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Montclair Townhouse / Condo
2010-01-19 JCM FOR INTERNAL USE ONLY Town of Wappinger Received by: Joseph P. Paoloni ❑ Agreement for the Use of the Town ce Robinsonc� � � Facilities for Meetings Date Received: 1l - - Serial #: EP 1 2015 i ❑ Application X100.00 ❑ Cert.4UWN 4F WAPPING ❑ Notified Rcereation date: T. 1 ft I -1 r. Agreement for the Use of the Town Hall Facilities for Meetings Rolurculk �vwn age elm& II/i)wn -4mual "h Name of Organization or Group V VAle Name of person representing the Organization or Group A "s; av /z j-f6 Address q1 9!4 Phone No. This will confirm the arrangements being requested for your groups' use of the Wappinger Town Hall Facilities, as noted below: O Senior Citizens Room ( j Large Meeting Room (� Other: Specify; The group is not expected to exceed ersons Date(s): jVUK C U 4y C)4-r. 2�,Zo Ir Time: 6 :2 d, 1'11 It should be understood that groups using the Buildings' Facilities for evening meetings must select dates when Town Meetings are normally scheduled (i.e,, Justice Court,Planning Board,etc.) Special requests will be considered upon their own merit, and arrangements can be made for access to, and closing, the building at the close of your meeting. You and your Organization hereby agree to adhere to the rules set forth on the attached page by signature of an authorized member of your Organization or group. The Town of Wappinger reserves the right to suspend temporarily this agreement should the Town have need of the facility for its own purposes. Advance notice will be given as soon as possible on such occasions. The Town Clerk should be informed promptly of any schedule change or cancellation of your group activities. Arrangements for access to specific area to be used should be made with the Town Clerk at the time this form is submitted. No application shall be considered approved until it has been submitted to the Town Clerk for review and Clearance. 2010-01-19 JCM Terms of the agreement most be strictly adhered to by the contracting group as any disregard or abuse of the rules for use of the facilities will result in termination of use by the offending group, and they will not be granted reinstatement, regulations f r h f h I have read and understand the rules and o the use o the Facilities to the Town of Wappmger Town Hall, and will comply with these requirements. Signed: ' ``" AQ For: 'a �au-)f) '6btae Cwm1i7lam (Name of Group or Organization) Date: h Al -/ Approved: Town Clerk Date: m m� N oC o XO n rn p�1. N co �' op c a ZOO Q' c. a O 3 m Ii T w Im w m O a OCl) �: oma~ u7 0k m r _ "[3 m N u' �@(°o� o G to -+ 1S r cn y m CD'tZ�y oN@ m G :10�� ❑ *. n n0 p c r f, ti w .a is O rt_ - ly z y nW m t' CD fi r■ > 3 r u Ln �o G a❑ C7 O O_ !o D i:z' n o to $ 0 � � I S ro j 0 o I �• O w C ) 1 i ; 0 0 p 0. OC).'. a � .4co CERTIFICATE OF LIABILITY INSURANCE DATt `MM'D0rfMI li 10/6/2015 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 certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Alana Jessie NAME: DONN GERELLI ASSOCIATES PHONE (914)271-6600 uC No:(9141271-3598 INSURANCE AGENCY INC ADDDft"RESS:ajessie@dgainsurance.com 1 Croton Point Avenue INSURE SI AFFORDING COVERAGE NAICp Croton-on-Hudson NY 10520 INSURER A:Philadelphia Insurance Co. INSURED -INSURER B.-Greenwich Inc - Montclair Townhouse Condominium -INSURER C:Federal Insurance Co C/o Town & Country Prop Mgmt INSURER 3 Neptune Road, Ste A19A INSURER E; poughkeepsia NY 12601 INSURER P: COVERAGES CERTIFICATE NUMBERMASTER Lia REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE.ISSUED OR MAY 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. ILTR TYPE OF INSURANCE ADDL SUBR - POLICY NUMBER MIIfDDYEFF IYYYYY POLICY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE RE TED- A CLAIMS-MADE Fx—1 OCCUR - PREMISES Ea occurrence $ 300,000 PHPK1401756 10/1/2015 10/1/2016 MED EXP(Anyone person) S 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY❑JPED LOC PRODUCTS-COMP/OP AGG $�� 2,000,000 OTHER, - Non-owned $ 1,000,000 MBINED INGLE LIMIT $ O AUTOMOBILE LIABILITY CS - O accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident L S X UMBRELLA LIAOX OCCUR EACH OCCURRENCE $ 15,000,000 B EXCESS UAB CLAIMS-MADE AGGREGATE $ 15,000,000 DED I X I RETENTION 10,000 PPP7451789 10/1/2015 10/1/2016 $ WORKERS COMPENSATION - PER TH- ANDEMPLOYERS'LUIBILITY YIN STATUTE EANYR OFFICERIMEPROPRIMBER ETORIPARTNERIEXEXCLUDED?ECUTIVE N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S C Directors & Officers 9235-6665 10/1/2015 10/1/2016 EochOccunence 1,000,000 DBdudible 2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES{ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) The certificate holder is addtional insured for the Annual meeting being held on October 29th, 2015. Coverage is provided for thirty-seven two-story brick veneer condominium buildings containing two hundred ninety-six residential units. The premises is located at buildings 1-37 Alpine Drive, Wappingers Falls, Dutchess County, New York 12590. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Wappingers THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN . Town Hall ACCORDANCE WITH THE POLICY PROVISIONS. 