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Transportation and Disposal of Household Hazardous Waste AGREEMENT BETWEEN THE CITY OF SALINA,KANSAS and TRADEBE ENVIRONMENTAL SERVICES,LLC for TRANSPORTATION AND DISPOSAL OF HOUSEHOLD HAZARDOUS WASTE This Agreement is entered into May I, 2018 by and between the City of Salina. Kansas. (the "City) and Tradebe Environmental Services,LLC,a Delaware Limited Liability Company(the"Contractor'). Recitals A. The City desires to contract for transportation and disposal services for the purpose of Transporting and Disposing of Household Hazardous Waste in compliance with federal,state and local regulations. B. The Contractor has the requisite qualifications and experience to perform the services needed 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 for Transportation and Disposal of Household Hazardous Waste, as amended and supplemented from time to time. "City"means the City of Salina,Kansas. "Contractor"means Tradebe Environmental Services, LLC and its successors. 2. Exhibits. The following Exhibits are attached to and made a part of this Agreement(Mark with"X"if applicable): Exhibit A: Responsibilities of the Parties Exhibit B:Term; Schedule Exhibit C: Basis of Payment Exhibit D: Insurance Requirements 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 its responsibilities during the term and 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 performance of its responsibilities pursuant to this Agreement as set forth in Exhibit C. 6. Insurance Requirements. 6.1. Types and Amount of Coverage.The Contractor agrees to obtain insurance coverage as specified in Exhibit D,attached hereto, and shall not make any material modification or change from these specifications without the prior approval of the City. If the Contractor subcontracts any of its obligations under this Agreement, the Contractor shall require each such subcontractor to obtain insurance coverage as specified in Exhibit D. 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. 6.2. Rating. All insurance policies shall be issued by insurance companies rated no less than A- VII in the most recent "Bests" insurance guide.and admitted in the State of Kansas. Except as otherwise specified in Exhibit D,all such policies shall be in such form and contain such provisions as are generally considered standard for the type of insurance involved. Contractor Services(2014-06-IS) • • 6.3. Certificate of Insurance. The parties acknowledge that the Contractor has provided the City with a certificate of insurance listing the City as the Certificate Holder and evidencing compliance with the insurance requirements in this Agreement. The City reserves the right to require complete certified copies of all insurance policies procured by the Contractor pursuant to this Agreement, including any and all endorsements affecting the coverage required hereunder. 7. Injury 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) attributable to bodily injury, sickness, disease, death or injury to, impairment or destruction of property,including loss of use resulting therefrom,to the extent that such claims,damages,losses and expenses relate to,arise out of,or are alleged to have resulted from the wrongful acts, negligent acts, errors, omissions or defective work or services of the Contractor, its employees,agents,or any tier of subcontractors in the performance of this Agreement. 9. Voluntary Termination. Either party may terminate this Agreement, with or without cause, upon thirty (30) days advance written notice to the other party. In the event of such termination, the Contractor shall be compensated for such services as have been satisfactorily performed through the date of termination, but no compensation shall be earned after the effective date of the termination. Within five(5)days of any such termination,all finished or unfinished documents,data,studies,surveys,drawings,maps,models,photographs, reports or other material prepared by the Contractor pursuant to this Agreement shall be delivered to the City.Notwithstanding the above,the Contractor shall not be relieved of any liability to the City for damages sustained by the City by virtue of any breach of this Agr cement by the Contractor,and the City may withhold any payments to the Contractor for the purposes of set-off until such time as the exact amount of damages due the City from the Contractor may be determined. 10. Default. If either party fails to comply with any term of this Agreement within ten(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"). 11. 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: 11.1 Termination. The non-defaulting party shall have the right to terminate this Agreement or terminate the defaulting party's rights under this Agreement. 11.2 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. 12. Non-Assignable. Due to the unique qualifications and capabilities of the Contractor,neither the rights nor responsibilities provided for under this Agreement shall be assignable by either party,either in whole or in part. 13. 