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SCHEDULE “D” STANDARD INSURANCE PROVISIONS INSTRUCTIONS FOR COUNTY OF ERIE STANDARD INSURANCE CERTIFICATE I. Insurance shall be procured and certificates delivered before commencement of work or delivery of merchandise or equipment. II. CERTIFICATES OF INSURANCE A. Shall be made to the "County of Erie, 95 Franklin St, Buffalo NY, 14202" B. Coverage must comply with all specifications of the contract. C. Must be executed by an insurance company, agency or broker, which is licensed by the Insurance Department of the State of New York. If executed by a broker, notarized copy of authorization to bind or certify coverage must be attached. III. Forward the completed certificate to: County of Erie, (Department or Division) responsible for entering into the agreement for construction, purchase, lease or service. IV. Minimum coverage with limits are as follows: A B C D E F G Construction Purchase or Professional Property Leased Concession- Livery All Purposes Vendor and Lease Services To Others Or aires Services Public Classification Maintenance of Merchandise or Use Services Entity Contracts Equipment Of Facilities Or Grounds Commercial Gen. Liab. $1,000,000 per occ. $1,000,000 CSL $1,000,000 CSL $1,000,000 $1,000,000 CSL $1,000,000 $1,000,000 CSL General Aggregate $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 Products Completed Operations Liability $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 $2,000,000 Blanket Broad Form Contractual Liability INCLUDE Contractual Liability INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE Broad Form P.D. INCLUDE X.C.U. (explosion, INCLUDE collapse, Underground) Liquor Law INCLUDE INCLUDE Auto Liab. $1,000,000 CSL $1,000,000 CSL $1,000,000 CSL $1,000,000 CSL $1,000,000 CSL $1,000,000 CSL Owned INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE Hired INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE Non-Owned INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE Excess/Umbrella Liab. $5,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000 $5,000,000 $1,000,000 Worker's Compensation STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY & Employer's Liability Disability Benefits STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY Professional Liability $5,000,000 Broad Form Erie County, To Be Named Gen. Liab., Auto Vendors May Gen. Liab., Auto Gen. Liab., Auto Gen. Liab., Auto Gen. Liab., Auto Gen. Liab., Auto Add'l Insd. Liab., & Excess Be Required Liab., & Excess Liab., & Excess Liab., & Excess Liab., & Excess Liab., & Excess V. Construction contracts require excess Umbrella Liability limits of $5,000,000. VI. Coverage must be provided on a primary-noncontributory bases. VII. Designated Construction Project General Aggregate Limit Per Project Endorsement CG 25 03 is required. VIII. If the concessionaire is required to have a N.Y.S. license to dispense alcoholic beverages an endorsement for liquor liability is required. IX. Waiver of Subrogation: Required on all lines unless noted. 13