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2008 (4)::: A:. RD CO ~PRODUCER~~~~~~~~~~~~~~~~~~~~ INSURED FEDERATED MUTUAL INSURANCE COMPANY Home Office: P.O. Box 328 Owatonna, MN 55060 Phone: 1-888-333-4949 OLD HOMESTEAD REALTY PROPERTIES INC 5 PINEWOODS ROAD HYDE PARK NY 12538 ~:::::A. E ~MM~DD YY~~~~ :ii::>::>:': O T / / 1 I 10/14/08 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 BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR A FEDERATED SERVICE INSURANCE COMPANY COMPANY e COMPANY C COMPANY D 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. CO ~ LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE ' DATE (MMIDD/YY) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS GEN ERAL LIABILITY GENERAL AGGREGATE S 2 OOO OOO X COMMERCIAL GENERAL LIABILITY PRODUCTS -COMP/OP AGG S 2 OOO OOO A ''' CLAIMS MADE X~ OCCUR 9321952 01 /04/09 01 /04/10 PERSONAL & ADV INJURY S 1 OOO OOO OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE S 1 OOO OOO FIRE DAMAGE IAny one fire) S 100 000 MED EXP IAny one person) S AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT S 1 000 OQQ X ANY AUTO r r ALL OWNED AUTOS BODILY INJURY S A SCHEDULED AUTOS 9321952 01/04/09 01/04/10 (Per person) X HIRED AUTOS BODILY INJURY S X NON-OWNED AUTOS IPer accident) PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT 8 AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE _ $ 1 OOO OOO A X UMBRELLA FORM 9321953 01/04/09 01/04/10 AGGREGATE S 1 OOO~OOO OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND WC STATU- OTH- TORY LIMITS ER EMPLOYERS' LIABILITY EL EACH ACCIDENT S THE PROPRIETOR/ INCL EL DISEASE -POLICY LIMIT S PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE S OTHER RE Eiv E® I DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESISPECIAL ITEMS TOWN CLERK 2225969 TOWN OF WAPPINGER 18 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 20 MIDDLEBUSH ROAD EXiPInRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL WAPPINGERS FALLS NY 12590 ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMP ITS AG TS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIV / , RO® CERT,L~,1~;~~,~ LIABILITY INSURANCE I DA1O/2O/2008 ' PRODUCER 1 11. \./ 1..1 Y {~. V 7 FIIS GtR 1 ItIGA f ION IS ISSUtD AS A MA 1 I tR Ut INtUKMA I IUIV (845)469-4344 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE VERO AGENCY INC T pQ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 145 MAIN ST. P.O. BOX 520 0~ 1 ~ ~ ~oOv ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CHESTER, NEW YORK 10918 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: TRAVELERS INDEMNITYCOMPANY MIKE ROMANO ELECTRIC INC INSURER B: 58 MAPLE AVENUE INSURER C: OTISVILLE, NEWYORK 10963 INSURER D: 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 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR TYPE OFINSURANCE DATE MMIDD/YY DATE MMIDD/YY GENERAL LIABILITY I N D 08 I 680 4984 W2 49 10/24/2008 10/24/2009 EACH OCCURRENCE $ 1,000,000. A X COMMERCIAL GENERAL LIABILITY - - - - PREMISES (J~Ea occurence) $ 300,000. CLAIMS MADE a OCCUR MEDEXP(Anyoneperson) $ 5,000. PERSONAL&ADVINJURY $ 1,000,000• GENERAL AGGREGATE $ 2,000,000. GEN'L AGGREGATE LIM IT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000. POLICY jE a LOC $ AUT OMOBIIELIABILITY 1-680-4984W249-IND-08 10/24/2008 10/24/2009 COMBINED SINGLELIMIT $ 1,000,000. A ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS 80DILYINJURY $ x NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE _ $ DEDUCTIBLE $ RETENTION $ $ WC A - H- WORKERSCOMPENSATIONAND STATE INSURANCE FUND TORY LIMITS ER EMPLOYERS' LIABILITY ROPRIETOR/PARTNER/EXECUTIVE V CERTIFICATE ATTACHED E.L. EACH ACCIDENT $ AN P OFFICER/MEMBEREXCLUDED? E.L. DISEASE-EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS ELECTRICAL CONTRACTOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF WAPPINGERS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN 20 MIDDLE BUSH ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P O BOX 324 IMPOSE NO OBLIGATON OR LIABILITY OF ANY KIND UpQN THE INSURER, ITS AGENTS OR N Y 12590 WAPPINGERS FALLS REPRESENTATIVES. ' . . , AUTHORIZED R ENTATIVE AGORD 25 (2001/US) ~ lJ ANV RU NV RrVRA I IVry 17140 New York State Insurance Fund Workers' Compensation & Disability Benefits Specialists Since 1914 105 CORPORATE PARK DRIVE SUITE 200, WHITE PLAINS, NEW YORK 10604-3814 Phone: (914) 253-4874 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~~~~~~ MIKE ROMANO ELECTRIC INC 58 MAPLE LANE OTISVILLE NY 10963 POLICYHOLDER CERTIFICATE HOLDER MIKE ROMANO ELECTRIC INC TOWN OF WAPPINGERS 58 MAPLE LANE 20 MIDDLE BUSH ROAD OTISVILLE NY 10963 P O BOX 324 WAPPINGERS FALLS NY 12590 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE W 1370 207-1 387135 10/24/2008 TO 10/24/2009 10/20/2008 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1370 207-1 UNTIL 10/24/2009, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 10/24/2009 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND G~~ ~!/~ DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif.com/cert/certval.asp or by calling (888) 875-5790 VALIDATION NUMBER: 367160959 U-26.3 s+"rr ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DB DATE (MM/DDmYY) ANCHO-2 10 14 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Main Street America Group - Sy ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Syracuse Reqion HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 2027 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Keene NH 03431 Fax: 866-332-4776 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: NGM InSLlrance Company 14788 INSURER B: Anchor Electric InC INSURER C: 38 FOX Road H ll J n tion NY 12533 INSURER D: opewe u c 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 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W ITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER P LI Y FFE V DATE MM/DD/YY P L Y X I I DATE MMIDDIYIf LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2000000 A X COMMERCIAL GENERAL LIABILITY MPV53655 08/10/08 08/10/09 PREMISES Eaoccurence) $ SOOOOO CLAIMS MADE ®OCCUR MED EXP (Any one person) $ lOOOO PERSONALBADVINJURY $2000000 GENERAL AGGREGATE $ 4000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 4000000 POLICY A PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN ~ ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WCV53655 08/10/08 08/10/09 E.L. EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ lOOOOO If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS All duties usual and customary to Electrical Work within Buildings °CT 's Zoa~ Tp~N C ORK CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Town of Wappinger 20 Middlebush Rd. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Wappinger Falls NY 12590 REPRESENTATIVES. A~ORIZE RES TIVE ACORD 25 (2001/08) ©ACORD CORPORATION 1988 A yas+ 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 The %ertificate of lrsurance on the reverse side of this form 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. ~ECE~~E® TpwN CLERK ACORD 25 (2001108) ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID RM DATE (MM/DD/YYYY) WHITM-1 09 30 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Frank H . Reis Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 79 North Front Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 3 967 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kingston NY 12402 Phone: 845-338-4656 Fax: 845-338-4113 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Selective Way Insurance co. 2 63 O1 INSURER B: Whitman Electric IIIC INSURER C: 39 Kieffer Lane INSURER D: Kingston NY 12401 INSURER E: _ GUVEKAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ]• O Q Q Q O Q A X COMMERCIAL GENERAL LIABILITY TBD 10 / O 1 / O S 10 / 01 / 0 9 PREMISES (Ea occurence) $ 10 0 0 0 0 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 10 0 0 0 X AGG PER LOC&PROJE PERSONAL&ADVINJURY $ 1000000 X AUTOM COMPL OPS GENERAL AGGREGATE $ 30 Q 00 Q 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 3 Q Q 0 Q 0 0 POLICY X jE ~ LOC EBL 1000000 AU TOMOBILE LIABILITY COMBINED SINGLE LIMI T $ 1000000 A X ANY AUTO TBD ], 0 / 01 / 0 $ 10 / 01 / 0 9 (Ea accident) ALL OWNED AUTOS BODILY IN JURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON•OWNED AUTOS (Per accident) X DRIVE OTHER CAR PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 10000000 A X OCCUR ~ CLAIMSMADE TBD 10/O1/U8 10/01/09 AGGREGATE $ ],OOQQQQQ DEDUCTIBLE $ X RETENTION $ 10 0 0 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? If d ib d E.L. DISEASE - EA EMPLOYEE $ yes, escr e un er SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER A Inland Marine TBD 10/01/08 10/01/09 Sched/Rented&Lease DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ^ ~~ ~ ~ ~~ D ocr o ~ zeds TOWN GtKIIhIGATE NULDER CANCELLATION TOWAPPI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Town of Wappingers IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Middlebush Road REPRESENTATIVES. Wappingers Falls NY 12590 EPRESENTATIVE ...