On May 24, 2018 a
Exhibit,Appendix
was filed
involving a dispute between
Atlantic Casualty Insurance Company,
and
Eastern Fruit & Vegetables Inc.,
for Commercial - Contract
in the District Court of Kings County.
Preview
FILED: KINGS COUNTY CLERK 08/09/2021 08:23 PM INDEX NO. 510798/2018
NYSCEF DOC. NO. 324 RECEIVED NYSCEF: 08/09/2021
Morstan General Agency, Inc
600 Community Drive PO Box 4500 Underwriter:
Robert Goldfarb
Manhasset, NY 11030-4500 Phone:(516) 488-4747 Ext: 3218
Fax:(516) 302-8911
~____ .~____________~D~a~t~e~P~re~~9~:~3~/1~5~/2~0~16~___________________ Email:rgoldfarb@morstan.com
General Liability Renewal Quote Cover Letter
Richard D. Andreoli INSURED EASTERN FRUIT & VEGETABLE INC.
6406 14th ave
1230-1236 CONEY ISLAND AVE.
Brooklyn, NY 11219
BROOKLYN, NY 11218
Proposed Dates 4/17/2016 To 4/17/2017 CarrierAtlantic Casualty Ins Co Renewal Of: L 146001424-0
Business Description
grocery
Please refer to Coverage Details on the following page(s)
PREMIUMS
---------=-----------=-:-. ..;;..-..:.....;"..--.------~. '1
General Liability
Term Premium: 6,956.00
Policy Fee *: 100.00
Inspection Fee *: 100.00
Stamping Fee: 12.52
250.42
7,418. •
Deposit Due: 2,449.74
Min Earned Premium 1,739.00
Optional Terrorism: 500.00
Optional Terrorism Taxes: 18.90
Total With Optional Terrorism: 7,937.84
Commission: 0.00%
Fees are Fully Earned
TERMS, CONDITIONS, EXCLUSIONS/REQUIREMENTS TO BIND
Binding requirement:
"'RENEWAL IS NOT AUTOMATIC -IT MUST BE REQUESTED IN WRITING FROM YOUR OFFICE AND ACKNOWLEDGED BY MORSTAN IN THE FORM OF A
WRITTEN BINDER'"
30% Minimum and Earned at Inception
30% Deposit Due upon binding
Complete Acord Application Signed by Insured with inspection contact
Part C and Notice of Excess Line Placement Signed by the Producer and Total Cost form signed by the insured
Copies of Affidavit -
Terrorism Coverage Acceptance/Declination Form
.., . "- ,-_. -
." and/or~
ing offered on the basis shown on the attached quote. It does not necessarily provide the terms
coverages originally requested. This is intended as a quote indication only. No coverage is provided. . I
BB201901321-655-000007
FILED: KINGS COUNTY CLERK 08/09/2021 08:23 PM INDEX NO. 510798/2018
NYSCEF DOC. NO. 324 RECEIVED NYSCEF: 08/09/2021
MORSTAN GENERAL AGENCY OF NEW YORK, INC.
Expiring Policy #: L 146001424-0
Date: 02/02/16
Quote #: ACI1790934PC
General liability Quote
Insurance Company: Atlantic Casualty Insurance Company (A- VII)
Proposed Effective: 04/17/2016 Proposed Expiration: 04/17/2017
Producer: Applicant: Eastern Fruit & Vegetable Inc.
Underwriter: Dan Attention:
Minimum Earned Premium: 25%
Inspection Required: NO
Commission: 0%
GL Premium: $6,956.00
GL Total: $6,956.00
Terrorism Premium: $500.00
Total Premium: $7,456.00
Surplus Lines Tax: $268.42
Stamping Fee $13.42
Total Quotation: $7,737.84
Producer Information Applicant information
General Agent Email: dschneider@morstan.com Business Description: Grocery-Superette
General Agent Phone: 516-488-4747 DBA:
General Agent Fax: Address: 1230-1236 Coney Island
Avenue, Brooklyn, NY 11218
Premises Address: 1230-1236 Coney Island
Avenue Brooklyn NY 11218
General Liability
Limits of Liability
General Aggregate: $4,000,000
Products/Completed Ops Aggregate: $2,000,000
Personal/Advertising Injury: $2,000,000
Per Occurrence: $2,000,000
Damage to Premises Rented (anyone premises): $100,000
Medical Payments (anyone person): $5,000
Applicable Classification(s): Classification(s) exposure basis and rates:
Class Exposure Basis Prem Rate Prod/Ops Rate
13673 Grocery Stores 250,000 GS 26.383 0.393
Deductible: $500 BIPD per claim
Policy Form: General Liability - Occurrence Form
GL Total: $6,956.00
ACI1790934PC Page 1of4 2/2/20168:19:03 AM
BB201901321-655-000008
FILED: KINGS COUNTY CLERK 08/09/2021 08:23 PM INDEX NO. 510798/2018
NYSCEF DOC. NO. 324 RECEIVED NYSCEF: 08/09/2021
MORSTAN GENERAL AGENCY OF NEWYORK, INC.
Expiring Policy #: L146001424-0
Date: 02/02/16
Quote #: ACI1790934PC
Total Quotation: $7,737.84
ACI1790934PC Page 2 of 4 2/2/20168:19:03 AM
BB201901321-655-000009
FILED: KINGS COUNTY CLERK 08/09/2021 08:23 PM INDEX NO. 510798/2018
NYSCEF DOC. NO. 324 RECEIVED NYSCEF: 08/09/2021
ENGotoIicy.
~~~--------------------
.
Policy Number
Print Name: 11 - r );""tx Jl " Date:
TRIA 15 0115
ACI1790934PC Page 4 of 4 2/2/2016 8: 19:03 AM
BB201901321-655-000011
Document Filed Date
August 09, 2021
Case Filing Date
May 24, 2018
Category
Commercial - Contract
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Preview
FILED: KINGS COUNTY CLERK 08/09/2021 08:23 PM INDEX NO. 510798/2018 NYSCEF DOC. NO. 324 RECEIVED NYSCEF: 08/09/2021 Morstan General Agency, Inc 600 Community Drive PO Box 4500 Underwriter: Robert Goldfarb Manhasset, NY 11030-4500 Phone:(516) 488-4747 Ext: 3218 Fax:(516) 302-8911 ~____ .~____________~D~a~t~e~P~re~~9~:~3~/1~5~/2~0~16~___________________ Email:rgoldfarb@morstan.com General Liability Renewal Quote Cover Letter Richard D. Andreoli INSURED EASTERN FRUIT & VEGETABLE INC. 6406 14th ave 1230-1236 CONEY ISLAND AVE. Brooklyn, NY 11219 BROOKLYN, NY 11218 Proposed Dates 4/17/2016 To 4/17/2017 CarrierAtlantic Casualty Ins Co Renewal Of: L 146001424-0 Business Description grocery Please refer to Coverage Details on the following page(s) PREMIUMS ---------=-----------=-:-. ..;;..-..:.....;"..--.------~. '1 General Liability Term Premium: 6,956.00 Policy Fee *: 100.00 Inspection Fee *: 100.00 Stamping Fee: 12.52 250.42 7,418. • Deposit Due: 2,449.74 Min Earned Premium 1,739.00 Optional Terrorism: 500.00 Optional Terrorism Taxes: 18.90 Total With Optional Terrorism: 7,937.84 Commission: 0.00% Fees are Fully Earned TERMS, CONDITIONS, EXCLUSIONS/REQUIREMENTS TO BIND Binding requirement: "'RENEWAL IS NOT AUTOMATIC -IT MUST BE REQUESTED IN WRITING FROM YOUR OFFICE AND ACKNOWLEDGED BY MORSTAN IN THE FORM OF A WRITTEN BINDER'" 30% Minimum and Earned at Inception 30% Deposit Due upon binding Complete Acord Application Signed by Insured with inspection contact Part C and Notice of Excess Line Placement Signed by the Producer and Total Cost form signed by the insured Copies of Affidavit - Terrorism Coverage Acceptance/Declination Form .., . "- ,-_. - ." and/or~ ing offered on the basis shown on the attached quote. It does not necessarily provide the terms coverages originally requested. This is intended as a quote indication only. No coverage is provided. . I BB201901321-655-000007 FILED: KINGS COUNTY CLERK 08/09/2021 08:23 PM INDEX NO. 510798/2018 NYSCEF DOC. NO. 324 RECEIVED NYSCEF: 08/09/2021 MORSTAN GENERAL AGENCY OF NEW YORK, INC. Expiring Policy #: L 146001424-0 Date: 02/02/16 Quote #: ACI1790934PC General liability Quote Insurance Company: Atlantic Casualty Insurance Company (A- VII) Proposed Effective: 04/17/2016 Proposed Expiration: 04/17/2017 Producer: Applicant: Eastern Fruit & Vegetable Inc. Underwriter: Dan Attention: Minimum Earned Premium: 25% Inspection Required: NO Commission: 0% GL Premium: $6,956.00 GL Total: $6,956.00 Terrorism Premium: $500.00 Total Premium: $7,456.00 Surplus Lines Tax: $268.42 Stamping Fee $13.42 Total Quotation: $7,737.84 Producer Information Applicant information General Agent Email: dschneider@morstan.com Business Description: Grocery-Superette General Agent Phone: 516-488-4747 DBA: General Agent Fax: Address: 1230-1236 Coney Island Avenue, Brooklyn, NY 11218 Premises Address: 1230-1236 Coney Island Avenue Brooklyn NY 11218 General Liability Limits of Liability General Aggregate: $4,000,000 Products/Completed Ops Aggregate: $2,000,000 Personal/Advertising Injury: $2,000,000 Per Occurrence: $2,000,000 Damage to Premises Rented (anyone premises): $100,000 Medical Payments (anyone person): $5,000 Applicable Classification(s): Classification(s) exposure basis and rates: Class Exposure Basis Prem Rate Prod/Ops Rate 13673 Grocery Stores 250,000 GS 26.383 0.393 Deductible: $500 BIPD per claim Policy Form: General Liability - Occurrence Form GL Total: $6,956.00 ACI1790934PC Page 1of4 2/2/20168:19:03 AM BB201901321-655-000008 FILED: KINGS COUNTY CLERK 08/09/2021 08:23 PM INDEX NO. 510798/2018 NYSCEF DOC. NO. 324 RECEIVED NYSCEF: 08/09/2021 MORSTAN GENERAL AGENCY OF NEWYORK, INC. Expiring Policy #: L146001424-0 Date: 02/02/16 Quote #: ACI1790934PC Total Quotation: $7,737.84 ACI1790934PC Page 2 of 4 2/2/20168:19:03 AM BB201901321-655-000009 FILED: KINGS COUNTY CLERK 08/09/2021 08:23 PM INDEX NO. 510798/2018 NYSCEF DOC. NO. 324 RECEIVED NYSCEF: 08/09/2021 ENGotoIicy. ~~~-------------------- . Policy Number Print Name: 11 - r );""tx Jl " Date: TRIA 15 0115 ACI1790934PC Page 4 of 4 2/2/2016 8: 19:03 AM BB201901321-655-000011