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THE PORT AUTHORITY OF NEW YORK AND NEW JERSEY

PUBLIC RECORD ACCESS FORM

Action by (print I type name):

PRA #18814

Danny Ng , Freedom of Information Administrator

Signature: Date:

Q--- 02/01/2018

On behalf of the Secretary of the Port Authority, as Records Access Officer and Custodian of Government Records of the Port Authority .

.f The requested records are being made available.

Any responsive records that may exist are currently in storage or archived, and a diligent search is being conducted. The Port Authority will respond by:

A diligent search has been conducted, and no records responsive to your request have been located.

The requested records that have been located are not being made available, as they are exempt from disclosure for the following specific reasons:

Some requested records that have been located are being made available. The remainder are exempt from disclosure for the following specific reasons:

The request does not reasonably describe or identify specific records; therefore, the Port Authority is unable to search for and locate responsive records. Please consider submitting a new request that describes or identifies the specific records requested with particularity and detail.

.f Other:

Material responsive to your request can be found on the Port Authority's website at http://corpinfo.panynj.gov/documents/18814-0/. Paper copies of the available records are available upon request.

This form is promulgated by the Port Authority pursuant to the Port Authority Public Records Access Policy and is intended to be construed consistent with the New York Freedom of Information Law and the New Jersey Open Public Records Act. It is intended to facilitate requests for Port Authority public records and does not constitute legal advice.

Page 1

The ACORD name and logo are registered marks of ACORD

CERTIFICATE HOLDER

© 1988-2014 ACORD CORPORATION. All rights reserved.ACORD 25 (2014/01)

AUTHORIZED REPRESENTATIVE

CANCELLATION

DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE

LOCJECTPRO-POLICY

GEN'L AGGREGATE LIMIT APPLIES PER:

OCCURCLAIMS-MADE

COMMERCIAL GENERAL LIABILITY

PREMISES (Ea occurrence) $DAMAGE TO RENTEDEACH OCCURRENCE $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG $

$RETENTIONDED

CLAIMS-MADE

OCCUR

$

AGGREGATE $

EACH OCCURRENCE $UMBRELLA LIAB

EXCESS LIAB

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

INSRLTR TYPE OF INSURANCE POLICY NUMBER

POLICY EFF(MM/DD/YYYY)

POLICY EXP(MM/DD/YYYY) LIMITS

PERSTATUTE

OTH-ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

$

$

$

ANY PROPRIETOR/PARTNER/EXECUTIVE

If yes, describe underDESCRIPTION OF OPERATIONS below

(Mandatory in NH)OFFICER/MEMBER EXCLUDED?

WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY Y / N

AUTOMOBILE LIABILITY

ANY AUTOALL OWNED SCHEDULED

HIRED AUTOSNON-OWNED

AUTOS AUTOS

AUTOS

COMBINED SINGLE LIMIT

BODILY INJURY (Per person)

BODILY INJURY (Per accident)PROPERTY DAMAGE $

$

$

$

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.

INSDADDL

WVDSUBR

N / A

$

$

(Ea accident)

(Per accident)

OTHER:

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

INSURED

PHONE(A/C, No, Ext):

PRODUCER

ADDRESS:E-MAIL

FAX(A/C, No):

CONTACTNAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

INSURER(S) AFFORDING COVERAGE

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.

INS025 (201401)

8/14/2015

Strategic Insurance Partners Inc.7822 Kennedy Blvd.

No. Bergen NJ 07047

*** House ***(201)662-0300

Cristi Cleaning Service Corp.77 Trinity Place

Hackensack NJ 07601

Samsung Fire & Marine Insurance 38300Travelers Insurance Company 27467Hartford Insurance Group 19682Harleysville Insurance Company 23582

15/16

AX

X

X

CPP0000856 02 4/29/2015 4/29/2016

1,000,000100,00010,000

1,000,0002,000,0002,000,000

A XCPP0000856 02 4/29/2015 4/29/2016

1,000,000

AX X

X 10,000 UMB0000335 02 4/29/2015 4/29/2016

10,000,00010,000,000

D N WC00000043267V 4/29/2015 4/29/2016NJ/NY

X1,000,0001,000,0001,000,000

C Fidelity/Crime Bond 13BDDGY4858 3/14/2015 3/14/2016 $100,000 Limit

B Excess Umbrella ZUP 81M3070A-15-NF 4/29/2015 4/29/2016 $14,000,000 Excess of $10,000,000

The Port Authority of New York and New Jersey and The City of New York are included as an Additional Insureds per Contract/Agreement No. 4600008371.The insurer shall not, without obtaining express advance written permission from the General Counsel of the Port Authority, raise any defense involving in any way the jurisdiction of the tribunal over the person of the Port Authority, the immunity of the Port Authority, its commissioners, officers, agents, or employees, the governmental nature of the Port Authority or the provisions of any statutes respecting suits agains the Port Authority. 30 days written notice of cancellation, 10 days for non-payment.

