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1987/2007 (5)THE. STATE INSURANCE FUND 199 CHURCH STREET NEW YORK, N.Y. 10007 (212) 312-7627 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE TOWN OF WAPPINGER FALLS 20 MIDDLEBUSH ROAD P 0 BOX 324 WAPPINGER FALLS NY 12590 :::::::P~F~fQb::~C<~V!EREfl:;:~K::~'H15:;~Ei#~~jC~1~'~;:?;:;::::>::::::: .. ::::;:::::sE~g:.>gg.~::T.O:~:~:~~ ~~29~~f8~9::~:~:~:~:~:::~:~:::::~:~::: POLICYHOLDER MICHAEL CIVITANO D/B/A CIVITANO CONTRACTING 16 CLIFTON COURT PATTERSON NY 12563 POLICY NUMBER '1187 770-1 DATE 4/26/1999 CERTIFICATE NUMBER , 089-214 CERTIFICATE HOLDER TOWN OF WAPPINGER FALLS 20 MIDDLEBUSH ROAD P 0 BOX 324 WAPPINGER FALLS NY 12590 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE STATE INSURANCE FUND UNDER POLICY N0. 11$7 770-1 UNTIL 6/29/1999 COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORK- ERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 6/29/1999 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 5 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION. THE ST-AJT~E INSURANCE FUND ~f` . C~'~ DIRECTOR, INSURANCE FUND UNDERWRITING 765 THE STATE INSURANCE FUND 199 CHURCH STREET NEW YORK, N.Y. 10007 (212) 312-7276 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~~ P M MECHANICAL INC CHURCH ROAD GLEN WILD NY 1273$ FERfOD::'vO:y;ERE{3:::81~:::TFiI S:::CERI'IFIC1x'f E :::::::::::::::::::: 5~~> 94 : T0:: 5ffl1:19iS :::::::::::::::: :::: POLICYHOLDER P M MECHANICAL INC CHURCH ROAD GLEN WILD NY 12738 POLICY NUMBER 1000 413-3 DATE 2/24/95 CERTIFICATE NUMBER 514-147 CERTIFICATE HOLDER TOWN OF WAPPINGERS ATT TOWN CLERK MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE STATE INSURANCE~FUND UNDER POLICY N0. 1000 413-3 UNTIL 5/01/96 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 5/01/96 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-A'fT~E INSURANCE FUND DIRECTOR, INSURANCE FUND UNDERWRITING 24831 THE STATE INSU~tANCi~ FUND 199 CHURCH STS i 2 ~~ 312 ~ 61 ~~ N.Y. 10007 CANCELLATION OF CERTIFICATE OF WORKERS' COMP;~NSATION a ~''1SURANCE TOWN OF' WAPPINGERS PO BOX 324 WAPPINGERS FALLS NY 12590 ~E~~~VED JUN ®~ 1999 Sl,~ ,~r~V~, , , ~FFIC~ TOWN OF ti yHrt~INl^aER POLICY NUMBER + 970 340-6 DATE 5/20/1999 CERTIFICATE NUMBER 982-204 :::. `:P. ~ RIQ D : ; ICCXV':E Ft ~: ; :f3;1~: ;',f. H l 5 :.1C~ R~~F I C i0.'1' ~ : :::.:.: : :.:.:. `:.: ~~~~~~~~~~~E.49~>99~~:~TD:~:~:~~~ffl3:~~1 ~9~.9 .::::::::::::::::::::::::::: r'OLIC:YHi)L~~tc ACE DRILL & BLASTING INC 266 WEST SAUGERTIES ROAD SAUGERTIES NY 12477 VL' ~n ~ ~^~t.F~ i ~~ i iv~..i ~n TOWN CF WAPPINGERS PO BOX 324 WAP'.'INGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 7/01/1999. THIS INFORMATION IS FURNISHED YOU IN COMPLIANCE WITH TERMS OF THE CERTIFICATE OF INSURANCE NUMBERED AS ABOVE AND ANY OTHER CERTIFICATE OF INSURANCE PREVIO?