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1987/2007 (7)~ rrE STATE INSURANCE FUND 199 CHURCH STREET NEW YORK, N.Y. 10007 1212) 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 :~:::~,:PEFtIbD::~CQ:V':EF2E-C3:::BY::'f.F115::~~R;~FIC1aTE;::::'.::: ~: ~:::::~.: ~, :::~:~:;:::6~t8f9~.~.:;TO:::::~3~21S~:9T:~:::::~:~.::~:~:~:~:~:~:~:~:~:~~~ CERTIFICATE HOLDER i °OL;CYHOL^~R G A L S INC BOX 1369 Ny 12590 WAPPINGERS FALLS 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 STATE INSURANCE FUND ~, C~~ DIRECTOR, INSURANCE FUND UNDERWRITING 451 THE STATE INSURANCE FUND 199 CHURCH ST212 } 312 ~ 2 7 6. N.Y. 10007 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~_ ~~' TOWN OF WAPPINGERS TOWN CLERK MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 YGLII. T HGLGtR P M MECHANICAL INC PO DRAWER 249 MONGAUP VALLEY :::::::PEFtlbp::>rd1Y~R~{3:::81!::'a'hil5:: ~EFt~1F I CfiTE :::::::::::::::::::: :;:::;:::5101:t95:::T.O:::::.3:125.:~~9£:::::::~ ::::::::::::::::~::~:~~~ CERTu-KATE ~ IOLGER POLICY NUMBER ~'~1000 413-3 DATE 2/29/96 CERTIFICATE NUMBER 625-175 TOWN OF WAPPINGERS TOWN CLERK MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 NY 127620249 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 3/25/96. 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 ~9` . C~'~ DIRECTOR, INSURANCE FUND UNDERWRITING 11Q THE STATE INSURANCE FUND 199 CHURCH STREET NEW YORK, N.Y. 10007 (212) 312-7276 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE TOWN OF WAPPINGERS ATT TOWN CLERK MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 :.:.:.:P~RIbD.'•>vC~EFiE{3:;:81~:.:i'H I ~:. ~EF2~~F I CfiTE ::.:.:.:.:.:.:.:.:.: ::::::::pro>~r:~4:::~0::::::~ ~z~~ss :::::::::::::::::::::::::::::::: POLICYHOLDER P M MECHANICAL INC PO DRAWER 249 MONGAUP VALLEY NY 127620249 POLICY NUMBER '`1000 413-3 DATE 2/29/96 CERTIFICATE NUMBER 514-147 CERTIFICATE HOLDER TOWN OF WAPPINGERS ATT TOWN CLERK 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 3/25/96. 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'fT~E INSURANCE FUND ~f` . C~~ DIRECTOR, INSURANCE FUND UNDERWRITING X89 THE STATE 11'~~..,RANCE FUND 199 CHURCH ST212~ 312 ~276~ N.Y. 10007 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE "~'~ TOWN OF WAPPINGERS 20 MIDDLEBUSH ROAD WAPPINGERS FALLS NY 12590 :::::::R~FtFC]f7::>r~V'~F~~3:.:6;1~::'~'FI1'S<~~R#~FI C1~TE :::::::::::::::::::: POLICYHOLDER BRAGGS ELECTRICAL SERVICE INC P 0 BOX 696, RT 299 HIGHLAND, NY 12528 POLICY NUMBER * 467 497-4 DATE 2/02/96 CERTIFICATE NUMBER 364-949 CERTIFICATE HOLDER TOWN OF WAPPINGERS 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 2/26/96. 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 ~. C~''~ DIRECTOR, INSURANCE FUND UNDERWRITING Z~A THE STATE INSURANCE FUND 199 CHURCH S7BEET NEW YORK, N.Y. 10007 (212) 312-7276 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE "= - POLICY NUMBER ~~'TOWN OF WAPPINGERS * 467 497-4 20 MIDDLEBUSH ROAD DATE WAPPINGERS FALLS NY 12590 2/02/96 CERTIFICATE NUMBER 364-949 :~:::::::~?EFt~Qb::>rCS.V~~t~{3:?~1~5 ~'HIS::~~~t~~>~IC~iT~;:::.::.:.:::.:.`: POLICYHOLDER CERTIFICATE HOLLER BRAGGS ELECTRICAL SERVICE INC TOWN OF WAPPINGERS P 0 BOX 696, RT 299 20 MIDDLEBUSH ROAD HIGHLAND, NY 12528 WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 2/26/96. 