FOIL request

2014 Parking Permit Application



All permit applications need to be accompanied by:

* General Liability Insurance certificate (accord form)

* Worker’s Compensation Insurance Certificate (state form) (issued by the NYS Insurance Fund)

* Disability Insurance Certificate (state form) (issued by the NYS Workman’s Compensation Board)

* Copy of Contractors Nassau County or Town License

**ALL CERTIFICATES MUST LIST THE “Village of Plandome Manor, 55 Manhasset Avenue, Manhasset, NY 11030” as the Certificate holder & Additional insured.


All above paperwork can be faxed to (516) 627-7067

****Please put the property owners name on all documents.

The Village Of Plandome Manor