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Home My WebLink AboutCertificate of Insurance COUNTY OF SUFFOLK qd~ CDU.{y,~ >roA acs STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF CIVIL SERVICE/HUMAN RESOURCES ALAN SCHNEIDER DIVISION OF EMPLOYEE SERVICES PERSONNEL DIRECTOR Certificate of Insurance Covera¢e Date: Tuesday, January 15, 2013 from 5:00am to I0pm Issued To: Town of Southold PO Box 1179, Southold, NY 11971 Attn: Scott A Russell, Supervisor Location: Desgnated Polling Place(s): Southold Town Recreation Center, 970 Peconic Lane, Peconic, NY 11958 Purpose: Use of facilities for Special Election Amount of Coverage: $1,000,000 per occurrence combined single limit for Bodily Injury and Property Damage. This insurance is excess over any other valid and collectible insurance except insurance that is written specifically as excess over the limits of liability that apply in this policy. This is to certify that coverage is afforded by: Self Insured: County of Suffolk Address: Risk Management & Benefits Division P.O. Box 6100, H. Lee Dennison Building 1 lauppauge, New York 1 1788-0099 Risks Covered: To the extent permitted by law, the COUNTY shall defend and indemnify and hold you harmless from and against all claims, costs, losses and liabilities arising out of the acts or omissions or negligence of the COUNTY, its agents or employees in connection with the use of the location at the time and for the purpose described or referred to in this Certificate. This insurance is excess over any other valid and collectible insurance except insurance that is written specifically as excess over the limits of liability that apply in this policy. COU TY OF SUFFOLIS Dated: December 19, By: w/~[ I;eshe E. Baffa Risk Management Administrator L AR II ION'. MAILING AIIIlRFSR Risk Managenienl POOne (631) 853-4700 11. LF!_ ]O xNISON PIRG. 7°" FLOOR V.O. [lox 6100 Risk Mgml. S Lia01Rry Fax (631) 853-4956 E I E: R%NS An:,MORIAL HIGHN'AV FAA PPAI'GE, N\ 11788-0099 IIAI-PY41GF, NN 11788 COUNTY OF SUFFOLK 9 STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DENNIS M. BROWN DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT CERTIFICATE OF INSURANCE Coverage Date: September 10, 2013 from 5:00 am to 10 pm Issued To: Town of Southold PO Box 1179, Southold, NY 11971 Attn: Scott A Russell, Supervisor Location: Designated Polling Place(s): Southold Town Recreation Center, 970 Peconic Lane, Peconic, NY 11958 Purpose: Use of facilities for Primary Election Amount of Coverage: $1,000,000 per occurrence combined single limit for Bodily Injury and Property Damage. This insurance is excess over any other valid and collectible insurance except insurance that is written specifically as excess over the limits of liability that apply in this policy. This is to certify that coverage is afforded by: Self Insured: County of Suffolk Address: Risk Management & Benefits Division P.O. Box 6100, H. Lee Dennison Building Hauppauge, New York 11788-0099 Risks Covered: To the extent permitted by law, the COUNTY shall defend and indemnify and hold you harmless from and against all claims, costs, losses and liabilities arising out of the acts or omissions or negligence of the COUNTY, its agents or employees in connection with the use of the location at the time and for the purpose described or referred to in this Certificate. This insurance is excess over any other valid and collectible insurance except insurance that is written specifically as excess over the limits of liability that apply in this policy. COUNTY OF SUFFOLK {/fl4~ Dated: August 14, 2013 Leslie E. Baffa - Risk Management Administrator LOCATION: MAILING ADDRESS: Risk Management Phone (631) 853 4700 H. LEE DENNISON BLDG.-7TH FLOOR P.O. BOX 6100 Rnk Mgmt. & Lmin lit, Fu (631) 853-4956 VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NI' 117NS-0099 HAUPPAUGE, NY 11788 COUNTY OF SUFFOLK a STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DENNIS M. BROWN DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT CERTIFICATE OF INSURANCE Coveraee Date: November 5, 2013 from 5:00 am to 10 pm Issued To: Town of Southold PO Box 1179, Southold, NY 11971 Attn: Scott A Russell, Supervisor Location(s): Desienated Polling Place(s): Southold Town Recreation Center, 970 Peconic Lane, Peconic, NY 11958 Purpose: Use of facilities for General Election Amount of Coveraee: $1,000,000 per occurrence combined single limit for Bodily Injury and Property Damage. This insurance is excess over any other valid and collectible insurance except insurance that is written specifically as excess over the limits of liability that apply in this policy. This is to certify that coverage is afforded by: Self Insured: County of Suffolk Address: Risk Management & Benefits Division P.O. Box 6100, H. Lee Dennison Building Hauppauge, New York 11788-0099 Risks Covered: To the extent permitted by law, the COUNTY shall defend and indemnify and hold you harmless from and against all claims, costs, losses and liabilities arising out of the acts or omissions or negligence of the COUNTY, its agents or employees in connection with the use of the location at the time and for the purpose described or referred to in this Certificate. This insurance is excess over any other valid and collectible insurance except insurance that is written specifically as excess over the limits of liability that apply in this policy. COUNTY OF SUFFOLK 144 Dated: October 21, 2013 Leslie E. Baffa - Risk Management Administrator LOCATION: MAH.INGADDRESS: Rhk M. o,..l Ph9.e (631) 85}4900 H. LEE DENNISON BLDG.- f- FLOOR P.O. BOX 61M Risk MWL & Liability Fu (631) 653-4956 VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NY 1178&0099 HAUPPAUGE, NY 11788 COUNTY OF SUFFOLK STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DENNIS M. BROWN DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT October 21, 2013 Town of Southold PO Box 1179 Southold, NY 11971 Attn: Scott A Russell, Supervisor Re: Certificate of Insurance Dear Supervisor Russell: Please find enclosed (on the opposite side of this letter) a Certificate of Insurance covering the use of facilities by the Suffolk County Board of Elections for the November 5, 2013 General Election. If you have any questions, please do not hesitate to contact me at 631-853-5930. Sincerely, &""5 RECEIVED Caroline Stolz Insurance Contract Analyst O C L 8 -013 Southold Town Clerk CC: Joseph Lombardi and Joseph Barone, Suffolk County Board of Elections LOCATION: MAILING ADDRESS: Risk Management Pbone (01) 8584100 B. LEE DENNISON BLDG. -1Tn FLOOR P.O. BOX 61M Risk Mgt & LisbBHy Faa (01) 8514956 VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NY 111MOM HAUPPAUGE, NY 11788