|
<br />AUI-l~-07
<br />
<br />01 :47pm
<br />
<br />From-WM SAFETY OEPT
<br />
<br />+9723162270
<br />
<br />T-945 P.002/002 F-429
<br />
<br /> CERTIFICATE OF INSURANCE nl'l"", {MMlnn..v\l)
<br /> UJ1412.007
<br />I'noClUCC: n TH\~ CI:.Rnr\CA,l;. IS \S'5IJED j:\S Fo. \lJ\~T,t!R OF \N~ORNlA.T'ON
<br />Lo.:lJ..I:.l1I CuIIlp...,i..... LLC aNt.\( ANO CONFERS NO RIGHTS UPON TI--l€ CERTIf'ler\. T€
<br />~4'f7 ~Irf FU'IIW. 05"lu'lJ ::JZ.f1 HOt.CE'R. iHIS CERTlFIC'J\Te CO!!:> NOT AMEND. e::<TI!!I"'o OR
<br />H~cr, 11. iiU~1
<br />11l7.l-25G-a:l':It1 (pnonc-J fl-LTER THE COVERl\GE ^FFORDEO BY THE POUCIES BELOW.
<br />a6.~.d.I!~-111!'l!'l' Cr";l't~
<br /> IN8URERS AFFORDING QOVE;RAGE
<br />INSURED: W:a~'R Mli1nagp.mP-nt HDldinGlI:. Int:. & All Affiliated. In.€luror A: A~F AI'T1P.r~n In.'llll':mC''.F. ~1'1mf1::ulJ/
<br />Related S Subs.idialY CoOlpal1ler.lnc.luding; Insurer 13: Indemnity trr~c.lr~rl~ Compcmy cfNtll'ftl ArnElri\:OOl
<br />Waste Management (If Texas
<br />10[),,\ WriJt.t~ fIl1.<l"'i1gelll~nL B':'L11~vard I r I~ur t:l C.
<br />P.O. Box 719 Insurer 0:
<br />LcwlGVlllc. TX 75067 Insurer E:
<br />COVE RAa ES
<br /> TilE POLiCH;:!,: I.'F INSU~":""I= LI~"TED BELUW 11AV. BEall ISSUED TO TilE INS:URW NA.MED .:i.BOVE FOR nil:: POLlr,;v PERIOD INDlr.:ATlOO.
<br /> NolYJlTWSTI\NC>lNG ."IN REOUIREMENT TIi:P.M OR. CQ"'DmON OF ANY coNTMCT QR OTHER DOCUUEN't WlTW R.ESPECT TO WHICI-I TI-lIS
<br /> ..E.RTIl"lC"..AT1!. I\M:,. 8E lSSllED OR lJAY I"'"ERTAlN. THIIl'l~RANCE AFl'OR!:Ic'O EN THI! T'OUCIE5 tl1:SC.RlBED HEREIN IS SIl8..IEC';T 'TO AlL THE TERlo'l~
<br /> EXCl.USIONS AND CONDITIONS Or sUCH POLICI!:S. AGGREGATE L1~!llnl SHOWN MAY BE EXHAUSTED BY PA" CLAIMS.
<br />lIo1:ll'C iVpe QiF 'NSU~E POLICY NU~BEIlt EFFECTIVJ:allTE ~'I~I<JJ<l t.llUl''\'~
<br />LT" DfIoTC
<br /> ~tlll~Kp,.L LIA~ILlI Y EACH OCCURR.ENCE S 5.DOD,OOO
<br />A X =~~t::.r.,,_ "l;'~ L.v'i..""'-'7" 'i\T-Ll:. bAMI\C;1'C:. ....'c. L"'1::1 . ..e. ~ ~ O.()Ul.),OOD
<br /> - 0I:-::'I.lMCI40i: HOO 'G2571620a 11112.007 1/1 f20lla Fill..U ~~> ....... ~....O::"'O)
<br /> .!.
