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1987/2007 (6)THE STATE INSURANCE FUND 199 CHURCH STREET NEW YORK NY 10007-1100 1-~88-997-383 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~~ TOWN OF WAPPINGER 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 ruLii; i riG~uEM »:::? I?EFiI fJi?, ~:CQk~ti3~R ~: Bl~ ~:TFtES: ~:C6RTIF~<;A4~E: ~: ~: ~: ~>: ~ : ~»:: DEW CONSTRUCTION INC P 0 BOX 420 PATTERSON NY 12563 POLICY NUMBER +C 1015 947-3 DATE 7/20/1999 CERTIFICATE NUMBER 463-912 fi iZ,iyTc TOWN OF WAPPINGER 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 283 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 8/30/1999. 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 CANCELLATION ~, Co~ DIRECTOR, INSURANCE FUND UNDERWRITING THE STATE INSURANCE FUND 199 CHURCH SrBEET NEW YORK, N.Y. 10007 (212) 312-7627 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~~ TOWN OF WAPPINGER FALLS 20 MIDDLEBUSH ROAD P 0 BOX 324 WAPPINGER FALLS NY 12590 POLICYHOLDER >:::.:.:PEt#~Qb::1CC~V'E!?i~[3:::~~::'~'HI5> ~~f~#~FIC11~'~ ::.:.:.:.:.:::::::? :::~:~:~:~6E~9.~t>99~~:~T.11:~:~:~2ffl~~.;19St9~:~:::~:~:~:~:::~:~:~:~::: MICHAEL CIVITANO D/B/A CIVITANO CONTRACTING 16 CLIFTON COURT PATTERSON NY 12563 POLICY NUMBER +1187 770-1 DATE 1/19/1999 CERTIFICATE NUMBER 0$9-214 Ctrs i iricATE HOLDER TOWN OF WAPPINGER FALLS 20 MIDDLEBUSH ROAD P 0 BOX 324 WAPPINGER FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 2/09/1999. 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 CANCELLATION ~, Co~ ~- DIRECTOR, INSURANCE FUND UNDERWRITING 451 THE STATE aNSURANCE FUND 199 CHURCH STTBEET NEW YORK, N.Y. 10007 CANCELLATION OF CERTIFICA(TEl OF 312 - 7 6 2 ~ WORKERS' COMPENSATION INSURANCE ~_ ~~ TOWN OF WAPPINGER FALLS 20 MIDDLEBUSH ROAD P 0 BOX 324 WAPPINGER FALLS NY 12590 POLICY NUMBER +1187 770-1 DATE 1/19/1999 CERTIFICATE NUMBER _ 089-214 :.:.:.:(?EE#Fbb:.>rCS:V!~F~~{3:::BK::7'HI~:; ~~f2~~Fl C;c\'hE; {:::::: <:: <::::: :~:~:~:~6f~9t>g9T~:~TD:~:~:~2fflJ.~.~1~~9:~~~~::~~~:~~~::~~:~~:~:~: POLICYHOLDER r----~. MICHAEL CIVITANO D/B/A CIVITANO CONTRACTING 16 CLIFTON COURT PATTERSON NY 12563 ~crs i iriGATE HOLDER TOWN OF WAPPINGER FALLS 20 MIDDLEBUSH ROAD P 0 BOX 324 ` WAPPINGER FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 2/09/1999, 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 CANCELLATION ~l co~ DIRECTOR, INSURANCE FUND UNDERWRITING 411 .~ THE STATE INSURANCE FUND 199 CHURCH STBEET NEW YORK, N.Y. 10007 (212) 312-7249 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~_ ~~ TOWN OF WAPPINGER 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 r•GLiCYi-ii~LDER PAOLILLO CONSTRUCTION CO INC T/A DIAMOND CONSTRUCTION $ NEWHARD PLACE HOPEWELL JUNCTION NY 12533 C+tl'S f li iGA iE rivLDER TOWN OF WAPPINGER 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 X71 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 5/23/1999. 