CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that Curtiss-Manes-Schulte, Inc. 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

Poort Excavating LLC 1400 N. Grand Sedalis, MO 65301

CARRIER REQUIREMENTS

A- or higher, ...




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) $
X SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) $
X HIRED AUTOS
X NON-OWNED AUTOS
UMBRELLA /EXCESS LIABILITY X OCCUR EACH OCCURRENCE $ 1,000,000
Claims Made AGGREGATE $ 1,000,000
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


Curtiss Manes Schulte Inc C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS


Division Name: Compass Health Recovery Center, Division Number: 22-04, Division Location: Warrensburg, MO.
- Contract ID: 562949954105001-562949959707436.
- 30 Days Notice of Cancellation Required.
- Endorsement required to show General Liability is Primary and Non-Contributory.

General Liability


- Please provide copies of the Additional Insured forms for both ongoing and completed operations (CG 2010 11/85 OR using ISO Endorsements
CG 2010 07/04 and CG 2037 07/04 or equivalents) in addition to the certificate of insurance.
- Please provide a copy of the Primary & Non-Contributory endorsement in addition to the certificate of insurance.
- Please provide a copy of Waiver of Subrogation endorsement in addition to the certificate of insurance.
-
- Waiver of Subrogation applies in favor of:Curtiss-Manes-Schulte, Inc.
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Curtiss-Manes-Schulte, Inc.,
- 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 the Primary & Non-Contributory endorsement in addition to the certificate of insurance.
- Please provide a copy of Waiver of Subrogation endorsement in addition to the certificate of insurance.
-

Workers Compensation


- Workers Compensation policies provided by Professional Employer Organizations (PEO) or alternative employer policies providing coverage to Leased / Temporary employees are not acceptable forms of proof of Workers Compensation Benefits and Employers Liability Coverage per written contract.
-*