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HomeMy WebLinkAboutBP24-177PERMIT # f3 SECTION TYPE OF WORK _ JOB LOCATIO � OWNER CO NTRACTO RA T. C0T � 11114 �C• #_ TI # 12 Z, DATE: ? BLOCK LOT % a %aec ,�-t i o cJ s /aryte 1w top roa e 9/y�a��_ ✓i ,Le rp✓P�e�� e-/�qu/�'iQ��rQ�dPz/y��C�� S/��! 3 on 9. � _ n�\ FEE pgTE INSPECTION RECORD I DATE INSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS a SPRINKLER ELECTRIC CI LOW -VOLT 0 ALARM AS BUILT 0 FINAL OTHER APPROVALS ARB BOTIIIIIIIIIIIIIIIIIP ZBA OTHER IIIIIIIIIIIIIIIN BR . t9 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.tyebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T. Krom,Jr. Salvatore W. Morlino CERTIFICATE OF COMPLIANCE October 9,2025 The Nurtury of Rye Brook Inc 431 North Ridge Street Rye Brook,New York 10573 Re: 431 North Ridge Street, Rye Brook,New York 10573 Parcel ID#: 129.68-1-12 Building Permit#24-177 issued on 8/29/2024 for Replacement Windows This certifies that the nine new windows,installed under the above captioned permit have been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to ED D E C E � V For office use onl : BUILDING DEPARTMENT PERMIT# _ 7 OCT - 6 2025 VILLAGE OF RYE BROOK ISSUED: 'CJ 38 KING STREET,RYE BROOK,NEW YORK 10573 DATE: VILLAGE OF RYE BROOK (914)9 -0668 FEE: PAID II/ BUILDING DEPARTMENT -- �K�v► r ool;n�.�rov APPLICATION FOR CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION sssssessssssssssassssnsssJsssssssssssss1sssesssssssssssssssssssssssssssssssssss►rssssssssssssssssssssssssssssssssss�ss)sssssssssss c;- Address: �' ?� ' �' v • c C-G Occupancy/Use: �,\, e—, Parcel ID#: Zone: Owner: 01 `�/1G1Ll��l \ Address: i 1I' P.E./R.A. or Contractor: c, V 1,7iti C'�u Address: 2\1 (�_, r� G� A,)<— Person in responsible chazgem �� �it e-� \� Address:{�`��c�•'� Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: t �} 1 �(x ^CA,,.Y\Ok wing duly sworn,deposes and says that he/she resides at "I J I` (Print Na e of Applicant) (No.and Street) in U ,in the County of in the State of ,that ICit� 'Io�cn \'illat�:i he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:`; .�;U 000 for the construction or alteration of: yQ t�\a ),') c:) 1' r a Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or premises or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A. of the Conde of the Village of Rye Brook. Sworn to before me this t 1 Sworn to before me this day of 1 L 20 day of - r 20 Z� Si at&e of Property Owner ignature of Applicant G 6AISN 11�d� ✓� �( t " yt�k Print Name of er Print Nam o Ap cant Notary Public N Pub RITA J.TINO RITA J.T 0 1 20-14 Notary Public,State of New York Notary Public,State of New York No.02TI6045496 No.02TI6045496 Qualified in Westchester County q Qualified in Westchester County r r.nmmiccinn Fvnircc.h dv R1_90 1 Commission Expires Julv 31.20 Z Y ��yE [3kCv� � 2m w � Y J, �O 198-2 BUILDING DEPARTMEN'T ❑it i)ING 1NSPM;-1()R Asm%'FANr BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 King Street • Rye Brook, NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ry.v ruuk.urg INSPECTION REPORT -- - - _ _ _ - _ _ _ ADDRh:ss : q3 NoQ- , (�, )o - � - Zor.�s- 1)ATIi: PI;I:MI ru �� Z Issueu:8'9.2� �1 : �Z9 G g BLOCK LOCATION: �l`17. S Qoov-f) 'S _._--- OC(:UI)ANCY: ❑ Violation Noted I'lui WOlth 15... hASSIiI) ❑ FAILED REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ (FOOTING ❑ (FOOTING DRAINAGE ❑ FOUNDATION 0 UNDERGROUND PLUMBING NO'1'I:S ON INSPECTION: ❑ ROUGH PI.UMIIING ❑ Rowai FRAMING ❑ INSULATION a 1 ❑ Natural Gas / wr N o W g Q+t l4v p avT ❑ t,.P. Gas 3ul Idi ❑ IFVEL TANK -- -- ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNI•:(;TION - ----- - eIFINAI. - --_— �)'i'11 I•:12 _ Wia�o _ AN Iry aN 00 v v - � W " ►� r� G.� � � Gut cn L w VI - R.� � W V► z � � a v "" v O W a o v . v o W = H ci o "o o o Z o � N owBo � a w = p� . o �i z O o w oi9QM a� OR, c ^ H fnE v v ' ' v W�( O © V "� �' � � uo ?' a v Q � go v u H H a 0 C. y V A o z do V) - H z P. Z c 2 v o R-' C70 v W U a 2 �, o CA W ICI `. O A H A a dl V f- ' O A o o a w `0Z' CN CT W O A wcn v 3 0 p.y W Cn PVC rcin W �,4voSbo lo- z o vo a n q, .. r./ qd. .oC4 u ,T, p ° p �U _ p 3 0 � ,�� Q L 0 Z V w o V V v zoo JW. A W Z o a o � .. -o v� u gab s BUILDING DEPARTMENT R rF�_f "C IE � E VILLAGE OF RYE BROOK 938 KING STREET RYE BROOK,NY 10573 AUG - 6 2024 DD (914)939-0668 1 --- www.i-V ebl'ookny.�ov VILLAGE OF R)'c BROOK BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT REQUIRE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY: /� APPROVAL DATE: AUG P IT#: �-/� APPLICATION FEE:'q C l' APPROVAL SIGNATURE: Q4 PERMIT FEES: 1 ?0_W_b,_ 2 H.O.A.APPROVAL: DATE: DISAPPROVED: OTHER: Application dated: r `7 is hereby made to the Building Inspectorof the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. 1. Job Address: 431 � Rt C pa_ 54` . 1C tAe_ _6= k+ �J.Y- 101773 2. Parcel ID# /e}q' &9—/—/'�- /C-1li 3. Proposed Improvement(Describe in detail): a) u3 -vJS 4. Property Owner: gyi a n yt as &_"'C& a_4- Address: I L4(b A--C AA "'Inc l�-n,¢-c-1[-I J'`'(• Phone# Cell# �q 1 J ZZ� '3��5 -e-mail_h List All Other Properties Owned in Rye Brook: Applicant: Address: Phone# Cell# e-mail Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: Af Anl 1 S-b► La xlu j Address: olh I �?Q.l l t &-!i O - F L 1�o(P Phone# r5�4 � -Z�a(2 Cell#�CI `' � 7 e-mail a OaViS�-e 911 V c)-1_d? (1) 611l2024 5. Occupancy;(1-Fam.,2-Fam. ommercial ...)Pre-construction: 43 Post-construction: 6. Area of lot: Square feet: 3-7 C1 5i Acres: 7. Dimensions from proposed building or structure to lot lines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a corner lot,which street does it front on: 9. Area of proposed building in square feet: Basement: I`fl: � 2"d fl: Yd fl: 10. Total Square Footage of the proposed new construction: 11. For additions,total square footage added:Basement: I`fl: 2"d fl: 3`d fl: 12. Total Square Footage of the proposed renovation to the existing structure: 13. N.Y.State Construction Classification: N.Y.State Use Classification: 14, Construction Type&Location:( )Typical Western Lumber Frame;()Timber Frame[TC];()Wood Truss[TT]; ()Pre-engineered wood[PW];Located;O Floor Framing[F];O Roof Framing[R];()Floor&Roof Framing[FR];Other: 15. Number of stories: Overall Height: Median Height: 16. Basement to be full,or partial:_f (Gi� finished or unfinished: r\r3(n.t 04 17. What material is the exterior finish: 18. Roof style:peaked,hip,mansard,shed,etc: oofing material: 19. What system of heating: Cai I Or I 20. If private sewage disposal is necessary,approval by he Westchester County Health Department must be submitted with this application. 21. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type 1 Hood,etc...)Yes: No: I'<— (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 22. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more Impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: Area: 23. Will the proposed pro' ct require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: (if yes,applicant must submit a Site Plan Application,&provide detailed drawings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: (if yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: (if yes, the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes: No: (rf yes,the area and elevations of the flood plane must be properly depicted on the survey&site plan) / 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: y (if yes,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-38 of Village Code? Yes; No: Indicate:TIER 1: TIER I1: TIER III' (f yes,a Home Occupation Permit Application is required) 29. What is the total estimated cost of construction: $ 2 b , 3c)0 Note:estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees, including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CIO. 30. Estimated date of completion: IS[n 4- :?h , 20214 (2) 6/1/2024 BUILDING DEPARTMENT VILLAGE OF RYE BROOK AUG - 6 2024 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.rye bruokny.�ov BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE §216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT. STATE OF NEW YORK, COUNTY � OF. WESTCHESTER ) as: Gt+nYna &y1ay a r I,residing at, , Primnamrl 1Addi-c"\�hrrc Vou )kC) being duly sworn, deposes and states that (s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; q�I �J ' Z <;4 1 �'/e' V , Rye Brook, NY. Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps,or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. (ti i�:n;uurc irl Nr�,hurl� �-)�ti nci�(�U (2,► -1V1 (Print Nam )t IlropcnN O��im )I Sworn o efore m is d o , 20 Ill LAU RA LEON ZAGOYA NOTARY PUBLIC,STATE OF NEW YORK Registration No. OILE6297452 (3) Qualified in Westchester County Commtssion Expires February 24,20 Zb 6/l/2024 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also 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. S T$OF NEW Y K,COUNTY OF WESTCHESTER ) as: l-I C'V-yac=' c1�^0,—" , being duty sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the 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 U for the legal owner and is duly authorized to make and file this application, (indicate architect,contractor,agent,attorney,etc l That at 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. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this 'Z(aA V1 Sworn to before me this 21(a4 day of Ju 1 , 20 day of JU , 2024 Signature of Property Owner Signature of Applicant 17, Print am of Prop y Owner Print Na of Applicant 11, ry Public Ll V- iL1W6( - /- 4 No u lic / / L—Z-1 LAURA L EON ZAGOYA NOTARY PUBLIC,STATE OF NEW YORK (AURA I.EON ZAGOYA Registration No.OILE6297452 NOTARY PUBLIC,STATE OF NEW YORK Qualified in Westchester County Registration No.OILE6297452 Commisslon Expires February 24,20 Qualified in Westchester County Commission Expires February 24,20 (4) 6/l/2024 r 7 � eQQ, W N D O W .0 D.O Q R Series 2000A Aluminum Thermal-Break Tilt Windows 3'/4" Frame Depth, '/s" IGU Crystal 2000A D/H Windows offer these features All-Round Performer AAMA Ratings- H-C60/CW-PG50 •Powder Coat Paint on Standard Colors- 1 the ultimate environmental friendly coating designed for durability CTD-2000A •Tilting Sashes- AAMA H-C60/CW-PG50 make cleaning easy. IGCC-CBA •Full,Curved Lift Handle- ensures ease of operation. Anti-Drift Head Clip Lock- automatically secures the top sash in the closed position for safety,security,and a weathertight seal Crystal 2100 Picture Windows offer these features Maximum Glass with Minimum Frame- provides a beautiful panoramic view of the out of doors. •AAMA Rating- J, F-HC50 •Powder Coat Paint on Standard Colors- the ultimate environmental friendly coating designed for durability Crystal 2300 2 &3-Lite Slider Windows offer these features I, •AAMA Rating- HS-050 •Corrosion-Resistant Two-wheel Brass Rollers- ensure smooth and quiet operation. CTP-2100 •Powder Coat Paint on Standard Colors- AAMA F-HC50 the ultimate environmental friendly coating designed for durability IGCC-CBA Sloped Sill- helps drain out rain water. •Removable Sashes- makes cleaning easy Optional Features Available on All Crystal Aluminum Series 2000A Windows Include: Special Color Finishes- custom colors or two-tone available. •Colonial,Diamond or Georgian Grid- provide the elegant appearance of divided light in the same sash. •Casement Fin- makes window installation easy and neat CTS-2300 •Oriel Windows or A/C Oriel Kit- AAMA HS-050 provides beauty or accommodates air conditioners by having a longer top than IGCC-CBA bottom sash. •Continuous Head&Sill configurations available on series 2000A windows •Low E&Argon- SCAN M E for improved thermal performance. •Powder Coat Paint on Standard Colors- r 0' ■ the ultimate environmental friendly coating designed for durability t •product photo for dluvrauon purpose onty please refer to menufectu—'s aluminum product color than. y Crystal Window & Door Systems, Ltd. NYC,NY(HQ) 31-10 Whitestone Expressway,Flushing,NY 11354 1 Tel:800.472.9988/718.961.7300 1 Fax:718.460.4594 SCRANTON,PA 204 Franklin Valley Rd,Dalton,PA 18414 1 Tel:570.276.8000 1 Fax:570.563.5313 CLEVELAND,OH 29299 Clemens Rd.1-B,Westlake,OH 44145 1 Tel:440.871.8694 1 Fax:440.871.8690 ST.LOUIS,MO 31 Axminister Dr.,Fenton,MO 63026 1 Tel:636.305.7880 1 Fax:636.305.7881 CHICAGO,IL 1300 W.35th st.Chicago,IL 60609 1 Tel:773.376.6688/888.280.3288 1 Fax:773,376.6868 a r RIVERSIDE,CA 1850 Atlanta Ave,Riverside,CA 92507 1 Tel:951.779.9300 1 Fax:951.779.6300 DALLAS,TX 454 W.Mockingbird Ln,Dallas,TX 75247 1 Tel:469.248,30121 Fax:496.248.2978 TORONTO,ON 30 West Pearce Street,Richmond Hill,ON,L4B 1 E3 I Tel:905.889.9883 1 Fax:905.889.5891 Crystal I N D O W & DOOR w' WDMA GE fG Ain 0 2024-2025 Crystal Wriclow,&Doi Systems,Ltd.All Rights Reserved.Printed in USA. � a Vitro \ N 7 GRYST AC WINDOW& DOOR ;VY_ EM9, LTD. SERIES 2000A CW-PG50-H DOUBLE-HUNG TILT WINDOW SECTION 08 51 13 ALUMINUM WINDOWS PART 1 - GENERAL 1.1 SCOPE OF WORK A. Furnish and install aluminum windows as shown in bid drawings and as per specifications stipulated in this section. B. Factory-installed glass &glazing 1.2 ITEMS FURNISHED BUT NOT INSTALLED (Enter description and quantity of items such as extra sash, screens, glass units, hardware, etc. for attic stock) 1.3 ITEMS INSTALLED BUT NOT FURNISHED (Enter description and quantity of items such as air conditioners, louvers, duct work to be installed in locations as directed by Architect) 1.4 RELATED SECTIONS A. Section 07 90 00-Joint Protection. B. Section 08 41 00- Entrances and Storefronts. C. Section 08 70 00- Hardware. 1.5 REFERENCES A. AAMA-American Architectural Manufacturers Association: 1. AAMA/WDMA/CSA 101/I.S.2/A440-08 "North American Fenestration Standard/Specification for Windows, Doors, and Skylights" 2. AAMA 502-12-Voluntary Specification for Field Testing of Newly Installed Fenestration Products. 3. AAMA 611-98-Voluntary Specification for Anodized Architectural Aluminum 4. AAMA 701/702-04-Voluntary Specification for Pile Weatherstripping and Replaceable Fenestration Weatherseals. 5. AAMA 800-05-Voluntary Specifications and Test Methods for Sealants. 6. AAMA 902-99-Voluntary Specification for Sash Balances. 7. AAMA 910-93-Voluntary Life Cycle' Specifications and Test Methods for Architectural Grade Windows and Sliding Glass Doors. 8. AAMA 1503-98-Voluntary Test Method for Thermal Transmittance and Condensation Resistance of Windows, Doors, and Glazed Wall Sections. 9. AAMA 2603-02-Voluntary Specification, Performance Requirements and Test Procedures for Pigmented Organic Coatings on Aluminum Extrusions and Panels. 10. AAMA 2604-05-Voluntary Specification, Performance Requirements and Test Procedures for High Performance Organic Coatings on Aluminum Extrusions and Panels. 11. AAMA 2605-05-Voluntary Specification, Performance Requirements and Test Procedures for Superior Performing Organic Coatings on Aluminum Extrusions and Panels B. ASTM—American Society for Testing and Materials: 1. ASTM C 1036-06-Standard Specification for Flat glass. 2. ASTM C 1048-04-Standard Specification for Heat-Treated Flat Glass—Kind HS, Kind FT Coated and Uncoated Glass Flat glass. 3. ASTM C 1172-03-Standard Specification for Laminated Architectural Flat Glass. 4. ASTM E283-04-Standard Test Method for Determining Rate of Air Leakage Through Exterior SECTION 085113- 1 GRYST AC WINDOW& DOOR SYSTEMS, LTD. SERIES 2000A CW-PG50-H DOUBLE-HUNG TILT WINDOW Windows, Curtain Walls, and Doors Under Specified Pressure Differences Across the Specimen. 5. ASTM E330-02-Standard Test Method for Structural Performance of Exterior Windows, Doors, Skylights, and Curtain Walls by Uniform Static Air Pressure Difference. 6. ASTM E331-00 -Standard Test Method for Water Penetration of Exterior Windows, Skylights, Doors, and Curtain Walls by Uniform Static Air Pressure Difference. 7. ASTM E547-00 -Standard Test Method for Water Penetration of Exterior Windows, Skylights, Doors, and Curtain Walls by Cyclic Static Air Pressure Differential. 8. ASTM F588-07- Standard Test Methods for Measuring the Forced Entry Resistance of Window Assemblies, Excluding Glazing Impact 9. ASTM E2190-02-Standard Specification for Insulating Glass Unit Performance and Evaluation. C. NAMI —National Accreditation Management Institute, Inc. D. NFRC-National Fenestration Rating Council. 1. NFRC 100-2020-Procedure for Determining Fenestration Product U Factors. 2. NFRC 102-2020-Procedure for Measuring the Steady-State Thermal Transmittance of Fenestration Systems. 3. NFRC 200-2020- Procedure for Determining Fenestration Product Solar Heat Gain Coefficient and Visible Transmittance at Normal Incidence 4. NFRC 500-2020- Procedure for Determining Fenestration Product Condensation Resistance Values. E. SGCC-Safety Glazing Certification Council. -www.sgcc.org. 1. ANSI Z97.1-2004-American National Standard for Safety Glazing Materials used in Buildings- Safety Performance Specifications and Methods of Test. 2. 16 CFR 1201 Consumer Product Safety Commission Safety Standard for Architectural Glazing Materials -codified at Title 16, Part 1201 of the Code of Federal Regulations. F. U.S. Consumer Product Safety Commission (CPSC) Publications 1. 16 CFR 1201 Safety Standard for Architectural Glazing Materials. G. LEED: The Leadership in Energy& Environmental Design; U.S. Green Building Council (USGBC). 1.6 SUBMITTALS A. Submit administrative requirements under provisions of Section 01 30 00. B. Product Data: Manufacturer's data sheets on each product to be used, including: 1. Preparation instructions and recommendations. 2. Storage and handling requirements and recommendations. 3. Installation methods. C. Shop Drawings: 1. Elevation for each style window specified indicating its size, glazing type, muntin type and design. 2. Manufacturer's head,jamb and sill details and section views for each window type specified. D. Schedules: 1. Provide a window schedule indicating the type, size, color, and operation of each unit specified. Coordinate with window mark types found in the Contract Drawings. E. Selection Samples: For each finish product specified, two complete sets of color chips representing SECTION 085113-2 GRYSTA. 0 WINDOW 6 DOOR SYSTEMS, LTD. SERIES 2000A CW-PG50-H DOUBLE-HUNG TILT WINDOW manufacturer's full range of available colors and patterns. F. Verification Samples: For each finish product specified, samples may be subsequently installed on the project. G. Test Reports: Submit certified independent testing agency reports indicating window units meet or exceed specified performance requirements. 