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2009 (4)
DATE (MMlDDlYYYY ~R CERTIFICATE OF LIABILITY INSURANCE FERRAEl 12 24 09 PRODUCER 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 113 Saratoga Road Glenville NY 12302 Phone: 518-384-1100 Fax:518-384-0193 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: ROChdale Insurance Com an INSURER B: Selective Ins. Co of America 315___ Ferrari & Sons IriC . INSURER C: RLI Insurance Com an _ 220 Overocker road INSURER D: Hartford Fire Insurance Co. 162 Poughkeepsie NY 12603 INSURER E: VVYGR/1V 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 8Y 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 MMIDD~ DATE MM/DDS LIMITS GENERAL LIABILITY EACH OCCURRENCE $ lOOOOOO $ X COMMERCIAL GENERAL LIABILITY 51680584 01/01/10 O1/O1/11 PREMISES (Eaoccurence> $ 100000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ SOOO PERSONALBADVINJURY $ 1000000 X Per Proj/Loc Aggr GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2000000 POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 B X ANY AUTO S1680584 O1/O1/10 O1/O1/11 (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 ~ EA ACC $ ,-~~nf\( P^!, AUTOONLYN AGG $ EXCESSIUMBRELLALIABILITY EACH OCCURRENCE $ 10000000 C X OCCUR ~ CLAIMSMADE RXL0261073 O1/O1/10 O1/O1/11 AGGREGATE $ 10000000 DEDUCTIBLE $ ]( RETENTION $ 10000 $ WORKERS COMPENSATION _ X TORY LIMITS ER A AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECi1TIV~ RWC3159921 11/O1/O9 11/O1/lO E.L. EACH ACCIDENT $ 500000 OFFICER/MEMBER EXCLUDED? in NH) (Mandato L-1 E.L. DISEASE - EA EMPLOYEE $ 500000 ry If yes, describe under E.L. DISEASE-POLICY LIMIT $ 500000 SPECIAL PROVISIONS below OTHER B Leased Equipment 51680584 Ol/O1/10 O1/O1/11 Limit 50000 D NYS Disabilit DB082283 04/01/10 04/01/11 Statutor DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Installation of floor the and recurring T&M 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. NGR1Ir IVf11 G nVGVa... ---' -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO WAPPIN2 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. TOwn of Wappingers AUT RIZED REPRESENTATIVE 20 Middlebush Rd Wa in ers Falls NY 12590 i.~nn nfl~enoAT1A~1 All ...hM ~ucnnicrl ACORD 25 (2009101] `'' •~ ...................•-_ __... _._..._._. _ ___ _„--__ - The ACORD name and logo are registered marks of ACORD 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. ~~CC~~~- L..., , Ivf ~:..,~i ~In/~I (`I Fp° ACORD 25 (2009/01) DATE (MM/DD/YYYY ~RO® CERTIFICATE OF LIABILITY INSURANCE APPOLBl 12/29/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A :MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Cavita'~ Bauer Ins Agency, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 15094 Albany NY 12212-5094 Phone:518-869-3535 Fax:518-869-3580 INSURED Appolo Heatin Inc 8-68 Burdeck S~ . Schenectady NY 12306 INSURERS AFFORDING COVERAGE I NAIC # INSURERA Selective Ins Co of America I 12572 INSURER B: National Benefit Life Ins. Co. INSURER C. SURER D' R E. COV ERA GES THE POLI CY PERIOD INDICATED . NOTWITHSTANDING THE ANY MA POL POLI REQ Y PER ICIES CIES OF INSURANCE LISTED BELOW HAVE UIREMENT, TERM OR CONDITION OF ANY TAIN, THE INSURANCE AFFORDED BY THE . AGGREGATE LIMITS SHOWN MAY HAVE B BEEN ISSUED TO THE IN D NAME CONTRACT OR OTHER DOC WITH POLICIES DESCRIBED HEREIN I~p~JE EEN REDUCED BY PAID CLAIMS. POLICY NUMBER E FOR ECT TO WHICH CT TO ALL THE TERMS OLICY EFFECTIVE DATE MM/DD/YYYY THIS CERTIFICATE MA , EXCLUSIONS AND C POLICY EXPIRATION DATE MM/DD/YYYY Y BE ISSUED OR ONDITIONS OF SUCH LIMITS LTR NSR TYPE OF INSURANCE EACH OCCURRENCE $ lOOOOOO GENERAL LIABILITY O1/O1/10 O1/O1/11 - PREMISES (Eaoccorence) $ SOOOOO A X X COMMERCIAL GENERAL LIABILITY 51680327 MED EXP (Any one person) $ 15000 CLAIMS MADE ~ OCCUR PERSONAL&ADVINJURY $ lOOOOOO p, X CONTRACTURAI~ AL AGGREGATE $ 3000000 GENER COMP/OPAGG UCTS $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC - PROD Em Ben. 1000000 POLICY X JECT AUTOMOBILE LIABILITY O 1/ O 1/ 10 O 1/ O 1/ 11 COMBINED SINGLE LIMIT (Ea accident) $ lOOOOOO A X ANY AUTO 51880327 X ALL OWNED AUTOS BODILY INJURY (Per person) $ X SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per accident) $ }{ NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) $ EA ACCIDENT LY $ - AUTO ON GARAGE LIABILITY OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ RRENCE $ lOOOOOOO EACH OCCU EXCESS /UMBRELLA LIABILITY 1880327 O1/O1/10 O1/O1/11 AGGREGATE $ 10000000 A X OCCUR ~ CLAIMSMADE S DEDUCTIBLE }{ RETENTION $ /DODO WO RKER S COMPENSATION TORY LIMITS ER AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNERlEXECUTIV~ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE E $ (Mandatory .n NH) If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ B Disability 189100210341 O1/O1/10 O1/O1/11 Statutory A Rent E t/Inst F1 S1880327 O1/O1/10 O1/O1/11 25000/50000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED. CERTIFICATE HOLDER TOWN OF WAPPINGERS FALLS 20 MIDDLEBUSH RD. 