Common use of INSURANCE PROCUREMENT Clause in Contracts

INSURANCE PROCUREMENT. Shareholder shall obtain and maintain at all times during the term of this agreement, at its sole cost and expense, personal liability insurance with a minimum limit of $1,000,000. Shareholder shall, by specific endorsements cause Cooperative and Managing Agent to be named as additional insureds. Shareholder shall, by specific endorsement, cause the coverage afforded to the additional insureds thereunder to be primary to and not concurrent with other valid and collectible insurance available to the additional insureds. If the terms of this Agreement directly conflict with any other written agreements between the parties, the term contained in this Agreement shall supersede in that instance. Cooperative: Managing Agent: Shareholder: Signature: Signature: Signature: Name: Name: Name: Date: Date: Date: XXXXX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 00/00/0000 PRODUCER FAX * NAME AND ADDRESS OF INSURANCE CARRIER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED * NAME AND ADDRESS OF INSURED (Must match signed contract) INSURER A: xxxxxxxxxx INSURER B: xxxxxxxxxx INSURER C: INSURER D: INSURER E: THE POLICES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY $1,000,000/$2, 000.000 00/00/00 00/00/00 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ 100,000 CLAIMS MADE OCCUR MED EXP (any 1 person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC B AUTOMOBILE LIABILITY $1,000,000 minimum 00/00/00 00/00/00 COMBINED SINGLE LIMIT (Ea Accident) $1,000,000 ANY AUTO ALL OWNED AUTOS XXX XX X XXXXXX INJURY (per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (per accident) $ NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY – EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ B EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ * WORKER’S COMPENSATION AND $1,000,000 minimum 00/00/00 00/00/00 WC Statutory Limits Other EMPLOYER’S LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE –EA EMPLOYEE $1,000,000 E.L. DISEASE –POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: Also additionally insured: Shareholder’s Name, Address and Apt. Number Larchmont Xxxxxx Owners Corp., 0000 Xxxxxx Xxx, Larchmont, New York 10538. Xxxxxxxx Management Realty Corp., 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 Date of Move /Delivery/ Work CANCELLATION Larchmont Xxxxxx Owner Corp. , C/X Xxxxxxxx Management Realty Corp. 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.

INSURANCE PROCUREMENT. Shareholder Unit Owner shall obtain and maintain at all times during the term of this agreement, at its sole cost and expense, personal liability insurance with a minimum limit of $1,000,000. Shareholder Unit Owner shall, by specific endorsements cause Cooperative and Managing Agent to be named as additional insureds. Shareholder Unit Owner shall, by specific endorsement, cause the coverage afforded to the additional insureds thereunder to be primary to and not concurrent with other valid and collectible insurance available to the additional insureds. If the terms of this Agreement directly conflict with any other written agreements between the parties, the term contained in this Agreement shall supersede in that instance. Cooperative: Managing Agent: ShareholderUnit Owner: Signature: Signature: Signature: Name: Name: Name: Date: Date: Date: XXXXX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 00/00/0000 PRODUCER FAX * NAME AND ADDRESS OF INSURANCE CARRIER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED * NAME AND ADDRESS OF INSURED (Must match signed contract) INSURER A: xxxxxxxxxx INSURER B: xxxxxxxxxx INSURER C: INSURER D: INSURER E: THE POLICES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY $1,000,000/$2, 000.000 00/00/00 00/00/00 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ 100,000 CLAIMS MADE OCCUR MED EXP (any 1 person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC B AUTOMOBILE LIABILITY $1,000,000 minimum 00/00/00 00/00/00 COMBINED SINGLE LIMIT (Ea Accident) $1,000,000 ANY AUTO ALL OWNED AUTOS XXX XX X XXXXXX INJURY (per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (per accident) $ NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY – EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ B EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ * WORKER’S COMPENSATION AND $1,000,000 minimum 00/00/00 00/00/00 WC Statutory Limits Other EMPLOYER’S LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE –EA EMPLOYEE $1,000,000 E.L. DISEASE –POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: Also additionally insured: Shareholder’s Name, Address and Apt. Number Larchmont Xxxxxx Owners Crest Manor Housing Corp., 0000 Xxxxxx Xxx000 Xxxxx Xxxxxxxx, LarchmontXxxxxxx, New York 10538. Xxx Xxxx 00000 Xxxxxxxx Management Realty Corp., 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 Date of Move /Delivery/ Work CANCELLATION Larchmont Xxxxxx Owner Corp. , Work: Crest Manor Housing Corp C/X Xxxxxxxx Management Realty Corp. 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.. Contractual Liability* To avoid paying claims for large Labor Law 240 third-party Law suits, some insurance companies have removed contractual liability from their policies. In this case, your "Additional Insured" status with the contractor will be meaningless, and the contractor's insurance will not back the contractor's indemnification. Here are few methods to try to determine if your subcontractor has contractual liability:

INSURANCE PROCUREMENT. Shareholder Unit Owner shall obtain and maintain at all times during the term of this agreement, at its sole cost and expense, personal liability insurance with a minimum limit of $1,000,000. Shareholder Unit Owner shall, by specific endorsements cause Cooperative Condominium and Managing Agent to be named as additional insureds. Shareholder Unit Owner shall, by specific endorsement, cause the coverage afforded to the additional insureds thereunder to be primary to and not concurrent with other valid and collectible insurance available to the additional insureds. If the terms of this Agreement directly conflict with any other written agreements between the parties, the term contained in this Agreement shall supersede in that instance. CooperativeCondominium: Managing Agent: ShareholderUnit Owner: Signature: Signature: Signature: Name: Name: Name: Date: Date: Date: XXXXX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 00/00/0000 PRODUCER FAX * NAME AND ADDRESS OF INSURANCE CARRIER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED * NAME AND ADDRESS OF INSURED (Must match signed contract) INSURER A: xxxxxxxxxx INSURER B: xxxxxxxxxx INSURER C: INSURER D: INSURER E: THE POLICES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY $1,000,000/$2, 000.000 00/00/00 00/00/00 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ 100,000 CLAIMS MADE OCCUR MED EXP (any 1 person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC B AUTOMOBILE LIABILITY $1,000,000 minimum 00/00/00 00/00/00 COMBINED SINGLE LIMIT (Ea Accident) $1,000,000 ANY AUTO ALL OWNED AUTOS XXX XX X XXXXXX INJURY (per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (per accident) $ NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY – EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ B EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ * WORKER’S COMPENSATION AND $1,000,000 minimum 00/00/00 00/00/00 WC Statutory Limits Other EMPLOYER’S LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE –EA EMPLOYEE $1,000,000 E.L. DISEASE –POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: Also additionally insured: ShareholderUnit Owner’s Name, Address and Apt. Number Larchmont Xxxxxx Owners Corp.Xxxxxxxxx Lofts on Main, 0000 Xxxxxx Xxx, Larchmont00 XxXxx Xxxxx, New York 10538. Rochelle, NY 10805 Xxxxxxxx Management Realty Corp., 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 Date of Move /Delivery/ Work CANCELLATION Larchmont Xxxxxx Owner Corp. , Work: Xxxxxxxxx Lofts on Main C/X Xxxxxxxx Management Realty Corp. 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.. Contractual Liability* To avoid paying claims for large Labor Law 240 third-party Law suits, some insurance companies have removed contractual liability from their policies. In this case, your "Additional Insured" status with the contractor will be meaningless, and the contractor's insurance will not back the contractor's indemnification. Here are few methods to try to determine if your subcontractor has contractual liability:

INSURANCE PROCUREMENT. Shareholder shall obtain and maintain at all times during the term of this agreement, at its sole cost and expense, personal liability insurance with a minimum limit of $1,000,000. Shareholder shall, by specific endorsements cause Cooperative and Managing Agent to be named as additional insureds. Shareholder shall, by specific endorsement, cause the coverage afforded to the additional insureds thereunder to be primary to and not concurrent with other valid and collectible insurance available to the additional insureds. If the terms of this Agreement directly conflict with any other written agreements between the parties, the term contained in this Agreement shall supersede in that instance. Cooperative: Managing Agent: Shareholder: Signature: Signature: Signature: Name: Name: Name: Date: Date: Date: XXXXX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 00/00/0000 PRODUCER FAX * NAME AND ADDRESS OF INSURANCE CARRIER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED * NAME AND ADDRESS OF INSURED (Must match signed contract) INSURER A: xxxxxxxxxx INSURER B: xxxxxxxxxx INSURER C: INSURER D: INSURER E: THE POLICES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY $1,000,000/$2, 000.000 00/00/00 00/00/00 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ 100,000 CLAIMS MADE OCCUR MED EXP (any 1 person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC B AUTOMOBILE LIABILITY $1,000,000 minimum 00/00/00 00/00/00 COMBINED SINGLE LIMIT (Ea Accident) $1,000,000 ANY AUTO ALL OWNED AUTOS XXX XX X XXXXXX INJURY (per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (per accident) $ NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY – EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ B EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ * WORKER’S COMPENSATION AND $1,000,000 minimum 00/00/00 00/00/00 WC Statutory Limits Other EMPLOYER’S LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE –EA EMPLOYEE $1,000,000 E.L. DISEASE –POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: Also additionally insured: Shareholder’s Name, Address and Apt. Number Larchmont Xxxxxx Hills Owners Corp., 0000 Xxxxxx Xxx00 X. Xxxxxxxxxx, LarchmontXxxxxxxxx, New York 10538. XX 00000 Xxxxxxxx Management Realty Corp., 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 NY 10528 Date of Move /Delivery/ Work CANCELLATION Larchmont Xxxxxx Owner Corp. Hills Owners Corp., C/C/ X Xxxxxxxx Management Realty Corp. 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 NY 10528 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.

