New Search
• <br />• <br />INSURANCE CERTIFICATE CHECKLIST <br />FOR CONTRACT MANAGERS <br />Contractor number and name 2W:5--e:0 4,Q7 7 <br />w, /•~G, <br />Contract Manager #149-4-5' Al <br />Contract Term <br />Date Reviewed <br />COMMERCIAL GENERAL LIABILITY <br />Limits required by Contract <br />per person bodily injury <br />per occurrence bodily injury <br />per occurrence property damage <br />OR <br />DOD , pod combined single limit <br />Bodily injury and property damage <br />Additional insured endorsement <br />Days Cancellation clause <br />AUTOMOBILE LIABILITY INSURANCE <br />Limits required by Contract <br />per person bodily injury <br />per occurrence bodily injury <br />per occurrence property damage <br />OR <br />'0'ro : b' Combined Single Limit <br />Bodily injury and property damage <br />WORKER'S COMPENSATION <br />Required b Contract <br />Statutory Requirements <br />OTHER COVERAGES <br />Professional Liability <br />S`a &w/occyHangarkeeper's Legal Liability <br />Environmental Coverage <br />saved: P:\office work\CONTRACTS\FORMS\insurance.certificate.checklist.wpd 2003 <br />'r'*U1Jp'C-6r <br />IKOiRVUG M <br />F.S <br />IVs' I G~ <br />DA / <br />EXP. DT 1,li 66 <br />Limits provided on Certificate <br />i <br />boo pOl~ <br />Days <br />EXP DT A 6d <br />Limits provided on Certificate <br />ODDS 100 <br />EXP DT <br />Proved by Certificate C&AWA) <br />"JI <br />q <br />k-l <br />I So vvv _ ~ <br />