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. CITY: City Clerk Attn: Shandi Wicks P.O. Box 736 Salina,KS 67402-0736 CONTRACTOR: Tradebe Environmental Services, LLC 1433 E 83r1 Avenue, Suite 200 Merriville, IN 46410 2 14. Retention and Inspection of Records. The Contractor shall maintain complete, accurate and clearly identifiable records with respect to all costs and expenses incurred under this Agreement. The records shall be maintained during the term of this Agreement,and for a period of three(3)years from the date of final payment under this Agreement(the'Retention Period.);provided,however,that if any litigation,claim or audit is commenced prior to the expiration of the Retention Period,then the Retention Period shall be extended until all litigation, claims or audit findings have been completely terminated or resolved, without right of further appeal. During the Retention Period, the Contractor shall allow a representative of the City during normal business hours to examine, audit and make transcripts or copies of such records and any other documents created pursuant to, or arising under, this Agreement. The City agrees to responsibly utilize all information obtained pursuant to this paragraph for the purposes of reviewing,confirming and verifying the nature and amount of all costs and expenses incurred under this Agreement. The City agrees to take reasonable precautions not to disclose such information outside the scope of those stated purposes,subject to the Kansas open records act or other applicable law. 15. Non-appropriation. The City is subject to Kansas budget and cash basis laws, and operates on a calendar fiscal year. In the event that this Agreement involves financial obligations spanning multiple fiscal years for the City, it is subject to annual appropriation by the City's governing body for future fiscal years. If the City's governing body does not appropriate the funds necessary to fulfill the City's financial obligations pursuant to this Agreement, the City shall so notify the other parties to this Agreement and this Agreement shall be null and void for purposes of the fiscal year(s)affected by the decision of the governing body not to appropriate. 16. Relationship. It is expressly understood that Contractor in performing services under this Agreement,does so as an independent contractor. The City shall neither have nor exercise any control or direction over the methods by which Contractor performs its responsibilities as outlined in Exhibit A. The sole interest and responsibility of the City is to see that the services covered by this Agreement are performed and rendered in a competent,efficient and satisfactory manner. Contractor shall be exclusively responsible for all taxes, withholding payments, employment-based benefits, deferred compensation plans, including but not limited to its workers compensation and social security obligations and the filing of all necessary documents,forms or returns pertinent to the foregoing. 17. Subcontracting. Contractor shall not subcontract any work or services under this Agreement without the City's prior written consent. 18. Compliance with Applicable Law. Contractor shall comply with all applicable federal, state and local law in the performance of this Agreement. 19. Equal Opportunity. (a) In conformity with the Kansas act against discrimination and Chapter 13 of the Salina Code, the Contractor and its subcontractors, if any,agree that: (1) The Contractor shall observe the provisions of the Kansas act against discrimination and Chapter 13 of the Salina Code and in doing so shall not discriminate against any person in the performance of work under this Agreement because of race, sex, religion,age,color,national origin,ancestry or disability; (2) The Contractor shall include in all solicitations,or advertisements for employees,the phrase"equal opportunity employer,"or a similar phrase to be approved by the City's human relations director; (3) If the Contractor fails to comply with the manner in which the Contractor reports to the Kansas human rights commission in accordance with the provisions of K.S.A.44-1031 and amendments thereto, the Contractor shall be deemed to have breached this Agreement and it may be canceled,terminated or suspended,in whole or in part,by the City; (4) If the Contractor is found guilty of a violation of Chapter 13 of the Salina Code or the Kansas act against discrimination under a decision or order of the Salina human relations commission or the Kansas human rights commission which has become final, the Contractor shall be deemed to have breached this Agreement and it may be canceled,terminated or suspended in whole or in part,by the City; (5) The Contractor shall not discriminate against any employee or applicant for employment in the performance of this Agreement because of race,sex,religion,age,color,national origin,ancestry or disability;and (6) The Contractor shall include similar provisions in any subcontract under this Agreement. (b) The provisions of this section shall not apply to this Agreement if the Contractor: (I) Employs fewer than four employees during the term of this Agreement;or (2) Contracts with the City for cumulatively$5.000 or less during the City's calendar fiscal year. 3 . • . 20. Administration of Agreement. All references in this Agreement requiring the City's participation or approval shall mean the participation or approval of the City Manager or his designee,unless otherwise provided herein. 21. Attorney Fees. If any suit or action is instituted by either party hereunder,including all appeals,the prevailing party in such suit or action shall be entitled to recover reasonable attorney fees and expenses from the non-prevailing party,in addition to any other amounts to which it may be entitled. 