Household Hazardous Waste Disposal AGREEMENT BETWEEN THE CITY OF SALINA, KANSAS
and
STERICYCLE SPECIALTY WASTE
for
TRANSPORTATION AND DISPOSAL OF HOUSEHOLD HAZARDOUS WASTE
This Agreement is entered into on the latest date of execution shown on the signature
page by and between the City of Salina, Kansas, (the "City") and Stericycle Specialty Waste,
(the"Contractor").
Recitals
A. The City owns and operates the Household Hazardous Waste Facility located at
315 E. Elm, in Salina, Kansas as a convenience to its citizens for safe disposal of substances that
potentially harm persons or contaminate the Salina Landfill if not collected, transported, and
disposed of properly.
B. The City desires to contract for services related to the transportation and disposal
of hazardous materials received at the facility to assure the disposal of such materials in
compliance with all federal, state, and local regulations.
C. The Contractor has the requisite qualifications and experience to perform the
services desired by the City and desires to perform those services pursuant to the terms of this
Agreement.
The parties, in consideration of the mutual promises set forth in this Agreement, agree
and covenant:
1. Definitions. Capitalized words used in this Agreement shall have the following
meanings:
"Agreement"means this Agreement, as amended and supplemented from time to time.
"City"means the City of Salina, Kansas.
"Contractor" means Stericycle Specialty Waste, and any successors or assigns approved
pursuant to this Agreement.
"EPA"refers to the United States Environmental Protection Agency.
"Facility" means the Household Hazardous Waste Facility located at 315 E. Elm St.
owned and operated by the City for residential "drop-off," sorting, and temporary storage of
household hazardous waste.
"KDHE" refers to the Kansas Department of Health and Environment.
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"HHW" refers to Household Hazardous Waste, which means chemical products such as
cleaning solvents, paints, and pesticides disposed of by residential consumers. These wastes may
also contain substances that catch fire, react with other chemicals, explode, or are corrosive or
toxic. HHW will consist primarily of the following:
Lawn & Garden
Pesticides Fungicides Household Insecticides
Arsenicals Organo-phosphates Chlorinated Hydrocarbons
Herbicides Botanicals Rat &Mouse Poisons
Paints
Enamel or Oil-Based Paints Rust Paints
Thinners and Turpentine Furniture Stripper
Wood Preservatives Stains/Finishes
Auto Products
Antifreeze Transmission Fluid
Brake Fluids Waste Oils
Household Products
Oven Cleaners Toilet Cleaners Photographic Chemicals
Disinfectants Drain Cleaners Rug &Upholstery Cleaners
Floor &Furniture Cleaners Bleach Cleaners Mothballs
Pool Cleaners Ammonia-Based Cleaners Abrasive Cleaners
Mercury Lamps
"Work" means securing the HHW in storage at the Facility and classifying, preparing for
loading, manifesting, loading, transporting, and disposing of the HHW at an approved site for
treatment or disposal in accordance with all applicable EPA or KDHE guidelines and otherwise
applicable federal, state, or local law.
2. Exhibits. The following Exhibits are attached to and made a part of this
Agreement:
Mark with "X"if applicable
Exhibit A: Scope of Services
Exhibit B: Term; Schedule
Exhibit C: Basis of Payment
Exhibit D: Insurance Requirements
Exhibit E: Standard Provisions
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3. Responsibilities of the Parties. The parties agree to perform the responsibilities
outlined in the attached and incorporated Exhibit A.
4. Term, Schedule. The Contractor agrees to perform the services according to the
timeframe and schedule described in Exhibit B, subject to the potential for prior termination
pursuant to the terms of this Agreement.
5. Payment. The City shall pay the Contractor for the services rendered pursuant to
this Agreement at the times and in the manner set forth in Exhibit C.
