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HomeMy WebLinkAboutRP24-127PEftMIT # Aj4z=)*Z/_ ( % t)ATE / / ®tP: SECTION .Si 3S BLOCK LOT, TYPE OF WORK - % S i1 )q/ 10B LOCATION s3ock / qe 61Wc TRACTOR %,UrlrJCf L l _i - PKM*V-7 ry- ST. CO TCO iE edWol EE� DATE _ INSPECTION R,�CORD I DATE I NSP FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS 0 SPRINKLER ELECTRIC L7 LOW -VOLT 0 ALARM C7 AS BUILT O FINAL 1,3►- aAif Te 2� a�3> 388- 5ss� 5 OTH R APPROVALS ARB BOT P8 ZBA OTHER (-�yE DR VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrookny.gov TRUSTEES BUILDING& FIRE INSPECTOR Susan R. Epstein Steven E. Fews Stephanie J. Fischer David M. Heiser Salvatore W. Morlino CERTIFICATE OF COMPLIANCE February 4,2025 Jason Sauer&Mireya Sauer 15 Rock Ridge Drive Rye Brook,New York 10573 Re: 15 Rock Ridge Drive,Rye Brook,New York 10573 Parcel ID#: 135.35-1-44 Roof Permit#24-127 issued on 11/18/2024 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 IE C E W E BUILDING DEPART--%IE1T For office use only: PERNUT# —/a 7 VILLAGE OF RYE BROOK ISSUED: JAN 2 9 2025 7.30 KLNG STREET,RYE BROOK,NE\V YORK 10573 DATE:/ (914)939-0668 FEE:,2j c�O 5— PAMO VILLAGE OF RYE BROOK -,vww'.ryebrook.ora BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANNCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETION OF ALL WORK, AND PRIOR TO THE FINAL INSPECTION ff tii•f ti♦tin tt itfiitf tftifitt♦f ii•ttfiif fiitii tf of titif of tiiiif iiitiiifltti ti tilt•tifitf fftttffttftfititit•iftii itiftittii Address: 15 Rock Ridge Dr Rye Brook NY 10573 Occupancy/Use: / /Ci}Nq Parcel ID#: Zone: R-10 Owner: Jason Sauer Address: 15 Rock Ridge Dr Rye Brook NY 10573 P.E./R.A.or Contractor: Gunner LLC Address: 194 S Water St Greenwich CT 06830 Person in responsible charge: Andrew Prchal Address: 194 S Water St Greenwich CT 06830 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 stnicttue/constniction/alteration herein mentioned in accordance with law: STATE OF NEW YORK.COUNTY OF WESTCHESTER as: Andrew Prchal being duly sworn.deposes and says that he/she resides at 15 Rock Ridge Dr (Print None of Applicant) (No and Street) in Rye Brook in the County of Westchester in the State of NY that (CiryiTown/Village) 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:$ 21,000.00 for die construction oralterationof: Roof Replacement Asphalt Roof 8t gutters Deponent fiuther states that he/she has examined the approved plans of the structuue,work herein referred to for which a Certificate of Occupancy i Compliance is sought.and that to the best of his/her knowledge and belief.die stnuture/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/conhpleted complies with the laws governing building construction.Deponent fitrther 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 Code of the Village of Rye Brook. N Sworn to before me this I Sworn to before me this day of J 20 c2 4 day of N genW C 20 Si of Property Owner Si t Jason Sauer Andrew Prchal Print Name of Property Owner Print Name of Applicant ` 7-Akis7 JQ�, (PRY o', - 1 A R ,�• C'p PtJ6� o^\ O PUB\-\G EXP'.' J �yE BRC�� O�` tim 1932 BUILDING DEPARTMENT ❑ `BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK [yj ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : I OCR A S.F° DATE: O�S PERMIT# T 2 L' I Z ISSUED:-'SECT: BLOCK: LOT:} LOCATION: \C JJ 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 ❑ NATURAL GAS ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL ❑ OTHER _ ■ _ Ln O H e d' 00 a z W O v ■ Cn � W O �� � y H ■ 01 let wo 14 = W W V a s pq • a o4 �? a T FBI ' _ Z Lfl ■ © 1� O C 1�1 � FBI 0-4 4-4 vo0 - a' O d o ■ W 00 A >1 �[/2 Ln C O U . �j 0Q Z �^ w W � O cy o r •o T ^ el W W W z A z z cq cq O p � o � v �i a A O O O F U U v Q 0 a �� V CA o o z � vd U0 U Ln a s BUILDING DEPARTMENT VILLAPE OF RYE BRYOK NOV 14 2024 938 KING STREET RYE BROOK,NY 10573 — (914)939-0668 www.Ey0bwok.org. FOR OFFICE USE ONLY- Approval Date: r Permit# Application# Approval Signature: : ARCHITECTURAL REVIEW BOARD: r Disapproved: Date: - BOT Approval Date: NIffase# Chairman: PB Approval Date: Case# Secretary: ZBA Approval Date: Case# Other: • Application Fee: Permit Fees: ° ROOF PERMIT APPLICATION Application dated:_)I >� 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 pel detailed statement described below. 1. Job Address: 15 Rock Ridge Dr Rye Brook NY 10573 SBL: 135.35-1-44 zone: R-10 Property Owner: Jason Sauer Address: 15 Rock Ridge Dr Rye Brook NY 10573 Phone#: Cell#: (917) 621-6710 email: jsauerdds@gmail.com 2. Applicant: Andrew Prchal Address: 194 S Water St Greenwich CT 06830 Phone#: 203 388 5555 Cell#: email: kauanny.zanetti@gunnerroofing.com 3. Roofing Contractor: Gunner LLC Address: 194 S Water St Greenwich CT 06830 Phone#: 203 388 5555 Cell#: email: kauanny.zanetti@gunnerroofing.com 4. Job Description,list all Methods&Materials: Remove&replace existing roof. Inspect roof deck to verify that all all sheathing is suitable. Install seam tape per CT Code. Install water and Ice barrier, underlayment asphalt shingles and proper ventilation Install new white aluminum 6"K-Style Gutters using hidden fasteners elbows and downspouts. 5. Estimated Cost of Job:S 21,000.00 (No tl{ l he estimated cost~hall include all site improvements.labor,material.sL.. ':yuipmenl.professional Iees,and material and labor Nkluch mac be donated gratis.) 6. If corner property,indicate street frontage: interior property 7. Construction Type: Roof Replacement& Gutters NYS Construction Class: S. Number of stories: 1 Stories Height: 9. Is garage being re-roofed: No: ( )• Yes: VAttached No: O•Yes:VNumber of Cars: 10. Is roof peaked,hip,mansard,flat,etc: Pitched 11. Estimated date of completion: NOV/Dec -t- 10r30/2023 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. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Andrew Prchal ,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 contractor for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,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 and regulations. Sworn to before me this I q Sworn to before met this , i 2-1n day of Q.�.�p , 20 day of �Q,JYl i�!/` �], 24� i ature of Property Owner Signature of Applicant Jason Sauer Andrew Prchal Print Name of Property Owner Print Name of Applicant I JAW vw_ww� �2�_ ary Publi try Public ++,,,Ip n n troy,,," NNY ZqN�,, PN N y %,��� ;'ems'',o4O Tq"� ,A? CD cy�• c 00 0 - AUBLG = - U 1 ' Ci It a III -2- 10/30/2023 Docusign Envelope ID:2A5CE516-887F-469E-8431-54BAEC28CD9F HOME ENERGY REPAIR LLC d/b/a GUNNER ROOFING LLC 78 Halloween Blvd., Stamford, CT 06902 Phone: 203-347-3368 License No.: CT-0653672 NY-WC32180H19 Yonkers, NY License No.-7592 Rockland County, NY License No. 20118 NJ HIC- 13VH10245900 RI HIC-GC-44886 Federal EIN No. 83-2024199. RRP License-R-1-18342-21-00015 www.gunnerroofing.com PROPOSAL/CONTRACT This construction agreement (the "Agreement") is made and entered into by and between Home Energy Repair LLC d/b/a Gunner Roofing LLC (hereinafter referred to as "Gunner Roofing" or "Contractor") and Jason Sauer (hereinafter the "Owner' or "Customer") whose address is 15 Rock Ridge Drive Rye Brook, NY 10573(the"Project").Contractor and Owner hereby agree as follows: Contract Documents: The contract documents consist of this Agreement, and any exhibits attached hereto, Terms and Conditions, Notice of Cancellation, Statutory Warnings, and limited workmanship warranty (if any) and all modifications and change orders issued after execution of the Agreement (the "Contract Documents"). Owner represents that it has read, reviewed, analyzed and become familiar with all of the Contract Documents and has identified and included costs in the Contract Price (as defined below) as could be expected, associated with any errors, inconsistencies, omissions, or discrepancies. These contract documents represent the entire agreement of both parties and supersede any prior oral or written agreement. Scope of Work:The scope of work is contained and limited to the work contained on Exhibit"A"—Scope of Work. The scope of work does not include any engineering or design professional work. All work shall be performed by Contractor in a workmanlike manner and shall meet or exceed all state and local building codes. Contractor shall obtain all permits necessary for the work to be completed. Contractor shall remove all construction debris and leave the project in a broom clean condition. (In Rockland County, New York: Work other than that described in Exhibit"A"—Scope of Work is required to be performed in order for the scope of work to comply with all laws, ordinances, local laws, resolutions, or building codes governing home improvement work or requiring permits therefor or any requirement contained in the rules and regulations of the Home Improvement Licensing Board and any revisions thereof.) Contract Price: The materials required for this job will be furnished by Gunner Roofing, including necessary