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2009 (6)A~DI-i ZONAL INFORMATION PRODUCER Marsh USA, Inc. homedepot.certrequest~~narsh.com 3475 Piedmont Rd NE, Suite 1200 Atlanta, GA 30305 INSURED Home Depot U.S.A., Inc. d/b/a The Home Depot 2455 Paces Ferry Road Building C-8 Atlanta, GA 30339 DATE (MM/DD/Y Y) 02/20/09 COMPANIES AFFORDING COVERAGE COMPANY F Illinois Union Ins Co COMPANY v COMPANYH ***HOME DEPOT INSUREDS*** Home Depot U.S.A., The Home Depot, Inc. Entity List Chem-Dry Limited Harris Research, Inc. HD Direct LLC Home Depot Installation Services, Inc. Home Depot USA, Inc. DBA The Home Depot THD At Home Services, Inc. DBA The Home Depot At-Home Services THD At-Home Services, Inc. The Home Depot, Inc. The Home Depot, Inc. Home Depot USA, Inc. Your Other Warehouse, LLC The Home Depot Bath Remodeling, Inc. ti~~~F; ~r~ .. .,.,.,syri F,~ AF;. 4 /^! P. ti, ~~tr TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD WAPPINGER FALLS, NY 12590 USA MARSH USA INC.BY ~4~ Page ~2 ,~~oRV CERTIFICATE OF LIABILITY INSURANCE OP ID SP DATE (MM/DD/YYYY) SOLTI-1 02/18 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 # INSURED INSURER A: NGM Insurance Company 14788 INSURER B: David Soltish DBA Soltish Electric INSURER C: PO BOX 764 W i F ll NY 12590 INSURER D: app ngers a s 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 W ITH RESPECT TO W HICH 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. P LI Y EFFECTIVE POLI Y E PIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2 ~ OOO , OOO A R COMMERCIAL GENERAL LIABILITY MPV47706 02/28/09 0228/10 PREMISES (Ea occurence) $ 500 ~ 000 CLAIMS MADE ®OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $ 2 , OOO , OOO GENERAL AGGREGATE $ 4 , OOO ~ OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 4 ~ OOO ~ OOO POLICY X PRO LOC JECT AU TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY 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 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 6 "9 ..~. ~..: DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ~ ~ ~~ i' Y~A~~~( 7~e [~ 1 ._ +. ~ F._I°~r~e~ CERTIFICATE HOLDER CANCELLATION 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 TOWZi of Wappinger IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Middlebush Rd PO Box 324 Wappingers Falls NY 12590 REPRESENTATIVES. AUTHOR D REPRESENTATIV~rJ C.C.fij~~ //L~SJCA ACORD 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. ~- f_ ,: ~, --~an~~ e ~a ~~ir ACORD 25 (2001/08) A~ORD CERTIFICATE OF LIABILITY INSURANCE OP ID AS DATE(MM/DD/vYYY) NEWYO-9 02/19/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D, R, S, & W, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 47 Halstead Ave. Suite 208 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Harrison NY 10528 Phone: 914-381-0900 Fax:914-381-1038 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Hartford In8 . CO. INSURER B: The Firat nehnbilitatioa 2na New York Electrical Inspection u'er41Ce8 Ina . INSURER C: 150 i~lhite Plains Road, Ste 104 INSURER D: Tarrytown NY 10591 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 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 DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY 16SBAVS5011 03/29/09 03/29/10 PREMISES (Eaoccurence) $ 300000 CLAIMS MADE ~ OCCUR MED EXP {Any one person) 5 10 0 0 0 PERSONAL&ADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2000000 POLICY PRO- JECT LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANY AUTO 16UEGViJ3549 03/29/09 03/29/10 (Ea accident) $ 1000000 ALL OW NED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accdent) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLALIABILITY EACH OCCURRENCE $ 3000000 A )( OCCUR ~ CLAIMSMADE 16SBAVS5011 03/29/09 03/29/10 AGGREGATE $ 3000000 DEDUCTIBLE $ X RETENTION $ 10000 $ WORKERS COMPENSATION AND X TORY LIMITS ER A EMPLOYERS'LIABILITY EXECUI7VE E OR/ RTNER 16WECTR.3368 03/29/09 03129; 14 E. L.EP.CH.ACCIDFNT 3100000 ANY PROPRI T PA / OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1 O O O O O If yes, describe under SPECIAL PROVISIONS below E. L. DISEASE-POLICY LIMIT $ 500000 OTHER B DISABILITY SENEFTS DBL212753 03/30/09 03/30/10 NYS STATUTORY LIMITS DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ~ E ~ E E ~' E ~j [ f .._.. f ? ~ . i0'S~'Y _ L ~711i1/~I hLE~R~ 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 1 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Town of Wappingers 20 Middlebush Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Wappingers Falls NY 12590 REPRESENTATIVES. AU OR D REPEP SEC` ACORD 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. ~4'°` ~~° ~~ ~' ' ~ ~t7~J~` ACORD 25 (2001/08) ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID LN DATE (MM/DD/YYYY) .