6. Insurance Requirements.
6.1. Types and Amount of Coverage. The Contractor agrees to obtain
insurance coverage in the manner and amounts as set forth in Exhibit D, attached hereto, and
shall provide to the City promptly following the execution of this Agreement certificates of
insurance evidencing such coverage. The Contractor shall maintain such referenced insurance
coverage at all times during the term of this Agreement, and will not make any material
modification or change from these specifications without the prior approval of the City. Each
insurance policy shall include a requirement that the insurer provide the Contractor and the City
at least thirty (30) days written notice of cancellation or material change in the terms and
provisions of the applicable policy.
6.2. Rating, Additional Insureds. All insurance policies shall be issued by
insurance companies rated no less than A- VII in the most recent "Bests" insurance guide, and
licensed in the State of Kansas. All such policies shall be in such form and contain such
provisions as are generally considered standard. for the type of insurance involved. With the
exception of the workers' compensation policy to be obtained by the Contractor hereunder, all
such policies shall name the City as an additional insured. The workers' compensation policy to
be obtained by the Contractor hereunder shall contain a waiver of all rights of subrogation
against the City. If the Contractor subcontracts any of its obligations under this Agreement, the
Contractor shall require each such subcontractor to secure insurance that will protect against
applicable hazards or risks of loss as and in the minimum amounts designated herein, and name
the Contractor and the City as additional insureds. Failure of the Contractor or its subcontractors
to comply with these requirements shall not be construed as a waiver of these requirements or
provisions and shall not relieve the Contractor of liability.
7. Iniury to Persons or Damage to Property. The Contractor acknowledges
responsibility for any injury to person(s) or damage to property caused by its employees or
agents in the performance of its duties under this Agreement and shall immediately notify the
City's Risk Management Department at (785) 309-5705 in the event of such injury to person(s)
or damage to property.
8. Indemnification. To the fullest extent permitted by law, the Contractor shall
defend, indemnify and hold harmless the City, its agents, representatives, officers, officials and
employees from and against all claims, damages, losses and expenses (including but not limited
to attorney fees and court costs), relating to, arising out of, or alleged to have resulted from the
acts, errors, mistakes, omissions, work or services of the Contractor, its employees, agents, or
any tier of subcontractors in the performance of this Agreement. The Contractor's duty to
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defend, hold harmless and indemnify the City, its agents, representatives, officers, officials and
employees shall arise in connection with any claim, damage, loss or expense that is attributable
to bodily injury, sickness, disease, death, or injury to, impairment, or destruction of property
including loss of use resulting therefrom, caused by any acts, errors, mistakes, omissions, work
or services in the performance of this Agreement.
9. Standard Provisions. The Standard Provisions set forth in Exhibit E are made a
part of this Agreement.
10. Voluntary Termination. Intentionally omitted.
11. Default. If either party fails to comply with any term of this Agreement within 10
days after written notice to comply has been mailed by the non-defaulting party to the defaulting
party, such failure shall be deemed an immediate breach of this Agreement("Event of Default").
12. Remedies.. Upon the occurrence of an Event of Default, the non-defaulting party
shall have the following rights and remedies, in addition to any other rights and remedies
provided under this Agreement or by law:
12.1. Termination. The non-defaulting party shall have the right to terminate
this Agreement or terminate the defaulting party's rights under this Agreement.
12.2. Other Remedies. The non-defaulting party may pursue any available
remedy at law or in equity (including specific performance) by suit, action, mandamus or other
proceeding to enforce and compel the performance of the duties and obligations set forth in this
Agreement, to enforce or preserve any other rights or interests of the non-defaulting party under
this Agreement or otherwise existing at law or in equity and to recover any damages incurred by
the non-defaulting party resulting from such Event of Default.
13. Assienment. Due to the unique qualifications and capabilities of the parties, neither
the rights nor responsibilities provided for under this Agreement shall be assignable by either party,
either in whole or in part.
