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Insurance Agent Checklist – Group AGeneral Conditions:____Insurance Companies affording coverage are rated A-/VII or better____M/I Homes Inc and any/all subsidiaries and affiliates, 4131 Worth Ave, Columbus OH 43219 listed as certificate holder & additional insured/waiver endorsements____30 Day Notice of Cancellation in favor of the certificate holder____Certificate is signed by agent____ General Liability Schedule of Forms List including NAMES of each Form andEndorsements included in the GL policy Workers Compensation: ____Statutory limits box checked or BWC Certificate included for Ohio____Waiver of Subrogation (form # required in description box plus box checked AND endorsement attached with policy number matching certificate, excludes Ohio)____Employers Liability Limits are at a minimum of $500,000/$500,000/$500,000Commercial General Liability:____Coverage includes premises/operations and products/completed operations with minimum limits of $1,000,000 each occurrence, $1,000,000 personal and advertising injury, $1,000,000 general aggregate and $1,000,000 products/completed operations____Primary & Non-contributory language included in the description of operations box____Additional Insured ISO CG2010 0704 or equivalent (form # required in description box & endorsement attached)____Additional Insured ISO CG2037 0704 or equivalent (form # required in description box & endorsement attached)____Waiver of Subrogation ISO CG2404 or equivalent (form # required in description box & endorsement attached)____There shall be no exclusions limiting or excluding coverage for: residential construction, damage to or arising out of stucco installation, water damage, moisture intrusion, work performed by or on behalf of the insured by a subcontractor, action over, explosion, collapse or underground hazard or any other not acceptable by owner based on trade. Commercial Automobile:____Hired & Non-owned Auto included____Any Auto or All Owned Auto where applicable____Minimum CSL of $1,000,000 ................
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