07
Apr, 5, 2010 9:28AM
,-191-2010 07:41A FRIl'1:TOWN CLERK
(845)298-1478
TO: 632224.N 0, 0507 p, 1:1.1/]
2010-01-19 JCM
Received by:
Chris MasterJJOn 0
Christine FultongO
, Sue Rose
'ved:i .1-'5-' ~
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lion \ 400.00 '2'~. ofLl
Rec;rea~~ (date:J:.2]) \3> ,D
Town of Wappinger
Agreement for the Use of the Town
Hall F acUities for Meetings
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Agreement for the Use of the Town HaD Fadlltiel for Meetings
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This will nliop thellrT1lllg"'- boing ,.q....ted for your &fOIIPS' use oflhc Wappingcr Town Hall ".eillli.., ..
noted belo; i
( ) S' OT C}tizens Room
(')iJ La ge Meeting Room
( ) 0 er: Sfecitir.
The grOl1 is no~ expected to exceed \ fj:) persons
Date(s)::.J..\., Time: ~
i
It should . unt'tood that groups using the Boildiogs' F.cllities for ......illg 1JlI,e\inJs JOust aolocl d_ when
Town M lings;.... normolly sohcduIocI (i.e., IusUoo Court, I'lonning Boord. etc.) special req- will b.
consid npod thdr own JOorI~ om! """"p...1> .... b.",.de for ...... to. and do.ing, the building at lhc close
ofyourm 'n~
Y 00 and 0" drganizotion hon:bY ._10 adh.... to tho rules .et forth 01\ the otlachocl page hy .igooturo of ..
authori member of your Organization or zroup.
. !
Th. To of vJ.ppincer ......"" tho right to Sll.pen4lC111)1O'11'1ly tbI. ........... should Ibo Town b_ need of the
facility fo lIS 0\.0 porp..... AdV..... notice will bo gi.... .. llC1IlO .. pooaib1e on such o....ions.
i
C~ obouId b. jnfOdllcd ptolDlItly of "'y .ohcduIo dmollO or canccll.lioD of your group activities.
...ts tpr acces. to sp..,;,fic area to h. uocd .boUId bo made with the Town Clod< .t the tim. this form \.
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No .Wn lion ~II b. considered appro.ed uoliI it h.. beco SIlblllit1cd to the Town CIeri< for review ond
Cleeran. 1
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ADr. 5. 2010 9:28AM
.M8R-19~2010 07:42A FROM:TOWN CLERK
(845)298-1478
No. 0507
TO: 6322244
P ')
. L
P.2.13
2010.01..19 JCM
. oll'4en>cnlllluat b. .tJiclly odbenod to by the contraoling !P'OUP OS any dbl,cgard or 01111.. af Ibe ruleo
for ua. of e faclUti.. will re9IIl\ in termioatian of"'" by the otl'endlng grollJl. end they will not bel!JOOtecI
reinstatem t.
;
and Understand the tWOS and regulations for the use of the Facilities in the Town of Wappinger Town
"U cotnPly with these requirements.
i
For:
o-=s
Signed:
Date:' I 0
Approved : 'T . . OP c ~
. T~Clerk
Dllte: 4 I 0
From: Oonn Ge re II i Assoc I nsu ranee
9142713598
04/05/2010 11 :58
#353 P.002/004
ACORQM CERTIFICATE OF LIABILITY INSURANCE I DATE (UMIDDIYYYY}
04/05/2010
PRODUCER 914.271.6600 FAX 914.271.3598 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Donn Cerelli Associates Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1 Croton Point Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Croton-on-Hudson, NY 10520 !NAIC#
INSURERS AFFORDING COVERAGE
WSUMD Woodhill -Green Condominium Association INSURER A: Philadelphia Insurance Co.
_._~ ~---~
1668 Route 9 INSURER B: Federal Insurance Co -~
Building #1, Office -..--- .-_.-- ----~---
INSURER C'
Wappingers Falls, NY 12590 -,_._-~--
INSURER D:
h --.-.
