CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that G.L. Homes 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

Doug Johnson & Associates, Inc dba Tubs & More Supply (Specialty Tub) (100408) Risk by Committee No City, FL 99999

CARRIER REQUIREMENTS



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 $
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) $ 500,000
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 OCCUR EACH OCCURRENCE $
Claims Made AGGREGATE $
WORKERS COMP /EMPLOYEE LIABILITY X WC STATUTORY LIMITS OTHER
E.L. EACH ACCIDENT $ 100,000
E.L. DISEASE - EA EMPLOYEE $ 100,000
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


GL Signature Homes, LLC and GL Building Corporation, their respective partners and affiliates C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS


Division Name: 127 - GL Signature Gold Star (Resi - Custom).
- Contract ID: 127 - 27839316.

General Liability


- Please provide copies of the Additional Insured forms for both ongoing and completed operations (CG2010 11/85 OR CG2026 11/85 or equivalent) in addition to the certificate of insurance.
- A physical copy of the Waiver of Subrogation endorsement must be submitted.
- Must include project number and project name on certificate. Please see division name information listed above.
- Please confirm on the certificate, in the Description of Operations Box, that the policy does not exclude residential/habitational coverage.
- If there is a Residential Exclusion under General Liability, please upload a copy of the Endorsement (for all projects), for our review.
- Waiver of Subrogation applies in favor of:GL Signature Homes, LLC and GL Building Corporation, their respective partners and affiliates and each of their respective partners, affiliates, shareholders, members, officers, directors, agents, employees, successors and assigns
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: GL Signature Homes, LLC and GL Building Corporation, their respective partners and affiliates and each of their respective partners, affiliates, shareholders, members, officers, directors, agents, employees, successors and assigns; City of Port St. Lucie,
- 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


- Must include project number and project name on certificate. Please see division name information listed above.

Workers Compensation


- A physical copy of the Waiver of Subrogation endorsement must be submitted.
- EMPLOYEE LEASING IS NOT ALLOWED.
- Must include project number and project name on certificate. Please see division name information listed above.
- WORKERS COMPENSATION STATE EXEMPTIONS ARE NOT ACCEPTED
- Waiver of Subrogation applies in favor of:GL Signature Homes, LLC and GL Building Corporation, their respective partners and affiliates and each of their respective partners, affiliates, shareholders, members, officers, directors, agents, employees, successors and assigns
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.
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