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2010 (3)~'~~ 4~"nlPn° PATIENC-09 KOK/ ~...--- -- ~tK i iricATE OF PRODUCER (216) 367-8787 The James B. Oswald Company 1360 East 9th Street, #600 Cleveland, OH 44114-1730 INSURED Patio Enclosures, Inc. ALL LOCATIONS 700 East Highland Road Macedonia, OH 44056 CAVFRe(_CC LIABILITY INSURANCE DATE (MM/DD/YYYY) 6/30/2010 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. INSURERS AFFORDING COVERAGE NAIC # INSURER A: Nat'l Union Fire Ins Co of Pittsburgh PA 19445 INSURER B: Charter Oak Fire Ins Co 5615 INSURERC:Commerce 8 Industry Insurance Compan19410 INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE RIOD 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 E , XCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR OD'L POLICY EFFECTIVE POLICY EXPIRATION P POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY GL4573017 7/5/2010 7/5/2011 P a ^ REMISes Ea occu nte v0,Q0 ~ 5 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10,000 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 PR~ LOC AUT OMOBILE LIABILITY B X ANY AUTO 810291 D0476 7/5/ 7/5/2011 E~ aocideDtSINGLE LIMIT $ 1,000,000 ALL OW NED AUTOS SCHEDULED AUTOS ^ (~ /] n ~(( "~~ \~// ~D BODILY INJURY (Per person) $ HIRED AUTOS ILIr=~SU t`1: Jr, ~;J ~ BODILY INJURY $ NON-OWNED AUTOS (Per accident) JUL O'6 2U 1o PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY .,TOWN OF Wq pIN AUTO ONLY-EA ACCIDENT $ ANY AUTO L RK EA ACC OTHER THAN $ TOWN C AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE g RETENTION $ $ WORKERS COMPENSATION X W C STATU- OTH- AND EMPLOYERS' LIABILITY TORY LIMITS ER C Y ANY PROPRIETOR/PARTNER/EXE TIV WC087712436 7/5/2010 7/5/2011 1 000 000 ~ CU E OFFICER/MEMBER EXCL DE ? E.L. EACH ACCIDENT , , $ U D (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 1,000,000 $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CF1211FICOTF H(71 f7F14 (`e1Jf C1 1 eT1AlU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN Village of Wappinger Falis NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 20 Middlebush Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Wappingers Falis, NY 12590- REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~~~.~ / i+~.vnv ca ~cvvarv I) v Taots-[uuy AGUFiL) GURPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,4C R PATIENC-09 DATE (MM/DDmYY~ PRODU~ CERTIFICATE OF LIABILITY INSURANCE 6/30/2010 (216) 367-8787 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The James B. Oswald Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1360 East 9th Street, #600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Cleveland, OH 44114-1730 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Patio Enclosures, InC. INSURER A: Nat'l Union Fire Ins Co of Pittsburgh PA 19445 ALL LOCATIONS INSURER e: Charter Oak Fire Ins Co 5615 700 East Highland Road INSURERC: Commerce & Industry Insurance Compan19410 Macedonia, OH 44056 INSURER D: INSURER E: C(~VFRAr~FC 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 _ GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY GL4573017 7/5/2010 7!5/2011 P REMISES Ea occu ante $ $00,®0 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY 000 000 $ 1 , , GENERAL AGGREGATE 000 000 $ 2 , , GEN'L AGGREGATE LIMIT APPLIES PER: PRO PRODUCTS -COMP/OP AGG $ 2,000,000 X POLICY LOC AUT OMOBILE LIABILITY B X ANY AUTO 810291 D0476 7/5/2010 7/5/2011 (O aBcideDtSINGLE LIMIT $ 1,000,000 ALL OW NED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS /~ D BODILY INJURY NON-0W NED AUTOS f-~~ ~!! ~+~~ . ll (Per accident) $ `J ~ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY JUl r1 ~ O~ ~ AUTO ONLY - EA ACCIDENT $ ANY AUTO ~~I TO' A, F1~ACC OTHER THAN $ ~/~/ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY TOW G Lip C!~ EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE ~~ ' 1tf C ~ AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION W C STATU- OTH- X AND EMPLgYERS' LIABILITY YIN TORY LIMITS ER C ANY PROPRIETOR/PARTNER/EXECUTIVE WCOli7712436 7/5/2010 7/5/2011 1 000 ^ OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT , ,000 $ (Mandatory in NH) If es describe nd r E.L. DISEASE - EA EMPLOYE $ 1,000,000 , y u e SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS (LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN Town of Wappinger NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 20 Middlebush Road Wappingers Falls, NY 12590- IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Q-C(~- f ..__.._ __ ~_~~~,~ •~ v Ialsa-~uVa /aI.UKU GUKYVKAI IVN. All rlghtS reserved. The ACORD name and logo are registered marks of ACORD ENCLOSED FIND CERTIFICATE OF INSURANCE Insured's Name: Matthew K. Doran Type of Insurance: General Liability We an' pleased to forzettyd tlae endase~ c~nzfuate gf insurance on ba~aalf c~'arr dierrt If jau lx,~ze any f c~rtl~" questza~ n~x»z~ing this matter-, please do near hesitate to call onus. To: TOWN OF WAPPINGERS 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590 G°~[~C~[~~MC~D JUL 0 6 2010 Date: 6/30/2010 R & W BROKERAGE INC. General Insurance 8 FOREST AVENUE LYNBROOK, NY 11563-0845 PHONE: (516) 599-3322 FA7~ (516) 599-4377 TOWN OF WAPPIN~ER TOWN CLERK A~RO® CERTI FICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYy) PRODUCER (516) 599-3322 FAX: (516) 599-4377 6/30/2010 R 6 W Brokerage, Inc. ONLYCANDIFCONFERSSNOERIGH S UPON THE ICERT F LATE 8 Forest Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P~LICIFS RPI nw Lynbrook NY 11563 INSURED Matthew K. Doran Inc. t/a Dr. Soot 735 Old Route 9 North Wappinq~rs Falls NY 12590 INSURERS AFFORDING COVERAGE NAIC # INSURERA:MasSaCh118@ttS Bay In8 CO 22306 INSURER B: --- INSURER C: INSURER D: INSURER E: COVERAGES TNC oni irioe nc uio„ow.,~.~ , ,..~~.... ~. _.-...-..- ---- - - - .~ o~~iv ~oaucu i v I nt IlvsulttU 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 PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJE MAY BE ISSUED OR CT 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 GENERAL LIABILITY LIMITS X EACH OCCURRENCE $ 1 000 OOO COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED A CLAIMS MADE ^X OCCUR DY 616873 PREMISES Ea occurrence $ 100 000 1 8/21/2009 8/21/2010 MEDEXP(Anyoneperson) $ 5 QQp PERSONAL 8 ADV INJURY $ 1 QQQ QQQ GENERAL AGGREGATE $ 3 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO X PRODUCTS -COMP/OP AGG $ 3 QQQ QQQ POLICY LOC AU TOMOBILE LIABILITY ANY AUTO ~ ~~ COMBINED SINGLE LIMIT (Ea accident) $ ~~a ~ ALL OWNED AUTOS ~D SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS JUI O ! 0 ~ BODILY INJURY NON-OWNED AUTOS / (Per accident) $ T O~/N ~F w A PINGE AMAGE O $ R (Per accident) GARAGE LIABILITY ~` K 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 WC STATU- OTH- ANDEMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ^ OFFICER/MEMBER EXCLUDED9 E.L. EACH ACCIDENT $ (Mandatory in NH) If yes describe under E.L. DISEASE - EA EMPLOYE $ , SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Proof of Insurance SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Wappingers DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 2 ~ DAYS WRITTEN 20 Middlebush Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Wappingers Falls, NY 12590 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ~ ~ Diane Anzalone/DMA ~^~ "' ~""°"'°'/ V 7`Jiftl-luuy acoRD CORPORATION. All rights reserved. INS025 (zooso!> The ACORD name and logo are registered marks of ACORD ~, ACORO° `...~ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) PRODUCER LOCKTON COMPANIES LLC 11/15/2010 6/25/2010 , 5847 San Felipe Suite 320 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION , Houston TX 77057 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 # INSURED TransCare C ti E orpora on, t al INSURER A Darwin Nat10Ra1 A C 1304733 1 Metrotech Center 20th Fl : $$urance ompany 16624 , oor Brooklyn NY 11201 (~ (~ INSURER B : arts Insurance Com an p y 20613 ~~~~ ~'lj LC, R c : llico Casuai Company 37893 INSURER o : ontinued on attached INSURER E COVERAGES TRACO 1 O AO HIS CERTIFK:A OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING THE POLICIES OF INSURANCE LISTED BELOW HA~L~` F ISSUED TO THE INSU N R E TA D ERA TH CERTIFIC T RED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION O 1) ~Ft~~~ . ~j~yyl RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B THE P SC 1 POLICIES. AGGREGATE LIMITS SHOWN MAY VE BEEP Y D '' E T TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER EFFEC E POLICY EXPIRATION DATE ) (MM/DO/YY) LIMITS GENERAL LU181LITY EACH OCCURRENCE $ 2 OQQ QQQ A X COMMERCIAL GENERAL LIABILITY 0304-7423 6/30/2010 6/30/2011 DAMAGE TO RENTED PREMISES Ea oaxtrence $ 100 000 CLAIMS MADE a OCCUR MED EXP (Any one person) $ XX}OI;XXX PERSONAL 8 ADV INJURY 2 000 000 $ GENERAL AGGREGATE 6 QQ0 OQQ $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- PRODUCTS -COMP/OP AGG $ 2 000 OOQ POLICY JECT LOC $ AUTOMOBILE LIABILITY OOSCP00130 (NY, PA) 6/30/2010 6/30/2011 COMBINED SINGLE LIMIT B X ANY AUTO 008CP00129 (MD) 6/30/2010 6/30/2011 (Ea accident) $ 1 000 ,QQO ALL OWNED AUTOS BODI SCHEDULED AUTOS LY INJURY (Per person) $ XXXXXXX X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Psr accident) $ XXXXX)CX PROPERTY DAMAGE $ XXXXXXX (Per accident) GARAGE LUIBILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXJCX AUTO ONLY: AGG $ XXXXXXX A EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 9 000 OOO X OCCUR a 0304-7426 6/30/2010 6/30/201 l CLAIMS MADE AGGREGATE $ 9 000 000 ^ UMBRELLA $ XXXXXXX DEDUCTIBLE FORM $ XXXXX3CX RETENTfON $ $ XXXXX3CX C WORKERS COMPENSATION AND WCS 112587-01 (NY/PA/MD) 12/31/2009 12/31/2010 X W O EMPLOYERS' LIABILITY y / N RY L MIT ER C WCS113414-00 (DE) 11/15/2009 11/15/2010 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N^ E.L. EACH ACCIDENT $ 1,000,000 (Mandatory In NH) If yes, Oescrine uMer E.L. DISEASE - EA EMPLOYEE $ 1,000,000 SPECIAL PROVISIONS Delow E.L. DISEASE -POLICY LIMIT $ 1,000,000 A OTHER 0304-7423 6/30/2010 6/30/2011 82,000,000 Each Medical Incident Professional Liability 86,000,000 Aggregate (Claims Made) DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECUIL PROVISIONS TransCare Corporation, et. al. includes TransCare New York, Inc., TC Ambulance Corporation, TCBA Ambulance, Inc., TC Hudson Valley Ambularce Corrpp TransCare Pennsylvania, [nc., TransCare Maryland, Inc., TransCare Westchester, [nc., TC Ambulance North Inc. TC Ambulance Group Inc TransCare ML Inc Umbrella Poli No 03()4-7426 is Cl i M d f , , ., , . q . ms a a e or 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 ddiri l C ll i 30 ona wverages. a ance at on: Days as noted below except for 10 days notice for non-paymem of premium. 