~~. AI.UKU L5 (LUUI/US) ©ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE CSR ET DATE (MM/DD/YYYY) LIBSR-2 09 26 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BURNHAM + COMPANY HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 474 SYLVAN AVENUE , ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ENGLEWOOD CLIFFS NJ 07632 Phone:201-568-9800 Fax:201-568-5599 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: GreeriWlCh InBUrdnCe 22322 INSURER B: National Uaioa of Plttaburgh 19445 LIBERTY ELEVATOR CORP . INSURER C: 63 EAST 24th. STREET PATERSON, NJ 07514 INSURER D: INSURER E: uv• 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY PDATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 A X COMMERCIAL GENERAL LIABILITY EGG6000009-04 09/25/08 09/25/09 PREMISES (Eaoccurence) $ 100, 000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 1 Q , Q 0 Q X CONTRACTUAL LIAB. AS PBR cc 00-01 (12/04) PERSONAL&ADVINJURY $ 1 000 000 , , GENERAL AGGREGATE $ 3, 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG , $ 3 , 0 Q 0 , 0 0 0 POLICY X PRO LOC JECT AU TOMOBILE LIABILITY COMBINED A X ANY AUTO EAG6000025-03 1U~09~07 10~Q9~08 SINGLE LIMIT (Ea accident) $1i 000 000 ~ ALL OWNED AUTOS BODILY IN R Y JU $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY IN JURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ AUTO ONLY: qGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5, 0 0 0, Q Q Q $ X OCCUR ~ CLAIMSMADE B8015466748 09/25/08 09/25/09 AGGREGATE $ 5, OQQ, OQQ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND MP ' TORY LIMITS ER E LOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? If d ib d E.L. DISEASE - EA EMPLOYEE $ yes, escr e un er SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS RE: ELEVATOR SERVICE @ 169 MYERS CORNERS ROAD, WAPPINGERS FALLS, NY. CONTRACT NO: IO#1873. CJE~ 2 9 ZUUp TOWN CLERK GERTIFIGATE HOLDER CANCELLATION TOWOFO 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 0 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL TOWN OF WAPPINGER IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 2 0 MIDDLEBUSH ROAD REPRESENTATNES. WAPPINGSRS FALLS NY 12590 AUT R¢EDR NT VE ~(~/ AGVKU L5 (ZUUI/Utf) ©ACORD CORPORATION 1988 H(~UKU~, CERTIFICATE OF LIABILITY INSURANCE PROD ioizoi2ooe UCER (845) 223-8107 FAX: (845) 227-8816 PF Northeast Brokerage Inc 27 High Ridge Road 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 BY THE POLICIES BELOW. Ho ewell Junction NY 12533 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: AmerlCan $tat@S InS . Storey Electric IriC INSURER 8: F].rst Cardinal 37 Oswego Road INSURER C: INSURER D: Pleasant Valley NY 12569 INSURER E: 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 CONTRACTOR 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. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 200, 000 A CLAIMS MADE aOCCUR O1CH6522552 10/25/2008 10/25/2009 MEDEXPAn one arson $ 10,000 R $ 1 000 000 GENERAL AGGREGATE , , $ 2 r 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: p T _ ! p A g 2 , 000 , 000 PRO- POLICY LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1, 000 , 000 A ALL OWNED AUTOS O1CH6604762 10/25/2008 10/25/2009 gODILYINJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ^ / _C~ ~ AUTO ONLY - EA ACCIDENT $ ANY AUTO VVV ` ~ OTHER THAN $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY I ~i~~,/ g OCCUR ~ CLAIMS MADE Tp AGGREGATE $ wN c~ER $ DEDUCTIBLE $ R T TI $ WORKERS COMPENSATION AND ' WC STATU- OTH- EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 100, 000 OFFICERIMEMBEREXCLUDED? 006000045134107 1/1/20073 1/1/2009 E.L. DISEASE - EA EMPLOYEE $ 100 , 000 If yes, describe under P IA PR I I N below E.L. DISEASE -POLICY LIMIT $ 500 r 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Provided it is required by written contract the following are included as addtitional insured as respects to general liability and in regards to work being performed by the insured; The Town o£ Wappingers. CERTIFICATE HOLDER relurFl I eTlnu SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Wappingers EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 Middlebush Road lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Wappingers Falls, NY 12590 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Stephanie Baez/SBAEZ -g~-~~^~'-~-~°1z'"~ ACORD 25 (2001/08) INS025 (otoa).oea 1. %"'_`~'~ ©ACORD CORPORATION 1988 Page t of 2 - ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DO DATE (MM/OD/YYYY) ISLA-10 11 03 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE INSIGHT COMPANIES INC . HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 125 East Bethpage Road , ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Plainview NY 11803 Phone: 516-465-0200 Fax: 516-465-0201 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Fireman's Fund Insurance Co j ! --- __ __ __ _ 131 - -- I INSURER B: Tower Insurance Co of New York ---- Island Pump & Tank Corp, INSURER C: Steadfast Insurance Co. 26387 4 Doyle ~ E Northport NY 11731 INSURERD: Merchants Mutual insurance Co - .__-_- - 2O4 . _--- -.-_- -- -- _- - -_- -. INSURER E: (:UVtKA(aE5 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR __ --- --- - ._._- _- __ --- - - --- _ LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLI Y EXPIRATION DATE MMIDD DATE MM/DD/YY LIMITS GENERAL LIABILITY ~ ,EACH OCCURRENCE $ lOOOOOO ~ ~I MMERCIALGENERALLIABILITY X ! CO C X ' GL09679388-02 11/01/08 11/01/09 PRE~~MSES ~~u ~ - -- - 100000 $ I' ~ CLAIMS MADE X OCCUR I ~ u Eaocc en MED EXP (Any one person)~ - -- $ S O O O _ __ PERSONALBADVINJURY _ $ /000000 i _ __ _ - - - GENERAL AGGREGATE -- __ $ 2000000 GE NLAGGREGATELIMITAPPLIESPER: - PRODUCTS-COMP/OPAGG --- - $ 2000000 i ;PRO- POLICY JECT LOC - -- - AUTOMOBILE LIABILITY I ! B I X-1 ANY AUTO BAP2610390 1],/01/08 11/01/09 (EaaBcdeDt)INGLEUMIT ;$1,000,000 ALL OWNED AUTOS --- _ - ~ODILY INJURY $ ! I SCHEDULED AUTOS ! ; (Per person) 4 I X Hlit =D AUTOS ^ - _ ____ - - - - - l - { ~w ~~ E BODILY INJURY $ X !NON-OWNED AUTOS ` D (Per accident) I - !! - -. ------ I~~Y n 6 PROPERTY DAMAGE P $ 2 0 ~ ( er accdent) ~ RAGE LIABILITY I AUTO ONLY - EA ACCIDENT $ !I ANY AUT ! AWN CL RK -_ - _ -- _ EA ACC $ OTHER THAN ~ ~ ! . _- _ --- AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY I ! EACH OCCURRENCE I $ 8000000 D I~ OCCUR l ~~ CLAIMS MADE CUP9140076 11/01/08 I 11/01/09 ' T AGGREGATE $ 8000000 ! i - $ -- ~ _ - ---- _ - - !i DEDUCTIBLE $ iX !RETENTION $ 10000 ~ i ~ $ WORKERS COMPENSATION AND i _ i _ _ TORY LIMITS I ER I L /ABILITY CPJ`! PRO,^-^~ETGR~PARTNER.~~XECUTIVE '~ __ - _ E.L. EACH ACCIDENT $ ----. -_ -__ _ -.- _ - OFFICER/MEMBER EXCLUDED? ! If yes describe under i E.L. DISEASE - EA EMPLOYEE $ - - -- - _-. _- - _ - _- , SPECIAL PROVISIONS below i E.L. DISEASE -POLICY LIMIT $ OTHER A Property Section I MX197063534 11/01/08 11/01/09 C', Pollution/Professi ' PEC09679395-03 11/01/08. 11/01/09 $5M/$5M $2,500 Ded DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Certificate holder is included as additional insured as respects General Liability as required by written ~ executed contract. CERTIFICATE HOLDER CANCELLATION TOWNWAP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL TOwn of Wappinger Falls 20 Middlebush Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, tTS AGENTS OR Wappinger Falls NY 12590 REPRESENTATIVES. AUT REPR i T E ACORD 25 (2001/08) - ©ACORD CORPORATION 1988 Important Notice: The New York State Insurance Department has stated that (1) This certificate of insurance provides evidence of coverage in lieu of an actual copy of the insurance policy; (2) This certificate does not amend, expand or alter any of the forms or the insurance policies addressed by the certificate; (3) The wording of the referenced insurance policies, and not this certificate, will control in the event of any inconsistency or conflict between this certificate and the applicable policies of insurance and (4) In no event shall the insured be responsible for any losses or damages due to sole negligence of the indemnities. ~` pAT~~Y~J03/08 The Additional Insureds shown on this certificate are added provided this status is required by a written and executed contract. nr_.,.au. o~n~n nnlnnnF 1111611 ~}/. L I dT~/ - - - - - ACORDTM CERTIFICATE OF LIABILITY INSURANCE 12/12/08D"~") PRODUCER , HDH Harrisburg P&C 525 N. 12th Street 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 BY THE POLICIES BELOW. Lemoyne, PA 17043 717 761-4010 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: SeIeCtlVe InSUranCe Company 26301 Middle Department Inspection INSURER B: Agency Inc INSURER C: 1337 West Chester Pike INSURER D: West Chester, PA 19380-0904 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN , POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY S1571546 01/01/09 01/01/10 EACH OCCURRENCE $1 OOOOOO DAMAGE TO RENTED $1 OO OOO X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ~ OCCUR MED EXP (Any one person) $5 OOO PERSONAL & ADV INJURY $1 OOO OOO GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2 OOO OOO POLICY PRO LOC JECT A AUT OMOBILE LIABILITY S1571546 01/01/09 01/01/10 COMBINED SINGLE LIMIT $1 000 000 X ANY AUTO (Ea accident) , , ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) X Drive Other Car PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY S1571546 01/01/09 01/01/10 EACH OCCURRENCE $10000000 X OCCUR ~ CLAIMS MADE AGGREGATE $1 O OOO OOO DEDUCTIBLE $ X RETENTION $ O $ A WORKERS COMPENSATION AND WC7241579 O1/O1IO9 01/01/10 X WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $SOO,000 ANY PROPRIETOR/PARTNER/EXECUTIVE SOO 000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE , $ If yes, describe under DI - OLICY LIMIT L E $SOO,000 SPECIAL PROVISIONS below . . OTHER ~~ ,~ DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ELECTRICAL INSPECTION SERVICE (NEW YORK) - ATTN: TOM CLASSEY, BUILDING ~~~~! CLFP~K INSPECTOR CERTIFICATE HOLDER _ 11A1\IILLLI111V1. TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD WAPPINGER, NY 14568 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE ACORD 25 (2001108) 1 Of 2 #M201040 DSUMU v r111vrcv alvrlrvrv+lrvl. 1JVV 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 The Certificate of Insurance on the reverse side of this form 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 25S (2001/08) 2 of 2 #M201040 ACDRD CERTIFICATE OF LIABILITY INSURANCE OP ID C DATE (MM/DD/YYYY) ,. ROYAL-9 12 18 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brinckerhof f & Neuville, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1134 Main St . , PO Box 424 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fishkill NY 12524-0424 Phone:845-896-4700 Fax:845-897-5110 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: TOWer Group Companies 17205 INSURERS Zur1Ch Insurance Co. 16535 Royal Carting Service Co ----- -- Panichi Holding Corp INSURER C: Route 82 , PO BOX 12D 9 INSURER D: Hopewell Junction NY 12533 -- 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 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. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR NSR ---- TYPE OF INSURANCE ---- POLICY NUMBER DATEYMM/DDIYY E PDATEY MM/DD/W N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 000, 000 A X X COMMERCIAL GENERAL LIABILITY PC71100016 12/31/08 12/31/09 PREMISES (Eaoccurence) $ 100,000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5 , 000 X per project PERSONALBADVINJURY $1,000,000 X contractual liab GENERAL AGGREGATE $ 2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , 0 0 0 , 0 0 0 POLICY }[ PRO LOC JECT _ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 000 000 A X ANY AUTO BAP2704342 12/31/08 12/31/09 (Ea accident) , , ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GA RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 2 0, 0 0 0, 0 0 0 A X OCCUR ~CLAIMSMADE CUP2805021 12/31/08 12/31/09 AGGREGATE $20,000,0.00 ___ DEDUCTIBLE $ X RETENTION $ 10 , 0 0 0 $ WORKERS COMPENSATION AND X TORY LIMITS ER A ~ EMPLOVERS'LIABILlTY ANY PROPRIETOR/PARTNER/EXECUTIVE WC71100020 12/31/08 12/31/09 E.L. EACH ACCIDENT $ unlimited - OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ unl lml ted If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ unl imi ted OTHER B NYS Disability 1517381 04/01/89 O1/O1/10 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Town of Wappinger is included as Additional Insured re: Town of Wappinger ~~~ ~ ~ ~~~~ Community Day Committee. Tn~~~ ~i~lif~K CERTIFICATE HOLDER CANCELLATION TOWAPPI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL TOWn Of Wappinger IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Joe Ruggiero, Town Supervisor Middlebush Road REPRESENTATIVES. Wappingers Falls NY 12590 AU(A~RI2~DREPRES TA I n I`l1Dfl 9c l9M~Ifl C1 - \ °(cl ARARII CARPARATI(1W 1QAR Erie Insurance 100 Erie Ins. PI. Erie, PA 16530 CERTIFICATE OF INSURANCE - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY - CERTIFICATE HOLDER COPY NAME AND NUMBER OF AGENCY DATE ISSUED 1 2/ 10/2008 LEIGHTON INS. AGY., INC. NN 1 D 13 AND ADDRE55 OF CERTIFICATE HOLDER OR OTHER NAME AND ADDRESS OF NAMED INSURED ~ ~~ ^~~~ 9. ~ ~,~,~'~' !~1(C TOWN OF WAPPINGER PAUL TURNER CONSTRUCTION G~~.• 2 MIDDLEBUSH ROAD PAUL TURNER D/B/A * WAPPINGER FALLS NY 12590- 76 BROWN RD ~~ WAPPINGERS FALLS NY 12590-6019 This is to certify that policies, as indicated by Policy Number below, are in force for the Named Insured at the time that the certificate is being issued. 'TYPE OF INSURANCE PQF.ICY. iJl1AS@1bA ': : POLICY,'. ~~c~rtuE aaT€ .' '. POEIGY ~ :. ~xPItiATlota Da-r>= LIMITS OF INSURANCE GENERAL LIABILITY Q256420036 01 / 14/2009 01 / 14/2010 EACH OCCURRENCE $ 500000 COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM FIRE DAMAGE $ GEN'LAGGREGATELIMITAPPLIES (Any one premises) 500000 PER: POLICY VOLUNTARY PROPERTY DAMAGE MED EXP (Any one person) $ 5000 PERSONAL&ADVINJURY $ SDOODD GENERAL AGGREGATE $ 1 DDODDD PRODUCTS-COMP/OP AGG $ 1 DOOOOO 80DILY INJURY $ (EACH PERSON) BODILY INJURY $ >.: EACH ACCIDENT PROPERTY DAMAGE $ ;? BODILY INJURY AND $ PROPERTY DAMAGE COMBINED EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION Q856400027 01 / 14/2009 D 1 / 14/2010 STATUTORY AND BODILY ACCIDENT $ EACH ACCIDENT 100000 EMPLOYERS LIABILITY INJURY DISEASE $ pOLICY LIMIT SDOODD BY DISEASE $ EACH EMPLOYEE 100000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS i CANCELLATION FOR NON-PAYMENT, CAUSE OR NAMED INSURED'S REQUEST: When an automobile policy is cancelled, written notice will be marled to the Certificate Holder. When any of the above described policies (other than automobile) are cancelled before the expiration date thereof, The ERIE will endeavor to mail written notice to the Certificate Holder after the decision to cancel. Failure to mail such notice shall impose no obligation or liability of any kind upon The ERIE, its Agents or representatives. ® CANCELLATION FOR SPECIAL CONTRACTS: (If the box is checked, this certificate involves a special contract and the following cancellation provisions apply.) When an automobile policy is cancelled, written notice w~lbbe mailed to the Certificate holder. When any of the above described policies (other than automobile) are cancelled before the expiration thereof, The ERIE will endeavor to mail days written notice to the Certificate Holder after the decision to cancel. Failure to mail such notice shall impose no obligation or liability of any kind upon The ERIE, its Agents or representatives. ERIE INSURANCE GROUP This certificate is issued for information purposes only. It does not list, amend, extend, or otherwise alter the terms and conditions of insurance coverage contained in the Policy(ies) indicated above issued by The ERIE. The terms and conditions of the Policy(ies) govern the insurance coverage as applied to any given situation. Any parry can request a policy and/or Declaration by asking the insured or the Agent. Limits shown may have been reduced by claims paid. OF-1566 2102 (E) CIF SEE REVERSE SIDE AUTHORIZED ~~ REPRESENTATIVE ACORDM CERTIFICATE OF LIABILITY INSURANCE iziioizoos' PRODUCER (g45)896-2222 FAX (845)896-4365 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Kraus-Ritter Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1081 Main St . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite J Fi shki 11 , NY 12524 INSURERS AFFORDING COVERAGE NAIC # INSURED M. RICCI ELECTRIC t e RERA: Preferred Mutual Ins. Co. ' 15024 4 JAMES DORLAND DR . ~~~"~ INSURER B. WAPPINGERS FALLS, NY 12590 ~ DRERC: ~», y~ •~ t , '~ ~ ~ NSURER D: •a 7s THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 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 oni iri~c nr_r_ocr_nTG i InelTC cuntnml MGV HA\yF RFFN RFITIICED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY CPP0160565087 11/22/2008 11/22/2009 EACH OCCURRENCE $ 1, 000, Op0 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100 ~ 000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ ],0 ~ QQQ A PERSONAL & ADV INJURY $ ], ~ QQQ ~ QQQ X GENERAL AGGREGATE $ 3 ~ QQQ ~ QQQ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 3 ~ 000 ~ 000 POLICY PRO LOC JECT AUT OMOBILE LIABILITY PCAD1DD701665 11~22~2UD8 11~22~2DD9 COMBINED SINGLE LIMIT id t E $ ANY AUTO a acc en ) ( 1 ~ ~~~ ~ ~~~ ALL OWNED AUTOS BODILY INJURY P $ X SCHEDULED AUTOS er person) ( A X HIRED AUTOS BODILY INJURY P id t $ X NON-OWNED AUTOS er acc en ) ( PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY UC 01405806 66 11/22/2008 11/22/2009 EACH OCCURRENCE $ 1, 000, 000 OCCUR ~ CLAIMS MADE AGGREGATE $ A $ DEDUCTIBLE $ X RETENTION $ 10 ~ ~~ $ WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E: L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS ! LUGA ~ IUrvS r vtnw~w r Cn~.waivrva ..w~., o, ~~~....,~..~~•.~.• • • ..• --•--- • •--- Town of Wappinger 20 Middlebush Rd Wappingers Falls, NY 12590 ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF A Y D UPON THE INSURER, IT.S A NTS OR REPRESENTATIVES. ~HORI REPRESENTATIVE ©ACORD CORPORATION 1988 DATE (MM/DDIYYYY) ~M CERTIFICATE OF LIABILITY INSURANCE 12/oz/zoo8 PRODUCER (616) 866-4488 FAX (616)866-2901 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Morris, Schnoor & Gremel ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8 E. Bridge Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 599 Rockford, MI 49341 INSURERS AFFORDING COVERAGE NAIC # INSURED Thomas F. Egan INSURER A: New Hampshire Insurance Company dba .Craftsmen /Access Unlimited INSURER B: 5 70 :Hance .Road INSURER C: :,Binghamton, . NY ,13903 wsuRERD: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY O1-LX-008895060-3 10/03/2008 10/03/2009 EACH OCCURRENCE $ 1 ~ OoO ~ ~~~ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100 ~ DOD CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5 , UDO A PERSONAL & ADV INJURY $ 1 , OOO , OOO GENERAL AGGREGATE $ 2 , OOO , OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 1 , OOO , OOO X POLICY PRO- LOC JECT AUT OMOBILE LIABILITY O1-LX-008995062-3 10/03/2008 10/03/2009 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) 1 , OOO , OOO ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) A X HIRED AUTOS s BODILY INJURY $ X NON-OWNED AUTOS r .- "~ ~~' ~ "'~ (Per accident) X Registration plate ~'•~ ~ ~ PROPERTY DAMAGE $ endorse - 2 pl ates (Pare°adent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY + "' EACH OCCURRENCE $ OCCUR ~ CLAIMSMADE (~ id Q ~ ( l1 ~ C'' Lt t2l? AGGREGATE $ $ DEDUCTIBLE ~ ~~ r WI!'