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2009
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/ 10/2009 LEIGHTON INS. AGY., INC. NN 1013 NAME AND ADDRESS OF CERTIFICATE HOLDER OR OTHER NAME AND ADDRESS OF NAMED INSURED TOWN OF WAPPINGERS FALLS PAUL TURNER CONSTRUCTION 20 MIDDLEBUSH RD 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 bF 1NSURANC$: ;; PDIJCY NUMBER _;;,. : pal:icr :;~FF'EGT,.,ry,EPATE:. " Pt31:>G!y `' EXPIRA7I~N'DATE UM1T3 OF INSURANCE GENERAL LIABILITY 0256420036 01 / 14/2010 01 / 14/201 1 EACH OCCURRENCE $ 500000 COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM FIRE DAMAGE $ GEN'LAGGREGATE LIMIT APPLIES (Any one premises) 500000 PER: POLICY VOLUNTARY PROPERTY DAMAGE MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ SOOOOO GENERAL AGGREGATE $ IOOOOOO PRODUCTS-COMP/OPAGG $ 1 OOOOOO BODILY INJURY $ (EACH PERSON) BODILY INJURY $ (EACH ACCIDEN PROPERTY DAMAGE $ BODILY INJURY AND $ PROPERTY DAMAGE COMBINED EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION 0856400027 01 / 14/2010 01 / 14/201 1 STATUTORY AND BODILY ACCIDENT $ EACH ACCIDENT 1 OOOOO EMPLOYERS LIABILITY POLICY LIMIT INJURY DISEASE $ 500000 BY DISEASE $ 1 OOOOO EACH EMPLOYEE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS ~ ~, A I DEC 1 7 2009 ~~ _ ~ ~; ~' ~ -~~N~~ C~EPr ~T^~ r 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-1568 2/02 (E) CIF SEE REVERSE SIDE AUTHORIZED ~~ REPRESENTATIVE _- OP ID CR DATE (MMIDD/YYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE ROYAL-9 12 17 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brinckerhoff & 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 Royal Carting Service Co ._~ - -- Panichi Holding Cor INSURER B: Everest National 16suianoe Co - 10120 _ _ Royal Carting of Duchess INSURER C. Zurich Insurance Co. - 16535 County Co Inc - - ---- - -- --- Route 82', PO Box 1209 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 pOCUMENT 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. II LTR NSR TYPE OF INSURANCE POLICY NUMBER POI EFFE T VE DATE MM/DD/YY POLI XP RATION DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 A X X COMMERCIAL GENERAL LIABILITY PC7110 0 016 12 / 31 / 0 9 12 / 31 / 10 PREMISES (Ea occurence) $ 10 0 , 0 0 0 __ CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5 , 0 0 0 X per project PERSONALBADVINJURY $ 1, 000, 000 X contractual flab GENERAL AGGREGATE $ 2,000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , O O O , O O O POLICY ~{ PRO- LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1, 000, 000 A X ANY AUTO BAP2704342 12/31/09 12/31/10 (Eaaccidenp ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - - _.__ X HIRED,AUTOS BODILY INJURY $ X ` NON-OWNED AUTOS - (Per accident) ~ -- ___._ }-- - -- PROPERTY DAMAGE $ (Per accidenl)_ GARAGE LIABILITY AUTO ONLY_ EA ACCIDEN i $ _ ___ ANY AUTO OTHER THAN EA ACC $ _ r AUTO ONLY: AGG _ $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5, 0 0 0, O O O A X OCCUR ~ CLAIMSMADE CUP28O5O21 12/31/09 12/31/10 AGGREGATE $ 5, 000, 000 $ DEDUCTIBLE $ __ X RETENTION $ 1 O, 0 0 0 $ WORKERS COMPENSATION AND X TORY LIMITS ER ____ A EMPLOYERS' LIABILITY WCC7007081 12/31/09 12/31/10 E. L. EACH ACCIDENT $unlimited -_- ~-~---~--- ~ --~ ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? _ E.L DISEASE - EA EMPLOYEE $ unl lm1 ted _ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ unl imi ted OTHER B Excess Liability 7168000157-091 12/31/09 12/31/10 Excess 10,000,000 C NYS Disabilit 1517381 04/01/89 01/01/15 Town of Wappinger is included as Additional Insured re: Town of Wappinger Community Day Committee. i DEC' ~ 1 2UOg `~'11li11~ ~';~ ~'~~ CERTIFICATE HOLDER TOWAPPI Town of Wappinger Joe Ruggiero, Town Supervisor Middlebush Road Wappingers Falls NY 12590 ACORD 25 (2001/08) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 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 REPRESENTATIVES. ©ACORD CORPORATION 1988 IulnnnG AEORD,M CERTIFICATE OF LIABILITY INSURANCE _-,2;,s,o9°"~"' 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: Selective Insurance Company 26301 ' .Middle Department lnspecti°n INSURER B: A enc .Inc ~ g y -- INSURER C: -:1,337 West Chester Pike, P.O. BOX 2654 INSURER 0: West Chester, PA 19380-0904 INSURER E: cvvclwv~a 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/Y`( POLICY EXPIRATION DATE MM/DD/YY LIMITS L LIABILITY $1577546 01/01/70 01/01/11 EACH OCCURRENCE $1 OOO UUU A GE X NERA COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED M $1 UU UOU MADE a OCCUR MED EXP (Any one person) $5 000 CLAIMS PERSONAL & ADV INJURY $1 UUU UUU GENERAL AGGREGATE $2 UUU UUU GATE LIMIT APPLIES PER: ' PRODUCTS -COMP/OP AGG $2 UUU UUU L AGGRE GFN POLICY PRO LOC JECT A AUT OM081LELIABILITY $1571546 07/01/10 01/01111 COMBINED SINGLE LIMIT $1,000,UUU Jt Y AUTO (Ea accident) AN ALL OWNED AUTOS (''~ ~, ~ yt~' ~...., t BODILY INJURY $ UTOS °~ ~ - '^ - - (Per person) X SCHEDULED A HIRED AUTOS ~ -" °\ BODILY INJURY $ X ' '" -$ ~ ~~ (Per accident) X NON-OWNED AUTOS DrIVe Other Car ~ cn WN PROPERTY DAMAGE $ C~r~'1"`1 (Per accident) AUTO ONLY - EA ACCIDENT $ GA RAGE LIABILITY OTHER THAN ~' ACC $ ANY AUTO AUTO ONLY: qGG $ A Y $1571546 01/01/10 01/01/11 EACH OCCURRENCE $7O UUU UUU EXCESS/UMBRELLA LIABILIT S MADE AI ~ AGGREGATE $1 O