1987/2007 (4)' THE STATE INSURANCE FUND
199 CHURCH STREET NEW YORK N.Y. 10007
CERTIFICATE OF ( 212 ) 312 - 7 2 4 9'
~'~'ORKERS' COMPENSATION INSURANCE
~~ TOWN OF WAPPINGERS
20 MIDDLEBUSH RD
WAPPINGERS FALLS Ny
12590
POLICY NUMBER
~` 911 160-0
DATE
11/21/97
CERTIFICATE NUMBER
303-515
~: ~::::::f?ERIQD.`•~Cfa11'ER~{;::;gu.: ~FjlS:; ~C~Ft~I>=f C;ti'f'~.:.::::: ~: ~: ~>:::::
:~:::::::6I #8f9~~:~TO:~:~2f>a~:~~98:~:~:~:~:~:;:~:~::~~::~~:~:~:~:~:
POLICYHOLDER
G A L S INC CERTIFICATE HOLDER
BOX 1369 TOWN OF WAPPINGERS
WAPPINGERS FALLS 20 MIDDLEBUSH RD
NY 12590
WAPPINGERS FALLS NY 12590
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH
INSURANCE FUND UNDER POLICY N0, THE STATE
911 160-0 UNTIL 12/01/98 COVERING THE ENTIRE
OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORK-
ERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,
EXCEPT AS INDICATED BELOW,
IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 12/01/98 IN SUCH MANNER AS
TO AFFECT THIS CERTIFICATE, 5 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.
THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION,
THIS CERTIFICATE DOES NOT APPLY TO THOSE JOB SITES WHICH ARE COVERED BY OTHER
INSURANCE AND ARE SPECIFICALLY EXCLUDED BY ENDORSEMENT.
THE ST'A~TiE INSURANCE FUND
DIRECTOR, INSURANCE FUND UNDERWRITING
THE STATE INSURANCE FUND
199 CHURCH STREET NEW YORK, N.Y. 10007
(212) 312-7276
CERTIr ICATE OF WORKERS' COMPENSATION INSURANCE
ALLIED SAFETY MANAGEMENT INC
390 NORTH BROADWAY
JERICHO NY 11753
PERIOD COVERE[i BY Tf11~: CERTIFICATE
12/d f:195 T4 12f1I1/98:.
POLICYHOLDER
PRK DRILLING & BLASTING INC
PO BOX 190
CAMBRIDGE NY 12$16
POLICY NUMBER
1114 999-4
DATE
10/22/97
CERTIFICATE NUMBER
869-220
CERTIFICATE HOLDER
TOWN OF WAPPINGER, DUTCHESS CO
20 MIDDLEBUSH ROAD
P.0. BOX 324
WAPPINGER FALLS NY125900324
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE STATE
INSURANCE FUND UNDER POLICY N0. 1114 999-4 UNTIL 12/01/9$ COVERING THE ENTIRE
OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORK-
ERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,
EXCEPT AS INDICATED BELOW.
IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 12/01/9$ IN SUCH MANNER AS
TO AFFECT THIS CERTIFICATE, 5 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 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.
THE ST`A~T~E INSURANCE FUND
/7` . C~~
DIRECTOR, INSURANCE FUND UNDERWRITING
3955
THE STATE INSURANCE FUND
199 CHURCH STREET NEW YORK, N.Y. 10007
(212) 312-7616
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
KEEVILY SPERO-WHITELAW INC
550 MAMARONECK AVENUE
HARRISON NEW YORK 10528
POLICY NUMBER
1006 239-6
DATE
4/07/97
CERTIFICATE NUMBER
943-451
PERIOD COVERED BY THIS CERTIFICATE
11/01/96 TO 11/01/97
POLICYHOLDER CERTIFICATE HOLDER
D SILVESTRI SONS INC TOWN OF WAPPIIVGER FALLS
173 OLD RT 9 20 MIDDLEBUSH ROAD
FISHKILL NY 12524 WAPPINGER FALLS NY 12590
THIS IS TO CERTIFY THAT THI POLICYHOLDER NAMED ABOVE IS INSUI:ED WITH THE STATE
INSURANCE FUND UNDER POLICY NO. 1006 239-6 UNTIL 11/01/97 COVERING THE ENTIRE
OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORK-
ERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,
EXCEPT AS INDICATED BELOW.
U-26.3
IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 11/01/97 IN SUCH MANNER AS
TO AFFECT THIS CERTIFICATE, 5 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.
THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION.
THE ST i SURAN E FUND
C
HER T JACOBS
DIRECTOR, INSU ANCE FUND UNDERWRITING
THE STATE INSURANCE FUND
199 CHURCH STREET NEW YORK, N.Y. 10007
(212) 312-7249
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
~~ NAPLES CLAIMS MANAGEMENT INC
340 DELAWARE AVENUE
BUFFALO NY 14202-1897
~:::::: i?~FtiQ~:; irrfXv!~~~;:L~i?:::~H15:: ~~FYf~fiiC~'t'~ :::::::::::::::?:::
POLICYHOLDER
G A L S INC
BOX 1369
WAPPINGERS FALLS NY 12590
POLICY NUMBER
* 11 1 -0
DATE
CERTIFICATE NUMBER
CERTIFICATE HOLDER
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS NY 12590
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE STATE
INSURANCE FUND UNDER POLICY N0. 911 160-0 UNTIL 12/01/98 COVERING THE ENTIRE
OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORK-
ERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,
EXCEPT AS INDICATED BELOW.
IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 12/01/98 IN SUCH MANNER AS
TO AFFECT THIS CERTIFICATE, 30 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.
THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION.
THIS CERTIFICATE DOES NOT APPLY TO THOSE ,TOB SITES WHICH ARE COVERED BY OTHER
INSURANCE AND ARE SPECIFICALLY EXCLUDED BY ENDORSEMENT.
THE ST''A~T/E INSURANCE FUND
~T . G~i/~
DIRECTOR, INSURANCE FUND UNDERWRITING
103
ACORD~, CERTIFICATE QF LIABILITY INSURANCE ~R ~ °ATE,NINI,DD/VYI
CAMOP+-1 12 14 98
~D~~ 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 BiY 12590-4047 COMPANIES AFFORDING COVERAGE
PltoneNo. 914-297-1700 FsxNo.914-297-2879 United Pacific Insurance Co.
INaLIRED
`eliance National Insurance Co
~''
Como Pollution Coatrol, Inc.
1910 Route 376 -
C
~ ~ ~
~~
Wappingers Falls M7f 12590 ~ 7
( !
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~Cw"
~ ~
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COVERAGES ~
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LI; ., fHE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM ..n TRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INJUR, .. I"HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SI ,
rfAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER
LTR POLICY ffFECTIVE POLICY EXPIRATION OMITS
DATE (MM/DD/YY) DATE (MM/DDM'1
GE NERAL LIABILITY GENERAL AGGREGATE S 20000Q0
A $ COMMERCIALGENERALLIABILITV Q68604476 01/01/99 01~01~00 PRODUCTS-COMP/OPAGG S 2000000
CLAIMS MADE ®OCCUR PERSONAL & ADV INJURY S 1000000
OWNER'S 6 CONTRACTOR'S PROT EACH OCCURRENCE S lOOOOOO
FIRE DAMAGE IAny one fire) S 50000
MED EXP IAny one pereonl S 5000
AU TOMOBILE LIABILITY
A $ ANY AUTO QB8604476 01/01/99 01~01~00 COMBINED SINGLE LIMIT S 1000000
ALL OWNED AUTOS
BODILY INJURY
S
SCHEDULED AUTOS IPer pereonl
HIRED AUTOS
BODILY INJURY S
NON-OWNED AUTOS (Per eeeldsntl
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 5000000
A $ UMBRELLA FORM QU8604476 01/01/99 O1/O1/00 AGGREGATE s 5000000
OTHER THAN UMBRELLA FORM S
WORKERS COMPENSATION AND
BYIPLOYERS' LIABILIT WC STATU- OTH-
TORY IMITS ER
Y
_
EL EACH ACCIDENT ----
6 1000000
$ THE PROPRIETOR/
PARTNERS/EXECUTIVE INCL QY8604476 01/01/99 01~01~00 EL DISEASE-POLICVLIMIT S 1000000
OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE S 1000000
OTHER
DESCRIPTION OF OPBiAT10NSJLOCATIONSNEHICLES/SPECIAL ITEMS
Certificate Holder is included as Additional Insured for (;enaral Liability
as respects work performed by the Insured.
