Attachment C_501 Boylston Street COI Requirements.pdf

501 Boylston Street Managed by:

Vendor Insurance Requirements:

Contractor’s required coverages and risk category for Liability Insurance are checked below.

Any service not specifically listed in the Low, Intermediate or High Risk categories, contractor shall be required to obtain and maintain (i) Commercial General Liability (ii) Pollution Liability Insurance,

(iii) Professional Liability Insurance, (iv) Worker’s Compensation and Employer’s Liability Insurance and (v) Comprehensive Auto Liability Insurance.

☒ Commercial General Liability Insurance Commercial General Liability insurance on a form at least as broad as Insurance Services Office (“ISO”) commercial general liability coverage “occurrence” form CG 00 01 04 13 or another “occurrence” form providing equivalent coverage, including but not limited to contractual liability coverage, independent contractor’s liability, coverage for bodily injury (including death), property damage (including loss of use thereof), ongoing and completed operations, products liability, and personal and advertising injury, in the following amounts:

Risk Category Total Minimum Coverage

Limits of Liability

Low $1m $1m Each Occurrence $1m General Aggregate Not required Excess Liability

Intermediate $2m $1m Each Occurrence $2m General Aggregate $1m Excess Liability

Medium $4m $1m Each Occurrence $2m General Aggregate $3m Excess Liability

High $10m $1m Each Occurrence $2m General Aggregate $9m Excess Liability

☐ Low Risk

• Drop-off drycleaners, shoeshine

• “Feet on the ground” window washing

• Food service with liquor ***

• Food service without liquor

• General janitorial services *

• Interior painting

• Interior design services and similar

• Parking surface maintenance

• Temporary office – valets, parking attendants

☐ Intermediate Risk

• Door, window and glass installation and repair for buildings of 3 or less stories

• Masonry repair (tuck-point, grout replacement and minor brick restoration)

• Plumbing

• Electrical – Repair and maintenance under $50,000

• HVAC – installation or repair and maintenance under $50,000

• Burglar Alarm System

• Carpentry and cabinetry work

• Carpet and upholstery cleaners

• Carpet and upholstery installers

• Commercial Moving Companies

• Fireplace repair and maintenance

• Garbage removal and disposal

• Installation of finishes – acoustic, ceramic, lathe, plaster & drywall, resilient floor, paint and vinyl wall

• Lawn care services *

• Locksmiths

• Millwork – wood & plastic

• Office equipment service/delivery

• Modular office installation

• Pest control *

• Sheet metal fabrication

• Tile and marble – installation and repair

• Waterproofing

• Wooden door installation

☐ Medium Risk

• Any service not specifically listed in the Low, Intermediate or High Risk categories

• Design services, except for those related to High Risk activities

• Door, window and glass installation and repair for buildings greater than 3 stories

• Elevator service and maintenance

• Electrical and Mechanical Sub-contractors

• Electrical – Repair and maintenance over $50,000

• Fire system inspection, including monitoring and testing

• Installation of insulation

• Septic tank *

• Site work – grading, paving, earthwork and landscaping other than lawn care services

• Site work – minor repairs costing less than $50,000

• Storage tank installation/repair *

• Tree trimming

• Unarmed security services

• Window washing (greater than 3 stories and no scaffolding)

• General contractors for tenant improvements

• Pool care services

• Snow removal

• HVAC – installation or repair and maintenance over $50,000

☐ High Risk

• All contracts over $5 million dollars (National contracts excluded)

• Armed security services

• Asbestos abatement and removal *

• Blasting

• Concrete – Structural repairs related to building foundations or projects over $50,000

• Crane operations

• Curtain wall – installation

• High Risk Electrical – installation and repair

• Elevators, escalators – design and installation

• Fire system/sprinklers installation

• Roofing/ sheet metal - installation and repair

• Scaffolding, stages, bosun chair

• Site work – demolition, excavation

• Structural steel installation and repair

☐ Pollution Liability Insurance $1 million insurance required.

Required for any service above marked with: * Such insurance shall include, but not be limited to, coverage for sudden & accidental and nonsudden pollution conditions, bodily injury (including death), property damage (including its resulting loss of use thereof), clean-up costs, and defense costs. The retroactive insurance date of such insurance shall be no later than the commencement date of the Agreement. Such insurance shall be provided for two years beyond the completion of the work.

☐ Professional Liability Insurance Two million dollars ($2,000,000.00) insurance required.

Required for any service above marked with: ** The retroactive insurance date of such insurance shall be no later than the commencement date of the contract. Such insurance shall be provided for two years beyond the completion of the work.

☐ Liquor Liability Insurance One million dollars ($1,000,000.00) insurance required.

Required for any service above marked with: ***

☒ Worker’s Compensation & Employer’s Liability Insurance Minimum one million dollars ($1,000,000.00) per occurrence for combined Liability limits Statutory limits required by applicable Workers’ Compensation Law and Employers’ Liability Insurance arising under any other applicable Act or governmental enactment for the protection of employees and having minimum liability limits of $500,000 bodily injury by accident each accident, $500,000 bodily injury by disease policy limit, and $500,000 bodily injury each employee.