UUU UUU M CL X OCCUR DEDUCTIBLE X RETENTION $ O WC7241579 01/01/10 01/01/11 X WC STATU- OTH- $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $SOO,000 ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $SOO,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $SUU,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ELECTRICAL INSPECTION SERVICE (NEW YORK) - ATTN: TOM CLASSEY, BUILDING INSPECTOR CERTIFIGAI E HULUtK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF WAPPINGER DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~>L DAYS WRITTEN 20 MIDDLEBUSH ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TD DO SO SHALL WAPPINGER, NY 14568 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATNES. AUTHORIZED REPRESENTATIVE .. wnr~nn rnoononl'InAI ~OftG ACORD 25 (2001108) 1 of 2 #M224426 I I_IVlnv v -----•-- __... _.. 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 Certifyate 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. ~... r ~~~ , ' 1~~~/ ~ - pE ~~L ~~,, c ~' ?®a9 ACORD 25-S (2001/08) 2 of 2 #M224426 OP ID RD DATE (MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE NWSIG-1 12 11 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Addis Group, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 Renaissance Blvd. Ste 100 ALTER THE COVERAGE AFFORDED.BY THE POLICIES BELOW. King of Prussia PA 19406-2772 Phone:610-279-8550 Fax:610-279-8543 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Insurance co. 16535 INSURER B: Continental Casualty Co . 20443 NW Sign Industries, Inc. INSURER C: 360 Crider Avenue INSURER D: Moorestown NJ 08057 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH one iciFS nrr.RS=rnrF I inners sunwN MAV HAVF REEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER LI Y EFFE TIVE DATE MMIDD/YY P ICY EX (RATION DATE MM/OD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 A X COMMERCIAL GENERAL LIABILITY GL08196416 03/01/10 03/01/11 PREMISES (Eaoccurence) $ 500, 000 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 10 , 0 00 PERSONAL &ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $ 2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , O O O , OO O POLICY X PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 ~ O O O , OO O A X ANYAUTO BAP8196415 03/01/10 03/01/11 (Ea accident) ALL OWNED AUTOS ~ C ~ ~ C BODILY INJURY $ SCHEDULED AUTOS _--._ G C (Per person) , X HIRED AUTOS ~~f ~ E BODILY INJURY $ X NON-OWNED AUTOS _- ' L ~ ~ 2oW (Per accident) X $250 COItlp : ^ PROPERTY DAMAGE $ N C ~FRr.- (Per accident) X $500 Coll , GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: qGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $25,000,000 $ X OCCUR ~CLAIMSMADE 4017397510 03/01/10 03/01/11 AGGREGATE $25,000,000 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X TORY LIMITS ER A EMPLOYERS' LIABILITY WC8196417 03/01/10 03/01/11 E.L. EACH ACCIDENT $1,000,0 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED E.L. DISEASE - EA EMPLOYEE $ 1 , O O O , O O O If yes, describe under DISEASE -POLICY LIMIT L E $ 1 0 0 SPECIAL PROVISIONS below . . , , OTHER A Property SRI5646518 01/01/10 01/01/11 Blanket $29,802,167 Deduct. $25,000 DESGRIPTIUN VF V PtIiA I TUNS 7 LUGA I TUNS I VtF1IGLtJ / CAI.LVJIV 1VJ Nuucv o . nvuvnacmu. , , .,~ ~..,,+.. , ,..-...~.~..~ Certificate Bolder is listed as Additional Insured under the captioned policies if required by written contract. CERTIFICATE HOLDER CANCELLATION WAPPING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 O 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 20 Middlebush Road Wappingers Falls NY 12590 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE W p~ ~/ ACORD 25 (2001108) ©ACORD CORPORATION 1988 DATE (MM/DD/YYYY) ACORV CERTIFICATE OF LIABILITY INSURANCE RCOSTRI 12 14 09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brinckerhoff & 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: 845-696-4700 Fax:845-897-5110 INSURED R Coata Electric Inc 15 Appleblosaom Lane Hopewell Junction NY 12533 INSURERS AFFORDING COVERAGE _ INSURER A: National Grange Mutual INSURER & - INSURER C: -- 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 IES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NAIC # 14788 POLIC ifl5 _.__ .._ ..,....,,..,..~ POLICY NUMBER DATEYMMIDDM! E DATE MM/DD/YY N LIMITS GENERAL LIABILITY A X X COMMERCIAL GENERAL LIABILITY MPV95026 CLAIMS MADE ~ OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC POLICY JECT AUTOMOBILE LIABILITY A $ ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS B2V67552 GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR ~ CLAIMS MADE ;` ~~' ~ ~. DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND A EMPLOYERS'LIABILITY WIV67552 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below OTHER EACH OCCURRENCE $ 2. 