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6.D. - Page 103 of 170 <br />Form Gen. 146 (Rev. 3/09) <br />Required Insurance and Minimum Limits <br />Name: 146 PUQUC T1651 RO M OOMPRNy Date <br />04/11/2016 <br />Agreement/Reference: General Park Building Construction RFQ <br />Evidence of coverages checked below, with the specified minimum limits, must be submitted and approved prior to <br />occupancy/start of operations. Amounts shown are Combined Single Limits ("CSLs"). For Automobile Liability, split <br />limits may be substituted for a CSL if the total per occurrence equals or exceeds the CSL amount. <br />Limits <br />✓ Workers' Compensation -Workers' Compensation (WC) and Employer's Liability (EL) <br />WC Statutory <br />❑✓ Waiver of Subrogation in favor of City <br />Y" - General Liability <br />M Products/Completed Operations <br />❑ Fire Legal Liability <br />❑ Longshore & Harbor Workers <br />❑ Jones Act <br />❑ Sexual Misconduct <br />✓ Automobile Liability (for any and all vehicles used for this contract, other than commuting to/from work) <br />1 Professional Liability (Errors and Omissions) <br />Discovery Period 12 Months After Completion of Work or Date of Termination <br />Property Insurance (to cover replacement cost of building - as determined by insurance company) <br />❑ All Risk Coverage <br />❑ Flood <br />❑ Earthquake <br />Pollution Liability <br />❑ Boiler and Machinery <br />❑ Builder's Risk <br />Surety Bonds - Performance and Payment (Labor and Materials) Bonds <br />Crime Insurance <br />Other: <br />EL $1,000,000 <br />$1,000,000 <br />$1,000,000 <br />$1,000,000 <br />100% of the contract price <br />IT -111.1 <br />