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HomeMy WebLinkAbout2019-129-E Solid Waste - Clean Harbors emergency clean up DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 [Departmental Use Only] TITLE Fire Supp. Clean Up FY 18-19 NORTH CAROLINA SERVICES AGREEMENT UNDER $90,000.00 NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter "Agreement"), made and entered into this 26th day of February, 2019, ("Effective Date") by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and Clean Harbors Environmental Services, Inc., (hereinafter, the "Provider"). WITNESSETH: That the County and Provider,for the consideration herein named,do hereby agree as follows: 1. Services a. Scope of Work. i) This Agreement is for services to be rendered by Provider to County with respect to (insert type of project): Clean Up of ABC Dry Chemical Fire Extinguishing Agent. ii) By executing this Agreement, the Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner. iii) Time is of the essence with respect to this Agreement. iv) The services to be performed under this Agreement consist of Basic Services, as described and designated in Section 3 hereof. Compensation to the Provider for Basic Services under this Agreement shall be as set forth herein. 2. Responsibilities of the Provider a. Services to be provided. The Provider shall provide the County with all services required in Section 3 to satisfactorily complete the Project within the time limitations set forth herein and in accordance with the highest professional standards. b. Standard of Care. i) The Provider shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Provider practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Provider is solely responsible for the professional quality, accuracy and timely completion and/or submission of all work related to the Basic Services. Revised 12/18 1 DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 ii) Provider shall be responsible for all errors or omissions of its agents, contractors, employees, or assigns in the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the County. iii) The Provider shall not, except as otherwise provided for in this Agreement, subcontract the performance of any work under this Agreement without prior written permission of the County. No permission for subcontracting shall create, between the County and the subcontractor, any contract or any other relationship. iv) Provider is an independent contractor of County. Any and all employees of the Provider engaged by the Provider in the performance of any work or services required of the Provider under this Agreement, shall be considered employees or agents of the Provider only and not of the County, and any and all claims that may or might arise under any workers compensation or other law or contract on behalf of said employees while so engaged shall be the sole obligation and responsibility of the Provider. v) If activities related to the performance of this Agreement require specific licenses, certifications,or related credentials Provider represents that it and/or its employees, agents and subcontractors engaged in such activities possess such licenses, certifications, or credentials and that such licenses certifications, or credentials are current, active, and not in a state of suspension or revocation. vi) In determining the basic services to be provided, should any documents be referenced in this Agreement,the terms of this Agreement shall have priority in any conflict between the terms of referenced documents and the terms of this Agreement. Should a request for proposals and a proposal be referenced the terms of the request for proposals shall have priority over the terms of any proposal. 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): Clean Up of ABC Dry Chemical Fire Extinguishing Agent in the Household Hazardous Waste Building at the Eubanks Road Waste and Recycling Center. Service shall be provided in accord with the Quote attached hereto as Exhibit A. 4. Duration of Services a. Term. The term of this Agreement shall be from February 26, 2019 to March 1,2019. b. Scheduling of Services. i) The Provider shall schedule and perform its activities in a timely manner. ii) Should the County determine that the Provider is behind schedule, it may require the Provider to expedite and accelerate its efforts, including providing additional Revised 12/18 2 DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 resources and working overtime,as necessary,to perform its services in accordance with the approved project schedule at no additional cost to the County. iii) The Commencement Date for the Provider's Basic Services shall be February 26, 2019. 5. Compensation a. Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services under this Agreement. The maximum amount payable for Basic Services shall not exceed Seven Thousand Seventy Dollars ($7,070.00). Payment for Basic Services shall become due and payable within thirty (30) days of Provider properly invoicing County. Payment shall be subject to provisions of Section 5(b). b. Disputes. In the event the amount stated on an invoice is disputed by the County, the County may withhold payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. Should Provider fail to perform its duties under the terms of this Agreement,County may,without fault or penalty,withhold any payment associated with the work to be performed until such time as said work is completed. c. Additional Services. County shall not be responsible for costs related to any services in addition to the Basic Services performed by Provider unless County requests such additional services in writing and such additional services are evidenced by a written amendment to this Agreement. 