HomeMy WebLinkAboutFlower Hill Subdivision AKA Beach Plum Division`Ot
RESOLUTION 2015-199
ADOPTED
DOC ID: 10576
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2015-199 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
FEBRUARY 24,2015:
RESOLVED that the Town Board of the Town of Southold hereby releases the Performance
Bond #18655 issued by the Service Insurance Company, Inc. for the Conservation Subdivision
of Beach Plum Homes (Flower Hill) in the amount of $11,477.00, based upon the
recommendation of the Planning Board and the confirmation by the Town Engineer that all
required improvements have been completed, subject to the approval of the Town Attorney.
Elizabeth A. Neville
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: William P. Ruland, Councilman
SECONDER: Louisa P. Evans, Justice
AYES: Ghosio, Dinizio Jr, Ruland, Evans, Russell
ABSENT: Jill Doherty
PLANNING BOARD MEMBERS
DONALD J. WILCENSKI
Chair
WILLIAM J. CREMERS
PIERCE RAFFERTY
JAMES H. RICH III
MARTIN H. SIDOR
January 13, 2015
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
Mr. Thomas Uhl
Flower Hill Building Corporation
P.O. Box 54
Syosset, New York 11791
MAILING ADDRESS:
P.O. Box 1179
Southold, NY 11971
OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southold, NY
Telephone: 631 765-1938
www.southoldtow-xmy.gov
RECEIVED
Southold Town Clerk
Re: Release of Bond: Conservation Subdivision for Beach Plum Homes
Located on. the n/s/o Ackerly Pond Lane, approximately 924 feet west of NYS Route
25 and located on the s/s/o Blossom Lane, approximately 223 feet south of Jasmine
Lane, in Southold
SCTM#1000-69-3-10.1 Zoning District: AC/RO
Dear Mr. Uhl:
The Southold Town Planning Board adopted the following resolutions at a meeting held on
Monday, January 12, 2015:
WHEREAS, this Clustered Conservation Subdivision is for 5 lots on 27.15 acres where Lot 1
equals 23.96 acres, upon which the Development Rights on 22.2246 acres have been sold to
the Town of Southold, Lot 2 equals 31,000 sq. ft., Lot 3 equals 32,800 sq. ft., Lot 4 equals
33,712 sq. ft. and Lot 5 equals 30,916 sq. ft. in the A-C/R-O Zoning Districts; and
WHEREAS, on October 16, 2006, the Southold Town Planning Board granted Final Plat
Approval upon the map prepared by John T. Metzger, dated June 27, 2005 and last revised
on July 19, 2006; and
WHEREAS, on October 16, 2006, the Southold Town Planning Board accepted the
Improvement Performance Bond #18655 in the amount of $75,546,00; and
WHEREAS, on November 2, 2010 the Office of the Town Engineer recommended a
reduction in the Improvement Performance Bond; and
WHEREAS, on January 24, 2011, the Improvement Performance Bond was reduced from
$75,546.00 to $11,477.00; and
-Beach Plum Homes 2 111 a g e January 13, 2015
WHEREAS, on December 9, 2014, Thomas Uhl submitted a letter stating that all required
improvements had been completed and requested a release of the Improvement
Performance Bond #18655 held by the Town of Southold; and
WHEREAS, on December 15, 2014, the Office of the Town Engineer reviewed the site
improvements, found them to be completed to their satisfaction, and recommended to the
Planning Board that the Improvement Performance Bond be released; and
WHEREAS, on January 12, 2015, at their Work Session, the Planning Board reviewed the
recommendations from the Office of the Town Engineer and agreed to recommend to the
Town Board the release of the Improvement Performance Bond; be it therefore
RESOLVED, that the Southold Town Planning Board hereby recommends that the
Southold Town Board release the Improvement Performance Bond #18655 in the
amount of $11,477.00.
If you have any questions regarding the above, please contact this office.
Very truly yours,
Donald J. ilcenski
Chairman
cc: Town Clerk
Engineering Office
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Christian Uhl
PO Box 54
Syosset, NY 11791
Dear Mr. Uhl:
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax(631)765-6145
Telephone (631) 765-1800
www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 13, 2015
Enclosed find the Performance Bond #18655, issued by the Service Insurance Company,
Inc., for the Conservation Subdivision of Beach Plum Homes (Flower Hill). The Planning board
has recommended that this bond, as well as the decrease rider issued on January 31, 2011, be
released back to you.
A certified resolution from the Town Board authorizing the release is enclosed.
Sincerely,
Lynda M Rudder
Deputy Town Clerk
Encs.
DECREASE RIDER
To be attached to acid form part of Bond Number 18655
September 15, 2006 issued by the The Service Insurance Company
effective
in the amount of Seventy-five Thousand Five Hundred
Forty-six Dollars And Zero Cents DOLLARS ($ 75,546.00 ),
on behalf of Flower Hill Building Corp.
as Principal and in favor of Town of Southold
as Obligee.
Now therefore, it is agreed that:
We, The Service Insurance Company ,
Surety on the above bond, hereby stipulate and agree that from and after the effective
date of this Stipulation, the Penalty of said Bond shall be decreased
,
FROM: Seventy-five Thousand Five Hundred Forty -Six------- ($ 75,546.00 )
TO: Eleven Thousand Four Hundred Seventy Seven------ ($ 11,477.00 )
It is further understood and agreed that all other terms and conditions of this bond shall remain unchanged.
This rider is to be effective the
24th
Day of
January
2011
Signed, Sealed and Dated this
31st
Day of
January ,
2011
Flower Hill Building Corp.
(Principal)
0
The Service Insurance Company
�. (Surety)
By'
Denese Thompson Attomey-In-Fact
S-2127/GE 2198
XDP
Individual Acknowledgment
State of
County of
On this day of , 20 , before me personally came
to me known, and known to me
to be the individual in and who executed the foregoing instrument, and acknowledged to me that he/she
executed the same.
My commission expires
Notary Public
--------------------------------------------------------------------------------------------------------------------------------------
Corporation Acknowledgment
State of
County of
On the day of before me personally came
to me known; who being by me duly sworn, did depose and say that
he/she/they reside(s) in that he/she/they is (are) the
of the , the corporation
described in and which executed the above instrument; that he/she/they know(s) the seal of said
corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by
authority of the board of directors of said corporation, and that he/she/they signed his/her/their name(s)
thereto by like authority,
My commission expires
Notary Public
-----------------------------------------------------------------------------------------------------------------------------------------
Surety Acknowledgment
State of New York
County of Nassau
On the 31st day of January, 2011 personally came Denese Thompson to me known, who being
by me duly sworn did depose and say that he/she is an Attorney -in -Fact of
The Service Insurance Company, Inc. in and which executed the above Instrument know(s) the
corporate seal of said corporation; that the seal affixed to the within instrument is such corporate seal,
and that he/she/they signed the said instrument and affixed the said seal as Attorney-in-fact by authority
of the Board of Directors of said corporation and by authority of this offi 7nder the standing resolution
thereof.
TARA LAVERDIERE
Notary Public, Slate of New York
No,01LA6076587
Qualified in Kassa C nth
My commission expires Commission Expire
No ry Pub
BOND NO.
Expires December 31, 2011
THE SERVICE INSURANCE COMPANY, INC.
POWER -60T ATORNEY
KNOW ALL MEN BY THESE PRESENTS: That THE SERVICE INSURANCE COMPANY, INC;, 80 Main Street #330, West Orange, NJ 07052 - a
corporation of the State of New Jersey, hereby make, constitute and appoint Glen T. Burger, Treasurer, and James S. Burger, President, in pursuance of
authority granted by Article Vlll, Section 7 of the By -Laws of said Company, which reads as follows:
"CONTRACTS The Board o,f Directors may authorize any officers. to execute any surety bond instrument in the name ojand on behalf ojtlre
corporation,'nnd such authority may be:general or confined to.spectjic instances. "
boos hereby nominate, constitute and appoiht Glen"r. Burger and James S, Burger, its true and lawful agents and Attomcy(s)�inrFact to make,
execute, seal and deliver for, and on its behalf as surety, and its act'and deed: any and all bond undertakings; no one bond to exceed an aggregated penal
sum liability of $2,000,000.00 (Two Million Dollars).