14. Notices. All notices required or permitted to be given pursuant to this Agreement
shall be in writing and delivered personally or sent by registered or certified mail, return receipt
requested, or by generally recognized, prepaid, commercial courier or overnight air courier
service. Notice shall be considered given when received on the date appearing on the return receipt,
but if the receipt is not returned within five (5) days, then three (3) days after mailed, if sent by
registered or certified mail or commercial courier service; or the next business day, if sent by
overnight air courier service. Notices shall be addressed as appears below for each party, provided
that if any party gives notice of a change of name or address, notices to the giver of that notice shall
thereafter be given as demanded in that notice.
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CITY: City Clerk
P.O. Box 736
Salina,KS 67402-0736
CONTRACTOR: Stericycle Specialty Waste
2120 Southwest Blvd.
Tulsa, OK 74107
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed
by their authorized representatives.
CITY OF SALINA, KANSAS ("CITY") STERICYCLE SPECIALTY WASTE
("CONTRACTOR")
By:
Norman nin s, Mayor By:
Date: /Jrya 3 �w 55
Date:
ATTEST:
By:
Lieu Ann Elsey, CMC, 'ity Clerk
APPROVED AS FORM:
By:
C ark, Mize & Linville, Chartered
Legal Counsel
City of Salina, Kansas
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EXHIBIT A
SCOPE OF WORK AND RESPONSIBILITIES OF THE PARTIES
The City agrees to:
1. Separate the HHW into the following hazardous classifications:
Aerosols -Flammable,Nonflammable,Toxic
Oil-Based paint
Flammable liquids, Bulk(mixed fuels, solvents)
Flammable liquids, Loose pack(mixed fuels, solvents)
Waste Flammable Solids/Paint-related material,adhesives
Reactive Labpack(Spontaneously Combustible, Water Reactive)
Oxidizing Substances
Organic Peroxides
Toxic/Poison, Pesticide
Toxic/Poison,Non-Pesticide, Flammable
Corrosives(Acids and Bases)
Mercury, Elemental
Misc. Other Hazardous Materials
Household Batteries -Lithium
Antifreeze
Household Batteries -Alkaline
Fluorescent Tubes,CFL's, Metal Halide
2. Temporarily store the HHW for pickup and disposal by the Contractor. (Due to the size
restrictions of the Facility, solid and liquid HHW of the same classification will be packed into a
single drum.)
3. Recycle as much of the HHW as is reasonably possible.
4. Evaluate and determine methods of treatment and disposal of 14HW based upon cost of disposal
and potential liability for waste after treatment or disposal.
The Contractor agrees to:
1. Submit a written plan for review and approval by the City relating to the methods of disposal and
treatment, and disposal facilities which are proposed to be utilized in performing the Work and
the nature of the arrangements with those facilities (i.e. ownership, owned subsidiary, long-term
contract, lease, or fee for service, etc.). The Contractor's transportation, treatment, storage and
disposal facilities and equipment must meet all EPA and KDHE guidelines and comply with all
applicable federal, state and local laws.
2. Be approved by KDHE for performance of the Work and maintain KDHE approval throughout
the term of this Agreement.
3. Provide the necessary personnel, equipment, materials and manifests and to lawfully perform the
Work in a timely manner.
4. Provide training for City personnel regarding the handling, sorting by classification, and
temporary storage of the HHW.
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5. If necessary, assist City personnel in repackaging HHW according to applicable law.
6. Have the capability to chemically analyze unknowns and perform any additional sampling,
testing, or analysis of HHW deemed necessary at Contractor's expense.
7. Properly label and manifest HHW at the Facility in preparation for transport and disposal.
8. Accept title to the HHW when the HHW is placed aboard Contractor's vehicle or while under
Contractor's physical control.
9. Transport the collected HHW to facilities approved and licensed by EPA, provide to the City the
certification number provided by KDHE for transportation of the HEW, and return the signed
manifests to the City within 30 days of pickup.
