HomeMy WebLinkAboutSP22-004PERMIT #`�/
SECTION
TYPE OF WORK
JOB LOCATION J
'-FEE DATE NOW F.r oTCO #. FEE DATE
INSPECTION RECORD
DATE INSP
FOOTING
FOUNDATION
FRAMING
RGH FRAMING
INSULATION
PLUMBING
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RGH PLUMBING
GAS
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SPRINKLER
---
ELECTRIC
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AS BUILT
FINAL
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VILLAGE OF RYE BROOK
MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR
Jason A. Klein (914) 939-0668 Christopher J.Bradbury
www.ryebrook.org
TRUSTEES BUILDING& FIRE INSPECTOR
Susan R. Epstein Steven E. Fews
Stephanie J. Fischer
David M. Heiser
Salvatore W. Morlino
CERTIFICATE OF COMPLIANCE
April 29,2024
Win Ridge Realty LLC
c/o Alena Hakanjin
24 Rye Ridge Plaza
Rye Brook,New York 10573
Re: 114 South Ridge Street, Rye Brook,New York 10573
Parcel ID#: 141.27-1-6
Sign Permit#22-004 issued on 6/15/2022 for a New Tenant Sign
This certifies that the new tenant sign,"Madison's Niche",installed under the above captioned permit has
been satisfactorily completed.
Sincerely,
Steven E. Fews
Building& Fire Inspector
/to
BCJILD NT For oHr�e oah:
VIL of R PER.t4QT -O0
Isst n:
APR 18 2024 JD 938 M G STRlE j� Bkcx�x YORK 10573 pA-
=o ham: — h��r
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
A"LICAT►ON FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE,
AND CERTIFICATION OF FINAL COSTS
So AE -47RETZE ONLY UPON CCWLETION OF ALL woRA, AND PRIOR TO THE r1ML ZNSPF.GT-1CW
...................................N.......N..t.............................................•................0............
Address: //y 5v,, t h A.-be„e cF f-
ompinry(U 'o�l�,e�!lt/ Parcel ID it: /�f/, �— �— �:
Owner: I/1 % e / zi�
Address: c-�)'�/ ,�'yQ ,�i�P 00�4oR
P.EALA.or Contractor: 4,r�� x e c..,::/ Address: 3 ti 7 L ro/fir
Peron is respotuib[c charge 1-- r1dc-R-%t� Address: ?G 7 ✓i.,— S
Applieatiotr is h I errby made and submitted to the Building Tnspwor of the Vii4c of Rye Brook for the issuance of a
Certificate of Occupancy J Certificate of CompFtaaee for the stnwcttttrlconstruction/alteratinn herein mentiottcd in a e
with law
STATE Or NEW YOM CO1ATry of wEa rC1WST-Ex as:
�t� ^ ) d4swom.&-poses and says that hesshe raidesat � 5j;.,�
I :in the county of !j• NO scot Stow)
tCttry rl o.rar Vdbp) in the Suft of y .that
hcrshc has supervistrcl rhe-wric oat the Lotion indicated above.and that the acrml taal cosrof the wo&including pa aU sitc im vvemenm
labor.mnt"'K aeatfaldtn&fixed cwmment.professional fees.and including themm-my valnc ol'agy tnateriak and labor which msy
have bent donate-dpatis was.S I G'0 c,
far the coastrucfMQr ahaWiQn of } I
Deponent rurther states that hclshe has examined the approved plam ofthe str,<uznirriwork berein r ierred to for which a C:ertirwate of
Occupancy i Compliance is sought.and dw to the best ofhis)hcr knowledge and bcfief.themgcnottworkhss-boom erected cnmplew in
accordance with the approved plans and any amendments-thereto except in so far as varistitm therefore havebeen legally atuborized,and
as erected4ontpicted ctmtglics with the laws governing building emxrsmxtiom Deparnrtnt further tmdm ands that it shall be unlawful for an
owner to use orpermit the u-se afanybuildiog urprtxnism orpart ther>`ufhaCtftt:rercatrd.carded,,;,milted emvened or
orpartly.w Its use or struetum uml.lCcrtifncate of ocaspancv or Ccrtificate ofCamplsanrr shall ltaV` C been dilly 1S�1bCtlb� Timing
1 1 m 1>er i1'_SU-10.A.ofth,e(;D&of the Village of Rye Dm)k.