Jacqueline Caro/JCARO

The Port Authority of NY & NJ c/o Ebix BPO P.O. Box 12010-72 Hemet, CA 92546-8010


CERTIFICATE HOLDER



CANCELLATION


LOCJECTPRO-POLICY


OCCURCLAIMS-MADE





GENERAL AGGREGATE $


$RETENTIONDED

CLAIMS-MADE

OCCUR

$

AGGREGATE $


EXCESS LIAB





PERSTATUTE

OTH-ER

E.L. EACH ACCIDENT



$

$

$








AUTOS AUTOS

AUTOS




$

$

$


INSDADDL

WVDSUBR

N / A

$

$

(Ea accident)

(Per accident)

OTHER:



INSURED


PRODUCER

ADDRESS:E-MAIL

FAX(A/C, No):

CONTACTNAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :



INS025 (201401)

7/25/2017


No. Bergen NJ 07047

Mark Perkel(201)662-0300

[email protected]


Hackensack NJ 07601

Travelers Property Casualty Co 25674Travelers Indemnity Company 25666Ohio Casualty Insurance Company of 10937Harleysville Insurance Co 23582Hartford Insurance Group 30104

2017-2018

AX

X

X

630-2J04311A 4/29/2017 4/29/2018

1,000,000100,00010,000

1,000,0002,000,0002,000,000

Employee Benefits 1,000,000

B XBA1J153902 4/29/2017 4/29/2018

1,000,000

Underinsured motorist 1,000,000

CX X

X 10,000

General Liab. Excess

ECO57768690 4/29/2017 4/29/2018

4,000,0004,000,000

D N WC00000043267V 4/29/2017 4/29/2018

X1,000,0001,000,0001,000,000

E Crime Policy 13BDDGY4858 3/14/2017 3/14/2018 $100,000 Limit

B Excess Auto Liab & EL ZUP91M79055-17-NF 4/29/2017 4/29/2018 $24,000,000 Each Occurence

Certificate holder is listed as additional insured per written contract.

Mark Perkel/MAP

Port Authority of New York and New Jersey c/o EXIGIS Insurance Compliance Services P.O. Box 4668 ECM #35050 New York, NY 10163-4668


CERTIFICATE HOLDER



CANCELLATION


LOCJECTPRO-POLICY


OCCURCLAIMS-MADE





GENERAL AGGREGATE $


$RETENTIONDED

CLAIMS-MADE

OCCUR

$

AGGREGATE $


EXCESS LIAB





PERSTATUTE

OTH-ER

E.L. EACH ACCIDENT



$

$

$








AUTOS AUTOS

AUTOS




$

$

$


INSDADDL

WVDSUBR

N / A

$

$

(Ea accident)

(Per accident)

OTHER:



INSURED


PRODUCER

ADDRESS:E-MAIL

FAX(A/C, No):

CONTACTNAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :



INS025 (201401)

3/30/2016


No. Bergen NJ 07047

Mark Perkel(201)662-0300

[email protected]


Hackensack NJ 07601

Samsung Fire & Marine Insurance 38300St. Paul Fire and Marine Ins Co 24767Nationwide Mutual-Harleysville 23582Hartford Insurance Group 19682

2016-2017

AX

X

X

CPP0000856 02 4/29/2016 4/29/2017

1,000,000100,00010,000

1,000,0002,000,0002,000,000

Employee Benefits 1,000,000

A XCPP0000856 02 4/29/2016 4/29/2017

1,000,000

Underinsured motorist 1,000,000

BX X

X 10,000 ZUP81M3070A-15-NF 4/29/2016 4/29/20176

10,000,00010,000,000

C N WC00000043267V 4/29/2016 4/29/2017NJ/NY

X1,000,0001,000,0001,000,000

D Fidelity/Crime Bond 13BDDGY4858 3/14/2016 3/14/2017 $100,000 Limit

B Excess/Umbrella ZUP 81M3070A-16-NJ 4/29/2016 4/29/2017 $14,000,000 Excess of $10,000,000

The Port Authority of New York and New Jersey and The City of New York are included as an Additional Insureds per Contract/Agreement No. 4600006756. The insurer shall not, without obtaining express advance written permission from the General Counsel of the Port Authority, raise any defense involving in any way the jurisdiction of the tribunal over the person of the Port Authority, the immunity of the Port Authority, its commissioners, officers, agents, or employees, the governmental nature of the Port Authority or the provisions of any statutes respecting suits agains the Port Authority. 30 days written notice of cancellation, 10 days for non-payment.

Mark Perkel/MAP

The Port Authority of NY & NJ c/o Ebix BPO P.O. Box 12010-72 Hemet, CA 92546-8010

(888)721-0899 [email protected]

DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCETHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).

CONTACTPRODUCER NAME:FAXPHONE(A/C, No):(A/C, No, Ext):

E-MAILADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A :INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.

ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVD

COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $DAMAGE TO RENTED

CLAIMS-MADE OCCUR $PREMISES (Ea occurrence)



GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT

$OTHER:COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea accident)BODILY INJURY (Per person) $ANY AUTO

ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS

$

UMBRELLA LIAB EACH OCCURRENCE $OCCUREXCESS LIAB CLAIMS-MADE AGGREGATE $

$DED RETENTION $PER OTH-WORKERS COMPENSATIONSTATUTE ERAND EMPLOYERS' LIABILITY Y / N

ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N / AOFFICER/MEMBER EXCLUDED?

(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $If yes, describe under

E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below


CERTIFICATE HOLDER CANCELLATION



© 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORDACORD 25 (2014/01)

SCAEN-1 OP ID: SM

07/26/2017

Michele T. MorsonNFP Property & Casualty Services, Inc. 707 Westchester Ave., Ste 201 White Plains, NY 10604 Jonathan S. Taubin

914-406-7902 [email protected]

Excelsior Insurance Company 11045Peerless Insurance Company 24198Susan's Cleaning Angels Inc.

dba SCA Enterprises 41 Cherry Lane Hicksville, NY 11801

A X 1,000,000X X X CBP 8998834 09/10/2016 09/10/2017 100,000

10,0001,000,0002,000,000

X 2,000,000

1,000,000B X X BA 8998334 09/10/2016 09/10/2017

X 4,000,000A X CU 8999034 09/10/2016 09/10/2017 4,000,000

A WC 8998734 09/10/2016 09/10/2017 1,000,0001,000,0001,000,000

Port Authority of New York and New Jersey and its related entities, their commissioners, directors, officers, partners, employees, and agents are included as Additional Insured and Waiver of Subrogation applies in favor of Additional Insured, if required by written contract. See Attached Notepad

PORTA22

Port Authority NY & NJ c/o EXIGIS Ins Compliance Svc. P.O. Box 4668 - ECM #35050 New York, NY 10163-4668

PAGEHOLDER CODE NOTEPAD: INSURED'S NAME Date

PORTA22 SCAEN-1 2Susan's Cleaning Angels Inc. OP ID: SM 07/26/2017

The following coverage's apply as per the general liability policy noted above. 1. 30 days Cancellation notice 2. Primary and non-Contributory wording 3. Severability of Interest wording 4. The Port Authority of New York and New Jersey and its related entities, their commissioners, directors, officers, partners, employees, and agents as "Additional Insureds" subject to the terms, conditions and exclusions of the general liability policy. 5. Waiver of Governmental Immunity - Port Authority of NY and NJ

All such policies shall indicate that as respects the insured (whether named or otherwise), cross liability and severability of interest clause shall exist for all coverages provided. A waiver of subrogation in favor of the Additional Insureds applies to the above policies per written agreement. The Umbrella/Excess is following form of the General Liability.The insurer shall not, without obtaining the express advance written permission from the General Counsel of the Port Authority, raise any defense involving in any way the jurisdiction of the Tribunal over the person of the Port Authority, the immunity of the Port Authority, or the provisions of any statues respecting suits against the Port Authority.

The Commercial General Liability and Umbrella/Excess Liability policies include contractual liability coverage, explosion, collapse & underground coverage. A 30 day notice of cancellation is included. Contract requirements include: e. No Exterior Insulated Finishing System (“EIFS ) or similar exterior wall system exclusion. f. Additional insured endorsement CG 20 10 10 01, or equivalent for “ongoing operations". g. Additional insured endorsement CG 20 37 10 01, or equivalent, for “completed operations".

