ACORdt
CERTIFICATE OF LIABILITY INSURANCE
3/6/2015
DATE(MM/DD/YYYY)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(les) must 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 Heu of such endorsement(s). PRODUCER
Angelo J. DeBellis Agency,
LLC
26 Elm Avenue
Hackensack,
NJ 07601
INSURED
Fairview Owners Corp
PAX:718-699-5618
61-20
Grand Central
Pkwy
Forest Hills,
NY 11375
718-271-1378COVERAGES CERTIFICATE NUMBER:
CONTACT
NAME:
5 » W 201-489-1414
address-.&JDAGENCY6 AOL. COM
Producer customer ids:
TEC
Ia%W01-489-5504
IH8UHER(8) AFFORDMQ COVERAGE
INSURER A STARR INDEMNITY & LIABILITY CO. 38318
INSURER 8 GREAT AMERICAN INSURANCE CO. 37532
INSURER C CNA INSURANCE COMPANY 13188
INSURER D
INSURER E
INSURER F
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.
UtSR LTR
B
TYPE OF INSURANCE GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY CLAIMS4MDE OCCUR
GBTL AGGREGATE LIMIT APPLIES PER:
POLICY I | jgCT I
ILOC
AUTOMOBILE LIABILITY
ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS UMBRELLA LIAB EXCESS UAB OCCUR CLAIMS-MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE i 1 OFFtCER/UEMBER EXCLUDED?
(HindttwyfaNH) ' '
Hyes, descr&e under
DESCRIPTION OP OPERATIONS below YIN DIRECTORS&OFFICERS LIABILITY IDS? POUCY NUMBER SIKCGF00827-02 SIKCGFOO827-02 UM30026834 0250618588
POLICY EFF | POLICY EXP
(MM/DDVyYYY) (Mwdd/yyyy) 10/25/14 10/25/14 10/25/14 10/25/14 10/25/15 10/25/15 10/25/15 10/25/15 LIMITS EACH OCCURRENCE UAMAGb lOKfcNIbU PREMISES (Ea occurrence) MED EXP(Any one person) PERSONAL &ADV INJURY GENERAL AGGREGATE PRODUCTS • COMP/OP AGG
COMBINED SINGLE LIMIT (Ea accident)
BODILY INJURY (Per pereon) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident)
HIRED/NON-OWN
EACH OCCURRENCE AGGREGATE WC STATU TORY LIMITS E.L EACH ACCIDENTOTH ER
$ 1,000,000
$125,000
»T7
$ 2r
5,000
000,000
000,000
1,000,000
* 1,000,000
* 125tf
,000,000
000,000.200,000,000
$ E.L DISEASE -EA EMPLOYEE $ E.L DISEASE - POLICY LIMIT $$1,000,000./5,000.RET
DESCRIPTION OFOPERATIONS / LOCATIONS / VEHICLES (Attach ACORD101. Additional Remarks Schedule, ifmorespace is required)CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED.
LOAN #20190,
PROPERTY/COLLATERAL ADDRESS UNDER LIABILITY CERTIFICATE TO READ AS: 61-20 GRAND CENTRAL PKY.
FOREST HILLS,NY.WAIVER OF SUBROGATION FORM CG241093 IN FAVOR OF AMALGAMATED BANK. (CONT.PG2)
CERTIFICATE HOLDER CANCELLATION
AMALGAMATED BANK
ITS SUCCESSORS AND/OR ASSIGNS,
ATIMA
276 SEVENTH AVENUE,6TH FLOOR
NEW YORK,NY 10001
EFFECTIVE 3/16/15
i
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POUCY PROVISIONS.
AUTHORIZED gtyKE5ENlA>ft<E
ACORD25 (2009/09)
© MJ88-2009 ACORD CORPORATION. All rightsreserved. The ACORD name and logo are registered markswf ACORD
&
A l C O K D AGENCY CUSTOMER ID:
LOC#:
ADDITIONAL REMARKS SCHEDULE
Page 2
of 2
AGENCY
ANGELO J DEBELLIS AGENCY LLC
NAMED INSURED
Fairview Owners Corp
FAX:718-699-5618
61-20 Grand Central Pkwy
Forest Hills, NY 11375 POLICY NUMBER VARIOUS CARRIER VARIOUS NAICCODE EFFECTIVE DATE: 10/25/14-15 ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM ISA SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
CANCELLATION, SHOULD ANY OF THE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERS,ITS AGENTS OR REPRESENTATIVES.
