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From: Serrano, IrmaSent: Wednesday, November 28, 2018 12:02 PMTo: Monroe, Darrin; Cc: Chaplinski, Christine; Bodnar, Dean; McCarthy, CarolSubject: Wild Flavors Agreement #EP-305 - Renewal Certificate Requested.Attachments: EP-305.pdf
Dear Darrin, to recap my voicemail to you of earlier this morning, the last certificate on file expired on 7/1/2018. EXIGIS, the Port Authority’s insurance vendor has marked Agreement #EP‐305 non‐compliant in their system.
Please note that mirroring the attached certificate will make Agreement #EP‐305 compliant with one exception: Page 2 of the Accord Form mentions two different Agreement #s (EP‐305 is Wild Flavor and EP‐306 is AMS‐BW/Hudson Group). Please review my comments in RED on page 2 of the Accord Form and if you agree this is an error, please correct it.
For auditing purposes, it is imperative that we receive the renewal certificate as soon as possible. I will review it and forward to EXIGIS, if applicable. If you prefer sending the certificate directly to EXIGIS, please click on the link and it will generate an automatic email but include me on the copy line: certificates‐[email protected]
Thank you and have a nice day.
P.S. please forgive my long voicemail message! I got carried away!
Best Regards,
Irma Serrano
‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
Verbiage from Actual Lease Agreement #EP‐305 page 23 (1) Commercial General Liability Insurance including but not limited to
coverage for premises operations and Products Liability-Completed Operations, with a minimum combined single limit coveragefor bodily injury (including death) and property damage of $5,000, 000per occurrence,$5,000,000. 00 aggregate. Said insurance shall alsoinclude coverage for explosion, collapse and underground propertydamage hazards. If the Lessee 's operations entail the ownership,maintenance, operation, or use of any watercraft, whether owned, non-owned, or hired or waterborne deliveries, the Lessee shall have anyexclusion 'for such watercraft deleted or shall purchase equivalentcoverage under a policy of Protection and Indemnity Insurance and shallprovide the Port Authority with a certificate of insurance evidencingsuch coverage.
(2) Commercial Automobile Liability Insurance covering all owned, non-owned or hired vehicles used in connection with its operations hereunder with a minimum combined single limit coverage for bodily
2
injury and property damage of $5,000,00O per occurrence, no general aggregate.
(3) Workers' Compensation and Employers' Liability Insurance in
accordance with the requirements of law and in limits of not less than $1,000,000 per accident and specially endorsed to include Employer 's Liability coverage for liabilities imposed by invocation of the U.S. Longshoremen and Harbor Workers' Compensation Act and Coverage B- "Jones Act", maritime (including coverage for Masters or Members of the Crews of Vessels)
Irma E. Serrano Leasing & Property Development The Port Authority of New York & New Jersey 4 World Trade Center – 150 Greenwich Street New York, NY 10007 Email: Phone:
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From: Serrano, IrmaSent: Tuesday, February 05, 2019 2:21 PMTo: Monroe, DarrinCc: Chaplinski, Christine; Bodnar, Dean; McCarthy, CarolSubject: Wild Flavors Agreement #EP-305Attachments: PA Required Language.docx; EP-305-COI-Wild Flavors.pdf
Hi Darrin, As I suspected, EXIGIS marked the recently submitted certificate non-compliant for the following reason: Auto Liability is missing the 30 days cancellation notices (see Emily’s email below).
The cancellation notice submitted is for the General Liability Policy #478-68-03 only.
It probably would have been easier to add the verbiage (clause #1) in the description of the certificate.
Upon renewal, please forward the 30 days cancellation Amendment for the Auto Liability and forward it to EXIGIS.
We are getting very close to compliancy! Keeping my fingers crossed that the next certificate will be the last certificate!
Regards,
Irma
From: Emilyn Sent: Friday, February 01, 2019 6:08 PM To: Serrano, Irma Cc: Chaplinski, Christine ; Bodnar, Dean ; McCarthy, Carol
Subject: RE: [EXTERNAL] Archer Daniels Midland Company ‐ The Port Authority of NY [19012814307413]
Hi Irma,
The COI has been applied at it is just missing the 30 day notice of cancellation for the Auto Liability.
Best Regards,
Emilyn Ryan Account Services Associate EXIGIS, LLC. | 38975 Sky Canyon Drive, Suite 103, Murrieta CA 92563 |Customer Service: |Email:
Learn what EXIGIS can do for your organization at exigis.com EXIGIS, LLC. is a certified Minority Owned Business Enterprise
From: Serrano, Irma Sent: Tuesday, January 29, 2019 7:17 AM To: Emilyn
2
Cc: Exigis ( >; Chaplinski, Christine ; Bodnar, Dean ; McCarthy, Carol
Subject: FW: [EXTERNAL] Archer Daniels Midland Company ‐ The Port Authority of NY [19012814307413]
Emilyn, Please do me a favor and review and download the attached certificate to EXIGIS. For the most parts, the Certificate seems compliant. However, the 30 day cancellation notice for Auto is missing in the Amendment but mentioned in pages 7‐8.. Please advise if the certificate is in compliant. Thank you. Irma
From: Monroe, Darrin Sent: Tuesday, January 29, 2019 9:35 AM To: Serrano, Irma Cc: Fayfich, Allison ; Monroe, Darrin Subject: FW: [EXTERNAL] Archer Daniels Midland Company ‐ The Port Authority of NY [19012814307413]
Hi Irma, I am forwarding to you the revised insurance certificate. Please let us know if this will meet the PANYNJ requirements. Thanks so much for your patience. Darrin
From: ACS Chicago Sent: Monday, January 28, 2019 4:52 PM To: Monroe, Darrin Cc: Subject: [EXTERNAL] Archer Daniels Midland Company ‐ The Port Authority of NY [19012814307413]
Attached, please find the Certificate(s) of Insurance that you have requested. Should you have any questions, please call 866-283-7122.
(See attached file: Archer Daniels Midland Company_The Port Authority of NY_19012814307413.pdf) Aon Client Services Aon Risk Services Central, Inc. dba Aon Risk Insurance Services Central, Inc. CA License 4 Overlook Point | Lincolnshire, IL | 60069 t: | f: w: aon.com
Confidentiality Notice: This message may contain confidential or privileged information, or information that is otherwise
3
exempt from disclosure. If you are not the intended recipient, you should promptly delete it and should not disclose, copy or distribute it to others.
NOTICE: THIS E‐MAIL AND ANY ATTACHMENTS CONTAIN INFORMATION FROM THE PORT AUTHORITY OF NEW YORK AND NEW JERSEY AND AFFILIATES. IF YOU BELIEVE YOU HAVE RECEIVED THIS E‐MAIL IN ERROR, PLEASE NOTIFY THE SENDER IMMEDIATELY, PERMANENTLY DELETE THIS E‐MAIL (ALONG WITH ANY ATTACHMENTS), AND DESTROY ANY PRINTOUTS.
PA required language for COI listed below: 1) 30-day Notice of Cancelation to the Port Authority; Should any of the above described policies be canceled before the expiration date thereof, the issuing insurer will endeavor to mail (30) days written notice to the certificate holder, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. 2) Indicate the P.A. Agreement # on the certificate; and The Port Authority of New York and New Jersey shall be included in the foregoing insurance as an additional insured, except for the Workers’ Compensation and Employers Liability Insurance policies, to the full extent of all such insurance in accordance with all terms and provisions of the Lease/Permit Number ______. 3) P.A. Immunity Clause on the cert. verbatim. “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.”
WIL
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: 777777777777761616457111774637137227444377331465346317663664265233317516372254333317635515461765276453353734564471637764634677772662557234732767272423577277777777777
7777777777735256771154567635552473153176355456467164723327243172713323635317211712333735217217122237352721171322363531731172233725373177756163517655477777777777
Cert
ific
ate
No
:570074947343
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
01/28/2019
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).
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.
PRODUCER
Aon Risk Services Central, Inc.
Chicago IL Office200 East RandolphChicago IL 60601 USA
PHONE(A/C. No. Ext)
E-MAILADDRESS
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED 24147Old Republic Insurance CompanyINSURER A
19410Commerce & Industry Ins CoINSURER B
INSURER C
INSURER D
INSURER E
INSURER F
FAX(A/C. No.)
CONTACTNAME
Archer Daniels Midland CompanyIncluding Subsidiaries and Divisions4666 Faries ParkwayDecatur IL 62525 USA
COVERAGES CERTIFICATE NUMBER: 570074947343 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. Limits shown are as requested
POLICY EXP (MM/DD/YYYY)
POLICY EFF (MM/DD/YYYY)
SUBRWVD
INSR LTR
ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLA MS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV NJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
X
X
X
GEN'L AGGREGATE L MIT APPL ES PER:
$5,000,000
$5,000,000
$5,000
$5,000,000
$10,000,000
$25,000,000
B 07/01/2018 07/01/2019Y Y GL4786803
PRO-
JECT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
SCHEDULED
AUTOS
HIRED AUTOS ONLY
NON-OWNED
AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE
(Per accident)
X
BODILY INJURY (Per accident)
$10,000,000A 07/01/2018 07/01/2019
Primary Auto ($1M)
MWZX 313657A 07/01/2018 07/01/2019
Excess Auto ($9M xs $1M)
Y Y COMB NED S NGLE LIMIT
(Ea accident)MWTB 313655
EXCESS LIAB
OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
UMBRELLA LIAB
RETENTION
E L. DISEASE-EA EMPLOYEE
E L. DISEASE-POLICY L MIT
E L. EACH ACC DENT $5,000,000
X OTH-ER
PER STATUTE
A 07/01/2018 07/01/2019
As defined by the policy
$5,000,000
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A
Y
N
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
If yes, describe under DESCRIPTION OF OPERATIONS below
$5,000,000
MWC31365400
EL Each AccidentMWXS313656 07/01/2018 07/01/2019
IL,IN,IA,KS,LA,NE,WA $250,000EL Disease - PolicySIR $250,000
Excess WCA
SIR applies per policy terms & conditions
$250,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Lease Agreement #EP-305. Railroad pollution broadening of coverage is included on the General Liability and Automobile Liability policies. Blended/time element pollution endorsement included on the General Liability policy. Additional insured check above indicates Additional Insured status. Automobile Liability coverage evidenced provides Designated Insured status. Coverage is primary and non-contributory in regards to General Liability. General Liability, Automobile Liability, and Workers Compensation policies permit waiver of subrogation by agreement prior to a loss. 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,
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVEThe Port Authority of NYand NJ - Port Dept. LeasingAttn: C. Chaplinski,4 WTC, 150 Greenwidh St. - 17th FloorNew York NY 10007 USA
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.
officers, agents or employees, the governmental nature of the Port Authority, or the provisions of any statutes respecting suits against the Port Authority." (Already approved by Carrier).
FORM TITLE:FORM NUMBER:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
ADDITIONAL REMARKS
EFFECTIVE DATE:
CARR ER NAIC CODE
POLICY NUMBER
Aon Risk Services Central, Inc.
NAMED NSURED
ADDITIONAL REMARKS SCHEDULEAGENCY
LOC #:
570000075091AGENCY CUSTOMER ID:
© 2008 ACORD CORPORATION. All rights reserved.
See Certificate Number:
See Certificate Number:
The ACORD name and logo are registered marks of ACORD
570074947343
570074947343
ACORD 25 Certificate of Liability Insurance
Additional Description of Operations / Locations / Vehicles:
ACORD 101 (2008/01)
Page _ of _
Archer Daniels Midland Company
ENDORSEMENT NO. 015
This endorsement, effective 12:01 A.M. 07/01/2018
Forms a part of Policy No.: GL 478-68-03
Issued to: ARCHER DANIELS MIDLAND COMPANY
By: COMMERCE AND INDUSTRY INSURANCE COMPANY
1 of 4
Who Is An Insured Amendatory Endorsement, Including
Recreational Coverage, Fellow Employee Exclusion D eletion, and Incidental Medical Malpractice Liability Cover age
TO THE EXTENT ANY PROVISION OF THE POLICY TO WHICH THIS ENDORSEMENT IS ATTACHED OR ANY OF THE POLICY'S OTHER ENDORSEMENTS CONFLICT WITH THE PROVISIONS OF THIS ENDORSEMENT, THE PROVISIONS OF THIS ENDORSEMENT SHALL SUPERSEDE. This policy is amended as follows: SECTION II. WHO IS AN INSURED, is deleted in its entirety and replaced by the following:
1. The person or organization first named as the Named Insured on the Declarations Page of this policy. Named Insured also includes:
a. Any other person or organization named as a Named Insured on the Declarations Page; and
b. Any subsidiary or acquired company or corporation (including subsidiaries thereof); any partnership or joint venture, and your members, your partners, and their spouses, but only with respect to the conduct of your business; any limited liability company, and your members, but only with respect to the conduct of your business; and your managers, but only with respect to their duties as your managers; in which:
i. any Insured has more than 50% ownership in; or
ii. any Insured or its subsidiaries have entered into a contract or agreement to place insurance for each such entity; or
iii. any Insured or its subsidiaries exercise management or financial control; or
iv. if a trust , any Insured or its subsidiaries have more than a 50% beneficial interest;
c. Your executive officers and directors are insureds, but only with respect to their duties as your officers and directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. Your trustees are insureds, but only with respect to their duties as trustees;
d. With respect to your work and the products-completed operations hazard , any Insured is an insured for its liability arising out of the conduct of any partnership, joint venture or limited liability company of which the Insured is or was a partner or member, even though such partnership, joint venture or limited liability company is not an Insured
ENDORSEMENT NO. 015
This endorsement, effective 12:01 A.M. 07/01/2018
Forms a part of Policy No.: GL 478-68-03
Issued to: ARCHER DANIELS MIDLAND COMPANY
By: COMMERCE AND INDUSTRY INSURANCE COMPANY
2 of 4
within the definition of paragraph b. above, but such coverage is excess over any available liability insurance purchased specifically to insure the partnership, joint venture or limited liability company, and will not inure to the benefit of any party except an Insured ;
2. Each of the following is also an insured :
a. Your “volunteer workers” only while performing duties related to the conduct of your business, or your employees , other than either your “executive officers” (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you ; or while performing duties related to the conduct of your business; or while practicing for or participating in athletic games or a member of a team (including managers and any supporting personnel) sponsored by you ; or while attending social gatherings which you sponsor. However, none of these employees or volunteer workers are an insured for: (1) Bodily injury or personal and advertising injury :
(a) To you, to your partners or members (if you are a partnership or joint venture), to
your members (if you are a limited liability company), while performing duties related to the conduct of your business;
(b) To the spouse, child, parent, brother or sister of that co-employee or other volunteer worker as a consequence of paragraph (1) (a) above;
(c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in paragraphs (1) (a) or (b) above; or
(d) Arising out of his or her providing or failing to provide professional health care services, except any bodily injury or personal and advertising injury arising out of:
(1) medical or paramedical services to persons performed by any physician, dentist, nurse, emergency medical technician, paramedic or other licensed medical care person employed by you to provide such services; or
(2) emergency cardiopulmonary resuscitation (CPR) or first aid services performed by an y other employee of yours who is not a licensed medical professional.
(2) Property damage to property:
ENDORSEMENT NO. 015
This endorsement, effective 12:01 A.M. 07/01/2018
Forms a part of Policy No.: GL 478-68-03
Issued to: ARCHER DANIELS MIDLAND COMPANY
By: COMMERCE AND INDUSTRY INSURANCE COMPANY
3 of 4
(a) Owned, occupied or used by,
(b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you , any of your employees , volunteer workers , any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company).
b. Any person (other than your employee or volunteer worker ), or any organization while acting as your real estate manager.
c. Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and
(2) Until your legal representative has been appointed.
d. Your legal representative if you die, but only with respect to duties as such. That
representative will have all your rights and duties under this Coverage Part. e. Any person or organization to whom You become obligated to include as an Additional
Insured under this policy as a result of any contract or agreement You enter into which requires You to furnish to that person or organization, or any other person or organization, insurance of the type provided by this policy, but only with respect to liability arising out of Your operations, premises owned by or rented to you, or the product-completed operations hazard. Such person or organization is an Additional Insured only with respect to liability covered by this policy caused in whole, or in part, by:
1. Your acts or omission; or 2. The acts or omissions of those acting on Your behalf.
The insurance afforded to the Additional Insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which You are required by the contract or agreement
to provide to such Additional Insured. With respect to the insurance afforded to any Additional Insured, the most we will pay on behalf of the Additional Insured is the amount of insurance, whichever is less,of that:
1. Required by the contract or agreement that defines Your obligation to provide this coverage to the Additional Insured; or
2. If there is no written contract or agreement, shown on any Certificate of Insurance issued to the Additional Insured on Your behalf; or
3. Available under the applicable Limits of Insurance shown in the Declaration. .
ENDORSEMENT NO. 015
This endorsement, effective 12:01 A.M. 07/01/2018
Forms a part of Policy No.: GL 478-68-03
Issued to: ARCHER DANIELS MIDLAND COMPANY
By: COMMERCE AND INDUSTRY INSURANCE COMPANY
4 of 4
3. Any organization you newly acquire or form which is within the description set forth in paragraph 1 above will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the 365th day after you acquire or form
the organization or the end of the policy period, whichever is earlier;
b. Coverage A does not apply to bodily injury or property damage that occurred before you acquired or formed the organization; and
c. Coverage B does not apply to personal and advertising injury arising out of an offense committed before you acquired or formed the organization.
All other terms, conditions, and exclusions shall remain the unchanged.
1
From: Serrano, IrmaSent: Thursday, February 14, 2019 2:55 PMTo: Monroe, DarrinCc: Chaplinski, Christine; Bodnar, Dean; McCarthy, CarolSubject: Wild Flavors Agreement #EP-305 - Certificate of InsuranceAttachments: Archer Daniels Midland Company_The Port Authority of NY_19012814307413.pdf
Hi Darrin, I took a screenshot of Wild Flavor’s profile in EXIGIS and the contract is in compliant!
Thank you very much for your patience as we resolved the non‐compliant matters. Next year, if the broker mirrors the attached Certificate, I’m sure it will be in compliant when submitted.
Best Regards, Irma
2
5
Organizational Unit : Port Authority -> Leases & Permits -> Port Commerce -> (EP), (Ports), (NJMT) (PortJersey Marine Term) -> Auto Marine, Bayonne (NJ Marine), NYMT-Brooklyn Piers
Agreement Name : EP-305Lease Agreement
Agreement Number : EP-305
Confidentiality Notice: This message may contain confidential or privileged information, or information that is otherwise exempt from disclosure. If you are not the intended recipient, you should promptly delete it and should not disclose, copy or distribute it to others.
Confidentiality Notice: This message may contain confidential or privileged information, or information that is otherwise exempt from disclosure. If you are not the intended recipient, you should promptly delete it and should not disclose, copy or distribute it to others.
WIL
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lavors
Ho
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Iden
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: 777777777777761616457111774637137227444377331465346317663664265233317516372254333317635515461765276453353734564471637764634677772662557234732767272423577277777777777
7777777777735256771154567635552473153176355456467164723327243172713323635317211712333735217217122237352721171322363531731172233725373177756163517655477777777777
Cert
ific
ate
No
:570074947343
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
01/28/2019
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).
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.
PRODUCER
Aon Risk Services Central, Inc.
Chicago IL Office200 East RandolphChicago IL 60601 USA
PHONE(A/C. No. Ext)
E-MAILADDRESS
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED 24147Old Republic Insurance CompanyINSURER A
19410Commerce & Industry Ins CoINSURER B
INSURER C
INSURER D
INSURER E
INSURER F
FAX(A/C. No.)
CONTACTNAME
Archer Daniels Midland CompanyIncluding Subsidiaries and Divisions4666 Faries ParkwayDecatur IL 62525 USA
COVERAGES CERTIFICATE NUMBER: 570074947343 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. Limits shown are as requested
POLICY EXP (MM/DD/YYYY)
POLICY EFF (MM/DD/YYYY)
SUBRWVD
INSR LTR
ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLA MS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV NJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
X
X
X
GEN'L AGGREGATE L MIT APPL ES PER:
$5,000,000
$5,000,000
$5,000
$5,000,000
$10,000,000
$25,000,000
B 07/01/2018 07/01/2019Y Y GL4786803
PRO-
JECT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
SCHEDULED
AUTOS
HIRED AUTOS ONLY
NON-OWNED
AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE
(Per accident)
X
BODILY INJURY (Per accident)
$10,000,000A 07/01/2018 07/01/2019
Primary Auto ($1M)
MWZX 313657A 07/01/2018 07/01/2019
Excess Auto ($9M xs $1M)
Y Y COMB NED S NGLE LIMIT
(Ea accident)MWTB 313655
EXCESS LIAB
OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
UMBRELLA LIAB
RETENTION
E L. DISEASE-EA EMPLOYEE
E L. DISEASE-POLICY L MIT
E L. EACH ACC DENT $5,000,000
X OTH-ER
PER STATUTE
A 07/01/2018 07/01/2019
As defined by the policy
$5,000,000
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A
Y
N
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
If yes, describe under DESCRIPTION OF OPERATIONS below
$5,000,000
MWC31365400
EL Each AccidentMWXS313656 07/01/2018 07/01/2019
IL,IN,IA,KS,LA,NE,WA $250,000EL Disease - PolicySIR $250,000
Excess WCA
SIR applies per policy terms & conditions
$250,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Lease Agreement #EP-305. Railroad pollution broadening of coverage is included on the General Liability and Automobile Liability policies. Blended/time element pollution endorsement included on the General Liability policy. Additional insured check above indicates Additional Insured status. Automobile Liability coverage evidenced provides Designated Insured status. Coverage is primary and non-contributory in regards to General Liability. General Liability, Automobile Liability, and Workers Compensation policies permit waiver of subrogation by agreement prior to a loss. 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,
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVEThe Port Authority of NYand NJ - Port Dept. LeasingAttn: C. Chaplinski,4 WTC, 150 Greenwidh St. - 17th FloorNew York NY 10007 USA
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.
officers, agents or employees, the governmental nature of the Port Authority, or the provisions of any statutes respecting suits against the Port Authority." (Already approved by Carrier).
FORM TITLE:FORM NUMBER:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
ADDITIONAL REMARKS
EFFECTIVE DATE:
CARR ER NAIC CODE
POLICY NUMBER
Aon Risk Services Central, Inc.
NAMED NSURED
ADDITIONAL REMARKS SCHEDULEAGENCY
LOC #:
570000075091AGENCY CUSTOMER ID:
© 2008 ACORD CORPORATION. All rights reserved.
See Certificate Number:
See Certificate Number:
The ACORD name and logo are registered marks of ACORD
570074947343
570074947343
ACORD 25 Certificate of Liability Insurance
Additional Description of Operations / Locations / Vehicles:
ACORD 101 (2008/01)
Page _ of _
Archer Daniels Midland Company
ENDORSEMENT NO. 015
This endorsement, effective 12:01 A.M. 07/01/2018
Forms a part of Policy No.: GL 478-68-03
Issued to: ARCHER DANIELS MIDLAND COMPANY
By: COMMERCE AND INDUSTRY INSURANCE COMPANY
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Who Is An Insured Amendatory Endorsement, Including
Recreational Coverage, Fellow Employee Exclusion D eletion, and Incidental Medical Malpractice Liability Cover age
TO THE EXTENT ANY PROVISION OF THE POLICY TO WHICH THIS ENDORSEMENT IS ATTACHED OR ANY OF THE POLICY'S OTHER ENDORSEMENTS CONFLICT WITH THE PROVISIONS OF THIS ENDORSEMENT, THE PROVISIONS OF THIS ENDORSEMENT SHALL SUPERSEDE. This policy is amended as follows: SECTION II. WHO IS AN INSURED, is deleted in its entirety and replaced by the following:
1. The person or organization first named as the Named Insured on the Declarations Page of this policy. Named Insured also includes:
a. Any other person or organization named as a Named Insured on the Declarations Page; and
b. Any subsidiary or acquired company or corporation (including subsidiaries thereof); any partnership or joint venture, and your members, your partners, and their spouses, but only with respect to the conduct of your business; any limited liability company, and your members, but only with respect to the conduct of your business; and your managers, but only with respect to their duties as your managers; in which:
i. any Insured has more than 50% ownership in; or
ii. any Insured or its subsidiaries have entered into a contract or agreement to place insurance for each such entity; or
iii. any Insured or its subsidiaries exercise management or financial control; or
iv. if a trust , any Insured or its subsidiaries have more than a 50% beneficial interest;
c. Your executive officers and directors are insureds, but only with respect to their duties as your officers and directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. Your trustees are insureds, but only with respect to their duties as trustees;
d. With respect to your work and the products-completed operations hazard , any Insured is an insured for its liability arising out of the conduct of any partnership, joint venture or limited liability company of which the Insured is or was a partner or member, even though such partnership, joint venture or limited liability company is not an Insured
ENDORSEMENT NO. 015
This endorsement, effective 12:01 A.M. 07/01/2018
Forms a part of Policy No.: GL 478-68-03
Issued to: ARCHER DANIELS MIDLAND COMPANY
By: COMMERCE AND INDUSTRY INSURANCE COMPANY
2 of 4
within the definition of paragraph b. above, but such coverage is excess over any available liability insurance purchased specifically to insure the partnership, joint venture or limited liability company, and will not inure to the benefit of any party except an Insured ;
2. Each of the following is also an insured :
a. Your “volunteer workers” only while performing duties related to the conduct of your business, or your employees , other than either your “executive officers” (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you ; or while performing duties related to the conduct of your business; or while practicing for or participating in athletic games or a member of a team (including managers and any supporting personnel) sponsored by you ; or while attending social gatherings which you sponsor. However, none of these employees or volunteer workers are an insured for: (1) Bodily injury or personal and advertising injury :
(a) To you, to your partners or members (if you are a partnership or joint venture), to
your members (if you are a limited liability company), while performing duties related to the conduct of your business;
(b) To the spouse, child, parent, brother or sister of that co-employee or other volunteer worker as a consequence of paragraph (1) (a) above;
(c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in paragraphs (1) (a) or (b) above; or
(d) Arising out of his or her providing or failing to provide professional health care services, except any bodily injury or personal and advertising injury arising out of:
(1) medical or paramedical services to persons performed by any physician, dentist, nurse, emergency medical technician, paramedic or other licensed medical care person employed by you to provide such services; or
(2) emergency cardiopulmonary resuscitation (CPR) or first aid services performed by an y other employee of yours who is not a licensed medical professional.
(2) Property damage to property:
ENDORSEMENT NO. 015
This endorsement, effective 12:01 A.M. 07/01/2018
Forms a part of Policy No.: GL 478-68-03
Issued to: ARCHER DANIELS MIDLAND COMPANY
By: COMMERCE AND INDUSTRY INSURANCE COMPANY
3 of 4
(a) Owned, occupied or used by,
(b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you , any of your employees , volunteer workers , any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company).
b. Any person (other than your employee or volunteer worker ), or any organization while acting as your real estate manager.
c. Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and
(2) Until your legal representative has been appointed.
d. Your legal representative if you die, but only with respect to duties as such. That
representative will have all your rights and duties under this Coverage Part. e. Any person or organization to whom You become obligated to include as an Additional
Insured under this policy as a result of any contract or agreement You enter into which requires You to furnish to that person or organization, or any other person or organization, insurance of the type provided by this policy, but only with respect to liability arising out of Your operations, premises owned by or rented to you, or the product-completed operations hazard. Such person or organization is an Additional Insured only with respect to liability covered by this policy caused in whole, or in part, by:
1. Your acts or omission; or 2. The acts or omissions of those acting on Your behalf.
The insurance afforded to the Additional Insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which You are required by the contract or agreement
to provide to such Additional Insured. With respect to the insurance afforded to any Additional Insured, the most we will pay on behalf of the Additional Insured is the amount of insurance, whichever is less,of that:
1. Required by the contract or agreement that defines Your obligation to provide this coverage to the Additional Insured; or
2. If there is no written contract or agreement, shown on any Certificate of Insurance issued to the Additional Insured on Your behalf; or
3. Available under the applicable Limits of Insurance shown in the Declaration. .
ENDORSEMENT NO. 015
This endorsement, effective 12:01 A.M. 07/01/2018
Forms a part of Policy No.: GL 478-68-03
Issued to: ARCHER DANIELS MIDLAND COMPANY
By: COMMERCE AND INDUSTRY INSURANCE COMPANY
4 of 4
3. Any organization you newly acquire or form which is within the description set forth in paragraph 1 above will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the 365th day after you acquire or form
the organization or the end of the policy period, whichever is earlier;
b. Coverage A does not apply to bodily injury or property damage that occurred before you acquired or formed the organization; and
c. Coverage B does not apply to personal and advertising injury arising out of an offense committed before you acquired or formed the organization.
All other terms, conditions, and exclusions shall remain the unchanged.
1
From: Bozza, MichaelSent: Monday, April 15, 2019 10:11 AMTo: Monroe, DarrinSubject: RE: Need To Reschedule
Good morning Darrin:
I understand completely. No need to apologize. Let’s try to find a new date soon.
Hope all is well,
Mike
From: Monroe, Darrin Sent: Monday, April 15, 2019 10:09 AM To: Bozza, Michael Subject: Need To Reschedule
CAUTION: This email originated from outside the Port Authority. Do not click links or open attachments unless you recognize the sender and know the content is safe.
Hi Mike, I need to reschedule our lunch connect for today. Two of my guys called out so I better stay close in the event of an emergency. I apologize for the short notice.
Thanks, Darrin
Darrin Monroe
Plant Manager WILD Flavors & Specialty Ingredients 132 Corbin Street Elizabeth, NJ 07201 USA T: C:
Confidentiality Notice: This message may contain confidential or privileged information, or information that is otherwise
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exempt from disclosure. If you are not the intended recipient, you should promptly delete it and should not disclose, copy or distribute it to others.
