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4`C.ORo CERTIFICATE OF LIABILITY INSURANCE
<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 />-SLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITVTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(tes) must be endorsed. If SUBROGATION IS WANED, subject to
<br />the terms and conditions of the p9lley, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />ROOUCER
<br />it Source Insurance, Inc.
<br />109 Grope Road
<br />Ishawako, IN 4804E
<br />ISURED
<br />Waste Away Group, LTDEoe Remarks
<br />Accounts Payable
<br />P.O. Box 1276
<br />Elkhart, IN 46515
<br />AIL
<br />GN a U �74J 271-5200. . _..__......._.....__(�,.Hak (574) 271-5240
<br />INSURES-)5)APFOROING COVERAOF .,._ RAICI
<br />INSURpn A_iAIG Specialty_ Insurance
<br />INSURER a The Hartford Fire Insurance Company
<br />{NFuwER c: Lexington Insurance Co.
<br />.wivra D: Berkshire Hathaway Homestate
<br />IN5URER E •
<br />OVERAGES CERTIFICATE NUMBER, oraemnu uI raanae.
<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 />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />¢OCCLUSIONS
<br />(a-� 1YPEOFINSURANCE (AOUL�SOeRrGYE
<br />0• POLICY NUMBER
<br />Pr--"'•—•
<br />DD MWO UWra
<br />X COMMERCIALGENERAL LIABILITY
<br />EACH OCCURRENCE s 1,OOD,000
<br />CwMS•MABe X ,.00CUR AEG 11168176
<br />_..
<br />1 03/01/2018 03/01/2017 rp 86RERtEO— --I S__ 300,00
<br />I
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<br />(Arnp0mwn5ai).., • g• 4 .. _.. 26,0 .
<br />'
<br />� PRRSORALB ADV INJURY S
<br />. GEN'LASGREGATEUMITAPPLIES PER:
<br />-� ______ _. _1,000,00
<br />'GENERALAOOREGATE S 2,000,00
<br />j� ,, , LOC
<br />t"-_...__ -_...._ _
<br />� � PROQUCT9_COMPIOPAGG S_ 2,000,00
<br />.POLICY
<br />t _
<br />OTNER
<br />r
<br />. `AUTOMDsn.E LIABILITY !
<br />rpoMamEO a c Lm+ ' s 2 000 000
<br />X IWYAUro IOH7040
<br />031011201610310112017"6OOILYINJURY(Parpanaa) .S
<br />.._..
<br />ha' , SCHEDULED
<br />L �1
<br />! BODILY WJU (Par eAsMmd)!.B.. _. _.........
<br />1 RY
<br />i
<br />�
<br />... HIRW AUTOS :.. AUTOS
<br />. UMBRELLA LIAM X ,OCCUR
<br />F...1 , ! 1
<br />f EXC_- UAO b25267286
<br />I 'EACH OCCURRENCE S
<br />OW i&MAO
<br />L _ Et I
<br />A07/1Bf2016I07/1fi12016;AGGREGATE +s 6,OOQ00
<br />L.._.T U
<br />DEO (X X. RETENTION b ,
<br />.. __.._ .....
<br />i-----' :s
<br />WORREPSCOMPENBATION IUlm
<br />X
<br />AND EMPLOYERS' UABILITY Y/N(
<br />�WAWC703266
<br />; : STATUjE . : ER
<br />,03/01/2016:03/OTM01T
<br />ANYPRRIMEMBREXCLUERIEXECumF
<br />OFmdmicrytnN RF1iCLU0E07 ❑�N/A. :
<br />E.L.EACHACCIDENr s 1,000,000
<br />.. . .
<br />.� °n �� bier
<br />, EL DISEASE •EA EMPLOYEES 1,000,000
<br />_XBORIPTION OF OPERATIONS balm
<br />: EL DISEASE •POLICY LMUT S 11000,000
<br />Pollution Liability EG 11188176
<br />1 03101/2016 ; 03/0112017 IOccurmnce 1,000;000
<br />Pollution Liability _ jEG 11188176
<br />i 03/01/20161 03/01/2017 ;Aggregate 2,000100
<br />MCRIPTIONOFO"-RATIONS/LOCAIMNS/VMWLEB (ACORD101.Addlllanal RCIPIRMSChadUlo,mryboutinchadlrm SpoeolamgUlradl
<br />mod Insured to Include: Borden Waste Away Ervices, InUHtmco Waste Away Services, Inc/Mechenic InclRecycling Workagntegm Certified Document
<br />C1Bhch Properties LLC/Adquip InclCattonwood Properties, LLC
<br />- SPECIMEN COPY -
<br />_ CERTIFICATE HOLDER CAN BE
<br />IDENTIFIED UPON REQUEST
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED RER
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />REPRESENTATIVE
<br />" _e
<br />01988-2014 ACORD
<br />70RD 26120141811 The ACORD name and loco are realatered marks of ACORD
<br />
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