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3.7 3.7 APPOINTMENTSWYnnnal Control Officer-Temporary Independent Contractor-Knn Pohmci—RENEW-5-18-15 RESOLUTION AUTHORIZING RENEWAL OF SERVICES OF HIM POLUNCI AS ANIMAL CONTROL OFFICER ON INDEPENDENT CONTRACTOR BASIS RESOLUTION NO. ,2015 INTRODUCED BY WHO MOVED FOR ITS ADOPTION SECONDED BY WHEREAS, by prior Resolution, the Queensbury Town Board authorized engagement of the services of Kim Polunci of Tails Wag Inn LLC & Friends of Phoebie Animal Rescue, Inc., on a temporary, independent contractor basis to handle Town Animal Control Officer (ACO) emergency calls only when the ACO is out on vacation, illness, training or otherwise unavailable, and WHEREAS, the Town Board wishes to renew the engagement of such services, NOW, THEREFORE, BE IT RESOLVED, that the Queensbury Town Board hereby authorizes and directs the renewal of the services of Kim Polunci of Tails Wag Inn LLC & Friends of Phoebie Animal Rescue, Inc., on a temporary, independent contractor basis to handle Town of Queensbury Animal Control Officer emergency calls only when the ACO is out on vacation, illness, training or otherwise unavailable, through December 31St, 2015, with the understanding that Ms. Polunci will not be driving the Town's Animal Control Officer van and contingent upon Ms. Polunci providing the Town with a certificate of proper insurance, and BE IT FURTHER, RESOLVED, that Ms. Polunci shall invoice the Town at the amount of$100 per call to be paid from Account No.: 001-3510-4400, and BE IT FURTHER, RESOLVED, that the Town Board further authorizes and directs the Town Supervisor, Town Animal Control Officer and/or Budget Officer to complete any forms and take any action necessary to effectuate the terms of this Resolution. Duly adopted this 18t`day of May, 2015, by the following vote: AYES NOES ABSENT: To: Page 2 of 2 2015-05-13 20:15:46(GMT) 15183381588 From: Hughes Insurance Agency AC°RD CERTIFICATE OF LIABILITY INSURANCE 5/13/20�is THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT House NAME: Hughes Insurance Agency, Inc. PHArco ue E..L' (518)793-3131 I Fa/UCf Nol:(518)793-3121 328 Bay Road E-MAIL y ADDRESS: PO BOX 4630 INSURER(S)AFFORDING COVERAGE NAIL Queensbury NY 12804 INSuRERA:Sentinel Insurance Co. LTD 11000 INSURED INSURER B Hartford Property & Casualty 34690 TAILS WAG INN LLC & FRIENDS OF INSURER C: PHOEBIE ANIMAL RESCUE, INC INSURER 0: 21 BLIND ROCK ROAD INSURER E: QUEENSBURY NY 12 804 INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 Master 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES/Ea occurrence) 5 1,000,000 A CLAIMS-MADE © OCCUR 01SBAZC1625 8/6/2014 8/6/2015 MED EXP(Any one person) S 10,000 -_ PERSONAL&ADVINJURY S 1,000,000 GENERAL AGGREGATE S 2,000,009 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG 5 2,000,000 POLICY n J ° n LOC S - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 3 ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE S _ AUTOS (Per accident) S UMBRELLA UAB OCCUR EACH OCCURRENCE S - EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I RETENTION S B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'UABIUTY YIN X I TORY LIMBS( ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 100,000 OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) 01WECDI4051 7/18/2014 7/18/2015 E.L.DISEASE-BA EMPLOYEES 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT_S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Subject to all policy terms, limitations and conditions: Certificate Holder is Additional Insured when required by written contract, agreement or permit. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. Town of Queensbury 742 Bay Road Queensbury, NY 12804 AUTHORIZED REPRESENTATIVE Linda Abodeely/KR ACORD 25(2010105) ®1988-2010 ACORD CORPORATION. All lights reserved. 1NS025 oninn w ni Tina arTuan mama St./4 Irwin are rraniehrnrl marke nt aRnAr1