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HomeMy WebLinkAbout1982In the .~atter o~ t~e Claim Allstate Insurance Co. As Subrogee of Robert D. and Madeline Wendell ugh.st TRANSIT AUTHORITF TO: TRANSIT AUTHORITY PLEASE TAKE NOTICE that the undersigned clalmantCs) hereby malceCs) claim a~d demand against you as tollows: Southhold Township l. The name and post-o~ce address of each claimant and claimant':; attorney, is: Allstate Insurance Co. 1 Allstate Dr. Farmingville, NY 2. The nat~e o! ~e ~aim: Property Damage 1980 Subru I.D. Lic.#543 YYI 2339 The t~me when, the place where and the manner in which the claim arose: 6/9/82 4:00 PM Founders Landing Town Park Warf House Southhold, NY Mr. Wendell made a turn and hit a fence POle in the middle of the road. Pole was unmarked and created a da~egerous condition. ' 4. The items oi damage or injuries claimed are (do not state doflar amounts.) 1980 Subru I.D. 2339 > LIc #543 YYI The amount of~amage is $488.27 T, he undersigned claimant(s) there/ore present this claim /or ad}ustment aad payment. You are hereby notified that unless it is adjusted and paid within the time provided by law/rom the date o~ presentation to you, the claimant(s) intend(s) to commence an action on this claim. Dated: 8/].0/82 Benjamin Purvin Esq. 5 Dakota Drive Lk. Success, NY ........................... ........................... O~ice and Post O~ice J~ress, ~&phone Number State o/ New York, County o~ ~s.: being duly sworn, deposes and says that deponent is the claimant in the within' action; that ..he has read the /oregoing Notice o/Claim and knows the contents thereo/; that the same is true to deponent's own knowledge, except as to the matters therein stated to be alleged on in/ormation and belie/, and that as to those matters deponent believes it to be true. Sworn to be/ore me, this day o! 19 State o~ New York, County being duly sworn, deposes and says that deponent is the corporate claimant named in the within actiog; that depo. nent has read the/oregoin~ Notice o! Claim and knows the contents thereo/, and that the same is true to deponent's own knowledge, except as to the matters therein stated to be alleged upon in/ormation and belie/, and as to those matters deponent believes it to be true. This verification is made by deponent because said claimant is a corporation, and deponent an o#icer thereo/, to wit its The grounds o~ d ' · eponent s behe/ as to all matters not stated upon deponent's knowledge are as/ollows: Sworn to before me, this day o/ 19 PUBLIC OFFICIAL DIVISION ~'~ THE HARTFORD OFFICIAL BOND BOND NO. W&395997 Know All Men By These Presents, That we, li~.A~K A. I~KI~I of 1350 i/~11o I~., ~tbold in the State of ![~ Y~'k as Principal, and the l~rt~c~d ~cc td~nt & llida~llty Gcmpauy , a corporation duly organized and exist- ing under and by virtue of the Laws of the State of C~t l~ut , and authorized to become sole surety on bonds in the State of N~ Ye~k unto $ovthold P~'k D:totl'let , as Surety, are held and firmly bound in the State of !!~ Yo~'k , in the full and just sum of FIV~ ~llOUS~D IMD 00/100 ....................................... Dollars ($ q 000.0n ) lawful money of the United States, for payment of which well and truly to be made, we bind ourse'[~$s, our']~eirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. Signed and sealed this 1st day of Whereas, the said Frank A. l~k/mh A.D. 1982 has been duly elected or appointed to the office of Tre.~fturer in and fbr the S~lthold Park D:~trt~t for the term beginning on the 27th day uf ~'ebrum*y ,19 83 and ending on the 27Ch day of Fabrutry ,19 ~ Now, Therefore, The Condition of the Above Obligation is Such, that if the above bounden FJt~iK A. I~iL~ll 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~l~r 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 li~'g£~'d ~l.~llg & Ind~l~'l~y C~l~ny has caused these presents to be signed by its officers proper for the purpose the day and year first above written. ...................................................................................... ..... Principal ............................ Surer? .............................................. ~y Burl~-~tt~n~y I~ F~ct State of County of SS. Before me, this day' of , A.D. 19 toPers°nallYme knownappearedand knownthe saidto meFralllkto Oe me &° ln~ualI'~ k described in and who executed the foregoing bond, and he' acknowledged to me that he executed the same. Notary Fubl~ Form S-3720-1 Printed in U.S.A. OFFICIAL BOND BOND NO. THE HARTFORD On Behalf of In favor of Dated ...................................................................... 19 ...... Expires ................................................................... 19 ...... Form S-37204 Hartford Accident and Indemnity Company Hartford, Connecticut Financial Statement, December .31, 1981 (Gent~ Omitted) ASSETS U. S. Government Bonds . Bonds of other Governments . State, County, Municipal and Miscellaneous Bonds . Stocks ...... ~ $ 155,272,117 293,390,192 1,336,461,075 521,781,471 $2,306,904,855 LIABILITIES Reserve for Claims and Claims Expense .... Reserve for Unearned Premiums . Reserve for Taxes ..... Miscellaneous Liabilities Total Liabilities ..... $1,343,895,797 436,874,194 21,889,093 50,249,999 $1,852,909,083 Real Estate ....... 2,139,864 Cash in Offices and Banks . 547,482 , l- Agents Balances (! nder 90 D~ysi 0 Sundry Assets ...... 300,696,610 Total Admitted Assets . STATE OF CONNECTICUT, COUNTY OF HARTFORI), $2,610,288,811 Capital Paid In. $ 40,000,000 Surplus 717,379,728 Surplus as regards Policyholders .. $ 757,379,728 Total Liabilities, Capital Stock and Surplus ...... $2,610,288,811 D. C. Thomas, President of the Hartford Accident and Indemnity Company, being duly sworn, does hereby certify that the foregoing is a correct statement of the assets and liabilities of the said Company as of December 31, 1981 and in witness whereof said President has hereunto signed and caused the corporate seal to be affixed hereto, Acknowledged and sworn to before me this 5th day of March, 1982 Attest: Form GS-19-1 H A & I Printed in U.S.A. POWER OF ATTORNEY Know all men by these P~esents, T~at the HARTFORD ACCIDENT AND ~NDEMNITY COM- PANY, a corporation duly organized under the laws of the State of Connecticut, and having its principal office in the City of Hardora, County of Hartford, State of Connecticut, does hereby make, constitute and appoint C. P. LANG, WILLIAM A. FORAN, MARY BURKE, JOSEPH CARFORA and PEGGY LADISLAW, of WOODBURY, NEW YORK its true and lawful Attomey(s)-in-Fact, with ~uH power and authority to each of said Attorney(s)-th-Fact, in their separate capacJty if more than one is named above, to sign, execute and acknowledge any and all bonds and undertakings and other whtings obligatory in the nature thereof on behalf of the company in ~t$ business of guaranteeing the fidelity of persons holding places of public or phvate trust; guaranteeing the performance of contracts other than ~nsurance pofi- cies; guaranteeing the performance of insurance contracts where surety bonds are accepted by states and municipal- ities, and executing or guaranteeing bonds and undertakings required or permitted in all actions or proceedings or by This power of attorney is signed end sealed by facsimile under end by the authority of the following Resolution day of August, 1976. Attest: STATE OF CONNECTICUT, COUNTY OF HARTFORD, HARTFORD ACCIDENT AND INDEMNITY COMPANY On this 9th day of August, A.D. 1976, before me personall came Thomas F. Delaney, to me known, who being by me duly sworn did depose and say: that he resides in the ~ounty of Hartford, State of Connecticut; that he is the Assistant Vice-President of the HARTFORD ACCIDENT AND INDEMNITY COMPANY, the corporat on described in and which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation and that he signed his name thereto by like order. ~ STATE OF CONNECTICUT, ~ Gloria Mazotas, No~u'y Pub~ COUNTY OF HARTFORD. CERTIFICATE I, the undersigned, Assistant Secretary ct the HARTFORD ACCIDENT AND INDEMNITY COMPANY, a Connecti- Signed and sealed at the City of Hartford. Dated the [~, day of ~111~' 19 STATE OF NEW YOILK } ) ss. ~0~ ~ ~k; that he ~s the atto~ey-~n- be 8cc~t~ is surety or ~rautor ~ECEIVED FEB 0 '~own. Clerk THE HARTFORD Hartford Plaza Hartford, Connecticut 06115 Form ~3~2:~-2 Printed in U.S.A.