22. Right to Independent Legal Advice. The Contractor understands and acknowledges the right to have this Agreement reviewed by legal counsel of the Contractor's choice. 23. Applicable Law: Venue. This Agreement and its validity,construction and performance shall be governed by the laws of Kansas. In the event of any legal action to enforce or interpret this Agreement,the sole and exclusive venue shall be in the Saline County,Kansas District Court. 24. Interpretation. This Agreement shall be interpreted according to its fair meaning,and not in favor of or against any party. 25. Time. Time is of the essence of this Agreement. No extension will be granted unless in writing and signed by the parties. Should the end of a time period fall on a legal holiday that termination time shall extend to 5:00 p.m.of the next full business day. 26. Severability. The unenforceability, invalidity or illegality of any provision of this Agreement shall not render the other provisions unenforceable,invalid or illegal. 27. Authority and Consent to Transaction. Each party represents to the other that the person executing this Agreement has full and legal authority to bind such party to the terms of this Agreement,and that the execution and delivery of this Agreement have been duly and validly authorized by the governing body of each party. 28. Persons Bound. This Agreement shall extend to and bind the heirs, executors, administrators, trustees, successors and authorized assigns of the parties hereto. 29. Counterparts. This Agreement may he executed in any number of counterparts, each of which shall be deemed an original, or in multiple originals,and all such counterparts or originals shall for all purposes constitute one agreement. 30. Amendments.Neither this Agreement nor any of its terms may be changed or modified,waived or terminated except by an instrument in writing signed by an authorized representative of the party against whom the enforcement of the change,waiver or termination is sought 31. Waiver. No failure or delay by a party hereto to insist on the strict performance of any term of this Agcement, or to exercise any right or remedy consequent to a breach thereof,shall constitute a waiver of any breach or any subsequent breach of such term. No waiver of any breach hereunder shall affect or alter the remaining terms of this Agreement,but each and every term of this Agreement shall continue in full force and effect with respect to any other then existing or subsequent breach thereof. 32. Conflict Resolution. No interpretation of this Agreement shall be allowed to find the City has agreed to binding arbitration. 33. No Third Party Beneficiaries. Solely the parties to this Agreement shall have rights and may make claims under this Agreement There are no intended third party beneficiaries under this Agreement,and no third parties shall have any rights or make any claims hereunder. 34. Typewritten or Handwritten Provisions.Typewritten or handwritten provisions inserted or attached,and initialed by all parties, shall supersede all conflicting printed provisions. 35. Feminine-Masculine.Singular-Plural. Wherever used,singular shall include the plural, plural the singular,and use of any gender shall include all genders. 36. Headinps. The headings of the sections of this Agreement are included for the purposes of convenience only and shall not affect the interpretation of any provision hereof. 37. Merger Clause. These terns are intended by the parties as a complete,conclusive and final expression of all the conditions of their Agreement. No other promises,statements,warranties,agreements or understandings,oral or written,made before or at the signing thereof,shall be binding unless in writing and signed by all parties and attached hereto. • 4 IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by their authorized representatives. CITY OF SALLNA,KANSAS TRADEBE NVIRONMENTAL SERVICES,LLC By: 4,1)1) By: Karl F.Ryan,Mayor ---t1)2/14-e, -11.4‘55 (name) 13LQ �f T CM,C�IMP�✓ EXie%Pt,dee) Attest: S( 7, MC.CityicksCClerk Form: rrtseI 5 EXHIBIT A RESPONSIBILITIES OF THE PARTIES Definitions. Capitalized words used in this Agreement shall have the following meanings: "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. "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 Arsenicals Fungicides Organophosphates Botanicals Herbicides Pesticides " Chlorinated Hydrocarbons Insecticides Rat and Mouse Poisons Paints Enamel and Oil-Based Paints Rust Paints Thinners and Turpentine Furniture Stripper Stains and Finishes Wood Preservatives Auto Products Antifreeze Transmission Fluid Brake Fluids Waste Oils Household Products Abrasive Cleaners Floor and Furniture Cleaners Photographic Chemicals Ammonia Based Cleaners Mercury Lamps Pool Cleaners Bleach Cleaners Mothballs Rug and Upholstery Cleaners Disinfectants Oven Cleaners Toilet Cleaners Drain Cleaners "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. A-1 The City Agrees to: I. Separate the HHW into the following hazardous classifications: Aerosols-Flammable,Nonflammable,Toxic Antifreeze CFLs Corrosives(acids and bases) Dangerous When Wet Flammable,Toxic/Poison,Non-pesticide Flammable liquids, Bulk(mixed fuels,solvents) Flammable liquids,Loose pack(mixed fuels,solvents) • Fluorescent Tubes Household Batteries(Lithium Primary) Household Batteries(Button Cell) Mercury,Elemental Metal Halide Other Regulated Substances Non-DOT/Non-RCRA Regulated Oil-based Paint Organic Peroxides Oxidizing Substances Sodium Hypochlorite Solutions Spontaneously Combustible Toxic/Poison,Pesticide Waste Flammable Solids/Paint-related Material,Adhesives 2. Temporarily store the HHW for pickup and disposal by the Contractor. 