Sworn to before me this �'f
Sworn to f me this
day of 'i,I 20 day Int 11 VGi
_>0�
s. >topeft r ,- A �_
DINe �NGI,jS
Pr
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� ofAppdvat
ALENA HAKANJIN �
NOTARY PUBLIC.STATE OF NEW YORK Cam
Registration No.01 HAO013645 M*ry�lG SWe of Now�
Qualified in Westchester County W.01COM140 X11_:azj
My Commission Expires 911 912 0 2 7 _ "so in su"
QyE BR(��,
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• �9�2 BUILDING DEPARTMENT
❑BBUILDING INSPECTOR
EjASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK
❑CODE ENFORCEMENT OFFICER 938 King Street • Rye Brook,NY 10573
(914) 939-0668 FAx (914) 939-5801
www ryebrook.org
- - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - -- - - - -
ADDRESS : DATE: 7 Z.S— Z O Z /
PERMIT# Z'2 — O'D H ISSUED: !O"/S'L Z SECT: 1• Z 7 BLOCK: / LOT:
LOCATION: 1 �J J� J , ' ICJ OCCUPANCY:
❑ Violation Noted THE WORK IS... PASSED ❑ FAILED /REINSPECTION
❑ SITE INSPECTION REQUIRED
❑ FOOTING
❑ FOOTING DRAINAGE
❑ FOUNDATION
❑ UNDERGROUND PLUMBING NOTES ON INSPECTION:
❑ ROUGH PLUMBING
❑ ROUGH FRAMING
❑ INSULATION
❑ Natural Gas 1 �1 �J o �� �J . 1! S On1 'v/G �e .
❑ L.P. Gas
❑ FUEL TANK
❑ FIRE SPRINKLER
❑ FINAL PLUMBING
❑ CROSS CONNECTION
FINAL
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BUILDING DEPARTMENT
VILLAGE OF RYE.BROOK APR 6 2022 1 JD
938 KING STREET RYE Mom,NY 10573
(914)939-0668 Fwx(914)939-5801 VILLAGE OF RYE BROOK
www.ry6rook.orL BUILDING DEPARTMENT
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FOR OFFICE: USE ONLN
N 201 �-
Approval Date: Permit — � Application#
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: Date:
HOT Approval Date: Case# Chairman:
PH Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other:
y s�
Application Fee:W Permit Fees: 77")
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SIGN PERMIT APPLICATION
Application dated: ~//J Y 'ZZ is hereby made to the Building Inspector of the Village of Rye Brook.NY.for the issuance of Permit for the
conmetionlinstallation of a sign in accordance with Village Code tt250-35 as per detailed statement described glow.
I S e �e �� cl�s#� �f I''S sB�:1'41 C —/—& C/;A
1. Address: `} u Q;�a Ut p 4 t `Zonfe:
2. Property Use or Business Name: /• L(4) y ` /VI'C,,e
3. Proposed Sign(s)f Describe in detail including numher of signs.types.sizes.exact locatton(s►.and illumination methods)if applicable.)
IA separate Electrical Permit will be required for any associated electrical work.; :
indtviial C z
51 -74 Z9"
4. Height from grade to highest
}point of sign: to lowest point of sign:
5. Property Owner. 011? f'..11UE 1 LkC— Address: 2'
Phone#--914--A
9 —y 1 - 4ODj _Cell# email:
6. Applicant:_A("/50^ tt )V i c kc Address: 4/D p f e
Phone# 0 291 L( Cell# 6 31 9 Lq-Z is D email: ft't a C)(. i C 2 Q S;ror..�
7. ArchitecdFrigineer: rAk (,L6 A-nykcmjr,LLL Address: vftA ploc.��_8" N�
Phone# (0 2 Z Z Cell# email: ^
8. Sign Contractor: r/m m e ttktv �/},�a�i:.�, Address: M e Afr .Iv
Phone# Cell# )
3/21/19
9. Will the proposed si require a Site Plan Review by the Village Planning Board as per§209 of Village Code?
Yes:_No: (If yes,you must submit a Site Plan Application,&provide detailed drawnte>)
10. Does the proposed sign involve a Home-Occupation as per§250-38 of Village Code? Yes: No: If yes,indicate:
TIER I:—TIER[L_TIER III:_ dt-yes.a I lame Oixtipatirut Permit Application is reyutredl
11. If building is located on a corner lot,which street does it front on:
12. Property frontage:
13. Property size:Sq.Ft.: Acres:
14. What is the total estimated cost of construction: S 1 t Spa . 00
(The estimated cost shall include all site improvcmcnt_c,labor,matenat,scaflulding.fixed equipment,professional tees,incltdingany material and
labor which may be donated gratis.)