20 Middlebush Road Wappinger Falls, NY 12590 AUTHORIZED REPRESENTATIVE Katherine Bova/KMB ©1988-2014 ACORD CORPORATION, All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD INS02S 17n1eM1 ADDITIONAL COVERAGES Ref# I Description Coverage Code Form No. Edition Date Commercial Umbrella Aggregate Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 15,000,000 10,000 Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ret# Description Coverage Code Form No. Edition Data Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Teductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No, Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium i Ref# Description Coverage Code Fprm No. Itt: Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium FoFADTLCV Copyright 2001,AMS Services,Inc. ACO EF DATE(MMIDDIYYYY) CERTIFICATE OF PROPERTY INSURANCE 1 10/6/2015 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. If this certificate is being prepared for a party who has an insurable interest in the property,do not use this form. Use ACORD 27 or ACORD 28. PRODUCER NDOR T Alana Jessie DONN GERELLI ASSOCIATES FAX INSURANCE AGENCY INC . (914)271-6.600 NC No:1914)271-35yB 1 Croton Point Avenue E-MAIL a essie@ ainsurance.aom S: 7 dg ER 00000030 Croton-on-HudsonNY 10520CUST E IDV INSURERS AFFORDING COVERAGE NAIC I INSURED INSURERA:Philadel hia Insurance Co. Montclair Townhouse Condominium INSURER B: c/o Town S Country Prop Mgmt INSURER C 3 Neptune Road, Ste A19A INSURER 0: Poughkeepsie NY 12601 INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER*IASTER Prop REVISION NUMBER: LOCATION OF PREMISES I DESCRIPTION OF PROPERTY(Attach ACOKD 101,Additional Ramsrks Schedule,N more space Is required) Loc# 00001: 1-37 Alpine Drive Wappingers Falls NY 12590 See Attached Overflow Pages THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS LTR DATE(MWDDIYYYY) DATE IMMIDDIYYYY) X PROPERTY BUILDING $ CAUSES OF LOSS DEDUCTIBLES PERSONAL.PROPERTY $ BASIC BUILDING X BUSINESS INCOME $ 873,79 10,00 BROAD CONTENTS EXTRA EXPENSE $ A X SPECIAL PHPK1401756 10/1/2015 10/1/2016 RENTAL VALUE $ EARTHQUAKE X BLANKET BUILDING $ 38 799 00 X WIND BLANKET PERS PROP $ FLOOD BLANKET BLDG&PP $ X Backup-Sewers and $ Include X Blanket Building Coverage $ 38,799,00 INLAND MARINE TYPE OF POLICY $ CAUSES OF LOSS $ NAMED PERILS POLICY NUMBER $ S A X CRIME PEPK1401756 10/1/2015 10/1/2016 X Employee Dishonesty $ 250,00( TYPE OF POLICY X Computer Fraud $ 250,0 X Forgery&Alterations $ 250,00( A XBOILER&MACHINERY1 PHPK1401756 10/1/2015 10/1/2016 X LImIk $ 38 799 00 EQUIPMENT BREAKDOWN ]{ Deductible $ s $ SPECIAL CONDITIONS I OTHER COVERAGES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) The Property Managing Agent Rider is included on Crime. Extended Replacement Cost Coverage applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Wappingers ACCORDANCE WITH THE POLICY PROVISIONS. Town Hall 20 Middlebuah Road AUTHORIZED REPRESENTATIVE Wappinger Falls, NY 12590 Katherine Sova/KMB ACORD 24(2009109) ©1995-2009 ACORD CORPORATION. All rights reserved. INS024(200909) The ACORD name and logo are registered marks of ACORD COMMENTS/REMARKS Coverage is provided for thirty-seven two-story brick veneer condominium buildings containing two hundred ninety-six residential units. The premises is located at buildings 1-37 Alpine Drive, Wappingers Fails, Dutchess County, New York 12590, OFREMARK COPYRIG14T 2000, AMS SERVICES INC. ADDITIONAL COVERAGES Rei# Description Coverage Code Form No. Edition Date 1 1-37 Alpine Drive,Extended Replacement,Included SPC Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 10,000 Ref# Description Coverage Code Form No. Edition Date 1 1-37 Alpine Drive,Phily ELITE Endorsem,lncluded SPC Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 10,000 Ref# Description Coverage Code Form No. Edition Date 1 1-37 Alpine Drive,Equipment Breakdown,Included SPC Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 10,000 Ref# Description Coverage Code Form No. Edition Date 1 1-37 Alpine Drive,Building Ordinance o,lncluded SPC Limit 1 Limit 2 Limit 3 Deductible Aount Deductible Type Premium 10,000 m Ref# Description Coverage Code Form No. Edition Date 1 1-37 Alpine Drive,Building Ordinance 0,300,000 SPC Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 10,000 Ref# Description Coverage Code Form No. Edition Date 1 1-37 Alpine Drive,Building Ordinance o,300,000 SPC Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 10,000 Ref# Description Coverage Code Form No. Edition Date 1 1-37 Alpine Drive,Building Ordinance o,lncluded SPC Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date 1 1-37 Alpine Drive,Fire Hydrants Undgnd,1,000,000 SPC Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 5,000 Ref# Description Coverage Code Form No, Edition Date 1 1-37 Alpine Drive,Per Unit-Back Up S,Included SPC Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 10,000 Ref# Description Coverage Code Form No. Edition Date 1 1-37 Alpine Drive,Per Unit- Ice Dammi,lncluded SPC Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 5,000 Ref# Description Coverage Code Form No. Edition Date 1 1-37 Alpine Drive,Terrorism,Included SPC Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium FoFADTLCV Copyright 2U01,AMS Services,Inc,