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Kernersville B-40 & South - Town of Kernersville

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Administrative Review Board<br />

U.S. Department <strong>of</strong> Labor<br />

200 Constitution Avenue, N.W.<br />

Washington, D.C. 20210<br />

4.) All decisions by the Administrative Review Board are final.<br />

INSURANCE REQUIREMENTS:<br />

I. Workers Compensation<br />

END OF GENERAL DECISION<br />

PROJECT STANDARD PROVISIONS<br />

SUGGESTED INSURANCE REQUIREMENTS<br />

FOR OUTSIDE CONTRACTORS<br />

The Contractor shall maintain Workers Compensation and Employers Liability Insurance affording:<br />

(a)<br />

Protection under the Workers Compensation Law <strong>of</strong> all States in which the work is to be<br />

performed or where the employee resides or must travel.<br />

(b) Employers Liability protection subject to a limit <strong>of</strong> not less than $500,000.<br />

A Certificate <strong>of</strong> Insurance shall be issued confirming the above coverage. The Certificate must<br />

include a clause obligating the Insurer to give (30) days prior notice in the event <strong>of</strong> cancellation <strong>of</strong><br />

or major change in the insurance.<br />

II. Comprehensive General Liability<br />

(a)<br />

The Contractor shall maintain Comprehensive General Liability coverage in amounts not<br />

less than:<br />

Bodily Injury ) $5 Million Single Limit & ) each accident<br />

Property Damage )<br />

(b)<br />

This coverage must include:<br />

(1) Blanket contractual coverage to provide coverage for the liability assumed by the<br />

Contractor under the indemnity provision <strong>of</strong> the contract involved. Such<br />

Certificate must specifically state the <strong>Town</strong> <strong>of</strong> <strong>Kernersville</strong> is listed as additional<br />

insured with contractual liability covered and it must be signed by the insurance<br />

company, agent or broker.<br />

(2) Contractor's protective coverage for his subcontractors.<br />

(3) Coverage for the hazards commonly referred to as the X, C & U exclusions, where<br />

excavation, collapse or undermine perils are necessary.<br />

A Certificate <strong>of</strong> Insurance shall be issued confirming this coverage under a Comprehensive<br />

11509; WBS #: 3709.3.23 B<strong>40</strong> Interchange Landscape 49

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