Loading...
HomeMy WebLinkAboutNorth Fork Catholic SchoolJUDITH T. TERRY TOWN CLERK REGISTRAR OF VITALSTATIS~CS MARRIAGEOF~CER RECORDS MANAGEMENTOF~CER FREEDOM OF1NFORMA~ON OF~CER 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 In accordance with Chapter 27, Section 27.1.B of the Code of the Town of Southold, a permit is hereby granted to the North Fork Regional Catholic School to hold their annual fund raising event -Big Band Night, at Pindar Vineyard Pavilion, Route 25, Peconic, N.Y., on July 8, 1995, from 7:00 PM to 11:30 PM, 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: July 6, 1995. Judith T. Terry ~/ Southold Town Clerk Certificate on file. cc: Police Chief Droskoski JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FAX TRANSMITTAL TO: FROM: DATE: SHEILA M. IZZO JUDITH TERRY July 6, 1995 Number 6f Pages (including cover): 2 If total transmittal is not received, please call (516)765-1801. COMMENTS: Serving Ihe Parishes of: Sacred ttea~ I. Cutchogue (O~Jr Lady ol Good Counsel) SI. Agnes, Greenpod SI. Patrick, Southold Our Lady of Ost~abrama. Cutchogue N~h Fork Reg~nal Catbol~ ~bool Main Road -- P.O. Box 970 Cutchogue, New Yock 11935 Tel. No. 734-5166 - July 7, 1995 Ms. Judy Terry Southold Town Clerk Southold Town Hall Main Road Southold, New York 11976 RECEIVED JUL 6 1995 Sou~old Town L'lerl~ This is to request permit for our annual fund raising event Big Band Night. This event will be held July 8, 1995 from 7-11:30pm at Pindar Vineyard Pavilion (RT 25) Main Road, Peconic, New York. A copy of our Certificate of Insurance is being faxed to the attention of the town Clerk. Your assistance in this matter is appreciated. Sincerely, Sheila M Izzo '-'le3qt.o~,5"Ot Vice-president of Parents & Friends North Fork Catholic School SENr BY:CUTCHOGLE ~ YORK ; 7- -95 ; 13:26 ;OFFICE OF PETER l?_,Zl[~ 516 765 1823;# 1/ 2 Fax North Fork Catholic School Main Road P.O. Box 970 Cutchogue, New York I 1935 734-5166 SENT BY':CLITCHOGDE ~ YORK Serviog Ihe Paril~hos of: Sacr~cl I leaH. Culchogue (Ou~ Lady ol Good Counsel) SI. Agnos, Gteenpo~l SI. Patrick, 8oulhold Our Lady of Ostrabram~ Culchogue 13:27 ;o. rrl(~ OF PETER l?.Z~k 516 765 1823;i 2/ 2 7brk R mnd Catbo& ool Ma~ R~d -- P.O. ~x g?o Culc~ue. New Y~k 11935 Tel. No. 7~-51~ ' ... ~9 ', ['~ ~"- ? ' uly 7, 199s Ms. Judy Teny Southold Town Clerk Southold Town Ilall Main Road Southold, New York 11976 This is to request permit for our annual fillld raising event Big Band Night. This event will be held July 8, 1995 from 7-11:30pm at Pindar Vineyard Pavilion (RT 25) Main Road, Peconic, New York. A copy of our Certificate of lnsuranc~ ia being faxed to the attention of the town Cl~k. Your assistance in this matter is appreciated. Sincerely, Vice-president ofParcnts & Friends North Fork Catholic School JUL- 8-95 THU 15:30 P, 02 CONPERII NO RIGHTg UPON THE CERTIFICATE HOLDER. fHlg CERTIRCATE Ga I I abhor Na~En DOES NOT A~ND, [XT~D OR ~TER THE COVERAGE A~ORDED BY THE 199 Main 5treet POLICIE~ BELOW. Wh I t · P I · I .~, NV 10601 C~ANIES AFF~D~G COVERAGE g14-ggT-g200 Under~rJt.re mt Llovd'~ "~ .... LEtteR United National Diocese of Rockvill~ Centro Sacrod H~art Church I llin~ls Unlo~ M~ifl Road Cutghogu~ LETTE~ D ~ 11936 co~w ~ -~X ....CO~[~rmAl~ GENERAL Certificate Holder il named aS additional in~ured with respects lo a Gl9 Bend Night being held at Pindar Vinyard on July 8, 1SSS from 3pm - Sam. July gth, :?,' SIIOULDANYOK tHE ABOVEDESCR~DEDS'OLICIE~DkC*~ELLEOSE~'O~E ~4E P I ndl r Vi nVa rd JUL- 6-95 THU 1S:29 P, O1 Gal/agher Newman Insurance Brokers (Division of Arthur $. G~ilagher & Co. of NY 1~9 ~ Street White Pla/m, NY 10601 (914) 997-9258 Fax: (914) 997-6336 TO: / Ou~l~ I : JO ROSANIA COMMENTS: I TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD 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 North Fork Regional Catholic School to hold their