28211063 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 REPRESENTATNES. AUTHORIZED REPRESENTA ACORD 25 (2009/01) ®1988-2009 ACORD CORPO ION. All rights reserved The ACORD name and losto are reslistered marks of ACORD Insurer D: EXCESS AUTOMOBILE LIABILITY: Policy No. 023815607 Effective Dates: 06/30/2010 - 06/30/2011 Carrier: Lexington Insurance Company Limit: $9,000,000 Each Occurrence is excess of Policy Nos. 008CP00130 & 008CP00129 only. Miscellaneous Attachment : M459486 Master ID: 1304733 / 1 ~, DATE (MMIDD/YYYY) .t#C'oRV CERTIFICATE OF LIABILITY INSURANCE 07/01/2010 PRODUCER Jack J. Maniscalco and Son, Ltd. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PO BOx 189 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Washingtonville NY 10992 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone: 845-497-8290 Fax: 845-497-3026 INSURERS AFFORDING COVERAGE NAIC # INSURED Explicit Exteriors INSURER A: NGM Insurance CO 14788 Craig M Kurlander Sr INSURER B: 262 Toad Pasture Road INSURER C: INSURER D: Middletown NY 10940 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUF2tU NAMtu Hnuv~ rvr~ i nc rvu~„ r~~"v.+ ~~~.+.~+~. ~~-• •~~- • •-• • • •- ~ ~ ---- -- T OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRAC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICI POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS INSR DD'L POLICY NUMBER EACH OCCURRENCE $ 1,000,000 GEN ERAL LIABILITY DAMAG TOR NTED 000 500 X PREMISES Ea occurrence , $ COMMERCIAL GENERAL LIABILITY 10 000 ~ MED EXP (Any one person) , $ A X OCCUR CLAIMS MADE MPV97590 03/20/2010 03/20/2011 PERSONAL&ADVINJURY 1,000+000 000 00 GENERAL AGGREGATE , $ 2,0 PRODUCTS -COMP/OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PE D POLICY X PRO LO AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO cc JUL URY Y I J D ALL OWNED AUTOS O"v 2010 i N ) ~ (P $ S SCHEDULED AUTOS O HIRED AUTOS WN OF' wA PPl DER (PeDaccident)RY $ NON-OWNED AUTOS TO ~/N CLER PROPERTY DAMAGE $ (Per accident) DENT $ GA RAGE LIABILITY AUTO ONLY - EA ACCI N EA ACC $ ANY AUTO OTHER THA AUTO ONLY: AGG $ NCE $ EXCESS I UMBRELLA LIABILITY EACH OCCURRE AGGREGATE $ OCCUR ~ CLAIMS MADE DEDUCTIBLE RETENTION $ ~ _- U- ! OTH- i WC STAT , PENSATION ~ I WORKERS COM ANO EMPLOYERS' LIABILITY YIN ~ - E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE ^ OFFICER/MEMBER 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 I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS re: Building Permits CERTIFICATE HOLDER "^""""" ""' 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 20 M idd lebush Rd 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 Wappingers Falls NY 12590 REPRESENTATIVES. n,,~1'' AUTHORIZED REPRESENTATIVE ,~' ~•~ „ •, /) ,IG~OGd~~ti"' Fax: 845-297-0579 (/fit%/// n Knee none wrnon !`ADDARATIAAI 011 rinhfc raeRrVed- ACORD 25 (2009/01) - -'-- ---- The ACO Abed marks of ACORD T ERIE INSURANCE COMPANY Erie° Insurance P.O. BOX 1699 ERIE, PA 16530 OTHER INTEREST COPY Company Member Ene Insurance Group CANCELLATION NOTICE 100 Erie Ins. PI. Erie, PA 16530 MAIL DATE O6/28/lO CANCELLATION EFFECTIVE DUE DATE 05/22/10 POLICYNEFFECTQIVE DATE109/22/09 08/11/10 12.01 AM FIVESTAR CONTRACTORS POLICY STANDARD TIME NAMED INSURED ANCHOR ELECTRIC INC AP-00045 TOWN OF WAPINGER 38 FOX RD NN1422 20 MIDDLEBUSH RD HOPEWELL JUNCTION NY WAPPINGERS FALLS N 12533-5024 Y 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 PEPE A $10.00 LATE FEE HAS BEEN ASSESSED. 00074 NN1422 PHONE A C PEPE INSURANCE AGCY 1-845-724-3031 ~~ ~~D r ~~ ~~o 0~,~, N 3 ~~ ~ o ~FRkcFR ~ AQ-00074 NN1422 94801C 6/00 ,: ~~ ACORD CER71FtCATE ~F L~~k~~L~ ~ ~~ DATE IMMIDD/YY) '. ~"~'' ~l~~URAE ~, _.. os/1o/,0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FEDERATED MUTUAL INSURANCE COMPANY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Home Office: P.O. Box 328 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Owatonna, MN 55060 COMPANIES AFFORDING COVERAGE Phone: 1-888-333-4949 COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR A FED SERVICE INSURANCE COMPANY INSURED 22j-666-j MCMILLEN BROTHERS INC co BANV >D 20 EAST MAIN STREET BEACON NY 12508 COMPANY C COMPANY ~ 8 Z~ i J D ,.. >..::: ;::::: ;. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSU TO TH I ~ OI~RE OLICY PERIOD T INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTR "~>~ SPECT O WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED H T TO L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION OMITS DATE (MM/DD/VY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE S 2 000 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS -COMP/OP AGG S 2 000 000 A '. CLAIMS MADE a OCCUR 9322432 07/21/10 07/21/11 PERSONAL & ADV INJURY S 1 000 000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE S 1 000 000 FIRE DAMAGE (Any one fire) S 1 00 000 MED EXP (Any one person) S AU TOMOBILE LIABILITY X COMBINED SINGLE LIMIT S 1 000 000 ANY AUTO ALL OWNED AUTOS BODILY INJURY A scHEDULED AUTOS 9322432 07/21/10 07/21/11 (Per person) S X HIRED AUTOS BODILY INJURY S X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S 1 000 000 A X UMBRELLA FORM 9322433 07/21/10 07/21/11 AGGREGATE S 1 000000 OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND WC STATU- OTH-i X TORY LIMITS ER ~ _ _ EMPLOYERS' LIABWTY EL EACH ACCiOEirT ^ ;~ 5vV ~~0 A THE PROPRIETOR/ PARTNERS EXECUTIVE INCL 9392870 07/21/10 07/21/11 EL DISEASE -POLICY LIMIT S 500 000 / OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE S 500 000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS CEtiT4FtC~ti'TE. HIrtLDER ;: 22,sss, TOWN OF WAPPINGER 9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 20 MIDDLEBUSH RD EX P I RATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL WAPPINGERS FALLS NY 12590 ii /n ~ ~ 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 I AC4?RU ~~.:5 €~(>J~?: ... ,. `'`:::>:>;::>:.: OACdfip C0i3PORA`t"l~M:'E9~ ~o~® CERTIFICATE OF LIABILITY INSURANCE OP ID MT DATE(MM/DD/YYYY) 06 18 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 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 certi cate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. I UBROGATION 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 Ifeu of such endorsement(s). Hunter Insurance Services, Inc 40 Main Street Walden NY 12586 Phone:845-778-1000 INSURED Perfect Comfort Inc 17 Perrryy Creek {toad Washingtonville NY 10992 rRVYVVCR pERFE-1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: NGM Insurance Com an 14788 INSURER B INSURER C INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMtltK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TG TH'c INSURED NAMED ABOVE FOR THE POLICY PERIOC 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. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ lOOOOOO A X COMMERCIAL GENERAL LIABILITY MPV88586 06/06/09 06/06/10 PREMISES (Ea occurrence) $ 500000 CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ 10000 X BtlSlneSB OWn@r3 PERSONALBADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $2000000 X POLICY PRO LOC JECT $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 (Ea accident) A ANY AUTO B1V88586 10/07/09 06/06/10 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS A UMBRELLALIAB X OCCUR CUV88586 10/07/09 06/06/10 EACH OCCURRENCE $ 5000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ X RETENTION $ lOOOO $ WO RKERS COMPENSATION r1 l D W A U- H- TORY LIMITS ER AND EMPLOYERS' LIABILITY Y/N ~ ) ~ ( ANY PROPRIETOR/PARTNER/EXECUTIVE~ u U E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? U (Mandatory In NH) / A' E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below 1 _20 1 16 E.L. DISEASE -POLICY LIMIT $ INGE DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES ``Attach AC D 0 , Ad itio a s a S s aoa la quind) 1 ~ ~~PBUSH 12D TO PIN R W . - ~ AP PROJECT LOCATION: TOWN OF E NT. WAPPINGER. PROJECT: TOWN OF WAP NGER CEM CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED PROVIDED CONTRACT IS IN PLACE THAT REQUIRES SUCH. reurFl I eTlntJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWNWAI THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF WAPPINGER TOWN HALL AUTHORIZE PRESENTATIVE 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 V Iaoo-wVar+vVrwVVr~rV.v.~~V~....,,,,y,,.~~vao..o... ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 4~~-icac '4`~ °~ CERTIFICATE OF LIABILITY INSURANCE s~io/2oio Y' 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: tf 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 Jdnlile Ma NAME: Y BNC Insurance Agency, Inc. PHONE (914) 937-1230 F~ No: (914)937-1124 111 South Ridge St. ADORIess:7~ay@bncagency.com PRODUCER 00007019 R e Brook NY 10573 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:NatlOnal Gran a Mutual Ins CO INSURER 8 Michael and Son Equities, Inc. INSURERC: PO Box 686 Peekskill Hollow Rd INSURERD: INSURER E Putnam Valley NY 1057 9 INSURER F COVERAGES CERTIFICATE NUMBER:CL1061036576 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 POLICY NUMBER MM/DD/YYYY MM/DDY/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 X COMMERCIAL GENERAL LIABILITY PREM SES Ea occur ante $ 500 , 000 A CLAIMS-MADE I X I OCCUR X Z6056B 6/12/2010 6/12/2011 MED EXP (Anyone person) $ 10, 000 PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 r 000 , 000 POLICY X PRO LOC $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT E id t $ ( a acc en ) ANY AUTO ~ 1 z0 1 ~ BODILY INJURY (Per person) $ ALL OWNED AUTOS JUN 2 BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS TOWN OF W APPI GE PROPERTY DAMAGE (Per accident) $ NON-OWNED AUTOS W N CLE $ TA $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2 , 000 , 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2 , 000 , OOO DEDUCTIBLE $ A X RETENTION $ 10 000 UZ6056B 6/12/2010 6/12/2011 $ WORKERS COMPENSATION ' WC STATU- OTH- AND EMPLOYERS LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ ^ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A E.L. DISEASE - EA EMPLOYE $ Ii yes, describe under DESCRIPTION OF OPERATIONS below - - E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, IT more space is required) The Certificate Holder is listed as an additional insured when required under written Contract or Agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Wappinger ACCORDANCE WITH THE POLICY PROVISIONS. 20 Middlebush Road Wappingers Falls , NY 12590 AUTHORIZED REPRESENTATIVE O Colabella/LINDA ~ ~- -~~ ACORD 25 (2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (2oosos) The ACORD name and logo are registered marks of ACORD ~RO® CERTIFICATE OF LIABILITY INSURANCE OP ID CDON DATE(MMIDDm'YY) TISHA-1 06/21/10 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 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: NGM Insurance COm an 14788 INSURER B: Tishadam Construction LLC Damian T Morrill INSURER C: 139 S Cross Rd Staatsbur NY 12580 INSURER D: g INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT W ITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATECMMIDDC~ DATE MMIDDA/YYYOY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2000000 A X COMMERCIAL GENERAL LIABILITY MPX36440 03/30/10 03/30/11 PREMISES (Eaoccurence) $ 500000 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 10000 PERSONAL & ADV INJURY $ 2000000 GENERAL AGGREGATE $ 6000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 600 0000 POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS ~ ~ ///~~~ ~ J/ ~ D BODILY INJURY SCHEDULED AUTOS ~ ~ v (Per person) $ HIRED AUTOS RY D NON-OWNED AUTOS JUN 2 2 2010 (Per acc dent) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY `A, AUTO ONLY - EA ACCIDENT $ ANY AUTO TO y Y CLERK OTHER THAN ~ ACC $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMSMADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC A - TH- TORY LIMITS ER YIN ANY PROPRIETOR/PARTNER/EXECUTIV~ OFFICER/MEMBER EXCLUDED? E.L. E:.CH ACCIDENT $ (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WAPP005 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 Building Department 20 Middlebush Road REPRESENTATIVES. Wappingers Falls NY 12590 A DREP SENTA~ ACORD 25 (2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD yl+VRnr- ~ pATE (MMIDDIYYYY) Client#: 9629 N C E 6114110 INSURA TIFICATE OF CER A LIABILITY ICATE IS ISSUED AS A MATTER OF INFORMATION CERTIFICATE TM A C_ THIS CERTIF AND CONFERS NO RIGHTS UPON THE EXTEND OR MEND _ PRODUCER , ONLY HOLDER. THIS CERTIFICATE DOES NOT A OVERAGE AFFORDED BY THE POLICIES BELOW THE VALLEY GROUP, INC.. ALTER THE C 2537 Route 52, Suite #6 3 NAIL # FORDING COVERAGE Hopewell Junction, NY 1253 INSURERS AF l Casualty Company 845 221-2071 INSURER A: Genera INSURED InC. Cornerstone Excavating, INSURER B: INSURER C: 22 Lake Drive Wappingers Falls , NY 12590 INSURER D: RER E: INSU E INSURED NAMED ABOVE FOR E E POLICY PERIOD INDICATED. NOTWITHSTAND CT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ONDITIONS OF SUCH ED TO S H COVERAGE ER DOCUMENT WITH RESPE TERMS, EXCLUSIONS AND C TED BELOW HAVE BEEN ISSU THE POLICIES OF INSURANCE LIS R CONDITION OF ANY CONTRACT OR O SCRIBED HEREI S U P C ANY REQUIREMENT, TERM O MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DE E FECTIVE POATE M P~Dm N LIMITS GATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAI DA $500 000 MMIDDIYY POLICIES. AGGRE POLICY NUM TYPE OF INSURANCE E EACH OCCURRENCE BER 08122109 08122110 $100 000 DAMAGE TO RENTED LTR NSR CCX0371583 A GENERAL LIABILITY MED EXP (AnY one person) $5 000 X COMMERCIAL GENERAL LIABILITY OCCUR S MADE ~ PERSONAL & ADV INJURY $500 OO ATE $1 000 ~~~ CLAIM _ GENERAL AGGREG G $1 OOO OOO ~~ PRODUCTS - COMPIOP AG ~ GEN'L AGGREGATE LIMIT APPLIES PER: D PRO- ~~ COMBINED SINGLE LIMIT $ LOC POLICY JECT (Ea accident) AUTOMOBILE LIABILITY ~(`10 ~~~ ~ ~ vv BODILY INJURY $ ANY AUTO ALL OWNED AUTOS (per person) PTNGE r r 1 BODILY INJURY $ ~F ~ P SCHEDULED AUTOS TO ~~~~ (per accdent) WN HIRED AUTOS ~O Y • ~ PROPERTY DAMAGE $ NON-OWNED AUTOS (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY EA ACC $ OTHER THAN AUTO ONLY: AGG $ ANY AUTO _.,,,, ,,,.r•~ ivavNCE $ ?SSIUMBRELLA LIABILITY OCCUR ~ CLAIMS MADE DEDUCTIBLE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? ECUTIVE If yes, describe under SPECIAL pRpV~SIONS be~~ OTHER DESCRIPTION of oPE OT~CE:L THE NEW YORK STATE INSURANCE DEPARTMENT HAS (STATED "IMPORTANT N THAT (1) THIS CERTIFICATE OFTHE NRSURANCE POLECYE(2)THIS CERTIFOICATE DOES LIEU OF AN ACTUAL COPY OF NOT AMEND, EXPAND OR ALTER ANY OF THE TERMS OF THE INSURANCE POLICIE (See Attached Descriptions) CANCELLATION CANCELLED BEFORE THE EXPIRATION Town of Wappinger 20 Middlebush Road Wappinger Falls , NY 12590 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE pAYS WRITTEN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~.0_. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iNIPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR - REPRESENT IV/~ m ~ V7~~ JEL O ACORD CORPORATION 1988 ACORD 25 (2001108) 1 of 3 #S236831M21555 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 (2001/08) 2 of 3 #S23683/M21555 DESCRIPTIONS (Continued from Page 1) ADDRESSED BY THIS CERTIFICATE; AND (3)THE WORDING OF THE REFERENCED INSURANCE POLICIES, AND NOT THIS CERTIFICATE, WILL CONTROL IN THE EVENT OF ANY INCONSISTENCY OR CONFLICT BETWEEN THIS CERTIFICATE AND THE APPLICABLE POLICIES OF INSURANCE. A COPY OF THE APPLICABLE POLICIES OF INSURANCE WILL BE PROVIDED FOR INSPECTION UPON WRITTEN REQUEST." AMS 25.3 (2007/08) 3 of 3 #S23683/M21555 ~R° CERTIFICATE OF LIABILITY INSURANCE OP ID RMIN DATE(MM/DD CAMOP-3 12 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Marshall & Sterling Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 66 Middlebush Rd, Suite 200 `~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wappingers Falls NY 12590 Phone:845-297-1700 Fax:845-297-2879 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: 9olaotivo Ina. Co. o! Amerioa 315 Camo Pollution Control Inc ~ ,~ INSURER e: Julie Cea SURER C: 1610 Rt 376 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 D D A TWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH T{~IS CERTIFIC EISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ~( tYSIpNS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~V(V LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DDlYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY 51672272 12/08/09 12/08/10 PREMISES Eaoccurence $ 100000 CLAIMS MADE ~ OCCUR MED EXP GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jE~a LOC AUTOMOBILE LIABILITY A X ANY AUTO 516']2272 ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LUIBILITY ANY AUTO EXCESS /UMBRELLA LU181LITY A X OCCUR ~ CLAIMS MADE 5167'1272 DEDUCTIBLE X RETENTION $10000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ti ANY PROPRIETOR/PARTNERIEXECUTIVr~ WC72OO840 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below OTHER LOCATIONS (VEHICLES /EXCLUSIONS ADDED (Any one person) PERSONAL&ADVINJURY $ 5000 $ 1000000 GENERAL AGGREGATE $ 2000000 PRODUCTS-COMP/OPAGG $ 2000000 Ben . 1MIL/3MIL 12/08/09 12/08/10 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ lOOOOOOO 12/08/09 12/08/10 AGGREGATE $10000000 01/01/09 O1/O1/10 E.L. EACH ACCIDENT $100000 E.L. DISEASE-EA EMPLOYE $ 100000 E.L. DISEASE-POLICY LIMIT $500000 SPECIAL :n I trtLA I E F1pLDER TOWN001 Town of Wappinger Attn: Comptroller PO Box 324 Wappingers Falls NY 12590 ORD 25 (2009/01) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI 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 30_SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATNES. The ACORD name and logo are registered marks of ACORD All rights reserved. ~R~'® CERTIFICATE OF LIABILITY INSURANCE OP ID IQvIAR DATE (MM/DD/YYYY) WAPPII6 07/26/10 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 66 Middlebush Rd, Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wappingers Falls NY 12590 Phone: 845-297-1700 Fax: 845-297-2879 'INSURERS AFFORDING COVERAGE NAIC # __:_ _ _ -__ INSURED INSURER A: American Zurich Insurance Co. INSURER B: American Guarantee 6 Liability 025 Town of Wappin er INSURER C: __ - -- - 20 Middlebush d ~ INSURER D: Wappingers Falls NY 12590 - -- --- - - - INSURER E: CA\/iPRAl~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 TERM S, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE ~ LTR INSRD TYPE OF INSURANCE 'DATE MM/DD/YYYY POLICY EXPIRATION - LIMITS DATE MM/DD/YYYY GENERAL LIABILITY ' I EACH OCCURRENCE $ lOOOOOO A X X COMMERCIAL GENERAL LIABILITY ', CP09O63089 I O1/22/lO it IIAMAGE TO RENTED O1 /22/11 I_PREMISES(Eaoccurence) $ lOOOOO I CLAIMS MADE L X~ OCCUR MED EXP (Any one person) $ S O O O PERSONALBADVINJURY $ lOOOOOO _ - --- GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: i PRODUCTS -COMP/OP AGG $ 300000 0 PoucY PRO- Loc ' JECT Em Ben. 1MIL/3MIL AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 A X ANY AUTO BAP9063090 01/22/1 01/22/11 (Ea accident) ALL OWNED AUTOS -,.~.~--^-""""r I7} . ///~~~/// BODILY INJURY , (Per person) $ ~ SCHEDULED AUTOS I /~ 1 ' D ~ ~\(' ~ ~ l J HIRED AUTOS ~ I fv= v BODILY INJURY NON-OWNED AUTOS i (Per accident) 1~~ ~j 7I~ ~O IU ~ PROPERTY DAMAGE $ J (Per accident) GARAGE LIABILITY \ ff,~, APP'S AUTO ONLY - EA ACCIDENT $ W N O~ ANY AUTO TO ` ` ' " ~YV v~ ~~D K (t I OTHER THAN EA ACC AUTO ONLY: $ AGG $ EXCESS/UMBRELLA LIABILITY ' EACH OCCURRENCE $ 10000000 $ X OCCUR CLAIMS MADE U1rID9063091 _ _._ 01/22/10 01/22/11 ', AGGREGATE __ $ 10000000 I $ DEDUCTIBLE ~, ', $ X RETENTION $ lOOOO ' i $ WORKERS COMPENSATION i ~i ~ ' ~ ' TORY LIMITS ER ~ LIABILITY AND EMPLOYERS 1'/N ANY PROPRIETOR/PARTNER/EXECUTIVE i, E.L. EACH ACCIDENT $ ~ OFFICER/MEMBER EXCLUDED? ' ' _ (Mandatory in NH) j 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 I SPECIAL PROVISIONS Certificate Holder is provided Additional Insured status when required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WAPPI-4 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 Wappingers Central SCh001 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR District D ld W M 0 REPRESENTATIVES. ona ay Major ac 3 A OREP SENTA Wappingers Falls NY 12590 ACORD 25 (2009/01) ©1988-2009 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. JUI: 2 7 2010 TOWN OF WAPPRK ER TOWN CL_ E ___ ACORD 25 (2009/01) /~~ 0 ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 06/09/2010 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 # INSURED INSURER A: EVEREST NATIONAL INSURANCE CO. 10120 Fire Guard of Long Island Inc 8 Transa Inc INSURER B: 40-5 Burt Drive INSURER C: NY 11729 Deer Park INSURER D: , ~ INSURER E: cvvewa~ts 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 112010 06/11/2011 EACH OCCURRENCE $ 1.000.000 A X GEN X ERAL LIABILITY ITY WCSICON30011110 06/1 NTE PREMISES Ea occurrence $ 50'000 COMMERCIAL GENERAL LIABIL ~ OCCUR MED EXP (Any one person) $ 25,000 CLAIMS MADE PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,1)00+00~ PPLIES PER ' PRODUCTS -COMP/OP AGG $ 2e000.000 : L AGGREGATE LIMIT A GEN POLICY X PRO- LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNEDAUTOS BODILY INJURY $ ~~ D (Per person) SCHEDULED AUTOS HIRED AUTOS ~~ D ~ BODILY INJURY d t $ en ) (Per acci NON-OWNED AUTOS ~ N 11 2010 PROPERTY DAMAGE $ (Per accident) APPI GER AUTO ONLY - EA ACCIDENT $ GA RAGE LIABILITY -rOW N F W OTHER THAN EA ACC $ ANY AUTO N CLE K AUTO ONLY: AGG $ LITY EACH OCCURRENCE $ EXCESS 1 UMBRELLA LIABI MADE ~ AGGREGATE $ CLAIMS OCCUR $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION WC STATU- OTH- I R $ AND EMPLOYERS' LIABILITY Y I N ER/EXECUTIVE E.L. EACH ACCIDENT $ ^ ANY PROPRIETOR/PARTN OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Certificate holder is named as additional insured as required by written contract. I(:Alt 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 KI/NjDQ,U,/JP//~O{~~N~,THE INSURER, ITS AGENTS OR Town Of Wappinger REPRESENTATIVES. ~~~~~~~/{ ~ f~~ y+" 20 Middlebush Road AUTHORIZED REPRESENTATIVE ~r'~}E1`#JjF+J't]4("/!J Wappinger Falls, NY 12590 ~.~u w u -e.. r-r.. - ....d ACORD 25 (2009/01) v . aw-~....~ .-..... ................r........ . -....a..-- • --- The ACORD name and logo are registered marks of ACORD For more information contact: MRW Group Inc at 631-271-6600. ellcranw_m celuc ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) TM 5!28/2010 PRODUCER (216) 367-8787 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The James B. Oswald Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1360 East 9th Street #600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR , ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cleveland, OH 441141730 INSURERS AFFORDING COVERAGE NAIC # INSURED Austin Powder Company INSURER A: LANCER INSURANCE COMPANY 6077 North American Quarry and Construction Services, INSURER e: Ins Co of The State of PA X19429 Inc. INSURER C: 149 Fyke Road PO B 379 INSURER D: ox INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY EFFECTIVE POLICY EXPIRATION p POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A I ^ COMMERCIAL GENERAL LIABILITY GL803261 6/1/2010 6/1/2011 PREMISES Ea oocurence $ 2,000,000 I CLAItdS MADE n CCCUR tv1ED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG I $ 2,000,000 POLICY X PRO- LOC AUTOMOBILE LIABILITY A j X ANY AUTO ALL OW NED AUTOS ~ ;SCHEDULED AUTOS X HIRED AUTOS X NON-0WNEDAUTOS .GARAGE LIABILITY I ~ ANY AUTO I i EXCESS/UMBRELLA LIABILITY A ~ ~ OCCUR ~ CLAIMS MADE DEDUCTIBLE X RETENTION $ NI WORKERS COMPENSATION AND B EMPLOYERS' LIABILITY ANY PRUPRIETOWPARTNEWEXECUTIVE OFFICEWMEMBER EXCLUDED? If yes, describe under i SPECIAL PROVISIONS below 6/1 /2010 G°~~'~=~" JU~~1 ~ 7 2 CAD ,J TOWN C?F WA FINGER s!1/2o10 591438 I 6/1/2010 6/1/2011 ~ E.L. EACH ACCIDENT ~ $ i- E.L. DISEASE - EA EMPLOYE $ F 1 f)I.CFGCF _ Prll I(:V I IMIT Q 6/1/2011 COMBINED SINGLE LIMIT (Ea accident) ~ $ BODILY INJURY (Per person) I $ BODILY INJURY I $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT i $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ 6/1/2011 AGGREGATE $ 2,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS All operations within the territorial limits of the policies. Certificate holder is included as additional insured per general liability form CG 2012 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION The Town of Wappinger DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN 20 Middlebush Rd. Wa In ers Falls, NY 12590-4004 pp g NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~~ ~ ^~ AGURD 25 (2001/08) U AGURD GURPURATIUN 1988 ACORDn„ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/28/2010 ODUCER (216) 367-8787 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION e James B. Oswald Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 60 East 9th Street, #600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. eveland, OH 44114-1730 LURED Austin Powder Company North American Quarry and Construction Services, Inc. 149 Fyke Road PO Box 379 INSURERS AFFORDING COVERAGE j NAIC # INSURER A: LANCER INSURANCE COMPANY 6077 INSURER B: Ins Co of The State of PA 9429 INSURER C: i INSURER D: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 4NY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR V1AY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 'OLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R ~ DD~ ----- - - ---- - -- - - - POLICY NUMBER - - ---- POLICY EFFECVIVE POLICY EXPIRATION LIMITS i GENERAL LIABILITY EACH OCCURRENCE $ 2,00,00 I X ~ COMMERCIAL GENERAL LIABILITY ^ GL8O3261 6/1 /2010 6/1 /2011 pRDA~MM SES Ea occurence $ 2e000,00 ~, i CLAIMS MADE ~I OCCUR i MED EXP (Any one person) ~ $ 5,00 ~ -! i PERSONAL & ADV INJURY ~ $ 2,ODOr00 --- - GENERAL AGGREGATE 2,000,00 ~ $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,0~0,~0 POLICY ' X FR~ ~ LOC AUT OMOBILE LIABILITY ANY AUTO BA803260 6/1 /2010 6/1 /2011 COMBINED SINGLE LIMIT ~ (Ea accident) $ 2,000,00 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS I (Per person) $ ~ I ~ ^ ~ { HIRED AUTOS NON-OWNED AUTOS ~ ~~ ~ ~~~ ~ ~ BODILY INJURY Per accident ( ) $ i ~ PROPERTY DAMAGE I (Per accident) $ GARAGE LIABILITY ~ AUTO ONLY - EA ACCIDENT I $ (ANY AUTO OTHER THAN EA ACC $ ' TOWN OF q ^ ~~ AUTO ONLY: AGG ~ $ EXCESS/UMBRELLA LIABILITY TOWN EACH OCCURRENCE $ .3e000~00 ~ X OCCUR I~ CLAIMS MADE XS8032 ~ 6/1/2011 AGGREGATE $ 4,000,0 ~I DEDUCTIBLE $ ~ RETENTION $ NII~ $ WORKERS COMPENSATION AND ~( WC STATU- OTH- I TORY LIMITS ER , EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC1591438 6/1 /2010 6/1 /2011 E.L. EACH ACCIDENT $ 2,000,00 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEES $ 2+000+~~ if yes. uesciibc unuG' SPECIAL PROVISIONS below 2 ~~Q 00 E.L. DISEASE -POLICY LIMIT $ ~ ~ OTHER i iCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS operations within the territorial limits of the policies. ~tificate holder is included as additional insured per general liability form CG 2012 The Town of Wappinger 20 Middlebush Rd. Wappingers Falls, NY 12590-4004 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 ANV KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE :ORD 25 (2001/08) ~~ ~ 1 --,~ © ACORD CORPORATION 1988 OP ID JH ACORD CERTIFICATE OF LIABILITY INSURANCE BLACx-3 DATE (MM/DDIYYYY) 05 26 to PRODUCER Brinckerhoff & Neuville, Inc. 1134 Main St. , PO Box 424 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fiahkill NY 12524-0424 Phone:845-896-4700 Fax:845-897-5110 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: ZLlr1Ch Insurance CO. 16535 INSURER B: Blacktop Maintenance Corp. INSURER C: 27 Commerce St. i 2603 INSURER D: - Poughkeeps e NY 1 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 P LI EFFE TIVE DATE MM/DD/YY P EXPIRATI N DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $ CLAIMS MADE u OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS ~ (~ /7 ~~Q \~// ~~~ D BODILY INJURY $ NON-OWNED AUTOS ~ :::....