HomeMy WebLinkAbout55-07 RESOLUTION•
RESOLUTION NO. 55-07
A RESOLUTION AUTHORIZING THE MAYOR TO EXECUTE A
CONTRACT WITH WASTE MANAGEMENT OF ARKANSAS TO HAUL
AND DISPOSE OF SOLID WASTE WITHIN THE CITY LIMITS OF
FAYETTEVILLE.
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1. That the City Council of the City of Fayetteville, Arkansas hereby
authorizes the Mayor to execute a contract with Waste Management of Arkansas to haul
and dispose of solid waste within the city limits of Fayetteville. A copy of the contract
marked Exhibit "A" is attached hereto and made a part hereof.
PASSED and APPROVED this 3rd day of April, 2007.
APPROVED:
By:
DA COODY, May
ATTEST:
By:
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ONDRA E SMITH, City ClerldTreasurer
03/02/2007 11:51 FAX 1 501 565 6680
WASTE MANAGEMENT 003/007
AGREEMENT TO HAUL AND DISPOSE OF SOLID WASTE
‘Pq
IN THE CITY OF FAYETTEVILLE 4//
This Agreement (the "Agreement"), is entered into on this ____day of 41156"71-#.72007,
between the City of Fayetteville, Arkansas, a municipal corporation (the "City"), and
GOACre 444/46.6./4eA1r (the "Hauler"), and shall be in full force and effect on the date first
written above. City and Hauler agree as follows:
1. Hauler agrees that from and after the original date of this Agreement, all customer service
Agreements for facilities within the corporate limits of the City entered Into before or
after the effective date of this Agreement, or renewed shall have terms of no more than
two (2) years and any subsequent extensions shall be for terms of no more than one (1)
year.
2. The term of this Agreement shall be for three (3) years, unless otherwise temiinated
pursuant to the terms hereof.
3. Hauler agrees and understands that it may only collect and haul Solid Waste using the
type equipment commonly referred to as open -top roll -off style containers with capacities
of twenty (20) cubic yards or greater, or roll -off style compactor containers with
capacities of twenty (20) cubic yards or greater, containing waste generated from
industrial, large commercial or construction/demolition activities, or which is classified
as Special Waste, Hazardous Waste. grease or any other type Solid Waste which requires
special handling or disposal. Hauler shall not collect any Class 1 or Class 4 material in
other containers. No unseparated recyclables collected in any type container shall be
hauled from any customer within the corporate limits of the City of Fayetteville. The
collection of scrap metal, cardboard and other source -separated recyclables are not
controlled or affected by this contract.
Hauler agrees and understands that it may utilize the City's transfer station for all Class 1
waste collected pursuant to this Agreement and shall deliver all Class 4 waste to a
properly licensed landfill facility. Hauler shall pay all transfer station fees to the transfer
station operator and all Class 4 landfill fees to the landfill operator, as they may be
established and amended. from time to time.
Hauler shall pay all fees due hereunder, along with the required supporting information,
on or before the 15th of each calendar month for the immediately preceding calendar
month. Payments of fees received after the due date shall be assessed a 296 penalty per
month. It' Hauler failed to pay the fees within forty-five (45) days of the due date, the
City may revoke this Agreement upon delivery of written notice to the Hauler. The
supporting information shall be sufficient to demonstrate the accuracy of the fee
calculation, and shall include the following information: (I) Hauler's worksheet
calculating the fees remitted; (10 a blind list of payments received from customers within
the City (iii) such list shall clearly Indicate whether each payment was from a permanent
or tentporary customer, and (iv) the fee shall be based upon all activity from each
customer account within the City, and shall include the normal billing charges for all free
or discounted services (excluding those for non-profit organizations) including but not
limited to delivery, pull charges. disposal charges. transportation charges, final pull
charges, and return charges The City shall have the right to conduct an audit of Hauler's
customer files and records for all customers located within the City, provided that such
audit privilege shall be limited to once per calendar quarter. If such audit reveals the
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03/02/2007 11:52 FAX 1 501 565 6680
WASTE MANAGEMENT gi 004/007
hauler should have paid at least 5% more than reported, the cost of the audit shall be paid
by the Hauler to the City. During such audit, the City may review certain trade secret
information, including rates, frequency of service, customer lists, and other customer
information provided that such trade secret information may not be copied or removed by
the City. Nor shall such information be divulged to any third party by the City, its
employees, officers, or elected officials without the express written consent of the Hauler.
6. Hauler agrees and understands that It shall submit to the City on an annual basis a list of
all commercial vehicles used to provide services in the City, proof of appropriate vehicle
registration, and proof of the insurance required under Section 16.
7. Hauler agrees and understands that it shall provide a list of vehicle operators collecting
and hauling waste in the City of Fayetteville, along with proof of their valid and
appropriate commercial driverslicenses issued by the State of Arkansas. The Hauler
shall also provide, maintain, and implement a plan to ensure that the vehicle operatois
maintain their commercial driver's licenses in accordance with applicable federal and
state laws.
8. Hauler agrees that it shall comply with all federal. state and local laws applicable to the
safety, environmental and transportation matters related to providing solid waste
collection services under this Agreement. Hauler agrees that all open -top roll -off style
containers will be properly covered during transit on streets and highways within
Fayetteville.
In consideration of the right to provide the services described under this Agreement,
Hauler agrees and understands that ft shall be required to pay a monthly fee of ten (10%)
percent (the "Fee) of the gross revenue received for all services provided under this
Agreement. Upon execution of this Agreement, a deposit shall be paid in advance to the
City. The deposit shall be equal to one-half of the total fees that were or would have been
paid by the Hauler within to the City during the previous twelve (12) months. Such
deposit shall be reviewed on an annual basis. Any reasonable disagreement in estimated
gross revenue will be decided in the favor of the City. The deposit shall be refunded. less
any unpaid fees, when the Hauler ceases operation within the City or this Agreement Is
terminated. whichever Is earlier.
10. The City reserves the right to inspect all vehicles and containers to ensure that the
vehicles are safe and well-maintained and that all containers are well-maintained and
water tight, if necessary.
11. Hauler agrees and understands that it shall be required to establish an individual credit or
service relationship with the City of Fayetteville transfer station operator and the
Tontitown Landfill operator. Hauler agrees that it shall comply with all practices, policies
and procedures as established by the transfer station operator from time to time. Any
tipping fee deposits required by the transfer station or landfill operators shall be refunded,
less any unpaid tipping fees, when the Hauler ceases hauling activities governed by this
Agreement.
12. This Agreement has been entered into freely and voluntarily by Hauler which agrees to
abide by all of the terms and conditions as a matter of contractual obligadon pursuant to
applicable city ordinances. This is a contractual Agreement and is not intended to be part
2
03/02/2007 11:52 FAX 1 501 565 6680
WASTE MANAGEMENT e 005/007
of or related in any way to any license or ordinance created pursuant to A.C.A. §26-77-
102.
13. Neither this Agreement, nor any rights or obligations hereunder may be assigned or
transferred to any third party or affiliate.
14. For the purpose of this contract, the Point of Contact of the City of Fayetteville shall be
Gary Dumas or his successor. The Point of Contact for the Hauler shall be
1(610A1 64RDUEIL . Communications pertaining to day-to-day aspects of this
contract shall be through these individuals. Either party may change its designated Point
of Contact upon ten (10) days prior written notice to the other party.
15. Hauler agrees to protect, indemnify, defend and save harmless the City, its officials,
officers, employees, agents. subcontractors, representatives and assigns from any loss,
claim, liability, penalty, fine, forfeiture, demand, causc of action, suit and costs and
expenses incidental thereto (including costs of defense, settlement and reasonable
attorneys' fees) to the extent caused by (i) Hauler's breach of any term, condition,
covenant or warranty contained in this Agreement, or (ii) Hauler's negligent act or
omission or willful misconduct related to the delivery of waste to the City transfer station
or a properly licensed landfill facility.
16. Insurance. Hauler shall maintain the following insurance coverage during the term of this
Agreement:
(a) Hauler shall provide and maintain, during the term of this Agreement,
comprehensive general liability insurance, to protect against all claims arising out
of the performance of its services hereunder that result in bodily injury, death or
property damage. The policy or policies shall contain a clause that the insurer
will not cancel or decrease the insurance coverage without first giving the City
sixty (60) days notice in writing.
(b) Upon written request, Hauler shall furnish the Ciry with evidence that the
insurance required of it is in force.
(c) The types of coverage and limits of liability of all insurance required herein shall
be as follows:
COVERAGE
LIMITS
OF
LIABILITY
Workmen's Compensation
Statutory
Employer's Liability
$500.000
Bodily Injury Liability except
Automobile
$1,000,000 each
occurrence
Property Damage Liability
Except Automobile
$1.000.000 each aggregate
3
03/02/2007 11:52 FAX 1 501 565 6680 WASTE MANAGEMENT
•
•
Automobile Bodily Injury
$1,000,000 each person
Comprehensive General
Liability
$1,000,000 each
occurrence
Automobile Property Damage
Liability
$1,000,000 each
occurrence
Excess Umbrella Liability
$1,000,000 each occurrence
17. Termination:
(a) Except as otherwise provided herein, if Hauler breaches this Agreement or
defaults in the performance of any of the requirements or conditions contained
herein, and such breach continues for fifteen (15) days after the City has given
the Hauler written notice of such breach or default, the City may: (i) terminate
this Agreement fifteen (15) days after the fifteen (15) days in which to cure; or
(10 cure the breach or default at the expense of the Hauler: and (iii) have recourse
to any other right or remedy to which it may be entitled by law.
(b) The City may terminate this Agreement upon written notice to the Hauler if the
Hauler makes an assignment for the benefit of creditors, or files a voluntary
petition in bankruptcy, receivership or insolvency. or files an answer in any
involuntary proceeding of that nature admitting the material allegations of the
petition, or if a proceeding in bankruptcy, receivership or insolvency shall be
instituted against the offending and such proceeding is not dismissed within sixty
(60) days.
(c)
In the event that this Agreetnent is terminated for any reason, any amounts
payable to the City by Hauler for services rendered for any reason whatsoever
shall become immediately due and payable as of the date of such termination.
18. Ali notices required or permitted under this contract shall be submitted in writing to the
other party to this contract, by certified mail, return receipt requested, which notice shall
be effective three (3) days after deposit therein addressed to the following:
City of Fayetteville
Dan Coody, Mayor
113 West Mountain Street
Fayetteville, AR 72701
WASTC M A KIA6 eM gicif
Attn: GENZ66 wcientell
AcirooW. Gs HI
I_Irttt/Zocv't,IkR I 2-1 a
19. Hauler agrees and understands that this Agreement and documents submitted to the City
pursuant hereto are subject to the Arkansas Freedom of Information Act. If a Freedom of
Information Act request is presented to the City of Fayetteville requesting such
documents, Hauler will do everything possible to provide the documents in a prompt and
timely mariner as prescribed in the Arkansas Freedom of Information Act (A.C.A. §25-
19-101 et seq.). Only legally authorized photocopying costs pursuant to the FOIA may be
assessed for this compliance.
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03/02/2007 11:52 FAX 1 501 565 6680
WASTE MANAGEMENT a 007/007
20. This agreement shall be interpreted according to and enforced under the laws of the State
of Arkansas. Capitalized terms herein shall have the same meaning as set forth in ADEQ
Reg. No. 22.
21. A waiver by either party of any of the terms or conditions herein shall be limited to that
particular instance, and shall not be construed as a general waiver of either party's right
to seek appropriate remedies for any other breaches by either party.
22. Each paragraph of this Agreement is severable from all other paragraphs. In the event any
court of competent jurisdiction determines that any paragraph or subparagraph is invalid
or unenforceable for any reason, all remaining paragraphs and subparagraphs shall
remain in full force and effect.
23. This contract constitutes the entire understanding of the parities and no modification or
variation of the temis of this contract shall be valid unless made in writing and signed by
the duly authorized agents of the City of Fayetteville and the Hauler.
24. Each of the undersigned warrants that he or she has the full right, power, and authority to
execute this contract on behalf of the party indicated for the purposes herein contained.
25. To the extent a definition or a specific term is not provided herein but is nonetheless
required by the context, it is the intention of the parties to incorporate herein the
definitions contained in applicable law and regulation in effect as the date hereof, except
to the extent subsequent law or regulation shall expressly or implicitly mandate a revised
definition.
26. The obligations of the parties to this Agreement, which by their nature would continue
beyond the termination, cancellation Or expiration of this Agreement, shall survive the
termination (for any reason), cancellation or expiration of this Agreement.
IN WITNESS WHEREOF, we have hereunto set our hands on the date first written above.
By:
By:
5
CITY
FAYETTEVILLE
60A......
DAN COODY, as Mayor
4
w„sy, MA ki A-6e-MEA/r
‘Oet
GeoRGE copeArcey,
-Presiden‘
John Nelson
Submitted By
City of Fayetteville
Staff Review Form
City Council Agenda Items
or
Contracts
4/3/2007
City Council Meeting Date
Solid Waste & Recycling
Division
Action Required:
eats
to307
55-e7
Operations
Department
A resolution approving an agreement between the City of Fayetteville, Arkansas and Waste Management of
Arkansas, Inc. to haul and dispose of solid waste in the City of Fayetteville.
Cost of this request
Account Number
Project Number
Budgeted Item
Category / Project Budget
Funds Used to Date
Remaining Balance
Budget Adjustment Attached
Program Category / Project Name
Program / Project Category Name
Fund Name
Department Dire tor
-7/City Attorney
1/41)Q.11 .
Finance and Internal Service Director
Date
3/13/67
Date
317-6?
Date
Mayor
Date
Previous Ordinance or Resolution #
Original Contract Date:
Original Contract Number:
Received in City C rk'..sOffice
..
ENTERED
Received in Mayor's Office
Comments:
Interdepartmental Correspondence
•
OPERATIONS
DEPARTMENT
To: Mayor and City Council
From: John Nelsontkerations Mgmt. Accounting Coordinator
Date: March 7, 2007
Subject: Agreement with Waste Management of Arkansas, Inc. to haul and dispose of
solid waste in the City of Fayetteville
Recommendation: A resolution approving an agreement between the City of Fayetteville,
Arkansas and Waste Management of Arkansas, Inc. to haul and dispose of solid waste in the
City of Fayetteville.
Background: Waste Management of Arkansas, Inc. has requested to renew their contract to
haul and dispose of waste within the City of Fayetteville. The contract will permit Waste
Management of Arkansas, Inc. to haul and dispose of waste in containers twenty (20) cubic
yards and greater in size. The agreement requires Waste Management of Arkansas, Inc. to pay
a monthly fee to the City of Fayetteville of ten (10%) percent of the gross revenue. This is the
standard agreement authorized by City Council in implementing the contract fee.
Discussion: Waste Management of Arkansas, Inc. entered into this agreement in April 2004.
The term of this agreement was three years. During the duration of this agreement no non-
compliance issues were noted and fees were remitted accordingly. Waste Management of
Arkansas, Inc. requests to be permitted to continue to operate within the City of Fayetteville.
Staff proposes approval of the agreement with Waste Management of Arkansas, Inc. Staff
recommends Waste Management of Arkansas, Inc. complete the Required Supporting
Information Form and remit with each monthly payment of fees.
RESOLUTION NO.
A RESOLUTION AUTHORIZING THE MAYOR TO EXECUTE A
CONTRACT WITH WASTE MANAGEMENT OF ARKANSAS TO
HAUL AND DISPOSE OF SOLID WASTE WITHIN THE CITY
LIMITS OF FAYE I I EVILLE.
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
FAYETTEVILLE, ARKANSAS:
Section 1. That the City Council of the City of..-F411e, kansas
hereby authorizes the Mayor to execute a contract twath aste Manageipent of
Arkansas to haul and dispose of solid was,te within the ety limits of Faye eville
A copy of the contract marked Exhibit "A' is attached eretjo and mad a part
hereof.
PASSED and -A
SONDRA SMITH, City Clerk/Treasurer
(4/6/2007) Lisa Branson - Res. 55-07 0_
Page 1
From: Lisa Branson
To: Nelson, John
Date: 4/6/2007 10:19 AM
Subject: Res. 55-07
Attachments: 55-07 Waste Mangagement of AR.pdf
CC:
John,
Audit
Attached is a copy of the resolution that was passed by City Council, April 3, 2007. If you need anything else just let me
know. Have a great day!
Thanks,
Lisa
Lisa Branson
City of Fayetteville
City Clerk's Division
113 W Mountain
Fayetteville, AR 72701
(479) 575-8323
Ibranson@cilayetteville.ar.us
I esot ssiojrit
•
(Attach Declarations and Endorsements Here)
RECEIVED
LOCKTON MAR 0 2 2009
CITY OF FAYETTEVILLE
MAYOR'S OFFICE
February 26, 2009
Re: Waste Management
Owners and Contractors Protective Liability Policy
Dear Insurance Administrator:
Enclosed you will find the OCP Policy for 1/1/2009 through 1/1/2010 per your
contract with Waste Management Please retain this for your records. If this
policy is no longer needed, please return the policy to my attention.
If you need additional information or have any questions, please contact me at
(713) 458-5367 or sgallagher(alockton.com. "Thank you.
Best Regards,
6teDk•A\
\ 3
Shala Gallagher, ASCR
Account Manager
Lockton Companies, LLC
LOCKTON COMPANIES, LLC
5847 San Felipe, Suite 320 / Houston, TX 77057-3183
713-458-5200/ FAX: 713-458-5299
www.lockton.com
ACE INA Privacy Statement
The ACE INA group of companies strongly believes in maintaining the privacy of information
we collect about individuals. We want you to understand how and why we use and disclose
the collected information. The following provides details of our practices and procedures for
protecting the security of nonpublic personal information that we have collected about
individuals. This privacy statement applies to policies underwritten by the ACE INA group
member companies listed below.
INFORMATION WE COLLECT
The information we collect will vary depending on the type of product or service individuals
seek or purchase, and may include:
• Information we receive from individuals, such as their name, address, age, phone
number, social security number, assets, income, or beneficiaries;
• Information about individuals' transactions with us, with our affiliates, or with others,
such as policy coverage, premium, payment history, motor vehicle records; and
• Information we receive from a consumer reporting agency, such as a credit history.
INFORMATION WE DISCLOSE
We do not disclose any personal information to anyone except as is necessary in order to
provide our products or services to a person, or otherwise as we are required or permitted by
law.
We may disclose any of the information that we collect to companies that perform marketing
services on our behalf or to other financial institutions with whom we have joint marketing
agreements
THE RIGHT TO VERIFY THE ACCURACY OF INFORMATION WE COLLECT
Keeping information accurate and up to date is important to us. Individuals may see and
correct their personal information that we collect except for information relating to a claim or a
criminal or civil proceeding.
CONFIDENTIALITY AND SECURITY
We restrict access to personal information to our employees, our affiliates' employees, or
others who need to know that information to service the account or in the course of conducting
our normal business operations. We maintain physical, electronic, and procedural safeguards
to protect personal information.
PI -19668 (02/06) Page 1 of 2
CONTACTING US
If you have any questions about this privacy statement or would like to learn more about how
we protect pnvacy, please write to us at ACE INA Customer Services, P.O. Box 1000, 436
Walnut Street, WAO4F, Philadelphia, PA 19106. Please include the policy number on any
correspondence with us.
ACE American Insurance Company
ACE American Lloyds Insurance Company
ACE Fire Underwriters Insurance Company
ACE Indemnity Insurance Company
ACE Insurance Company of Illinois
ACE Insurance Company of Ohio
ACE Insurance Company of the Midwest
ACE Property and Casualty Insurance Company
Atlantic Employers Insurance Company
Bankers Standard Fire and Marine Company
Bankers Standard Insurance Company
Century Indemnity Company
Illinois Union Insurance Company
Indemnity Insurance Company of North America
Insurance Company of North America
Pacific Employers Insurance Company
Westchester Fire Insurance Company
Westchester Surplus Lines Insurance Company
ESIS, Inc.
PI -19668 (02/06) Page 2 of 2
•
General Liability Policy- Declarations
ACE USA
le
O Bankers Standard Insurance Company
436 Walnut Street, PO Box 1000
Philadelphia, Pennsylvania 19106-3703
O Century Indemnity Company
436 Walnut Street, PO Box 1000
Philadelphia, Pennsylvania 19106-3703
O ACE Fire Underwriters Insurance Company
436 Walnut Street, PO Box 1000
Philadelphia, Pennsylvania 19106-3703
O ACE American Insurance Company
436 Walnut Street, PO Box 1000
Philadelphia, Pennsylvania 19106-3703
ACE Property and Casualty Insurance Company
436 Walnut Street, PO Box 1000
Philadelphia, Pennsylvania 19106-3703
Indemnity Insurance Company of North America
436 Walnut Street, PO Box 1000
Philadelphia, Pennsylvania 19106-3703
Insurance Company of North America
436 Walnut Street, PO Box 1000
Philadelphia, Pennsylvania 19106-3703
Pacific Employers Insurance Company
436 Walnut Street, PO Box 1000
Philadelphia, Pennsylvania 19106-3703
NAMED INSURED AND ADDRESS
City of Fayetteville
113 W. Mountain Street
.Fayetteville, AR 72701-6083
POLICY IDENTIFICATION
OCP
G23750387
POLICY IS
Renewal
NAMED INSURED IS : Municipality
BUSINESS OF INSURED Government
POLICY PERIOD
FROM 01/01/2009
OF OCP G23735970
TO 01/01/2010
12:01 AM. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE.
PREMIUM PAYMENT CONDITIONS
AUDIT PERIOD
PAYMENT FREQUENCY
PAYMENT SCHEDULE
Not Auditable
Annual
Annual
TOTAL ADVANCE PREMIUM: $ Included in HDO G23748228
PREMIUMS RESULTING FROM AUDIT ARE NOT INCLUDED IN THE ABOVE.
LD-8E00b (8/96) Printed in the U.S.A.
DECLARATIONS - GENERAL LIABILITY POLICY Page 2
OCP
G23750387
COVERAGES AND LIMITS OF INSURANCE
In return for the payment of premium indicated above, we agree with you
coverage(s) at the limits shown, subject to all of the terms and conditions
Coverage Form:
Owners and Contractors Protective Liability
to
of
provide the following
this policy.
Limits of Insurance
$ 2,000,000
Aggregate Limit
Each Occurrence Limit
Deductible Amount (this reduces the Limit of Insurance shown as
applicable to each "Occurrence")
$ 2,000,000
$
CONTRACTOR INFORMATION
Description of Operations: Collection of residential and commercial refuse and residential and
commercial collection of recycled items corapost, and/or sludge.
Name and Address of Designated Contractor: Waste Management, Inc.
1001 Fannin Street, Suite 4000
Houston, TX 77002
Name and Address of involved Governmental Authority or other contracting party (if applicable):
SCHEDULE OF LOCATIONS
LOCATION NUMBER AND ADDRESS
City of Fayetteville
113 W. Mountain Street
Fayetteville, AR 72701-6083
LD -2478 (Ed. 3/87) Printed in U.S.A.
AA077602
DECLARATIONS - GENERAL LIABILITY POLICY
Page 3
POLICY IDENTIFICATION
OCP
G23750387
SCHEDULE OF COVERAGES
COVERAGE PART:
Location Class Code/ Premium
Number Coverage Classification Description Basis Exposure Rate Premium
• 162 91 /
1 OCP Construction $ $ Included
Operations- Contractor (Not Railroads) Excluding Operations on
board Ships
$ $
$ $
$ $
$ $
$ $
$ $
$ $
TOTAL PREMIUM FOR THIS COVERAGE PART
$ Included
When used as a premium basis the following code definitions apply:
A - Area — Per 11000 square feet of area 0 - Other
C - Total Cost — per $1,000 of total cost P - Payroll — per
D - If Any S - Gross Sales —
E - Admissions — per 11000 admissions U - Units
F - Flat Charge X - Each
J - Total Operating Expenditures — per $1,000 of Expenditures
$1,000 of
per $1,000
payroll
of
Gross Sales
LD-2F51a (Ed. 3/87) Printed in U.S.A.
AA067271a
•
411
POUCYIDENBRCABON
DECLARATIONS — GENERAL LIABILITY POLICY Page 4
OCP
G23750387
FORMS AND ENDORSEMENTS '(Page 1. of 1)
FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY AT INCEPTION
ALL20887
ILP0010104
CG00091207
ALL2Y3la
Endt. No. Form No.
1. LD7F23
2. LD3R16
3. LD4S35
4. ALLTRIA01
5. ALL21101
6. IL00210702
7. CG29231101
8. CC1K1le
SCHEDULE OF COVERAGE FORMS
ACE Producer Compensation Practices & Policies
U.S. Treasury Department's Office of Foreign Assets
Control ("OFAC") Advisory Notice to Policyholders
Owners and Contractors Protective Liability Coverage Form
- Coverage for Operations of Designated Contractor
Arkansas Notice to Policyholders
SCHEDULE OF FORMS AND ENDORSEMENTS
Description
Absolute Pollution Exclusion
Exclusion - Asbestos
Exclusion - Lead
Disclosure of Premium and Estimated Premium for Certified
Acts of Terrorism (Pursuant to Terrorism Risk Insurance
Act)
Trade or Economic Sanctions Endorsement
Nuclear Energy Liability Exclusion Endorsement (Broad
Form)
Arkansas Changes
Signatures
This declaration and the coverage form(s) and endorsements, if any, listed above and attached, completes this policy.
COUNTERSIGNED AT: AUTHORIZED AGEllatZ4 4.1•L4
DATE:
LD-2A48a (Ed. 3/87) Printed in U.S.A.
AA 067266a
• •
POLICY NUMBER: OCP G23750387
-te
ACE Producer Compensation
Practices & Policies
ACE believes that policyholders should have access to information about ACE's practices and policies related to
the payment of compensation to brokers and independent agents. You can obtain that information by accessing
our website at http://www.aceproducercompensation.com or by calling the following toll-free telephone number:
1-866-512-2862.
ALL -20887 (10/06)