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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