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HomeMy WebLinkAbout2001D Fideiit and Deposit Companyof Maryland Home Office The y p P.O. Box 1227 Baltimore, MD 21203 [IColonial American Casualty and Surety Company �t'+'��/i1LS (Company designated by X in box) CRIME POLICY DECLARATIONS This policy consists of litia Declaratiuns Form, the Common Policy Conditions, the Crime General Provisions Form and the Coverage Forms indicated as applicable. Policy No_ CCP 005 14 26 Named Insured and Mailing Address (No., Street, Town or City, County, Slate, Zip Code) Southold Fire District Main Road, P.O. Box 908 Southold, New York 11971 Pulicy Peiivd. Frust January 3, 2001 to Until Date of Cancellation shown 8t1A.M Standard T1me at your mailing adrkacs IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. COVERAGE, LIMITS OF INSURANCE AND DEDUCTIBLE Coverage Forms Forming a Part of this Policy Limit of Insurance Deductible Amount FORM A - Employee Dishonesty Coverage Form FORM B - ForQery or Alteration Coverage Form FORM C - Theft, Disappearance. and Destruction Coverage Form Section 1. - Inside the Premises Section 2 - Outside the Premises FORM D - Robbery and Safe Burglary C—ornop Form Section 1. - Inside the Premises Section 2. - Outside the Premises Additional Coverage Forms FORM U - E'ubilc tmployee Dishonesty Coverage Form $ NIL $ NIL $ NIL $ NIL $ NIL $ NIL $ NIL $ NIL $ NIL $ NIL $ NIL $ NIL + Y. - - $ 100,000.00 $ NIL ✓ $ NIL $ NIL $ NIL $ NIL ENDORSEMENTS FORMING PART OF THIS POLICY WHEN ISSUED: CR 10 00 06 95 CR 00 16 10 90 CR 10 37 0189 CR 10 50 0189 IL 0185 10 95 IL 02 68 04 98 Endorsement A CANCELLATION OF PRIOR INSURANCE: By acceptance of this Policy you give use notice canceling prior policy or bond Nos. the cancellation to be effective at the time this Policy becomes effective. COUNTERSIGNED; By. (Date) Authorized Representative 0 I of 2 CCC 6903a ED, 1/93 Includes coovnahted material of Insurance Services Office, Inc. with Is permission. Copyright, Insurance Services Office. Inc , 1993, 79 4 COMMERCIAL CRIME POLICY NUMBER. CCP 005 14 26 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADD SCHEDULE EXCESS LIMIT OF INSURANCE FOR SPECIFIED EMPLOYEES OR POSITIONS FOR DISHONEST ACTS ONLY This endorsement applies to EMPLOYEE DISHONESTY COVERAGE FORM A or PUBLIC EMPLOYEE DISHONESTY COVERAGE FORM 0 or P. A. SCHEDULE B- PROVISIONS 1. The Excess Limit of Insurance shown in the SCHEDULE applies to each "employee" who is named or who holds a position shown in the SCHEDULE opposite that limit. 2. The Excess Limit of Insurance applies only to that part of any covered loss that is excess of an amount equal to the Limit of Insurance shown in the DECLARATIONS as applicable to the COVERAGE FORM you purchase plus any applicable Deductible Amount. g, The Excess Limit of Insurance applies only to loss caused by an identified "employee", 4. If tho Excess Limit of Insurance is scheduled on a position naris,, the most we will pay for an "employee" holding more than one position Is the largest Excess Limit of insurance in effect and applicable to any one of those positions at the time of loss. 5, The Excess Limit of insurance applies only to loss you susidin thiouyh "employee dishonesty". CR 10 37 0189 init / date Name -Schedule Position Schedule Coverage Excess Limit j No. of Item Names of Titles of Location of "Employees" of Insurance No. "Employees" Positions Covered Positions Each Position Each "Emplo ee" Cynthia aprlse ou o ne Karen A HeimSKi ✓ Southold, NY ✓ One f. S 1,000,000.00 I i j I I B- PROVISIONS 1. The Excess Limit of Insurance shown in the SCHEDULE applies to each "employee" who is named or who holds a position shown in the SCHEDULE opposite that limit. 2. The Excess Limit of Insurance applies only to that part of any covered loss that is excess of an amount equal to the Limit of Insurance shown in the DECLARATIONS as applicable to the COVERAGE FORM you purchase plus any applicable Deductible Amount. g, The Excess Limit of Insurance applies only to loss caused by an identified "employee", 4. If tho Excess Limit of Insurance is scheduled on a position naris,, the most we will pay for an "employee" holding more than one position Is the largest Excess Limit of insurance in effect and applicable to any one of those positions at the time of loss. 5, The Excess Limit of insurance applies only to loss you susidin thiouyh "employee dishonesty". CR 10 37 0189 init / date RECEIVED 9 11001 Southold Town Clerl: SOUTHOLD FIRE DISTRICT P.O. BOX 908. SOUTHOLD, N.Y. 11971 (631) 765-4305 FAX (631) 765-5076 December 15, 2001 Mrs. Elizabeth Neville, Town Clerk Town of Southold Main Road Southold, NY 11971 Dear Betty: Enclosed please find two (2) copies of the results of our most recent election of Commissioner, held on December 11, 2001. Kindly execute both documents, retain one for your files and return the other one to me in the enclosed return envelope. Thank you. Sincerely, Cynthia Caprise Fire District Secretary Southold Fire District in the Town of Southold, Suffolk County, New York The undersigned, ALICE KRAMFR, Chairperson of the Election, SUSAN SEPENOSKI and MARY DEWEY, Ballot Clerks DO HEREBY CERTIFY AS FOLLOWS: 1. That each of us is a resident elector of the Southold Fire District in the Town of Southold, Suffolk County, New York, and that pursuant to a resolution adopted by the Board of Fire commissioners of said Fire District on the 13'bday of November, 2001 we were appointed to the offices set forth hereinabove in connection with the election of said Fire District held on the 11`x' day of December, 2001, between the hours of 6:00 PM and 9:00 PM, prevailing time, for the purpose of voting upon the election of one (1) Fire District Commissioner for the term of office which will commence on January 1, 2002 and expire on December 31, 2006. 