10. Maintain an accounting of disposal costs, to be provided to the City after pick-up in accordance
with the invoicing procedures set forth in Exhibit C.
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EXHIBIT B
TERM and SCHEDULE
Term. The term of this Agreement shall be for a period of three (3) years, commencing
January 1,2013, and ending December 31, 2015.
Schedule for Pick-ups. The Contractor shall make a pick-up of HHW within 15 days of
notification by the City of the anticipated need for a pick-up. It is anticipated that a pick-up will
be necessary at least once per month.
Schedule for Manifests. The Contractor shall return manifests signed by authorized
representatives of the applicable disposal facilities within 30 days of pick-up of HHW from the
Facility.
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EXHIBIT C
BASIS OF PAYMENT
1. Compensation. Payment for work performed by the Contractor under this
Agreement shall be made at the prices and costs set forth in Schedule I attached hereto. Such
payment shall compensate the Contractor for all costs in connection with furnishing all labor,
service, and material pursuant to the Agreement. All incidental work essential to the completion of
the Contractor's services under the Agreement, including clean-up of waste or surplus material,
shall be accomplished by the Contractor without additional costs to the City. Payment will be made
for the actual quantities removed, and the disposal cost for partially-filled containers will be on a
pro-rated basis, using the full 55-gallon container price as the base. Any special material disposal
costs will be calculated on a per-pound basis unless a minimum applies.
2. Invoices. After each pickup, the Contractor agrees to submit to the City a detailed
invoice evidencing the payment due under the terms of this Agreement. The invoices shall
identify the type and amount of each charge or fee due and owing, in a manner consistent with
the classifications of prices and costs set forth in Schedule I attached hereto.
3. Payment. Invoices will be due and payable within 30 days of receipt by the City.
If the City disputes any item in the Contractor's invoice for any reason, the City may temporarily
delete the disputed item and pay the remaining amount of the invoice. The City will promptly
notify the Contractor and request clarification and/or correction. Following resolution of any
dispute, the Contractor will include the disputed item as resolved on a subsequent invoice.
9
Propoaad Contract Pricing
Treatment end Disposal Pricing for tha Term of the Contract
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11
EXHIBIT D
INSURANCE REQUIREMENTS
Pursuant to Section 6 of the Agreement, the Contractor shall obtain, pay for, and maintain—
and shall require each of its authorized subcontractors to obtain and maintain— for the duration of
the Agreement,policies of insurance meeting the following requirements:
Commercial General Liability (CGL)
CGL coverage shall be written on ISO Occurrence form CG00 01 or an industry equivalent.
Coverage shall cover Personal Injury, Bodily Injury, Property Damage, Premises and Operations,
Products and Completed Operations, Contractual Liability, Independent Contractors and
Personal and Advertising Injury. Such coverage shall meet the following requirements:
• Minimum per occurrence limit of$1,000,000.
• Minimum general aggregate limit of$2,000,000.
• Personal and Advertising Liability limit of$1,000,000.
• City shall be named as an Additional Insured.
• Insurance for the Additional Insured shall include Products/Completed Operations and
be as broad as the insurance for the named insured Contractor and include defense
expense coverage. It shall apply as primary and non-contributory insurance before any
other insurance or self-insurance, including any deductible, maintained by, or provided
to, the additional insured(s).
Pollution Legal Liability
Limit of Insurance—Any One Incident $1,000,000
General Aggregate Limit $2,000,000
Aggregate to Include:
Non-Owned Site Pollution
In-Transit
Commercial Automobile Liability (CAL)
The CAL coverage shall be written on ISO form CA 00 01 or an industry equivalent. In the
event the Contractor's automobiles haul hazardous materials, coverage must be amended to
include Pollution Liability-Broadened Coverage Form CA 9948 or an industry equivalent.
Coverage shall be applicable to all autos and other vehicles subject to compulsory auto liability
laws, owned, hired, rented or used by the Contractor and shall include automobiles not owned
by, but used on behalf of, the Contractor. Such coverage shall meet the following requirements:
• Combined single limit of$1,000,000.
