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1980-89
PI~DUC~,~::~R Price Agency Inc 828 front street PO. Drawer E Greenpor~, nY 11944 516-477-1680 ISSUE DATE (MMIDD/YY) 9-3-87 THIS CERTIFICATE IS ISSUED A~ A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIRCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE, I~ ..COMPANIES AFFORDING C0~(E[RAGE.' COMPANY © LE~ER J~nsurance Co. of North America COMPANY LETTER B INSURED Southold Fire District, Southold COMPANYLET.r~R Fire Dept, Protection Engine Co, Packard Hose Co, Hook & Ladder COMPANY LETTER Co. PO BOX908 COMPANY LE'UrER THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY I:~.RIOO INOIOATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE I~SUED OR MAY PERTAtN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUISONS, AND CONDI- TYPE OF INSURANCE GENERAL LIABILITY ' COMPREHENSIVE FORM PREMISES/OPERATIONS UNDERGROUND · EXPLOSION & COLLAPSE ~AZARO PROOUCT~COMPLETED OPERATIONS CONTRACTUAL INDEPENDENT CONTRACTORS ~ BROAD FORM PROPERT~ DAMAGE PERSONAL INJURY AUTOMOBILE LIABILITY ANY AUTO. ALL OWNEO AUTOS (PRIV PASS.) AL OWNED AUTOS HrRED AUTOS NON*OWNEO AUTOS GARAGE UABiLi~' POLICY NUMBER GFPD13085560 ~LICY EXPIRATION LIABILITY LIMITS IN THOUSAND~ 1,000.'~c"h person 3-2-87 3-2-88 EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS' COMPENSATION AND EMPLOYERS' UABILITY OTHER 1,000, $1,000, PERSONALiNJURY $ STATUTORY ~ (EACH ACCIDEN~ (DiSEASE-POLICY LIMIT) DESCRIPTION OF OPERATIONS/LOCATiONS/VEHICLES/SPECIAL iTEMS Street Dance, Saturday, Sept; 5, 1987 in Fire Department parking lot. Town of southold Main Street Southold, New Yor~' 11971. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAiL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAJL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LI~ AGENTS OR REPRESENTATIVES.