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KRID01C OP ID:DB <br /> ACORU" CERTIFICATE OF LIABILITY INSURANCE D01/27ATE /2016 ) <br /> 01/27/2016 <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 /> United Risk Solutions,Inc. NAME: Dana Brinkle <br /> PO Box 936 A/CC, o EI:541-494-7713 ac No):541-245-1112 <br /> Medford,OR 97501-0067 E-MAIL <br /> Jackie K.Anderberg ADDRESS:dana.brinkley@unitedrisk.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:General Casualty Co of WI 24414 <br /> INSURED Waste Recovery West, Inc. INSURER B: <br /> P.O. Box 83328 <br /> Portland,OR 97283-0328 INSURERC: <br /> INSURER D: <br /> INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE POLICY NUMBER MMLDD ICY YEYYY MMFF LDD/YAP <br /> L LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br /> A X COMMERCIAL GENERAL LIABILITY CCI 1257395 01130/2016 01/30/2017 DAMAGE TO HEN I LU <br /> PREMISES Ea occurrence $ 100,00 <br /> CLAIMS-MADE I—XI OCCUR MED EXP(Any one person) $ 5,00 <br /> PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 <br /> POLICY PRO LOC $ <br /> AUTOMOBILE LIABILITY COEa accident BINED SINGLE LIMIT 1,000,00 <br /> A X ANY AUTO CBA 1257395 01/30/2016 01130/2017 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> X HIRED AUTOS X CC <br /> NON-OWNED PROPERTY DAMAGE <br /> AUTOS PER AIDENT $ <br /> X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,00 <br /> A EXCESS LIAB CLAIMS-MADE CCU 1257395 01/30/2016 01/30/2017 AGGREGATE $ 1,000,00 <br /> DED I X I RETENTION$ 10,000 $ <br /> WORKERS COMPENSATIONWCSTATU- OTH- <br /> AND EMPLOYERS'LIABILITY YIN TORY LIMIT ER <br /> ANY PROPRIETORIPARTNER/EXECUTIVEE.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? F-1 N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> CALSA31 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> CalRec CIe THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1001 I St <br /> PO Box 4025 AUTHORIZED REPRESENTATIVE <br /> Sacramento,CA 95812-4025 <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />