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Home My WebLink AboutRotary Club of Southold JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER OFFICE OF ~HE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765H823 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 Rotary Club of Southold, L.I., N.Y., Inc. to hold a benefit Yard Sale on Saturday, July 20, 1991, from 8:00 A.M. to 2:00 P.M., at Feather Hill, Main Road, Southold, (rain date: Sunday, July 21, 1991, from 8:00 A.M. to 2:00 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: July 10, 1991. Judith T. Terry ~ Southold Town Clerk cc: Police Chief Droskoski [O'd 7UiOl PRODUCER THIS CERT{FICATE IS ISSUED AS A MAT?ER 'OF INFORMATION ONLY At'~D CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THiS CERTIFICATE DOES NOTAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY THIS lB TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE ~EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD fNOICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR OON~[TION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN. THE INSUFL~,NCE AFFORDED B¥ THE POLICIES DESCRIBED HE~EIN I$ SUBJECT TO ALL THE TERMS. COMMERCIAL GENER~ CLAIMS MAOE ~ OCCUR. OWNER'6 ~ CONTRaCTOr'S ~ aXCI~S$ LIABILITY OTHER THAN ._DC' OTHER gCC. OESCRIPTIONO~O~R~TION$/LOCATION$~VEHICL~S~.ESTRICTION~S.ECIALIT~M5 ...... ~ ............... ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCEL[.~D BEFORE THE EXPIR,~T]ON DATE THEREOF, TH~ ISSUH'/G COMPANY WILL ENDEAVOR TO LEFT, 8UT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR - Service Above Self- ROTARY ClUb Of SOUTHOLD. L.I.. N.Y.. iNC. P.O. BOX 420 SOUTHOLD, NEW YORK 11971 July 9, 1991 Judith T. Terry, Town Clerk Southold Town Hall, 53095 Main Road Southold, New York 11971 JUL ! 0 1991 Dear Mrs. Terry; The Rotary Club of Southold will be holding a benefit Yard Sale on Saturday, July 20th, from 8am-2pm, at Feather Hill in Southold. The rain date for the event will be Sunday, July 21. I have attached a certificate of insurance naming the Town of Southold as Additional Insured. I would ask at this time that a permit for the above mentioned function be issued to the Club so that we may conform to Town Code. If there are any questions, you may feel free to contact me at 765-1600. cc:file Gregory ~J//c~holand Event/~hairman First Settlers Chartered February ] 948 AOORI). PRODUCER Northorn ~flsur~ng Ageflcy~ Thc 171 Hlrgarmt Street PO Box 789 plattaburgh; NY INSURED Rotary:Int®rnattonml Dt.tricta and Their Rotary Clubs P-O-Box,' 789 Plattaburgh NY 12901 61Zti91A$ 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 POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY LETTER A COMPANY a LETTER COMPANY LETFER C COMPANY Reltmnceiilnluranoa Company: Ra]~anco,~nsurmnce COnpany. ReItancLZnsurmnce COlpany COMPANY LETTER E THIS IS TO CERTIFY THAT THE 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO .TR TYPE OF INSURANCE A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROT. · X .Liquor: Liability: B AUTOMOBILE UABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON~)WNED AUTOS GARAGE LIABIUTY C EXCE~S LIABILITY X Umbrella Form OTHER THAN UMBRELLA FORM WORKER'8 COMPENBATION AND EMPLOYERS' MAB~LITY POLICY NUMBER $J1652223 SH1650311 SX1653559 OTHER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDD/YY) DATE (MM/DD/YY) 7101/91 COMBINED 7101191 7101t92 SINGLE ?101192 OENERALAGGnEOA~ $ 2000 PROOUCTS-COMPIOPS AGGREGATE $ 10 O0 PERSONAL & ADVERTISING INJURY $ 1000 EACH OCCURRENCE S 1000 FIRE DAMAGE (Any one Em) ~ ~ 0 MEDICAL ~PEN~E (Any One ~on) $ ~ 1000 EACH AGGREGATE Yd? b"=E , 3000 7101191' 7101/92 $ (EACH ACCIDENT) $ (DISEASE--POLiCY LIMI~ $ (DISEASE--EACH EMPLOYEE DESCRIPTION OF OPERATIONE/LOCATIONSIVEHICLEEIRESTRICTIONSIEPECIAL ITEMB RE--Yard Sale-7/91 Tomn of $oUthold Tomn HaZl,:Main Road Southold,:NY 11971 (D#7260 $outhold Rotary;Club) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE NORTHERN INSURING AGENCY INC. - Scrricc A bm,t. Sell' ROTARY CLUB OF $OUTHOLD. L.I., N.Y.. lNG. P.O. 8OX 420 $OUTHOLD, NEW YORK 11071 TEL~OP~ER COVE~ ~EE~ CONPAN¥, , _.~, ' ['AX PHONE ~- DAT~ SENT: '~- NUMBER OF PAGE~ ,i (inc. cover Commentsl SENT PROM: Our FAX number is 516-765-1717, 24 ~our$. The telephone number at this station is 516-765-1600 b ir$l Settler~ f; artered I,'cbrt,ar , ] 948 ~3DITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 SPECIAL PERMIT In accordance with Chapter 27, Section 27-1-B of the Code of the Town of Southold, a permit is hereby granted to the Rotary Club of Southold to hold a benefit Yard Sale on Saturday, August 18, 1990, from 8:00 A.M. to 2:00 P.M, at Feather Hill, Main Road, Southold, provided they secure and file with the Town Clerk a Certificate of Insurance for at One (1) Million Dollars additional insured. Dated: August 1, liability insurance naming the Town of Southold as an 1990. Judith To Terry Southold Town Clerk cc: Police Chief Winters - Service Above Sell- ROTARY CLUB OF SOUTHOLD. L.I.. N.Y., INC. P.O. BOX 420 SOUTHOLD, NEW YORK 1 lttT1 ). FJ$O