HomeMy WebLinkAboutWells Pontiac-Cadillac 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 Wells Pontiac-Cadillac,
Inc. to hold "The Great Cadillac Tent Event" on May 19, 20, 21, 1989, at
Route 25 and Peconic Lane, Peconic, New York; said tent to be 20 ft. by
30 ft. and approved by the Building Department; provided they secure
and file with the Town Clerk a Certificate of Insurance naming the Town
of Southold as an additional insured.
Dated: May 18, 1989.
Judith T. T;~/~
Southold Town Cler~
PRODUCER
Gme,lX , N.Y. 11944
lbL (616) 477-0041
INSURED
Wells Pontiac Cadillac, Inc.
Main Road & Peoknic Lane
Peconic, N.Y. 11958
ISSUE DATE (MM/DO/YY)
5-15-89
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.
COMPANY
LE~-FER C
COMPANY D
LETTER
COMPANY
LETTER E
COMPANIES AFFORDING COVERAGE
COMPANY A Continental Insurance Co.
LETTER
COMPAHY
LE1TER B
it I '~ · ~" ;--~--- i Iii
BLDG. DEPT.
TOWN OF SOUTHOLD
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.
LTR POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS
CO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY~ EACH AGGR~ATi
OCCURRENCE
i NERAL LIABILITY BODILY i
~ COMPREHENSIVE FORM 04 CBP 6036545 L0/1/88 10/1/89 ,NJU,V $
PREMISES/OPERATIONS PROPERTY
UNDERGROUND DAMAGE
EXPLOSIOD & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPERATIONS
CONTRACTUAL BI & PD
COMBINED $ 1,000, ( $0.
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY PERSONAL INJURY
ITOMOBILE LIABILITY SODILY
INJURY
ANY AUTO (~R PERSON)
ALL OWNED AUTOS (PRIV PASS) SODILY
D AUTO OTHER THAN INJURY
ALL 0WNE S ( PRIV PASS ) I~fi ~ClDENi $
H~RED AUTOS
PROPERTY
NON-OWNED AUTOS DAMAGE
GARAGE LIABILITY 04 CBP 6036545 10/1/88 10/1/89 ~1 & PD
COM~,.ED $ l, 000, ~ 00
:ESS LIABILITY
UMBRELLA FORM SO & PD
COMBINED $ $
OTHER THAN UMBRELLA ECRM
WORKERS' COMPENSATION STATUTORY
AND $ (EACH ACCIDENT)
EMPLOYERS' LIABILITY $ (DISEASE-POLICY LIMIT)
ER $ (DISEASE EACH EMPLOYE
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS
Automobile Sales & Service
To~ of Southold ! PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
· MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, FAILURE TO MAIL S CH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
·OFTA~Sy~INDUPONTH~A~AN~,iTSAGENTSORREPRESENTATiVES.
PONTIAC
PONTIAC-CADILLAC, INC.
SUBARU
Route 25 at Peconic Lane
Peconic, New York 11958
(516) 765-1000
May 12, 1989
Mrs. Judith Terry
Town Clerk of Southold
Main Road
Southold, New York 11971
Dear Mrs. Terry:
RECEIVED
MAY 1 5 1989
This letter is to obtain permission to have a 20 foot by 30
foot tent erected on the property of Wells Pontiac-Cadillac, Inc.,
Main Road, Peconic, New York. The purpose is to join the other
eleven Cadillac dealers of Nassau and Suffolk County in a special
tent sale at each individual dealership Friday May 19, 1989 through
Sunday May 21, 1989. The tent will be put up on Thursday May 18th
and is scheduled to be taken down Monday May 22, 1989. This is a
once a year sale. Enclosed is a rough copy of one advertising Ad.
I will supply you with a binder of my insurance including the
Town of SouthoId in the coverage for these days.
Yours truly,
WELLS PONTIAC-CADILLAC, INC.
Herbert W. Wells, Jr.
President
HWWJr./hr
Eno.