ACORdt CERTIFICATE OF LIABILITY INSURANCE 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, ETEND 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, subjectto the terms and conditions ofthe policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificateholder In Heu of such endorsement(s). PRODUCER Angelo J. DeBellis Agency, LLC INSURED Fairview Owners Corp PA:718-699-5618 718-271-1378 CONTACT NAME: 5»W 201-489-1414 address-.&jd6aol. COM Producer customerids: IH8UHER(8) AFFORDMQ COVERAGE DATE(MM/DD/YYYY) 3/6/2015 TEC Ia%W01-489-5504 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 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 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. ECLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. UtSR IDS? POLICY EFF POLICY EP LTR TYPE OF INSURANCE POUCY NUMBER (MM/DDVyYYY) (Mwdd/yyyy) LIMITS GENERAL LIABILITY EACH OCCURRENCE UAMAGb lokfcnibu COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) CLAIMS4MDE OCCUR GBTL AGGREGATE LIMIT APPLIES PER: POLICY I jgct I ILOC AUTOMOBILE LIABILITY ANYAUTO ALLOWNED AUTOS SCHEDULED AUTOS HIRED AUTOS SIKCGF00827-02 SIKCGFOO827-02 MEDEP(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) $ 1,000,000 125,000 $ 5,000»T7000,000 $ 2r000,000 1,000,000 * 1,000,000 B NON-OWNED AUTOS UMBRELLA LIAB ECESS UAB DEDUCTIBLE OCCUR CLAIMS-MADE UM30026834 HIRED/NON-OWN EACH OCCURRENCE AGGREGATE * 1 25tf,000,000 000,000.200,000,000 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EECUTIVE i 1 OFFtCER/UEMBER ECLUDED? (HindttwyfaNH) ' ' Hyes, descr&e under DESCRIPTION OP OPERATIONS below DIRECTORS&OFFICERS LIABILITY 0250618588 WC STATU TORY LIMITS E.L EACH ACCIDENT OTH ER 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. (CONT.PG2) CERTIFICATE HOLDER CANCELLATION ACORD25 (2009/09) i ITS SUCCESSORS AND/OR ASSIGNS, ATIMA 276 SEVENTH AVENUE,6TH FLOOR NEW YORK,NY 10001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED gtyke5enla>ft<e MJ88-2009 ACORD CORPORATION. All rightsreserved. The ACORD name and logo are registered markswfacord $
& AlCOKD CUSTOMER ID: LOC#: ANGELO J POLICY NUMBER VARIOUS CARRIER VARIOUS ADDITIONAL REMARKS DEBELLIS LLC ADDITIONAL REMARKS SCHEDULE Page 2 of 2 NAICCODE THIS ADDITIONAL REMARKS FORM ISA SCHEDULE TO ACORD FORM, NAMED INSURED Fairview Owners Corp FA:718-699-5618 EFFECTIVE DATE: -15 FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE CANCELLATION, SHOULD ANY OF THE DESCRIBED POLICIES BE CANCELED BEFORE THE EPIRATION 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.. I* It' pr ACORD101 (2008/01) 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
acord 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, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER NAME. COMPANY NAME AND ADDRESS NAICNO: 36161 CONTACT PERSON AND ADDRESS Angelo J. DeBellis Agency, LLC.): 201-489-5504 asss: AJDQAOL. COM TRAVELERS INSURANCE COMPANY 445 SOUTH STREET MORRISTOWN,NJ 07960 POLICY TYPE IF MULTIPLECOMPANIES, COMPLETE SEPARATE FORM FOR EACH CUSTOMER ID «: NAMED INSURED AND ADDRESS Fairview Owners Corp.