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RP24-105
PERMIT # / O� DATE: 9/c)3/c ®(P; 9 z13 c ff SECTION BLOCK LOT TYPE OF WORK JOB LOCATION rl Ve OWNER l a Q r0 7933 / CONTRACTOR /rle /� S r C �-Y) #/0 % 9 79 /4r� 0 So z EST. COST FEE ✓CO # FEE' /50:72P6 DATE D FEE DATE .;� FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS 0 SPRINKLER ELECTRIC LOW -VOLT C] ALARM C.J AS BUILT FINAL OTHER APPROVALS ARB BOT P8 ZBA OTHER BR, 4" Q 'P W v `C 1913 VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914)939-0668 Christopher J. Bradbury www.rvebrookny.Jgoov TRUSTEES BUILDING&FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE March 4,2025 Andrew Chapro&Karen Chapro 9 Hidden Pond Drive Rye Brook,New York 10573 Re: 9 Hidden Pond Drive, Rye Brook,New York 10573 Parcel ID#: 135.67-1-36 Roof Permit#24-105 issued on 9/23/2024 to Re-Roof Existing Building This certifies that the new roof,installed under the above captioned permit has been satisfactorily completed. Sincerely, Steven E. Fews Building&Fire Inspector /to _ ror once use onto: j� (� _ j��/�(�� BUILDINti: 'I MENT PERMU#Q/ , d� D III V� ' U V L_� t I VIL�;A OF RYE K ISSUED: -I-53 5 y 938 KG SIRE RYE BROW,, W YORK 10573 DATE: a--AOa: FEB 2 0 2025 FEE: t /'tj PAD4 VILLAGE OFRYE Bwxov 00I: BUILDIAPP ,ICATION 9 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 006 Address: 'oi "1'Me-10 e(50Z d )WQ24- Occupancv /Use: i��Parcel ID#: Zone: a6 O%kncr. KAF E 1 I CkA'�YtU Address: L ,Vc- P.E./R.A. or Contractor: A1LXId,f20 SfIIW-k*Z Address: 50 Lill b"Q P34CX6_06a)2 �(L- Person in responsible charge: rto �att.rt' tt ct Address: ' Lu►)i .1 plAec Gm, r[[-olL4 Application is hereby made and submitted to the Building Inspector of the Villagc of Rye Brook for the issuance bt 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: A,'-nl go Stye&-z, being duly sworn,deposes and says that he/she resides ats3 a U MV PA;0 P(ACf-- (Pent Name od:%ppli.ann (No and Street) in in the County of .5'M-W—ST(L- M in the Stan:ofMy ,that (City?owal Village) he/she has supervised the worts at the location indicated above,and that the actual total cost of the work,including all site improvemetts, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S If,00 e T __._ for the construction or alteration of 91 6jDb y N IPO y b VYL t V F 94WOAC-4-- 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/wort: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 erectedicompleted complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the ttse of any building or premises or part thereof hereafter treated,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 Code of the Village of Rye Brook. Swom to befoV me this z3� _ Swom to=4<r s day og 20 Z day of o, 20 ZY� Signs M of Property owner Signawre of Appl' f � l— L/�t 9..of Property(honer cant \ot Hr lic blic JOHN M SUOZZO G NOTARY PUBUC,STATE OF NEW VORKY SfA Registration No.01 SU6070919 Oualitied In Westchester County ;kmwv 4 My Commission Expires March 11,2026 �yE BRC��. 1982 BUILDING DEPARTMENT [1 BUILDING INSPECTOR l[J ASSISTANT 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:Z ' G 4 20 Z'S PERMIT# ISSUED: SECT:! BLOCK: LOCATION: OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... ❑ ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION I' ❑ NATURAL GAS ❑ L.P. GAS } !� ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL OTHER ° e a \ M Q �72 N N " -� " W rcf)r w QA l s 1+1 fL' cn W Ch A. ~7 ■ W 0-4 C,Ln W � vt j--f c� en 1 a T� o "+ w V � H ` p Ili O o a a . B y a +; O W `� tW w cs) 14 ^ '� b `o 0-4 $ v 00 O O C ERR NII. a Nt cN U CD ►z %-.e P" `� H a]C a 5 eke ■ w � qt z4zo � vo 00 x A U MCI © V t N O O '1 a. °' CA 0 C _ W V-4 by = O � M z � � O W W emu, 6 '0Q ba v z _ ee too � ►y a O �--� U � � ,� ^ � ,� �, F Q x O o o wo aA � v � � o \ ~ U Q U x p 6 � U `�' v Ham. V� - a dice [7 O Ea+ O - N.{ 0 `V ti� cc y U z C � W W w � Q ocr Q O p V o x vo G1 Z z Q ° o _- �� a _' C BULL MENT D [E C E ��E VI E OF RYE OK DD 938 KING �T RYE BR NY 10573 SEP 2 3 2024 -0 I VILLAGE OF RYE BROOK ov BUILDING DEPARTMENT FOR OFFICE USE ONL1. Approval Date: s�p 2 2 lit# Application# Approval Signature: �� ARCHITECTURAL REVIEW BOARD: Disapproved: Date: BOT Approval Date: Case# Chairmam PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: Application Fee:40Permit Fees: 30(0 PA ROOF PERMIT APPLICATION Application dated: d�—e�y is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit to Re-Roof an Existing Building,as per detailed statement described below. 1. Job Address: SBL: /&5_,6 —/-3 : 6 Zone Property Owner: r-'I'va pro Address:q, R t CAe n Pb vk A L)T. Phone#: Cell#: gig 8LN -`I q3�_ email: K al.yeyic,n�a pro WQ lN1pl t 1-(Ott) 2. Applicant: 8fLT Ivlrb ARC 1t?'I,�( G r Address:20 Q,t�1 el, �lC[aCYt�IIC �} 1 Phone#: 6JI11- 1}ib--jQ- !q Cell#: cliq 4l() - qlg email: 1r+.kim,of-0\Xr1e1L54P frla Atom 3. Roofing Contractor: 2T I}OY f J yL4j2(OVe P RE- l l/r Address: �'p ja �a �. p 1�3(Z r )Y (.0� Phone#: Oil 41d '10 _ _ _ __ Cell#: email: r dvyygrywt'UtQ,dS44rylut� �•�1� 4. Job Description,list all Methods&Materials: f iCt toa+{.r > iC d , C3tifl f�AC r n(uIXUAtam nn U ll 5 . Loot714; 0 0 CA4 co0'� �'-h'i nA on C�►i uvt r►t t.r 69X , A 501i all S�t -4 1^IA�-t V tAkS 5. Estimated Cost of Job: ��r (pIDQ , �_ (NO'fl~.: Thc c>iimalcd cost shall include all site improvemcnis.labor,material.scaffolding,.tiled equipment.professional ii;cs,and material and labor which may be donated gratis.) 6. If corner property,indicate street frontage: 7. Construction Type: NYS Construction Class: 8. Number of stories: Height: 9. Is garage being re-roofed:No: ( )•Yes: J�Attached No: ( )•Yes:, )Number of Cars:� 10. Is roof peaked,hip,mansard,flat,etc: atcy—'e 1 c 11. Estimated date of completion: t A -t- 6/1/2024 Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. f iiilRiflilRiii!l iif AA RAAlAAiAiiAlAiAlfAi!!i!i!lfiifiRAfRiARfilfiiflAfAAAfAf Aff AAf AAAAf fAfifii iiiiiiil ii RR �":ATE OF NNW YORK,COUNTY OF WESTCHESTER ) as Ul(_ ;i ftau ?, __ . being duly sworn, deposes and states that he/shc is the applicant above named, upm nano of wdlivo i sib a Ow @M ksm) and further states that (s)he is the legal owner of the property to which thLs application pertains, or that Whe is the for the legal owner and is duly authortied to make and file this application (034"e L%h ttrt cwmtrsiz v,e8'M,encvney,etc► Tlat all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed.or use ecxlducted at the above captioned property will be in conformance with the details as set forth and contained m this application and to am accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prv,cnt)on & Building Code,the C Ac of the Village of Rye Brook