15. Estimated date of completion:_ Z dov-i rn" l a-'nr.tit(e 4-W�
This application must include the notarized signature(s) of the legal owner(s) of the subject
property, and the applicant of record in the spaces provided. Any application not properly
completed in its entirety and/or not properly signed shall be deemed null and void, and will be
returned to the applicant. Please note that application fees are non-refundable.
STATE OF NEW Y RK COUNTY OF WESTCHESTER ► as:
it'
'T,,�11A Mc ,being duly sworn,deposes and states that he/she is the applicant above named,
(print narrte of individual sign tg as dw applicant)
and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the
+-eA.Ll\+ for the legal owner and is duly authorized to make and file this application.
(indicate architect,contractor,agmi.attorney.etc I
That all statements contained herein are true to the best of his/her knowledge and belief, and that any work performed, or use
conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and
in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention
& Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations.
Sworn to before me this b Sworn to before me this L
day of � � 20 2-2- day at' �1` 20
Sk,,na,the of Prope y ftwm-r
I�``''V% 5ignutureofApplicant c
Print Name of P 01vlter 7 P t Name of Applicant
Notary b)is Notar Public
KFLLY SANDLER
Notary Publhc, F"tte of New York
No. 01: ,= „,._ SHARI MELILLO
Qualified in County Notary Public, State of New York
Commission Expires March 9, 2( No. 01 f iEril KC63
CcIalified in Westchc-ster County
Corrsmission Expires Januanr 29,20�
-2-
3/21/19
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BUILDING DEPARTMENT 3D '
VILLAGE,OF Rl'E BROOK FAPR ' 6 2022
938 KING STREET RYE BRooK, NY 10573
(914)939-0668 FAX (914)939-5801 VILLAGE OF RYE BROOK
www,ryehrook.orLy BUILDING DEPARTMENT
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ARCHITECTURAL REVIEW BOARD CHECK LIST FOR APPLICANTS
This form must be completed and signed by the applicant of record and a copy shall be
submitted to the Building Department prior to attending the ARB meeting. Applicants
failing to submit a copy of this check list will be removed from the ARB agenda.
A"dgee 1\41 cu.kr' B':Ij� 1
Job Address: l`'� S Q,' L Sa Ic9;7 Date of Submission:_
Parcel ID#: )7 — —1p Zone:C�
Proposed Improvement(Describe in detail): APPLICANT CHECK LIST:
7/114a tit CST BE COMPLETED BY THE APPLICANT
n eW {,.rl ,�iI���t/ The following items must be submitted to the Building
r.f)j Qj�f_ C.�,/Int 1 S;q/1 , /1'luX Department by the applicant-no exceptions.
l(TFC! S, ie Zy" 1. ( 1 Completed Application
h� p pp,,��� 1�� 2. ( )Two(2)sets of sealed plans. ione
Property Owner. W IN P 1� W \.a, a„i ! ,
�zo� �, 3. 1 )Two(2)copies of the property survey.
Address: �+� 4. 1 )Two(2)copies of the proposed site plan.
Phone# Olt¢- �i— �Qrj 5. I 1 One electronic/disc copy of the complete
Applicant appearing before the Board: application materials.
M
fit
6. ( )Filing Fee.J 1544 fit C kt 7. ( )Any supporting documentation.
Address: N 1 8. ( ) HOA approval letter. (+japplicable)
9. ( )Photographs.
Phone# 47 15 3 5 104 1 Samples of finishes/color chart. (a sample board or
Architect/Engineer: M( e l /14,eiA Y P L� model mar be presented the night of the meeting)
��-
Phone#_51C q2 Z Z D Z
By signature below, the owner/applicant acknowledges that he/she has read the complete Building Permit
Instructions& Procedures, and that their application is complete in all respects. The Board of Review reserves the
right to refuse to hear any application not meeting the requirements contained herein.