& GRANDWAY ASSOC ADDITIONAL NAMED INSURED(S) COMMERCIAL PROPERTY LOAN NUMBER 20190 EFFECTIVE DATE EPIRATION DATE THIS REPLACES PRIOR EVIDENCE DATED: POUCY NUMBER KTQCMB6D84190-614 CONTINUED UNTIL TfcKMlNATdD IF CHECKED PROPERTY INFORMATION (Use REMARKS on page 2, if more space is required) LOCATION/DESCRIPTION LOC#01 61-20 GRAND CENTRAL PARKWAY, FOREST HILLS, NY 11375 SI BUILDING OR CI BUSINESS PERSONAL PROPERTY THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANYREQUIREMENT,TERM OR CONDITIONOF 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, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGE INFORMATION PERILS INSURED BASIC BROAD SPECIAL COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $ 86,520,000.00 DED: $10,000.00 YES NO N/A Kl BUSINESS INCOME Q RENTALVALUE IfYES. LIMIT: 6,000,000 ActualLossSuslained;#ofmonths: BLANKET COVERAGE lfyes,indicatevalue(s)reportedonpropertyidentifiedabove:$ TERRORISM COVERAGE Attach Disclosure Notice/DEC IS THERE A TERRORISM-SPECIFIC ECLUSION? IS DOMESTIC TERRORISM ECLUDED? LIMITED FUNGUS COVERAGE IfYES.LIMIT: 15,000.00 DED: 10,000. FUNGUSECLUSIONOfYES-.specifyorganization'sformused) REPLACEMENT COST AGREED VALUE COINSURANCE IfYES. % EQUIPMENT BREAKDOWN (IfApplicable) IfYES.LIMIT: 92,600,000 DED: 10,000 ORDINANCE OR LAW -Coverageforlosstoundamagedportionofbtdg -DemolitionCosts IfYES.LIMIT 10,000,000 DED:10,000. -Incr.CostofConstruction IfYES.LIMIT INCLUDED DED: INCLUDED EARTHMOVEMENT(lfApplteabte) IfYES.LIMIT 2,500,000 DED: 100,000 FLOOD (IfApplicaWe) IfYES, LIMIT 2,500,000 DED: 100,000 WIND/HAIL(lfSubjecttoDifferentProvisions) IfYES.LIMIT DED: PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS CANCELLATION SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EPIRATION 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 UPONTHE INSURER. ITS AGENTS OR REPRESENTATIVES. ADDITIONAL INTEREST MORTGAGEE LENDERS LOSS PAYABLE CONTRACT OF SALE LOSS PAYEE NAME AND ADDRESS ITS SUCCESSORS AND/OR ASSIGNS,ATIMA 275 SEVENTH AVENUE,6TH FLOOR NEW YORK,NY 10001 ACORD28 (2006/07) Pagel of 2 The ACORD name and logo are registered "mark LENDER SERVICING AGENT NAME AND AODRES3 (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. #2. 90 DAY ETENDED PERIOD OF INDEMNITY FOR BUSINESS INCOME. #3. #4. 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. ot\ s ACORD28(2006/07) Page 2 of2
acorc? EVIDENCE OF COMMERCIAL PROPERTY INSURANCE PRODUCER NAME, CONTACT PERSON ANDADDRESS DATE(MWDIWYYYY) 3/6/2015 THIS EVIDENCEOF 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, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ^_^_ PHONE WC.No.E»l); 201-489-1414 COMPANY KAME ANDADDRESS NA1CNO: 36161 Angelo J. DeBellis Agency, FA on, -00 eca* EMAIL (A/C.Noj: 201-489-5504 ADDRESS; LLC ajdagencyqaol.com TRAVELERS INSURANCE COMPANY 445 SOUTH STREET MORRISTOWN, NJ 07960 POLICY TYPE IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM POR EACH CUSTOMERID ft NAMED INSURED AND ADDRESS Fairview Owners Corp & GRANDWAY ASSOC. ADDITIONAL NAMEDINSURED^) COMMERCIAL PROPERTY LOAN NUMBER 20190 EFFECTIVE DATE EPIRATION DATE THIS REPLACES PRIOR EVIDENCE OATED: POLICY NUMBER KTQCMB6D84190-614 CONTINUED UNTIL TERMINATED IF CHECKED