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HomeMy WebLinkAbout2013 Cooper, Linda From: Flatley, Martin Sent: Thursday, July 11, 2013 3:25 PM To: Cooper, Linda Subject: RE: Shelter Island insurance certificate for loading in Southold Thanks Linda ~`~""~7 Chief of Police Southold Town Police Department 41405 State Rt. 25 Peconic, N.Y. 11958 631-765-3115 From: Cooper, Linda Sent: Thursday, July 11, 2013 3:15 PM To: Finnegan, Martin; Fisher, Robert; Flatley, Martin Subject: Shelter Island insurance certificate for loading in Southold FYI. I did advise Jo-Anne via email that the Village of Greenport needs to be contacted also. From: ]o-Anne Triolo [mailto:ioanneC~bayfireworks com] Sent: Thursday, July 11, 2013 1:53 PM To: Cooper, Linda Subject: Shelter Island insurance certificate for loading in Southold Hi Linda, Attached is an insurance certificate for the Shelter Island Chamber of Commerce fireworks display on July 13th. We will be loading the bazge at Greenport Yacht & Shipbuilding Co. 201 Carpenter Street, Greenport. If you need anything further please let me know. Thank you very much. Sincerely, .lo-Anne Jo-Anne Triolo a'ely address and phone number: 1'rrn Tinginrer/nR lwc dGn Rnr Plrmrorks 4U9.SouUr Qener Rqr Rnnd, .5'uiru I7 / /trdginge. N3' i 1 ]l0 1 ,aco CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DD/YVYYI 07/11/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the ceRiOcate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subJect to the terms and conditions of the policy, certain policies may require an entloreement. A statement on this certiffcate does not confer rights to the certl0cate holder in Ileu of such endorsement(s). PRODUCER ANied Specialty Insurance, Inc. NAree"cr 10461 Gulf Boulevard PHONE t qpC No: Treasure Island, FL 337063814 ADDRESS: 1-800-237-3355 INSURERISI AFFORDING COVERAGE NAICE INSURERA:T.H.E.InsuranceCom an 128_8.8___ INSURED Pyro Engineering, Inc. INSURER e: dba:BayFireworks INSUREnc: _ 999 South Oyster Bay Rd., Suite 111 INSURER O: _ _ INSURER E et page, 11714 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VNTH RESPECT TO WHICH THIS CERTIFICATE MAV OE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AD L PODCY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDM'YY MMIDD/VYYV LIMITS A EACH OCCURRENCE E , GENEMLLIABILITY CPP0101284-03 05/14/2013 0617412014 DAMA E T RE L x~ COMMERCIAL GENERAL LIABILITY PREMISES Ea ocwrrence E 1 OO,000 _ ,CLAIMS MADE n OCCUR MED EXP (Any one person) E T J PERSONALB ADV INJURY E1r000,O00 J _ i GENERAL AGGREGATE E 2 OOO OOO _ ~GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG E2,000,OOO POLICY PR4 LOC E A AUTOMOBILE LIABILITY CPP0101284.03 06Ita12013 D$/14I2D74 EOeacciCeDtSINGLELIMIT 1,000rOOO ANY AUTO BODILY INJURY (Per person) § ALL OWNED SCHEDULED BODILY INJURY IPer accitlenq E AUTOS X AUTOS X HIRED AUTOS K NON-OWNED PROPERTY DAMAGE E _ AUTOS Pereai0ant E A UMBRELLA LIAB X OCCUR ELP0010292-03 (GL 8 VL) 05/14/2013 D5174I2D74 EACHOOWRRENCE E 4,000rOOO _ E%CESS LIAB CLAIMS-MADE AGGREGATE _ E4r000,O00 § DEO RETENTIONS A WORKERS COMPENSATION X WC STATU- OTM- ANDEMPLOYERS'LIABILITY Y(N WC134166 05/14/2013 0617412014 - ANV PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT E 1,000,000 I OFFICER/MEMBER EXCLUDED? ~ N I A (MyyanEatory In NH) E.L. DISEASE - EA EMPLOYE E 1,000,000 (DESCRIPTION OF OPERATIONS EeIOw E. L. DISEASE-POLICY LIMIT S1r000,OOO A EXCESS LIABILITY /OCCUR ELP0010298-03 (GL) 0611412013 05/1412014 EACH OCCURRENCE 55,000,000 AGGREGATE 55,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101, AtlAHional Rsmarka SchaGUla, Ir more space is raqulntl) DISPLAY DATE: 7113/13 RAIN DATE: 7/14/13 LOCATION: Barge off of Crescent Beach, Sheher Island RE: GENERAL LIABILITY, THE FOLLOWING ARE NAMED AS ADDITIONAL INSURED IN RESPECTS TO THE OPERATION OF THE NAMED INSURED ONLY: Shelter Island Chamber of Commerce, Town of Shelter Islantl, Village of North Haven, Suffolk County, The South Ferry Company, Inc.,Greenport Yacht 8 Shlpbullding Co., Town of Southhold, NY CERTIFICATE HOLDER CANCELLATION Shelter Island Chamber of Commerce Thirty (30) Days Notice of Cancellation Applies SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P.O. Box 698 THE EXPIRATION DATE THEREOF, NOTICE WILL BE, DEUV R! IN Shelter Island, NY 11964 ACCORDANCE WITH THE POLICY PROVISIONS. CERT #2288A (revised 7/11/13) AUTH zeD EsE AnvE l/ ©1988-2010 ACORD CO PORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registeretl marks of ACORD