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2010 (2)CERTIFICATE OF LIABILITY INSURANCE ~ _ _DATE , ::, ; ~;_~. ;,;;;, Keystone Risk Managers, LLC 1995 Point Township Drive Northumberland, PA 17867 ADGITIONAL NAMED INSURED. T'Cl!;Ji'•! I"?I::• L.t;:>;I:%I:?;j"nii}il:i:Cs I~. is iii !,J J: L.. tci t.l ?'! :f. ;`:i I`1 :I: I:? Cl !... fi~: l~i' f t~i I°l w: is IAN 1 ~ 201 "~~^~~! rl FPS COVERAGES CERTIFICATE # .,.,;::.~, .t ~;, :I ,A...., :I INSURERS AFFORDING COVERAGE: INSURER A: LEXINGTON INSURANCE COMPAN INSURER B: NATIONAL UNION FIRE INSURANC (Non-Liability) COMPANY OF PITTSBURGH, PA INSURER C: LANDMARK INSURANCE COMPAN 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 and IcIFG Ar;C,RFC~ATF I IMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. JSR _TR ADO'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EffECTIVE DATE MM/DDMlVY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE f~~~,'7 i;,•~i7 r'`, X OCCURRENCE ~•i+->r!:I,^a"''~ :I.;`t~;l.J'~~('~;L;i ;(,!j}:(.!~')~)1.:I. GENERAL AGGREGATE ~•,'y ~jr)(j r)r}rl • X INCL. PARTICIPANTS Property Damage Deductible: $250 PRODUCTS/COMP OPS AGGREGATE t.~ ..) i ~ i ~ ~ i ~i> :( SEXUAL ABUSE OCCURRENCE ; i , t; t'~ Q ti t; ~ t') t 1. 1 .: X SEXUAL ABUSE E S ?ii ~:1 (? (j it i i i i i~ AGGREGATE ~ EACH Loss $1,000,000 ^, 4, DIRECTORS&OFFICERS .'~,y.'.:I.~~;.'.•i?:7 :I.'>~?:1.-'.~.'.t?:L t:? :1.%4?:I.:.'.c?:L :I. AGGREGATE $1,000,000 EACH LOSS 35 , !: r i1 :1 ;?i)CiS:~~~` ?i:~ : :~Cii /4?:1 1? :> /t'?:l !:;'~:I.:1. :1 COVERAGE . . . . . . CRIME Crime Deductible: $250 Propertyl$1,000 Money AGGREGATE NONE B SPORTS EXCESS ACCIDENT As in Master Policy 000 As in Master P li E Med. Max. $100. xcess o cy "X" INDICATES COVERAGE SELECTED FOR ADDITIONAL NAMED INSURED ADDITIONAL INSURED Who is an insured (SECTION II) of the General Liability policy is amended to include as an insured the person or organization shown in the schedule, but only with respect to liability arising out of the above named Little League's maintenance or use of ball fields, or other premises loaned, donated, or rented to that Little League by such person or organizations and subject to the following additional exclusions: 1. Structural alterations, new construction, maintenance, repair or demolition operations performed by or on behalf of the person or organization designated in the Schedule unless performed by the above named Little League and 2. That part of the ball field or other premises not being used by the above named Little League NAME AND ADDRESS OF PERSON OR ORGANIZATION: ... ; •, i }.. ;..i t. t n.i C:' i is f•5 'I'n' .. . t.l . .J :~'i . ...: t:i Iii: f{ ` ra L.. l... <' . l.f >:`•, f' I~' :I: td Iii Iii: F•', ii t : k:: i~! '1' I? F~, i... ::~ t~ I. 1.:.. ,._ Ia :!: <:i ! !? .. t.: ! :a (:i t:.. i,.l r'} i:; I:~ .i: jet{;.I::. }:? <°~ !° d1 L.. L..;:i , ~ `"' 1~ /" , ; O~ .~ s INSURED Little League Baseball Risk Purchasing Group, Inc. 539 U,S. RT. 15 HIGHWAY South Williamsport, PA 17702 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES TO THE ABOVE NAMED 4~ITTLE. LEAGUE BE CANCELED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER OR THEIR REPR TATIVE WILL tv1AIL 30 DAYS WRITTEN NOTICE TO THE DESIGNATED PERSON OR ORGANIZATION AT THEIR L,~ADDRE;~gTO,~i75. AUTHORIZED r'~ h1 Iii: !-::I: t::,<~, ~d l._ i... CERTIFICATE OF LIABILITY INSURANCE DATE :{. _:::- ~; .~t ;- i; •;;r Keystone Risk Managers, LLC 1995 Point Township Drive Northumberland, PA 17867 1-~~~ ~~ ADDITIONAL NAMED INSURED: ~~b y ~~ ~ ~jo~~ 'i' i:i G1 r,t t3 C' iw ~ t. r-:. {:~ x: ;`t i?, I::: r: ~t n'r x: r3 ~.j t1 L. i.. {.- "~Sq,`9nrnR IC :~ Fn' , 1. `::; {'~ 1: {:! fi 1... F:: l:i i.{ ::i I••I iw:13 COVERAGES CERTIFICATE # ~>; .1_ •;:j ~> :t. -~ a. INSURERS AFFORDING COVERAGE: INSURER A: I LEXINGTON INSURANCE COMPAN INSURER B: NATIONAL UNION FIRE INSURANC (Non-Liability) COMPANY OF PITTSBURGH, PA INSURER C: I LANDMARK INSURANCE COMPAN 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. SR TR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MM/DD/YYYY DATE MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE 1>;{, , {}1')(i , il(li) t~~i f: X OCCURRENCE y rl •% ~. ,t} ,% j ~, / (l ~(, / ;.! „i f, r) f i rl ~(..r ~Y ~ ~ ~. ~, GENERAL AGGREGATE ;~> ;;~ ;} ;} ;} fj r} rl ~ X INCL. PARTICIPANTS Property Damage Deductible: $250 RRO°ccR GoMEOas ~. ~ , ~.~~,~~~ (fit}~.} X SEXUAL ABUSE sExuALABUSE OCCURRENCE err •{- + 1•"•~ ~.1 + 1' ~}'~! SEXUAL ABUSE AGGREGATE ;{~ >•I + i 3 ti ~ ~~ ~ y ~.? ~.} + EACH LOSS $1,000,000 DIRECTORS&OFFICERS " ;, '^"'1.~;.?•i:;°~ :1. ;.~.,:{. ;,.?i:y:{•c, , ,. AGGREGATE $1,000,000 '~I *~ ~) :I. ~) i:% ~)::~ ;:~ ~:y ~ i. / (j .{. / ? () ~. C) / ::y t i :I ~ r (~ :I :I ` EACH LOSS $35,000 CRIME COVERAGE . . . ' Crime Deductible: $250 Property/$1,000 Money AGGREGATE NONE 3 SPORTS EXCESS ACCIDENT As in Master Policy As in Master :; - t., (v ~.: ~ , ,,.i ,.y a ..: .{.:1 .:. ~• ~.D ~ ~ f ,M~ :I.. 1.1 .{. , .. rrt' .I. l) , „7 „ .{. /~ l1 .{. % ::.. ~.J .{. ~. Med. Max. $100,000 Ded. $50 PDlicy EXCESS "X"INDICATES COVERAGE SELECTED FOR ADDITIONAL NAMED INSURED ADDITIONAL INSURED Who is an insured (SECTION II) of the General Liability policy is amended to include as an insured the person or organization shown in the schedule, but only with respect to liability arising out of the above named Little League's maintenance or use of ball fields, or other premises loaned, donated, or rented to that Little League by such person or organizations and subject to the following additional exclusions: 1. Structural alterations, new construction, maintenance, repair or demolition operations performed by or on behalf of the person or organization designated in the Schedule unless performed by the above named Little League and 2. That part of the ball field or other premises not being used by the above named Little League NAME AND ADDRESS OF PERSON OR ORGANIZATION: ...... , ., .1 .., .., { 1 •.. , 1 5 + I i i:} •::, ., ... I .. ~ rt t ; ;., .. f I tt~ 1 '1' i ~) • t..;• i.+r•ii• I~~ C..i~;:.:::, i•• r•i,_,......7 Laaf F .l:rl:ii:,.s l'..k:.A. T F,.-s{._ ......1••1,3:.'1... {:):{: ,. °f'{~:Ct.:~i~ :ii , L .....{... IGiI::. i3 i~ tJ ci G` i~ 7: i`t (:; ~:: !~ i : i°' r`: i... i.. ,.. ... . INSURED Little League Baseball Risk Purchasing Group, Inc 539 U.S. RT. 15 HIGHWAY South Williamsport, PA 17702 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES TO THE ABOVE NA7v1ED LITTLE LEAGUE BE CANCELED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER OR THEIF~EP IATIVE WILL MAIL 30 DAYS'NRI i fEN NOTICE TO THE DESIGNATED PERSON OR ORGANIZATION AT THEIR O ADDR~ TSYPIS. REPRESENTATIVE 'a'te°~°~ ~~ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 12/28/2009 PRODUCER (914) 761-9000 FAX: (914) 761-3749 SKCG Group, Inc. 123 Main St. , 14th FL 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. White Plains NY 10601 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Indemnity Company Girl Scouts Heart of the Hudson, Inc. INSURER B: 2 Great Oak Lane INSURER C: INSURER D: Pleasan VS.lle ~ 10570 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION LTR T FIN N POLICY NUMBER DAT MM DD DATE M DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY DAMA T R T PREMISES Ea occurrence $ 500 000 aaa CLAIMS MADE ~ OCCUR 660-8727L022 1~1~2010 1~1~2011 MEDEXP(Anyoneperson) $ 10 000 PERSONAL & ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 5 000 000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 2 000 000 X POLICY PRO LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS /A BODILY INJURY SCHEDULED AUTOS (Per person) $ + ~ HIRED AUTOS a V BODILY INJURY NON-OWNED AUTOS (Per accident) $ ~` r PROPERTY DAMAGE , $ v , (Per accident) GARAGE LIABILITY ~ AUTO ONLY - EA ACCIDENT $ ~ ANY AUTO /A \ ` OTHER THAN EA ACC $ t ` AUTO ONLY : AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE /A AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- ' T ~ IT LIABILITY y / N AND EMPLOYERS ANY PROPRIETOR/PARTNER/EXECUTIVE /A E.L. EACH ACCIDENT $ ^ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER /A DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS RE: Evidence of insurance for use of the premises by tie Girl Scouts for troop meetings and activities throughout the scouting year. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Wappingers DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Town Hall NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Middlebush Rd. Wappingers Falls, NY 12590 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~ , Thomas Sternberg/DANI -~/~-~_~> ~-1- ~- ~~~ nrnlpn oG r~nnoln~~ rr1 ~ORR_9(1l1Q ARnRn RARPl1ROTInN1 All rinhtc rPSPn/ed. 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. PHILADELPHIA INDEMNITY INSURANCE COMPANY ONE BALA PLAZA SUITE 100 BALA CYNWYD PA 19004 ..NOTICE OF CANCELLATION OF INSURANCE Named Insured & Mailing Address: WOODHILL GREEN CONDOMINIUM ASSOCIAT 1668 ROUTE 9 STE 1 WAPPINGERS FALLS NY 12590 Producer: 0023404 DONN GERELLI ASSOCIATES INSURANCE AGENCY, INC 1 CROTON POINT AVE. CROTON-ON-HUDSON NY 10520 Reference: N/A Policy No.: PHPK487643 Type of Policy: PACKAGE INCLUDING AUTO Date of Cancellation: 02/01/2010; 12:01 A.M. Local Time at the mailing address of the Named Insured. We are cancelling this policy. Your insurance will cease on the Date of Cancellation shown above. The reason for cancellation is NONPAYMENT OF PREA~IUM . This action is pursuant to New York Insurance Law, Section 3426, Subsection (c)(1)(A) regarding nonpayment of premium. The amount of premium due is: $ 6230.51 Cancellation may be avoided if premium is paid in full within 15 days of the mailing date of this notice. The first named insured or his/her authorized.agent/broker may request in writing loss information with respect to this policy and previous policies we have written for you. We will provide this information within 10 days from the date we receive your request. PROOF OF FINANCIAL SECURITY IS REQUIRED TO BE MAINTAINED CONTINUOUSLY THROUGHOUT THE REGISTRATION PERIOD. IF YOU DO NOT KEEP YOUR INSURANCE IN FORCE DURING THE ENTIRE R~EG~ISTRATION PERIOD, YOUR REGISTRATION II~ILL~ BE SUBJECT TO SUSPENSION. IF YOUR VEHICLE IS STILL UNINSURED AFTER 90 DAYS, YOUR DRIVER'S LICENSE ViIILL BE SUSPENDED. TO AVOID THESE PENALTIES YOU MUST SURRENDER YOUR REGISTRATION CERTIFICATE AND PLATES BEFORE PLEASE READ THE NEXT PAGE FOR My~~Ll Other Party of Interest JAN ~ 5 2010 TOWN OF WAPPINGERS FALLS "~U1!\~ (:if Fps 20 M I D D LE B U S H RD ~^~,, f.-~-~.,, ~ _, WAPPINGERS FALLS NY 12590 ( ~ ~ °~ ~ FORM# CC9697307003060780100411 NY82006 ODEN 3.0.09.10a Copy for Other Interests Date Mailed: 13th .day of January, 2010 ,,, FRAN DEEMING NYCC36NONPMNT 01122010MYNY Page 1 of 3 PHILADELPHIA INDEMNITY INSURANCE COMPANY NOTICE OF CANCELLATION OF INSURANCE Named Insured: WOODHILL GREEN CONDOMINIUM ASSOCIAT Policy Number: PHPK487643 YOUR INSURANCE EXPIRES. BY LAW YOUR INSURANCE CARRIER IS REQUIRED TO REPORT SPECIFIC TERMINATION INFORMATION TO THE COMMISSIONER OF MOTOR VEHICLES. IF YOU HAVE A LAPSE IN INSURANCE COVERAGE OF 90 DAYS OR LESS, THE LAW PERMITS YOU TO AVOID A SUSPENSION OF YOUR REGISTRATION BY THE PAYMENT OF A CIVIL PENALTY FOR EACH DAY OR ANY PORTION THEREOF UP TO 90 DAYS FOR WHICH YOUR INSURANCE COVERAGE WAS NOT IN EFFECT. THIS CIVIL PENALTY OPTION APPLIES ONLY ONCE DURING ANY 36 MONTH PERIOD. THE CIVIL PENALTIES ARE: 1 TO 30 DAY LAPSE - $8 PER EACH DAY OF LAPSE 31 TO 60 DAY LAPSE - $240 PLUS $10 PER DAY FOR DAYS 31 TO 60 61 TO 90 DAY LAPSE - $540 PLUS $12 PER DAY FOR DAYS 61 TO 90 This policy provides auto liability coverage. You should contact your agent or any agent concerning your possible eligibility for replacement coverage through another insurer or the New York Automobile Insurance Plan. Excess premium (if not tendered) will be refunded on demand. This policy provides fire and extended coverage insurance on your property. You should contact your agent or any agent concerning coverage through another insurer, or your possible eligibility for coverage through the New York Property Insurance Underwriting Association, 100 1Nilliam Street, 4th Floor, New York, NY 10038. Telephone: (800) 522-3372. Or, you may contact your agent or this insurance company at: PHILADELPHIA INSURANCE COMPANIES ~~~~~~~~.~ BRIAN O'REILLY 1009 LENOX DRIVE, SUITE 107 ~, ~ ~..;~. LAWRENCEVILLE, NJ 08648 J~~~ i :~ :,Ud~ (866)586-6122 (212) 208-9700 (ASSIGNED RISK) ~~~1!\I ~,+ Fp, PLEASE READ THE NEXT PAGE FOR MORE INFORMATION NYCC36NONPMNT 01122010MYNY FORM# CC9697307003060780100411 NY82006 Page 2 of 3 ODEN 3.0.09.t0a Copy for Other Interests PHILADELPHIA INDEMNITY INSURANCE COMPANY NOTICE OF CANCELLATION OF INSURANCE Named Insured: WOODHILL GREEN CONDOMINIUM ASSOCIAT Policy Number: PHPK487643 Your interest in this policy as an "insured" or other party of interest is being cancelled effective 02/01/2010; 12;01 A.M. Local Time at the mailing address of the named insured. +r~~~~l~i`~L. JAN 1 g 2010 _.~~n~~~ ,~,~ Fn~ NYCC36NONPMNT FORM# CC9697307003060780100411 NY82006 01122010MYNY ODEN 3.0.09.t0a Copy for Other Interests Page 3 of 3 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID MP DAVEG-2 DATE (MM/DD/YYYY) Ol 06 10 PRODUCER ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Spain Agency, Inc . 6 625 R t HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ou e Mahopac NY 10541 Phone: 845-628-1700 Fax: 845-628-1804 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: P@erles3 Insurance INSURER B: Dave Goldberg Plumbing I i INSURER C: nc. ng & Heat 243 RT 106 INSURER D: Somers NY 10589 INSURER E: VV Y Gr~M V Gad 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 POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYY E PDATE MM%DD/Y f LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 A X COMMERCIAL GENERAL LIABILITY 3006046059 10/05/09 10/05/10 PREMISES (Eaoccurence) $ 100, 000 CL41MS MADE ~ OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $ 3, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 3 , OO O , O OO POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT id t $ 1 , 000 , 000 A X ANY AUTO 3006046059 10/05/09 10/05/10 en ) (Eeecc ALl OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY t id $ NON-OWNED AUTOS en ) (Per acc - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO JA 0 OTHER THAN EA ACC $ ~ N 010 AUTO ONLY: qGG $ EXCESS/UMBRELLA LIABILITY rT~~/11 EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE A' ~~ ~~~ AGGREGATE $ DUCTIBLE , ^~ ~ ~ , $ DE RETENTION $ ± ~ ' '~ $ RKERS COMPENSATION AND _ TORY LIMITS ER WO EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ _ I ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ A A OTHER Property Section E i ment Floate 3006046059 3006046059 10/05/09 10/05/09 10/05/10 10/05/10 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS GtKIItIGAIt 11VLUCR -""------'---- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WAPPING 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 Town of Wappinger IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Middlebush Road 90-0324 REPRESENTATIVES. Wappingers Falls NY 125 PRES A E AU /ZED E n nrnRn !_nRDI'1RATInM 1QRA ACORD 25 (2001108) i 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 .IqN - ~~` a ~ zo'a ~~~~~~ ~-'C~p~ ACORD 25 (2001108) ~", ACOR~° DATE (MM/DD/YYYY) `.,~ CERTIFICATE OF LIABILITY INSURANCE 6/30/2010 12/28/2009 PRODUCER LOCKTON COMPANIES, LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 5847 San Felipe, Suite 320 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Houston TX 77057 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED TransCare Corporation, Et al INSURER A : Allied World Assurance (US) Inc. 19459 1304733 1 Metrotech Center, 20th Floor INSURER B : Wesco Insurance Com any 25011 Brooklyn NY 11201 INSURER c : Technology Insurance Company, Inc. 42376 INSURERD: Ullico Casualty Company 37893 wsuRER E Continued on attached COVERAGES TRACO 1 O AO THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERISI. AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. 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 w • wv uwvc nccu ocnurcn Cv Dwln CI AIaIIC INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2 OOO OOO A X COMMERCIAL GENERAL LIABILITY 0304-7423 6/30/2009 6/30/2010 DAMAGE TO RENTED PREMISES Ea occurence $ 100 000 CLAIMS MADE a OCCUR MED EXP (Any one person) $ XXXXXXX µ R,_A PERSONAL 8 ADV INJURY $ 2, 000 000 i ,, GENERAL AGGREGATE $ 6 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: ~ PRODUCTS - COMPIOP AGG $ 2 000 000 PRO- POLICY JECT LOC $ AUT OMOBILE LIABILITY WPP 1002042-02 (NY, PA) 6/30/2009 6/30/2010 COMBINED SINGLE LIMIT $ 1 000,000 X NY AUTO 02 (MD) TPP 1000126 6/30/2009 6/30/2010 (Ea accident) C A - ALL OWNED AUTOS BODILY INJURY $ XXXXXXX HEDULED AUTOS ~ EC C p~- (Per person) SC I C C ~ F _ X HIRED AUTOS . 1 . BODILY INJURY $ XhJCXXXX X WNED AUTOS N A Al (Per accident) -O NO ~ () /, fil\ U T (I~ry U IJ PROPERTY DAMAGE $ XXXXXA,X -,,~ (Per accidenQ GARAGE LIABILITY ~~ AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX ELLA LIABILITY EACH OCCURRENCE $ 9 OOO OOO A EXCESS/UMBR R ^X CLAIMS MADE X C 0304-7426 6/30/2009 6/30/2010 AGGREGATE $ 9 000 000 U OC $ XXXXXXX UMBRELLA XXXXXXX FORM $ DEDUCTIBLE RETENTION S $ XXXXXXX D WORKERS COMPENSATION AND WCS1 12587-O1 (NY/PA/MD) 12/31/2009 12/31/2010 X we STATU- OTH- T RY.LIMITS ER D EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE WCSI13414-00(DE) 11/15/2009 II/15/2010 E.L. EACH ACCIDENT $ 1,000,000 ~ OFFICERIMEMBER EXCLUDE07 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE 1 000 000 $ r , It yes, describe untler SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1,000, A OTHER 0304-7423 6/30/2009 6/30/2010 S2,000,000 Each Medicallncident Professional Liability $6,000,000 Aggregate (Claims Made) UtDVHIP IIUIV Uh tJYCKA IIUIVJ/LVI.N IIVIY.71VCrln.LCJILwV1..VJIVI~J nvv~.v a., ~,~uv.wr... ~....... ~~...- ...~.. .~..- TransCare Corporation, et. al. includes TransCare New York, Inc., TC Ambulance Corporation, TCBA Ambulance, Inc., TC Hudson Valley Ambulance Corp. TransCare Pennsylvania, Inc., TransCare Maryland, Inc., TransCare Westchester, Inc., TC Ambulance Nonh, Inc., TC Ambulance Group, Inc., TransCare ML, Inc. Umbrella Policy No. 0304-7426 is Claims Made for Professional Liability and is on an Occurrence basis for the General Liability and is excess over General Liability, Professional Liability and Employer's Liability only. See attached for additional coverages. Cancellation: 30 Days as noted below except fm 10 days notice (or non-payment of premium. 2821063 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Wappinger DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN 20 Middlebush Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Wappingers Falls NY 12590-0000 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATI - - ACORD 25 (2009/01) ©1988-2009 ACORD CORPO ION. All rights reserved The ACORD name and loo are registered marks of ACORD For auesllons reaerdina this certificate. contact the number lis ad in the 'Pro ucef seclian above and acecav the client code 'TRACOIO'. Insurer E: EXCESS AUTOMOBILE LIABILITY: Policy No. 021404552 Effective Dates: 06/30/2009 - 06/30/2010 Carrier: Lexington Insurance Company Limit: $9,000,000 Each Occurrence is excess of Policy Nos. WPP1002042-02 & TPP1000126-02 only. ~~~ 4~,. ~~ ~~ -r.~NN GL- Miscellaneous Attachment : M455692 Master ID: 1304733 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDlYYYY) 0/2009 ,M 12 3 PRODUCER phone: 315-673-2094 Fax: 315-673-1121 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Reagan Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8 E Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 191 Marcellus NY 131 OS INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A:'j'eChn01.0 Ins. Co. Or x 2376 Appolo Heating Inc . * INSURER B: __ 868 Burdeck Street INSURER C: Schenectady NY 12306 INSURER D: INSURER E: ~ V vcnravc~ 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 ISSUEp 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 PAIp CLAIMS. INSR DD'L POLICY NUMBER POLICY EFFECTIVE E I IY POLICY EXPIRATION M I I LIMITS LTR SRD NERAL LIABILITY G EACH OCCURRENCE $ E COMMERCIAL GENERAL LIABILITY PREMISES Eaoccurence $ . CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ PERSONAL& ADVINJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ POLICY PE ~• LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ Y UTO ~~ (~ (Eaaccidenl) AN A ~ ~ ~F ALL OWNED AUTOS Q ~ BODILY INJURY $ CHEDULED AUTOS ~ , (Per person) S ~~~ HIRED AUTOS ~n~n, \.i - ~ BODILY INJURY $ OWNED AUTOS ~/1 - (Per accident) NON• l _ __ . "' PROPERTY DAMAGE $ - __ --:....,. t~ ~ °-~- F. .. r I (Peraccidenl) RY 4' AUTO ONLY-EA ACCIDENT $ GARAGE LIABIL .' ~ ~ EA ACC OTHERTHAN $ ANYAUTO AUTO ONLY: AGG $ ELLA LIABILITY EACH OCCURRENCE $ EXCESSIUMBR OCCUR ~ CLAIMSMADE AGGREGATE $ I E $ DEDUCT BL $ RETENTION $ WCSTATU- OTH- S COMPENSATION AND O E TWC3190252 12/31/2009 12/31/2010 X TORY LIMITS ER j~ W R RK EMPLOYERS'LIABILITY E.L. EACH ACCIDENT $ lOOOOO ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1 Q 0 0 0 O II yes, describe under E.L. DISEASE -POLICY LIMIT $ 5 0 ~ ~ 0 0 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *Named insured includes: DBA J&J Heating & Cooling &DBA J&J Sheet Metal Works & J&J Heating Inc. a Division of Appolo eating *C105.2 to follow under separate cover* l.tKl 11'11.A I C 1'7V LUCK """-----'---'- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER TOwn Of Wappingers Falls 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 KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~~~ ,-, w nnnn rnonnonTinhl ~~S2Q ACORD25(2001108) "'^""'""""" """""""'-'"" 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. ~`~~~ ~a~ ~ ~ ~~~ ios~ A~ ~ CERTIFICATE OF LIABILITY INSURANCE OPID 1PAT DATE{MM/DDJYYI'Y) QUALI-4 12/18/09 PRODUCER C MA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CLG Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 172 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Nanuet NY 10954 Phone: 845-623-3434 Fax: 845-623-4332 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Aaiecican Intl 8pacialty Lines 26$$3 lit i t INSURER B: Harleysville Ins Co of NY 33235 Qua y Env ronmen al Solutions & Technologies,Inc. INSURER C: 1376 ROUte 9 Wappingers Falls NY 12590 INSURER D: INSURER E: GVVtKAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMlDD/YY1'Y DATE MMlDD LIMBS GENERAL LIABILITY EACH OCCURRENCE $ 1 0 0 0 0 0 0 A X X COMMERCIAL GENERAL LIABILITY PROP1383812 12/30/09 12/30/10 PREMISES (Eaoccurence) $ 100000 CLAIMS MADE X~ OCCUR MED EXP (Any one person) $ 10000 X Professional Liab PERSONAL &ADV INJURY $ 1000000 X Pollution , r f GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: ' , , %~ ` ~ ~ PRODUCTS -COMP/OP AGG $ l O O O O O O POLICY X jEC07 LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT E id t $ 1000000 B X ANY AUTO BA 6J1732 12/30/09 12/30/10 ( eacc en ) ALL OWNED AUTOS ~ ~~ BODILY INJURY SCHEDULED AUTOS ~ ~ (Per person) $ X HIRED AUTOS ~ % ®~ BODILY INJURY $ X NON-OWNED AUTOS ~ L ~ (Per eccident) a~ ' t ~ PROPERTY DAMAGE c 1 I ~ Ir ~_ (Per accident) $ GARAGE LIABILITY ALRO ONLY - EA ACCIDENT $ ANY ALRO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLALIABILITY EACH OCCURRENCE $ 5000000 A X occuR ^ CLAIMSMADE PROU791181 12/30/09 12/30/10 AGGREGATE $ 5000000 $ DEDUCTIBLE $ X RETENTION $ l O O O O $ WOR AND KERS EMPL COMPENSATION OYERS' LIABILrrY X TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE ~ 12222758-REQ FROM STATE 12/16/09 12/16/10 E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED9 (Mandatory In NH) FUND E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS !VEHICLES !EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Gerniglia & Swartz, 134 Academy Street, Poughkeepsie, NY, 12601 is included as additional insureds under the General Liability and Umbrella Liability as per the written agreement with regard to work performed by the named insured. Per the terms of the blanket additional insured endorsement, coverage for the additional insureds is contingent upon a written "(Cont'd)" CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION TOWAPPI 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, RS AGENTS OR Town of Wappinger 20 Middl b h R d REPRESENTATIVES. e us oa Wappingers Falls NY 12590 AUTHORIZED REPRESENTATIVE ACORD 25 (2009!01) C..•~.8~1~68~200~'~~ CORPORATION. All rights reserved. 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. ~~~~ ~~ ~~~ ~aN°~~ ~~,~nint ~'.~ ~~ ACORD 25 120091011 -~UT~P~D "~ HOLDER CODE TOWAPPT Qt7PS;I ~ '~ ,' ~++ INSUREDS NAME Quality EAVironmental OP ID 1PAT DATE agreement with the named insured requiring such coverage. NATIONWIDE INSURANCE P.O. BOX 182194 COLUMBUS, OH 43218-2194 I~~~II~~I~I~I~I~I~I~~II~~~~I~~III~~~II~~~~I~~I~~I~III~~~~~II~I TOWN OF WAPPINGERS BUILDING DEPT 20 MIDDLEBUSH RD WAPPINGERS FL NY 12590-4004 DECEMBER 31, 2009 '_ J~1~i 0 ~ Multi B Y: _..®oo®~~®®~:wm~®®w~ ~ t Insured: HERRING SANITATION SERVICE INC 1072 ROUTE 9 FISHKILL NY 12524-2547 Policy: 66 PR 206 - 305 - 0001 H ~~- ,__ 9, ~~_~ ~~ AWN CLERK Our records indicate that you have an interest in the above insurance policy. The policy premium is past due and this is advance notice that the policy will cancel for non-payment of premium on 12:01 A.M. JANUARY 16, 2010. We will notify you if the policy is cancelled for non-payment of premium. If payment is received, coverage will continue and you WILL NOT receive a final notice of cancellation. NATIONWIDE MUTUAL INSURANCE COMPANY Agent: J.S. MCLEAN Telephone: 845-471-2660 164 ACORO® DATE(MM/DD/YYYY) ~, CERTIFICATE OF LIABILITY INSURANCE 12/30/2009 PRODUCER Aon Risk Services, Inc. of Massachusetts THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY One Federal Street AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER TffiS Boston MA 02110 USA CERTIFICATE DOES NOT AMEND, EXPEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PHONE• 866 283-7122 FAX- 847 953-5390 IIVSURERSA~FORDIIVGCOVERAGE NAIC# INSURED INSURER A: old Republic General Ins Corp 24139 Kirchhoff - Consigli INSURER B: construction Management, LLC 199 west Road, Suite 100 INSURER C: Pleasant Valley NY 12569 u5A INSURER D: INSURER E: CnVF.R AC3F.C THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIItEMENT, 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 POLICH:S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIlvIITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED INSR ADD' LTR WS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MM/DD DATE(MM/DD A A2DG96830900 12/30/2009 12/30/2010 EACH OCCURRENCE $1 000 000 ERALLIABILITY , , X COMMERCIAL GENERA[. LIABILITY DAMAGE TO RENTED $100 , 000 PREMISES (Ee occurrence) CLAIMS MADE ® OCCUR Any one person PERSONAL & ADV INJURY $1, OOO , 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE W M]T APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , 000 , 000 PRO- POLICY ® ^ ~ LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS ~ t" ' ~ (Per PeB°n) HIRED AUTOS ~~7 ~ ~ ~ ~ - - - - _, ~ BODILY INJURY NON OWNED AUTOS (Per accident) " ~ ~ ° PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT AN'Y AUTO OTHER THAN EA ACC AUTO ONLY .__ __... AGG EXCESS /UMBRELLA LIABILITY ~ EACH OCCURRENCE ^ OCCUR ^ CLAIMS MADE `. _ ~-_~!' ii ~ AGGREGATE DEDUCTIBLE RETENTION ~~ / ~? \- GSZ~ ~~~. WC STATU- OTH- WORKERS COMPENSATION AND ~j (, EMPLOYERS' LIABILITY ~' ~~~ ~ J ~ u (~ C IDENT E.L. EACH AC ANY PROPRIETOR/PARTNER/EXECUTIVE DISEASE-EA EMPLOYEE L E OFFICER/MEMEER EXCLUDED? . . (Mandatory In NH) Y~ ~~s~weoe .~~~mcom E.L. DISEASE-POLICY LIMIT 1T es, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CA1Vt.;~LLA71V1V TGwn Of wappi nge rs SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 20 Mi ddl ebush Road DATE THEREOF, THE ISSUMG INSURER WILL ENDEAVOR TO MAIL wappi ngers Falls NY 12 590 USA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY >~ d it d 'fl O Ol W O O '-i m n O O f` O z d •+ u U ~.' ~'-~ OF ANY KIND UPON THE INSURER, ]TS AGENTS OR REPRESENTATIVES. _ _ _.. ... _. _. _ .. _ _ _.. - ....- _. _ _._ __ __ - - _-_-_-- ._ -AUTHORIZED REPRESENTATIVE.-. _. -~ - - - ^ - - -- _._ - L.-. /L GLtYCCD 9EG Gf /~ "tl~ALo ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION./All rights reserved= The ACORD Dame and logo are registered marks of ACORD Erie f ~ Insurance 100 Erie Ins. PI. Erie, PA 16530 CERTIFICATE OF INSURANCE -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY - CERTIFICATE HOLDER COPY NAME AND NUMBER OF AGENCY GRAPEVILLE AGENCY, INC. NN 1 1 1 6 NAME AND ADDRESS OF NAMED INSURED WARREN CUSTOM BUILDERS INC +t 2345 S ROAD STE B POUGHKEEPSIE NY 12601-5585 TOWN OF WAPPINGERS FALLS 20 MIDDLEBUSH ROAD WAPPINGERS 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 0265320040 02/03/2009 02/03/2010 EACH OCCURRENCE $ 1000000 COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM _ ' _ `~ ~ FIRE DAMAGE $ GEN L AGGREGATE LIMIT APPLIES (Any one premises) 1000000 PER: POLICY i r ADDITIONAL INSURED ` .i (~ ~ MED EXP (Any one person) $ 5000 PERSONAL&ADVINJURY $ 1D000OO ~w~f GENERAL AGGREGATE $ 2000000 PRODUCTS-COMP/OP AGG $ 2000000 ""' ' ' JAN 0 6 010 A~~~~AI ~~ ......... .......................... VVILI IIY Vll~ !. (EACH PERSON) ~D BODILY INJURY $ (EACH ACCIDEN PROPERTY DAMAGE $ BODILY INJURY AND $ PROPERTY DAMAGE COMBINED EACH OCCURRENCE AGGREGATE STATUTORY 2 11 2 1 2/03/ 0 W RKER MPEN ATI N 865300055 02/03/ 0 0 0 O S CO S O 0 AND BODILY ACCIDENT $ 1 00000 EACH ACCIDENT EMPLOYERS LIABILITY INJURY DISEASE $ 500000 POLICY LIMIT BY DISEASE $ 1 00000 EACH EMPLOYEE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CANCELLATION FOR NON-PAYMENT. CAUSE OR NAMED INSURED'S REQUEST: When an written notice will be mailed to the Certificate Holder. 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 DATE ISSUED 12/30/2009 NAME AND ADDRESS OF CERTIFICATE HOLDER OR OTHER SEE REVERSE SIDE AUTHORIZED ~~~ REPRESENTATIVE ACORD C:~@~TIFI~AT~E OF LIABILITY INSURANCE DATE (MM/DD/YYYY) PRODUCER g45.896.2222 FAX 845.896.4365 Kraus-Ritter Insurance 1081 Main St. Suite J 12/30/2009 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. Fi shki 11 ,` NY 12524 INSURERS AFFORDING COVERAGE NAIC # INSURED RGH Construction, Inc. l INSURER A: PeerleSS Ins. Co. 24198 6 O d Myers Corner Road INSURER B: Wappingers Falls, NY 12590 INSURER C: INSURER D: INSURER E: l:V VtKACitS ~ n~ rvut.ita yr Irvaurwrvt:t LIJ I to BtLUw f•1AVt BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ' LTR DD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYYY POL EXPIRATION DATE MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS MADE Q OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG S POLICY PRO- JECT LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO ? ~ ~ l (Ea accident) $ ALL OWNED AUTOS j ` \\ BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS ~ BODILY INJURY NON-OWNED AUTOS ~ C ~ ~ ~ ! (Per accident) $ C ~'~ PROPERTY DAMAGE (Per accident) $ 'GARAGE LIABILITY ~ I AUTO ONLY - EA ACCIDENT $ ANY AUTO '~I^~ OTHER THAN ~ ACC $ ^~ ~Ar AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC8567973 01/01/2010 Ol/O1/2011 X TORY LlMlrs ER A ANY PROPRIETORlPARTNER/EXECUTIVE~ F E.L. EACH ACCIDENT '- $ ZOO , OO O FICER/MEMBER EXCLUDED9 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 100 , 00 If yes, desaibe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 500 , OU OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWN OF WAPPINGER BUILDING DEPARTMENT P.O. BOX 324, MIDDLEBUSH -ROAD WAPPINGERS FALLS, NY 12524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOi DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE J.EFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIN PON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ~/J AUTNORIZED REPRESENTATIVE 25 (2009/01) ©1988-2009 The ACORD name and logo are registered marks of ACORD A~irt~,M v'u~ KPINDU CERTIFICATE OF LIABILITY INSURANCE PRODUCER DATEIMM/DD/YYYY) Bradley $ parker, Inc. THIS CERTIFICATE IS ISSUED AS q MATTER OF INFORMAi~ON 0 P.O. BOX 677 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Syosset, NY 11791 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENDOR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELDW. INSURED K.P. Industries, Inc. $ KP Signs, A Divison of K.P. Industries 2481 Charles court Bellmore, NY 11710 INSURERS AFFORDING COVERAGE NAIC # i INSURER A: Travelers Indemnity Col INSURER B: INSURER C: INSURER D: COVERAGE$ INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _TR NSR TYPE OF INSURANCE PO ECY M ODCTVYY P ALICY EXPIRATION A GENERAL LIABILITY POLICY NUMBER 6603587P817 DD YYY LIMITS X COMMERCIAL GENERAL LIABILITY ~ ~ 12/31 /2009 12/31/2010 EACH OCCURRENCE DAMAGE TO RENTED $1 OOO OAO CLAIMS MgDE X OCCUR PRFMrcre rc_ __ ...... ___ MED EXP (Any one person) y ' PERSONAL 8 qDV INJURY $ GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE PRO- POLICY JECT LOC /~ ~ + ' C ~ ~ P" $ PRODUCTS -COMP/OP AGG $; AUTOMOBILE LIABILITY ~/ C C - ANY AU70 ALL OWNED AUTOS J Al ~ A ~~10 'v ~7 COMHINED SINGI_f_ 1_IMI I (Ea accidonl) $ SCHEDULED AUTOS - HIREDgUTOS I^~^I' ~ ~ ~~~ BODILY INJURY (per person) $ NON-OWNED AUTOS ~^'- '~ ' BODILY INJURY t ~ ~ [ (Per accidenQ $ GARAGE LIABILITY y ~~ --- ' ~' PROPERTY DAMAGE (Per acctidenl) $ ANY AUTO AUTO ONLY - EA ACCIDENT /~ EXCESS /UMBRELLA LIABILITY EX291 K8213 OTHER THAN EA ACC $ AUTO ONLY: A X OCCUR CLAIMS MADE 12/31/2009 12/31/2010 GG $ EACH OCCURRENC E $5 I AGGREGATE $5 C DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND $ EMPLOYERS' LIABILRY pANY PROPRIETggOR/PgRTNER/EXECUTIVE ~ (Mandatory ~nMNHj EXCLUDED? $ WC STATU- OTH- --' If yes, describe under E.L. EACH ACCIDENT g SPECIAL PROVISIONS below OTHER E.L. DISEASE - EA EMPLOYEE S E.L. DISEASf_ - PULICY LIMI'1-. 5 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS included as an additional insured Wappinger Township 20 Middlebush Rd Wappingers Falls, NY 12590 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED DEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL NOTICE 70 THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FgIL URE 70 DO 50 SHgEN IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 4EPRESENTATIVOe REPRESENTATIVE Gf 2 _ --- --~ _ _ _ ~ _ _ _ -_ #S144115/M143655 g g The ACORD name and to o are re istered ma$ks ofACORDD CORPrOnRAATION. All rights reserved- IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the on this certificate does not confer rights to the certificate holder in Se of suoh endoorsement(s~aternent If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies ma require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). y DISCLAIMER The 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. CORD 25 (2009/01)- 2 -of 2- _ I - #5144115/M143655 DATE (MMlDD/YYYY) A~ °® CERTIFICATE OF LIABILITY INSURANCE 1/26/2010 AfRODUCER (518) 758-7123 FAX: (518) 758-6657 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Kleeber Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2880 Route 9 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 794 Valatie NY 12184-07 94 INSURERS AFFORDING COVERAGE NAIC # INSURED IN_SURERA:All America Insurance CO. 20222 SaXtOn Corporation INSURER B: I PO BOX 163 INSURER C: _._^~___-_.______._-.___ __--- INSURER D: _ East Gr enbush NY 12061 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 0(11 1/`ICC A/_`!^_R G!_ATF 1 I~AITC CL7r1WtJ I,AAV 41AVF RFFN RFDIICED BY PAID CLAIMS. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION LIMITS POLICY NUMBER GENERAL LIABILITY EACH OCCURRENCE _ $ __1J_000, 000 DAMA REN ED 3 0 0 0 0 0 ~ X COMMERCIAL GENERAL LIABILITY PREMISE Ea o currence . $ i A CLAIMS MADE LX~ OCCUR LP8606091 1/1/2010 1/1/2011 MEDEXP(Anyoneperson) $ 5,000 -J _ PERSONAL 8 ADV INJURY _ $ _____ 11 O O Q, O O O I GENERAL AGGREGATE $_-_„ 2L0 0 0 0 0 0 LIES PER: EN'L AGGREGATE LIMIT APP PRODUCTS -COMP/OP AGG $ 2 ~ 0 0 0 , 0 0 0 _ G ~ POLICY ~( PRO- j ~ LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ] 000 000 X ANY AUTO ~ (Ea accident) , r r A ALL OWNED AUTOS AP8606090 1/1/2010 1/1/2011 gODILYINJURY ~ $ (Per person) ~ SCHEDULED AUTOS =----- ----------- ------------ HIRED AUTOS BODILY INJURY $ ~ NED AUTOS (Per accident) 1 - ------- I NON-OW i --- - ---- i ~ .. i ~ PROPERTY DAMAGE $ ~~ _ _ -_ _ _-_ ~ ~ (Par accident) ~ i ~ .. AUTO ONLY - EA ACC ~ GA RAGE LIABILITY ~ ^ e ~ e S ~ (~ d- C6- !dd' ~ EA ACC T N $ - j i ANY AUTO J , ~ HA ----- - OTHER AUTO ONLY: AGG $ ' 1 UMBRELLA LIABILITY CE B 201 RR ENCE_-_ EACH OCCU $ _,-.___ j EX SS I ADE ~ I _ _ AGGREGATE $ ---- i CLA MS M ~ OCCUR - ~ ~ $- __ DEDUCTIBLE ------- RETENTION $ WC STATU- $ I WORKERS CDMPENSATION ER_ I AND EMPLOYERS' LIABILITY YIN ETOR/PARTNERlEXECUTIVE E.L. EACH ACCIDENT $ - ~ ANY PROPRI OFFICER/MEMBER EXCLUDED? H E.L. DISEASE - EA EMPLOYE $ ._ ) (Mandatory in N If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXCLUSwns Auutu oT ~nw~caamcn ~ i arc..o.~ ..... Sign installation, repair & manufacturing ;ERTIFICATE HOL[ Town of Wappinger 20 Middlebush Rd. Wappingers Falls, NY ACORD 25 (2009/01) I NS025 (20090 ) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 12 69 0 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE f ~~ Peter Harvey/MOE ~ "`--`~- ~ ~-~+ ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Additional Named Insureds Other Named Insureds Soni Sign Co. Corporation Interstate Sign Co. Corporation Judge Sign Co. Corporation Kelton Development Corporation Michael Kellogg Individual Saxton Corp. of Albany Corporation Saxton of NY Inc. Corporation Saxton Sign Corp. Corporation FED ~3 f ZU~U COPYRIGHT 2007, AMS SERVICES INC OFAPPINF (02/2007) 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. ~~~~ ~E~ . ~c~ir~ ~~~~~~ ~~ ~F, ACORD 25 (2009101) INS025 (2ooso~ ~ DATE (MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE o1~26~2010 PRODUCER 845.896.2222 FAX 845.896.4365 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Kraus-Ritter Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1081 Main St . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite J Fishkill, NY 12524 INSURED RGH Construction, Inc. 6 Old Myers Corner Road Wappir29ers Falls, NY 12590 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS GENERAL LIABILITY CBP8599090 U2~U1~2UlU U2~U1~2U11 EACH OCCURRENCE $ 1, UUU, ~~~ X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ lUU s ~~~ CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5 ,UUU A PERSONAL 8 ADV INJURY $ 1, OOO ,UUU GENERAL AGGREGATE $ 2 ,UUU ,UUU GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 ,UUU ,UUU X POLICY PRO LOC JECT AUT OMOBILE LIABILITY BA8591558 U2~U1~2UlU U2~U1~2U11 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) 1, UUU ,UUU ALL OWNED AUTOS ~~ ~~~~~ BODILY INJURY $ X SCHEpULED AUTOS '""'+q (Per person) A X HIRED AUTOS ~~(~ ~ ~ 2U~ (0 DeYI N^URY $ X NON, OWNED AUTOS ~ u U U d 1j~ 11 fY ~ " PROPERTY DAMAGE $ ~` ~ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY CU8715671 U2~U1~2UlU U2~U1~2U11 EACH OCCURRENCE $ 2, UUU, UUU X OCCUR ~ CLAIMS MADE AGGREGATE $ 2 ,UUU ,UUU B $ DEDUCTIBLE $ X 10,00 RETENTION $ $ ' WORKERS _ _ _ COMPENSATION ~ WC8567973 U1~U1~2UlU U1~U1~2U11 X TORY LIMITS ER AND EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ lOO, UUU A OFFICER/MEMDER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ lUU ,UUU I( yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ SUU, U OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VhMIl:LtS / C.ll+LUJivnD rauuc~ o. cnuvnacmc,. ~ ERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED ON COMMERCIAL GENERAL LIABILITY POLICY. INSURERS AFFORDING COVERAGE NAIC # INSURER A: Peerless Ins. Co. 24198 INSURER e: Excelsior Ins. Co. 11045 INSURER C: INSURER D: INSURER E: CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE C DATE THEREOF, THE ISSUING NOTICE TO THE CERTIFICATE IMPOSE NO OBLIGATION OR LI REPRESENTATIVES. POLICIES BE CANCELLED BEFO THE EXPIRATION WILL ENDEAVOR TO MAIL DAYS WRITTEN NAAAMED TO THE LEFT, BU AILURE TO DO SO SHALL RFYANYJtIND UPDN T INSlJI'tER. ITS AGENTS OR TOWN OF WAPPINGER BUILDING DEPARTMENT P.O. BOX 324, MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) ©1988-2009 ACI The ACORD name and logo are registered marks of ACORD TION. All rights ACORD,A, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) PRODUCER ,5Y WARWICK RESOURCE GROUP 68 MAIN 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 TFIE POLICIES BELOW. WARWICK, NY 10990 INSURERS AFFORDING COVERAGE NAIC# INSURISD DREAM WEAVER BUILDERS & INSURER A: NGM INSURANCE COMPANY 14788 GENERAL CONTRACTORS LTD. INSURER B: 6 HOUGHTAILING LANE INSURER C WALLKILL, NY 12589 INSURER D: ____ ____ _ DREW00 __ INSURER E: ~nvrDeccc vTlif POLI('IES OI INSURANC'L-' LISTED BELOW 1IAVF. BEEN ISSUED TO THE INSl1RED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIRL:MEN"I', -fERM OR CONllIT70N OF ANY CONTRACT OR OTHER DOCUME=NT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. TFII[ INSURANCE APFOIZDED BY THE POLICIES DESCRIBED HEREIN IS Sl1BJECT TO ALL THE "fERMS, EXCLUSIONS AND CONDITIONS OF SUCfI POLI('l1 S. AGGREGATE. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIDCLAIMS. INSR LT UU'L INSRD I POLICY NUMBER POLIO\' EFFEC"PIV TE M D/YY POLICY EXPIRATIO DAT ' DD/Y LIMITS A GF.NIr:RAI. LIABILITI' J~V91147 08~27~2009 U8~27~2010 EACH OCCURRENCE $ 100000U X C'OMMI'R('IAL GENERAL LIABILI'PY DAMAGE TO RENTED PREMISHS Ea occurence $ 500000 _ l1 i CLAIMSMADE C7C~ OC('l1R MEDEXP(Anyoneperson) $ 1000 ---1 ~ PERSONAL&ADVINJURY $ SDOOOOO GENERAL AGGREGATE $ 2OODODO - - _ ____ GENT. AGGREGATE LIMIT APPLIES PLR: PRODUCTS-COMP/OPAGG $ 2000ODO - PRO- ~ POLICY LO(' J' T AU TOMOBI LI? LIABILITY COMBINED SINGLE LIMIT $ l AN\'AIJ'10 (Ea accident) ~ _ ALL OU'NF;D AUTOS '~, ~ ~ ~ 60DILY INJURY P $ 5('HLDULED AUTOS :. er person) ( _ HIRED AUTOS BODILY INJURY $ NON-OWNLDAU'1'OS (Peraccident) _ ~ __ y ~~1„0~ PROPERTY DAMAGE $ __ ~~ (Peraccideni) GA RAGF.LIA61LITy ~ AUTO ONLY-EA ACCIDENT $ ANYAUI'0 .+ .` J `~ OTHER THAN EA ACC $ ~~ AUTOONLY: AGG $ EXCF.SS/UMBRELLA LIABILITY - ~111N~ ~ EACH OCCURRENCE $ OCCUR CICLAIMSMADE AGGREGATE $ [ LUUCl1BLL- $ REITN"LION $ $ WCSTATU- OTH- WORKERSCOM1IPENSATIONAND T RY IT ER _ - EMPLOYERS' LIABILITI' E.1.. EACH ACCIDENT $ ANY PROPRI[TOR~PARTNCP/EXFCUTIVC OFFICER/MEMBIiR EXC'LUDED' E.L. DISEASE - EA EMPLOYEE $ II'vcs.dcscribeunJer SPECIAI,PROVItiIONSbelow E.L. DISEASE-POLICYLIMII' $ OTHER DES('RI PTION OF OPERATIONS! LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL. PROVISIONS THIS CERTIFICATE OF INSURANCE IS ISSUED SUBJECT TO ALL POLICY TERMS, CONDITIONS, LIMITATIONS, EXCLUSIONS AND LANGUAGE. CRRTIFIC'ATF. HOI.nF.R CANCF.I.I.ATION SHOULD ANl' OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE F.XPIRATI TOWN OF WAPPINGER FALLS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAf~.~ DAPS WRITTEN 2 D MIDDLEBUSH ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO 511A WAPPINGER FALLS, NY 12590 IMPOSE NO OBLIGATION OR LIABILIT\' OF ANY KIND UPON THE INSURER, ITS AGENTS O REPRESENTATIVES. AUTHORIZED REPRESENTATI F.~/~ ` ~ 'll.~~JJ DAR ACORD25 (2(101 /OS) ©ACORD CORPORATION 1988 THE CINCINNATI INSURANCE COMPANY P O BOX 145496 CINCINNATI OH 45250-5496 NOTICE OF POLICY CONDITIONAL RENEWAL Named Insured & Malting Address: THOMAS GLEASON INC 42 MCKINLEY LN POUGHKEEPSIE NY 12601 Producer: 31003 JAMES P REAGAN AGENCY INC PO BOX 191 MARCELLUS NY 13108-0191 Policy No.: CPP 089 92 27 Type of Policy: PACKAGE Date of Expiration: 04/01/2010; 12:01 A.M. Local Time at the rrlaiiirtg address of the Named Insured. This notice is to advise that we are agreeable to renewing this policy subject to the following: DELETING CONTRACTORS LIMITED POLLUTION COVERAGE - GA119. The reason(s) for this conditional renewal is (are): DUE TO THE TOTAL POLLUTION EXCLUSION (GA354) ON THE POLICY, CONTRACTORS LIMITED POLLUTION COVERAGE CANNOT BE OFFERED. The first named insured or his/her authorized agent/broker may request in writing loss information with respect to this policy and previous policies we have written for you. We will provide this information within 10 days from the date we receive your request. '~~ JAN 2 8 2010 -~~~~~~A ~w ~~.,,. Date Mailed: 25th day of January, 2010 Other Party of Interest POLICY #CPP 089 92 27/TERR 6 TOWN OF WAPPINGERS 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 .~'"'_ ~ifrss AUTHORIZED REPRESENTATIVE - TH NYCRI9CHGLICDE FORM# CR971406NY82006 01252010MYNY OOEN 3.0.09.12a Copy for Other Interests Page 1 of 1 ACOR.~_ CERTIFICATE OF LIABILITY INSURANCE OP ID CR DATE (MM/DD/YYYY) RCOST-1 02 04 10 PRODUOER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brinckerhof f & Neuville, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1134 Main St . , PO Box 424 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fishkill NY 12524-0424 Phone: 845-896-4700 Fax: 845-897-5110 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: NatlOnal Grange Mutual 14788 .. INSURER B: R Costa Electric IIIC INSURER C: 15 Applebloasom 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 REgUIREMENT, 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 Pni ~riFS arr,RFC;are uM175 SHOWN MAY HAVE BEEN REDUCED BY PAIp CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY 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 12/04/10 PREMISES (Eaoccurence) $500,000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10 , O 0 0 PERSONAL & ADV INJURY $ 2, 0 0 0, O O O GENERAL AGGREGATE $ 4, 0 0 0, O O O 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 $ ZOOOOOO A X ANY AUTO B2V67552 12/04/09 12/04/10 (Eaeccident) 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 EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER A EMPLOYERS'LIABILITY WIV67552 02/20/10 02/.20/:11 E.L. EACH ACCIDENT $ 100000 ANY PROPRIETOWPARTNEWEXECUTIVE OFFICEWMEMBEREXCLUDED? E.L. DISEASE-EA EMPLOYEE $ lOOOOO If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 5 0 O O O 0 OTHER ~~~~~~~~~ ut~cKir ~ i~rv ur urcrw i iurva r ~wN i was r v~nw~w i cn~.waw~ra nwov o . ~,.....,.~~~,". , , .,. -..,..~ ...........,..., „a.~ Town of Wappinger is listed as Additional Insured ` '' ;" ~' ~, ~'«s ~' LUIU i ~p~ ~ ~q ~~~- CERTIFICATE HOLDER CANCELLATION WAPPING 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 Town of Wappinger 20 Middlebush Road Wappingers Falls NY 12590 ACORD 25 (2001108) IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ©ACORD CORPORATION 1988 POLICY NUMBER: MPV95026 BUSINESSOWNERS BP 04 52 01 97 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -STATE OR POLITICAL SUBDIVISIONS -PERMITS This endorsement modifies insurance provided under the following: BUSINESSOWNERS POLICY SCHEDULE* State Or Political Subdivision: Town of Wappinger 20 Middlebush Rd Wappingers Falls NY 12590 Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declara- tions. The following is added to Paragraph C. Who Is An b. This insurance does not apply to: Insured in the Businessowners Liability Coverage (1) "Bodily injury", "property damage", "personal Form: injury" or "advertising injury" arising out of 4. Any state or political subdivision shown in the operations performed for the state or mu- Schedule is also an insured, subject to the follow- nicipality; or ing provisions: (2) "Bodily injury" or "property damage" in- a. This insurance applies only with respect to cluded within the "products-completed op- operations performed by you or on your behalf erations hazard". for which the state or political subdivision has issued a permit. DEB ~ ~~ 2Q10 •, wn ~ ~ f~`:-. BP 04 52 01 97 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1 ^ ~R~® CERTIFICATE OF LIABILITY INSURANCE OP ID LD DATE (MM/DD/YYYY) SOLTI-1 02/05/10 PRODUCER i M' Main Street America Group - Sy V~' „~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ~,~,IJLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Syracuse Region , HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 2027. p~Ee ~' q 20 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Keene NH 03431 ~" ni~~ INSURERS AFFORDING COVERAGE NAIC # INSURED ~ INSURER A: NGM IasuranCe CO an 14788 ., ?' °i INSURER B: David Soltish DBA Soltish Electric ,- , =wsuR~ c: PO BOX 7 64 ~ I RER D: Wappingers Falls NY 12590 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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/YYYY DATE MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2000000 A R COMMERCIAL GENERAL LIABILITY MPV47706 02/28/10 02/28/11 PREMISES Eaoccurence $ 500000 CLAIMS MADE ®OCCUR MED EXP (Any one person) $ 10000 02/28/09 02/28/10 PERSONAL&ADVINJURY $ 2000000 GENERAL AGGREGATE $ 4000000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 4000000 POLICY ]( 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 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 $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIV~ OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ (Mandatory in NH) H E.L. DISEASE • EA EMPLOYEE $ yes, describe under SPECIAL PROVISIONS below E.L. DISEASE • POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED 8Y ENDORSEMENT /SPECIAL PROVISIONS :ERTIFICATE HOLDER Town of Wappinger 20 Middlebush Rd PO Box 324 Wappingers Falls NY 12590 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE 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. .CORD 25 (2009101) ©1988-2009 ACORD All rights reserved. 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. ACORD 25 (2009/01) w r.~ti p~® DATE (MMIDD/YYYY) /`} V /~ CERTIFICATE OF LIABILITY INSURANCE I D S ~ ~ ~ T„ ,YO 9 02 23 to 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 Ins . CO. INSURER B: The Firet Rehabilitation Ins New York Electrical Inspection s@rV1.C@3 InC . INSURER C: 150 White Plains Road, St@ lO4 INSURER D: Tarr town NY 10591 y INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YYYY DATE MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ lOOOOOO A X COMMERCIAL GENERAL LIABILITY 16SBAVS5011 03/29/10 03/29/11 PREMISES Eaoccurence $ 300000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 1 OOOO PERSONAL&ADVINJURY $ lOOOOOO GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $2000000 POLICY PRO LOC JECT AU TOMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANY AUTO 16UECW3549 03/29/10 03/29/11 (Ea accdent) $ lOOOOOO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS ,,._ , , f BODILY INJURY NON-OWNED AUTOS ~ ~~ , ~~~- ~ V (Per accident) $ ~ ~'`-'~ ~ ~ i PROPERTY DAMAGE 0 (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO `AfIL~ (°!~~ h OTHER THAN ACC $ ~ ~ dMN VN 1l VT ~,r AUTO ONLY: AGG $ EXCESSIUMBRELLALIABILITY EACH OCCURRENCE $ 3000000 A $ OCCUR ~ CLAIMSMADE 16SBAVS5011 03/29/10 03/29/11 AGGREGATE $ 3000000 DEDUCTIBLE $ X RETENTION $ lOOOO $ WOR AND KERS EMPL COMPENSATION OYERS' LIABILITY X T.OR_Y LIMITS ER ___ _ A ANY PROPRIETOR/PARTNER/EXECUTIV ~ 16WECTR33fi8 03/29/10 03/29/11 E.L. EACH ACCIDENT _ _- $ lOOOOO OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE-EA EMPLOYEE $ lOOOOO If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ SOOOOO B OTHER DISABILITY BENEFTS DBL212753 03/30/10 03/30/11 NYS STATUTORY LIMITS DESCRIPTION OF OPERATIONS (LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWNWAP 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 Town of Wappingers 20 Middlebush Road REPRESENTATIVES. Wappingers Falls NY 12590 AUT D REPRESENTATIVE ACORD 25 (2009/01) ~ 1988-2009 ACORD.G9RPORATION. All rights reserved. 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. Arnon ee innnnin~~ Erie ,~ Insurance Group ,oo Eris ios P~ FEBRUARY 18 2 010 Erie, PA 16530 ~ ADDITIONAL INSURED AND/OR CERTIFICATE HOLDER: TOWN OF WAPPINGERS RE: CG2010 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590-4004 NAMED INSURED AND ADDRESS: MR ROOTER OF DUTCHESS COUNTY INC 75 WEST RD PLEASANT VALLEY NY 12569 TYPE OF POLICY: ULTRAFLEX PACKAGE POLICY POLICY NUMBER: Q476350048NY COMPANY: ERIE INSURANCE COMPANY YOUR NAME APPEARS ON THE ABOVE POLICY AS AN ADDITIONAL INSURED AND/OR CERTIFICATE HOLDER. THIS IS YOUR NOTICE THAT YOUR INTEREST AND ANY COVERAGE AFFORDED TO YOU BY THE POLICY IS BEING CANCELLED EFFECTIVE 12:01 A.M. - NOVEMBER 13, 2009. r ~.:.~%` i~ECEI~'t FEB ~ ~ r2010 ~'°~~~ CRF~r~ °® CERTIFICATE OF LIABILITY INSURANCE ~` DATE(MMIDD/YWY) ~ 02/19/10 PRODUCER 1-404-995-3000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marsh USA, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR homedepot.certrequeat@marah.com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Two Alliance Center, 3560 Lenox Road, Suite 2400 Atlanta, GA 30326 Fax z12 948-0902 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Steadfast Ins Co 26387 Home Depot U.S.A., Inc. d/b/a The Home Depot INSURER e: Zurich American Ins Co 16535 2455 Paces Ferry Road INSURER C: New Hampshire Ins Co 23841 Building C-20 Atlanta GA 30339 INSURER D: NATIONAL UNION FIRE INS CO OF PITTS 19445 , INSURER E: Illinois Union Zna Co 27 60 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY GL04887714-00 03/01/10 03/01/11 EACH OCCURRENCE $4,00_0,000 O T X COMMERCIAL GENERAL LIABILITY u ante PREM SES Ea occ $ 1, 000, 000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $ 4 , 000 , 000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 4,000,000 X POLICY PRO- LOC B AUT OMOBILE LIABILITY BAP 2938863-07 03/01/10 03/01/11 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accideni) X SELF INSIIRED AUTO PROPERTY DAMAGE PHYSICAL DAMAGE - - _ -°-- (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSIUMBRELLALIABILITY GL04887714-00 03/01/10 03/01/11 EACH OCCURRENCE $ 5,000,000 X OCCUR ~ CLAIMS MADE AGGREGATE $ 5, 000, 000 DEDUCTIBLE ~ $ RETENTION $ .,%., `~"'~ $ C WORKERS COMPENSATION AND EMP ' WC020342355 (AOS) 03/01 0 ~' ~~ 03/01/11. X C STATU- OTH- LIABILITY LOYERS Y/N D ANY PROPRIETORIPARTNERIEXECUTIVE WC020342356 (CA) 03/01/10 03/OI./11 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? E (Mandatory in NH) WC020342357 (FL) 03/01/10 03/01/11 E.L. DISEASE-EA EMPLOYE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1, 000 , 000 E OTHER TX Employers Excess TNSC46242373 (TX) 03/01/10 03/01/11 ~` I~~M/2M Occur a D Workers Compensation WC0910566 (QSI) 03/01/10 03/01/11 ~ ~~ V v C Workers Compensation WC020342358(RY,MO,NY,WI, ) 03/01/10 03/01/11 DESCRIPTION OF OPERATIONS (LOCATIONS (VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ~~~ R ~ ~O~O °'~~l1l~l C;1 ~~'' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELL ED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN TOWN OF WAPPINGER 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 20 MIDDLEBUSH ROAD REPRESENTATIVES. WAPPINGER FALLS, NY 12590 AUTHORIZED REPRESENTATIVE ~ J . ~ USA ~ , ~~~i+ ACORD 25 (2009/01) ,Tthornton_hd © 1988-2009 ACORD CORPORATION. All rights reserved. 14490115 The ACORD name and logo are registered marks of ACORD ADDITIONAL INFORMATION' PRODUCER Marsh IISA, Inc. homedepot.certre4ueat@marah.com Two Alliance Center, 3560 Lenox Road, Suite 2400 Atlanta, GA 30326 INSURED Home Depot U.S.A., Inc. d/b/a The Home Depot 2455 Paces Ferry Road Building C-20 Atlanta, GA 30339 ***HOME DEPOT INSUREDS*** Home Depot II.S.A., The Home Depot, Inc. Entity Liat DATE (MM/DD/YY) 02/19/10 COMPANIES AFFORDING COVERAGE COMPANYF Illinois Union Ina Co COMPANY G COMPANY H 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. ~ECEIiIE~ ~~,~ 0 1 2010 ~~t11-t~1 (`I FD' CERTIFICATE HOLD TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD WAPPINGER FALLS, NY 12590 USA MARSH USA INC.BY ~j/ ~~ Page Erie ~ CERTIFICATE OF INSURANCE ~~ InSUranCe -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY - 100 Erie Ins. PI. Erie, PA 16530 CERTIFICATE HOLDER COPY NAME AND NUMBER OF AGENCY DATE ISSUED 02/25/2010 JOY INSURANCE AGENCY, INC. NN 1388 NAME AND`A,DDR`ESS OF CERTIFICATE HOLDER OR OTHER NAME AND ADDRESS OF NAMED INSURED ECEI V ~1.~ ~~ ~"""°~, AR O ~ 2O1pTOWN OF WAPPWGER AIRFLOW AIR CONDITIONING INC ~ ' ~° - 20 MIDDLEBUSH RD PO BOX 941 ~ '~~ll~~l ~~ Fp~1/APPINGERS FALLS NY 12590- HIGHLAND NY 12528-0941 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 0285120345 04/01 /2010 04/01 /201 1 COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM G EN'L AGG REGATE LIMIT APPLIES PER: POLICY ADDITIONAL INSURED EACH OCCURRENCE $ 1 DDDDDD FIRE DAMAGE (Any one premises) $ 1 DDDDDD MED EXP (Any one person) $ SDDD ( PERSONAL & ADV INJURY I$ l OOOOOO GENERAL AGGREGATE I$ 3000000 3000000 AUTOMOBILE LIABILITY 0045140131 04/01 /2010 04/01 /201 1 ANY AUTO (OWNED, HIRED, NON-OWNED) EXCESS LIABILITY 02851 70204 104/01 /2010 04/01 /201 1 OCCURRENCE FORM RETENTION $10000 ovu~~~ $ (EACH PERSON) BODILY INJURY $ (EACH ACCIDENT) PROPERTY DAMAGE $ BODILY INJURY AND $ 1 DDDDDD PROPERTY DAMAGE COMBINED EACH OCCURRENCE ~ 5OD000O AGGREGATE I 5DDDDDD STATUTORY >' BODILY ACCIDENT $ EACH ACCIDENT INJURY DISEASE $ POLICY LIMIT BY DISEASE $ EACH EMPLOYEE ~ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CANCELLATION FOR NON-PAYMENT. CAUSE OR NAMED INSURED'S REQUEST: When an automobile policy is cancelled, written notice will be mailed to the 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: (Ii the box is checked, this certificate involves a special contract and the following cancellation provisions apply.) When an automobile policy is cancelled, wririen 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 ~~ , ® A~ ~ CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDM'W) 02/19/10 PRODUCER 1-404-995-3000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Marsh USA, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR homedepot.certrequeat0mareh.com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Two Alliance Center, 3560 Lenox Road, Suite 2400 Atlanta, GA 30326 INSURERS AFFORDING COVERAGE NAIC # Fax 212 948-0902 INSURED INSURER A: Steadfast Ina Co 26387 Home Depot U.S.A., Inc. d/b/a The Home De ot INSURERS Zurich American Ina Co 16535 p 2455 Paces Ferry Road INSURER C: New Hampshire Ina Co 23841 Building C-20 INSURER D: NATIONAL UNION FIRE INS CO OF PITTS 19445 Atlanta, GA 30339 I _. INSURER E:Illinoia Union Ina Co 27960 r:nvFRa~Es THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT , MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY GL04887714-00 03/01/10 03/01/11 EACH OCCURRENCE $4,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 CLAIMS MADE ^X OCCUR MED EXP (Any one person) $ EXCLUDED PERSONAL 8 ADV INJURY $ 4, 000, 000 GENERAL AGGREGATE $ 4,000,000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 4,000,000 X POLICY PRO- LOC B AUT OMOBILE LIABILITY BAP 2938863-07 03/01/10 03/01/11 COMBINED SINGLE LIMIT $ 1, 000, 000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) X SELF INSURED AUTO PROPERTY DAMAGE $ PHYSICAL .DAMAGE - ~-" _(Per accident) - -' GARAGE LIABILITY - AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSIUMBRELLALIABILITY GL04687714-00 03/01/10 03/01/11 EACH OCCURRENCE $ 5,000,000 X OCCUR ~ CLAIMSMADE AGGREGATE $ 5,000,000 DEDUCTIBLE $ RETENTION $ $ C WORKERS COMPENSATION WC020342355 (AOS) 03/01/10 03/01/11 X WC STAT T- OTH- D ANG EMPLOYERS' LIABILITY y / N ANY PROPRIETORIPARTNER/EXECUTIVE WC020342356 (CA) 03/01/10 03/01/11 E.L. EACH ACCIDENT $ 1, U00, 000 E ~ OFFICERlMEMBER EXCLUDED? (Mandatory in NH) WC020342357 (FL) 03/01/10 03/01/11 E.L. DISEASE-EAEMPLOVE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1 , 000, 000 E OTHER TX Employers Excess TNSC46242373 (TX) 03/01/10 03/01/11 Occurrence/SIR 30M/2M D Workers Compensation WC0910566 (QSI) 03/01/10 03/01/11 C Workers Compensation WC020342358(RY,MO,NY,WI, ) 03/01/10 03/01/11 DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS MAR 0 1 1010 ~-~~n~n~ rl Ft~~ ~'FRTIFI!-:ATF H(ll f1FR C:ANC:tLLH I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN TOWN OF WAPPINGER 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 20 MIDDLEBUSH ROAD REPRESENTATIVES. WAPPINGER FALLS, NY 12590 AUTHORIZED REPRESENTATIVE ~ USA ~% ACORD 25 (2009/01 j .Tthornton_hd U 1988-ZUU9 AGUKU GUKF'UKH I IVN. All rlgnts reServeO. 14489181 The ACORD name and logo are registered marks of ACORD DATE,MMIDD,YY) ADDITIONAL INFORMATION 02/19/10 COMPANIES AFFORDING COVERAGE PRODUCER Marsh USA, Inc. COMPANY F Illinois Union Ina Co homedepot.certrequeat(-marsh.com COMPANYG Two Alliance Center, 3560 Lenox Road, Suite 2400 Atlanta, GA 30326 INSURED COMPANY H Home Depot U.S.A., Inc. d/b/a The Home Depot Road 2455 Pace Ferr y s Building C-20 Atlanta, GA 30339 TEXT ***HOME DEPOT INSUREDS*** Home Depot II.S.A., The Home Depot, Inc. Entity Liat Chem-Dry Limited Harris Research, Inc. HD Direct LLC Home Depot Installation Services, Inc. Home Depot USA, Inc. DHA 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. ~~C~~ Y ~~ MAR 0 1 2010 ~rn-~.t ~'`I FD- CERTIFICATE HOLDER TOWN OF WAPPINGER t0 MZDDLEBUSH ROAD VAPPINGER FALLS, NY 12590 USA MARSH USA INC.BY ~~ Page 2 ~, ® DATE(MMIDD/YYYY) ~~coRO CERTIFICATE OF LIABILITY INSURANCE 3/2/2010 PRO R (914) 2 7 3 - 8 511 FAX : (914) 2 7 3 - 8 0 82 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Associated Insurance Agency of Westchester, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 200 Business Park Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 206 Armonk NY 10504 INSURERS AFFORDING COVERAGE ~ NAIC # --~-- ~ --~" "-' Hartford Fire Ins CO r 19662 INSURED INSURER A: ___ ___-__~ Sentinel Ins. Company LTD `11000 MORELLO ELECTRIC, FREDERICK MORELLO D/8/A INSURER B: _ 59 BEYER DRIVE wsuRERC:Twin City Fire Insurance Co. ~ 29459 INSURERD;F].r8t Rehabilitation '~ PATr(:H0T7AG NY 12570 INSURER E• THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AeUVt r•vrt I rtt rvu~T r~r~ivv ~~v.,,v„~.:.~. ~..~, ••~ ~ ~ ~~ ~-•~ • --•~--- ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _______________. _____._,- INSR DD'L ~- POLICY NUMBER PvLJCY EFFECTIV° POLICY EXPIRATION ' LIMITS LT EACH OCCURRENCE $ 1, 000, 000 GENERAL LIABILITY X COMMERCIAL GENER~-AL LIIABILITY PREMISES Ea occurrence $ 300, 000 r ! ri.u.c..enc I S[ I nrriat ~acnaFF65D3 12/1/2009 12/1/2010 MEDEXP(Anyoneperson) $ 10,000 I ~ GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC AUTOMOBILE LIABILITY ~~ ANY AUTO B. ALL OWNED AUTOS ' 6UECE08025 X SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS /UMBRELLA LIABILITY OCCUR ~ CLAIMS MADE A ! I !DEDUCTIBLE 163BAPF65D3 3/25/2009 13/25/2010 12/1/2009 12/1/2010 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2, 0 0 0, 0 0 0 PRODUCTS -COMP/OP AGG $ 2, 0 0 0 ,_O O O COMBINED SINGLE LIMB (Ea accidenQ $ __ BODILY INJURY (Per person). $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ AN EA ACC $ OTHER TH AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ -- _ -~ 1,000,000 000,000 000,000 ~ X RETENTION $ 10, 000 WC STATU- OTH- L. j WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTIVE ^ OFFICER/MEMBEREXCLUDED7 4/10/2009 4/10/2010 E.L. DISEASE-EA EMPLOYE $ (Mandatory in NH) 16WECRL4595 If es, describe under E.L. DISEASE - POLI Y IT $ SPECIAL PROVISIONS below D i oTHERDisability BL-111485 ~ 2/fi/2010 2/6/2011 Sri i I ~1 I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <~ .. ''~~N~I CLFPI 500,000 500,000 500,000 CERTIFICATE HOLDER """"°'" -'"--- SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOwn Of Wappinger DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 2 O Middlebush Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Wappingers Falls, NY 12590 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Ann Marie Papa/STG _. ""t ~~z~ ACORD 25 (2009101) y ~ ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (zoosot) 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. ACORD 25 (2009101) isicno~ ,~~„~,,,, DATE (MM/DD/1 OP ID MP Y ~RO® CERTIFICATE OF LIABILITY INSURANCE HOFFM-1 03/09/ ~rRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE S ain A ncy, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 625 Ro e 6 Mahopac NY 10541 NAIL # Phone:845-628-1700 Fax:845-628-1804 INSURERS AFFORDING COVERAGE INSURED INSURER A__ National Grange Mutual Ins Co 226 _ INSURER B: __ Hoffman ,Homes & Remodeling INSURER C: -- Sppeciahsts Inc ---- 1b Sachson Pl INSURER D: _ - Wappingers Falls NY 12590 INSURER E: COVERAGES RIOD INDICATE NOTWITHSTANDING D THE POLICIES OF INSURANCE LISTED BELOW HAV ANY REQUIREMENT, TERM OR CONDITION OF ANY MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE INSR~ADD'II,~, _ E BEEN ISSUED TO THE INSURED NAMED CONTRACT OR OTHER DOCUMENT WITH POLICIES DESCRIBED HEREIN IS SUBJE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER ABOVE FOR THE POL RESPECT TO WHICH CT TO ALL THE TERM P LICY EFFEC I E DATE MMIDDIYYYY ICY PE THIS CERTIFICATE MA S, EXCLUSIONS AND C P L CY EXPIRA ION DATE MM/DDIYYYY . Y BE ISSUED OR ONDITIONS OF SUCH LIMITS LTR INSRd TYPE OF INSURANCE RRENCE OOO OOO $ 1 GENERAL LIABILITY 72092 04/04/10 04/04/11 EACH OCCU PREMISES (Eaoccurence) - , , $ 500 r 000 A i X~ COMMERCIAL GENERAL LIABILITY --t--- MPV I MED EXP (Any one porson) _ - _- $ 10 , 0 0 0 j _~ (CLAIMS MADE ~X~ OCCUR j PERSONAL 8 ADV INJURY $ 2 , OOO , OOO EGATE 000 000 $ 2 GENERAL AGGR , , P AGG / O OO O O O $ 2 i O PRODUCTS -COMP , , t GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X jEt° r~ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ j ANY AUTO ALL OWNED AUTOS ~ ' ~ \I C~ Y BODILY INJURY (Per person) $ r SCHEDULED AUTOS Olo ~ ~ 2 HIRED AUTOS I pR BODILY INJURY (Per accidenl) $ ~~ ~ NON-OWNED AUTOS /~ rr ^ ~n) ~ p - I ~~ ~ ^ -r PROPERTY DAMAGE (Per accident) $ EA ACCIDENT NLY $ GARAGE LIABILITY _ 1 ' ~ f - AUTO O EA ACC THER THAN $ ANY AUTO ~ , ~ ~ O AUTO ONLY: AGG $ CCURRENCE $ EXCESS !UMBRELLA LIABILITY EACH O AGGREGATE ___ $ ~ ~ OCCUR ~ CLAIMS MADE j--J $ I DEDUCTIBLE I N $ O RETENT ERS COMPENSATION TORY LIMITS ER WORK ~ AND EMPLOYERS' LIABILITY y / N E.L. EACH ACCIDENT $ _ ANY PROPRIETORIPARTNER/EXECUTIV OFFICER/MEMBER EXCLUDED? ~ E.L DISEASE - EA EMPLOYEE $ (Mandatory in NH) ~ If yes, describe under ~ ~ E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS !VEHI carpentry CLES 1 EXCLUSIONS ADDED BY ENDORS EMENT /SPECIAL PRO VISIONS TIFICATE HOLDER CANCELLAT ION CER WAPPING Town of Wappinger Building Department 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 20 Middlebush Road Wappingers Falls NY 12590-0324 AUTH 12ED EPRES AT E ACORD 25 (2009/01) ~ 1988-20 9 C O N. All rights reserved. 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. ACORD 25 (2009101) CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDnYYY) A CORDM o3/lo/zolo PRODUCER g45.896.2222 FAX 845.896.4365 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Kraus-Ritter Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1081 Main St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite J Fishkill, NY 12524 INSURED SK Electric LLC 271 Route 9D Beacon, NY 12508 ~`A\/FRAC;FR INSURERS AFFORDING COVERAGE NAIC # INSURER A: Preferred Mutual Ins.. Co. 15024 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 PtKIUU rrvuwr+i cu. rvU ~ vvi ~ no i nivun~~ 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' POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YYYY DATE MM/DD/YYYY GENERAL LIABILITY CPP 0150578935 03/12/2010 03/12/2011 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ lOO + OO CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5 , OO 1 000 nn A PERSONAL & ADV INJURY $ , , OOO 2 GENERAL AGGREGATE , , $ OOO 2 PRODUCTS -COMP/OP AGG ~ $ , GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY jE~T LOC 11 AUTOMOBILE LIABILITY PCA 0100702664 O2/18/2OlO y y 02/18/20 COMBINED SINGLE LIMIT (Ea accident) $ 1 OOO + ANY AUTO ~ 1 V Ls ALL OWNED AUTOS BODILY INJURY (Per person) $ A X SCHEDULED AUTOS MAR 12 2010 X HIRED AUTOS ~ BODILY INJURY (Per accident) $ X NON-OWNED AUTOS ~ ~ ~`^ w, r rM ~~P~~ Y `-' PROPERTY DAMAGE (Per accident) $ DENT $ AUTO ONLY - EA ACCI GARAGE LIABILITY OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ 2011 2 NCE OOO $ 1 000150581227 03/12/2010 / 03/1 EACH OCCURRE , EXCESS /UMBRELLA LIABILITY AGGREGATE $ X OCCUR ~ CLAIMS MADE 1,000,000 $ 1,000 A $ DEDUCTIBLE X RETENTION $ lO + OO _ $ WOR KERS COMPENSATION TORY LIMITS ER AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE^ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVlsiun~ =ERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED ON THE COMMERCIAL GENERAL LIABILITY POLICY. CERTIFICATE HOLDER TOWN OF WAPPINGER BLDING DEPT. 20 MIDDLEBUSH RD. WAPPINGERS FALLS, NY 12590 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, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED TION. All rights reserved. 25 (2009101) `" ' """ -- The ACORD name and logo are registered marks of ACORD DATE (MMIDDIYYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 2/25/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER (585) 546-3747 x7727, Fax (585) 424-2798 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE First Niagara Risk Management, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 777 Canal View Boulevard, Suite Rochester, NY 14623-2825 Attn : Louise Cook INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:TraV@l@rS PC of America Inc Brake ffl M INSUReRB:Cincinnati Insurance Co. . , er u Monro INSURER C: 200 Holleder Parkway INSURER D: Rochester NY 146150945 INSURER E: VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY THE POLICIES OF INSURANCE LISTED BELOW HA RACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, REQUIREMENT, TERM OR CONDITION OF ANY CONT THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS 177D8217-09 04/01/2010 04/01/2011 g 1,000,000 GEN ERAL LIABILITY Tc2JGLSA DAMAGE TO RENTED $ 1, 000, 000 X COMMERCIAL GENERAL L ~ IABILITY MED EXP An one erson $ 5 , 000 A CLAIMS MADE OCCUR g 1,000,000 000 000 5 GENERALAGGRE ATE , , $ 000 1 000 _ p p , , $ GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC AUT OMOBILE LIABILITY TC2JCAP281D1136-09 04/01/2010 04/01/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 X ANY AUTO A ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ ASH VALUE BASIS: Limit: NON-0WNED AUTOS ACTUAL C X Garagekeepera COMPREHENSIVE $2,000,000 PROPERTY DAMAGE $ Covera a COLLISION $2,000,000 (Per accident) AUTO ONLY - EA ACCIDENT $ GA RAGE LIABILITY OTHERTHAN $ ANY AUTO AUTO ONLY: AGG $ 90 04/01/2010 04/01/2011 F 5,000,000 ExcESSNMBRELLALIABILITY ccCii547 ~ AGGREGATE $ 5, 000, 000 CLAIMS MADE X OCCUR B DEDUCTIBLE X ET l0 000 WC STATU- OTH- RECEIVE A WORKERSCOMPENSATION AND YOU WILL EMPLOYERS' LIABILITY 2 FORM ARATE C105 E.L. EACH ACCIDENT $ ANY PROPRIETOWPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? . SEP FICATE FOR THIS E.L. DISEASE - EA EMPLOYEE $ CERTI If yes, describe under COVERAGE E.L. DISEASE -POLICY LIMIT $ P IA PR V I N I OTHER ~ECEIi/E~, DESCRIPTION OF OPER/,TIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISI /,~ , ~ MAR - 4 2010 CERTIFICATE HOLDER "^"""`^ """ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Wappinger EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 Middlebush Rd. 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Wappingers Falls , NY 12590 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~~ ~<,-z..r+.A ~~- Joseph Teresi/LCOOK !, ernRn r_naZanRerlnN 1AR8 ACORD 25 (2001108) - ' -- - - -- - - INS025 rofoal.oaa Paoe ~ of 2 AcoRO CERTIFICATE OF LIABILITY INSURANCE OP ID DY DATE(MMIDD/YYYY) ~ ENVIR-1 03/10/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Donald B . Dedrick Agency Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Mill Street, PO Box 319 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dover ,Plains NY 12522 phone: 845-877-9901 Fax: 845-877-6771 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Starr Indemnity 6 Liability co INSURER B: Central All America 20222 Envirostar Corp INSURER C: Central Mutual Insurance Co 20230 PO BOX 365 INSURER D: .Croton Falls NY 10519 . INSURER E: C:U V tKACitJ 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 POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM/DDS PDATE MM/DOA/Y1 N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 ~: X COMMERCIAL GENERAL LIABILITY SISIEIL70024809 12/11/09 12/11/10 PREMISES (Eaoccurence) $ 50000 CLAIMS MADE X^ OCCUR MED EXP (Any one person) $ 5000 PERSONAL&ADVINJURY $ 1000000 X Pollution & Prof GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2000000 POLICY PRO LOC JECT AU TOMOBILE LIABILITY COMBINED SINGLE LIMIT E i $ 1000000 C ANY AUTO BAP7976635 02/19/10 Q2/]-9/1]- a acc dent) ( ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ X MCS 9 0 PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE g RETENTION $ g WORKERS COMPENSATION AND EMPLOYERS'LIABIL X TORY LIMITS ER B ITY wC7942213 09/29/09 09/29/10 E L EACH ACCIDENT $ 1000Q0 ANY PROPRIETOR/PARTNER/EXECUTIVE . . OFFICER/MEMBER EXCLUDED? If d ib d E. L. DISEASE-EA EMPLOYEE $100000 yes, escr e un er SPECIAL PROVISIONS below E. L. DISEASE-POLICY LIMIT $500000 OTHER °/~ DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS As per policy MAR 1 1 2010 I.GK I11-II.A 1 t t1ULUtK CANCFI I Al ION TOWNWAP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Town of Wappinger 20 Middlebush Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Wappinger Falls NY 12590 REPRESENTATIVES. AU RIZE RE NATIVE MVVRV LA two uvol ~ ~ - ~~+' U ACURD 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. -- _ _ _ __ _ ACORQ 25_(20 _ _ __ _ _ _ - -- - -- _ - - - - -_ _ _ - _ _ __ - _. __ - _ __ _• !?9A11ACDICTF ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDlYYYY) 02125/2009 PRODUCER BBBrT Blue Ridge Burke-Mt. Airy 187 W. Independence Blvd MAR 1 ~ 2010 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. PO Box 4600 Mount Airy, NC 27030 •~1Af a INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Hartford UnderwrlterS InSUranCe 30104 American Steel Carports Inc. ~ INSURER B: Hartford Casualty Insurance Com 29424 American Carports Inc. ~ INSURER C: Twin City Fire Insurance Compan 29459 PO Box 38 INSURER D: Hartford Fire Insurance Company 19682 Joshua, TX 76058 INSURER E: COVERAGES OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BEL N OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITIO ED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE AFFORD POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM DD Y POLICY EXPIRATION DA E MM DDIYYYY LIMITS LTR NSR 22UUNB04969 03/011201-0 03101/2011 EACH OCCURRENCE $1000000 A GEN ERAL LIABILITY DAMAGE TO RENTED ITY $3OO OOO X COMMERCIAL GENERAL LIABIL R ~ MED EXP (Any one person) $1 O OOO OCCU CLAIMS MADE PERSONAL & ADV INJURY $1 OOO OOO X PD Ded:1 000 GENERAL AGGREGATE $2 OOO OOO R ' PRODUCTS -COMP/OP AGG $2 OOO OOO : L AGGREGATE LIMIT APPLIES PE GEN POLICY j CT LOC D AUT OMOBILE LIABILITY 22UENB07405 0310112010 03/01/2011 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY rson) P $ ( er pe SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY r accident) P $ ( e X NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ GA RAGE LIABILITY OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ 22XHUB04066 03/01/2010 0310112011 EACH OCCURRENCE $5 OOO OOO B EXCESS /UMBRELLA LIABILITY ~ AGGREGATE $5 OOO OOO CLAIMS MADE X OCCUR $ DEDUCTIBLE X RETENTION $.10,000 _ WORKERS COMPENSATION AND _. 22WBE05997 03/01/2010 03/01/2011 X WC STATU- OTH- $ C EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1 OOO OOO AgNY PROPRIETgOER/PARTNER/EXECUTIVE tory~n NH~ EXCLUDED? Y nd M E.L. DISEASE - EA EMPLOYEE $1,000,000 a a ( If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ** Workers Comp Information ** Proprietors/Partners/Executive OfficerslMembers Excluded:Primo Castillo, Melton Castillo, Venancio Torres, Melton Castillo, Primo Castillo (See Attached Descriptions) Town of Wappinger 20 Middlebush Road Wappingers Falis, NY 12590 OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~-p_ DAYS WRITTEN TICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 'OSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ~~,Sa,w~ ------- ------------ ._. ACORD 25 (2009101) 1 of 3 #S4697516/M4647685 ~ ~~~~-~~~~ ^~~~~~ ~~^~ ~'~^• •~'~• --•• ••~•••-- •___ The ACORD name and logo are registered marks of ACORD ESS _^ 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 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 (2009101) 2 of 3 #S4697516/M4647685 ~ ' DATE (MMIDD/YYYY) A~ o® CERTIFICATE OF LIABILITY INSURANCE 03116/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LoVulio Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6450 Transit Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Depew, NY 14043 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: FIRST MERCURY INSURANCE CO. 10657 PJ Exteriors, Inc. and Lampi Holding Co and Jim Lampl INSURER B: FIRST MERCURY INSURANCE CO. 10657 1589 Rt 376 INSURER C: Wappingers Falls, NY 12590 wsuRER D: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 'THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LIMITS /15/2011 EACH OCCURRENCE $ 1,000,000 A GEN ERAL LIABILITY FMMA0026002 03/15/2010 03 G O R N D PREMISES Ea occurrence 60,000 $ X COMMERCIAL GENERAL LIABILITY ~ MED EXP (Any one arson) $ ~ Excluded OCCUR CLAIMS MADE ~ PERSONAL 8 ADV INJURY $ 1,000,000' ~ 000 2 000 Q ~ GENERAL AGGREGATE , , $ OOO 000 Z PRODUCTS -COMP/OP AGG , , $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC ~ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS ~C C G'r/~~ C V BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS MAR 2010 1 7 BODILY INJURY (Per aaldent) $ NON-OWNED AUTOS " PROPERTY DAMAGE id t) P $ ~~^ AI er acc en ( AUTO ONLY - EA ACCIDENT $ GA RAGE LIABILITY EA ACC $ ANY AUTO OTHER THAN AUTO ONLY: AGG $ 12010 03/15/2011 EACH OCCURRENCE $ S,000,OOO A EXCESS I UMBRELLA LIABILITY ~ CUMA000532 03/15 AGGREGATE $ S,000,OOO CLAIMS MADE X OCCUR E X DEDUCTIBLE RETENTION $ 10,000 WC STATU- OTH- $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE ~ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) Il yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS (LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS K I II-ILA Town of Wappinger Bldg Dept 20 Middlebush Road Wappingers Falls, NY 12590-0324 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANC ELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ~~/y /) (1~~ AUTHORIZED REPRESENTATIVE 'ts../c7(JyC'~~ Jjf-/ rn ennQ_~nno ertnRn rnRPORATION. All rights reserved. ACORD 25 (200910'1) The ACORD name and logo are registered marks of ACORD For more information contact: Marshall & Sterling Inc at 845-454-0800. 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) DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 3~17~2010 ACORD ,~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER (845) 724-3031 FAX: (845) 724-3099 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Pepe Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2568 Rte 55, Suite 1 P 0 Box 480 Pou h a NY 12570 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:Er1@ Insurance Com an 26263 & Burner Service Inc. olin ti C H INSURER B: g ng o ea Folkes INSURER C: te 9 950 R INSURER D: ou Fishkill NY 12524 INSURER E: SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I HER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OT INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. THE A RE ATE LIMITS SHOWN MAY AVE BE REDU D BY PAID LAIM POLICY EFFECTIVE POLICY EXPIRATION INSR ADD'L TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/D LIMITS EA H 0 RREN E $ 1, 000 , 000 GENERAL LIABILITY DAMAGE TO RENTED $ 100 , 000 X COMMERCIAL GENERAL LIABILITY PREMI ESE occurrence 000 5 , A CLAIMS MADE ~ OCCUR Q04-7440012 4~24~2010 4~24~2011 MEDEXP An one arson $ PERSONAL BADV IN RY $ 1 , 000 , 000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/ P AG $ 2 r O 00 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRD LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1 , 000 , 000 X ANY AUTO Q28-7420099 4~24~2010 4~24~2011 BODILY INJURY A ALL OWNED AUTOS (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON-OWNED AUTOS YY I PROPERTY DAMAGE t id P $ rs ) er acc en ( AUTO ONLY - FJ\ ACCIDENT $ GA RAGE LIABILITY ~~ ~ ~ 2010 OTHER THAN EA C $ ANY AUTO AUTO ONLY: AGG $ f~ f 1 r $ EXCESSIUMBRELLA LIABILITY -- AGGREGATE $ OCCUR ~ CLAIMS MADE $ DEDUCTIBLE l $ RETENTION WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. FJ~CH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ~~I~GI 1 ATI^\I CERTIFICATE HOLDER ~^""`-"^ """ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Wappinger EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 Middlebush Road 1 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Wappingers Falls , NY 12590 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~~ ~~~j~'d' J Anthony C. Pepe/ADAM n eCORI~ CORPORATION 1988 ACORD 25 (2001/08) - - - - Page 1 of 2 iNS025 ro~oef.oea 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, noc does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. MAR 1 9 X010 ''~~nint CI FP' ~- ~^ -- ~r ACORD 25 (2001108) Page 2 of 2 INS025 ~o~os>.oea DATE ~RO® CERTIFICATE OF LIABILITY INSURANLt OP ID RMIN JEMEL-1 03/22/10 PROG~+ ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Marshall & Sterling Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 66 Middlebush Rd, Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wappingers Falls NY 12590 Phone :845-297-1700 Fax: 845-297-2879 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Selective Ina. Co. of America 315 INSURER B: JEM Electric Ino & Morgan INSURER C: Homes Inc & 1020 LLC 39 Ve lank Ave INSURER D: Hopewell Jct NY 12533 INSURER E: rnvERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANUirvti 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 .~,.,., uev unvc Dwu oonurcn RV PAlll RI AIMS LTRV NSR v v TYPE OF INSURANCE ERAL LIABILITY POLICY NUMBER DATE MMIDDIYYYY DATE MMIDDIYYYY LIMIT EACH OCCURRENCE S $ 1000000 GEN MMERCIAL GENERAL LIABILITY 51539372 03/17/10 03/17/1]. PREMIS~ES(6Eaoccurence $ 100000 A X CO CLAIMS MADE X~ OCCUR MED EXP (Any one person) $ 5 0 0 0 PERSONALB,ADVINJURY $ 1000000 GENERAL AGGREGATE $ 3000000 AGGREGATELIMITAPPLIESPER: ' PRODUCTS-COMP/OPAGG $ 3000000 L GEN PRO- LOC POLICY JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT (Eaaccldent) $ 1000000 NY AUTO 51539372 03/17/10 03/17/11 A X A ALL OWNED AUTOS BODILY INJURY erson) (Per $ CHEDULED AUTOS p S HIRED AUTOS BODILY INJURY (Per accident) $ OWNED AUTOS NON - PROPERTY DAMAGE P id t $ en ( er acc ) AGE LIABILITY AUTO ONLY - EA ACCIDENT $ GA R Y AUTO OTHER THAN ~ ACC $ AN AUTO ONLY: AGG $ SS I UMBRELLA LIABILITY EACH OCCURRENCE $ EXCE OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ ~ $ WORKERS COMPENSATION _ TORY LIMITS ER AND EMPLOYERS' LIABILITY PROPRIETOR/PARTNER/EXECUTIV N E.L. EACH ACCIDENT $ A Y OFFICER/MEMBER EXCLUDED? in NH) d ~ E.L. DISEASE - EA EMPLOYEE $ atory (Man If es, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER CM1111 DDl ~VIC1r1NC ~ P'te' d DESGKIY IIUfY Ur•vre:v+lwnol wa.n nvl.ul.~,.w~w,......~ ............._____. _.___..___._.