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 CANCELLATION ~, Co~ r ,. DIRECTOR, INSURANCE FUND UNDERWRITING r ~: ~: <~~~~Qti:; ~C~~R~::f~;1?:;'~H15:, ~C~I# ~~iC;q~h~ :::::::::::::::::::: ~~:~:~~ ~E~~~ ~f998~:~T0:~:~:~~~ ~f2~~.~19~:9:~:~:~:~:~:~:::~:~:~:~:~:~: THE STATE INSURANCE FUND 199 CHURCH S BEET NEW YORK, N.Y. 10007 CANCELLATION OF CERTIFICATE OF 312 - ~ 2 4 9 WORKERS' COMPENSATION INSURANCE ~~ TOWN OF WAI'PINGER 20 MIDDLEBUSH RD WAPPINGERS FALLS NY f VLiC i 1"7 LiLL.'LI"~ 12590 :~:;:.:.:p~R~Qb:.~C~~B~; `13K:::fiHl~::>~~Ft ~ifiiCi~:h~ :::::::::::::::>::: PAOLILLO CONSTRUCTION CO INC T/A DIAMOND CONSTRUCTION 8 NEWHARD PLACE HOPEWELL JUNCTION NY 12533 ~~~T~~iv:~TE iJ/1i r'! Z. ..+~..E- TOWN OF WAPPINGER 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 5/23/1999, 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 315 THE ST-A~TiE INSURANCE FUND ~!` • C~~. DIRECTOR, INSURANCE FUND UNDERWRITING THE STATE INSURANCE FUND 199 CHURCH SrBEET NEW YORK, N.Y. 10007 (212) 312-7318 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ,~ ~~ TOWN OF WAPPINGER P 0 BOX 324 WAPPINGER FALLS NY 12590 :~:.:.:.a5~i#~Qt?:;i~c3iv~~~~:;:~K:;:~NiS:.i~~i#~~~iC;q~h~ ::.:::.:::.:.::::: ~:~:~>:_:~flE ~~4~>99~~:~TD :~5~f i~~~f~s~9 ~::~ - - - - ~~~~ I POLICYHOLDER 0 C ELECTRIC HEATING & COOLING INC 1203 ROUTE 376 BUILDING 1B WAPPINGERS FALLS NY 12590 POLICY NUMBER +1059 389-5 DATE 4/26/1999 CERTIFICATE NUMBER 827-006 CERTIFICATE HOLDER TOWN OF WAPPINGER P 0 BOX 324 WAPPINGER FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 5/16/1999. 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 STA~TiE INSURANCE FUND ~f`. C~-~ DIRECTOR, INSURANCE FUND UNDERWRITING 717 'ae THE STATE INSURANCE FUND 199 CHURCH STREET NEW YORK, N.Y. 10007 1212) 312-7627 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE TOWN OF WAPPINGER FALLS 20 MIDDLEBUSH ROAD P 0 BOX 324 WAPPINGER FALLS NY 12590 :`•:.:.>#~~E#iQt?:.ir«ni~~~;:~i?:.:~Hi~:.i~~~t#~fif C~i~h~ ::::.:.:.:.:.:.:.::: :~:~:~~ ~{Z~~ ~t~T~:~TD:~:~:~~ ~f:i0~ ~19gg~:~:~:~:~:~:~:~:~:~:~:~:~: I pnL'CYHOLnE~? I MICHAEL CIVITANO D/B/A CIVITANO CONTRACTING 16 CLIFTON COURT PATTERSON NY 12563 POLICY NUMBER +1187 770-1 DATE 4/19/1999 CERTIFICATE NUMBER 089-214 I CERTlFlCATE H!?LDF4 TOWN OF WAPPINGER FALLS 20 MIDDLEBUSH ROAD P 0 BOX 324 WAPPINGER FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 5/10/1999. 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 STA~TiE INSURANCE FUND ~f`. C~ r'~a• DIRECTOR, INSURANCE FUND UNDERWRITING 1677 THE STATE INSURANCE FUND 199 CHURCH STBEET NEW YORK, N.Y. 10007 (212) 312-7627 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE TOWN OF WAPPINGER FALLS 20 MIDDLEBUSH ROAD P 0 BOX 324 WAPPINGER FALLS NY 12590 :::.:::.15~E#F¢~:.iCQiv!~R~;:~i?:.~tHi~:.i~~i##~iG;a~h~ ::.:.:.:::.:.:.::::: :~::::~ ~~~~: ~t~:::ro::::::~ :~:rv~ :r~g~ :::::::::::::::::::::::::: ~ni ~~..~,n~ nr!