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Carnwath Farms Chapel Asbestos AbatementASBESTOS CORPORATION OF AMERICA May 25, 2006 Mr. Joseph Rigerio Town Supervior of Wappinger Falls 20 N iddlebush Road Wappinger Falls, New York 12590 Re: Tax Exempt Certificate 1 Carnworth Farms Thank you for commissioning ACA to perform your asbestos abatement services. Please provide a Tax Exempt Certificate as soon as possible for our files. Once again, thank you for allowing us to be of service, and we look forward to working together. If you have any questions, please feel free to contact me at (914) 965-5829. Respectfully, Roxann Brucciam Bookkeeper forms/ txexemt RECEIVE MAY 31 2006 TOWN CLERIC js THE ENVIRONMENTAL COMPANY TM 791 NEPPERHAN AVENUE, YONKERS, N.Y. 10703 PHONE [9141 965-5829 FAX j914J 965 7597 Ar-ArCERTIFICATE OF LIABILITY INSURANCE 05/26/2006 PRODUL—A (914) 738-0100 FAX (914) 738-4568 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mil Brandt & Co., Inc. ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 159 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2nd Floor New Rochelle, NY 10801 INSURERS AFFORDING COVERAGE NAIC # INSURED Asbestos Corporation of AINSURERA: American Intl Specialty Lines 791 Nepperhan Avenue I"lltCEIVED INSURERB: Commerce & industry Ins. Co. Yonkers, NY 10703-2012 INSURER C: MAY 3 12006 INSURER D: INSURER E: rtn«�wi nr rr-�r� THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINI 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS I TR DD' WARDATE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION (MMQQfYY� - LIMITS GENERAL LIABIL11 PROP 1419985 04/06/2006 04/06/2007 EACH OCCURRENCE $ 1,.000, 000 DAMAGE TO RENTED $ 50,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Anyone person) $ - 5,000 CLAIMS MADE [K - I OCCUR PERSONAL &ADV INJURY $ 11000,000 A X Asbestos & Lead GENERALAGGREGATF $ 1,000,000 - GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 1,000,000 POLICYX PRO LOC JECT AUTOMOBILE LIABILITY CA 934-35-08 04/06/2006 04/06/2007 COM111FD SINGLE LIMIT $ X ANY AUTO (Ea accident) 1,000,000 BODILY INJURY $ ALL OWNED AUTOS (Per person) SCHEDULED AUTOS R HIRED AUTOS BODILY INJURY. $ (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE $ (Per acadenf) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA AGC $ ANY AUTO _ AUTO ONLY: AGG S EXCESS[UMBRELLA LIABILITY PROU 1420283 04/06/2006 04/06/2007 EACH OCCURRENCE $ 9,000,000 AGGREGATE $ 91000,000 X]OCCUR ❑ CLAIMS MADE $ A $ DEDUCTIBLE RETENTION $ WCSTATU- CTH- TORY LIMITS En WORKERS COMPENSATION AND E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY - ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER;MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS For all asbestos removal or reinsulation projects performed at Carnworth Farms, Greystone load, Wappingers Falls, New York, for the coverage period. Certificate Holder, Carnworth arms, and QuES&T, Inc. are included as Additional Insureds, as their interests may appear, as squired by written contract, with respect to General Liability, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,. Town of Wappingers Falls BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Attn: Mr. Joseph Ri geri o , Town Supervisor 20 ill ddl ebush Road 1OF�ANY KIND UPON THE INS ER, ITS AGENTS OR REPRESENTATIVES. Wappingers Falls, NY 12590 AU�nyRIZEDREPRESELITATIV . �1,, 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) New York State Insurance Fund Workers' Compensation & Disability Benefits Specialists Since 1914 105 CORPORATE PARK DRIVE SUITE 200, WHITE PLAINS, NEW YORK 1.0604-3814 Phone: (9 14) 253-4857 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ASBESTOS CORPORATION OF AMERICA 791 NEPPERHAN AVENUE YONKERS NY 10703 POLICYHOLDER CERTIFICATE HOLDER ASBESTOS CORPORATION OF AMERICA TOWN OF WAPPINGERS FALLS 791 NEPPERHAN AVENUE 20 MIDDLEBUSH ROAD YONKERS NY 10703 ! WAPPINGERS FALLS NY 12590 . POLICY NUMBER --FCERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE W 1430 276-4 490700 08124/2005 TO 08/24/2006 5/26/2006 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1430 276-4 UNTIL 0812412005, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 08/24/2006 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif.com/cerUcertval.asp or by calling (888) 875-5790 U-26.3 VALIDATION NUMBER: 1072369851 February 23, 2005 Nlr.joscph Rigerio Town supervisor TheTown of Wappinger Falls 20 Middlebush load Wappinger Falls, New York 12590 SUBJECT: Asbestos Abatement Carnworth Farms, Chapel Greystone Road Wappinger Falls, New York 12590 Dear Mr. Rigel'10: As promised, enclosed please find Waste Manifcst Nos. 009456 and 009447, frown 1)-J1\4 Company, Inc., provided by Cumberland County Landfill. I This letter serves to certify that all asbestos -containing materials outlined in Our proposal, dated, December 8, 2004, have been disposed of in fi-d'accOtdance with all applicable Local, State, and Federal Regulations. Please retain this document with all other documents related to this project. It has been a pleasure to work with you. Asbestos Corporation of Arnerica (A(",A)s primary objective is to provide the safest and most cost-effective environmental rerriediation SOILLtions as possible, customized to meet each client's unique need. We hope that you have been satisfied with the service we have provided, and if there is ever an opportunity to refer our team to one of your neighbors or family members, we thank you in advance for this opportunity. If 1. can be of any further assistance, please contact me at (914) 965-5829. Sincerelv, Lisa LaBrusciano Office Manager I:reclosure 7',"'M Av�',�nu& j"',JY H)7103-20,12 Phorte .