01
FEB-8-2010 01:52P FROM:TOWN CLERK
(845)298-1478
TO: 8~356410
0,2/4
.
2010-01-19 JCM
Serial #:
Chris Masterson 0
Christine Fulton ~
Sue Rose -=vl ,rD
cLJlLf~U
~\
Town of Wappinger
Agreement for the Use of the Town
Hall Facilities for Meetings
11::CCl '
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, 2010
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FOR tNTERNAL USE ONLY
Received by:
Date Received~
Agreement for the Use of the Town Hall Facilities for Meetings
I;J It../> "''' c ~ fi/I4";,, A. (1, N ~ 0 ( jJ./If t f) f,oJ",) $&! J
Name of Organization or Group
~,~ /IIi' l.fe"lcQ/f S
Name of person representing the Organization or Group
,- (;VIJ../:) ~~A 5"/5 W lt1jNh/?/f-S p-?~L..s.
Address
7 5'"/
This will confinn the arrangements being requested for your groups' use of the Wappinger Town Hall Facilities. as
noted below:
( ) Senior Citizens Room
J4 Large Meeting Room
( ) Other: Specify:
The group is not expected to exceed i tJ personsrr r.;;1? O/J
Date(s): iJ It, b ~iJ J'7 -.J.. D /0 Time:? r /YJ
It should be understood that groups using the Buildings' Facilities for evening meetings mus1 select dates when
Town Meetings are normally scheduled (i.e., Justice Court, Planning Board, etc.) Special requests win 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.
AtTangements 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.
FE8-8-2010 01:53P FROM:TOWN CLERK
(845)298-1478
TO: 8956410
P. -3-'~1
2010-01-19 JCM
Terms of the agreement must be strictly adhered to by the contracting group as any disregard or abuse of me rules
for use of the facilities will result in termination of use by the offending group, and they will not be granted
reinstatement.
I have read and understand the rules and regulations for tile use of the Facilities in the Town of Wappinger Town
Hall, and will comply with these requirements.
Si~ed: \::;)~ + "
For: jJ id woo 1> JI1,< ^'.,( ,/# Nb 0 J (jo"'. IJ"'!"/tL5)
l'Name of Group or Organ' tion)
Date: ~J1 //0
, I~
Approved: ' CfJt;/J u~
"/ Town Clerk
Date: 10
~ ~ B 11 2" Hi 11' h ~ AM
~ i... '. . U i ,.) : 'J .J,
GERELLI INSURANCE
NO. 3588
p, 1/5
\ A CORD CERTIFICATE OF PROPERTY INSURANCE I DATE
__'_'" "M 2/11/2010
FROOUCEA pt/ (84.5) 265-2,220 FAX (845) 265-4754 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMArION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAiE HOlDI!R.
Ge.relli. Insurance Agency, Ino. THIS CERTlFICA"J'E DOES NOT AMEND, EXTEND OR ALTER TI1I;
Corporate Parle West @ Route 9 COVERAGE AFFORDED BY THE POI.ICII;S BELOW.
P.O. Box 352 -_._~_.- COMPANIES AFFORDING COVERAGE
". ,-
Gold. Sp:r;ing NY 10516 COMPANY
A CNA Insura.'1oe Company
----' -' ,. ,...-...-
INSORj;D COMPANY
Wildwood ManQ~ Condominium Association B
5 Wildwood Driv€, Apt #17F COMPANY
C ,--- -... ." ---
Wappinga;Z:$ Fa.lls NY 12590 COMPANY
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~ THIS IS TO CE:RlI~Y TriAT THI; POLICIES OF INSURANCE LISTED BELOW HAVE BE~N ISSUE;:D TO TIiE INSURED NAMED ABOVE FOR THro POur;y PERIO!)
INDICATED, NOrwrltiSTANOING AWY REQUIREMENT, TERM OR CONDlrIO~ OF ANY CONTRACT OR oTl-lER DOCUMENT \NITH RESPECT 10 1MiIC~1 TtlJS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICU:S DESCRlaF.D HERI;IN IS SU8JeCT TO ALL TrIE TERMS
EXCLUSIONSANO CONDITIONS OF SUCt-! PO!.,ICIE'S. LIMITS SHOWN MAY HAVE BEEN REDUCEO BY PAlO CLAIMS. --,..
co rtF'S OF INSURANCI; POUCY HUMBER Pg;{i\:~~~ FOUCveXPIRA Tl~N CO\lERt:Il PROPERlY llMlT$
LTR
~ PROPERlY L_ 13lJlLDING ~ __.. n.'.....____
:j'SES or- LOSS -- P~RSONA,PROPFRTY ~..__.._.... ..-.
