1403_Caldwell_Foothills_MSWLF_Cell6B_BlastingPlan_FID1792134_20230501

HODGES, HARBIN,
NEWBERRY & TRIBBLE, INC.
Consulting Engineers
April 28, 2023
Ms. Jackie Drummond
Hydrogeologist
Division of Waste Management - Solid Waste Section
NC Department of Environmental Quality (DEQ)
Asheville Regional Office (ARO)
2090 US Highway 70
Swannanoa, NC 28778
Re: Foothills Regional Landfill
Facility Permit No. 14-03
Caldwell County, North Carolina
Proposed Blasting Plan Areas of Cell No. 6B
HHNT Project No. 6703-984-01
Dear Ms. Drummond:
This letter is being written to provide the Section information on planned excavation and blasting in the
area of Future Cell No. 6B at the subject landfill. As part of the ongoing effort to construct Cell No. 6B to
permitted base grades, areas of rock have been uncovered using conventional excavation equipment. In
order to meet the vertical separation requirements from rock within the Cell No. 613 area, blasting will be
required.
As can be seen on the attached sketches, blasting will be performed inside the boundaries of Future Cell
No. 6B. The contractor is estimating that approximately 51,200 CY of material will be removed by the
drilling and blasting. This material will be used in the construction of the proposed cell embankment in
accordance with the project specifications and design. If the blasting required to achieve design base
grades inside of Future Cell 613 does not yield enough rocky fill material for the embankment, the
contractor (may) perform additional drilling and blasting activities inside the permitted limits of Borrow
Area No. 1 in order to produce the remaining quantity of material needed. This area has also been included
on the attached sketch.
The blasting will be performed by Carolina Drilling, Inc. under the direction of Earnhardt Grading Inc., a
contractor to Republic Services, Inc. A blast plan has been provided for your use. All blasting shall be
performed between the hours of sunrise to sunset. During the actual blasting, monitoring will be
conducted, and a formal report of this monitoring will be placed in the Facility Operating Record, and a
copy will be submitted to you for your records. Proposed seismograph locations have been shown on the
attached sketch, and the nearest groundwater monitoring well is MW-11. Water levels will be monitored
3920 Arkwright Road, Suite 101 • Macon, Georgia 31210 [phone] • Fax [phone] • www.hhnt.com
SAVANNAH • ATLANTA • Macon • STATESBORO • GREENVILLE, SC

Ms. Jackie Drummond
April 28, 2023
Page 2 of 2
-----------------
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before and after blasting is completed at this monitoring location. The CQA firm for this project is Bunnell
Lammons Engineering, Inc. and they too will record the blasting in their daily reports, which will become
part of the project CQA documentation.
Should you have any questions or need additional information, please call.
Sincerely,
HODGES, HARBIN, NEWBERRY & TRIBBLE, INC.
K. Matthew Cheek, P.E.
Professional Engineer
KMC/sc
Enclosure
cc: Sherri Stanley (w/ enclosure)
Allen Gaither, P.E. (w/ enclosure)
Mike Loyd (w/ enclosure)
Stephen Hunter (w/ enclosure)
Tyler Moody, P.E. (w/ enclosure)