The insurer shall not, without obtaining the express advance written permission from the General Counsel of the Port Authority, raise any defense involving in any way the jurisdiction of the Tribunal over the person of the Port Authority, the immunity of the Port Authority, its Commissioners, officers, agents or employees, the governmental nature of the Port Authority, or the provisions of any statutes respecting suits against the Port Authority.

INSR ADDL SUBRLTR INSR WVD

DATE (MM/DD/YYYY)

PRODUCER CONTACTNAME:

FAXPHONE(A/C, No):(A/C, No, Ext):

E-MAILADDRESS:


INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBERPOLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)



UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY




Y / NN / A

(Mandatory in NH)

ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?

EACH OCCURRENCE $DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR



GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER:


$

PRO-

OTHER:

LOCJECT

COMBINED SINGLE LIMIT$(Ea accident)

BODILY INJURY (Per person) $ANY AUTOALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS AUTOS

HIRED AUTOSNON-OWNED PROPERTY DAMAGE $AUTOS (Per accident)

$

OCCUR EACH OCCURRENCE $

CLAIMS-MADE AGGREGATE $

DED RETENTION $ $PER OTH-STATUTE ER

E.L. EACH ACCIDENT $

E.L. DISEASE - EA EMPLOYEE $If yes, describe under


POLICY







ACORDTM CERTIFICATE OF LIABILITY INSURANCE 2/28/2017

Marsh & McLennan Agency LLCPark 80 West, Plaza Two250 Pehle Avenue, Suite 400Saddle Brook, NJ 07663

201 845-6600

Tri-B Industries Corporation733 Ridgedale AvenueEast Hanover, NJ 07936

AXIS Surplus Insurance CompanyNew Jersey Manufacturers InsuraXL Insurance America, Inc.

266201212224554

A XX

x

x 001000000866-01 02/28/2017 02/28/2018 1,000,000500,0005,0001,000,0002,000,0002,000,000

BX

C2129872 02/28/2017 02/28/2018 1,000,000

AX

X 785780012017 02/28/2017 02/28/2018 5,000,0005,000,000

B

N

W38107917 02/28/2017 02/28/2018 X1,000,000

1,000,0001,000,000

C Excess Liability US00070261LI17A 02/28/2017 02/28/2018 $20,000,000 Each Occ.$20,000,000 Aggregate

Re: Journal Square and All Path Train Stations Contract Number 4600009989, Purchase Order Number:4500065160Port Authority of New York & New Jersey and PATH is included as Additional Insured as required by writtencontract, agreement or permit limited to the General Liability coverage. It is agreed Thirty (30) days ofnotice of termination, modification or cancellation, except as respects to non-payment of premium or if(See Attached Descriptions)

Port Authority of New York & NewJerseyAttn: John Reidy1 Path PlazaJersey City, NJ 07306

1 of 2#S2461144/M2460635

MODERFACILClient#: 57062

NPCYF1 of 2

#S2461144/M2460635

SAGITTA 25.3 (2014/01)

DESCRIPTIONS (Continued from Page 1)requested by the insured, will be given to the Port Authority of NY & NJ Attn: Facility ContractAdministrator, at the location where the work will take place and to the General Manager, Risk Managment.The insurer shall not, without obtaining the express advance written permission from the General Counsel ofthe Port Authority, raise any defense involving in any way the jurisdiction of the Tribunal over the personof the Port Authority, the immunity of the Port Authority, its Commissioners, officers, agents oremployees, the governmental nature of the Port Authority, or the provisions of any statutes respectingsuits against the Port Authority.

2 of 2#S2461144/M2460635


DATE (MM/DD/YYYY)



E-MAILADDRESS:


INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBERPOLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)



UMBRELLA LIAB

EXCESS LIAB





Y / NN / A

(Mandatory in NH)


EACH OCCURRENCE $DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR





$

PRO-

OTHER:

LOCJECT




$







POLICY








Marsh & McLennan Agency LLCPark 80 West, Plaza Two250 Pehle Avenue, Suite 400Saddle Brook, NJ 07663

201 845-6600

Tri-B Industries Corporation733 Ridgedale AvenueEast Hanover, NJ 07936

AXIS Surplus Insurance CompanyNew Jersey Manufacturers InsuraXL Insurance America, Inc.