• The City shall be named as an Additional Insured under the Contractor's Commercial
Automobile Liability insurance policy.
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Workers' Compensation/Employer's Liability with the following minimum limits:
• Workers' Compensation (Coverage Part A)
Statutory
• Employer's Liability(Coverage Part B)
1. $100,000 each accident
2. $500,000 disease—policy limit
3. $100,000 disease— each employee
• Where allowed by law, Waiver of Subrogation in favor of the City to be included, and
evidenced by copy of the endorsement to the Contractor's workers' compensation
policy
Commercial Excess/Umbrella Liability (CEL) with the following minimum limits and
requirements:
• $1,000,000 each claim
• $1,000,000 policy limit
• Written on a follow form basis and be excess over underlying Employer's Liability,
Auto Liability and General Liability policies.
• Follow the form of the primary insurance and no less restrictive than underlying
coverage forms.
• Include City as an Additional Insured.
• Maximum $25,000 retention/self insured hazards each occurrence.
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EXHIBIT E
STANDARD PROVISIONS
SP I. Retention and Inspection of Records. The SP 6. Equal Opportunity.
Contractor shall maintain complete and accurate records
with respect to all costs and expenses incurred under (a) In conformity with the Kansas act against
this Agreement. All such records shall be clearly discrimination and Chapter 13 of the Salina
identifiable. The Contractor shall allow a representative Code, the Contractor and its subcontractors, if
of the City during normal business hours to examine, any,agree that:
audit,and make transcripts or copies of such records and (1) The Contractor shall observe the provisions
any other documents created pursuant to, or arising of the Kansas act against discrimination and
under, this Agreement. The Contractor shall allow shall not discriminate against any person in
inspection of all work, data, documents, proceedings, the performance of work under this Contract
and activities related to the Agreement for a period of because of race, sex, religion, age, color,
three(3)years from the date of final payment under this national origin,ancestry or disability;
Agreement.
SP 2. Non-appropriation. The City is subject to (2) The Contractor shall observe the provisions
Kansas budget and cash basis laws, and operates on a of Chapter of the Salina Code and shall
calendar fiscal year. In the event that this Agreement not discriminate against any person in the
performance of work under this Contract
involves financial obligations spanning multiple fiscal because of race, sex, sexual orientation,
years for the City, it is subject to annual appropriation gender identity,religion, age,color,national
by the City's governing body for future fiscal years. If origin,ancestry or disability;
the City's governing body does not appropriate the
funds necessary to fulfill the City's financial obligations (3) The Contractor shall include in all
pursuant to this Agreement, the City shall so notify the solicitations, or advertisements for
other parties to this Agreement and this Agreement shall employees, the phrase "equal opportunity
be null and void for purposes of the fiscal year(s) employer," or a similar phrase to be
affected by the decision of the governing body not to approved by the city's human relations
appropriate. director;
SP 3. Relationship. It is expressly understood that (4) If the Contractor fails to comply with the
Contractor in performing services under this Agreement, manner in which the Contractor reports to
does so as an independent contractor. The City shall the Kansas human rights commission in
neither have nor exercise any control or direction over accordance with the provisions of K.S.A.
