CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that Roger, who facilitates compliance for your insured's Shipper 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

NOLBERTO ANDAZOLA DBA ANDAZOLA TRUCKING 206 East 4th Ave Ingalls, KS KANSAS

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 $
X POLICY PROJECT LOCATION $
AUTO LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED AUTOS BODILY INJURY (Per accident) $
X SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) $
HIRED AUTOS
NON-OWNED AUTOS
UMBRELLA /EXCESS LIABILITY OCCUR EACH OCCURRENCE $
Claims Made AGGREGATE $
WORKERS COMP /EMPLOYEE LIABILITY WC STATUTORY LIMITS OTHER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
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 $
$
Motor/Truck/Cargo Motor/Truck/Cargo Per Vehicle: $5,000

Certificate Holder


The Scoular Company C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS


Division Name: The Scoular Company: Carriers M-N.
- Contract ID: 560e0c63-89c6-43e7-b073-1ddcce518d17.
- 30 Days Notice of Cancellation Required.
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