0 0 0, 0 0 0 12/04/09 12/04/10 PREMISES (Eaoccurence) $ 500, 000 MED EXP (Any one person) $ 1 O , 0 0 0 PERSONAL & ADV INJURY $ 2, 0 0 0, O O O GENERAL AGGREGATE $ 4, 0 0 0, O O O PRODUCTS -COMP/OP AGG $ 4, 0 0 0, O O O COMBINED SINGLE LIMIT $ l 0 0 0 0 0 0 12 / 04 / 0 9 12 / 0 4 / 10 lea accident) BODILY INJURY $ (Per person) BODILY INJURY g (Peraccidenq PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ ~j OTHER THAN EA ACC $ i v i'""`' AUTO ONLY: AGG $ ' ^~^ ~ EACH OCCURRENCE $ (j F"f~ AGGREGATE $ 02/20/09 02/20/10 E.L. EACH ACCIDENT $ 100000 E.L. DISEASE - EA EMPLOYEE $ 10 O O O O E.L. DISEASE -POLICY LIMIT $ 5 0 0 0 0 0 DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I Town of Wappinger is listed as Additional Insured RECEIVED CIE i 61009 CFRTIFIf:ATF Hnl ^ER WAPPING Town of Wappinger 20 Middlebush Road Wappingers Falls NY 12590 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/08) ©ACORD CORPORATION 1988 CERTIFICATE OF LIABILITY INSURANCE OP ID DY R DATE (MM/DD/YYYY) 12/11/09 ENVIR-1 Q~ ,aco THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCE 4 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Dedrick Agency Inc Donald B HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR . 319 B ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ox Mill Street, PO Dover Plains NY 12522 Phone:845-877-9901 Fax:845-877-6771 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Starr indemnity a Liability Co INSURER e: Central All America 20222 INSURER C: central Mutual insurance co 20230 Envirostar Corp PO BOX 365 INSURER D: Croton Falls NY 10519 INSURER E: ~uvtrwu~a 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/DDS E PDATE MM/DDS LIMITS GENERAL LIABILITY EACH OCCURRENCE $ lOOOOOO X COMMERCIAL GENERAL LIABILITY SISIEIL70024809 12/11/09 12/11/10 PREMISES (Eaoccurence) $ 50000 A CLAIMS MADE X^ OCCUR MED EXP (Any one person) $ SOOO PERSONALBADVINJURY $lOOOOOO X tion & Prof ll P GENERAL AGGREGATE $ 2000000 u o GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 2000000 POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ZOOOOOO ANY AUTO BAP7976635 02„/19/09 02/19/10 C ALL OWNED AUTOS ~ `-'' ..~ ~ j BODILY INJURY erson) (Per $ X SCHEDULED AUTOS " p X HIRED AUTOS BODILY INJURY (Per accident) $ X OWNED AUTOS NON - R ~ ~' ~ I ~ PROPERTY DAMAGE t id $ y en ) (Per acc GARAGE LIABILITY ~ AUTO ONLY - EA ACCIDENT $ UTO D G 14 2009 OTHER THAN EA ACC $ ANY A `+- AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY i EACH OCCURRENCE $ OCCUR ~ CLAIMSMADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ ERS COMPENSATION AND _ X TORY LIMITS ER WORK EMPLOYERS'LIABILITY WC7942213 09/29/09 09/29/10 E.L. EACH ACCIDENT $ lOOOOO B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E. L. DISEASE-EA EMPLOYEE $ lOOOOO If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 5 O O OO O OTHER DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS As per policy ctrl Irwt1 I t nvw~n TOWNWAP 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 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 Road 12590 REPRESENTATIVES. Wappinger Falls NY RIZE RE NATIVE AU n nrnon r`noonRATInAI 10RR ACORD 25 (2001!08) 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) CERTIFICATE OF INSURANCE Erie Insurance° -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY - CERTIFICATE HOLDER COPY IOOErie Ins. PI. Erie, PA 16530 NAME AND NUMBER OF AGENCY DATE ISSUED 1 1 /28/2009 NAME AND ADDRESS OF CERTIFICATE HOLDER OR OTHER HRENKO INS AGENCY, INC. AA4332 NAME AND ADDRESS OF NAMED INSURED TOWN OF WAPP-NGERS 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. ;::::.::.::.. ...::. ......_..'r!r~:Op.u~11A)keli ....:...::::::.::.::. 9tS :.. ~!U~ .:.::...............::.:::::::::::::. t. : .:: ..... ::.; ~;'ti~i~t1061:c3k..._... ..........................::::.::..:::................ :.::.::::::::.::..::.::::,:::::..::.:::.:.........::::::.........._...., ~.~.~,,~,~; ;:~. GENERAL LIABILITY Q363120508 1 2/31 /2009 12/31 /2010 EACH OCCURRENCE $ 1000000 '~ ;:;:.: ' COMMERCIAL GENERAL LIABILITY FIRE DAMAGE $ ' ~ OCCURRENCE FORM GEN'LAGGREGATELIMITAPPLIES (Any one premises) 100D000 j PER: POLICY MED EXP (Any one person) $ 5000 PERSONAL 8 ADV INJURY $ 1000000 ;::: ~ i ~ ^~ 7 GENERAL AGGREGATE $ 000 2 00 () >: % ~) ..__. ~# aP PRODUCTS-COMP~OP AGG $ 0 200000 ;: E R C V ~~~ BODILY INJURY $ 1 DE C g 200 (EACH PERSON) RY Y INJU BODIL $ (EACH ACCIDEN -r. ~AA,, n AN i `~ PROPERTY DAMAGE AND NJU ILY I BOD $ PROPERTY DAMAGE COMBINED EACH OCCURRENCE AGGREGATE Y R ATUTO T S ACCIDENT $ EACH ACCIDENT BODILY INJURY DISEASE $ POLICY LIMIT BY DISEASE $ EACH EMPLOYEE PTION OF OPERATIONS/LOCA TIONS/VEHICLES/E XCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS DESCRI CAUSE OR NAMED INSURED'S REQUEST: When an automobile policy is cancelled, written notice will be mailed to the Certificate Holder. When MENT , CANCELLATION FOR NON-PAY ..a ..,.;wo., ....tirc to the Cartificata Helder after the any of the above described policies (other than automobie) are canceuea ~erore uie cxNnn~~~~ ~ ~a« ,,,a,a~,, • ••~ ~• ••- -•~•• -••____ _. __ .. _. 