1.7 SYSTEM DESCRIPTION A. Operation: DOUBLE HUNG with TILT-IN SASH for cleaning B. AAMA Rating: Class CW-PG50-H when tested according to AAMA/WDMA/CSA 101/I.S.2/A440-08 at the gateway size of 56"x 91" C. Construction: 3 1/4 inch frame depth. Wall thickness: 0.062"/0.078"frame/sill; 0.062"sash. Factory finished extruded aluminum frame and sash members with integral structural polyurethane thermal break. D. Glazing: 7/8 inch insulating glass; black reusable flexible PVC channel gasket; 1.8 HARDWARE: A. Balances: 1. Balances shall provide a positive lifting force through the full range of sash travel. Sash travel shall be limited on oversize units. 2. When properly adjusted, balances shall hold the sash stationary at any open position. 3. Balances shall be factory calibrated of type Spiral (or Ultra-Lift balance or Block and Tackle) B. Meeting Rail Lock(s): White or Black painted zinc alloy sweep lock fastened at meeting rail with two self-tapping screws. C. Head Lock: Automatic aluminum spring-loaded head lock shall secure top sash in closed position. D. Tilt latches: Custodial-operated locking tamper-proof tilt latches E. Lift Handles: Integral continuous lift handles on bottom sash. F. Limit Stops: Jamb-mounted limit stops. 1.9 WEATHERSTRIPPING: A. Sash: High-density woven pile shall be used in combination with continuous polyethylene rigid seal to minimize air infiltration. B. Securely stake and join at corners. Provide drainage to exterior as necessary. 1.10 PERFORMANCE REQUIREMENTS A. Air, Water and Structural Performance Requirements: When tested in accordance with cited test procedures, windows shall meet or exceed the following performance criteria, as well as those indicated in AAMA/WDMA/CSA 101/I.S.2/A440-08 for performance grade of unit specified unless otherwise noted herein. SECTION 085113-3 GRYST AL WINDOW 6 DOOR SYSTEMS, LTD. zrl SERIES 2000A CW-PG50-H DOUBLE-HUNG TILT WINDOW 1. Air Test Performance Requirements: a. Performance: Air infiltration maximum 0.30 cfm per square foot at 1.57 psf pressure differential when tested in accordance with ASTM E283 for sliding sealed products. 2. Water Test Performance Requirements: a. No uncontrolled water leakage at 9.00 psf static pressure differential when tested in accordance with ASTM E331 and ASTM E547. 3. Structural Test Performance Requirements: a. Uniform Load Deflection Test 1) Not deflection of any unsupported span L of test unit(framing rails, muntins, mullions, etc.) in excess of L/175 at both a positive and negative load of design test pressure when tested in accordance with ASTM E330. 2) Structural reinforcing that is not standard on units being furnished is not allowed. b. Uniform Load Structural Test: 1) Unit to be tested at 1.5 x design test pressure, both positive and negative, acting normal to plane of wall in accordance with ASTM E330. 2) No glass breakage; permanent damage to fasteners, hardware parts, or anchors; damage to make windows inoperable; or permanent deformation of any main frame or ventilator member in excess of 0.2% of its clear span. B. Forced Entry Resistance Test: ASTM F588, Type and Grade as indicated for each Product. C. Thermal Performance Requirements 1. Perform thermal computer simulation in accordance with the configuration specified in NFRC 100, NFRC 200, NFRC 500. 2. Computed Thermal Transmittance(U-Value)shall not exceed (value determined based on glazing element) BTU/hr/sq.ft./°F for the whole window assembly. 3. Computed Solar Heat Gain Coefficient(SHGC)shall not exceed (value determined based on glazing element)for the whole window assembly. 1.11 QUALITY ASSURANCE A. Manufacturer Qualifications: All windows specified in this section shall be supplied by a manufacturer which has been fabricating/manufacturing commercial grade aluminum windows of similar quality and performance for a minimum of ten (10)years. B. Installer Qualifications: All products listed in this section are to be installed by a single installer with a minimum of five (5)years demonstrated experience in installing windows of the same type and scope as specified, preferably AAMA certified installers. C. Provide test reports from AAMA accredited laboratory certifying that window units are found to be in compliance with AAMA/WDMA/CSA 101/I.S.2/A440-08 and performance standards listed above. 1. Test reports shall be accompanied by verified "Notice of Product Certification"to assure product is active and currently listed at third party validation (NAMI) accredited by the American National Standards Institute(ANSI) 2. All testing shall be conducted using AAMA/WDMA/CSA 101/I.S.2/A440-08 Gateway Performance minimum specified test sizes. 