INSURANCE PROCUREMENT. Shareholder Unit Owner shall obtain and maintain at all times during the term of this agreement, at its sole cost and expense, personal liability insurance with a minimum limit of $1,000,000. Shareholder Unit Owner shall, by specific endorsements cause Cooperative and Managing Agent to be named as additional insureds. Shareholder Unit Owner shall, by specific endorsement, cause the coverage afforded to the additional insureds thereunder to be primary to and not concurrent with other valid and collectible insurance available to the additional insureds. If the terms of this Agreement directly conflict with any other written agreements between the parties, the term contained in this Agreement shall supersede in that instance. Cooperative: Managing Agent: ShareholderUnit Owner: Signature: Signature: Signature: Name: Name: Name: Date: Date: Date: XXXXX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 00/00/0000 PRODUCER FAX * NAME AND ADDRESS OF INSURANCE CARRIER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED * NAME AND ADDRESS OF INSURED (Must match signed contract) INSURER A: xxxxxxxxxx INSURER B: xxxxxxxxxx INSURER C: INSURER D: INSURER E: THE POLICES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY $1,000,000/$2, 000.000 00/00/00 00/00/00 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ 100,000 CLAIMS MADE OCCUR MED EXP (any 1 person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC B AUTOMOBILE LIABILITY $1,000,000 minimum 00/00/00 00/00/00 COMBINED SINGLE LIMIT (Ea Accident) $1,000,000 ANY AUTO ALL OWNED AUTOS XXX XX X XXXXXX INJURY (per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (per accident) $ NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY – EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ B EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ * WORKER’S COMPENSATION AND $1,000,000 minimum 00/00/00 00/00/00 WC Statutory Limits Other EMPLOYER’S LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE –EA EMPLOYEE $1,000,000 E.L. DISEASE –POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: Also additionally insured: Shareholder’s Name, Address and Apt. Number Larchmont Xxxxxx Owners Corp.a) 00 Xxxxx Xxxxx Xxxx Owner’s Inc., 0000 Xxxxxx Xxx00 Xxxxx Xxxxx Xxxx, LarchmontXxxxxxx, New York 10538. XX 00000 b) Xxxxxxxx Management Realty Corp., 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 Date of Move /Delivery/ Work CANCELLATION Larchmont Xxxxxx Owner Corp. , Work: 00 Xxxxx Xxxxx Xxxx Owner’s Inc. C/X x Xxxxxxxx Management Realty Corp. Corp 000 Xxxxxxxxxx Xxxxxxxxxx, Xxx. Harrison, Xxxxxxxx, XX 00000 NY 10528 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.. Contractual Liability* To avoid paying claims for large Labor Law 240 third-party Law suits, some insurance companies have removed contractual liability from their policies. In this case, your "Additional Insured" status with the contractor will be meaningless, and the contractor's insurance will not back the contractor's indemnification. Here are few methods to try to determine if your subcontractor has contractual liability:

INSURANCE PROCUREMENT. Shareholder Unit Owner shall obtain and maintain at all times during the term of this agreement, at its sole cost and expense, personal liability insurance with a minimum limit of $1,000,000. Shareholder Unit Owner shall, by specific endorsements cause Cooperative and Managing Agent to be named as additional insureds. Shareholder Unit Owner shall, by specific endorsement, cause the coverage afforded to the additional insureds thereunder to be primary to and not concurrent with other valid and collectible insurance available to the additional insureds. If the terms of this Agreement directly conflict with any other written agreements between the parties, the term contained in this Agreement shall supersede in that instance. Cooperative: Managing Agent: ShareholderUnit Owner: Signature: Signature: Signature: Name: Name: Name: Date: Date: Date: XXXXX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 00/00/0000 PRODUCER FAX * NAME AND ADDRESS OF INSURANCE CARRIER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED * NAME AND ADDRESS OF INSURED (Must match signed contract) INSURER A: xxxxxxxxxx INSURER B: xxxxxxxxxx INSURER C: INSURER D: INSURER E: THE POLICES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY $1,000,000/$2, 000.000 