"Corrected"
CERTIFICATE HOLDER CANCELLATION
rj'OWN001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MNL
Town of Wappinger lO DAYS WRITTEN NOTICE TO THE C6tTIRCATE HGLDet NAMED TO THE LET,
Attn: Comptroller BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
P . O . BOX 324 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTAnVES.
Wappingers Falls NY 12590 At'T REPREBEN vE
~
ACORD 25-S 11 /95) ®gCORD CORPORATION 1988
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HOLDER. THIS CERTIFlCA DO T MEND, EXTEND OR
C/O BOWERS, SCHUMANN & WELCH ALTER THE COVERAGE A ORO OLICIES BELOW.
ROUTE 31 NORTH, P. O. BOX 978 COMPANIES AFFORDING COVERAGE
WASHINGTON NJ 07882-0978 ~,Wy
A AMERICAN ALTERNATIVE INS. CO.
WSUREO COMPANY
ALL COUNTY RESOURCE MGT CORP & B THE PMA GROUP
ALL COUNTY SEPTIC SERVICE coMPANv
99 MAPLE GRANGE ROAD C
VERNON, NJ 07462 ~PN,Iy
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THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REpU1REMENT, TERM OR CONDI710N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIGE8 DESCRIBED HEREIN IS 8UBJECT TO ALL THE TERM8,
EXCWSIONS AND CONDIl70N8 OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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OE NERALLIABLRY C7A2CP000000100 10/01/97 10/01/98 GENERAL AGGREGATE :2 000 000
X COMMERCIAL GENERAL LIABIL!'lY PRODUCTS • COMP/OP AG(i i 1 O O O O O O
CLAMAS MADE ~ OCCUR PERSONAL t ADV MVJURV i 1 O O O 0 0 0
OwNER'8 t CONTRACTOR'S PROT EACH OCCURRENCE i t 0 0 0 0 0 0
FIRE DAMAGE (My om rn) i 5 0 0 0 0
MED EXP (Any qN pwson) i 5 0 0 0
AuroMOSaE LMiLJTY C7A2CP000000100 10/01/97 10/01/98 1, 000, 000
X ANV AUTO ~~~ swGLE LwR i
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IPK Pte) i
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PROPERTY DAMAGE i
GARAGE LIABLITr AUTO ONLY • EA ACCIDENT i
ANY AUTO OTHER THAN AUTO ONLY: ::
EACH ACCIDENT i
AGGREGATE i
lXCESiLMBLITY C7A2UM000000100 10/01/97 10/01/98 EACH OCCURRENCE i2 000 000
X UMBRELLA FORM AGGREGATE i 2 O O O 0 0 0
OTHER THAN IN~IBRELLA FORM_ _____ __
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woalcERS COMPENBA7fON AwD 219 8 0 0 0 0 3 8 4 2 2 6/ 0 1 / 9 8 6/ 0 1 / 9 9 X Ry
EMPLOYEAi' LIABLRr EL EACH ACCIDENT 10 0 O O O
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DESCRWTWN OF OPERATIOw$ILOCA KEYS
THE CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WITH RESPECTS TO SLUDGE
REMOVAL AND DISPOSAL FOR THE WASTE TREATMENT FACILITIES IN THE TOWN OF
WAPPINGERS.
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TOWN OF WAPPINGERSTROL INC EIVM710N DATE THEREOF, T!E wsllno COMPAwr ws.L EwoEAVOR TD rrA<
ATTN : CONNIE SMITH l~ DArs wRrrlEw woTlcE To THE cERTIACnTE woLDER wAMED m THE uPr,
PO BOX 3 2 4 , MIDDLEBUSH RD Eur FARE Tp MAa sua+ N0~ sHALI ~~ ~ O~pA~ ~ ~r
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A~ORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY)
PRODUCER 10/06/1999
Waste & Septage Haulers ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Route 31 North HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO Box 978
Washington, NJ 07882-0978 INSURERS AFFORDING COVERAGE
INSURED All County Resource Management Corporation
T
A All INSURER A: American Alternative Insr. Co.
