Loading...
HomeMy WebLinkAboutLong Island Wine CouncilPRODUCER LEWIS E DUFORT 104 EDWARDS AVE CALVERTON, NY `1'1933 INSURED LONG ISLAND WINE COUNCIL MAIN ROAD PO BOX 842 JAMESPORT NY 11947 08/10/98 THIS CERTIFICATE IS UED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A FARM FAMILY CASUALTY INS COMPANY COMPANY B COMPANY C COMPANY I D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, No"rWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ~SSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS I CO , i POLICY EFFECTIVE POLICY EXPIRATION LTR: TYPE OF iNSURANCE POLICY NUMBER DATE (MM/DDP~Y) DATE (MMIDD/YY) LIMITS A i GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 X ~ COMMERCIAL GENERAL L AEL mY 3152L6735 07/27/98 07/27/99 PRODUCTS- COMP/OP AGG ' $ :CLAIMS MADE I OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ; ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS PERSONAL & ADV INJURY $ 1.000,000 EACH OCcuRReNcE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 50,000 MEDEXP (Anyoneperson} $ 5~000 COMBINED SINGLE LIMIT $ i BODILY INJURY $ (Per person) , BODILY INJURY (Per accident) $ $ PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE i EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY WC STATU EL EACH ACCIDENT EL DISEASE - POLICY LIMIT EL DISEASE - EA EMPLOYEE OTHER A ILIQUOR LIABILITY i3152L6736 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS 07-27-98 07-27-99 ;$1,000,000 TOWN OF SOUTHOLD PO BOX 1179 SOUTHOLD, NY 11971 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER~.,~,,.~i~NAMED LEFT, OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Ali6 t 1998 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SPECIAL PERMIT A Special Permit is hereby granted, in accordance with Chapter 27, Section 27-1-B of the Code of the Town of Southold, to the Long Island Wine Council for the 1997 Long Island Barrel Tasting, a charitable event, co- sponsored by the East End Hospice, Westhampton Beach, and Peconic Health Corporation, a consortium of the three eastern Long Island hospitals, to be held at Osprey's Dominion Winery, Main Road, Peconic, N.Y., on Saturday, August 16, 1997, from 6:00 p.m. to 10:00 p.m., provided they file with the Town Clerk a One Million Dollar Certificate of Liability Insurance naming the Town of Southold as an additional insured. Dated: August 8, 1997. Judith T. Terry Southold Town Clerk Certificate of Insurance pending cc: Chief of Police Conway Building Dept. (tents) PRODUCER 516-727-7766 THIS CERTIFICATE IS lED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DAVID G ABRAMOWSKI HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1281 A OLD COUNTRY ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. RIVERHEAD NY 11901 COMPANIES AFFORDING COVERAGE COMPANY A FARM FAMILY CASUALTY INSURANCE COMPANY INSURED COMPANY LONG ISLAND WINE COUNCIL INC B MAIN ROAD COMPANY PO BOX 842 C JAMESPORT NY 11947-0842 COMPANY I D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTVVITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE IMMIDD/YYI DATE (M MIDO/YYI LIMITS GENERAL LIABILITY GENERAL AGGREGATE ! $ 1,000,000 A ~COMMERCIALGENERALLIABILITY 3152L6735 07-27-97 07-27-98 PRODUCTS-COMP/OPAGG $ -- --~CLA,MSMAOE [~OCCUR I PERSONAL&ADV,NJURY OWNER'S & CONTRACTOR'S PROT I EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 50,000 MEG EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT __ ALL OWNED AUTOS BODILY INJURY I $ __ SCHEDULED AUTOS ___(Per person) __ HIRED AUTOS BODILY INJURY ' NON-OWNED AUTOS EXCESS LIABILITY EACH OCCURRENCE $  UMBRELLA FORM AGGREGATE ! OTHER THAN UMBRELLA FORM I $ WCRKER'SCOMPENSAT~ONANB r~ TORYLiMirS I I I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLEBISPECIAL ITEMS WITH THE BELOW LISTED AS ADDITIONAL INSURED FOR THE 1997 LONG ISLAND BARREL TASTING, AT OSPREY'S DOMINION WINERY, ON AUGUST 16, 1997. TOWN OF SOUTHOLD 15 TOWN HALL, 53095 MAIN ROAD BAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, PO BOX 1179 ~UT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY SOUTHOLD NY 11971 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES FARM FAMILY INS ID:516-727-7941 RUG 14'97 9:39 No.O02 P.02 8113197 ; ~" ~F INFORMATION 'R~UG~ bl~.