1987/2007 (8)~ ~
' THE STATE INSURANCE FUND '
199 CHURCH STREET 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
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POLICYHOLDER I
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"TE HOLCER
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-AfTiE INSURANCE FUND
DIRECTOR, INSURANCE FUND UNDERWRITING
177
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
POLICY NUMBER
* 911 160-0
DATE
2/14/95
CERTIFICATE NUMBER
303-515
~:.:.:PEE#FOb:.1r(~V'EFt~C3:.:~;1?:..',f. Fil'~:: DER'~~FIGA~'~E ::.:.:.:.:.:.:.:.:.:
POLICYHOLDER
GALS INC
sox 1369
WAPPINGERS FALLS NY 12590
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 3/30/95.
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~JT~E INSURANCE FUND
~7` . C~'~
DIRECTOR, INSURANCE FUND UNDERWRITING
THE STATE INSURANCE FUND
199 CHURCH S~212 ) 312 7249 N.Y. 10007
CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
'~~ TOWN OF WAPPINGERS
20 MIDDLEBUSH RD
WAPPINGERS FALLS NY
POLICYHOLDER
G A L S INC
BOX 1369
WAPPINGERS FALLS
12590
:.:.:.:pEE#~bt?::~Cfky'EFt~[3:.:~1?:.:1'Fi15:.~C~l~'{i1=1C~t'h~ ::.:.:.:.:.:.:.:.:.:
POLICY NUMBER
* 911 160-0
DATE
2/14/95
CERTIFICATE NUMBER
303-515
v
CERTIFICATE HOLDER
TOWN OF WAPPINGERS
20 MIDDLEBUSH RD
NY 12590 WAPPINGERS FALLS NY
12590
THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER
NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 3/30/95.
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 STATE INSURANCE FUND
~. C~''~
DIRECTOR, INSURANCE FUND UNDERWRITING
THE STATE INSURANCE FUND
199 CHURCH s(212 ~ 312 7616 N.Y. 10007
CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
TOWN OF WAPPINGER
20 MIDDLEBUSH RD
WAPPINGERS FALLS
NY 12590
~:::::::PEFtfbp:; ~Cfk~ERE{3:::81~::'i'FiI~:::CEFt~1FIC~iT~ ::::::::::::::::::::
~~ ~ ~~~ ~T (~~1~f9~~:STD::~:~3~f{1~~~9~:~::~:~ ::::::::::::::::~:~:~::~
PGLICYHOLDEM
DEW CONSTRUCTION INC
P 0 BOX 420
PATTERSON NY 12563
POLICY NUMBER
*1015 947-3
DATE
4/12/95
CERTIFICATE NUMBER
463-912
CERTIFICATE HOLDER
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 5/06/95.
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~fT~E INSURANCE FUND
DIRECTOR, INSURANCE FUND UNDERWRITING
THE STATE INSURANCE FUND
199 CHURCH STREET NEW YORK, N.Y. 10007
(212) 312-7616
CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
TOWN OF WAPPINGER
20 MIDDLEBUSH RD
WAPPINGERS FALLS NY
12590
RECEIVED
At'~ 1 71995
POLICY NUMBER
*1015 947-3
DATE
4/12/95
CERTIFICATE NUMBER
463-912
~:::;:PER1bD:; C~ER~{3:::~1F::.'f FllS:: ~~Ft~~F I C~tT~ ::::::::::::::::::::
.. ~:~:~:~:::Tl~>d:f9~:::~TD::~:~:5:1fl~~:9~:~:~ ~~~:~~~ ~~ ~ :::~:~:~:~
POLICYHOLDER
DEW CONSTRUCTION INC
P 0 BOX 420
PATTERSON NY 12563
CERTIFICATE HOLDER
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 5/06/95•
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~JT~E INSURANCE FUND
~'9` . C~''~,~
DIRECTOR, INSURANCE FUND UNDERWRITING