filter audit_package_6-19-13_small
TRANSCRIPT
INSR ADDL SUBRLTR INSR WVD
DATE (MM/DD/YYYY)
PRODUCER CONTACTNAME:
FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBERPOLICY EFF POLICY EXP
TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)
GENERAL LIABILITY
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
AUTHORIZED REPRESENTATIVE
INSURER(S) AFFORDING COVERAGE NAIC #
Y / N
N / A(Mandatory in NH)
ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?
EACH OCCURRENCE $DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY $PREMISES (Ea occurrence)
CLAIMS-MADE OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
$PRO-POLICY LOCJECT
COMBINED SINGLE LIMIT$(Ea accident)
BODILY INJURY (Per person) $ANY AUTOALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS AUTOS
HIRED AUTOSNON-OWNED PROPERTY DAMAGE $AUTOS (Per accident)
$
OCCUR EACH OCCURRENCE $
CLAIMS-MADE AGGREGATE $
DED RETENTION $ $WC STATU- OTH-TORY LIMITS ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $If yes, describe under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORDACORD 25 (2010/05)
ACORDTM CERTIFICATE OF LIABILITY INSURANCE 2/14/2013
Hub InternationalHUB Int'l Insurance Serv. Inc.4371 Latham St, Ste #101Riverside, CA 92501
Peggy Brown877 825-2681 951 231-2572
Filter Recycling Services, Inc.P.O. Box 449Colton, CA 92324
Greenwich Insurance CompanyIndian Harbor Insurance CompanyCompanion Prop and Cas Ins CoXL Specialty Insurance Company
22322369401215737885
AX
X
X
GEC0039929 02/15/2013 02/15/2014 1,000,000300,0005,0001,000,0002,000,0002,000,000
DX
X X
AEC0039930 02/15/2013 02/15/2014 1,000,000
BX X
X $10,000
UEC0039931 02/15/2013 02/15/2014 8,000,0008,000,000
C
Y
CPCA16373 10/28/2012 10/28/2013 X1,000,000
1,000,0001,000,000
B Cont PollutionLegal Liability
PEC0039938 02/15/2013 02/15/2014 $5M Limit$10M Aggregate
Verification of Insurance.
**Informational Purposes Only**
1 of 1#S2090213/M2087718
FILTRECYClient#: 232435
MG421 of 1
#S2090213/M2087718
From: Ahmad, Waqar@DTSC [mailto:[email protected]] Sent: Monday, August 13, 2012 4:23 PM To: 'Wade Riddering' Subject: RE: FRS Permit Renewal Letter Mr. Riddering: This is response to your 5/22/2012 email to me requesting concurrence that Filter Recycling Services is authorized to operate after the Series A Standardized Hazardous Waste Facility Permit expiration date of January 21, 2012. The Department of Toxic Substances Control (DTSC) has received the Filter Recycling Services Hazardous Waste Facility Permit Renewal Application. The renewal application was received on July 14, 2011. This complies with California Code of Regulations, Title 22, Section 66271.10(h), which generally requires that a reapplication be submitted 180 days before the expiration date of the effective permit. While DTSC is reviewing the permit renewal application, the facility is authorized to continue operating under its January 21, 2002 permit in accordance with California Code of Regulations, Title 22, Section 66271.51. If you have any question, please contact me at 510.540.3932. Sincerely, Waqar Ahmad
The Standard Carrier Alpha Code of
CERTIFICATE OF STANDARD CARRIER ALPHA CODE (SCAC) RENEWAL
This Alpha Code will apply only to the company name shown above through June 30, 2013. A renewal notice will be mailed approximately one month prior to expiration and must be returned promptly together with payment to ensure its continued validity. Should the company name or address change, please notify the National Motor Freight Association, Inc. at the address above.
Alpha Codes ending with the letter "U" have been reserved for the identification of freight containers. If your Alpha Code ends with the letter "U", it should be used only for this purpose. A non-U ending Alpha Code should be obtained to satisfy other requirements such as company identification for Customs, Electronic Data Interchange, freight payments, etc.
If you participate in the Bureau of Customs and Border Protection (BCBP) automated programs (ACE, AMS,CAFES, FAST, PAPS), your SCAC and related company information has been sent to BCBP electronically and is updated on a nightly basis. If you have encountered a problem using your SCAC with BCBP, or a copy this letter has been requested by BCBP, only then should you forward the requested information (email preferred as a PDF or TIF attachment) to the following address:
CBP SCAC Processing Bureau of Customs and Border Protection 7681 Boston Blvd., Beauregard 1st Fl Wing A Springfield, VA 22153 [email protected]
NOTICE: Renewal of the above listed SCAC is unrelated to participation in the National Motor Freight Classification (NMFC). Further, it does not confer membership in the National Motor Freight Traffic Association, Inc. nor allow use of the NMFC inconnection with freight rates. For participation and membership information, please call (703) 838-1810
PRVCAR
527094
FILTER RECYCLING SERVICES INC2230 SO RIVERSIDE AVEBLOOMINGTON, CA 92316
US DOT-
WADE RIDDERINGFILTER RECYCLING SERVICES INC2230 SO RIVERSIDE AVEBLOOMINGTON, CA 92316
April 18, 2012
has been renewed for:FRYV
1001 North Fairfax Street • Suite 600 • Alexandria, VA 22314-1798 • ph: 703.838.1810 • fax: 703.683.1094web: www.nmfta.org • email: [email protected]
Filter Recycling Services, Inc
2230 South Riverside Avenue Bloomington, Ca · 909.873.4141 · FAX 909.873.4142
Filter Recycling has designed an innovative, reliable soil recycling application to reduce remediation costs and accelerate clean-up time. On-site soil treatment is available with the portable soil recycling system. Soil recycling is used at retail gasoline stations, bulk terminals, refineries, chemical plants, military bases and brownfield sites nationwide. Soils contaminated with hydrocarbons and metals can be solidified or stabilized and recycled as high-strength backfill or asphalt paving. Soil recycling provides increased compressive strength; decreased permeability; encapsulation of hazardous constituents; and conversion of hazardous constituents to less soluble, less mobile and non-toxic form. Massive heavy-duty synchronized spiral pattern paddles mixbinding reagents in the 600 ton per hour enclosed pugmill unit, which controls dust and ensures operator safety. Additives include cement, fly ash, asphalt, lime, limestone, gypsum, slag, sodium phosphate, magnesium oxides and proprietary reagents. Support equipment includes excavator, loader, screen plant, bulk material silo, dry/wet additive units, belt scale, conveyors, pumps and tanks. Filter Recycling provides bench and pilot scale testing to evaluate site specific conditions and optimize the process mix requirements. Production quality control is provided using our gas chromatograph (GC) and other standard testing instrumentation.
