Stalco Construction Inc. 1316 Motor Parkway Islandia, NY 11749

Division Name: 2226 Village Of Sands Point , Division Number: 2226.

General Liability

- See below:
- CG2010 and CG2037 naming STALCO CONSTRUCTION, INC. for Ongoing AND Completed Ops.
- CG2010/CG2037 for all other entities - NO BLANKET FORMS ACCEPTED
- CG2010/CG2037 OR CG2032 for Architect
- Per Project Aggregate Endorsement
- Primary and Non- Contributory Endorsement
- Waiver of Subrogation Endorsement
- 30 Day Notice of Cancellation in favor of STALCO CONSTRUCTION, INC.

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- Waiver of Subrogation applies in favor of:
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: See below:
1. Stalco Construction Inc and all its directors, officers, employees, subsidiaries & affiliates
2. Incorporated Village of Sands Point, all elected and appointed officials, employees and volunteers of the Village;
3. D&B Engineers and Architects, D.P.C, and appointed professionals and consultants;,
- 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

- See below:
- Blanket Additional Insured Endorsement
- Primary and Non- Contributory Endorsement
- Waiver of Subrogation Endorsement
- 30 Day Notice of Cancellation in favor of STALCO CONSTRUCTION, INC.

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- Waiver of Subrogation applies in favor of:
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: See below:
1. Stalco Construction Inc and all its directors, officers, employees, subsidiaries & affiliates
2. Incorporated Village of Sands Point, all elected and appointed officials, employees and volunteers of the Village;
3. D&B Engineers and Architects, D.P.C, and appointed professionals and consultants;,
- 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

- See below:
- Additional Insured Endorsement or Follow Form language specifically relating to Additional Insureds
- Primary and Non-Contributory Endorsement
- Waiver of Subrogation Endorsement
- Underlying Policy Schedule
- 30 Day Notice of Cancellation in favor of STALCO CONSTRUCTION, INC.

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- Waiver of Subrogation applies in favor of:
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: See below:
1. Stalco Construction Inc and all its directors, officers, employees, subsidiaries & affiliates
2. Incorporated Village of Sands Point, all elected and appointed officials, employees and volunteers of the Village;
3. D&B Engineers and Architects, D.P.C, and appointed professionals and consultants;,
- 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

- See below:
- Wavier of Subrogation Endorsement or statement shown on NYSIF Cert
- 30 Day Notice of Cancellation in favor of STALCO CONSTRUCTION, INC.

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Description of Operations:
Re: Administrative Building Renovation at Governors Lane 18 Governors Lane, Sands Point, NY 11050 - Job 2226
All entities are included as additional insured via CG2010 and CG2037 endorsed on the policy. (Endorsements attached). Coverage for all policies shows above is provided on a primary non-contributory basis with waiver of subrogation included. Coverage applies to General Liability, Automobile Liability, Umbrella and Waiver of Subrogation applies to Workers Compensation. NYSIF Certificate is attached showing Waiver (if applicable).
- Waiver of Subrogation applies in favor of:
- Please confirm on the certificate or by uploading endorsement(s) that Waiver of Subrogation applies to this policy.