equipment, and the services performed for a total of$21000(the"Contract Price"). Owner shall pay Contractor the Contract Price in accordance with Exhibit "B"— Schedule of Progress Payments. Customer shall remit payment to Contractor within thirty (30) days of receipt of Contractor's invoice. (In Rockland County, New York:Any deposit charged hereunder shall be the lesser of$1,000.00 or 15% of the Contract Price. Upon satisfactory payment being made for any portion of the work performed,the Contractor shall, prior to any further payment being made, furnish to the person contracting for the work a full and unconditional release from any claim of a mechanic's lien by the Contractor or by a person entitled to enforce a mechanic's lien for that portion of the work for which payment has been made.) Estimated Date of Commencement/Completion: The estimated start date of the Work is the week of December 2, 2024 and the estimated completion date is one to three working days after work has begun; these dates are subject to change due to delays caused by weather, shortage of materials or labor,Acts of God, riots, revolutions, strikes, pandemics, medical emergencies that have resulted in a local, state, or federal state of emergency, COVID-19 or viruses/illnesses requiring quarantine, or other causes or factors beyond Gunner Roofing's reasonable control. Time is not of the essence for all purposes of this Agreement unless expressly provided to the contrary. Unless otherwise specified, there is no specific completion date for Contractor's work. Contractor shall complete all work in a reasonable amount of time. Change Orders: All changes to the plans, specifications or selection of finished materials which may be requested in writing by Owner ("Change Orders"), shall be submitted to Contractor using Exhibit "C" — Change Order and are subject to Contractor's approval. A Change Order is any change in work from the original, permit set, plans and specifications. Each Change Order shall only be incorporated into the Agreement if signed by both Owner and Contractor prior to the commencement of any work covered by said Change Order. In the absence of an express lump sum agreement with respect to any Change Order, changed work shall be billed to the Owner at the direct cost to the Contractor plus twenty(20)percent.Additional time needed to complete change orders shall increase the time needed for Project completion. Warranty and Legal Requirements: Contractor shall guarantee the quality of all workmanship for a period of ten (10) years from the date of completion. Contractor shall obtain any necessary permits and provide to Customer a certificate of occupancy, if required by the home improvement. Docusign Envelope ID:2A5CE516-887F-469E-8431-54BAEC28CD9F I HAVE READ AND UNDERSTAND THIS CONTRACT,THE TERMS AND CONDITIONS,AND ALL APPLICABLE CONTRACT DOCUMENTS AND AGREE TO BE BOUND BY THEIR TERMS. ACCEPTANCE OF CONTRACT: The above prices. specifications and conditions are satisfactory and are hereby ne accepted. Contractor is authorized to do the work as Home Energy Repair LLC d� unuSidedr oofing LLC specified. By signing below, Customer acknowledges that r6664 Customer is the owner(or authorized agent of the owner) of Authorized Signature: Basese=re,2aaee . the property where the work is to be performed. Contractor will provide Customer with a copy of this Contract after it is By:Edward Prchal signed by both parties. signed by: Its: Customer Signature: F .-A Date: 11/12/2024 Date: 11/12/2024 CONSUMER'S RIGHT TO CANCELLATION. CUSTOMER MAY CANCEL THIS CONTRACT WITHOUT ANY PENALTY OR FURTHER OBLIGATION WITHIN THREE (3) DAYS FROM THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Docusign Envelope ID:2A5CE516-887F-469E-8431-54BAEC28CD9F EXHIBIT A - SCOPE OF WORK DESCRIPTION OF THE WORK TO BE PERFORMED: Roofing: • Tear off existing shingles • Inspect plywood and replace damaged plywood as needed (3 sheets included, additional sheets$110 per sheet) • Install GAF Timberline HDZ Shingles in SLATE(color) • Use Roofing Coil Nails- 1 1/4"(7200 Cnt) • Install Elastomeric/Caulk(Clear)(10.3 oz) • Install GAF WeatherWatch Ice and Water Shield-Unboxed (2 SQ)along eaves,valleys, and rake edges • Install GAF Tiger Paw Underlayment • Dynamoic Caulk(Limestone) • Use T50 Staples-3/8"(5000 Cnt) • Install GAF WeatherBlocker(100 LF)WeatherBlocker • Install GAF TimberTex Hip&Ridge • Install GAF Cobra Snow Country Advanced • Install Standard