CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that Renault and Moran Construction LLC 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

Premier Tile 15000 S. Main Street Gardena, CA 90248

CARRIER REQUIREMENTS




POLICY LINE POLICY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
CLAIMS MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000
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 $ 3,000,000
Claims Made AGGREGATE $ 3,000,000
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


Renault and Moran Construction C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS


Division Name: 2023004 - Rivian Myford 2 Phase 1A, Division Number: 2023004, Division Location: 14451 Myford Rd. Tustin, California 92780.
- Contract ID: 2333094-27178630.
- 30 Days Notice of Cancellation Required.

General Liability


- Please provide copies of the Additional Insured forms for both ongoing and completed operations (CG 2010 07/04 and CG 2037 07/04 pr their equivalents) in addition to the certificate of insurance.

We will need two separate COIs for this project. One stating Rivian Automotive 13250
N. Haggerty Rd., Plymouth, MI 48170-4206 as Certificate Holder. The second COI will
state Ram Construction 20 Executive Park, Suite 250 Irvine, CA 92614 as the Certificate
Holder. Both with the same insurances and additional Insured.
- Please provide a copy of Waiver of Subrogation endorsement in addition to the certificate of insurance.
- Waiver of Subrogation applies in favor of:Renault and Moran Construction LLC; Rivian Automotive LLC; CSHV Myford Tustin LLC; CalSTRS; Principal Real Estate Investors LLC; IDS Real Estate Group 2915 Redhill Avenue Suite F200 Costa Mesa CA 92626
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Renault and Moran Construction LLC; Rivian Automotive LLC; CSHV Myford Tustin LLC; CalSTRS; Principal Real Estate Investors LLC; IDS Real Estate Group 2915 Redhill Avenue Suite F200 Costa Mesa CA 92626,
- 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 copies of the Additional Insured forms for both ongoing and completed operations (CG 2010 07/04 and CG 2037 07/04 pr their equivalents) in addition to the certificate of insurance.

We will need two separate COIs for this project. One stating Rivian Automotive 13250
N. Haggerty Rd., Plymouth, MI 48170-4206 as Certificate Holder. The second COI will
state Ram Construction 20 Executive Park, Suite 250 Irvine, CA 92614 as the Certificate
Holder. Both with the same insurances and additional Insured.
- 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.
- Waiver of Subrogation applies in favor of:Renault and Moran Construction LLC; Rivian Automotive LLC; CSHV Myford Tustin LLC; CalSTRS; Principal Real Estate Investors LLC; IDS Real Estate Group 2915 Redhill Avenue Suite F200 Costa Mesa CA 92626
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Renault and Moran Construction LLC; Rivian Automotive LLC; CSHV Myford Tustin LLC; CalSTRS; Principal Real Estate Investors LLC; IDS Real Estate Group 2915 Redhill Avenue Suite F200 Costa Mesa CA 92626,
- 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 copies of the Additional Insured forms for both ongoing and completed operations (CG 2010 07/04 and CG 2037 07/04 pr their equivalents) in addition to the certificate of insurance.

We will need two separate COIs for this project. One stating Rivian Automotive 13250
N. Haggerty Rd., Plymouth, MI 48170-4206 as Certificate Holder. The second COI will
state Ram Construction 20 Executive Park, Suite 250 Irvine, CA 92614 as the Certificate
Holder. Both with the same insurances and additional Insured.
- 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.
- Please confirm on the certificate umbrella follows form and extends over GL, Auto, and Employer's Liability.
- Waiver of Subrogation applies in favor of:Renault and Moran Construction LLC; Rivian Automotive LLC; CSHV Myford Tustin LLC; CalSTRS; Principal Real Estate Investors LLC; IDS Real Estate Group 2915 Redhill Avenue Suite F200 Costa Mesa CA 92626
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.

Workers Compensation


- Please provide copies of the Additional Insured forms for both ongoing and completed operations (CG 2010 07/04 and CG 2037 07/04 pr their equivalents) in addition to the certificate of insurance.

We will need two separate COIs for this project. One stating Rivian Automotive 13250
N. Haggerty Rd., Plymouth, MI 48170-4206 as Certificate Holder. The second COI will
state Ram Construction 20 Executive Park, Suite 250 Irvine, CA 92614 as the Certificate
Holder. Both with the same insurances and additional Insured.
- Please provide a copy of Waiver of Subrogation endorsement in addition to the certificate of insurance.
- Waiver of Subrogation applies in favor of:Renault and Moran Construction LLC; Rivian Automotive LLC; CSHV Myford Tustin LLC; CalSTRS; Principal Real Estate Investors LLC; IDS Real Estate Group 2915 Redhill Avenue Suite F200 Costa Mesa CA 92626
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.
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