~ APPOL-1 02 12 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Capital Bauer Ins Agency, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . O. Box 15094 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Albany NY 1,2212-5094 Phone: 518-869-3535 Fax: 518-869-3580 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Selective Ins Co of America 12572 INSURER B: National Benefit Life Ins. Co. A ppO10 Heating Inc INSURER C: 8~8 Burdeck SL . Sch t d NY 12306 INSURER D enec a y INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN'f 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 DATEYMMlDD/YY E PDATEY MMPDD/YY N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X X COMMERCIAL GENERAL LIABILITY 51880327 01/01/09 O1/O1/10 PREMISES (Eaoccurence) $ SOOOOO CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 15000 PERSONAL&ADVINJURY $ 1000000 GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 3OO OO OO POLICY jE~ }{ LOC Em Ben. 1000000 AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 A }{ ANY AUTO 51880327 01/01/09. O1/O1/10 (Ea accident) }{ ALL OWNED AUTOS BODILY INJURY $ }~ SCHEDULED AUTOS (Per person) }{ 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 $ 10000000 A X OCCUR ~ CLAIMSMADE 51680327 01/01/09 O1/O1/10 AGGREGATE $ 10000000 DEDUCTIBLE $ X RETENTION $ 10000 $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. SE -POLICY LIMIT $ OTHER `, ~.. _.. ,,, B Disability 89100210341 03/01/06 03/01/09 ~ ~ `""-~ ` ~._,:~` ~+ statutory X A Rent E t/Inst F1 51880327 01/01/09 O1/O1/10 25000/50000 ~ DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ~~ CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED. cGanGlceTG unl nr=a CANCELLATION 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 FALLS IMPOSE NO OBLIGATION OR LIABII~YI' OF ANY KIND~ON THE INSURER, ITS AGENTS OR 20 MIDDLEBUSH RD. '~ b WAPPINGERS FALLS NY 12590 REPRESENTATIVES. AUTHORIZED REPRESENTATI f ~ ' ~F' ! ~ ~ ACORD 25 (2001/08) UAGORD CURPURATIUN 198tl ACORQM CERTIFICATE OF LIABILITY INSURANCE 02/13/2009) PRODU6~R ($45)647-9100 FAX (845)647-8660 Sprague & Ki 11 een , Inc . 116 Canal 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. P. 0. Box 506 El l envi 11 e , NY 12428 INSURERS AFFORDING COVERAGE NAIC # INSURED Airflow Air Conditioning Refrigeration & Heati INSURER A: SelectlVe Insurance 13730 PO Box 941 INSURER B Highland , NY 12528 INSURER C: INSURER D: INSURER E: C(~VFRGC;FS 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 51777403 04/01/2008 04/01/2009 EACH OCCURRENCE $ 1 ~ 000 ~ op X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ loo ~ 00 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10 , 000 A PERSONAL 8 ADV INJURY $ 1 , OOO , OO GENERAL AGGREGATE $ 3 , OOO , OO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 3 , OOO , OO POLICY PRO LOC JECT AUT OMOBILE LIABILITY 51777403 04/01/2008 04/01/2009 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,00 ALL OWNED AUTOS BODILY INJURY A 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 EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY 51777403 04/01/2008 04/01/2009 EACH OCCURRENCE $ 3 , 000 , 00 OCCUR ~ CLAIMS MADE AGGREGATE $ 3 ~ 000 ~ 00 A $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERlEXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLIJDED? E.L. DISEASE - EA EMPLOYE $ ((yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER ~. ~~~ ~ p*', ei..,E} DESCRIPTION OF OPERATIONS (LOCATIONS (VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS `' 6 ~V 008 - 2009 Proof of Insurance a7 ertificate Holder is listed as additional named insured on the above policies. ~~~~./~jg ~~~.~ ' ~:, r ~ .. roject: Town of Wappinger Counthouse HVAC Upgrade , CERTIFICATE HOLDER CANCELLATION 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, TOWN OF WAPPINGER BUILDING DEPT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 MIDDLE BUSH RD OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. WAPPINGER FALLS , NY 1Z 59O AUTHORIZED REPRESENTATIVE ^ / J ~ Dwi ht Coombe, CIC/ALSJ( / ACORD 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. ,~~ ,~ ~i~~~ ~~ --;man"~s r~_`~~' fi, -.. ~I ACORD 25 (2001/08) ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIUD/YYYY) ,M 2 12 2009 PRODUCER phone: 315-E7"s-2U99 Fax: 315-673-1121 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Reagan Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 8 E Main Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 191 Marcellus NY 13108 AIC # INSURERS AFFORDING COVERAGE N _ INSURED INSURER A: ROChdale Ins__Co ,.