//// LLLL~~~~ ~;/ (Per accident) PROPERTY DAMAGE $ ~ N ~ (Per accident) GA RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ _ __ ANY AUTO T~ WN F WAPPI GER " EA AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMSMADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER i EMPLOYERS' LIABILITY PROPRIETOR/PARTNER/EXECUTIVE N E.L. EACH ACCIDENT _ $ A Y OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ A OTHER Disability 1527976 06/01/10 06/01/11 NYS Statutor DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS rrOperationa in the State of New Yorkrr CERTIFICATE HOLDER CANCELLATION .r~Wp~pp SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL TOWn o f Wappinger Building Dept. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Middlebush Rd REPRESENTATIVES. Wappinger Falls NY 12590 AUTH /IZEDREPRESENTA E ACORD 25 (2001/08) V CU ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID JH BLACK-3 DATE (MM/DD/YYW) 05 26 10 PRODUCER Brinckerhof f & Neuvil le, Inc . 1134 Main St . , PO Box 424 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. Fishkill NY 12524-0424 Phone:845-896-4700 Fax:845-897-5110 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Castle Point Insurance Co. INSURER B: Technology Insurance Co. , xnc. 124 91 Blacktop Maintenance Corp. INSURER C: North east insurance company __ 27 Commerce St. hk NY 12603 P i INSURER D: TOWer Group Com anise 17205 oug eeps e INSURER E: Zurich Insurance Co. 16535 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 MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY N LIMITS GENERALLIABILITV EACH OCCURRENCE $ 1, OOO, OOO A X X COMMERCIAL GENERAL LIABILITY PC81100073 06/01/10 06/01/11 PREMISES (Eaoccurence) $100,000 CLAIMS MADE X~ OCCUR MED EXP (Any one person) $ 5 , 0l) ~ PERSONALBADVINJURY $1,000,000 GENERAL AGGREGATE $ 2, OOO, OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , O O O , O O O POLICY }[ PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 () 00 OOO C X X ANY AUTO 3310007995 06/01/10 06/01/11 (Ea accident) ~ i ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS (~(~~ I~ //~~ 1 ~ ~ ~ ~ ~ I~ ~ D BODILY INJURY $ X NON-OWNED AUTOS U ll ~ (Per accident) PROPERTY DAMAGE $ (Per accidenQ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO TOWN OF WA FINGER OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $S,000,OOO D X X OCCUR ~ CLAIMSMADE CUP2805653-10 06/01/10 06/01/11 AGGREGATE $ 5, 000, 000 DEDUCTIBLE $ X RETENTION $ 1O, OOO $ WORKERS COMPENSATION AND X TORY LIMITS ER _ ___ B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARINERIEXECUTIVE 1020148 06/01/10 06/01/11 E.L. EACH ACCIDENT - $ 1, 000, 000 ---- OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1, () ~ ~ , O O O _ _ Ii yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1, ~ ~ () , () 00 OTHER E NY Disability 1527976001 06/01/10 06/01/11 DBL statutory DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECU\L PROVISIONS The Town of Wappinger and Adams-Wappinger LLC are listed as Additional insureds as respects written contract. CERTIFICATE HOLDER CANCELLATION WAPPING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Town 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 AUTH /IZEDREPRESENTA E /J ACORD 25 (2001/08) (/ ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108) Client: 55888 SCHNORR ACORD CERTIFICATE OF LIABILITY INSURANCE rcrrY) TM 5/24/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Emery 8 Webb, Inc. 54 East Main St. 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 Peerless Insurance Com INSURER A an 24198 p y : Schnorr Enterprises, Inc. Dba Re-Bath INSURER 8: Acrylic Tub Lines 8~ 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 POATEY~ FFEDCTIVE PpACY E ~Plp TION LIMITS A GENERAL LIABILITY CBP8147668 05/15/10 05/15/11 EACH OCCURRENCE $1 OOO OOO X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $300 000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $15 000 PERSONAL 8 ADV INJURY $1 OOO OOO GENERAL AGGREGATE $2 OOO 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2 000 000 POLICY PRO LOC JECT A AUT OMOBILE LIABILITY BA8148268 05/15/10 05/15/11 COMBINED SINGLE LIMIT (Ea accident) $1 000 000 r , X ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per parson) $ 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: qGG $ A EXCESSIUMBRELLA LIABILITY CU$14$66$ 05/15/10 05/15/11 EACH OCCURRENCE $4 000 000 X OCCUR ~ CLAIMS MADE AGGREGATE $4 000 000 DEDUCTIBLE $ X RETENTION $ 10000 $ A WORKERS COMPENSATION AND WC8147968 05/15/10 05/15/11 WC STATU- OTH- EMPLOYERS' LIABILITY R PARTNER EXECUTIVE E.L. EACH ACCIDENT $500 000 / ANY PROPRIETO / OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $500,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS LOCATI Y ENDO EMENT /SPECIAL PROVISIONS Limits shown are thos avail~j~Q~~~i MAY 2 6 2010 CERTIFICATE HOLDER I ~ v vv ~ r v ~ ^ • • •• -• - --- - I CANCELLATION Town of W~rprt~er---- 20 Middle Bush Road Wappingers Falls , NY 12590 ACORD 25 (2001/08) 1 of 2 #S89638/M89584 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR 70 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 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 258 (2001/08) 2 of 2 #S89638/M89584 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID CR DATE (MM/DD/YYYY) „ AMERI-1 05 14 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 Ameri-Tech Lan Develo ment INSURER A: Mt . HaWl@ Insurance Co . p d - Inc., dba Ameri-tech Construct INSURER B: National Grange Mutual 14788 ion Sheafe Woods Realty LLC Fisfilcill Landing LTD INSURER C: _ 1136 Route 9 Wa in ers Falls NY 12590 INSURER D: g pp -- 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/DDm DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY MCF0005638 05/20/10 05/20/11 PREMISES (Eaoccurence) $50,000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ PERSONAL&ADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ l O O O O O O POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 O O O O O O B X ANY AUTO B1V63076 05/20/10 05/20/11 (Eaaccident> , , 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 D ~ ~ O ~ D AUTO ONLY - EA ACCIDENT $ ANY AUTO V OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY MAY 2 ZOtO EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ TOWN OF APPINGE $ -- DEDUCTIBLE TO - $ WN LE R K RETENTION $ $ WORKERS COMPENSATION AND ' TORY LIMITS ER EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIUENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE __- $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Operations in the State of New York CERTIFICATE HOLDER CANCELLATION WAPPING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Town Of Wappinger IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Middlebush Road REPRESENTATIVES. Wappingers Falls NY 12590 A DREPRES T I ACORD 25 (2001108) ~~~`'~ '-©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) ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID cw DATE(MNUDD/YYYY) ENVIR-4 05 13 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agar-Ford-Jarmon & Muldrow HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 7 90 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Nnrmar_ OK 73070 Phone:405-321-2700 Fax:405-360-8892 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: 8teadfaet Ineurance Company: 26387 E i Cl INSURER B: Zurich American Insurance co. 16535 nv ro ean Services , LLC Ken R. Mu~hX INSURER C: P . O . BOX / L 1 U 90 Oklahoma City OK 73172-1090 INSURER D: INSURER E: GUVEKAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANV 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 L I DATE MM/DD/YY P LI PIRATI N DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , OOO , OOO A I X COMMERCIAL GENERAL LIABILITY GPL926508800 05/17/10 05/17/11 PREMISES (Eaoo urence) __ $ 300,000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 25 , 000 A X POLLUTION LIAB $5,000 DEDUCTIBLE PERSONAL&ADVINJURY $1,000,000 GENERAL AGGREGATE $ 2 , OOO , OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , 000 , 000 POLICY X PRO- JECT LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ X ANY AUTO BAP926504700 05/17/10 05/1,7/11 (Ea accident) $ 1 000 000 ~ i ALL OWNED AUTOS BQDIL'i IivJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS ~ /~ ~'+ _ I (~ ~ ~ /7 ~// D BODILY INJURY NON-OW NED AUTOS w U U vv l~ `/ (Per accident) $ PROPERTY DAMAGE 2 ~ ~ 0 ~ ~ (Per accident) $ GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO TOWN OF WAPP LAGER EA ACC OTHER THAN $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5 000 000 A X OCCUR ~ CLAIMSMADE SE0926504700 05/17/10 05/17/11 AGGREGATE , , $ 5,000,000 DEDUCTIBLE $ X RETENTION $ O $ WORKERS COMPENSATION AND X TORY LIMITS ER B EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC 926504800 05/17/10 05/17/11 