER H PEATUTE • ER D AND EMPLOYERS'LIABILITY Y/N RWE943549705 (FL,GA) 11/22/2022 11/22/2023 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ (Mandatory in (SIR:$500,000) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory in NH) . If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Umbrella Liability(over Auto) B0509BOWCN2251462 11/22/2022 i 11/22/2023 Limit 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Cape Canaveral is Additional Insured as required by contract. Insurance is Primary and Non-contributory. Waiver of Subrogation applies as required by contract. CERTIFICATE HOLDER CANCELLATION City of Cape Canaveral City Manager SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 105 Polk Ave. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Canaveral,FL 32920 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE it)T-da Vt.S.ril 42vcc... ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN105058554 LOC#: Lauderdale ACO ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. Waste Pro USA Inc.and its subsidiaries 2101 W SR 434,Suite#301 POLICY NUMBER Longwood,FL 32779 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25_ _ FORM TITLE: Certificate of Liability Insurance Contractors Pollution Legal Liability-Job Site Pollution Condition resulting from Contracting Services defined as: Trash compactor installation and maintenance Carrier:Indian Harbor Insurance Company Policy Number:PEC004900306 Dates:02/28/2023—02/28/2024 Limit:$2,000,000 each Pollution Condition;$2,000,000 Annual Aggregate Self-Insured Retention:$250,000 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD 0069-01-00-0003381-0002-0007701