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

Sunflower Landscaping & Maintenance, Inc dba Mac Irrigation (Irrigation) (100732) Commercial No City, FL 99999

CARRIER REQUIREMENTS



POLICY LINE POLICY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $
OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $
POLICY 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 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


Boca Raton Associates IX, LLLP C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS


Division Name: 343- Lotus Palm (Resi - East).
- Contract ID: 10421989.

Workers Compensation


- A physical copy of the Waiver of Subrogation endorsement must be submitted.
- EMPLOYEE LEASING IS NOT ALLOWED.
- Must include building code 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:Boca Raton Associates IX, LLLP 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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