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NOTES:
1. EXISTING TOPOGRAPHIC INFORMATION IS PROVIDED BY COOPER AERIAL SURVEYS CO. IN AN AERIAL SURVEY
(DATED DECEMBER 9, 2021) COMBINED WITH TOPOGRAPHIC INFORMATION PROVIDED BY FIRMATEK, LLC (DATED
JUNE 21, 2022).
2. CONTOURS INSIDE VEGETATED AREAS MAY NOT MEET MAPPING STANDARDS AND SHOULD BE FIELD CHECKED FOR
RELIABILITY.
3. ALL SURVEY CONTROL DATA PROVIDED BY WRIGHT AND FIELDS LAND SURVEYING VIA LETTER DATED JUNE 24, 2011.
4. JURISDICTIONAL STREAMS AND WETLANDS WERE PROVIDED BY WRIGHT AND FIELDS LAND SURVEYING FROM A
SURVEY PERFORMED IN OCTOBER 2013.
5. SURVEYS OF THE JURISDICTIONAL STREAMS NEAR THE WESTERN PROPERTY BOUNDARY WERE COMPLETED BY
DONALDSON GARRETT & ASSOCIATES, INC. IN AUGUST 2002.
6. BOUNDARY SURVEY COMPILED BY TOMMY FIELDS, PLS 2906 - LAST REVISED AND UPDATED AUGUST 14, 2007.
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Carolina Drilling, Inc
326 Railroad St
Mocksville, NC 27028
Jason Tutterow
336-607-4478
[e-mail]
-Blasting Plan Information for Earnhardt Grading, Foothills Landfill
Foothills Landfill Cell 6B
Procedures
1. Holes will be laid on a 7'x7' to 8'x8' box pattern depending on rock depth and density. The
average and most used pattern will be the 7'x7' box pattern.
2. Holes will be drilled in a 3.5" diameter maximum with an average depth of 15'. The cuts will
range from 2' to 30'.
3. All explosives will be brought in daily as needed and no explosives will be stored on site.
Either Quick Supply or Carolina Drilling will haul all explosives in accordance with the NCDOT
and USDOT.
4. Dry holes will be loaded with a 1.25"x8" stick of Unimax dynamite and ANFO. Wet holes will
be loaded with a booster and Riohit emulsion sticks. All holes will have a minimum
stemming of 6'.
5. Only Non Electric blasting caps with 25/500ms factory delays will be used.
6. All holes will be loaded with non -sparking tools (depth gauges and loading poles).
7. The rock in this area is of medium thickness and will only take 3' to 11' of the boreholes to
be loaded with explosives. In this case, our average stemming (78m) will be held between 6'
and 10'.
8. All holes will be wired with a minimum of 8ms of delay between holes giving us one hole per
delay.
9. The holes will then be walked over to make sure all connections are clean.
10. Vibratech will have all seismographs in place prior to blasting.
11. Once the area is cleared by Earnhardt and Carolina Drilling, a series of horns will be
sounded.
-Three short blasts for 3 minute warning
-Two long blasts for 1 minute warning
-One long blast for an all clear, back to work, after the shot has been inspected to ensure all
holes have fired.
Seismology

Three Seismographs will be placed with one at the nearest liner, another at the nearest well and
a third at the nearest building.
Estimated PPV (Peak particle Velocity)
One inch per second PPV is the specification for this project. It is extremely hard to break rock at
this PPV limit if the targeted PPV reading is within 200', especially with 25' holes in areas. As many as 3
blasting caps per hole will have to be used to get the pounds per delay down to the 10 to 15 Ibs per
delay needed to stay below the PPV threshold. Adjustments will be made after each monitored blast so
maximum breakage can be achieved. Due to this tight specification, the contractor should expect to
have to hammer and crush a good portion more of this rock.
Post Blast report or Shot Report
A shot report used by Carolina Drilling will be used for this project. It will show the following as
required:
1. Material data information on products used.
2. Drawing of shot with hole diameter, depth, voids etc.
3. Loading diagram with weights of explosive used.
4. Amount and type of explosives.
5. Delay and initiation method.
6. Results and yardages.
7. Vibra-tech will furnish seismograph readings via email.
8. A blast damage report if necessary.
Safety Plan
1. All employees will wear PPE such as high visibility vest, hard hats, safety glasses, gloves and
protective footwear.
2. Blasting zone signs will be placed around the perimeter.
3. Only non -sparking brass tools will be used for pushing powder.
4. Only non -electric blasting caps will be used.
5. 78m stone will be used for stemming to prevent blowout in wet holes.
6. Once the area is cleared by Earnhardt and Carolina Drilling, a series of horns will be sounded.
-Three short blasts for 3 minute warning
-Two long blasts for 1 minute warning
-One long blast for an all clear, back to work, after the shot has been inspected to insure all
holes have fired.
7. A section pertaining to misfires will be attached.

