HomeMy WebLinkAboutCertificate of Insurance COUNTY OF SUFFOLK
EDWARD P.ROMAINE
SUFFOLK COUNTY EXECUTIVE
CHRISTOPHER J.CLAYTON DEPARTMENT OF LAW
COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT
March 4,2024
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 Presidential
Primary Election to be held on Tuesday, April 2,2024.
If you have any questions,please call the Board of Elections at 631-852-4551.
Sincerely,
Brittney Musillo
Insurance Contract Analyst
CC: Theresa Gardner and Matthew Towle, Suffolk County Board of Elections
LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700
H.LEE DENNISON BLDG.—7Tn FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)8534956
VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099
HAUPPAUGE,NY 11788
COUNTY OF SUFFOLK
RECEIVED
MAR 1 1 2024
EDWARD P. ROMAINE
SUFFOLK COUNTY EXECUTIVE
Southold Town Clerk
CHRISTOPHER J.CLAYTON DEPARTMENT OF LAW
COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT
CERTIFICATE OF INSURANCE
Coverage Date: Tuesday,April 2,2024 from 5:00 am to 10:00 pm
Issued To as Town of Southold
Additional Insured: PO Box 1179,Southold,NY 11971
Location(s): Designated Polling Place(s):
Southold Town Recreation Center,970 Peconic Lane,Peconic,NY 11958
Purpose: Use of facilities as Polling Place for the April 2,2024 Presidential 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:March 4,2024 Leslie E.Baffa—Director of Risk Management
LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700
H.LEE DENNISON BLDG.—7'm FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)8534956
VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099
HAUPPAUGE,NY 11788
COUNTY OF SUFFOLK
EDWARD P. RfjMAINE
SUFFOLK COUNTY EXECUTIVE
CHRISTOPHER J.CLAYTON DEPARTMENT OF LAW
COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT
February 26, 2024
- M AA - :D 202 ,
down Clerk
Town of Southold
PO Box 1179
Southold,NY 11971
Attn: Scott Russell, Supervisor
Ile: Certificate of Insurance
Dear Mr. 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 2024
Presidential Primary Election early voting.
If you have any,questions,please contact the Board of Elections at.631-852-4551.
Sincerely,
Brittney Musillo
Insurance Contract Analyst
CC: Matthew Towle and Theresa Gardner, Suffolk County Board of Elections
LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700
H.LEE DENNISON BLDG.—7TH 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
EDWARD P.ROMAINE
SUFFOLK COUiNTY EXECUTIVE
CMUSTOPIIER J.CLAYTON DEPARTMENT OF LAW
COUNTY ATTORNEY DIVISION OF.RISK MANAGEMENT
CERTIFIC 4 PE OF INSURANCE
Coveraee Date: Coverage during early voting for the 2024 Presidential Primary Election on the following dates:
Saturday,March 23 9:00am-6:00pm
Sunday,March 24 9:00am-6:00pm
Monday,March 25 9:00am-6:00pm
Tuesday,March 26 7:0Oam 4:00pm
Wednesday,March 27 7:00am-4:00pm
Thursday,March 28 J 1:60pm-8:00pm
.,Friday,March 29 11:00pm-8:00pm
Saturday,March 30 9:00am-6:00pm
Issued To as Town of Southold
Additional Insured: PO Box 1179,Southold,NY 11971
Location(s): Desienated Polline Place(s):
Southold Town Recreation Center,970 Peconic Lane,Peconic,NY 11958
Purpose: Use of facilities I Polling Place for early voting in the 2024 Presidential 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:February 26,2024 Leslie E.Balla—Director of Risk Management
LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700
H.LEE DENNISON BLDG.—7r FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)8534956
VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099
HAUPPAUGE,NY 11788
COUNTY OF SUFFOLK
EDWARD P.ROMAINE
SUFFOLK COUNTY EXECUTIVE
CHRISTOPHER J.CLAYTON DEPARTMENT OF LAW
COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT
June 5, 2024
Town of Southold
PO Box 1179
Southold,NY 11971
Attn: Scott A Russell, Supervisor
Re: Certificate of Insurance `SUN 1 �y
Dear Supervisor Russell: 0tv/7 t j-je*
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 25,2024.
If you have any questions,please call the Board of Elections at 631-852-4551.
Sincerely,
C �_z*ff.
Brittney Musillo
Insurance Contract Analyst
CC: Theresa Gardner and Alexandria Powell, Suffolk County Board of Elections
LOCATION: MAILING ADDRESS: Risk Management Phone (631)8534700
H.LEE DENNISON BLDG.—7rn 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
�s�ro:t�y
EDWARD P.ROMAINE
SUFFOLK COUNTY EXECUTIVE
CMUSTOPHER J.CLAYTON DEPARTMENT OF LAW
COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT
CERTIFICATE OF INSURANCE
Coverage Date: Tuesday,June 25,2024 from 5:00 am to 10:00 pm
Issued To as Town of Southold
Additional Insured: PO Box 1179,Southold,NY 11971
Location(s): Designated Polling Place(s):
Southold Town Recreation Center,970 Peconic Lane,Peconic,NY 11958
Purpose: Use of facilities as Polling Place for the June 25,2024 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 OFSUFFOLK
FS
E&*
Dated:June 5,2024 Leslie E.Baffa—Director of Risk Management
LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700
H.LEE DENNISON BLDG.—7Tn 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
EDWARD P.ROMAM
SUFFOLK COUNTY EXECUTIVE
CHRISTOPHER J.CLAYTON DEPARTMENT OF LAW
COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT
CERTIFICATE OF INSURANCE
Coverage Dates: July 1st through September 30th,2024
Issued To As Peconic Lane Community Center
Additional Insured:
Location: Peconic Lane Community Center
1170 Peconic Lane-Peconic,NY 11958
Purpose: Use of premises by Suffolk County Board of Elections during BOE
Election Inspector Certification Seminars.
Amount of Coverase: $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.
UN®TY' OF SUFF LK
Dated: June 18 2024 By:
Leslie E.Baffa
Director of Risk Management
MAILING ADDRESS: Risk Management Phone (631)853-4700
LOCATION: P.O.BOX 6100 Risk Ntgmt.&Liability Fax (631)953-4956
H.LEE DENNISON BLDG.—7rn FLOOR HAUPPAUGE,NY 11788.0099
VETERANS MEMORIAL HIGHWAY '
HAUPPAUGE,NY 11788