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Home My WebLink AboutInsurance Cert 4, COUNTY OF SUFFOLK K�£J_y4� STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DENNIS M.BROWN DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT May 24, 2016 DEZENED MAY 3 1 2016 SUPERVISOR'S OFFICE "Town of Southold 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 by Suffolk County for the use of your facilities as a Polling Place during the June 28, 2016 Federal Primary. If you have any questions,please do not hesitate to contact me at 631-853-5930. Sincerely, Caroline Stolz ' Insurance Contract Analyst CC: Joseph Lombardi and Joseph Barone, Suffolk County Board of L;lections LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700 1 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 1 COUNTY OF SUFFOLK ` }d. F STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DENNIS M.BROWN DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT CERTIFICATE OF INSURANCE Coverage Date: June 28,2016 from 5:00 am to 10:00 pm Issued To: Town of Southold PO Box 1179, Southold,NY 11971 Location(s): Designated Polling Place(s): Southold Town Recreation Center,970 Peconic Lane, Peconic,NY 11958 Purpose: Use of facilities as Polling Place for Federal Primary Amount of Coverage: 51,000,000 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, II. 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 OI'SUFFOLK AO I E a i it Dated: May 24,2016 Leslie 1;. Balla Director of Risk Management 1 3 LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700 H.LEE DENNISON BLDG. 710 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 J �S ' MAR ; 2 2 2016 STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE Southold Town CIO DENNIS M.BROWN DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK.MANAGEMENT CERTIFICATE OF INSURANCE Coverage Date: April 19,2016 from 5:00 am to 10:00 pm Issued To: Town of Southold- ;!PO!Box 1179,Southold,NY 11971 Attii:Scott A Russell,Supervisor Location(s): Designated Polling Plaee(s): Southold Town Recreation Center,970 Peconic Lane,Peconic,NY 11958 Purpose: Use of facihtie's as Polling Place for Presidential Primary 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: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 arid 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 (5(104:4 Dated:March 11,2016 Leslie E.Baffa—Director of Risk Management LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700 H.LEE DENNISON BLDG.—7T0 FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)853-4956 VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099 COUNTY OF SUFFOLK STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DENNIS M.BROWN DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT March 11, 2016 MAR 21 2016 • Town of Southold SUPERVISOR'S OFFICE PO Box 1179 TOWN OF SOUTHOW Southold,NY 11971 Attn: Scott A Russell, Supervisor Re: Certificate of Insurance Dear Supervisor Russell: Please fmd enclosed (on the opposite side of this letter) a Certificate of Insurance evidencing coverage by Suffolk County for the use of your facilities as a Polling Place during the April 19, 2016 Presidential Primary. If you have any questions,please do not hesitate to contact me at 631-853-5930. Sincerely, 64.4"1.5 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.—7THFLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)853-4956 VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099