EFFECTIVE 3/16/15.
ACORD101 (2008/01)
It'
I*
•pr
© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
a c o r d
EVIDENCE OF COMMERCIAL PROPERTY INSURANCE
DATE(MMTOD/YYYY)
3/6/2015
THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.PRODUCER NAME.
CONTACT PERSON AND ADDRESS
Angelo
J.
DeBellis Agency,
LLC
26 Elm Avenue
Hackensack,
NJ 07601
££„.):
201-489-5504
aSss: AJDAGENCYQAOL. COM
AGENCYCUSTOMER ID «:
NAMED INSURED AND ADDRESS
Fairview Owners
Corp.&
GRANDWAY ASSOC
61-20 Grand Central Pkwy
Forest Hills,
NY 11375
ADDITIONAL NAMED INSURED(S)
COMPANY NAME AND ADDRESS NAICNO: 36161
TRAVELERS INSURANCE COMPANY 445 SOUTH STREET
MORRISTOWN,NJ 07960
IF MULTIPLECOMPANIES, COMPLETE SEPARATE FORM FOR EACH
POLICY TYPE COMMERCIAL PROPERTY LOAN NUMBER 20190 EFFECTIVE DATE
10/25/14
EXPIRATION DATE10/25/15
THIS REPLACES PRIOR EVIDENCE DATED:POUCY NUMBER
KTQCMB6D84190-614
CONTINUED UNTIL TfcKMlNATdD IF CHECKED
SI BUILDING OR CI BUSINESS PERSONAL PROPERTY PROPERTY INFORMATION (Use REMARKS on page 2, if more space is required)
LOCATION/DESCRIPTION LOC#01
61-20 GRAND CENTRAL PARKWAY, FORE ST HILLS,
NY 11375
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 DOCUMENTWITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCEMAY BE ISSUEDOR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COVERAGE INFORMATION PERILS INSURED BASIC BROAD X SPECIAL
COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE:
$
86,520,000.00
DED:
$10,000.00
YES NO N/A
Kl BUSINESS INCOME Q RENTALVALUE X IfYES. LIMIT: 6,000,000 ActualLossSuslained;#of months: BLANKET COVERAGE X lfYES,indicatevalue(s)reportedonpropertyidentifiedabove:$
TERRORISM COVERAGE X Attach Disclosure Notice/ DEC
IS THERE A TERRORISM-SPECIFIC EXCLUSION? X
IS DOMESTIC TERRORISM EXCLUDED? X
LIMITED FUNGUS COVERAGE X IfYES.LIMIT: 15,000.00 DED: 10, 000.
FUNGUSEXCLUSIONOfYES-.specifyorganization'sformused) X
REPLACEMENT COST X
AGREED VALUE X
COINSURANCE X IfYES. %
EQUIPMENT BREAKDOWN (IfApplicable) X IfYES.LIMIT: 92,600,000 DED: 10, 000
ORDINANCE OR LAW -Coverageforlosstoundamagedportionofbtdg X
-Demolition Costs X IfYES.LIMIT
10,000,000
DED:10,000.
-Incr.Costof Construction X IfYES.LIMIT INCLUDED DED: INCLUDED
EARTHMOVEMENT(lfApplteabte) X IfYES.LIMIT 2,500,000 DED: 100,000
FLOOD (IfApplicaWe) X IfYES, LIMIT 2,500,000 DED: 100,000
WIND/HAIL(lfSubjecttoDifferentProvisions) X IfYES.LIMIT DED: PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE
HOLDER PRIOR TO LOSS X
CANCELLATION
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 TOTHEADDITIONAL INTEREST NAMED BELOW. BUT FAILURE TOMAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION
OR LIABILITY OF ANYKIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES.
ADDITIONAL INTEREST
MORTGAGEE
LENDERS LOSS PAYABLE
CONTRACT OF SALE
LOSS PAYEE
LENDER SERVICING AGENT NAME AND AODRES3
NAME AND ADDRESS
AMALGAMATED BANK
ITS
SUCCESSORS AND/OR ASSIGNS ,ATIMA
275 SEVENTH AVENUE,6TH FLOOR
NEW YORK,NY 10001
EFFECTIVE
3/16/15
ACORD 28 (2006/07) Pagel of 2
The ACORD name and logo are registered "mark
(CORD CORPORATION 2003-2006. All rights reserved. ACORD
EVIDENCE OF COMMERCIAL PROPERTY INSURANCE REMARKS - Including Special CondiUons (Use only Ifmore spaceis required)
#1. ADDITIONAL INTEREST IS NAMED AS MORTGAGEE & LOSS PAYEE.