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 andJor Declaration by asking the insured or the Agent. Limits shown may have been reduced by claims paid. OF-1568 2102 (E) rrc SEE REVERSE SIDE AUTHORIZED REPRESENTATIVE l^ Erie Insurance inn cdo Inc PI Frie PA 16530 CERTIFICATE OF INSURANCE - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY - CERTIFICATE HOLDER COPY NAME AND NUMBER OF AGENCY FRAGOMENI INS. & FINANCIAL INC NN 1 197 C NAME AND ADDRESS OF NAMED INSURED GREAT AMERICAN AWNING & ENDT # 1 43 ROUND LAKE RD BALLSTON LAKE NY 12019-1146 TOWN OF WAPPINGER 20 MIDDLEBUSH RD WAPPINGER FALLS NY 12590- 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. GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM GEN'LAGGREGATE LIMIT APPLIES PER: POLICY DATE ISSUED 11/28/2009 NAME AND ADDRESS OF CERTIFICATE HOLDER OR OTHER CEI~/~~ 1 O `_: r "~ r . AUTOMOBILE LIABILITY ANY AUTO (OWNED, HIRED, NON-OWNED) 00 1 5 1 30298 ~ 01 /01 /2010 ~ 01 /01 /201 1 EACH OCCURRENCE $ 1 OOOOOO FIRE DAMAGE $ 1 OOOOOO (Any one premises) MED EXP (Any one person) $ 5000 (PERSONAL&ADVINJURYI$ IOOODOO GENERAL AGGREGATE I$ 2000000 ~: $ 2000000 $ $ PROPERTY DAMAGE $ BODILY INJURY AND $ 1 OOOOOO PROPERTY DAMAGE COMBINED EXCESS LIABILITY 0255170103 01 /01 /2010 01 /01 /201 1 EACH OCCURRENCE 1000000 `.. OCCURRENCE FORM RETENTION $10000 AGGREGATE 1000000 <: STATUTORY ............. BODILY ACCIDENT $ EACH ACCIDENT INJURY DISEASE $ POLICY LIMIT BY DISEASE $ EACH EMPLOYEE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESJEXCLUSIONS ADDED BY ENDORSEMENTJSPECIAL PROVISIONS C:ANrFI I ATION 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 ..I.J.. ..N.. ~L.n any of the above described policies (other than automobile) are cancelled before the expiration gate tnereor, I ne CrIIC W111 tll IUtlGV Vf ,., ,,,a„ ..,,r.~„ ,,..,......~ ...- ---. ••••_-•- ~ .-._-. _-.- --- decision tocancel. 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 os anv kind upon The ERIE, its Agents or representatives. ERIE INSURANCE GROUP This certificate is issued for intormation 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 andJor Declaration by asking the insured or the Agent. Limits shown may have been reduced by claims paid. OF-1566 2102 (E) ~,rc 0255120079 ~ 01 /01 /2010 ~ 01 /01 /201 1 SEE REVERSE SIDE AUTHORIZED REPRESENTATIVE Al ~ ® DATE (MMIDD/YYYY) V CERTIFICATE OF LIABILITY INSURANCE 12/14/2009 PRODUCER (845) 471-6200 FAX: (645) 471-9174 ONLYCANDF ONFERSSNOERIGHTS UPONRTHE ICERTIF LATE Hickey-Finn & Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 15 Davis Ave ALTER THE. COVERAGE AFFORDED BY THE POLICIES BELOW. Poughkeepsie ____"__ - NY-_ 12603._______ INSURED Mesuda Electric Inc. 2 Boxwood Close xanewell Junction, NY 12533 auvtlcE+uw 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 POLIC-ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ _ ._ ______- ___ _. ____ __ - -- - r - ---- --" - -" "" POLICY EFFECTNE POLICY EXPIRATION LIMITS INSR DD L ~,~_ ~~ ,,,~, „~~,,,~ POLICY NUMBER GENERAL LIABILITY tr X COMMERCIAL GENERAL LIABILITY A i X; ~ _l CLAIMS MADE i X I OCCUR ' 7 ~ "~ _ _____ _-. G_EN'L AGGREGATE LIMIT APPLIES PER' ~X ;POLICY ~~ ~ PRO- ~ LOC I ! AUTOMOBILE LIABILITY ~ X 'ANY AUTO I --{ A I X I ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY 1 ANY AUTO ~ I r---i !i EXCESS IUMBR ELLA LIABILITY ~! ~X_ OCCUR __ ~~~ CLAIMS MADE A X DEDUCTIBLE II. ! X j RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) I Ii ves. describe under I OTHER I~, SBA VQ0002 6 UEC IE0001 6 SBA VQ0002 j ~ E.L. EACH ACCIDENT $ i" I ~ ~ E L. DISEASE - EA EMPLOYE~$_-__ ___, ^I L _ _ -- -- T a I ~ --'r ~~ ? ! E L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS ILOC ATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /5PECI AL PROVISIONS Certificate holder ie included as additional insured. L.J DEC 1 g 2~~g HOLDER Town of Wappingers 20 Middlebush Road Wappinger Falls, NY 12590 ACORD 25 (2009/01) INS025 (zoosDi ) SHOULp ANY OFTHE 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 AUTHORIZED REPRESENTATIVE J~~ Donna Betts/VP ~~~"--"~ ~ `"~ ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EACH OCCURRENCE _ __}_$ _ _ 1 ~ 000_, l)OO DAMAGE TO-~IJTED PREMISES Ea occurcence)__ i $ _-__ 300 ~ 000 12/21/2009 12/21/2010 ~ MED EXP (Any one person) _ t $ 10, 000 __ ~ -- PERSONAL 8 ADV INJURY. $ 1, OOO, 000_ - _ ~ GENERAL AGGREGATE ~ $ 2, OOO~ 000 __ PRODUCTS -COMP/OP AGG i $ 2 , OOO_, 000. ---- ---------- t -- - -- - !. COMBINED SINGLE LIMIT $ 000, 000 1 (Ea accident) , 12/21/2009 12/21/2010 BODILY INJURY $ (Per person) BODILY INJURY ~ $ (Per accident) I ---- -- ------ ------r PROPERTY DAMAGE $ i (Per accident) I ;AUTO ONLY - EA ACCIDENT. $ _. _ _ _ - _ _ -_ _ EA ACC ~ $ OTHER THAN r AUTO ONLY: AGG $ I 'EACH OCCURRENCE ! $ _ -_ __ 10, 0001 000 ', .AGGREGATE _ $ -- - lOl 000J OOO ! F $--. - -_ - - ~_- 12/21/2010 12/21/2009 1 I - --- ---- ~ --- ~ _"-- . ~ 1 $ IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01) INS025 ~zooso~> -- _ _, ~ ~a~~~aaa aa• ~G FId5d711790 h1IX..F..AN PAC-, 96/'13 -- ~~'~ CERTIFICATE C)F L1AB~~»#'1'~!' INSURANCE ~'~~"'~"'D~"'"' pROOUClR THIb CBIlTI<<IW-TR IB I~UgD A8 A OAI4TTBR OF INFOI><MATIDN ON~.Y AND COM~8iR8 NO RIOHTB C9ppN ?MB C6RTIRIC,Nyy I l4elAAl1 xa[slluxRx~oM A$g7pCY ii0LD61i. '1'Ii1Q CBRTIFlCAT! DI?~ [~ AMPJrD~ RXT3ND OR 3 x ~ ~'~ tusvi 11. ltd TBR TI1~ CdVBRAdR n THE Pf7u Es BBIL.fJ1Al. pou~hkolapacisa 1KX 13803 4 47 ~`'~~~ IN$UR6RS ARFOpQiNq DoH(iRA08 NAIC~ wa !h 8ffiRRT~Ot,1 8Al~1S4'A~'YQAT q~lRVT~ INluaaa a, fgl3~xo0ntxaa zia~~crn~41e tY+.9aIPA1Q7~ '~: MIlU1lIIR >!; 81 ~,R. 'q 'y't~trr.~oA~*^*...