CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that Lease Crutcher Lewis WA, LLC (for WA) or Lease Crutcher Lewis, LLC (for OR) 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

Maintenance Man Unlimited PDX - MAI07 PO Box 461 Amboy, WA 98601

CARRIER REQUIREMENTS

A- or higher, VII




POLICY LINE POLICY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
CLAIMS MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000
X OCCUR MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 2,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000
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 $ 5,000,000
Claims Made AGGREGATE $ 5,000,000
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 $
$

Certificate Holder


Lease Crutcher Lewis, LLC 2200 Western Ave, Ste 500, Seattle, WA 98121 550 SW 12th Ave, Portland, OR 97205 Seattle/Portland, WA 00000

ADDITIONAL REQUIREMENTS


Division Name: PC22183 - Metron TI, Division Number: PC22183, Division Location: 2020 SW 4th Avenue, Ste. 850 Portland, OR 97201.
- Contract ID: PC22183 - Metron TI - Maintenance Man Unlimited PDX - MAI07.

General Liability


- Additional insured endorsements must include coverage for bodily injury, property damage and personal & advertising injury.
- Additional Insured, Primary & Non-Contributory and Waiver of Subrogation endorsements must include coverage for ongoing and products/completed operations.
- Additional Insured endorsements must include arising out of coverage trigger.
- Additional Insured, Primary & Non-Contributory or Waiver of Subrogation endorsements cannot contain comparative, vicarious or sole negligence limitations.
- Additional Insured, Primary & Non-Contributory and Waiver of Subrogation policy provisions OR endorsements cannot contain direct contract limitation.Acceptable language - 1)Lease Crutcher Lewis, Owners and all parties as outlined in any and all contracts and agreements related to projects performed for Lease Crutcher Lewis or 2) Specifically schedule all additional insured entity names from contract.
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Lease Crutcher Lewis, LLC
Metron
SKBPM I, LLC
ScanlanKemperBard Companies, LLC
Mildren Design Group
2020 Portland Owner, LLC
Owner, Building Owner, Property Management Company, Architect, Consultants, their agents and employees,
- General Liability policies must be endorsed to add Product and Completed Operations for 2 years.
- Additional Insured applies to General Liability.

Automobile Liability


- Additional Insured, Primary & Non-Contributory and Waiver of Subrogation policy provisions OR endorsements cannot contain direct contract limitation.Acceptable language - 1)Lease Crutcher Lewis, Owners and all parties as outlined in any and all contracts and agreements related to projects performed for Lease Crutcher Lewis or 2) Specifically schedule all additional insured entity names from contract.
- Confirmation in the description of operations that the coverage is provided on a ISO CA 00 01 policy form, will satisfy Additional Insured, Primary & Non-Contributory, and Waiver of Subrogation coverage extensions.If CA 00 01 is not identified on certificate you must provide copies of all policy forms and endorsements affirming Addl.Insured, Primary & Non-Contributory and Waiver of Subrogation in compliance with contract requirements.
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Lease Crutcher Lewis, LLC
Metron
SKBPM I, LLC
ScanlanKemperBard Companies, LLC
Mildren Design Group
2020 Portland Owner, LLC
Owner, Building Owner, Property Management Company, Architect, Consultants, their agents and employees,
- Additional Insured applies to Automobile.

Umbrella Excess Liability


- Additional Insured, Primary & Non-Contributory and Waiver of Subrogation endorsements must include coverage for ongoing and products/completed operations.
- Additional Insured, Primary & Non-Contributory or Waiver of Subrogation endorsements cannot contain comparative, vicarious or sole negligence limitations.
- Additional Insured, Primary & Non-Contributory and Waiver of Subrogation policy provisions OR endorsements cannot contain direct contract limitation.Acceptable language - 1)Lease Crutcher Lewis, Owners and all parties as outlined in any and all contracts and agreements related to projects performed for Lease Crutcher Lewis or 2) Specifically schedule all additional insured entity names from contract.
- Additional Insured, Primary & Non-Contributory and Waiver of Subrogation policy provisions OR endorsements must be attached.A statement on the certificate that the coverage follows form is not sufficient. If you are unsure what sections to send with respect to the Umbrella/Excess Liability please forward the following: 1. Who is An Insured provision from Coverage Form - This is the section that usually confirms Additional Insured status or Additional Insured endorsement. 2. Other Insurance Condition from Coverage Form stating policy is primary and non-contributory, OR Amendment of Other Insurance Condition or Primary & Non-Contributory endorsement providing primary & non-contributory coverage to the Additional insured. 3. Transfer of Rights of Recovery Condition from Coverage Form or Waiver of Subrogation endorsement.
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Lease Crutcher Lewis, LLC
Metron
SKBPM I, LLC
ScanlanKemperBard Companies, LLC
Mildren Design Group
2020 Portland Owner, LLC
Owner, Building Owner, Property Management Company, Architect, Consultants, their agents and employees,
- Additional Insured applies to Umbrella.
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