HomeMy WebLinkAbout1990-99 PRODUCER
[DE WITT STERI~, GUTMANN & CO., INC.
] 420 LEXINGTON AVENUE
YORK, ~ YORK 10170
CODE SUB-CODE
II~I~HD ~k !~1~1~ ' '~ ISSUE DATE (MM/ODIYY)
., · .-, 05/22/90
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
LETTERB
INSURED
COMPANY
FISHERS ISLAND FIRE DISTRICT & LETTER C
FISHERS ISLAND FIRE DEPARTMENT
P.O. BOX 222 COMPANYLETTER O
FIS~ ISLA.ND, ~ ¥o1ur, 06390
COMPANY
LETTER E
COVERAGES
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.
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
CO POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY) DATE (MMIODIYY) ALL LIMITS IN THOUSANDS
A GENERALMABILITY ~P 01 94 24 88 1 02/01/90 02/01/91 GENERAL AGGREGATE $1000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOPS AGGREGATE $ 1000
CLAIMS MADE X OCCUR. PERSONAL & ADVERTISING INJURY $ ].000
OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 1000
FIRE DAMAGE ('Any one fire) $ .~0
MEDICAL EXPENSE (Any one person) $ .~
COMBINED
SINGLE $
LIMIT
BODILY
INJURY $
(Per person)
BODILY
INJURY $
(Per accident)
PROPERTY
DAMAGE $
EXCESS LIABILITY
OTHER
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
EACH AGGREGATE
OCCURRENCE
$ $
STATUTORY
$ (EACH ACCIDENT)
$ (DISEASE--POLICY LIMIT)
$ (DISEASE--EACH EMPLOYEE/
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESlRESTRICTIONSISPEClAL ITEMS
EXTE/qD TIIE YIRE DISTRICT MARATHON TO BE h~T,p ON 05/27/90.
HOLDER
TOW'N OF SOU/~O~D
TOWN HAI.T.
F.O. BOX 1179
SOUTHOLD, NEW YORK 11971
JUDITH T.
ACORD 25-S (3/88)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 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,
PROOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
DeWitt Stern, Gutmann & Co., Inc CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
420 Lexington Avenue POLICIES BELOW.
New York, NY 10170
COMPANIES AFFORDING COVERAGE
COMPANY A INA
LETTER
COMPANY a
LETTER
INSURED
Fishers Island Fire Dist
COMPANY C
LETTER
Attn: Katherine Jensen
P O Box 222
COMPANYD
Fishers Island, CT 06390 LETTER
COMPANY S
LETTER
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,
E. XCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICYEFFECTIVE POLICY EXPIRATIOth
LTR 'Pi'PE OF INSURANCE POLICY NUMBER DATE(M M/D D/YY) DATE(M M/DD/YY) LIMITS
A GENERAL LIABILITY D19424881 02/01/91 02/01/92 GENERALAGGREGATE $1,000K
X COMMERCIALGENERAL LIABILITY PRODUOTS-COMP/OPAGG. $1,000K
i:!:!:!:!=i:i=!: $1,000 K
:i:i;::i:::::::: LAIMS MADE OCCUR. PERSONAL &ADV. INJURY
DWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $1, 000K
FIREDAMAGE(Anyonefire) 1550· 000
vIED.EXPENSE (Anyone perso~, $5 , 000
AUTOMOBILE LIABILITY COMBINED SINGLE
ANYAUTO LIMIT
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS '(Per person)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident)
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILI'IrY EAC H OCCUR R EN C E $
UMBRELLA FORM AGGREGATE $
AND EACH ACCIDENT $
EMPLOYERS' LIABILITY DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
OTH ER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Liability extended to cover Marathon to be held May 1991
i:i:i:i: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Town of Southold !::i::ili:: EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Town Ha 11 MAIL3 0DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
P. O. BOX 1179 i::i::i::ii LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
::::::~: LIABILITY OF ANY KiND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
Southold, NY 11971
:!:i;i:! AUTHORIZED REPRESENTATIVE
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
DeWitt Stern, Gutmann & Co · , IRC CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
420 Lexington Avenue POLICIES BELOW.
New York, NY 10170
COMPANIES AFFORDING COVERAGE
COMPANY A Bankers Standard Ins Co.