00/00/00 00/00/00 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ 100,000 CLAIMS MADE OCCUR MED EXP (any 1 person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC B AUTOMOBILE LIABILITY $1,000,000 minimum 00/00/00 00/00/00 COMBINED SINGLE LIMIT (Ea Accident) $1,000,000 ANY AUTO ALL OWNED AUTOS XXX XX X XXXXXX INJURY (per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (per accident) $ NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY – EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ B EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ * WORKER’S COMPENSATION AND $1,000,000 minimum 00/00/00 00/00/00 WC Statutory Limits Other EMPLOYER’S LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE –EA EMPLOYEE $1,000,000 E.L. DISEASE –POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: Also additionally insured: Shareholder’s Name, Address and Apt. Number Larchmont Beacon Hill Estates Cooperative Inc. 000 Xxxxxx Owners Corp.Xxxx Xxxxx, 0000 Xxxxxx XxxXxxxx Xxxxx, Larchmont, New York 10538. XX 00000 Xxxxxxxx Management Realty Corp., 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 NY 10528 Date of Move /Delivery/ Work CANCELLATION Larchmont Xxxxxx Owner Corp. , Work: Beacon Hill Estates Cooperative Inc. C/X Xxxxxxxx Management Realty Corp. 000 Xxxxxxxxxx Xxx. S-512 Harrison, Xxxxxxxx, XX 00000 NY 10528 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.. Contractual Liability* To avoid paying claims for large Labor Law 240 third-party Law suits, some insurance companies have removed contractual liability from their policies. In this case, your "Additional Insured" status with the contractor will be meaningless, and the contractor's insurance will not back the contractor's indemnification. Here are few methods to try to determine if your subcontractor has contractual liability:

INSURANCE PROCUREMENT. Shareholder Unit Owner shall obtain and maintain at all times during the term of this agreement, at its sole cost and expense, personal liability insurance with a minimum limit of $1,000,000. Shareholder Unit Owner shall, by specific endorsements cause Cooperative and Managing Agent to be named as additional insureds. Shareholder Unit Owner shall, by specific endorsement, cause the coverage afforded to the additional insureds thereunder to be primary to and not concurrent with other valid and collectible insurance available to the additional insureds. If the terms of this Agreement directly conflict with any other written agreements between the parties, the term contained in this Agreement shall supersede in that instance. Cooperative: Managing Agent: ShareholderUnit Owner: Signature: Signature: Signature: Name: Name: Name: Date: Date: Date: XXXXX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 00/00/0000 PRODUCER FAX * NAME AND ADDRESS OF INSURANCE CARRIER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED * NAME AND ADDRESS OF INSURED (Must match signed contract) INSURER A: xxxxxxxxxx INSURER B: xxxxxxxxxx INSURER C: INSURER D: INSURER E: THE POLICES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY $1,000,000/$2, 000.000 00/00/00 00/00/00 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ 100,000 CLAIMS MADE OCCUR MED EXP (any 1 person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC B AUTOMOBILE LIABILITY $1,000,000 minimum 00/00/00 00/00/00 COMBINED SINGLE LIMIT (Ea Accident) $1,000,000 ANY AUTO ALL OWNED AUTOS XXX XX X XXXXXX INJURY (per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (per accident) $ NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY – EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ B EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ * WORKER’S COMPENSATION AND $1,000,000 minimum 00/00/00 00/00/00 WC Statutory Limits Other EMPLOYER’S LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE –EA EMPLOYEE $1,000,000 E.L. DISEASE –POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: Also additionally insured: Shareholder’s Name, Address and Apt. Number Larchmont Xxxxxx 555 Bronx Owners Corp.Corp, 0000 Xxxxxx Xxx000 Xxxxx Xxxxx Xxxx, LarchmontXxxxxxx, New York 10538. XX 00000 Xxxxxxxx Management Realty Corp., 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 Date of Move /Delivery/ Work CANCELLATION Larchmont Xxxxxx Owner Corp. 555 Bronx Owners Corp., C/X Xxxxxxxx Management Realty Corp. 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 NY 10528 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.. Contractual Liability* To avoid paying claims for large Labor Law 240 third-party Law suits, some insurance companies have removed contractual liability from their policies. In this case, your "Additional Insured" status with the contractor will be meaningless, and the contractor's insurance will not back the contractor's indemnification. Here are few methods to try to determine if your subcontractor has contractual liability:

INSURANCE PROCUREMENT. Shareholder Unit Owner shall obtain and maintain at all times during the term of this agreement, at its sole cost and expense, personal liability insurance with a minimum limit of $1,000,000. Shareholder Unit Owner shall, by specific endorsements cause Cooperative and Managing Agent to be named as additional insureds. Shareholder Unit Owner shall, by specific endorsement, cause the coverage afforded to the additional insureds thereunder to be primary to and not concurrent with other valid and collectible insurance available to the additional insureds. If the terms of this Agreement directly conflict with any other written agreements between the parties, the term contained in this Agreement shall supersede in that instance. Cooperative: Managing Agent: ShareholderUnit Owner: Signature: Signature: Signature: Name: Name: Name: Date: Date: Date: XXXXX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 00/00/0000 PRODUCER FAX * NAME AND ADDRESS OF INSURANCE CARRIER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED * NAME AND ADDRESS OF INSURED (Must match signed contract) INSURER A: xxxxxxxxxx INSURER B: xxxxxxxxxx INSURER C: INSURER D: INSURER E: THE POLICES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY $1,000,000/$2, 000.000 00/00/00 00/00/00 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ 100,000 CLAIMS MADE OCCUR MED EXP (any 1 person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC B AUTOMOBILE LIABILITY $1,000,000 minimum 00/00/00 00/00/00 COMBINED SINGLE LIMIT (Ea Accident) $1,000,000 ANY AUTO ALL OWNED AUTOS XXX XX X XXXXXX INJURY (per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (per accident) $ NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY – EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ B EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ * WORKER’S COMPENSATION AND $1,000,000 minimum 00/00/00 00/00/00 WC Statutory Limits Other EMPLOYER’S LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE –EA EMPLOYEE $1,000,000 E.L. DISEASE –POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: Also additionally insured: Shareholder’s Name, Address and Apt. Number Larchmont 000 Xxxxx Xxxxx Xxxx Xxxxxx Owners Corp.Xxxx., 0000 Xxxxxx XxxXxxxxxx, Larchmont, New York 10538. Xxx Xxxx 00000 Xxxxxxxx Management Realty Corp., 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 Date of Move /Delivery/ Work CANCELLATION Larchmont Xxxxxx Owner Corp. 000 Xxxxx Xxxxx Xxxx Owners Corp., C/X Xxxxxxxx Management Realty Corp. 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 NY 10528 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.. Contractual Liability* To avoid paying claims for large Labor Law 240 third-party Law suits, some insurance companies have removed contractual liability from their policies. In this case, your "Additional Insured" status with the contractor will be meaningless, and the contractor's insurance will not back the contractor's indemnification. Here are few methods to try to determine if your subcontractor has contractual liability:

INSURANCE PROCUREMENT. Shareholder Unit Owner shall obtain and maintain at all times during the term of this agreement, at its sole cost and expense, personal liability insurance with a minimum limit of $1,000,000. Shareholder Unit Owner shall, by specific endorsements cause Cooperative and Managing Agent to be named as additional insureds. Shareholder Unit Owner shall, by specific endorsement, cause the coverage afforded to the additional insureds thereunder to be primary to and not concurrent with other valid and collectible insurance available to the additional insureds. If the terms of this Agreement directly conflict with any other written agreements between the parties, the term contained in this Agreement shall supersede in that instance. Cooperative: Managing Agent: ShareholderUnit Owner: Signature: Signature: Signature: Name: Name: Name: Date: Date: Date: XXXXX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 00/00/0000 PRODUCER FAX * NAME AND ADDRESS OF INSURANCE CARRIER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED * NAME AND ADDRESS OF INSURED (Must match signed contract) INSURER A: xxxxxxxxxx INSURER B: xxxxxxxxxx INSURER C: INSURER D: INSURER E: THE POLICES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY $1,000,000/$2, 000.000 00/00/00 00/00/00 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ 100,000 CLAIMS MADE OCCUR MED EXP (any 1 person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC B AUTOMOBILE LIABILITY $1,000,000 minimum 00/00/00 00/00/00 COMBINED SINGLE LIMIT (Ea Accident) $1,000,000 ANY AUTO ALL OWNED AUTOS XXX XX X XXXXXX INJURY (per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (per accident) $ NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY – EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ B EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ * WORKER’S COMPENSATION AND $1,000,000 minimum 00/00/00 00/00/00 WC Statutory Limits Other EMPLOYER’S LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE –EA EMPLOYEE $1,000,000 E.L. DISEASE –POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: Also additionally insured: Shareholder’s Name, Address and Apt. Number Larchmont Xxxxxx 555 Bronx Owners Corp.Corp, 0000 Xxxxxx Xxx000 Xxxxx Xxxxx Xxxx, LarchmontXxxxxxx, New York 10538. XX 00000 Xxxxxxxx Management Realty Corp., 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 Date of Move /Delivery/ Work CANCELLATION Larchmont Xxxxxx Owner Corp. 555 Bronx Owners Corp., C/X Xxxxxxxx Management Realty Corp. 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 NY 10528 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.

INSURANCE PROCUREMENT. Shareholder shall obtain and maintain at all times during the term of this agreement, at its sole cost and expense, personal liability insurance with a minimum limit of $1,000,000. Shareholder shall, by specific endorsements cause Cooperative and Managing Agent to be named as additional insureds. Shareholder shall, by specific endorsement, cause the coverage afforded to the additional insureds thereunder to be primary to and not concurrent with other valid and collectible insurance available to the additional insureds. If the terms of this Agreement directly conflict with any other written agreements between the parties, the term contained in this Agreement shall supersede in that instance. Cooperative: Managing Agent: Shareholder: Signature: Signature: Signature: Name: Name: Name: Date: Date: Date: XXXXX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 00/00/0000 PRODUCER FAX * NAME AND ADDRESS OF INSURANCE CARRIER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED * NAME AND ADDRESS OF INSURED (Must match signed contract) INSURER A: xxxxxxxxxx INSURER B: xxxxxxxxxx INSURER C: INSURER D: INSURER E: THE POLICES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY $1,000,000/$2, 000.000 00/00/00 00/00/00 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ 100,000 CLAIMS MADE OCCUR MED EXP (any 1 person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC B AUTOMOBILE LIABILITY $1,000,000 minimum 00/00/00 00/00/00 COMBINED SINGLE LIMIT (Ea Accident) $1,000,000 ANY AUTO ALL OWNED AUTOS XXX XX X XXXXXX INJURY (per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (per accident) $ NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY – EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ B EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ * WORKER’S COMPENSATION AND $1,000,000 minimum 00/00/00 00/00/00 WC Statutory Limits Other EMPLOYER’S LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE –EA EMPLOYEE $1,000,000 E.L. DISEASE –POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: Also additionally insured: Shareholder’s Name, Address and Apt. Number Larchmont Xxxxxx Owners Corp.Court Apartment Corp, 0000 Xxxxxx 000 Xxxxxxxx Xxx, LarchmontMamaroneck, New York 10538. NY 10543 Xxxxxxxx Management Realty Corp., 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 Date of Move /Delivery/ Work CANCELLATION Larchmont Xxxxxx Owner Corp. Court Apartment Corp., C/X Xxxxxxxx Management Realty Corp. 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 NY 10528 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.