2. After the polls had closed for said election, we immediately canvassed the ballots cast. Inspection of such ballots disclosed the following results: For the election of Fire District Commissioner for the period of five (5) years for the term of office which will commence on January 1, 2002 and expire on December 31, 2006. Total number of ballots cast 6" Number Number of votes for George T Conway ,q Number of void ballots 3. Upon completion of such canvass, the Chairman of the Election publicly announced the result thereof. 4. A true, correct and complete copy of the official ballot used at said election is attached hereto and made a part thereof. 5. On the 27`' day of November, 2001 at 9:00 AM, the Fire District Secretary held a meeting to prepare the voter registration roll. This register was prepared containing the names of all persons residing in said Fire District and qualified to vote in said election whose names were on the registration list certified and supplied to said Fire District by the Suffolk County Board of Elections as of a date twenty-three (23) days before date of said election. All of the votes described above were of voters whose names appear on the register prepared at that time. Dated: December 11, 2001 At: Southold, New York Q+d4fd I a -(1-api/I &-- Cynthid-0-aprise, Fire District Secretary Alice Kramer, ha rperson of the Election Susan Sepenoski, Ballot Clerk - )� Mary Dewey, fQot Clerk STATE OF NEW YORK) ss: Southold Fire District COUNTY OF SUFFOLK I, the undersigned CLERK of the Town of Southold, Suffolk County, New York DO HEREBY CERTIFY: That I have compared the annexed copy of the CERTIFICATE OF RESULT OF FIRE DISTRICT ELECTION, with the original thereof which was filed in my office on the lh day of December, 2000, and that the same is true, complete and correct copy of the whole of said original. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said TOWN this day of December 2000. (Corporate Seal) OFFICIAL BALLOT SOUTHOLD FIRE DISTRICT DECEMBER 11, 2001 Instructions 1. Mark with a pencil or pen. 2. To vote for a candidate whose name is printed on this ballot, place a cross (x) or a check mark (�) in the square to the left of his/her name. 3. To vote for a person whose name is not printed on this ballot, write his/her name in the blank space provided. 4. Any mark other than a cross (x) or a check mark (�) used for the purpose of voting or any erasure made on this ballot will void the ballot. 5. If you tear, or deface, or wrongly mark this ballot, return it and obtain another. Vote for only one Fire District Commissioner — 5 years commencing 1/1/2002 and expiring 12/31/06 George T. Conway Robert T. McTague / 2795 South Harbor Road Southold NY, 11971 The Town of Southold P.O.Box 1179 Southold NY, 11971 Attn: Supervisor Jean W. Cochran Tuesday Sept. 11, 2001 Dear Supervisor Cochran: The following letter has been sent to the two local newspapers, The Chief of the Southold Police Department, The Chief of the Southold Fire Department and each of the Police Officers involved. "On Sunday morning June 17, 2001 at approximately 2:00 AM I had occasion to request the services of the Southold Police Department. My wife and I arrived home at that time to find that our basement was filled to a level of roughly 4 %z feet with water. There was water saturating the main floor of our home as well. We called the Southold Police Department immediately and three police officers responded; P/O . Peter Onufrak, P/O Peter Dicandia and P/O Steven Harned. The four of us got the water feed to the washing machine on the main floor, where the problem existed, shut off. Their assistance in solving our physical problem was invaluable. Equally important, to my wife and I, was the calming effect that the officers had on the situation. Their counsel on how to proceed from that point was invaluable. They advised us to ask the Southold Fire Department to help us to remove the water from our basement. My wife Joan called the fire department later that morning and they promptly responded to our call. One of the fire fighters arrived and evaluated the situation. He then notified the remainder of the department as to what was needed to perform the task at hand. Two fire apparatus and many firefighters soon arrived and began what seemed to be an impossible undertaking. Within three hours the basement water level was down to inches and the work of restoring our home to a livable dwelling could begin. These firepersons quietly and efficiently went about the task of helping us to the degree that they could and for that we shall be eternally grateful. To Chief Thomas Helinski, Chief Joe Pontino, John Pontino, Bill Byrnes, John Baker, Brian Conway, Keith Cummings, Peggy Killian, Frank Locrotondo, Scott Latham, Mark Walters, Lou Walters Sr. and Lou Walters Jr., along with the three Southold Police Officers, the McTagues offer our undying gratitude for your help in our time of need." Y rs ru R ague SEP 2 " File: Commendations "M" General Police Fire dept.