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1987/2007 (11)THE STATE INSURANCE FUND 199 CHURCH STREET NEW YORK, N. Y. 10007 (212) 312-7249 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSL;RANCE TOWN OF WAPPINGER FALLS WAPPINGER FALLS NY 12590 ::::;:FEFtFOD ;.~C7VERE17:::BK:::~'HIS:::GERj'IFjC~tTE :::::::::::::: f2I~~79#: 1'0: ~:f:f.919~ ::::::::::::::::: POLICYHOLDER JACKALYN BOYLE D/B/A AMERICAN ROCK EXCAVATING 106 REEVES STREET GLEN PK, WATERTOWN NY 13601 t,tH I IFICATE HOLDER TOWN OF WAPPINGER FALLS WAPPINGER FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 7/19/92, 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 150 THE ST'A~TiE INSURANCE FUND ~7` • C~~. DIRECTOR, INSURANCE FUND UNDERWRITING THE STATE INSURANCE FUND 199 CHURCH STREET NE'W YORK, N. Y. 10007 (212) 312-7249 CANCELLATION Or CERTIFICATE OF WORKERS' COMPENSATION INSURANCE i TOWN OF WAPPINGERS FALLS WAPPINGERS FALLS NY 12590 POLICY NUMBER 953 156-7 DATE 6/25/92 CERTIFICATE NUMBER _ 890-889 PERfQD:. ~UVEREC3:.:BN:.:THIS:::CERTIFICiaTE .:::::::::::::: ~l~~:t89::T0:::7:ff:9~:9~? ::::::::::::::::::: POLICYHOLDER JACKALYN BOYLE D/B/A ' AMERICAN ROCK EXCAVATING 106 REEVES STREET GLEN PK, WATERTOWN NY 13601 ~crs i erica ~E HOLDER TOWN OF WAPPINGERS FALLS WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 7/19/92, 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 412 THE ST'A~TiE INSURANCE FUND /7` • C~~ DIRECTOR, INSURANCE FUND UNDERWRITING THE STATE INSURANCE FUND 199 CHURCH STREET NE'vV YORK, N.Y. 10007 (212) 312-7249 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ~~ TOWN OF WAPPINGERS FALLS WAPPINGERS FALLS NY 12590 POLICY NUMBER '~` 953 156-7 DATE 6/25/92 CERTIFICATE NUMBER 890-8i~9 PERIbD:.>v<7VEREfl:,:BK:::THIS:,:CERT~FIC,ciTE;:;:,::::::: 12/~~:~8~ : TO:: 7.~:f. 91:9:::: _ :~:::::: .... . POLICYHOLDER JACKALYN BOYLE D/B/A AMERICAN ROCK EXCAVATING 106 REEVES STREET GLEN PK, WATERTOWN NY 13601 ~crs i iricATE HOLDER TOWN OF WAPPINGERS FALLS WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 7/19/92. 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 120 THE ST'A~TiE INSURANCE FUND /"7` • C~~ DIRECTOR, INSURANCE FUND UNDERWRITING THE STATE INSURANCE FUND 199 CHURCH STREET NE\/V YORK, N.Y. 10007 (212) 312-7249 CANCELLATION OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE -__ ~~ TOWN OF WAPPINGERS FALLS WAPPINGERS FALLS NY 12590 PERFQD:; CC7VERE{3:.:Blf:::THIS:::CERTIFICATE ::: ?~?j0~789. TO:: ~~19/g~::: :::::::: POLICYHOLDER JACKALYN BOYLE D/B/A AMERICAN ROCK EXCAVATING 106 REEVES STREET GLEN PK, WATERTOWN NY 13601 stn i iriGATE HOLDER TOWN OF WAPPINGERS FALLS WAPPINGERS FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 7/19/92. 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 .- 410 THE ST'A~TiE 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 FALLS WAPPINGER FALLS NY 12590 r FERIbD: >rOVEREfl::Blf::THIS::CERTiFIC1.iTE::::::::: ~~h~i9~:'TO.. ~f.19/9~..:. POLICYHOLDER JACKALYN BOYLE D/B/A AMERICAN ROCK EXCAVATING 106 REEVES STREET GLEN PK, WATERTOWN NY 13601 POLICY NUMBER 953 156-7 DATE 6/25/92 CERTIFICATE NUMBER 085-634 CERTIFICATE HOLDER TOWN OF WAPPINGER FALLS WAPPINGER FALLS NY 12590 THIS IS TO ADVISE THAT THE WORKERS' COMPENSATION POLICY ISSUED TO THE POLICYHOLDER NAMED ABOVE HAS BEEN CANCELLED EFFECTIVE 7/19/92. THIS INFORMATION IS FURNISHED YOU IN COMPLIANCE WITH TERMS OF THE CERTIFICATE OF IPdSURANCE 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 DIRECTOR, INSURANCE FUND UNDERWRITING ~ 416