PEO/Leased Employees Checklist
- Subcontractors utilizing a PEO/Leased Employees must ALSO meet the requirements below
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INSURANCE DOCUMENTATION FROM PEO BROKER
TOP OF CERTIFICATE OF INSURANCE (COI)
1. Named Insured (PEO) legal entity name/address as listed with the Secretary of State
2. Insurance Producer/Agent contact information including email address provided
3. Carrier Name Listed and NAIC # provided. (Must be AM Best Rated A-X or better)
UMBRELLA/EXCESS LIABILITY COVERAGE (Must extend over Employer's Liability policy)
4. "Occurrence" box checked
5. "Umbrella" or "Excess" box checked
6. Policy number listed (TBD or Binder not acceptable)
7. Limits meet requirements in Exhibit G (Also, see Project Information Page submitted with Insurance Packet provided with Bid Documents)
WORKERS COMPENSATION AND EMPLOYERS LIABILTY COVERAGE
8. "Any Proprietor/Partner/Executive Officer/Member Excluded" box marked "Y" or "N". If "Y", names listed on COI
9. Policy number listed (TBD or Binder not acceptable)
10. "Statutory Limits" box checked
11. Limits meet requirements in Exhibit G (Also, see Project Information Page submitted with Insurance Packet provided with Bid Documents)
DESCRIPTION OF OPERATIONS SECTION OF COI
12. "Coverage is provided for only those employees leased to but not subcontractors of:"
a) Client Name and Address
b) Project Name/Number/Address
c) Waiver of Subrogation applies in favor of Skanska USA Building Inc.; Skanska USA, Inc.; Owner; and anyone else required by contract
d) Excess Liability is umbrella over Employers Liability policy # (insert PEO WC policy # in effect for PEO client shown)
WORKERS COMPENSATION AND EMPLOYERS LIABILITY WAIVER OF SUBROGATION ENDORSEMENT
13. Compliant endorsement provided and must grant all additional insureds in contract a Wavier of Subrogation
14. The schedule of the endorsement should list the following:
a) "In Favor of:" Skanska USA Building Inc.; Skanska USA, Inc.; Owner; and any others required by contract
b) "Work Performed by Leased Employees of:" Client name and address (Skanska's Subcontractor)
c) "On the following project:" State project name/number/address
ALTERNATE EMPLOYER ENDORSEMENT FOR SUBCONTRACTOR
15. Compliant endorsement provided
16. The schedule of the endorsement should list the following:
a) "Alternate Employer:" Client name (Skanska's Subcontractor) and address
b) "State of Special or Temporary Employment:" Applicable state(s)
c) "Project Name:" State project name/number/address
MISCELLANEOUS
17. Schedule of named insureds with FEIN #s shown if multiple named insureds
INSURANCE AND DOCUMENATION FROM SUBCONTRACTOR'S AGENT/BROKER
- Certificate of Insurance (COI) - Minimum Premium Policy (MPP) This may come from PEO Broker if they are providing MPP; however, if it comes from the Subcontractor the following must be stated
18. Agent must list policy number, effective dates (current), mark "Statutory Limits" box, and provide minimum limits of $500K/$500K/$500K
19. Agent must sate on the cert policy is a Minimum Premium Policy
20. Umbrella policy must extend over MPP
21. Agent must provide a compliant Waiver of Subrogation endorsement naming all additional insureds in the schedule
The following PDF is marked up for reference to the above checklist. This PDF is only intended to be an additional guide as to what Skanska is looking for in the review process
PEO and MPP sample docs.pdf
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