• CL.CRP~ $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- ~ EMPLOYERS' LIABILITY /PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ ANY PROPRIETOR OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes descrbe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ A OTHER aragekeepers: Balers Phys. Dmg: O1-LX-008995062-3 10/03/2008 10/03/2009 Garagekeepers: $75,000 Dealers Phys. Dmg: $35,000 DESCRIPTION OF OPtRH IIUND / LVl:H 11UIVJ / VCRII.LCA / C.\I.LVJI VIVJ HUUCU 6r CIVUV RDCIYICIV 1 I Jr CI.INL r'RVVIJIVIVa general liability exclusions for the following: All Easy Base, Mini-Touch, EZ Transfer, EZ Reach, Aide-N-Go, and/or Multi-lift Products -but exclusions apply to manufacturing exposure only, nstallation of these products by the named insured is included under the general liability policy ubject to the general liability policy forms and applicable endorsements. Town of Wappinger 20 Middlebush Road Wappinger Falls, NY 12590 ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Q ~~~ 5~~~-s,~ R. Judd Schnoor/HEATHE l! ©ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID RMIN DATE (MM/DD/YYYY) CAMOP-3 12 03/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Marshall & Sterling Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 66 Middlebush Rd, Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wappingers Falls NY 12590 Phone:845-297-1700 Fax:845-297-2879 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Selective Ina. Co. of America 315 C ll INSURER B: amo Po ution Control Inc Julie Cea INSURER C: 1610 Rt 37 6 INSURER D: Wappingers Falls NY 12590 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 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMfDD/YY POLICY EXPIRATION DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY $1672272 12/O8/O8 12/O8/O9 PREMISES(Eaoccurence) $ 100000 CLAIMS MADE '~ OCCUR MED EXP (Any one person) $ 5000 PERSONALBADVINJURY $ 1000OQO _ ~ Ty GENERAL AGGREGATE $ 2000OOO GEN'L AGGREGATE LIMIT APPLIES PER: :r' ~` ~ ~ PRODUCTS-COMP/OPAGG $ 2000000 POLICY JE ~ Loc Em Ben . 1MIL/3MIL AU TOMOBILE LIABILITY A X ANY AUTO 51672272 12/08/08 12/08/09 COMBINED SINGLE LIMIT (Ea accident) $1000000 ALL OWNED AUTOS ' SCHEDULED AUTOS ~ ~~ ~ I ~ ~ (Pe~person~URY $ HIRED AUTOS NON•OWNEDAUTOS Q - ~~~ ~ CI ~ l (~~~ - - BODILY INJURY (PeraccidenQ - $ l l V PROP ERTY DAMAGE $ _ (Per accident) GARAGE LIABILITY - AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN ~ ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ ' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY C ~ ATU- TH- TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE WC72OO840 O1/O1/O8 01/01/09 E.L. EACH ACCIDENT $1,00000 OFFICER/MEMBEREXCLUDED? If yes describe under E.L. DISEASE-EA EMPLOYEE $ 100000 , SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS !LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT !SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWNOOI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Wappinger Attn: Comptroller PO Box 324 Wappingers Falls NY 12590 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) ©ACORD COREORATiON 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID SP DATE (MM/DDlYYYY) 04 08 SOLTI-1 12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER Main Street America Group - Sy ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Syracuse Region HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2027 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box Keene NH 03431 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: NGM Insurance Compan 14788 INSURER 8: David $Olt].Sh DBA i INSURER C: c Soltish Electr PO BOX 7 64 INSURER D: Wappingers Falls NY 12590 INSURER E: ~.vvcKravc~ 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 W ITH 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. AGGREGATE LIMITS SHOW N MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OFINSURANCE POLICY NUMBER DATE MM DD/YY E PDATE MM%DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2 , OOO r OOO p $ COMMERCIAL GENERAL LIABILITY MPV47706 02/28/08 02/28/09 PREMISES (Ea occurence) $500x000 , CLAIMS MADE ®OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $ 2 r OOO r OOO GENERAL AGGREGATE $ 4 r OOO r OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 4 r OOO r OOO POLICY X PRO LOC JECT ~~~~ ~~ AUT OMOBILE LIABILITY Q t ., .:, COMBINED SINGLE LIMIT E id t $ ANY AUTO ~~~ ~ C! en a acc ) ( ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS ~n~ni~l ~~ R"1 ~,, ~ -~ (Per person) HIRED AUTOS . . ; BODILY INJURY id $ NON•OWNED AUTOS ent) (Per acc ,~.. PROPERTY DAMAGE $ -°°^-., (Per accident) GARAGE LIABILITY • ~' AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN Ef+ ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND _ TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS GtKIIY IIiAIC nvw~r~ - - - -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL TOt#TZl of Wappinger IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Middlebush Rd PO Box 324 NY 12590 ll F REPRESENTATIVES.. s a Wappingers . D REPRESENTATIVbJ AUTHORI .;.. •r~on I+I1G~/1~ATIAAI eeoe ACORD 25 (2001108) T Erie Insurance° 100 Ene Ins. PI. ~ Erie, PA 76530 CERTIFICATE OF INSURANCE -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY - CERTIFICATE HOLDER COPY NAME AND NUMBER OF AGENCY DATE ISSUED 1 1 /29/2008 RONALD FRAGOMENI ASSOC., INC. NN 1 197 NAME AND ADDRESS OF CERTIFICATE HOLDER OR OTHER NAME AND ADDRESS OF NAMED INSURED TOWN OF WAPPINGER GREAT AMERICAN AWNING 20 MIDDLEBUSH RD & ENDT # 1 WAPPINGER FALLS NY 12590- 43 ROUND LAKE RD BALLSTON LAKE NY 12019-1146 This is to certify that policies, as indicated by Policy Number below, are in force for the Named Insured at the time that the certificate is being issued. .TYPE ©F INSURANCE POLICY NULIBffA AOLIGY EFF~CT4YE DATE PE?L3CY E%PiRATIf9F1 DACE LiMRS C'F INSt1RANCE GENERAL LIABILITY Q255120079 01 /01 /2009 01 /01 /2010 EACH OCCURRENCE $ 1000000 COMMERCIAL GENERAL LIA131LI1Y OCCURRENCE FORM ' FIRE DAMAGE $ GEN LAGGREGATELIMITAPPLIES (Any one premises) 1000000 PER: POLICY MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1 OOOOOO GENERAL AGGREGATE $ 2000000 PRODUCTS-COMP~OP AGG $ 2000000 AUTOMOBILE LIABILITY Q015130298 01 /01 /2009 01 /01 /2010 (EACH PERSON] $ ANY AUTO (OWNED, HIRED, BODILY INJURY $ NON-OWNED) EACH ACCIDEN PROPERTY DAMAGE $ BODILY INJURY AND PROPERTY DAMAGE $ 1 OOOOOO COMBINED EXCESS LIABILITY Q255170103 01 /01 /2009 01 /01 /2010 EACH OCCURRENCE 1000000 OCCURRENCE FORM RETENTION $10000 AGGREGATE IOOOOOO STATUTORY BODILY ACCIDENT $ EACH ACCIDENT INJURY DISEASE $ POLICY LIMIT BY DISEASE $ EACH EMPLOYEE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESJEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISI ~~~~ ~~~ Tn~n~ c~~~K CANCELLATION FOR NON-PAYMENT, CAUSE OR NAMED INSURED'S REQUEST: When an automobile policy is cancelled, written notice will be mailed to the Certificate Holder. When any of the above described policies (other than automobile) are cancelled before the expiration date thereof, The ERIE will endeavor to mail written notice to the Certificate Holder after the decision to cancel. Failure to mail such notice shall impose no obligation or liability of any kind upon The ERIE, its Agents or representatives. ® CANCELLATION FOR SPECIAL CONTRACTS: (If the box is checked, this certificate involves a special contract and the following cancellation provisions apply.) When an automobile policy is cancelled, written notice w~lbbe mailed to the Certificate holder. When any of the above described policies (other than automobile) are cancelled before the expiration thereof, The ERIE will endeavor to mail days written notice to the Certificate Holder after the decision to cancel. Failure to mail such notice shall impose no obligation or liability of any kind upon The ERIE, its Agents or representatives. ERIE INSURANCE GROUP This certificate is issued for information purposes only. It does not list, amend, extend, or otherwise alter the terms and conditions of insurance coverage contained in the Policy(ies) indicated above issued by The ERIE. The terms and conditions of the Policy(ies) govern the insurance coverage as applied to any given situation. Any party can request a policy and/or Declaration by asking the insured or the Agent. Limits shown may have been reduced by claims paid. OF-1566 2f02 (E) CIF SEE REVERSE SIDE AUTHORIZED ~~ REPRESENTATIVE Erie Insurance° 700 Erie Ins. PI. Erie, PA 76530 CERTIFICATE HOLDER COPY NAME AND NUMBER OF AGENCY DATE ISSUED 1 1 /26/2008 HRENKO INS AGENCY, INC. AA4332 NAME AND ADDRESS OF CERTIFICATE HOLDER OR OTHER NAME AND ADDRESS OF NAMED INSURED TOWN OF WAPPINGERS VANVLACK ELECTRIC 20 MIDDLEBUSH ROAD DOUGLAS VANVLACK D/B/A WAPPINGERS FALLS NY 12590- 243 JIMMIES HL _ MADERA PA 16661-8807 This is to certify that policies, as indicated by Policy Number below, are in force for the Named Insured at the time that the certificate is being issued. TYPE OF INSURANICE PDLICY NUMBER POI.FCY EFFECTIVE DATE FOCIC,Y EXPIRATION DATE UM1TS C?F INSUfiAPICE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY Q363120508 12/31 /2008 12/31 /2009 EACH OCCURRENCE $ 1000000 OCCURRENCE FORM FIRE DAMAGE $ GEiJ'LAGGREGATELiMiTAPFLiES (Any one premises) 1000000 PER: POLICY MED EXP (Any one person) $ 5000 PERSONAL 8 ADV INJURY $ 1 OOOOOO GENERAL AGGREGATE $ 2000000 PRODUCTS-COMP)OP AGG $ 2000000 BODILY INJURY $ (EACH PERSON) BODILY INJURY $ EACH ACCIDEN . PROPERTY DAMAGE $ BODILY INJURY AND $ PROPERTY DAMAGE COMBINED EACH OCCURRENCE AGGREGATE STATUTORY BODILY ACCIDENT $ EACH ACCIDENT INJURY DISEASE $ POLICY LIMIT BY DISEASE $ EACH EMPLOYEE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS T-.