HomeMy WebLinkAbout1966 Hartford Acddent andlndemnitv Company
FLARTFORD, CONNECTICUT
CERTIFICATE OF INSURANCE
This i~ to certify that insurance policies covering the business operations mentioned below are in force in thifi Corn-
puny as follows:
Name of Insured Cu%chogue New 5uf£olk Park
Address ElS Nassau Poin~o Eoad, Cu%chogue~ N.~.
Coveringat E/$ Nassau Poin% Road, Cu%chogue, N.Y.
Type of Work Covered:
Kind of Insunmce Coverage Policy No. Effective Expiration
Workmen's Comp~msation State
Public Liability ~2 50tO00 * Each Person
$]., 000,000. E~w-h Acckle~t 10CL168481 9/20/66 9/20/67
$ Aggregate
Property Damage $ 25,000. Each Accident
$ Aggregate
Contractors' Protective Public Liability $ Each Person
(Accidents arising out of aub-contractot~ opetationl) l~ Each Accident
Contractors' Protective Property Damage $ Each Accident
The Workmen's Compensation policy covers the obligation of the Insured under the Workmen'$ Compensation Law
of each state above mentioned.
In the event of cancellation, written notice will be given to:
of Town of Sou%hold
at whose request this certificate is issued.
Date . .9/.~.8../..6.6. .........................
Fo~m L-1869 Printed in U.S.A,
~[~cfford Accident and Indemn;~ Company
' i~unric OV~mmL mV~mON BONO NO. NF-3~9~/~-D ·
HARTFORD ACCIDENT AND INDEMNITY COMPANY
Hartford, Connecticut
A Stock Company
OFFICIAL BOND
Know All Men By These Presents, That we, ~ Bo ROOEII~
of Matll RoiRI, b~lta~aOgllO in the State of }I~ ¥o~k as Principal,
and the HARTFORD ACCIDENT AND INDEMNITY COMPANY, a corporation duly organized and existing under
and by virtue of the Laws of the State of Connecticut, and authorized to become sole surety on bonds in the State of
N~ ¥o1'k , as Surety, are held and firmly bound
unto tJIJICIt[~lll~v-}il~ SI/IvI*I~ II~IRI[ DJI~IIlO~
in the State of
, in the full and just sum
of FIVI~ 'I'IIOIJ~AItD ~ 00/100 ............ -----~ollars ($5,000.00 )
lawful money of the United States, for payment of which well and truly to be made, we bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, firmly by these presents.
Signed and sealed this
day of lqo¥olllbo~ , A. D. 1966
Whereas, the said
has been duly elected or appointed to the office of TI'Oa~ll~
in and for the ffOl'~OOali~-I~ 81IFI~I~ P.~X DI~'~TIrI'O~ W ~
for the term beginning on the lit,
day of $ltllll~V~ , 1967
and ending on the ~1~% day of ~ , 1967
Now, Therefore, The Condition of the Above Obligation is Such, that if the above bounden
~ B. ~ shall, during the aforesaid term, faithfully and
truly perform all the duties of his office and shall pay over and account for all funds coming into his hands by virtue of
his said office of 'l~x'~lx~
as required by law, then this obligation to be void, otherwise to be and remain in full force and virtue.
In Witness Whereof, the said Principal has hereunto set his hand and seal, and the said~ha~l?~TFORD ACCIDENT
AND INDEMNITY COMPANY has caused these presents to be signed by its officers proper f9¥ the purpose the day
and year first above written, f - '~ ~ /J
.... ...........
HA TFORD ACCIDENT ANEL. fNDEMNITY COMPANY
!1~t~1~, lg~rt,-8~t~ ot' !~ Ya~-k
tateo,
County of ~ J
Before me, this ,/ ~:~ day of~}x~~ex , A. D. 1~?
personally appeared the said ~ Bo
to me known and known to me to be the individual described in and who executed the foregoing bond, and he acknowl-
edged to me that he executed the same.
RY U C, ' New york
OFFICIAL BOND
BOND NO.
HARTFORD ACCIDENT
AND
INDEMNITY COMPANY
Hartford, Connecticut
On Behalf of
In favor of
Dated .................................................................... 19 ........
Expires .................................................................... 19 ......
STATE OK NEW. YORK, ~ ss.
COUNTY OF NEW YORK, j
On......NOl~l~l'..~e~ .............. 1966 ....................... before me permnally came ......... $*..~8~ ..............................
to me known, who, being by me duly sworn, did depose and say, that he resides in..v~..~..~....~.,v. ....... ;
that he is the Resident Vice-President of the HARTFORD ACCIDENT AND INDEMNI~ ~M~e'~%}3ora-
tion de~fibed in and which executed the within instrument; that he knows the seal of mid corporation; that the seal
affixed to said instrument is such corporate seal; that it was so affix~ by order of the Board of Directors of said cor~ra-
tion, and that he signed his name thereto by like order; and the said.......$....~ ........................ further said that
he is acquainted with ............ ~..~,..~ ............................................ and knows him m be the.~.,.~.,~y.
of said company; that the signature of the said ........ ~..¥,...~ ................................................................................
subscribed to the within instrument is in the genuine handwriting of the mid ....... ~..~...~ ............................
and was sub~fibed thereto by him by like order of the Board of Directors and in the presence of him, the
said .............. ~..~ ................................. ; and ~at the Superintendent of Insurance of the State of New York, has,
pursuant to chapter 33 of the Laws of the State of New York for the year 1909, as amended, constituting chapter 30 of
Cahill's Consolidated Laws of the State of New York, as amended, issued to the HARTFORD ACCIDENT AND IN-
DEMNITY COM~NY, his certificate that said company is qualified to become and be accepted as surety or guarantor
on all bo~~} and other obligations or guarantees, as provided in the Insurance Law of the State of New
Yo~r~t~'~n~atory thereof and supplementary thereto; and that such certificate has not been revoked.
*r;~r and lawful meet,nd of the Board of Directors of ~AR~RD ACCIDENT AND
~NY, at which a quorum was present, held at the office of the Co,any, in the City of Hartford~f Con-
necticut, on the 12th day of April, A. D. 1966, on motion, it was unanimously
"R~OLVED that B. F. GATES, FRED J. KEHRLI, EDWARD M. OZANICK, JOHN W. o'CONNOR, WILLIAM
M. FRINK,JR., CLAUDE E. GLASER, JR., HAROLD SCHAFFNER, S. CAPOTOSTO, R. S. FAIRCHILD,THOMAS
E. McGUIRE, T. P. WHELEHAN, WILLIAM A. MUELLER, C. A. JOHNSON, JOHN A. McMAHON, and DONALD
F. McNALLY, Resident Vice-Presidents, be and each of them is hereby authorized and empowered on behalf of the Com-
pany to execute and deliver, and to attach the seal of the Company to, any and all bonds, recognizances, undertakings,
guarantees, contracts of indemnity, agreements and writings obligatory in the nature thereof within the purview of any
of the following corporate powers and purposes of the Company, to wit: to guarantee the fidelity of persons holding places
of public or private trust; to guarantee the performance of contracts; to execute or guarantee bonds and undertakings
required or permitted in any and all actions or proceedings or by law allowed; to indemnify banks, bankers, brokers,
financial or moneyed associations, or financial or moneyed corporations against 1o~ of any bills of exchange, notes, drafts,
acceptances of drafts, bonds, securities, evidences of debts, deeds, mortgages, warehouse receipts, bills of lading, docu-
ments, instruments, papers, any evidence of value, currency, money, gold, platinum, silver and other precious metals,
refined or unrefined and articles made therefrom, jewelry, watches, necklaces, bracelem, gems, precious and semi-precious
stones, and also against loss resulting kom damage to the insured's premiss, furnishings, fixtures, equipment, safes and
vaults therein, cau~d by burglary, robbery, holdup, theft or larceny, or attempt thereat, and without limitation by reason
of the foregoing to become principal, surety, indemnitor, endorser, or otherwi~ bind it,ll on, or upon, any bond, recogni-
zance, undertaking, guarantee, contract of indemnity, agreement and writing obligatory in the nature thereof, and on,
or upon, every obligation whatsoever on, or upon, which any company or insurer, authorized to transact a liability, cas-
ualty, accident, health, fidelity, indemnity or surety business in the juri~iction involved having the same qualifications
in respect to doing business as the Company, is permitted to bind itself; such bonds, recognizances, undertakings, guaran-
tees, contracts of indemnity, agreements and writings obligatory in the nature thereof, however, to be attest~ in every
instance by one other of said Resident Vice-Presidents or by H. R. BIRKEL, GRACE C. BARRETT, MARY T. MALO-
NEY, R. E. DeHECK, EMIL J. DZURILLA, RENARD PETRONZIO, or ANGELO V. GIUDICE, Resident A~is-
taut Secretaries."
STATE OF NEW YORK, ~ ss.
COUNTY OF NEW YORK,
J
I ........... ~..~....O~r..~et~..s,8~.~ ............... of the HARTFORD ACCIDENT AND
INDEMNITY COMPANY, have compa~e ~go~ng remlh~n with the original thereof, ~ recorded in the minute
book of said company, and DO HEREBY CERTIFY that the Nme is a true and correct transcript therefrom, and of
the whole of the said resolution, and that the Nme is still in full force___ '"-'" '"0"" ;~and effect. ~~~ ~.~
Given under my hand and the seal of the company, at the City.of..New.York:.on~
Hartford Accident and Inde $
He.ford, Connecticut
Financial Statement, December 3 965
ASSETS
U. S. Government Bonds .... $80,726,572.00
Bonds of other Governments . 8,358,822.40
State, County, Municipal and
Miscellaneous Bonds ..... 439,666,801.83
Stocks ......... 296,342,972.00
$825,095,168.23
LIABILITIES
Reserve for Claims
and Claims Expense ..... $402,602,341.25
Reserve for Unearned Premiums . 198,888,801.41
Reserve for Taxes ...... 10,189,451.98
Miscellaneous Liabilities .... 9,268,598.31
Total Liabilities 8620,949,192.95
Voluntary Reserve $147,000,000.00
Capital Paid In 20,000,000.00
Surplus 152,196,326.32
Surplus as regards Policyholders .
Real Estate ........ $9,834,504.84
Cash in Offices and Banks .... 5,891,875.25
Agents' Balances (Under 90 Days) 77,302,950.61
Interest Accrued ...... 5,303,734.57 $319,196,326.32
Sundry Assets ....... 16,717,285.77
Total Liabilities, Capital Stock
Total Adraltted Assets .... $940,145,519.27 and Surplus ....... $940,145,519.27
STATE OF ~[RK,
COI{NT~ .,.~ oI~o~ ~W~K, }ss'
~ *. ~ ..... -~.,..01hldl[a~ ..~ . of the HARTFORD ACCIDENT
o~g ~~i~ANY' do hereby certl[y~t~t~t e ~~ correct statemqpt of the financial cond,t,on
~.n~_.-.[t~.s of the thirty-first day of December, nineteen sixty-five, to the bestially kn~,wle~ge and belief.
$o~*~'~,
~and sworn to before me on //~//J.~
....... .................................
Notary fl~blic
HARTFORD ACCIDENT
AND
INDEMNITY COMPANY
Executive Office: 69~ Asylum Avenue
Hartford, Connecticut 06115