281-22 Attachment - 2022 St. Improvements Phase I-Proposal Responses.pdf

ay YATE (MM/DDIY YY} ACORD CERTIFICATE OF LIABILITY INSURANCE . ; 12/28/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) PRODUCER NAME." Jeff Kozarsk PG Genatt Group LLC PHONE saggy Fak =o 3333 NEW HYDE PARK RD (AIC. No, Ext) 516-869-8788 (NG, No: 516-470-0338 SUITE 409 ADDRESS: jkoZarsky@genattgrp.com _ NEW HYDE PARK NY 11042 INSURER(S) AFFORDING COVERAGE NAIC 7 - - _ : INSURER A : Slarr Indemnity & Liability Company 38318 INSURED GREENMAN) sure e: XL Specialty Insurance Company 37885 Greenman Pedersen, Inc. (Morris Plains) ocis: Watches ics Cee 301 Gibraltar Drive, Suite 2A | INsureR c: Westchester Surplus Line Insurance Company __ 10172 Morris Plains NJ 07950 wsuer 0 : Berkley Insurance Company 32603 | sure €: Everest National Insurance Company - 10120 INSURER F: COVERAGES CERTIFICATE NUMBER: 111294590 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TSR ~ JADDLISUBRE ~] POLIGY EFF | POLICY EXP | LTR tf 1) | (MBVODIYYYY) TYPE OF INSURANCE INSD wp POLICY NUMBER (naNDOWVY' Lins © |X | COMMERCIAL GENERAL LIABILITY 1000028533211 rarsti202i | 12/31/2022 | each OCCURRENCE $1,000,000 [ x | DAMAGE To RENTED cuams-mave _X | occur | PREMISES (Ea occurence) | $300,000 X | Contractual Liat a juepexe (Any one

L LIABILITY 1000028533211 rarsti202i | 12/31/2022 | each OCCURRENCE $1,000,000 [ x | DAMAGE To RENTED cuams-mave _X | occur | PREMISES (Ea occurence) | $300,000 X | Contractual Liat a juepexe (Any one person) _| $ 10,000 - - | PERSONAL & ADV INJURY | § 7,000,000 “GENT AGGREGATE LIMIT APPLIES PER | GENERALAGGREGATE _| $2,000,000 poucy |X | 58% |X |roc | | PRODUCTS -COMPIOP AGG | $2,000,000 orien: | 5 t ‘COMBINED SINGLE LIMIT | AUTOMOBILE LIABILITY | 7000198539211 varsvre0et | 12/9172022 | GOMBINEDS | st.000,000 X ] anvauto BODILY INJURY (Por person) | § F | owneo, SCHEDULED Scr or a | oan ay |_| SGHee BODILY INJURY (Par accident)| § HIRED X | NOKOWNeD 'PROPERTY DAMAGE | g | AUTOS ONLY AUTOS ONLY (Per accident a | | s © |X| umerearias |X | occur | | G7i7eoze6003 42/31/2021 | 12/31/2022 | each OCCURRENCE $10,000,000 E werssuas. |] | | Xesexo1s12211 12/1/2021 | 12/31/2022 | “ACR OCCURRENCE —_1 5 10,000,006 EXCESS L | | ctaivs.mane AGGREGATE $ 10,000,000 oc |X [rerennions nang |_| A [WORKERS COMPENSATION | tooo002543 tarsvaoz1 | 1213172022 |X [BER oF A | AND EMPLOYERS! LIABILITY vin [secageae§ iaeraoar | 2gygeas _LBtArwne |_[ER™ ANYPROPRIETORIPARTNERIEXECUTIVE E.L, EACH ACCIOENT $1,000,000 OFFICERIMENBER EXCLUDED? NIA = EARN ACCENT __$.1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE! § 1,000,000 if yee, describe under ycase pouevina | DESCRIPTION OF OPERATIONS below | ELL DISEASE - POLICY LIMIT | § 1,000,000 8 | Property | UMo00s2200MA21A 12/81/2021 | 12/34/2022 | Velusble Papers $250,000 ©. | Professlonal Licbitity AEC-908031302 | raiva021 | 12/31/2023 Eee Clam $1,000,000 Aggregate | 83,000,000 | | DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 30 day notice applies SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATIONAL Via © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD