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Home My WebLink About1990-1999CERTIFICATE OF INSURANCE PRODU~R Volunteer Firemens Insurance Services New York State Regional Office 400 Plaza Drive Binghamton, NY 13903 CODE SUB-CODE INSURED Mattttuck Fire District Pike Street Mattituck, NY 11952 ISSUE DATE (MMIDD/YY) '5/25/90 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 Insurance Company of North America COMPANY LETTER a COMPANY LETTER C COMPANY LETTER O COMPANY LETTER E COVERAGES CO LTR A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY 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. TYPE OF INSURANCE POLICY NUMBER POMCY EFFECTIVE POLICY EXPIRATION DATE (MMIDD/YY) DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER GPPD1941906A 12/1/89 12/1/90 GENERAL AGGREGATE $ 1,000 PRODUCTS-COMP/OPS AGGREGATE $ 1,000 PERSONAL & ADVERTISING INJURY $ 1 ~ 000 EACH OCCURRENCE $ I, 000 FIRE DAMAGE (Any one fire) $ 50 MEDICAL EXPENSE (Any one person) $ 5 COMBINED SINGLE $ LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ EACH AGGREGATE OCCURRENCE $ $ STATUTORY (EACH ACCIDENT) (DISEASE--POLICY LIMIT) (DISEASE--EACH EMPLOYEE OESCRIPTIONOFOPERATIONS~OCATIONS/VEHICLES/RESTRiCTiONS/SPECiALiTEMS The Certificate Holder is an Additional Insured a Parade being held on May 28, 1990. per the CG-2026 endorsement with respects to CERTIFICATE HOLDER Town of Southold Town Hall 53095 Main Road PO Box 1179 Southold, NY 11971 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 _~ 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 A(, 411tl . PRODUCER Volunteer F~emens Insurance Services New York State Regional Office PO Box 1250~ Vestal, NY 13851 cER: i-F CA-? 0 : ,NSUFiANCE .................. ,SSUE DATE IMM,DD,YY) 1/21/92 THIS ~CERTIFiC~,'TE' i$-i~-S~U'ED ~,S-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 A LETTER Indemnity Insurance Co of North ~.~rica COMPANY LETTERB INSURED M~ttituck Fire District COMPANY LE/TER O Pike Street I M~ttituck, NY 11952 COMPANY D ~ LETTER COMPANY LETTER E ~(~VERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT%NITHSTANDING 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 TERM.~. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER ~ A GENERAL LIABIi:}TY X COMMERCIAL GENERAL LIABILITY _G~D19449415 CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROT. ..... AUTOMOBILE Li~Bi-i:iTY ' ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION ~' ~' AND .... o-¥'~. ............... POMCY EFFECTIVE POLICY EXPIRATION DATE (MM/DDIYY) DATE (MMIDDIYY) 12/1/91 12/1/92 LIMITS GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG. $ 2. 000. 000 PERSONAL & ADV. INJURY $ 1. 000~, 000 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one lire) $ 50 ~, 000 ..... ~.~._E~_~s~ (~ ~ne p~on) $ COMBINED SINGLE LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ AGGREGATE $ STATUTORY LIMITS EACH ACCIDENT $ DISEASE--POLICY LIMIT $ DISEASE--EACH EMPLOYEE $ DEscRIPTiON' OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Proof of Insurance - with res~cts to the use training facility - Route 48 Cutchogue, N~f. of th~ CERTIFICATE HOLDER Town of Southold ~in Ro,:~t RECEIVED Southold, NY 11971 JAN 2 4 1992 (cement block building at Landfill used as training ~u~olrll' facility by fire departments) ACORD 25-S (7/90) Certificate Holder's pren~ses as a CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~qfJ 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 ©ACORD CORPORATION 1990