Annual Country Auction on the school grounds, Main Road, Cutchogue, on Saturday, July 10, 1993, from 8:00 A.M. to 6:00 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: June 10, 1993. Southold 'To,tn Clerk (Certificate on file.) cc: Police Chief Droskoski Building Department North Fork P g nal Cathol School Main Road - P.O. Box 970 Cutchogue, New York 11935 Tel. No. 734-5166 Serving the Parishes of: Sacred Heart, Cutchogue (Our Lady of Good Counsel) St. Agnes, Greenport St. Patrick, Southold Our Lady of Ostrabrama, Cutchogue June 8, 1993 Ms. Judith T. Terry Town Clerk Town Hall, 53095 Main Rd. Southold, N. Y. 11971 Dear Ms. Terry: ;This is to requeat a special permit for omr annual country auction to be held on the grounds of our school, Main Rd., Cutchogue, on Saturday, July 10, 1993 from 8 am to 6 pm. A certificate of insurance accompanies this request. Thank you. Very truly yours, NORTH FORI~CATH0~IC SCHOOL (Mrs.) Elaine O'Keefe Auction Chairperson 7~.5"-1.6~0 eok attachment PRODUCER THIS C~ RTIFICATE IS ISSUEO M A ~ER OF INDRMATION ONLY ~O CONFE~ NO ~he GaZZaghe~ Centre [XTENOOR~TERTHECOVE~G~ROEDBYTHE~UCi~SBELOW. ~o Pierce Place Companies Affording Coverage Ztasca, Illinois 60143-3141 . Company Underwriters of Lloyd's o~ London Letter A & Other British Companies Company ~NSU~[O Roman Catholic Diocese ,of Le~er · B Centennial insurance Company Rockville Centre Company 50 North Park Aven~e Le~er C Roekville Centre, NY 11570 Com~ny and te~er D North Fork Catholic School Company ~,,~.k ..... ~v Le~e[ E COVE~GES ;HIS I~ ~O CERTIFY THAT ~UCIE5 OF INSU~¢~ L~D BELOW ~AWE BEEN ~SUED TO ~E I~U~D N~ED ABOVE ~R THE ~U~ PESO INDICTED. General Liability A ) I SL5269 A ~Comme~c~l General LAbility IC06944 9-1-92 9-1-93 ~~. s B -,,,~ClaimsMade ~ccu~rence B) 287012536 9-1-92 9-1-93 ~.~ D ~.e,s' & Co.t~a~ors' e~ote~ive [~ ~ .... S 1,000,000 A~omobile Uability ~y~o ~ul~A~ "~ D Non~n~ Autos ~ Garage Liabili~ ~cess Uability i ~ ~ Umbrel~ ~m ~ ~ ~he~ Than Um~el~ F~m Worke~' Com~nsation And ~mploye~' Liability Other " Certificate ~o[de: ~s hereby ~amed as Additional Insured as Che[t Latexes: may appear. DescriptionofOperation~ocations~ehicles/Specialltems: ~[ch ~efe~eace to ~he Annua~ Auc~o~ on 7/6 ~h~u 7/I] ~ SHOULD ANY O~E ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE Town o f Southold ~ EXPIATION DATE T~EREOF. THE ISSUING COMPANY WILL ENDEAVOR TO ~ILIODAYS Office of Town Clerk ~ ~[~EN NO~C~ TO THE CERTIFI~T~ HOLDER NAMED TO TH~ LEFT BUT FAILURE TO ~ MAIL SUCH NOTIC~ SHALL IMPOSE NO OBLIGATION OR LIABILITY OF'ANY KIND UPON Main Road "' ~ A~ESENTATIVES. Southold,NY ] 197] ~~ iv~ ~C ~ .. ATTN: ~J"~; :::.~  Tort 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 Pindar Vineyards, NYS Route 25, Peconic, New York, to hold a Lobster and Chardonnay Festival as a fundraiser for the benefit of the North Fork Catholic School, on Sunday, August 30, 1992, from 12;00 Noon to 5:00 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 21, 1992. Southold Town Clerk CC: Police Chief Droskoski Building Department C,W. Bott, NF Catholic School VINEYARDS August 20, 1992 Judith T. Terry, Town Clerk Town of Southold Town Hall 53095 Main Road Southold, N.Y. 11971 RECEIVED AU8 2 ! 1992 ~OUthnl~ 'r ..... ~"lo,..I, Dear Ms. Terry: Subject: Lobster and Chardonnay Festival on August 30, 1992 We will be holding a Lobster and Chardonnay Festival at the Pindar Pavilion to introduce the Pindar 1990 Reserve Chardonnay from Noon until 5 p.m. located at Pindar Vineyards, Main Road, Peconic. This event will be held at the Pindar Pavilion located at the rear of the winery. No tents will be required for this event. There is adequate pa~ing to acconmodate these Pindar visitors. This event will be for the friends of Pindar and a fundraiser for the benefit of the North Fork Catholic School and will be handled by the North Fork Catholic School