BASIC - l3l1SINCSS If~COMC J_
_I BRDAD -- ~X1 RA i:X?FNSE s -
_ SPECIAL - BLANKEr llUllOI'lG ~~==-.---
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- fLooO I .. ~-. IIW-1KET BLCG to pp ~.. ,.. - ". '---1
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lY~e OF POLICY ., , ~ ... ... .. ... ,....----
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- NAMED PERILS I-- ~
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A ..!.. OmME 015114637<\ 3/15/2009 3/15/2010 X w.., I 50,000
TYPEj OF POWCY ~ Dadt~ctibl.. ; - ---.- -'. . 25'0
Emp10yee Dishonesty ._, ------. ....,,- ..- . _..\ ..'-,- ___ ___ ___.. :.. ._..,.. "_'n_
U BOILEIl. & MACHlNEf(Y -_. ___-'no
U OHlER --- ----.....- ,--~,.._- .--.----.- .-------
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LOCATION OF PREMISEs/DESCRIPTION 01' PAOPERTY
--"'""- .. ,--_. ----,. .-.......~ ......PIo '_. _.._......, ... ~ ..... ...-----
SPECIAl CONDI'rIONSIOTliER CQVEAAGES
I
CERTIFICATE HOLDE~
(845)896 6410 45-298-1478
Town of Wappinger
20 MiddlEIDush Road
Wappingar Falls, NY 12590
ACORD 24 (1/95)
CANCELL.ATJON
SllOUlD ANY OF THE ABOVE DESCRIBED POLICIES BE GANCEllfD 6E~ORIi 'ri'lE
fXPI~TION DATe TKEREOF, 11iE ISSUING COMPANY WILL ENDEAVOR TO MAIl..
~ DAYS WRITTEN NOTlel; 10 nil; C9tTIl'ICATE HOLD~R NAMED TO THE: LEFT.
BUT FAILURe TO IolAlL !lUCH NOTICE StfJl.LL IMPOSE NO OBLIGATION OR LIABILITY
01' ANY KIND UPON THE COlllp AGENTS OR
AUTHORIZED REPRESENTATIVE
Gregg V. Gerelli
.
1995
;: E 8. 11. 201 0 11: 54AM
GERELLI INSURANCE
NO. 3588
P. 2/5
I ACORD CERT1F1CA TE OF LIABILITY lNSURA'NCE OATE tllllllIDDJYYYV~
.,. -- -- "",. 2/11/2010
. THIS CERTIFICATE IS ISSU~D AS A MATTER OF INFORMATION
PRO D\JCI;R (845}'265-2220 FAX: (845)265-4754
ONLY AND CONFERS NO RIGHTS U~N THE CERTIFICATE
Ge:t"elli Insurance Agency, Inc. HOLDER. THIS CERTIFICA TI: DOES NOT AMEND. EXTENO OR
Corpo;rate Park West @ :Route 9 AL.1'ER THE COVERAGe AFFOROr;Q BY THE POLICIES BELOVY.
P.O. EOX. 362
cold. SRring NY 10516 -~-- .!..N~!'i~RS ~ffQ!iQlli~_~.9~O.Ee. _ NAte 1i__, _.__ ..-
-
INSUR~t1 INSURER A. aartfQ~l,J.al ty 2942'
. - 1#'..--....
WILDWOOD MllliOR CoNDO ASSOC INe ~u~~~ II Zu;c=!-,?-~ _In~":l~~-=~. C~~~L
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5 WILDWOOD DR f..!r!SU~ER c. CNA In5u:r!!lIlc~ ~om..p~!lx._.... .__ -"-"-
INSURER}? . .....,----..,-' .,..---- ...__w"
WAPPINGERS Fi\LLS NY 1.2590 INSUf(ER 1;'
THE POLICIES OF INSURANCE L,rSTED BelOW HAve BEEN ISSU~D TO THE INSURED NAMEO ABOvE I"OR THE: POLICY PERIOD INDICATED. NOTWITHSTANI'lING ANY
REQUiREMENT, TERM OR CONOITION all' ANY CONTAACT OR OTHeR DOCUMENT WITH Rt!SPECT TO WHICH Tl'US CERTIFICATE MAY BE ISSl.JEO OR MAY PF,RTAliII.