- rEGTIFI!'AT~ srni ~~D 1 VVYV I1 IVL/r.: MICHAEL CIVITANO D/B/A TOWN OF WAPPINGER FALLS CIVITANO CONTRACTING 20 MIDDLEBUSH ROAD 16 CLIFTON COURT P 0 BOX 324 PATTERSON NY 12563 WAPPINGER FALLS NY THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 5/10/1999. 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 -. POLICY NUMBER +1187 770-1 DATE 4/19/1999 CERTIFICATE NUMBER 089-214 12590 THE ST-A~JT~E INSURANCE FUND /7`. C~'~ DIRECTOR, INSURANCE FUND UNDERWRITING s583 THE STATE INSURANCE FUND 15 COMPUTER DRIVE W 5T ALBANY NEW YORK 12205-1690 ~51~) 485-822 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE .~ '~ TOWN OF W.APPINGERS 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 :~:~:1?EA1~3U~:CQk1ER8R~:8Y~:TbtIS: ~:CEfiTIF.i£AI'6: ~:~:~:~:~: ~: ~:~:~:~ pnLICYNnLncp BRONTOLI CONSTRUCTION INC 427 SOUTH ROAD POUGHKEEPSIE NY 12601 POLICY NUMBER +A 1010 699-5 DATE 8/16/1999 CERTIFICATE NUMBER 224-617 CE~?TIFIC TE ~~CL.^.ci TOWN OF WAPPINGERS 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 9/06/1999. 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 STA~fTiE INSURANCE FUND ~f` . C~~ DIRECTOR ~~SURANCE FUND UNDERWRITING 6 THE STA.TEE INSURANCE FUND 199 CHURCH ST212) 312-7627 ELLATION OF CERTIFICA((TE OF WO~~' COMPENSATION INSURANCE CANC ~~ TOWN OF WAPPINGERS FALLS 20 MIDDLEBUSH ROAD 12590 WAPPINGERS FALLS NY :::::::~EI#~QD::>rCkV!~(~C-~3;::8;1!::'~'Fi1',S~.::!~~F~'{I~IG;A~'~;;:'.:::' ::::::::::::: ::~:~~ ~ED1~~19?~~:~TD:~:~:~5~~{~r~.~199~9~::::::;:::::;:;:;:.::::~: CE°T!F;C.",TE `rOLDER COL !CYNOLDE° LUZON OIL CO INC T/A LUZON ENVIRONMENTAL SERVICES 1 INDUSTRIAL PARK WOODRIDGE NY 12789 POLICY NUMBER + 497 358-1 DATE 3/26/1999 CERTIFICATE NUMBER 192-451 TOWN OF WAPPINGERS FALLS 20 MIDDLEBUSH ROAD WAPPINGERS FALLS 11Y 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 5/06/1999• 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 STATE INSURANCE FUND ~. Cv~ DIRECTQR, INSURANCE FUND UNDERWRITING 1 L~4 THE STATE INSURANCE FUND 199 CHURCH SrBEET NEW YORK, N.Y. 10007 (212) 312-7249 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~u~ TOWN OF WAPPINGERS 20 MIDDLEBUSH RD WAPPINGERS FALLS NY ~~VLlen i ~ .V Ll.s ~fl GALS INC Box 1369 WAPPINGERS FALLS 12590 CERTiFiCiaTE rivLuc'rs TOWN OF WAPPINGERS 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 POLICY NUMBER * 911 160-0 DATE 7/17/98 CERTIFICATE NUMBER 303-515 :~:::;:::~?EF#FQD:; ~Cky!~F~~3:;:~;K:;~'F115::F$#1>=1C;A'1'~ :::::::::::::::::~: THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE $/30/9$. 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. CANCELLA.~.TIOI~ b33 THE ST''A~T/E INSURANCE FUND /~ . ~!