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HomeMy WebLinkAboutAudubon SocietyJAMES C. McMAHON Administrator Telephone (631) 765-1892 Fax (631) 765-1366 Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York 11971 TOWN OF SOUTHOLD COMMUNITY DEVELOPMENT OFFICE INTER-OFFICE MEMO TO: FROM: SUBJECT: DATE: Elizabeth Betty Neville, Town Clerk Jim McMahon, Executive Assistant Cert of Insurance July 7, 2003 Please find the attached Certificate of Insurance for the Stewardship Center at Inlet Pond County Park. I believe this is the second one I received. ERTIFICATE OF LIABILITY I!NSUR ,-NCE DA~ (MMIDD~ PRODUCER THIS GERT FiCATE IS ISLED AS A=M~O'E INFORMATION ONLY ~D CO~FERS~NO~RIG~S ~PON THE CERTIFI~TE ~=a~ey, ~ ~ ~a~ [~c./V~ HOLDER. THIS CERTiFICATE DOES NOT~D~E~END OR 4530 ~a[aeff ~oa~, S~e 200 ALTERTHE C~GE AFFORDED B~RE POliCIES BELOW. ~aa[~lly vA 20~5[ ~0~e: 703-397-0977 ff=x: 703-397~0995 INSURERS AFFORDING COVE~GE' NAIC INSURED INSURER A: Nation~'l A~du~on S~cietyi-Znc,. A=tn: Norma Walcwski I~SU~E~ 70~ ~roadway - 7th Floor I~SU~D: ACE/C~ New York, N~ 10003-0000 COVERAGES THE POLICIE~ ~F INSURANCE LI~TED B~LOW~ HA~E'~ E EN~ [~SpED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIpO NDICATED. NOTWIT~STAN DING ' ''" ~ I~(~I~IC.~ NUMI~ER POUCY EFFECqrlVE JPOLICy'EXp RATION GEN ERA~ r; [A,~E-T'~ ' EACH OCCURRENgE $ lr000r000 A ~- COM~E~ClAL~ENE~.LU.~mLrr¥ 3532--8631 07/01/03 07/01/04 ~REMISESuAMA~= iut~t=~l~lJ(Eacccurence) ~ 300~,000 j CLAli~B IL~,~D~ J~' OCCUR MED EXP (Anyone person) PERSO~Ab&ADV INpU~_Y $ 1~000~000 ~ENEPAL AGgREGAtE ~ 2FO00'~ 000 GEN'L AGG~GAT 'U~IT APPUES ~ER: PaODUCTS -COMP/OP AGB $2¥ 000 ~000 A X ANYAUT0 7321--51~58 AOB 07/01/03 07/01/04 (Ea~ccid~n~) Si,000,000 A ALLOV~NEDABTOB 7321--51--59 TX 07/01/03 07/01/04 BOD~LYINJURY OTHE~ TH~I~ E~ACC * ' EXCEE~/UMDRELLALIABIMTY EACI~ OCCURRENCE $ 5 r 000 · 000 ~ X~ occc~ [~ CLAIMS BADE 00068744523 07/01/03 07/01/0~ AGGREGATE $5,000,000 E~PLOYERS' UADlUTT C ANYPROPRIETOPJPARTNEPJEXECUTIVE 71638668 07/01/03 07/01/04 ~L. EACNACC~B~T ~ i ·000,000 ' OFFIGEPJMEMBEREXCLUDED~ E.L DISEASE-EAEMPLOYEE $ i r 000 ¢ 000 SPEGIAL PROVlSIONSbelot~ : - ~E~P~ICY LIMIT IS ~. r 0~00.000 D Yacht (::overage N00896767. 07/01/05 07/01/0A 81,000,000 Protecti6n & Indem CERTIFICATE HOLDER CANCELLATION The Town of Southold Jim Mac~aohn Main Road Southold NY 11971 ACORD 25 [200'1108) THETO~N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT[OI~ DATE THEREOI~ THE ISSUING INSURERWILL ENDEAVOR TO MAiL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE L , BUT FAILURE TO DO SO SHALL AUTHORIZEDjohnREPRESENTATIVES'IMPOSE NOR OBLIGA~]ONREPRESENTATJVEM!3~a IIOR EABiLITY O~NY KIND UP INBUR AGENTB ON ~ ©ACORD CORPORATION 1988 Betty: Proof of Insurance for the Stewardship Center - Inlet Pond Park :, !, cEF TIFIC TE OF iiNS, URANCE¢ .,.,.. PnoDuccn ONLY AND CONFERS ND RIGHTS UPON THE CERTIFICATE F~ANE~2; PAR~ & ~IMHA I~C HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4S30 ~in~y Aoad S~it-~ ~00 [...~!~.~...~H~.~ERAGE AFFORDE~ BY 'r~...[9~:~j~.~ygW. 1NSOREB - ....................... 700 B no~dw~,y COMPANY New Y~rk, N% ~ D ~ b~N~'S & ~NT PROT EA~ OC6URRENCE ~; AUTOMOBILE LIABILI~ 7~%1-51-58 ~!/~'~Z WZ~ ~ 7/01/03 ;OMB~ SmGm LiM~ ~X ANYAUTO 7321-51-59 r~ v~ ~ '~,~-~ ~n~ $f.OGO~O00 ~.E,,AS~ /* ~.¢~ 7/02/03 ... ~ ,Hr~ED AUTOS BOD[b~N~URY , . ~ UMBREL~ FORM AGGREGATE ~ EMPLOYERS" ~BIU~ z ~.~ ~/0%/0~ , EACH ACCIDENT 6ERTIE CA~ HOBER ~ CANCELLAT ON The ~ ~0~ 3 ~AYS WRI~%NOT'~ THE CE~TE HOLD~MED TO THE LE', , John R, Muh~. ii JAMES C. McMAHON Administrator Telephone (631J 765-1892 Fax (631) 765-1366 TOWN OF SOUTHOLD COMMUNITY DEVELOPMENT OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 INTER-OFFICE MEMO TO: FROM: SUBJECT: DATE: Betty Neville, Town~ Clerk Jim McMahon, Executive Assistant Certificate of Insurance July 25, 2001 Please find the attached Cert. Of Insurance for the Audubon Society in reference to the Stewardship Center and the Town of Southold, at the Suffolk County's Inlet Pond Park. '! CERTIFICATE OF INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION !ONFERS ~ RIGHTS UPON ~HE CERTIFICATE ~HIS CER EXTEND OR I';'~LIC~ EF~=ECTIVI~ ~6UCY EXPIRATION [CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY OWNER'S & CONTRACTOR'S PROT E~OH O6CURRENCE HIRED AUTOS BODILY INJURY ! PROPER~ DAMAGE ' O/HE. THAN AUTO ONLY: JOTHe. fHAN U"B~L~ FO~M J _ WORKm'S COMPENSATION AND I '71~38~fiS-Aos ?/0t/03. ~/~/az ] STATUTORY LIMITS I'" ";i~(~L~'A~; ~ ;RE AJ~VE DESCRIBE[~ POLICIES B~ CANCELLED BEFORE THE ; Jim MaCMaohn 30 D~8~ICEToT~E~ICATE~LDERNA~EDTOTHELEFT ~ ~:~ J ~ '~ I[ BUT FAiLU~ZO ~L~H>~OE SHALL i..OSE N~iGAT,~, OR UABiLiTY ~