THE INSURANCE AFFORDE,~.~Y THE POLICIES 1~F.:~RlBED Ht:REIN IS SlJeJECT TO A~L THE TERMS: EXCl.USIONS ANO CONDITIONS OF SUCN f'OLICIEn
AG~I<~r.: TE L1M-IT1=l~HnWl\l YHAVI= illl":EN RI=OI Byp",n~IAIMR .~.,. ...-.----" .---- -"-- -
IN51\ ,&,CD'L TYPE OF IffflURANCE POl.ICYNUMElER P~~~ri~.!~E P~~,~~&:~1'l LIMITS
~NERAL lIABII..tTf "'''"H ,.,~~, 'RREl'iCJ;___ ~.__.- .--
OAl\olAGF 10 RrNTE~_...\--
COMMERCIAl GEIIIERAl LIAelltTY .f'~~I.Eio_<1E<;!J!!!\ ~ ...'--"--
1 CI.AIMS MADS 0 OCCUR ~Q I!:XP (MY qnllllP"on\ ~ ...__.--
PF,~S~~~~~_ .:L._. --
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POLICY ~~fJ; LOe
! ~rOMQBllE WASIUTY
COMBI:-!E:Ll SINOlr. llMIT :; 1,000,000
(EallCCldonl)
- ANY AUTO ----- . --- -..' -.--..,,-
A '-- ALL OWNeD AUTOS 160li:CUI5214 1/12/2009 1/12{2010 aOOllY INJURY I
..!. 5CHEDU~ED AUTOS {Per J)<<;cn) ;
--,'. --- -- ...--,-.
.~ HlR~D AUTOS 180011 Y INJURY
.~ NON.OWNED AUTOS (Pcr~:r::~~~__ ___. . ~
u_ n_...~_ _ . . .~----..
- PRO~T1.iY OAMAGF :;
(PI!( SOOJoeol)
RRAGE L1ABIUTY " .AJ[!O t)Nl Y . E:A ACC1P~!:,!t. S
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ANY AlITO OTHER THAN ~.$
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AUTC ONlY' Ace ,
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I X OCCUR 0 CLAIMS MAO! I hGGREr;:AIE ..~, 000 r Op9
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B 1;1 DEDlJCTlelE AVC297296406-1S105B5-00 3115/2009 3/15/7.010 C.... .-.---~=~. ,i,--_____. ....--
$ .,.-
X RJ::'rFNTIOIll 510,000 -- t
WORKERS COMPENSATION AND ~ STAll[[ \)Jr
SIl'lf'~OYERS' lIAElIUTY . !ft ll~.1 _ ___10"10--.__6'
ANY PFlOPRI5TORlPARTNERIeXECl1TIVE ~.). JAGII ACCIDENT - _. 1..
OFFICERlMEM6EI\ eXCLUDED? --
1f~~~,~'Fri'OeUnd~r ,~,_ c L DISeASE ~!;AJ2,4~1.Cj)'[:. - ~ .- ,......
SP I PROVISIONS b F..L. nl~r.A-"[l. POLICY I IMll s
C OTliER Directors &; O:fficerl!l 0251201258 3/15/2009 3/1514010 Aggr..gO\t,,,, 1,COO,000
1,000
DESCRIPTION OF oPEAAnQNSlLOCATlONSlVEtlICLSSlEXCLUSIONS ADDECl8Y ENDORSEMeNT/~ECIAL f'R01J'ISIOUS
CERTIFICA TE HOLDER
CANCELLATION
Town of Wapp~nge~
20 MidtUebush Foad
Wa.ppinger Falla, NY 12590
SHOUl.D JlNY OF 114'1< ABOVS DUCRIB!ID POL!G1El$ as C~.NCEl.LED MFORE THS
V:P1R~1'lON DATE TKEREOF. THE ISSUING INSURER WI1,~ I!PlDEAVQR TO MAIL
.!'? _'.' DAYS WRImN NOTICE TO THE CERTtFICATE ..o1.:OJ:R ~ED TO THI; LtFT. BUT
FAILURE TO 00 sa SHA.LI.IMPOSE NO 08UG:.'t1QN OR UAmllTY Of ANY KIND UI'ON THE
INSURER. ITS AGENTS OR Rfj>p.ESetn'^
AUTIlORlZEtl REPReSENTATIve
G~e9g v. Ge~e11i
, .