~1!UD ', ~,07a R'17 9 _~, °s''~,'~ IHCtJRdhb: ,.,, ~ ._.. FZ98KZL~„ 1+TY 18838 ~°~ _u+wplan, • ~" ... FV6RA®t!! TH! IegLICdEB AF INSUFANCR uBTgD >lNLOW MAVB 18YN 1860140 TO tME fNt~U~k~D NAAApp ASGV! FOR TH6 PdLICY PERIgQ tNOtpAT'Bp, MOT1M7T18TANpiNG ANA' Pt6pUIRiMGNT,'T6RI~t OR CONORION OF ANr f34h-1'lAAOT qR OTlilli OOGWMEnR WITH RP.9r8CT ~ 1AAi~QH 7MIA C6kTlp'ICATi MAY YR IDAUED OR POAtrlaEB.AItiORH~A1~ffLIMIN98N~RA AY AVEBEPp.N~R~ UQ O~DRI'p pGa Ii rfUBJ~CT 7Q ALLTh18 TERMtl, E%f,~>uSIONEt AND ccNDrrlaNa Q1+ ~U4ii ' PGNGY !R UM1ttJ OCNdk,K 6IMIlrtY MACH Od0UR1lINt2F ! - e Ooa . Q C4~RCIAI,~RAI,I•WILfTN _ . >I ~ a Cv+IMSMADe ~ Cl7GUR M!b!» N1 nn~; ! ~ A 68 PA3g630S0001 1 /02/09 13J02I10 , i +s~ulaRSOn i .OQ0.0!0~ t~lF15. At'lARlOA7B LIMR APPLIli NRR. PRODUCTL ~ ~i0MP10P AQ6 6 reuer {.OC AUT OAIQRL6I,NPIIITY O 81Nt-L! I.IAf1Y pA~M >I 1 000 00~' AMYASITiD y ~ , , ., ..._.i;l: ALL ilYVll!!D AUTO! lOGL~~ ~T Rhh-- i scrnoul.ao nurori A, wlaRaAUros ~6 SA20630S30C8 l' l/02/09 lZ/OZ/x0 eodl~rl unr M ~ s NON~OWNEbAUToS l r en1) P * IHIOMR?Y IiAn1A0E ~ IIw>~~hn I,uwAa~uaalnv Auroanlr.lti.ntx~IHT ~ nNrAUN arM111~TN~-) iAACC 8 AUTdQN6Y; ~ GX46SEA1MD1!l~LLA Wldlll7r I GAgN OOOUFtifiNG fi ~~ S I EGCUR ~ aWMR~MOE ~ A041~OA'Ttw a i ~ Iss CC3o630s~'~aa~ x. l/o~/09 12/02/~.a ~..,._.~. i p, oeauatls~.e A Ri'TLhIT i i vNDRKi'iR6COMPlNQATIONAND i_, EMpLOY6RSLIABILIiY NV amr + ~~ ~'j~7 ~n7 9 I ~~ / 3 0 / 0 8 l9 / 3 0 / 0 9 ~w 4AGF1 AOOKI~uT a_.~ ~~ iQO p as A oeTnntNnn~r-eocuraa . . - E 8,L 171~Al6 • PRlLICr UIJI7 L `+~ OTHER pGdl orOFeantloNS/tOCAT10NSNlMIGae6~eKC~utl~CwAOvgeler~tipDReClAdlrr~le~eau-r_~ntrnnanaNi A9 A~LiZTYbl~A,~, I2<BCIRRD : T~ C~ WAFPTNt~ER6 ~ ~ ~ O~~ ~~~ 7 0 C CA7't FIOLO I '~'091Si OP NA~+~xNcF$B,ts~ ~tT~Lt~iN© DR~x ~t•rwu~nANYOe'n+i~uR olllbs I./allgetrnN~u.~,laa~~Tllee~alRnTtpN aAtc nhlwioF THa Iww wa l ~NblAWn To M~u~ n~ya warrnro x4 M~pAT~B$V8A ~tOAL- , . , _ 9QA~AIZTO~RB 8'L8 ~ 1.35 ~ 0 Ncrioe ro TMi G4RTIPICATE HDL w~naiP To 711! IliFr, !uT FnIWRR TO 40 ®p BtNL6 IMI10lTC NG pY41QA OA LIABILRY OF AiIY KING ulroN THR >tuB~Rlf1 Its AARNTB bR P~ElRAT - I-- -- - - hl]TNGRIlL~D A'TNL ~ ~. .„ ~u,.~_. ... acoFSDZ~(5007109- /- mACORDS1v~AT1O1i999B ;~'.~ ACORD„ CERTIFICATE OF LIABILITY INSURANCE OP ID CR RCOST-1 DATE(MMIDD/YYYY) 12 O1 09 PRODUCER Brinckerhoff & Neuville, Inc . PO Box 424 1134 Main St . 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. , Fiahkill NY 12524-0424 Phone: 845-896-4700 Fax:845-897-5110 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: National Grange Mutual 14788 INSURER B: R Costa Electric Inc INSURER C: 15 Appleblosaom Lane 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN LTR NSR TYPE OF INSURANCE POLICY NUMBER P LI Y FFEC IVE DATE MMIDD/YY P I EXPI ATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2, 0 0 0, O O O A X X COMMERCIAL GENERAL LIABILITY MPV95026 12/04/09 12/04/09 PREMISES (Eaoccurence) $ 500, OOO CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 1 O , O O O PERSONAL 8 ADV INJURY $ 2, 0 0 0, O O O GENERAL AGGREGATE $ 4, OOO, OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 4 , O O O , O O O POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT 10 0 0 0 0 0 A X ANY AUTO B2V67552 12/04/08 12/04/09 (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS NON-OWNED AUTOS /r ~r BODILY INJURY (Per accident) $ __ ~ R/ - •i~~ I PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY E~, ~ ~ EA ACCIDENT O $ ANY AUTO 20pg EA ACC OTH ER THAN $ ~ /~ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY ~~ EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ _ ~~ $ DEDUCTIBLE ~. r_•% ~ _ $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER A EMPLOYERS' LIABILITY ANY PROPR~FTOR/PARTNER/EXECUTIVE WIV67552 02/20/09 02/20/10 E.L EACH ACCIDENT $ 100000 - --- OFFICER/MEMBER EXCLUDED? ~- -------- E.L. DISEASE - EA EMPLOYEE $ 1 O O O O O Ii yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 5 O O O O O OTHER ESCRIPTION OF OPERATIONS (LOCATIONS (VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Cown of Wappinger is listed as Additional Insured "-' ~--'' ~L~ ~ ~ 2009 B Y: -------------------- ERTIFICATE HOLDER WAPPING Town of Wappinger 20 Middlebush Road Wappingers Falls NY 12590 CORD 25 (2001/08) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 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 REPRESENTATIVES. ©ACORD CORPORATION 1988 OP ID SPAY ~R~® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) SUNUP-3 11/18/09 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 RS AFFORDING COVERAGE NAIC # INSURED '~4y ~ INSU American Alternative Insurance ~~ 9 ERs: Everest National Zns Co Sun Upp Enterprises Inc ~/V/~1 INS ER C: 1607 Rt 37 6 v< SURER D: Wappingers Falls NY 12590 RER E: GOVtKAIat, 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 DATECMMIDDC~ DATE MMIDDAM^~Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY 88A2GL0000024 11/18/09 11/7.8/10 PREMISES (Eaoccurence $ 100000 A CLAIMS MADE a OCCUR MED EXP (Any one person) $ 50 0 0 PERSONALBADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $2000000 POLICY X PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT id t E $ 1000000 X ANY AUTO 88A2CA0000015 11/1$/09 11/18/10 a acc en ) ( A ALL OWNED AUTOS BODILY INJURY P $ SCHEDULED AUTOS er person) ( X HIRED AUTOS BODILY INJURY P id t $ X NON-0WNEDAUTOS ( er acc en ) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE $ 10000000 X OCCUR ~ CLAIMSMADE 7108000257091 11/18/09 11/18/10 AGGREGATE $ 10000000 $ EDUCTIBLE $ D X RETENTION $ 10000 $ WORKERS COMPENSATION _ TORY LIMITS ER AND EMPLOYERS' LIABILITY /PARTNER/EXECUTIVF T F_.L. EACH ACCIDENT $ - - - - ~ ANY PROPRIE OR OFFICER/MEMBER EXCLUDED? u NH I E.L. DISEASE - EA EMPLOYEE $ ) n (Mandatory If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CANCELLATION V GRI11 1 rr .. Town of Wappinger 20 Middlebush Rd Wappinger Falls NY 12590 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WAPPI-3 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 REPRESENTATIVES. ©198 -2 09 ACORD CORPORATION. Ali rights reserved. The ACORD name and logo are registered marks of ACORD ~R~® CERTIFICATE OF LIABILITY INSURA OP ID DATE(MM/DD/YY, PRODUCER NCE sUNUPP3Y 11/18/0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marshall & Sterling Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 66 Middlebush Rd, Suite 200 ALOTER THE COVERAGE AFFORDED B~ THE POLIC ES BE OW. Wappingers Falls NY 12590 Phone:845-297-1700 Fax:845-297-2879 INSURERS AFFORDING COVERAGE INSURED NAIC # U American Alternative Insurance INSU est National Ins Co Sun Upp Enterprises Inc N I S RERC: 1607 Rt 376 Wappingers Falls NY 12590 ~. INs URER E: COVERAGES I~ I THE POLICIES OF INSURAnIr`F I IcTFn aci nui u r~ovv~ rvrc i nc'PUUCr 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR 7YPE OF INSURANCE POLICY NUMBER DATECMMfDD C~ DATE MM%DD ATION LIMIT S A GENERAL LIABILITY X COMMERCIAL GEN EACH OCCURRENCE $ ]-QOOOOO ERAL LIABILITY CLAIM ~ 88A2GL0000024 11/18/09 11/18/10 PREMISES Eaoccure~nce $ 100000 S MADE OCCUR MED EXP (Any one person) $ fj Q O O PERSONAL&ADVINJURY $ 1000000 G ' GENERAL AGGREGATE $ 2000000 EN LAGGREGATELIMITAPPLIESPER: PRO- PRODUCTS-COMP/OPAGG $2000000 POLICY ~( JECT LOC AUT OMOBILE LIABILITY A }~ ANY AUTO 88A2CA0000015 11/18/09 11/18/10 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X ~{ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN ~ ACC $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LUIBILITY EACH OCCURRENCE $ ~, Q O00 OO 0 B X OCCUR ~ CLAIMSMADE 7108000257091 11/18/09 11/18/10 AGGREGATE $ 10000000 DEDUCTIBLE ~[ RETENTION $ 10000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ~ N _ TORY LIMITS ER ANY PROPRIETORlPARTNER/EXECUTIV~ OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ (Mandatory In NH) If yes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Proof of insurance for the permit for AIMCO-Chelsea Ridge Project CERTIFICATE HOLDER CANCELLATION Town of Wappinger 20 Middlebush Rd Wappinger Falls NY 12590 ACORD 25 (2009/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7HE EXPIRATION TOWNOOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 7HE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATNES. ACORD CORPORATION. All rights raswrvad The ACORD name and logo are registered marks of ACORD Client: 74680 3RELECTRIC ACORD,~ CERTIFICATE OF LIABILITY INSURANCE 11/2412009) PRODUCER Emery 8 Webb,lnc. 346 Old Post 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. Rhinebeck, NY 12572 845 876-4065 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: P@erleSS InSUranCe Company 3R Electric, InC. INSURER B: 43 Overlook Road INSURER C: Poughkeepsie, NY 12603 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. LTR N R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY 01 CH9115242 08/25/09 08/25/10 EACH OCCURRENCE $1 OOO OOO X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $2OO OOO CLAIMS MADE Q OCCUR MED EXP (Any one person) $1 D DDD PERSONAL 8 ADV INJURY $1 000 000 GENERAL AGGREGATE $2 OOO 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2 000 OOO POLICY JECOT- LOC /~ AUTOMOBILE LIABILITY 02CE0165157 08/25/09 08/25/10 COMBINED SINGLE LIMIT $1 000 D00 X ANY AUTO (Ee accident) ~ , ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (PeraccidenQ PROPERTY DAMAGE $ (Per acadent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN ~ ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY 01 SU38587140 08/25109 08/25/10 EACH OCCURRENCE $1 OOO OOO X OCCUR ~ CLAIMS MADE AGGREGATE $1 OOO OOO DEDUCTIBLE $ X RETENTION $ 10000 $ WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIE:XECUTIVE OFFICER/MEMBER EXCLUDED9 E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMB $ OTHER r. R{.,~ DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Limits shown are those available at policy inception. NOV 3 ~ 209 r `~-=~ ~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Wappinger DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~Q_ DAYS WRITTEN Middle BUSK Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Wappingers Falis , NY 12590 IMPOSE NO OBLIGATION OR LIABILnY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _ _ -.- __ __ _ -_ ---___ -_ - -- --___-- ~=,r.____-_,- _=s,-._.. - ©-ACORD CORPORATION 1988 1 of 2 #S8394b/M83944 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. fl ,t~~3oF/bFG ACORD~~5S (2001108) ~ of 2 - - #S839457M839A4 New York State Insurance Fund Workers' Compensation & Disability Benefits Specialists Since 1914 1 WATERVLIET AVENUE ALBANY, NEW YORK 12206-1649 Phone: (518)437-8979 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~~~~~~ 3R ELECTRIC INC 43 OVERLOOK RD POUGHKEEPSIE NY 12603 POLICYHOLDER CERTIFICATE HOLDER 3R ELECTRIC INC TOWN OF WAPPINGER 43 OVERLOOK RD MIDDLE BUSH ROAD POUGHKEEPSIE NY 12603 WAPPINGERS FALLS NY 12590 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE A 1233 949-5 880584 06/13/2009 TO 06/13/2010 11/24/2009 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1233 949-5 UNTIL 06/13/2010, 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 06/13/2010 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 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. ~~~.I' ~~~~~ ~N~~ 3 0~0 ~~, ©g ~~ ~~~ NEW YORK STATE INSURANCE FUND ~~ ~~ 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: 858335213 U-26.3 ^~ °° CERTIFICATE OF LIABILITY INSURANCE UATE(MM/°D/YYYY) 11 /10/2009 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SUITE 400 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1255 23RD STREET, N.W. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WASHINGTON DC 20037 Attn: DC.CertRequestSiebel@marsh.com fax: 212-948-0503 986010-GAWX-09-10 INSURED Williams Scotsman, Inc. & Williams Scotsman International, Inc. 8211 Town Center Drive Baltimore, MD 21236 INSURERS AFFORDING COVERAGE NAIC # wsuRER A: Zurich American Insurance Co 16535 INSURER B: American Zurich Insurance Company 40142 INSURER c: National Union Fire Insurance Co. 19445 INSURER D: 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 D OCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE D HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEE N REDUCED BY PAID CLAIMS. NS ADD' LTR INSR TYPEOFINSURANCE POLICYNUMBER PoucvEFFECTNE POLJCYE%PIRATION A GENERAL LIABILITY DATE (MMIDD/YYYY) DATE IMMIDD/YYYY) LIM ITS X COMMERCIAL GLO 2983562-09 11!01/2009 11/O1/201 O EACH OCCURRENCE 1 OOO OOO GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATP LI M IT APPLIES PER GENERAL AGGREGATE $ 2,000,000 R O - POLICY JECT LOC PRODUCTS -COMP/OP AG 2 OOO OOO A AU TOMOBILE LIABILITY BAP 2983563-09 11/01/2009 11/01/2010 X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ S,000,OOO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS X NON OWN BODILY INJURY $ - ED AUTOS (Peraccldent) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ AUTO ONLY: AGG $ C EXCESS/UMBRELLA LIABILITY 27471545 11/01/2009 11/01/2010 EACH OCCURRENCE $ S 000 OOO X , , OCCUR ~ CLAIMS MADE AGGREGATE $ 5,000,000 DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILIT WC2983560-09 11/01/2009 11!01/2010 X WCSTATU- OTH- A Y WC2983561-09 11101/2009 11/O1/201 RY I IM ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 0 L EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED? . . , , (Mandatory in NH) H es d ib d .L. DISEASE - EA EMPLOYE $ 1,000,000 y , escr e un er SPECIAL PROVISIONS below .L DISEASE -POLICY LIMIT $ 1,000,000 OTHER R CEIVEC DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPE PROVISIONS J RE: ALL OPERATIONS OF THE NAMED INSURED >v t. . . T®~N CLER-~ VGRI~f I~.XIC nIJLIJ!'K /~I C /1/~n A-i~nnn n SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Wappingger 20 EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Middle Bush Road Wappingers Falls, NY 12950-4004 3~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BU7 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND U PO N THE INSURER, ITS AGENTS OR REPRESENTATIVES. 7 M p QgE AOf Ma ShEUSAPIREBENTATNE 7'~ ~ - _ ®~~~ '~'~"Y Timothy M Kelly ACORN 25 f9Ang/n~1 v laaa-cuua ac:c>'KU coFtPORATION. All Rights Reserved " IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the cert~cate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. RECEIVEC~ N0~` ~ 6 ~~~g TOWN CLERK Acord 25 (2009/01) 1 I ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) PRODUCER 11/13/2009 Luce, Smith & Scott, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6860 W. Snowville Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 110 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Brecksville, OH 44141 INSURED Clinton C. Kershaw, Mr. Rooter of Dutchess County, Inc. P.O. Box 1740 Pleasant Valley, NY 12569 INSURERS AFFORDING COVERAGE NAIC # INSURER A: 01110 CaSUalty INSURER 8: INSURER C: INSURER D: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION A GENERAL LIABILITY Y LIMITS 145050 11/13/09 11/13/10 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEb CLAIMS MADE ~ OCCUR $1 OO OOO MED EXP (Any one person) $1 O OOO X PD Ded:500 PERSONAL & ADV INJURY $1 OOO OOC GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2 OOO OOO : POLICY PE O LOC PRODUCTS -COMP/OP AGG $2 OOO OOO A AUTOMOBILE LIABILITY 145047 X ANY AUTO ALL OWNED AUTOS 11/13/09 11/13/10 COMBINED SINGLE LIMIT (Ee accident) $1,000,000 SCHEDULED AUTOS X HIRED AUTOS ~1 v ~~ BODILY INJURY (Per person) $ a ~~ X NON-OWNED AUTOSQ\ 200 BODILY INJURY (Per accident) $ ~~~ ~ ~ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY T `~ { O" ANY A AUTO ONLY - EA ACCIDENT $ UTO OTHER THAN EA ACC $ AUTO ONLY: EXC ESS/UMBR AGG $ ELLA LIABILITY ~ RRENCE $ OCCUR CLAIMSMADE ~ '~' ~ ,1~ AGGREGATE D EDUCTIBLE RETENTION $ WORKERS COM PENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACtI ACCIDENT $ If yes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below OTHER E.L. DISEASE -POLICY LIMIT $ ESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Town of Wappinger 20 Middlebush Road Wappingers Falls, NY 12590 :L7RD 25 (2001/08) 1 of 2 #S276869/M276790 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL „_jQ_ 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 ?,~-d-r~'( wit • i~-~L.+r..`...- MOR ©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 ehdorsement. 