~/~ DIRECTOR, INSURANCE FUND UNDERWRITING r r THE STATE INSURANCE FUND 199 CHURCH STTREET NEW YORK N.Y. 10007 CANCELLATION OF CERTIFICAtT'E12 , 312 - 7 3 6 8 OF Wp~~~ COMPENSATION INSURANCE 17 ~~ TOWN OF WAppINGER 20 MIDDLEBUSH ROAD WAppINGER FALLS NY 12590 ~: ~: ~: ~?EFt1Ob:: ~.d'17`E1~~[3: ~:$$N: ~'~'FIS:::trEFt~lt` IC;Q'f'E:::.: ~-: ~: ~: ~: ~ •: •: r' VLI~. ~f H(~jLUCf1 WOODWAS TE INC ~ ~ ~crs ~ lrj~N i t i-iGLDtR 1075 WASHINGTON STREET PEEKSKILL NY 10566 POLICY NUMBER '~ 982 526-6 DATE 5/08/97 CERTIFICATE NUMBER 185-052 TOWN OF WAPPINGER 20 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 6/01/97. WITH TERMS OF THE CERTIFICATE OF INSURANCE NUMBERED AS ABOVE AND ANy OTHER CERTIFICAT ISSUED TO YOU AT THE POLICYHOLDER'S REQUEST UNDER THE E OF INSURANCE PREVIOUSLY ABOVE POLICY NUMBER. THIS INFORMATION IS FURNISHED YOU IN COMPLIANCE CANCELLATION THE STATE INSURANCE FUND '7 • CIr~ DIRECTOR, INSURgNrE FUND UNDERWRITING THE STATE INSURANCE FUND 199 CHURCH S7'BEET CANCELLATION t 212 ) 312 7 YORK N.v. ~ ooo~ OF CERTIFICATE OF j,~,0 368 RICERS COMPENSATION INSUI~NCE ~ TOWN OF WgppINGER 20 MIDDLEBUSH ROAD W`4PPINGER FALLS NY 12590 ~: ~: ~: ~?EFtFOD:. ~U1Y~Rl:{3: ~:~Y::'3'Fil~:::CER~IfilE,c1'hE;:::::::::>:;:::::: .° ~ICYHO~;,~~ ~:~~::~~:~BIt7~f9~~:~T.U:~:~:~fiffl?:~~~?:::~:~:~:~:~:~:~:~:~:~:~:~:~:~:~: WOODWASTE INC f CERTiFiCHTE ` . 1075 WASHINGTON HV~"ER PEEKSKILL STREET NY 10566 POLICY NUM EBUM EB R 'ti 982 526-6 DATE 5/08/97 CERTIFICATE NUMBER 185-052 TOWN OF W,gppINGER 20 MIDDLEBUSH ROAD WAPPINGER FALLS NY 12590 THIS IS Tp ,gDVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDE NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 6/01 /97. R THIS INFORMATION IS FURNISHED YOU IN COMPLI INSURANCE `SCE WITH TERMS OF THE CERTIFICATE OF NUMBERED AS ABOVE AND ANY OTHER CERTIFICATE OF ISSUED TO YOU AT THE POLICYHOLDER'S INSURANCE REQUEST UNDER THE PREVIOUSLY ABOVE POLICY NUMBER. CANCELLAT~pN THE STATE INSURANCE FUND '~• C ~'~. DIRECTOR, INSURANCE FUND UNDERWRITING THE STATE INSURANCE FUND 199 CHURCH STREET NEW YORK, N.Y. 10007 (212) 312-7249 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~~ KEEVILY SPERO-WHITELAW INC 550 MAMARONECK AVENUE HARRISON NEW YORK 1052$ PERFOD:; CO:VEFiEU:;:B1f:::i'FiI,S:;:CERTIF IC1~TE :::::::::::::: ~:~;I~:1 t:9,~ T0::7:1 ~~1:197::::::: POLICYHOLGER HUDSON VALLEY ELECTRICAL CONSTRUCTION & MAINTENANCE INC 4$2 VINEYARD AVE HIGHLAND NY 1252$ POLICY NUMBER 1038 349-5 DATE 9/17/96 CERTIFICATE NUMBER 505-689 CERTIFICATE HOLDER TOWN OF WAPPINGERS 20 MIDDLE BUSH RD WAPPINGERS NY 12590 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE STATE INSURANCE FUND UNDER POLICY N0. 1038 349-5 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. 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 STA~T/E INSURANCE FUND DIRECTOR, INSURANCE FUND UNDERWRITING 7605 THE STATE INSURANCE FUND 199 CHURCH STREET NEW YORK, N.Y. 10007 (212) 312-7249 CANCELLATION OF CERTIFI.CATE OF WORKERS' COMPENSATION INSURANCE TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD WAPPINGERS FALLS NY 12590 ~: ~ :::::FEEZFb D::>idV'EREfl:::B1!::'i'HI~:: ~C~RTI>=1ClaTE :::::::::::::::::::: POLICYHOLDER G A L S INC BOX 1369 WAPPINGERS FALLS NY 12590 POLICY NUMBER ~~ 911 160-0 DATE 11/07/97 CERTIFICATE NUMBER 827-367 CERTIFICATE HOLDER TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 12/21/97. 