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Home My WebLink Abouthigh fac contr a-20150709160550.pdf POLICY NO. GL 49729K GEN. LIABILITY POLICY GL 49729K NOTICE OF POLICY EXPIRATION HARLEYSVILLE INSURANCE COMPANY NOTICE OF CANCELLATION 7900 WEST 78TH ST . 4TH FLOOR EDINA, MN 55439 FOR NONPAYMENT OF PREMIUM Agent COMMERCIAL ACCOUNT NO - 2N5459 81--6403 FIRST NIAG'ARA RISK MNGT INC 126 N `SALINA ST STE 400 SYRAC'USE NY 91 13202-1836 INSURED Town of Enfield 168 Enfield Main Rd Ithaca NY 14850-9380 CANCELLATION COPY TO BUS DANIEL J - DAMICO PLUMBING &, EFFECTIVE OVERDUE HEATING CO INC 06-`09-11 AMOUNT; PAYER 68 MIDDLE ST 12.01 AM $408.00* GENEVA NY 14456 STANDARD TIME WE HAVE NOT RECEIVED YOUR PREMIUM PAYMENT. COVERAGE WILL CONTINUE IF PAYMENT IN FULL IS RECEIVED BY THE COMPANY OR YOUR AGENT BEFORE THE CANCELLATION DATE ` AND TIME STATED ABOVE . OTHERWISE IT TERMINATE ON THAT DATE ACCORDING TO POLICY PROVISIONS . NO FURTHERNOTICE WILL BE GIVEN. * INCLUDES $8 .00 SERVICE FEE Any non-payment cancellation notice will take precedence over notice of cancellation or non-renewal for any other reason, and the date on the non-payment cancellation notice shall be the date of cancellation -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- DETACH AND RETURN THIS PORTION WITH PAYMENT MADE PAYABLE TO HARLEYSVILLE INSURANCE Policy No. GL 49729K OVERDUE AMOUNT - $408 . 00 ACCOUNT 2N5459 CANCELLATION EFFECTIVE 06-09-11` Insured Town of Enfield 12 : 01 AM TOW / 62 STANDARD TIME PAY YOUR BILL NOW USING VISA, MASTERCARD OR DISCOVER, OR ONE-TIME ELECTRONIC FUNDS TRANSFER... CALL TOLL-FREE 1.866.665.4992 AMOUNT ENCLOSED: VISIT WWW.HARLEYSVILLEGROUP.COM Harleysville Insurance Processing Center ISSUED` MAILED EXP CTRL * P.O. Box 37712 05-19-11 05-20-11 04-13-12 24 Philadelphia, PA 19101-5012 If address change,cross out the='Y'and indicate new address above n cW-5531Ed. 10-05I Y 7 "2GLZ49729K 0040800 0040800 0000000 INSURED'S COPY ACORD® CRTFIA _ I ![, 3INSURAMM4/13/2011 _y THIS CERTIFICATE IS ISSUED A MATTM.OF ' 1 `NO CERTIFICATE HOLDER. THfvR CERTIFICATE DOES NOT AFFIR MAihN X'--'_ * _ _ `C "AFFORL)ED BY THE POLICIES BELOW. THIS CERTIFICATE,t tAl)[CE; Gi B) WEfN=THE ISStG INSURER(S), AUTHORIZED REPRESENTATIVE OR PODUC2,ATHE.. IMPORTANT: If the Addit IBA _ iaecidorsed: BIQG}4�lON IS WANED,subject to the terns and condidmk �*w l��. PA S �� class not colt r s tv the CePIlflCate holder uI lieu - PRODUCER ` 4 (315)'73Z-7O27 FAX No):(315)733-0541 Wilbert-Wenner-M-AhCano ura = b473 Flanagan Road ystya@VWAaiasu=tnce`' " -.00007080 Marcy NY 13403 AFFORDING CAGENAICN INSURED /► ai=1 Street America;Assurance 9939 `.: s-Natonal .G a .Mutual 4788 AVOLIO BROTHERS I= chain Street A)aeri ca Grou 9939 197 WIGHTMAN RD mac. iNSURERE: NORWICH NY 13815-3121 INs F: COVERAGES CERTIFICATE NMR ER'CL1 't `10/11-Rv REVISIONNtSMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE.LISTED BELOWY+#14W +I'ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR Cam- ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AiH'ORDED Y THE POLICIES DESCRIED HEREIN,IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.`LIMITSSHOM MAY HAVEZEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE PC)LItsY NUMBS " POLICY F POLICY 17� LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES occurrence $ 500,000 A CLAWS40DE ®OCCUR X 6746A 11/13/2010 1/13/2011 NEDEXP(Any one Person) $ 10,000 PERSONAL&ADV INJURY $ 2000,000 GENERA-AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMB APPLES PER: PRODUCTS-COMPIOP AGG $ 4,000, OOO POLICY -X PRO- LOC AUTOMOBILE LIABILITY ;_ . ' COMBINED SINGLE LIMIT $ 1,000,000 (Ea acadent) X ANY AUTO BODILY INJURY(Per person) $ 74fiA B ALL OWNED