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HomeMy WebLinkAbout1976.~ TOWN OF SOUTHOLD PERMIT FOR PUBLIC DISPLAY OF FIREWORKS I, JUDITH T. TERRY, Town Clerk,of the Town of Southold, Suffolk County, New York, being an officer duly designated by the Town Board of the Town of Southold for this purpose, DO HEREBY GRANT TO Beach Court Association A PERMIT FOR THE PUBLIC DISPLAY OF FIREWORKS by said organization in accordance with the provisions of Section 405.00 of the Penal Law of the State of New York, on July 4, 1976 at 8:30 P.M. Rain date: July 5, 1976 at 8:30 P,M, at the time and place set forth in the application therefor. ON CONDITION THAT the bond (indemnity insurance) required shall continue in full force and effect in favor of the Town of Southo DATED at SOUTHOLD, New York, this 7th day of June 1976. ~ DITH T. TERRY, T Clerk Town of Southold, Suffolk County, New York. S E A L 3 ~~ t`'~'~ i ~~#~ ~~~~ ,~ ~I ~ ~r~~~'t ~~ ~ ~rS1~L ~f ~~ ~~ ~ ~ ~~ (=-- \ ~iaR~o~ a e ~.~~ aqq~ ~~~~r cet~'...... 3 is U ~~ 7~oT ~~~~ e`er°•~Q~~ ~ a~t,e. ,~ n~ ~= g _._ ~ ~., t?tVI1<1R5lMRNrF --t g~~ Y1 This endorsement is issued for atta[hment to and is hereby maae a part of the poli[y designated below and is eHc[tive as of the date and hmv indicated, s!audard time at the address of the named inured 's statal in the policy. Po1MT Number Nsme e/ Cnmpanf n orscnu0t ( oath, Ar. tu'r NLU 333986 I Newark Insurance Company ID~t'~` 7/4/76 Named Im Addinanal Pmium Aerum Premium Shirley Wexler & or Beach Court Association i nil (roil FRectice Hoar Produce user c r 12:01 L':00 ^ A.M. Noou Kissel Agency 1530124 IN CONSIDERATION OF THE PREMIUM CHARGED THIS POLICY IS EXTENDED TO COVER SECTION 405.00 8F THE PENAL LAW OF THE STATE OF BEW YORK. THE TOWN OF SOUTHOLD, LONG ISLAND, NEW YORK IS ALSO SHOWN AS AN ADDITIONAL INSURED. All else to remain the same. Nothing herein contained shall be htld to waive, alter, vary or extend any of [he terms or provisions of the policy, except as herein stated, nor shall this endo¢emrnt bind the com~ptsany unless countersigned by a duly authorized representative of the company. Countersigned by: / Authorized Representa~kixC` FOR OFFICE USE ONLY l~ PRESIDENT TRANSAUTI ON IMI TS TAX AUO EFF, EXPIR. B I P O re Trrr sur r, DEPT LINE FORM CUBS 81 rn E%FDBURE STATE TERR PER TERM vo, re. uo. ra. . . PREMIUM . . PREMIUM 1 4 CL 20030)-200M 1.59 ~ ROVAI.J'iLOME INfiUAANt[ COMMNId 1 SELECT-COVER POLICY - 111 ese UFCLAIATIUNS win umlinel will the GENERAL PNONISIBNS a` tie rnen9e PAl1T1f1 ae1 hs~M s Msi{~ N L~^r^' • IereiN, nldplete Ue uninct el iesuruce nemlerel YebN. Caera a is preri/el b t1e GmNry Pe b eel svAteoE PocN;r NUABER ..g.. lebre Me amNny Rame. N i ~u 33 39 86 RE"EWAL NEW C~NIIABRER. A 1530124 OF NIAMSER ^ Globe Indemnity Company ~ Newark Insurance Company ^ Royal lndemndy Company ^ ^ Safeguard Insurance Company ^ American and Foreign Insurance Company Royal Globe Insurance Company (SHIRLEY WEXLER ~ KISSEL AGCY rt EAST MARION L.I. NY ADDRESS L ffEM2. POLICY PERIOD 12 O1 A.M Standard time at the BUSINESS OF THE NdMEO INSU~EB 7~6~76_ address of the Namd IearN as _ From 7I4I7Ei _ To _ stated in Item 1 _ _-- TXE NAMEB INSURED IS: X ^ Corporahan lomt Venture ^ Other ^ Individual Partnership ewe occlruD INSMEe's INIfnfSl OWNfR, 7ENam. GEN'L LOCATION OE. ALL PREMISES OWNED. RENTED OR CONTROLLED BY THE NAMED INSURED aY [LESSFE. DiXEn SPFCIFy IENTER"SAME" IF SAME LOCATION AS ABOVE ADDRESSI NAYEI INSWEe SAME ITEM 9a. The Insurance afforded is only with respect to such of the following coverage Partls) as are IndicateD Dy Put 1-Comprehensive General ^ Part 6-Comprehensive Personal Insurance ^ Liability Insurance ^ Part 2 -Manufacturers and Contractors Liability Insurance ^ Put 7-Owners' andContcactori Protective liability Insurance Put 7-Owners'Landlords'and Tenants' ^ Put 1-Contractual Liability Insurance ® Liability Insurance hA /-Completed Operations and ^ Part 9-Comprehensive Automobile Liability Insurance ^ Products Liability Insurance Put S-Premises Medical ^ Part 1h-Garage Insurance ^ Payments Insurance - ltry of an "x" below. ^ Parlll-Automebde Medical Payments Insurance ^ Part 1Z -Protection Against Uninsured Motorists Insurance ^ Part 13-Automobile Physical Damage Insurance ^ put 11_ Basic Auto Liability Insurance ^ Put 15-Automobile Physical Damage Insurance l0ealers) ITEM 3h. slit iasunae athrltl is my witA respect to sech et the lollEwingtorengelsl, aatained in the corenge Partls) designued aeore, a ue IndiHted Oy specilic prmmm chuge er chuges. The limit et tie cemPnY s liability against mch such corenge shall ht a staled Herein, sulject to all Me terms of tie play having reference therele. LIMITS OF LIPBILITY ADVANCE APPLIGPLE AGGREGATE PREMIUM TO PAPiS COVERAGES EgCP PERSON EACN OCCURRENCE. ~ ~~ lthrough5 Bodily lnlury Liabr Other property Damage than Automobile Premises Medical 9 IAutomob~le) An ACNID M rlMf DI ISSUF x x x x x x x x x x x x x x x Part X x X X X X x x x x x x x x x x x x NOT APPLICABLE IN TEXAS _ FRECLIVE HATE ISI ANNIVERSPRY 1nt14NNIVER$ARY TeLal Adaantt II policy period Is more loan S Premium one year premium n Datable $ S 9-~=-- ' EACH ACCIDENT AS RESPECTS PREMISES MEDICAL PAYMENTS r Countersigned by. Auu a 75.00 ~ AYD2 E • ~y _._ 1' 1 ,: TM feNewirp dens not form a part of Nre policy and is tumished for Informotkn enly. DESCRIPTION OF TERMS USED AS PREMIUM RASES: When used as o premium basis: 1. "admissions" means the total number of persons, other than employees of the named insured, admitted to the event insured or to events conducted on the premises whether on paid admission tickets, com- plimentary tickets or passes;. (Comprehensive General; Owners', Landlords' and Tenants'I 2: ••cosl" means the total cost to the named insured with ~espeil to operations performed for the named insured during the policy period by independent contractors of all work let or sub-let in connection with each specific project, including the cost of all labor,~materials and equipment furnished, used or delivered for use in the execution of such work, whether furnished by the owner, contractor or subcontractor, in• eluding all fees, allowances, bonuses or commissions made, paid or due; (Comprehensive General; Manufacturers' and Contractors';. Owners', Landlords' and Tenants'; Owners' and Contractors' Protective) 3. "receipts" means the grossamount of money charged by fhe named insured for such operations by the named insured or by others during the policy period as are rdted on a receipts basis other than receipts from telecasting, broadcasting or motion piilures, and includes taxes, other than Lazes which the named insured collects as a separate item andremits directly to a governmental division; (Comprehensive-General; Manufacturers' and Contractors'; Owners', Landlords' and Tenants'; Completed Operators and Products) 4. "romuneratten" means the entire remuneration earned during the policy period by proprietors and by all employees of the named insured, other than chauffeurs (except operators of mobile equipment) and air- craft pilots and co-pilots, subject to any overtime earnings or limitation of remuneration rule applicable in attordancewith the manuals inure by the company; (Comprehensive General; Manufacturers' and Coniractors';Owners', Landlords' and Tenants' which in- cludes coverage for structural alterations, new construction and demolition operations) S. "solos" means the gross amount of money charged by the named insured or by others trading under his name for all goods and products sold or distributed during the policy period and charged during the policy period for installation, servicing or repair, and. includes taxes, other than taxes which the named insured and such others collect as a separate item and remit directly to a governmental division; (Comprehensive General; Completed Operations and Products) 6. 'Yemuneration" means lal the entire remuneration earned during the policy period by each Class A em- ployee andeach Class C employee of the named insured, subject to an average weekly maximum of 5100, and Ibl the remuneration of each Class B person at a fixedamount of 32,000 per annum with respell to Deaer Risks Itiazard 1) or 35,200 per annum with respect to Non-Dealer Risks (Hazard 2). "Class A" means all clerical office employees "Class B" means all proprietors and officers active in the business, and inactive proprietors or officers )other than an inactive proprietor or officer who is a spouse of an active proprietor or officer) who customarily drive an automobile owned by the named insured; and all salesmen, general managers, service managers and chauffeurs "Class C" means all other employees; - (Garage lnsuroncel 7. A. "cost of hiri' means the amount incurred for jal ihehire of automobiles, including the entire remunera- tion of each employee of the namedinsured engaged in the operation of such automobiles subject to an average weekhy maximum remuneration Of E100, and for Ibl pick-up, transportation or delivery service of property ur pmsenyers, other than such servicey performed by motor corners which are subject to the security requvemenis of any motor carrier law or ordinance. The rates for eacR E700 of "cost of hire" shall be 5 % of the applicable hired automobile rates, provided the owner of such hired automobile has purchased automobile Bodily Injury Liability and Property Damage. Liability insurance covering the interest of the named insured on a direct primary. basis as respects such automobile and submits evidence of such insurance to the named insured; B. "Clots 1 persons" means the following persons, provided their usual duties in the business of the named insured include the uie of non-owned automobiles: la) all employees, including officers, of the named insured compehsaied for the use of such automobiles by salary, commission, terms of employ- ment, or ipecific operating allowance of any sort; Ib) all d'erect agents and representatives of the named Insured; C. "Class Z employees" means all employees, including officers, of the named insured, not included in Class 1 persons;. (Comprehensive Automobile Liability) 8. "rnst" means the total cost to any indemnitee with respect to any contrail which is insured of all work let or sub-let in connection with each specific project, including the cost of all labor, materials and equipment furnished, used or delivered for use inthe execution of such work, whether furnished by the owner, con- tractoror the subcontractor, including all fees, allowances, bonuses or commissions made, paid or due. ]Contractual Liability Insurance (Designated Contracts Onlyl] 1r ' 7}' ~+ Prdmm pro'eAhs of weNm malarial and arising out of Me • operation of a aueNar facility by any person or organization. C. aU{nd ~emlti g~frla~ii theehanrdou Properties o1 nue~ernmria- vial, if (1) the auelear mahda{ (a) is at any nectar taeilNy owned by, or operated 6y or on behalf of, an insured or (b) has been discharged or dispersed therefrom; (2) the autlear mahriai is contained in sped fuel or waste at any time possessed, handled, used, processed, stored, transported or disposed of by or tin behalf of an insured; or 131 the 6odiq Injury or properly damage arises out of the fur- nishing by an insured of services, materials, parts ar equipment In connection with the planning, construction, maintenance, operation or use of any nuclear hcility, but if such facility is located within the United States of America, its territories or possessions or Canada, this ex- clusion (3l aDPlies only to properly damage to such nuclear heftily and any property thereat. 11. As used in this endorsement: "huardeus proDertia;' includes radioactive, toxic ar explosive properties; "nuclear material" means source material, special nuclear material or byproduct mrterial; "source material;' "special nuclear material;' and "byproduct mate- rial" have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof; "spent het" means any fuel element or foci componerd,'sol{d or liquid, which has been used or exposed to radiation in a auelaar roxter; "waste" means any waste material (1) containing hyprodvet mah•• riot and l2) resultingg from the operation by any person or organize' }aciliq under Daragrfaph rla) or (bldthereofin the definition of mmNar "nuclear facility" means (a) any nuclear reader, (b) any equipment or device designed or used for 11) sepa- rating the isotopes of uranium or plutonium, (2) Drocesang or utdamg spent foal, or l3) handling, process-mg or pack- agingwaste, (c) any equipment or device used for the processing, fabriea• ling or alloying of special nuclsmmaterial if at any time the total .amount of such material in the custody of the Insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium dr uranium 233 or any combination Mereol, or more than 250 grams df uranium 235, (d) any structure, basin, excavation, premise or place pre' pared or used for the storage er disposal of wore, and includes the site on which any of the foregoing is located, all operations conducted on such site and all premises used for aucA operations; "nuclear reactor" means any apparatus designed or used to sustain nuclear fission in a self-supDOrbng chain reaction or to conWn a critical mass of fissionable material; "property damage" includes all forms of radioactive contamination at property. NEW YORK EKCEPTION: This exclusion does not apply to Automobile Liability Insurance in New York State. DEFINITIONS When used in this poliq (including endorsements forming a Dart hereo0: "ademohile" means a land motor vehicle, trailer or semi-trailer de- atBached thereto), but doeis not anclude mohsle equiprneinl ry dr apparatus "bodily injury" means bodily injury, sickness or disease sustained by' any person wh¢h occurs during the policy pendd, including death at any time resulting therefrom: "completed operation hazard" includes bodily injury and property damageansmg out of operations or reliance upon a representation or warranty made at any time. with respect thereto, but only ifthe bodily injury or property damage occurs after such aD?rations have been com- pleted or abandoned and occurs away from premises owned by or rented to the amedinsured. "Operations' include materials, Parts or egmp merit furnished in connection therewith Operations shall be deemed completed at the earliest of the following times: "' whir a!l operatluns to be purtorroed by or on 6ehalr or the named insured under the contract have been completed, l2) when all operations to be performed by or on behalf of the amad Insured at the site of the operations have been completed, or 13) when the portion of the work out of which the injury or damage arises has been Dut to its intended use by any person or organiza- lion other than another contractor or subcontractor engaged in -performing operations for a principal as a part oT the same pro)ect. Operations which may require Turther service or maintenance work, but whih~are otherw'aercomplete, shallcbesdeemedycomplet d,deficiency, The completed operations hazard does not include bodily injury or properly damage arising out of (a) operations in connection with the transportation of property, unless the bodily Injury dr properly damage arises out of a condition in or on a vehicle created by the loading or unloading thereof, (b) the existence of toots, uninstalled equipment or abandoned or un• used materials, or .-.c.,, ,.. ,,:~~ ~., -y.<'p.,r:nn sfafed in the DolicY Or in the iumpany s manue, apeuhes including completed uperatioe"; '' r CL 67y07C Po9e 2 a s " d ., ;.:. Royal- Globe Insurance ~ • E%ECUTIVE OFFICE: C-OM t';\1\ I E.ti I!0 WILLIAM STREET NEW YORK, NEW YORK IOOJe M1 SELECT-COVER POLICY (General Provisions) (YZ 0 ~ ~ ~ n l1U LS Q6~~g'v ~4 .~C SIr.Y,LE - ~n~ AREA CODE 401 ~ x-0068 103 EAST HIGH STREET BOUND BROOK, N. J. 088LL5 `'~~%~' TMse GENERAL PROVISIONS, the DECLARATIONS and the coverage PART(S) and erMorsements referred to in the DECLARATIONS uromplete the rontract of Insurance. The company designated in the DECLARATIONS made a Dart hereof, fa stock insurance company, herein called the company), in consideration of the pay- ment of the premium, in reliance upon the statements in the DECLARATIONS, and subject to all the terms of this policy and its designated coverage PARTISI, agrees with the named insured as follows and as contained in the PART(S) designated in the declarations. SUPPLEMENTARY PAYMENTS The company will pay, in addition to the applicable limit of liability: of bail bonds required of the insured because of accident ar tratfic law violation arising out of the use of any vehicle to which this (al all expenses incurred by the company, all costs taxed against the policy applies, not to exceed;250 per bail bond, but the company insured in any suit defended by the company and all interest on the shall have no obligation to apply for or furnish any such bonds; entire amount of any judgment therein which accrues after entry of the judgment and before the company has Daid or tendered or de~ Icl expenses incurred by the insured for first aid to others at the time posited in court that part of the judgment which does not exceed of an accident, for bodily injury to which this policy applies; the limit of the company's liability thereon; (dl reasonable expenses incurred by the insured at the company's re- (bl premiums on appeal bonds required in any such suit, premiums on quest in assisting the companyin the investigation or defense of bonds to release attachments in any such suit for an amount not in any claim or suit, including actual loss of earnings not to exceed excess of the applicable limit of liability of this policy, and the cost $25 Der day. SPECIAL ADDITIONAL EAClUS10N The following exclusion modifies the provisions of the policy relating to ALL LIABILITY AND MEDICAL PAYMENTSINSURANCE OTHER THAN COMPREHENSIVE PERSONAL AND FARMER'S COMPREHENSIVE PERSONAL INSURANCE. NUCLEAR ENERGY LIARIIITY EXCLUSION (Bread Form) It is agreed that: The policy does not apply: A. Under any Liability Coverage, to bodily injury or property dam- age fill with respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability Underwriters or Nuclear Insur- ance Association of Canada, or would be an insured un- der any such policy but for its termination upon exhaus~ tionof its limit of liabilty; or (21 resulting from the hazardous properties of neckar Ieate• vial and with respect to which (al any person or organiza- tion is required to maintain financial protection pursuant to the Atomic Energy Act of 1954, or any law amendatory thereof, or lbl the lasured is, or had this polity not Seen issued would be, entitled to indemnity from the United States of America, or any agency thereof, under any agree- ment entered into by the United States of America, or any agency thereof, with any person or organization B. Under any Medical Payments Coverage; br under any Supple• mentary Payments provision relating to first aid, to expenses incurred with respell to Yodifp iajtlry resaking tram the Ilaz- ~ CL OfO1C rt / : Page 1 1 GENERAL LIABILITY WORKSHEET/SCHEDULE NAMED INS NED s . __ ROYAL•6LOBE INSURANCE COMPANIES EFFECTIVE DATE POLICY SYM L 6 NUM I NI.U 33 ~~ 86 HAZARDS 4. STRUCTURAL ALTERATIONS 1. PREMISES-OPERATIONS k) Remuneration-per $100. a) Area-per 100 square feet m) Cost-per $100. b) Frontage-per linear foot c) Remuneration--per $100. d) Receipts-per $100. - 5. PRODUCTS-COMPLETED OPERATIONS e) Admissions-per 100 admissions it n) Sales--per $1000. p) Receipts--per $1000. f) Units-per un 2. ESCALATORS g) Number insured--per landing 6. CONTRACTUAL q) Number insured-per contract r) Cost-per $100. 3. INDEPENDENT CONTRACTORS h) Cost-per $100. PREMIUM RATES ADVANCE PREMIUMS _ NAZ ARD DESCRIPTION OF HAZARD 8 CODE BASES• BI Pp BI PD N0. FIREWORDS EXHIBITIONS SPONSORS -- ---- - 00326 _ FLAT C G 75.•00 _ _ - --- • CODE 8 NUMBER OF UNITS, E.C. 100,000 SD. FT. Of AREA.-: a-100,000 TAale S 75.QO : If policy period is more than EFFECTIVE DATE ]s[ ANNIVERSARY I Znd ANNIVERSARY I Tefal MYaNCe s 7 5 ~ one Year, Dremium Is f ll S S y Prewlue - ows: pey le B o - fx sT9oaA _ ~_ } '; ,` _3_x kf ;` y; ENDORSEMENT _ _ __ ~p~.~~o- Type policy number only, in this section above the heavy I P°BF in policy declarations _ Unless otherwise stated this endorsement forms a part of the policy to which ~MSUrutW' attached as of Issue, provided such attachment is stated in-the policy declarations. Otherwise, this endorsement is issued for attachment to and forms a part of the ® policy numbered below, eNective only on the date indicated on this endorsement but at the same time or hour of the day as the pDlicy became effective. AUTHOaIZED eEPRESENTATIVE ---- END. EEi. GATE POLICY SYMBOL 8 NUMaEA I(MO,DAY.YP.1 NLU 33 39 86 Add'I. [l Return S _ _,__ ___..__ Named Insured (and address, zip code, when necessary for mailing _J Producer land address, zip code. for mailing) ~- L. THIS POLICY TO COVER FIREWORDS DISPLAY AT LOC LISTED IN ITEM 2 ON JULY 4 1976 OR RAIN DAY JULY 5, 1976 CL 20029Q-Sets ~; *t: ~, 1 ContirWed From Reverse Side (2) the failure of the named insured's products or work performed by or on behalf of the named insured to meet the level of performance, quality, fitness or durability warranted or represented by the named insured; but this exclusion does not apply to loss of use of other tangible property resulting from the sudden and acciden~ tat physical injury to or destr.u ton of thenamed in- sured's products or work performed by or on behalf of the named insured after such products or work have been put t0 use by any person or organization other than an Insured; (n) to property damage to the named insured's products arising out of such products or any part of such products, (o) to property damage to work performed by or on behalf of the named insured arising out of the work or any por~ tion thereof, or out of materials, parts or equipment turmshed in connection [herewith; (p) to bodily injury or property damage included within the completed operations hazard ~ i•,e products hazard; bodily injury or property damage i' ;~~ , ~t ut :,~k~er atiwn on or from premises (other than the insured premises) owned by, rented to or controlled by the named insured, or to liability assumed by the insured under any contract or agreement relating to such prem- ises. II. PERSONS INSURED Each of the following is an insured under this insurance to the extent set forth below: (a) if the named insured is designated in the declarations as an individual, the person so designated but only with respect to the conduct of a business of which he is the sole Droprietor, and the spouse of the named insuretl with respect to the conduct of such a business;. (b) if the named insured is .designated in the declarations as a partnership or joint venture, the partnership or joint venture sb designated and any partner or member thereof but only with respect tohis liability as such; (c) if thenamed insured is designated in. the declarations as other than an individual, partnership or joint ven- ture,the organization so designated and any executive officer, director or stockholder thereof white acting within the Scope of his duties as such; (d) any person (other than an employee of the named in- sured) or organization while acting as real estate man- ager for the named insured. This insurance does not' appw to bodily injury or property demap ar,vng vul :.! :he woo u.,i ..! a .r pg'~tr,c! ,:,L -~ iouri venture of which the insured is a partner or member and which is no[ designated in this policy as a named insured. III. LIMITS OF LIABILITY Regardless of the number of (1) insureds under this pol- icy, l2) persons or organizations who sustain bodily in)ury or property damage, or (3) claims made or suits brought on account of hodily injury or property damage, the company's baby,"y ~; limited as follows: Coverage A-The total liability of the company for all tlam- ages, including damages foi care andloss of services. because of bodily injury susta ~~ned by one or more persons as the re- su!t of any one occurence shall not exceed the limit of bodily injury liability stated nn the declarations as applicable to "each occurrence". Coverage B-The total ~. ~a built' of the company for all dam- ages because of an property damage sustained by one or more persons or organizations as the result of any one occurrence shall not exceed the limit of propertydamage habillty stated m the declarations as applicable to "each occurence". Subject to the above provisions respecting "each o~eur- rence." !h.~ t..r,- ~ ,. ~- rain pony for an dam aqe° beca.au of au Droperty damage to which th,o ~ozerage ,a, ~,, ,..,~ ,.. "P. ^~.:• ,_.. ,.~rur•~hg in .the rource of structural e~terebons wn.~n involve changing the sze of or moving buildings or other structures, new construction or demolition operations performed by or on behalf of [he named insured (including any such property damage for which liability is assumed under any incidental contract relating to such operations) shall not exceed the limit of property damage liability stated in the declarations as "aggregate." Coverages A and B-For the purpose of determining the limit of the company's liability, all bodily injury and prop- erty damage arising out of continuous or repeated exposure to substantially the same general conditions shalt be consi- ered as arising out of one occurence. IV. ADDITIONAL DEFINITION .When used in reference to this insurance (including en- dorsements forming a part of the policy): "insured premises" means (7) the premises designated in the declarations, (2) premises alienated by the named insured (other than premises constructed for sale by the named insured), if possessions has been relinquished to others, and (3) premises as to which the named insured acquires ownership or control and reports his intention to insure such premises under this policyand no other within 30 days after such acquisition; and includesthe ways im- mediately adjoining such premises on land. V POLICY TER RITORY This insurance applies only-to bodily. infury or property damage which occurs within the policy territory. 's CL 67907 ._~ ` Part 3 ~a ao~"L- toB~, OWNERS', LANDLORDS' AND TENANTS' LIABILITY INSURANCE ROTAL•6LOBE INSURANCE CDMPI~t11ES This coverage PART, the DECLARATIONS and other ceverage PART(SI, or endorsements referred to herein, and the GENERAL PROVISIONS eempiete de contract of insurance. rMSVease" COVERAGE FOR DESIGNATED PREMISES AND RELATED OPERATIONS IN PROGRESS INCLUDING STRUCTURAL ALTERATIONS, NEW CONSTRUCTION AND DEMOLITION I. COVERAGE A-BODILY INJURY LIABILITY COVERAGE B-PROPERTY DAMAGE LIABILITY The company will pay on behalf of the insured ali sums which the insured shall become legally obligated to pay as damages because of Coverage A. bodily injury or Coverage B. property damage to which this insurance applies, caused by an occurence and arising out of the ownership, maintenance or use of the insured premises and all operations necessary or modental thereto, and the company shall have the right and .duty to defend any suit against the insured seeking damages on ac- count o! wrh bodily injury or property damage, even d any of the allegations of the suit are groundle~-.=. faire or fr.-, iu- ~ent and may make such investigation and settlement of any claim or suit as it deems expedient, but the company shall not be obligated to pay any claim or judgment or to defend any suit after the applicable limit of the company's liability has been exhausted by payment of judgments or settlements. Exclusions This insurance does not apply: (a) to liability assumed by the insured under any contract or agreement except an incidental contract; but with respect to bodily injury or property damage occurring while work performed by or on behalf of the named insured is in progress, this exclusion does not apply [o a warranty that such work will be done in a workman- like manner; (b) to bodily injury or property damage arising out of the ownership, maintenance, operation, use, loading or un- loading of (1) any automobile or aircraft owned or operated by or rented or loaned to any insured, or (2) any other automobile or aircraft operated by any person in the course of his employment by any in- sured; but this excusion does not apply to the parking of an automobile on insured premises, if such automobile is not owned by or rented or loaned to any insured; 'rt to bodily injury or property damage ~~ .' . ". ownership, maintenance, operat~on,.use, loading or un- loading of any mobile squiDmant while being used in any prearranged or organized racing, speed or demolition contest or in any stunting activity or in practice or prep- aration for any such contest or activity orY2) the opera- tion or use of any snowmobile or trailer designed for use therewith; (d) tobodily injury or proDSrty damage arising out of and in the course of the transportation of mobile equipment by an automobile owned or operated by or rented or loaned to any insured; (e) [o bodily injury or property damage arising out of the ownership, maintenance, operation, use, loading or un- loading of (1) any watercraft owned or operated by or rented or loaned to any insured, or (2) any other watercraft operated by any person in the course of his employment by any insured; Dut this exclusion does not apply to watercraft while ashore on the insured premises; (f) to bodily injury or property damage arising out of the discharge, dispersal, release or escape of smoke, vapors, soot. fumes. acids, alkalis, toxic chwnicals, liquids or gases, waste materials or other irritants, contaminants or pollutants Into or upon land, the atmosphere or any water course or body of water; but this exclusion does not app~y if such discharge, dispersal, release or escape is sudden and acodenta l; (g) to bodily injury or property damage due to war, whether or not declared, civil war, insurrection, rebellion or revo- lution or to any atl or condition incident to any of [he foregoing, with respect t0 (1! lability astu med by the insured under an incidental contract, , rxpenses tu; '~i ~,; w.:ei Inc Supplementary Pay- ments provision, (h) to bodily injury or property damage for which the insured or his indemnitee may be held liable (1) as a person or organization engaged in the business of manufacturing, distributing, selling or serving al- coholic beverages, or (2) if not so engaged, as an owner or lessor of premises used for such purposes, if such liability is imposed (i) by, or because of the violation of, any statute, or- dinance or .regulation pertaining to the sale, gift, distribution or use of any alcoholic beverage, or (ii) by reason of the selling, serving or giving of any alcoholic beverage to a minor or to a person under the intluence of alcohol or which causes or contri- butes to the intoxication of any person; _.. but part (ii) of this exclusion does not apply with respect to liability of the insured or his indemnitee as an owner or lessor described in (2) above; (i) to any obligation for which the insured or any carrier as his insurer may be held liable under any workmen's com- pensation, unemployment compensation or disability benefits law, or under any similar law; (j). to bodily injury to any employee of the insured arising out of and in the course of his employment by the insured or to any obligation of the insured to indemnity another ex~,u>wn ~.,~~ ~ y .., „eo~~,.y assu meu c,y the insured under an incidental contract; (k) to property damage to (U propertyowned oroccupied by or rented to the in- sured, (21 property used by the insured, or (3) property in the care, custody or control of the in, sured or as to which the insured is for any purpose exercising physical control; but parts (2) and (3) of this exclusion do not apply with respect to liablity under a written sidetrack agreement and part (3) of this excusion does not apply with re- sped to .Property damage (other than. to elevators) aris- ing out of the use of an elevator at the insured premises; (U to property damage to .premises alienated by the named insured arising out of such premises or any part thereof; tin) to loss of use of tangible property which has not been physcally injured or destroyed resu lh rig from (ll a delay in or lack of performance by or on behalf of the named insured of any contractor agreement, or j BOLT Ed. 1.1.73 ~ ~L 67907A - ~3ver Attoch All Forms And Endorsements Here "elevator" means any hoisting or lowering device to connect floors or landings, whether or not in service, and all appliances thereof includ- ing any car, platform, shaft, hoistway, stairway, runway, Dower equip- ment and machinery; but does not include an automobile servicing hoist, or a hoist without a platform outside a building if without mechanical power or if not attached to building walls, or a hod or material hoist used in alteration. construction or demolition operations. or an inclined conveyor used exclusively for carrying property or a dumbwaiter used exclusively for carrying property and hav log a compartment height not exceeding four feet. "incidental contract" means any written Ul lease of premises, 121 easement agreement, except in connection with construction or demoli- tion operations on or adjacent to a railroad, (3) undertaking to indemnify a municipality required by municipal ordinance, except m connection with work for the municipality, l4) sidetrack agreement, ar Ib) elevator maintenance agreement: "insured" means anv person or organization qualifying as an insured in the "Persons Insured" provision of the applicable insurance coverage. The insurance afforded applies separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the company's liability; "mobile equipment" means a land vehicle )including any machinery or apparatus attached thereto), whetne~ - not sell,propelldd, Ill not subject to motor vehicle registration, or p) maintained !or u;e e+c'~: sively on premises awned by or rented to the named insured, including the ways immediately adjoining, or 13L designed for use principally off public roads, or (4) designed or maintained for the sole purpose of affording mobility to equipment of the following types forming art in- tegral part of or permanently attached to such vehicle: power cranes, shovels, loaders, diggers and drills; concrete mixers (other than the mix-in-transit type); graders, scrapers, rollers and other road construc- tion or repair equipment; air-compressors, pumps and generators; in- cluding spraying, welding and building cleaning equipment; and ged- physical exploration and well servicing equipment; "named insured" means the person or organization named in' Item 1. of the declarations of this policy; "named insured's products" means goods or products manufactured, sold. handled or distributed by the named insured or by others trading under his name, including any container thereof (other than a vehicle), but "named insured's products" shall not include a vending machine or any property other than such container, rented to or located for use of others but not sold; "occurrence" means an accident, including oontinuous or repeated exposure to conditions, which results in bodily injury or property damage neither expected nor intended from the standpoint of the insured; "policy territory" means:' I1) the United States of America, its territories or possessions, or Cam ado, or (2) international waters or air space, provided the bodily injury or prop- . erty damage does not occur in the course of travel or transportation to or from any other country, state or nation, or 131 anywhere in the world with respect to damages because of bodily injury or property damage arising out of a product which was sold (or use or consumption within the territory described in paragraph ll) above, provided the original suit for such damages is brought within such territory; "products hazard" iccludes bodily injury and property damage arising nut of the named insured's products or rehance upon a representahon or warranty made at any time with respect thereto, but only if the bodily injury or property damage occurs away from premises owned by or rented to the named insured and afterphysical possession of such prod-. ucts has been relinquished to others; "property damage" means l1) physical injury to or destruction of tangi- ble property which occurs duringthe policy penod, includingthe loss of use thereof at any time resulting therefrom: or (2) loss of use of tangible property which has not been physically injured or destroyed provided such loss of use is caused by an occurrence during the policy penod. CONDITIONS 1. Premium All premiums far this policy shall be computed in ac- cordance with the company's rules, rates, rating plans, premiums and minimum premiums applicable to the insurance afforded herein. Premium designated in th ispolicy as "advance premium" is a deposit premium only which shall be .credited to the amount of the earned pre- mium due at th"e end of the policy period. At the close of each period for part thereof terminating with the end of the policy period) designated in the declarations as the audit period the earned premium shall be com~ puted for such period and, upon notice thereof to the namedinsured, shall become due and payable. If the total earned premium for the policy period is less than the premium previously. paid, the company shall return to the named insured the unearned portion paid by the named insured. The named insured shall maintain records of such information as is necruarv for premium computation. and shall send conies of such :ew'~J; :o the Company a[ the end of the pm,cy pc'wn end e; soCr times during the policy periodas the company may direct. 2. Inspection and Audit The company shall be permitted but not obli~ gated to inspect the named insured's property and operations at any time. Neither the company's right to make in- spections nor the making thereof nor any report thereon shall constitute an undertaking, on behalf of or for the benefit of the named insured or others, to determine or warrant that such property or operations are safe or healthful, or are in compliance with any law, rule or regulation. The company may examine and audit the named insured'S books and records at any time during the policy period and extens ions .thereof and within three years after the final termination of This policy. as far as they relate to the sublet! matter. or this insurance. 3. Financial Aespansihility Laws When this policy is certified as proof of financial responsibility for the fu- ture under the provisions of any motor vehicle financial responsibility law, such insurance as is afforded 6y this policy for bodily injury lia~ bility er for property damage liability shall comply with the provisions of such law to theextent of the coverage and limits o! liability required by such law. The insured agrees to reimburse the company for any pay- ment made by the company which it would not have been obligated to make under the terms of this policy except for the agreement contained in this paragraph. A. Insured's Duties in the Fvent of Occurrence, Claim or Suil lal In the event of an occurrence, written notice containing particulars sufficient to identify the insured and also reasonably obtainable information with respect to the time, Dlaqe and circumstances thereof, and the names and addresses of the injured and of availa- ble witnesses, shall be given by or for the insured to the company or any of its authorized agents as soon as.practicable. Ib) If claim is made or suit is brought against the insured, the insured shall immediately. forward tp the company every demand, notice, summons or other process received by him or his representative. Icl The insured shall cooperate with the company and, upon the coin- . _. ~ ~ » ,r.~...e-,. - ... ~ ,r suds and in enforcing any nght o! contnbutron or mdemnrtyagamst any person or organization who may be liable to the insured be- cause of injury or damage with respect to which insurance is afforded under this policy; and the insured shall attend hearings and trials and assist in securing and giving evidence and obtaining the attendance of witnesses. The insured shall not, except at his own cost, voluntarily make any payment, assume any obligation or incur any expense other than for first aid to others at the time of accident. 5. Action Against Company No action shall lie against the company unless, as acondition precedent thereto, there shallhave been full compliance with all of the terms of this policy, nor until the amount of the insuted's obligation to pay shall have been finally determined either by judgment against the insured after actual trial or by written agreement of the insured, the claimant and the company. Any person or organization or the legal representative thereof who has secured such judgment or written agreement shall thereafter be entitled to recover under this policy to the extent of the insurance afforded by this policy. No person or organization shalt have any right under this policy to join the company as a party to any action against t. u anon ~ ; 5-._:." .. Page 3 x ~~<:' r .the insured to determine the insured's liability, nor shall the company be impleaded by the insured or his legal representative. Bankruptcy or insolvency of the insured or of the insured's estate shall not relieve the company of any of its obligations hereunder. 6. Other Insurance The insurance afforded by this policy is primary insurance, except when stated to apply inexcess of or contingent upon the absence of other insurance. When this in~ surante is primary and the insured hasother insurance which is stated to be applicable to the lass on an excess or contingent basis. the amount of the company's liability under this policy shall riot be reduced by the existence of such other insurance. When both this insurance and other insurance aDPly to the loss on the same basis, whether primary, excess or contingent. the company shall not be liable under this policy for a greater proportion of the loss than that stated in the applicable contribution provision below (al Contribution by Equal Shares. If all of such other valid and ooh lectible insurance provides for contnbution by equal shares. the company shall not be liable fora greater proportion of such loss Ihan would be payable if each insurer contributes an equal share until the share of each insurer epubls the lowest applicable limit of liability under any one policy or the tullamcunt of the loss is paid, and with res Dect to any amount of Idss not so paid the re~ maining insurers then continue to contribute equal shares of the remaining amount of the lass until each such insurer has paid ds bind m lull or the full amount of the loss is paid Ibl Contribution by limits.. If any o! such other insurance does net provide for contnbution by equal shares. the company shall not be liable for a greater proportion of such loss than the applicable limit of liability under this policy for such loss bears to the total applicable limit of liability of all valid and collectible insurance against such loss. T. Subrogation In the event of any payment under this policy, the company shall be subrogated to all the insured'i rights of recovery therefor against any person or organization and the insured