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 3O 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 25 (2009/01) CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACO R ® CERTIFICATE OF LIABILITY INSURANCE OP ID AM DATE (MM/DDIYYYY) 22 09 ANTHO-4 ~ 12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER Fairfield Cty. Bank Ins . Svcs . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HOLDER 401 Main Street 9 69 . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P . O . Box Ridgefield CT 06877 Phone: 203-438-0404 Fax:203-431-8789 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Selective Insurance Company 12572 INSURER B: ROChdale In8 CO. INSURER C: Anthony L Fl.OrltO Inc, 100 Croton River Road INSURER D: Ossining NY 10562 i INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NU 1 wl i ns Inrvulrv~ 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 DATE MMIDD/YYYY DATE MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ l O O O O O O X MMERCIAL GENERAL LIABILITY 5175387704 12/31/09 12/31/10 PREMISES Eaoccurence) $ 100000 A CO CLAIMS MADE X^ OCCUR MED EXP (Any one person) $ 10 0 0 0 PERSONALBADVINJURY $ 1000000 GENERAL AGGREGATE $ 3 0 0 0 0 0 0 GREGATE LIMIT APPLIES PER: ' PRODUCTS - COMPIOP AGG $ 3 O O O O O O GEN L AG POLICY X PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ l O O O O O O X AUTO S 1753877 12/31/09 12/31/10 A ANY ALL OWNED AUTOS BODILY INJURY erson) (Per $ CHEDULED AUTOS ~~~ ~~ p X S HIRED AUTOS ~ /~~ ~`~~ BODILY INJURY ccident) P $ X NON-0WNED AUTOS j ' P• yy'1 er a ( --__-~ ~ ~E ~ ~ - J PROPERTY DAMAGE id t $ - T (Per acc en ) GARAGE LIABILITY ~ - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: qGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ 2~ 0 0 0~ O O O X OCCUR ~ CLAIMSMADE S1753877 12/31/09 12/31/10 AGGREGATE $ 2 ~ 000 ~ 000 A DEDUCTIBLE $ X RETENTION $ l O~ O O O _ $ WORKER S COMPENSATION X TORY LIMITS ER _ AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVf~-Nj RWC 319 7 5 4 4 01 / 01 / 10 01 / O 1 / 11 E.L. EACH ACCIDENT $ 10 0 0 0 0 $ OFFICER/MEMBER EXCLUDED? L~J i NH) d t M E.L. DISEASE - EA EMPLOYE $ 10 0 0 0 0 n an a ory ( If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 5 0 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMEN71 SPECIAL PROVISIONS r_eAlcFl 1 eTInN t,~tcllrwr-IC nvwcrc - - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O DAYS WRITTEN DATE THEREOF TOWNOFW , 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 Wappinger REPRESENTATIVES. 20 Middlebush Road AUTHORIZED REPRESENTATIVE Wappingers Falls NY 12590 ~ ATI/1w1 A 11 " ..I.Lc r .nrt ACORD 25 (2009/01) -eyv~°°"z°"~r^°°"° °""'-""" """' ""' "~"'.. ' """. ""' The ACORD name and logo are registered marks of ACORD OP ID DATE (MMIDD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE UNlorr-3 l0 26 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DeForest Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 120 Wood Road P.O. Box 3270 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kingston NY 12402 Phone:845-339-2114 Fax:845-340-1406 INSURED Town of Unionvale Lisette Hitsman 249 Duncan Road LaGrangeville NY 12540 Rf1VFRAGF_S INSURERS AFFORDING COVERAGE NAIC # INSURER A: Argonaut Insurance Com an INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOl W i I tt~ i nrvuirv~ TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH ANY REQUIREMENT 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 L Y E I E DATE MMlDDIYY P E IRA I N DATE MMIDDIYY LIMITS 0000 EACH OCCURRENCE $ 100 GENERAL LIABILITY LIABILITY A PE461900300 10/25/09 10/25/10 PREMISES (Eaoccurence) $ 100000 A X L COMMERCIAL GENER MED EXP (Any one person) $ 5000 CLAIMS MADE ~ OCCUR PERSONAL&ADVINJURY $ 1000000 GENERAL AGGREGATE $ 3000000 PRODUCTS-COMP/OPAGG $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 r OOO ~ OOO $A461900300 10/25/09 10/25/10 (Ea accident) A X ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON-0W NED AUTOS PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY ANY AUTO OTHER THAN ~ ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ lO r OOO r OOO EXCESS/UMBRELLA LIABILITY ~ CLAIMSMADE UI~461900300 10/25/09 10/25/10 AGGREGATE $ 20 r OOO r OOO A OCCUR DEDUCTIBLE $ }[ RETENTION $ l O r O O O _~ t_ _ TORY LIMITS ER __ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE DISEASE - EA EMPLOYEE E L $ OFFICER/MEMBER EXCLUDED? . . If yes, describe under :~ E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER ` ~`y~ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is Additional Insured. Zt7ug 2 7 t7u OCT T~~'`~I~ CL~1'i~ CERTIFICATE HOLDER CANCELLATION TOWNWAP 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 DO SO SHALL Town of Wappingers IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Middlebush Road REPRESENTATIVES. Wappinger Falls NY 12590 AUTH REPRESjNTAT~VE ~-- r ©ACORD CORPORATION 1988 ACORD 25 (2001/08)