/
County Septic Service / Sani]on
A
i INSURER B: THE PMA GROUP
ct
ve Service Corp T/A Active Sewer & Drain INSURER C:
99 M
l
ap
e Grange Road INSURER D:
V
ernon, N] 07462 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 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 TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS
GENERAL LIABILITY 7A2CP000000102 10/01/1999 lO/Ol/2000 EACH OCCURRENCE $ 1 ~ 000 ~ ~~
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 50 ~ 00
CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5 ~ 000
A X XCU Coverage PERSONAL & ADV INJURY $ 1
~~~
~
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GENERAL AGGREGATE $ 2
000
00
' r
~
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L AGGREGATE LIMIT APPLIES PER:
PRO- PRODUCTS -COMP/OP AGG $ 1 ~ 000 ~ ~~
X POLICY
LOC
JECT
AU TOMOBILE LIABILITY 7A2CP000000102 10/01/1999 10/U1/2000
X
ANY AUTO COMBINED SINGLE LIMIT
(Ea accident)
$ 1
0
000
'
00
,
ALL OWNED AUTOS
A
SCHEDULED AUTOS BODILY INJURY
(Per person) $
X HIRED AUTOS
X
NON-OWNED AUTOS BODILY INJURY
(Per accident) $
PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGG $
EXCESS LIABILITY 7A2UM000000102 10/01/1999 lU/Ol/2000 EACH OCCURRENCE $ 5 , 000, 00
X OCCUR ~ CLAIMS MADE AGGREGATE $ 5 , 000 , 00
A $
DEDUCTIBLE $
X RETENTION $ lO,OO $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY 2199000038422 06/01/1999 06/01/2000 TORY LIMITS ER
B E.L. EACH ACCIDENT $ 100, 00
E.L. DISEASE - EA EMPLOYE $ 100, 00
OTHER E.L. DISEASE - PULICY LIMIT $ 500, 00
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS
he certificate holder is named as additional insured with respects to sludge removal and disposal for
he Waste Treatment Facilities in the Town of Wappingers.
CERTIFICATE HOLDER ,,,,,,.T.,,.,., ,.,~,....-............_... ____ .•..~..~~ , . r~,,..
Town of Wappingers Inc.
Attn. Connie Smith
P.O. Box 324
Middlebush Road
Wappingers Falls, NY 12590
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
1~ 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.
Kimberl
AR
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 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYY)
PRODUCER
10/06/1999
Waste & Septage Haulers ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Route 31 North HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO B
978 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ox
Washington , NJ 07882-0978 INSURERS AFFORDING COVERAGE
INSURED All County Resource Mgt Corp T/A All County
A
i INSURER A: American Alternative Insr. Co.
ct
ve Service Corp T/A Active Sewer and Drai INSURERS: THE PMA GROUP *~ ~°°!~ ~,:;°^°~^
99 Maple Grange Road wsuRER c ~ --.--fr-
~. V
Vernon, NJ 07462 wsuRERD
INSURERS (~,;
OVERAGES ,
(5P
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IN ATED NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFIC 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 TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY) DATE (MM/DD/YY) LIMITS
GENERAL LIABILITY C7A2CP000000102 10/01/1999 lO/O1/2000 EACH OCCURRENCE $ 1 r 000 r 00
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 50 r ~~
CLAIMS MADE ~ OCCUR
1 MED EXP (Any one person) $ 5 ~ 00
A X XCU Coverage PERSONAL 8 ADV INJURY $ 1
000
~
r 00
GENERAL AGGREGATE $ 2
000 00
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO PRODUCTS -COMP/OP AGG r
$ 1 r 000 ~ 00
)( POLICY
LOC
JECT
AUT
X OMOBILE LIABILITY
ANY AUTO C7A2CP000000102 10/01/1999 10/01/2000 COMBINED SINGLE LIMIT
(Ea accident)
$
1
000
00
,
,
ALL OWNED AUTOS
A
SCHEDULED AUTOS BODILY INJURY
(Per person) $
)( HIRED AUTOS
BODI
X
NON-OWNED AUTOS LY INJURY
(Per accident) $
PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY C7A2UM000000102 10/01/1999 lO/O1/2000 EACH OCCURRENCE $ 5 ~ ~00 ~ 00
X OCCUR ^ CLAIMS MADE AGGREGATE $ 5 ~ 000 00
A _
_
$
DEDUCTIBLE
X RETENTION $ lO,OO $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY 2199000038422 06/01/1999 U6/O1/2000 TORY LIMITS ER
B E.L. EACH ACCIDENT $ 100 ~ 00
E.L. DISEASE - EA EMPLOYE $ 100 r 00
E.L. DISEASE -POLICY LIMIT $ 500 r ~~
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
he certificate holder is named as additional insured with respects to sludge removal and disposal for
he Waste Treatment Facilities in the Town of Wappingers.