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1 , 000 , 000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1 , 00 0 , 000 A OTHER PROFESSIONAL LIABILITY GPL926508800 RETRO DATE 04-30-96 05/17/10 05/17/11 PER CLAIM 1,000,000 DED 5,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS LIMITS SHOWN ARE THOSE IN FORCE AS OF POLICY INCEPTION. Additional Insured - Same as Certificate Holder as respects General Liability and Auto as per written contract. CERTIFICATE HOLDER CANCELLATION ONETIME SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 20 Middlebush Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Wappingers Falls NY 12590 REPRESENTATIVES. U D REPRESENTATIVE ACORD 25 (2001/08) ©ACORD CORPORATION 1988 R~~ CERTIFICATE OF LIABILITY INSURANCE OP ID NWAR DATE (MM/DDmrYY) ~ SWANS-2 05 18 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 103 Executive Drive, Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. New Windsor NY 12553 Phone:845-567-1000 Fax:845-567-1030 --- - - ~ INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: xartlord Caeuelty insurance Co 084 INSURER B: xartf'.ord Fire Insurance cc. 19682 Swanson Consulting Inc INSURER C: asrin city Fire Insurance co. _ 347 PO BOX 3 9 5 Salisbury Mills NY 12577 INSURER D: _ _____ INSURER E: ~w~rwuea 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 P LI Y FE TIVE DATE MM/DD/YYYY LI Y EXPIRATI N DATE MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 10000000 A X X COMMERCIAL GENERAL LIABILITY 16SBARV1978 05/25/10 05/25/11 PREMISES~E (E~Turence) $ 300000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10000 PERSONAL8ADVINJURY $ 10000000 ___ _ GENERAL AGGREGATE $ 20000000 _ GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $20000000 POLICY PRO LOC JECT AU TOMOBILE LIABILITY COMBINED SINGLE LIMIT B X ANY AUTO 16USCAF9634 05/25/10 05/25/11 (Ea accident) $ 1000000 - ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X -- X HIRED AUTOS NON-OWNED AUTOS I ~~ r~l U U U U ~~ ~ ~ ~ D BODILY INJURY (Per accident) $ PROPERTY DAMAGE Y 21 {{~~ O ~ U (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO TOWN QF W PPINGER EA ACC OTHER THAN $ AUTO ONLY: qGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 2000000 A X OCCUR ~ CLAIMSMADE 16SBARV1978 05/24/10 05/24/11 AGGREGATE $ 2000000 DEDUCTIBLE $ X RETENTION $ 10000 $ WOR AND KERS EMPL COMPENSATION OYERS' LIABILITY - TORY LIMITS ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIV~ OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ (Mandatory in NH) f E.L. DISEASE - EA EMPLOYEE $ I yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS (LOCATIONS (VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Town of Wappingersis provided additional insured status when required by written contract or agreement with respects to work the insured is performing on their behalf CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WAPP I - 3 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 TOwri of Wappingers 20 Middlebush Rd REPRESENTATIVES. Wappingers Falls NY 12590 AUTHORIZED REP~~yyR..FSENTATIVE '~ ~G ACORD 25 (2009/01) ©1988-2009 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 (2009/01) ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID Cw DATE(MMIDD/YYYY) ENVIR-4 05 13 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Aqar-Ford-Jarmon & Muldrow HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 790 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Norman OK 73070 Pharc:405-321-2700 Far.:405-360-9892 l:~SURERSAFFORDINGCOVERQGE NAIC# INSURED INSURER A: Steadfast Ineuranco Company 26387 INSURER B: Zurich American Insurance co. __ 16535 Enviro Clean Services , LLC Ken R . Mu~h INSURER C: P O BOX / L 190 . . Oklahoma Cit OK 73172-1090 INSURER D: 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 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. P I I N LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY GPL926508800 05/17/10 05/17/11 PREMISES (Eaoccurence) $300,000 CLAIMS MADE X^ OCCUR MED EXP (Any one person) $ 25 , OOO A X POLLUTION LIAR $5,000 DEDUCTIBLE PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I~ I CT n LOC IB IA AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OW NED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR ~ CLAIMSMADE SE0926504700 05/17/10 BAE C, , ~ r~ n ~L~ U~~i ~iT' 'J ~'~ MAY 2 0 C' TOWN C LERK DEDUCTIBLE X RETENTION $ O WORKERS COMPENSATION AND B EMPLOYERS'LIABILITY WC926504800 05/17/10 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER A PROFESSIONAL GPL926508800 05/17/10 (LIABILITY RETRO DATE 04-30-96 GENERAL AGGREGATE $ 2, OOO, OOO PRODUCTS -COMP/OP AGG $ 2 , OOO , OOO COMBINED SINGLE LIMIT $ 1 OOO OOO 05/17/11 (Ea accident) r r f BODILY INJUP.Y $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ S, OOO, OOO 05/17/11 AGGREGATE $5,000,000 $ DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PRA LIMITS SHOWN ARE THOSE IN FORCE AS OF POLICY INCEPTION. +~ TORY LIMITS ER _ 05/17/11 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1, O O O , O O O E.L. DISEASE -POLICY LIMIT $ 1 , OOO , OOO 05/17/11 PER CLAIM 1,000,000 DED 5,000 CERTIFICATE HOLDER CANCELLATION TOWNWAP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Town of Wappinger 20 Middlebush Rd IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Wappingers Falls NY 12590-0234 REPRESENTATIVES. U D REPRESENTATIVE AGOKD Z5 (ZW9/US) CcJ AGORD CORPORATION 1988 ~RO® CERTIFICATE OF LIABILITY INSURANCE OP ID SPAY DATE(MMIDDmYY) WAPPII6 05/13/10 -e PKODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Marshall & Sterling Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 66 Middlebush Rd, Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wappingers Falls NY 12590 Phone: 845-297-1700 Fax:845-297-2879 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: American Zurioh Insurance Co. INSURER B: American Guarantee s Liability 025 Town of WappinggHr INSURER C: 20 Middlebush Rd INSURER D: Wappingers Falls NY 12590 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 l'0 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/DDIYYYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ SOOOOOO A X COMMERCIAL GENERAL LIABILITY CP09063089 01/22/10 01/22/11 PREMISES (Eaoccurence $ 100000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5000 PERSONAL 8 ADV INJURY $ 1 0 0 0 OO O GENERAL AGGREGATE $ 3000000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 3000000 POLICY PRO- LOC JECT Em Ben. 1MIL/3MIL AUT OMOBILE LIABILITY GOMBINEDSINGLELIMIT 0000 A X ANY AUTO BAP9063090 01/22/10 01/22/11 (Ea accident) $ 10 0 ALL OWNED AUTOS ~""""~' BODILY INJURY SCHEDULED AUTOS I} ~ /7 / ~ r('`~ (Per person) $ HIRED AUTOS ~ ~ ~ U BODILY INJURY NON-OWNED AUTOS (Per accident) $ ~; 2 ~ ; MAY ~ " PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY O ~ `~V! tti ~ ' ~ N ~ ~ ~ AUTO ONLY - EA ACCIDENT $ ANY AUTO TOW t P ~ O ~ ~ ~ V Y ~ ;~ ~ A UTOONLYN qGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 10000000 $ X OCCUR ~ CLAIMSMADE U1~9063091 01/22/10 01/22/11 AGGREGATE $ 10000000 DEDUCTIBLE ~ _ , $ X RETENTION $10000 ~ $ WOR AND KERS COMPENSATION EMPLOYERS' LIABILITY A - T - TORY LIMITS ER 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 DESGRIPIIUN UF• UYEKAI IUN~ 1 LUGAI IUNJ ! VCFIIGLC3l CAI:LUJIVnO nuVOU or Cnwrcacm~n ~ , arc~.~n~ rnvrwwnu _._ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DUTC-20 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 Dutchess County Department IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR of Health 387 Main St REPRESENTATIVES. Poughkeepsie PTl' 12601 A~OR~EDREPRJjSENTATIV ~ /~ ACORD 25 (2009101) `~ ©1988-2409 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE (MM/DD/YYYY) ~coR17~ CERTIFICATE OF LIABILITY INSUR ANCE OS/Ol/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 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 1s 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 1-860-560-2766 CONTACT NAME: Arthur J. Gallagher Riak Management Services, InC. PHONE FAX A/C No 10 Columbus Boulevard EMAIL ADDRESS: PRODUCER Hartford CT 06106 , Shell Bolro d INSURER S AFFORDING COVERAGE NAIC # INSURED INSURERA: LIBERTY MITT INS CO 23043 C R Systama, Inc. dba Canopy Roofing Systems INSURERS: 505 North State Road INSURERC: Briarcliff Man r NY 10510 INSURERD: , o INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 15526365 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 SUBR POLICY EFF POLICY EXP POLICY NUMBER MM/OD MM/DD - LIMITS A GENERAL LIABILITY TBS-L15-007332-020 OS/O3/1 05/01/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occunance $ 300 , 000 CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL 8 ADV INJURY $ 1, 000 , 000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , 000 , 000 POLICY X PRO- LOC $ A AUT OMOBILE LIABILITY ASl-L15-007332-010 05 Ol/1 OS Ol 11 COMBINED SINGLE LIMIT $ 1, 000 , 000 X ANY AUTO (Ea accident) AL BODILY INJURY (Per person) $ - L OWNED AUTOS BODILY INJURY (Par accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ A X UMBRELLALIAB X OCCUR TH2-631-509127-019 OS/Ol/1 OS/Ol/11 EACH OCCURRENCE $ 5, 000, 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5 , 000 , 000 DEDUCTIBLE $ X RETENTION $ 10,000 $ p, WORKERS COMPENSATION WCS-L15-0077332-030 05/01/1 OS/Ol/il X WCSTATU- oTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER N / A E.L. EACH ACCIDENT $ 1 , 000 , 000 EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ 1 , 000 , 000 If yes, descdba under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1, 000 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, more sp$~'(s D ~ ~ ~^ - MAY 11 200 CERTIFICATE HOLDER CANC~LL'A'TI('j111 i71 c~'aos netiaa'dnn -*~ r~r-aa..mm.