<br /> X X~\O,h';.LI.D!:':: P'i"R~OMA.l 130 "''illJ l\t')\.l~1" S :1,1)00,000
<br /> - I~ rC'lllr;l ~~ '"~t.4 4:6 yj Gr14FiUll AGGRF<<3~TF S 6.000.000
<br /> X
<br /> C.,FN'I ~C'ir~I'lATF 11Mi .u:~IIF$; ';lR \lROtlVOTGJOOMP. 01"'. Jl..GG S 15,000,000
<br /> X r'\(~.1:.\,;1 tIT ..Q;;'j:,I.;"-"
<br /> A1,1 ~ I.llllll.J~~ ~J.U J 'f t:0M&'1I1l1:z) &I/I!GlE.u~ S 1.uuo.ml)
<br />A ~ ~(y "'1.1:'<:> ,.v"::.. Jt~Cn.)'-"'lll.l
<br /> ~ M.\. ~/j;~t:~ """-0:) tsP\ HOOZZe994 11112007 11112006
<br /> X. I'd...~t) f.\..<1'C:'
<br /> -
<br /> X ~~':JJ.I.o"~
<br /> - b.l'~:oJ"'U
<br /> X
<br />A EXCESS AUTO .lJABLUTY X::::A~ma2.2'7r)7 A '1J1J".1,DU7 .,) 1J'~I)I)H t:OIotallllfm SINGLE LWIT IS J,I.lll)('-f)l)l)
<br /> u:t.CI i 1<eeIDD{Tj
<br /> EXCESS UABIW'J''t/UIl/IBR!! L.LA J:A(;J1 [J{;{; UXKl:Nl.."'I:: S '1l'l,OOO,OOO
<br />A ~ C":: \::7lllZ'I1C'.C XOOG2379266G 1t1i;2007 11112006 "ILil>o'l.!::t..'l1 C ~ '''.000,000
<br /> ~ ~ ,"Jr,iCi '"lnl JI
<br /> WOKM::~S' GOlr/l"'t:NSA liON WORKeRS' COI'ull::lE\llSAl1.ON STATUTORV
<br />B and EMPLOYERS I.IASII.IT't' WLH C04<44SU22B (i\.OS) 1/1J2007 1 i1/~CJUf.l 101.. s.c,Q11 AClOIDE! NT $ ~,UUU,lJUU
<br />A WU I C.>J.IJ.lJ5f}1 ~[j {eN 7/1/'.007 111/'.011000 z:z. Dl~~l: J::A I::M?LOYD: ; U,VVO,Ur)O
<br />A I ~r;,.. (;111082"., t:N1} 111/'.l.0IJ7 1/1/'.l.0I).tl ;C.J. ~1~Ci'I":II: pl;Il.l(J" LIMIT .;. ~VOO,UOO
<br />REMARKS: DIESCRIPTION OF OPEAAiIONS,'LOCA TIONS\lEHICI..ESIEXCLUSIONS ADDED 8'1' ENDORSEMENT PROVISl ONS:
<br />I:HIoC,'I< ~ _....HI(l:r'Wllllll'Vi:11: pr :I~71a.r.. 1:1 (.ij1VlN'T~l)'m r.q'WiR Qf' C4!!"1'7nC'A?II NQi.DCN ow "'1." r-ot.t<:~ WI1~"NP 7D 7l'e' ~t'T ~IR~P zht' WIQIT?tlN
<br />110)(
<br /> r.~r')NTRIlr,~T WHEJtE PEIUI~"SISLE BY LAW.
<br /> r8J I;ElmI"I\;A TE HOLDER 15 NPdIlEtll\:r AlII ADDITIONAL IN~URI!P i D,CEP'I' fOR ~ORKER5. I;DII P;EL} WHERE AN D TO THE fJri'reM' REUI.II RID E1T VYRI1TEN (;ON"JR.IP&T.
<br />CERTlFIC",n; HOLDER: CANCELLAT1ON;
<br /> $HOUl.U I'oNU :"II- I HI: .<u5:J.....t: lit;l:>::Joi.1l:i1:1l I'D\. :;1:::; HI: ::ANUol-hLl 1l1:1"(,l1t1: I HI:
<br /> EXl"'II'l"TIDf. D:l.TE T'" EnE.:lr. -HE ISS' J P, G K!J ~ =It ....1U. EIlDEAWrc 'W r""-IL 'K C'..Vs
<br /> ~'''1 ITEN P,::lT :;1; T:l T-t" CEIUlrIc.;.. HOLDE::R W,VEtI TO Tt-e .l!rT. BUT -,(LURE. -0 DC
<br /> Sl;llIHALL V 'tlllI:.NC OI:lLIUAIIONOIU>>,;'lIUIVOt-.'IN'" KI'I':: LQ'ON IHI:./'1:;URI:oR.llli
<br /> C'lly Qt plilri; ~";n'll QR: RWR"aFN";J;.TJVF~ 'i'X;~ 1:H1J."\\ N01ll;".F F........IIl...&'tV.l"N"t
<br /> 135 Southeast 1 SI Street
<br /> Pari~, TX. 75/1.60
<br /> A.Un-lOR~O REPRESENTA.TIVE:: <:... -~- -.......::::..::-=-<=.
<br /> .. ::>-
<br />
<br />R~c~lv~~ AUI-14-Dr 11 ;19~rn
<br />
<br />F r U1D-F~lI. Stir VIU
<br />
<br />Tl.I-\YM SAFETY DE?T
<br />
<br />P~Kl:l DDZ
<br />
|