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-A~TiE INSURANCE FUND CANCELLATION ~7`. Cv~ DIRECTOR, INSURANCE FUND UNDERWRITING J THE STATE INSURANCE FUND 199 CHURCH STREET NEW YORK, N.Y. 10007 (212) 312-7249 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE TOWN OF WAPPINGERS 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 POLICYHOLDER G A L S INC BOX 1369 WAPPINGERS FALLS ~:::;:;:PEFtFbD:: ~aV'EREC3:::8;1~::'i'H15:: ~~Ft~~FIC11'CE ::: ::::::::::::::::: :~:;:;:;~1:t8:f9~:::TO:::~"2f2~::J.9T::::;:::~ ::::::::::::::::::::::: NY 12590 POLICY NUMBER 911 160-0 DATE 11/07/97 CERTIFICATE NUMBER 303-515 CERTIFICATE HOLDER TOWN OF WAPPINGERS 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 12/21/97. 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-AfT~E INSURANCE FUND ~f` . C~'~ DIRECTOR, INSURANCE FUND UNDERWRITING ' THE STATE INSURANCE FUND 199 CHURCH STREET NEW YORK, N.Y. 10007 (212) 312-7249 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD WAPPINGERS FALLS NY 12590 '~ ~: ~: ~:PE~i!bD::>QVER~r ;~FI~NS::iF1EAi~'CEr;:::::;': _':': - ::::::;::fit +~~f~&~: f~::~~f2~~~~T :::~::::~:~:~::~:::: POLICYHOLDER G A L S INC BOX 1369 WAPPINGERS FALLS NY 12590 POLICY NUMBER ''~ 911 160-0 DATE 11/07/97 CERTIFICATE NUMBER 827-367 CERTIFICATE HOLDER TOWN OF WAPPINGER ZO MIDDLEBUSH ROAD WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 12/21/97. 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-A~TiE INSURANCE FUND ~f` . C~~ DIRECTOR, INSURANCE FUND UNDERWRITING ' THE STATE INSURI~NCE FUND 199 CHURCH STBEET NEW YORK, N.Y. 10007 (212) 312-7249 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE TOWN OF WAPPINGERS 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 ':.:.:::PEfi1QD:; ~C~tV![fiE6i;:Bi~:.'~:r.~l!S ;:~f~T#FICAF.TE:.:.: _-: _:.:.: _": :~:~:;:;::frFt~t~~:: f~:~:t2f2#:f:97 :::::::::::::::::::::::::::::::: POLICYHOLDER G A L S INC BOX 1369 WAPPINGERS FALLS NY 12590 POLICY NUMBER ''~ 911 160-0 DATE 11/07/97 CERTIFICATE NUMBER 303-515 CERTIFICATE HOLDER TOWN OF WAPPINGERS 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 12/21/97. 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'A~JT~E INSURANCE FUND ~7` . C~'~ DIRECTOR, INSURANCE FUND UNDERWRITING THE STATE INSURANCE FUND 199 CHURCH STREET NEW YORK, N.Y. 10007 (212) 312-7249 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD WAPPINGERS FALLS NY 12590 POLICY NUMBER * 911 160-0 DATE 2/10/97 CERTIFICATE NUMBER 827-367 :~: >:PERIOD:~~C~:V'EFtEC3:~:B1~:~:~'HI5>~~F2~~FICIiTI;~:~:~:~:~:~:~:~:~:~: :~::~:~::6~lt8f9~~:T.O:::3f2~~~97:::~:::~:::~:::::::: POLICYHOLDER G A L S INC BOX 1369 WAPPINGERS FALLS NY 12590 TOWN OF WAPPINGER 20 MIDDLEBUSH ROAD WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 3/26/97. 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'A~fTiE INSURANCE FUND DIRECTOR, INSURANCE FUND UNDERWRITING