266201212224554

A XX

x

x 001000000866-01 02/28/2017 02/28/2018 1,000,000500,0005,0001,000,0002,000,0002,000,000

BX

C2129872 02/28/2017 02/28/2018 1,000,000

AX

X 785780012017 02/28/2017 02/28/2018 5,000,0005,000,000

B

N

W38107917 02/28/2017 02/28/2018 X1,000,000

1,000,0001,000,000

C Excess Liability US00070261LI17A 02/28/2017 02/28/2018 $20,000,000 Each Occ.$20,000,000 Aggregate

Re: Journal Square and All Path Train Stations Contract Number 4600009989, Purchase Order Number:4500065160Port Authority of New York & New Jersey and PATH is included as Additional Insured as required by writtencontract, agreement or permit limited to the General Liability coverage. It is agreed Thirty (30) days ofnotice of termination, modification or cancellation, except as respects to non-payment of premium or if(See Attached Descriptions)

Port Authority of New York & NewJerseyAttn: John Reidy1 Path PlazaJersey City, NJ 07306

1 of 2#S2461144/M2460635

MODERFACILClient#: 57062

NPCYF1 of 2

#S2461144/M2460635

SAGITTA 25.3 (2014/01)

DESCRIPTIONS (Continued from Page 1)requested by the insured, will be given to the Port Authority of NY & NJ Attn: Facility ContractAdministrator, at the location where the work will take place and to the General Manager, Risk Managment.The insurer shall not, without obtaining the express advance written permission from the General Counsel ofthe Port Authority, raise any defense involving in any way the jurisdiction of the Tribunal over the personof the Port Authority, the immunity of the Port Authority, its Commissioners, officers, agents oremployees, the governmental nature of the Port Authority, or the provisions of any statutes respectingsuits against the Port Authority.

2 of 2#S2461144/M2460635


DATE (MM/DD/YYYY)



E-MAILADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBERPOLICY EFF POLICY EXP

TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)



UMBRELLA LIAB

EXCESS LIAB





Y / N

N / A(Mandatory in NH)


EACH OCCURRENCE $DAMAGE TO RENTED

$PREMISES (Ea occurrence)CLAIMS-MADE OCCUR





$

PRO-

OTHER:

LOCJECT


BODILY INJURY (Per person) $ANY AUTOOWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS

AUTOS ONLYHIRED PROPERTY DAMAGE $

AUTOS ONLY (Per accident)

$







POLICY

NON-OWNED



THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement onthis certificate does not confer any rights to the certificate holder in lieu of such endorsement(s).



© 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03)

ACORDTM CERTIFICATE OF LIABILITY INSURANCE

Liberty Mutual Insurance Company

Ohio Casualty Group

11/20/2017

USI Insurance Services LLC300 Executive DriveWest Orange, NJ 07052973 965-3100

Susan Reinhardt973 965-3123 484 652-5482

[email protected]

T.U.C.S. Cleaning Service, Inc.166 Central AvenueOrange, NJ 07050

23043A726

A X

X

X TB7691443790057 11/15/2017 11/15/2018 1,000,000

1,000,0002,000,0002,000,000

A

X

X Leased

X

X AS7691443790037 11/15/2017 11/15/2018 1,000,000

B X X X ECO1858350980 11/15/2017 11/15/2018 10,000,00010,000,000

A

N

WA569D443790017 11/15/2017 11/15/2018 X1,000,000

1,000,0001,000,000

All coverages are subject to terms, conditions and exclusions. Re: General cleaning services Port AuthorityBus Terminal PABT Contract #4600010195/PO#4500065546, CITS tracking number#4520N. The Port Authority of New York, and New Jersey its commissioners, officers, representatives, employees, andagents are added as additional insured to the auto liability and general liability coverages as theirinterest may appear subject to the named insured negligence. (See Attached Descriptions)

Port Authority of New York &New Jerseyc/o EbixPO Box 12010-72Hemet, CA 92546-80

1 of 2#S21945315/M21909405

TUCSCLEClient#: 1193444

YXCCL1 of 2

#S21945315/M21909405

SAGITTA 25.3 (2016/03)

DESCRIPTIONS (Continued from Page 1)The insurer shall not, without obtaining the express advance written permission of from the General Counselof the Port Authority, raise any defense involving in any way the jurisdiction of the Tribunal over theperson of the Port Authority, the immunity of the Port Authority, its commissioners, officers, agents oremployees, the governmental nature of the Port Authority or the provision of any statues respecting suitsagainst the Port Authority. WC covers NY & NJ and PA. 30 Day notice of cancellation includes 10 day for non payment notice be sent to The Authority of New Yorkand New Jersey; subject to policy terms, conditions and exclusions.