Carolina Drilling, Inc. Misfire procedure:
When a misfire occurs, immediately contact Jason Tutterow at
336-607-4478. If he can't be reached, contact the office at 336-
751-2961. Take time to clear your mind and think about the
condition that has been created. Document the hole or area that
contains the misfire completely, while this is still fresh in your
mind.
Do not permit any work in the misfire area. "Danger" off the area.
Notify the permittee of the misfire. Do not refire the misfire
without permission from an officer of Carolina Drilling. Whenever
possible, we recommend that prior to refiring a misfire, another
blaster familiar with the mine/quarry is brought in to assist with
the decision to fire or render inert the explosive.
Experienced individuals familiar with the initiation systems and
explosives used, as well as the proper techniques to handle
neutralize and render safe the explosive materials should conduct
proper misfire handling. Specific recommendations cannot be
made concerning misfires, as every misfire is unique and very
site specific. Each misfire must be handled individually.
All information regarding the misfire must be analyzed completely
and a plan of action established with a method to "Make Safe" the
area. Specific Federal/State or Local laws may also dictate
additional procedures.
When a misfire occurs, the power source used to initiate the blast
must be disconnected, the firing line shunted or made safe before
entering the blast area to inspect the misfire. All personnel must
stay out of the blast area for at least 1/2 (30 minutes) hour.
Access to the blast area must remain blocked and guarded.
Once the blaster in charge and another blaster make a
determination familiar with the area of the stability of the area,

such as adequate burdens, spacing, stemming, etc., a decision
may be made to refire the misfire. Refiring a misfire is usually the
safest and best way to eliminate the danger. Extra care must be
taken, as the designed pattern HAS changed.
Once a determination has been made to refire, the blast area
must be cleared to double the initial perimeter (at a minimum). If
this is not possible, alternate methods of handling should be
considered.

The Occupational Safety and Health Administration (OSHA)
OSHA Regulations (Standards - 29 CFR)
Misfires. - 1926.911
• Standard Number: 1926.911
• Standard Title: Misfires.
• Subpart Number: U
Subpart Title: Blasting and the Use of Explosives
(a) If a misfire is found, the blaster shall provide proper
safeguards for excluding all employees from the danger zone.
(b) No other work shall be done except that necessary to remove
the hazard of the misfire and only those employees necessary to
do the work shall remain in the danger zone.
(c) No attempt shall be made to extract explosives from any
charged or misfired hole; a new primer shall be put in and the
hole reblasted. If refiring of the misfired hole presents a hazard,
the explosives may be removed by washing out with water or,
where the misfire is under water, blown out with air.
(d) If there are any misfires while using cap and fuse, all
employees shall remain away from the charge for at least 1 hour.
Misfires shall be handled under the direction of the person in
charge of the blasting. All wires shall be carefully traced and a
search made for unexploded charges.
(e) No drilling, digging, or picking shall be permitted until all
missed holes have been detonated or the authorized
representative has approved that work can proceed.

The Federal Mine Safety and Health Administration (MSHA)
In 30 CFR (Code of Federal Regulations), Part 57.6000, defines a
misfire as:
The complete or partial failure of explosive material to detonate
as planned. The term also is used to describe the explosive
material itself that has failed to detonate.
A misfire is described as the failure of an explosive charge to
detonate. The best advice that can be given regarding the
handling of misfires is to take every precaution to prevent their
occurrence.
Anytime misfired holes, portions of a misfired hole, or unexploded
explosive material remains after a blast is fired, a hazardous
situation is created that will exist until the proper handling of
unfired explosive material. A misfire requires sound judgment and
a comprehensive understanding of explosives. Most misfires occur
because of improper techniques or short cuts, and sometimes
because of the geological formation.
It is important that any investigation into a misfire be conducted
with a fair and open mind. Any preconceived idea of the cause
may mask the true cause, and prevent a future occurrence.
MSHA - 30 CFR. PART 57.6311 ADDRESSES THE HANDLING OF
MISFIRES AS:
(a) Faces and muck piles shall be examined for misfires after
each blasting operation.

(b) Only work necessary to remove a misfire and protect the
safety of miners engaged in the removal shall be permitted in the
affected area until the misfire is disposed of in a safe manner.
(c) When a misfire cannot be disposed of safely, each approach to
the area affected by the misfire shall be posted with a warning
sign at a conspicuous location to prohibit entry, and the condition
shall be reported immediately to mine management.
(d) Misfires occurring during the shift shall be reported to mine
management not later than the end of the shift.
MSHA - 30 CFR. PART 57.6310 DEFINES THE MISFIRE WAITING
PERIOD AS:
When a misfire is suspected, persons shall not enter the blast
area until:
H1
(a) For 30 minutes if safety fuse and blasting caps are used;
(b) For 15 minutes if any other type detonators are used.

