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Contractor's ROE (Generic) - ExC <br />Form Approved - AVP Law 08 -15 -07 <br />EXHIBIT C <br />TO CONTRACTOR'S RIGHT OF ENTRY AGREEMENT <br />CONTRACTOR'S INSURANCE REQUIREMENTS <br />BUILDING AMERICA" (V <br />Contractor shall, at its sole cost and expense, procure and maintain during the course of the Project and until all Project work on <br />Railroad's property has been completed and the Contractor has removed all equipment and materials from Railroad's property and <br />has cleaned and restored Railroad's property to Railroad's satisfaction, the following insurance coverage: <br />A. Commercial General Liability Insurance. Commercial general liability (CGL) with a limit of not less than $5,000,000 each <br />occurrence and an aggregate limit of not less than $10,000,000. CGL insurance must be written on ISO occurrence form CG 00 <br />01 12 04 (or a substitute form providing equivalent coverage). <br />The policy must also contain the following endorsement, which must be stated on the certificate of insurance: <br />• Contractual Liability Railroads ISO form CG 2417 10 01 (or a substitute form providing equivalent coverage) showing <br />"Union Pacific Railroad Company Property" as the Designated Job Site, and <br />• Designated Construction Project(s) General Aggregate Limit ISO Form CG 25 03 03 97 (or a substitute form providing <br />equivalent coverage) showing the project on the form schedule. <br />B. Business Automobile Coverage Insurance. Business auto coverage written on ISO form CA 00 0110 01 (or a substitute form <br />providing equivalent liability coverage) with a combined single limit of not less $5,000,000 for each accident and coverage must <br />include liability arising out of any auto (including owned, hired and non -owned autos). <br />The policy must contain the following endorsements, which must be stated on the certificate of insurance: <br />• Coverage For Certain Operations In Connection With Railroads ISO form CA 20 7010 01 (or a substitute form providing <br />equivalent coverage) showing "Union Pacific Property" as the Designated Job Site. <br />• Motor Carrier Act Endorsement - Hazardous materials clean up (MCS -90) if required by law. <br />C. _Workers' Compensation and Employers' Liability Insurance. Coverage must include but not be limited to: <br />• Contractor's statutory liability under the workers' compensation laws of the state where the work is being performed. <br />• Employers' Liability (Part B) with limits of at least $500,000 each accident, $500,000 disease policy limit $500,000 each <br />employee. <br />If Contractor is self- insured, evidence of state approval and excess workers compensation coverage must be provided. <br />Coverage must include liability arising out of the U. S. Longshoremen's and Harbor Workers' Act, the Jones Act, and the Outer <br />Continental Shelf Laid Act, if applicable. <br />The policy must contain the following endorsement, which must be stated on the certificate of insurance: <br />• Alternate Employer endorsement ISO form WC 00 03 01 A (or a substitute form providing equivalent coverage) showing <br />Railroad in the schedule as the alternate employer (or a substitute form providing equivalent coverage). <br />D. _Railroad Protective Liability Insurance. Contractor must maintain Railroad Protective Liability insurance written on ISO <br />occurrence form CG 00 35 12 04 (or a substitute form providing equivalent coverage) on behalf of Railroad as named <br />insured, with a limit of not less than $2,000,000 per occurrence and an aggregate of $6,000,000. A binder stating the policy <br />is in place must be submitted to Railroad before the work may be commenced and until the original policy is forwarded to <br />Railroad. <br />E. Umbrella or Excess Insurance. If Contractor utilizes umbrella or excess policies, these policies must "follow form" and afford <br />no less coverage than the primary policy. <br />F. Pollution Liability Insurance. Pollution liability coverage must be written on ISO form Pollution Liability Coverage Form <br />Designated Sites CG 00 39 12 04 (or a substitute form providing equivalent liability coverage), with limits of at least <br />$5,000,000 per occurrence and an aggregate limit of $10,000,000. <br />If the scope of work as defined in this Agreement includes the disposal of any hazardous or non - hazardous materials from the <br />job site, Contractor must furnish to Railroad evidence of pollution legal liability insurance maintained by the disposal site operator <br />for losses arising from the insured facility accepting the materials, with coverage in minimum amounts of $1,000,000 per loss, <br />and an annual aggregate of $2,000,000. <br />Other Requirements <br />Contractor's ROE (Generic) - ExC Page 1 of 2 Exhibit C <br />Form Approved - AVP Law 08 -15 -07 Contractor's Insurance Requirements <br />