Committee. This event will be catered by theWine Garden Restaurant. We understand that a permit cannot be issued without a Certificate of Insurance. This has been arranged for through our insurance carrier and a certificate, in the amount of $1,000,000 liability coverage, will be forwarded to you directly. Thank you for your attention to this matter. Yours sincerely,./--~ ' ~lterodotus Demianos, M.D. MAIN ROAD · P.O. BOX 332 PECONIC, NORTH FORK, NEW YORK 11958 · (516)-734-6200 North Fork Regional Catholic School Main Road -- P.O. Box 970 Cutchogue, New York 11935 Tel. No. 734-5166 Serving the Parishes of: Sacred Heart, Cutchogue (Our Lady of Good Counsel) St. Agnes, Greenport St. Patrick, Southold Our Lady of Ostrabrama, Cutchogue Our Lady of the Isle, Shelter Island August 21, 1992 Ms. Judith Terry, Town Clerk Town of Southold Town Hall 53095 Main Road Southold, N.Y. 11971 RECEIVED AU8 2 1992 Dear Mrs. Terry: Re: North Fork Catholic School Lobster & Chardonnay Festival Sunday, August 30, 1992 As you may be aware North Fork Catholic School held a wine tasting and cocktail party benefit at the Wine Garden Restaurant, Mattituck last Friday, August 14th. Due to the very inclement weather, it was not the success that we had all anticipated. In an attempt to help the school meet it's financial commitments for 1992, (North Fork Catholic School is a non-profit organization) Pindar Vineyards has very kindly offered to hold the above Chardonnay Festival on August 30th at the vineyard as a fundraiser for the school. The Wine Garden Restaurant will again provide the catering. If you have any questions, please call me at my business - Nautlque Ltd. 722-3944 or at my home - Church Lane, Aquebogue 722-4749 or Mrs. Sheila Izzo, President of North Fork Catholic School Fundraising Committee, Pine Tree Road, Cutchogue, 734-5056. ~_7incerel/' Fundrais_-ing Cha-irman - Chardonnay Festival Benefit Ad.,l)ltl), Ecor~Ds Agency,, In=. 820 Dee~ Park Ave. No. Babylon, N.Y. 11703 CERTIFICATE OF INSURANCE 8/21192 ITHiB CERTIFICATE I~ ISSUED AS A MATTER OF INFORMATION ONL AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOE~; NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DELOW, COMPANIES AFFORDING COVERAGE L~'n'~ A Rc~'al Ztteurm'me Co, Pindar Vi~eyards Main Road Peconic, N.Y. [1958 OOMPANY THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LI~TED BELOW HAVE BEEN ISSUED TO THE IN~URED NAMEO ABovE FOR THE POLICY PERIOD TERM OR CONOITiON OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS INDICATED, NOTWITHSTANDING ANY REQUIREMENT, IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE lEggED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN £XCLUSlON$ AND CONDITIONS OF S~H POLICIES. LIMIT~ SHOWN MAY HAVE BEEN REDUCED BY pAID DLAtM~; 'X co~,c~r,a~L,~,Y. 93GSP108247 ctm~s ~v~ X occur. ow.E.'S & Co..v~o.'~ 1/1/92 Judith T. Terry. To~n Clerk To~n o£ Southhold 53095 Main Road SoutJuhold, N.Y. 11971 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAItON DATE THEREOF, THE ISSUING COMPANY W~LL ENDEAVOR TO MAIL [~ - DAYS WRI~EN N~CE TO THE CERTIFICATE HOLDER NAMED TO ~E LE~. BUT FAILURE TO MAIL SUCH ~TIGE SHALL IMPOSE NO O8[~N ~ LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENT9 OR REPRESENTAT.E$. 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 North Fork Catholic School to hold their annual Craft Fair on the school grounds and parking lot of Sacred Heart Church, Main Road, Cutchogue, on August 22, 1992, from 10:00 A.M. to 5:00 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 13, 1992. Judith T. Terry Southold Town Cler~( cc: Police Chief Droskoski Supt. of Highways Jacobs August 13, 1992 Mrs. Judith Terry Town Clerk Southoid Town Hall Main Rd. Southold, NY 11971 De~r Mrs. Terry, RECEIVED AUO 1.. 