1.12 DELIVERY, STORAGE, AND HANDLING A. Store products in manufacturer's unopened packaging until ready for installation in accordance with manufacturer's recommendations. B. Protect units against damage from the elements, construction activities and other hazards before, SECTION 085113-4 GRYST AL WINDOW S DOOR 5Y STEM9, LTD. SERIES 2000A CW-PG50-H DOUBLE-HUNG TILT WINDOW during, and after installation. 1.13 PROJECT CONDITIONS A. Maintain environmental conditions (temperature, humidity, and ventilation)within limits recommended by manufacturer for optimum results. Do not install products under environmental conditions outside manufacturer's absolute limits. 1.14 WARRANTY A. Refer to Crystal Window& Door Systems, Ltd. standard warranty. B. Optional Extended Warranty(contact your Crystal sales representative). PART 2- PRODUCTS 2.1 MANUFACTURERS A. Acceptable Manufacturer: Crystal Window& Door Systems, Ltd., which is located at: 31-10 Whitestone Expressway, Flushing, NY 11354; Tel: 718. 961.7300; Tel: 800. 472.9988; Fax: 718.460.4594; Web:www.crystalwindows.com B. Requests for substitutions will be considered in accordance with provisions of Section 01 60 00. 2.2 Aluminum: A. Extruded aluminum prime billet 6063-T5 or 6063-T6 alloy for primary components; 6063-T5, 6063- T6, or 6061-T6 for structural components; all meeting the requirements of ASTM B221. B. Aluminum sheet alloy 5005 H 32 (for anodic finish), meeting the requirements of ASTM B209 or alloy 3003 H 14(for painted or unfinished sheet). 2.3 Thermal Barrier: A. Structural Thermal Barrier: 1. Structural thermal barrier shall consist of poured-in-place polyurethane polymer that shall transfer shear during bending and provide composite action between frame components. B. Non Structural Thermal Barriers: 1. Non structural thermal barriers are used only in conjunction with structural thermal barriers. The purpose of non structural thermal barriers is to enhance thermal performance of the primary structural thermal barriers by inhibiting heat transfer through thermal radiation and convection. Non structural thermal barriers shall not be used as primary load carrying members. 2. Rigid non structural thermal barriers shall be constructed of extruded polyvinylchloride (PVC). 2.4 GLASS A. Glazing Materials: 1. Vertical Glazing: For glass surfaces sloped 15 degrees or less from vertical. Design glass to resist design wind pressure based on glass type factors for short-duration load. 2. Thickness: Where glass thickness is indicated, it is a minimum. Provide glass lites in thicknesses as needed to comply with requirements indicated. 3. Strength: Where float glass is indicated, provide annealed float glass. Where fully tempered glass is indicated, provide Kind FT heat-treated float glass. 4. Thermal and Optical Performance Properties: Provide glass with performance properties SECTION 085113-5 GRYST AL WINDOW 6 DOOR SYSTEMS, LTD. SERIES 2000A CW-PG50-H DOUBLE-HUNG TILT WINDOW specified, as indicated in manufacturer's published test data, based on procedures indicated. a. U-Factors: Total-glazing values, according to NFRC 100 and based on LBL's WINDOW 7.4 computer program, expressed as BTU/sq.ft x h x deg F (W/sq. m x K). b. Solar Heat-Gain Coefficient and Visible Transmittance: Center-of-glazing values, according to NFRC 200 and based on LBL's WINDOW 7.4 computer program. c. Visible Reflectance: Center-of-glazing values, according to NFRC 300. 5. Float Glass: ASTM C 1036, Type 1, Quality-Q3, Class 1 (clear) unless otherwise indicated. 6. Coated Glass: ASTM C 1376, Type 1, Quality-Q3, Class 1 (clear)unless otherwise indicated, of kind and condition indicated. 7. Laminated Glass: ASTM C 1172, Type 1, Quality-Q3, Class 1 (clear) unless otherwise indicated, of kind and condition indicated. B. Insulating Glass Units: 1. Factory-assemble units consisting of sealed lites of glass separated by a PPG Intercept Spacer system consisting of a one-piece, metallic, U-channel design that creates an effective thermal barrier to help reduce conducted heat loss through the window. 2. Insulating glass units shall be sealed with an integral dessicant matrix and a butyl sealant extruded around the entire perimeter of the spacer to achieve a seal. The sealant applied is to be Dual Seal Equivalent(DSE). Interspace to be filled with air or argon gas as required by thermal computer simulation. 