Aluminum Drip Edge—F5 1/2-1.0"(10')—White • Install Aluminum Pipe Flashing Combo 1"-4" • Install Copper Flat Sheet Metal around Chimney and install cricket • Clean up all job-related debris and materials • Provide dumpster • Provide GAF Golden Pledge Warranty(50 years on materials and 25 years on labor and 30-year Stainguard Warranty • Our crews are licensed and insured • Crews will maintain safety requirement at all times during the construction process • Provide owner with all manufacturer warranties • Detached structures included: No • Gunner will pull permit for owner(and subsequently close)and save receipt for reimbursement from customer(if needed Gutters: • Install K-Style 6"Gutters/Downspouts • Install Seamless.032 Aluminum Gutter • Install new aluminum elbows and downspouts • Install Gutter Guards os InMal Leak Barrier 0 WeatherWatch Mineral • • Help protect your home and roof system from wind-driven rain and damaging ice dams Leak Barrier Helps prevent leaks at the most vulnerable areas of your roof Reduces the risk of costly repairs due to wall or ceiling staining from leaks Meets most code requirements where local building codes require the use of leak barriers' WeatherWatch® Mineral-Surfaced Leak Barrier WeatherWatch® Mineral-Surfaced Leak Barrier Benefits: Product Details: ■ Excellent protection at the eaves ■ Traditional mineral surfacing for use Nominal Specillcations: and rakes, in valleys, and around with asphalt shingle roof systems For use with asphalt shingles chimneys and skylights, which guards 1.5 square roll:' against leaks caused by wind-driven ' Split-back release film peels off in • 150 ft'(13.94 sq.m)per roll' rain, ice dams, backed-up gutters, layers for fast installation ■ Roll width:36'(.914 m) and roof settling ■ Eligible for up to a Lifetime limited ■ Roll length:50'(15.24 m) warranty when used on Lifetime 2.0 square roll:' ■ Self-seals around fasteners to help 2 ■ 200 ft'(18.58 sq.m)per roll' avoid leaks Shingle roofs and it's an eligible ■ Roll width:36'(.914 m) component of GAF residential ■ Roll length:66.7'(20.33 m) ■ Durable fiberglass-reinforced enhanced warranties. • UV exposure:Up to 60 days,if necessary construction ■ Shelf life:Best if used within 1 year from date of manufacture 'Excludes lops Code Approvals: • Meets or exceeds the performance In the "North," most building codes require criteria of ASTM D1970 ■ Miami-Dade County Product the use of leak barriers at the eaves:' Control Approved ■ State of Florida approved ■ Protection against ice dams is ■ Ice dams can still occur in areas ■ Component of a UL Listed ANSI/UL required by most building codes' at where the average temperature is 790 Class A system when used with the eaves where the January average above 25°F(4°C) UL Class A shingleS4 temperature is 25'F(4'C)or lower ■ ICC-ES Evaluation Report(ESR-1322) or where there is a possibility of ice ■ In warmer/Southern climates, leak Check local building codes for requirements in your area. barriers provide critical protection 'See GAF Shingle&Accessory limdedWananryfor complete coverage forming in the eaves—i.e., areas and restrictions.The word'Lifefime'refers to the length ofcoverage labeled 'North"3(see map). against wind-driven rain provided by the GAF Shingle&Accessory Loded Warranty and means as long as the original individual owner(s)of a single-family detached residence(or the second owner(s)in certain circumstances]owns Meets or exceeds the following requirements of ASTM D1970 the property where the shingles and accessories are installed.For owners/structures not meeting the above criteria Utelime coverage Property Method Requirement is not applicable.Lifetime limited warranty on accessories requires the use of at least three qualifying GAF accessories and the use Thickness mils D5147 Min.40 of Lifetime Shingles. Tensile strength MID(lbf/in) D2523 Min.25 Source:International Building Code(18C)and International Tensile strength CMD(Ibf/in) D2523 Min.25 Residential Code(IRC) 'Elongation at break,modified bitumen Portion-MD and CMD(q) D2523 Min.10 Refer to UL Online CerRfication Directory for actual assemblies Adhesion to plywood at 75°F(24°C)(Ibf/ft-width) D903 Min.12 Adhesion to plywood at 40°F(4°C)(Ibf/ft-width) D903 Min.2 Thermal stability(mm) D1204 Max.3 Low temperature flexibility-20°F(-29°C) D1970 Pass Tear resistance MD(Ibf) D4073 Min.20 Tear resistance CMD(Ibf) D4073 Min.20 t Moisture vapor permeance(U.S.Perms) E96 A Max 0.1 Sealability