|
0 DATE(M MDIYYYY)
<br /> .acoRp CERTIFICATE OF LIABILITY INSURANCE 0 412 7120 11
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED„ subject to
<br /> the terms and Conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> MARSH USA INC. NAME:
<br /> 500 WEST MONROE STREET PHONE I FAXAIC
<br /> NQ Noj:
<br /> CHICAGO,IL 60661 E-MAIL
<br /> Attn:Chicago.CertRequest@marsh.corr Fax:212-948-0770 ADDRESS:
<br /> PRODUCER
<br /> T
<br /> 350208-ALL-wPOLL-10.11 _ INSUREI AFFORDING COVERAGE MAIC 0
<br /> INSURED INSURER A:Lexington Insurance Company 19437
<br /> ALL CHEMICAL DISPOSAL INC.
<br /> A SUBSIDIARY OF STERICYCLE,INC. INSURER B,Zurich Amercan Insurance Company 16535
<br /> 28161 N.KEITH DRIVE INSURER C:Allied World National Assurance Company 10690
<br /> LAKE FOREST,IL 60045 INSURER D:Illinois Union Insurance Co 27960
<br /> INSURER E:American Zurich Insurance Company 40142
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: CHI-003374063-08 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR Y TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS
<br /> LTR _ POLICY NUMBER MMlDD1YYYY MMfDDrf YYY
<br /> A GENERAL LIABILITY EG 1932356 1110812010 11012011 EACH OCCURRENCE $ 1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 300,000
<br /> PREMISES Ea occurrence $
<br /> CLAIMS-MADE � OCCUR MED EXP An one arson $ 25,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GENERAL AGGREGATE $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000
<br /> XI POLIGYX ,PRO- X LOC
<br /> B AUTOMOBILE LIABILITY TRK9377341-07(AOS) 1110812010 1110812011 COMBINED SINGLE LIMIT $ 5,000,000
<br /> B X TRK5344310-07(PR) 1110812010 1110812011 (Ea accident)
<br /> ANY AUTO BODILY INJURY(Par person) $
<br /> ALL OWNED AUTOS BODILY INJURY(Per accident) $
<br /> SCHEDULED AUTOS PROPERTY DAMAGE $
<br /> HIRED AUTOS (Per aWdent)
<br /> NON-OWNED AUTOS $ _
<br /> X PHY DAM-SELF-INSURED $
<br /> FFX UMBRELLA LIAB X OCCUR 0305-0836 1110812010 1110812011 EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
<br /> DEDUCTIBLE $
<br /> X RETENTION $10'000 $
<br /> WORKERS COMPENSATION WC 9377344-07(AOS) 110812010 1110812011 X WC STATtT 76TH
<br /> ER
<br /> AN
<br /> THAND EMPLOYERS'LIABILITY YIN
<br /> B ANY PROPRIETORIPARTNERIEXECUTIVE N f A WC 9377345-07(WI) 1110612010 1110612011 E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICERWMEMBER EXCLUDED?
<br /> Wandalory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000
<br /> ff yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> D Pollution Legal Liability PPL G24926916 0011110812006 11108/2011 EACH OCCURRENCE 5,000,000
<br /> SIR:50,000 .AGGREGATE 10,000,000
<br /> DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (Attach ACORD 101,AdditiDnal Remarks Schedule,if more space is required)
<br /> PROFESSIONAL SERVICES INDUSTRIES IS INCLUDED AS ADDITIONAL INSURED UNDER THE GENERAL LIABILITY POLICY AS THEIR INTEREST MAY APPEAR,BUT ONLY TO THE EXTENT SUCH STATUS IS
<br /> REQUIRED BY THEIR WRITTEN CONTRACT OR WRITTEN AGREEMENT WITH THE NAMED INSURED.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> PROFESSIONAL SERVICES INDUSTRIES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ATTN:FRAN POSS ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 4703 TIDEWATER AVENUE,SUITE B
<br /> OAKLAND,CA 94601 AUTHORIZED REPRESENTATIVE
<br /> of Marsh USA Inc.
<br /> Katey E.Jones l
<br /> ©1988-2009 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD
<br />
|