Town of Wappingers Inc.
Attn. Connie Smith
P.O. Box 324
Middlebush Road
Wappingers Falls, NY 12590
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~~ 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.
Kimberly Ujvary/KU]VAR ')``~'"`~ 9
THE STATE INSURANCE FUND
199 CHURCH STREET NEW YORK, N.Y. 10007
(212) 312-7627
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
LORI WAREING D/B/A
LORJEN ELECTRICAL SYSTEMS
109 STAGECOACH PASS
STORMVILLE NY 12582
1107 779-9
761-744
PE iF~TO~CO~R Y 1 HIS CER IFICATE
3/05/1996 TO 3/05/2000
2/23/1999
POLICYHOLDER ERTIFICATE HOLDER
LORI WAREING D/B/A TOWN OF WAPPINGER
LORJEN ELECTRICAL SYSTEMS 20 MIDDLEBUSH ROAD
109 STAGECOACH PASS WAPPINGER NY 12590
STORMVILLE NY 12582
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE STATE
INSURANCE FUND UNDER POLICY NO. 1107 779-9 UNTIL 3/05/2000 , COVERING THE ENTIRE
OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORR WORK-
ERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,
EXCEPT AS INDICATED BELOW.
U-26.3
IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 3/05/2000 IN SUCH MANNER AS
TO AFFECT THIS CERTIFICATE, 5 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 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.
THE STA INSURAN E FUND
. a
HER T JACOBS
DIRECTOR, INSU NCE FUND UNDERWRITING
THE STATE INSURANCE FUND
1 199 CHURCH STREET NEW YORK, N.Y. 10007
®~ `~~ (212) 312-7249
Jv~- CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
EDWARD NAZAK D/B/A PRIZM POOLS
15 DENNIS RD
WAPPINGER FALLS NY 12590
POLICY NUMBER
1208 963-7
DATE
6/29/1999
CERTIFICATE NUMBER
299-011
PERIOD COVERED BY THIS CERTIFICATE
6/03/1998 TO 6/03/2000
OLICYHOLDER ERTIFICATE HOLDER
EDWARD NAZAK D/B/A PRIZM POOLS TOWN OF WAPPINGERS FALLS
15 DENNIS RD 20 MIDDLEBUSH RD
WAPPINGER FALLS NY 12590 WAPPINGERS FALLS NY 12590
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE STATE
INSURANCE FUND UNDER POLICY NO. 1208 963-7 UNTIL 6/03/2000 COVERING THE ENTIRE
OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORK-
ERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK,
EXCEPT AS INDICATED BELOW.
IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 6/03/2000 IN SUCH MANNER AS
TO AFFECT THIS CERTIFICATE, 5 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.
THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION.