around nail D1970 Pass Waterproof integrity after low temperature flexibility D1970 Pass Waterproof integrity of lap seam D1970 Pass P d ' To learn more about the Lifetime Roofing 0 - System visit gaf.com/Lifetime W 0 2 0 � A ERICAN WINNER a .man— M �°1�020 We protect what matters most" o ^�------------ Roof Deck Protection Tiger Paw TM Premium Roof Deck Protection Help protect your home and ro. system from damaging moisture with premium roof deck protection - E AMiW Provides a critical layer of extra protection between your shingles and roof deck to resist wind-driven rain (or moisture from other sources) Offers longer-lasting protection than conventional asphalt felts (which can rot or become brittle over time) Avoids wrinkling and buckling for a better- looking finished roof . TigerPaw­ Premium Roof Deck Protection .ter Sf Tiger PavVm Premium J Roof Deck Protection Benefits: Product Details: ■ Premium non-asphaltic, ■ 48" (1.22 m)wide roll provides 33% Nominal Specifications: polypropylene construction for more coverage per course than For use with asphaltic shingles and may also be used with slate,wood,metal,or tile.' long-lasting protection conventional 36" (914 mm)wide ■ Roll size:10 squares(1,000 sq.ft.[92.9 m']) asphalt felts (excludes laps) ■ Specially designed walking ■ Roll length:250'(76.2 m) surface and anti-skid back coating ■ Light-gray surface is cooler to work ■ Roll width:48"(1.22 m) help provide excellent walkability on in hot weather than conventional ' Aprox.roll weight:40 lb.(18 kg) ■ UV exposure:UV-stabilized polypropylene for installers black felts construction resists UV degradation for up to 180 days6 ■ Moisture-control design helps ■ Eligible for up to a Lifetime limited Code Approvals and Standards: reduce damaging moisture on the warranty when used on Lifetime ■ Meets or exceeds the physical roof deck unlike typical synthetic Shingle roofs°and it's an eligible requirements of ASTM D226 and D4869 non-breathable underlayments' component of GAF residential ■ Miami-Dade County Product Control approved enhanced warranties ■ State of Florida approved ■ Provides at least 600/o(i.e., 7 ■ ICC-ES ESR-3286 times)greater tear strength and ■ CSA Al23.3 147%higher nail-pull strength than ■ Component of a UL Listed ANSI/UL 790 Class A conventional#30 asphalt felt system when used with UL Class A shingles' ■ Listed with Texas Department of Insurance as an acceptable alternate roof underlayment As per GAF ASTM D570-modified testing nsta I latio n: GAF trapezoidal tear strength testing per ASTM D4533 GAF nail pull-through testing per ASTM D3462. 'Lifetime refers to the length of warranty coverage provided and means as long as the original individual owner(s)of a single-family detached residence [or eligible second owner(s)]owns the property where the qualifying GAF products are installed.For other owners/structures,Lifetime coverage is not applicable.Lifetime coverage on shingles requires the use of GAF Lifetime Shingles only.Lifetime coverage on shingles and accessories requires the use of any GAF Lifetime Shingle and any 3 qualifying GAF Accessores.See 7 GAF Roofing System limited Warrontyfor complete coverage and restrictions. Visit gaf.com/LRS for qualifying GAF products.For installations not eligible for ! the GAF Roofing System Limited Warranty,see the GAF Shingle&Accessory Limited Warranty. Contact GAF Technical Support at 1-800-766-3411 for acceptable non-asphaltic roofing systems and limited warranty coverage. 180-day UV resistance refers to standardized testing conducted to ensure the product will not physically degrade when exposed to UV.R is NOT related to withstanding water,snow,or wind.While Tiger Pow'Roof Deck Protection i ----- is water resistant,it is NOT WATERPROOF.DO NOT USE Tiger Paw'"Roof Deck --- _ Protection as a temporary roof to protect property or possessions. ® 'Refer to UL Online Certification Directory for actual assemblies Note:Always use plastic cap nails or staples with plastic caps to install Tiger Paw'Roof Deck Protection.Do NOT use nails or staples without caps. fV M P To learn more about the Lifetime Roofing M System visit gaf.com/Lifetime 0 LIFETIME AMERICAN W N N ER l�Fp MMgRgNIY1HNA OWNEv 9p I R•_cv. A C¢a O zarz-z°z° We protect what matters most o Eave/Rake Starter Strips WeatherBlocker TM Premium Eave/Rake Starter Strip Shingles Help prevent shingle blow-off and eliminate waste ■ A cost-effective alternative to using cut-up 3-tab shingles