-.. _ . CANCELLATION FOR NON-PAYMENT, CAUSE OR NAMED INSURED'S REQUEST: When an automobile policy is cancelled, written notice will b~ fn~~C~,11Ditt~ ;~ Holder. When any of the above described policies (other than automobile) are cancelled before the expiration date thereof, The ERIE will endeavor to mail written notice to the Cert~cate Bolder after the decision to cancel. Failure to mail such notice shall impose no obligation or liability of any kind upon The ERIE, its Agents or representatives. ® CANCELLATION FOR SPECIAL CONTRACTS: (If the box is checked, this certificate involves a special contract and the following cancellation provisions apply.) When an automobile policy is cancelled, written notice w~lbbe mailed to the Certificate holder. When any of the above described policies (other than automobile) are cancelled before the expiration thereof, The ERIE will endeavor to mail days written notice to the Certificate Holder after the decision to cancel. Failure to mail such notice shall impose no obligation or liability of any kind upon The ERIE, its Agents or representatives. ERIE INSURANCE GROUP This certificate is issued for information purposes only. It does not list, amend, extend, or otherwise alter the terms and conditions of insurance coverage contained in the Policy(ies) indicated above issued by The ERIE. The terms and conditions of the Policy(ies) govern the insurance coverage as applied to any given situation. Any parry can request a policy and/or Declaration by asking the insured or the Agent. Limits shown may have been reduced by claims paid. OF-1568 2102 (E) CIF CERTIFICATE OF INSURANCE - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY - SEE REVERSE SIDE AUTHORIZED ~~ REPRESENTATIVE ~M CERTIFICATE OF LIABILITY INSURANCE izioiizo 8) PRODUCER (845)471-6200 FAX (845)471-9174 Hickey ,)=inn & Co. Inc. 15 Davis Ave 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 BY THE POLICIES BELOW. Poughkeepsie, NY 12603 Vicki Hennessy INSURERS AFFORDING COVERAGE NAIC # INSURED Fairview Hearthside Distributors LLC INSURER A: Selective 68 Violet Avenue INSURER B: Poughkeepsie, NY 12603 INSURER C: Merchants Mutual Ins Co INSURER D: INSURER E: V Y GRAVGJ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN , POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYpE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 53 5634100 10/20/2008 10/20/2009 EACH OCCURRENCE $ 1, Opp, pp X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100, OO CLAIMS MADE a OCCUR - MED EXP (Any one person) $ 5 ~ UU A ~( PERSONAL & ADV INJURY $ 1 ~ UUU ~ QU GENERAL AGGREGATE $ 2 ~ UUU ~ UU GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 r UUU ~ QU POLICY PRO LOC JECT AUT OMOBILE LIABILITY S3 5634100 10/20/2008 10/20/2009 COMBINED SINGLE LIMIT $ X ANY AUTO (Ea accident) 1 ~ 000 ~ 00 ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS A X X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 3 , OOO, OO X OCCUR ~ CLAIMS MADE AGGREGATE $ 3 ,UUU, UUU C BINDER 11/06/2008 10/20/2009 $ DEDUCTIBLE $ X RETENTION $ lO,OO $ WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER R~~~~~~I..O •~ ~' DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS OWN OF WAPPINGER IS NAMED AS ADDITIONAL INSURED -~-oW~ CL~~~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Town of Wappi nger 3U DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Bui 1 di ng Department BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 Mi ddl ebush Road OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Wappingers Falls, NY 12590 AUTHORIZED REPRESENTATIVE ~~-;p~_ Daniel Hicke P ~,~"w ACORD 25 (2001/08) ©ACORD CORPORATION 1888 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 The Certificate of Insurance on the reverse side of this form 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 (2001/08) ~~~~M CERTIFICATE OF LIABILITY INSURANCE izio3izo s' PRODUCER (g45)471-6200 FAX (845)471-9174 Hickey Finn & Co. Inc. 15 Davis Ave 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 BY THE POLICIES BELOW. Poughkeepsie, NY 12603 Vicki Hennessy INSURERS AFFORDING COVERAGE NAIC # INSURED Mesuda Electric Inc. INSURER A: Hartford Fire Insurance Company 2 Boxwood C7 ose INSURER B: Hopewell ]unction„ NY 12533 INSURERC INSURER D INSURER E: v r~nr+ ~ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT , MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' 7ypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 16 SBA V00002 12/21/2008 12/21/2009 EACH OCCURRENCE $ 1, p00, p0 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300 + 00 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 1Q + QQ A X PERSONAL & ADV INJURY $ 1 +QQQ +QQQ GENERAL AGGREGATE $ 2 +QQQ + QQ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2 +QQQ +QQQ POLICY PRO LOC JECT AUT OMOBILE LIABILITY 16 UEC IE0001 12~Z 12008 12~21~2009 COMBINED SINGLE LIMIT $ X ANY AUTO (Ea accident) 1 + Q00 +QQQ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) A X X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY 16 SBA V00002 12/21/2008 12/21/2009 EACH OCCURRENCE $ 10, 000, 000 X OCCUR ~ CLAIMS MADE AGGREGATE $ lO, OOO, OO A X $ DEDUCTIBLE $ X RETENTION $ 10, 00 $ WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFfICER/MEMBER EXCLUDEC? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER ~~~~' V ~~ DESCRIPTION OF OPERATIONS /LOCATIONS 1 VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ~~~ ~' ~ c.Q~ ertificate holder is included as additional insured. TnWIli CLCRK Town of Wappingers 20 Middlebush Road Wappinger Falls, NY 12590 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE /n~~~ n ~~/J_ , , Donna Betts/VP _ _ •(~/ (; 5J~ CORD 25 (2001/08) ©ACORD CORPORATION 1988 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 The Certificate of Insurance on the reverse side of this form 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 (2001/08) ---_ ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID SPAY DATE (MM/DDm(YY) SUNUP-3 11 17 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Marshall & Sterling Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 66 Middlebush Rd, Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wappingers Falls NY 12590 Phone: 845-297-1700 Fax: 845-297-2879 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: American Alternative Insurance INSURER B: National Union Fire Ins. Co. 228 Sun Up Enterprises IriC INSURER C: 1607 Fit 376 INSURER D: Wappingers Falls NY 12590 INSURER E: V V V Gr~AV GJ 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM DDIYY E PDA EY MMPDD/YYON LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY 88A2GL0000024 11~18~08 11~18~09 PREMISES (Eaoccurence) $ ~-00000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5000 PERSONAL B,ADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $2000000 POLICY X PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 A X ANY AUTO $$A2CA0000015 11~18~08 11~18~09 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ (Pet person) SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN ~ ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 10000000 $ X OCCUR ~ CLAIMSMADE BE042710936 11~18~08 11~18~09 AGGREGATE $ 10000000 DEDUCTIBLE $ X RETENTION $ 10000 $ TU- TH- WORKERSCOMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER RECEI!/ED DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Af1Q Proof of insurance for the permit for AIMCO-Chelsea Ridge Project ~oV ~ 8 2UW TOWN CLERK ncor~e~rere unr nco CGNCFI 1 ~IIUN r1.Q~O01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO 7HE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL TCWn of Wappinger IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Middlebush Rd er Falls NY 12590 Wa in REPRES TA7IVES. pp g A OR REP SENTlLTitlE ACORD 25 (2001/08) v Eat,vrcv ~,vrcrvrcr+~ lulu iaoo ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID SPAY DATE(MMJDD/YYYY) PRODUCER SCUP-3 11 17 08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORM Marshall & Sterlin Inc ATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE . 66 Middlebush Rd Suite 200 O O E , Wappingers Falls NY 12590 AL TER THE COVERAGE AFFORDED B Y THE OLIC ES BELOW. Phone:845-297-1700 Fax:845-297-2879 INSURERS AFFORDING COVERAGE INSURED NAIC # INSURER A: American Alternative Insurance INSURER B: National Union Fire Ins. Co. 22 pp 1607URtE376rprises InC INSURER C: Wappingers Falls NY 12590 INSURER D: COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED ANY RE N . OTWITHSTANDING QUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJE POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH LTR NSR TYPE OF INSURANCE POLICY NUMBER DATIEYMM DDIYY E PDATEY MM/DD/YYON LIMITS GENERAL LIABILITY A $ COMMERCIAL GENERAL LIABILITY 88AZGL0000024 EACH OCCURRENCE $ lOOOOOO 11/18/08 11/1$/09 PR CLAIMS MADE ~ OCCUR EMISES Eaoccurence $ 100000 MED EXP (Any one person) $ 50QO PERSONAL & ADV INJURY $ lOOOOOO ' GENERAL AGGREGATE $ 2000000 GEN LAGGREGATELIMITAPPLIESPER: POLICY ]~ PRO- PRODUCTS-COMP/OPAGG $2000000 JECT LOC AUTOMOBILE LIABILITY A ~[ ANY AUTO 88AZCA0000015 COMBINED SINGLE LIMIT $ 1000000 11/18/08 11/18/09 (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X NON-OWNED AUTOS • BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN ~ ACC $ AUTO ONLY: qGG EXCESS/UMBRELLA LIABILITY $ B X OCCUR ~ CLAIMSMADE BE042710936 EACH OCCURRENCE $ lOOOOOOO 11/18/08 11/18/09 AGGREGATE $ 10000000 DEDUCTIBLE X RETENTION $]-0000 WORKERS COMPENSATION AND A _ H_ EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? _ E.L. EACH ACCIDENT $ If yes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below OTHER