3. Provide Labpack documentation prior to shipment for Contractor approval. 4. Recycle as much of the HHW as is reasonably possible. 5. Evaluate and determine methods of treatment and disposal of HHW 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 used 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.). 2. Meet all EPA and KDHE guidelines and comply with all applicable federal,state and local laws for the transportation. treatment,storage and disposal. 3. Be approved by KDHE for performance of the Work and maintain KDHE approval throughout the term of this Agreement. 4. Provide the necessary personnel, equipment, materials and manifests and to lawfully perform the Work in a timely manner. 5. Provide training for City personnel regarding the handling,sorting by classification and temporary storage of the HHW. Training is to include one session with the contractor and City staff to be held at the Facility prior to the first shipment. 6. If necessary,assist City personnel in repackaging HHW according to applicable law. A-2 7. Provide a description of an on-site procedure by which unknown wastes can be identified so as to provide sufficient information for HHW staff to properly segregate waste for transportation. 8. Perform onsite testing on unknown wastes when classification cannot be determined by staff. Scheduled visits are not expected to exceed twice annually.More than one item may require testing per visit. 9. Have the capability to chemically analyze unknowns and perform any additional sampling,testing or analysis of HHW deemed necessary at Contractor's expense. 10. Properly label and manifest HHW at the Facility in preparation for transport and disposal. I I. Accept title to the HHW immediately upon Contractor's physical control. i.e.hand truck or Contractor's vehicle. 12. Provide personnel and equipment capable of loading and unloading materials at the City's HHW facility, which is not equipped with a loading dock. 13. Transport the collected HHW to facilities approved and licensed by the EPA, provide to the City the KDHE certification number for transportation of the HHW and return the signed manifests to the City within 30 days of pickup. 14. 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. 15. The City of Salina will expressly reserve the right to pursue and implement alternative means of managing any components of the waste streams. A-3 EXHIBIT B TERM; SCHEDULE Term. The term of this Agreement shall be for a period of two(2)years and eight(8)months,commencing May 1,2018. and ending December 31.2020.For early termination,see Section 9,Voluntary Termination. Schedule for Pick-ups. The Contractor shall make a pick-up of HHW within 30 days of notification by the City. 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. B-1 • 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 C-I Treatment and Disposal Pricing for the Term of the Contract and C-2 Equipment and Supplies Cost Sheet 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. Any special material disposal costs for items not listed in Schedule C-I will be calculated on a per-pound basis unless a minimum applies. 2. Invoices.The Contractor agrees to submit to the City an invoice after each pickup.The invoice 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 C-I Treatment and Disposal Pricing for the Term of the Contract and C-2 Equipment and Supplies Cost Sheet attached hereto.The invoices will be mailed to: City of Salina Household Hazardous Waste PO Box 736 Salina,KS 67402-0736 3. Payment.The City shall pay the Contractor for each invoice within 30 days after receiving the invoice. The City will promptly notify the Contractor and request clarification and/or correction of any disputed items. C-1 J I_ TRADEBE` I. COST PROPOSAL Schedule C-I Treatment and Disposal Pricing for the Terns of the Contract Contractor's Proposal . .lochcare if pr i r•per duet or per.16%tib emrrror tin*> y Tr,aretaa D1.p.a1 CwtabR••' \trtb.et•• MILT per Drs _ Weigle` DOT Haeanl Partial Il cl.rrselo.,F..1 Pike Cla..iireries Trp ei Waite N I.tlaaa Bial.R.r+ri.) $w xi tib &it pi pet lb !il+l , M lt+l ..$S tld , Aero.d.-Flrmrdh.Neoilrsraruble.Toric L.o..,.epxl Fuel filen.! NA N A 303.S' N A N A 1.15e.:,, 3 Or►-Board poet Bull tocuserabau NAA NA S100.00 N A N A $ F7assabie Ligwd.i faxed fsele.sake", Br.11 Fuel Blood NA N A _ WOO N A N A 5 flei.siffla bpids!serad fork.soiree") Laxeruk: Fuci Bread N \A 51.04 N.A N A $184n, 3{6.1) FF.a.rbk.Tonic Pai.ao Lac-.cm:l IKtoo mien i 1.45 SOS_00 Sr?00 t5' ' 4.1 Waue r'-- tt Soil.Pour-eelwrd s.kriaL.+nice. Lmepeck Incamraric.e $53-00 514604,5.19t.00 4.3 S vreerowly Ceerbawatiie Le peck brcuuraonre N A S5.72 120100 N A 4.3 Oarless..