3 lgg2 Southold T ..... On behalf of North Fork C~tholic School I would like to request a special perm;t for our annual Craft Fakir. It is to be he~d on the s, hooi grounds and the parking lot of Sacred Heart Churcl, Main Rd. Cutchogue on Aug. 22, 1992 between the hour~ of 10 a.m. and 5 p.m. Our certificate of !nsura]ce will be faxed tO you by our insurance co,, I would appreciate the pel-mit being mai~ed to me at the following address so '.hat I will have it in my possession the day of the fair. Thank you for taking the ',ime with me over the phoebe for clarlfing the details ! :egards, l ~arlene Pachoik, chairperson l~orth Fork Catholic School-Craft Fair ARTHUR d. GALLAGHI ;R & CO. ~1600 Ox~xd ~ Woo~a~d I ;il{s, CA 9136~ · (818) ~2 ..........1 Town of Southold Tovn Hall Main Road $ou~hold, MY L !SL4954/:C06576 287-02-![-99 - LOS ANGELES Roman Catho~ic Diocese of Rockvllle Centre 50 North Pa~k Avenue Rockvil!e C~ntre, NY 11570 AND ~ Sacred Hear~ Cutchogue, N~/ London Package Cmntennial rave!ers/Interna=ional/ :me/Hartford/Athena AJG!00!3~-gl KIND OF INSURanCE ~cess Liability Insurance includln~ General Liabi!i~y L]IMITS OF LIABILITY $I1,000,000 for any One Occurrence {nd Annual Aggregate a~plicab!e Excess for Existing Underlying Insurance. R~ER~NCE ~ith reference to the use of premis(s for Craft Fair to b ugust 22, 1992 from 9 AM to 7 PM. ADDITIONAL I~$URED ~ertificate holaer is hereby named ~s additional insured. 9/1/92 9/1/92 9/1/92 wherever held on 8/13/92 DELIVER TO: FROM : DATE GALLAGHER BA.';SETT of New York. Inc. FAX 03VER SHE,ET FA.X: NUMBER. (516) $42-§110 CO~: TOTAL NUMBER OF PAGF-.S (]NCLUDING COV-ER.). ¢~/ 591 Stewart Avenue · Ga den City. Hew Yolk 11530 · 51~79q-4900 A Subsidla,~ ol Annur J. Ga4lagher & Co. JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF TIlE 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 North Fork Catholic School, Cutchogue, to hold their Annual Country Auction on the school grounds, Main Road, Cutchogue, on Saturday, July 11, 1992, from 8:00 A.M. to 6:00 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. Judith T. Terry6/ Southold Town Clerk CC: Police Chief Droskoski Supt. of Highways Jacobs Prin. Bldg. Inspector Lessard NORTH FORK CATHOLIC SCHOOL CUTCHOGUE, N. Y. June 5, 1992 Ms. Judity T. Terry Town Clerk Town Hall, 53095 Main Rd. Southold, NY 11971 Dear Ms. Terry: This is to request a special permit for our annual Country Auction to be held on the grounds of our school, Main Road, Cutchogue, on Saturday, July 11, 1992 from 8 a.m. to 6 p.m. A certificate of insurance accompanies this request. EO'K Attachment By: Very truly yours, NORTH FORK CATHOLIC SCHOOL Elaine O'Keefe 7¥¢-/1¥7 ARTHUI~ d. GALLAGHER & CO. - LOS AN,.~ELES i~[600 ~_Ct~ard ~'treet Woodland Hills, CA 91367 · (818) ~40-3~ Town of Southold Roman Catho~ic Dioces. of Rockvill~ Centre 50 North Park Avenue Office of T6wn Clerk Main Road ~ Southold, 11971 Attn: J~dit~ Terry L Li ~ndon Package ' ~ mtenniai Travelers/International/ iHlme/Hartf°rd/lthehal K~ND OP INSURANCE POLICY'NO. ISL4954/!C06576 287-02-15-99 AJG100134-91 E~cess Liability Insurance including General Liability LIMITS OP LIABILITLr ·~ ' One St,000,000 for any 0ccurrGnce and Annual Aggregate applicable Excess for Existing Underlying insurance Wi=h reference to he Auction from July 7, 1992 thru July ADDITIONA5 INSURED C~rtlflcate holder aklslng solely out ~,~ployeee of the 'ak Rockville C~ntre, 5~/ 11570 North Pork ~egional Catholic School 9/179~ 9/~/9~ ~/1/9~ ~herever 13, 1992. is hereby named as Additional of the negligent use of premises by ag ova named insured. Insured limited to ~nts~ servi and ARTHUR Jr. GALLAGHER ;~CO. DAT~ 6/3/92 kma ........ :'i:--:.: ..... .......... " ~0 JUDITH T. TERRY TOWN CLERK ~!iG[STRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF YHE TOWN CLERK TOWN OF SOUTHOLD SPECIAL PERMIT In accordance with Chapter 27, Section 27-1-B of' the Code of the Town of Southol~l, a permit is hereby granted to the North Fork Catholic School to hold a Carnival and Craft Fair on August 21, 22, 23, 24, 25, 1991, from 6:00 P.M. to 11:00 A.M. each night, except Saturday, August 24, 1991: the Craft Fair will be held from 10:00 A.M. to 4:00 P.M., and the Carnival will be held from 4:00 P.M. to 11:00 P.M.; all to be held on the property of the Sacred Heart Church, behind the North Fork Catholic School, and Craft Fair on the parking lot surrounding Sacred Heart Church, which is located on the north side of Main Road {NYS Route 25), Cutchogue; provided they secure and file with the lown Clerk a Certificate of Liability Insurance for at least One Million Dollars naming the Town of Southold as an additional insured. Dated: August 5, 199~. Judith T. Terry C7 Southold Town Clerk CC: Police Chief Droskoski Supt. of Hwys. Jacobs Building Department NORTH FORK CATHOLIC SCHOOL P.O. BOX 454 CUTCHOGUE, NY 11935 (516) 734-5166 August 2, 1991 Judith Terry, Town Clerk Town of Southold Main Road Southold, N.Y. 11971 RECEIVED AUB 2 199~ Dear Mrs. Terry: On behalf of North Fork Catholic School, Cutchogue, N.Y., I wish to apply for a special permit to hold a Carnival from August 21, 1991 through August 25, 1991 from 6-11p.m. each night except Saturday August 24th from 4-11p.m. Also, on Saturday August 24, 1991, we request permission to hold a crafts fair from 10a.m. till 4 p.m. The location of the Carnival will be behind North Fork Catholic School while the craft fair will be held in the parking lot surrounding Sacred Heart Church. All proper~being utilized is owned by Sacred Heart Church located on the Main Road in Cutchogue, N.Y. Thank you for your kind attention to this matter. Catherine Wilinski Co-Chairman Carnival Committee SACRED HEART CHURCH CUTCHOGUE MAIN ROAD - P.O. BOX 926 CUTCHOGUE, NEW YORK 1193.5 OUR LADY OF GOOD COUNSEL CHURCH MA3~r~TUCK July 29, 1991 To Whom It May Concern: Permission is hereby granted to ALL COUNTY AMUSEMENTS, INC. P.O. Box 161 East Islip, New York 11730 to use the property of Sacred Heart Parish, Cutchogue, New York during the Carnival to be run by North Fork Catholic School. The Carnival is to be held on the property of Sacred Heart Parish on August 21, 1991 to August 25, 1991 from 4 pm to 12 pm. It is my understanding that ALL COUNTY AMUSEMENTS, INC. will provide their own security for their equipment. A certificate of insurance has been issued by Continental Casualty Company and said certificate has been given to the Carnival Committee of North Fork Catholic School. Rev. Peter A. Allen Pastor Sacred Heart Parish PRODUCER THIS CERTIFICATE IS I~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. HAAS-WI LK£RSON-WOHLB£RG, INC. P. 0. Box 4:1740 COMPANIES AFFORDING COVERAGE St. Petersburg, Florida 33743 - COMPANY LEttER A CONTINENTAL CASUALTY COMPANY COMPANY INSURED LETTER COMPANY C ALL COUNTY AMUSEMENTS, INC. LE~ER P.O. Box 161 COMPANY D East Islip, New York 11730 LETTER COMPANY LETTER THIS IS TO CERTIFY THAT POLICIES OF INSURANCE'LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI- TIONS OF SUCH POLICIES. POLICY EFFECT)VE POUCY EXPLRAT~ON GENERAL AGGREGATE CO TYPE OF INSURANCE POUCY NUMBER ALL LIMITS IN THOUSANDS LTF DATE (MM/DD~YYI DATE {MM/DDRY) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY PRODUCTS COMP, OPS AGGREGATE $1,000 PERSONAL & ADVERT~SING INJURY ~ 1 ~ 000 A X OWNERsICL~'~S~*OE& CONTRACTORSm"~OCOURRENCEPROTECTIVE CAR 301494900 5/1/91 5/1/92 EACH OCCURRENCE $ 1~000 FIRE DAMAGE (ANY ONE FIRE) $ 50 _ MEDICAL EXPENSE ~ANY ONE PERSON) AUTOMOBILEANY AUTO LIABILITY ~ ALL OWNED AUTOS ~__ .