CERTIFICATE OF INSURANCE REQUIREMENT SHEET
The following coverages are required to be shown on a Certificate of Insurance listing Peninsula Pacific Entertainment Development, LLC (29271 Centerville Road, La Motte, IA 52054) as the certificate holder:
General Liability
Minimum Coverage of $1,000,000 Each Occurrence
Minimum Coverage of $2,000,000 General Aggregate
Minimum Coverage of $2,000,000 Products and Completed Operations AggregateAuto Liability
Minimum Coverage of $1,000,000 Combined Single Limit.
Must indicate coverage for any auto – owned, hired or borrowed and non-owned vehicles.Excess/Umbrella
Minimum Coverage of $5,000,000 Each Occurrence, unless otherwise waived by BuyerProfessional Liability/Errors and Omissions
Minimum Coverage of $1,000,000 Each Occurrence, unless otherwise waived by BuyerWorkers Compensation and Employers Liability
Minimum Coverage of $1,000,000 Employers Liability - Each Accident Minimum Coverage $1,000,000 Disease – Each Employee
Minimum Coverage $1,000,000 Disease – Policy Limit
Workers Compensation - statutory limits**as required within jurisdiction in which the project is being performed or services are being performed.
Required Workers Compensation wording:
A waiver of subrogation has been placed in favor of Peninsula Pacific Entertainment Development, LLC; New Hampshire Group, LLC; Kansas Crossing Casino, L.C.; Legends Holding, LLC; PEN 2 Acquisition, LLC; and Cedar Rapids Development Group, LLC, as allowed by applicable law.Required General Liability wording:
Peninsula Pacific Entertainment Development, LLC; New Hampshire Group, LLC; Kansas Crossing Casino, L.C.; Legends Holding; PEN 2 Acquisition, LLC; and Cedar Rapids Development Group, LLC; and their agents, affiliates, employees, directors, owners, and officers are named as additional insured as our interest may appear on the general liability policy on a primary and noncontributory basis. A waiver of subrogation has been placed in favor of Peninsula Pacific Entertainment Development, LLC; New Hampshire Group, LLC; Kansas Crossing Casino, L.C.; Legends Holding, LLC; PEN 2 Acquisition, LLC; and Cedar Rapids Development Group, LLC.Required Auto Liability wording:
Peninsula Pacific Entertainment Development, LLC; New Hampshire Group, LLC; Kansas Crossing Casino, L.C.; Legends Holding, LLC; and Cedar Rapids Development Group, LLC; and their agents, affiliates, employees, directors, owners and officers are named as additional insured as our interest may appear on the Auto liability. A waiver of subrogation has been placed in favor of Peninsula Pacific Entertainment Development, LLC; New Hampshire Group, LLC; Kansas Crossing Casino, L.C.; Legends Holding, LLC; PEN 2 Acquisition, LLC; and Cedar Rapids Development Group, LLC.
Unless we receive the information requested, we may no longer be able to continue our business relationship. As such, please be timely in providing us with the requested information. Our policy is that we must have all of the above information on file.