2 of 2

#S21945315/M21909405

Client#' 34583 UNISE15

ACORD," 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

IMPORTANT: Ifthe certificate holder is an ADDITIONAL INSURED, the policy(ies) 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

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

certificate holder in lieu of such endorsement(s).

PRODUCER

ISU/Szerlip & Company, Inc.

288 Main Street

Millburn, NJ 07041-1031

973467-0400

INSURED United Services, Inc.

462 Forest St.

Kearny, NJ 07032

~~~~~CT

INSURER 0:

INSURER E:

INSURER F:

COVERAGES CERTIFICATE NUMBER' REVISION NUMBER'

IDATE (MM/DDIYYYY)CERTIFICATE OF LIABILITY INSURANCE 1/10/2014

Wayne Ruben

r..tJgN~o, Ext): 973 467-0400 ~,NOI: 973-467-0725

~t'D'}{~SS: [email protected]

INSURER(S) AFFORDING COVERAGE NAIC#

INSURER A: Everest Indemnity Ins Co 10851

INSURER B : Travelers/Charter Oak Fire Ins 25615

INSURER c: St Paul Fire & Marine Ins Co 24767

Everest National Ins Co 10120

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.

INSR LTR TYPE OF INSURANCE ADDL SUBR

INSR WVD POLICY NUMBER 11~~Mgiv~l ~~MgYMYI LIMITS

A GENERAL LIABILITY f-

51GL002315141 ~1/06/2014 01/06/201!i EACH OCCURRENCE 51000000

~ COMMERCIAL GENERAL LIABILITY

tJ CLAIMS-MADE [!] OCCUR f-

~~~~~H?E~~~J~;;'nce) MED EXP (Anyone person)

550000

55,000 -

~ Errors & PERSONAL & ADV INJURY 51,000,000

f-Omissions GENERAL AGGREGATE 52,000,000

GEN'L AGGRE~E LIMIT APFI~t PER:n X PRO·POLICY JECT LOC "-_.

PRODUCTS COMP/OP AGG 51,000,000

5

B AUTOMOBILE LIABILITY f-

BA2365P59013 11/15/2013 11/15/2014 fE~~~~~~~t~'NGLELIMIT 51,000,000

X ANY AUTO f- ALL OWNED

AUTOS1-

c-! HIRED AUTOS

~ SCHEDULED AUTOSf- NON-OWNED

c-!- AUTOS


BODILY INJURY (Per accidenl)

rp~~~;C~d"z',?AMAGE

5

5

5

-_.

5

A ~

UMBRELLA L1AB ~ OCCUR 51EOOO0378141 ~1/06/2014 01/06/2015 EACH OCCURRENCE 54000000

X EXCESS LIAB CLAIMS-MADE AGGREGATE 54000000

DED I I RETENTION 50 5

D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YINANY PROPRIETORJPARTNERJEXECUTIVE~lOFFICERJMEMBER EXCLUDED? NJ N/A

5300000097141 ~1/0G/2014 01/06/2015 X I\",~"~T~~Y;:,, I

E.L EACH ACCIDENT

12JH-

51000000

(Mandatory in NH) E.L. DISEASE EA EMPLOYEE 51000000 If yes. describe under DESCRIPTION OF OPERAnONS below E.L. DISEASE POLICY LIMIT $1,000,000

C Excess Auto Liab ZUP11T9850613NF 11/15/2013 11/15/2014 $2,000,000 Occ

C $2,000,000 Agg

DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) contract number #4600009680/P0#4500064503.CITS tracking number #4235N

As per written contract the certificate holder is included as additional insured with respects to the

operations of the named insured only.

(See Attached Descriptions)


• Port Authority of NY & NJ

Attn: Bob Reilly

13th & Provost Street

Jersey City, NJ 07310

I

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.


~._d- !/. ~-j..


ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S169276/M169109 WRR

DESCRIPTIONS (Continued from Page 1) "The insurer shall not, without obtaining the express advance written permission from the General Counsel of the Port Authority, raise any defense involving in any way the jurisdiction of the tribunal over the person of the Port Authority, the immunity of the Port Authority, its commissioners, officers, agents or employees, the governmental nature of the Port Authority, or the provisions of any statues respecting suits against the Port Authority."