ACORD 25 (2001~"
198/1
P.
3/5
HB,11,2010 11:54AM
.~9
ACORD
~
PRODUCE'"
NO. 3588
CERTIFICATE OF LIABILITY INSURANCE
I DATf. (Io1M1ODIYYYYj
02111/2010
THIS CERTIFICATE IS ISSUED AS A MATTER OF ItI'FOFU:1ATION
ONLY I\ND CONFERS NO RIGHTS UPON THE GERTlFICA TE
HOLDER. THIS CERTIFICATE Does NOT AMEND, EXiEND OR
ALlER THe COVERAGjLAFf9J!gi;D_I?':LTH~:~0l.t9.~S- BEl.OW. I
\ INSURERS AFFORDING COVERAGE : NAIC #-
I:~S\JR~~~:_~-GR~ENW.C~)~~iRAN~.E COMPANY.. . -'! 22322 "1
f_'NSl.!~!!:. _... -. - -. - . --" . . . - -- i I
11-~.!'~ftW._. .. 1 -j'
IIN$.Y!l~9' ___ I
1 tNsuflER 10' I
THE POLICIES OF INSURANCE L1srEO BElOW HAVE BEEN ISSIJED TO THE INSURFO NAMaJ ABOVE FOR THE POLICY PF.RIOi) INDICATED. N01WITHSTANOING
ANY REQUIReMENT. r!RM OR CONDITION OF ANY CONTRACT O~ OTHER DOCUMENT WITI'! RESPECT TO W~IlCt{ THIS CE~'fIFICATE MAY BE ISSUED OR \
Mi\Y PE~TAIN, THE INSURANCE AFFOROeo BY THE POI..ICIES DESCRIBED HEREIN IS SUBJECT TO A1.1. THE 1'!:.RMS. EXCLUSIONS AI'lD CONDITIONS OF SVCH
~~\C~S'AOG_RE~TELI.MlTSSHO.WN~~~VE~~NR'EDUCEOBYPAIO.~I:'~~--"1 "'iF.iF . r-- ...--... . ...
IIl'lSR :1'000' POLICY NUMdFt I POt.,.... EFrECTlVI1., 1 ~~WY PIR;^T10l'l , LIMITS
I - ~ ~"NIORAL UA'B",rrV i -1 i ~H OCCURRENCE : $
I i - , : 'I C()AMAGE TO Hf.NiHj 1" ... .
f .. ~.P-2~MERCIALGeNE~.!:.LIABILIT\' I ! PR.f,i'JJf~{F,."HX."llelli'ltL __.$
, I I ClAIMS MAOE L 1 OCCUR · i MIID EX!' (My on~ /lCr.cnl : $
r\ _~_ ._ __. r."~~OONA1&AO\!.!N;~P.Y' [~
~.l ..__ .____'_ ,~~!3!'~~qgRE.G~Tf..._:_S
I t>~~'L AGG~G~~E ~~~~ ~P~!~ \>cR~ ~ROO'~l~ . C01A~!~!..~~~.1 ~
i I pOLlcyl I ~i:~ l I LOC i
I AUTOMOSllE LIABILI1i' '
I ""l i
~_.. 1 ANY AUTO l j
L._ AlL OWNeD AuTOS I I
l I SGI1EOllLEO AUTOS II I
h. HIReD AUTOS I
. NON-OWNED AUTOS I,
i -j---' -' .- ~ I I -
GARAGE LI"aILJIY I
-J ANY AlITO
i i :
~~sss I UMBRI1.L~ UABLITY I
1_ ) now' L.J "...., N"" I I
I j DEDUCTIBLe i
1"1 RETENTION $ I
WORKERS COMPENSATION I I
ANI) EMPLOYEftS' LIABlUTY . Y I N
I'J4V PROPRIETORIPAlnNERlEXECll11\1$ [J I' ,:
OfFICEfVMEMeER EXCLUOEtI?