INSURANCE PROCUREMENT. Shareholder shall obtain and maintain at all times during the term of this agreement, at its sole cost and expense, personal liability insurance with a minimum limit of $1,000,000. Shareholder shall, by specific endorsements cause Cooperative and Managing Agent to be named as additional insureds. Shareholder shall, by specific endorsement, cause the coverage afforded to the additional insureds thereunder to be primary to and not concurrent with other valid and collectible insurance available to the additional insureds. If the terms of this Agreement directly conflict with any other written agreements between the parties, the term contained in this Agreement shall supersede in that instance. Cooperative: Managing Agent: Shareholder: Signature: Signature: Signature: Name: Name: Name: Date: Date: Date: XXXXX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 00/00/0000 PRODUCER FAX * NAME AND ADDRESS OF INSURANCE CARRIER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED * NAME AND ADDRESS OF INSURED (Must match signed contract) INSURER A: xxxxxxxxxx INSURER B: xxxxxxxxxx INSURER C: INSURER D: INSURER E: THE POLICES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY $1,000,000/$2, 000.000 00/00/00 00/00/00 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ 100,000 CLAIMS MADE OCCUR MED EXP (any 1 person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC B AUTOMOBILE LIABILITY $1,000,000 minimum 00/00/00 00/00/00 COMBINED SINGLE LIMIT (Ea Accident) $1,000,000 ANY AUTO ALL OWNED AUTOS XXX XX X XXXXXX INJURY (per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (per accident) $ NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY – EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ B EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ * WORKER’S COMPENSATION AND $1,000,000 minimum 00/00/00 00/00/00 WC Statutory Limits Other EMPLOYER’S LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE –EA EMPLOYEE $1,000,000 E.L. DISEASE –POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: Also additionally insured: Shareholder’s Name, Address and Apt. Number Larchmont Xxxxxx Owners 80 Xxxxxxx Tenants Corp., 0000 000 Xxxxxx XxxXxxxxx, LarchmontXx. Xxxxxx, New York 10538NY 10552. Xxxxxxxx Management Realty Corp., 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 NY 10528 Date of Move /Delivery/ Work CANCELLATION Larchmont Xxxxxx Owner Corp. 80 Xxxxxxx Tenants Corp, C/X Xxxxxxxx Management Realty Corp. 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 NY 10528 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.

INSURANCE PROCUREMENT. Shareholder Unit Owner shall obtain and maintain at all times during the term of this agreement, at its sole cost and expense, personal liability insurance with a minimum limit of $1,000,000. Shareholder Unit Owner shall, by specific endorsements cause Cooperative and Managing Agent to be named as additional insureds. Shareholder Unit Owner shall, by specific endorsement, cause the coverage afforded to the additional insureds thereunder to be primary to and not concurrent with other valid and collectible insurance available to the additional insureds. If the terms of this Agreement directly conflict with any other written agreements between the parties, the term contained in this Agreement shall supersede in that instance. Cooperative: Managing Agent: ShareholderUnit Owner: Signature: Signature: Signature: Name: Name: Name: Date: Date: Date: XXXXX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 00/00/0000 PRODUCER FAX * NAME AND ADDRESS OF INSURANCE CARRIER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED * NAME AND ADDRESS OF INSURED (Must match signed contract) INSURER A: xxxxxxxxxx INSURER B: xxxxxxxxxx INSURER C: INSURER D: INSURER E: THE POLICES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXP DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY $1,000,000/$2, 000.000 00/00/00 00/00/00 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ 100,000 CLAIMS MADE OCCUR MED EXP (any 1 person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS – COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC B AUTOMOBILE LIABILITY $1,000,000 minimum 00/00/00 00/00/00 COMBINED SINGLE LIMIT (Ea Accident) $1,000,000 ANY AUTO ALL OWNED AUTOS XXX XX X XXXXXX INJURY (per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (per accident) $ NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY – EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ B EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ * WORKER’S COMPENSATION AND $1,000,000 minimum 00/00/00 00/00/00 WC Statutory Limits Other EMPLOYER’S LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE –EA EMPLOYEE $1,000,000 E.L. DISEASE –POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: Also additionally insured: Shareholder’s Name, Address and Apt. Number Larchmont Xxxxxx Owners Xxxxxxxxx Tenants Corp., 0000 Xxxxxx Xxx00 Xxxxxxxx Xxxxxx, LarchmontXxxxx Xxxxxx, New York 10538. XX 00000 Xxxxxxxx Management Realty Corp., 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 Date of Move /Delivery/ Work CANCELLATION Larchmont Xxxxxx Owner Corp. Xxxxxxxxx Tenants Corp., C/X Xxxxxxxx Management Realty Corp. 000 Xxxxxxxxxx Xxx, Xxxxxxxx, XX 00000 NY 10528 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDUPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.. Contractual Liability* To avoid paying claims for large Labor Law 240 third-party Law suits, some insurance companies have removed contractual liability from their policies. In this case, your "Additional Insured" status with the contractor will be meaningless, and the contractor's insurance will not back the contractor's indemnification. Here are few methods to try to determine if your subcontractor has contractual liability: