CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that Blackland Partners, 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

Herbert Beasley Land Surveyors HSB GP INC PO Box 8873 Ft. Worth, TX 76124

CARRIER REQUIREMENTS

A- or higher, VII




POLICY LINE POLICY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $
X OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000
X POLICY 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) $
X SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) $
X HIRED AUTOS
X 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 $ 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 $
$
Professional Liability Professional Liability coverage Each Occurrence: $1,000,000 Aggregate: $1,000,000

Certificate Holder


Blackland Partners, LLC. C/O CertSure 13430 Northwest Freeway, Suite 600 Houston , TX 77040

ADDITIONAL REQUIREMENTS


Division Name: Professional Services.

General Liability


- General Liability and Umbrella Liability policies cannot have any exclusions pertaining to “Employer’s Liability” from anything other than that found under ISO Form No. CG 00 01 12
04 (or equivalent). No "3rd party action over exclusions allowed".
- 30 day notice of cancellation is required.
-
- Waiver of Subrogation applies in favor of:Owner, Contractor and their employees
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Owner, Contractor, and such other parties as may be required by the Contractor and/or the Contract Documents,
- 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.

Automobile Liability


- 30 day notice of cancellation is required.
- Waiver of Subrogation applies in favor of:Owner, Contractor and their employees
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Owner, Contractor, and such other parties as may be required by the Contractor and/or the Contract Documents,
- Additional Insured applies to Automobile.
- 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


- General Liability and Umbrella Liability policies cannot have any exclusions pertaining to “Employer’s Liability” from anything other than that found under ISO Form No. CG 00 01 12
04 (or equivalent). No "3rd party action over exclusions allowed".
- 30 day notice of cancellation is required.
- Follow form wording is acceptable
- Umbrella must go over general liability, auto liability and employers liability. You can state this on the certificate or upload a copy of the underlying liability schedule of the umbrella.
- Waiver of Subrogation applies in favor of:Owner, Contractor and their employees
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Owner, Contractor, and such other parties as may be required by the Contractor and/or the Contract Documents,
- Additional Insured applies to Umbrella.
- 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.

Workers Compensation


- 30 day notice of cancellation is required.
- Waiver of Subrogation applies in favor of:Owner, Contractor and their employees
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.

Professional Liability


- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Owner, Contractor, and such other parties as may be required by the Contractor and/or the Contract Documents,
-*