August 1, 1990 Judith T. Terry, Town Clerk Southold Town Hall, 53095 Main Road Southold, New York 11971 Dear Mrs. Terry; The Rotary Club of Southold will be holding a benefit Yard Sale on Saturday, August 18th, from 8am-2pm, at Feather Hill in Southold. The rain date for the event will be Saturday, August 25. I have attached a certificate of insurance naming the Town of $outhold as Additional Insured. I would ask at this time that a permit for the above mentioned function be issued to the Club so that we may conform to Town Code. If there are any questions, you may feel free to contact me at 765-1600. cc:file Chairman First Settlers Chartered Februar3, 1948 P~DUCER Northern Insuring Agency, 171 Margaret Street PO Box 789 Plattsburgh, NY 12901 Inc CODE SUB-CODE COMPANY INSURED LETrER e Rotary International Districts COMPANY and Their Rotary Clubs LETTER C P · 0 · B o x 789 COMPANY Plattsburgh NY 12901 LETTER O COMPANY LETTER E 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 POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY LETTER A Royal Insurance Co. of America Royal Insu?ance Co. of America THIS IS TO CERTIFY THAT THE 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 CERTtFiCATE 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 CTR TYPE OF INSURANCE 5 GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUF OWNER'S & CONTRACTOR'S PROT. X Lic~uor Legal :~ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIREO AUTOS NON-OWNED AUTOS GARAGE LIABILITY POLICY NUMBER PST140235 POLICY EFFECTIVE POLICY EXPIRATION DATE IMMIDD/YY~ DATE (MMIDD/YYI 7/01/90 7/01/91 PST140235 7/01/90 7/01/91 LIMIT 3 0 0 0 OTHER THAN UMBRELLA FORM ~TATUTORY WORKER'9 COMPENSATION ~ $ AND $ 4000 4000 3000 5000 5 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRI~IONS/$PE~AL ITEMS Certificate Holder is named as Additionsl Insured as respects premisis by the undersigned Rotary District and/or Local Club. use of SHOULD ANY OF THE ABOVE DESCRISED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO To~n of Southold MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE C/O TOLEn Hall, Main Road LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Southold, Ne~ York 11971 REPRESENTATIVES. 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 Rotary Club of Southold to hold a charity yard sale on Saturday, November 4, 1989, from 8:00 A.M. to 12:00 Noon, on the property of Feather Hill, Main Road, $outhold, provided they secure and file with the Town Clerk a Certificate of Insurance for at least One (1) Million Dollars liability insurance covering the Town of Southold as an additional insured. Dated: October 30, 1989. Judith T. Terry L/ Southold Town Clerk cc: Police Chief Winters The Rotary Club of Southold P.O. Box 420 Southold, New York 11971 October 30, 1989 Judith T. Terry, Town Clerk Southold Town Hall, 53095 Main Road Southold, New York 11971 RECEIVED OCT, 0 1989 Dear Mrs. Terry; In accordance with my past conversations with you and your office, I am attaching a copy of our Certificate of Insurance with Southold Town shown as 'Additional Insured. We will be holding a charity yard sale on Saturday, November 4th, from 8am 'til noon at Feather Hill. I would ask at this time that a permit for the above mentioned function be issued to the Club so that we may conform to Town Code. If there are any questions, you may feel free to contact me. Thank you for all of your help AND patience through this interesting application process. cc:file Gregorfi~/O'. 8¢holand Evey Chairman PRODUCER Northern ZnlU~tng Ag®~ey/ ThC 1~:1 l~llrgaret Street P~att;burgh~ NY ,12901~ CODE SUB-CODE INSURED and,Th®~r~Rotary Clubs P0 Sox~l&0 (MMIDDIYY) THIS CERTIFICATE IS ISSUED AS A ~ATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANY LETTER A COMPANY LETTER B COMPANY LETTER C COMPANY LETFER O COMPANY LETTER E COMPANIES AFFORDING COVERAGE Roya~.Z~$uraac® CO.:D1 Aa®r~ca THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ~SSUED 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER LTR A GENERAL LIABIUTY P~T14,0235 X ~ COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROT. POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDD/YY} DATE (MMIDD/YY) ?to ta ?/Olt9o X .,Li,eUer LagaZ B AUTOMOBILELIABIUTY PSTl&0235 7101189' 7101190 COMS,.EO SINGLE ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABILITY ALL LIMITS IN THOUSANDS GENERA~'AGGREGATE $ 4000 PRODUcTs-COMP/OPS AGGREGATE $ 4000 PERSONAL&ADVERTISING INJURY $ 3000 EACH OCCURGENCE $ 3000 FIRE DAMAGE (Any one fire) $ L ~ 0 MEDICAL EXPENSE (Any one person) $ 5 $ 3000 $ $ $ EACH AGGREGATE OCCURRENCE $ $ OTHER THAN UMBRELLA FORM STATUTORY WORKER'S COMPENSATION $ AND $ EMPLOYERS' LIABILITY $ OTHER (EACH ACCIDENT) (DISEASE--POLICY LIMIT) (DiSEASE--EACH EMPLOYEE DESCRIPTION OF OPERATIONSILOCATIONS~EHICLE~R~TRICTIONEIEPECIAL ITEMS Cert~fLCate Holder,:~ named'aa AddltlOnal~Znaured aa;respects use of The Town of Southold (Dist #?26, Southold Rotary Club) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE iSSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,