(Mand..loty In NH) .
~P~~~R~Vrs1gNS txolaW !
A oTHeR Building \ PWK0029100 03/1612009 i O31i5/2010 '
I:luslncss peJ$onal Propel1Y ill
BII with Exlr.J Exl1e....se I i
DESCRIPiIdN OF OPERATfOHlllOCATIONS/VEHlC1.11S I EXCLUSIONSADOdO lilY ENDOR.:reMlitNT/SPECIAL PRo\Il$lCl~S
GERELLI INSURANCE
L.oV:\Il1o A"ociates, Ine.
64-50 Tr.lI\slt ROlid
Del3&W, NY 1.i043
INsuRllD
WildwoQd Manor Condominium Association
c/o River Management.lnc.
197 Mill Street
poughkeepsie. NY 12601
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COVERAGES
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i COM31N EO S~~~,tF 1111.11T
l (E~ ""c:id,.,,~\ n__.___
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:$
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: \ '
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I (:>rr;i<1Lid9/lt)
i AUTO -,?~L y . ~A. ;';;';q:;---'-'.. -. --
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. TORY LIMITS' _. Efi '
i E.L. E~C.I-j Af!~!'?~~T. . 1.$..-. ...-
l ~L: ~!~t:A~~.: F.A EMPLOY~e_ !._ ...
: E L OISf..ASF. POLICY LlMll I ~_
:
10.134,500 \
30,000
1 tlO.OOO I
I
CERTIACAT~ HOLDER
\
CANCELtA TION
SIiOUL,I)ANYOF T1iEAJOVE DEseRIB ED POLIC'I;S liE CANCELLED SEi"ORE i He EXPIRAfION -,
DATI! lHERiOF, lNE ISSUING IN$I)RER WILL ENDEAVOR 1'0 MAIL 10 DAYS WRITTEN I
I
NOTICE TO litE CER,T1F1CATE HOLDER !'4.A~leO TO TIlE Li!H. BUT fAI1.,I)FtE TO DO llO 'II1ALI. I
lMPOSIO NO OIlLlGATION O~ LIABILITY Of ANY ICINtl UPON tilE INSURER, In; AC""ITS 01< I
~PRES:NTA't1VES.
AUTHORr:tI!O REPRESEJ'ITA'I'IVl; ..' "1
j!....-Pd{.tlt(!e.
@1983-2009ACORD CORPORATION. All rightS msmved.
The ACORD name and logo are ...gistered marks of ACORD
Tawn of Wappinger>
20 Mlddlebl,l$h Road
Wappinger Falls, NY 12590
ACORD ~ (2009101)
llA TE (M"'QDfY"Y'!'Y)
02/11/2MO
nns CERTIFICATE IS ISSUED AS A MATTER Of INFORMATlor~l
ONLY AND CONFERS JIlO RIGHTS U....ON THE CERTIFICA iE
HOLDER. THIS CERTIFICATE DOES t.,OT AMEND. EXTEr,jO OR
ALTER THE COVERAGE AFFO~~.D BY THrLP..Q.ld';!"'~'9. !lEJ&~'1'
I I .
l;;::RS~:i::rAi=:tfi Co'_ ' N~: i
[ INSl.!!'!!:1i It . . ~
[' INSlIR~C' __.. -. -- i'"
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THE POLICIES OF INSURANCI;: LiSTED 6E1..0W HAV;: BE:EN ISSUED TO THE INSURED NAMED ABOVE FOR TI'\E POLICY PERIOD INDICATED. NOTWITHSTANDING
NlY REQUIREMENT. rERM OR CONomOr>l OF ANY CONlAACT OR OTI1ER DOCUMENT WlTII RESPECT TO WHICH nns Cl;RTlFICA-rE W\.Y BE ISSuED OR
MAY PERTAIN, THE INSURANce AFFOROED BY THE POLICIES DESC!ll.16ED !ffREIN IS SUBJECT TO ALL 1 HE TERMS, I;XCLUSIONS AND CONDlrlONS OF sucH
_POLIC~ES.~~GRe:.GATELlM1TSSHOW~AVE6EENR~~DBYP~DCLAIMS.. '_ .._. ...__---- u...