IN WITNESS WHEREOF, the said Treasurer and President have hereunto subscribed their names and affixed the. Corporate Seal of the said The
Service Insurance Company, Inc., this 22nd day of February, A.D. 2009
" SERVIC CE COMPANY INC.
B :....
GLEN T BURGER, TREAS.. R JAMES S BURGER PRESIDENT . .
STATE OF NEW JERSEY )
SS
CITY OF WEST ORANGE )
On this 22nd day of February, A.D. 2009, before the subscribed, a Notary Public of the State of New Jersey, duly commissioned and qualified,
came the above named Treasurer and President of The Service Insurance Company, Inc., to me personally known to be the individuals, and officers described
in and who executed the preceding instrument, and they each acknowledge the execution of the same, and being by me duly sworn severally and each for
himself deposeth the saith, that they are the said.officers of the Company aforesaid, and that the seal is affixed to the preceding instruments, Is the. Corporate
Seal of said Company, and that the Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the
authority and direction of the said Corporation. '
,,lade B. t,.erquelm i
Notary Public<^r.U..g, 41( ±n :--- -
stateofNewJ, r --.
MYOpm OD N tory Public a the Statt; of Nt wJ;6e.)
CERTIFICATE June 0.2012,
1, the undersigned, President of The Service Insurance Company, Inc., The Company, do hereby certify that the original Power of Alfdr4j- in w:hirit ln.: '
forgoing is full, true and correct copy, is in full force and effect on the date of this certificate; and I do further certify that thcoresi&hii rllo ,•
executed the said Power of Attorney was specially authorized by the Board of Directors to appoint any Attorney in Fact as ptovidcsl iri�nicle
Vlll, Section 7, of the By -Laws of The Service Insurance Company. Inc.
This Certificate may be signed by facsimile -under and by authority of the following resolution of the Board of Directors of The $ervice In
Company, Inc.
Resolved: "That the facsimile or mechanically reproduced signature of the Company President, whether made heretofore or hereafter, wherever
appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and
effect as though manually affixed." DENESE THOMPSON, LOUIS J. SPINA, KIM SPINELLO, PHILIP SAMUELS,, ,
Furthermore, The Comnitnv anpoint(s) MAI%NIE GINSBURG
of ATLYNX SURETY BROKERS, Insura.bee'Agency to act as Limited Attorney in Fact, to make, execute, 'seal and deliver for and on their
behalf bid bonds not to exceed $100,000 in face amount and performance bonds not to exceed $1,000,000 in contract amount. Said Limited
Attorney(s) in Fact shall obtain prior approval confirmed in writing from the Company with a bond number provided by
the Company's home office prior to issuing any bonds.
Said Limited Attorney(s) in Fact by executing the.attached bond, hereby represents and warrants under oath that the ,
Company has granted himther prior approval and furnished the bond number for the attached bond, which has been logged and
recorded at the Company's home office. The Company shall not cover, honor or pay any claims for unauthorised bonds,
and the Obligee may confirm the validity of the attached bond on receipt by contacting the Company in writing at 973-
731-7889 (fax) or Jburdeffa)_serviceinsurancecompany.com.
IN TESTIMONY WHEREOF, I.have hereunto subscribed my name and affixed the Corporate Seal of the said Company, this 31 St day of
January 2011
\--=--- J- -------
COMPANY EMBOSSED CORPORATE SEAL MUST
Original Signature of Limited Attorn y in Fact
APPEAR ON BOND FORM AND POWER OF ATTORNEY S
THE SERVICE INSURANCE COMPANY
(Statutory Basis)
STATEMENT OF ADMITTED ASSETS,
LIABILITIES SHAREHOLDER'S EQUITY
AS OF DECEMBER 31, 2009
ADMITTED ASSETS
Cash & Cash Equivalents & Short Term Investments
2,848,596
Common Stocks
124,113
Bonds
6,922,040
Interest Income Receivable
59,565
Premiums & Agents Balances
321,987
Amounts Receivable from Reinsureres
142,867
Current Federal Income Tax Recoverable
5,850
Net Deferred Tax Asset
45,100
TOTAL ADMITTED ASSETS
10,470,118
LIABILITIES & SHAREHOLDER'S EQUITY
LIABILITIES
Losses & Loss Adjustment Expenses
1,029,762
Other Expenses ,
170,545
Taxes, licenses & fees
76,392
Federal Income Tax
-
Uneamed Premiums
816,821
Amounts Withheld or Retained by Company for Accounts of Others
3,839,133
Miscellaneous
995
Total Liabilities
5,933,668
SHAREHOLDER'S EQUITY
Common stock, par value $20 per share
60,000 shares, authorized, issued & outstanding
1.000,000
Gross Paid -in & Contributed Surplus
839,198
Unassigned funds (surplus)
2,058,674
Total Shareholder's Equity
4,536,460
TOTAL LIABILITIES & SHAREHOLDER'S EQUITY
10,470,118
STATE OF NEW JERSEY )
..'.
COUNTY OF ESSEX )
t, Ja s S Rurger, President of Service Insurance Company, Inc., do hereby certify that the above Is a -true statement
of t s liabilities of said Corporation as of December 31, 2009.
a es Burger, President
STATE OF NEW JERSEY
SS
COUNTY OF ESSEX )
Subscribed and swom before me, a Nbisry Public, State of New Jersey, in the CoU_nty of Essex, this 1st day of March, 2010.
ecisa
7 Notedl
Sta,ofNow 3
N ary Public ' wc"Mianew
' Town of Southold - Letter
Board Meeting of October 17, 2006
RESOLUTION 2006-814
ADOPTED
Item # 8
DOC ID: 2221
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2006-814 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
OCTOBER 17,2006:
RESOLVED that the Town Board of the Town of Southold hereby accepts the Site
Improvement Performance Bond No. 18655 issued by the The Service Insurance Company,
Inc. in the amount of $75,546.00 for the proposed Clustered Conservation Subdivision
entitled Flower Hill Subdivision a/k/a "Beach Plum Division", SCTM #1000-69-3-10.1,
located on the north side of Ackerly Pond Road and the west side of NYS Route 25 in Southold,
as recommended by the Southold Town Planning Board, all in accordance with the approval of
the Town Attorney.
Elizabeth A. Neville
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Albert Krupski Jr., Councilman
SECONDER: William P. Edwards, Councilman
AYES: Evans, Wickham, Ross, Edwards, Russell, Krupski Jr.
Generated October 19, 2006 Page 12
PLANNING BOARD MEMBERS
JERILYN B. WOODHOUSE
Chair
KENNETH L. EDWARDS
MARTIN H. SIDOR
GEORGE D. SOLOMON
JOSEPH L. TOWNSEND
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To: Elizabeth Neville, Town Clerk
MAILING ADDRESS:
P.O. Box 1179
Southold, NY 11971
OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southold, NY
Telephone: 631 765-1938
Fax: 631 765-3136
F' I: D
Sou"
From: Anthony Trezza, Sr. Planner 6�
Date: October 6, 2006
Re: Letter of Credit #18655
Conservation Subdivision of Beach Plum Homes
1000-69-3-10.1
Enclosed, is the original letter of credit #18655 in the amount of $75,546 in
connection with the above -referenced subdivision application. It is expected that
the Planning Board will formally accept the letter of credit at their meeting on
October 16, 2006. In the interest of expediting this conservation subdivision, we
would like the Town Board to accept the letter of credit by formal resolution at
their meeting on October 17, 2006. This will allow the Planning Board to sign the
final maps and the Town to close on the Development Rights Sale. I will be sure
that you receive the Planning Board's resolution first in the morning on the 17th
If you have any questions or need additional information, please contact this
office. Thanks.
THE SERVICE INSURANCE COMPANY, INC.
80 MAIN STREET, Sao FLOOR WEST ORANGE, NJ 07052
Telephone (973) 731-7650
SITE IMPROVEMENT PERFORMANCE BOND
Term: 9/1512006-9/15/2007 and shall be renewed annually until released by ObliEee.
KNOW ALL MEN BY THESE PRESENTS:
BOND NO. 18655
That We FLOWER HHd BUILDING COMPANY, as Principal, and Christian Uhl, Thomas Uhl, and Virginia Uhl as co
Principals and THE SERVICE INSURANCE COMPANY, INC., So MAIN ST., WEST ORANGE, NJ 07052, a New
Jersey corporation authorized to do business in the State of New Jersey, as surety, are held and firmly bound unto TOWN
OF SOUTHOLD NEW YORK as Obligee, in the am of SEVENTY FIVE THOUSAND F17VE HUNDRED FORTY SIR
DOLLARS AND 001100 CENTS ($75,546.00), lawful money of the United States of America, for which payment well and
truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally firmly
by these presents.
SIGNED, SEALED AND DATED THIS 15mDay of SEPTEMBER, 2006.
Whereas, the Principal has entered into an agreement with TOWN OF SOUTHOLD NEW YORK, as Obligee,
guaranteeing only that the Principal will complete site improvements for certain site plan entitled FLOWER HILL SUB
DIVISION AKA "BEACH PLUM DIVISION," IMPROVEMENTS PER THE ENGINEERS ESTIMATE FOR JUNE
19, 2006 all of which improvements shall be completed on or before the date set forth in the agreement.
Now, therefore, the condition of this obligation is such, that if the Principal shall carry out all the terms of said
agreement relating to the site improvements only and perform all the work as set forth therein all within the time set forth in
said agreement, then this obligation shall be null and void, otherwise to remain in full force and effect. This bond is not
transferable or assignable.
No party other than the Obligee shall have any rights hereunder as against the Surety.
The aggregate liability of the Surety of the Bond Obligation set forth herein shall not exceed the penal sum hereof
for any cause or reason whatsoever, inclusive of attorney's fees or other costs. Exclusion: This bond and any related bonds do
not cover site improvements that have been performed by principal prior to the issue date of this bond Exclusions include
contaminated soil as well.
BOND NO. 18655
By
`./
FLOWERYMJ: r
THE SERVI',9E INSURANCE COMPANY, INC.
. Sp1 a , ATTORNEY IN -FACT
Individual Acknowledgment
State of
County of
On this day of 19_, before me personally came
to me known, and known to me
to be the individual i
executed the same.
My commission
who executed the foregoing instrument, and acknowledged to me that he/she
Notary Public
Corporation Acknowledgment
State of New York
County of Nass aw_
On the j2Nay of fem6er of the year jg,4 before me personally came L—hiCASn4hiJ
4.91- to e known; who being by me duly sworn, did depose and say that
he/she/they reside(s) in e2 h esrCT.� fiunTim&-raN 9- ai NT that he/Stw/they is (are) the
fires, der.T of theFLeu,e r�l,it t�.,Lt�1ub�'Yo. , the corporation described
in and which executed the above instrument; that he/she/they know(s) tRe eal of said corporation; that
the seal affixed to said instrument is such corporate seal; that it was so affixedauthority,po�f the board
of directors of said corporation, and that he/she/they sign d his/her/ ec"�YEBoRK
authority. ie r ((CENSE. NO. 01OM4878893
SUFFOLK COUNTY
a✓
My Commission Expires
December 8, 2006
Surety Acknowledgment
State of New York
County of Nassau
On the 15th day of September 2006 personally came Anthony M. Spina tome known, who
being by me duly sworn did depose and say that he/she is an Attorney -in -Fact of The Service
Insurance Company, Inc in and which executed the above Instrument know(s) the corporate seal of
said corporation; that the seal affixed to the within instrument is such corporate seal, and that
he/she/they signed the said instrument and affixed the said seal as Attorney-in-fact by authority of the
Board of Directors of said corporation and by authority of this office under the standing resolution
thereof.
DENESETHOMPtateofSON
My commission expires NOMry Public, SNew York re �SR��_d1�YlX�
Quelitied in I'll Notary Public
oItMhIRa i Expires
BOND NO. 186 5 5'
THE SERVICE INSURANCE COMPANY, INC.
POWER OF ATTORNEY
KNC,VALL MEN BY THESE PRESENTS: That the SERVICE INSURANCE COMPANY, INC., a corporation of the State of New Jersey, by William R.
Burger, CEO, and James S. Burger, President, in pursuance of authority granted by Article V ill, Section 7 of the By -Laws of said Company, which reads as
fbl!pws:
"CONTRACTS. The Board of Directors may authorize any aricer or officers, agent or agents, to enter into any contractor execute and deliver
any instrument in the name of and on behalf of the corporation, and such authority may be general or confined to specific instances. "
Does hereby nominate, constituteand appoint William R. Burger, James S. Burger, its true and lawful agents and Attorney(s)4n-Fact, to make.
execute, seal and deliverfor, and on its behalf as surety, and its. act and deed: any and all bonds undertakings, no one bond to exceed an a-gilregated.penal
sum liability ofsi,000,000.00 (One Million Dorian).
And the execution of such bonds or undertakings is pursuance of these presents, shall be as binding upon said Company, as full and amply, to all
intents and purposes, as if they had. been duly executed and acknowledged by the regularly elected officers of the Company at its office in WEST ORANGE,
New Jersey in their own proper persons.
IN WITNESS WHEREOF, the said CEO and President have hereunto subscribed their names and affixed the Corporate Seal of the said The
Service Insurance Company, Inc., this 7' day of March, A.D. 2005 THE SERVICE INSURANCE COMPANY, INC.
BY:ATTE)OAMES
• ' WILLIAM R. BURGER, EO
.. BURGER, PRESIDENT
STATE OF NEW JERSEY )
I SS
CITY OF WEST ORANGE ) -
On this 710 day of March, A.Q. 2005, before the subscribed, a Notary Public of the State of New Jersey, duly commissioned and qualified came
the above named CEOand President of The Service Insurance Company, Inc., tome personally known to be the individuals_ and aJfiscrsdesedbed-bland
who executed the preceding instrument, and they each acknowledge the execution of the same, and being by the duly sworn'severally� each forhimself
deposeth the saith. that they are the said officers of the Company aforesaid, and that the seal is affixed to the preceding instruMents,-is the Corporate eat of
said Company, and that the Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and
direction of the said Corporation. 1d�1
CERTIFICATE
— ' tQo'uuy Public
_.,. LAURA LoSAPH
1, the undersigned. President of The Service Insurance Company, Inc., do hereby certify that the original Power of Attorney in which the forgoing is full, true
and correct copy, is in full fora and effect on the date of this certificate; and I do further certify that the President who executed the said Power of Attorney
was specialty authorized by the Board of Directors W appoint any Attorney in Fact as provided in Article Vlll, Section 7, of the By -Laws ofTbe Service
Insurance Company, Inc.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Service Insurance
Company, Inc.
Resolved: "That the facsimile or mechanically reproduced signature of the Company President, whether made heretofore or hereafter, wherever
appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same farce and
effect as though manually affixed:'
Furthermore, the Board of Directors nominates and grants the following insurance brokers to act as biltoro is Fact to make, execute .000 00),
issue
bonds under the authority and on behalf of the surety with no one bond to exceed an aggregated penal stem liability off One Million Dollars (I,000.d0
Said brokers shall obtain prior approval from the Company prior to issuing a bond.
By the above listed insurance agents executing the attached bond, he/she hereby acknowledges that the surety has granted prior approval and
furnished a band number for the attached bond, which has been logged and recorded at the home office of the surety. Any unauthorized bonds will not be
covered by the surety and will constitute an ilkgal act by the insurance agent and the agency he/she is employed by. The following persons) are appointed
is Attorney in Fact:
ANTHONY J PANNO, DENESE THOMPSON, LOUIS J SPINA, ANTHONY M SPINA, FRANK ABBATIELLO, PHILIP SAMUELS
i - , thisl 5th day of
IN TESTIMONTY WHEREOF, I have hereunto subscribed m name and affixed the Corporate Se r
September 2006. lnr
u of Attorney in Fact other than James I
or William Burger listed on Paragraph IV
THE SERVICE INSURANCE COMPANY
(statutory Basis)
STATEMENT OF ADMITTED ASSETS,
t' LIABILITIES SHAREHOLDER'S EQUITY
AS OF DECEMBER 31, 2004
ADMITTED ASSETS
Cash & Cash Equivalents 1,949,489
Common Stocks 128'208
823,359
Bonds
30,401
Interest Income Receivable
185,615
Premiums & Agents Balances
Amounts Receivable from Reinsurems 117'582
Federal Tax Recoverable 3'461
Aggregate Write -Ins for other than Invested Assets
TOTAL ADMITTED ASSETS 3
LIABILITIES & SHAREHOLDER'S EQUITY
LIABILITIES
197'838
Losses & Loss Adjustment Expenses
46'828
Other Expenses
39,072
Taxes, licenses & fees
839,19
892,8886
Federal Income Tax
220,491
Unearned Premiums
2,532,064
Amounts Withheld or Retained by Company for Accounts of Others
3,036,093
Total Liabilities
504,029
SHAREHOLDER'S EQUITY
Common stock, par value $20 per share
1 �,�
50,000 shares, authorized, issued & outstanding
Gross Paid -in & Contributed Surplus
839,19
892,8886
Unassigned funds (surplus)
Total Shareholder's Equity
2,532,064
TOTAL LIABILITIES & SHAREHOLDER'S EQUITY
3,036,093
STATE OF NEW JERSEY )
SS
COUNTY OF ESSEX )
1, er es S. Burger, President of Service Insurance Company, Inc., do hereby certify that the above is a true statement
o tl ssets, liabi ' ' of said Corporation as of December 31, 2004.
Imes S. Burger, President
STATE OF NEW JERSEY
SS
COUNTY OF ESSEX )
Subscribed and sworn before me, a Notary Public, State of Pew Jejd�C ql�, this 28th day of February, 2005.
Notary blit
49u_ Stats of Na-lEeae County
— License #224$04.9 2,p 10
NotaryP is CommissionEzpiiesUdich23,
Page 1 of I
Cooper, Linda
From: Trezza, Anthony
Sent: Wednesday, October 11, 2006 9:49 AM
To: Cooper, Linda
Subject: RE: Letter of Credit #18655
It's not a dumb question. It's actually a Performance Bond, not a Letter of Credit (I incorrectly called it a Letter
of Credit). Here is the site information and project description:
This proposed Clustered Conservation Subdivision is for 5 lots on 27.15 acres where Lot 1 equals 23.96 acres,
upon which the Development Rights on 22.2246 acres are proposed to be sold to the Town of Southold, Lot 2
equals 31,000 sq. ft., Lot 3 equals 32,800 sq. ft., Lot 4 equals 33,712 sq. ft. and Lot 5 equals 30,916 sq. ft, in the
A-C/R-O Zoning Districts.
Located on the n/s/o Ackerly Pond Road and the w/s/o NYS Route 25 in Southold,
Let me know if you need anything else.
From: Cooper, Linda
Sent: Tuesday, October 10, 2006 4:15 PM
To: Trezza, Anthony
Subject: Letter of Credit #18655
Hi Anthony,
I was doing the resolution and realized I don't know where the subdivision is located. Please send me
the info so I may include it in the resolution. And then I have a really dumb question..... is a Letter of
Credit and a Site Improvement Performance Bond the same thing?
Linda J. Cooper
Deputy Town Clerk
Town of Southold
631-765-1800
10/11/2006