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Home My WebLink About1996..t,~9~__.?~.~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ..... ONLY AND CONFERS NO RIGH'I~ UPON THE CERTIFICATE WM A SMITH & SON INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. 380 BROADWAY COMPANIES AFFORDING COVERAGE NEWBURGH NY 12550 co.P~r~ A AMERICAN ECONOMY INS CO MATTITUCK PRES CHURCH s P O BOX 1411 c MATTITUCK NY 11952 D ~'lis 18 TO CERTIFY THAT TH~ POUCIES OF INSURANCE LISTED BELOW HAVE BEEN iSSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INO{CATED, NO39Nn'H~TANDIN~ ANY REQUIREMENT, TERM OR CONDI~ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERI~FICATE MAY BE ISSUED OR MAY PERTAIN, ~ INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSION~ AND C, ONO{TION~ OF SUCH P(N..ICIES. UNITS SHOWN MAY NAVE SEEN REDUCED BY PAID CLAIMS. e~"z~ uA~u~ 02BO0265986 9/01/96 9/01/97 GENERAk AGGREGATE $ ~- COMM~RCI~. GENERAL ~ PRODUCTS- CO~P,O. ^GG $1 ~ 0 0 0 ~ 0 0 0 iWNF. R'S & C~$ pro1 EACH OCCURRENCE $11000~, 000 -- FIRE DAk4AGE (AP~y ~e tim) $ 100,000 -- ~ED ~xE (~y o~ .~,~) $ 5r000 ~ ~ COMe. ED SINGLE LIMiT $ ANY AUTO JUN ~ O 1{~(''; AIJTO ONLY- EA ACCIDENT $ RE:BARBECUE BEING HELD ON 7/12/97. ADDED AS ADDITIONAL INSURED SEE CERTIFI- CATE HOLDER TOWN OF SOUTHOLD ~.o. DAn *"~OF. ATT: JUDITH TERRY-TOWN CLERK __ DAYS WRI~I~.N NO'IICE TO ~ C~TE HO~ NAMED TO THE LEFT, P 0 BOX 1179 BUTFALUR£TOMAILSUCtJNO'IIC~P~4AI.LIMPO~ENOO~L~IA'~OJ4ORI'IABIUTY SOUTHOLD NY 11971 OF ANY ~ UPO~ ~THE, COMPANY, IT~ AGENTS ON REFRE~ENTA'RVE$. & SON ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ~ A SMTTi~ & SON TNC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAQE AFFORDED BY THE POLICIES BELOW. 380 BROADWAY COMPANIES AFFORDING COVERAGE NEWBURGH NY 12550 A AMERICAN ECONOMY INS CO MATTITUCK PRES CHURCH B P 0 BOX 1411 c MATTITUCK NY 11952 D TM~ ~ TO CER~-'Y '~AT THE POIJOIES OF IN~URANC~ UST~C EELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE FOR THE POU~Y PERIOD I~DIOATED~ NOTWI'I'HSTAND~HQ ANY REQUIREMENT~ TERM OR CONDITION 04: ANY CONTRACT OR OTHER DO~JMENT WITH RESPECT TO WHICH THIS CERI'IFICATE MAY BE ~SSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCt. USION~ AND CONDITIONS OF SUCH POUCIES. UMn'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. % ~--~L u~n~ 02BO0265986 9/01/96 9/01/97 ~;~- ~.~T~ X ~(~VA%ER~. GENERAL ~ PRODUCTS - CDMP/~)P AGG $1 I 000 I 000 3WNER*$ & CO~11~'T(~8 I~X)T EACH OGCURRENCE $1~000~000 -- FI~E IOak~,G~ I.~,y e~ r~) i$ 100~, 000 -- ~ Ex. (~/~, ~,~) $ 5~000 EC[IYE ) AUTO ON ¥- ACC. -r EXCE~ ~ ~l~(~d TOw~ ~ EACH OCCURRENCE UME~RB..LA FO~ AGGREGATE RE:SUNNRR ~A::]:R BE:]:~C- HELD ON 8/9/97. ADDED AS AODTTTONAT. I~$URED SEE CERTI- FTCAT~ ~OT,DER TOWN OF SOUTHOLD ~ DATE ~IEI4EOF, ~te mum COMF~IY WILL EmVOR TO H&IL P O BOX 1179 BUTFALURETOMAJLSUC~HO~lC~SHALLIMPOSENOOBUCIAT1ONORUABIUTY SOUT~'~OLD NY 11971 OF AHY KIND UPON ~ COIIPAHY, IT~ AGENT'S OR REP~ESENTATWGS. , JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box I 179 $outhold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 Gentlemen: These Certificates additional insured. of Insurance Thank you. June 13, 1997 must name the Town of Southold as an THIS CERTiFiCATE IS ISSUED AS A MATTER OF iNFORMATION WM A SMITH & SON INC 380 BROADWAY NEWBURGH NY 12550 MATTITUCK PRES CHURCH P O BOX 1411 MATTITUCK NY 11952 ONLY AND CONFERS NO RIQHT~ UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOF.~ NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. COMPANIES AFFORIMNQ COVERAGE AMERICAN ECONOMY INS CO 02BO0265986 9'/01/96 9/0'1/97 $1/000~000 ~1~000/000 100~000 5~000 RE:SUMMER FAIR BEING HELD ON 8/9/97 TOWN OF SOUTHOLD ATT: JUDITH TERRY-TOWN CLERK P O BOX 1179 SOUTHOLD NY 11971 INC MM A ~ lqqOouc~.R WM A SMITH & SON INC 380 BROADWAY NEWBURGH NY 12550 MATTITUCK PRES CHURCH P 0 BOX 1411 MATTITUCK NY 11952 THIS CERTIFICATE IS ISSUED AS A UATIT=R OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POMCIES BELOW. COMPANIES AFFORD~IG COVERAGE AMERICAN ECONOMY INS CO THIS IS TO C~RllFY 114AT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO I~E g~SURED NAMED ABOVE FOR ~ POLICY PERIOD 02BO02659'86 9/01/96 9/01/97 COMBIKED S~qGLE MMIT AGGREGA~ $ $1;000,000 $1,000;000 100,000 5;000 RE:BARBECUE BEING HELD ON 7/12/97 TOWN OF SOUTHOLD ATT: JUDITH TERRY-TOWN CLERK P 0 BOX 1179 SOUTHOLD NY 11971