2020-26 - Approve Design Build of Cove Church

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INSURANCE REQUIREMENTS CHECKLIST Items marked "X" must be provided. X GENERAL LIABILITY (The following coverage must be included) Premises -Operations Independent Contractors/Subs Broad Form Contractual Broad Form Property Damage Explosion (X) X UMBRELLA LIABILITY Extending over all Liability Programs MINIMUM LIMITS REQUIRED $ 1,000,000 Per Occurrence $ 2,000,000 General Aggregate Collapse (C) Underground (U) Personal Injury Products -Completed Operations Fire Legal Liability Employer's liability (Ohio Stop Gap) $ 5, 000, 000 X AUTOMOBILE LIABILITY Owned, Hired, and Non -Owned Employee Non -Ownership $ 1, 0001 000 per Occurrence $ 500,000 Bodily Injury Liability for each person/$ 1, 000, 000 per occurrence $ 500,000 Property Damage Liability for each occurrence X WORKERS' COMPENSATION _X Workers' Compensation coverage in compliance with the Statutory laws of the State of Ohio (Also see WPCLF Requirements Section) X PROFESSIONAL LIABILITY X BUILDER'S RISK INSTALLATION FLOATER POLLUTION LIABILITY ENVIRONMENTAL IMPAIRMENT LIABILITY $ 1,000,000 Per Occurrence $ 2,000,000 Aggregate $ X 100% Completed Value 100% Installed Replacement Value X PUBLIC LIABILITY & PROPERTY DAMAGE LIABILITY $ 1,000, 000 Damages to or destruction of property $ 500,000 Bodily injuries including accidental death for each person/$1,000,000 per occurrence The certificate of insurance must show the "City of Lakewood" as a named additional insured & give sixty (60) days prior written notice of cancellation, non -renewal, or adverse change to the City of Lakewood. Statement of Bidder and Insurance Agent We understand the requirements requested and agree to fully comply. Authorized Signature Insurance Agency Authorized Signature CITY-IRC-1