__~Or X ___ 124.91_______ ___ Appolo Heating Inc . * INSURERe: Technology Ins . Co . (Or x y ~__ 2376____.____ 868 Burdeck Street NY 12306 h d INSURERC Sc enecta y _ T INSURER D: i INSURER E: /` /l\/G R D f_C C 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 Ok 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 BS LTR NSRD POLICY NUMBER DATE MM/ I Y DATE M IDDIYY LIM j GENERAL LIABILITY EACH OCCURRENCE $ _ _ -- ----- ~ _ - COMMERCIAL GENERAL LIABILITY ~ PREMISES(Eaoccurence) $ __.,-,__________ ~ CLAIMS MADE ~ OCCUR ~ ~ ~ MED EXP (Any ono person) $ _ ____ - PERSONAL 8 ADV INJURY ! _ _ $ I ! GENERAL AGGREGATE $ __ _ ___ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG i $ -----~_ ---; POLICY PRO- LOC JECT -~ AUTOMOBILE LIABILRY - ~ ~ COMBINED SINGLE LIMIT $ ~I ANY AUTO (Ea accldenQ _ -1 ALL OWNED AUTOS { BODILY INJURY $ ' SCHEDULED AUTOS Per erson) ( P HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) -- - PROPERTY DAMAGE $ --- ----- I I (Per accidenl) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ___ ___ ANYAUTO OTHER THAN EA ACC $ __ AUTO ONLY: AGO I $ EXCESSIUMBRELLA LIABILITY ~ EACH OCCURRENCE _ ' $ _ _ __. __ OCCUR ~ CLAIMS MADE AGGREGATE _ $ __ __ $ I I DEDUCTIBLE $ RETENTION $ $ j~ WORKERS COMPENSATION AND RWC3166053 12/31/2008 12/31/2009 X ORY IMITS OER ____ B EMPLOYERS'LIABILITY TWC3190252 12/31/2008 12/31/2009 E.L. EACH ACCIDENT $100 ._000__ ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE ! $ 1 Q Q , Q 0 0 ___ _ i If yes, describe under DISEASE -POLICY LIMIT L I E ~$ 5 0 0 Q Q 0 SPECIAL PROVISIONS below . . I OTHER ~'~ DESCRIPTION OFOPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS *Named insured includes: DBA J&J Heating & Cooling & DBA J&J Sheet Metal Works ,., ;, ~~~~rhy~ ~6 K'"~a ~~ !'AAIf FI 1 ATI(lIJ ls.J 'l.. ~J W vu~ ~ n w SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER Town of Wappingers Fa11s WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE 20 Middlebush Road CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO Wappingers Falls NY 12590 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINC UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORRED REPRESENTATIVE ACORD 25 (2001/08) V r\\,vrcv ~.vr~rvr~n r tutu r auu 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. ~~ ~~~` i~~ ACORD 25 (2001/08) OP ID EMEN ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) vEITH-1 04 03 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 110 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Poughkeepsie NY 12601 Phone: 845-454-0800 Fax: 845-485-7804 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: P@erlesS Insurance 273 Veith Elect i INSURER B: r c Veith Ente~Prises Inc INSURER C: 100 Parker AVe Poughkeepsie NY 12601 INSURER D: INSURER E: I.VV 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 BV 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/YY POLICY EXPIRATION DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ZOOOOOO A X COMMERCIAL GENERAL LIABILITY C$P8410925 04/08/09 04/08/10 PREMISES(Eaaccurence $ 100000 CLAIMS MADE a OCCUR MED EXP (Any one person) _ $ 15000 PERSONAL&ADVINJURY $ lOOOOOO GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 OOOOOO POLICY X JE ~ LOC AU TOMOBILE LIABILITY A X ANY AUTO BA8411624 04/08/09 04/08/10 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 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 $ EXCESSNMBRELLALIABILITY EACH OCCURRENCE $ lOOOOOOO A X OCCUR ~ CLAIMSMADE CU8411924 04/08/09 O4/O8/lO AGGREGATE $ lOOOOOOO DEDUCTIBLE $ X RETENTION $ lOOOO $ WORKERS COMPENSATION AND A - EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? If yes describe under E.L. DISEASE - EA EMPLOYEE $ , SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER ~~ ~\(~~ YYY DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS APR 0 6 200 .._ Y ~~,~~l~a ~~ ~~ ~,~rc i irn.ai ~ nul_uCrc_ CANCELLATION TOWNO24 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 TOWIl Of Wappingers IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Middlebush Road Wappingers Falls NY 12590 REPRESE TATIVES. ACORD 25 (2001108) ©ACORD CORPORATION 1988 a 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)