☒ Comprehensive Auto Liability Insurance Including owned, non-owned, or hired vehicles coverage: $1,000,000 per occurrence Bodily Injury and Property Damage Liability (Combined Single Limit). Such insurance shall cover injury (or death) and property damage arising out of the ownership, maintenance or use of any private passenger or commercial vehicles and of any other equipment required to be licensed for road use.

Certificate Holder should read:

T-C 501 Boylston Street LLC c/o Cushman & Wakefield U.S., Inc.

501 Boylston Street Boston, MA 02116

All Certificates of Insurance furnished for 501 Boylston Street will name the following as additional insured for Commercial General Liability, Excess Liability and Automobile insurance policies:

• NBIM Woodrow 501 Boylston BOS LLC

• NBIM Woodrow MM LLC

• Teachers Insurance and Annuity Association of America (TIAA)

• T-C 501 Boylston Street LLC

• Cushman & Wakefield U.S., Inc.

Such additional insured status must be evidenced by a separate “additional insured” endorsement that is attached to the COI.

ADDITIONAL DETAILS:

Blanket Additional Insured: If the vendor provides a blanket additional endorsement, the additional insured items listed above are not required.

Waivers of Subrogation: All Vendor Insurance policies must contain a Waiver of Subrogation provision. If the waiver is not evident in the “Description of Operations” section of the COI, then an endorsement from the Insurance carrier is required.

Primary and Noncontributory language: Such policies language is primary to any insurance carried by owner and is noncontributing as to respect to work being performed by contractor. The PrM is not required to request an endorsement as long as the waiver appears in the “Description of Operations” section of the Certificate of Insurance:

o Deductibles – The PrM must not agree to any contract language that would require the PrM, TIAA and /or T-C 501 Boylston Street LLC to be responsible for any of the Vendors insurance policy deductions.

o o Self-Insurance – TIAA does not allow third party vendors to self-insure, unless otherwise approved by TIAA Insurance Services.

o Cancellation – The vendor must provide in the description of operation section that vendor must provide 30 days’ notice of any policy cancellation. In addition, vendor must provide Notice of Cancellation upon receipt from vendor’s insurer.

Employee Dishonest: Vendor required to maintain Fidelity bond, also known as Employee dishonesty bond or crime coverage, which provides coverage of $1,000,000.00.

Insurer Qualifications: All insurance must be provided through companies authorized to do business in the state of MA and carry an AM Best rating of “A-VII” where “A-” represents the Rating and “VII” represents the financial size.

Questions:

Any questions in regard to Certificates of Insurance, please contact Kevin Curley at (617) 247-3676 or via e-mail to Kevin.Curley1@cushwake.com

Please email or mail your current Certificate of Insurance to:

Kevin Curley General Manager

Cushman & Wakefield US, Inc.

501 Boylston Street Boston, MA 02116

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

INSR ADDL SUBR

LTR INSD WVD

CONTACT

NAME:

FAXPHONE

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

E-MAIL

ADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

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

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

AUTHORIZED REPRESENTATIVE

EACH OCCURRENCE $

DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT

OTHER: $

COMBINED SINGLE LIMIT

$(Ea accident)

ANY AUTO BODILY INJURY (Per person) $

OWNED SCHEDULED

BODILY INJURY (Per accident) $AUTOS ONLY AUTOS

HIRED NON-OWNED PROPERTY DAMAGE

$AUTOS ONLY AUTOS ONLY (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

E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below

INSURER(S) AFFORDING COVERAGE NAIC #

COMMERCIAL GENERAL LIABILITY

Y / N N / A

(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

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.

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(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 on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION

© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)

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

The ACORD name and logo are registered marks of ACORD

1/15/2023

A 1,000,000

X 03/01/2023 03/01/2024 300,000 10,000

1,000,000 2,000,000 2,000,000

1,000,000A

X 03/01/2023 03/01/2024

4,000,000B X 03/01/2023 03/01/2024 4,000,000

A 03/01/2023 03/01/2024 1,000,000

N 1,000,000 1,000,000

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

Teachers Insurance and Annuity Association of America (TIAA), T-C 501 Boylston Street LLC, NBIM Woodrow 501 Boylston BOS LLC, NBIM Woodrow MM LLC and Cushman & Wakefield US Inc. are included as Additional Insureds as respects to General Liability, Auto Liability and Excess Liability as required by written contract. Additional insured status is provided on a primary and non-contributory basis. Insurer waives its rights to subrogate. 30 days notice of policy cancellation will be given to certificate holder.

T-C 501 Boylston Street LLC c/o Cushman & Wakefield US Inc.

501 Boylston Street Boston, MA 02116

MISQUITTACD

Willis Towers Watson Certificate Center

X

X X

X X

X

X X

X X

Employee Dishonesty/Fidelity Bond $1,000,000.0003/01/2023 03/01/2024

EXAMPLE

MISQUITTACD

DATE (MM/DD/YYYY)

ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

T-C 501 Boylston Street LLC c/o Cushman & Wakefield US Inc.

501 Boylston Street Boston, MA 02116

AUTHORIZED REPRESENTATIVE