as the starter course ■ Made with a high-quality,factory-applied adhesive that will tightly lock your shingles in place ■ Straighter roof edges with no messy black cement WeatherBlocker' Premium Eave/Rake Starter Strip Shingles WeatherBlockerM Premium ` Eave/Rake Starter Strip Benefits: Product details: ■ Properly positioned Dura Grip" ■ GAF offers increased wind coverage For use with all asphalt shingles Adhesive helps to lock down the on many GAF shingles when you use ■ Full sheet:17"x 40"(432 x 1,016 mm) roof edges at the eaves and rakes to ■ Half sheet:8.5"x 40"(216 x 1,016 mm) g GAF starter strip shingles and follow reduce the risk of shingle blow off special installation instructions' Packaging:■ count:15 pieces(full sheet), ■ Pre-perforated design is easy to use ■ Eligible for up to a Lifetime limited 30 pieces(half sheet) and install,with no cutting on the roof warranty when installed on Lifetime coverage: Shingle roofs' and is an eligible ■ Approx.100 lineal ft.(31 Im)per bundle ■ No more wasted time(or material) when used as half sheets component for GAF residential ■ A rox.50lineal ft. 15 Im cutting your own starter strips pp ( )per bundle enhanced warranties. when used as full sheets ■ At least 42%more coverage per Code Approvals: bundle(versus typical 3-tab shingles). ■ State of Florida Approved ■ Miami-Dade County Product Control approved ■ ICC-ES ESP-1475 ■ ASTM D34621 ■ ASTM D3018 Installation: ■ ASTM D3161 Class F ■ UL Listed to ANSVUL 790 Class A' See GAF Shingle&Accessory Limited Wonantytor complete coverage and restrictions.The word%ifetime"refers to the length of coverage provided by the GAF Shingle&Accessory Limited Warranty and means as long as the original individual owner(s)of a single-family detached residence[or the second owner(s)in certain circumstances]owns the property where the shingles and accessories are installed.For owners/structures not meeting the above criteria,Lifetime coverage is not applicable.Lifetime limited warranty on accessories requires the use of at least three qualifying GAF accessories and the use of Lifetime Shingles. 'Periodically tested by independent and internal labs to ensure compliance with ASTM D3462 at time of manufacture 'Refer to UL Online Certification Directory for actual assemblies When a starter of 8.5"(216 mm)will meet your Use entire strip when a starter of 17"(432 mm) needs,tear in half along perforation will meet your needs P d To learn more about the Lifetime Roofing System visit gaf.com/Lifetime 0 AMERICAN OWNED � CQ7 Vw 11tt+11\-+I Ilt tlt 1 1t++I:It � We protect what matters most GAF LAYERLOCK TECHNOLOGY kj r �=r- I`.�`"='°p"»7` .,�. ��•'.�`'ri�'D'c"`.-:�'1„�Al J/ rJ s l 2 r 1 1 1 rr O Timberline®HDZm Shingles Benefits: Product details: ■ LayerLock'Technology—Proprietary durability, strength, and exceptional Product/System Specifics technology mechanically fuses the wind uplift performance. ■ Fiberglass asphalt construction ■ Dimensions(approx.):13'/n'x 39'/8 common bond between overlapping re StainGuard•Algae Protection— (337 x 1,000 mm) shingle layers. Helps protect the beautyof our ■ Exposure:55/8'(143 mm) p y ■ Bundles/Square:3 ■ Up to 99.9%nailing accuracy— roof against unsightly blue-green ■ Pieces/Square:64 The StrikeZone'"nailing area is so algae discoloration 3 • StainGuard'°Algae Protection' ■ Hip/Ridge:Timber-rex";TimberCrest'"'; easy to hit that a roofer placed 999 n High Performance—Designed Seal-A-Ridge';Za'Ridge;Ridglass® out of 1,000 nails correctly in our test. with Advanced Protection"'Shingle ■ Starter:Pro-Start";QuickStarta; WeatherBlocker'" ■ WindProven" Limited Wind Technology. Applicable Standards&Protocols: Warranty—When installed with ■ Seamless compatibility—The new • UL Listed to ANSI/UL 790 Class A the required combination of GAF ■ State of Florida approved Accessories,Timberline®HDZ"' Timberline HDZ'Shingles are com- ■ Classified by UL in accordance with Shingles are eligible for an industry patible with traditional Timberline HD® ICC-ES AC438 g g y Shingles for the same look and feel m Meets ASTM D7158,Class H first:a wind warranty with no ■ Meets ASTM D3161,Class F 2 homeowners and contractors rely Meets ASTM D3018,Type 1 maximum wind speed limitation. on for beauty and endurance.