II~~: ~~~r - . I I'OUCY IUIIBeR I ~~ I9'FECTlYETh~Mfl EXPIAA'fIClN r LIMITS
~_~E~RAlllABlL1TY I I \ 'l ~9!.fl!'~"RRENCIii_,__. j $
I I OAMA<il: '''' F,NTED ,
I ,j CO~MtF\CIAl G!NERA,l.lI/l8IUTV I I .,?,1;!EMISE$ (~Q'E..-IIIT'1"rr.) : ~ --
1_ I ..J CLAIMS MADE; loo.1 OCCUR 1 l' i I MlrO E~W (Any onepe~Qnl ..:."
l . PERSONAl ~ ArlV 1~Ul'\Y . S
,- - ..---. "- I :';~RAI.^G~~~;'~~-' I ~ ....
~ GE~'~ ~~-;;'GA ~ LIMIT A~~ f'E~; I : PR;D~~T~' .-~~MPIOI'''~ :-~_..
i' -, !'oLlCy!1 ~rR-r I 1 LOC ! [-- -.. ., -...... i
I AUTOMOBILE LIA8IL1TY I I' : CO!l61N!:O SINGLE LIMIT II $
I .1 ANY AlJTI) I i \!;~ ~~2.d~:~, .. ! -. .. .
r--l ALL OWNEO AUTOS \ l OOOIl Y INJURY ; $
I, _.-! SCHEOULEDAUrOS , l l (Pr.rp~"'a~l I... ...
L~~ \ ~~
L, ~~.j .N.ON-OWN~O AUTO.. S ,I f.~~=.~&cid"nl) ......1 $
I .-___, : ~RO;>fRTYOAMAGE ,S
I (POol acd~enl'
1 LA.l!.~<?ONIY -F^^C_CI[).SN( I ~
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.cEB,11,2010
AC~tJ
11: 54AM
GERELLI INSURANCE
NO, 3588
P.
CERTIFICATE 'OF LIABILITY INSURANCE
PROO\,lCER
L.oVullo Associates, Inc.
6450 TfCll15lt Road
Depew, NY 1404:'1
.
IN5URED
Wildwood Maner CondQmlnium A5c;ociation
e/o River Management. Inc.
297 Mill StnHot
POl.l9hkeep6ie, NY 12601
COVERAGES
!
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GARAGE LIABluty
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.. I ANY AUiO
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4/5
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: . .- -... '--'-' !: .-....
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: ~.\~~ ~;$'F~E': POLICY LIM1" r~ .. .
SHOULD ANYQFTI:EASOVE Ct:i5(;R~1l[D POUCIES 51: CAI'IC::LLliD 8EPORI; TIlE EXPlRA"ION
DATl THiREOf, THE ISSUING INSURER W1t.L ENDeAVOR TO MAl!. _~ ClAYS WiUTTE!'l
NoncE TO THe ClmTIFICA TE tlOLDER NAMED TO ll~E LEFT, aUT FAlLU\>.E TO DO 50 liHALL
Town of Wappinger IMPQ6E NO OflLlGATlON QR UABlLrTv OF ANY KJt.!O UPON THE IIIlS\.lRIiR, ITS AGENTS QR
20 Middleb\lsh Road REPRESENTATIVES.
WaJ)plnger Falls, NY 1 :tG9D AUTHORI%I!D REPFlESEN'i'JlTIVE .D .fhP..u~
I rr.,,.';,)
~SSS I UMBREL.LA LIABIliTY
['[ _ _.J. oCCuR. D CLAIMS MADE
. 1 oEO llCTlllLI!
! j ~..TENT:oN $
I WORKERS COMPENSATIOIIl I
I AIlD EMPlOYERS' Lb\ElILlT!' Y I II I
I ANV PROPRlt:TOF>JPAATNJ;J,JEXEGU1M, 0' I
OFFIC~IMEMBER EXCI.UOEO?
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DillCI'lIPTIOt-l OF OPliR.6.nOlls J LOCAnoNS I "EHIQ,ES I exCLUSION$ ADtJIOD BY ENDORSEw;HT I SPECIAl. I'RO\IISIONS
CERTIFICATE HOLDER
CANCELLI\TION
$10,000,ODO
ACORD 25 (2009/01)
@1988"2009ACORD CORPORATiON. All rights resented.