~REO AUTOS ~ - NONOWNEOAUEOS EXCESS LIABILITY EACH AGGREGATE q OTHER THAN UMORELLA FORM WORKERS' COMPENSATION ~;T lEACH ACCIDENT) OTHER Dates insur(!d: August 20 thru At.gust 27, 1!91 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS Any Carnival Liability Insurance made a part of the Policy includes as an additional insured with respect to an occurrence taking place at a Carnival site (1) The Fair or Exhibition Association, sponsoring organization or committee (2) The owner or lessee thereof and (3) A municipality granting the named insured permission to operate a Carnival. ~ =:1 :~1 II1~ [~._~1 I1=~: lei I[~] =1: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX. PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO North Fork Catholic School MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Town of Southold LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL ~MPOSE NO OBLIGATION OR O~r I.ad¥ of Ostrabrma Church LIABILITY OF ANY KIND UPON T_HE COMPANY, ITS AGENT~,~.OR REP~[SENTATIVES. ARTHUR d. GALLAGHER & CO. - LOS ANGELES 21600 Oxnerd Street, Woodland Hills, CA 91367 (818) 3403642 CERTIFICATE OF INSU uNCE Southold, NY 11971 Attn: Judy Terry Nen~eMaddmsoflmurM Roman Catholic Diocese of Rockville Centre 50 North Park Avenue Rockville Centre, NY 11570 AND North Fork Catholic School. Sacred Heart R.C.C. Cutchogue, NY 11935 COMPANY National Casualty Co. POLICY NO. EXPIRATION XL000742 9/1/91 Underwriters at Lloyds and other British Companies ILS4647/IC06213 9/1/91 Centennial Insurance 287-02-15-84 9/1/91 KIND OF INSURANCE Excess Liability Insurance including General Liability LIMITS OF LIABILITY $1,000,000 for Any One Occurrence and Annual Aggregate wherever applicable Excess for Existing Underlying Insurance REFERENCE With reference to the Annual Carnival which will be held on August 21, 1991 to August 25, 1991 from 4 pm to 12 pm ADDITIONAL INSURED Certificate Holder is hereby named as Additionally Insured. Should any of ~h~ ~m,v~, qll~'ll~l pollgl~ ~ ~ ~f~ ~ ~ ~. l~f. ~ Iml~ ~y will e~e~r ~ ~il ~u days ~lt~n no~ ~ ~ ~ ~ m~if~ ~ld,r. ~ f~lu~ ~ mill ~ ~ ~lll Im~,'~ oMiga6~ ~ lilbiliW of any klm u~, ~ m~. ARTHUR J. GALLAGHER & CO. · JO 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 Town of Southold, School, Cutchogue, with Chapter 27, Section 27.1.B of the Code of the a permit is hereby granted to the North Fork Catholic to hold their Annual Country Auction on Saturday, July 13, 1991, from 8:00 A.M. to 6:00 P.M., at Glover's Barn, Cox Lane, Cutchogue, New York, provided a Certificate of Liability Insurance for at least One (1) Million Dollars is filed with the Town Clerk naming the Town of Southold as an additional insured. Dated: May 30, 1991. CC: Chief of Police Droskoski Supt. of Highways Jacobs Prin. Bldg. Insptr. Lessard ARTHUR d. GALLAGHER & CO. - LOS ANGELES 21600 Oxnarcl Street, Woodland Hills, CA 91~67 · (818) ~40-3642 CERTIFICATE OF INSURANCE Town of Southold Office of Town Clerk & L. Glover, Glover Farms, and Sharon Burden ~COMPANY National Casualty Co. Underwriters at Lloyds and other British Companies Centennial Insurance KIND OF INSURANCE Roman Catholic Diocese of Rockville Centre NY 50 North Park Ave. Rockville Centre, NY 11570 -AND- Sacred Heart, Cutchogue Leander B. Glover Jr. .POLICY N~ XL000742 ILS4647/ICO6213 287-02-15-84 E~XPIRATION 9/1/91 9/1/91 9/1/91 Excess Liability Insurance including General Liability LIMITS OF LIABILITY $1,000,000 for any One Occurrence and Annual Aggregate applicable Excess for Existing Underlying Insurance. ~EFERENCE wherever With reference to the use of Glovers Barn, Cox Lane Cutchogue, NY from July 7, 1991 through July 14, 1991 from Country Auction to be held on July 13, 1991. ADDITIONAL INSURED Town of Southold, Office of Town Clerk and L. Glover, Glover Farms & Sharon Burden are hereby named as Additional Insured limited to and arising solely out of the negligent use of the premises by agents, servants or employees of the above named insured. ., .. nuuq~ ~o Ute aOOql ~ Clrtif OOf~y notice ~hal Intpos4 no obflgation 04' liibihty of any kind upon the company, lears holclet, but failure to mddl such ARTHUR J. GALLAGHER & CO. DATE 5120/9] ~cm~ BY. RECEIVED 6.1 .N 1°9 FUDITH To TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1923 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 North Fork Catholic School to hold a Carnival on August 22, 23, 24, 25, 26, 1990, from 6:00 P.M. to 11:00 P.M. each night, except on Saturday, August 25th, from 4:00 P.M., to 11:00 P.M.; said Carnival to be held on the property of Our Lady of Ostrabrama Church, east side of Depot Lane, Cutchogue, New York, 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: August 20, 1990. // ' Judith T. Terry Southold Town Clerk CC: Police Chief Winters Supt. of Hwys. Jacobs Building Department .JUDITH TERRY TOWN CLERK TOWN OF SOU~HOLD blAIN ROAD SOUTHOLD, N.Y. 11971 August 20~ 199'0 RECEIVED AUG 2 0 Bear Mr'a. Tef-ry, t wish to apply foF a Speczal Permit on behalf of the North Fork Catholic School, Cutchogue, N.Y.. to hold a carnival on August 22nd through August 26st from 6-11pm each night except on Saturday from 4-11pm. The location of the carnival is adjacent to Our Lady of Ostrabrama Church om Oepot Lane in Cutchogue. KENNETH W. RUTHINO3KI Co-Chairman Carnival Committee North Fork Catholic School Main Road~ Cutchogue, N.Y. 11935 Our Lady of Ostrabrama, R.C. Church Box 997 - Depot Lane Cutchogue, L.I., New York 11935 (516) 734-6446 August 20, 1990 To Whom It May Concern; The North Fork Catholic School has been authorized to use a portion of the church property of Our Lady of Ostrabrama parish located on Depot Lane, Cutchogue. Gallager-Bassett of Garden City, the insurance carrier for the Diocese of Rockville Centre will provide the necessary insurance coverage for the carnival to be held on the property beginning on Wednesday, August 22 and continue through Sunday, August 26, 1990. Rev. Richard P. Kopinski Pastor 15:05 ~'1 §1~2 gll0 GB-GARDEN CITY SOUTHOLD SAVINGS ARTHUR J, GALI_AGH ER & CO, - LOS ANGELES ~600 Oxnard Street, Woodland ~ CA 9136'/ · (8t8) 3~642 CERTIFICATE OF INSURANCE Town of Southold -] OO2 Roman Catholic Diocese of Rockville Centre, NY 50 North Park Ave. Rockville Centre, NY 11570 Sacred Heart North Pork Catholic School CDMPANY POUCY NO~ EX~,RAT~O~ National Casualty Co. Lloyds of London XL006359 iLS4358/IC05940 9/1190 9/l/ac KIND OF TNSUltANCH Excess Liability Insurance including General 5iabi!ity LIMITS OF LIABILITY $1,000,000 for any One Occurrence and Annual Aggregate wherever applicable Excess for Existing Underlying Insurance. REFERENCE With reference to the use of property for carnival at Our Lady of Ostrabrame R-C.C- ADDITIONAL INSURED Town of Southc!d is hereby named as Additional Insured limited to and arising solely out of the negligent use of premises by agents servants or employees of the above named insured. will mld~i~r to .p~l 10 dram v~ttm no,c. to d~ lbo, ~ ardr~lt8 lmldir, but f-qum to ma~] m:h IlOl~l Jail imp~t fro obript~l N Ibbl]i~ of Imy idnd upon 1~ aompa~y. ARTHUR J. GALLAGHER & ALL-COUNtY AHUSEHENTS TEL:516-277-25S1 Aug 20,90 10:07 No,O01 P.O1 /THIS CERTIFIC,tTE IS ISSUED ~S A MA¥¥ER OF INF~MA~N ~LY A~ ~ONFE~ HAAS-WILKERSON-WOHLBERG, INC.~-m - ........... " P. 0. BOX 41740 . [ ....... COffiPANIES AFFORDING COVERAGE St. Petersburg, Florida 33743 ~P~v A .......... ~ CONTINENTAL CASUALTY COMPANY ALL COUNTY AMUSEMENTS, INC,)~ P.O. Box 16] ~Y East Islip, New York 11730 )COMPANY n NO~tH~TANDINQ ANY R~QU~MENT~ ~E~ OR ~ltlON ~ ANY ~A~T OA QtH~m D~UMENT WIIH R~;~1 TO WN~ THI~ C~II~ICATE MAY ~ I~ OR MAY ~TAIN~ TH~ IN~AN~ A~ORDED BY ~HE ~1~ ~;~AI~D HE~IH · 9U~ECt TO ALL THE ~RM$, EX~U~I~, AND CONUI- ILTF ~ ~ INGU~NOE POLICY NUMAR ~l[ ~ ~lt (~ .' ' GENE~L ~TY ~ ~FI~II~Ti~ ~ This endorsement a~lies o fly to: ~ ~[m ** Foods or food related produ :ts; CO~N~UO~ ~ .U $1,000 ~ ~m~m ~T~ Game prizes or favors; Toy~ ~ ~ ~ ~ ~c Novelty or gift shop Items. - ..... ~ ~ IU~nV "* HOLD HARMLESS AQREE~ EN~ ONLY PER~NN ~URY $1,000 ~ ~HER ~ ~R/LLA r0~ WORKSRS' ~9ATI~ ~ ,~'.:. $ ([ACll an additional inaured with resge~t to an occurrence takmg ~laoe at a Carnival site (1) The Fair ~ Exhibition sponsoring organizRtion or committ~ (2) The owner or leuaee thereof a~ (3) A municipality granting the named insurec pe~ia~ion to operate a Carnival. ~OU~ ~Y OF THE ~O~ DEg~IBED ~LI~Ei Bi CA~IL FD BE~RE THE ~[~i ~ ~ ~ PlflATION DATE tHeeeoe, THE ISSUING COMPANY WILL ENDEAVOR M~ ~00AY6 WReN ~TI~ TO TH~ O~RTI~OATE HO~R NAMED TO ~ O~ ~ LE~,B~AILUflETOMA~N~ES~L~P~T~NO~IABR~ OF A~ KIND UPON THE GOM~A~[I~ ~GENTI OR 08/20/90 14:27 '~1 516 542 9110 GB-GARDEN CITY **~ SOUTItOLD SAVINGS ~002 -- ARTHUR d. GALLAGHER & CO. - LOS ^N~ELeS 21600 Ox~arcl Street, Woodland Hills, CA. 91:~'7 · (818) S40-3642 CERTIFICATE OF INSURANCE Our Lad~ of Ostrabrama R.C.~. Cutchogue, Roman Catholic Diocese of Rockville Centre, N~ 50 North Park Ave. Rockville Centre, NY 11570 -AND- Sacred Heart R.C.C. North Pork catholic School National Casualty Co. Lloyds of London X~,006359 ILS4358/IC05940 9/1/90 9/1/90 KIND OP INSURAI~CE Excess Liability Insurance'including General Liability LIMITS OF LIABILITY $1,000,000 for any One Occurrence and Annual Aggregate vhe=ever applicable Excess for Existing Underlying Insurance. ~EPERENCE With reference to the use of property for carnival ARTHUR & GALLAGHER & CO. ARTHUR d. GALLAGHER & CO. 21600 Oxnard Street, Woodland Hills, CA 91367 - LOS ANGELES · (818) 340-3642 CERTIFICATE OF INSURANCE Neme ~d ~m of ~ to w~m~m ~h oefllf~te la ~,-,~ Town of $outhold Office of Town Clerk and L. Glover, Glover Farms, Sharon Burden b _J COMPANY National Casualty Co. Lloyds of London POLICY NO. XL006359 ILS4358/ICO5940 Nm md Iddrm of Inmr~ Roman Catholic Diocese of Rockville Centre, NY 50 North Park Ave. Rockville Centre, NY 11570 -AND- Sacret Heart, Cutchogue Leander B. Glover Jr. G]over F~m~t & Sharon Burden/Cuchogue, NY EXPIRATION 9/1/90 9/1/90 KIND OF INSURANCE Excess Liability Insurance including General Liability LIMITS OF LIABILITY $1,000,000 for any One Occurrence and Annual Aggregate wherever applicable Excess for Ekisting-Underlying Insurance. REFERENCE With reference to use of Glovers Barn, Cox Lane Cutchogue, NY from July 4, 1990 through July 10, 1990 for Country Auction to be held on July 7, 1990. ADDITIONAL INSURED Town of Southold, Office of Town Clerk and f,. Glover, Burden are hereby named as Additional Insured. RECEIVED Sharon JUN 1 4 1990 .c,o,,'(hntA T ..... r~-.t, Caneellatlon: Should any of tho Id~ow d~ibed I:mli¢let be canmlled before the expiration date thereof, the I~Jtng company will endeavor to mail 10 days written notic~ to the above named certificate holder, b~t failure to mail such noti~ ~all impol4 no obligation or liability of any kind upon the company. ARTHUR J. GALLAGHER & CO. DATE 6t/l/90 kma BY A-alO (Rle'V. Ills I 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 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 North Fork Catholic School, Cutchogue, to hold their Annual Country Auction on Saturday, July 7, 1990, from 9:00 A.M. to 5:00 P.M., at Glover's Barn, Cox Lane, Cutchogue, New York, provided a Certificate of Liability Insurance for at least one (1) million dollars is filed with the Town Clerk naming the Town of Southold as an additional insured. Dated: May 31, 1990. Southotd Town Clerk cc: Police Chief Winters M~ureen Magili 700 Glen Court Cutcho~ue~ New Mey 29~ 199D York 11S35 Mrs. Judith Terry Town Hall Main Road Southold, New York 11971 Please honor this request for e permit to the North Fork Catholic School for its Annual Country Auction to be held on July 7~ 1990 et Glovsrs B~rn~ Cox Lene~ Cutcho~ue. We will be in need of a traFFic coordinator at the corner of Main Rd. and Cox Lane, sled parking. Thank you For your kind cooperetion. Very truly youms, ~ Maureen Magill Denise Grodski Chaimpereons