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 Iiabiliity of any kind upond the insurer its agents or representatives.

• SAGITTA 25.3 (2010/05) 2 of 2

#S169276/M169109


DATE (MM/DD/YYYY)



E-MAILADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :





UMBRELLA LIAB

EXCESS LIAB





Y / N









$

PRO-

OTHER:

LOCJECT




$







POLICY




IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).






Everest Indemnity Ins Co

Everest National Ins Co

Travelers Prop Cas COA

11/20/2017

ISU/Szerlip & Company, Inc.288 Main StreetMillburn, NJ 07041-1031973 467-0400

Wayne Ruben973 467-0400 973-467-0725

[email protected]

United Services, Inc.462 Forest St.Kearny, NJ 07032

108511012025674

A XX

X Errors & Omissions

51GL002315171 01/06/2017 01/06/2018 1,000,00050,0005,0001,000,0002,000,0001,000,000

BX

X X

51CA000479171 11/15/2017 11/15/2018 1,000,000

AX

X 51E0000378171 01/06/2017 01/06/2018 4,000,0004,000,000

B

N

5300000097171 01/06/2017 01/06/2018 X1,000,000

1,000,0001,000,000

CC

Excess Auto Liab ZUP91M1920617NF 11/15/2017 11/15/2018 $2,000,000 Occ$2,000,000 Agg

CITS Tracking Number 4084NThe Port Authority of New York and New Jersey is included as Additional Insured per contract number46000009351/PO#4500063763."The insurer shall not, without obtaining the express advance writtenpermission from the General Counsel of the Port Authority, raise any(See Attached Descriptions)

Port Authority of NY & NJGeneral Manager, Risk Management225 Park Avenue South, 12thFloorNew York, NY 10003

1 of 2#S253476/M253117

UNISE15Client#: 34583

WRR1 of 2

#S253476/M253117

SAGITTA 25.3 (2014/01)

DESCRIPTIONS (Continued from Page 1)defense involving in any way the jurisdiction of the tribunal over theperson of the Port Authority, the immunity of the Port Authority, itscommissioners, officers, agents or employees, the governmental nature ofthe Port Authority, or the provisions of any statues respecting suitsagainst the Port Authority."

Should any of the above described policies be cancelled before the expiration date thereof, the issuinginsurer will endeavor to mail (30) days written notice to the certificate holder named to the left, butfailure to do so shall impose no obligation or liability of any kind upon the insurer its agents orrepresentatives.

2 of 2

#S253476/M253117


DATE (MM/DD/YYYY)



E-MAILADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :



GENERAL LIABILITY


UMBRELLA LIAB

EXCESS LIAB


DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)



Y / N




COMMERCIAL GENERAL LIABILITY $PREMISES (Ea occurrence)

CLAIMS-MADE OCCUR MED EXP (Any one person) $


GENERAL AGGREGATE $

GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $

$PRO-POLICY LOCJECT




$



DED RETENTION $ $WC STATU- OTH-TORY LIMITS ER














Wayne Ruben973 467-0400 973-467-0725

[email protected]


Everest Indemnity Ins CoEverest National Ins CoSt Paul Fire & Marine Ins Co

108511012024767

AX

XX Errors &

Omissions

X

51GL002315151 01/06/2015 01/06/2016 1,000,00050,0005,0001,000,0002,000,0001,000,000

BX

X X

51CA000462141 11/15/2014 11/15/2015 1,000,000

AX

X

0

51E0000378151 01/06/2015 01/06/2016 4,000,0004,000,000

B

N

5300000097151 01/06/2015 01/06/2016 X1,000,000

1,000,0001,000,000

CC


The Port Authority of New York and New Jersey is included as Additional Insured per contract number46000008383/4500061859."The insurer shall not, without obtaining the express advance writtenpermission from the General Counsel of the Port Authority, raise anydefense involving in any way the jurisdiction of the tribunal over the(See Attached Descriptions)

Port Authority of NY & NJc/o Ebix BPOP.O. Box 881639San Diego, CA 92168-1639

1 of 2#S192924/M192906


WRR1 of 2

#S192924/M192906

SAGITTA 25.3 (2010/05)

DESCRIPTIONS (Continued from Page 1)person of the Port Authority, the immunity of the Port Authority, itscommissioners, officers, agents or employees, the governmental nature ofthe Port Authority, or the provisions of any statues respecting suitsagainst the Port Authority."

