CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that Rieth-Riley Construction Co. Inc. 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

Diane Dukes Inc. 11390 205Th Avenue Big Rapids, MI 49307-9424

CARRIER REQUIREMENTS



POLICY LINE POLICY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000
X OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1,000,000
POLICY X PROJECT LOCATION $
AUTO LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000
X 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 $ 1,000,000
Claims Made AGGREGATE $ 1,000,000
WORKERS COMP /EMPLOYEE LIABILITY X WC STATUTORY LIMITS OTHER
E.L. EACH ACCIDENT $ 500,000
E.L. DISEASE - EA EMPLOYEE $ 500,000
E.L. DISEASE - POLICY LIMIT $ 500,000
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


Rieth-Riley Construction Co., Inc. C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS


Division Name: Annual Certificates.
- 30 Days Notice of Cancellation Required.

General Liability


- Must provide a physical Additional Insured Endorsement for Ongoing and Completed Operations (Either CG 20 10 11 85 OR a combination of CG 20 10 10 01 & CG 20 37 10 01 or their equivalents) in addition to the certificate of insurance.
- Confirm on Certificate that Aggregate limit must apply per project (CG 25 03 or its equivalent).
- Coverage must be Primary.
- Waiver of Subrogation applies in favor of:Rieth-Riley Construction Co., Inc.
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Rieth-Riley Construction Co., Inc.,
- Additional Insured applies to General Liability.
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.

Automobile Liability


- Coverage must be Primary.
- Please provide a copy of the Additional Insured endorsement (CA 20 48 10/13 or equivalent) in addition to the certificate of insurance.
- Waiver of Subrogation applies in favor of:Rieth-Riley Construction Co., Inc.
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Rieth-Riley Construction Co., Inc.,
- Additional Insured applies to Automobile.
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.

Umbrella Excess Liability


- Please confirm on the certificate that Umbrella/Excess follows form.

Workers Compensation


- Must confirm which states are covered by the workers compensation policy. (If All States (except monopolistic states) are covered, please confirm this on the certificate of insurance.)
- Waiver of Subrogation applies in favor of:Rieth-Riley Construction Co., Inc.
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.
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