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HomeMy WebLinkAboutCertificate of Insurance COUNTY OF SUFFOLK EDWARD P.ROMAINE SUFFOLK COUNTY EXECUTIVE CMUSTOPHER 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 I1788-0099 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.CL-AYTON DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT February 26, 2024 - M AA - :D 2024 , 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) 53-4700 H.LEE DENNISON BLDG.—7Ta FLOOR P.O.BOX 6100 Risk Mgmt"&Liability Fax (631):534956 VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788'0099 HAUPPAUGE,NY 11788 COUNTY OF SUFFOLK EDWARD P.ROMAINE SUFFOLK COUi`dTY 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: V,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.Baffa—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 COUNTY OF SUFFOLK EDWARD P.ROMAINE SUFFOLK COUNTY EXECUTIVE CHRISTOPHER J.CLAYTON DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT October 10, 2024 ---� OCT Town of Southold OCT .8 2024 PO Box 1179 Southold,NY 11971 Attn: Scott A Russell, Supervisor i 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 General Election to be held on Tuesday,November 5, 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 Alexandria Powell, Suffolk County Board.of Elections LOCATION: MAILING ADDRESS: Risk Management Phone (631):53-4700 H.LEE DENNISON BLDG.—7T°FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631) 53-4956 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 CERTIFICATE OF INSURANCE Coverage Date: Tuesday,November 5,2024 from 5:00 am to 10:00 pm Issued To as Town of Southold Additional Insured: PO Box•.1179,Southold,NY-l I971 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 November 5,2024 General 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 a, f�6� 1-'- Dated:October 10,2024 Leslie E.Baffa—Director of Risk Management 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 d EDWARD P.ROMAINE SUFFOLK COUNTY EXECUTIVE CHRISTOPHER J.CLAYTON DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT `w E. ' O CT 2 2 2024 October 11,2024 Town of Southold PO Box 1179 :..:��.� t�.�^ T'r?lq�1 Clerk Southold,NY 11971 Attn: Scott Russell, Supervisor Re: 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 General 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: Alexandria Powell and Theresa Gardner, Suffolk County Board of Elections LOCATION: MAILING ADDRESS: Risk Management Phone - (631)8534700 H.LEE DENNISON BLDG.—71n 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 COUNTY EXECUTIVE CHRISTOPHER J.CLAYTON DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT CERTIFICATE OF INSURANCE Coverage Date: Coverage during early voting for the 2024 General Election on the following dates: Saturday,October 26th 10-6pm Sunday,October 27th 10-6pm Monday,October28th 10-6pm Tuesday,October 29th 7-3pm Wednesday,October 30th 7-3pm Thursday,October 31st 12-8pm Friday,November 1st 12-8pm Saturday,November 2nd 10-6pm Sunday,November 3rd 10-6pm 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 Puruose: Use of facilities as Polling Place for early voting in the 2024 General 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,EL 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 YOOFFSSUFFOLK Dated:October 11,2024 Leslie E..Baffa—Director of Risk Management LOCATION: MAILING ADD SS: Risk Management Phone (631)853-4700 H.LEE DENNISON BLDG.—7ra FLOOR P.O.BOX 6160 Risk Mgmt.&Liability Fax (631)853-4956 VETERANS MEMORIAL HIGHWAY RAUPPAUGE,NY 11788-0099 HAUPPAUGE,NY 11788