The ACORD name and (ogo -are regist9l'eO marks of ACOP.D
FEB.11.2010 11:55AM
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l'ROOUCER
GERELLI INSURANCE
NO. 3588
P.
5/5
CERTIFICATE OF LIABILITY INSURANCE
DATE rMMJOOIYYYYI
0211~12Q10
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATiON
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED f;1~f.Qb!fIES"BEL.O"Y.._
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loVullo Associates, InG.
6450 Transit Road
Depew, NY 14043
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WildwDOQ Manor CondominIum Assodation
c/o RIveT Man"llgement, Inc.
297 Mi1I Stre~
Poughkeepsie, NY 1:2601
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COVERAGES
THE POLlCIf;S OF INSVRANC! I.I$TED eel.ow HAVE ElEEN ISSUEO TO lHE INSURe[) NAMED ABOVE FO~ THE POUCY PERIOD INOiCATI;D. NmVVITHSTANDING
ANY REOUIREM~NT, TERM OR CONDITION OF ANY CONTAACT OR OTHER DOCllMENT Wmi RESPECT TO WHICH THiS CERTIr-lCATE MAY BE ISSUeO OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICieS DESCRIBED HERSN IS SUBJECT TO All THE' TE".~MS, EXCLlJSION':l AND CONDITIONS O~' SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCeO BY PAID CLAIMS.
iftSRfAiiP;;'- --- '- -'j --;OLI~~;;;' POUCYEFFEcTIVE ~OLICy"EXPiRli.1l'JN!-- liMITS
GaiERAL LlI\BlLllY C!."'157"836 0311512009 03/1;:;/2010 I EACfl OCCURRENCE 1:&
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I '~t-~.MMIiRC,^L GeNERAL LIABILITY I' fBfMI(lF-S (E.3 O<:QU'!~J!<:'l) IS..
l.' .!..J CLAIMS M^D1f L x1 OCCU~ II IvII.'O EX? .l~IIt.,'n. ~eI'$Qnl__ ~!.
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.g"~~'L AGG~G!'TE LIMIT APPliES PER: j..~~~DUCl 5 - COMP~ II.GG l :&
X : POLICY PRO. r LOC I'
rA]fJTOM"OBlLE LIABILITY : COMBINED ~11IKll.E liMIT ! $
ANY AUTO ! (1;" "r.<Jd....I)
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, ! ALL oWNeD A\1TOS
~ SCH.:DULIOD AUTOS
--1 HIRED AUTOS
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100,000
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f l OCCUR [J CLAIMS MIICE
1--1 DEDUCTIBLE
I'lETEN.TIQN S
WORKERS coMPENSATION
rAND eMPLOYERS'I.IABlLITY Y I N
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OFfICER/MEMBeR E...CLUl.lEO?
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spECIAl PROVISIONS below
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DESCRIPTION OF OP&IV.l1011S I LOC6.TlONS J VEHICLES I J;ltCLUSJONSADDED av ENDORSeMENT (;SPECIAL rl\Q\/TSIONS
Town of WilPpinger
20 MiddJeoosh Road
Wilppinger Falls. NY 12690
,
CANCELLATION
SHOUlD ANY OFTHE ABOVE DE<SCIlIBED POUClES 5E CANCtLUlo BEFORE T,;eeX,"'IlATItl/l1
OAt' THEREOF, ~F.lt;SU1NG INSURER WILL EN13FAVOR TO IIIIAIL _.~~ DAYS Wl\T'n'EN I
NOlTCE TO THE CERl1FICATE HOLDER NAMlro TO 'Ill!; ~e1'T, BUT f.AU.URf: TQ DO SO SHAll.
IMPOSE NO OSUGA'1'ION OR UIIBll..I"N 01' ANV /(fNO UPON TH6 INSUR!:"R. ITS ACENTS OR
R&PRESEN1'~T/VU.
AUiHOfW;O REPi'CE5ENTAllVE j) fI D
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@ 198B-2009 ACORD CORPORATION. All rights recerved.
The ACORD name and logo an~ rQgistered marks of ACORD
CERTIFICATE HOLDER
ACORD 25 (2009/01)