LETTER '
COMPANYB
LETTER
INBURED
Fishers Island Fire Dist
COMPANY C
Attn.' Katherine Jensen LETTER
P O Box 222 COMPANY D
Fishers Island, CT 06390 LETTER
COMPANY E
LETTER
THIS IS TO CERTIFY THAT THE POUClES OF INSURANCE lISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 CONDmONS OF SUCH POLICIES. lIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POUCY EFFEC~llVE POLICY EXtRA'nON
CO TYPE OF IN8URANCE POLICY NUMBER LIMIT8
[.TR DATE(M M/D D/YY) DATE(M M/D D/YY)
A GENERALLIABILrrY D19424881 02/01/92 02/01/93 GENERALAGGREGATE $2,000K
X .COMMERCIALGENERAL LIABILIT~ PRODUCTS-COMP/OPAGG. $2 r 00 OK
[}i}iii!iiiiiii!i~ tCLAIMS MADE t---X--] OCCUR. PERSONAL &^DV.,,JUBY ,1,000K
~)WNER'S & CONTRACTOR'8 PROT. EACH OCCURRENCE $1 f 0 0 OK
FIREDAMAGE(Anyo,eflre) $501000
MED.EXPEN~E (A~Y~® Perlo~ $5 [ 000
AUTOMOBILE LIABILrP( COMBINED 8INGLE
ANY AUTO LIMIT
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS :Per p®raon)
HIRED AUTO8 BODILY INJURY $
NON-OWNED AUTO8 (Per ~cldent)
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCE88 LIABIU]Y EACH OCCURRENCE
I UMBRELLA FORM AGGREGATE
AND EACH ACCIDENT $
EMPLOYERS' LIABILITY DIBEABE'POLICY LIMIT
DISEASE- EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMB
Liability extended to cover Marathon to be held May 24th, 1992.
Certificate holder is additional insured.
, iiiii!!! SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
Town of Southold iiiiii!i EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
iiiiiii! MA,L 30 DAYS W,,, ,=. NOTICE TO THE CERTIF,CATE HOLDER.~MED TO THE
Town Hall ~i~ LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBEGATION OR
P. O. BOX 1 1 7 9 ilii MABILI'P/ OF ANY KiND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
~ 188UE DATE (M M/D D/Y~
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
DeWitt Stern, Gutmann & Co .., Inc CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
420 Lexington Avenue POLICIES BELOW.
New York, NY 10170
COMPANIES AFFORDING COVERAGE
COMPANY A Bankers Standard Ins Co
LETTER ·
COMPANY B
LETTER
INSURED
Fishers Island Fire Dist COMPANY C
Attn= Katherine Jensen LE~ER
P O BOX 222 COMPANY D
Fishers Island, CT 06390 LETTER
COMPANY E
LETTER
::~::.......~.~..:.~::*.~. ============================================================================================================================================================ ,..~....:~.
THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POMCY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WTTH 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 CONDmONS OF SUCH POUCIES. uMrrs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE FOLICY EXFRRAllON
LC~ TYPEOF IN8URANCE POLICYNUMBER DATE(MM/DD/YY) DATE(MM/DD./YY) MMIT8
A GENERAL LIABILITY D19424881 02/01/92 02/01/93 GENERALAGGREGATE $2,000K
X :OMMERCIAL GENERAL LIABILIn PRODUCTS-COMP/OP AGe. $2 ~ 0 0 OK
:)WNER'8 & CONTRACTOR'S PROT. EACH OCCURRENCE $1 ! 00 OK
FIREDAMAGE(Anyoneflr®) $50 f 000
MEO.,~a'~ (~yon. ~.,~ $5 ~ 000
AUTOMOBILE LIABILITY COMBINED 8INGLE . $
ANYAUTO LIMIT
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOB BODILy INJURY $
NON- OWN E D AUTOS (Per amoldent)
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $
I UMBRELLA FORM AGGREGATE $
:;:;:;:;:;:;:;:;:~:;~:;:i:':i:i:!:: $~:~:i:~:;:i:~:~:~ ~i:~i:i:~i:~!;:
WORKER'8 COMPENSATION I STATUTORY LI MITS ~[~:~:~:~:~:~:~:~:~:!:;:~:~:~:~:~:~:~:~:~:~:!:~:~:
AND EACH ACCIDENT $
EMPLOYERS' LIABILITY DISEASE'POLICY LIMIT $
DIBEABE-EACH EMPLOYEE $
OTH ER
RECEIVED
l.qq2
APR 1,,
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEM8
Liability extended to cover Marathon to be held May 24th, 1992.~ou1~o14
Certificate holder is additional insured·
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Town of Southold:.:.:.:.!ili!!ii MAIL 30 DAYS WRFI-rEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Town Hall ii~?iiiii LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR
P. O. BOX 1179 ii ii iii! ii !ili !! LIABI~;~t' OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Southold, NY 11971
PRODUCER ~'HIS CFR TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
DeWitt Stern, Gutmann & Co., Inc CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
