CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that JE Dunn Construction Company 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

ALYVE PAINTING LLC PO BOX 110436 NASHVILLE, TN 37222

CARRIER REQUIREMENTS

A- or higher, VII




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 $ 1,000,000
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
ANY AUTO BODILY INJURY (Per person) $
X ALL OWNED AUTOS BODILY INJURY (Per accident) $
SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) $
X HIRED AUTOS
X NON-OWNED AUTOS
UMBRELLA /EXCESS LIABILITY X OCCUR EACH OCCURRENCE $ 2,000,000
Claims Made AGGREGATE $ 2,000,000
WORKERS COMP /EMPLOYEE LIABILITY X 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


JE Dunn Construction Company C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS


Division Name: Williamson Medical Tower Expansion, Division Number: 22018900, Division Location: 4321 Carothers Pkwy Franklin TN 37067.
- Contract ID: 220189001-056197.

General Liability


- Additional Insured must include both ongoing and completed operations. --
- Additional insured, primary & non-contributory and waiver of subrogation must be included. A copy of the Endorsements is required.--
- Waiver of Subrogation applies in favor of:Williamson County Hospital d/b/a Williamson Medical Center (Owner), J.E. Dunn Construction Company (Contractor), Earl Swensson Associates, Inc. (Architect) and Architect’s consultants, and any other person or entity required by the Subcontract Documents, and all their assigns, subsidiaries and affiliates as additional insureds as their respective interest may appear

- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Williamson County Hospital d/b/a Williamson Medical Center (Owner), J.E. Dunn Construction Company (Contractor), Earl Swensson Associates, Inc. (Architect) and Architect’s consultants, and any other person or entity required by the Subcontract Documents, and all their assigns, subsidiaries and affiliates as additional insureds as their respective interest may appear
,
- 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


- Additional insured, primary & non-contributory and waiver of subrogation must be included. A copy of the Endorsements is required.--
- Waiver of Subrogation applies in favor of:Williamson County Hospital d/b/a Williamson Medical Center (Owner), J.E. Dunn Construction Company (Contractor), Earl Swensson Associates, Inc. (Architect) and Architect’s consultants, and any other person or entity required by the Subcontract Documents, and all their assigns, subsidiaries and affiliates as additional insureds as their respective interest may appear

- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Williamson County Hospital d/b/a Williamson Medical Center (Owner), J.E. Dunn Construction Company (Contractor), Earl Swensson Associates, Inc. (Architect) and Architect’s consultants, and any other person or entity required by the Subcontract Documents, and all their assigns, subsidiaries and affiliates as additional insureds as their respective interest may appear
,
- 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


- Must follow form and extend over General Liability, Auto Liability, and Employer's Liability, must include Severability of Interest.--
- Additional insured, primary & non-contributory and waiver of subrogation must be included. A copy of the Endorsements is required.--
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Williamson County Hospital d/b/a Williamson Medical Center (Owner), J.E. Dunn Construction Company (Contractor), Earl Swensson Associates, Inc. (Architect) and Architect’s consultants, and any other person or entity required by the Subcontract Documents, and all their assigns, subsidiaries and affiliates as additional insureds as their respective interest may appear
,
- Additional Insured applies to Umbrella.

Workers Compensation


- Coverage for Worker's Compensation and Employers Liability shall be written on an NCCI WC 00 00 00 coverage form or its equivalent.
- Waiver of Subrogation applies in favor of:Williamson County Hospital d/b/a Williamson Medical Center (Owner), J.E. Dunn Construction Company (Contractor), Earl Swensson Associates, Inc. (Architect) and Architect’s consultants, and any other person or entity required by the Subcontract Documents, and all their assigns, subsidiaries and affiliates as additional insureds as their respective interest may appear

- Please confirm that no proprietor/partner/executive/officer/member is excluded. If there are exclusions, please list them on the certificate and indicate whether any of these excluded parties visit the job sites.
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.
-*