I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDrTlON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXClUSIONS AND CONDITIONS OF SUCH
POLICIES. A.GGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ~1i TYPE OF INSURANCE POLICY NUM8ER ~T\!CJ.=~I POLI~E~!!lA~ LIUITS
lTR DATE UUIDDIYYYY
L GENERAL LIABILITY PHPK487643 11/01/2009 11/01/2010 EACH OCCURRENCE $ 1,000,00
~-""""-""~'~' ~~~~~l9E~~:~encel -$ 100,00
_.-J CLAIMS MADE 00 OCCUR ----- s.ooe
MEO EXP (Anyone person) $
A PERSONAL & AITIIINJURY S 1,000,00<1
e-! --~. GENERAL AGGREGATE S 2,000,00
~~ - 2.000,OO~(]
GEN"L AGGREGATE LIMIT APPLIES PER: I PRODUCTS - CQMPIOP AGO S
IXl POlICY n ~~i . n lOC ! ---
AUTOMOBlLf LlABIUTY COMBINED SIOOLE liMIT
c--, $
,.....-' ANY AUTO (Ea accident)
-l--
ALL OWNED AUTOS BODfl Y INJURY I
f-- is
SCHEDULED AUTOS (Per person) I
f-- ! ----
HIRED AUTOS BODfL Y INJURY
- $
~ NOO-oWNED AUTOS (Per occidenll
-
--_.-----~ PROPERTY DAMAGE $
(Per accident)
GARAGE UABILITY AUTO ONLY. EAACCIDENT S
-, ANY AUTO OTHER THAN EA ACC $
-i AUTO ONLY: AGG $
I EXCESS {UMBIlELLA UA8ILITY 79579791-51105 11/01/2009 11/01/2010 ~.?CCURRENCE $ 15,OOO,OO~
I ~ OCCUR 0 CLAIMS MADE AGGREGATE .-+$ 15 000,000
I --- -
B I
1$
~ DEDUCTIBLE , S
X RETENTION 10,OO( u
S $
WORKERS COlIlPENSATlON T~~rIDNsl jOJr
AND EMPLOYERS' LIABILITY YIN u._
ANY PROPRIETORlPARTNERlEXECUTU E.L EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(lbRd""" In NH) E.!... DtSEASE - EA EMPLOYEE $
If yes, describe under --
SPECIAL PROVISIONS below E.L. DISEASE - POLICY lNIT S
OTHER
DESCRIPTIOH 01' OPERATIONS ( LOCATIONS I VlEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate Holder is lis~ed as An Additional Insured
CERTIFICATE HOLDER
CANCElLATION
Town of Wappingers Falls
20 Middlebush Road
Wa pingers Falls, NY 12590
ACORD 25 (2009/01)
SIIOUl.O MY 01' THE ABOVE DESCRIBED fOUCES BE CAHCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSUlU:R WIll. ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAU
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE WSURER,ITS AGENTS OR
REPRESENTATIVES.
o REPRESENTATIV
From:Donn Gerell i Assoc Insurance
9142713598
04/05/2010 11 :59
#353 P.004/004
Additional Coverages and Factors
04/05/2010
Line of Business Coverages for
Coverage
General Aggregate
Products/Completed Ops
Aggregate
Personal & Advertising
Injury
Each Occurrence
Fire Damage
Medical Expense
Hired Automobile Liability
Non OWned Automobile
L i abi 1 i ty
Herbicide & pesticide
Applicator Coverage
General liability
limits
2,000,000
2,000,000
1,000,000
1,000,000
100,000
5,000
1,000,000
1,000,000
1. 000, 000
DedjDed Type
Rate
o
Basis: Per Claim
5,000
Premium
Factor
From:Donn Gerell i Assoc Insurance
9142713598
04/05/2010 11 :59
#353 P.003/004
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized
representatIve or producer, and the certificate holder, nor does it affirmatively or negatively amend,
extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2009'01)
. .
P LADELPHIA INDEMNITY INSURANCE COMPANY
ONE BALA PLAZA
SUITE 100
BALA CYNWYD PA 19004
OF CANCELLATION OF INSURANCE
Producer: 0023404
WOODHILL GREEN CONDOMINIUM ASSOCIAT
1668 ROUTE 9 STE 1
WAPPINGERS FALLS NY 12590
DONN GERELLI ASSOCIATES INSURANCE AGENCY,
INC
1 CROTON POINT AVE.
CROTON-ON-HUDSON NY 10520
Reference: N/A
Policy No.: PHPK487643
Type of Policy: PACKAGE INCLUDING AUTO
Date of Cancellation: 05/03/2010; 12:01 A.M. Local Time at the mailing address of the Named Insured.
We are cancelling this policy. Your insurance will cease on the Date of Cancellation shown above.
The reason for cancellation is NONPAYMENT OF PREMIUM.
This action is pursuant to New York Insurance Law, Section 3426, Subsection (c)(1 )(A) regarding nonpayment
of premium.
The amount of premium due is: $ 9068.01
Cancellation may be avoided if premium is paid in full within 15 days of the mailing date of this notice.
The first named insured or his/her authorized agenUbroker may request in writing loss information with respect
to this policy and previous policies we have written for you. We will provide this information within 10 days from
the date we receive your request.
PROOF OF FINANCIAL SECURITY IS REQUIRED TO
BE MAINTAINED CONTINUOUSLY THROUGHOUT THE
REGISTRATION PERIOD. IF YOU DO NOT KEEP YOUR
INSURANCE IN FORCE DURING THE ENTIRE
REGISTRATION PERIOD, YOUR REGISTRATION WILL
BE SUBJECT TO SUSPENSION. IF YOUR VEHICLE IS
STILL UNINSURED AFTER 90 DAYS, YOUR DRIVER'S
LICENSE WILL BE SUSPENDED. TO AVOID THESE
PENALTIES YOU MUST SURRENDER YOUR
REGISTRATION CERTIFICATE AND PLATES BEFORE
PLEASE READ THE NEXT PAGE FOR MORE INFORMATION
Other Party of Interest
Date Mailed:
14th d,ay of April, 2010
,
/'-"';,
\. ;'
O"",~._..,..../
TOWN OF WAPPINGERS FALLS
20 MIDDLEBUSH RD
WAPPINGERS FALLS NY 12590
FRAN DEEMING
FORM# CC9697307003060780 1 00411 NY82006
ODEN 3.0.10.02a
NYCC36NONPMNT
04132010MYNY
Page 1 of 3
Copy for Other Interests
, .