%len vet iabperl `Moria strwr N A S$'2 L'0.2.00 N A 5.1 Oxiditior S.b.osce. LabpYk baet.errion 5106.00 1525.00 N A lC A .... Orp eic Peroxide. Lebpack Immo-moo 8214.00 a N A N A 6.1 Toxic c PoPrwindr Lomepack irceaaaan r $1.04 SOS.00\ 1277.00 1.914.0 t Caero.ne.I Acid.,rad Baer) Ion.elrf ,Triad i $0.94 S?3.00 $114.00 1Z.36.40 8 Sobs ltwfac>tloene Se*me.. Acio.grack Lardtill ' N A SLOT S73.00 $11440 N A 1 Alaaeq.Ekeeaesl 7c.+.ep ck Rctc i S266.00 N A NA NA NA 4 Alr.c.Odra liasardom Alaraial. PC 8t o.cvbndc 1.o.•.eyael SI.04 S93_00 1:'700 130 00 9 Hotweboid 6srene..Lelia.Prrerr, Lca,creci Recker: N A N A 55.71, SW00 *A NA 4 Haar.eboid Belem,-Burro.Ca la+.epoet. Reclaim S5.71 550.00 \a-Refalated Aattfrerrc Barb Recycle N A \A 1'3.00 NA N A Nor-Mod-1W NDOT XaaRt RS Raptrlaud -Ltesepxk La.Jttll N A N A S1 04 K A NA ... S 1?S 00 taieenot Dawe Floo ewere 7abe+ Loo.epee& Retur Tube,per foot r Tube fpr 11 S1.10 l'ai.a.A 1l'we Mk l e e•.speaet Rom CFl lla bulb? Cn ev]lia6dc AletJllHai�e 5 a; l'.ivenel Wawa Metal Rubor L..v.epacl Retort !per bulb. fpr Di $2.6.5 'Tnp Fee Stop Fee: 5650.00 'On Site Testing Fee: No Charge (not expected to exceed twice annually) Misc Other Hazardous Materials:Excludes PCB's.Cvhnders Pricing In Columns to the Right has Minimums per Container rather than Mimmluns per Weight' Fluorescent.CFL.and Metal Halide Bulb Boxes have a S.6 Mrnsintuu per Box Schedule C-1 Sustainability at Work en 'OIL. 091 TRADEBE ` Schedule C-2 Equipment and Supplies Cost Sheet Function Type of Equipment Unit Price Drums 5 Gal. DOT Plastic bucket with lid Each S15.00 Drums 5 Gal. DOT Steel bucket with lid Each S28.00 Drums 30 Gal.. Open Top New Steel) Each S75.00 Drums 30 Gal.. Open Top. Poly Each S48.00 Drums 30 Gal.. Open Top. Fiber Each S30.00 Drums s 55 Gal.. Open Top (Reconditioned Steel) Each S35.00 Drums 55 Gal. Open Top. Poly Each S50.00 Drums 55 Gal. Closed Top (Reconditioned Steel) Each $40.00 Drums 55 Gal. Closed Top. Poly Each S40.00 D111111$ 55 Gal. Over-pack(Reconditioned Steel) Each $42.00 Packaging Vermiculite. coarse (4 cit ft bag) Each S26.00 Material Boxes Cardboard Box for Fluorescent Tubes - 4' Each S12.00 Dimensions(L x W x H): Box holds 35 4'. TS tubes Boxes Cardboard Box for Fluorescent Tubes - S' Each S12.00 Dimensions (L x W x H . Box holds 25 S. TS tubes Boxes Cardboard Box for CFL. Metal Halide etc. Each S20 00 Dimensions(L x W x H): Box holds 150+ CFL bulbs Schedule C-2 Sustarnabilily at Work 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: 1. General Requirements. A. Additional Insured. With the exception of the workers' compensation and professional liability policies to be obtained by the Contractor hereunder, all policies shall name the City of Salina ("City"), its agents, representatives. officers, officials, and employees as additional insured(s). Insurance for the additional insured shall extend to Products/Completed Operations and be as broad as the insurance for the named insured, including defense expense coverage, and, with respect to the commercial general liability policy required hereunder, shall be endorsed to 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). B. Waiver of Subrogation. Where allowed by law, all policies will include a waiver of subrogation in favor of the City, its agents, representatives, officers, officials, and employees. C. Claims Made Policies. If coverage is written on a claims-made basis for any of the policies required by this Agreement, the Contractor must maintain the coverage for a minimum of two (2) years from the date of final completion of all work under the Agreement. D. Premium and Deductible Expenses. The Contractor shall be responsible for all premiums and retention or deductible expense for any and all policies required by this Agreement. 2. Specific Coverage Requirements. A. Commercial General Liability ("CGL"). The Contractor shall maintain CGL coverage written on ISO Occurrence form CG00 01 or an industry equivalent, which shall cover liability arising from Personal Injury, Bodily Injury, Property Damage, Premises and Operations, Products and Completed Operations, Contractual Liability, Independent Contractors and Advertising Injury. The policy limits shall not be less than the following: • Each occurrence $1,000,000 • General aggregate $2,000,000 • Personal and Advertising Liability $1,000,000 The policy shall contain an endorsement that modifies the general aggregate to apply separately to each project. The Contractor shall maintain the Products and Completed Operations liability coverage for a period of at least two (2) years after completion of all work under the Contract. D-1 2015-07-31 1-11 [W Transportation& Disposal • B. Business Automobile Liability ("BAL"). The Contractor shall maintain BAL coverage written on ISO form CA 00 01 or an industry equivalent. Coverage shall be applicable to all autos and other vehicles subject to compulsory auto liability laws that are owned, hired, rented or used by the Contractor and include automobiles not owned by but used on behalf of the Contractor. The BAL policy limits shall not be less than the following: • Combined single limit $1,000,000 C. Workers' Compensation/Employer's Liability. The Contractor shall maintain workers' compensation and employer's liability coverage with policy limits not less than the following: • Workers' Compensation (Coverage Part A) o Statutory • Employer's Liability (Coverage Part B) o $100,000 each accident o $500,000 disease—policy limit o $100,000 disease—each employee D. Contractor's Pollution Liability. The Contractor shall maintain