�-',1114 965 5&,'ro9 '"ax94.965.)597 25032\mite,I Permit No. NYS DEC - NJ344 NJ DEP - 18693 DJM Comp. Inc. 109-113 Jacobus -Ave. S. Kearny, NJ 07032 (973) 491-0006 DOCUIVIENTNUMBER AB 099456 NON -HAZARDOUS ASBESTOS WASTE SHIPPING DOCUMENT Form ByKearny Litho (201)436-7287 Form a.dfilm imp 1 WORK SITE AND MAILING ADDRESS Owner's Name Owner's Telephone No. i+ 2. OPERATOR'S NAME AND ADDRESS Operator's Telephone No. l-,.-4 A 3. WASTE DISPOSAL SITE (WDS) Mailing address and Physical Site Location WDS Telephone No. CUMBERLAND COUNTY LANDFILL 620 NEWVILLE ROAD NEWBURGH, PA. 17242 (717) 423-5917 4. NAME AND ADDRESS OF RESPONSIBLE AGENCY 0 USEPA Air Compliance Branch, Region 11 290 Broadway < New York, NY 10007 fY 111 5. DESCRIPTION OF ASBESTOS MATERIALS 5X S&W 6- CONTAINERS 7. TOTAL QUANTITY Z U.1 Circle as appropriate, percentages must total 100% Approval No. No. Type cu. yd. FRIABLE NON -FRIABLE' J iA L 8. SPECIAL HANDLING INSTRUCTIONS: (Friable Asbestos Only) Waste double bagged and prewetted with an approved wetting agent. Asbestos, 9, NA2212,1111, RQ DEP Waste Type ID27A 9. OPERATOR'S CERTIFICATION: I herby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked, and labeled, and are in all respects in proper condition for transport by highway accordinq to.applicable international and gover ment regulations. Printed1ti-ped Name and Title," Signature: Date: 10. TRANSPORTER 1 (Acknowledgement of receipt of materials) 11. WASTE TRANSFER SITE - Owner or Operator Certification of receipt of asbestos materials covered by this manifest except as noted in item 13. Printed / Typed Name and Title - Address & Telephone No. Signature: Date: Clean Earth of North Jersey, Inc. 115 Jacobus Ave. South Kearny, NJ 07032 (973) 344-4004 12. TRANSPORTER 2 Printed / Typed Name and Title - Address & Telephone No. Signature: Date: DJM Comp. Inc. 109-113 JACOBUS AVE. So. KEARNY NJ 07032 (973) 491-0006 Decal No. r 13- DISCREPANCY INDICATION SPACE 14. WASTE DISPOSAL SITE - Owner or Operator Certification of redeipt of asbestos materials covered by this manifest except as noted in item 13. L Printed I Typed Name and Title -Address & Telephone No. Signature: Cate, Form ByKearny Litho (201)436-7287 Form a.dfilm imp Permit No. NYS DEC - NJ344 NJ DEP - 18693 4�* lkloSp A -r-4 DJM Comp. Inc. 7 109-113 Jacdbus Ave. S. Kearny, NJ 07032 (973) 491-0006 DOCUMENT NUMBER AB 009447 NON -HAZARDOUS ASBESTOS WASTE SHIPPING DOCUMENT Form By Keamy Litho (201) 438-7287 FDFM aWd djM Imp 1. WORK SITE AND MAILING ADDRESS Owner's Name Owner's Telephone No. �j 2.,PPEP,ATOR'S NAME AND ADDRESS Operator's Telephone No. 01 74 Ayc� 3. WASTE DISPOSAL SITE (WDS) Mailing address and Physical Site Location WDS Telephone No. CUMBERLAND COUNTY LANDFILL 620 NEWVILLE ROAD (717) 423-5917 NEWBURGH,, PA. 17242 4. NAME AND ADDRESS OF RESPONSIBLE AGENCY USEPA Air Compliance Branch, Region 11 F- 290 Broadway New York, NY 10007 JY UJ Z 5. DESCRIPTION OF ASBESTOS MATERIALS 5A. S&VV 6. CONTAINERS 7. TOTAL QUANTITY LU CD Circle as appropriate, percentages must total 100% Approval No. No. Type yd. FRIABLE NON -FRIABLE % 8. SPECIAL HANDLING INSTRUCTIONS (Friable Asbestos Only) Waste double bagged and prewetted with an approved wetting agent. Asbestos, 9, NA2212,111, RQ DEP Waste Type ID27A 9. OPERATOR'S CERTIFICATION: I herby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable international and government Taulations. Printed I ,TYped Name and Title. Signature: Date:,- J. 10. TRANSPORTER 1 (Acknowledgement of receipt of materials) 11. WASTE TRANSFER SITE - Owner or Operator Certification of receipt of asbestos materials covered by this manifest except as noted in item 13. Printed / Typed Name and Title - Address & Telephone No. Signature: n Date: Clean Earth of North Jersey, Inc. 115 Jacobus Ave. South Kearny, NJ 07032 (973) 344-4004 12. TRANSPORTER 2 Printed / Typed Name and Title -Address & Telephone No- S�gnature: Date: DJIVI Comp. Inc. 109-113 JACOBUS AVE. So. KEARNY NJ 07032 3 k- (973) 491-0006 Decal No. = 13. DISCREPANCY INDICATION SPACE 14. WASTE DISPOSAL SITE - Owner or Operator Certification of receipt of asbestos materials covered by this manifest except as noted in item 13. Printed I Typed Name and Title - Address & Telephone No. Signature: Date: Form By Keamy Litho (201) 438-7287 FDFM aWd djM Imp