- Southold ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER o�SOFfO�,�coG o� y� Go z oy� • O�� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Southold Fire Department Main Road P O Box 908 Southold, NY 111971 Dear Firefighters: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 September 20, 2001 The Southold Town Board, at its meeting held September 17, 2001, proclaimed the week of October 7, 2001 to October 13, 2001 as FIRE PREVENTION WEEK. A copy of the resolution is enclosed. The Town Board wishes to thank you for efforts in educating and assisting the members of our community in fire prevention. Very truly yours, ?-' Elizabeth A. Neville Southold Town Clerk Enc. lj c ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 641 OF 2001 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON SEPTEMBER 17,2001: WHEREAS, fire deaths due to smoke inhalation outnumber fire deaths due to burns by more than two to one; and WHEREAS, smoke detectors are our first line of defense against fire; and WHEREAS, research shows that having a smoke detector cuts our risk of dying in a fire nearly in half, and WHEREAS, estimates show that about one-third of all homes that have fires have smoke detectors that are not working, usually because of dead or missing batteries; and WHEREAS, the National Fire Alarm Code requires smoke detectors outside each sleeping area and on each level of the home and recommends testing smoke detectors at least once a month; and WHEREAS, a smoke detector that isn't working can't protect us from deadly smoke and fire; and WHEREAS, the FIRE SERVICE OF SOUTHOLD TOWN is dedicated to the safety of life and property from the devastating effects of fire; and WHEREAS, members of the fire service are joined by southold Town citizens, as well as business, schools, service clubs and organizations in their fire safety efforts; and WHEREAS, the local efforts of the fire service are supported by the American Burn Association, American Red Cross, Congressional Fire Services Institute, Fire Marshals Association of North America, International Association of Arson Investigators, International Association of Fire Chiefs, International Association of Fire Fighters, International Association of Black Professional Firefighters, National Association of State Fire Marshals, National Fire Protection Association, National Volunteer Fire Council, and the United States Fire Administration; now, therefore, be it RESOLVED that the Town Board of the Town of southold hereby proclaims the week of October 7-13, 2001, as FIRE PREVENTION WEEK. This week commemorates the great Chicago Fire of 1871, which killed more than 250 persons, left 100,000 homeless and destroyed more than 17,400 buildings; and be it further RESOLVED that the Town Board calls upon the people of Southold Town to participate in fire prevention activities at home, work, and school. Elizabeth A. Neville Southold Town Clerk CERTIFICATE OF INSPECTORS OF ELECTION SOUTHOLD FIRE DISTRICT IN THE TOWN OF SOUTHOLD, NEW YORK Canvass of Votes on Proposition at the Special Election held August 15, 2001 WE, THE UNDERSIGNED, being Chairperson, Inspectors of Election and Ballot Clerks, at the Special Election of the qualified voters of the Southold Fire District, in the Town of Southold, in the County of Suffolk, New York, held at the Main Firehouse, 55135 Main Road, Southold, New York, on August 15, 2001, between the hours of 6:00 o'clock P.M. (prevailing time) and 9:00 o'clock P.M. (prevailing time), to vote upon Proposition contained in the ballot label used at said Special Election; HEREBY CERTIFY that prior to said Special Election we duly took and filed our oaths of office as required by law, and we were otherwise duly qualified to act as Inspectors of Election and Ballot Clerks; that the voting machines numbered 142750 and 142754 were checked by two inspectors and a representative from the Suffolk County Board of Elections. We also found that the Protective Counters registered 20126 (Machine # 142750) and 24084 (Machine # 142754). We also examined the ballot label on the face of each machine, a true and complete copy of which is annexed hereto and made a part hereof, and found each to be correctly placed thereon. In addition, prior to the opening of the polls, we examined every Counter in the machines and found that each registered (000) and we examined the Public Counters and found that they registered (000); and we further certify that during the examination and until the opening of the polls no Inspector or any other person touched the interior of the machines or any of their mechanisms; that we conducted the voting at said Special Election in all respects in the manner required by the