Subcontractor Information

In order for you to be in compliance with your contract we require the following information before work is to begin on our jobsite.

I. Completed W-9 Request for Taxpayer Identification Number and Certification

II. Certificate of Liability Insurance

   A. Insured company name does not match company listed in the contract.

   B. Commercial General Liability

      1. Each Occurrence Limit $ 1,000,000

      2. Fire Damage to Rented Premises $ 50,000

      3. Medical Damage (Any one person) $ 5,000′

      4. Personal & Adv Injury Limit $ 1,000,000

      5. General Aggregate $ 2,000,000

      6. Products – Comp. Operations $ 2,000,000

      7. General Aggregate limit applies per project

   C. Automobile Liability

      1. Combined Single Limit $ 1,000,000

      2. Any Auto

      3. Hired Autos

      4. Non-owned Autos

   D. Excess/Umbrella Liability

      1. Each Occurrence $ 1,000,000

      2. Aggregate $ 1,000,000

   E. Workers Compensation & Employers’ Liability

      1. E.L. Each Accident $ 100,000

      2. E.L. Disease – EA Employee $ 100,000

      3. E.L. Disease – Policy Limit $ 500,000

   F. Other

      1. Professional Liablility $ 1,000,000 Per Claim

      2. Professional Liablility $ 1,000,000 Aggregate

   G. The Certificate Holder & Owner are Additional Insureds for General Liability, Auto & Umbrella when required by written contract. Additional Insured for General Liability is primary and non-contributory and includes completed operation. A Waiver of Subrogation applies in favor of the Certificate Holder for General Liability, Auto, Work Comp, Umbrella & Professional Liability when required by written contract. Deductible/SIR