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Home My WebLink AboutInsurance Cert COUNTY OF SUFFOLK STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DENNIS M.BROWN DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT CERTIFICATE OF INSURANCE Coverage Date: June 24,2014 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): Designated Polling Place(s): Southold Town Recreation Center,970 Peconic Lane,Peconic,NY 11958 Purpose: Use of facilities for Federal 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 dam•. F �- Dated:April 28,2014 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 Risk Mgmt.&Liability Fax (631)853-4956 VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099 HAUPPAUGE,NY 11788 COUNTY OF SUFFOLK RECEIVED AUG 2 0 2014 STEVEN BELLONE Southold Town Cf--- SUFFOLK COUNTY EXECUTIVE DENNIS M.BROWN DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT CERTIFICATE OF INSURANCE Coverage Date: September 9,2014 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): 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 Dated:August 15,2014 Leslie E.Baffa—Risk Management Administrator LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700 H.LEE DENNISON BLDG.—7Ta FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)853-4956 VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099 HAUPPAUGE,NY 11788 COUNTY OF SUFFOLK STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DENNIS M.BROWN DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT August 15,2014 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 evidencing coverage for the use of your facilities by the Suffolk County Board of Elections for the Primary Election to be held on September 9,2014. If you have any questions,please do not hesitate to contact me at 631-853-5930. Sincerely, &""/I Caroline Stolz Insurance Contract Analyst CC: Joseph Lombardi and Joseph Barone, Suffolk County Board of Elections LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700 H.LEE DENNISON BLDG.—7 T FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)853-4956 VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099 HAUPPAUGE,NY 11788 COUNTY OF SUFFOLK STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DENNIS M.BROWN DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT October 9, 2014 �n v D OCT 14 2014 Town of Southold PO Box 1179 SUPERVISOR'S OFFICE Southold,NY 11971 TOWN OF SOUIHOLD Attn: Scott A Russell, Supervisor Ile: Certificate of Insurance Dear Supervisor Russell: Please find enclosed (on the opposite side of this letter) a Certificate of Insurance evidencing coverage for the use of your facilities by the Suffolk County Board of Elections for the General Election to be held on November 4,2014. If you have any questions,please do not hesitate to contact me at 631-853-5930. Sincerely, &"AA5 Caroline Stolz Insurance Contract Analyst CC: Joseph Lombardi and Joseph Barone, Suffolk County Board of Elections LOCATION: MAILING ADDRESS: Risk Management Phone (631)853.4700 H.LEE DENNISON BLDG.—7T FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)853-4956 VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099 HAUPPAUGE,NY 11788 COUNTY OF SUFFOLK STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DENNIS M.BROWN DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT CERTIFICATE OF INSURANCE RECEIVED Coverage Date: November 4,2014 from 5:00 am to 10 pm Issued To: Town of Southold OCT 1 4 2014 PO Box 1179,Southold,NY 11971 Attn: Scott A Russell,Supervisor Southold Town Clerk Location(s): Designated Pollina Place(s): Southold Town Recreation Center,970 Peconic Lane,Peconic,NY 11958 Purpose: Use of facilities for General 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 Dated:October 9,2014 Leslie E.Baffa—Risk Management Administrator LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700 H.LEE DENNISON BLDG.—7"FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)853-4956 VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099 HAUPPAUGE,NY 11788