° Meets ASTM D3462' ■ Our legendary Dural Gri • ICC-ES Evaluation Reports g y p'"sealant m Perfect Finishing Touch—For the ESR-1475 and ESR-3267 pairs with the smooth microgranule best look, use TimberTex'"Premium • Meets Texas Department of Insurance surface of the StrikeZone'nailing Ridge Cap Shingles or TimberCrest'" Requirements area for fast tack.Then,an asphalt-to- ■ ENERGY STAR19 Certified(White Only) Premium SBS-Modified Ridge (U.S.Only);Rated by the CRRC;Can asphalt monolithic bond cures for Cap Shingles. be used to comply with Title 24 cool roof requirements Colors & Availability: Results based on study conducted by Home Innovation Research Labs. an independent research lab,comparing installation of Timberline HD" Shingles to Timberline"HDZ`Shingles on a 16-square roof deck using standard 4-mil nailing pattern under controlled laboratory conditions. Actual results may vory. 15-year WindProven"limited wind warranty on TmbedineI HDZ' Shingles requires the use of GAF starter strips,roof deck protection, ridge cap shingles,and leak barrier or attic ventilation.See GAF Roofing „ 06-PWP-;C ,y-; System Limited Warranty for complete coverage and restrictions.Visit Biscayne Blue' Charcoal . gaf.com/LRS for qualifying GAF products. 'StainGuord•algae protection is available only on shingles sold in packages bearing the StoinGuard"logo.Products with StainGuard' _ I algae protection are covered by a 10-year limited warranty against blue-green algae discoloration.See GAF Shingle&Accessory limited Worrontyfor complete coverage and restrictions. 'To be mixed on one roof.Timbedine"HDZ"Shingles and Timberline HD` Hickory Hunter Green Shingles must have matching 6-digit codes found on the end of the bundle. ■■+"'��" When mixed,always use Timberline HD"installation instructions. Azli Periodically tested by independent and internal labs to ensure r ati - compliance with ASTM D3462 at time of manufacture. 5'J "Lifetime refers to the length of warranty coverage provided and means _ as long as the original individual owner(s)of a single-family detached residence for eligible second owner(s)]owns the property where the qualifying GAF products are installed.For other owners/structures,Lifetime P. Brown • - coverage is not applicable.Lifetime coverage on shingles requires use of GAF Lifetime shingles only.See GAF Shingle&Accessory Lim led Warranty for complete coverage and restrictions.Lifetime coverage on shingles and accessories requires use of any GAF Lifetime Shingle and any 3 qualifying i GAF accessories.See GAF Roofing System limited Warranty for complete o coverage and restrictions.Visit gatconVLRS for qualifying GAF products. Note:b is difficult to reproduce the color clarity and actual color blends Slate - �_ , of these products.Before selecting your color,please ask to see several full-size shingles. m a P Will We protect what matters most 5 Attic Exhaust Ventilation CobraeSnow Country Exhaust for RemoveRoof Ridge - - - from your attic and protect your roof system from premature deterioration ■ Improve energy efficiency by reducing attic heat and reducing your summer air-conditioning load Limit the growth of harmful mold and mildew ■ Minimize peeling of paint inside and out Cobra® SnowCountry Exhaust Vent for Roof Ridge AV Cobra® Snow Country' Exhaust Vent for Roof Ridge Benefits: Product details: ■ Allows heat and moisture to ■ Unique EasyTear®Sizing Feature For use in colder climates escape at the most effective allows you to hand-tear the vent in 3" ■ 11•S;(292 mm)width-For 12';(305 mm)width location—the ridge (76 mm)increments—no cutting and ridge caps shingles ■ 18 sq.inches per lineal foot(38,100 mmz ■ Shingle-over design blends into the less waste per lineal meter)of net free ventilating area ■ Hand nail installation ridge line ■ Passes the 110 mph wind-driven ■ For roof pitches 3:12 to 16:12 ■ Engineered for durability with high- rain test' Code Approvals&Standards: impact UV-resistant polymers ■ Eligible for up to a Lifetime limited ■ Miami-Dade County Product Control approved warranty. It's also an eligible s ■ State of Florida Approved■ External baffles with crush-resistant ■ UL ER15O72-01onent for GAF residential ■ internal Structure component Texas Department of Insurance Product enhanced warranties. Evaluation RV-29 ■ Snow Guard'"Filter helps resist snow ■ CCMC 14083-R infiltration in harsh winter climates ■ ULClassified' Balanced Ventilation: Balanced attic ventilation means there's consult local building codes for specific an equal amount of air entering it as ventilation requirements. there is exiting it.The amount of exhaust How Much Do I Need? ventilation must never exceed the amount of intake