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4 F, L ACC?R °® CERTIFICATE OF LIABILITY INSURANCE 1�26�2011YYYY) 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 PF 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 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 Willis of New Jersey, Inc. 1015 Briggs Road, Suite 100 PO BOX 5005 CONTACT NAME: Joan M. Williams PHONE FAX A/c No Ext: - - AC, No):856-914-1 SRI E -MAIL ADDRESS: oan.williams@willis.com Mt. Laurel NJ 08054 PRODUCER CUSTOMER ID #: Chris Stafford - CHOIENV INSURER(S) AFFORDING COVERAGE NAIC # 12/10/2010 INSURED INSURERA:Natl Union Fire Iris Cc of Pittsburg 19445 Choice Environmental Service Inc. 2860 State Road 84 INSURER B: Everest Indemnity Insurance Co 10851 INSURER C: Interstate Fire and Casualty Co. 22829 Suite 103 INSURER D: DAMAGE T RENTED PREMISES Ea occurrence Ft. Lauderdale FL 35312 INSURER E : CLAIMS -MADE FX-1 OCCUR INSURER F: COVERAGES CERTIFICATE NUMBER: 148318848 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 UBR POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD LIMITS A GENERAL LIABILITY GL4572060 12/10/2010 12/10/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED PREMISES Ea occurrence $100,000 CLAIMS -MADE FX-1 OCCUR MED EXP (Any one person) $5,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY PRO - X LOC $ AUTOMOBILE LIABILITY CA1469461 12/10/2010 12/10/2011 COMBINED SINGLE LIMIT (Ea accident) $1,000, 000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ X NON -OWNED AUTOS C UMBRELLA LIAB X OCCUR UM000048406268 12/10/2010 12/10/2011 EACH OCCURRENCE $5,000,000 X AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ X $ RETENTION $5,000 WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 8 Umbrella 71G1000237 -101 12/10/2010 12/10/2011 $10 million each occurrence/ Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Named Insured includes: Choice Environmental Services, Inc. Choice Environmental Services of Miami, Inc. See Attached... CERTIFICATE HOLDER CANCELLATION © 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach FL 33160 AUTHORIZED REPRESENTATIVE PCT,� a 3.,. © 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD