CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that Mattcon General Contractors 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

Inline Painting LLC 1413 East Naomi St Suite 1 Indianapolis, IN 46203

CARRIER REQUIREMENTS




POLICY LINE POLICY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000
X OCCUR MED EXP (Any one person) $ 5,000
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 OCCUR EACH OCCURRENCE $
Claims Made AGGREGATE $
WORKERS COMP /EMPLOYEE LIABILITY X WC STATUTORY LIMITS OTHER
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
E.L. DISEASE - POLICY LIMIT $ 1,000,000
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


MATTCON GENERAL CONTRACTORS, INC C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS


Division Name: 23002-TCPL, Division Number: TCPL - DOWNTOWN LIBRARY RENO , Division Location: 627 SOUTH STREET LAFAYETTE, IN 47901.

General Liability


- Confirm coverage is primary.
- Waiver of Subrogation applies in favor of:Mattcon General Contractors, Inc, Tippecanoe County Public Library, and Cordogan Clark and each entity's agents, officers, directors, and employees
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Mattcon General Contractors, Inc, Tippecanoe County Public Library, and Cordogan Clark,
- Additional Insured applies to General Liability.
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.

Automobile Liability


- Waiver of Subrogation applies in favor of:Mattcon General Contractors, Inc, Tippecanoe County Public Library, and Cordogan Clark and each entity's agents, officers, directors, and employees
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Mattcon General Contractors, Inc, Tippecanoe County Public Library, and Cordogan Clark,
- Additional Insured applies to Automobile.
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.

Workers Compensation


- Waiver of Subrogation applies in favor of:Mattcon General Contractors, Inc, Tippecanoe County Public Library, and Cordogan Clark and each entity's agents, officers, directors, and employees
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.
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