90 DAY EXTENDED PERIOD OF INDEMNITY FOR BUSINESS INCOME.
LOAN NUMBER EFFECTIVE 3/16/2015 #20190.
30 DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST PER CANCELLATION
CLAUSE SHOWN ON EVIDENCE OF COMMERCIAL PROPERTY INSURANCE.
#2.
#3.
#4. ACORD28(2006/07)ot\
s
Page 2 of 2DATE(MWDIWYYYY) 3/6/2015
acorc? EVIDENCE OF COMMERCIAL PROPERTY INSURANCE
THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTEROF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ^ _ ^ _
PRODUCER NAME,
CONTACT PERSON AND ADDRESS
PHONE
WC.No.E»l); 201-489-1414
Angelo J. DeBellis Agency,
LLC
26 Elm Avenue
Hackensack,
NJ 07601
FAX on, -00 eca* EMAIL (A/C.Noj: 201-489-5504 | ADDRESS;
AGENCY CUSTOMER ID ft
NAMED INSURED AND ADDRESS
ajdagencyQaol.com
Fairview Owners Corp
& GRANDWAY ASSOC.
61-20 Grand Central Pkwy
Forest Hills,
NY 11375
ADDITIONAL NAMEDINSURED^)
COMPANY KAME AND ADDRESS NA1CNO: 36161 TRAVELERS INSURANCE COMPANY
445 SOUTH STREET
MORRISTOWN,
NJ 07960
IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM POR EACH POLICY TYPE COMMERCIAL PROPERTY LOAN NUMBER 20190 EFFECTIVE DATE
10/25/14
EXPIRATION DATE10/25/15
THIS REPLACES PRIOR EVIDENCE OATED:POLICY NUMBER
KTQCMB6D84190-614
CONTINUED UNTIL TERMINATED IF CHECKEDPROPERTY INFORMATION (Use REMARKS on page 2, if more space Is required) IS> BUILDING OR • BUSINESS PERSONAL PROPERTY
LOCATION/DESCRIPTION
LOC #02 CLUB HOUSE
61-20 GRAND CENTRAL PKWY.FOREST HILLS,NY 11375s
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANYREQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITHRESPECT TO WHICH THIS EVIDENCEOF PROPERTY INSURANCE MAY
BEISSUED OR MAY PERTAIN, THEINSURANCE AFFORDED BYTHEPOLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THETERMS, EXCLUSIONS AND CONDITIONS
OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COVERAGE INFORMATION PERILS INSURED BASIC BROAD X SPECIAL
COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $ 1,442,000.00 DED: $10,000.00
YES NO WA
BQ BUSINESS INCOME Q RENTAL VALUE X IfYES.LIMIT: 700,000 X Actual LossSustained:#ofmonths:
BLANKET COVERAGE X IfYES, indicatevalue(s)reportedonprop8rty(dentifi8dabove:$ TERRORISM COVERAGE X Attach Disclosure Notice/DEC
IS THERE A TERRORISM-SPECIFIC EXCLUSION? X
IS DOMESTIC TERRORISM EXCLUDED? X
LIMITED FUNGUS COVERAGE X lfYES,LIMrT: $15 , Q00 . 00 DED: $10 .000 .
FUNGUSEXCLUSION^fYES-.spedfyorganizallon'sformused) X
REPLACEMENT COST X
AGREED VALUE X
COINSURANCE X IfYES. %
EQUIPMENT BREAKDOWN (IfApplicable) X lfYES.LIMIT: 1,442,000 °ED: 10 ,000 .