-z/o~ ~LY ~D C~FER8 ~ RIOHT8 UP~ TH~ CERTIFICATE DAVID O AB~MOW~KI HO~ER. ~HI$ CER~FICATE ~E8 ~T AMEND, EX'ND OR ALTER THE CO~GE AFFORD BY THE pOL~IES B~LOW, 1281 A OLD COUNTRY ROAD COMPANIES AFFORDIN~ COVE~OE RIVERH~D NY 11001 ~*~ F~M FAMILY C~UALTY INSU~NCE COMPLY LONG IS~ND WINE cOUNCIL INC MAIN RO~ PO BOX 842 C J~ESPORT NY 11947~42 D 7HiS iS ~O CERTI~ T~T THE ~IaES ~ INSU~CE LISTED BE[~ ~V~ ~EEN .SSUEO TO ~.E INSUREO N~O ~VE F~ ~HE ~UCY PERIOD CERTIFI~TE ~Y ~ ISSUED OR ~Y PE~NN, ~HE INgU~E AFFORDED 8 Y THE ~ICIES DESCRieD HEREIN · ~U~ECT TO ~L THE TER~ EXCLUS~S AND C~T~N$ ~ 9UCH ~L~CiES, L~S S~N ~Y ~ BE~N RE~D BY P~D O~. ~ ..... . OENERAL ~Gr~ E S lmOOOrO00 OEN~L ~glTY d52L6735 07-27-97 07-27-98 ~o~s - c~P~P A~ ~ITH TH~ ~LO~ LISTED AS ADDITiON~ ~NS~R~ FOR THE 1~97 LON~ IS~NO BArReL TASTINg, AT OSPR~Y'S O~INION ~PI~TION ~TE THER~F, THE I~Ul~ COMPLY ~ ~=~V~ 10 ~IL TOWN OF SOUTHOLD 15 ~YS ~f~ NOTI~TO THEGERTIFICA~LDERN~EDTO THE L~FT. TOWN HALL, 5~095 MAIN ROAD ~ ~OR~ED REP~SENTAT~ F~R~ F~ILY INS ID:S16-727-7941 ll Farm., IllFamdy I LIfo Insurance Company · * Casualty Insurance Company RUG 14'97 9:58 No.O02 P.O1 FARM FAMILY DAVID G. ABRAMOWSKI OFFICE: (616) 727-7766 12-81 A OLD cOUNTRY ROAD RIVERHEAD, NY 11901 Fax; i$16i 727-7941 TOTAL NUMBER OF PAGES (INCLUDING THIS PAGE): "~.. MESSAGE: ti "This facsimile transmission contains confidential md/or legally privileged information from thc Farm Family Insurance Companies, and is intendcd only for the use of the individuals or h]dividuals named in thc transmission she, ct. If you arc not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or taking of any action in reliance on the contents of this facsimile transmission is strictly prolfibited, If you have received this transmission in error, please noti~ us by telephone immcdiately so that we may arrange for the return of these documents at our cost." .O_ ?-_a_ .m) Faml!~...L~e Insu~a_9_c~_~:~mpany 0 Farm ramify Casually Insurance Company [:) _U..n? Fatal Family Insurance Company Serving Farm Bureau. Members' Insurance Needs --- '" Long Island Wine Council Wally Schandall, Event Coordinator, Tel: (516) 744-6415 38 Groveland Park Blvd., Sound Beach, NY 11789 Judith Terry Town Clerk Southold Towu Hall Main Road Southold, NY 11971 Dear Ms. Terry: August 6, 1997 RECEIVI D AUG 1997 Southold Tnw~ CI,~,-~ Please be advised that, pursuant to our recent conversation, the Long Island Wine Council, 1281 Old Country Road, Riverhead, NY, hereby requests a permit for the 1997 Long Island Barrel Tasting to be held at Osprey's Domhfion Winery, Main Road, Peconic, NY, on Saturday, August 16, 1997. The event will mn from 6 PM to 10 PM. Attendance is expected to be approximately 1000 people. The planned program shall consist of an offering of v,;me and food tastings presented by 18 Long Island wineries and approximately 20 Long Island restaurants. In addition, there will be a band for dancing. The Barrel Tasting is co-sponsored by the East End Hospice, Westhampton Beach, and Peconic Health Corporation, a consortium of the three eastern Long Island hospitals. Both organizations are non- profit, and they will share equally in the proceeds after cxpcnscs. The event will be held in two connected tents (see accompanying sketch) which will be erected on a field owned by Osprey's Dominion Winery, adjacent to their vineyard. The tents will be erected on August 14, and should be available for inspection on August 15. A request Ires been made to Farm Family insurance, by the Wine Council, to include Southold Towu as an additional named insured under our $1,000,000 General Liability Policy. As is their policy, Farm Family will be in contact with you to confirm this request. If any additional information is required, please contact Wally Schandall at 744-6415. Sincerely, Wally Schandall, Event Manager 1997 Long Island Barrel Tasting Public Restrooms I I Dance Floor Table Seating Generator Refrigerator Truck Staff Restroom I Entrance Refrigerator Truck To Restroom in Winery Bldg. Note: Each tent is 80 x 180 Feet. Site Plan for 1997 LI Barrel Tasting Osprey's Dominion Winery Tent supplied by PJ McBride (516)694-1939