E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS NOV 1 8 2008 . TOWN CLERK CERTIFICATE HOLDER CANCELLATION ~ppl_g SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O DAYS WRITTEN Town of Wa 1n er pp g NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BU7 FAILURE TO DO SO SHALL 20 Middlebush Rd IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Wappinger Falls NY 12590 REPRES~ITATIVES. ACORD 25 (2001/08) , ©ACORD CORPORATION 1988 ACORD,~ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) PRODUCER phone: 877-396-3800 Fax: 215-282-2466 11/12/2008 Conner Strong Companies , Inc . ONLYCANDFCONFERSSNOERIGHTS MUPONRTHE ICERT F CAOTE One Commerce Square HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2005 Market Street, Suite 310 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Philadelphia PA 19103 INSURED INSURERS AFFORDING COVERAGE NW Sign Industries, Inc. NAIC # INSURERA:Hartford Fire Insurance C 360 Crider Avenue om an19682 INSURERB:Hartford Insurance Co f Moorestown NJ 08057 o the 7478 INSURERC:Hartford Casualt Insurance C 9424 INSURERD:penns lvania Manufacturers In 1424 COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY P NOTWITHSTANDING ANY REQUIREMENT TERM OR , CERTIFICATE MAY BE ISSUED OR MAY ERIOD INDICATED. CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHI PERTAIN THE TERMS, EXCLUSIONS AND CONDITIONS , CH THIS INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT T OF SUCH POLICIES O ALL THE INSR DD' . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION A GENERAL LIABILITY 1483467 LIMITS 11/12/2008 11/12/2009 EACH X COMMERCIALGENERALLIABILITY OCCURRENCE $ 1 OOO OOO CLAIMS MADE OCCUR PREMISES Ea xcurence $ 3 O O O O O MED EXP (Any one person) $ 1 O O O O PERSONAL&ADVINJURY $ 1 OOO OOO GEN'L AGGREGATE LI MIT APPLIES PER: GENERAL AGGREGATE $ 2 OOO OOO POLICY X PRO- LOC PRODUCTS -COMP/OP AGG $ 2 O O O O O O B AUTOMOBILE LIABILITY B L FO G RE ATE 13UEND05505 11/12/2008 11/12/2009 X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1, 0 0 0, 0 0 0 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Perperson) $ X HIREDAUTOS }~ NON-OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Peraccitlent) GAR AGE LIABILITY AUTOONLV-EA ACCIDENT $ ANY AUTO OTHERTHAN EA ACC $ ' AUTO ONLY: AGG $ (, EXCESSNMBRELLALIABILITY ~ 1483466 11/12/2008 11/12/2009 EACHOCCURRENCE $10 OOO OOO OCCUR CLAIMSMADE AGGREGATE $ 1O OOO OOO DEDUCTIBLE }~ RETENTION $ 1 O O $ D WORKERS COMPENSATION AND 2008006286694 6/4/2008 6/4/2009 }{ WCSTA ~U- OTH- EMPLOVERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EX E. L. EACH ACCIDENT $ 1 OOO OOO CLUDED? If yes, tlescribe under E. L. DISEASE-EA EMPLOYEE $ 1 OOO OOO SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1 O O O OTHER DESCRIPTION OFOPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BYENDORSEMENT /SPECIAL PROVISIONS ENERAL LIABILITY: AGGREGATE PER ertificate Holder is listed as Ad ALL PROJECTS - $10,000,000; AGGREGATE PER ALL LOCATIONS - $10,000,000 ditional Insured und th i er e capt oned policies if required by written contract. RECEI!/ED CERTIFICATE HOLDER .......~...~..... _ _ Town of Wappinger TOWN CLERK 20 Middlebush Road Wappingers Falls NY 12590 ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ©ACORD CORPORATION i 9RR NEW YORK STATE INSURANCE FUND 1 WATERVLIET AVENUE XTE SION, ALBANY, NEW YORK 12206-1649 ~518~ 437-6400 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD WAPPINGERS FALLS NY 12590 ~ECErvE~ JAN 0 8 2009 ~EeE,~4~ ~gNpb TCLERK 'OWN CLERK ~~ ~:....p~i<~>c~~~:;~v::~rw~l~:~c~r~ri~sca~::.:~:.:::;:;:~>:.: POLICYHOLDER MEADOWOOD INVESTORS LLC PO BOX 306 HOPEWELL JUNCTION NY 12533 POLICY NUMBER +A 1419 136-5 DATE 1/02/2009 CERTIFICATE NUMBER 175-447 CERTIFICATE HOLDER TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 1/22/2009. THIS INFORMATION IS FURNISHED YOU IN COMPLIANCE WITH TERMS OF THE CERTIFICATE OF INSURANCE NUMBERED AS ABOVE AND ANY OTHER CERTIFICATE OF INSURANCE PREVIOUSLY ISSUED TO YOU AT THE POLICYHOLDER'S REQUEST UNDER THE ABOVE POLICY NUMBER. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. CANCELLATION U-26.3 THE STATE INSURANCE FUND ~~ DIRE OR, INSURANCE FUND UNDERWRITING 347 STDCAN-2/2001 ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID KD FERRA-1 DATE (MM/DD/YYYY) 12 30 08 PRODUCEP,• THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Marshall ~ Sterling Upstate HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 113 Saratoga Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. - Glenville NY 12302 _ Phone:518-384-1100 Fax: 518-384-0193,' ~ ; 'y _~ ! °, NSURERS AFFORDING COVERAGE NAIC # INSURED ~ { SURER A: ROChdale Insurance Com an .~ {i } t ~ SURER 8: Selective Ina. Co o£ America 315 J ~ ~~~ ~ ~ t~ ~~ ~ " ~ " ri & Sons Inc F NSURER C: RLI Insurance COm 8n . erra 1 220 Overocker lCOad INSURER D: Hartford Fire Inanrance co. 162 Poughkeepsie NY 12603 i? ~ •y; ~- ~ ~- ,j,. a~ WSURER E: rnvcoAe±cc 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 W ITH 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM~D TIVE PDATEY MMPIDD/YYON LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 $ ][ COMMERCIAL GENERAL LIABILITY 51680584 01/01/09 01/01/10 PREMISES (Eaoccurence) $ 100000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ SOOO PERSONALBADVINJURY $ 1000000 X Per Proj/Loc Aggr GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $2000000 POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 B X ANY AUTO 51680584 01/01/09 01/01/10 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS ~~ /.r /~' ~~ ~""•g BODILY INJURY $ NON-OWNED AUTOS i• u (Per accident) JA ~~ ~ AMAGE ~ $ ~~~~ a c dent) (e GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO ~~ ~ CLERK OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSNMBRELLALIABILITY EACH OCCURRENCE $ 5000000 (," ]( OCCUR ~ CLAIMS MADE RXL0260937 01/01/09 01/01/10 AGGREGATE $ 5000000 DEDUCTIBLE $ ~( RETENTION $ 10000 $ WORKERS COMPENSATION AND X TORY LIMITS ER A EMPLOYERS'LIABILITY RWC3159921 11/01/08 11/01/09 E.L. EACH ACCIDENT $ 100000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100000 If yes, describe under SPECIAL PROVISIONS below E. L. DISEASE-POLICY LIMIT $ 500000 B D OTHER Leased Equipment NYS Disabilit S1680584 DB082283 01/01/09 04/01/08 01/O1/10 04/01/09 Limit 50000 Statuto DESCRIPTION OF OPERATIONS /LOCATIONS !VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS RE: Installation of floor the and recurring Tb4M work Certificate Holder and Cervalis, LLC are named as Additional Insureds with regards to the operations of the named insured as required by written contract. caoTlGlcerF unl nca CANCELLATION ------- --- - WAPPIN2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Town of Wappingers 20 Middlebush Rd REPRESENTATIVES. Wappingers F811s NY 12590 AUT OI~eDJtEPRESENTATIVE ACORD 25 (2001/08) v w~unu we~rurwr wn raao 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 The Certificate of Insurance on the reverse side of this form 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 (2001108) ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID RMIN DATE(MMIDD/YYYY) cxRls-s 12 29 os PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Marshall & Sterling Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 66 Middlebush Rd, Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wappingers Falls NY 12590 Phone:845-297-1700 Fax:845-297-2879 INSURERS AFFORDING COVERAGE NAIC# INSURED ~ INSURER A: selective Ina. Co. of America 315 INSURER B: Chris Juliano Plumbing & INSURER C: Heating Ltd 777 Centre Rd INSURER D: Staatsburg NY 12580 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 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W ITH 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 uurc cunu,ni n~ev uevF RFFN RFr111CFD BY PAID CLAIMS. v LTR - -- NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ lOOOOOO }{ }( COMMERCIAL GENERAL LIABILITY $17 90728 01 ~ 01 ~ 0 9 O 1 / 01 ~ 10 PREMISES Ea occurence) $ 100000 A CLAIMS MADE a OCCUR MED EXP (Any one person) $ 10000 PERSONALBADVINJURY $ lOOOOOO GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 3000000 POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT i $ 1000000 p ANY AUTO $179072$ 01/01/09 O1/Ol/10 (Ea acc dent) . ALL OWNED AUTOS -""-"- BODILY INJURY $ $ SCHEDULED AUTOS .1 •. x'- - ~ (Per person) X .HIRED AUTOS t' BODILY INJURY $ }( NON-OWNED AUTOS ,,, (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO p Af ~y C OO$ OTHER THAN ~ ACC $ Z A1lV 1d ~J AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ ~ OCCUR ~ CLAIMS MADE ``AA,,AA /1 ~V H 7,9 CLE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ~ WC TATU- TORY LIMITS ER _ EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION Ot UPtKA ~ WNJ I WGA I NnJ ~ vcrm.~w i ~n..waivna nuu~.+ o ~ .-,..+..,..+..••••-•• • • ..• .--•^- • • •- • •-•-~-- The Town of Wappinger is provided additional insured status when required by written contract or written agreement with respect to work the insured performs. CGNCFI I ~TION TOWN014 SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEP.EOF, THE ISSUING lNSUREP. W ILL ENDEAVOR TO MAIL l O DRYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Town Of Wappinger IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Middlebush Rd PO Box 324 NY 12590 F ll i REPRESE TATIVES. s a ngers Wapp SENT FWE ~ A OR REP ACORD 25 (2001/08) Erie ~.