HomeMy WebLinkAboutRepublic Services.4C0 ® CERTIFICATE 4F LIABILITY INSURANCE Pagela, DATE
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
CANNON COCHRAN MANAGEMENT SERVICES, INC.
17015 NORTH SCOTTSDALE ROAD
SCOTTSDALE, AZ 85255
INSURER A:
INSURED %j
REPUBLIC ALL ALLIED WAY, INC. D8A i V S �°, (o9f' �� INSURER C: N.
PHOENIX, AZ 85054 INSURER E:
INSURER(S) AFFORDING COVERAGE j NAIC # )
COVERAGES CERTIFICATE NUMBER: 2524398 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 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,
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MWD
POLICY EXP
MWDo
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑X OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER
POLICY PROJECT LOC
HOTHER.
HDO G48921000
06/30/2024
06i K'.2D25
EACH OCCURRENCE
$ 10,000,000
DAMAGE TO RENTED
PREMISES (Ea occurrence)
$ 10.000,000
MED EXP (Any one person)
$ 15.000
PERSONAL & ADV INJURY
$ 10,000,000
GENERAL AGGREGATE
$ 30.000,000
PRODUCTS -COMP/OP AGG
$ 20,000,000
AAUTOMOBILE
LIABILITY
X ANY AUTO
X OWNED AUTOS SCHEDULED
ONLY EE AUTOS
X HIRED AUTOS O NON -OWNED
ONLY AUTOS ONLY
ISA H10740083
06/30/2024
O6W11Fn29
COMBINED SINGLE LIMIT
(Ea accident)
$ 10,000,000
BODILY INJURY(Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
(Per accident)
D
LIAR 1 X
XCESS LIAB
DIEDRETENTION
OCCUR
CLAIMS -MADE
$
XEU G46782148 008
06130+2024
06130/2025
EACH OCCURRENCE
$ 10,000,000
�XMBIRELLA
GG REGATE
$ 10,000.000
B
A
A
A
C
NORKERS COMPENSATION YIN
ND EMPLOYERS' LIABILITY
Y PROPRIETORIPARTNLRIEXECUTIVE O
FRCERIMEMBER EXCLUDED?
Mandatory in NNI
f yes, describe under
ESCRIPTION OF OPERATIONS below
NIA
WLR C572%862 - ADS
WLR C57257672 - OR
SCF C57257726 - WI
WCU C57257829 - OH XS
TNS C57194790 - TX NSIXS
06,30/2024
06/30/2024
06/30/2024
06/30/2024
06130/2024
06,3012025
06/30/2025
0613012025
0613012025
0613012025
X PER OTHER
STATUTE
•L. EACH ACCIDENT
$ 3,000,000
113000000
L. DISEASE -EA EMPLOYEE
$ 3.000,000
L. DISEASE -POLICY LIMIT
Contractors Pollution Liability
See page 2 for details
06130,2024
W30/2025
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
Division Number 6665 - Named Insured Includes: US Ecology Idaho Inc. Gs fY rLttir,
AUG 1 ! 2024
Gt=K I Ir1L.A 1 C MULUCK GANGtLLA i IUN
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
CITY OF CALDWELL
PO BOX 1179
CALDWELL. ID 83606
United States
f9 1V5U-Z015 AGVKIJ GORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD