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a BROWNING-FERRIS INDUSTRIES, INC. <br /> AND SUBSIDIARIES <br /> P. 0. Box 3151 , . --)n, Texas 77253 <br /> CERTIFICATE OF INSURANCE <br /> ' STATE OF MINNESOTA <br /> sl <br /> Name and Address of Certificate Holder Name and Address .of Subsidiar <br /> The coverages identified below are in force on. the Date of Certificate Issuance. Insurance <br /> is afforded only with respect to those coverages for which a specific limit of liability <br /> has been enteredand is subject to all the terms of the applicable policy ,or plan of self <br /> insurance. This Certificate neither affirmatively nor negatively amends, extends or alters <br /> the coverage afforded under any such plan or policy identified herein. <br /> In the event of cancellation of the insurance the Company will make all reasonable effort <br /> to send 30 days notice of cancellation to the Certificate Holder at the address shown <br /> herein, but the Company assumes no responsibility for any mistake or failure to give such <br /> notice. <br /> DATE. <br /> COVERAGE. COMPANY & LIMITS OF LIABILITY <br /> POLICY NO. EFFECTIVE EXPIRATION <br /> Workers' Compensation <br /> Including: USL & H. Self 10/01/82 10/01/83 -Statutory <br /> In Employers Liability $500,000 <br /> Safety <br /> Excess Workers' Compensation Mutual 10/01/82 10/01/83 Statutory <br /> SP 547 <br /> Comprehensive Automobile Lia i ity <br /> Including: Owned, Non-owned and Self 10/01/82 10/01 /83 $500,000 each <br /> Hired Automobiles Insured occurrence <br /> #31 BI & PD Combined <br /> Compre ensive General Liability <br /> Including: Premises & Operations, $500,000 each <br /> Broad Form Contractual Liability, Self 10/01/82 10/01/83 occurrence <br /> X,C,U Coverages, Personal -Injury Insured <br /> Liability, Completed Operations BI & PD Combined <br /> and Products Liability _ <br /> Lon n <br /> Umbrella Liability (Excess) Underwriters 10/01/82 10/01/83 $5,000,000 each <br /> 020062000 _ occurrence . <br /> London <br /> All Risk Property Including Fire, Underiariters 10/01/82 10/01/83 $20,000,000 each <br /> Theft and extended coverages.. 092117000 occurrence <br /> Other Insurance <br /> Issued by: Fred S. James & Co. of Georgia, Inc. • <br /> as Broker on behalf of Browning,-Ferris <br /> Industries, Inc. and its sub sid'tar�Ps <br /> � � nD <br />