~* ..f ., Toren of Wappinger SHO CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Middlebuah Road AUTHORIZED REPRESENTATIVE Wappinger Falls„ NY 12590 USA ~~~ ~,,~~ mohsinhar ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD 15526365 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYI') PRODUCER 2 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 THE POLICIES BELOW. WARWICK, NY 10990 INSURERS AFFORDING COVERAGE NAIC# INSUREn pILOT PROPERTIES OF THS HUDSON VALL INSURER A: NGM INSURANCE COMPANY 14788 _ P O BOX B INSURER B: FISKHILL, NY 12524 INSURER C: ___ INSURER D: PILDOI MSURER E: ('nVFA A!'_FC vTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHS'T'ANDING 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 HY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCFI POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY EFFECTIV POLICYEXPiRATlO LIMITS LTR INS POLICY NUMBER y A GENERAL LIABILITY 111PV93417 10/24/2009 IO~24~2O10 EACH OCCURRENCE $ lOOOOOO DAMAGE TO RENTED SOOOOO X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ CLAIMSMADE ~ OCCUR MEDEXP(Anyoneperson) $ lOOOO ' PERSONAL&ADVINJURY $ IOOOOOO ~. ~+ GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: - ~ ~( PRODUCTS-COMP/OPAGG $ 2000000 POLICY PRO LOC AUT OMOBILELIABILITY COMBINED SINGLE LIMIT $ ANYAUTO ~~~~ 11~~ lu[ ~ ((~~ ///7770 ~ ~~// ~ (Ea accident) ` ~~ J v ALLOWNEDAUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) M 11 2010 HIRED AUTOS BODILY INJURY $ NON-OWNEDAUTOS (Peraccidenq TOW !~ W A P ~'~ N E R 4.J ( PROPERTY DAMAGE $ (Peraccident) TY AUTOONLY-EA ACCIDENT $ GA RAGE LIABILI ANYAUTO OTHER THAN EA ACC $ AUTOONLY: pGG $ EXCESS/UMBRELLALIABILiTY `r~ EACH OCCURRENCE $ OCCUR ~ CLAIMSMADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WCSTATU- OTH- WORKERSCOMPENSATIONAND T EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED'? E.L. DISEASE - EA EMPLOYEE $ If'yes.describeunder DISEASE- POLICY LIMIT L E $ SPECIAL PROVISIONSbeIow . . OTHER DESCRIPTION OFOPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BYENDORSEMENT / SPECIAL PROV ISIONS RS: 71 ALL ANGELS HILL RD. WAPPINGSRS FALLS, NY. CSRTIFICATS HOLDER IS HEREBY LISTED AS ADDITIONAL INSURED WITH REGARDS TO WORK BEING PERFORMED BY THS INSURED. THIS CSRTIFICATS OF INSURANCE IS ISSUED SUBJECT TD ALL POLICY TERMS, CONDITIONS, LIMITATIONS, EXCLUSIONS AND LANGUAGE. ncomtvt~~mc unt ncn ('AN('FII.ATI(1N BEFORE THE EXPIRATI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED } THE ISSUING INSURER WILL ENDEAVOR TO MAILO DAYS WRITTEN DATE THEREOF TOWN OF WAPPINGSR , 20 MIDDLSBUSH ROAD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHA WAPPINGSR FALLS, NY 12590 IMPOSE NO OBLIGATION OR LIABILITY OF ANY WND UPON THE INSURER, ITS AGENTS O REPRESENTATIVES. AUTHORIZED REPRESENTATIV / ` L ~4t~. DAR ACORD 25 (2001 /OS) V Al: V KL l V KYUIiA I l V IV l Y if2f ~ 1~ A`o~RO- CERTIFICATE OF LIABILITY INSURANCE OP ID DY -DATE (MM/°°1YYYY) DUTCH-3 05/05/10 PRODLtcEg_ T'^ 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: Steadfast Insurance Company 26387 - Dutchess Environment l wsuRERe: Peerless Insurance Company 24198 a Construction Inc INSURER C 93 6 Route E) Mahopac NY 10541 INSURER D: I INSURER E: I:UVtKHI~tJ 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 P FFE T E DATE MM/DD/YYYY P L C E I ATION DATE MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ lOOOOOO A X X COMMERCIAL GENERAL LIABILITY GPL655262900 09/02/09 09/02/10 PREMISES (Eaoccurence) $ 100000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5 O O O PERSONALBADVINJURY I$lOOOOOQ X Professional GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 O O O O O O POLICY PRO LOC JECT AU TOMOBILE LIABILITY COMBINED SI B X ANY AUTO BA8721546 05/20/10 05/20/11 NGLE LIMIT (Ea accident) $ lOOOOOO ALL OWNED AUTOS T ~ BODILY INJURY SCHEDULED AUTOS (/~' `N - (Per person) $ HIRED AUTOS ( ~/ ~ BODILY INJURY NON-OWNED AUTOS ~ ~ (Per accident) $ ~~ ~ PROPERTY D AMAGE (Per accident) $ GARAGE LIABILITY I ~ ~01 AUTO.ONLY - EA ACCIDENT $ ANY AUTO , ` ~ ~ ~ P ((~~,,~~R OTHER THAN EA ACC $ N~+ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY ~ Y ~ O ~ EACH OCCURRENCE $ ^ OCCUR CLAIMS MADE TOY • ~ ~ A~ G ~ ~1 AGGREGATE $ ~ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N X TORY LIMITS ER $ ANY PROPRIETOR/PARTNER/EXECUTIV~ OFFICER/MEMBER EXCLUDED? WC8445359 05/20/10 05/20/11 E.L. EACH ACCIDENT $100000 (Mandatory in NH) describe under If es E.L. DISEASE-EA EMPLOYEE $ lOOOOO y , 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. (:tKl If ILIA I t FiULUtK 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 Town of Wappinger IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Middlebush Road REPRESENTATIVES. Wappinger Falls NY 12590 AU RIZE PRE ENTATIVE ^~~^~ ~~ t~~~~'~'/ ~ ~.~5-7r~'A[:OI~D~GORPORATION. 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. ~~ MAY ~ 2 20',9 OER TowN ~,>~ v~~p~RK YOW N CAE AGURD 25 (2009/01) acoRV CERTIFICATE OF LIABILITY INSURANCE OP ID J DATE (MM/DD/YYYY) CASTL-1 04 29 10 P CER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Solutions & Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 619 Amboy Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Edison NJ 08837 Phone:732-738-6080 Fax:732-738-6081 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Insurance co. 16535 Castlton Environmental INSURER B: Steadfast Insurance Co 26387 Contractors LLC sog P o s INSURER C: ox . . 80 West Nyack Road INSURER D: Nanuet NY 10954 INSURER E: w n_ce v v ... ~ ~r..+....+ 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 MMIDDIYY DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , OOO , OOO B X X COMMERCIAL GENERAL LIABILITY GPL9051885 O5/O1/lO O5/O1/11 PREMISES (Eaoccurence) $lUO,000 CLAIMS MADE X^ OCCUR MED EXP (Any one person) $ 5 , OOO PERSONAL& ADV INJURY $ 1 , OOO , OOO GENERAL AGGREGATE $ 1 , OOO , OOO GEN'L AGGREGATE LIMIT APPLIES PER: '~ ~ "~ PRODUCTS -COMP/OP AGG $ 1 , OOO , OOO ~[ POLICY PRO LOC JECT ` ' , ~ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 OOO OOO A X X ANY AUTO BAP5245852 05/01/11 (Ea accident) , , X ALL OWNED AUTOS ~ ~~~('~ /7 V D BODILY INJURY (Per person) $ SCHEDULED AUTOS }[ HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) AY 0 3 2010 PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ T O ANY AUTO ^ N CLE K OTHER THAN EA ACC $ AUTO ONLY: qGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 2 , OOO , OOO $ ]{ X OCCUR ~CLAIMSMADE SE05245849 O5/O1/lO O5/01/11 AGGREGATE $2,000,000 DEDUCTIBLE $ X RETENTION $ lO , OOO $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER B Pollution Liab GPL9051885 05/01/10 05/01/11 Occ $1,000,000 B Professional Liab GPL9051885 05/01/10 05/01/11 A $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Town of Wappinger is included as Additional Insured, with the exception of Workers Compensation and Professional Liability, as respects the operations of the Insured. ne'']Tlcl/.ATC I..IAI 11cC (:CN[:FI 1 YIIUN CAST122 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 Town of Wappinger IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Attn: Building Dept. 2 O Middlebush Rd REPRESENTATIVES. . Wappinger Falls NY 12590 AuT D r TATIV ACORD 25 (2001/08) vHervrcu ~vrcrvrtr111v1v laaa 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 thorized representative or producer, and the certificate holder, nor does it affirmatively o gativel amend, extend or alter the coverage afforded by the policies listed thereon. ~~~~~ / ~ o~ ~ o,~1p\0 G~~ ~P~ ~ ~p,P ~~~ ACORD 25 (2001108) OTHER INTEREST Erie° Insurance Group 100 Erie Ins. PI. Erie, PA 16530 MAIL DATE AGENT'S NAME AGT N0. POLICY N0. 04/27/2010 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 MAY 17, 2010 PERTAINING TO THIS POLICY. THE CANCELLATION NOTICE MAY BE DISREGARDED AND YOUR POLICY PROTECTION WILL CONTINUE IN FULL FORCE. ~~ ~ ~- G°3C~C~C~~Mf~D APR 3 0 2010 00830 TOWN OF WAPPINGER TOWN CLERK THIS NOTICE SHALL BE EFFECTIVE ONLY IF YOUR PAYMENT IS HONORED BY YOUR FINANCIAL INSTITUTION 9061E (R) 8/97 / l ® DATE (MM/DDIYYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE ~ ~ oa/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 TA Joy Insurance Agency, Inc. rriorle 845-342-4888 FAx 845-342-9117 639 E. Main St. c o e : ac Nu Middletown, NY 10940 ADDRESS: PRODUCER A1060731165001 INSURER S AFFORDING COVERAGE NAIC A INSURED AirtlowAirConditioning, Refrigeration & Heating, Ir1C. INSURERA: Erie InSUrance Company 26263 PO Box 941 INSURER B Highland, NY 12528 INSURER C 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. NSR _TR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS /~ GENERAL LIABILITY Y 0285120345 4/1/2010 4/1/2011 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY A A E TO RE D PREMISES Ee occurtence 1000000 $ CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ 5,000 PERSONALBADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 3,000,000 POLICY PR0 LOC $ q Aur oMOBILEUABILITY 0045140131 4/1/2010 4/1/2011 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ NON-OWNED AUTOS Q UMBRELLALIAB OCCUR 02 5170204 4/1/2010 4/1/2011 EACH OCCURRENCE $ 5,000,000 EXCESSLIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DEDUCTIBLE /'~ (!