HomeMy WebLinkAbout2009To:
From
Re:
RECEIVED
dUL 20 mO§
Southold Town Clerk
Lynn Bohn
Town Clerks Office
Peter Harr/s
G-reenport Fire Department
Certificate of Insurance/Blue Sky Amusements
For Carnival to be held at Strawberry Field Park, Aug. 5 thm 9
Date: July 20, 2009
3ul 17 ~OOG iO:50AM ALLIED SPECIALTY IMSURAMG 7273675685
~ CERTIFICATE OF LIABILITY INSURANCE I "~'~'A'~/o~
Allied Specialty InsUrance, Znc TH~ CERTIF~ATE · 18SU~ A8 A MAi t~R OF IHFOR~TK)N
10451 Gulf Blvd, ~Y~DOONFE~NORIG~U~ONTHE~E~I~A~ ,
T~ea~ur~ Island, FL 3370; ~DE~ERTIFI~TE~NOT~ND,~ND~
800/237-3355
Blue S~ A~ueemente & ~nter=ainmen~ ;~ T,H.E. Insurance Company
83 S~fter Street m~e
~ X ~M~e~N u~l~ ~9MF0009 03/06/09 03/06/lC
Effective from 8/0~/09 Additional ineured~ TO~ O~ SOUTH
through 8/11/09 ~D CO~Y OF SUFFOLK
AS RESPECTS TO ~E OPE~TIONS OF
THE ~ED INS~D.
TOWN OF ~O~ HOLD, ~
~ CO~TY OF SUFFOLK
ACORD 26 (2001/08)
~ ACORD ~ORPORA'nON 1BB!
CERTIFICATE NO:
ISSUE DATE (MM/DD/YY)
200904040046 CERTIFICATE OF INSURANCE I z/o /2oo9
McQueary Henry Bowies Troy LLP ~ELOW
12700 Park Central Drive
17th Floor COMPANIES AFFORDING COVERAGE
Dallas, TX 65251-0470 : COM~ANY
LETTER A OLD REPUBLIC INSURANCE CO.
INSURED COMPANY
INSURED BOY SCOUTS OF AMERICA AND EACH rrrnzR B
LOCAL SCOUT COUNCIL INCLUDING cow^Nv
SUFFOLK COUNTY COUNCIL g404
BOY SCOUTS DE AMERICA LETrEa D
7 SCOUTING BLVD.
MEDFORD, NY 11763 co~Y
MWZY 58122 3/112009 31112010 P~ONnL .ADV~T~S~ r~JL~¥
certificate of insurance but only with respect to operation by or on behalf of the Insured, or to facilities of, or facilities used by the Insured
and then only for the limits of liability specified in such contract for Boy Scout Troop 6 car show at the Town of Southold Recreation
Center/Peconic Lane School, Peconic New York on September 5, 2009 (Rain Date - September 6, 2009).
SOU TH OL D, NY 11971 OBLIGATION OR LIBILITY OF ANY KIND UPON THE R'~ SUPER AFFORDING COVERAGE. ITS AGENTS OR
Donald E. Bowl~, CPCU, CLU