and all other applicable laws,ordinances and regulations Swom to before me this �'�1 Swom to before me this dar of ?p � day of s 20 _ �._ Urc of Property t rer -— Signature of Applicant -_:11 Name of Property %-:tom- Print Name of Applicant -- r Notary Public Notary Public JOHN GECFFREY TIENG NOTARY PL-3L.C-STATE CF NEbb' YORK N--%-31T163e836e Quo `jec :-)Westchester County MYCOr^ as,o-Exo,,es 12-11-2025 -2- Please note that this application must include the notarized signature(s) of the legal owner(s) of the above-mentioned property, in the space provided below. Any application not bearing the legal property owner's notarized signature(s) shall be deemed null and void, and will be returned to the applicant. TATE OF NEW YORK, COUNTY OF WESTCI-IESTER ) as: flgi-y" __,being duly 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 ugncafflK for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attomey,etc.) 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 rand regulations. Sworn to before me this Sworn to before me this 010 day of 520 day of��--0� `� .0, 20 Signature of Property Owner Signature of App ' t Print Name of Property Owner Pri ame f lic Notary Public ota ub➢ic i rcos Timan a Notary Public-State of ew York NO. 01TI604409 3 Dualifled in Westchester County My Commission Expires GW2612026 -2- 6/1/2024 R.T. HOME IMPROVEMENTS '* 30 LINDEN PLACE ,� NEW ROCHELLE N.Y. 10801 . mows, (914) 410- 7898 (914) 410- 7979 License#WC-27545-H15 9 Hidden Pond Dr. Rye Brook, NY 10573 Roof Replacement Proposal: Updated 09/07/24 1. Strip and remove all layers of shingles from house roof and remove all job related debris from premises.. 2. Install GAF synthetic roofing paper. 3. Install NW water and ice shield membrane on bottom 6 ft. of roof, valleys, around chimney, and where roof butts against wall to help prevent ice damp. 4. Install aluminum drip edging on perimeter of roof. 5. Install aluminum on valleys. 6. Install aluminum boots at base of vent pipes. 7. Install GAF HDZ architectural asphalt fiberglass roof shingles secured with galvanized roofing nails. 8. Install Ridgevent on roof peak. 9. 5yr warranty on roof workmanship. Labor and Material $15,800.00 SIGN: DATE: Optional: Copper flashing on Chimney base $800.00 CARPENTRY-MASONRY-ROOFING-SIDING-GUTTERS-LEADERS FREE ESTIMATES-FULLY INSURED zf�'�'�r w r � �v{.�'��"w _,� 7P'��r .,� <`�.w ��'� .��. A, ,Mtn'`;[:p 3 L� ^�*^c .. ,n�''�� •- �' rY. { hSY1�°5•• � aS y��:r�lyr ' v S'S.°er r vv Svt;.�i'r � rt'°if$ vk r S, q•S P S• � -� `. ��} . m . .. j.ff t v Sj,t r v ti�trS P� v�.S j'• 'tiY '��,- �•��• � ;1•b SF����¢t fi O r •�,�t✓�r,Y rxl� O� :�l'a�y���,Y9 f tv"+uw A�,�f •�. �.��kt tX� f ,O - f�vu Y�Su, r . •��St���S s � O -1 Tf �-� r ���<� ���'Y���, Ir�<�', `�' �> �n>,: $3r :,F;,{�����''.1 bv3<ii `,�►�ir�.:# �vi'i..., ♦>���'. vs p�C. �,,����'r`fl� �1 ;,'`�1 ♦•'��- r. ti`�� '; : _�:y1111111ti7 3€��;rs s���;:'11111111t3 �8���-�,�i�#'e:,��jj1111111�i'� ?�-��€J��3 �:t'1tliij'..3i�� ��",...�t11>IIt�_.'���4,�•wis;..., �.. j r °''' "arit�r "�Ifll�Illl,:ix �'i n�lll/�llt tS a- .t.�I!'1i11/i x, .lflf,l�t 1!!. fft/� --r s..tlIf IIIIIt/i _•..� tiW -. r,F: <(flw� �*ii'Y•E•• �..L�� + 3 .�� Y./ \f � 1� r.J.�._ .t:,t I 11[ � "✓t;_.11 11 � r7r<(f�)>� ail . . . . . . k a u (Z CN O �'+ LUAffi O hr•i V U 'O op" O O too coo �yk/Mr1eeWMW` Y. 11J O O to tb U Cn > O H ' :. okection ui • > Lli 0" .rr r Cn J Z U �� V1 Z ZLLJ jZ U � �� .ro ay, �t�,c�ir-` i►� ;; 0 o .