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<br />I <br /> <br />I <br /> <br />I <br /> <br />PUWUDRAINAGE INS. <br />Form Approved, A VP-Law Updated 03/0112003 <br /> <br />C. Workers Compensation and Emplovers Liabilitv msurance mcludmg but not hmited 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 hmits of at least <br />$500,000 each accident, $500,000 disease policy hmit <br />$500,000 each employee <br /> <br />If Workers CompensatIon msurance WIll not cover the liabihty 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-insured, eVIdence of state approval must be provided along wIth evidence of excess <br />workers compensation coverage. Coverage shall mclude hablhty ansmg 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 contain 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 utihzes Umbrella or excess poliCIes, these <br />pohcies shall "follow form" and afford no less coverage than the pnmary pohcy. <br /> <br />Other Requirements <br /> <br />E. PunitIve 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 pohcy endorsement, agree to <br />waIve theIr nght of subrogation agamst LIcensor. LIcensee further waIves Its right of recovery, and <br />Its msurers also waive their nght of subrogatIOn against 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 insurance carried 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 />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. Pnor to commencmg the Work, Licensee shall furnIsh to LIcensor origmal certificate(s) of insurance <br />eVIdencing the reqUIred coverage, endorsements, and amendments. The certificate(s) shall contam a <br />proVISIon that obhgates the msurance company(ies) issumg such policY(Ies) to notify LIcensor in <br />writmg 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 insurance policy shall be wntten 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) in whIch the servIce IS to be provided. <br />