the methods by which Contractor performs its services 44-1031 and amendments thereto, the
hereunder. The sole interest and responsibility of the Contactor shall be deemed to have breached
City is to see that the services covered by this this Contract and it may be canceled,
Agreement are performed and rendered in a competent, terminated or suspended,in whole or in part,
efficient, and satisfactory manner. Contractor shall be by the City;
exclusively responsible for all taxes, withholding
payments, employment-based benefits, deferred (5) If the Contractor is found guilty of a
compensation plans, including but not limited to its violation of Chapter 13 of the Salina Code
workers compensation and social security obligations, or the Kansas act against discrimination
and the filing of all necessary documents, forms, or under a decision or order of the Salina
returns pertinent to the foregoing. human relations commission or the Kansas
human rights commission which has become
SP 4. Subcontracting. Contractor shall not final,the Contactor shall be deemed to have
subcontract any work or services under this Agreement breached this Contract and it may be
without the City's prior written consent. canceled,terminated or suspended, in whole
SP 5. Compliance with Applicable Law. or in part,by the City;
Contractor shall comply with all applicable federal, (6) The Contractor shall not discriminate
state, and local law in the performance of this against any employee or applicant for
Agreement. employment in the performance of this
Contract because of race, sex, sexual
orientation, gender identity, religion, age,
color, national origin, ancestry or disability;
and
14
(7) The Contractor shall include similar SP 16. Typewritten or Handwritten Provisions.
provisions in any subcontract under this Typewritten or handwritten provisions inserted or
Contract. attached shall supersede all conflicting printed provisions.
(b) The provisions of this section shall not apply to SP 17. Amendments. Neither this Agreement nor any
this Contract if the Contractor: of its terms may be changed or modified, waived, or
(1) Employs fewer than four employees during terminated except by an instrument in writing signed by an
the term of this Contract;or authorized representative of the party against whom the
enforcement of the change, waiver, or termination is
(2) Contracts with the City for cumulatively sought.
$5,000 or less during the City's calendar SP 18. Authority and Consent to Transaction. Each
fiscal year. party represents to the other that the person executing
SP 7. Administration of Agreement. All references this Agreement has full and legal authority to bind such
in this Agreement requiring the City's participation or parity to the terns of this Agreement, and that the
approval shall mean the participation or approval of the execution and delivery of this Agreement have been
City Manager,unless otherwise provided herein. duly and validly authorized by the governing body of
each party.
SP 8. Feminine-Masculine,Singular-Plural
Wherever used,singular shall include the plural,plural the SP 19. Waiver. No failure or delay by a party hereto to
singular,and use of any gender shall include all genders. insist on the strict performance of any term of this
Agreement,or to exercise any right or remedy consequent
SP 9. Headings. The headings of the sections of this to a breach thereof,shall constitute a waiver of any breach
Agreement are included for the purposes of convenience or any subsequent breach of such term. No waiver of any
only and shall not affect the interpretation of any breach hereunder shall affect or alter the remaining terms
provision hereof. of this Agreement, but each and every term of this
SP 10. Applicable Law; Venue. This Agreement and Agreement shall continue in full force and effect with
respect to any other then existing or subsequent breach
its validity, construction and performance shall be
thereof.
governed by the laws of Kansas. In the event of any legal
action to enforce or interpret this Agreement,the sole and SP 20. Conflict Resolution. No interpretation of this
exclusive venue shall be in the Saline County, Kansas Agreement shall be allowed to find the City has agreed to
District Court. binding arbitration.
SP 11. Interpretation. This Agreement shall be SP 21. No Third Party Beneficiaries. Solely the
interpreted according to its fair meaning, and not in favor parties to this Agreement shall have rights and may make
of or against any party. claims under this Agreement. There are no intended third
SP 12. Severability. The uncnforceability, invalidity, part' beneficiaries under this Agreement, and no third
or illegality of any provision of this Agreement shall not pyres shall have any rights or make any claims
render the other provisions unenforceable, invalid, or hereunder.
illegal. SP 22. Attorney Fees. If any suit or action is instituted
SP 13. Time. Time is of the essence of this Agreement. by either party hereunder, including all appeals, the
No extension will be granted unless in writing and signed prevailing party in such suit or action shall be entitled to
by the parties. Should the end of a time period fall on a recover reasonable attorney fees and expenses from the
non-prevailing party, in addition to any other amounts to
legal holiday, that termination time shall extend to 5:00 which it may be entitled.
p.m.of the next full business day.