U-26.3
THE ST I SURAN E FUND
C
HER T JACOBS
DIRECTOR, INSU ANCE FUND UNDERWRITING
LI: ~JI JJI .J...J.. 1-1~.v : >1
THE STATE IN~URAN~E FUND
199 CHURCH STREET NEW YC1RK, N.Y. 10007
(212) 312-9249
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
MAURZC>~ ~~CC~ D9A
M RICCI ELECTRIC
4 JAMES DORLAND DR
WAPFINI~EE~S FALLS
NY 1259Q
POLICY NUMBER
1256 457-1
DATE
7/Q7/1999
CERTIFICATE NUMBER
30D-fi83
PERIOD COVERED 8Y THIS CERTIFICATE
6/16/1999 Ta 6/18/2000
OUCYHOLDER ERTIFICATE HOIpFR
MAURICE RICCI ACA TOWN QF WAPPINGERS FALLS
M RICCI ELECTRIC 20 MIDDLEHCISH Rp
4 JAMES pORLAND DR WAPPINGERS FALLS NY 12590
WAPPINGERS FALT~S NY 12590
THIS XS TO CERTIFY THAT THE PdLICY'HDLpEEt NAMED ABOVE IS INSURED WITH THE STATaw
INSURANCE FUND Ul~1pEi2 POLICY N0. 1256 457-1 CINTIL 6/1.8/2000 COVERING THE ENTIRE
OBLTaATION OF THIS POLICXHOLl~ER FOR WORKERI3' COMPENSATION UNDER THE NEW YORK WORK-
ERS' COMPENSATION 7.,A1'nT WITH RESPECT TO ALL apERATIOtvs IN THE STATE OF NEW YORK.
IF SAID POLICY IS CANCELLED, OR CHANQEri PRIDR TO 6/18/2000 IN SUCH MANNER AS
'PO AFFECT THIS CERTIFICATE, 5 DAYS WRITTEN NOTICE QF StTCH CANCELLATION
WILL HE G1IV1~1~ TO THE CERTIFICA~'>~ HQI,DER ABOVE, NOTICE HY REGULAR MAIL sa
ApC~}?ESSED SHALL HE SUFFICYENT COMPLIANCE WITH THIS PROVISION.
U-26.3
THE ST I SURAN E FUND
. d
HER TJAGQBS
DIRECTOR, iNSU ANCE FUND UNDERWRITING
-`,4 JUL__ 07-66 FR I, 12,:28 ,PM ,•1?ITT,ER AGENCY ,~ 914 831 3535
- - _. P. 01
THE ~TAT~ INSUf~AN~~ ~Uh1D
199 CNURCN STREET NEW YC1Ak, N.Y. 10007
(2121 ]12-'1249
CERTfFICATE OF WORKERS' COMPENSATION INSURANCE
MAURICE RICCI DBA
M RICCI ELECTRIC
4 JAMES DORLAND DR
WAPPINafiRS FALL9
NY 12590
POLICY NUMBER
1256 45~-1
DATE
7/07/1999
~LRTIFIOATE NUMBER
300-68]
PERIOD COVERED HY TNIS OERTIFICATE
6/18/1999 TO 6/lA/2000
POLICYHOLDER ERTIFICATE MOLDER
MAURICE RICCI D9A TOWN OF WAPPINGERS FALLS
M RICCI ELECTRIC 20 MIDDLEBUSH Rb
Q .TAMES DORLAND DR WAPPINC3LR3 FALLS •NY 12590
WAPPINGERS FALLS NY 12590
TRI3 IS TO CERTIFY THAT TH$ POLICYHOLDER NAHED A80VH I3 INBURED WITH TN)3 STATE
INSURANCE FUND UNDER POLICY N0. 1256 457-1 UIN'TIL 6/18/2000 COVERING THE ENTIRE
OBLTC3ATION OF THIS POLICYHOLDER FOR WORKSR~3' COMPENSATION UNDER THE NEW YORK WORK-
ERS' COMPENSATION LAtJ WITH RESPECT TO ALL Op$RATIONS IN THE STATE OF NEW YORK.
IF SAID POLICY I3 CANCELLED, OR CHANGED PRIOR TO 6/18/2DD0 IN SUCH M1INNER AS
TO AFFECT THIS CERTIFICATE, 5 DAYS WRITTEN NOTICE OF SUCH CANCELLATION
WILL BE GIVEN TO THE CFRTIFICATfi HOLDER AHOVE. NOTICE HY REGULAR MAIL 50
ADDRESSED SFIALL BE SUFFICIENT COMPLIANCE WITH THIS pROV18ION.
U-26.3
THE $T i SURAN E FUND
O
HER TJACOBS
DIRECTOR, INSU ANCE FUND UND1=AWpITINC