shall exetuteand deliver instruments and papers and do whatever else is necessary to secure such rights. The insured shall do nothing after loss to prejudice such rights. B. Changes Notice to any agent or knowledge possessed byany agent or by any other person shall not effect a waiver or a change in any part of this policy or estdp the company from asserting any right under the terms of this policy: nor shall the terms of this" policy be waived or' changed, except by endorsement issued to farm a. part of this policy. .,- 9. Assignment Assignment of interest under this policy shall not bind the company until its consent is endorsed here on: it however, the named insured shall die, such insurance as is af- forded by this policy shall apply (I) to the named insured's legal repre- sentahve. as the named insured, but only while acting within the scope of his duties as such, and 121 with respect to the property of the named insured, to the person having proper temporary custody thereat, as in~ cured, but only until the appointment and qualification of the legal reDreSentatiye. 10. Three Year Policy If this policy is issued for a period of three years any lima of the company's liability stated in this policy as 'aggregate" shall apply separately to each consecutive annual period thereof. 11. Cancellation This policy may Oe cancelled by the named insured by surrender thereof to the company or any of its authorzed agents or by mailing to the company written notice stating When therearter the cancellation shall be effective. This policy may be cancelled by the company by mailing to the named insured at the ad~ dress shown in this policy, written notice stating when not less than ten days thereafter such can[ellationshall be effective. the mailing of n~t.ro es aforesaid shall he su K2icnt proof of notice The lima ~I sun render or the effective date and hour of cancellation stated m the no!.~.e shall be[nn~e the end of the policy period. Delivery of such written notice either by the named insured or by the company shall be equivalent to mailing. If the named insured cancels, earned premium shall be computed in accordance with the customary short rate table and procedure. If the company cancels. earned premium shall be Computed pro rata. Premium adjustment may be made either at the time tancetlation is effected or as soon as practicable after cancellation becomes eNective. but payment or tender of unearned premium is not a condition of cancellation. 12. Oeolaralidns By acceptance of this policy, the named insured agrees that the statements in the declarations are his agreements and representations. that this policy is issued in reliance upon the truth of such representatibns and that this policy embodies all agreements existing between himself and the company or any of its agents relating to this insurance. In Witness Whereof, the company has caused this policy to be executed and attested.. but this policy shall not be valid unless countersigned on the declarations page by a duly authorized representative of the company. 1/fr/I~~r 1 •"d ~~ ~ i, ' ` , / C~.p~.are Sener.rn Pretiderrx/U.S. Alartager CANCELLATION CONDITION-AMENDMENT OF FIRST PARAGRAPH Applicable to policies issued or delivered in Michigan ICis agreed that with respect to the "Czncellation" provisions of the policy: 1. The words "al the address shown in this policy", appearing in the first paragraph of the "Cancellation" Condition, are amended to read "at his address last known to the company or ds authonzed agent". 2. The provisions (d forming a part of the policy) of the endorsement entitled "Amendment of Termination Prowsmns (Michigan)" apply as stated therein. 3. The provisions. it any. formrg a part of the policy wh¢h (by endorsement or otherwise) amend the "Cancellation" provisions of flip poly other than as staled or designated in this endorsement are deleted. - A 0002 G 503 Cl b]901C Pape 4 <^ ;. ' APPLICATION , T0: JUDITH T. TERRY, TOWN CLERK, TOWN OF SOUTHOLD APPLICATION IS HEREBY MADE, pursuant to the pro- visions of Section 405.00 of the Penal Law of the State of New York, for a permit to display fireworks as hereinafter specified:~p~ ~~ The display is to be sponsored by J i ~ E~~ k with principal office at ~,4ST /~t>9 /~ r on/ ~h New York, and will be held on ~ ~ L day mont 'Igo, at Q~ 3o P.M. hour RAIN DATE:y~v~~ ~ I °i 7 6 The following persons are to be in charge of the actual shooting of the fireworks: Name 'f -~ o ,~.~ a s ~Q- P R A- 3~ ~A-~- h o /~ PN~4 3J~ Ro~3pY~ ~315tio~ ~ Experience /S ~PA RS ~ ~ L~ 2s ~~~~ a 2s Physical Condition (~'~ n c 17 ~ c c %~ ~~~~ Number and type of fireworks is as follows: i ltioR11S ~ /-~~1- ~~ie~ A'~~a ~ur,vzTe No. - iov - ~~.~ The fireworks will be stored in a covered truck prior to the shooting on the grounds. Attached hereto and made a part hereof is a diagram of the grounds on which the display is to be held. Also attached is the certificate or policy of insurance coverage. Respectfully submitted, ~~ ame o organization By .,~/ Dated: ~ ~, l ~ 76 at ~ f~, New York. ' ~ APPLICATION . T0: JUDITH T. TERRY, TOWN CLERK, TOWN OF SOUTHOLD APPLICATION IS HEREBY MADE, pursuant to the pro- visions of Section 405.00 of the Penal Law of the for a permit to display fireworks as hereinafter The display is to be sponsored with principal office / ~~. New York, and will be held on 7 _, day hour RAIN DATE: ,Lu L ~ S, l9 7 The following persons are to be in charge of the State of New Yor/k/, ~/~ _~ specified~~p~,~ Cgu~.+ v''OO'^' by ~r~R ~-~~ ~G1CL~-I~ at ti4 sT /~'1 ~ R ~ ~ N IU~~ month~- actual shooting of the fireworks: Name `~h,oM,4-~ A-i~R~,4- 36 ~'A-~. ~l©ReN~ Ra (3eRT' (~,s1,d~ _ ~~ Experience ~s y~A~~ / ~f ~~E.4 ~..5' r ~ yea- R S' Physical Condition Gma ~ ~~oo D ~00 O Number and type of fireworks is as follows: i1e ALL S'1,%z.~c ,4- P P i2 o k ~ .~~ ~4 'i^e nro: ^ 1 a o -- 1~ s' The fireworks will be stored in a covered truck prior to the shooting on the grounds. Attached hereto and made a part hereof is a diagram of the grounds on which the display is to be held. Also attached is the certificate or policy of insurance coverage. Respectfully submitted, zation By Dated: ~ J 7 ~ at New York.