CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that SL Green Management LLC 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

Supreme Systems Inc. 248 West 35th Street New York, NY 10001

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) $ 50,000
X OCCUR MED EXP (Any one person) $ 5,000
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 $
WORKERS COMP /EMPLOYEE LIABILITY X WC STATUTORY LIMITS OTHER
E.L. EACH ACCIDENT $ 100,000
E.L. DISEASE - EA EMPLOYEE $ 100,000
E.L. DISEASE - POLICY LIMIT $ 500,000
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


SL Green Realty Corp.; 420 Lexington Avenue; SLG Graybar Mesne Lease LLC C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS


Division Name: 420 Lexington Avenue, Division Location: 420 Lexington Avenue .
- Contract ID: Operations.

General Liability


- Please confirm on certificate or by uploading the schedule of forms, endorsements, and/or exclusions that the policy does not exclude Contractual Liability.
- Building address (location of work) is required on certificate. Please see division name information listed above.
- Please confirm by uploading the schedule of forms, endorsements, and/or exclusions that the policy does not exclude labor.
- Self Insured Retention must not exceed $100,000
- Please submit the declaration page, in addition to the certificate of insurance.
- Waiver of Subrogation applies in favor of:SLG GRAYBAR SUBLEASE LLC; SLG GRAYBAR MESNE LEASE LLC; SLG GRAYBAR MESNE LEASE CORP.; SLG GRAYBAR SUBLEASE CORP.; LANDGRAY ASSOCIATES; GRAYBAR LEASE LP; SLG; GRAYBAR NEW LESSEE LLC; SLG; GRAYBAR NEW GROUND LESSEE LLC; SLG GRAYBAR MESNE LEASE I LLC; SL GREEN REALTY CORP.; SL GREEN OPERATING PARTNERSHIP L.P.; SL GREEN MANAGEMENT LLC; SL GREEN MANAGEMENT CORP.; SL GREEN LEASING LLC
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: SLG GRAYBAR SUBLEASE LLC; SLG GRAYBAR MESNE LEASE LLC; SLG GRAYBAR MESNE LEASE CORP.; SLG GRAYBAR SUBLEASE CORP.; LANDGRAY ASSOCIATES; GRAYBAR LEASE LP; SLG; GRAYBAR NEW LESSEE LLC; SLG; GRAYBAR NEW GROUND LESSEE LLC; SLG GRAYBAR MESNE LEASE I LLC; SL GREEN REALTY CORP.; SL GREEN OPERATING PARTNERSHIP L.P.; SL GREEN MANAGEMENT LLC; SL GREEN MANAGEMENT CORP.; SL GREEN LEASING 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


- Scheduled, Hired Non-Owned Autos will be accepted in lieu of Any Auto.- All Owned, Hired & Non-Owned Autos will be accepted in lieu of Any Auto.
- Building address (location of work) is required on certificate. Please see division name information listed above.

Umbrella Excess Liability


- Building address (location of work) is required on certificate. Please see division name information listed above.
- Self Insured Retention must not exceed $100,000
- Please submit the declaration page, in addition to the certificate of insurance.
- Waiver of Subrogation applies in favor of:SLG GRAYBAR SUBLEASE LLC; SLG GRAYBAR MESNE LEASE LLC; SLG GRAYBAR MESNE LEASE CORP.; SLG GRAYBAR SUBLEASE CORP.; LANDGRAY ASSOCIATES; GRAYBAR LEASE LP; SLG; GRAYBAR NEW LESSEE LLC; SLG; GRAYBAR NEW GROUND LESSEE LLC; SLG GRAYBAR MESNE LEASE I LLC; SL GREEN REALTY CORP.; SL GREEN OPERATING PARTNERSHIP L.P.; SL GREEN MANAGEMENT LLC; SL GREEN MANAGEMENT CORP.; SL GREEN LEASING LLC
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: SLG GRAYBAR SUBLEASE LLC; SLG GRAYBAR MESNE LEASE LLC; SLG GRAYBAR MESNE LEASE CORP.; SLG GRAYBAR SUBLEASE CORP.; LANDGRAY ASSOCIATES; GRAYBAR LEASE LP; SLG; GRAYBAR NEW LESSEE LLC; SLG; GRAYBAR NEW GROUND LESSEE LLC; SLG GRAYBAR MESNE LEASE I LLC; SL GREEN REALTY CORP.; SL GREEN OPERATING PARTNERSHIP L.P.; SL GREEN MANAGEMENT LLC; SL GREEN MANAGEMENT CORP.; SL GREEN LEASING 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


- Building address (location of work) is required on certificate. Please see division name information listed above.
- Please confirm that no proprietor/partner/executive/officer/member is excluded. If there are exclusions, please list them on the certificate and indicate whether any of these excluded parties visit the job sites.
-*