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<br />I <br /> <br />I <br /> <br /> <br />PUWUDRAINAGE INS. <br />Form Approved, A VP-Law Updated 03/0112003 <br /> <br />C. Workers Compensation and Emplovers Liabilitv msurance mcluding but not lImIted to: <br /> <br />. LIcensee's statutory lIabihty under the workers' compensatIon laws of the state(s) affected by thIS <br />Agreement <br />. Employers' LIabilIty (Part B) wIth lImIts of at least <br />$500,000 each aCCIdent, $500,000 dIsease policy limIt <br />$500,000 each employee <br /> <br />If Workers CompensatIon msurance will not cover the lIabilIty of LIcensee m states that reqUIre <br />partICIpatIOn m state workers' compensation fund, Licensee shall comply WIth the laws of such states. If <br />Licensee IS self-msured, evidence of state approval must be prOVIded along with eVIdence of excess <br />workers compensatIOn coverage. Coverage shallmclude lIability arising out of the U. S. Longshoremen's <br />and Harbor Workers' Act, the Jones Act, and the Outer Contmental Shelf Land Act, If applIcable. <br /> <br />The polIcy shall also contam the following endorsement which shall be mdicated on the certIficate of <br />msurance: <br /> <br />. Alternate Employer Endorsement <br /> <br />D. Umbrella or Excess Policies In the event Licensee utilizes Umbrella or excess polICIes, these <br />polICIes shall "follow form" and afford no less coverage than the primary polIcy. <br /> <br />Other Requirements <br /> <br />E. PumtIve damage exclUSIOn must be deleted, which deletion shall be indicated on the certificate of <br />insurance. <br /> <br />F. LIcensee agrees to Waive ItS right of recovery, and ItS insurers, through polIcy endorsement, agree to <br />waIve theIr nght of subrogatIOn against LIcensor. Licensee further waIves its right of recovery, and <br />ItS insurers also waIve their right of subrogation agamst Licensor for loss of its owned or leased <br />property or property under ItS care, custody and control. LIcensee's msurance shall be pnmary WIth <br />respect to any msurance camed by LIcensor. All waIvers of subrogatIon shall be indicated on the <br />certificate of insurance. <br /> <br />G. All PolIcY(Ies) reqUIred above (excludmg Workers CompensatIon) shall provide severabilIty of <br />mterests and shall name LICensor as an addItIonal msured. Severability of interest and naming <br />Licensor as additional insured shall be indicated on the certificate of insurance. <br /> <br />H. Prior to commencmg the Work, LIcensee shall furnIsh to Licensor original certificate(s) of insurance <br />eVIdencmg the reqUIred coverage, endorsements, and amendments. The certIficate(s) shall contam a <br />prOVlSlon that oblIgates the msurance companY(Ies) Issumg such PolIcY(Ies) to notify LIcensor m <br />wntmg of any cancellatIOn or matenal alteratIon. Upon request from Licensor, a certified <br />duplicate original of any required policy shall be furnished. <br /> <br />I. Any msurance polIcy shall be wntten by a reputable msurance company acceptable to Licensor or <br />WIth a current Best's Insurance GUIde Ratmg of A- and Class VII or better, and authorized to do <br />busmess m the state(s) m whIch the servIce IS to be prOVIded. <br />