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INSURANCE CHECKLIST <br />Construction Projects <br />("X" means the coverage is required.) <br />Coveraqe Required <br />X 1. Workers' Compensation & <br />Employers' Liability <br />Limits (Figures Denote Minimums) <br />Statutory limits of State of Texas <br />$100,000 accident $100,000 disease <br />$500,000 policy limit disease <br />_ 2. For Future Use <br />3. City Approved Alternative <br />$150,000 medical, safety <br />program <br />Workers' Comp. Program <br />X 4. General Liability <br />Minimum $250,000 each incident <br />$500,000 per occurrence <br />Complete entry No. 26 <br />X 5. General aggregate applies <br />per project (CGL) <br />6. Premises/Operations <br />7. Independent Contractors <br />(Items No. 3-10 & 12 require) <br />500 000 combined single limit <br />for bodily injury and property damage <br />X 8. Products <br />9. Completed Operations <br />10.Contractual Liability <br />X 11. Personal Injury Liability <br />12.XCU Coverages <br />X 13. Automobile Liability <br />14.Owned, Hired & Non-owned <br />damage each occurrence with <br />$1,000,000 general aggregate that <br />applies to project under contract <br />$250,000 each incident, <br />$500,000 per occurrence <br />$250,000 each incident, <br />$500,000 per occurrence, <br />$100,000 for property <br />Damage each accident <br />15. Motor Carrier Act Endorsemert <br />16. ProfPCCjnnaj I ianiljty <br />1_1'500,000 Bod!IV in;ury Fx <br />Property Damage each accident. <br />- 1 166 <br />