CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that ARCO 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

JACK LAURIE GROUP 7998 Georgetown Road Indianapolis, IN 46268

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 $ 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 $ 2,000,000
Claims Made AGGREGATE $ 2,000,000
WORKERS COMP /EMPLOYEE LIABILITY WC STATUTORY LIMITS OTHER
E.L. EACH ACCIDENT $ 500,000
E.L. DISEASE - EA EMPLOYEE $ 500,000
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


ARCO Design/Build Indianapolis, a division of ARCO DB Companies, Inc., 325 S. Alabama St., Suite 200, Indianapolis, IN 46204 C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS


Division Name: MW159- Arvato TI - KY, Division Number: MW159-, Division Location: 3540 S. Preston Hwy..
- Contract ID: MW159-1008.
- 30 Days Notice of Cancellation Required.

General Liability


- Please provide copies of the additional insured forms for both ongoing and completed operations (CG 2038 12/19 and 2040 12/19 or their equivalent) in addition to the certificate of insurance.
- Please provide a copy of Waiver of Subrogation endorsement in addition to the certificate of insurance.
- Please confirm on certificate the policy includes the Subcontractor exception to the ‘Your Work’ exclusion
- Project number and name is required on certificate. Please see division name information listed above.
- Please confirm on certificate there are no Contractor Limitation exclusions in the policy.
- Please confirm on certificate there is no Wildfire exclusions in the policy.
- Please provide a copy of the Primary & Non-Contributory endorsement in addition to the certificate of insurance.
- Please confirm on certificate there are no height exclusions in the policy.
- Waiver of Subrogation applies in favor of:Exeter 3524 Preston, LLC, Arvato
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: ARCO Design/Build Indianapolis, a division of ARCO DB Companies, Inc. and Exeter 3524 Preston, LLC and Arvato,
- 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


- Please provide a copy of the Additional Insured endorsement in addition to the certificate of insurance.
- Please provide a copy of Waiver of Subrogation endorsement in addition to the certificate of insurance.
- Project number and name is required on certificate. Please see division name information listed above.
- Please provide a copy of the Primary & Non-Contributory endorsement in addition to the certificate of insurance.
- Waiver of Subrogation applies in favor of:Exeter 3524 Preston, LLC, Arvato
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: ARCO Design/Build Indianapolis, a division of ARCO DB Companies, Inc. and Exeter 3524 Preston, LLC and Arvato,
- 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


- Please provide a copy of the Additional Insured endorsement in addition to the certificate of insurance.
- Please provide a copy of Waiver of Subrogation endorsement in addition to the certificate of insurance.
- Project number and name is required on certificate. Please see division name information listed above.
- Please provide a copy of the Primary & Non-Contributory endorsement in addition to the certificate of insurance.
- Waiver of Subrogation applies in favor of:Exeter 3524 Preston, LLC, Arvato
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: ARCO Design/Build Indianapolis, a division of ARCO DB Companies, Inc. and Exeter 3524 Preston, LLC and Arvato,
- 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


- Please provide a copy of Waiver of Subrogation endorsement in addition to the certificate of insurance.
- Project number and name is required on certificate. Please see division name information listed above.
- Workers Comp is required in the amount of $500,000.
- Waiver of Subrogation applies in favor of:Exeter 3524 Preston, LLC, Arvato
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.
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