COI Template for Vendors_233_111.pdf

Certificate of Insurance Template for Vendors Rev 9/28/18 emahoney

A current certificate of insurance is required of all Contractors, Subcontractors, and Vendors before the commencement of services, as follows:

THE CERTIFICATE HOLDER SHALL BE:

IC 233 Building Company LLC, through its Manager, AmTrust Realty Corp. (“Owner”), 111 E Wacker Dr, Suite 1315, Chicago, IL 60601

THE ADDITIONAL INSURED SHALL BE:

• IC 233 Building Company LLC

• AmTrust Realty Corp.*

• IC Buildings Company LP*

• Wells Fargo Bank, N.A, as Master Servicer*

*their Successors and/or Assigns ATIMA.

Vendors and contractors performing work in Tenant space should include Tenant as Certificate Holder and/or Additional Insured as applicable.

CERTIFICATES SHOULD STATE THE FOLLOWING LIMITS OF COVERAGE:

• GENERAL LIABILITY:

COMMERCIAL GENERAL LIABILITY PER OCCURRENCE

EACH OCCURRENCE: $ 1,000,000

FIRE DAMAGE: $ 500,000

PRODUCTS & COMPLETED OPERATIONS $ 2,000,000 GENERAL AGGREGATE

MEDICAL EXPENSE: $ 10,000 (ANY ONE PERSON)

GENERAL AGGREGATE: $ 2,000,000

• AUTOMOBILE INSURANCE FOR BODILY INJURY AND PROPERTY DAMAGE FOR

NOT LESS THAN $ 1,000,000 COMBINED SINGLE LIMIT (MUST COVER ANY AUTO

INCLUDING HIRED AUTOS AND NON-OWNED AUTOS)

• UMBRELLA OR EXCESS LIABILITY COVERAGE IN AMOUNTS NOT LESS THAN

$ 5,000,000 PER OCCURRENCE.

• WORKERS COMPENSATION AND EMPLOYERS LIABILITY COVERAGE – A

STATUTORY WORKERS COMPENSATION POLICY COVERING EMPLOYEES IN THE

STATE OF ILLINOIS AND EMPLOYERS LIABILITY SUBJECT TO A LIMIT OF NO LESS

Certificate of Insurance Template for Vendors Rev 7/5/16 emahoney

THAN $500,000 EACH EMPLOYEE, $500,000 EACH ACCIDENT, $500,000 POLICY

LIMIT OR UNLIMITED IN NEW YORK STATE.

• ALL-RISK, REPLACEMENT COST PROPERTY INSURANCE TO PROTECT AGAINST

LOSS OF OWNED OR RENTED EQUIPMENT AND TOOLS BROUGHT ONTO AND/OR

USED ON ANY PROPERTY BY THE SERVICE CONTRACTOR.

ALL POLICIES WILL BE WRITTEN WITH COMPANIES HAVING AN AM BEST’S RATING OF

A-VIII OR BETTER AND WILL PROVIDE FOR 30 DAYS ADVANCE NOTICE OF

CANCELLATION OR NON-RENEWAL TO OWNER. INSURANCE WILL BE PRIMARY AND

NON-CONTRIBUTORY.

CONTRACTOR AND ITS SUB-CONTRACTORS SHALL, TO THE FULLEST EXTENT

PERMITTED BY LAW AND AT THEIR COST AND EXPENSE, DEFEND, INDEMNIFY AND

HOLD THE INSURED, ITS DIRECTORS, OFFICERS, EMPLOYEES, AGENTS AND

REPRESENTATIVES HARMLESS FROM AND AGAINST ANY AND ALL CLAIMS, LOSS

(INCLUDING ATTORNEYS FEES, WITNESS FEES AND ALL COURT COSTS) DAMAGES,

EXPENSE AND LIABILITY RESULTING FROM INJURY AND OR DEATH OF ANY PERSON, OR

DAMAGE TO OR LOSS OF ANY PROPERTY ARISING OUT OF ANY NEGLIGENT OR

WRONGFUL ACT, ERROR, OMISSION OR BREACH IN CONNECTION WITH THE

OPERATIONS OF CONTRACTOR AND SUB-CONTRACTOR, AND ITS EMPLOYEES, AGENTS

AND REPRESENTATIVES.

PLEASE EMAIL TO THE ATTENTION OF:

ILLINOISCENTER@AMTRUSTRE.COM

PLEASE MAIL ORIGINALS TO: IC 233 Building Company LLC c/o AmTrust Realty Corp.

111 E Wacker Dr, Suite 1315 Chicago, IL 60601

The Tenant and their General Contractor is responsible for coordinating all insurance certificates for all Subcontractors and Vendors prior to mobilization. Failure to comply with any of the insurance provisions noted above will result in a breach of contract by Contractor/sub-contractors and Contractor/sub-contractors will not be allowed to start work.