~.::LI ISSUED TO YOU AT THE POLICYHOLDER'S REQUEST UNDER THE A''iUVE POLICY 1rJMBER. THE ST-A~JT~E INSURANCE FUND ~'~` . C~~ CANCELLATION DIRECTOR, INSURANCE FUND UNDERWRITING; ~ r 1765 , THE STATE INSURANCE FUND 199 CHURCH STREET NEW YORK, N.Y. 10007 (212) 312-7616 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE a `~~~I~ POLICY NUMBER TOWN OF WAPPINGERS Po sox 324 SUN p ], 199 + 970 340-6 WAPPINGERS FALLS NY 12590 DATE ~~. ,~15V~~S OF ICE 5/20/1999 TOuw~~ ~F WAPPIN TIF1982 204 BER :::::::~?~f~(~b::~~~Ft~C3.;:~1f:::~'Fi15::~~F~{~FIC,A'I'~ :::::::::::::::::::~ :~:::~:~~ED9]~99~~::TQ:~:~:~~~ffl~:~.~19~t9:::~:~:~:~:::::~:~:~:;:~:~: r~1L7., f ~iiJLUCI'1 ACE DRILL & BLASTING INC 266 WEST SAUGERTIES ROAD SAUGERTIES NY 12477 T~~.~ vCft 1 it '~vr11 LL ~7VLUCtI TOWN OF WAPPINGERS PO BOX 324 WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 7/01/1999. THIS INFORMATION IS FURNISHED YOU IN COMPLIANCE WITH TERMS OF THE CERTIFICATE OF INSURANCE NUMBERED AS ABOVE AND ANY OTHER CERTIFICATE OF INSURANCE PREVIOUSLY ISSUED TO YOU AT THE POLICYHOLDER'S REQUEST UNDER THE ABOVE POLICY NUMBER. THE STATE INSURANCE FUND TI N ~' Cv~ CANCELLA O DIRECTOR, INSURANCE FUND UNDERWRITING ~ r 3.'` ~. THE STATE INSURANCE FUND 199 CHURCH SrBEET NEW YORK, N.Y. 10007 (212) 312-:7276 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE TOWN OF WAPPINGERS 20 MIDDLE BUSH ROAD WAPPINGERS FALLS NY 12590 POLIGYHULUtr~ HUDSON VALLEY HEATING CO INC T/A JJC ELECTRIC LICENSED CONTRACTOR 4 SOUTH CLINTON STREET POUGHKEEPSIE NY 12601 POLICY NUMBER +1086 400-7 DATE 5/28/1999 CERTIFICATE NUMBER 269-643 l+CllTlr lliM I C fIOLUCII TOWN OF WAPPINGERS 20 MIDDLE BUSH ROAD WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 7/0$/1999. THIS INFORMATION IS FURNISHED YOU IN COMPLIANCE WITH TERMS OF THE CERTIFICATE OF INSURANCE NUMBERED AS ABOVE AND ANY OTHER CERTIFICATE OF INSURANCE PREVIOUSLY ISSUED TO YOU AT THE POLICYHOLDER'S REQUEST UNDER THE ABOVE POLICY NUMBER. THE ST'AfTjE INSURANCE FUND CANCELLATION ? • a~'~ DIRECTOR, INSURANCE FUND UNDERWRITING r r 1847 THE STATE INSURANCE FUND 701 WESTCHESTER AVENUE WH TE PLAINS, NEW YORK 10604-3002 ~914~ 997-4842 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~~ TOWN OF WAPPINGER 22 MIDDLEBUSH ROAD WAPPINGER FALLS NY 12590 i' VLi:; ; iiV LUCI'S SERVICE WORKS INC 83 WALNUT DRIVE MAHOPAC ~: ~;:::: F?EAIDLI. ~:CQW~F3~R ~:81~ ~: fi~f~$: ~:CEfiTIFa£A~E: ~: ~: ~: ~: ~: ~: ~: ~: ~:: NY 10541 POLICY NUMBER +W 1252 159-7 DATE 7/12/1999 CERTIFICATE NUMBER 285-629 vCr1 I IrIVA 1 C fIULUCII TOWN OF WAPPINGER 22 MIDDLEBUSH ROAD WAPPINGER FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE $/02/1999. THIS INFORMATION IS FURNISHED YOU IN COMPLIANCE WITH TERMS OF THE CERTIFICATE OF INSURANCE NUMBERED AS ABOVE AND ANY OTHER CERTIFICATE OF INSURANCE PREVIOUSLY ISSUED TO YOU AT THE POLICYHOLDER'S REQUEST UNDER THE ABOVE POLICY NUMBER. CANCELLATION THE ST-AfTiE INSURANCE FUND ~7` . C~~ DIRECTAR, INSURANCE FUND UNDERWRITING 1031