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2013
Client #: 18927 IESI ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD /YYYY) TYPE OF INSURANCE 12/17/2013 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 NAMEACT Margie Blackmon HUB International Ins Svcs Inc PHONE FAX A /C, No, El ): 505-828-4000 A /C, No): 866- 487 -3972 PO Box 90756 E-MAIL SS: margie.blackmon @ hubinternational.com Albuquerque, NM 87199 -0756 DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) INSURER(S) AFFORDING COVERAGE NAIC # 800 - 800 -5661 / CA Lic# 0757776 INSURER A: Greenwich Insurance Company 22322 INSURED INSURER B: Catlin Specialty Insurance Comp 15989 Waste Services, Inc. &its Subsidiaries INSURER C, Liberty Insurance Underwriters 19917 West State Rd 84 Ste 103 INSURER D: Great American Assurance Compan 26344 Fort ort L 33312 F Lauderdale, F INSURER E: Arch Insurance Company 11150 INSURER F: 12131/2013 12/31/201 COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYW POLICY EXP MM /DD/YYYY LIMITS A GENERAL LIABILITY ix COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR ContractualLiability GECO02511807 12/31/2013 12/31/2014 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO LOC JECT PRODUCTS - COMP /OP AGG $2,000,000 $ E AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS CS -90 ENDT 41 CAB4928008 12131/2013 12/31/201 COMBINED ccident SINGLE LIMIT Ea a $ 2 � e 000 000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ X $ B C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UMC936341214 EXCSF1839429 EXC4647724 12/31/2013 12131/2013 12/31/2013 12/31/2014 12/311201 12/31/2014 EACH OCCURRENCE $25 000 000 AGGREGATE s25,0001000 DED RETENTION $ $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROP RI ETD R /PARTNER/EXECUTIVEY /N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 41WC14927808 41WC14927808(NY) 12/31/2013 12/31/2013 12131/201 12/31/2014 X I 7VRYLITU EORH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) For Information purposes only. City of Sebastian 1225 Main Street Sebastian, FL 32958 ACORD 25 (2010/05) 1 of 1 #S2572622/M2561767 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 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SM02