law; that all persons who were qualified and who presented themselves at the polls between 6:00 o'clock P.M. (prevailing time) and 9:00 o'clock P.M. (prevailing time) on said day were permitted to vote; that at 9:00 o'clock P.M. (prevailing time) the doors of said polling place were closed and only such qualified voters as were then within the polling place were permitted to vote thereafter; that a Poll List containing the names and addresses of all persons voting was kept by us and that immediately upon the close of the polls, we found that the Protective Counters register 20196 (Machine # 142750) and 24152 (Machine # 142754) that one Inspector, under the scrutiny of another Inspector, announced the vote as shown on the Counters of each machine, and the same was written down on the Certificates of Canvass by other Inspectors; that after the vote was announced and written down, the Certificates of Canvass were compared with the Counters in the machines and found to agree; that the total number of votes as shown by the Public Counters was: Z C) On Machine No. / Z7� 6ef On Machine No. _/ �/ az=Lz� and that the official return of votes cast at the Special Election was: Machine No. I Yes No Blank Total TOTALS The Chairman thereupon publicly announced that the Proposition has been approved. IN WITNESS WHEREOF, we have hereunto set our hands this day of August, 2001 Inspectors of Election and Ballot Clerks 372097.1 001092 RES OATH OF INSPECTORS OF ELECTION STATE OF NEW YORK ) .ss. COUNTY OF SUFFOLK ) WE, THE UNDERSIGNED, having been designated to act as Chairman, Inspectors of Election and Ballot Clerks, for the purpose of conducting a Special Election of the qualified voters of Southold Fire District, in the Town of Southold, New York, held at the Main Firehouse, 55135 Main Road, Southold, New York, on August 15, 2001, at 6:00 P.M. (Prevailing Time), DO SOLEMNLY SWEAR that we will support the Constitution of the United States of America and the Constitution of the State of New York, and that we shall faithfully discharge the duties of the offices of Chairman, I spectors of Election and Ballot Clerks at such Special Election called to vote on the Proposition set forth and described in the Notice calling the Special Election. Subscribe and swo to before me this ay of 2001. No ary Public, -Stat-T of New York SANDFA L BERRY -my Pubic, Oft d Now Yak No.01BE400M Qaftsd in &** 04urt/ ovni m E*m Dooe tv 91,19 Inspectors of Election and Ballot Clerks 372097.1 001092 RES PROPOSITION SHALL the bond resolution of Southold Fire District, in the Town of Southold, New York, entitled: `Bond Resolution of the Southold Fire District, in the Town of Southold, New York, adopted June 12, 2001, authorizing the construction of an addition and improvements to the main firehouse, located at 55135 Main Road, in Southold; stating the estimated maximum cost thereof is $1,100,000; appropriating said amount therefore; authorizing the issuance of $1,100,000 serial bonds of said Fire District to finance said appropriation; STATING that it has been determined that the project will not result in any significant adverse environmental impact for purposes of the State Environmental Quality Review Act ("SEQRA") and that a negative declaration has been issued; determining that the period of probable usefulness of the specific object or purpose for which said $1,100,000 serial bonds are authorized to be issued is 20 years; and providing for the levy of taxes to be collected to pay the principal of and interest on said bonds" BE APPROVED? CERTIFICATE OF THE FIRE DISTRICT SECRETARY I, Cynthia Caprise, Fire District Secretary of Southold Fire District, in the Town of Southold, Suffolk County, New York, HEREBY CERTIFY that I have compared the annexed copy of the Certificate of Inspectors of Election as to the results of the voting at the Special Election duly called and held in said Fire District on August 15, 2001, with the original thereof, which was filed with the Board of Fire Commissioners in my office as Fire District Secretary, following said Special Election, and the same is a true copy of said original Certificate and of the whole thereof so far as the same relates to the vote on the Proposition submitted at such Special Election. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal of said Fire District this 16th day of August, 2001. (SEAL) eqd4la 0(*Obe-- Fire District Secretary CERTIFICATE OF TOWN CLERK I, Elizabeth A. Neville, Town Clerk of the Town of Southold, Suffolk County, New York, HEREBY CERTIFY that after the Special Election of the qualified voters of Southold Fire District, in the Town of Southold, Suffolk County, New York held on August 15, 2001, the Certificate of Inspectors of Election, executed by the Chairperson, Inspectors of the Election and Ballot Clerks, showing the results of the canvass of votes on the Proposition submitted to the qualified voters at said Special Election, a full and complete copy of which is annexed hereto and made a part hereof, was filed in the office of the Town Clerk of the Town of Southold. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal of said Town this day of August, 2001. (SEAL) Town Qlerk