Report all misfires to Company management at:
336-607-4478 or 336-751-2961
ever leave a
iisfire or other
]angerous condition
treated by the blast,
intil the problem has
)een corrected or
made safe". Never
)ermit work in an
area where this
nisfire or other
]anger created by
he blast exists.

Carolina Drilling
326 Railroad St.
Mocksville, NC 27028
336-607-4478
Resumes
-Jason Tutterow (Project Manager on every job Carolina Drilling has going, some
current larger projects)
1. Cherry Lane Subdvision in Graham, NC $200,000
2. East Neuse Sewer for the City of Raleigh $11,500,000
3. Alston Ave Subdivision $160,000
4. Taggart Creek Sewer in Charlotte, NC $3,225,000
5. Project Galaxy in Holly Springs, NC 2,000,000
6. Merritt Capital Business Park in Wake Forest, NC 1,200,000
7. Merritt Business Park Hinton Oaks in Knightdale, NC $138,000
8. Garney Yadkin Raw Water (crushing only) $350,000
9. Siteworks Philemon Charlotte, NC $260,000
10. H and H Sudivision in Zebulon, NC $234,000
11. Yadkin Raw Water (crushing only) $400,000
269 Hidden Creek Dr.
Advance, NC 27006
Date of Birth: 3/13/76
NCDL: 8735947
Job Title: Owner, Operator, Blaster, Blast Consultant, Project Manager
Work History:
Part time at Carolina Drilling (1990-1997) blasters helper
Full time at Carolina Drilling (1997 until present) blaster, blast consultant, MSHA
trained, OSHA 10 certified, Haz Mat training every 2 years, MSHA trained 2004 to
2018, Licensed blaster in the State of Tennessee
30 years experience
-Randy Key

3660 Cash Dr.
Winston-Salem, NC 27107
Date of Birth: 1/26/72
NCDL: 8005777
Job Title: Blaster
Work History:
Piedmont Explosives (July 1991-2006) blasters helper, driver, then blaster
Austin Powder (Jan 2006-2017) blaster for quarries and construction
Carolina Drilling (Nov 2017 until present) blaster, Haz Mat licensed driver, Haz
Mat training every two years, MSHA trained 1991-2022, CDL Haz Mat
29 years experience
-David Tanner
166 Westview Ave.
Mocksville, NC 27028
Date of Birth: August 2, 1981
NCDL: 24434333
Job Title: Blaster
Work History:
Austin Powder (December 2005-May 2014) blasters assistant, driver
Carolina Drilling (May 2014 until present) blaster, driver, MSHA trained since 2005
to 2018, Haz Mat training every two years, CDL Haz Mat
15 years experience
-Jerry Hebert
110 Shady Meadow Circle
Cary, NC 27513
Mobile [phone]
Date of Birth: 9/23/81
NCDL: 33759347
Job Title: Blaster

Work History:
McDowell's Auto Body (June 1999-March 2010)
Park Construction of NC (March 2010-November 2016)
Carolina Drilling (Nov 2016 until present) blaster, driver, Haz Mat trained every
two years, CDL Haz Mat, tunnel blast daily (1 to 4 times per day) along with
normal mass/trench blasting (1 to 4 times per day)
4 years experience
-Keith Dunlap
236 L. Moore Rd.
Seagrove, NC 23741
Mobile [phone]
Date of Birth: 9/13/57
NCDL: 2661159
Job Title: Blaster/Project Manager
Work History:
Mid South Drilling (2000-2013), head blaster
Carolina (2014 until present) Hazmat trained every 2 years, head blaster of
Carolina Drilling, blast 5 to 20 blast a week for the last 6 years.
20 years experience