3. Insulating Glass Types: Low-E coated, insulating glass units. a. Overall Unit Thickness: 7/8" (22mm) b. Thickness of Each Glass Lite: 3/32", 1/8", 3/16" or 1/4 inch c. Outdoor Lite: Class 1 (Clear)float glass,fully tempered float glass or laminated glass d. Interspace Content: Air or Argon Gas. e. Indoor Lite: Class 1 (Clear)float glass, or fully tempered float glass or laminated glass f. Low-E Coating: Sputtered on second or third surface, pyrolitic on fourth surface g. Glass Winter Night time U-Value: 0.26 maximum. h. Solar Heat Gain Coefficient: 0.46 maximum. i. Provide safety glazing labeling, if necessary. 2.5 WINDOW ACCESSORIES Provide the following accessories as specified in the contract drawings. Finish to match window frames or as selected by the Architect: A. Wrap Around Panning B. Preset Panning C. Snap Trim/Clips D. Expanders E. Receptors F. Subsills and Subsill Anchors G. Mullions and Mullion Covers H. Exterior Sills I. Interior Stools SECTION 085113-6 GRYSTA. L WINDOW& DOOR SYSTEMS, LTD. SERIES 2000A CW-PG50-H DOUBLE-HUNG TILT WINDOW J. Muntins 2.6 FINISHES A. Conforming to AAMA 2604-05 specification, finish on all extruded aluminum shall consist of zero or near-zero VOC, organic POWDER COAT with a baked on super-durable thermosetting polyester resin, electro-statically applied on five-stage pre-treated aluminum surface. Equivalent to 50% Kynar polyvinylidene fluoride liquid paint finishes. Powder coat material to be as manufactured by Sherwin Williams or PPG Powder Coatings. B. Color to be selected from Manufacturer's Standard Color Chart(or custom-matched as required by project Architect/Owner). 2.7 Insect Screens: A. Screen frames shall consist of tubular extruded aluminum profiles with finish to match window frames. B. Fiberglass mesh (18 X 16)with PVC spline. 2.8 Steel components including attachment fasteners shall be 300 series stainless steel except as noted. 2.9 Thermoplastic or thermo-set plastic caps, housings and other components shall be injection-molded nylon, extruded PVC, or other suitable compound. 2.10 Sealants: A. Sealants shall comply with applicable provisions of AAMA 800 and/or Federal Specifications FS- TT-001 and 002 Series. B. Frame joinery sealants shall be suitable for application specified and as tested and approved by window manufacturer. PART 3 EXECUTION 3.1 EXAMINATION A. Do not begin installation until substrates have been properly prepared. B. If substrate preparation is the responsibility of another installer, notify Architect of unsatisfactory preparation before proceeding. 3.2 PREPARATION A. Clean surfaces thoroughly prior to installation. B. Prepare surfaces using the methods recommended by the manufacturer for achieving the best result for the substrate under the project conditions. 3.3 INSTALLATION A. Install in accordance with manufacturer's instructions. 3.4 ANCHORAGE A. Anchor window units and/or assemblies sufficiently to maintain permanent positions when subjected to normal thermal movement, specified building movement and specified wind loads. SECTION 085113-7 GRYSTAL WINDOW 6 DOOR SYSTEMS, LTD. SERIES 2000A CW-PG50-H DOUBLE-HUNG TILT WINDOW 3.5 PROTECTION A. Protect installed products until completion of project. B. Final operating adjustment shall be made after glazing work is complete. Operating sash and ventilator shall operate smoothly and shall be weather tight when in locked position C. Touch-up, repair or replace damaged products before Substantial Completion. 3.6 DISPOSAL OF DEBRIS A. Remove all garbage off site and legally dispose of existing windows and debris generated from the installation of the new windows. 3.7 OPTIONAL FIELD TESTING A. Testing Agency: Engage a qualified testing agency to perform tests and inspection 1. Testing and inspecting agency will interpret tests and state in each report whether tested work complies with or deviates from requirements. B. Testing Services: Testing and inspecting of installed windows shall take place as follows: 1. Testing Methodology: Testing of windows for air infiltration and water resistance shall be performed according to AMA 502. 2. Air-Infiltration Testing: a. Test Pressure: That required to determine compliance with AAMA/WDMA/CSA 101/1.S.2/A440 performance class indicated. b. Allowable Air-Leakage Rate: 1.5 times the applicable AMA/WDMA/CSA 101/1.S.2/A440 rate for product type and performance class rounded down to one decimal place. 3. Water-Resistance Testing: a. Test Pressure: Two-thirds times test pressure required to determine compliance with AAMA/WDMA/CSA 101/1.S.2/A440 performance grade indicated. b. Allowable Water Infiltration: No water penetration. 4. Testing Extent: Three windows of each type as selected by Architect and a qualified independent testing and inspecting agency. Windows shall be tested after perimeter sealants have cured. 