HomeMy WebLinkAboutGreenport PTA JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1801
SPECIAL PERMIT
In accordance with Chapter 27, Section 27.1.B of the Code of the
Town of Southold, a permit is hereby granted to the Greenport Parent
Teacher Association to hold their annual Greenport PTA Children's
Festival/Craft Fair on the Greenport School grounds, north side NYS Route
25, Greenport, on Saturday, June 13, 1992, from 9:00 A.M. to 3:00 P.M.,
provided they secure and file with the Town Clerk a Certificate of Liability
Insurance for at least One Million Dollars naming the Town of Southold as
an additional insured.
Dated: June 1, 1992.
Judith T. Terr~ ~
Southold Town Clerk
cc: Police Chief Droskoski
Greenport Parent Teozher Association
GR£ENPORT PUBLIC SCHOOLS
720 FRONT STREET
GREENPORT, NEW YORK 14944
(516) 477-1950
Mrs. Judith T~y
Soothold Town Hall
P.O. Box 1179
Southold, N.Y. 11971
June I, 1992
Deux Mrs. Te~y,
My name is Lisa Israel and I am Pr~ident of Greenpo~ PTA. 0u~ organization
will be spo~%orin~ oo~ annuo~ Green~o~ PTA CI~dren's F~tival/ Craft Fa~ on
SatuAday June 13 from 9A.M. to 3P.M., wl~ch will be located on the school grounds
in Greenport. I need permission to hold a speoial p%~mlt for tl~ event. I have
o~Aeady furnished yom office with a c~ficate of InsuA~nce from PTA's i~oAance
Please contact me if any foA~h~ info~z~ion ~ be needed for you to grant
us t~Ls permit.
Pr~ident PTA, (477-2729)
PRODUCER THIS CERTIFICATE IS ISSUED 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
'.OOL INSURING AGENCY INC m3UCI£SSELOW,
) 7 4 ~,B~_NY-S[-U~ER ROAD COMPANIES AFFORDING COVERAGE
hATHAM NY 12110
COMPANY A HARTFORD INS CO
LETTER
COMPANY R
INSURED LETTER
~EW YORK STATE CONGRESS COMPANYC
)ARENTS & TEACHERS INC LETTER
L19 WASHINGTON AVE COMPANY D
LLBANY, NY 12210 LETTER
COMPANY E
LETTER
THIS IS TO CERTIFY THAT ~'IE POMCIES OF INSURANCE MSTED 8~J.OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR..~.E POLICY PERIOD
A (~ENE~%L LIABILI'~' UUNMA9310 10/11/91 ].0/11/92 GENERAL AGGREGATE 1.000,00C
~ ~OMMERClAL GENERAL LIABILIT~ PRODUCTS-COMP/OPAGG. 1 ~, 000 ~ 00C
iiiiii?'~LAlMS MADEr~OCCUR. PERSONAL,ADV. INJURY 1, 000, 00C
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE 1
FIRE DAMAGE (Any one fire) 100,00
M E D. EXP. (Any one person) 10 · 0 0
k AUTOMOBILE LIABIU~ UUNMA9 310 10/11/91 [0/11/92 COMBINED SINGLE
ANYAUTO LiMiT i, 000 r 00(;
k EXCESSU~mUW OiXHUDR9416 08/31/91 )8/31/92 iACHOCCU,RENCE 4,000,00C
~HE TOWN OF SOUTHOLD IS ADDITIONAL INSURED AS RESPECTS CONTRACT BETWEEN THE
I~OWN OF SOUTHOLD /~ID GREENPORT SCHOOL DIST., RE:CHILDREN'S FESTIVAL/CRAFT FAIR,
~O BE HELD ON JUNE 13~ 1992. pTA CODE #05-499.
TOWN OF SOUTHOLD i{iiill
ATTN: TOWN CLERK i!ii!iii!?i LEFT, BUT FAILURE TO MAIL SUCH NOT~;E SHALL IMPOSE NO OBtlG, ATION OR
MAIN ROAD ~!~ii LIABILITY OF ANY K~ND UPON THE COMPANY' iTS AGENTS OR RIYRESENTATIVES'
SOUTHOLD, NY 11871