Pollution Liability insurance covering liability arising from Bodily Injury, Property Damage, Environmental • Damage/Clean-up Cost, and Emergency Response Expense. The policy may be written on an occurrence or claims-made form, with limits of insurance not less than: • Each occurrence $1,000,000 • General aggregate $2,000,000 The policy shall include coverage for contractual liability, and shall apply to claims arising out of the liability of subcontractors, transit exposure, and non-owned disposal sites. E. Commercial Excess/Umbrella Liability ("CEL"). The Contractor shall maintain CEL coverage, written on a follow form basis, covering liability in excess of the Contractor's underlying Commercial General Liability, Business Automobile Liability, and Employer's Liability policies. The CEL coverage shall be no less broad than the underlying coverage forms, and the maximum self-insured retention under the policy shall be $25,000 for each occurrence. The policy limits shall not be less than the following: • Each occurrence $1,000,000 • General aggregate $1,000,000 D-2 2015-07-31 HHW Transportation&Disposal Page 1 of 3 ® A ` 11 DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 05/30/2018 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 CONTACT Willis Towers Watson Certificate Center NAME: Willis of Illinois, Inc. PHONEFAX (AIC No Eat); c/o 26 Century1-877-945-7378 LAIC.No): 1-888-467-2378 Blvd EMAIL P.O. Box 305191 ADDRESS; certif icat esOwill i a.coo Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAICI INSURERA: Indian Harbor Insurance Company 36940 INSURED • INSURER B: Zurich American Insurance Company 16535 Tradebe Environmental Services, LLC 1433 E 83rd Ave. Suite 200 INSURER C: American Zurich Insurance Company I 40142 Merrillville, IN 46410 INSURER D: INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER:W6311101 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. ILTRI TYPE OF INSURANCE IIINDD I WVDI POLICY NUMBER _ I(MM%DDYIYErn)I(MMMILDDIYYYY)EXP I LIMITS I X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I$ 2.000.000 DAMAGE TO RENTED 100.000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) S A MED DIP(Arg one person) $ 5,000 Y Y US00077228LI17B 12/31/2017 12/31/2018 PERSONALS ADV INJURY IS 2,000,000 GEN_AGGREGATE UNIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X IPOUCY JET LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: I$ AUTOMOBILE LIABILITY COMBINED SINGLE UNIT $ 2.000.000 (Ea ecademl X ANY AUTO BODILY INJURY(Per person) S a OWNED SCHEDULED Y Y BAP1009258-03 12/31/2017 12/31/2018 BODILY INJURY(Pe accident) S AUTOS ONLY AUTOS X AUTOS ONLY X I AUrONlY (Per ac DAMAGE IS I I I 1$ X UMBRELLALIAB X OCCUR EACH OCCURRENCE 1S 14,000,000 A — — EXCESS LUB CLAIMS-MADE V V US00077229LI17B 12/31/2017 12/31/2018 AGGREGATE I$ 14,000,000 DED I X I RETENTIONS 10,000 I S WORKERSCOMPENSATION X I STATURE I 1TO ERS I AND EMPLOYERS'LJABILTTY C ANYPROPRIETON/PARTNER,EXECUTIVE YINE.L.EACH ACCIDENT $ 1,000,000 OFFICERMEMBEREXCLUDED7 pp NIA Y WC 5447991 04 12/31/2017 12/31/2018 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE'S 1,000,000 It yes,desmbe Enda 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE.POUCY UMIT 1 S B Workers Compensation Y MC 0503182 00 12/31/2017 12/31/2018 E.L. Each Accident 151,000,000 & Employers Liability E.L. Disease-Each Emp$1,000,000 Work Comp: Per Statute B.L. Disease-Pol Let 151,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached M more space Is required) This Voids and Replaces Previously Issued Certificate Dated 05/30/2018 WITH ID: W6309135. SEE ATTACHED CERTIFICATE HOLDER CANCELLATION 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 Salim AUTHORIZED REPRESENTATIVE Attn: Chris Slubowaki PO Box 736 /1_`[��/ Salina, KS 67402-0736 L�`" AJ"..--' Q/1A4r ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD sn ID: 16239640 BATCH: 728228 Ott- n`S 51 301 1 8 AGENCY CUSTOMER ID: LOC#: • —T e Ae O ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY NAMED INSURED Tradebe Environmental Services, LLC Willis of Illinois, Inc. 1933 E Bard Ave. Suite 200 POLICY NUMBER - Merrillville, IN 46410 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 • ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM ISA SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance • City of Salina, its agents, representatives, officers, officials, and employees are included as Additional Insureds as respects to General Liability and Umbrella Liability. - City of Salina, its agents, representatives, officers, officials, and employees are included as Additional Insureds as respects to Auto Liability only per contractual obligation. General Liability policy shall be Primary and Non-Contributory with any other insurance in force for or which may be purchased by Additional Insureds. Waiver of Subrogation applies in favor of Additional Insureds with respects to General Liability, Umbrella Liability and Workers Compensation, as permitted by law. • Waiver of Subrogation applies in favor of Additional Insureds with respects to Automobile Liability only per contractual obligation INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company NAIC#: 36940 POLICY NUMBER: PEC004703902 EFF DATE: 04/01/2018 EXP DATE: 12/31/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Contractor's Pollution Liability 6 Each Occurrence $15,000,000 Professional Liab.