/If
Sworn to before me this Sworn to before me this
day of lelli , 20LZ day of 209
Siletp&of Prope ry(NNM
{ Signature of Applicant
DP�v� pis Print Name of Property Awn J- �� Pt-���,er
I T
of Applicant
'-� tA'L�
No bli Notary Public
KFLLY SANIDL.ER
Notary Public, ct-,;te of NOW York SHARI MELILLO
No. 61Qi_ialified. in Vti+, s:,nE.�: �Cotinty Notary Public,State of New York
Commission Expires March 2J�'& No. 01,%11E6160063
Qualified in Westchester County /19
Commission Expires Januery 29,20—ASI
r�
VILLAGE OF RYE BROOK
BUILDING DEPARTMENT
938 KING STREET,RYE BROOK,NY 10573
ARCHITECTURAL REVIEW BOARD
Wednesday,April 20,2022 @ 7:30 PM
NAME& TYPE OF MOTION SECOND APPROVED REJECTED APPL.#
LOCATION APPLICATION
22 Rocking Horse Install 4'Black Chain-Link Consent 5684
Trail(Leon) Fence&Partial 6'White Agenda
Vinyl Fence in Rear Yard
14 Bobbie Lane Install Rooftop Solar Array Consent 5685
(Sorkin) Agenda
114 South Ridge New Tenant Sign Consent 5693
Street(Win Ridge "Madison's Niche" Agenda
Realty LLC)
780 King Street Amendment-Change Gas 5134
(Heinberg) Fireplace to Wood Burning,
Extend Chimney,Construct
Built-in-Barbeque&
Eliminate Two Skylights
545 Westchester Refurbish Exterior Steps, 5659
Avenue(Castiglia) Railings,New Aluminum
Awning,Reface Retaining
Wall&Repave Driveway
44 Lawridge Drive Partial Second Story 5686
(Bauer) Addition,Interior&
Exterior Renovations,New
Front Portico and Steps
28 Wilton Road Legalize Rear Yard Stone 5687
(Servedio) Patio&Retaining Wall
11 Carlton Lane New Pool Coping,New 5688
(Marconi G.de Fencing,New Steps,
Arruda) Upgrade Pool Alarms&
Reduce Impervious
Coverage
32 Hillandale Road Second Floor Addition, 5689
(Bloomberg) Rear Addition,New Siding
&Roofing
11 Berkley Lane Refurbish and Expand 5690
(Sakofsky) Existing Deck&New
Stone Walk
10 Carlton Lane Rear One Story Addition, 5691
(Shirken) New Rear Deck&Interior
Renovation
32 Country Ridge Second Floor Addition& 5692
Drive(Hochfelder) Interior Alterations
ru. s$
NM sF
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Laura Petersen
From: Admin Macx <macx.office@gmail.com>
Sent: Monday,June 13, 2022 11:40 AM
To: Laura Petersen
Subject: Re: Sign Permit Application - 114 South Ridge Street "Madison's Niche"
Attachments: Village of Rye Brook - Gotham Construction GL WC INS.pdf
Good Morning,
Please see the insurance documents attached.
1. Gotham Construction Inc.- License WC-34389-H21 (Partnered with Macx Projects Corp)-Aurel Sterkaj 914-826-5592
2.Attached
3.Attached
4.Will pay when we pick up
Let me know if you have any questions.
Thank you
On Thu,Jun 9, 2022 at 1:59 PM Laura Petersen<LPetersen@ryebrook.ors>wrote:
Good afternoon,
The building permit application has been approved by the Building Inspector. Before I can
issue the building permit the following items must be submitted to our office;
1. General contractor's contact name & phone number.
2. General contractor's valid liability insurance (the Village Of Rye Brook must be the
certificate holder)
3. General contractor's valid workers compensation on a NY State Board form (C105-2 or
U26.3)
4. Sign permit fee $250.00 (due once permit is issued and ready for pick-up)
Thank you
Laura
Laura Petersen
i
AcoRd CERTIFICATE OF LIABILITY INSURANCEDA�' D°'""n E06/10/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an AD 1 1,10NA1 INSURED,the Policy(ies) must be endorsed. If SUBROGATION 18 WAIVED, subject to
the terms and conditlons of the Policy,certain Policies may require an endorsement. A statement on this certificate does not coMer,rights to file
certificate holder In lieu of such endorsements .
