HomeMy WebLinkAbout1990 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 Oysterponds Historical Society Inc. to
hold the following events, provided they secure and file with the Town Clerk a One
Million Dollar Certificate of Liability Insurance naming the Town of Southold as an
additional insured:
July 4, 1990, between the hours of 10:00 A.M. and 6:00 P.M., an Old Fashioned
Picnic, followed by an outdoor concert, to be held on the grounds of the Oysterponds
Historical Society, Inc., Village Lane, Orient, New York.
Au[lust 11, 1990 (raindate August 12, 1990), between the hours of 9:00 A.M.
and $:00 P.M., Eighteenth Century Day to be held on the grounds of the
Oysterponds Historical Society Inc., Village Lane, Orient, New York.
December 16, 1990, between the hours of 4:00 P.M. and 8:00 P.M., Sixth Annual
Christmas Hous~ Tour, a walking tour of about 12 houses with .participants walking
between the hon~es at Orient, New York.
Dated: May 14, 1990.
(/'--Judith T. Terry~/
Southold Town Clerk
cc: Police Chief Winters
Supt. of Hwys. Jacobs
~ CERT'rFIC,%TE OF INSUI~CE 03/23/90
PROOUCER THIS CERTIFICATE IS ISSUED AS A HATTER OF INFORHATION ONLY AND COREERS
&LEX-Z,.NDER & ~.LEX~.,NDER OF NY NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DCES HOT AHE#D,
THE ~.TRTUM ~.T 2 CL/NTON SQ. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. BOX 4883 ...........................................................................
SYRACUSE, NY
13221-- CONP~IIES ~FFORDTNG COVE1;t~GE
PHONE315-424 8088
IHSURED COMPANY LETTER~:~ FTREI(P~'S FUND TNSo CO,,
OYSTER PONDS H/STORZC&L C~PANY LETTER E
SOCIETY. INCo
PO BOX 844 - VILLAGE L.~NE COMPANY LETTERC
ORIENT, NY
11957- CONPAHY LETTER D
COMPANY LETTER E
al CO, ERCIAL DEH LIASILITY 23S XXS04223S 03/11/90 O3/ll/911'PRODS:C P OPS'AGG"I''1000'''
[ ] [ ] CLAIMS HADE [~ OCC.
[ ] C~/NER~S & CONTRACTORS EACH OCCURRENCE 1000
PROTECTIVE .................................
FIRE DAHAGE
[ ] (ANY ONE FIRE) 50
[ ] MEDICAL EXPENSE
(ANY ONE PERSON) 5
r I ALL ~ED AUTOS I I I ! ~PER PERSON)
[ ] SCHEDULED AUTOS ..................... I ...........
[ ] HIRED AUTOS BODILY INJURY
[ ] HON-0~ED AUTOS [ I CPER ACCIDENT)
[ ] GARAGE LIABILITY ................................
I t~ I I PROPERTY I
[ ] UMBRELLA FO~M /
I_..I II - - '[ - ! - -OT- H- E- -R - '- H-A- N' ' -U~" 'BR' E- L- L- -A- F- 'OR" 'H - - ' ..................... ?..~f .~!¥.~..D. .......... , .............. ! ....... ! .......... ! ..............
I APR 20 1990 STATUTO"Y E^ON ACC
WORKERS ' COMP
.[NtND, DISEASE-POLICY LIMIT
EMPLOYERS LIi~B ~ , I ~ DISEASE-EACH EMPLOYEE
IOTHER
TNB D hB RESPECTS THE FOLLOW/NO EVENTS. 7/4[90 OLD F~,SH'rONED PICNIC FROM
10,~,,~ TO 6PM~ FOLLORED_BY OUTDOOR CONCERT,' 8/11/90(Rlq'I'ND~,TE 8/12/90) 18TH
CENTURY F~.,IR FROM 91~,~ 5PMr 12/16/90 6TH ,~,.,NNU~,L CHRISTI~,S HOUSE TOUR ( .~.
W~,LKTNG TOUR OF ,ABOUT 12 HOUSES) FROM 4PM TO 8PI,~.
= SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFONE THE EX-
TORN OF BOUTHOLD - TORN HALL
HS. ~UDITH TERRY - TORN CLERK
PO BOX 1179 - 53095 MAIN RD.
SOUTHOLD~ NY
11971
~CORD 2S-S (3/$S)
= PIRATION DATE THEREOF, THE ISSUING CONPANY gILL ENDEAVOR TO MAIL 10
: ANY IRD UPOH THE CO,PANY, ITS
....... .............