DATE IMMIDD!YYYYI
ACORD
EVIDENCE
OF
PROPERTY
02103/2015
INSURANCE
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 DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE
ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
PHONE
orcy
COMPANY
ExtI:
Marsh USA Inc.
1560 Sawgrass Corporate Pkwy
Suite 300
Sunrise, FL 33323
Attn: [email protected] I Fax: 212-948-0512
KELLW -SunCa-Prop-15-16
FAX
tAlC, No):
(See Attached)
E-MAIL
ADDRESS:
CODE:
AGENCY
CUSTOMER ID #:
INSURED
SUB CODE:
LOAN NUMBER
Ke/Iwood Holding, LLC
See Attached for Schedule of Named Insureds
Qi]
elwooU rar,sway
Chesterfield, MO 63017-5897
POLICY NUMBER
See Attached
EFFECTIVE DATE
02/01/2015
EXPIRATION DATE
02101/2016
CONTINUED UNTIL
TERMINATED IF CHECKED
THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY INFORMATION
LOCATIONIDE SC RIP liON
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
SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COVERAGE INFflPMATIflN
COVERAGE! PERILS! FORMS
AMOUNT OF INSURANCE
REAL & PERSONAL PROPERTY, STOCK, RENTAL VALUE, LOSS OF RENTS. DEBRIS REMOVAL,
IMPROVEMENTS & BETTERMENTS, FURNITURE & FIXTURES, DEMOLITION AND INCREASED
250,000,000
DEDUCTIBLE
SEE ATTACHED
COST OF CONSTRUCTION, BUSINESS INTERRUPTION, EXTRA EXPENSE, VALUABLE PAPERS,
ACCOUNTS RECEIVABLE, EDP EQUIPMENT & MEDIA, MACHINERY & EQUIP., AND EXTENSIONS OF COVERAGES.
PERILS: RISK OF DIRECT PHYSICAL LOSS OR DAMAGE, INCLUDING FLOOD & EARTHQUAKE
VALUATION: REPLACEMENT COST, IF REPLACED, OTHERWISE ACTUAL CASH VALUE
SUBJECT TO SUBLIMITS, TERMS, AND CONDITIONS OF THE POLICY.
EXTRA EXPENSE
EXPEDITING EXPENSE:
50,000,000
25,000,000
DEMOLITIONAND INCREASED COST OF CONSTRUCTION
INCLUDED
REMARKS (Including Special Conditions)
Only to the extent there is a written contractual requirement: Entity is Mortgagee and/or Loss Payee and/or Additional Insured, as its interests may appear, per insurance requirements in signed agreement; and/or
subrogation rights are waived in favor of the entity.
Worldwide coverage territory
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
ADDITIONAL INTEREST
NAME AND ADDRESS
Kellwood Holding, LLC
600 Kellwood Parkway
Chesterfield, MO 63017-5897
CHI-004635675-20
MORTGAGEE
ADDITIONAL INSURED
LOSS PAYEE
LOAN #
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Manashi Mukherjee
ACORD 27 (2009112)
© 1993-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: KELLW
LOC #: St. Louis
ARE
ADDITIONAL
REMARKS
AGENCY
SCHEDULE
Page2of4
NAMED INSURED
KelIwood Holding, LLC
See Attached for Schedule of Named Insureds
600 Kellwood Parkway
Chesterfield, MO 63017-5897
Marsh USA Inc.
POLICY NUMBER
CARRIER
NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
27
FORM NUMBER:
FORM TITLE: Evidence of Property Insurance
SCHEDULE OF INSURERS:
Limit: $250,000,000
Allied World Assurance Company I Policy No. 0308-1 373-1 N: 5%
Starr Surplus Lines Insurance Company / Policy No. SLSTPTY1 0711615; Chubb Custom Insurance Company / Policy No. 44732688-02; General Security Indemnity Company of Arizona / Policy No. T0234451 501722:
10%
Zurich American Insurance Company / Policy No. PPR 4856753-04: 20%
Lexington Insurance Company / Policy No. 25032093: 45%
ACE American Insurance Company / Policy No. GPA D37430729 001: 1 0%
Liberty Mutual Fire Insurance Company / Policy No, MJ2-L9L-463638-01 5: 10%
Excess California Earthquake:
Lloyds at London / Policy No. LL002026: $1 5,000,000 plo $50,000,000 excess $50,000,000
Shelter Reinsurunce Company I Policy No. SHRI 031: $5,000,000 plo $50,000,000 excess $50,000,000
Aspen Specialty Insurance Company / Policy No. NSAUSO7O6: $10,000,000 plo $50,000,000 excess $50,000,000
International Insurance Company of Hannover I Policy No, IHNSO21 1: $2,500,000 plo $56,000,000 excess $50,000,000
Allied World Assurance Company / Policy No.0308-1373-i N: $2,500,000 plo $50,000,000 excess $50,000,000
Starr Surplus Lines Insurance Company / Policy No. SLSTPTY1O71 1615; Chubb Custom Insurance Company / Policy No. 44732688-02; General Security Indemnity Company of Arizona / Policy No. T0234451501722:
$5,000,000 plo $50,000,000 excess $50,000,000
ACE American Insurance Company / Policy No. GPA 037430729 001: $5,000,000 plo $50,000,000 excess $50,000,000
Liberty Mutual Fire Insurance Company! Policy No. MJ2.L9L-463638-01 5: $5,000,000 plo $50,000,000 excess $50,000,000
Boiler & Machinery: Zurich American Insurance Company! Policy No. BM9488023-03
No Coinsurance Applies
Coverage is on a per occurrence basis unless otherwise noted.
TERRORISM COVERAGE INCLUDED.
SUBLIMITS COVERAGE CONTINUED:
BOILER & MACHINERY: $100,000,000
AMMONIA CONTAMINATION: $5,000,000
HAZARDOUS SUBSTANCES: $10,000,000
WATER DAMAGE: $10,000,000
EARTH MOVEMENT:
$100,000,000 Per Occurrence and Annual Aggregate for the peril of Earth Movement except;
$ 50,000,000 Per Occurrence and Annual Aggregate for the peril of Earth Movement in California, Alaska, Hawaii and/or Puerto Rico
$100,000,000 Per Occurrence and Annual Aggregate for the peril of Earth Movement in New Madrid Earthquake Zone Counties
$100,000,000 Per Occurrence and Annual Aggregate for the peril of Earth Movement in Pacific Northwest Earthquake Zone Counties
The Per Occurrence end Annual Aggregate Limit for the Peril of Earth Movement shall not exceed $100,000,000
FLOOD:
$150,000,000 Per Occurrence and Annual Aggregate for the peril of Flood except;
$50,000,000 Per Occurrence and Annual Aggregate for the peril of Flood occurring wholly or partially within Special Flood Hazard Areas (SFHA), areas of 108-Year Flooding, as defined by the Federal Emergency
Management Agency If these locations are
not excluded elsewhere in this policy with respect 10 the peril of flood)
ACORD 101 (2008/01)
© 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: KELLW
LOC #: St. Louis
ARLJ
ADDITIONAL
REMARKS
AGENCY
Page3of4
SCHEDULE
NAMED INSURED
Keliwood Holding, CCC
See Attached for Schedule of Named Insureds
600 Kellwood Parkway
Chesterfield, MO 63017-5897
Marsh USA Inc.
POLICY NUMBER
CARRIER
NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
27
FORM NUMBER:
FORM TITLE: Evidence of Property Insurance
The Per Occurrence end Anneal Aggregate Limit for the Peril of Flood shall not exceed $1 50,000,000
NAMED WINDSTORM:
$250,000,000 Per Occurrence for the peril of Named Storm (a storm that has been declared by the National Weather Service or other Worldwide Recognized Meteorological Authority to be a Hurricane, Typhoon,
Tropical Cyclone, Tropical Storm or Tropical Depression)
except in Tier 1 Counties and/or Foreign High Hazard Wind Zones, regardless ot the number ot Coverages, Locations or Perils involved (including but not limited to, all Flood, (however caused) wind, wind gusts, storm
surges, tomados, cyclones, hail or rain). In the event covered Loss or Damage by Flood anses out of a Named Storm, the maximum amount the Company will pay per Occurrence for all such Loss or Damage by Flood
shall be the Sublimits of Liability for Flood. However, if Flood is not covered, the maximum amount the Company will pay per Occurrence for all such Loss or Damage by Named Storm shall exclude Loss or Damage by
Flood.
$100,000,000 Per Occurrence for the peril of Named Storm (a storm that has been declared by theNafonal Weather Service or other Worldwide Recognized Meteorological Authority to be a Hurricane, Typhoon, Tropical
Cyclone, Tropical Storm or Tropical Depression)
in Tier 1 Counties, regardless of the number of Coverages, Locations or Perils involved (including but not limited to, all Flood, (however caused) wind, wind gusts, storm surges, tomados, cyclones, hail or rain). In the
event covered Loss or Damage by Flood arises out of a Named Storm, the maximum amount the Company will pay per Occurrence for all such Loss or Damage by Flood shall be the Sublimits of Liability for Flood.
However, if Flood is not covered, the maximum amount the Company will pay per Occurrence for all such Loss or Damage by Named Storm shall exclude Loss or Damage by Flood.
DEDUCTIBLES:
All losses, damages or expenses arising out of any one Occurrence shall be adjusted as one loss except;
Earth Movement:
(1) $100,000 (or higher, dependent upon the affiliate deductibles) Per Occurrence, except as follows:
(2) 5% of Total Insurable Values at the time of the loss at each location involved in the loss or damage, subject to a minimum of $1,000,000 any one occurrence, as respects locations in California, Alaska, New Madrid
Earthquake Zone Counties, Pacific Northwest Earthquake Zone Counfies, Hawaii, Puerto Rico;
Flood:
)1($100,000 (or higher, dependent upon the affiliate deductibles) Per Occurrence, except as follows:
(2) 5% of Total Insurable Values at the time of the loss at each location involved in the loss or damage, subject to a minimum of $1,000,000 any one occurrence, as respects locations wholly or partially within Special
Flood Hazard Areas (SFHA), areas of 1 0Q.year flooding, as defined by the Federal Emergency Management Agency (FEMA);
Wind & Hail:
$1 00,000 (or higher, dependent upon the affiliate deductibles) Per Occurrence, evcept as follows:
5% of Total Insurable Values at the time of the loss at each location involved in the loss or damage arising out of a Named Windstorm (a storm that has been declared by the National Weather Service or other Worldwide
Recognized Meteorological Authority to be a Hurricane, Typhoon, Tropical Cyclone, Tropical Storm or Tropical Depression) in Florida and Texas Wind Counties (outlined in Addendum C Tier 1 Counties Endorsement),
regardless of the number of Coverages, Locations or Perils involved (including but not limited to, all Flood, wind, wind gusts, storm surges, tomados, cyclones, hail or rain) and subject to a minimum deductible of
$1,000,000 any one occurrence;
-
3% of Total Insurable Values at the time of the loss at each location involved in the loss or damage arising out of a Named Windstorm (a storm that has been declared by the National Weather Service or other Worldwide
Recognized Meteorological Authority to be a Hurricane, Typhoon, Tropical Cyclone, Tropical Storm or Tropical Depression) in All Other Wind Counties (outlined in Addendum C Tier 1 Counties Endorsement) and Japan
regardless of the number of Coveragex, Locations or Perils involved (including but not limited to, all Flood, wind, wind gusts, storm surges, tomados, cyclones, hail or rain) and subject to a minimum deductible of
$1,000,000 any one occurrence;
-
If two or more deductible amounts provided in this policy apply to a single occurrence, the total to be deducted shall not esceed the largest deductible applicable unless otherwise stated in the policy. However, if:
1. The Time Element deductible and another deductible apply to a single Occurrence, than the Company shall apply both deductibles to the Occurrence; and
2. Covered Loss or Damage by Flood arises out of a Named Storm, then the Company shall apply the Flood deductible or the Named Storm deductible, whichever is greater.
Contingent Business Interruption: $1 00,000 Minimum Per Occurrence or higher, dependent upon the affiliate deductibles
Other deductibles may apply per policy terms and conditions.
ACORD 101 (2008101)
© 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: KELLW
Loc #: St. Louis
AmRL
ADDITIONAL
REMARKS
AGENCY
Page4of4
NAMED INSURED
Keliwood Holding, LLC
See Attached for Schedule of Named Insureds
600 Keltwood Parkway
Chesterfield, MO 63017-5897
Marsh USA Inc.
POLICY NUMBER
CARRIER
SCHEDULE
NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
27
FORM NUMBER:
FORM TITLE: Evidence of Property Insurance
ACORD 101 (2008/01)
© 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
KELE WOOD HOLDING, EEC
AND IT’S DIVISIONS AND SUBSIDIARIES
Certificate of Insurance Listing
Active International Operations (non U.S.)
Keliwood Intermediate Holding, EEC
Keliwood Company, LEC
Meow Inc. (New York)
MeowUK Limited (United Kingdom)
Beth’s Boutique, ELC (New York)
Parker Intermediate Holding, EEC
Parker Lifestyle, EEC
04/14/15
KELL WOOD HOLDING, LLC
AND IT’S DIVISIONS AND SUBSIDIARIES
Certificate of Insurance Listing
Keliwood Intermediate Holding, LLC
Keliwood Company, LLC
Parker Intermediate Holding, LLC
Parker Lifestyle, LLC
Bice Dress
Briggs New York
Democracy
ENC
Ivy
My Michelle
Sag Harbor
Sam Edelman Apparel
Sangria
Vintage Blue
xoxo
Beth’s Boutique, LLC
Rebecca Taylor
KWD Holdings, Inc.
Meow Inc.
Rebecca Taylor
The Keliwood Foundation
Tri-W Corporation
04/14/15