HomeMy WebLinkAbout1999ACORD.
PRODUCER (516)765-3811 FAX (516)765-3846
End Insurance Services
DePetris & Kramer Agency Inc.
54985 Main St. , PO Box 1406
5outhold, NY 11971-0966
~n: Em:
DATE (MIVl/DD/YY)
02/25/1999
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 Worcester Insurance Company
A
INSURED
COMPANY
Old Town Arts & Crafts Guild Inc. B
P.O. Box 392
COMPANY
Cutchogue, NY 11935 C
COMPANY
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, ~ERM 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER LIMITS
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR NPA810229
A
OWNER'S & CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON~WNED AUTOS
i
02/15/1999
115/2000
GENERAL AGGREC-~ATE $ 2,000,000
~RoDucTS:~MP/0PAGG $ 2,000,000
PERSONAL & ADV iNJuRY $ i, ooo, ooo
EACH 0C~U~RENcE S 1,000,000
F~RE D~GE (Any 0A; ti~ei $ 100,000
MED EXP (Any orJe person) $ 5 ~ 000
COMBINED SINGLE LIMIT $
BODILY iNJURY $
(Per person)
BODILY INJURY
(Per accident) $
PROPERTY DAMAGE $
GARAGE UABILITY AUTO ONLY - EA ACCIDENT
ANY AUTO
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILIT~
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
EL EACH ACCIDENT $
EL DISEASE - POLICY LIMIT $
EL DISEASE: ~ EMpLoYEE $
DE~RIPTION OF OPERATIONS/LOCA~O NS/VEHIC LES/SPECIAL ITEMS
ADDITIONAL INSUREDS FOR ALL EVENTS BE[NC HELD BY OLD TOWN ARTS & CRAFTS GUILD FOR 1999
(1) TOWN OF $OUTHOLD, (2) CUTCHOCUE-NEW SUFFOLK HISTORICAL COUNCIL & THE OLD HOUSE SOCIETY
TOWN OF SOUTHOLD
TOWN CLERK
MAIN STREET
SOUTHOLD, NY 11971
11'5 AGENTS OR REPRESENTATIVES.