-Claims Made Aggregate $15,000,000 INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company NAIC#: 36940 POLICY NUMBER: PEC0045637 EFF DATE: 04/01/2015 EXP DATE: 04/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Site Pollution Liability Occurrence $5,000,000 Claims Made - Covers IN, TN Aggregate $20,000,000 INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company NAIC#: 36940 POLICY NUMBER: PEC0045639 EFF DATE: 04/01/2015 EXP DATE: 04/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Site Pollution Liability Each Loss $10,000,000 Claims Made - Covers CT, MA, NY Aggregate $30,000,000 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 16239640 BATCH: 778228 CERT: W6311101 AGENCY CUSTOMER ID: LOC#: Acc•R o ADDITIONAL REMARKS SCHEDULE Page 3 of 3 AGENCY NAMED INSURED Willis of Illinois, Inc. Tradebe Environmental Services. LLC 1433 E 83rd Ave. Suite 200 POLICY NUMBER Merrillville, IN 46410 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company MAIC#: 36940 POLICY NUMBER: PEC000096406 EFF DATE: 04/01/2016 EXP DATE: 04/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Site Pollution Liability Each Poll. Condition $2,000,000 Claims Made - Non RCRA Locations Aggregate $2,000,000 ADDITIONAL REMARKS: Non-Owned Disposal Site $5,000,000/ $10,000,000 Third Party Transportation $5,000,000/ $10,000,000 • ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 16239640 BATCH. 72"8228 CHAT: W6311101 Additional Named Insureds: Tradebe GP Tradebe Capital Corporation Tradebe Environmental Services, LLC Tradebe Treatment and Recycling of Tennessee LLC Tradebe Industrial Services, LLC Tradebe Onsite Services, LLC Thunderbird Trucking LLC Tradebe Treatment and Recycling LLC Tradebe Treatment and Recycling Northeast, LLC Tradebe Treatment and Recycling of Bridgeport, LLC Tradebe Treatment and Recycling of Northborough, LLC Tradebe Treatment and Recycling of Stoughton, LLC Norlite, LLC Bridgeport Analytical Laboratory, LLC F.O.G.Services, LLC Tradebe Transportation, LLC United Industrial Services, Inc. Compliance Associates, LLC First Response, a Tradebe Company Tradebe Treatment and Recycling of Wisconsin, LLC POLICY NUMBER: US00077228L117B COMMERCIAL GENERAL LIABILITY ' CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization that you are required in As required per written contract or agreement a written contract or written agreement to include as an additional insured provided the "Bodily Injury" or "Property Damage" occurs subsequent to the execution of the written contract or written agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to 2. If coverage provided to the additional insured is include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured with respect to liability for "bodily injury", "property will not be broader than that which you are damage" or "personal and advertising injury" required by the contract or agreement to caused, in whole or in part, by: provide for such additional insured. 1. Your acts or omissions; or B. With respect to the insurance afforded to these 2. The acts or omissions of those acting on your additional insureds, the following additional behalf; exclusions apply: in the performance of your ongoing operations for This insurance does not apply to "bodily injury" or the additional insured(s) at the location(s) "property damage"occurring after: designated above. 1. All work, including materials, parts or However equipment furnished in connection with such work, on the project (other than service, 1. The insurance afforded to such additional maintenance or repairs) to be performed by or insured only applies to the extent permitted by on behalf of the additional insured(s) at the law; and location of the covered operations has been completed; or CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 2 2. That portion of "your work" out of which the 2. Available under the applicable Limits of injury or damage arises has been put to its Insurance shown in the Declarations; intended use by any person or organization other than another contractor or subcontractor whichever is less. engaged in performing operations for a This endorsement shall not increase the principal as a part of the same project. applicable Limits of Insurance shown in the C. With respect to the insurance afforded to these Declarations. additional insureds, the following is added to Section III—Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or • • • • Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 POLICY NUMBER: US00077228L117B COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization that you are required As required per written contract or agreement written contract or written agreement to include as an additional insured provided the "Bodily Injury" • or"Property Damage" occurs subsequent to the execution of the written contact or written agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III —Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage"caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement; or hazard". 