PROPERTY 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, TERMOR CONDITION OF ANYCONTRACT OR OTHER DOCUMENT WITHRESPECT TO WHICHTHIS EVIDENCEOF PROPERTY INSURANCE MAY BEISSUED OR MAY PERTAIN, THEINSURANCE AFFORDED BYTHEPOLICIES DESCRIBED HEREIN ISSUBJECTTOALL THETERMS, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGE INFORMATION PERILS INSURED BASIC BROAD SPECIAL COMMERCIAL PROPERTY COVERAGE AMOUNT OFINSURANCE: $ 1,442,000.00 DED: $10,000.00 YES NO WA BQ BUSINESSINCOME Q RENTAL VALUE IfYES.LIMIT: 700,000 ActualLossSustained:#ofmonths: BLANKET COVERAGE IfYES, indicatevalue(s)reportedonprop8rty(dentifi8dabove:$ TERRORISM COVERAGE AttachDisclosureNotice/DEC IS THERE A TERRORISM-SPECIFIC ECLUSION? IS DOMESTIC TERRORISM ECLUDED? LIMITED FUNGUS COVERAGE lfyes,limrt: $15, Q00. 00 DED: $10.000. FUNGUSECLUSION^fYES-.spedfyorganizallon'sformused) REPLACEMENT COST AGREED VALUE COINSURANCE IfYES. % EQUIPMENT BREAKDOWN (IfApplicable) lfyes.limit: 1,442,000 ED: 10,000. ORDINANCEOR LAW - Coverageforlossto undamaged portion of bldg -DemolitionCosts IfYES, LIMIT 1,442,000 DED: io,000. -Incr.CostofConstruction IfYES.LIMIT INCLUDED DED: INCLUDED EARTHMOVEMENT^Applicable) IfYES, LIMIT 2,500,000 ded: 100,000 FLOOD(lfApplicable) IfYES. LIMIT 2,500,000 DED: 100,000 WIND/HAIL(lfSubjecttoDifferentProvislfins) IfYES.LIMIT DED: PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EPIRATION DATETHEREOF. THE ISSUING INSURER WILLENDEAVOR TO MAIL 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 CONTRACT OF SALE LENDERS LOSS PAYABLE LOSS PAYEE NAME ANDADDRESS LENDER SERVICING AGENT NAME AND ADDRESS ITS SUCCESSORS AND/OR ASSIGNS,ATIMA 275 SEVENTH AVENUE,6TH FLOOR NEW YORK,NY 10001 AUTHORIZED REP f*xu&^ ACORD28 (2008/07) Page1of2 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 ETENDED 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. ACORD28(2008/07) Page 2 of2
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, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ANGELO J PHONE DEBELLIS LLC (201)489-1414 COMPANY CNA INSURANCE COMPANIES gg.^ (201)489-5504 gffsjsst a-idaqancy@aol. com Aa&NCY CU8TOMER1DC; Fairview Owners Corp LOAN NUMBER 20190 EFFECTIVE DATE EPIRATION DATE THIS REPLACES PRIOR EVIDENCE DATED: POUCY NUMBER 0250660534 CONTINUED UNTIL TERMINATED IF CHECKED PROPERTY INFORMATION LOCATION/DESCRIPTION 61-20 GRAND CENTRAL PKWY FOREST 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 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, ECLUSIONS 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 AMOUNTOF INSURANCE 1,500,000.00 25,000.00 25,000.00 1,500,000.00 DEDUCTIBLE 10,000.00 250.00 NONE 10,000.00 REMARKS (Including Special Conditions) FAIRVIEW OWNERS CORP. 61-20 GRAND CENTRAL PKWY. FOREST HILLS, NY 11375 CANCELLATION SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 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 ANDADDRESS ITS SUCCESSORS AND/OR ASSIGNS,ATIMA 275 SEVENTH AVENUE NEW YORK,NJ 10001 ACORD27(2006/07) LOANS MORTGAGEE LOSS PAYEE The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED S^fr*4%^- ACCORD CORPORATION 1993-2005. All rights reserved.