~JJ $ RETENTION $ (/ ~ ~ $ WORKERS COMPENSATION AND EMPLO ' WC STATU- OTH- YERS LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ~ (Mandatory In NH) N / A APR ~ 2a~~ E.L. DISEASE - EA EMPLOYEE $ It yes, describe under DESCRIPTION OF OPERATIONS below T E.L. DISEASE -POLICY LIMIT $ Tp APPrN ESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101. Additional Remarks ed . I a~id'OUlredl _: Town of Wappinger Highway Garage -Certificate holder is added as Additional Ins- u'`8tt~o~ r imary a dnon-contributory basis, with respect to work ~rtormed by the Named Insured, as per written contract. ERTIFICATE HOLDER CANCELLATION Town of Wappinger 20 Middlebush Road Wappingers Falls, NY 12590 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. CORD 25 (2009/09) ThP ACARI~ Hama anri Inns arc rcnictcrcrl marlre of ernon OP ID DGRA ~R~ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) BRIDG-6 04 19/10 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: TAChn010 Insurance CO INSURER B: Bridge View Excavation InC INSURER C: 3 Van Wyck Ln Sulte 1 W i F ll NY 12590 INSURER D: app ngers a s INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT W ITH RESPECT TO 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 MMIFDD TIVE DATE MMIDD ATI N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY GETD~~TE PREMISES Ea occurence $ CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ ® GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ POLICY PRO• LOC JECT AUT OMOBILE LUU3ILITY ,., n COMBINED SINGLE LIMIT NY AUTO ~ ~~ t v( ~ ~D \\\v,// D V (Ea accident) $ ALL OWNED AUTOS ~ BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS pp Af l~ ~ 2U10 BODILY INJURY NON-OWNED AUTOS ER (Per accident) $ TOW ~ ®F VVAPPIi~ PROPERTY DAMAGE ~~ (Per accident) $ GARAGE LUU3ILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY:. AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ GLAIMS MADE AGGREGATE S DEDUCTIBLE $ RETENTION $ $ WORKER AND EMP S COMPENSATION LOYERS' LIABILITY TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMB X3238795 O4/O1/1O O4/O1/11 E.L. EACH ACCIDENT $ lOOOOO ER EXCLUDED? L-1 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1 OOO O O H es, describe under SPECIAL PROVISIONS below E.L. DISEASE-POLICYLIMR $SOOOOO OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BYENDORSEMENT / SPECUIL PROVISION8 All States Coverage Except: ND, OH, WA, WY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN036 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 REPRESENTATIVES. 20 Middlebush Road A~~yoR~ D REP SENTAT ^ Wappingers Falls NY 12590 /- ~ ~' /'/ 1 ACORD 25 (2009/01) `~ ®198ig-2609 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD 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 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) ~``~ °® CERTIFICATE OF LIABILITY INSURANCE o;; 3;~0 ' 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(fmarah.com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Two Alliance Center, 3560 Lenox Road, Suite 2400 Atlanta, GA 30326 Fax 212 948-0902 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A:Steadfaet Ina Co 26387 Home Depot U.S.A., Inc. d/b/a The Home Depot INSURER B: Zurich American Ina Co 16535 2455 Paces Ferry Road INSURER C:Illinoia Natl Ina Co 23817 Building C-20 Atlanta GA 30339 INSURER D: New Ham shire Ina Co 23841 , INSURER E: NATIONAL UNION FIRE INS CO OF PITTS 19445 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 $ 4,000,000 D X COMMERCIAL GENERAL LIABILITY ence PREM SES~ a oNcurr $ 1, 000, 000 CLAIMS MADE ~ OCCUR O _ MED EXP (Any one person) $ EXCLUDED X LIMITS OF POLICY XS PERSONALBADVINJURY $ 4,000,000 X OF SIR: $1M PER OCC ~ GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 4 , 000 , 000 X POLICY PRO- LOC B AU TOMOBILE LIABILITY SAP 293886 -07 ~ 03/01/10 03/01/11 COMBINED SINGLE LIMIT $ 1, 000, 000 X ANY AUTO ~ UUU ^ (Ea accident) J ALL OWNED AUTOS v Q ~ ~ BODILY INJURY $ SCHEDULED AUTOS V (Per person) HIRED AUTOS APR ~ BODILY INJURY (Per accident) $ NON-OWNED AUTOS TO ?01 ~ /~ ~ 0 X SELF INSURED AUTO ~V OL+ ~ PROPERTY DAMAGE PHYSICAL DAMAGE / (Per accident) $ GARAGE LIABILITY GF AUTO ONLY - EA ACCIDENT $ C ANY AUTO `R OTHER THAN EA ACC $ ~ AUTO ONLY: AGG $ A EXCESS (UMBRELLA LIABILITY GL04887714-00 03/01/10 03/01/11 EACH OCCURRENCE $ 5,000,000 X OCCUR ~ CLAIMSMADE AGGREGATE $ 5,000,000 DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION WC020342357 (FL) 03/01/10 03/01/11 WC STATU- OTH- X D AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECUTIVE WC020342355 (AOS) 03/01/10 03/01/11 E.L. EACH ACCIDENT $ 1, 000, 000 E ~ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) WC020342356 (CA) 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 OTHER E Workers Compensation WC0910566 (QSI) 03/01/10 03/01/11 SIR 1M F TX Employers XS Indemnity TNSC46242373 (TX) 03/01/10 03/01/11 Occurrence/SIR 30M/1M D Workers Compensation WC020342358(KY,MO,NY,WI, ) 03/01/10 03/01/11 DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS C'FRTIFIt^ATF H(ll IIFR CANCELLATION 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 ~6~yy1~+ ACORD 25 (2009/01) Jthornton_hd © 1988-2009 ACORD CORPORATION. All rights reserved. 15239346 The ACORD name and logo are registered marks of ACORD ADDITIONAL INFORMATION DATEIMMIDDIYY) 04/13/10 PRODUCER COMPANIES AFFORDING COVERAGE Marsh USA, Inc. COMPANYF Illinois Union Ina Co homedepot.certrequest(?marah.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 2455 Paces Ferry Road Building C-20 Atlanta, GA 30339 TEXT ***HOME DEPOT INSUREDS*** Home Depot U.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. 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. CERTIFICATE HOLDER GOWN OF WAPPINGER ZO MIDDLEHUSH ROAD NAPPINGER FALLS, NY 12590 USA MARSH USA INC.BY ~~ Page 2 To Whom It May Concern: The attached Certificate of Insurance cancels and supersedes the previously issued certificate. Please contact us if you have any questions. Email to: HomeDepot.certrequest(a~marsh.com A~ °® CERTIFICATE OF LIABILITY INSURANCE ) 04/13/10 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(9lmarah.com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Two Alliance Center, 3560 Lenox Road, Suite 2400 Atlanta, GA 30326 Fax 212 948-0902 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA Steadfast Ina CO 26387 Home Depot U.S.A., Inc. d/b/a The Home Depot INSURER B:ZUrich American Ins Co 16535 2455 Paces Ferry Road INSURER C: Illinois Natl Ina Co 23817 Building C-20 Atlanta GA 30339 INSURER D: New Ham shire Ins Co 23841 , INSURER E: NATIONAL UNION FIRE INS CO OF PITTS 19445 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 $ 4,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 1, 000, 000 CLAIMS MADE ^X OCCUR _ ~.,, ..~ MED EXP (Any one person) $ EXCLUDED X LIMITS OF POLICY XS ~ ~\'. rr~ PERSONAL BADV INJURY $ 4, 000, 000 X OF SIR: $1M PER OCC ~ GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ 4 , 000, 000 X POLICY PRO- LOC B AU TOMOBILE LIABILITY SAP 2.938863 07 0 /10 03/01/11 COMBINED SINGLE LIMIT v (Ea accident) $ 1,000,000 X ANY AUTO /~ ~ ALL OWNED AUTOS ~/~ /[\ OI / V BODILY INJURY $ SCHEDULED AUTOS /) ^ ' ~~ O (Per person) ~ /Y/, HIRED AUTOS ~ O ~ 9 ~ URY D $ NON-OWNED AUTOS ~ O <o1/j /VV (Per acciden X SELF INSURED AUTO I O ~ PROPERTY DAMAGE PHYSICAL DAMAGE ~ ~ (Per accident) $ GARAGE LIABILITY ~ C fV AUTO ONLY - EA ACCIDENT $ ANY AUTO Rk OTHER THAN EA ACC $ _ \ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY 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 ' WC020342357 (FL) 03/01/10 03/01/11 X WC STAT T- OTH- AND EMPLOYERS LIABILITY Y/N D ANY PROPRIETORIPARTNERIEXECUTIVE WC020342355 (AOS) 03/01/10 03/01/11 E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? E (MandaloryinNH) WC020342356 (CA) 03/01/10 03/01/11 E.L. DISEASE-EA EMPLOYE $ 1,000,000 II yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1, 000, 000 OTHER E Workers Compensation WC0910566 (QSI) 03/01/10 03/01/11 SIR 1M F TX Employers XS Indemnity TNSC46242373 (TX) 03/01/10 03/01/11 Occurrence/SIR 30M/1M D Workers Compensation WC020342358(RY,MO,NY,WI, ) 03/01/10 03/01/11 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULDANY OF THE ABOVE DESCRIBEDPOLICIES BECANCELLED BEFORE THE EXPIRATION THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN DATE THEREOF 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 AUTHORIZEDREPRESENTATIVE (/~~ ~}{ ~~ ` USA ' ~ j ~l -_^'4~u~o~.~a. ACORD 25 (2009101) ,Tthornton_hd ©1988-2009 ACORD CORPORATION. All rights reserved. 15245703 The ACORD name and logo are registered marks of ACORD ADDITIONAL INFORMATION DATE`MM'D°,YY) 04/13/10 VRODUCER COMPANIES AFFORDING COVERAGE Marsh USA, Inc. COMPANYF Illinois Union Ina Co homedepot.certrequeat@marah.com COMPANYG Two Alliance Center, 3560 Lenox Road, Suite 2900 Atlanta, GA 30326 INSURED COMPANY H Home Depot U.S.A., Inc. d/b/a The Home Depot 2455 Paces Ferry Road Building C-20 Atlanta, GA 30339 TEXT ***HOME DEPOT INSUREDS*** Home Depot U.S.A., The Home Depot, Inc. Entity Liat Chem-Dry Limited Harris Research, Inc. HD Direct LLC Home Depot Installation ServiceQ, 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. CERTIFICATE HOLDER TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD NAPPINGER FALLS, NY 12590 USA MARSH USA INC.BY ~ r ~- "'~"" Page 2 To Whom It May Concern: The attached Certificate of Insurance cancels and supersedes the previously issued certificate. Please contact us if you have any questions. Email to: HomeDepot.certrequest~a marsh.com