5. Test Reports: Prepared according to AAMA 502. C. Windows will be considered defective if they do not pass tests and inspections. D. Prepare test and inspection reports. 3.8 ADJUSTMENT AND CLEAN UP A. Adjust all products, sash, vents, and hardware after installation, as necessary to provide proper operation and a weather tight installation B. Remove any labels and dirt from the window. END OF SECTION SECTION 085113-8 ® JR Window !/ 3021 Eastchester Road Bronx, NY 10469 914-"7-8407 phone/Fax vA,E /1 O /-► C:UST IN, :R S ORDER NO �'��5t (" /� 6 �n ,IJ� NAMF ADDRE SS C.O.D. CHARGE ON ACCT MDSE. ETV SOLD BY CASH DESCRIPTION PRICE AMOU T s� W 00 �ss :3 �CITY 5� 2 S C(Q T 8� • AFC E,vco�� ALL SAL FINAL 2956 1 III .♦An n�i ,� ;fin py,•�^Y �Zi o<I�h)�.;.t,l"y•�+"��t�= 4c1�.1N1.1 c�f:'•:ems a ty�it;.,:�lii►\.t�/1.l?1►}i►1='=A;:1-'1rt.am i�..s..1.,:14:r=i'�..4�r►�•1�1t.1 1/►�i►1__�_u}p'�k_.0.�...•�p_=-�.5.5/ kt ;I.lO: !s.,�fyw•�r1��l l'1�ivil, 1� lIPi I !„r+�'i'�t:l F_j"r:r'♦:5I►�I lt�.11s►��:�:an i.•..O N�+;�'R 11f�►�►.i,�1/11�;����r s;�,^r uy��O CA ILI L' tto i j rj N C; 0) .CA E v U � «, a, C 41 ' C Z E Z tD p Ct) t < ;r ^" w w CD to ui Wig;;• "�' Z Vj Z $ N vCIO . w w w GC9 wee = N r�. uedal3 lima C14 �. F•F N `—'• - Ln NE e o p N K. gip„ �+^'•�,�� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ��" si <( )jO .+F-'iT-'i IfT�i:=:�"_+r;��.�-.�.-,� i'+_•_.+ - _.a::_; -r,r•-e;:<;•^ -�J ito/>J Y f�1/j1r V 1oflf�h. -, ►NIf 11 1111 nrlNrr { �rfllrlr i '4fllfrr 4fllfr '4fllhr � tii� .. ;� .t�►�t s1.1 �i,�,���t�„ti�� ��;' \'"�u ��r.���f', .�; ;�ir.�t►1',� : ol,A,oj : ,;�ri�.iiq ,�„�, .. �v,•,�'a:� �' a�\ !!{;{\ � i Cif' jO v -"`k� �,� �;,'.';'•to y ti + t 408875 DATE(MMMONYYY) ACORN® CERTIFICATE OF LIABILITY INSURANCE 7/29/2024 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 ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Ye Sl R Ramos Rammcy Corp PHONE FAX fA1HC No (914) 864-0570 A/C No: (914) 618-3581 228 E MAIN STREET RAMMCY CORP E-MAIL Yramos@rammc cor com _ADDRESS: Y p• Mount Kisco, NY 10549 _ INSURERS AFFORDING COVERAGE NAIC# INSURER A: Llolyd's London 32727 INSURED INSURERB: Llolyd's London 32727 Alta Vista Lead Improvement Inc INSURER C: 211 Central Ave INSURER D White Plains, NY 10606 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MWDD A GENERAL LIABILITY X X ENC0006061-04 6/11/2024 6/11/2025 EACH OCCURRENCE $11000,000 DAMAGE TO RENTEU— x COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $100,000 CLAIMS-MADE K OCCUR MED EXP(Any one person) $25 000 PERSONAL 3ADV INJURY $11000,000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY-7 PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT We accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED E SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS $ Peracadent $ B UMBRELLA I" N OCCUR X X ENX0006062-04 6/11/2024 6/11/2025 EACH OCCURRENCE $2,000,000 X EXCESS LWB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATIJ- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTNE❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ A Contractors Pollution ENC0006061-04 6/11/2024 6/11/2025 Each Occurrence 1,000,000 Liability Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(AUseh ACORD 101,Additional Remarks Schedule,If more space Is required) Certificate holder and Brianna Banahan at Nurtury Montessori for the project located at 431 N. Ridge St. Rye Brook, NY 10573 are included as additional insured under balnket form CG 20100704 on a primary 6 non-contributory basis under form CG 24 0 and waiver of subrogation under form CG 24 04 10 93 CERTIFICATE HOLDER CANCELLATION Village of Rye Brook 938 King St. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Rye Brook, NY 10573 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 60f 0 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Delivered By EzCOI.com 1� NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0r, 0 ^^^^^^ 861275090 RAMMCY CORP 228 E MAIN ST 0 MOUNT KISCO NY 10549 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ALTAVISTA LEAD IMPROVEMENT INC. VILLAGE OF RYE BROOK 211 CENTRAL AVE 938 KING ST. WHITE PLAINS NY 10606 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2535 259-2 998303 01/05/2024 TO 01/05/2025 7/29/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2535 259-2, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/M/WW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT RAUL HERNANDEZ ALTAVISTA LEAD IMPROVEMENT INC THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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. NEW YORK STAT SUR NCE FUND T4 �/ DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:498825385 U-26.3