SP 14. Persons Bound. This Agreement shall extend SP 23. Right to Independent Legal Advice. The
to and bind the heirs, executors, administrators, trustees, have understands and acknowledges the right to
s have this Agreement reviewed by legal counsel of the
successors and authorized assigns (if assignment is
allowed under paragraph 12 of the Agreement) of the Contractor's choice.
parties hereto. SP 24. Merger Clause. These terms are intended by
SP 15. Counterparts. This Agreement may be the parties as a complete, conclusive and final expression
executed in any number of counterparts, each of which of all the conditions of their Agreement. No other
shall be deemed an original, or in multiple originals, and promises, statements, warranties, agreements or
all such counterparts or originals shall for all purposes understandings, oral or written, made before or at the
constitute one agreement. signing thereof, shall be binding unless in writing and
signed by all parties and attached hereto.
15
A� ® CERTIFICATE OF LIABILITY INSURANCE DATE /2013 YYYY)
� 01/032013
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 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 CONTACT
MARSH USA INC. NAME'
540 W.MADISON PHONE aC No
CHICAGO,IL 60661 E-MAIL
Attn:chicago.CenRequest @marsh.com ADDRESS:
INSURERS AFFORDING COVERAGE NAIC p
350208-SWS-2PLLs-12-13 INSURER A: Lexington Insurance Company 19437
INSURED INSURER B: Hartford Fire Insura m Co 19682
28161 N.KEITH SPECIALTY WASTE SOLUTIONS INC
28161 N.KEITH DRIVE INSURER c:Allied World National Assurance Company 10690
LAKE FOREST,IL 60045 INSURER D: Hartford Insurance Company Of Midw 37478
INSURER E: Twin City Fire Insurance Co 29459
NSURER F
COVERAGES CERTIFICATE NUMBER: CHI-004617263-01 REVISION NUMBER:1
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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY MMMDNYY LIMITS
LTR
A GENERAL LIABILITY ED 1932356 11/08/2012 0610112013 EACH OCCURRENCE '$ 1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES E ccu ante $ 300,000
CLAIMS-MADE OCCUR MED EXP(Any one person) $ 25,000
PERSONAL B ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
X I POLICY X PRO- X LOC $
JECT B AUTOMOBILE LIABILITY 83 CSE S13402(ADS) 061012012 06/01/2013 COMBINED SINGLE LIMIT 5,000,000
Ea accident
B X ANY AUTO 21 CSE S13403(PR) 06/0112012 06/01/2013 BODILY INJURY(Per person) $
ALL OWNED SCHEDULED 'PHYSICAL DAMAGE-SELF INSURED' BODILY INJURY(Per accident) $
AUTOS AUTOS
HIREDAUTOS NON-OWNED Perr acrid DAMAGE $
$
C X UMBRELLA LIAR X OCCUR 0305-0836 11/082012 06/0112013 EACH OCCURRENCE $ 5,000,000
EXCESS LIA6 CLAIMS-MADE AGGREGATE $ 5,000,01%1
DIED I X I RETENTION$10'000 S
D WORKERS COMPENSATION 83 WN S13400(ADS) 06/012012 06/01/2013 X I wCS7ATU- E7H-
AND EMPLOYERS'LIABILITY
E ANY PROPRIETORIPARTNEWEXECUTIVE YIN 83 WBR S13401(WI) 06/012012 06/01/2013 E.L.EACH ACCIDENT $ 1,000,000
OFFICERIMEMBER EXCLUDED? N/A
(Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000
If yes,describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S
A POLLUTION LEGAL LIABILITY PLS 13187560 1110812011 06/0112014 EACH OCCURRENCE 10,000,000
AGGREGATE 10,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required)
CERTIFICATE HOLDER CANCELLATION
City of Salina SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
315 E.Elm Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Salina,KS 67401 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Manashi Mukherjee
@ 1988.2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) - The ACORD name and logo are registered marks of ACORD
nJS i �3 � 13