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'fT~E INSURANCE FUND /"1` . C~~ DIRECTOR, INSURANCE FUND UNDERWRITIN( F4Q THE STATE INSURANCE FUND 199 CHURCH S(212 ~ 312 7276. N.Y. 10007 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~~ TOWN OF WAPPINGERS TOWN HALL 20 MIDDLETOWN ROAD WAPPINGERS FALLS NY 12590 POLICY NUMBER *1029 313-2 DATE 6/19/95 CERTIFICATE NUMBER 395-784 :.:.:::f?ERtbD:;>rfXv:~ft~3:;:8;1':; ~'HIS:. ~SF~{~FI C~0.TE ::.:::::.:.:.:.:::.: POLICYHOLDER FIRST CHOICE CONSTRUCTION CORP T/A RELIABLE CONSTRUCTION CO P 0 BOX 445 STORMVILLE NY 125$2 - rFpTICIP ATC U(ll f1CP TOWN OF WAPPINGERS TOWN HALL 20 MIDDLETOWN ROAD WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE $/02/95. 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 ~f`. C~'~ DIRECTOR, INSURANCE FUND UNDERWRITING i.1 'THE STATE INSURANCE FUND 199 CHURCH ST212 ~ 312 7 2 7 6. N.Y. 10007 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE '~ TOWN OF WAPPINGERS TOWN HALL 20 MIDDLETOWN ROAD WAPPINGERS FALLS POLICYHOLDER FIRST CHOICE CONSTRUCTION CORP T/A RELIABLE CONSTRUCTION CO P 0 BOX 445 STORMVILLE NY 125$2 NY 12590 POLICY NUMBER *1029 313-2 DATE 6/19/95 CERTIFICATE NUMBER 395-784 :~:>::.:~~i3fbo:.iC~v':~~~:::~~i:;:fiHi~:.~~~#~i=fCi~h~ ::.:.:::.:.:::.:.::: :~~~:~:~:~~:~~!?2f~~~:STD:~:~:~sffl~~~9~ :::::::::::::::::::::::~:~:~:~:~ rFRT!Flf ~~"G HnLn~R ~ TOWN OF WAPPINGERS TOWN HALL 20 MIDDLETOWN ROAD WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 8/02/95. 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 ~'f` . C~~ DIRECTOR, INSURANCE FUND UNDERWRITING ;R9 ' THE STATE INSU~iANCE FUND 199 CHURCH S(212 ~ 312 ~ 2 7 6. N.Y. 10007 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~~' TOWN OF WAPPINGERS TOWN HALL 20 MIDDLEBUSH ROAD WAPPINGERS FALLS NY 12590 POLICY NUMBER *1029 313-2 DATE 6/19/95 CERTIFICATE NUMBER 632-837 ~:::::::P~RIQb:: ~CkV'~F~~L3:;:~;K:; ~'HI?5 <~~R'i~FICf~'hE;:.:.:::.:.':.:.:.: POLICYHOLnGR FIRST CHOICE CONSTRUCTION CORP T/A RELIABLE CONSTRUCTION CO P 0 BOX 445 STORMVILLE NY 125$2 TOWN OF WAPPINGERS TOWN HALL 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 $/02/95. 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~JT~E INSURANCE FUND DIRECTOR, INSURANCE FUND UNDERWRITING .37 HE STATE INSURx1NCE FUND T NEW YOR , egg CHURCH S REET 212) 312-7276 ERTIFICATE OF WORKE~~ COMPENSATION INSURANCE CANCELLATION OF C '~ TOWN OF WAPPINGERS TOWN HALL 20 MIDDLEBUSH ROAD NY 12590 W,epP INGERS FALLS POLICY NUMBER *1029 313-2 DATE 6/19/95 CERTIFICATE NUMBER f~32-837 - :: ~ : ~ : ~, : ~.:p~ t~Eb D : ~.>v~:Et~ ~[3: ~.:~1' : ~, fiH 15:: ~~~ i~r= I C iA'1' E; ::::::'.:'.:'.:'.:.:::'.: ('FRTIFIC-^;TC IJ~LDCR POLICYHO! nFR TOWN OF WAPPINGERS FIRST CHOICE CONSTRUCTION CORP TOWN HALL 20 MIDDLEBUSH ROAD 12590 T/A RELIABLE CONSTRUCTION CO WAppINGERS FALLS NY P 0 BOX 445 Ny 12582 STORMVILLE THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER THIS IS TO ADVISE THAT NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 8/02/95' URNISHED YOU IN COMPLIANCE WITH TERMS OF THE CERTIFICATE OF THIS INFORMATION IS F ABOVE AND ANY OTHER CERTIFICATE OF INSURANCE PREVIOUSLY INSURANCE NUMBERED AS U AT THE POLICYHOLDER'S REQUEST UNDER THE ABOVE POLICY NUMBERe ISSUED TO YO CANCELLATION THE STATE INSURANCE FUND ~, C~~ DIRECTOR, INSURANCE FUND UNDERWRITING ,,,~ ' THE STATE INSURANCE FUND ' 199 CHURCH STBEET NEW YORK, N.Y. 10007 (212) 312-7627 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE TOWN OF WAPPINGERS 20 MIDDLEBUSH RD WAPPINGERS FALLS NY 12590 :~:.:.:ISEEt~Qb:.iC~nr~~~:.:aid:.~Hi~:;;v~i~#~FiC;q~~ ::.:.:.:.:.:.:.:::.: I POLICYHOLDER CARA CONSTRUCTION CORP T/A CARA ASSOCIATES 1811 RTE 52 HOPEWELL JUNCTION NY 12533 POLICY NUMBER *1063 971-4 DATE 5/26/95 CERTIFICATE NUMBER 628-345 CERTIFIC.aTE 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 6/19/95. 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 225