PRooucER
ALBATRUST INSURANCE AGENCY I CONTACT
VALON GASHi
PHONE 718-412-1778 �Au`�
32 HANCOCK STREET elul Nol
STATEN ISLAND,NY 10305 ALBATRUSTINSURANCE®GMAIL.COM
_ INSURE AFFORDING COVERAGE NAIC0
gyp- —- - N IURER A: UTICA FIRST
GOTHAM CONSTRUCTION GROUP INC aukamt s: 7SIF
420 Second Ave NSURERC:
Pelham,NY 10803 MSUIRSR D: —
INSURER E: —
COVERAGES eaURER F: ---
CERTIFICATE NUMBER:THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED REVISION NUMBER:NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, S FOR
TO ALL THE TERMS.
ewt r"M OF NsuRANCE
pOL1Cr*UM8ER P l—. EFF EXP --
oENERAL UAaRTTY � � LssITs
X COMMERCIAL GENERAL LL1BILITY I EACH OCCURRENCE f 1,000,000
CLAIMS-MADE X OCCUR I I PEMIM§(Ean •f 1D0,000
A I x f IART3000220930 MED EXP(Amy one 's 5.000
f
f l�0==022 102/22/2023 I PERSONAL a ADV INJURY f 1,00D,wo
GEML AGGREGATE LIMIT APPLIES PER: f I( J I GENERAL AGGREGATE S 2,000,D00
X IPOLICY i PRO- r LOC I I PRODUCTS•COMPKW qGG f 2,000,000
AUTOYOa1LE lL1BILrTy
MY AUTO I I I in
ALL OWNED SCHEDULED ! I BODILY INJURY(Per psrwn) f
AUTOS AUTOS
NON-0WNEp i ! BOOILr INJURY(Per ecd6erq)HIRED AUTOS f
AUTOS !
PIR
Peractl n E f
UNRIMLLA LIAa OCCUR f
aft"s LL" CIA,IMS•A,IADE EACH OCCURRENCE f
0 RETENTION AGGREGATE f
;R—Wmw COYPENaATION
AND EYPLDYLgW UIAa1UTY f
B ANY PROPRIETOR(PARTNER/EXECUTIVE YIN
WC STATIJ. OTH.
OFFICE RIM Excll10ED9
in NN) a N/A} W2565 0961 1 02/21/2022 02/21/2023 E.L EACH ACCIDENT f 1,000,000
(ete"d+IloeY M NH)
II deecrWe order
SCRIPTION OF TI S below I EL.DISEASE-EA EMPLOYE f 1,000,000
EL.DISEASE•POLICY LIMIT f 1,00- ---
DESCR"'r*N OF OPERAT1ON3/L.00ATKM I VEWLEa (Attach ACORD 11",Addoto W Ramarte Schedule,M ft n 6"e is
required)
Certificate Holder is Additional Insured
Village of Rye Brook
938 King Street
Rye Brook, NY 10573
CERTIFICATE HOLDER
CANCELLATION
Village of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE
938 King Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Rye Brook,NY 10573 ACCORDANCE WITH THE POLICY pROVM#ONS.
AUTNORLMD REPRESENTATTIE
VALON GASHI
ACORD 25(2010/05)
C 1988.2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
N Y S I F PO Box 66699 Albany,NY 12206
New.York State Insurance Fund I nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
1AAAAA 851422187
ALBATRUST INSURANCE AGENCY INC %.a,
32 HANCOCK ST
STATEN ISLAND NY 10305 SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
GOTHAM CONSTRUCTION GROUP INC 938 K VILLAGE OF RSTREET ROOK
420 SECOND AVE
PELHAM NY 10803 RYE BROOK NY 10573
POLICY PERIOD DATE
POLICY NUMBER CERTIFICATE NUMBER 02/2112022 TO 02l21!2023 6110i2022
W2565 096-1 889556
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO 2565096-1, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATIONLAW WITH RESPECT TO ALL
OPERAINS IN THE STTE
D WITH RESPECT
OUT DTEOOF NEW YORKA TOOTHE POLICYHOLDER'S HOLDER'S REGULAR NEW INDICATED YORK OSTA EN TO OPERATIONS
EMPLOYEES ONLY
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
PRESIDENT
AUREL STERKAJ
GOTHAM CONSTRUCTION GROUP INC
1 OF 1
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY
THIS POLICY IS CANCELLED EFFECTIVE 05120/2022.
NEW YORK STAT S7v*l
NCE FUND
DIRECTOR.INSURANCE FUND UNDERWRITING
VALIDATION NUMBER 311053718
U-26.3