The information contained herein is to describe the contractual requirements that Schostak Brothers & Company, 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

Pasta Per Trio, Inc. DBA Noodles And Company 11901 Fulton St. E Lowell, MI 49331

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)

$

PERSONAL & ADV INJURY

$

GENERAL AGGREGATE

$

3,000,000

GEN'L AGGREGATE LIMIT APPLIES PER

PRODUCTS - COMP/OP AGG

$

POLICY

PROJECT

LOCATION

$

AUTO LIABILITY

COMBINED SINGLE LIMIT (Ea accident)

$

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

OCCUR

EACH OCCURRENCE

$

Claims Made

AGGREGATE

$

WORKERS COMP /EMPLOYEE LIABILITY

WC STATUTORY LIMITS

OTHER

E.L. EACH ACCIDENT

$

E.L. DISEASE - EA EMPLOYEE

$

E.L. DISEASE - POLICY LIMIT

$

Property

Property Causes of Loss

Deductibles

Building

$

Basic

Building

X

Personal Property

$

Broad

Contents

Business Income

$

X

Special

Extra Expense

$

Earthquake

Rental Value

$

Wind

Blanket Building

$

Flood

Blanket Pers Prop

$

Blanket BLDG & PP

$

X

TIB/Improvements

$

$

Boiler and Machine

Boiler & Machinery /Equipment Break Down

$

$

Certificate Holder

Schostak Brothers & Company, Inc. C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS

Division Name: Wonderland Village.

General Liability

- Umbrella or Excess Liability may be used to meet policy limits
- Waiver of Subrogation applies in favor of:Schostak Brothers & Company, Inc.; Middlebelt Plymouth Venture LLC
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: Schostak Brothers & Company, Inc.; Middlebelt Plymouth Venture LLC,
- 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.

Property Insurance

- Please confirm on certificate that Loss Payee is in favor of the Landlord.
- Waiver of Subrogation applies in favor of:Schostak Brothers & Company, Inc.; Middlebelt Plymouth Venture LLC
- Replacement Cost is required.
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.

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