CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that ZZ - [Inactive] - SavCon has indicated to myCOI. These contractual requirements should NOT be used to provide inaccurate information regarding current insurance policies. Questions regarding interpretation of this document can be directed to our support team at 317-759-9426.

INSURED

Advanced Plumbing, Mechanical & Sprinkler Corp. 123 50th Street Brooklyn, NY 11232

CARRIER REQUIREMENTS

A- or higher, VIII




POLICY LINE POLICY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $
X OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000
POLICY X PROJECT LOCATION $
AUTO LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000
X ANY AUTO BODILY INJURY (Per person) $
ALL OWNED AUTOS BODILY INJURY (Per accident) $
SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) $
HIRED AUTOS
NON-OWNED AUTOS
UMBRELLA /EXCESS LIABILITY X OCCUR EACH OCCURRENCE $ 4,000,000
Claims Made AGGREGATE $ 4,000,000
WORKERS COMP /EMPLOYEE LIABILITY X WC STATUTORY LIMITS OTHER
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
E.L. DISEASE - POLICY LIMIT $ 1,000,000
Property Property Causes of Loss Deductibles Building $
Basic Building Personal Property $
Broad Contents Business Income $
Special Extra Expense $
Earthquake Rental Value $
Wind Blanket Building $
Flood Blanket Pers Prop $
Blanket BLDG & PP $
$
$
Boiler and Machine Boiler & Machinery /Equipment Break Down $
$

Certificate Holder


19 West 44th Street Property Investors IV, LLC C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS


Division Name: 20-048 - 19 West 44th St, 7th, 8th &16th Floor, Division Number: 20-048, Division Location: 19 West 44th St New York, NY 10036.
- Contract ID: 20-048 - 11924746.
- 30 Days Notice of Cancellation Required.

General Liability


- A physical copy of the additional insured forms for both ongoing and completed operations (CG 2010 & CG 2037 or equivalent) must be submitted.
- Confirm Waiver of Subrogation endorsement wording is listed on certificate.
- Must include project number and name on certificate. Please see division name information listed above
- Confirm of Certificate Height Limitations are not part of the policy OR provide a copy of the endorsement with the coverage highlighted.
- Confirm of Certificate gravity related exclusions are not part of the policy OR provide a copy of the endorsement with the coverage highlighted.
- Please provide form 855.
- Waiver of Subrogation applies in favor of:19 West 44th Street Property Investors IV, LLC; Savanna Investment Management LLC; Savanna Project Management LLC; Savanna Commercial Services LLC; Jones Lang LaSalle Americas, Inc. MWCLF RS SPE, LLC, a Delaware limited liability company, as successor in interest to Mesa West Core Lending Fund, LLC, a Delaware limited liability company; SavCon, LLC
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: 19 West 44th Street Property Investors IV, LLC; Savanna Investment Management LLC; Savanna Project Management LLC; Savanna Commercial Services LLC; Jones Lang LaSalle Americas, Inc. MWCLF RS SPE, LLC, a Delaware limited liability company, as successor in interest to Mesa West Core Lending Fund, LLC, a Delaware limited liability company; SavCon, LLC,
- Additional Insured applies to General Liability.
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.
- Please confirm on the certificate or by uploading endorsement(s) that Primary & Non-Contributory applies to this policy.

Automobile Liability


- Confirm Waiver of Subrogation endorsement wording is listed on certificate.
- Confirm Additional Insured endorsement wording is listed on certificate.
- Must include project number and name on certificate. Please see division name information listed above
- Waiver of Subrogation applies in favor of:19 West 44th Street Property Investors IV, LLC; Savanna Investment Management LLC; Savanna Project Management LLC; Savanna Commercial Services LLC; Jones Lang LaSalle Americas, Inc. MWCLF RS SPE, LLC, a Delaware limited liability company, as successor in interest to Mesa West Core Lending Fund, LLC, a Delaware limited liability company; SavCon, LLC
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: 19 West 44th Street Property Investors IV, LLC; Savanna Investment Management LLC; Savanna Project Management LLC; Savanna Commercial Services LLC; Jones Lang LaSalle Americas, Inc. MWCLF RS SPE, LLC, a Delaware limited liability company, as successor in interest to Mesa West Core Lending Fund, LLC, a Delaware limited liability company; SavCon, LLC,
- Additional Insured applies to Automobile.
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.
- Please confirm on the certificate or by uploading endorsement(s) that Primary & Non-Contributory applies to this policy.

Umbrella Excess Liability


- A physical copy of Waiver of Subrogation endorsement must be submitted.
- A physical copy of the additional insured form must be submitted.
- Must follow form and extend over General Liability and Employer's Liability, (please confirm underlying policies and note on certificate or provide a copy of the schedule of underlying policies)
- Must include project number and name on certificate. Please see division name information listed above
- A physical copy of Primary & Non-Contributory endorsement must be submitted.
- Waiver of Subrogation applies in favor of:19 West 44th Street Property Investors IV, LLC; Savanna Investment Management LLC; Savanna Project Management LLC; Savanna Commercial Services LLC; Jones Lang LaSalle Americas, Inc. MWCLF RS SPE, LLC, a Delaware limited liability company, as successor in interest to Mesa West Core Lending Fund, LLC, a Delaware limited liability company; SavCon, LLC
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: 19 West 44th Street Property Investors IV, LLC; Savanna Investment Management LLC; Savanna Project Management LLC; Savanna Commercial Services LLC; Jones Lang LaSalle Americas, Inc. MWCLF RS SPE, LLC, a Delaware limited liability company, as successor in interest to Mesa West Core Lending Fund, LLC, a Delaware limited liability company; SavCon, LLC,
- Additional Insured applies to Umbrella.
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.
- Please confirm on the certificate or by uploading endorsement(s) that Primary & Non-Contributory applies to this policy.

Workers Compensation


- Confirm Waiver of Subrogation endorsement wording is listed on certificate.
- Must include project number and name on certificate. Please see division name information listed above
- Waiver of Subrogation applies in favor of:19 West 44th Street Property Investors IV, LLC; Savanna Investment Management LLC; Savanna Project Management LLC; Savanna Commercial Services LLC; Jones Lang LaSalle Americas, Inc. MWCLF RS SPE, LLC, a Delaware limited liability company, as successor in interest to Mesa West Core Lending Fund, LLC, a Delaware limited liability company; SavCon, LLC
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.
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