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Home My WebLink AboutTerry Contract Landfill ClDvirka and ' UCCl CONSU G ENGINEERS 330 Crossways Park Drive, Woodbu~ New York, 11797-2015 5~6-3~9890 r 718-460-~ · Fax: ~16-3~-9045 e-mall: db-eng~orldneLa~.net Principals. December 4, 2003 Lorraine Roberts NewYork State,Environmentai Facilities Corporation 625, Broadway Albany, NY [2207 Re: Southold Landfill Closure D&B 13q4 RF.C-EtVED DEC 8 003 Dear Ms. Roberts: As requested, please fmd enclosed a copy of the executed contract between the Town of: Southotd and Terry Contracting & Materials, [nc., for closure cons]ruction of the Southold Landfill. If you have any questions or require additional information, please do not hesitate to cai[ me. TFIVEIam Enclosure cc/enc.: Very truly yom, Thomas F. Maher. P.E. Vice President John Cushman, Comptroller, Town of Southold Elizabeth Neville, Town Clerk, Town of Southold cc: James Bunchuck, Solid Waste Coordinator, Town of Southold 013 I4/TFiVI03 (A)/ltr.doc-46 A DIVISION OF WILLIAM F. COSULICH ASSOCIATES F~C. ACORD. CERTIFICATE OF LIABILITY INSURANCE OP,D BATE M.DD , T~-I I o8/11/o5 PRODUCER THIS CERTIFICATE IS ISSUED AS A MA3-FER OF INFORMATION The Amerisc Corp (amerisc. cum) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Construction Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 777 Zeckendorf Blvd. , Suite 2 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Garden City NY 11530 Phone: 516-745-7500 Fax: 516-745-0535 INSURERS AFFORDING COVERAGE NAIC# 840West Main Street INSURERD: F~r.t ,.h~t.~o. zn.. ¢0. 81434 Riverhead NY 11901 -- COVERAGES THE POLICIES OF INSURANCE LISTED SELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO~NITHSTANDING 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OO't POLICY EFFECTIVE POLICY EXPI~A13ON N~LTR ~SR£ TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD~'Y) DATE {MMIDD/YY} LIMITS I GENERAL LIABILITY EACH OCCURRENCE I 5 1,000,000 A X ~-- COMMERCIALGENERALLIABILITY ENV0101720501 07/31/05 07/31/06 PREMISEsUAMA[~ Iv~(=r41~U(Ea occurence) ~ 5 50~000 I CLAIMSMADE ~ OCCUR MEDEXP(Anyoneperson) [ $ 5000 X Pollution Liab PERSONAL&ADVINJURY $1,000~000 X Contractual Liab GENERALAGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG 5 I · 000, 000 POL.DYI LOC AU__TOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 i, 000 ~ 000 B X ANY AUTO CAP9117499 07/31/05 07/31/06 (Me acc,dent) __ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNEDAUTOS (Per acc~dem) PROPERTY DAMAGE (Per ecodenD GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 5 I~ ANY AUTO OTHERTHAN EAACC 5 / AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE 5 5000000 A · OCCUR [] CLAIMSMADE AXS057918001 01/31/05 01/31/06 AGGREGATE $ 5000000 DEDUCTIBLE $ RETENTION 5 10 ~- 0 0 0 WORKERS COMPENSATION AND X I TORY LIMITS I C ANY EMPLOYERS'LIABILITY PROPRIETOPJPARTNERJEXECUTIVE WC7489858 12/28/04 12/28/05 E.L. EACH ACCIDENT 51,000,000 OFFICEPJMEMBER EXCLUDED? l[ es. uescnbe under S~ECIAL PROVISIONS ~elow E.L. DISEASE - POLICY LIMIT $ i, 000 ~ 000 I OTHER D Disability DBL220943 01/01/05 12/31/10 Continuou Statutory OESCRIPT[ON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project:Southold Landfill Closure Contract No. 2000-County Road 48 & Zach's Lane, Cutchogue, NY 11935. Certificate Holder & Dvirka & Bartilucci are included as Additional Insured. Certificate Holder & Dvirka & Bartilucci are the Named Insureds as respects to the Owners & Contractors Protective Liability policy only if required by a written contract or agreement. CERTIFICATE HOLDER CANCELLATION TOWROFS TOWN OF SOUTHOLD TOWN HALL 53095 ROUTE 25 SOUTHOLD NY 11971 ACORD 25 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO~ DATE THEREOF. THE I~UING INSURER WILL ENDEAVOR TO M~JL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. ~$ )['¢~O~RO"~fO R P 0 RA TI 0 N 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08)