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