PHILADELPHIA INDEMNITY INSURANCE COMPANY
NOTICE OF CANCELLATION OF INSURANCE
Named Insured: WOODHILL GREEN CONDOMINIUM ASSOCIAT
Policy Number: PHPK487643
YOUR INSURANCE EXPIRES. BY LAW YOUR
INSURANCE CARRIER IS REQUIRED TO REPORT
SPECIFIC TERMINATION INFORMATION TO THE
COMMISSIONER OF MOTOR VEHICLES.
IF YOU HAVE A LAPSE IN INSURANCE COVERAGE OF
90 DAYS OR LESS, THE LAW PERMITS YOU TO AVOID
A SUSPENSION OF YOUR REGISTRATION BY THE
PAYMENT OF A CIVIL PENALTY FOR EACH DAY OR
ANY PORTION THEREOF UP TO 90 DAYS FOR WHICH
YOUR INSURANCE COVERAGE WAS NOT IN EFFECT.
THIS CIVIL PENALTY OPTION APPLIES ONLY ONCE
DURING ANY 36 MONTH PERIOD. THE CIVIL
PENALTIES ARE:
1 TO 30 DAY LAPSE - $8 PER EACH DAY OF LAPSE
31 TO 60 DAY LAPSE - $240 PLUS $10 PER DAY FOR
DAYS 31 TO 60
61 TO 90 DAY LAPSE - $540 PLUS $12 PER DAY FOR
DAYS 61 TO 90
This policy provides auto liability coverage. You should contact your agent or any agent concerning your possible
eligibility for replacement coverage through another insurer or the New York Automobile Insurance Plan.
Excess premium (if not tendered) will be refunded on demand.
This policy provides fire and extended coverage insurance on your property. You should contact your agent or
any agent concerning coverage through another insurer, or your possible eligibility for coverage through the New
York Property Insurance Underwriting Association, 100 William Street, 4th Floor, New York, NY 10038.
Telephone: (800) 522-3372. Or, you may contact your agent or this insurance company at:
PHILADELPHIA INSURANCE COMPANIES
BRIAN O'REILLY
1009 LENOX DRIVE, SUITE 107
LAWRENCEVILLE, NJ 08648
(866) 586-6122
(212) 208-9700 (ASSIGNED RISK)
PLEASE READ THE NEXT PAGE FOR MORE INFORMATION
FORM# CC9697307003060780 100411 NY82006
ODEN 3.0.10.02. Copy for Other Interests
NYCC36NONPMNT
04132010MYNY
Page 2 of 3
. .
..
PHILADELPHIA INDEMNITY INSURANCE COMPANY
NOTICE OF CANCELLATION OF INSURANCE
Named Insured: WOODHILL GREEN CONDOMINIUM ASSOCIAT
Policy Number: PHPK487643
Your interest in this policy as an "insured" or other party of interest is being cancelled effective 05/03/2010;
12:01 A.M. Local Time at the mailing address of the named insured.
FORM# CC96973070030607801 00411 NY82006
ODEN 3.0.1 0.02a
Copy for Other Interests
NYCC36NONPMNT
04132010MYNY
Page 3 of 3
..' ..
PHILADELPHIA INDEMNITY INSURANCE COMPANY
ONE BALA PLAZA
SUITE 100
BALA CYNWYD PA 19004
REINSTATEMENT NOTICE
Named Insured & Mailing Address:
Producer: 0023404
WOODHILL GREEN CONDOMINIUM ASSOCIAT
1668 ROUTE 9 STE 1
WAPPINGERS FALLS NY 12590
DONN GERELLI ASSOCIATES INSURANCE AGENCY,
INC
1 CROTON POINT AVE.
CROTON-aN-HUDSON NY 10520
Policy No.: PHPK487643
Type of Policy: PACKAGE INCLUDING AUTO
You recently received a notice advising this policy was being cancelled effective 05/03/2010.
This notice is to advise that the policy is being reinstated without lapse in coverage.
~~~~u~~~
MA'{ 07 20\0
TOWN OF WAPPINGER
TOWN CLE~K 1
Other Party of Interest
Date Mailed:
3rd day of May, 2010
~.....,.~...t)?\ r
TOWN OF WAPPINGERS FALLS
20 MIDDLEBUSH RD
WAPPINGERS FALLS NY 12590
ROSALIND M. JONES
FORM# CT969897NY51995
ODEN 3.0.10.028
Copy for Other Interests
NYCT36
0503201 OS I NY
Page 1 of 1