6. Responsibilities of the County a. Cooperation and Coordination. The County has designated (Cheryl Young) to act as the County's representative with respect to the Project and shall have the authority to render decisions within guidelines established by the County Manager and/or the County Board of Commissioners and shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. b. Waste Profile. The County shall be the generator for all waste materials generated in the course of or as a result of the services and shall be responsible for completing all required shipping papers, manifests, and documents, and for lawful disposal of such waste materials. In the event the services involve the handling, transportation, and/or disposal of waste materials by Provider, the County, and its authorized agents, contractors, or assigns (i) shall sign a waste profile completely and accurately describing the waste materials and their physical and chemical characteristics, and (ii) warrants that (a) it has legal title or authority to the waste materials; (b) that the description of the waste materials on the waste profile is accurate and complete; and (c) that waste materials tendered to Provider will conform to such description. Waste materials which are discovered to be nonconforming may be rejected by Provider. Title, risk of loss and all other incidents of ownership to nonconforming wastes shall remain at all times with the County. Waste materials shall be considered nonconforming if the waste materials contain constituents or have characteristics or properties not disclosed on the waste profile. The County shall be responsible for and shall pay Provider for all costs and expenses associated with the transfer, handling, transporting, storing and caring for and, if applicable, disposing of such nonconforming waste materials. Revised 12/18 3 DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 7. Insurance a. General Requirements. Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may be required by County's Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing division/contracts.php), If County's Risk Manager determines additional insurance coverage is required such additional insurance shall consist of (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. Additional insured coverage provided under such policies, if any, shall not exceed One Million Dollars ($1,000,000). 8. Indemnity Revised 12/18 4 DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 a. Indemnity. The Provider agrees, without limitation, to defend, indemnify and hold harmless the County from all loss, liability, claims or expense, including attorney's fees, arising out of or related to the Project and arising from property damage or bodily injury including death to any person or persons caused in whole or in part by the negligence or misconduct of the Provider except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this provision to require the Provider to indemnify the County to the fullest extent permitted under North Carolina law. 9. Amendments to the Agreement a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional compensation or a change in duration of this Agreement shall be made by a written Amendment to this Agreement executed by the County and the Provider. The Provider shall proceed to perform the Services required by the Amendment only after receiving a fully executed Amendment from the County. 10. Termination a. Termination for Convenience of the County. This Agreement may be terminated without cause by the County and for its convenience upon seven (7) days' prior written notice to the Provider. b. Other Termination. The Provider may terminate this Agreement based upon the County's material breach of this Agreement; provided, the County has not taken all reasonable actions to remedy the breach. The Provider shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. c. Compensation After Termination. i) In the event of termination, the Provider shall be paid that portion of the fees and expenses that it has earned to the date of termination, less any costs or expenses incurred or anticipated to be incurred by the County due to errors or omissions of the Provider. ii) Should this Agreement be terminated, the Provider shall deliver to the County within seven(7) days, at no additional cost, all deliverables including any electronic data or files relating to the Project. d. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. e. Suspension. County may suspend the Basic Services and this Agreement at any time for County's convenience and without penalty to County upon three (3) days' notice to Provider. Upon any suspension by County, Provider shall discontinue work on the Basic Services and shall not resume the Basic Services until notified to proceed by County. Revised 12/18 5 DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 11. Additional Provisions a. Limitation and Assignment. The County and the Provider each bind themselves, their successors, assigns and legal representatives to the terms of this Agreement. Neither the County nor the Provider shall assign or transfer its interest in this Agreement without the written consent of the other. b. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. c. Non-Discrimination. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal non-discrimination laws, policies, rules, and regulations and the Orange County Non-Discrimination Policy and Orange County Living Wage Policy(each policy is incorporated herein by reference and may be viewed at http://www.oran_eg countync. ov�/departments/purchasing division/contracts.php.) Any violation of the Orange County Non-Discrimination Policy is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. d. Dispute Resolution.Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. e. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations,representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. f. Severability. If any provision of this Agreement is held as a matter of law to be unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties. Revised 12/18 6 DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 g. Ownership of Work Product. Should Provider's performance of this Agreement generate documents, items or things that are specific to this Project such documents,items or things shall become the property of the County and may be used on any other project without additional compensation to the Provider. The use of the documents, items or things by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. h. Non-Appropriation. Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable and not appropriated for the performance of County's obligations under this Agreement,then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability and non-appropriation of public funds. It is expressly agreed that County shall not activate this non-appropriation provision for its convenience or to circumvent the requirements of this Agreement, but only as an emergency fiscal measure during a substantial fiscal crisis. In the event of a change in the County's statutory authority, mandate and/or mandated functions, by state and/or federal legislative or regulatory action, which adversely affects County's authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to County upon written notice to Provider of such limitation or change in County's legal authority. i. Si atures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the consent of the Parties to utilize electronic signatures and the intent of the Parties to comply with Article I IA and Article 40 of North Carolina General Statute Chapter 66. j. Notices. Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested to the following: Orange County Provider's Name Attention:Robert Williams Clean Harbors Envir Services P.O. Box 8181 6180-820ldMendenhall Road Hillsborough,NC 27278 Archdale,NC [SIGNATURE PAGE TO FOLLOW] Revised 12/18 7 DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 IN WITNESS WHEREOF, the Parties,by and through their authorized agents, have hereunder set their hands and seal, all as of the day and year first above written. ONCE COUNTY: PROVIDER: ocu igne y: DocuSig�n�e/d by: �jbin.ln.tt, (�awtwtt,V'S� (� By: County Manager By: ss8s247AEmotihy i Olson VP District, Southern Mid Atlantic Printed Name and Title Revised 12/18 8 DocuSign Envelope ID:CleanHarbors,OB6AIF Clean Harbors Environmental Services,Inc. 6180-82 Old Mendenhall Road Archdale,NC 27263 www.cleanharbors.com February 25, 2019 Attn: Ms. Kristina Witosky Orange County Solid Waste 1207 Eubanks Road PO Box 17177 Chapel Hill,NC 27516 Quote#3134962 Dear Ms. Witosky: Thank you for considering Clean Harbors Environmental Services, Inc. for your environmental service needs. We provide a broad range of environmental services including hazardous and non-hazardous waste transportation and disposal, laboratory chemical packing, emergency response, field services and industrial maintenance. We are pleased to provide this proposal based on the scope of work outlined below. * Daily Rate Quote for ABC Dry Chemical Fire Extinguishing Agent Cleanup. We offer our clients a broad spectrum of environmental services and the ability to dispose of hazardous material at or through a Clean Harbors' owned and operated facility. In addition to managing your waste streams, a Clean Harbors'professional can assist you with: • Waste Transportation & Disposal • 24-Hour Environmental Emergency Response • Laboratory Chemical Packing • Industrial Services • Field Services • InSite Services I look forward to servicing your environmental needs. When you are ready to place an order, please contact our Customer Service group at 800.444.4244. If you have any questions or need further assistance,you may reach me at the number below. Sincerely, Joshua Hill Field Service Branch Manager Phone: +1 336.289.8289 0"People and Technology Creating a Safer, Cleaner Environment" DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 CleanHarbors, February 25, 2019 Page 2 of 5 Clean Harbors Quote #3134962 QUOTE CONDITIONS The proposal is based on the following assumptions and site conditions. Any work which falls outside of the assumptions will constitute work beyond the intended scope and be completed upon mutually satisfactory terms. • Pricing is Portal to Portal. • Quote is based on a daily rate, If crew completes project in less days customer will only be invoiced days required to clean Household Hazardous Storage Room. • Waste generated from cleaning will be placed into 55 gallon drums for disposal, this quote doesn't include disposal. Drums will remain onsite in storage pending profile approval. 