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HomeMy WebLinkAbout1964T0: TOWN OR VILLAGE CLERK: Application is made hereby, pursant to the provisions of the Penal Law, State of New York, Section 1894-a,for a permit to display Fireworks as hereafter specified; Southold Fire Dept. The display is sponsored by at Southold, L.I. New York, and will be held on 1 July 1964 at after dark P.M. (day) (date) (hour) Rain Date July 2 1 ~- The Company in charge of firing the display is the PYROTECHNIC PRODUCTS COP4PANY, with principle office at Bellport Long Island, New York, Proprietor is Felia Grucci. The two men who will fire this display are: NAME AGE E%PERIENCE Ph[Y. CONDITION Joseph Grucci 55 20 years good Jsaes Grucci 23 7 years good 40 48 NUMBERS AND TYPES Or^ FIRES°IORKS Aerial Display Shells Grand Finale Shells The fireworks will be stored in a covered truck prior to the shooting on the grounds. DATED : ~ ~~~ at S'D ~~~/ L/~ NE'+' YORK .-~ ~> ~~ ~ ? ~~ ~ ~~ ~ ~. ~cespectively submitted, 4 Certificate #14 CERTIFICATE of YNSURANCE THIS IS TO CERTIFY that the following described pOwner's, Lan1dltorvdls' apnd7lTenan~,erags issued through TRANS WORLD EXCESS INC., 116 John JilrNew1lfobr~C 3>~, IQ.Y.,~i inrt~ull~orca and effect. INSURED: Felix Grucci, d/b/a Pyrotechnic Products Company and/or Southol~outt~iolI~ep~:I=To~of South3d, Fire District Property, ADDRESS OF INSURED: Association Road, Bellport, Long Island, New York POLICY No.: 3 OL 3383 INSURERS: Insurance Company of St. Louis !i'`~fr".VE DATE OF CERTiFiCATE: 4/25/64 EnPiRAT10N DATE OF POLICY: This certificate covers fireworks 4/25/65 display dfiy 1, 1964 -- rain date ~r~1iTS OF LIABf.ITY: July 2, 1964 aGDiLY IN:URY: $ 50 , 000. per person $ 100,000. Per accident S aggregate PROPERTY DAMAGE: ~ 25,000. Per accident Subject to a $50. deductible clause each and every claim including claim $ aggregate expenses., which sum is to be paid by LOCATION COVERED: Fire District Prope Grucci dba Pyrotechnic Products Co. DESCRIPTION OF Y/ORK COVERED: gireworks Display THIS CERTIFICATE IS ISSUED TO: Name Southold Fire Dept. -Town of Southold, Address Fire District Property, Southold, LI, N.Y. whom TRANS WORLD EXCESS INC. agrees to notify if the above described Poliry is cancelled before the expiration date shown above, but assumes no responsibility for failure to so notify. TRANS WORLD EXCESS INC. mm 4-24-64 ~~` / Certificate #14 CERTIFICATE of INSURANCE TtIIS is TO CERTIFY that the following described Owner's, Landlords' and Tenant~vera e Public Liabilityy Insurance g issued through TRANS WORLD EXCESS INC., 116 John fir., New York 38, N. Y., ii in full force and effect. INSURED: Felix Grucci, d/b/a Pyrotechnic Products Company and/or Southol~ u~~~l~ep~:I.To~of South3d, Fire District Property, ADDRESS OF INSURED: Association Road, Bellport, Long Island, New York POLICY No.: 3 OL 3383 INSURERS: Insurance Company of St. Louis EFFECTIVE DATE OF CERTIFICATE: 4/25/64 EXPIRATION DATE OF POLICY: 4/25/65 ~• certificate covers firemorke display Siy 1, 1964 -- rain date Lit.11TS OF LlAlilllTY: July 2, 1964 i;JJiLY iNJURy': $ 50,000. per person S 100,000. pef accident 5 aggregate Pt<OPERTY DAMAGE: $ 25,000. per accident Subject to a $50. deductible clause each and every claim including claim $ aggregate expenses ~ rhioh eua ie to be paid by LOCATION COVERED: Fire District Pro Oruooi dba Pyroteohttio Prodnots Co. DESCRIPTION OF WORK COVERED: Fireworks Display THIS CERTIFICATE IS ISSUED TO: Southold Fire Dept. -Town of Southold, Name Fire District Property, Southold, LI, N.Y. Address whom TRANS WORLD EXCESS INC. agrees to notify if the above described Polity is cancelled before fhs expiration date shown above, but assumes no responsibility for failure to so notify, aml 4-24-64 TRANS WORLD EXCESS INC. By ~~S ~r~`~ ~~ C ~~ ~ ~~~~~ 1 (.vR~wo0.§' 1 hOC Al ~~~ y ~` S~V lh~~'l~_ _ _ .. ~UI S~ ~oS~ ~r~~ `. R~c;n fly` ~ µ~„s~ ~~ ~ !~ S ~ ~ `~ w I~ ~ i OJ~:{~-hE hD W~R~S ~`~~IfJs'.~OtkD ^_~_ `' ~ J I.