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<br />I <br /> <br />I <br /> <br />I <br /> <br />, ' . I I <br /> <br />PUWUDRAINAGE INS. <br />Form Approved, A VP-Law Updated 03/01/2003 <br /> <br />C. Workers Compensation and Emplovers Liabilitv msurance includmg but not limited to: <br /> <br />. Licensee's statutory habihty 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 pohcy 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 shall mclude liability an sing out of the U. S. Longshoremen's <br />and Harbor Workers' Act, the Jones Act, and the Outer Continental Shelf Land Act, if applicable. <br /> <br />The polIcy shall also contam the following endorsement which shall be indicated 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 />pohcIes 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 nght 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 msurers also waIve their nght 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 primary with <br />respect to any insurance camed by Licensor. All waivers of subrogation shall be indicated on the <br />certificate of insurance. <br /> <br />G. All PohcY(Ies) reqUIred above (excluding Workers Compensation) shall provide severability of <br />interests and shall name Licensor as an addItIonal insured. Severability of interest and naming <br />Licensor as additional insured shall be indicated on the certificate of insurance. <br /> <br />H. Pnor to commencmg the Work, LIcensee shall furnish to Licensor onginal certificate(s) of msurance <br />eVIdencmg the reqUIred coverage, endorsements, and amendments. The certificate(s) shall contain a <br />proviSIOn that obhgates the msurance cornpany(ies) issuing such PohcY(Ies) to notIfy LIcensor m <br />writing of any cancellation or material alteratIon. Upon request from Licensor, a certified <br />duplicate original of any required policy shall be furnished. <br /> <br />I. Any insurance polIcy shall be written by a reputable insurance company acceptable to Licensor or <br />WIth a current Best's Insurance Guide Rating of A- and Class VII or better, and authorized to do <br />busmess in the state(s) m whIch the serVIce IS to be provided. <br />