.. Department of JusticeFederal Explosives License/Permit
Bureau of Alcohol. Tobacco_ Firearms and Explosives (18 U.S. C. Chapter 40)
In accordance with the provisions of Title XI, Organized Crime Control Act of 1970, and the regulations issued thereunder (27 CFR Part 555). you may engage in
the activity specified in this license or permit within the limitations of Chapter 40, Title 18, United States Code and the regulations issued thereunder, until the
expiration date shown. THIS LICENSE IS NOT TRANSFERABLE UNDER 27 CFR 555.53. See "WARNINGS" and 'NOTICES" on reverse.
Direct ATF ATF - Chief. FELC License/Permit
Correspondence To 244 Needy Road Number—NC-059-33-4D-00404
Martinsburg. WV 25405-9431
Federal Explosives Licensing Centej(FELC) (Expiration
IM_ . _. _ 0 /_ IL _ _ hf Date
Name
CAROLINA DRILLING INC
Premises Address (Changes? Notify the FELC at least 10 days before the move.)
326 RAILROAD ST
MOCKSVILLE, NC 27028-
hype ofLicense or Permit
33-USER OF EXPLOSIVES
Purchasing Certification Statement
The licensee or permittee named above shall use a copy of this license or permit to assist a
transferor of explosives to verify the identity and the licensed status of the licensee or
permittee as provided by 27 CFR Part 555. The signature on each coov must be an original
signature. A faxed, scanned or e-mailed copy of the license or permit with a signature
intended to be an original signature is acceptable. The signature must be that of the Feddral
Explosives Licensee (FEL) or a responsible person of the FEL. I certify that this is a true
copy of a license or permit issued to the licensee or permittee named above to engage in the
business or operations spe ed above under "Type of License or Permit."
t,0WCA1 ?Rcs.
Lice ee,Permittee Re a erson Signature Position/Title
J 4 so Al / Af c 20G%
._. - - ----- Friated—Narnc - -- - Date
Previous Edition is Obsolete awouiuOFKW*G MUn RAILROAD sr2M.1-Mua55-aao-oaaarm1.MZ{90OFMOmrs
Mailing Address (Changes? Notify the FELC of any changes.)
CAROLINA DRILLING INC
326 RAILROAD ST
MOCKSVILLE, NC 27028-
A'1r' corm _'4W. f4/54o0.15 Part 1
Revised September 2011
Federal Explosives License (FEL) Customer Service Information
Federal Explosives Licensing Center (FELC) Toll -free Telephone Number: [phone] ATF Homepage: www.atf.gov
244 Needy Road Fax Number: [phone]
Martinsburg, WV 25405-9431 E-mail: [e-mail]
Change of Address (27 CFR 555.54(a)(1)). Licensees or permittees may during the term of their current license or permit remove their business or operations to a
new location at which they intend regularly to carry on such business or operations. The licensee or permittee is required to give notification of the new location of the
business or operations not less than 10 days prior to such removal with the Chief Federal Explosives Licensing Center. The license or permit will be valid for the
remainder of the term of the original license or permit. (The Chief, FELC, shall, if the licensee or permittee is not qualified, refer the request for amended license
or permit to the Director of Industry Operations for denial in accordance eith § 555.54.)
Right of Succession (27 CFR 555.59). (a) Certain persons other than the licensee or permittee may secure the right to carry on the same explosive materials
business or operations at the same address shown on, and for the remainder of the tern of, a current license or permit. Such persons are: (1) The surviving spouse
or child. or executor, administrator, or other legal representative of a deceased licensee or permittee-, and (2) A receiver or trustee in bankruptcy, or an assignee for
benefit of creditors. (b) In order to secure the tight provided by this section, the person or persons continuing the business or operations shall furnish the license or
pen -nit for for that business or operations for endorsement of such succession to the Chief. FELC, within 30 days from the date on which the successor begins to
carry on the business or operations.
(Continued on reverse side)
Cut Here X
i—
----——---——————————————————— — — — — —
�

Client#: 1975843
CAROLDRI
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PRODUCER
USI Insurance Services, LLC-CL
1301 Gervais St., Suite 500
CONTACT NAME: Veronica Li
PHONE [phone] FAX
A/C No Ext : A/C, No):
E-MAIL [e-mail]
Columbia, SC 29201
803 602-3020
INSURER(S) AFFORDING COVERAGE
NAIC #
United States Fire Insurance Company
INSURER A : p Y
21113
INSURED
Carolina Drilling, Inc.
326 Railroad Street, #2232
Mocksville, NC 27028
INSURER B : North River Insurance Company
21105
Hanover Insurance Company
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CLAIMS -MADE � OCCUR
5069017206
6/01/2022
06/01/2023
EACH OCCURRENCE
$1 000 000
PREMISES E.occccuence
$100 000
MED EXP (Any one person)
s5,000
PERSONAL & ADV INJURY
$1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
POLICY X1 PR -
POLICY LOC
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMP/OP AGG
$2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED X SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
5069017206
6/01/2022
06/01/202
Ea MINED
a.cid.n SINGLE LIMIT
$1,000,000
BODILY INJURY (Per person)
$
X
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
B
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
5821167006
6/01/2022
06/01/2023
EACH OCCURRENCE
s5,000,000
AGGREGATE
s5,000,000
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
PER OH -
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
C
Leased/Rented
IH6D59444303
06/01/2022
06/01/202
$500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Caldwell County Fire Inspections
616 West Ave NW
Lenior, NC 28645
aAA_111111
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) 1 of 1
#S36065506/M36059180
© 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
PYBZP

/ 0INSURANCE
D ACQR CERTIFICATE OF LIABILITY
/YDATE (MM/DDYYY)
11/10/2022
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 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
Parrish & Gwinn Insurance Group LLC
NAME: CONTACT Certificates
PHONE [phone] Fvc No): [phone]
ADDRIESS: [e-mail]
817 Calhoun Street
PRODUCER .00000473
INSURERS AFFORDING COVERAGE
NAIL #
Columbia SC 29201
INSURED
INSURER A: Zurich American Insurance Co.
16535
INSURER B : Travelers P&C Co. of America
25674
INSURER C :
Earnhardt Grading, Inc.
INSURERD:
7525 Old Plank Rd.
INSURER E :
INSURER F :
Stanley NC 28164
COVERAGES CERTIFICATE NUMBER:22-23 REPUBLIC 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
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
EFF
MM/DD/YYYY
MMPOLICYPOLICY EXP
/ D/YYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 2,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PREMISES Ea occurrence)$
100,000
MED EXP (Any one person)
$ 10,000
A
CLAIMS -MADE � OCCUR
X
Y
GLO 4279924-15
/1/2022
/1/2023
PERSONAL & ADV INJURY
$ 2,000,000
X Broad form CGL
X
Contractual Liability
GENERAL AGGREGATE
$ 41000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 4,000,000
$
7 POLICY F_X] PROF__] LOC
JECT
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
$ 2,000,000
A
X ANY AUTO
ALL OWNED AUTOS
X
Y
AP 4279923-15
/1/2022
/1/2023
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
SCHEDULED AUTOS
X HIRED AUTOS
PROPERTY DAMAGE
(Per accident)
$
$
X NON -OWNED AUTOS
X
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
EXCESS LIAB
CLAIMS -MADE
7-1
DEDUCTIBLE
$
X
$
B
RETENTION $ 10, 000
X
Y
P-9R979703-,22-NF
/1/2022
/1/2023
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N
OFFICER/MEMBER EXCLUDED? a
(Mandatory in NH)
N IA
'Y
C4279922-15
/1/2022
/1/2023
X TORY WC LIMIT O R
E.L. EACH ACCIDENT
$ 11000,000
E.L. DISEASE - EA EMPLOYEE
$ 11000,000
E.L. DISEASE - POLICY LIMIT
$ 11000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
RE: Foothills Environmental Cell 6B Construction - 2800 Cheraw Rd., Lenoir, NC 28645
Republic Services Procurement, Inc. ("RSP"), its subsidiaries, affiliates, officers, directors, employees, agents and
representatives named Additional Insured on General Liability and Auto Liability as required per written contract.
Coverage is considered primary and non-contributory in regards to to General Liability and Auto Liability. Contractual
CERTIFICATE HOLDER CANCELLATION
Republic Services Procurement, Inc. ("RSP
or any subsidiaries or affiliates
(collectively "Republic")
18500 N. Allied Way
Phoenix, AZ 85054
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
k Parrish/HP
4L,0119��t
ACORD 25 (2009109) ©1988-2009 ACORD CORPORATION. All rights reserves.
INS025 (200909) The ACORD name and logo are registered marks of ACORD