CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that Renault and Moran Construction LLC has indicated to myCOI. These contractual requirements should NOT be used to provide inaccurate information regarding current insurance policies. Questions regarding interpretation of this document can be directed to our support team at 317-759-9426.

INSURED

Xclusive Door & Glazing 15321 Texaco Ave. Paramount, CA 90723

CARRIER REQUIREMENTS




POLICY LINE POLICY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000
X OCCUR MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000
POLICY X PROJECT LOCATION $
AUTO LIABILITY COMBINED SINGLE LIMIT (Ea accident) $
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED AUTOS BODILY INJURY (Per accident) $
SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) $
HIRED AUTOS
NON-OWNED AUTOS
UMBRELLA /EXCESS LIABILITY X OCCUR EACH OCCURRENCE $ 5,000,000
Claims Made AGGREGATE $ 5,000,000
WORKERS COMP /EMPLOYEE LIABILITY X WC STATUTORY LIMITS OTHER
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
E.L. DISEASE - POLICY LIMIT $ 1,000,000
Property Property Causes of Loss Deductibles Building $
Basic Building Personal Property $
Broad Contents Business Income $
Special Extra Expense $
Earthquake Rental Value $
Wind Blanket Building $
Flood Blanket Pers Prop $
Blanket BLDG & PP $
$
$
Boiler and Machine Boiler & Machinery /Equipment Break Down $
$

Certificate Holder


Ram Construction, 2435 Naomi, LLC c/o Tiarna Real Estate Services, Inc. C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS


Division Name: 2024021 - MAC Partners - 2435 Naomi , Division Number: 2024021, Division Location: 2435 N Naomi St Burbank, California 91504.
- Contract ID: 2833590 - 17337180.
- 30 Days Notice of Cancellation Required.

General Liability


- Please provide copies of the Additional Insured forms for both ongoing and completed operations (CG 2010 07/04 and CG 2037 07/04 pr their equivalents) in addition to the certificate of insurance.
- Please provide a copy of Waiver of Subrogation endorsement in addition to the certificate of insurance.
- Waiver of Subrogation applies in favor of:Renault and Moran Construction, LLC; 2435 Naomi, LLC
c/o Montana Avenue Capital Partners, LLC
11100 Santa Monica, Blvd., Suite 270
Los Angeles, Ca. 90025, 2435 Naomi, LLC as owner Tiarna Real Estate Services, as agent
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Renault and Moran Construction LLC, 2435 Naomi, LLC
c/o Montana Avenue Capital Partners, LLC
11100 Santa Monica, Blvd., Suite 270
Los Angeles, Ca. 90025, 2435 Naomi, LLC as owner Tiarna Real Estate Services, as agent,
- Additional Insured applies to General Liability.
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.
- Please confirm on the certificate or by uploading endorsement(s) that Primary & Non-Contributory applies to this policy.

Umbrella Excess Liability


- Please provide a copy of the Additional Insured endorsement in addition to the certificate of insurance.
- Please provide a copy of Waiver of Subrogation endorsement in addition to the certificate of insurance.
- Please confirm on the certificate umbrella follows form and extends over GL, Auto, and Employer's Liability.
- Waiver of Subrogation applies in favor of:Renault and Moran Construction, LLC; 2435 Naomi, LLC
c/o Montana Avenue Capital Partners, LLC
11100 Santa Monica, Blvd., Suite 270
Los Angeles, Ca. 90025, 2435 Naomi, LLC as owner Tiarna Real Estate Services, as agent
- Maximum Deductible: $0.
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.

Workers Compensation


- Please provide a copy of Waiver of Subrogation endorsement in addition to the certificate of insurance.
- Waiver of Subrogation applies in favor of:Renault and Moran Construction, LLC; 2435 Naomi, LLC
c/o Montana Avenue Capital Partners, LLC
11100 Santa Monica, Blvd., Suite 270
Los Angeles, Ca. 90025, 2435 Naomi, LLC as owner Tiarna Real Estate Services, as agent
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.
-*