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. ~~~,~~~ N~V 16 2409 ~QWN CLERK -CORD 25-S (2001/08) 2 of 2 #S276869/M276790 ~~O ~l ~R°® CERTIFICATE OF LIABILITY INSURANCE OP ID LD DATE (MM/DD/YYYY ~~~III SOLTI-1 11/06/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Main Street America Group - Sy ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Syracuse Region HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 2027 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Keene NH 03431 INSURERS AFFORDING COVERAGE NAIC # INSURER A: NGM Insurance Company 14788 David Soltish DBA INSURER B: Soltish Electric INSURER c: Po Box 764 Wappingers Falls NY 12590 INSURER D: ~ _ INSURER E: COVERAGES - --~-•-- -• °~~~•~•^~~~ ~~~. ~~ . nnvc o^~rv laautu I u i ht w5URED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC T 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 DATE MM/ODD DATE MM/DDS LIMITS GENERAL LIABILITY A X EACH OCCURRENCE $ 2 ~ OOO ~ 000 COMMERCIAL GENERAL LIABILITY MPV47706 02/28/09 02/28/10 PREM S 500 0 I ES (Eaoccurence) ~ $ 00 CLAIMS MADE ®OCCUR MED EXP (Any one person) $ 10 , 000 PERSO NAL&ADV INJURY $ 2 ~ 000 ~ OOO GENE ' RAL AGGREGATE $ 4 ~ O00 ~ OOO GEN L AGGREGATE LIMIT APPLIES PER: PRO- ~ ~ _ ` ~ -' PRODUCTS -COMP/OP AGG $ 4 , O O O , O O O POLICY ]~ JECT LOC { , , AUTOMOBILE LIABILITY _ ANY AUTO -; - _ •' E. COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ ~ / ~°' HIRED AUTOS ~~ ~~ ~C Mme' NON-OWNED AUTOS Y {•• BODILY INJURY (Per accidenl) $ O oo NQ t ` " PROPERTY DAMAGE (Per accid t $ en ) GARAGE LIABILITY ' T~ 1 y CLEI'~ ~ AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS !UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITY Y / N ANY P TORY LIMITS ER ROPRIETOR/PARTNER/EXECUTIV~ OFFICER/MEMBER EXCLUDED? M d t E.L. EACH ACCIDENT $ ( an a ory in NH) tf yes, describe under E.L. DISEASE - EA EMPLOYEE - $ SPECIAL PROVISIONS below OTHER E.L. DISEASE -POLICY LIMIT $ DESCR IPTION AF CIPFR AT1f1uS i i nreTlnoc i veu~n, ~~ . ....... ............ ____ _-. ___ _ _ _ __ _.. _ "--~•_•-~ -•~~~~- ~+, "....+.wcmcn, i JrGVIML rRVVWIVrvs CERTIFICATE HOLDER Town of Wappinger 20 Middlebush Rd PO Box 324 Wappingers Falls NY 12590 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL l 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 REPRESENTATIVES. ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD '- A~ D• CERTIFICATE OF LIABILITY IN S URANCE DATE(MM/DDIYYYY) ----_ 11 /06/2009 PRODUCER _ _ THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION Marsh USA Inc. (Philadelphia) Two Logan Square ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Philadelphia, PA 19103 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 215.246.1000 fax215 246 1399 . . . Attn: Redcross.certrequest@marsh.com 849428-SIR-CAS-09-10 NY NY CLIE MOI MAIL INSURERS AFFORDING COVERAGE NAIC # INSURED ----__ NY PENN REGION INSURER A: Old Republic Insurance Co 24147 AMERICAN NATIONAL RED CROSS INSURER B: -- 825 JOHN STREET WEST HENRIETTA, NY 14586 INSURER c: 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 INS ADD' . LT R INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMI DATE (MM~oomrr) DATE (MMIDD/YYYY) TS A GENERAL LIABILITY MWZZ 50533 07/01/2009 07/01/201 O EACH OCCURRENCE 5.000 OOO X COMMERCIAL GENER L L IABILITY DAMAGE To RENTED 5 000 000 A j PREMISES Ea occurrence , , $ X CLAIMS MADE ~ X OCCUR MED EXP (Any one person) $ 10,000 SIR 100 000 PER - SONAL & ADV INJURY $ S,000,OOO GENERAL AGGREGATE $ S,000,OOO GENERAL AGGREGATE LIMIT APPLIES PER X POLICY ~ PE ~ LOC PRODUCTS -COMP/OP AG _ INCLUDED A AU TOMOBILE LIABILITY MWT620665 07/01/2009 07/01/201 O X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 5,000,000 ALL OWNED AUT OS P BODILY INJURY $ SCHEDULED AUTOS ECE~V { (Per person) HIRED AUTOS _ V ~ _ BODILY INJURY $ NON-OWNED AUTOS ~ '~'- 1` ~ i ~ (Per accident) X Auto Physical Damage - _ ~ Wv PROPERTY DAMAGE X Deductible Com /Coil 1 000 T (Per accident) $ GAR AGE LIABILITY LE ~ AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ AUTO ONLY: $ AGG EXCESS !UMBRELLA LIABILITY ~~ EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE ~~~ AGGREGATE $ DEDUCTIBLE $ RETENT $ ION $ /.~ WORKERS COMPENSATION AND ' MWC11602800(INSURED) 07/01/2009 07/01/2010 X wcsrnru- orH- A EMPLOYERS LIABILITY MWFEX138 (FL)' 07/01/2009 7 A ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED? MWXS867(AL CA GA MA MI 07!01/2009 0 /01/2010 07/01/2010 .L. EACH ACCIDENT $ 1,000,000 , , , , , M d MO,OH,PA,TN,VA)** L. DISEASE - EA EMPLOYE $ 1,000,000 ( an atory in NH) If yes, describe under SPECIAL PROVISIONS below .L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: BLOOD DRIVES TO BE HELD THROUGHOUT THE POLICY PERIOD. 07/01/09 TO 07/01/10. CERTIFICATE HOLDER CLE-002473627-02 ~_._ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF WAPPINGER EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ATTN: SUE ROSE 20 MIDDLEBUSH ROAD $O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WAPPINGER, NY 12590 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND U P O N THE INSURER, ITS AGENTS OR REPRESENTATIVES. ~ NN RR II~~ ppggEE Of MerShEUSAPIr1CSENTATIVE ~ ~' ~~ ACORD 25 (2009101) n~yci v ren _ _. __-..- _---___~ © 1998-2009 ACORD CORPORATION. All Rights Reserved