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&AX—Page-1/96 of 170 <br />Name: <br />Agreement/Reference: <br />Required Insurance and Minimum Limits <br />Date: <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 limits may <br />be substituted for a CSL if the total per occurrence equals or exceeds the CSL amount. <br />Limits <br />Workers' Compensation (WC) and Employer's Liability (EL) <br />WC Statutory <br />EL <br />❑Waiver of Subrogation in favor of City ❑Longshore & Harbor Workers <br />❑Jones Act <br />General Liability <br />❑Products/Completed Operations ❑Sexual Misconduct <br />❑Fire Legal Liability <br />Automobile Liability (for any and all vehicles used for this contract, other than commuting to/from work) <br />Professional Liability (Errors and Omissions) <br />Discovery Period <br />Property Insurance (to cover replacement cost of building; as determined by insurance company) <br />❑ All Risk Coverage ❑ Boiler and Machinery <br />F] Flood �, '' ❑ Builder's Risk <br />zk, a a <br />Earthquakej., ❑ <br />Pollution Liability <br />I♦❑ <br />Surety Bonds - Performance and Payment (Labor and Materials) Bonds <br />Crime Insurance <br />Other: <br />STANDARD PROVISIONS <br />FOR CITY CONTRACTS (Rev. 10/17) [v.2] 18 <br />239 <br />