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Home My WebLink AboutSuffolk/Parks Cert of Liab DATE (MM/DD/YYYY} ACORDTM CERTIFICATE OF LIABILITY INSURANCE JANt006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ROY H REEVE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO BOX 54, 13400 MAIN RD. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR MATTITUCK NY 11952 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: American Alternative Insurance Co. TOWN OF SOUTHOLD INSURER B: American Alternative Insurance Company CIO SOUTHOLD TOWN HALL P.O. BOX 1t79 INSURER C: SOUTHOLD NY 11971 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN iSSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOWHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LiMiTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS DATE IMM/DD/YY~ DATE GE~NERAL LIABILITY 01-A2-RL-0000022-00 JAN 1 06 JAN 1 06 EACH OCCURRERCE $ 1,000,000 X COMMERCIAL GENERAL LIABILIT~ DAMAGE TO RENTED $ 300,000 -- I CLAIMS MADEr~ OCCUR MED EXP (Any one person) $ A ~X DEDUCTIBLE - SE0000. SIR PERSONAL & ADV INJURY $ -- GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMrT ),PPUES PEF PRODUCTS-COMP/OP AGO S 2,000,000 ~ POLICY ~PROJECT~LO( AUTOMOBILE LIABILITY -- COMBINED SINGLE LIMIT ANY AUTO (Es accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS [Per person) HIRED AUTOS -- BODILY INJURY NON-OWNED AUTOS [Per accident) ~ PROPERTY DAMAGE It Per ecc~dent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN EA ACC AUTO ONLY: EXCESBIUMBRELLALIABILITY 60A2UB000057701 JAN 1 05 JAN t 06 EACH OCCURRENCE 10,000,000 X I OCCUR ~1 CLAIMS MADE AGGREGATE 0 B DEDUCTIBLE RETENTION $ t 0,000 i$ OTHER: DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSlONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: GREENWAYS AGREEMENT - STRAWBERRY FIELDS - CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED. CERTIFICATE HOLDER COUNTY OF SUFFOLK DEPT. OF PARKS, RECREATION & CONSERVATION MONTAUK HWY - P.O. BOX 144 WEST SAYVlLLE NY 11796-0144 Attention: ACORD 26 (200tl08) Certificate # CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 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. IT'S AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE T h~~~+~ 5148 © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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-S (2001/08) Certificate #5148