HomeMy WebLinkAboutCertificate of Insurance COUNTY OF SUFFOLK
STEVEN BELLONE
SUFFOLK COUNTY EXECUTIVE
DENNIS M.BROWN DEPARTMENT OF LAW
ACTING COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT
June 1,2023
Town of Southold
PO Box 1179
Southold,NY 11971
Attn: Scott A Russell, Supervisor
Re: Certificate of Insurance
Dear Supervisor Russell:
Please find enclosed (on the opposite side of this letter) a Certificate of Insurance evidencing
coverage by Suffolk County for the use of your facilities as a Polling Place during the Primary
Election to be held on Tuesday,June 27,2023.
If you have any questions,please do not hesitate to contact me at 631-853-5075.
Sincerely,
Brittney Musillo
Insurance Contract Analyst
CC: Theresa Gardner and Philip Regan, Suffolk County Board of Elections
LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700
H.LEE DENNISON BLDG.—7Ta FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)853-4956
VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099
HAUPPAUGE,NY 11788
COUNTY OF SUFFOLK
STEVEN BELLONE
SUFFOLK COUNTY EXECUTIVE
DENNIS M.BROWN DEPARTMENT OF LAW
ACTING COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT
CERTIFICATE OF INSURANCE
Coverage Date: Tuesday,June 27,2023 from 5:00 am to 10:00 pm necr@vr,
Issued To as Town of Southold
Additional Insured: PO Box 1179,Southold,NY 11971 JIM _ 6 2023
Location(s): Designated Polling Place(s): . A,
Southold Town Recreation Center,970 Peconic Lane,Peconic,NY 11959`1 1d 7'omm Clerk
Purpose: Use of facilities as Polling Place for the June 27,2023 Primary Election
Amount of Coverage: $1,000,000 per occurrence combined single limit for Bodily Injury and Property Damage. This insurance
is excess over any other valid and collectible insurance except insurance that is written specifically as
excess over the limits of liability that apply in this policy.
This is to certify that coverage is afforded by:
Self Insured: County of Suffolk
Address: Risk Management&Benefits Division
P.O.Box 6100,H.Lee Dennison Building
Hauppauge,New York 11788-0099
Risks Covered: To the extent permitted by law,the COUNTY shall defend and indemnify and hold you harmless from and
against all claims, costs, losses and liabilities arising out of the acts or omissions or negligence of the
COUNTY, its agents or employees in connection with the use of the location at the time and for the purpose
described or referred to in this Certificate. This insurance is excess over any other valid and collectible
insurance except insurance that is written specifically as excess over the limits of liability that apply in
this policy.
COUNTY OF SUFFOLK
Dated:June 1,2023 Leslie E.Baffa—Director of Risk Management
r
LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700
H.LEE DENNISON BLDG.—7�FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)853-4956
VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099
HAUPPAUGE,NY 11788
COUNTY OF SUFFOLK
STEVEN BELLONE
SUFFOLK COUNTY EXECUTIVE
DENNIS M.BROWN DEPARTMENT OF LAW
ACTING COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT
CERTIFICATE Of INSURANCE
Coverage Date: 6/17-6/19/23 10am—6pm;6/20-6/21/23 lam-3pm;6/22-6/23/23 12pm-8pm
6/24-6/25/23 10am—6pm RECEIVED
Issued To as Town of Southold
Additional Insured: PO Box 1179,Southold,NY 11971 JUN " 6 2023
Location(s): Designated Polling Place(s):
Southold Town Recreation Center,970 Peconic Lane,Peconic,NY 11958
SoUlthold Town Clerk
Purpose: Use of facilities as Polling Place for early voting in Primary Election
Amount of Coverage: $1,000,000 per occurrence combined single limit for Bodily Injury and Property Damage.This insurance
is excess over any other valid and collectible insurance except insurance that is written specifically as
excess over the limits of liability that apply in this policy.
This is to certify that coverage is afforded by:
Self Insured: County of Suffolk
Address: Risk Management&Benefits Division
P.O.Box 6100,H.Lee Dennison Building ,
Hauppauge,New York 11788-0099
Risks Covered: To the extent permitted by law, the COUNTY shall defend and indemnify and hold you harmless from and
against all claims,costs,losses and liabilities arising out of the acts or omissions or negligence of the COUNTY,
its agents or employees in connection with the use of the location at the time and for the purpose described or
referred to in this Certificate.This insurance is excess over any other valid and collectible insurance except
insurance that is written specifically as excess over the limits of liability that apply in this policy.
COUNTY OF SUFFOLK
Cr' %.
Dated:May 30,2023 Leslie E.Baffa—Director of Risk Management
LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700
H.LEE DENNISON BLDG.—7`a FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)853-4956
VETERANS MEMORIAL.HIGHWAY HAUPPAUGE,NY 11788-0099
HAUPPAUGE,NY 11788
COUNTY OF SUFFOLK
STEVEN BELLONE
SUFFOLK COUNTY EXECUTIVE
DENNIS M.BROWN DEPARTMENT OF LAW
ACTING COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT
May 30,2023
Town of Southold
PO Box 1179
Southold,NY 11971
Attn: Scott A Russell, Supervisor
Re: Certificate of Insurance .
Dear Supervisor Russell:
Please find enclosed (on the opposite side of this letter) a Certificate of Insurance evidencing
coverage by Suffolk County for the use of your facilities as.a Polling Place during the Primary
Election early voting to be held on June 17 -June 25,2023.
If you have any questions,please do not hesitate to contact me at 631-853-5075.
Sincerely,
Caroline Stolz
Insurance Contract Analyst .
CC: Omar Figueroa and Stephen Gosmon, Suffolk County.Board of Elections
LOCATION: MAILING ADDRESS: Risk Management Phone (631)8534700
H.LEE DENNISON BLDG.—7ra FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)8534956
VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099
HAUPPAUGE,NY 11788