--. _- ~~ MAR 2 ~ 201Ci CERTIFICATE HOLDER TOWN036 Town of Wappingers 20 Middlebush Road Wappingers Falls NY 12590 ACORD 25 (2009101) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO 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$-2009 ACORD The ACORD name and logo are registered marks of ACORD TION. All rights reserved. A~ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 03/11/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER LoVullo Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6450 Transit Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Depew, NY 14043 INSURERS AFFORDING COVERAGE NAIC # an Homes Inc 81020 LLC INSURED JEM El ctric Inc & Mor INSURER A: US LIABILITY INSURANCE COMPANY 25895 g e lanck Ave 39 Ver INSURER B: p Hopewell Junction, NY 12533 INSURER C: INSURER D: INSURER E: COVERAGES EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BELOW HAVE B TRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CON DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH E S MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICI POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS EACH OCCURRENCE $ GEN ERAL LIABILITY DAMAG O EN E PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY ~ MED EXP (Any one person) $ OCCUR CLAIMS MADE PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT accident) (E $ a ANY AUTO ALL OWNED AUTOS BODILY INJURY erson) r (P $ p e SCHEDULED AUTOS HIRED AUTOS BODILY INJURY ccident) P $ er a ( NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ GA RAGE LIABILITY HER THAN ~ ACC $ ANY AUTO OT AUTO ONLY: AGG $ 03/17/2010 03/17/2011 EACH OCCURRENCE $ 1,000,000 EXCESS /UMBRELLA LIABILITY CUP1104154B A ~ AGGREGATE $ 1,000,000 CLAIMS MADE X OCCUR DEDUCTIBLE $ RETENTION $ WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTIVE ^ OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS MpR 2 3 ZOZ~ -~~nrni If :I F~'' CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO 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 Rd ~ ~ AUTHORIZED REPRESENTATIVE ~ ~j~J ~ ~j Wappingers Falls, NY 12590 ~ " "' ~A/ ~ m canoe nnne Ar~ncn I"f1DD(1D ATIAN All rinhts raearvRd_ ACORD 25 (2009101) `-' '""" `""" "'-"'~ The ACORD name and logo are registered marks of ACORD For-more information contact: Marshall & Sterling Inc at 845.297.1700. ' ~R~® CERTIFICATE OF LfABILITY INSURANCE LORIJJ2F DATE (MMID[ 03 2: THIS CERTIFICATE IS ISSUED AS A MATTER OF IN FORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Marshall & Sterling, Inc . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 103 Executive Drive, Suite 300 New Windsor NY 12553 Phone:845-567-1000 Fax:845-567-1030 INSURERS AFFORDING COVERAGE NAIC # INSURER A: American states insurance Co. O54 INSURED INSURER 8: Lori Jose h Builders, Inc. INSURER C: dba Joseph's Construction 27 Bayview Avenue INSURER D: Beacon NY 12508 INSURER E: COVERAGES OLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING E ISSUED OR THE P ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY B EREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED H MAY PERTAIN , AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICIES . POLICY NUMBER LTR NSR TYPE OF INSURANCE DATE MM/DDIYYYY DATE MM/DDmYY LIMITS EACH OCCURRENCE $ 1000000 GENERAL LIABILITY ILITY OlCH4172144 $ 200000_ 03/29/10 03/29/11 I A X COMMERCIAL GENERAL LIAB XPSAnyoneperson) $ 10000 MEDE CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1 0 0 0 O O O GENERAL AGGREGATE $ 2000000 PRODUCTS-COMP/OPAGG $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X jERCOT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ 03/29/10 03/29/11 (Perperaon) A X SCHEDULED AUTOS OlCH4453984 01CH4453984 03/29/10 03/29/11 gODILYINJURY $ A X HIRED AUTOS O1CH4453984 03/29/10 03/29/11 (Per accident) A X NON-OWNED AUTOS PROPERTY DAMAGE $ (Par accidenq AUTO ONLY • EA ACCIDENT $ GARAGE LIABILITY EA ACC $ ANY AUTO OTHER THAN gUTO ONLY: AGG $ EACH OCCURRENCE $ 2000000 EXCESS I UMBRELLA LIABILITY ~ CLAIMSMADE OlSU39132140 03/29/10 03/29/11 AGGREGATE $ 2000000 A X OCCUR $ DEDUCTIBLE }[ RETENTION $10000 - WORKERS COMPENSATION TORY LIMITS ER AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVF~ OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below /'~ ^ r ~ ~ / r' + / M ^ ! OTHER ~ 11. _i!/_ I Y C . ~ DESCRIPTION OF OPERATIONS (LOCATIONS (VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ~ PY ~~,~,~, ~, ~~~ CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O DAYS WRITTEN DATE THEREOF , WAPPI - 7 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR TOwri Of Wappingers REPRESENTATIVES. 20 Middlebush Road A DREP SENTATIV Wappingers Falls, NY 12590 ©1988.2 09 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/01) l istered marks of ACORD re og The ACORD name and g o are 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. ~~~rC~tl'~l~ MAR ~ 3 2010 '~tn~~l rl ~p~ ACORD 25 (2009101) ~ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4 2 2010 PRODUCER Rea an Insurance g 8 E 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. Marcellus NY 13108 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:C1nClrinatl Insurance Com an 0677 _ Thomas Gleason Inc. INSURERe:Technolo Ins. Co. Or x 2376 42 McKinley Lane INSURERC:American Alternative Ins. WH 9720 Poughkeepsie NY 12601 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS 4/1/2010 4/1/2011 EACH OCCURRENCE $ 1 000. 000 p, GEN ERAL LIABILITY CPP0899227 r - PREMISES Ea occurenca $ 5 0 0 0 0 X COMMERCIAL GENERAL LIABILITY ~ ~ MED EXP (Any one person) $ 10 0 0 0 OCCUR CLAIMS MADE , PERSONALg,ADVINJURY $ 1 000 000 GENERALAGGREGATE $ 2 0 0 0 0 0 0 PRODUCTS-COMP/OPAGG $ 2 000 000 GEN'LAGGREGATELIMITAPPLIESPER: POLICY X PRO ~{ LOC j~ AUTOMOBILE LIABILITY CARS 8 9 6 74 9 4 _. ~ 1 COMBINED SINGLE LIMIT (Ea accidenq $ 1, 0 0 0, 0 0 0 X ANY AUTO ALLOWNEDAUTOS ^n U u U u~ ~ f '~ ~ ;~^ ~.~~ ~ L.,.:i (O D~~>URY $ SCHEDULED AUTOS }{ HfREDAUTOS ;~ R p b "1 U~ u BODILY INJURY (Per accident) $ ~{ NON-OWNED AUTOS A - ' R PROPERTY DAMAGE (Per accident) $ ! ,- ~ . ~ G~ ~ ~ AUTO ONLY- EA ACCIDENT $ GA RAGE LIABILITY ~~ ~ ~~ ~ RTHAN EA ACC $ ANY AUTO OTHE AUTO ONLY: AGG $ 4/1/2010 4/1/2011 EACH OCCURRENCE $ 5 000 000 p, EXCESSNMBRELLALIABILITY CPP0899227 60A2FF000023101 4/1/2010 4/1/2011 AGGREGATE $ 5 000 000 C g OCCUR ~ CLAIMSMADE xcess $ ccurrence $ 1, 000, 000 X DEDUCTIBLE RETENTION $10 0 0 r a e WC STATU• OTH- $ 1 0 0 0 0 0 0 4/1/2010 4/1/2011 % $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TWC3200893 E.L. EACH ACCIDENT $ 1 0 0 0 0 0 0 ANY PROPRIETORIPARTNER/EXECUTIVE ? E.L. DISEASE- EA EMPLOYEE $ 1 0 0 0 0 0 0 OFFICER/MEMBER EXCLUDED If yes,describeunder SPECIAL PROVISIONS below E.L.DfSEASE-POLICY LIMIT 000 30 $ 1 000 000 000 Ded $1 A OTHER Leased/Rented Equip. & Cppp899227 4/1/2010 4/1/2011 . , , $2 51,000,000 $1,000 Ded. Installation Cov(Blanket) DESCRIPTION OFOPERATIONS (LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS C105.2 to follow under separate cover roject: Repaving of Roads and Repair of Curbs in the Rockingham Farms Subdivision 1 & 2 ertificate Holder is listed as additional insured CERTIFICATE HOLDER "^"""""'-" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER Town of Wappinger WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE 20 Middlebush Rpad CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO Wappingers Falls NY 12580 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE •! n eCARI'f CARPARATION 1988 ACORD 25 (2001108) 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) A' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSURED -WHEN REQUIRED IN CONTRACT OR AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1, SECTION II -WHO IS AN INSURED, 2. is amended to include: e. Any person or organization, hereinafter referred to as ADDITIONAL INSURED: (1) Who or which is not specifically named as an additional insured un- der any other provision of, or en- dorsement added to, this Coverage Part; and (2) For whom you are required to add as an additional insured on this Cover- age Part under: (1) A written contract or agreement; or (2) An oral agreement or contract where a certfficate of insurance showing that person or organization as an additional insured has been issued; but only with respect to liability arising out of "your work" performed for that addi- tional insured by you or on your behalf. A person or organization's status as an in- sured under this endorsement continues for only the period of time required by the written contract or agreement, but in no event beyond the expiration date of this Coverage Part. If there is no written con- tract or agreement, or if no period of time is required by the written contract or agreement, a person or organization's status as an insured under this endorse- ment ends when your operations for that insured are completed. 2. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is emended to in- clude: 1. Automatic Additional Insured Provision The written or oral contract or agreement must be currently in effect or become ef- fective during the term of this Coverage Pert. The contract or agreement also must be executed prior to the "bodily in- jury", "property damage" or "personal and advertising injury" to which this endorse- ment pertains. 2. Conformance to Specific Written Con- tract or Agreement If a written contract or agreement be- tween you and the additional insured specifies that coverege for the additional insured: a. Be provided by the Insurance Serv- ices Office additional insured form number CG 20 10 or CG 20 37 (where edition specified); or b. Include coverage for completed op- erations; or c. Include coverage for "your work"; and where the limits or coverage pro- vided to the additional insured is more re- strictive than was specifically required in that written contract or agreement, the terms of Paragraphs 3., 4.a.(2) and / or 4.b., or any combination thereof, of this endorsement shall be interpreted as pro- viding the limits or coverage required by the terms of the written contract or agreement, but only to the extent that such limits or coverage is included within the terms of the Coverage Part to which this endorsement is attached. If, how- ever, the written contract or agreement specifies the Insurance Services Office additional insured form number CG 20 10 but does not specify which edition, or specifies an edition that does not exist, Paragraphs 3. and 4.a.(2) of this en- dorsement shall not apply and Paragraph 4.b. of this endorsement shall apply. 3. SECTION 111 -LIMITS OF INSURANCE is amended to include: The limits applicable to the additional insured are those specified in the written contract or agreement or in the Declarations of this Cov- erage Part, whichever are less. If no limits are specified in the written contract or agreement, or if there is no written contract or agreement, the limits applicable to the additional insured are those specified in the Declarations of this Coverage Part. The limits of insurance are in- clusive of and not in addition to the limits of insurance shown in the Declarations. Includes copyrighted material of Insurance GA 47210 01 Services Office, Inc., with its permission. Page 1 of 2 4. The following are added to SECTION 1 - COVERAGES, COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions and SECTION I - COVERAGES, COVERAGE B. PERSONAL AND ADVERTISING INJURY LIABILITY, 2. Exclusions: The insurance provided to the additional in- sured does not apply to: s. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the: (i) Rendering of, or failure to render, any professional architectural, engi- neering or surveying services, in- cluding: (s) The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and (b) Supervisory, inspection, archi- tectural or engineering activities; (2) Sole negligence or willful misconduct of, or for defects in design furnished by, the additional insured or its "em- ployees". b. "Bodily injury" or "property damage" ars- ing out of "your work" included in the "products-completed operations hazard". c. "Bodily injury" or "property damage" aris- ing out of "your work" for which a consoli- dated (wrap-up) insurance program has been provided by the prime contractor / project manager or owner of the con- struction project in which you are in- volved. 5. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 5. Other Insurance is amended to include: a. Where required by a written contract or agreement, this insurance is primary and / or noncontributory as respects any other insurance policy issued to the additional insured, and such other insurance policy shall be excess and / or noncontributing, whichever applies, with this insurance. b. Any insurance provided by this endorse- ment shall be primary to other insurance available to the additional insured except: (1) As otherwise provided in SECTION 1V - COMMERCIAL GENERAL LIABILITY CONDITIONS, 5. Other Insurance, b. Excess Insurance; or (2) For any other valid and collectible in- surance available to the additional insured as an additional insured by attachment of an endorsement to another insurance policy that is writ- ten on an excess basis. In such case, the coverage provided under this endorsement shall also be ex- cess. Includes copyrighted material of Insurance GA 47210 t)1 Services Office, Inc., with its permission. Page 2 of 2 ~ ~ ® ~Rn CERTIFICATE OF LIABILITY INSURANCE - --TP~~ __ a/ DA o o o1/ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Rose 6 Kiernan, Inc (Kingston) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 475 Washington Ave . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kingston NY 12401 Phone: 845-336-6694 Fax:845-338-0132 iNSURERSAFFORDINGCOVERAGE NAIC# INSURED INSURER A: Harleysville Preferred Ins. co 72 6 INSURER B: Harleysville Preferred Ina. Co 726 Timely Signs of Kingston Inc. I,I,C 154 Clinton Avenue INSURER C: , 154 Clinton Ave 12401 INSURER D: Kingston NY INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY.REgUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD TIVE DATE MN~VDD TI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY SPP00000032870F 04/01/10 04/01/11 PREMISES Eaoccurence $ 100000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2000000 POLICY X JECOT LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $1000000 A X ANY AUTO BA0000003287F 04/01/10 04/01/11 (Eaaccidenl) ALL OWNED AUTOS SCHEDULED AUTOS r~ /1 ~ BODILY INJURY (Per person) $ HIRED AUTOS I LW1J (`(vJ ~ ~ ~ ~ BODILY INJURY $ NON-0WNED AUTOS (Per acGdent) APR 0 5 2 10 DAMAGE $ (Per accident GA RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANYAUrO `~, ~OYY OF WQ FINGER OTHER THAN EA ACC $ EXC ESS/UMBRELLA LIABILITY AUTO ONLY: qGG EACH OCCURRENCE $ $ 2000000 $ X OCCUR ~ CLAIMSMADE CNID00000040450F. 04/01/10 04/01/11 AGGREGATE $ 2000000 $ DEDUCTIBLE ~ O $ X RETENTION $ lOOOO s? $ WOR KERS COMPENSATION TORY LIMITS ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE~ E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED9 u (Mandetorytn NH)' -~ ~ '~ - ~ _ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS All Operations Usual & Incidental to the Sign Installation, Erection 6 Repair Business of the Named Insured cwT~c~ce~rF unt nFR 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Town of Wappinger REPRESENTATnrES. 20 Middlebush ROad AUTHORIZEDREPRESENTATNE Wappinger Falls NY 12590 ACORD 25 (2009/01) ~~ v 19r3S-~UU9 AF~~ corirvttwl IvN. wll rlgnrs reserves. The ACORD name and logo are regist r d marks of ACO D CERTIFICATE OF ~C~R~® LIABILITY INSURANCE DATE (MM/DD/YYYY) OANIERN47 03/25/10 THIS CERTIFICATE IS ISSUED AS A MATTER ®F INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Rose & Kiernan, Inc (Pawling) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 527 Route 22 Pawling A7Y 12564 Phone : 845-350-3800 Fax: 845-350-3901 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Steadfast Insurance Company INSURER B: The Phoenix Insurance CO 2 82 American Petroleum Equipment & INSURER C: Construction Company Inc. e 63 Orange INSURER D: 12586 Walden NY ~ INSURER E: cvveruvts THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN , POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YYYY DATE MM/DD/YYYY LIMITS EACH OCCURRENCE $ 1000000 GEN ERAL LIABILITY L LIABILITY GPL488645800 03/24/10 03/24/11 PREMISES (Eaoccurence) $ 100000 A X COMMERCIAL GENERA R ~ MED EXP (Any one person) $ 10000 OCCU CLAIMS MADE PERSONALBADVINJURY $ 1000000 P f GENERAL AGGREGATE $ 2000000 X ro Pollution & PER ' PRODUCTS -COMP/OP AGG $ 2 O OO O OO : L AGGREGATE LIMIT APPLIES GEN POLICY X PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BA6594P457PI3X 03/24/10 03/24/11 B X ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON-OWNED AUTOS PROPERTY DAMAGE Per accident) $ ( AUTO ONLY - EA ACCIDENT $ GA RAGE LIABILITY OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: qGG $ ELLA LIABILITY EACH OCCURRENCE $ 4000000 EXCESS/UMBR LAIMSMADE ~ SE0488646200 03/24/10 03/24/11 AGGREGATE $ 4000000 A C X OCCUR DEDUCTIBLE RETENTION $ WORKERS COMPENSATION _ TORY LIMITS ER AND EMPLOYERS' LIABILITY Y 1 N ER/EXECUTIVE E.L. EACH ACCIDENT $ ~ ANY PROPRIETOR/PARTN OFFICER/MEMBER EXCLUDED? U E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe untler E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER ,,_J~p~-~ y „~ ~G 9t ff __ ! /' C Disability D267344 01/01/07 ~~ ..YY N DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISION ~ ~jA~/y Operations usual to the business of insured. ,GU U O ~ ''"nrw"r ~ s , I ~~ . ~ V ttt I Irlt,.n I ~ nvw~rc -- -- - - --- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWNWO4 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 Town of Wappinger REPRESENTATIVES. 20 Middlebush Road AUTHORIZED REPRESENTATIVE Wappinger Falls A]1' 12590 nnn w n rn DDnD ATIl1AI All rinh4e racorvP_d_ ACORD 25 (2009/01) ' """*""" " The ACORD name and logo are regist r d marks of ACO D ~ 1 ® ALA v CERTIFICATE OF LIABILITY INSURANCE OP ID NC DATE (MM/DD/YYYY) AMER-47 03/25/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Rose & Kiernan, Inc (Pawling) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 527 Route 22 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pawling NY 12564 Phone: 845-350-3800 Fax: 845-350-3901 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Steadfast Insurance Company INSURER B: The Phoenix Insurance CO 282 American Petroleum Equipment & Inc truction Com an C INSURER C: p y . ons 63 Orange 12586e INSURER D: Walden NY ~ INSURER E: l`l1VFRAC: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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YYYY DATE MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY GPL488645800 03/24/10 03/24/11 PREMISES (Eaoccurence) $ 100000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10000 PERSONAL &ADV INJURY $ 1000000 X Pollution & Prof GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 OO OO OO POLICY X PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 B X ANY AUTO BA6594P457PHX 03/24/10 03/24/11 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS 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 $ 4000000 A X OCCUR ~ CLAIMSMADE SE0488646200 03/24/10 03/24/11 AGGREGATE $ 4000000 DEDUCTIBLE $ RETENTION $ $ WORKER S COMPENSATION TORY LIMITS ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ ~ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ Ii yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER C Disability D267344 01/01/07 State " DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL O NS ~ Project: 1834 Rt 376 & Maloney Road ~ Mq~~ ~ ~ ~at~ Operations usual to the business of the insured. a~ ~i Ai ~ ~ ~~ f~C~TiCI/~I1TC LI/1i n~o CYNGt-.LLAl1UN . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWNWO4 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 TOwn of Wappinger REPRESENTATIVES. 20 Middlebush Road AUTHORIZED REPRESENTATIVE Wappinger Falls NY 12590 ACORD 25 (2009/01) v lytf8-t(uv~ is urrcu ~.vnrvrvi r wn. nu ~ iy~ ~w ~cac~ ~cu. The ACORD name and logo are regist r d marks of ACO D ~R~' CERTIFICATE OF LIABILITY INSURANCE JDP R P1L DATE (MM/DDmYY) A - 03/25/10 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' ya Hazy villa Ina. Co. Of NY INSURER B: JD Parrella Electric IAC INSURER C: 299 Washington St. INSURER D: Newburgh NY 12550 INSURER E: CAVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENi, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYYYY) DATE (MMIDDIYWY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY MPA8G8526 03/28/10 03/28/11 PREMISES(Eeoccurence) $ 100000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 50 D D PERSONAL &ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2O D O O O O POLICY X ~7 LOC AUT OMOBILE LU1BILfTY COMBINED SINGLE LIMIT $ 1000000 A X ANYAUro BA8G8526 03/28/10 03/28/11 (Eea°eldent) ALL OWNED AUTOS BODILY INJURY $ (Per person} SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THMI EA ACC $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILRY EACN OCCURRENCE $ 1 0 0 0 D O D g X occuR ~ CLAIMSMADE $E8Ci8526 03/28/10 03/28/11 AGGREGATE $ 1000000 $ DEDUCTIBLE $ X RETENTION $ 10000 $ WOR KERS COMPENSATION ' TORY LIMITS ER LIABILITY Y / N AND EMPLOYERS ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ ~ OFFICER/MEMBER EXCLUDED9 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER ~~~~~ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS MAR ~ s 2o~a C ~,~, ~ rvaTlelrerF unl nGa CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WAPP005 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRTrTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL TOw11 of Wappinger IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Attn: Shelly REPRESENTATIVES. 20 Middlebush Road A D ES NTA VE Wappingers Falls NY 12590 ACORD 25 (2009101) v'l yss-ZUUy AGUKU GUKYUKAI IVIV. wl Ogr1T5 r656fV8U. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) ~~ JOHNC-1 03 15 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Commercial Coverage -Ballston HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5060 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box Saratoga Springs NY 12866 Phone: 518-602-2020 Fax: 518-602-0236 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Harl@ Snllle InBUr Of NY INSURER B: Tower Inauranaa Company of WY John Conte EleCtrlC ~ Inc. nte h J E C I i INSURER C: Tna Hartford insuranao Company 22357 o nc c Conte Electr 2111 Nev- Haokensaak Rd INSURER D: Poughkeepsie NY 12603 I INSURER E: nw~e ~ n~~ vv• ~rv+vs_~. 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 MMA)D DATE MM/DD LIMITS GENERALLU181LITY EACH OCCURRENCE $ lOOOOOO X X COMMERCIAL GENERAL LIABILITY CB 6J7933 PREMISES (Ea occurence) $ 100000 CLAIMS MADE a OCCUR MED EXP (Any one person) $ SOOO A X nes8 Ovrner8 Husi 04/12/10 04/12/11 PERSONALBAOVINJURY $ 1000000 . GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2000000 X POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT id t $ 1000000 ANY AUTO BAP2650272 03/18/10 03/18/11 (Ea acc en ) ALL OWNED AUTOS BODILY INJURY $ B X SCHEDULED AUTOS (Per person) ]{ HIRED AUTOS ~~~' ~ Y L BODILY INJURY id t $ X NON-OWNED AUTOS ~ s (Per acc en ) O uA MAR ~ ~ 70~ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ~I^/(~~ AUTO ONLY-EA ACCIDENT $ ANY AUTO ~' ~ :" r EA ACC OTHER THAN $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 A OCCUR ~ CLAIMSMADE BE6J933 04/12/10 04/12/11 AGGREGATE $ 1000000 DEDUCTIBLE $ X RETENTION $ lOOOO $ WORKER S COMPENSATION _ X TUR'f LIMITS ER C AND EMPLOYERS' LIABILITY ECUTIVF{~ OIWECJU8863 10/16/09 10~16~10 E.L. EACH ACCIDENT $lOOOOO OFFICER/MEMBER EXCLUDED? (Mandatory In NH) ~L~J E.L. DISEASE - EA EMPLOYEE $ lOOOOO It yes, describe under SPECIAL PROVISIONS below E. L. DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER IS ADDED A3 ADDITIONAL INSURED. u~~ r~~e CANCELLAIIUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER HALL 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 LU1BILnY OF ANY KIND UPON THE INSURER, ITS AGENTS OR TOWn of Wappinger REPRESENTATroES. 20 Middlebu8h Road PO Box 324 /\UTHO qEP ES__ THE --~"- - ----> ~ a in ers Falls NY 12590 ~. -- ~~~ ~~~~ ~~~~ .~~-~ w www~~.w~~ ~1~ ~~La~ ~~~~--.J ACORD 25 (2009/01) ~ 7310C-LiVlJ7 ANVRN VVRr Vrv~11V 1~. /11~ IIal~la ~aiQ~.vV. The ACORD name and logo are registered marks of ACORD ~R~® CERTIFICATE OF LIABILITY INSURANCE OP ID RMIN CHRIS-B DATE (MM/DD/YYYY) 04/07/10 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 Suite 200 66 Middlebush Rd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. , Wappingers Falls NY 12590 Phone:845-297-1700 Fax:845-297-2879 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Peerless Insurance 273 INSURER B: Chris Juliano Plumbing & URER C Heatin I td INS : g , 777 Centre Rd INSURER D: Staatsburg NY 12580 ~ _ - INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 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/YYYY DATE MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X X COMMERCIAL GENERAL LIABILITY CBP8607160 02/13/10 02/13/11 PREMISES (Eaoccurence) $ 100000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 15000 PERSONAL & ADV INJURY $ l O O O O O O GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 O O O O O O POLICY PRO LOC JECT A AUT OMOBILE LIABILITY ANY AUTO BA8604061 02/13/10 02/13/],1 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ AUTO ONLY: AGG $ EXCESSIUMBRELLALIABILITY EACH OCCURRENCE $ 1000000 A X OCCUR ~ CLAIMSMADE CU860756 02/13/10 02/13/11 AGGREGATE $ 1000000 ~ DEDUCTIBLE '" _ ~ $ ~( RETENTION $ l O O O O $ WOR AND KERS COMPENSATION EMPLOYERS' LIABILITY ~~ = n ~., TORY LIMITS ER ANY PROPRIETORiPARTNER/EXECUTIVF ~ ~ mil<t ~I1r ~ ~D \\v// E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory fn NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER TOWN OF APPING R DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES I EXCL ADDEDI~r ~9F~E1 I~ENLr/IGR ROVISIO S The Town of Wappinger is provided adds ion a•• when required by written contract or written agreement with respect to work the insured performs. CERTIFICATE HOLDER TOWNOF3 Town of Wappingers 20 Middlebush Road 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) `~ ©198$-2d09 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE (MM/DDIYYYY) ~ACOR_D,~ CERTIFICATE OF LIABILITY INSURANCE AMFRI 1E o4 O1 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ralph V Ellis Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 15 D vi s Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. a Poughkeepsie NY 12603 Phone:845-485-6300 Fax:845-485-6603 MSURED American Heating & Cooling Rogers Harvey, Inc Harveyy Kilmer Bloch, Inc 1103 Dutchess Tpke. Poughkeepsie NY 12603 INSURERS AFFORDING COVERAGE NAIC # wsuRER A NATIONAL GRANGE MUTUAL 14 7 8 8 INSURER B INSURER C: INSURER D: INSURER E: OVERAGES 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. ~ .TR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2 0 0 0 0 0 0 A X COMMERCIAL GENERALLIA8ILITY MPX44474 08/01/09 08/01/10 PREMISES (Eaoccurence) $ 500000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10 0 0 0 PERSONAL & ADV INJURY $ 2 0 0 0 0 0 0 GENERAL AGGREGATE $ 4000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 4 O O O O O O POLICY X PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 0 0 0 O O O A X ANY AUTO B1X44474 09 Q~O1/ 0 (Ea accident) ~ r ALL OWNED AUTOS ~. ^ !( "~ \V/ 1 l U BODILY INJURY $ X SCHEDULED AUTOS '~~~JJJ^ISLLUl Jn V \ (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS Ids,. APR U g 1,0 0 (Per accident) _ ~ PROPERTY DAMAGE $ _ PINCER (Peraccidenl) GARAGE LIABILITY .~ 1 ~ ~Q K AUTO ONLY - EA ACCIDENT $ ANY AUTO OW 'v ' ` OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 5~ 0 0 0~ O O O X OCCUR ~ CLAIMSMADE CUX44474 08/01/09 08/01/10 AGGREGATE $ 5, 000, 000 DEDUCTIBLE $ $ RETENTION $ lO ~ 000 $ WORKERS COMPENSATION AND X TORY LIMITS X ER ~ EMPLOYERS'LIABILITY R R NE /EXE TIVE WCX44474 04/01/10 04/01/11 E.L. EACH ACCIDENT $ 1000000 ANY PROPRIETO IPA T R CU OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1 0 0 0 O O O It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 10 0 0 0 0 0 OTHER '_SGRIPTION OF OPERATIONS I LUGA rIVNS I VtFIIGLtS / tXGLUJIVNS AUUtu b7 CrvuuKJtm en I r ar~~w~ rrcwwwrva ERTIFICATE HOLDER TOWNW-1 Town of Wappinger Falls 20 Middlebush Road Wappingers Falls NY 12590 ~ORD 25 X2001/08) 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 CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate..of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108) CSR PE . ACORD CERTIFICATE OF LIABILITY INSURANCE AMERI-1 DATE (MM/DD/YYYY) 04 01 10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ~r~ooucER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HOLDER Ralph V Ellis Insurance Agency . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 15 Davie Avenue Poughkeepsie NY 12603 Phone: 845-485-6300 Fax:845-485-6603 INSURERS AFFORDING COVERAGE NAIC# NSURED INSURER A: NATIONAL GRANGE MUTUAL 147 8 8 & Cooling ti H i INSURER B: ea ngg can Amer Rogers Harvey ~ IriC INSURER C: Harveyy Kilmer Bloch, Inc 1103 Dutcheas Tpke. INSURER D: Poughkeepsie NY 12603 INSURER E: ^nVFRAf:FS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANUINv 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. POLICY NUMBER DATE MMIDD/YY DATE MM/DDlYY LIMITS -TR NSR TYPE OF INSURANCE EACH OCCURRENCE $ 2000000 GENERAL LIABILITY -' A X COMMERCIAL GENERAL LIABILITY MPX44474 08/01/09 08/01/10 PREMISES (Eaoccurence) $ 500000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 1 O O O O Y $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n jE ~ n LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS ~ X HIRED AUTOS }( NON-OWNED AUTOS PERSONAL & ADV INJUR _ GENERAL AGGREGATE $ 4000000 PRODUCTS -COMP/OP AGG $ 4 O O D 0 0 0 B1X44474 ,~~ ~ p ) ~01 ~ 1 COMBINED SINGLE LIMIT (Ea accident) $ 1, O O O, O O O IU ^lu ~ BODILY INJURY (Per person) $ ppR 0 9 2 10 BODILY INJURY (Per accident) $ VY ~W ~F Wq PINGER pROPERTYDAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ - OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ 5~ 0 0 0, O O O 08/01/09 08/01/10 AGGREGATE $ 5 ~ 000 ~ 000 $ $ GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY K I OCCUR ~ CLAIMSMADE CUX44474 DEDUCTIBLE ~( RETENTION $ l O~ O O O WORKERS COMPENSATION AND ~ EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER ESCRIPTION OF OPERATIONS I LOCATIONS I te: Heating Permits BY ENDORSEMENTISPECIAL ERTIFICATE HOLDER TOWNO-1 TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD WAPPINGERS FALLS NY 12590 CORD 25 (2001/08) WCX44474 04/01/10 04/01/11 E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE $ 1 0 0 0 O O O E.L. DISEASE -POLICY LIMIT $ 1 0 0 0 O O O 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, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) • ~ ® DATE (MM/DD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 09/27/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER CONTACT Marsh USA, InC. NAME: 1166 Avenue of the Americas PHONE AJC No New York, NY 10036 E-MAIL ADDRESS: Attn: NewYork.certs@Marsh.com PRODUCER 073389-PETRO-ACORD-10-11 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A : COmmerCe And IndUStry IUS CO 19410 PETOO, INC 47 PATRICK LANE INSURER B : N/A N/A POUGHKEEPSIE, NY 12603 INSURER C ; N/A N/A INSURER D :NIA N/A ,.,~,,.,~., ~ . N/A N/A rnv~oecGC r~RTIf=1f'eTF NIIMRFR• NYC-00425A080-11 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DD/VYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY 360-25-05 10/01/2010 10/01/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ 5,000 X XCU PERSONALBADVINJURY $1,000,000 X Contractual GENERAL AGGREGATE $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: , PRODUCTS -COMP/OP AGG $2,000,000 POLICY X PRO- i OC ~ $ AUT OMOBILE LIABILITY ~"~ ~ ~ COMBINED SINGLE LIMIT (Ea accident) $ ,~ ~ ANY AUTO ""`""'~ BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON•OWNEDAUTOS c~ (~ \\If ~ D $ D v $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS•MADE ~ tiO O AGGREGATE $ DEDUCTIBLE O ~C~ (;E RETENTION $ PIN $ WORKERS COMPENSATION ' „ ` O v G WC STATU• OTH- AND EMPLOYERS LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ` SOW \n~ N E.L. EACH ACCIDENT $ ^ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A O ~( V ~ ` E.L. DISEASE • EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE • POLICY LIMIT $ DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ncI~TICr/'.ATC LIAI 11G~ retUrct t eTtntU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF WAPPINGER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 MIDDLEBUSH ROAD ACCORDANCE WITH THE POLICY PROVISIONS. WAPPINGER FALLS, NY 12590 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Paul Martelloni ~~Q N•~oe.T-rEte^1 U 1988-2009 AGORD GUFtPUHA 1 IUN. All rlgntS reSerVet7. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Named Insured Schedule: Petro Holdings, Inc. Petro Inc. Star Gas Partners, L.P. et al Star Gas Partners, L.P. A.P. Woodson Company Marex Corporation Minnwhale LLC. Ortep of Pennsylvania, Inc. Meenan Oil Co., Inc. Meenan Oil Co., L.P. Region Oil Plumbing, Heating and Cooling, Inc. Petroleum Heat and Power Co., Inc. Petro Plumbing Corporation Star Acquisitions, Inc. All named insureds above to be used with the corporate address in Win Cert. Additional Named insureds: Kestrel Heat, LLC Kestrel Energy Partners, LLC Star Gas Finance Company Columbia Petroleum Transportation, LLC Maxwhale Corporation Meenan Holdings of New York, Inc. Patterson Oil Company, Inc, Sy Luba, Inc. TG&E Service Co„ Inc. Richland Partners, LLC Connecticut Atlas Oil Automatic Comfort Colonial Fuel Genovese Oil Company Goodrich Energy Herbert Fuei High Ridge Oil Co., Inc. Home Oil Company Jannetty Oil Kasden Fuel Oil Co. Rackliffe Oil Saving Fuel Co. TLC Oil Company Whale Oil Company Whaleco Massachusetts Atlas Oil Corporation Essex Oil Glen Mor Fuel Oil Co, Glendale Morton Patriot Oil Co, Quincey Adams Oil Waltham Fuel Whale Oil Company Whale Co Maryland A.P. Woodson Companies Annapolis Utilities Diamond Fuel of Maryland Stebbens•Burnham Takorna Fuei New Jersey Acme, Oil Company Cam bell & Pratt Belco Budd Oil Christy Halsey Oil Co. Confex Oil Eggert Fuel Farren Fuei Company Federal Oi I Company Four Points Highstown Fuel Oil Co.lPullen Oil Home Fuel Johnson Oil HSE Secuirty Kavanaugh Oil Mac Arthur. Fuel Oil Co. Mohrfeld Fuel McConnell Fuel McDowell Energy Nassau Oil Region Oil Sickley Brothers Slocum/Long Branch Fuel Smith Bros Tattersall Oil Co, Trenton•Lehigh Oil Co. Tiver Fuel Oil Whale Oil Company Whaleco New York ABC Oil A•One Fuel B&C Fuel Bacu Fuel Baerenkiau Co. Baylis & Baylis Bayside Fuel Oil Company Bergin Fuel Oil Co. Bison Oil Buchanan Fuel Co. Burke Fuel Co, Carpenter & Smith Commander Oil Co. DeSilva Flynn Brothers G&S Fuel Services Garrison Oil Company of LI Pennsylvania Borden•Van Allen D.J. Witman Company D.J, Witman Gasoline Dual Temp Fuels Holtzman Fuel Kirks Fuel Petrilla Oil Reading Merchants Roy E. Miller Co. Ruggieri & Sons Fuel Co. Sico Sinkier Sweigart Oil Company Young Supply Elias Fuel Co, Dickman Sergeant Oil MEENAN / SPRINGFEILD / MC MEENAN /MAXWELL CANBY / LE FFLER MEENAN OIL SPRINGFIELD 1 H.C. Rhode Island Agway Energy DeBlois Dil Company Erickson Oil Company Humphrey Oil Company, Inc. Hytest Oi I ProvEnergy Oil Reliable Fuel Warren Petro Woods Heating Service Virgins Shreve Fuel Gifford Energy Greco Bros Fuel Hardy Fuel Qil, Inc Hardy Plumbing, Heating and Air Conditioning HUFCD Koehler Fuel Oil Lawrence Ledwith .Fuel Di I LMA Love/Durkin Love/Effron Fu al Oil Co. Marine Oil Park Avenue Fuel Oil Patterson Energy Group Premium Petroleum, Inc, Public Service Fuel Oil Reliance Fuel Oil Associates Reliance Utilities Reliance/Rite Rslla and Sons Fuel Oil Ryan Oil Savon/Liebert Fuel Oil Seaman Fuel Co. Shore Fuel Co. 51PC0 Sunrise Fuel Oil Texaco Home Heat Trico Fuel Tuthill and Young Fuel Oil Tuthill Magee Verplanck Fuel Co. Wallace Oil Whale Oil Company Whaleco DATE(MMIDDM(YY) -co v® CERTIFICATE OF LIABILITY INSURANCE 10/1/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY E~j(TENDNOR ALTER ITHE COVERAGEE AF ORDED BY THE PO CI ES CERTIFICATE DOE8 NOT AFFIRMATIVELY OR NEGATIVELY AMEND, BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: H the certlflcate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. H SUBROGATION IS WANED, subject tO the terms and condltlons of the polky, certain policies may require an endorsement A statement on thin certlflcate does not confer rights to the certlflcate holder In Ileu of such endorsement(s). PRODUCER NAME. en Inc. PHONE 315-733-054 Wilbert-Wenner-Mancino Insurance Ag cY ~ 0(:315-732-7027 acNo• 5473 Flanagan Road ADDRess:info@wwmainsurance.com Marcy / New York 13403 T MERI #: NAlcr INSURER(S) AFFORDING COVERAGE 24198 INSURED p~S Electric INSURER A:I+ibert Mutual' enc INSURER B pmgr A. Daley DBA INSURER C 49 Academy Street INSURER D Poughkeepsie, NY 12601 INSURER E OVERAGES CERTIFICATE NUMB~K_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TI1E P INDICATED. NO BESSSUED ORNMAYEPERTA NE THE ENSURANCENAFPORDEDABY THE POLICCI SRDESCRIBEDCHEREIN S SUBJECT TO ALLVTHEHTERIMS, CERTIFICATE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAI LIMITS SR TYPE OF INSURANCE INSR YVVDPOLICY NUMBER- MMIDD MMIDD 1 000 / 000 tR EACH OCCURRENCE $ / GENERAL LIABILITY PREMISES Ea oa:urtence $ 1 ~ ~ / R COMMERCIAL GENERAL LWBILITY MED EXP (AnY one person) $ 15 / 000 CLAIMS-MADE ~ OCCUR 06/01/2010 06/01/2011 PERSONAL&ADV INJURY $ 1 / ~~~ / 000 A CBP3487608 2 000,000 GENERAL AGGREGATE $ 2 / 000 / 00a PRODUCTS -COMP/OP AGG $ / GEN'L AGGREGATE LIMIT APPLIES PER: $ X POLICY PRl T LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS BA3 4 g 7 60 3 A X SCHEDULED AUTOS HIRED AUTOS NON-0WNED AUTOS A UMBRELLA LIAR ~I OCCUR I I I CU8776581 EXCESS LIAR CLAIMS-MADE _ DEDUCTIBLE X RETENTION $ 10 / 000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY rIN ANY PROPRIETORIPARTNERIE7CECUTIVE ^ NIA OFFICEIUMEMSER IXCLUDED7 (NIuM~tory In NH) COMBINED SINGLE LIMIT $ 1 / 000 / 000 (Ea accident) BODILY INJURY (Per pereon) S /2010 06/01/2011 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) $ EACH OCCURRENCE 6/01/2010 06/01/2011 AGGREGATE >I ~ 'T DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 'rf more space is L / v v v / E.L. EACH ACCIDENT 5 E.L. DISEASE - EA EMPLOYE D S -P :a ~ L r- ~ ~~ ~L ~.~ I u ~~ ~.~A,nl nF wAPPINGE ;EKIIrIVAIC n~+w~-~• TOwn of Wappinger SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOR 20 jvliddlebush Road ACCORDANCE W TH THE POLICY PROVISIONS.E WILL BE DELNERED IN Wappingers Falls NY 12590 AUTHORIZED REPRESENTATNE ®1988-2009 ACORD CORPORATION. All rights reserved. ACORD25(2009/09) The ACORD name and logo are registered marks of ACORD CERTIFICATE 4F LIABILITY INSURANCE w,.«~ 09/17/10 Frank H. Reis Inc 79 North Front Street PO Box 3967 Kingston NY 12402 Phone:845-338-4656 Fax:845-338-4113 Whitman Electric Inc 39 Kieffer bane Kingston NY 12401 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. INSURERS AFFORDING COVERAGE NAIC # INSURER A: Salaetiv may Easu=sac. co. 26301 INSURER B-. Salactiv Eaausanu Group Inc. INSURER c: Rochdale Insurance Company 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 TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT , MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TYPE OF INSURANCE POLICY NUMBER DATE (MMlDDIYYW) DATE (MMIDDIYI'W) LIMITS LTR NSR CE $ 1 0 0 0 O O O ITY EACH OCCURREN GEN ERAL LIABIL ITY I 51850803 10/01/10 10/01/11 PREMISES (Eaoc~unce) $100000 A X L COMMERCIAL GENERAL LIAB 1 O O O O ~ MED EXP (Any one person) $ OCCUR CLAIMS MADE X &PROJE PERSONAL&ADVINJURY $1000000 X AGG PER LOC 3000000 R LOC&PROJE GENERAL AGGREGATE $ X AGG PE 3000000 PPLIESPER ' PRODUCTS-COMP/OP AGG $ : LAGGREGATELIMITA GEN PRO- Emp Ben. 1000000 POLICY JECT LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 S 1850 8 0 3 10 / 01 / 10 10 / O l / 11 (Ea accident) $ }~ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per accident) $ X NON-OWNED AUTOS X DRIVE OTHER CAR PROPERTY DAMAGE (Per accident) $ X ELITEPAC AUTO AUTO ONLY - EA ACCIDENT $ GA RAGE LIABILITY OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ IABILITY EACH OCCURRENCE $ 10000000 EXCESS 1 UMBRELLA L IMSMADE ~ 51850803 10/01/10 10/01/11 AGGREGATE $ 10000000 A CLA X OCCUR DEDUCTIBLE X RETENTION $ 10000 $ WORKERS COMPENSATION X TORY LIMITS ER AND EMPLOYERS' LIABILITY C ANY PROPRIETOR/PARTNER/EXECUTIVE ~ RWC3195626 11/01/09 11/01/10 E.L. EACH ACCIDENT $ 500000 OFFICER/MEMBER EXCLUDED? E.L. DIS - $ SOOOOO (Mandatory In NH) If yes, describe under E.L. DIS SE - P ~ ..LIMIT. 5O0 O SPECIAL PROVISIONS below ~_ ~ ~ ~ r-, C-' I OTHER `"~ l~-% ~ J I( L ~ A INLAND MARINE 51850803 10/01/10 10/01/11 Sched/Rented&Lease NS 1 LOCATIONS 1 VEHICLES !EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS 2 9 ~ O ~ O DESCRIPTION OF OPERATIO TQW~ OF q ,{,~ WAPPING WN CLE TO C;tK I I~II.A I C nva.u~n Town of Wappingers 20 Middlebush Road IWappingers Falls NY 12590 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWAPPI 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. ~~ 19RS_?009 ACORD CORPORATION. All rights reserved. :R gt,tJtcu ca tcu~mu i 1 The ACORD name and logo are registered marks of ACORD OP ID CR DATE (MM/DD/YYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE RCOST-1 09 29 to PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brinckerhof f & Neuville, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1134 Main St. , PO Box 424 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fishkill NY 12524-0424 Phone:845-896-4700 Fax:845-897-5110 INSURERS AFFORDING COVERAGE NAIC#_ INSURED INSURER A: National Grange Mutual 14788 INSURER B: Zur1Ch Insurance Co. 16535 R Costa Electric Inc INSURER C: 645 Route 82 INSURER D: Hopewell Junction NY 12533 INSURERE COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT , MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSAYCDD' - POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY P LICY EXPIRATION DATE MM/DD/YY LIMITS LTR NSR TYPE OF INSURANCE CE 000 $ 2 000 ~ EACH OCCURREN , , -~- -~- _ _-- I A X GEN X ERAL LIABILITY COMMERCIAL GENERAL LIABILITY MPV95026 12/04/10 12/04/11 PREMIS_ES(EGEr~ao~cuEree)_ $500,00 I OCCUR E ~ MED EXP (Any one person) $ 10 , 0 0 ~ - J CLAIMS MAD I I PERSONP.L E ADV INJURY - - $ 2 , OO.O ,.OOO --- - - - -. - _ - _- - - - GENERAL AGGREGATE $ 4, 0 0 0, O --- - _. ---- -_ PRODUCTS -COMP/OP AGG $ 4 , O O O , O GATE LIMIT APPLIES PER GEN'L AGGRE ----~-- ' r POLICY i ~ JECT ~ LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT i, (Eaaccidenq $ 1000000 A I }{ ANY AUTO B2V67552 ~~ ,~4~j,1.Q 12 /1,1 , --------- ALL OWNED AUTOS BODILY INJURY (Per person) $ I F SCHEDULED AUTOS --~--- --- - HIRED AUTOS S "~ n ~ 201 BODILY INJURY $ I__ OS 0 '1 (Per accident) --~----~- -" ~~ ' NON-OWNED AUT TOWN O VVA^~ V PROPERTY DAMAGE (Per accident) $ ~ - ----- ~~ r ~ ITY ~~ ~ AUTO ONLY - EA ACCIDENT $ _ _- I I GA RAGE LIABIL ANY AUTO OTHER THAN EA ACC $ r,.. AUTO ONLY: AGG $ LIABILITY ~ EACH OCCURRENCE $ _ - _ _ - _ EXCESSIUMBRELLA AIMSMADE ~ C `~ ""~ AGGREGATE $ _ _. L ] OCCUR . -~ -- DEDUCTIBLE - _-~ ~~ ~"-~~- -- $ -~ - -~~ ~~ RETENTION $ $ i ENSATION AND TORY LIMIT ~. ER _ _ __ WORKERS COMP ~ EMPLOYERS' LIABILITY I WIV67552 02/20/10 02/20/11 El EACH ACCIDENT $,1000000 A I ANY PROPRIETOR/PARTNER/EXECUTIVE ' EL DISEASE - EA EMPLOYEE ~ $ lO ~ O O ~ O I OFFICER/MEMBER EXCLUDED? , _ _ _ _ - ~ -_ - ~ If yes, descnbe under E L. DISEASE -POLICY LIMIT $ 10 ~ 0 0 0 ~ SPECIAL PROVISIONS below ~ OTHER B jDISABILITy !5264832 03/02/10 03/02/11 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Town of Wappinger is listed as Additional Insured LCRi Ir•1Vhr c rwwu~ 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Town Of Wappinger REPRESENTATIVES. 20 Middlebush Road RUTH IZEDREPRESENTA E Wappingers Falls NY 12590 L~'~ © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/OS) POLICY NUMBER: MPV95026 BUSINESSOWNERS BP 04 52 01 97 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -STATE OR POLITICAL SUBDIVISIONS -PERMITS This endorsement modifies insurance provided under the following: BUSINESSOWNERS POLICY SCHEDULE"` State Or Political Subdivision: Town of Wappingers 20 Middlebush Rd Wappingers Falls NY 12590 Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declara- tions. The following is added to Paragraph C. Who Is An Insured in the Businessowners Liability Coverage Form: 4. Any state or political subdivision shown in the Schedule is also an insured, subject to the follow- ing provisions: a. This insurance applies only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. b. This insurance does not apply to. (1) "Bodily injury", "property damage", "personal injury" or "advertising injury" arising out of operations performed for the state or mu- nicipality; or (2) "Bodily injury" or "property damage" in- cluded within the "products-completed op- erations hazard". BP 04 52 01 97 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1 ^ Erie s Insurance 100 Erie Ins. PI. Erie, PA 16530 CERTIFICATE OF INSURANCE - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY - CERTIFICATE HOLDER COPY NAME AND NUMBER OF AGENCY DATE ISSUED 09/27/2010 NAME AND ADDRESS OF CERTIFICATE HOLDER OR OTHER GEORGE THOMPSON AGENCY, INC. NN 1375 NAME AND ADDRESS OF NAMED INSURED ~ TOWN OF WAPPINGER FALLS MID-HUDSON NEON SIGNS LLC * ~ 20 MIDDLEBUSH RD 1083 LITTLE BRITAIN RD ~ WAPPINGER FALLS NY 12590- NEW WINDSOR NY 12553-7294 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'. TYPE OF INSURANCE PDLiCV NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION BATE UtdITS OF IN&URANCE GENERAL LIABILITY NERAL LIABILITY Q475150249 1 1 /01 /2010 1 1 /01 /201 1 EACH OCCURRENCE $ 1000000 COMMERCIAL GE OCCURRENCE FORM GEN'LAGGREGATELIMITAPPLIES ~ ~7 FIRE DAMAGE (Any one premises) $ 1000000 PER: PROJECT ~~~ `V/~D $ tJJ MED EXP (Any one person) 500 ~ PERSONAL & ADV INJURY $ 1 0000~~ OC t 01, 010 GENERAL AGGREGATE $ 2000000 T~ N OF W ppINGER PRODUCTS~OMPIOPAGG $ ZOOOOOO AWN C ERK AUTOMOBILE LIABILITY Q 1 1.5130453 1 1 /01 /2010 1 1 /01 /201 1 BODILY INJURY (EACH PERSON) $ OWNED BODILY INJURY (EACH ACCIDENT) $ NON-OWNED PROPERTY DAMAGE $ BODILY INJURY AND $ 1 000000 PROPERTY DAMAGE COMBINED EXCESS LIABILITY Q3551701 10 1 1 /01 /2010 1 1 /01 /201 1 EACH OCCURRENCE 1000000 OCCURRENCE FORM RETENTION $10000 AGGREGATE 1000000 WORKERS COMPENSATION Q965100280 12/01 /2010 12/01 /201 1 STATUTORY AND BODILY ACCIDENT $ 100DOO EACH ACCIDENT EMPLOYERS LIABILITY INJURY DISEASE $ POLICY LIMIT 500000 EACH EMPLOYEE BY DISEASE $ 100000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS h C 'f' t H Id When CANCELLATION FOR NON-PAYMENT, CAUSE OR NAMED INSURED'S REQUEST: When an automobile policy Is cancelled, wntten notice wdl be malted tote ertl Ica e o er. 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~l6be mailed to the Certificate holder. When any of the above described policies (other than automobile) are cancelled before the expiration thereof, The ERIE will endeavor to mail days written notice to the Certificate Holder after the decision to cancel. Failure to mail such notice shall impose no obligation or liability of any kind upon The ERIE, its Agents or representatives. ERIE INSURANCE GROUP This certificate is issued for information purposes only. It does not list, amend, extend, or otherwise alter the terms and conditions of insurance coverage contained in the Policy(ies) indicated above issued by The ERIE. The terms and conditions of the Policy(ies) govern the insurance coverage as applied to any given situation. Any party can request a policy and/or Declaration by asking the insured or the Agent. Limits shown may have been reduced by claims paid. OF-1566 2102 (E) CIF SEE REVERSE SIDE AUTHORIZED ~-~ REPRESENTATIVE A ~ RU® ( ~/ PRODU cR OP ID DY CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYW ENVIR-1 09/21/10 Donald B. Dedrick Agency Inc Mill Street, PO Box 319 Dover Plains NY 12522 Phone:845-877-9901 Fax:845-877-6771 INSURED Envirostar Corp PO Box 365 Croton Falls NY 10519 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. INSURERS AFFORDING COVERAGE NAIC # INSURER A: Starr Indemnity 6 Liability Co INSURER B: Central All America 20222 INSURER C: Central Mutual Insurance Co 20230 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 8E 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 GENERAL LIABILITY POLICY NUMBER DATE MM DD/YYYY DATE MM/DD/YYYY LIMITS EACH OCCURRENCE I $ 1000000 A X COMMERCIAL GENERAL LIABILITY SISIEIL70024809 12/11/09 12/11/10 PREMISES (Eaoccurence) $ 50000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ SOOO PERSONALBADVINJURY I $lOOOOOO X Pollution & Prof GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMPIOPAGG $ 2000000 POLICY PRO n LOC JECT AUT OM081LELIABILITY COMBINED SINGLE LIMIT $ 1000000 C ANY AUTO BAP7976635 02/19/10 1 (Ea accident) ALL OWNED AUTOS ,~ n ® 8001LY INJURY $ X SCHEDULED AUTOS ~~~ V (Per person) X HIRED AUTOS ~ BODILY INJURY i $ X NON-OWNED AUTOS (Per acc dent) X MCS90 ~ 20 l SEP`2 PROPERTY DAMAGE $ (Per accident) ~ GARAGE LIABILITY `A' ~ O~ AUTO ONLY - EA ACCIDENT $ ANY AUTO TO • . . N CL RK OTHER THAN EA ACC $ ~ W AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY ' EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE `" '~^~ , ~ ~ `~ AGGREGATE $ j ,f DEDUCTIBLE $ RETENTION $ ~ $ WORKERS COMPENSATION X TORY LIMITS ER $ AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVEr-7 WC7942213 09/29/10 09/29/11 E.L. EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? u (Mandatory in NH) E. L. DISEASE-EA EMPLOYEE $ 100000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 5O OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS As per policy rCOT~OI!`ATC LJf11 f1PR CANCELLATION SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWNWAP 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 Town of Wappinger REPRESENTATIVES. 20 Middlebush Road AU RI2E PRE ENTATIVE Wappinger Falls NY 12590 I ACORD 25 (2009/01) O ORPORATION. All rights reserved. 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. ACORD 25 (2009/01) Erie ~\ Insurance 100 Erie Ins. PI. Erie, PA 16530 NAME AND NUMBER OF AGENCY GRAPEVILLE AGENCY, INC. NN 1 1 17 NAME AND ADDRESS OF NAMED INSURED CERTIFICATE OF INSURANCE -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY - CERTIFICATE HOLDER COPY DATE ISSUED 09/18/2010 NAME AND ADDRESS OF CERTIFICATE HOLDER OR OTHER JBR CONSTRUCTION CORP 1061 ROUTE 376 WAPPINGER FALLS NY 12590-6346 TOWN OF WAPPINGERS 20 MIDDLE BUSH RD WAPPINGERS 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. Pai;icY ~?Ot1CY t.lfdiTS of INSt1RANCE TYPE OF INSURANCE PDLICY NUMBER EFF'ECTIYE:DATE EXPff;ATION DATE _.._ GENERAL LIABILITY Q.467350040 10/23/2010 10/23/2011 EACH OCCURRENCE $ 1000000 COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM FIRE DAMAGE $ 1 000000 GEN'L AGGREGATE LIMIT APPLI ES (Any one premises) PER: POLICY f' MED EXP (Any one person) $ 5000 PE ~C~~ ~MCD G SEP~ OWN OF 4 2010 APPINGE PR EXCESS LIABILITY OCCURRENCE FORM RETENTION $10000 Q347370011 ~ 10/23/2010 ~ 10/23/2011 ONAL & ADV INJURY $ 1 OOOOOO NERALAGGREGATE $ 2000000 UCTS-COMP~OP AGG $ 2000000 BODILY INJURY $ (EACH PERSON) BODILY INJURY $ EACH ACCIDENT PROPERTY DAMAGE $ BODILY INJURY AND $ PROPERTY DAMAGE COMBINED EACH OCCURRENCE AGGREGATE 2000000 2000000 STATUTORY BODILV ACCIDENT $ EACH ACCIDENT INJURY DISEASE $ POLICY LIMIT BY DISEASE $ EACH EMPLOYEE DESCRIPTION OF OPERATIONSJLOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 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 anv 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 2102 (E) CIF SEE REVERSE SIDE AUTHORIZED ~- REPRESENTATIVE DATE (MMIDDIYYYY) ~R~i® CERTIFICATE OF LIABILITY INSURANCE HHRCOGip' 09/21/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HOLDER Marshall & Sterling , Inc . . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 110 Main Street Poughkeepsie NY 12601 845-485-7804 F NAIC# INSURERS AFFORDING COVERAGE ax: Phone:845-454-0800 14788 INSURER A: NGM Insurance Com an INSURED INSURER B: HHR Construction Corp INSURER C: 80 Washington St INSURER D: Poughkeepsie ~ 12601 INSURER E: COVERAGES NCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ED OR THE POLICIES OF INSURA ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W ITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSU EXCLUSIONS AND CONDITIONS OF SUCH T TO ALL THE TERMS , MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJEC POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLI Y EFFE TIVE POLI Y EXPIRATION LIMITS POLICY NUMBER DATE MMIDDIYYYY DATE MMIDD LTR NSR TYPE OF INSURANCE EACH OCCURRENCE $ lOOOOOO GENERAL LIABILITY ILITY MPZ 4 38 41 $ SOOOOO 01 ~ 01 ~ 1 O O1 ~ 01 ~ 11 PREMISES (Ea occurence> A X X COMMERCIAL GENERAL LIAB MED EXP (Any one person) $ 1 OOOO CLAIMS MADE ~ OCCUR PERSONALgADVINJURY $ lOOOOOO GENERAL AGGREGATE $ 2000000 PRODUCTS-COMP/OPAGG $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC POLICY JECT COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS !('' BODILY INJURY $ HIRED AUTOS (Per accident) NON-OWNED AUTOS } PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY ~ ACC $ ANY AUTO OTHER THAN D AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESS 1 UMBRELLA LIABILITY ~/~ ~ A GREGATE $ / OCCUR ~ CLAIMS MADE ~ C ' $ SEp2 2 $ DEDUCTIBLE ~ ~ O $ TO Y RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY eV ~/ - ~ ~~ ,q p ING TORY LIMITS ER E.L. EACH ACCIDENT $ ~ ANY PROPRIETOR/PARTNER/EXECUTIV OFFICER/MEMBER EXCLUDED? ~~~ ~ ~~ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PHOVraivn~ Town of Wappinger is additional insured when required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI TOWAPPl DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Town of Wappinger REPRESENTATIVES. 20 Middlebush Road A DREP SENTATN Wappingers Falls NY 12590 ACORD 25 (2009101) ©198 -2 09 ACORD CORPORATION. All rights reserved. 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. ACORD 25 (2UU,9101) ~C~® CERTIFICATE OF LIABILITY INSURANCE oP ID MT O9 20 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOMENDYEXTEND ORALTER THE COVERAGE AF ORDED BY THE POL C ESIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY A , BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: oond'dionslof the policySCertaiDn ploliciesLmay requiDretan endorsement. sA statement on this certiOficate does not confer rightstt othe the terms and certificate holder in lieu of such endorsement(s). Hunter Insurance Services, Inc 40 Main Street Walden NY 12586 Phone:845-778-1000 INSURED Callahan Plumbing & Heating Inc Fishkill NYe125242 PRODUCER BRIAN-1 CUSTOMER ID #: NAIC # INSURER(S) AFFORDING COVERAGE INSURERA: NGM Insurance Com an 14788 INSURER B INSURER C INSURER D INSURER E INSURER F REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS TYPEOFINSURANCE INSR WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) EACH OCCURRENCE $ ],000OOO LTR GENERAL LIABILITY 1vjpX1463C 09/15/10 09/15/11 PREMISES (Ea occurrence $ 10000 P, }{ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ S O O O O CLAIMS-MADE ~ OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n jECT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS lJ LLL~~ ~ V SEP~ 2 200 TOWN OF W PPIN ER TIJ~lm.., L E R K UMBRELLA LIAB I I OCCUR EXCESS LIAB I--{I CLAIMS-MADE DEDUCTIBLE 1 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVF{~ I A NlFandatoryEn NHj EXCLUDED? ~uf If yes, describe under DESCRIPTION OF OPERATIONS below C9/15/10 109/15/1?. Resident al Plumbing NS ~ VEHICLES (Attach ACORD 101, Addltlonal Remarks Schsdule, IT mare spaes Is squired) PERSONAL&ADVINJURY $ lOOOOOO GENERAL AGGREGATE $ 2000000 PRODUCTS-COMP/OPAGG $ 2000000 COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) $ EACH OCCURRENCE $ AGGREGATE $ $ E.L. EACH ACCIDENT $ lOOOOO E.L. DISEASE-EA EMPLOYEE $ lOOOOO E. L. DISEASE-POLICY LIMIT $500000 CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TWNWAPl THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF WAPPINGERS AUTHORIZED R PRESENTATI 20 MIDDLE BUSH ROAD I~ WAPPINGERS FALLS NY 12590 ' V ©1988-2009 ACORD CORPO ION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD R ® CERTIFICATE OF LIABILITY INSURANCE OP ID LS DATE (MMIDDIYYYY) 09 15 10 ~ ATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFIC ATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES CERTIFIC E DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED BELOW. THIS CERTIFICATE OF INSURANC REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate hol er is an ADDITIONAL INSUR D, the policy ies must be endorsed. If BR GATT N 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). PRODUCER NAME: Steven H Spiegler Ins Svcs, Inc ac, No: ac No Ext: CA License #OB71012 ite 203 S ADDRESS: u 7777 Fay Avenue, La Jolla CA 92037 CUSTOMER ID#: BHPNE-1 Phone : 8 5 8- 4 5 9- 8 8 3 4 Fax : 8 5 8- 4 5 9- 9 019 INSURER(S) AFFORDING COVERAGE NAIC p INSURED INSURERA: phlladel hla Insurance Co Blue Haven P0018 Northeast, Inc INSURERS: BLUE HAVEN POOLS & SPAS 2273 N Penn Rd INSURERC: Hatfield PA 19440 INSURERD: INSURER E INSURER F - ...rte unueoo. REVISION NUMBtK: V V V CRAV C.7 •-• • •• • • ~ •••--• _. THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ANDING ANY REQUIREMENT , INDICATED. NOTWITHST THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, OR MAY PERTAIN , CERTIFICATE MAY BE ISSUED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDIYYYY) MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ E-T'O-REI' ENERAL LIABILITY PREMISES Ea occurrence $ COMMERCIAL G ~ OCCUR MED EXP (Any one person) $ CLAIMS-MADE `~ ~ p~ "; ~ PERSONAL 8 ADV INJURY $ X . ~ GENERAL AGGREGATE $ TE LIMIT APPLIES PER: ' PRODUCTS -COMP/OP AGG $ L AGGREGA GEN POLICY PRO LOC JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident) $ 10 0 0 0 0 0 A X ANY AUTO PHPK61889 09/232/io e9 1 ~~ DILYINJURY(Perperson) $ ALL OWNED AUTOS ~ 1 UJ ~ I r~ ~~ LL~~ B DILY INJURY (Per accident) $ SCHEDULED AUTOS ~ P OPERTY DAMAGE $ 2 5 0 O DED PD AUTOS ( raccident) $ HIRED NED AUTOS S p P` 2 O ~O ~O $ }( NON-OW UMBRELLA LIAB R C N ~ W A H OCCURRENCE $ OC U Taw v EXCESS LIAB CLAIMS-MADE ^' Q ~ A REGATE $ ~O ~~ 'V 1 ` $ DEDUCTIBLE RETENTION $ WO RKERS COMPENSATION _ TORY LIMITS ER AND EMPLOYERS' LIABILITY RIETOR/PARTNERIEXECUTIV E.L. EACH ACCIDENT $ ~ ANY PROP I A OFFICER/MEMBER EXCLUDED? NH i E.L. DISEASE - EA EMPLOYEE $ ) n (Mandatory If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below Commercial Applica DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) *30 day notice of cancellation, except 10 days for nonpayment of premium 1.YNI.FI 1 Ylll)N GtK1lrlliHlC nvr.u~rc - ---------- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE WAPPWAI THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Town of Wappinger 20 Middlebush Rd. a in er Falls NY 12590 .n~en n/'~n onowTlAA1 Ali r nMe nrvnr! V IDV V-LV Va I9vvlw vv,.. v..r....+... .... ..~..__.___ ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD PHILADELPHIA INDEMNITY INSURANCE COMPANY ONE BALA PLAZA SUITE 100 BALA CYNWYD PA 19004 REINSTATEMENT NOTICE Named Insured & Mailing Address: Producer: 0023404 WOODHILL GREEN CONDOMINIUM ASSOCIAT DONN GERELLI ASSOCIATES INSURANCE AGENCY, 1668 ROUTE 9 STE 1 INc 1 CROTON POINT AVE. WAPPINGERS FALLS NY 12590 CROTON-ON-HUDSON NY 10520 Policy No.: PHPK487643 Type of Policy: PACKAGE INCLUDING AUTO You recently received a notice advising this policy was being cancelled effective 10/04/2010 . This notice is to advise that the policy is being reinstated without lapse in coverage. C~; ~~ o~ GJi~ ~,9p ~ ~~ p'r~/ ~~~G~~ / Other Party of Interest TOWN OF WAPPINGERS FALLS 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 Date Mailed: 15th i~ay of September, 2010 ~-~ "7~ r , l I - f ~ '. Ii FRAN DEEMING NYCT36 FORM# CT969897NY51995 09152010SNNY ODEN 3.0.10.06a Copy for Other Interests Page 1 of 1 Erie ~\ Insurance' 100 Erie Ins. PI. Erie, PA 16530 CERTIFICATE OF INSURANCE -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY - CERTIFICATE HOLDER COPY NAME AND NUMBER OF AGENCY DATE ISSUED 09/ 1 1 /2010 MILTON BITTER INSURANCE NN 1362 NAME AND ADDRESS OF CERTIFICA HOL ~ 0 ~~ NAME AND ADDRESS OF NAMED INSURED '~ ,~ Q~ ~ . f ~_.,~ ~~ S y r ~p Pl~afp~i~S_ FALL TOWN OF l 6 ROBERT WALTKE & SON ?~~~ BUILDING DEP - v{/I/ ROBERT WALTKE D/B/A 20 MIDDLES RD ~ ~F ~ 46 SYCAMORE DR WAPPPINGERS r®~ gPpl WALLKILL NY 12589-3626 ~ ,''~V C i~F 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 issued TYPE OF tNSURAMCg POLICY NWA{BffW _ ,. IzOLIGY ::,EFFE~'iIVE,DATE #+Ol1GY . _;EXPtftATlONbA"EL lfMrTB QF IN&flRANCE GENERAL LIABILITY I fJ266920080 02/19/2010 02/19/2011 EACH OCCURRENCE $ 1000000 LITY COMMERCIAL GENERAL LIA[; OCCURRENCE FORM GEN'LAGGREGATE LIMIT APPLIES FIRE DAMAGE (Any one premises) 3 l 000000 PER: POLICY MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1 OOOOOO GENERAL AGGREGATE $ 2000000 PRODUCTS-COMPIOP AGG $ 2000000 AUTOMOBILE LIABILITY Q 106530220 10/ 15/2010 10/ 15/201 1 BODILY INJURY (EACH PERSON) $ 1 OOOOO OWNED BODILY INJURY (EACH ACCIDEN $ 300000 PROPERTY DAMAGE $ BODILY INJURY AND $ PROPERTY DAMAGE COMBINED EACH OCCURRENCE = AGGREGATE STATUTORY BODILY ACCIDENT $ EACH ACCIDENT INJURY DISEASE $ POLICY LIMIT BY DISEASE $ EACH EMPLOYEE DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS _ _ _ _ .... -__ ..._..___.,..._,.. ,...,r- ..,~__ __ _..._-_~:r...,,.r,.,. ~.. ,..,....°ue.~ ,.,.ono., nnrlro will he mailari to the Certificate Holder. When CANCELLATION FOR NON-PAYMENT, GAU1t UH NHMtu IrvJUnCUJ ncWV~ai. vvncn a„ a~w,,,....~~~,,..,,..r ~~ ~•-••~-•••--~ ••••••-•~ ~---- -- - --- 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 2102 (E) CIF SEE REVERSE SIDE AUTHORIZED - - I J ~ REPRESENTATIVE G~ ,C L°, ... I PHILADELPHIA INDEMNITY INSURANCE COMPANY ONE BALA PLAZA SUITE 100 ~ /L~~~~ BALA CYNWYD PA 19004 L~ NOTICE OF CANCELLATION OF INSURANC ~~ sEP Z s 200 row Named Insured & Mailing Address: WOODHILL GREEN CONDOMINIUM ASSOCIAT 1668 ROUTE 9 STE 1 WAPPINGERS FALLS NY 12590 Producer: 0023404 Tp °F wAPP NG VV ~R FR DONN GERELLI ASSOCIATES INSU K INC 1 CROTON POINT AVE. CROTON-ON-HUDSON NY 10520 Reference: N/A Policy No.: PHPK487643 Type of Policy: PACKAGE INCLUDING AUTO Date of Cancellation: 10/04/2010; 12:01 A.M. Local Time at the mailing address of the Named Insured. We are cancelling this policy. Your insurance will cease on the Date of Cancellation shown above. The reason for cancellation is NONPAYMENT OF PREMIUM . This action is pursuant to New York Insurance Law, Section 3426, Subsection (c)(1)(A) regarding nonpayment of premium. The amount of premium due is: $ 3000.00 Cancellation may be avoided if premium is paid in full within 15 days of the mailing date of this notice. The first named insured or his/her authorized agent/broker may request in writing loss information with respect to this policy and previous policies we have written for you. We will provide this information within 10 days from the date we receive your request. PROOF OF FINANCIAL SECURITY IS REQUIRED TO BE MAINTAINED CONTINUOUSLY THROUGHOUT THE REGISTRATION PERIOD. IF YOU DO NOT KEEP YOUR INSURANCE IN FORCE DURING THE ENTIRE REGISTRATION PERIOD, YOUR REGISTRATION WILL BE SUBJECT TO SUSPENSION. IF YOUR VEHICLE IS STILL UNINSURED AFTER 90 DAYS, YOUR DRIVER'S LICENSE WILL BE SUSPENDED. TO AVOID THESE PENALTIES YOU MUST SURRENDER YOUR REGISTRATION CERTIFICATE AND PLATES BEFORE PLEASE READ THE NEXT PAGE FOR MORE INFORMATION Other Party of Interest TOWN OF WAPPINGERS FALLS 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 FORM# CC9697307003060780100411NY82006 ODEN 3.O.t0.O6a Copy for Other Interests Date Mailed: 15th ,~ay of September, 2010 ~s ' ,' r! si FRAN DEEMING NYCC36NONPMNT 09142010MYNY Page 1 of 3 PHILADELPHIA INDEMNITY INSURANCE COMPANY NOTICE OF CANCELLATION OF INSURANCE Named Insured: WOODHILL GREEN CONDOMINIUM ASSOCIAT Policy Number: PHPK487643 YOUR INSURANCE EXPIRES. BY LAW YOUR INSURANCE CARRIER IS REQUIRED TO REPORT SPECIFIC TERMINATION INFORMATION TO THE COMMISSIONER OF MOTOR VEHICLES. IF YOU HAVE A LAPSE IN INSURANCE COVERAGE OF 90 DAYS OR LESS, THE LAW PERMITS YOU TO AVOID A SUSPENSION OF YOUR REGISTRATION BY THE PAYMENT OF A CIVIL PENALTY FOR EACH DAY OR ANY PORTION THEREOF UP TO 90 DAYS FOR WHICH YOUR INSURANCE COVERAGE WAS NOT IN EFFECT. THIS CIVIL PENALTY OPTION APPLIES ONLY ONCE DURING ANY 36 MONTH PERIOD. THE CIVIL PENALTIES ARE: 1 TO 30 DAY LAPSE - $8 PER EACH DAY OF LAPSE 31 TO 60 DAY LAPSE - $240 PLUS $10 PER DAY FOR DAYS 31 TO 60 61 TO 90 DAY LAPSE - $540 PLUS $12 PER DAY FOR DAYS 61 TO 90 This policy provides auto liability coverage. You should contact your agent or any agent concerning your possible eligibility for replacement coverage through another insurer or the New York Automobile Insurance Plan. Excess premium (if not tendered) will be refunded on demand. This policy provides fire and extended coverage insurance on your property. You should contact your agent or any agent concerning coverage through another insurer, or your possible eligibility for coverage through the New York Property Insurance Underwriting Association, 100 William Street, 4th Floor, New York, NY 10038. Telephone: (800) 522-3372. Or, you may contact your agent or this insurance company at: PHILADELPHIA INSURANCE COMPANIES BRIAN O'REILLY 1009 LENOX DRIVE, SUITE 107 LAWRENCEVILLE, NJ 08648 (866) 586-6122 (212) 208-9700 (ASSIGNED RISK) PLEASE READ THE NEXT PAGE FOR MORE INFORMATION FORM# CC9697307003060780100411 NY82006 ODEN 3.0.10.O6a Copy for Other Interests NYCC36NONPMNT 09142010MYNY Page 2 of 3 PHILADELPHIA INDEMNITY INSURANCE COMPANY NOTICE OF CANCELLATION OF INSURANCE Named Insured: WOODHILL GREEN CONDOMINIUM ASSOCIAT Policy Number: PHPK487643 Your interest in this policy as an "insured" or other party of interest is being cancelled effective 10/04/2010; 12:01 A.M. Local Time at the mailing address of the named insured. NYCC36NONPMNT FORM# CC9697307003060780100411 NY82006 09142010MYNY ODEN 3.0.10.O6a Copy for Other Interests Page 3 of 3 ~~ ® A~°!z° CERTIFICATE OF LIABILITY INSURANCE DATE IMM(DDiYYYYI o9-os-2olo THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERISI, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONALINSURED, the policylies) must be endorsed. If SUBROGATIONIS 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 endorsementls). PRODUCER NAME: LAWLEY WESTCHESTER GROUP LLC/PHS A/CNNo Exn: (866) 467-8730 I IA/C,NoI: (800) 308-545 214612 P: (866)467-8730 F: (800)308-5459 - ADDRESS: 301 WOODS PARK DRIVE CL I NTON NY 13 3 2 3 CUSTOMER ID N: ~ ~ NAIC p INSURERfSI AFFORDING COVERAGE INSURED INSURER A : HartfOrC~ Fire InS CO THE GREAT AMERICAN SIGN COMPANY INC INSURER B : TWin Cit Fire Ins Co I DBA GREAT AMERICAN SIGNS ~ INSURER C 3 COMMERCE CT . STE 1 WAPP INGERS FALLS NY 12 5 9 0 INSURER D INSURER E INSURER F : I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TC CERTI~ Y THAT TFiE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR i TYPE OF INSURANCE !INSR I WVD POLICY NUMBER I (MM1DD/YYYY) IMMlDD/YYYYI LIMITS GENERAL LIABILITY i I ~ EACH OCCURRENCE S 2 O O O O O O ~~COMMERCIAL GENERAL LIABILITY I PREMISES IEa oc~ ct~re~l 5 1 ~ 0 0 r 0 0 0 l O i I CLAIMS-MADE ~~ OCCUR I I ) MED EXP IAny one person) S r ~~.. ~~ ~ A I nl veneral Liab ~ O1 SBA RD8313 io/D6/2oiD 10/06/2011 PERSONAL&ADVINJURY i S 2 ~OO ~ ~~o I I GENERAL AGGREGATE I S 4 O O O O O O ~ I i i GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG 15 4 0 0 0 r O O O ~`_ POLICY ~~_I JET X LOC I i S I AUTOMOBILE LIABILITY I ~ ~ COMBINED SINGLE LIMIT 5 ~_ ~ j IEa accidents ~J ANY AUTO ~ I BODILY INJURY (Per person) ~ S ~~ ALL OWNED AUTOS i ( ~I BODILY INJURY IPer accidentl'i S (SCHEDULED AUTOS '- I i PROPERTY DAMAGE 5 HIRED AUTOS I I IPer accident) NON-OWNED AUTOS j S r-~ I S I ~ UMBRELLA LIAB ~ OCCUR i ~ i EACH OCCURRENCE S ' I EXCESS LIAB CLAIMS-MADE I ~^ -, AGGREGATE S i ~ DEDUCTIBLE ; S _ RETENTION S I S WORKERS COMPENSATION ' i ~ j WCSTATU- I iOTH- X ~ TORY LIMITS ~ ER LIABILITY AND EMPLOYERS nNl' PROPRIETOR-PARTNER/EXECUTIVE Y/ N E.L. EACH ACCIDENT S 1 r 0 0 0~ O O O I OFFICER+MEMBEREXCLUDED7 I I N/ A I B (Mandatory In NH) L.~ o l WEC TY5 93 8 10/06 2010 10/06/2011 E.L. DIS SE - EA EMPLOYEES 1 ~ 0 ~ ~ r ~ 0 i i If yes, describe under .DESCRIPTION OF OPERATIONS below ~ E.L. DIS ASE - POLIC 1 ~ 0 0 ~ ~ o r r DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, It more apace la required) Those usual to the Insured's Operations. SEP1 ,s 200 ro rGeTlclr`erc unl nFa CANCELLATION 1 T... " ~~fil-~PTAt.~.~_ SHOULD ANY OF THE ABOVE DESCRIBED ~~LLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WIL Town Of Wappinger DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Middlebush Road Wappinger Falls , NY 12 5 9 0 AUTHORIZE PRESENTATIVE /~,~~ ~~~ \ ACORD 25 (2009/09) ~ 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD '' Erie I nsu rance® Home Office • 100 Erie Insurance Place • Erie, Pennsylvania 16530 • (814) 870.2000 Toll Free 1.800.458.0811 • Fax (814) 870.3126 www.erieinsurance.com Certificate Holder -- Cancellation Town of Wappinger 20 Middlebush Rd. Wappinger Falls, NY 12590 I a~~~o T SfP 16 ?J;J oT~wN CCERK FR Agent: NN1197, Fragomeni Ins&Financial 518-584-4200 Regarding our Policyholder: Great American Awning C/0 Frank Rafalik & Endt ~~1 130 Wilton Road 4,' Greenfield Center, NY r '"''~ 12833-1705 Type of Policy: Commercial Auto Policy Number: QO1 5130298 NY Erie Insurance Company You are listed as a holder of a Certificate of Insurance regarding the above policy. This is your notice that this policy was cancelled effective on the date listed below and no coverage will be provided following the cancellation date. This cancellation was effective as of 12:01 A.M., Standard Time, on July 17, 2010. If you have any questions regarding this notice, please contact the Agent, Fragomeni Ins&Financial at 518-584-4200. Very truly yours, ERIE INSURANCE EXCHANGE Erie Indemnity Co., Attorney-in-Fact ERIE INSURANCE COMPANY Customer Service Division S2W The ERIE is Above All in SERVICE' ~-'=~~® CERTIFICATE OF LIABILITY INSURANCE OPID KQ DATE (MM/DDIYYYY) LUZON-1 09 09 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Mang Ins Agy LLC Fleischmanns HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 63 Old Rt. 28 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Fleischmanns NY 12430 Phone: 845-254-4802 Fax: 845-254-4807 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: N3ut11uS Insurance Com an INSURER 8: Arch Luzon Oil Company Inc dbaLuzon EnvironmentalServices INSURER C: 1246 Glen Wild Rd W NY 12789 d id INSURER D: oo r ge 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 MAYBE 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 EFFE TIVE DATE MMIDDIYYYY POLICY EXPIRATION DATE MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2000000 A X COMMERCIAL GENERAL LIABILITY UNASSIGNED 09/03/10 09/03/11 PREMISES Eaoccurence) $ 50000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5000 PERSONAL6ADVINJURY $ 2000000 A X Pollution, Prof , Im GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 2000000 POLICY PRO LOC JECT Em Ben. 1000000 AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT 1000000 B ANY AUTO FBCAT0078803 09/03/10 09/03/11 (Ea accident) $ ALL OW NED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ }{ HIRED AUTOS BODILY INJURY }{ NON-OWNED AUTOS ~ /~ (PeraccidenQ $ ~ o PROPERTY DAMAGE $ v (Per accident) GARAGE LIABILITY r O P AUTO ONLY - EA ACCIDENT $ ANY AUTO ~' ~- ~~( ~1 OTHERTHAN EA ACC $ V / r~> AUTOONLY: qGG $ EXCESS I UMBRELLA LIABILITY P/~ EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE l C/ A//`"'` N A AGGREGATE $ Rk R $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION ' - TORYLIMITS ER _, LIABILITY AND EMPLOYERS ANY PROPRIETOR/PARTNER/EXECUTIVEa REFER TO NYS WC E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) BOARD FORM GSI 105 .2 ` E.L. DISEASE - EA EMPLOYE $ It yes, describe under SPECIAL PROVISIONS below r~ ~' ~" ~ t"l. Dl&EASE -POLICY LIMIT $ OTHER y I DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WA 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 Code Enforcement Department REPRESENTATIVES. 20 Middlebush Road Wappingers Falls NY 12590-0324 AUTHORIZED REP NTATIVE ACORD 25 (2009101) U 19813 ZUII9`PitiUKLT'G(7KF'UKA I wN. An rlgnts reservea. The ACORD name and logo are registered marks of ACORD ,< - - - IMPORTANT i'e certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement ~'nis certificate does not confer rights to the certificate holder in lieu of such endorsement(s). h;JBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may ri ire an endorsement. A statement on this certificate does not confer rights to the certificate F'er in lieu of such endorsement(s). DISCLAIMER T': Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized r~~esentative or producer, and the certificate holder, nor does it affirmatively or negatively amend, ey~nd or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01) _'1 . .~v~rc' CERTIFICATE CF LIABILITY INSURANCE OPID RY DATE(MMlDD/YYYY) 09/10/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATNE OR PRODUCER, AND THE CERTIFICATE HOLDER. e ce ca e o er s an e po cy es mus a en orse . , su ec o the terms and condttlons of the policy certain policies ma re uire an endor t A t t t , y q semen . s a emen on this certificate does not confer rights to the certificate holder in Ileu of such endorsement(s). PRODUCER The Misner Aljeacy, InC. NAME: P . O . $OX B 7 (A1C, No, Ezt): (AlC, No): 489 state Route 52 ' ADDRESS: Woodbourne NY 12788 CUSTOMER ID •: OLDHO-1 Phone:845-434-7755 Fax:845-434-7763 INSURER(S)AFFORDINGCOVERAGE NAICi INSURED INSURERA: continental paatarn Ina. Co. 10804 Old Homestead Realty Properties, Inc. INSURERS: union Iasurance Co. 25844 D$A Rainbow Oil INSURERC: Acadia 2nsurance Co 31325 Pro erties lac - R i b oil . p , . a a ow 5 Pinewood Road INSURERD: Hyde Park NY 12538 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~LTR TYPE OF INSURANCE INSR POLICY NUMBER (MMIDD/WYY (MM/DDMlYY) LIMBS GENERAL LU1HILnY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY CPA0307124 09/04/10 09/04/11 PREMISES (Ea occurrence) $ 250000 CLAIMS-MADE ~X OCCUR MED EXP (Any one person) $ SOOO PERSONAL&ADVINJURY $1000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jEa LOC AUTOMOBILE LIABILRY $ ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS ~I X HIRED AUTOS ' X NON-OWNED AUTOS II C UMBRELLA LIAB X OCCUR EXCESS LIAB CLAIMS-MADE li DEDUCTIBLE ~ X RETENTION $ 1 0 0 0 O AND EMPLOYERS' LIABILrIY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTIVE ^ / A OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below GENERAL AGGREGATE ~ $ 2000000 PRODUCTS -COMP/OP AGG I$ 2 0 0 0 O O O Emp $en. $1000000 COMBINED SINGLE LIMIT $ 1000000 CAA0307125 D9/oa/io 09/04/11 (Ea acadeM) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ~~~'- s PROPERTY DAMAGE $ (Per acadenq 030~~ ^ ~ ~ ~/iq 09/0 TOWN OF WA PING R C DESCRIPTION OF OPERATIONS ! LOCATIONS f VEHICLES (Attach ACORD more apace /11 EACH OCCURRENCE $ 1000000 AGGREGATE $ 1000000 E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ CERTIFICATE HOLDER CANCELLATION TO'WN~lP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. f i Town o Wapp nqer 20 Middlebush Road AUTHORIZED REPRESENTATIVE Wappingers Falls NY 12590 ~~ c~J 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009!09) The ACORD name and Togo are registered marks of ACORD ~RO® CERTIFICATE OF LIABILITY INSURANCE OPID ~x DATE (MM/DD/YY` 09/07/1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMP RTAN I the certi Icate hol er s an NA N URED, the policy(les) must be endorse UBROGATI N I 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). PRODUCER .....~. Gruen Deldin DiDio NY Branch 621 Clock Tower Commons Dr Brewster NY 10509 Phone:845-279-5151 Fax:845-279-8482 INSURED D&M Electrical Contracting Inc 90 S. Central Ave. Elmsford ATSC 10523 CUSTOMER ID#: DS.MEL-1 INSURER(S) AFFORDING COVERAGE INSURER A: Salactiva Ineuranca Company INSURER B INSURER C INSURER D INSURER E INSURER F NAIC # 12572 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DDIYYYY) (MM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , OOO , OOO A X COMMERCIAL GENERAL LIABILITY 51840869 02/02/10 02/02/11 PREMISES (Ea occurrence) $ 100,000 CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL 8 ADV INJURY $ 1 , OOO , OOO GENERAL AGGREGATE $ 3, 000 ~ 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 3 , 000 r 000 POLICY }t: PRO LOC JECT $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1 r ~~~ r O<)0 A X ANY AUTO 51889852 0 26/ 02/02/11 gODILYINJURY(Perperson) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS ~ ` PROPERTY DAMAGE (Per accident) $ NON-OWNED AUTOS $ $ A X UMBRELLA LIAB X OCCUR S1840869 /1 2/02/11 EACH OCCURRENCE $ 5, 000 ~ 000 EXCESS LIAB CLAIMS-MADE / /` ~' AGGREGATE $ 5 r OOO r OOO DEDUCTIBLE D /L\7 $ X RETENTION $ LO,000 $ WO RKERS COMPENSATION EMPLOYERS' LIABILITY W ~ ORY LIMITS ER AND ANY PROPRIETOR/PARTNER/EXECUTIV~ /A r V O Z~ E.. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDEO? (Mandatory in NH) T ~ 1 ~~ L. DISEASE - EA EMPLOYEE $ If Yes, describe under DESCRIPTION OF OPERATIONS below \ ` ~ ry /" E.L. DISEASE -POLICY LIMIT $ FR R DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more spat squire CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWNO-W THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Wappinger 20 Middle Bush Road /) ~L' ~ ~ !'1 Wa~flinQers NY 12601 ,. IGGJ a.li~ reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD ~R~® CERTIFICATE OF LIABILITY INSURANCE OPID EB DATE (MM/DD/YYYY DUTCH-3 09/02/10 Donald B • Dedrick Agency Inc Mill Street, PO Box 319 Dover Plains NY 12522 Phone:845-877-9901 Fax:845-877-6771 INSURED Dutchess Environmental Construction Inc 936 Route 6 Mahopac NY 10541 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. INSURERS AFFORDING COVERAGE NAIC # INSURER A: Steadfast Insurance Company 26387 INSURER B: Peerless Insurance Com an 24198 INSURER C: INSURER D: INSURER E: CDVFRAGES 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 POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YYYY DATE MM/DD/VYYY LIMITS GENERALLIAEIILITY EACH OCCURRENCE $ lOOOOOO A X COMMERCIAL GENERAL LIABILITY GPL655262901 09/02/10 09/02/11 PREMISES (Eaoccurence) $ 100000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5000 PERSONAL&ADVINJURY $ 1000000 X Professional GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 2000000 POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 B X ANY AUTO BA8721546 05/20/10 05/20/11 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS .- (Per person) HIRED AUTOS ^ p~ n ~1` 1' BODILY INJURY $ NON-OWNED AUTOS /~ ~\`~fl ~ (Per accident) ~ (~{:°/q 1 PROPERTY DAMAGE $ t (Per accident) (,pRAGE LIABILITY C Ep AUTO ONLY - EA ACCIDENT $ ANY AUTO •7 p~NG R OTHER THAN EA ACC $ Ap AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY ` A ' C EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE U v TO • " AGGREGATE $ DEDUCTIBLE 1~"°"~,'"r. ~ $ RETENTION $ $ WOR KER S COMPENSATION YERS' LIABILITY ~ X TORY LIMITS ER $ AND EMPLO Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ' WC8445359 05/20/10 05/20/11 E.L. EACH ACCIDENT $100000 a OFFICER/ME~ NHS EXCLUDED9 N (Mandatory E.L. DISEASE-EA EMPLOYEE $ lOOOOO If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $SOOOOO OTHER DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Certificate holder is listed as additional insured with regard to general liability coverage with written contract subject to the language of the policy. roo~r~cire7F HOLDER GANGtLLAIIUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWNWAP 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 Town of Wappinger REPRESENTATIVES. 20 Middlebush Road RIZE PRE ENTATIVE Wappinger Falls NY 12590 AU ACORD 25 (2009101) ~ a7~t~-]~'A[:cnEU~tntNCmA I IUN. An ngnts reserves. 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. ACORD 25 (2009101) ~`~ °® CERTIFICATE OF LIABILITY INSURANCE 8/30/20 0) PRODUCER (413) 664-9366 FAX: (413) 664-6504 Coakley Pierpan Dolan & Collins Insurance 26 Union 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. North Adams MA 01247 INSURERS AFFORDING COVERAGE NAIC # _ INSURED INSURER A:~1.n Street American Ins . CO . 29939 Graphic Impact Signs Inc. INSURERB:NGM Insurance Company i47ee c/o John Renzi INSURERC:American International Co. 575 DALTON A~7E INSURER D: _ __--_. PITTSFIFII~D MA 012 01-2 90 8 INSURER E: ~uvtKH~ta THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT , MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ - ___ _. __ POLICIES INSR u . 1DD'L' POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LIMITS IABILITY EACH OCCURRENCE ~ $_ 2 L~01 000 GENERAL L DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) i $ _ ___ _500 , 000 A OCCUR PF9690P 8/19/2010 8/19/2011 MEDEXP(Anyoneperson) +$ 1000 CLAIMS MADE I n l ~ i PERSONAL & ADV INJURY $ 2 , 000 , 000 ~ - -- I GENERAL AGGREGATE $__ 4,00000 ATE LIMIT APPLIES PER: RE ' PRODUCTS -COMP/OP AGG li $ 4 , 000 , 000 i GEN L AGG G A X POLICY PRO LOC l AUT OMOBILE LIABILITY ANY AUTO . ~ COMBINED SINGLE LIMIT i $ 0 000 (Ea accident) 1 , 00 , - - ---- B i ~ ALLOWNEDAUTOS 9F9690P r ~ ~' ) 8/19/2010 ~ 8/19/2011 BODILY INJURY ~ $ P 1 X I - SCHEDULED AUTOS ~ r, ;, 'i_... ' ~' ( er person) ~ t I X 1 ~ HIRED AUTOS NON-OWNED AUTOS i ~ \" ~H j~ \ / / I I BODILY INJURY (Per accident) ~ $ -- ' r- II' --- ~ ~ ~ J ( PROPERTY DAMAGE $ -1 -- ( (Per accident) RAGE LIABILITY GA ~ C I r p O ~ 2010 i ~ A~ UTO ONLY - EA ACCIDENT $ __ ~ ~ ~~ ANY AUTO I J Gf GER OTHER THAN EA ACC I $_ - _r ___ AUTO ONLY: AGG I $ ~IEXCESS/UMBRELL~ABILITY ~~~ N ~ EAR CH OCCURRENCE __$ 2l_000,_000 000 00 OCCUR ~ CLAIMS MADE TO , AGGREGATE _ _~ $ 21 0 B DEDUCTIBLE iCUF9690P 8/19/2010 8/19/2011 -- - r $ --- __ _ ~ $ _ _ RETENTION $ ~ ~ L. WORKERS COMPENSATION ~ i ORY LAM U- OTH- ITS i ER_ _ ANDEMPLOYERS'LIABILITY Y/N " ' i I L. EACH ACCIDENT $ 500 , 000 E CUTI JE ^ ' ANY PROPRIETORlPARTNER/EXL OFFICER/MEMBER EXCLUDED? NH I 0005849357 8/19/2010 8/19/2011 _ . 500,000 PLOYE $ EASE-EAEM E. L.DI S ) (Mandatory in __ __.__ _ _ _ If yes, describe under ~ E.L. DISEASE -POLICY LIMIT $ 500 000 ,SPECIAL PROVISIONS below OTHER i I DESCRIPTION OF OPERATIONS ILOC ATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT ISPECI AL PROVISIONS t1ULUtK Town of Wappinger NY 12 Middlebush Road Wappinger Falls, NY 12590 w neon ~fe /7/\nO/n.l\ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO 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 /~~ ~/ Linda Febles/MARROBC/ ~`^ '"a ~S ©1988-2009 ACORD CORPORATION. Ali rights reserved. ,. nnnr .. . ~ ~. ~ TL... A!`ADII nemn and Innn aro renistororl marks nt ~Cl7Rl7 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 I2oosot>.~t DATE (M1 ~vR~3 CERTIFICATE OF LIABILITY INSURANCE OP ID SEAM 09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI CERTIFICATE DOE8 NOT AFFIRMATIVELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. e nu ,Q u,wn~n ti~e,•r If the t:ertltlCate nOlOer Is an Auur r rvrv+.. mv~~w, .... r-••-s~•__, ..---- -- ----- the terms and conditions of the policy, certain policies may require an endorsement. A ataterrwnt on this certificate does not confer rights to the certificate holder In Ileu of such endorsemerrt(s). PRODUCER NAME: Jat~C Ack@rt ,eM uw F~~~ 845-452-8444 pIC,No: 845-485-250 HICI~Y FINN ak CO. , INC 15 Davis Ave Poughkeepsie NY 12603 Phone:845-471-6200 Fax:845-471-9174 INSURED Fairview Hearthside Distributors 68 Violet Avenue Poughkeepsie NY 12601 CUSTOM RID N: £'~~-2 INSURER(S) AFFORDING COVERAGE INSURERA: 8al~atiw ins Co O! Amariaa INSURER e : Merchants Mutual Ina Co INSURERC: AIG (American Intl Gro INSURER D INSURER E NAK: A 26301 TE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED eELUw rvwt aecry ~aavcv ~.+ ~.,~ ~~..,..,.~...-.-..•__ ..__ . _ . _- _ .. -_ - CERT F CAT MAYIBEHSSUEDI OR MAY PERTAINATHE INSURANCE AFFORIDED BY THE POLNI ES DESCR ED HEREIN S SUB ECT TO ALL THE TERIMSTHIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE IN R POLICY NUMBER MMID MMID LIMITS .TR GENERAL LIA&LRY EACH OCCURRENCE S 1 ~ OOO ~ OO A X COMMERGALGENERALLIABIUTY 3 1879165 10/14/0910/14/10 PREMISES Ea occurrence 5100,000 CLAIMS-MADE ~ OCCUR MED EXP (Any one person) S 5 , 000 L a ADV INJURY s 1 OOO OOO X PERSON GATE , r OOO OOO S 2 GENERAL AGGRE ~ ~ iOP AGG OOO OOO S 2 PRODUCTS - COMP ~ ~ GEN'L AGGREGATE LIMIT APPLIES PER: S POLICY X E C LOC COMBINED SINGLE LIMIT S OOO O AUTOMOBILE LUIBILITY (Ee ~~) ~ 1 , OO A X ANyAUTO 31879165 10/14/09 10/14/10 BODILY INJURY (Per person) S ALL OWNED AUTOS BODILY INJURY (Per acddeM) S SCHEDULED AUTOS X PROPERTY DAMAGE (Par accident) S ~( HIRED AUTOS S ]( NON-0WNEDAUTOS S ACH OCCURRENCE S 3 OOO OOO B UMBREUJ\LIAB X OCCUR CUP9140105 10/20/09 10/14/10 E AGGREGATE S 3 , OOO r OOO EXCESS LU18 CLAIMS-MADE X S DEDUCTIBLE S X WO RETENflON S ZO OOO RKERgCOMPENSATON WC - - 10 2O 09 10 20 10 X TORYUMITS ER C AND EMPLOYERS' LIABILITY Y f N ANY PROPRIETORIPARTNERfEXECUi1VE~ OFFICER/MEMBER EXCLUDED? N f A E.L. C E.L. LOYE Z 1, OOO , OOO S r _~ (Mandatory in NN) v„ws dasalhe under E.L. I A p JY' ~`~~ ~ 000 DESCRIPTION OF OPERATIONS I LOCATKNiB / YEHICI.ES (Attach ACORD 707, Addkbnal Remarks SeMdu10. N p ~ rW W i ~ t' r U ~ Z O i O r°wN of wA~PrN ~`~ T ER CERTIFICATE HOLDER CANCELLATION 8HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE WAPPI-7 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Wappinger I 20 Middlebush Road ~ "~-~ ~~~, ACORD 2S (2009109) The ACORD name and logo are registered marks of ACORD ,aco `~ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 08/27/2010 PROOU>~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LoVullo Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6450 Transit Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Depew, NY 14043 INSURERS AFFORDING COVERAGE NAIC # - -- INSURED The Nature Preserve LLC INSURER A: GEMINI INSURANCE COMPANY ~~ 10833 __ _ - PO BOX B '~' INSURER B: _ _.. Fishkill, NY 12524 INSURER c INSURER D: -- INSURERE: COVERAGtS E LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANC ITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR COND RDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH F O MAY PERTAIN, THE INSURANCE AF POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -- -- -- - -- - - _ _ _- - _ __ INSR ~ADD'L~ POLICY EFFECTIVE POLICY EXPIRATION LIMITS POLICY NUMBER E D YY AT D YY A ~ N JiGP011850 03(10/2010 O3I1 Or2U91 I e 1,000, ~A.^.H nrC ~RREN~E __ DAMAGE TO RENTED ~ 50 ~~~ LIABILITY COMMERC AL GENERAL X ~ _ PREMISES (Ea-occurrence) ` $ _ ' I _ I r ' CLAIMS MADE X 1 OCCUR i $ 5,000 MED EXP (Any one person) I ~ - I PERSONAL & ADV INJURY $ 1,D0~,0~0 _ I ___ - 1 ~ , 2,000,000 GENERAL AGGREGATE $ _. ---- _I _ __ _... _-- - TE LIMIT APPLIES PER: N'L AGGREGA ~ GE PRODUCTS -COMP/OP AGG I $ _ -- __ I_ __. - -l ,.. __ X '. POLICY I PRO- LOC Q I '~. AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ ~ ANY AUTO (Ea accident) -_-- - i __.. r_ ~' ~ 'I~ ~"" O 2~tU i BODILY INJURY I ` ALL OWNED AUTOS SCHEDULED AUTOS i ~ I, i I $ (Per person) - HIRED AUTOS TOWN OF V NAPPING R I BGDILYINJURY I ~ ~ NON-OWNED AUTOS ~ T0{ A / n' VV fV ~~~ ^ ~ K I $ (Per accident) ' PROPERTY DAMAGE ' ~- 1 _--- _ _ --- _ ---- - ~~, ~ (Per accident) li $ $ AUTO ONLY - EA ACCIDENT ' 'GARAGE LIABILITY ~, I _. r_ _ ANY AUTO 'I EA ACC '. $ ~ OTHER THAN ' L- ~ I AIJTO ONLY: AGG S EXCESS /UMBRELLA LIABILITY ~ EACH OCCURRENCE I $ ___ ~ OCCUR ll`~ CLAIMS MADE AGGREGATE ~ $ __ -._ ---- -. --- -. ~~~ DEDUCTIBLE I ~r- --- -- ~-$- --- RETENTION $ --- $ ' I WORKERS COMPENSATION ~ Gl H ! JVC STATU I TORY LIMITSl__ i ER i -. _-- AND EMPLOYERS' LIABILITY Y I N I L L - EACH ACCIDENT $ i ANY PROPRIETOR;f'ARTNERrEXECUTVE ^ ~ i, OFFICERIMEMBER EXCLUDED? ~ E.L. DISEASE - EA EMPLOYEE $ - - (Mandatory in NH) -- - -- - - --- ' Ii yes, describe under E.L. DISEASE -POLICY LIMIT $ 'SPECIAL PROVISIONS below ''~ OTHER I ~ ~. I ~ ~i i '. DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE FiOLUtK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 ~ DAYS WRITTEN Town of Wappinger 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 20 Middiebush Road REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Wappingers Falls, NY 12590 nn nnnonowrin~l Au ..,titer .nenr~mfl ACORD25(2009/01) ....,,,..-_,,...,._......---•-• -•-------- -- ....-- The ACORD name and logo are registered marks of ACORD For more information contact: Warwick ReSOUrr.-e Gro~~p LLC ~: 8~l5-98S-22i r. r .+` 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) ACORDrM 'CERTIFLCATE ~F LI'ABILIT Y INSURANCE Uosi2siio" :._ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FEDERATED MUTUAL INSURANCE COMPANY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Home Office: P.O. Box 328 MN 55060 COMPANIES AFFORDING COVERAGE Owatonna, Phone: 1-888-333-4949 COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR A FEDERATED SERVICE INSURANCE COMPANY INSURED 228-536-9 COMPANY PIDALA ELECTRIC INC B PO BOX 249 / COLD SPRING NY 10516 ~ co CANY ~ COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED , CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YY) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS LTR GENERAL AGGREGATE S 2 OOO OOO GEN ERAL LIABILITY ILITY PRODUCTS - COMPlOP AGG S 2 OOO OOO COMMERCIAL GENERAL LIAB R C X~ 9326736 10/10/10 10/10/11 PERSONAL & ADV INJURY S 1 OOO OOO A OC U CLAIMS MADE 1 OOO OOO 'S PROT ' EACH OCCURRENCE S S & CONTRACTOR OWNER ' FIRE DAMAGE IAny one tire) S 5O OOO X S POLICY BUSINESSOWNER MED EXP IAny one person) S AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY n) (P S 9326737 10/10/10 10/10/11 er perso A SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY id P t) S en ( er acc X NON-OWNED AUTOS PROPERTY DAMAGE S AUTO ONLY - EA ACCIDENT S GA RAGE LIABILITY OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT S AGGREGATE S EACH OCCURRENCE S 2 OOO,OOO EX CESS LIABILITY 9326739 10/10/10 10/10/11 AGGREGATE S 2,000,000 A X UMBRELLA FORM OTHER THAN UMBRELLA FORM X WC STATU- OTH- S ND TORY LIMITS ER WORKERS COMPENSATION A EMPLOYERS' LIABILITY EL E1CH !lC.^.ICE^'T < 5n0 Onn A THE PROPRIETOR/ NCL 9326738 10/10/10 10/10/11 EL DISEASE -POLICY LIMIT S 5OO OOO PARTNERS/EXECUTIVE I EL DISEASE - EA ~'--~90 ~ OOO OFFICERS ARE: EXCL OTHER r DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS n - r", rr--- ~ 1 WAP ` TOWN OF E~~..~: 7 CERTlf4CATE HDLDER _ `CANCELLATIQIV _ ::... 2285369 TOWN OF WAPPINGER 32 SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 20 MIDDLEBUSH RD RATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL EX PI WAPPINGER FALLS NY 12590 ii nn ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ~ AUTHORIZED REPRESENTATIVE C//%~~~ PResInE J~ ~7-non'~c c rzlor;~ OACORD CORPORATION '1988; ~RO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) OP ID NC AMER-47 08/23/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Inc (Pawling) Rose & Kiernan HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR , ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 527 Route 22 Pawling NY 12564 Phone: 845-350-3800 Fax: 845-350-3901 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich American Insurance Co 37 9 INSURER B: The Phoenix Insurance Co 282 American Petroleum Equipment ~ Inc C i INSURER C: . ompany on Construct 63 Oran? 12586e INSURER D: Walden 1v ]c I __ INSURER E: nw~ewn_ve V V • Gf\I"~VL~V THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY GLP0596887700 03/24/10 03/24/11 PREMISES (Eaoccurence) $ 100000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10000 PERSONAL & ADV INJURY $ 1000000 X Pollution & Prof GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $2000000 POLICY X PRO LOC JECT AUT OMOBILE LU~BILITY COMBINED SINGLE LIMIT $ 1000000 B X ANY AUTO BA6594P457PHX 03/24/10 03/24/11 (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 OTHER THAN EA ACC $ AUTO ONLY: AGG , $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE ~ $ 4000000 A X OCCUR ~ CLAIMSMADE SU00042425800 03/24/10 03/24/11 AGGREGATE $ 4000000 $ DEDUCTIBLE i $ $ RETENTION $ WOR KERS COMPENSATION I TORY LIMITS ER ~ AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIV E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ~ , EA EMPLOYEE S $ (Mandatory In NH) E.L. DISEA E - If yes, describe under DISEASE -POLICY LIMIT E L $ SPECIAL PROVISIONS below . . OTHER C Disability D267344 01/01/07 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / ECIAL VISIONS ~ Project: 1834 Rt 376 & Maloney Road 4~., ~, ~ -' ` ' ~- Operations usual to the business of the insured. AUG2 7 2010 CERTIFICATE HOLDER CANCELLATION R SHOULD ANY OF THE ABOV DESCRIB I C N I.€ ~~6RE THE PIRATION rj,Q~W04 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVO t ` RITTEN Town of Wappinger 20 Middlebush Road Wappinger Falls NY 12590 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 REPRESENTATNES. AUTHORIZED REPRESENTATNE ACORD 25 (2009/01) v ~y°°'~ The ACORD name and logo are regist r d marks of TION. All rights reserved. ~~ CERTIFICATE OF LIABILITY INSURANCE OP ID JA DATE (MM/DD/YYYY) DWILS-1 08 24 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Varner Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 100 11 Pinchot Court ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. , Amherst NY 14228 Phone:716-688-8888 Fax:716-688-9001 INSURERS AFFORDING COVERAGE NAIC# ~ INSURED INSURER A: Cincinnati insurance Company ~ __ INSURER B: Electric Inc D Wil INSURER C: son 188 Cottage Street INSURER D: Poughkeepsie NY 12601 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W ITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRq TYPE OF INSURANCE POLICY NUMBER L Y E F TIVE DATE MMIDDIYYYY P I Y EX IRATI N DATE MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X X COMMERCIAL GENERAL LIABILITY CAP5887757 08/24/10 08/24/11 PREMISES (Eaoccurence) $ 500000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 1 O 0 0 0 PERSONAL&ADVINJURY $ 1000000 GENERAL AGGREGATE $ 2 0 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 O O O O O O POLICY X PRO LOC JECT ~ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 A ANY AUTO CAA5887722 0$/24/10 08/24/1], (Ea accident) ALL OWNED AUTOS BODILY INJURY $ (Per person) ~ X SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ (Per accident) ~ X NON-OW NED AUTOS PROPERTY DAMAGE i $ ~ 1 ~ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ XCESS 1 UMBRELLA LIABILITY , ~ ~ EACH OCCURRENCE $ 4 0 0 0 O 0 0 A E ~[ I OCCUR ~ CLAIMSMADE CAP5887757 08/24/10 08/24/11 AGGREGATE $ 4000000 DEDUCTIBLE $ ~ .X RETENTION $ 10000 ~ ~ $ WORKERS COMPENSATION ' ER TORY LIMITS __ AND EMPLOYERS LIABILITY Y 1 N __ ANY PROPRIETOR/PARTNER/EXECUTIV ~ E.L. EACH ACCIDENT ~ $ ~ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ~ E.L. DISEASE - EA EMPLOYEE I $ If yes, describe under SPECIAL PROVISIONS below ,, E.L. DISEASE -POLICY LIMIT $ OTHER i -- ` ~~ D DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED 8Y ENDORSEMENT I SPECIAL PROVISIONS Town of Wappinger is Additional Insured for the General Liabili y with respe work performed by the named insured for the certificate holder s requir~~}Gb U 2 7 written contract 2010 TOWN CERTIFICATE HOLDER CANCELLATION ".ELK SHOULD ANY OF THE ABOVE DESCR C ORE THE PIRATIOI TOWOF-1 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL RITTEN 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 AUTHORREDREPRE AT E Wa in ers Falls NY 12590 ACORD 25 (2009/01) O .All rights reserved. The ACORD name and logo are registered marks of ACORD ~RO® CERTIFICATE OF LIABILITY INSURANCE OP ID NC DATE (MM/DD/YYYY) AMER 47 08/23/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Rose & Kiernan, Inc (Pawling) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 527 Route 22 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pawling NY 12564 Phone: 845-350-3800 Fax: 845-350-3901 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich American Insurance Co 379 INSURER B: The Phoenix Insurance Co 282 American Petroleum Equipment ~ INSURER C Inc an Construction Com : . y p 63 Orange 12586e INSURER D: Walden NY i 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 NSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY GLP0596887700 03/24/10 03/24/11 PREMISES (Eaoccurence) $ 100000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10000 PERSONAL&ADV INJURY $ 1000000 ~ X Pollution ~ Prof GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 OO OO OO ~ POLICY X jE ~ n LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 B X ANY AUTO BA6594P457PHX 03/24/10 03/24/11 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY I AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 4000000 A X OCCUR ~ CLAIMSMADE SUOOO42425800 03/24/10 03/24/11 AGGREGATE $ 4000000 $ DEDUCTIBLE ' $ RETENTION $ $ ~ WORKERS COMPENSATION i TORY LIMITS ER AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR/PARTNER/EXECUTIV E.L. EACH ACCIDENT $ ~ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under ~ SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER C Disability D267344 01/01/07 utory St p DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS D Operations usual to the business of insured. A(I~'2 7 20 10 ~ ~ T~ ~ . wN . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLI L ~EXPIRATI N ' `` '~ TOWNWO4 -.. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O E 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 REPRESENTATNES. 20 Middlebush Road AUTHORIZED REPRESENTATNE Wappinger Falls NY 12590 I ACORD 25 (2009/01) v Ty68->Fvua urrcu ~.vrcrvrwi wry. ran nynu iCaCivcu. The ACORD name and logo are regist r d marks of ACO D ~~~~® CERTIFICATE OF LIABILITY INSURANCE OP ID sK DATE (MM/DD/YYY 08/25 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. I the certl Icate o er Is an A , t e po Icy les must a en orse ATI AIVED, 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). Ron Conforti Seely & Durland, Inc. 13 Oakland Avenue Warwick NY 10990 Phone:845-986-1177 Fax:845-986-0094 INSURED WK Mechanical, Inc., dba Whiteford Keagy 546 Route 17M Monroe NY 10950 CUSTOMER ID #: W~'+C-1 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Sel@Ct1Ve Insurance 315 INSURER B INSURER C INSURER D INSURER E INSURER F rnvcoer_cc CFRTIFICATF NIIMRFR• REVISION NUMt3tFi: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYl(Y) (MMIDD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ lOOOOOO A X COMMERCIAL GENERAL LIABILITY 51939671-00 08/15/10 08/15/11 PREMISES (Ea occurrence) $500000 CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ 1 ~ () 0 0 X PERSONAL&ADVINJURY $lOOOOOO GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 3O OO OO O X POLICY PRO LOC JECT $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1000000 A X ANY AUTO 51939671-00 08/15/10 08/15/11 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ A X UMBRELLALIAB ~[ OCCUR 51939671-00 08/15/10 08/15/11 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2 , O OO , ~ O O DEDUCTIBLE $ X RETENTION $ lO,000 D ~~ ~ 1 ' $ WO RKERS COMPENSATION ' - TORY LIMITS ER LIABILITY AND EMPLOYERS YIN ANY PROPRIETOR/PARTNER/EXECUTIV K 2 6 2 ~p E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) / A AU E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ W N C ERK DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACO sduls,=-f=mo~spacrb required) ----- - --- - ,' ~~ ~_ +~ ~ ~. /~G~TICIf~ATC Llnl r1CD CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWNWAP THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Town of Wappinqer 20 Middlebush Road Wa in ers Falls NY 12590 ~~AI+gJJ eve.v~e~7vtcr~ii~m-rvmy/~ia~eaeiveu. ACORD 25 (2009109) The ACORD name and logo are regis red marks of ACORD V I.° Client: 55888 SCHNORR ACORD.M CERTIFICATE OF LIABILITY INSURANCE 8;24;2o;o'Y"~'' PRODUCER Emery & Webb, Inc. 54 East 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. Pawling, NY 12564 845 855-1112 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Peerless InSUrance Company 24198 Schnorr Enterprises, Inc. Dba Re-Bath INSURER B: Acrylic Tub Lines 8i Wall Systems INSURER C: 11 Schnorr Lane INSURER D: Wappingers Falls, NY 12590 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ATE DD LIMITS A GENERAL LIABILITY CBP8147668 05/15!10 05/15/11 EACH OCCURRENCE $1 OOO OOO X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $3OO OOO CLAIMS MADE a OCCUR MED EXP (Any one parson) $15 000 PERSONAL & ADV INJURY $1 OOO OOO GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2 OOO OOO POLICY PRO LOC JECT A AUT OMOBILE LIABILITY BA8148268 05/15/10 05/15/11 COMBINED SINGLE LIMIT (Ea accident) $1 OOO,OOO s X ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ X Drive Other Car PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN ~ ACC $ AUTO ONLY: AGG $ A EXCES5IUMBRELLA LIABILITY CU8148668 05/15/10 05/15111 EACH OCCURRENCE $4 OOO OOO X OCCUR ~ CLAIMS MADE AGGREGATE $4 OOO OOO DEDUCTIBLE $ X RETENTION $ 10000 $ A WORKERS COMPENSATION AND WC8147968 05/15/10 05115/11 WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $5OO UOU ANY PROPRIETOR/PARTNER/EXECUTIVE OFFI:.ERlIAEMBER E:(CLUDED? E.L. DISEASE - EA EMPLOYEE $SOO,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $5OO OOO OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVI ONS Limits shown are those available at policy inception. _ AU~2 6 2er0 - -~`'~f` ~ TOW - ~ N OF WAPPI NGER CERTIFICATE HOLD Town of Wappinger 20 Middle Bush Road Wappingers Falls , NY 12590 - ~ . ~.. ~~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~_ 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 ACORD 25 (2001/08) 1 of 2 #S93291/M89584 © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2007/08) 2 of 2 #S93291IM89584 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE 08-06-2010 PRODUCER LAWLEY WESTCHESTER GROUP LLC/PHS 214 612 P : (8 6 6) 4 6 7 - 8 73 0 F : (8 0 0) 3 0 8 - 54 5 9 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. 301 WOODS PARK DRIVE CLINTON NY 13323 INSURERS AFFORDING COVERAGE INSURED INSURERA:Hartford Flre Iris CO THE GREAT AMERICAN SIGN COMPANY INC INSURER B: DBA GREAT AMERICAN SIGNS INSURER C: 3 COMMERCE CT . STE 1 INSURER D: WAPP INGERS FALLS NY 12 5 9 0 INSURER E: COVERAGES C .NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER DATE MMFDDIYYE DATEY MMPDDnYN LIMITS GENERAL LIABILITY ( EACH OCCURRENCE 32 r O O O r O O O A COMMERCIAL GENERAL LIABILITY O 1 SBA RD 8 313 ]. 0 / 0 6 / 10 10 / 0 6 / 11 ~ FIRE DAMAGE (Any one fire) ~ s 1, 0 0 0 , 0 0 0 CLAIMS MADE U OCCUR MED EXP )Any one person) S 10 r 0 0 0 X General Li ab PERSONAL & ADV INJURY 32 r 0 0 0 r 0 0 0 GENERAL AGGREGATE S4 r O O O r O O O GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMP/OP AGG 94 r O O O r O O O POLICY PRO• X LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO IEa accident) S ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS ` IPer peroonl HIRED AUTOS ~ ~ BODILY INJURY NON•OWNED AUTOS (Per accident) S PROPERTY DAMAGE IPer occident) S GARAGE LIABILITY AUTO ONLY • EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE S OCCUR u CLAIMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION AND ORY LIM TS I OER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT S E.L. DISEASE • EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT 5 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Those usual to the Insured's Operations. Town of Wappinger 20 Middlebush Road Wappinger Falls, NY 12590 HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE KPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE OLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO BLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR EPRESENTATIVES. Q-C~~"~~ ACORD 25-S (7197) ~' ACORD CORPORATION 1988 OP ID MO ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) . .. pRICE-1 08 to to 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: Selective Insurance Company 12572 INSURER B: WescO Insurance Company 12491 Ronald H. Price and Sons, Inc. wsuRERC: _ 8 Cochran H].11 Rd. Pou hk i NY 12603 INSURER D: __ g eeps e 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. 1NSR LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY POLIC EXPIRATI N DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, Q Q Q, Q Q Q A X COMMERCIAL GENERAL LIABILITY 449633-00 QS/14/1Q Q8/14/11 PREMISES (Eaoccurence) $ 1QQ, QQQ CLAIMS MADE L X~ OCCUR MED EXP (Any one person) $ 5 , Q Q Q ___ __ PERSONAL&ADVINJURY $ 1, QQQ, QQQ GENERAL AGGREGATE $ 2 ,QQQ , Q Q Q GEN'L AGGREGATE LIMIT APPLIES PER: ~ ~ PRODUCTS -COMP/OP AGG $ 2 ,QQQ , Q Q Q POLICY JERCOT- LOC ~ AUT OMOBILE LIABILITY ///~~~'''~~~ j~ n COMBINED SINGLE LIMIT A X ANY AUTO 449633-00 ~ t~r4//1( ~ ~~ q~8/14 11 (Ea accident) $ 1 ~ Q Q Q ~ Q Q Q ALL OWNED AUTOS "==~~ BODILY INJURY SCHEDULED AUTOS q ~ 1 ~ (Per person) $ X X HIRED AUTOS NON-OWNED AUTOS T~ WN Z~ ~o t C BODILY INJURY (Per accident) $ - TQ C PPI GER PROPERTY DAMAGE N (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 3 ,QQQ , Q Q Q A X OCCUR ~ CLAIMSMADE 449633-00 Q8/14/1Q Q8/14/11 AGGREGATE $ 3, QQQ, QQQ $ ~ DEDUCTIBLE ~ $ RETENTION $ 1 Q ,QQQ X $ WORKERS COMPENSATION AND ' X TORY LIMITS ER B EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WWC3010978 Q4/Q1/1Q Q4/Q1/11 _ E.L. EACH ACCIDENT -- _ _ --~- $ 1, QQQ, QQQ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below __- E L DISEASE - EA EMPLOYEE - -- ~ - - - -~-- - E.L. DISEASE -POLICY LIMIT $ 1, QQQ , Q Q Q - - ---- - - $ 1 , QQQ , Q Q Q OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS The Town of Wappinger is included as an additional insured. 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 Q 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 2Q Middlebush Road REPRESENTATIVES. Wappingers Falls NY 12590 AUTH~iIZEDREPRESENTA~J~/E ~/_ ACORD 25120011081 U n ocnRn rnRpnRnrlnnl 99RR IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) A` °R°® CERTIFICATE OF LIABILITY INSURANCE e~i2~2o 0 ' 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER C NTACT Jan1Ce Routt NAME: STAR Insurance - Fort Wayne Office PNONE (260)467-5693 acNo:(26o)a67-5651 2130 East DuPont Road auDBess:Janice.routt@starfinancial.com PRODUCER 00050950 Fort Wa ne IN 46825 INSURERS AFFORDING COVERAGE NAICf INSURED INSURER A NAT IONAL CASUALTY COMPANY 119 91 INSUREReNATIONWIDE LIFE INSURANCE CO 66869 ROAD RUNNERS CLUB OF AMERICA/2010 INSURERC: & ITS MEMBER CLUBS INSURER D 7410 SKYLINE DRIVE INSURER E FREDERICK MD 21702-3652 INSURERF: GUVtKAGtS GtKI1tIl:A1tIVUMCtK:wiV ewLtxiVa~leu. ia~l~Vacr~u KtV1.71VrvrvUMCtK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYpE OF INSURANCE AD L POLICY NUMBER IMMOI/LDID~ MM%DDY~ LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 X COMMERCIAL GENERAL LIABILITY A CLAIMS-MADE ^X OCCUR X LEGAL LIAB. TO PARTIC. $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC AUT OMOBILE LIABILITY ANY AUTO A ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS UMBRELLA LIAB ~ OCCUR EXCESS LIAB CLAIMS-MADE DEDUCTIBLE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ~ N / A (Mandatory In NHI PREMISES Ea occurrence $ 500, 00 0000000754800 12/31/2009 12/31/2010 MEDEXP An one person $ 5,00 12 : Ol A.M. 12 : Ol A.M. PERSONAL 8 ADV INJURY $ 1 , 000 , 00 GENERAL AGGREGATE $ NON PRODUCTS -COMP/OP AGG $ 1 , 000 , O O AGGREGATE ABUSE&MOLESTATION $ 500,00 COMBINED SINGLE LIMIT $ 1 , 000 , 00 (Ea accident) 0000000754800 12/31/2009 12/31/2010 BODILY INJURY (Per person) $ 12:01 A M 12:01 A M BODILY INJURY (Per accident) $ . . . . PROPERTY DAMAGE $ AU61~,2 2 10 TOWN C N E ERK R EACH OCCURRENCE $ AGGREGATE $ $ WC STATU- OTH- E.L. EACH ACCIDENT $ F 1 r11CFACF _ FA FIu1Pl f1VF t DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ B ERCESS MEDICAL 6 ACCIDENT PX 0000003732100 12/31/200912/31/2010 F~(CESSMED. $10,000 ($250 DEDUCTIBLE/CLAIM) 12:01 A.M 12:01 A.M. ADBSPECIFICLOSS $2,50C DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additlonal Remarks Schedule, if more space la required) CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS THEIR INTEREST IN THE OPERATIONS OF THE NAMED INSURED. DATE 6 EVENT: 09/19/10 MHRRC DUTCHESS COUNTY CLASSIC; ROAD RACES OF VARIOUS DISTANCES INSURED CLUB: MID-HUDSON ROAD RUNNERS CLUH, ATTN: CONNI GRACE; P.O. BOX 157; LAGRANGEVILLE, NY 12540 r`CQTICI~`ATC 41A1 r1FR r`ANIr`FI 1 eTltl Nl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 09/19/10 TOWN OF WAPPINGER, NY ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: CHRIS COLSEY 20 MIDDLEBUSH ROAD AUTHORIZED REPRESENTATIVE WAPPINGER, NY 12590 John Lefever/JR ACORD 25 (2009/09) ©1988-2009 ACORD CORPORATION. All rights reservetl. INS025 (2oosos> The ACORD name and logo are registered marks of ACORD ..~'~ A~ °® CER ILI Y INSURANCE DA ' 08H0/20 0 PRODUCER D THIS ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LoVullo Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6450 Transit Road HOLD R. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1 Z~{~ ALTE THE COVERAGE AFFORDED BY THE POLICIES BELOW. Depew, NY 14043 Au~j 1 !~ AFFORDING COVERAGE NAIC # INSURED Husted Enterprises Inc 117 Stonykill Road ~~~ TAW N ' uRER A: IRST MERCURY INSURANCE CO. 10657 W in F ll NY 12590 ~ `A T~ V V gers app a s, 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. INSR DD' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY FMMA003807 07/77/2010 07/17/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY ~ PREMISES Ea occurrence $ SO,000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC AU TOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) - $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO - EA ACC OTHER THAN $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LUBILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE ^ OFFICERIMEMBER EXCLUDED? E.L. EACH ACCIDENT $ (Mandatory In NH) If d ib d E.L. DISEASE • EA EMPLOYE $ yes, escr e un er SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS v~r~ ~ ~rw~ ~ ~ The Town of Wappfnger 20 Middlebush Road Wappingers Falls, NY 12590 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 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 AUTHORIZED REPRESENTATIVE At~.VRL/ LD (LUUJ/UT) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD For more information contact: Vail 8 Sutton Incorporated at 845.452-1776. ' CERTIFICATE OF LIABILITY INSURANCE DATER/1012010 HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE EPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBRAGATION IS WAIVED, subject to the erms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the ertificate holder to Ileu of such endorsements . PRODUCER CONTACT NAME:Mar aret Cannelii Russell Bond 8 Co., Inc. PHONE A/C No Ext : 845 452.1776 FAX A/C No : 845 454-1776 Ellicott Square Building EMAIL ADDRESS: mcannelli vailandsutton.com 295 Main Street, Suite 888 PRODUCER CUSTOMER ID #: 3295 Buffalo NY 14203-2595 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Tower National Insurance Com an 43702 Husted Enterprises Inc INSURER B: 117 Stoneykill Road INSURER C: Wappingers Falls, NY 12590 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NST ADD'L POLICY EFFECTIVE EXPIRATION DATE LTR . TYPE OF INSURANCE NSRD POLICY NUMBER DATE MMIDD MM/DD LIMITS GENERAL LU\BILITY EACH OCCURRENCE $ COMMERCIAL GENERAL DAMAGE TO RENTED LIABILITY PREMISES Ea Occurrence $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC JECT U TOMOBILE LIABILITY COMBINED SIGNED LIMIT $ (Ea accident) ANY AUTO BODILY INJURY ALL OWNED AUTOS Per person) $ SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS (Per accident) PROPERTY DAMAGE $ NON-OWNED AUTOS Per accident EX CESS/UMBRELLA LIABILITY EACH OCCURRENCE $ UMBRELLA LIAR OCCUR AGGREGATE $ EXCESS LIAB CLAIMS $ MADE DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- TORY LIMITS OTH- ER . ANY EL EACH ACCIDENT $ PROPRIETOR/PARTNER/EXECUTIVE N/A EL DISEASE - EA $ OFFICER/MEMBER EXCLUDED9 MPLOYEE IF yes, describe under EL DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below A OTHER CA0000099200 1/5/2010 1/5/2011 $1,000,000 Liability Commercial Auto Liability/Physical $1,000,000 UM/UIM Damage See attached page for full list. DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION The Town of Wappinger 0 Middlebush Road SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. appingers Falls NY 12590 AUTHORIZED REPRESENTATIVE ACORD 25 (2008/08) ®1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD y~ August 9, 2010 The Town of Wappinger 20 Middlebush Road Wappingers Falls, NY 12590 RE: Hunted Enterprises Inc. Dear Chris, A DIVISION OF BRINCKERNOFF 8 NEUVILLE INSURANCE GROUP 39 NIARKlT STREET - POUONKEePS1E NY ~2Q0'1 PHONE 841E-41fZ-'1776 -FAX H43.4s4-776 Enclosed please find the renewal certificates of insurance issued on behalf of our above named insured. We trust that you find the enclosed to be in order, and hope you will call or write us with any questions you may have. Very truly yours, G+C'~ f'~Z~'~ Margaret M. Cannelli Account Representative Enclosures BRINCKERNOFF 8 NEUVILLE~ INC. POWERS d. NAAR~ INC. TRI-COUNTY PLANNING SERVICES, INC. PO !OX 424 - ~ 134 MAIN !TR!!T PO !OD[ 117 - 786 MAIN 6TR!!T 36 MARIOIT iTR!!T PIiXKILL NY 12624 COW 6PRIN0 NY X0616 POUOXK!lP61! NY X1601 PXON! 646-666.4700 PNON! 646466.1662 PXON! 64671-6100 PAX 646-667.6110 PAX 646-466-3760 PAX 646.471-7640 ACbRD CERTIFICATE OF LIABILITY INSURANCE OP ID MO DATE(MMIDDIYYYY) CLOVE-3 08 05 10 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: MOUntaln Valley Indemnity 10205 INSURER B: Technology Inauraaca Co. , Znc . 12 4 91 ClOVe Excavators InC . INSURER C: 9 Barnes Drive INSURER D: Poughkeepsie NY 12603 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 BV PAID CLAIMS. ~ LTR NSR TYPE OF INSURANCE POLICY NUMBER P LICY EFF IVE DATE MM/DDIYY P LI EXP RAT( N DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 _ A X COMMERCIAL GENERAL LIABILITY 331-0024520 08/11/10 08/11/11 PREMISES (Eaoccurance) $ 50, 000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) _ $ 5 , 0 0 0 PERSONAL 8 ADV INJURY $ 1, 0 0 0, 0 0 0 GENERAL AGGREGATE $ 2, 0 0 0, 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , 0 0 0 , 0 00 POLICY PRO- LOC JECT AUT -, OMOBILE LIABILITY ' COMBINED SINGLE LIMIT $ 1, 000, 000 A ~X ~ ANYAUTO 331-0024520 08/11/10 0$/11/11 (Eaaccidenq i II ALL UWNED AUTOS BODILY INJURY $ I i SCHEDULED AUTOS (Per person) ~ X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GA RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 5, 0 0 0, 0 0 0 A I X OCCUR ~ CLAIMSMADE X31-0024521 O8/11/10 08/11/11 AGGREGATE _ $ 5, 000, 000 $ -- DEDUCTIBLE $_____ X RETENTION $ 10 , 000 $ WORKERS COMPENSATION AND X TORY LIMITS ER ___ __ _ _ _ __ _ B ~I EMPLOYERS' LIABILITY TWC3238399 04/01/10 04/01/11 E w.cc~DENT $ 1, 000, 000 ANY PROPRIETOR/PARTNER/EXECUTIVE --- ---~-~-- --- OFFICER/MEMBER EXCLUDED? E. DISEA - EA EMP 0 00 , 0 0 0 Ii yes, describe under SPECIAL PROVISIONS below L. DISE , 0 , OTHER D AU DESCRIPTION OF OPERATIONS (LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPE ALP ~if914S T "Operations in the State of New York" ~ Ow N OF ~' _w.__N CLERK 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 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL TQ'Wn o f Wappinger IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Middlebush Road REPRESENTATIVES. Wappingers Falls NY 12590 AUDREPRES TA I cannon nc ~enn~mo~ ` n ACnRII CnRPORATION 1988 ., IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108) OP ID JM ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) NYELE-1 08 03 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hutchings Agency, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 60 6 45 Dolson Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. . , Middletown NY 10940 Phone :845-343-2146 Fax :845-343-5753 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Peerless Insurance Com an 273 INSURER B: Netherlands Insurance Company NY Electrical Inspections & ultin LLC n C INSURER C: Excelsior Insurance 116 g o s 93 Beattie Aven a 1 INSURER D: Admiral Ins . Co . 940 Middletown NY INSURER E: Zl1r1Ch U . S . `nVFRAC: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 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 8Y PAID CLAIMS. . ~.. .,.... ...ems ne wcnewrarc POLICY NUMBER DATE IMM/DD/YYl DATE IMM/DD/YYI LIMITS GENERAL LIABILITY p, $ COMMERCIAL GENERAL LIABILITY GL8787978 CLAIMS MADE X^ OCCUR t~1 ~ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT AUTOMOBILE LIABILITY $ X ANY AUTO B~ ALL OWNED AUTOS SCHEDULED AUTOS }( HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO OB/05/10~ 08/05/11 as G3f~~C0 AUG 03 2 ~D 10 TOWN C ERK EXCESS/UMBRELLA LIABILITY p, ~( OCCUR ~ CLAIMSMADE CU8716582 DEDUCTIBLE X RETENTION $ lOOOO WORKERS COMPENSATION AND C EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED9 If yes, describe under SPECIAL PROVISIONS below OTHER D Professional Liab E NYS Disabilit DESCRIPTION OF OPERATIONS /LOCATIONS / Electrical Inspector 09/08/09 EACH OCCURRENCE $ lOOOOOO PREMISES (Eaoccurence) $ 100000 MEDEXP(Anyoneperson) $ SOOO PERSONALBADVINJURY $ IOOOOOO GENERAL AGGREGATE $ 2000000 PRODUCTS-COMP/OPAGG $ 2000000 COMBINED SINGLE LIMIT $ O 9 / O 1 / 10 (Ea accident) BODILY INJURY $ lOOOOOO (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ BOOOOOO 09/O$/lO AGGREGATE $ $ $ WC1496116 08/27/09 08/27/10 E.L. EACH ACCIDENT $100000 E. L. DISEASE-EA EMPLOYEE $ lOOOOO E.L. DISEASE-POLICY LIMIT $SOOOOO E000001156102 OB/05/10 08/05/11 E & O $1,000,000 5468843 O1/O1/10 O1/O1/11 NYS Re fired ES 1 EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS GtK11rR.Ar~rrv~ucrc - --- TWAPP-1 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Town of Wappinger d h REPRESENTATIVES. Roa 20 Middlebus ~ Wappingers Falls NY 12590 Au ORIZE_ DREPRESENrA~Gl! `l ~~~ !`~V~''`'`'~ n cannon rnoonoeTrnnl ~oaa ACORD Z5 (Z0091Uti) OP ID JM ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) NYELE-1 08 03 to PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hutchings Agency, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 45 Dolson Ave . , PO Box 606 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Middletown NY 10940 Phone :845-343-2148 Fax :845-343-5753 INSURERS AFFORDING COVERAGE NAIL # INSURED INSURER A: P@@rl@sS Insurance Com an 273 INSURER B: Natherlande Znaurance Company NY Electrical Inspections & Consulting LLC INSURER C: Excelsior Insurance 116 93 Beattie Avenue 9 0 INSURER D: Admiral Ins . Co . Middletown NY 10 4 INSURER E: ZL1r1Ch U . S . Cl1VFROrFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ lOOOOOO A X COMMERCIAL GENERAL LIABILITY GL8787978 O8/O5/lO 08/05/11 PREMISES (Eaoccurence) $ lOOOOO CLAIMS MADE X^ OCCUR //''''^~ ~ MED EXP (Any one person) $ S O O O ~ ' PERSONAL&ADVINJURY $ lOOOOOO L . _,,Y GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATELIMITAPPLIESPER: ~ PRODUCTS-COMP/OPAGG $2000000 POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ $ X ANY AUTO BA15 60151 (~ (~ 5 / l O / 11 (Ea accident) ALL OWNED AUTOS ~I11r'UU<'L~7 ~~~~ D (0 DI URY LBS Nn $ lOOOOOO SCHEDULED AUTOS p O ) }( HIRED AUTOS A ~` ~~`- O ~ BODILY INJURY $ }( NON-OWNED AUTOS fi t7 20'O (Per accident) TpWN PROPERTY DAMAGE $ • • ~ V wAPPi ~ (Per accident) GARAGE LIABILITY CLER AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ BOOOOOO A X OCCUR ~ CLAIMSMADE CU8716582 O9/O8/lO O8/O5/11 AGGREGATE $ DEDUCTIBLE $ ){ RETENTION $ lOOOO $ WORKERS COMPENSATION AND X TORY LIMITS ER C EMPLOYERS'LIABILITY WC1496116 O8/27/lO O8/O5/11 E.L. EACH ACCIDENT $ lOOOOO ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? E. L. DISEASE-EA EMPLOYEE $ lOOOOO If es, describe under SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $SOOOOO D E OTHER Professional Liab NYS Disabilit E000001156102 5468843 08/05/10 O1/O1/10 08/05/11 01/01/12 E & O $1,000,000 NYS Re fired DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Electrical Inspector reoT~r~cerG unl nFR GANGELLAIIVN TWAPP-1 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, 8UT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Town of Wappinger 20 Middlebush Road REPRESENTATIVES. Wappingers Falls NY 12590 Au ORIZE~oR~ES~I TAB ~, ^~,,,~ ACORD 25 (2001108) IcJ AGVKU I.rVKYVKAIIVIV 1y68 f`` ° °® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/21/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Aon Risk Services Central, Inc. Chicago IL Office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS 200 East Randolph CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Chicago IL 60601 USA COVERAGE AFFORDED BY THE POLICIES BELOW. ~ PxoNE- 866 283-7122 FAX- 847 953-5390 INSURERS AFFORDING COVERAGE NAIC# N INSURED INSURER A: NdtlOndl Union Fire Ins Co of Pittsburgh 19445 •• sears Holdings Corporation INSURER B: ACE American Insurance Company 22667 w dba sears Home Improvement Products, Inc .~ Attn: Risk Management E3-219A INSURER C: indemnity insurance Co of North America 43575 d 3333 severly Road •d Hoffman Estates IL 60179 USA INSURER D: y~„ ^C INSURER E: ~ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . LIMITS SHOWN ARE AS REQUESTED INSR A LTR INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM/DD/YYYY DATE(MM/DD/YYYY) B NERALLIABIL[TY HDOG25519826 08/01/2010 08/01/2011 EACH OCCURRENCE $5,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 5 , 000 , 000 CLAIMS MADE OCCUR PREMISES (Ea occuRence) ® Any one person) EXC U e PERSONAL & ADV INJURY $ S 000 000 , , GENERAL AGGREGATE $ 5 , 000 , OOO GENL AGGREGATE LIMIT APPLIES PER : PRODUCTS -COMP/OP AGG $ 5 , OOO , OOO POLICY ^ PRO- ^ LOC JECT B AUTOMOBILE LL4BILITY ISAH08625505 08/01 2 08/01/2011 B ANY AUTO ISAH08625499 2010 08/01/2011 COMBINED SINGLE LIMIT (Ea accident) $ 5 , 000 , 000 ALL OWNED AUTOS ~~ ~) ~~~ BODILY INJURY SCHEDULED AUTOS ,, W~ (Per person) HIRED AUTOS ~ BODILY INJURY X NON OWNED AUTOS ~~~ 2 ~ 2 (Pcr accidcnt) ~^ PROPERTY DAMAGE W ^ r1 G PIN K f i (Per accident) GARAGE LIABILITY 4 ; -t-~W N C AUTO ONLY - EA ACCIDENT ANY AUTO -"" OTHER THAN EA ACC AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY BE27471375 08/01/2009 EACH OCCURRENCE , OCCUR ^ CLAIMS MADE AGGREGATE $2,000,000 DEDUCTIBLE RETENTION B WLRC A X WC STATU- OTH- WORKERS COMPENSATION AND Y / N ' CA MA T R I IT ER ~ EMPLOYERS LIABILITY ® ANY PROPRIETOR/PARTNER/EXECUTIVE SCPC46138259 0$/01/2010 08/01/2011 E.L. EACH ACCIDENT $2,000,000 WI OFFICER/MEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE $2, 000, 000 C (Mandatory in NH) WLRC46138211 08/01/2010 08/01/2011 If es, describe under SPECIAL PROVISIONS below A~~ other Std'L25 E.L. DISEASE-POLICY LIMIT $2,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS O N ~O m O O f\ z iii V d U r= l;L' K 11N 11;A l r, riVLLL~ K l;A1V (;FLEA I IUN TOWN OF WAPPINGER FALLS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION - 20 MIDDLEBUSH ROAD DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL WAPPINGER FALLS NY 12 590 USA 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, TTS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~ ~,~~~~~ ~ ~ O~~ ACORD 25 (2009/01) ®1988-2009 ACORD CORPORATION. All ri~ght4s reserve - The ACORD name and logo are registered marks of ACORD Client#_ 34787 TAVRCI A CORDrM C E RT Y I N S U RA N C E ' "YYY' ;;28, 2010 PRODUCER ~ T IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Szerlip & Company, Inc. O LY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 288 Main Street H LDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR A ER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Millburn, NJ 07041 3 ~ 2~ ~~ ~U~ . 973 467-0400 I S ERS AFFORDING COVERAGE NAIC # INSURED N ~F Wp li ~ R RA: Ironshore Taylor Recycling Fa i fy(7 K CLER INSUR RB: Praetorian Insurance Co 350 Neelytown Roa N T~ P i t I C --"""''~ r nce on R c: nsurance o. Montgomery, NY 12 - INSURER D: ChartlS SpeClalty INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM!Df) POLICY EXPIRATION DATE fMM!DD LIMITS A GENERAL LIABILITY 000569400 07/12/10 07/12/11 EACH OCCURRENCE $1 Q~Q ~QQ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100 000 CLAIMS MADE a OCCUR MED EXP (Any one person) $10 U00 PERSONAL & ADV INJURY $1 QQQ QQQ GENERAL AGGREGATE $2 000 OAO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2 000 000 POLICY PRO LOC JECT B AUTOMOBILE LIABILITY PICIS0001064 07/12/10 07/12/11 COMBINED SINGLE LIMIT E id t $1 ~~~ ~~Q X ANY AUTO a acc en ) ( r r ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY 000569100 07/12/10 07/12/11 EACH OCCURRENCE $5 OUO OQQ C )( OCCUR ~ CLAIMS MADE 74A3F0000033400 07/12/10 07/12/11 AGGREGATE $5 000 OOQ DEDUCTIBLE $ X RETENTION $ 10000 $ D WORKERS (.~OMPEkSATICN AND WCi5316085 07/12!10 07/12/11 )( r VC STATUS OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR!PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED9 E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Job Title- United Wappinger Water District Contract No. 99-2( R)-9 Rockingham Water Tank Demolition Attn: Joe Ruggiero Town of Wappinger Falls 20 Middlebush Road Wappingers Falls, NY 12590 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .~_ DAYS WRITTEN .E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IE NO OBLIGA710N OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AtiVtCU L, ~LVVI/V8I ~ Of 2 #5709862/M709678 LFV ©AGORD 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. ACORQ 25-s (2CO1/os) 2 of 2 #S109862/M109678 From:Kari Martin for Stephanie Payne FaxID;Marshall Sterling Date:7/26/2010 02:00 PM .Page: 2 of 3 OPID KMAR ~R~ CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD1YYYY) WAPPII6 07/26/10 ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Marshall & Sterling Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 66 Middlebush Rd, Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wappingers Falls NY 12590 Phone:845-297-1700 Fax:845-297-2879 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A nmexican zuxich insuxance co. INSURER B. Aia~xican Guuant®a & Liability 025 TOWri of Wappingqer INSURER C' 20 Middlebush Rd NY 12590 F ll W i INSURER o ngers a s app INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE (MM1DDlYYYY) DATE (MMIDDIYYYY) LIMITS GENERAL LIABILffY EACH OCCURRENCE $ 100_0000 A X X COMMERCIAL GENERAL LIABILITY CP09063089 01/22/10 01/22/11 PREMISESIEaoac~urence) $ 100000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 3000000 POLICY PRO- JECr Loc Emp Ben. 1MIL/3MIL AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 A X ANVAUro BAP9063090 01/22/10 01/22/11 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS IPer person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS IPer accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILrfY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSlUMBRELLALIABILITY EACH OCCURRENCE $ 10000000 $ X OCCUR ~ CLAIMSMADE UMB9063091 01/22/10 01/22/11 AGGREGATE $ 10000000 DEDUCTIBLE $ X RETENTION $ 10000 $ WOR KER S COMPENSATION - - AND EMPL OYERS' LIABILITY D TORY LIMITS ER Y 1 N ANY PROPRIETORlPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ ^ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe untler ~ SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER TOWN ©F PPINGE DESCRIPTION OF OPERATIONS 1 LOCATIONS !VEHICLES / EX S PROVISION Certificate Holder is provided Additiona n en required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION Wappingers Central School District 30 Major MacDonald Way Wappingers Falls NY 12590 ACOR D 95 !90091011 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WAPPI -4 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATNES. n 1988-20D9 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD From:Kari Martin for Stephanie Payne FaxID:Marshall Sterling Date:7/26/2010 02:00 PM .Page= 3 of 3 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 (2009101 From:Kari Martin for Stephanie Payne FaxID:Marshall Sterling Date:?/26/2010 02:00 PM ,Page' 1 of 3 Marshall & Sterling bb Middlebush Road Suite 200 Wappingers Falls, NY 12590 To: Inez Company: Town of Wappinger Phone: ( ) - Fax: (845) 297-4558 Pages: 3 Date: 7/26/2010 02:00:42 PM Subject: Wappingers CSD Message: Inez, Fax From the Desk of Kari Martin for Stephanie Payne Company: Marshall & Sterling Phone: (845) 297-1700 ext. 119 Fax: (452) 297-2879 Attached please find a Certificate of Insurance naming Wappingers CSD as Additional Insured. If you should need anything further please contact our office. Thank you If there is a problem with this transmission please call 845-297-1700 ~R~~ CERTIFICATE OF LIABILITY INSURANCE OP ID DG~ DATE(MMlDDIYYYY) METZG-2 07/16/10 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: Travelers Ind. Co. o£ America 010 Metz C t C INSURER B: Travelers Property Casualty ger ons orp ~ Glenn P Metzger, dba Metz er Construct ~ INSURER C: 3 .Van Wyck Ln Sui e 1 Wappingers Falls NY 12590 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 NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRAT ON DATE MMIDD DATE MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ZOOOOOO A X COMMERCIAL GENERAL LIABILITY DTC07732A96A 07/15/10 07/15/11 PREMISES Eaoccurence) $ 300000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC AUTOMOBILE LIABILITY B X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LUIBILITY ANY AUTO PERSONALBADVINJURY $ 1000000 GENERAL AGGREGATE $ 3000000 PRODUCTS-COMPIOPAGG $ 3000000 DT8107732A96A ~ 07/15/10 G~LC~C~ MCD JUC2 2010 ~y,~ W -~'b9WN P.~I LEFtK COMBINED SINGLE LIMIT $ 1000000 07/15/11 (Ea accident). BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ OTHER THAN ~ ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ 300000Q 07/15/11 AGGREGATE $ 3000p00 $ EXCESS !UMBRELLA LIABILITY B X OCCUR ~ CLAIMS MADE DTSI DEDUCTIBLE X RETENTION $],0000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTIV~ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) if yes, describe under SPECIAL PROVISIONS below OTHER OF OPERATIONS /LOCH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ / VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL v.-,. ~ ...vim ~ v nvw~n CANCEI. 1_ ATI(7N TOWNOWF Town of Wappinger Attn: Building Dept. P O Box 32 4 Wappingers Falls NY 12590 I ACORD 25 (2009/01) ©198 -2 09 ACORD CORPORATION. All rights resarvad 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. ACADn ~~ r~nnnm~~ OTHER INTEREST Erie° Insurance Group 100 Erie Ins. PI. •Erie, PA 16530 MAIL DATE AGENT'S NAME AGT N0. POLICY N0. 07/14/2010 JOY INSURANCE AG NN1388 Q28 5120345 AIRFLOW AIR CONDITIONING INC TOWN OF WAPPINGER PO BOX 941 20 MIDDLEBUSH RD HIGHLAND NY 12528-0941 WAPPINGERS FALLS NY 12590-4004 IN CONSIDERATION OF THE ABOVE PAYMENT WE TAKE THE FOLLOWING ACTION: WE HEREBY RESCIND THE CANCELLATION NOTICE EFFECTIVE AUGUST 07, 2010 PERTAINING TO THIS POLICY. THE CANCELLATION NOTICE MAY BE DISREGARDED AND YOUR POLICY PROTECTION WILL CONTINUE IN FULL FORCE. 0~ ~ 2 ~G ~ p oT ~2 ~ ~ ~ -o ~~'~2 ~~~~~ 00886 THIS NOTICE SHALL BE EFFECTIVE ONLY IF YOUR PAYMENT IS HONORED BY YOUR FINANCIAL INSTITUTION 9061E (R) S/97 i '`~''« CERTIFICATE OF LIABILITY INSURANCE OP ID DGRA DATE (MM/DDmYY) PRODUCE BRIDG-6 07/16/10 w THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marshall & Sterling Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE , . 110 Main Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Poughkeepsie tdY 12601 . Phone :845-454-0800 Fax :845-485-7804 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Trawlers Property Cae. Co O£ 341 INSURER B: Bridge VleW Excavation Iricr 3 V W k INSURER C: an yc Ln $111 t@ 1 Wappingers Falls NY 12590 INSURER D: INSURER E: COVE ^°c RP THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W ITH RESPECT TO 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE DATE MMIDDIYYYY POLICY EXPIRATION DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY DTC07734A349 07/15/10 07/15/11 PREMISES Eaoccurenca $ 300000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ ], 00 Q 0 PERSONALBADVINJURY lOOOOOO O $ /~ ~ GENERAL AGGREGATE 3000000 $ GEN'LAGGREGATELIMITAPPLIESPER: PRO- ~:~^, U PRODUCTS-COMP/OPAGG $ 3000000 POLICY JECT LOC ~ ( •~ AUT OMOBILE LIABILITY /- \~ ANY AUTO ~ 2 G ~ ` g COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS O O/ !~ l 1 ~ ~'~' c.• O BODILY INJURY (Per person) $ 2 f~- J HIRED AUTOS NON-OWNED AUTOS "9A ~ f BODILY INJURY (Per accident) $ ~ ~ ~ ~ ~ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN ~ ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LUIBILITY Y / N TORY LIMITS ER- ANY PROPRIETOR/PARTNER/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 I LOCATIONS! VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECUIL PROVISIONS /~COTIGI/~ ATC uA~ n _ .. ~.,.~,rlvnlc nv~ucrt CONCFI 1 ATIAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7HE EXPIRATION Town of Wappingers Middlebush Road Wappingers Falls NY 12590 ACORD 25 (2009101) TOWN036 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. © 1988-2609 ACARI't CARP[1ReTIr1N ell rinh4c roen...e.l The ACORD name and logo are registered marks of ACORD s ` 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. e~non ~e innnnm~~ ACORD - - - - - - TM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/15/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER NAME: Kraus-Ritter Insurance PHONE 845 2222 FAX 845 896 896 4365 . . . . A/C No Ext : AIC No 1081 Main St. E-MAIL ADDRESS: SUlte J PRODUCER CUSTOMER ID #: Fi shki 11 , NY 12524 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Preferred Mutual Ins. CO. 15024 M . RICCI ELECTRIC INSURER B 4 JAMES DORLAND DR. INSURER C WAPPINGERS FALLS, NY 12590 INSURERD: INSURER E INSURER F GVVtKAGtS GERTIFiCATcNUMBER: t/O Wappln(]er REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYpE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY CPP0170565087 11/2212009 11/22/2010 EACH OCCURRENCE $ 1, OOO, 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurcence $ 100 r 00 CLAIMS-MADE ~ OCCUR r ~ ~ MED EXP (Any one person) $ 10 r QQQ A ~ L ~ ~ 2 //n77 Ir-~SI~~~~~//~ PERSONAL&ADVINJURY $ 1, UUU U00 tt LlL L`-7 ~,~J `f D GENERAL AGGREGATE , $ 3 r Q00 r 00 GEN'L AGGREGATE LIMIT APPLIES PER: - ,,, PRODUCTS -COMP/OP AGG $ 3 , Q00, 000 X POLICY JECT LOC JUL T ~ t $ AUT OMOBILE LIABILITY PCA0100701665 11/22/2 9 11/22/2010 COMBINED SINGLE LIMIT $ ANY AUTO OWN OF W (Ea accident) 1, 000 r 000 ALL OWNED AUTOS AppjN ER BODILY INJURY (Per person) $ A X SCHEDULED AUTOS TOWN CLER BODILY INJURY (Per accident) $ X HIRED AUTOS PROPERTY DAMAGE (Per accident) $ X NON-OWNED AUTOS $ UMBRELLA LIAB OCCUR UC 01405806 6 11/2212009 11122/2010 EACH OCCURRENCE $ 1 , 000 r 000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ X RETENTION $ 10 ~ 00 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N WC STATU- OTH- TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ - If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, IT more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Wappi nger AUTHO RE SENTATIVE 20 Middlebush Rd Wa pingers Falls, NY 12590 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD T ERIE INSURANCE COMPANY ~ Erik Insurance P.O. BOX 1699 ERIE• PA 16530 OTHER INTEREST COPY Company CANCELLATION NOTICE Member Erie Insurance Group 100 Erie Ins. PI. Erie, PA 76530 CANCELLATION EFFECTIVE MAIL DATE 07/06/10 POLICY NUMBER Q28 5120345 NY 08/07/10 12.01 AM DUE DATE 06/01/10 POLICY EFFECTIVE DATE 04/01/10 STANDARD TIME FIVESTAR CONTRACTORS POLICY NAMED INSURED AIRFLOW AIR CONDITIONING INC AP-00041 TOWN OF WAPPINGER AQ-00039 PO BOX 941 NN1388 20 MIDDLEBUSH RD NN1388 HIGHLAND NY 12528-0941 WAPPINGERS FALLS NY 12590-4004 WE ARE NOTIFYING YOU THAT THE ABOVE POLICY IS CANCELLED AS OF THE CANCELLATION EFFECTIVE HOUR AND DATE SHOWN ABOVE, UNLESS ON OR BEFORE SUCH DATE, THE PREMIUM IS PAID TO US OR OUR AGENT IOR A BROKER AUTHORIZED TO RECEIVE SUCH PAYMENTI. IF WE HAVE BEEN ASKED TO PROTECT OTHER INTERESTS, WE ARE REQUIRED TO ADVISE THEM OF THIS CANCELLATION. THE REASON FOR THIS ACTION: NON-PAYMENT OF PREMIUM A $10.00 LATE FEE HAS BEEN ASSESSED. 00039 JOY NN1388 PHONE JOY INSURANCE AGY INC 1-845-342-4888 ~~~-' ~ '~~~~D JUG ` 8 ?~ l0 TpwN~FIN 7-p wN APpINGFR c~ERK saaolc shoo OTHER INTEREST Erie° Insurance Group 100 Erie Ins. PI. •Erie, PA 16530 MAIL DATE AGENT'S NAME AGT N0. POLICY N0. 07/02/2010 A C PEPE INSURAN NN1422 Q33 7220103 ANCHOR ELECTRIC INC TOWN OF WAPINGER 38 FOX RD 20 MIDDLEBUSH RD HOPEWELL JUNCTION NY WAPPINGERS FALLS N 12533-5024 Y 12590-4004 IN CONSIDERATION OF THE ABOVE PAYMENT WE TAKE THE FOLLOWING ACTION: WE HEREBY RESCIND THE CANCELLATION NOTICE EFFECTIVE AUGUST 11, 2010 PERTAINING TO THIS POLICY. THE CANCELLATION NOTICE MAY BE DISREGARDED AND YOUR POLICY PROTECTION WILL CONTINUE IN FULL FORCE. ~~~ ~~J ~\ ~~ ~o r°wN ~ ~ 8 ~~~ o TowFwgaA N C~F~NGER k ~ 00830 THIS NOTICE SHALL BE EFFECTIVE ONLY iF YOUR PAYMENT IS HONORED BY YOUR FINANCIAL INSTITUTION 9061E (R) 8/97 A~OR°~" CERTIFICATE OF LIABILITY INSURANCE ~ 6/04/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ASL VA Richmond ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Specialty Lines, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O B 35723 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. . . ox Richmond VA 23235 INSURERS AFFORDING COVERAGE NAIC # INSURED Swanson Consulting Inc INSURER A: CERTAIN UNDERWRITERS AT LLOYD'S P.O. Box 395 INSURER B: Salisbury Milts NY 12557 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. NOTWITHSTANDIN 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 SUC POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D'L POLICYEFFECTNE POLICYEXPIRATIO POLICY NUMBER LIMITS GENERAL LIABILrrY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence _ $ CLAIMS MADE ~ OCCUR MED EXP (Arty one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG $ POLICY PRO- LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ~ (Ea accident) ALL OWNED AUTOS JU L 0 6 U 1 O BODILY INJURY $ SCHEDULED AUTOS (Per person} HIRED AUTOS WN 0~ WA PINGER BODILY INJURY P id $ NON-OWNED AUTOS TO er aa ent) ( O W N C E RK PROPERTY DAMAGE T P $ ( er accident) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ AUTO ONLY: AGG $ EXCESS! UMBRELLA LtABILnY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATLL OTH- AND EMPLOYERS' LIABILITY Y! N ANY PROPRIETORfPARTNERlEXECUTIVE F E.L. EACH ACCIDENT $ O FICERMIEMBER EXClU0ED7 (Mandstory In NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMfr $ A °TMER NAL4909002 05/25/2010 05!25/2011 1000000 Professional 2000000 DESCRIPTION OF OPERATIONS! LOCATIONS 1 VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS 10 days cancellation notice for non payment of premium, 30 days for all other reasons. ~.crc t trn.r~ t c nvwcR GAPIGtLLA I IVIV SHOULD ANYOF THE ABOVE DESCRIBED POLICIES 6E CANCELLED BEFORE THE EXPIRATP Town of Wappingers DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRI77EN 20 Middlebush Rd NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAL Wappingers Fells NY 12590 IMPOSE NO OBLIGATION OR LL461LITY ANY KIND UPON THE INSURER, ITS AGENTS 01 REPRESENTATNE3. AUTHORL~D REPRESENTATNE - i ACORD 25 (2009!01) ®1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IMPORTANT If the certrficate 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 endorsements}. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certrficate does not confer rights to the certrficate 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 certrficate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009101)