� edao W X z ptt AM. 1 ♦� O SGf ar rz C r?RSA' >. U mi ten:: . . . . . . . . . . . .. . . . . _ . . . . . . . . . . . . . . . . (0)> �ip c 1 s•* -` '- "iE:CEi" P'''. i�"�'�' -sv:y- aim/'�'�c ,'a -'.�! ,_ •�-• y-r�t�1/1{I+lit'. �'=�`� ; tlillf/!4 ����/�11111��!'"`i _��€��� �{!�!!`=•�_'�'��- y111�,f� � t,�/1�/«+t� ..��a�,},�7�j111�11/!1�`..::_ t MS � Ii/i1 w$!�)� �'�Ii/i1 W`}; �w iiliy ti �w ��1 �w�sgs>.s!IfI�1� w �`i� A vY•/ 't� A � A i y} y�F ^ �.. > d fo rSi,�flilJ�;i'A`".CK4 � +S•k'��i��` ,{O 'xQ'St ��`(�1a4 7+t�,t O' .R����i 0. ''�y �rr�v ? O 1��� W'tl d,��{�1 itYetSYj �'Mt�'W �.?�+� e�� 1� •�F�V�! ���' ,Jw.._ �V� N�V��S�' 4V�S f,�V�''' v' '�1�VCry'S �1NV kSl�.: r.."�'�•'_'`y�'�Y W..'�� tV`� �'��•>,,,T� �`� +5?`�fi��•- '�L'A rL''s :� ��v :{�`�- � "�Yt�Jti ... - AC ® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE F9/20/2024 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 have ADDITIONAL INSURED provisions or 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 UUNIAUI NAME: Laura Rondinelli Marenco Insurance Agency Inc. PH NE 914 235-3144 B Y lucFAX ,No,Ext: ( ) (A/c,No): (914)235-1571 2525 Palmer ave ADDRESS: Laura.Rondinelli@covu.com Suite 1 INSURER(S)AFFORDING COVERAGE NAIC# New Rochelle NY 10801 INSURER A: EVANSTON INS CO 35378 INSURED INSURER B RT Home Improvement Services,Corp INSURER C 30 Linden Place INSURER D: Unit 1 INSURER E New Rochelle NY 10801 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM(DD/YVVY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0()0 ED CLAIMS-MADEEX OCCUR PREMISES(Ea oc"LINcurrence) S 100,000 MED EXP(Any one person) $ 5,000 A 3AA763685 03/17/2024 03/17/2025 PERSONAL&ADV INJURY S 1,()00,0()0 GEML AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S 2,000,000 X POLICY ❑JE� ❑LOC PRODUCTS-COMP/OP AGG $ I,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED 6INGLE 71717— (Ea accident) ANY AUTO BODILY INJURY(Per person) 5 OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED FNON-OWNED S AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ S ORKERS COMPENSATION ND EMPLOYERS'LIABILITY Y/N STATUTE ER NY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT S FFICER/MEMBER EXCLUDED? N/A Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S f yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Scope of Work:Those Usual to Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. 938 King Street AUTHORIZED REPRESENTATIVE Rye Brook NY 10573 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE R AAAAAA 831041073 RT HOME IMPROVEMENT SERVICES, CORP. 30 LINDEN PL APT 1 NEW ROCHELLE NY 10801 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER RT HOME IMPROVEMENT SERVICES, CORP. VILLAGE OF RYE BROOK 30 LINDEN PL APT 1 938 KING STREET NEW ROCHELLE NY 10801 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2480 014-6 178547 07/27/2024 TO 07/27/2025 9/20/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2480 014-6, 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://WWW.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 MARIA SANCHEZ VICE-PRESIDENT ARTURO SANCHEZ 2 OF 2 RT HOME IMPROVEMENT SERVICES 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 STT4 '7t*, NCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 344705392 U-26.3