AUTOS X 1/13/2010 1/13/2011 BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS ) X NON-OWNED AUTOS $ $ B X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5 OOO,O0O EXCESS LIAB CLAIMS MADE AGGREGATE $ 5,000,000 DEDUCTIBLE X RETENTION $ 10,000 X CUU8134A 1/13/2010 1/13/2011 $ C WORKERS COMPENSATION WC STAT� O R AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 11 OOO 000 OFPICER/MEMBER EXCLUDED? N/A 4 /5/2011 /5/2012 EL DISEASE-EA EMPLOYEE $ 1' 000 000 (Mandatory in NH) ff yes,describe under EL DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS below1 7 A OCP Policy pcliey /14/2011 4/14/2012 'Limit $1 000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(AIGrh ACORD M,Add l f aawe qw-is Project: Plumbing Contract for: Proposed Highway Garage 475 Enfield Mafia Road, State iit 327, Ithaca..1Q7C 14$55533 _ Town Of Enfield Is Addit3ollri`ii�aazad for wort dvoay '_T. _ = .D ooaPleted operations as CERTIFICATE HOLDER _"SHOULD ANY OF THE ABOVE DESCMBED POLICIES BE CANCELLED BEFORE t#E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED MI ACCORDANCE VOTH THE POLICY PROVISIONS. Town Of Enfield 168 Enfield Main Road A REPRESENTATIVE Ithaca, NY 14850 mcystyn Vincent/KRY ACORD 35(2009109) Q 19M2009 ADORE}CORPORATION. All rky tie reserved. INS025(2oosos) The ACORD name and Mago are re_cwered marks of ACORD ADD "' 6RAGES Ref Description Coverage Code". Forth No. Edflion Date Individual Risk Mod Prem Limit 1 Limit 2 Limit 3 Dedu6ie Deible Type Poem Date Ref# Description Coverage Code Form No. Editlorm PIP-Basic PIP Limn 1 Limit2 Limit 3 De t "° a Type Premiumn 50,000 Ref Description Coverage Code Farm No. Edition gate State surcharge 2 STSRZ Limit 1 Lin*2 LimitsYPe $20.00 Ref a Description Coverage Code Form No. Edition Date Uninsured motorist coned.single 6rnit UMCSL Limit 1 Lirtbt 2 Lin 3 - Deductible Type Premium 1,000,000 Ref* Description Coverage Code Form No. Edition Date Medical Expense MEDEX Limit 1 Limit 2 Limit 3 Deduct"Aatourmt _ Deductible Type Prendum 150,000 Ref* Description Coverage Code Form No. TEditlorm Date PIP-Work loss benefits WLB Limit 1 Limit Limit 3 Deducllble,Amount Deductible Type Prerniu n Ref Description Coverage:Code Form No. Edition Date Hired Car Liability HIRLI Limit 1 Limit 2 Limit 3 DeductibisAiibikit Deductible Type Premium $40.00 Ref# Description Forma No Editkmrm Date ProductslComplete&OOdAggregate PRDCO Limit 1 Limit2 Limit 3 Deductible Type Premium. 5,000,000 Ref g Description Coverage Code Forth No. Edition Date Limit 1 Limit 2 Limit 3 De bie t Deductible Type Premium Ref h Description Coverage Code Form No, Edition Date Limit 1 Limit 2 Limit 3 Deductible graaount Deductible Type Premium Ref# Description Coverage Code Form No. Editiorm'Date Limit 1 Limit 2 Limit 3 ' DeductibieA[aoamt Deductible Type Premium OFADTLCV Copyright 2001,AMS Services,Inc.' C011�Wl 41S . #iKS provided by contractors extension. endbrse�€€ t, Coverage will apply on a primary and non contributing basis to any other insraice a,VbIable to the certificate holder, but only with respect to liability as covered by the -'w'- - ssowners liability coverage form (BP0006) and caused in whole or in part by �the insured, or those acting on the behalf of the insured only if written contract" appl "J" OFREMARK COPYRIGHT 2000, Am sERVICEs INC. {e. PERFORMAME BOND Bond Number: 71094892 KNOW ALL PERSONS BY THESE PRESENTS;That vve Avolio Brothers LLC Of 197 Wightman Rd., Norwich, NY 13815 , hereinafter, referred to as the Principal, and western surety !Company as Surety,are held and firmly bound unto Town of Enfield of 168 Enfield Main Rd. Ithaca NY 14850 , hereinafter referred to as the Obligee, in the sum of Forty-Two Thousand Four Hundred 'Sixty-Four and 00/100 Dollars($ 4 2,4 6 4.0 0 ),for the payment of v we tend ourselves, our legal representatives, Successors and assigns,jointly and severally,firmly bythese; WHEREAS, Principal has entered into a cm-ntract vv tft Obligee,dated the day of , f4rP1�ing 475 Fnfi' ld Mairi -ROAd, Ithaca, NY NOW, THEREFORE, if the Principal shall faithfuly perm such contract or shall indemnify and save harmless the Obligee from all cost and damage by reason of Principafs failure so to do, then this obligation shall be null and void;otherwise it shall remain in full force and effect: ANY PROCEEDING, legal or equitable, under this Bond may be instituted in any court of competent jurisdiction in the location in which the work or part of the work is kc;a#ed and shall be instituted within two years after Contractor Default or within two years after the Contractor ceased working or within two years after the Surety refuses or fails to perform its obligations under this 'Bond, whichever occurs first If the provisions"of this Paragraph are void or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable. NO RIGHT OF ACTION shall accrue on this Bond to or for the use of any person or corporation other than the Obligee named herein or the heirs, executors, administratcxs or successors of the Obligee. SIGNED, SEALED AND DATED this 15th day of " April 2011 Avolio Brothers, LLC By Seal Wester Suret 'Co an r rety) By (Seal)j/)� Kr stye Leah Vincent Attomey-in-Fact Form F4597 i 1SuretyConX)any estem PAYMENT BOND, Bond Number: 71094892 KNOW ALL PERSONS BY THESE PRESENTS,Thaf'de Avlio Brothers LLC of 197 Wightman Rd„ Norwich;, NY 13815 , hereinafter referred to as the Principal,-`and Western Surety Company, as Surety, are held and firmly bound unto Town of Enfield Of 168 Enfield Main Rd Ithaca NY 14850 , hereinafter Forty-Two Thousand Four Hundred Sixty-Four and referred to as the Obligee;in the sum of 00f 100 Dollars($42,4 64.00 -), for the payment of which we bind ourselves, our legal representatives, successors and assigns,jointly and severally,firmly by these,presents. WHEREAS, Principal has entered into a contract with Obligee,' day of ,for Plumbing 475 Enfield Main Road.. Ithaca NY copy of which contract is by reference made a part hereof NOW, THEREFORE, if Principal shall, in accordance with applicable Statutes, promptly make payment to all persons supplying labor and material in the prosecution of the work provided for in said contract, and any and all duly authorized modifications of said contract that may hereafter be made, notice of which modifications to Surety being waived, then this obligation to be void; otherwise to remain in full force and effect No suit or action shall be commenced hereunder (a) After the expiration of one (1) year following the,date on which Principal ceased work on said contract it being understood, however, that if any lirrt embodied in this bond is prohibited by any law controlling the construction hereof such limitation shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by such law. (b) Other than in a state court of competent p' dsdiis;tion in and for the county or other political subdivision of the state in iwhich the project, or any part thereof,I is situated, Or in the United States District Court for the district in which the project, or any part thereof, is situated, and not elsewhere. The amount of this bond shall be reduced by and to the extent of any payment or payments made in good faith hereunder. SIGNED, SEALED AND DATED this 15th day of April 2011 Avolio Brothers; LLC By L (Seal) Western uretv Co=anv ( 5/ tv By f (Seal) gryktyn Leah Vincent Attorney-in-Fact