CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that Dellbrook | JKS 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

StrataCon, Inc. 8 South Street Canton, MA 02021

CARRIER REQUIREMENTS



POLICY LINE POLICY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000
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 X OCCUR EACH OCCURRENCE $ 5,000,000
Claims Made AGGREGATE $ 5,000,000
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 $
X Special Extra Expense $
Earthquake Rental Value $
Wind Blanket Building $
Flood Blanket Pers Prop $
Blanket BLDG & PP $
$
$
Boiler and Machine Boiler & Machinery /Equipment Break Down $
$
Professional Liability Professional Liability coverage should be on a claims-made basis. Each Occurrence: $1,000,000 Aggregate: $1,000,000

Certificate Holder


Dellbrook/JKS 859 Willard St Quincy, MA 02169

ADDITIONAL REQUIREMENTS


Division Name: 10-22-0019 - Tufts- Halligan Hall, Division Number: 10-22-0019, Division Location: 161 College Ave Medford, MA 02155.
- Contract ID: 256BF66C-CEA1-4EC8-A8DB-D29B023A0C90.
- 30 Days Notice of Cancellation Required.

Pollution / Environmental
- Insr Ltr - Occurrence - Policy Number - Effective Date - Expiration Date - Each Occurrence $5,000,000 - Aggregate $5,000,000.


Leased / Rented Equipment
- Insr Ltr - Policy Number - Effective Date - Expiration Date - Any One Item $0 - Maximum Limit $0.


Installation Floater
- Insr Ltr - Policy Number - Effective Date - Expiration Date - Jobsite Limit $1,000,000 - Unnamed Location $0.


General Liability


- Must provide the Additional Insured and Waiver of Subrogation Endorsement forms in addition to the certificate of insurance.
--
Must provide Notice of Cancellation endorsement in addition to the certificate of insurance.
- General Liability Only: Must include Contractual Liability.
--
General Liability Only: Must confirm there are no residential exclusions.
--
Umbrella Only: Umbrella must extend over General Liability, Auto Liability, and Employer's Liability. Must Follow Form.
--
Dellbrook Construction, LLC, dba Dellbrook|JKS, Trustees of Tufts College, and any other party as required by written contract, are included as Additional Insureds on a primary and noncontributory basis where required by written contract, with respect to the Automobile, General Liability and Umbrella/Excess Liability policies. A Waiver of Subrogation applies in favor of the additional insureds where required by written contract with respect to the Workers Compensation, Automobile, General Liability and Umbrella/Excess Liability policies. Additional Insured endorsements are issued on the ISO Endorsement CG2010 11/85 OR CG2010 10/01 AND CG2037 10/01 or equivalent. 30 days notice of cancellation or material modification will be provided to Dellbrook JK Scanlan.
--
- Waiver of Subrogation applies in favor of:Dellbrook Construction, LLC, dba Dellbrook|JKS, Trustees of Tufts College, and any other party as required by written contract.
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Dellbrook Construction, LLC, dba Dellbrook|JKS, Trustees of Tufts College, and any other party as required by written contract.,
- Please confirm on the certificate or by uploading the schedule of forms, endorsements, and/or exclusions that the policy does not exclude explosion, collapse, and underground (XCU) coverage.
- Coverage for Independent Contractors.
- 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


- Waiver of Subrogation applies in favor of:Dellbrook Construction, LLC, dba Dellbrook|JKS, Trustees of Tufts College, and any other party as required by written contract.
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Dellbrook Construction, LLC, dba Dellbrook|JKS, Trustees of Tufts College, and any other party as required by written contract.,
- 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


- General Liability Only: Must include Contractual Liability.
--
General Liability Only: Must confirm there are no residential exclusions.
--
Umbrella Only: Umbrella must extend over General Liability, Auto Liability, and Employer's Liability. Must Follow Form.
--
Dellbrook Construction, LLC, dba Dellbrook|JKS, Trustees of Tufts College, and any other party as required by written contract, are included as Additional Insureds on a primary and noncontributory basis where required by written contract, with respect to the Automobile, General Liability and Umbrella/Excess Liability policies. A Waiver of Subrogation applies in favor of the additional insureds where required by written contract with respect to the Workers Compensation, Automobile, General Liability and Umbrella/Excess Liability policies. Additional Insured endorsements are issued on the ISO Endorsement CG2010 11/85 OR CG2010 10/01 AND CG2037 10/01 or equivalent. 30 days notice of cancellation or material modification will be provided to Dellbrook JK Scanlan.
--
- Waiver of Subrogation applies in favor of:Dellbrook Construction, LLC, dba Dellbrook|JKS, Trustees of Tufts College, and any other party as required by written contract.
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Dellbrook Construction, LLC, dba Dellbrook|JKS, Trustees of Tufts College, and any other party as required by written contract.,
- 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


- Must provide the Additional Insured and Waiver of Subrogation Endorsement forms in addition to the certificate of insurance.
--
Must provide Notice of Cancellation endorsement in addition to the certificate of insurance.
- Waiver of Subrogation applies in favor of:Dellbrook Construction, LLC, dba Dellbrook|JKS, Trustees of Tufts College, and any other party as required by written contract.
- 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.
-*