Should any of the above described policies be cancelled before the expiration date thereof, the issuinginsurer will endeavor to mail (30) days written notice to the certificate holder named to the left, butfailure to do so shall impose no obligation or liabiliity of any kind upond the insurer its agents orrepresentatives.

2 of 2

#S192924/M192906


DATE (MM/DD/YYYY)



E-MAILADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :



GENERAL LIABILITY


UMBRELLA LIAB

EXCESS LIAB





Y / N







GENERAL AGGREGATE $


$PRO-POLICY LOCJECT




$

















Wayne Ruben973 467-0400 973-467-0725

[email protected]



108511012024767

AX

XX Errors &

Omissions

X

51GL002315151 01/06/2015 01/06/2016 1,000,00050,0005,0001,000,0002,000,0001,000,000

BX

X X

51CA000479151 11/15/2014 11/15/2016 1,000,000

AX

X

0

51E0000378151 01/06/2015 01/06/2016 4,000,0004,000,000

B

N

5300000097151 01/06/2015 01/06/2016 X1,000,000

1,000,0001,000,000

CC


The Port Authority of New York and New Jersey is included as Additional Insuredper contract number 4500061859.As per written contract The Port Authority of NY & NJ and its wholly owned entities, their commissioners, directors, officers, partners, employees, agents, JSR Realty Company and Trends Urban Renewal LTD are included as additional insured with respects to the operations of the named insured only. (See Attached Descriptions)

Port Authority of NY & NJc/o Ebix BPOP.O. Box 12010-72Hemet, CA 92546-8010

1 of 2#S208786/M208785


WRR1 of 2

#S208786/M208785

SAGITTA 25.3 (2010/05)

DESCRIPTIONS (Continued from Page 1)"The insurer shall not, without obtaining the express advance writtenpermission from the General Counsel of the Port Authority, raise anydefense involving in any way the jurisdiction of the tribunal over theperson of the Port Authority, the immunity of the Port Authority, itscommissioners, officers, agents or employees, the governmental nature ofthe Port Authority, or the provisions of any statues respecting suitsagainst the Port Authority."


2 of 2

#S208786/M208785


DATE (MM/DD/YYYY)



E-MAILADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :



GENERAL LIABILITY


UMBRELLA LIAB

EXCESS LIAB





Y / N







GENERAL AGGREGATE $


$PRO-POLICY LOCJECT




$

















Wayne Ruben973 467-0400 973-467-0725

[email protected]



108511012024767

AX

XX Errors &

Omissions

X

51GL002315151 01/06/2015 01/06/2016 1,000,00050,0005,0001,000,0002,000,0001,000,000

BX

X X

51CA000462141 11/15/2014 11/15/2015 1,000,000

AX

X

0

51E0000378151 01/06/2015 01/06/2016 4,000,0004,000,000

B

N

5300000097151 01/06/2015 01/06/2016 X1,000,000

1,000,0001,000,000

CC




1 of 2#S192921/M192906


WRR1 of 2

#S192921/M192906

SAGITTA 25.3 (2010/05)



2 of 2

#S192921/M192906


DATE (MM/DD/YYYY)



E-MAILADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :





UMBRELLA LIAB

EXCESS LIAB





Y / N









$

PRO-

OTHER:

LOCJECT




$







POLICY










Everest Indemnity Ins Co

Everest National Ins Co

Travelers Prop Cas COA

11/20/2017


Wayne Ruben973 467-0400 973-467-0725

[email protected]


108511012025674

A XX

X Errors & Omissions

51GL002315171 01/06/2017 01/06/2018 1,000,00050,0005,0001,000,0002,000,0001,000,000

BX

X X

51CA000479171 11/15/2017 11/15/2018 1,000,000

AX

X 51E0000378171 01/06/2017 01/06/2018 4,000,0004,000,000

B

N

5300000097171 01/06/2017 01/06/2018 X1,000,000

1,000,0001,000,000

CC




1 of 2#S253476/M253117


WRR1 of 2

#S253476/M253117

SAGITTA 25.3 (2014/01)


Should any of the above described policies be cancelled before the expiration date thereof, the issuinginsurer will endeavor to mail (30) days written notice to the certificate holder named to the left, butfailure to do so shall impose no obligation or liability of any kind upon the insurer its agents orrepresentatives.

2 of 2

#S253476/M253117

corporate information | port authority of new york & new ... · med exp (any one person) $...

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