\ Insurance 100 Ene Ins. PI. Erie. PA 16530 CERTIFICATE OF INSURANCE - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY - CERTIFICATE HOLDER COPY NAME AND NUMBER OF AGENCY DATE ISSUED 12/30/2008 GRAPEVILLE AGENCY, INC. NN 1 1 16 NAME AND ADDRESS OF CERTIFICATE HOLDER OR OTHER NAME AND ADDRESS OF NAMED INSURED TOWN OF WAPPINGERS FALLS WARREN CUSTOM BUILDERS INC * 20 MIDDLEBUSH ROAD 6 RAYMOND AVE WAPPINGERS FALLS NY 12590- POUGHKEEPSIE NY 12603-2363 This is to certify that policies, as indicated by Policy Number below, are in force for the Named Insured at the time that the certificate is being issued. TYPE DF.INSURANCE''. POLICY NUMBER POLICY EFFECTIVE DATE P©t1CY ~XPIRA71dN DATE LIMITS OF INSURANCE GENERAL LIABILITY Q265320040 02/03/2009 02/03/2010 EACH OCCURRENCE $ 1000000 COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM FIRE DAMAGE. $ GEN'LAGGREGATELIMITAPPLIES (Any one premises) 1000000 PER: POLICY ADDITIONAL INSURED MED EXP (Any one person) $ 5000 . PERSONAL&ADVINJURY $ 1000000 ~~ ~ GENERAL AGGREGATE $ 2000000 ~ ® Y C~ PRODUCTS-COMP/OP AGG $ 2D000OO ~D J $ ' 1~~•1V CHP R (E SON) ~ BODILY INJURY $ (EACH ACCIDENT) PROPERTY DAMAGE $ BODILY INJURY AND $ PROPERTY DAMAGE COMBINED EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION Q865300055 02/03/2009 02/03/2010 STATUTORY AND BODILY ACCIDENT $ 100000 EACH ACCIDENT EMPLOYERS LIABILITY INJURY olsEASE $ 500000 POLICY LIMIT BY DISEASE $ 1 OOOOO EACH EMPLOYEE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS I CANCELLATION FOR NON-PAYMENT, CAUSE OR NAMED INSURED'S REQUEST: When an automobile policy is cancelled, written notice will be mailed to the Certificate Holder. When any of the above described policies (other than automobile) are cancelled before the expiration date thereof, The ERIE will endeavor to mail written notice to the Certificate Holder after the decision to cancel. Failure to mail such notice shall impose no obligation or liability of any kind upon The ERIE, its Agents or representatives. ® CANCELLATION FOR SPECIAL CONTRACTS: (If the box is checked, this certificate involves a special contract and the following cancellation provisions apply.) When an automobile policy is cancelled, written notice w~lbbe mailed to the Certificate holder. When any of the above described policies (other than automobile) are cancelled before the expiration thereof, The ERIE will endeavor to mail days wririen notice to the Certificate Holder after the decision to cancel. Failure to mail such notice shall impose no obligation or liability of any kind upon The ERIE, its Agents or representatives. ERIE INSURANCE GROUP This certiticate is issued for information purposes only. It does not list, amend, extend, or otherwise alter the terms and conditions of insurance coverage contained in the Policy(ies) indicated above issued by The ERIE. The terms and conditions of the Policy(ies) govern the insurance coverage as applied to any given situation. Any party can request a policy and/or Declaration by asking the insured or the Agent. Limits shown may have been reduced by claims paid. OF-1568 2/02 (E) CIF SEE REVERSE SIDE AUTHORIZED u~ j~ REPRESENTATIVE ACORD,~ CERTIFICATE OF LIABILITY INSURANCE 12/29/2008' PRODUCER (914) 761-9000 FAX: (914) 761-3749 THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SKCG Group, Inc. O HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR F ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. L 123 Main St. , 14th White Plains NY 10601 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: TraPlerS Indemnl t Inc. l SCOUtS Heart of the Hudson Gi INSURERB:TraVelerS , r t Oak Lane 2 G wsuRERC:American Guarantee & Liab rea INSURER D: Pleasantville NY 10570 INSURER E: COV OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY THE POLICIES OF INSURANCE LISTED BEL N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, REQUIREMENT, TERM OR CONDITIO THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS S WN MAY HAVE BEEN REDUCED BY PAID IMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS INSR ADD'L T IN TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DD GENERAL LIABILITY EACH CCURRENCE $ 1,000,000 DAMAGE TO RENTED 100 000 $ ~ X COMMERCIAL GENERAL LIABILfFY PREMISE Ea occurrence A CLAIMS MADEOCCUR 660B727L022 1/1/2009 1/1/2010 MEDEXP An one erson $ 10,000 PERSONAL & A VIN URY $ 1 , 000 , 000 GENERAL AGGREGATE $ 5 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: PR D CTS - C MP/OP AGG $ 2 , 0 00 , 00 0 X POLICY JR~ LOC AUT OMOBILE LIABILITY SA-6735L937 1~1~2009 1~1~2010 COMBINED SINGLELIMff (Ea accident) $ 1,000,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per accident) $ X NON-0WNED AUTOS PROPERTY DAMAGE id t P $ er acc en ) ( AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY N/A OTHER THAN A ACC $ ANY AUTO AUTO ONLY: AGG $ 4708-07 1/1/2009 1/1/2010 R g 12,000,000 EXCHSSluMBRELLAUABIDTY AUC368 AGGREGATE $ 12, ODO, 000 X OCCUR ~ CLAIMS MADE $ ~~~V~ $ DEDUCTIBLE $ X RETENTION $ D WC STATU- OTH- I lh!ORKERS COMPENSATION AND N/A EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIEFOR/PARTNER/EXECUTIVE FICER/MEMBER EXCLUDED? ~~~ ~~~ E.L. DISEASE -EA EMPLOYEE $ OF If yes, describe under F E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER N/A i ~' a DESCRIPTION OF OPERATIONSILOCATIONSNEHICLE5/EXCLUSIONS ADDED BY ENDORSEMENTf5PEC1AL PROVISIONS lder is named as additional insured as respects to the use of their premises by the Girl Scouts for h o Certificate Additional insured status is granted for general liability only per policy terms and i es. troop meetings and activit written contract or agreement. Notice of cancellation for non-payment is 10 days plus d b i y re conditions when requ mailing time. w w1l~CI I ATI(1 Al CERTIFICATE HOLDER "^""" `^' "' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWI1 of Wappingers EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL TOWI7 Hall 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Middlebush Rd. FAILURE TO DO SO SHALL IMPOSE N096LIGATION OR LIABILITY OF ANY KIND UPON THE Wappingers Falls , NY 12590 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE --- "`~r ~/- ~- ~G ~~ ~- Thomas Sternberg/DANI - n el^nRn l'nRPnRATIDN 1988 ACORD 25 (2001/08) - Page 1 of 2 INS025 (oto6).oaa 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 The Certificate of Insurance on the reverse side of this form 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 (2001/08) Page2ot2 INS025lotosl.oea ' ACORD CERTIFICATE OF LIABILITY INSURANCE DA ) rM 6/30/2009 6/30/20 8 PRODUCER LOCKTON COMPANIES LLC .'~ '~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION , 5847 San Felipe, Suite 320 ~ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Houston TX 77057 ~ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ~"1CC~I~E INSURERS AFFORDING COVERAGE NAIC # INSURED TransCare Corporation, Et al ,~ ~ ~ 2008 INSURER A : Allied Wortd Assurance Company (U.S.) Inc. 19489 1304733 5811 Foster Avenue kl Y 12 4 wsuRERB Wesco Insurance Company 2501 I yn N Broo 1 3 '~©~~~ CL ER~ INSURER c Technology Insurance Company. Inc. 4337a . V INSURER D ~~OnIInUO(I On allaChCCI INSURER E ~-.OnUnUOeI On aClaChad. GES T~C~ t 0 f~~ T COVER HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING A RE A TH R ED R P E NATIVE PR D C RAND TH E C RTIF CATE H DER. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INpICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEOT 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,0()0,000 A X COMMERCIAL GENERAL LIABILITY 0009866/001 6/30/2008 6/30/2009 pREM SESOEa oNcurence $ ~ 00 ~00 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ XXXXXXX PERSONAL 8 ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMP/OP AGG $ ?,000,t)OQ PRO- POLICY JECT LOC B AUT OMOBILE LIABILITY WPP 1002042-01 (NY, PA) 4/1 /2008 6/30/2009 COMBINED SINGLE LIMIT $ t 000 000 C X ANY AUTO TPP 1000126-01 (MD) 4/ 1 /2008 6/30/2009 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ XXXXXXX SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ XXXXXXX X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ XXXXXXX (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX AUTO ONLY AGG $ XXXXXXX EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ y,000.OUO ~ X OCCUR ~ CLAIMS MADE 0009867/001 6/30/2008 6/30/2009 AGGREGATE $ 9,000,Ot)O L A , $ XXXXXXX UMBRE L DEDUCTIBLE ~ FORM $ XXXXXXX RETENTION $ $ XXXXXXX WC STATU- OTH- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT XXXXXXX $ ANY PROPRIETOR/PARTNER/EXECUTIVE ~ UOEO7 NOT APPLICABLE XXXXXXX oFFlCER/MEMeER ExcL E.L. DISEASE - EA EMPLOYEE $ II yes, tlescriDe untler sPEOIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ XXXXXXX A OTHER 0009866/001 6/30/2008 6/30/2009 52,000,000 Each Medical Incident Professional Liability $6,000,000 Aggregate (Claims Made) DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS TransCare Corporation, et al. includes TransCare New York, Inc., "fC Ambulance Corporation, TCBA Ambulance, Inc . TC Hudson Vallev Ambulance Cole . "TransCare N I U b ll P h I lY C ML b l Ci o o , re a c~ roup. ne_ ans are nc m ance u Penns>>'Ivania, Inc., TransCare Maryland, lne., TransCare Westchester, Inc, TC Ambulance Noah, Inc., TC Am 0009867/001 is Claims Made for trofessional Liability and is on an Occurrence basis for the General Liabibty and is excess over General Liability, Professional I_labilih and Employer's Liability only. See attached for additional coverages. Cancellation: 30 Days as noted below except for 10 days notice for non-payment of premunn CERTIFICATE HOLDER CANCELLATION [M448760] 2821063 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWn Of Wappinger DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 20 Middlebush Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Wappingers