420 Lexington Avenue Poucms BELOW.
New York, NY 10170
COMPANIES AFFORDING COVERAGE
COMPANY A Bankers Standard Ins Co
LETTER ' '
COMPANY B
LETTER
INBURED
FisherS.Island Fire Dist COMPA.yc
Attn: Katherine Jensen LETTER
P O BOX 222 COMPANYD
Fishers Island, CT 06390 LETTER
COMPANY E
LETTER
THIS IS TO CERTIFY THAT THE POBCIES OF INSURANCE USTED EELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWrrHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH REBPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS,
EXCLUSIONS AND CONOmONS OF SUCH POLICIES. uMrrs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPIRATION
CO TYPE OF INSURANCE POLICY NUMBER LIMITB
[.TR DATE(M M/D D/YY) DATE(M M/D D/YY)
A GENERALLIABIMTY D19424881 02/01/93 02/01/94 GENERALAGGREGATE $2z000K
X ;OMMERCIAL GENERAL LIABILIT% PRODUCTS-COMP/OPAGG. $2,0 0 OK
3WNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $1 ~ 0 0 OK
FIREDAMAGE(Anyonefire) $50 f 000
MED.~,m~ (~y~, m~l $5 ~ 000
AuTOMoBILE LIABILI3Y COMBINED SINGLE
ANY AUTO LIMIT
ALL OWNED AUTOS BODILY INJURY $
SC H E DU L ED AUTOS (Per Person)
HIRED AUTOS BODILYINJURY $
NON- OWN ED AUTOS (Per a~oldent)
GARAGE LIABILITY PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
AND EACH ACCIDENT $
EMPLOYERB' LIABILITY DISEASE'POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIIONB/LOCATIONSJ~/EHICLES/SPECIAL ITEM8
Liability extended to cover Marathon to be held May 24th, 1993.
Certificate holder is additional insured.
[i[!::i[i SHOULD ANY OF THE ABOVE DESCRIBED POECIES BE CANCELLED BEFORE THE
:::::::: EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Town of Southold iiiiiiii MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Town Hall ~::~::~::~:: LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR
P. O. BOX 117 9 iiiiiill LIABIU~TY//:)F ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Southold, NY 11971
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
DeWitt Stern, C-utmann & Co. t ThC CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
420 Lexington Avenue POLICIES BELOW.
New York, NY 10170
COMPANIES AFFORDING COVERAGE
COMPANY A Bankers Standard Ins Co
LETTER '
COMPANY a
LETTER
INSURED
Fishers Island Fire Dist
COMPANY C
LETTER
Attn: Katherine Jensen
P O Box 222
COMPANY D
LETTER
Fishers Island, CT 06390
COMPANY E
LETTER
THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD
INDICATED, NOTWrFHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDmONS OF SUCH POLICIES. EMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPIRATION
~,O TYPE OF INSURANCE POLICY NUMBER LIMITB
LTR DATE(M M/D D/YY) DATE(M M/D D/YY)
A ~ENE.~LLmB,UW D19424881 02/01/93 02/01/94 GENERALAGGREGATE $2,000K
X 3OMM ERClAL GENERAL LIABILIT~ PRODUCTS-COMP/UP AGe. $2 ~ 0 0 OK
)WNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $1 ~, 0 0 OK
FIREDAMAGE(Anyoneflre) $50 ~ 000
; MED.EXPENSE (Anyc~le parsul $5 f 000
AUTOMOBILE LIABILITY COMBINED SINGLE $
ANYAUTO LIMIT
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BOOILYINJURY : $
NON-OWNED AUTOS (Per accident)
GARAGE LIABILITY
!PROPERTY DAMAGE $
EXCESB LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
AND EACH ACCIDENT $
EMPLOYERB' LIABILITY DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
UT.ER
DESCRIPTION OF OPERATIONB/LOCATIONB/VEHICLES/BPECIAL ITEMB
Liability extended to cover Marathon to be held May 30th, 1993.
Certificate holder is additional insured.
· .......iiiiiiii SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
EXp,..TIo. DATE THEREOF, THE ,SSU..G COMPANY E.D VOR TO
Town of Southold iiiiiiii MAIL 30 DAYS WRrTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Town Hall ii!iiiil LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBMGATION OR
P. O. Box 117 9 iiiiiii:: LIABILITY OF ANY KiND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Southold, NY 11971 i::i::i::i:: AUTHORIZEOREPRESENTATWE