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Home My WebLink AboutCertificate of Insurance COUNTY OF SUFFOLK STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DENNIS M.BROWN DEPARTMENT OF LAW COUNTY ATTORNEY DIVISION OF RISK MANAGEMENT -i RECEIVE® October 15,2018 OCT 222018 Town of Southold Southold Town Clerl PO Box 1179 Southold,NY 11971 Attn: Scott A Russell, Supervisor u 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 General Election to be held on Tuesday,November 6,2018. If you have any questions,please do not hesitate to contact me at 631-853-5930. Sincerely, &A*L� Caroline Stolz Insurance Contract Analyst CC:_Joseph Lombardi and Stephanie Hodgson, Suffolk County Board of Elections LOCATION: MAILING ADDRESS: Risk Management Phone (631)853-4700 H.LEE DENNISON BLDG.—7'FLOOR P.O.BOX 6100 Risk blgmt.&Ltabihty Fax (631)8534956 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 Coverage Date: Tuesday,November 6, 2018 from 5:00 am to 10:00 pm Issued To as Town of Southold Additional Insured: 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 the November 6,2018 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 0,W4 'FJe"A Dated:October 15,2018 Leslie E.Baffa—Director of Risk Management •,4,.. ,.5�s S LOCATION. MAILING ADDRESS. Risk Management Phone (631)853-4700 H.LEE DENNISON BLDG.—7"FLOOR P O.BOX 6100 ILsk Mgmt.&Liability Fax (631)8534956 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 10, 2018 RECEIVED AUG 2 1 2018 Town of Southold Southold Town Clerk 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 Primary Election to be held on September 13,2018. 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 Stephanie Hodgson, Suffolk County Board of Elections LOCATION: MAILING ADDRESS: Risk Management Phone (631)8534700 H.LEE DENNISON BLDG.—7Tn FLOOR P.O.BOX 6100 Risk Mgmt.&Liability Fax (631)8534956 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 Coverage Date: - ,,..Thursday,September 13, 2018 from 5:00 am to 10:00 pm Issued To as Town of Southold Additional Insi ed: ;PO Bt 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 the September 13,2018 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 oaQ& e �� Dated:August 10,2018 Leslie E.Baffa—Director of Risk Management LOCATION: MAILING ADDRESS: Risk Management Phone (631)8534700 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