2. Available under the applicable Limits of However: Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: BAP 1009258-03 COMMERCIAL AUTO CA 20 01 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy.unless another date is indicated below. Named Insured: Endorsement Effective Date: • SCHEDULE Insurance Company: Zurich American Insurance Company • Policy Number: BAP 1009258-03 Effective Date: 12/31/2017 Expiration Date: 12/31/2018 Named Insured: Tradebe Environmental Services, LLC Address: 1433 E 83rd Ave, Suite 200 Merrillville, IN 46410 Additional Insured (Lessor): As required in a written lease agreement signed prior to loss and not prohibited by law. Address: • Designation Or Description Of"Leased Autos": Blanket any leased vehicle • CA 20 01 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 2 Wolters Kluwer Financial Services I Uniform Fors'"" • Coverages Limit Of Insurance Covered Autos Liability $ Each "Accident" Actual Cash Value Or Cost Of Repair,Whichever Is Less, Minus Comprehensive $ Deductible For Each Covered "Leased Auto" Actual Cash Value Or Cost Of Repair,Whichever Is Less, Minus Collision $ Deductible For Each Covered "Leased Auto" Actual Cash Value Or Cost Of Repair,Whichever Is Less, Minus Specified $ Deductible For Each Covered "Leased Auto" Causes Of Loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage 2. The insurance covers the interest of the lessor 1. Any "leased auto" designated or described in unless the "loss" results from fraudulent acts or the Schedule will be considered a covered omissions on your pad. "auto" you own and not a covered "auto" you 3. If we make any payment to the lessor, we will hire or borrow. obtain his or her rights against any other party. 2. For a "leased auto" designated or described in C. Cancellation the Schedule, the Who Is An Insured 1. If we cancel the policy, we will mail notice to provision under Covered Autos Liability the lessor in accordance with the Cancellation Coverage is changed to include as an Common Policy Condition. "insured" the lessor named in the Schedule. However, the lessor is an "insured" only for 2. If you cancel the policy, we will mail notice to "bodily injury" or "property damage" resulting the lessor. from the acts or omissions by: 3. Cancellation ends this agreement. a. You; D. The lessor is not liable for payment of your b. Any of your"employees"or agents; or premiums. c. Any person, except the lessor or any E. Additional Definition "employee"or agent of the lessor, operating As used in this endorsement: a "leased auto" with the permission of any "Leased auto"means an"auto" leased or rented to of the above. you, including any substitute, replacement or extra 3. The coverages provided under this "auto" needed to meet seasonal or other needs, endorsement apply to any "leased auto" under a leasing or rental agreement that requires described in the Schedule until the expiration you to provide direct primary insurance for the date shown in the Schedule, or when the lessor. lessor or his or her agent takes possession of the"leased auto",whichever occurs first. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for"loss" to a "leased auto". • Page 2 of 2 ©Insurance Services Office, Inc., 2011 CA 20 01 10 13 POLICY NUMBER: US00077228LI17B COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization that your are required in a written contract or written agreement to waive any right of recovery we may have against the person or organization, provided the "Bodily Injury" or "Property Damage" occurs subsequent to the execution of the written contract or written agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. • The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 O n 0 ZURICH Waiver Of Transfer Of Rights Of Recovery Against Others To Us Policy No. Eff. Date of Pol.. Exp. Date of Pol. Eff.Date of End. Agency No. Addl.Prem Return Prem. BAP 1009258-03 12/31/2017 12/31/2018 12/31/2017 02058000 N/A N/A This endorsement is issued by the company named in the Declarations. It changes the policy on the effective date listed above at the hour stated in the Declarations. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Tradebe Environmental Services,LLC Address(including ZIP code): 1433 E 83rd Ave, Suite 200 Merrillville,IN 46410 This endorsement modifies insurance provided under the: Business Auto Coverage Form Truckers Coverage Form Garage Coverage Form Motor Carrier Coverage Form SCHEDULE Name of Person or Organization: ONLY THOSE PERSONS OR ORGANIZATIONS FOR WHOM YOU ARE REQUIRED TO WAIVE YOUR RIGHTS OF RECOVERY UNDER THE TERMS OF A WRITTEN CONTRACT SIGNED PRIOR TO LOSS AND NOT PROHIBITED BY LAW. We waive any right of recovery we may have against the designated person or organization shown in the schedule because of payments we make for injury or damage caused by an"accident" or"loss" resulting from the ownership, maintenance,or use of a covered"auto" for which a Waiver of Subrogation is required in conjunction with work performed by you for the designated person or organization. The waiver applies only to the designated person or organization shown in the schedule. Countersigned: Date: Authorized Representative U-CA-320-B CW(4(94) Page I of I WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ALL PERSONS OR ORGANIZATIONS WHERE REQUIRED BY WRITTEN CONTRACT. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Effective Date 12/31/2017 Effective Policy No.WC 5447991-04 Endorsement No. Insured TRADEBE ENVIRONMENTAL SERVICES, LLC Premium$ Insurance Company AMERICAN ZURICH INSURANCE Countersigned by COMPANY • WC124(4-84) Page 1 of 1 WC 00 03 13 Copyright 1983 National Council on Compensation Insurance, Inc. Uniform FormsTM