0"People and Technology Creating a Safer, Cleaner Environment" DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 CleanHarbors, February 25, 2019 Page 3 of 5 Clean Harbors Quote #3134962 CLEANUP OF DISCARGED ABC DRY CHEMICAL POWDER Amount Description Qty/UOM Days 2 Field Technician 8 hour 1 2 Field Technician Overtime 4 hour 1 1 Foreman 8 hour 1 1 Foreman Overtime 4 hour 1 1 15 Gal HEPA Vacuum 1 day n/a 3 LEVEL C w/CPF 1,2 or Polytyvec/Changeout 1 hour 1 1 Pickup/Van/Car/Crew Cab 1 day n/a 1 Misc.Handtools 1 day n/a 1 Rags,50 lb/23 kg 1 box n/a TOTAL LABOR, EQUIPMENT,AND MATERIAL $7,050.00 $2,350.00 per day,estimated 3 days Estimated Recovery Fee $19.44 Estimated total,including Fees $7,069.44 GENERAL CONDITIONS • Except where superseded by an existing services agreement the following terms and conditions apply to this quoted business. • The customer hereby acknowledges that the estimated cost is based upon a preliminary appraisal by a Clean Harbors Representative, and that the amount invoiced by Clean Harbors will be based upon labor and materials actually expended in performing the scope of work. Any changes in the scope will be billed on a time and materials basis. • Clean Harbors guarantees to hold these prices firm for 60 days. • Terms: Net 30 Days • For work to begin we ask that you acknowledge the quotation with a signature and provide the appropriate purchase order number. Where modifications to the scope of services become necessary, Clean Harbors will notify the customer promptly and obtain customer authorization for such modifications and a revised contract price will be established in order to finish the project. 0"People and Technology Creating a Safer, Cleaner Environment" DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 CleanHarbors, February 25, 2019 Page 4 of 5 Clean Harbors Quote #3134962 GENERAL CONDITIONS • This proposal is contingent on the customer providing full and complete access to the site. Customer represents and warrants to Clean Harbors that the customer has the legal right, title and interest necessary to provide access to the site. In addition, customer warrants that it has supplied Clean Harbors complete and accurate information regarding the site, subsurface conditions, utility locations, site ownership, hazardous materials or wastes and other substances or hazards likely to be present and any other reports, documentation or information concerning the scope of work. • Interest will be charged at 1.5% per month or the maximum allowed by law for all past due amounts. • Disposal will be managed within the Clean Harbors Network of Approved Facilities. • Local, state and federal fees/taxes applying to the generating location/receiving facilities are not included in disposal pricing and will be added to each invoice as applicable. • Materials subject to additional charges if they do not conform to the listed specifications. • Electronically submitted profiles will be approved at no charge. Paper profiles will be charged at $75.00 each. • Clean Harbors supports many invoice delivery options (E-mail, Electronic Invoicing, EDI, Etc.). Pricing is based on Clean Harbors' standard invoice delivery method of E-mail. If another delivery method is required there could be an additional service fee per invoice. Any alternate delivery methods must be reviewed and approved by Clean Harbors prior to acceptance and implementation. • A variable Recovery Fee (that fluctuates with the DOE national average diesel price), currently at 12.0%, will be applied to the total invoice excluding labor items. For more information regarding our recovery fee calculation please go to: www.cleanharbors.com/recoveryfee. • Pickups that require same day or next day service may be subject to additional charges. • Pickups cancelled within 72 hours of scheduling will be subject to cancellation charges. • Transportation charges to the final disposal facility will be charged in addition to local transportation to our truck to truck hub/local facility and will vary with logistics and routing. • Time over eight (8) hours in the normal workday and all day Saturday is considered overtime and will be billed at 1.5 times the applicable straight time rate for all billable personnel unless otherwise quoted. Sunday and Holidays are considered premium time and will be billed at 2.0 times the applicable straight time rate for all billable personnel unless otherwise quoted. • This proposal is submitted contingent upon the right to negotiate mutually acceptable contract terms and conditions, which are reflective of the work contemplated, and an equitable distribution of the risks involved therein. In the event that such agreement cannot be reached, Clean Harbors reserves the right to decline to enter into such an agreement without prejudice or penalty. • On June 30, 2018 the EPA activated the E-Manifest system. The EPA will charge the receiving TSDF a fee per manifest. To cover the cost of the E-Manifest, Clean Harbors will charge $10 per manifest on every invoice. 0"People and Technology Creating a Safer, Cleaner Environment" DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 CleanHarbors, February 25, 2019 Page 5 of 5 Clean Harbors Quote #3134962 GENERAL CONDITIONS Unless speeifieally nated, these fates afe not valid whefe Pfevailing Alages and / of eei4ifie payT-ell "ply. Any Pfevailing Alage fates will be qtteted en a effse by ease basis. • Customer will be responsible for providing water on site. If not provided, additional charges will apply. ACKNOWLEDGEMENT Your signature below indicates your acceptance of the pricing and terms detailed in the quote above. Thank you for the opportunity to be of service. Signature PO# Date Print Name Quote#3134962 0"People and Technology Creating a Safer, Cleaner Environment" DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 Page 1 of 2 A �9 DATE(MM/DDIYYYY) �JA CERTIFICATE OF LIABILITY INSURANCE 10/23/2018 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 NAME: Willis of Massachusetts, Inc. c/o 26 Century Blvd PHO AI NE 1-877-995-7378 FAX 1-888-467-2378 C N Ext:o (A/C No E-MAIL certificates@willis.com P.O. Box 305191 ADDRESS: Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: ACE American Insurance Company 22667 INSURED INSURERB: ACE Property & Casualty Insurance Company 20699 Clean Harbors Environmental Services, Inc. and its affiliates INSURERC: Indemnity Insurance Company of North Ameri 43575 42 Longwater Drive INSURERD: Indian Harbor Insurance Company 36940 Norwell, MA 02061 USA INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:W8597802 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 5v] DAMAGE TO CLAIMS-MADE OCCUR PREM SES('a a o'RENTED ) $ 500,000 A X XCU MED EXP(Any one person) $ 5,000 X Contractual HDOG71209581 11/01/2018 11/01/2019 PERSONAL&ADV INJURY $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY L jE LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COEaMBINED accident SINGLE LIMIT $ 5,000,000 X ANY AUTO BODILY INJURY(Per person) $ A X OWNED SCHEDULED ISAH25271865 11/01/2018 11/01/2019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ k(T�OS ONLY AUTOS ONLY Per accident X $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE G4682586A 002 11/01/2018 11/01/2019 AGGREGATE $ 10,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER 2,000,000 C ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? No NIA WLRC65228610 (ADS) 11/01/2018 11/01/2019 2,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Workers Compensation WLRC65228658 (AZ, CA, MA) 11/01/2018 11/01/2019 E.L. EACH ACCIDENT $2,000,000 & Employers Liability E.L. DISEASE - EA EM $2,000,000 Per Statute E.L. DISEASE-POL LMT $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Scope of Work: Permanent Household Hazardous Waste Collection Program. 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. Orange County Solid Waste AUTHORIZED REPRESENTATIVE Attn: Kristina Witosky 1207 Eubanks Road, PO Box 17177 /�,-/,- � _ Chapel Hill, NC 27516 �" ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 16932852 BATCH: 923985 DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 AGENCY CUSTOMER ID: LOC#: AC"J?o ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis of Massachusetts, Inc. Clean Harbors Environmental Services, Inc. and its affiliates POLICY NUMBER 42 Longwater Drive See Page 1 Norwell, MA 02061 USA 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: ACE American Insurance Company NAIC#: 22667 POLICY NUMBER: COO G27416603 004 EFF DATE: 11/01/2018 EXP DATE: 11/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Professional Liability Each Claim $10,000,000 All Claims $10,000,000 SIR $250,000 INSURER AFFORDING COVERAGE: ACE American Insurance Company NAIC#: 22667 POLICY NUMBER: COO G27416603 004 EFF DATE: 11/01/2018 EXP DATE: 11/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Contractor's Pollution Liability Each Claim $10,000,000 All Claims $10,000,000 SIR $250,000 INSURER AFFORDING COVERAGE: Indian Harbor Insurance Company NAIC#: 36940 POLICY NUMBER: PECO04203905 EFF DATE: 11/01/2018 EXP DATE: 11/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Pollution Legal Liability Each Claim $10,000,000 Aggregate $10,000,000 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 16932852 BATCH: 923985 CERT: W8597802 DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number Clean Harbors, Inc. 42 Longwater Drive Policy Number Norwell. MA 02061 Symbol: WLR Number: C65228658 Policy Period Effective Date of Endorsement 11/01/2018 TO 11/01/2019 11/01/2018 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. 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 shall not operate directly or indirectly to benefit any one not named in the Schedule. Schedule Any person or organization against whom you have agreed to waive your right to recovery in a written contract, provided such contract was executed prior to the date of loss. For the states of CA, TX, refer to state specific endorsements. This endorsement is not applicable in KY, NH, and NJ. Authorized Agent WC 00 03 13 (11/05)Ptd. U.S.A. Copyright 1982-83,National Council on Compensation Insurance