ORDINANCE OR LAW - Coverage for lossto undamaged portion of bldg X
-Demolition Costs X IfYES, LIMIT 1,442,000 DED: io ,000. -Incr. Costof Construction X IfYES.LIMIT INCLUDED DED: INCLUDED
EARTHMOVEMENT^Applicable) X IfYES, LIMIT
2,500,000
ded:
100,000
FLOOD(lfApplicable) X IfYES. LIMIT 2,500,000 DED: 100,000
WIND/HAIL(lfSubjecttoDifferentProvislfins) X IfYES.LIMIT DED: PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE
HOLDER PRIOR TO LOSS X
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO
30
DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST NAMED BELOW, BUT FAILURE TOMAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION
OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.ADDITIONAL INTEREST
MORTGAGEE
LENDERS LOSS PAYABLE
NAME AND ADDRESS
AMALGAMATED BANK
CONTRACT OF SALE
LOSS PAYEE
ITS SUCCESSORS AND/OR ASSIGNS ,ATIMA
275 SEVENTH AVENUE,6TH FLOOR
NEW YORK,NY 10001
EFFECTIVE 3/16/15
ACORD28 (2008/07)LENDER SERVICING AGENT NAME AND ADDRESS
AUTHORIZED REP
Page 1of2
A ©AtfORD CORPORATION 2003-2006. All rights reserved.
The ACORD name and logo are registered marks of ACORD
EVIDENCE OF COMMERCIAL PROPERTY INSURANCE REMARKS - Including Special CondiUons (Use only if more space Is required)
#1. ADDITIONAL INTEREST IS NAMED AS MORTGAGEE
& LOSS PAYEE.
#2. 90 DAY EXTENDED PERIOD OF INDEMNITY FOR BUSINESS INCOME.
#3. LOAN NUMBER EFFECTIVE 3/16/2015 #20190.
#4. 30 DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST PER CANCELLATION
CLAUSE SHOWN ON EVIDENCE OF COMMERCIAL PROPERTY INSURANCE.
ACORCf
EVIDENCE OF PROPERTY INSURANCE
DATE(MWWVYYYY)THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE OF PROPERTY INSURANCE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES BELOW.
AGENCY PHONE
(201)489-1414
ANGELO J DEBELLIS AGENCY LLC26 Elm Avenue
Hackensack,
NJ 07601
gg.^ (201)489-5504 | gffSjssT
Aa&NCY CU8TOMER1DC;a-idaqancy@aol. com
Fairview Owners Corp
61-20 Grand Central Pkwy
Forest Hills,
NY 11375
PROPERTY INFORMATION
LOCATION/DESCRIPTION
61-20 GRAND CENTRAL PKWY
FOREST HILLS,
NY 11375
COMPANY
CNA INSURANCE COMPANIES
LOAN NUMBER 20190 EFFECTIVE DATE
10/25/14
EXPIRATION DATE10/25/15
THIS REPLACES PRIOR EVIDENCE DATED:POUCY NUMBER
0250660534
•
CONTINUED UNTIL TERMINATED IF CHECKED
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 EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THETERMS, EXCLUSIONS AND CONDITIONS OF SUCHPOLICIES. LIMITS SHOWN MAY HAVE BEENREDUCED BYPAID CLAIMS. COVERAGE INFORMATION
COVERAGE / PERILS / FORMS
EMPLOYEE DISHONESTY / INCLUDING MGT.A6T. /CARLSON REALTY
FORGERY OR ALTERATION
THEFT,
DISAPPEARANCE,
&
DESTRUCTION
COMPUTER FRAUD/WIRE FRAUD
REMARKS (Including Special Conditions) FAIRVIEW OWNERS CORP. 61-20 GRAND CENTRAL PKWY.
FOREST HILLS,
NY
11375
CANCELLATION AMOUNT OF INSURANCE 1,500,000.0025,000.00
25,000.00
1,500,000.00 DEDUCTIBLE 10,000.00 250.00 NONE 10,000.00SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO
30
DAYS WRITTEN NOTICE TOTHE ADDITIONAL INTEREST NAMED BELOW, BUT FAILURE TOMAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION
ORLIABILITY OFANY KIND UPON THEINSURER, ITSAGENTS OR REPRESENTATIVES.
ADDITIONAL INTEREST
NAME AND ADDRESS
AMALGAMATED BANK
ITS SUCCESSORS AND/OR ASSIGNS, ATIMA
275 SEVENTH AVENUE
NEW YORK,NJ 10001
EFFECTIVE 3/16/15
ACORD27 (2006/07) MORTGAGEE LOSS PAYEE LOANS ADDITIONAL INSUREDS^fr*4%^-©ACCORD CORPORATION 1993-2005. All rights reserved.