Falls NY 12590-0000 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATI --- ~~ ACORD 25 (2001/08) For questions regarding this certificate, contact the number listed in the 'Producer' section above and specify the client cotle'TRACOtg' ©ACOAtD CORPORATION 1 J88 Client#~ 20271 TYREORGA ACORD,~ CERTIFICATE OF LIABILITY INSURANCE 12;;s,o$°""^'' PRODUCER The Treiber Group, LLC 377 Oak Street - CS 601 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 BY THE POLICIES BELOW. Garden City, NY 11530-0601 516 745-0800 INSURERS AFFORDING COVERAGE NAIC # INSURED. INSURER A: Commerce 8~ Industry Insurance Co 19410 Tyree Holdings Corp. INSURER B: American International Specialty Lin 26883 1 Northway Lane INSURER C: Zurich American Insurance Company 16535 Latham, NY 12110 INSURER D: INSURER E: rnvoonr_oc v 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R LTR DD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM DD POLICY EXPIRATION DAT MMIDD LIMITS A GENERAL LIABILITY GL4178227 12/31/07 01!31/09 EACH OCCURRENCE $1 OOO OOO DAMAGE TO RENTED 1 OO OOO X COMMERCIAL GENERAL LIABILITY $ CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $1 O OOO PERSONAL & ADV INJURY $1 OOO OOO GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2 OOO OOO POLICY X jE ~ LOC A AUT OMOBILELIABILITY CA7666918 12/31/07 01!31/09 COMBINED SINGLE LIMIT $1 OOOOOO X ANY AUTO (Ea accident) > > ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS ~ (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN ~ ACC $ AUTO ONLY: AGG $ B EXCESS/UMBRELLA LIABILITY t1MB5844364 12/3107 01/31/09 EACH OCCURRENCE $5 OOO OOO X OCCUR ~ CLAIMS MADE AGGREGATE $5 OOO OOO DEDUCTIBLE $ X RETENTION $ 1 O OOO $ C WORKERS COMPENSATION AND WC94284300 01/18/08 01/18109 X WC STATU- OTH- C EMPLOYERS'LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE- EA EMPLOYEE $1,000,000 If yes, describe under ''~ l~ ~- ~ DISEASE -POLICY LIMIT L s1,000,OOO SPECIAL PROVISIONS below , . . OTHER ,._ ~ ~ - ,: y; ..._, G ~ ~~~ ~~ r DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Town od Wappinger, 20 Middlebush Road, Wappingers Falls, NY 12590 is ~E~ l ~ ~~~ included as additional insured, where required by written contract with respects to job at 7-11 m 1425 Route 9, Wappingers Falls, NY 12590. -'- ~1/ll nl n~~a~~ Town of Wappinger 20 Middlebush Road Wappingers Falls, NY 12590 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ._30_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001108) 1 of 2 #M224650 L.~u `=' """'~" ""'ter "'"'" ""' '""" 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 The Certificate of Insurance on the reverse side of this form 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-S (2001108) 2 of 2 #M224650 :.:<:: :::::. '~ 1.. :;. :... ::::: `i . '>:: ::. ......: .i. i "::;i :ii .'•.: ": ? ::o- :. .::. :::: i. .. :. :i ... .' . ::::i .....::::::..::::::1`::i :'.:''i`:i iS;::::::: ;3£.'S1.. Fi DATE (MM/DD/YY) '„. 12/23/ 8 0 R O D U C ER: ~::~::o:~ ::............... ................................................................................................... THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION REVISED ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FEDERATED MUTUAL INSURANCE COMPANY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Home Office: P.O. Box 328 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Owatonna, MN' 55060 COMPANIES AFFORDING COVERAGE Phone: 1-888-333-4949 COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR A FEDERATED SERVICE INSURANCE COMPANY ~SURED 221-666-1 COMPANY MCMILLEN BROTHERS INC B 20 EAST MAIN STREET BEACON NY 12508 COMPANY C, COMPANY D 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. R TYPE OF INSURANCE POLICY NUMBER POUCV EFFECTIVE POLICY IXPIRATION OMITS DATE (MMIDDIYY) DATE (MMIDD/YY) GEN ERAL UABIUTY GENERAL AGGREGATE S 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS -COMP/OP AGG S 2,000iOOO A CLAIMS MADE ~ OCCUR 9322432 07/21 /08 07/21 /09 PERSONAL & ADV INJURY s 1 OOO OOO OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE S 1 OOO,OOO FIRE DAMAGE (Any one fire) 5 1 OO,000 MED EXP IAny one person) S AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT S 1,000,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY S A SCHEDULED AUTOS 9322432 07/21 /08 07/21 /09 IPer person) X HIRED AUTOS BODILY INJURY S X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S GA RAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EXC ESS UABIUTY EACH OCCURRENCE S 1 OOO OOO A X UMBRELLA FORM 9322433 07/21/08 07/21/09 AGGREGATE s 1,000,000 OTHER THAN UMBRELLA FORM S X O WORKERS COMPENSATION AND TORY LIM TS ER EMPLOYERS' LIABILITY - EL EACH ACCIDENT S 5OO OOO A THE PROPRIETOR/ INCL 9`92870 O1/O1/O9 O7/21/O9 EL DISEASE-POLICYLIMIT S SOOOOO PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE S 5OO OOO OTHER ;~ - ~; - DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ,P '. ,~^_-,.,, 'M '`~~,/~~~,,~I Ir 1u .. ... w ~, iGAT ;HOLDER::;::>:' .;::. ;'"::;::::::;:' >:'; <>,.;:<:>::>::>:'::`:'::>: ::..:. . :CAI111r~,€T~:Tl(?N' ..... 2216661 TOWN OF WAPPINGER 9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 20 MFDDLEBUSH RD EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL WAPPINGERS FALLS NY 12590 ^ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE COMP ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIV ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATEiMM/DD/YYVY) PRODUCER g THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WARWICK RESOURCE GROUP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 68 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WARWICK, NY 10990 INSURERS AFFORDING COVERAGE j NAIC # INSURED THE NATURE PRESERVE, LLC wsuRER A: MT XAWLEY INS CD - __ ~~-37974 P O BOX B INSURER B: FISHRILL, NY 12524 ~ INSURER C: INSURER D: - -~--t- --~~~~-~~~- I PRIMDO ---- 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 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD POLICY NUMBER DATE M DD YY DATE MM YY LIMITS A GENERAL LIABILITY MCF0003459 09~27~2008 09/27/2009 EACH OCCURRENCE 5 1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurence) 5 50000 CLAIMS MADE ~ OCCUR MED EXPIAnyoneperson) 5 ~ PEI RSONAL&ADVINJURY S 1000000 GENERAL AGGREGATE 5 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG 15 1000000 POLICY PRO LOC JECT A UT OMOBILE LIA BILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) 5 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) ~ 5 HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) 5 PROPERTY DAMAGE (Per accident) 5 GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC 5 AUTO ONLY: qGG 5 EXCESS/UMBRELLA LIABILITY ~~~ryyy ~.{ EACH OCCURRENCE S ' ` OCCUR ~ CLAIMSMADE AGGREGATE 5 ® ~ ~ ~QQ~ 5 DEDUCTIBLE 5 RETENTION 5 5 - _ --" WCSTATU- OTH- • WORKERSCOMPENSATIONAND TOHYLIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT 5 ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE 5 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 5 OTHER DESCRIPTION OFOPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT !SPECIAL PROVISIONS THIS CERTIFICATE OF INSURANCE IS ISSUED SUBJECT TO ALL POLICY TERMS, CONDITIONS, EXCLUSIONS, LIMITATIONS AND LANGUAGE. CERTIFICATE HOLDER CANCELLATION SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF WAPPINGER DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 20 MIDDLEBUSH ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL WAPPINGERS FALLS, NY 12590 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE /~~ / L /f DEF ACORD 25 (2001 /08) ~' ACORD CORPORATION 1988 Client#~ ?7949 MIrlrlflF ACORD CERTIFICATE OF LIABILITY INSURANCE Div) ,~, 12/12/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HDH Harrisburg P&C ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 525 N 12th Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lemoyne, PA 17043 717 761-4010 INSURERS AFFORDINGCOVERAGE NAIC # INSURED INSURER A: SeleCtlVe InSUrance Company 26301 Middle Department Inspection INSURER B: Agency Inc INSURER C: 1337 West Chester Pike INSURER D: West Chester, PA 19380-0904 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 CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESGRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY S1571546 01/01/09 01/01/10 EACH OCCURRENCE $1 OOQ 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100 000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 OOO GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS .COMP/OP AGG $2 000 000 POLICY PRO LOC JECT A AUT OMOBILE LIABILITY S1571546 01/01/09 01/01/10 COMBINED SINGLE LIMIT (Ea accident) $1 000 , ,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ X Drlve Other Car PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: qGG $ A EXCESS/UMBRELLA LIABILITY S1571546 01/01/09 01/01/10 EACH OCCURRENCE $10000,000 X OCCUR ~ CLAIMS MADE AGGREGATE $1 Oy OOOyOOO _ DEDUCTIBLE $ X RETENTION $ O $ A WORKERS COMPENSATION AND WC7241579 Ol/01/09 01/01/10 X WCSTATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $SOO,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $SOO,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS _ ELECTRICAL INSPECTION SERVICE (NEW YORK) - ATTN: TOM CLASSEY, BUILDING OE~ 1 k INSPECTOR ' ~~` CFRTIFICATF HOl DER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF WAPPINGER DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~0_ DAYS WRITTEN 2O MIDDLEBUSH ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL WAPPINGER, NY 14568 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #M201040 DSDHO O ACORD CORPORATION 1988