ventilation at the soffits Calculate the total square footage of or eaves.GAF recommends a minimum your attic floor space and then review �A of 1 sq.ft.of net free ventilation for every the chart below for how much Cobrae 300 sq.ft,of attic floor space.Always Snow Country'Exhaust Vent for Roof 1.worm,moist air escapes attic through Ridge is needed: Cobra*Snow Country°Exhaust Vent for Roof Ridge(installed under ridge cap shingles) Total attic sq.footage Recommended Length of Cobra• Minimum Intake Ventilation 2.Fresh air enters attic through intake vent at Snow County'Exhaust Vent(ff.) (net free area in sq.in.) the soffit or eave 1600 22 396 'Under controlled laboratory testing conducted by GAF 1900 26 468 2 See GAF Shingle&Accessory Limited Warranty for complete coverage 2200 30 540 and restrictions.The word'Lifetime'refers to the length of coverage 2500 34 612 provided by the GAF Shingle&Accessory limited Warranty and means 2800 38 684 as long as the original individual owner(s)of a single-family detached residence[or the second owner(s)in certain circumstances]owns the 3100 42 756 property where the shingles and accessories are installed.For owners/ 3400 q6 828 structures not meeting the above criteria.Lifetime coverage is not applicable.Lifetime limited warranty on accessories requires the use of at Note:Chart above based on 1/300 rule.Always have a balanced attic ventilation system.In no case should the amount of exhaust ventilation exceed the amount least three qualifying GAF accessories and the use of lifetime Shingles, of intake ventilation.visit www.gof.com/yentcalcuMor for more details. 'Refer to A Online Certification Directory for actual assemblies P To learn more about the Lifetime Roofing P - System visit gaf.com/Lifetime 0 2 AMERICAN V1bMIM'\till ll(I M\�Rlr ;; We protect what matters most • • • • Shingleslk 6 TimberTexo" Premium Ridge Cap Shingles Choose the perfect finishing touch for your new roof with premium, dimensional ridge cap shingles. t, • Offer double-layer protection against leaks and blow-offs at the hips and ridges ■ Provide a high-quality alternative to cut-up strip shingles ■ Provide enhanced limited warranty coverages (vs. using typical 20-or 25-year cut-up 3-tab strip shingles as your ridge cap) TimberTex'' Premium Ridge Cap Shingles TimberTek, Premium Ridge Cap Shingles Benefits: Product Details: ■ Extra-thick, double-layer design with ■ 25-year StainGuard Plus''Algae Nominal Specifications: large 8" (203 mm)exposure provides Protection Limited Warranty against ■ 12"(305 mm)width excellent dimension blue-green algae discoloration' ■ 8"(203 mm)exposure Packaging: ■ Accentuate the beauty of your newly ■ Eligible for up to a Lifetime' limited ■ 30 double-layer ridge caps per bundle installed GAF shingle roof warranty.They're also an eligible (10 shingles,each with 3 double-layer ridge accessory product in the Ridge Cap caps per shingle) ■ Manufactured by GAF to Shingle Category of GAF residential Coverage: complement our GAF shingles ■ 20 lineal ft.(6.1 Im)per bundle p y g enhanced warranties. ■ 5 bundles cover 100 lineal ft.(30.51m) (unlike cut-up 3-tab shingles) ■ Fewer pieces to install (vs. typical 150 pieces cover 100 lineal ft.(30.5 Im) ■ Dura Grip"Self-Seal Adhesive seals cut-up 3-tab shingles)saves time on Code Approvals: each piece tightly and helps reduce the roof ■ UL Listed to ANSI/UL 790 Class A< ■ ASTM D34623 the risk of shingle blow-off ■ ASTM D3018 Type 1 ■ ASTM D3161 Class A ■ ASTM D3161 Class F' ■ ICC-ES AC438 See the difference: . CSAA123.5 ■ ICC Evaluation Reports ESR-1475 and ESR-3267 ■ Miami-Dade County Product Control Approved ■ Florida Building Code Approved 'Llfetime refers to the length of warranty coverage pravlded and means as - long as the original Individual awner(s)of a single-faMly detached reslden% [or eligible se�:md ownei(s))owns the property,where the qualifying GAF products are Installed.For Met owneisMru tares.Utellme oovetage Is not applioobte lifetime coverage on shingles requires the use of GAF Lifetime Shingles only.See the GAF Shingle A Accessory forded KOrmt, - for complete os"etoge and resMoKions.Visit gd.cam/LRS for qualifying GAF _ products.Lifetime coaeroge on shingles and occessorles requires the use of any GAF Uterine Shingle and at least 3 qualifying GAF Accessorles.See the OAFRoax>a System Limited Wmvnlpfor complete coverage and restriction. For Walkitlons not eligible tot the GAF Ro&,ng System bmtled Waoaitl see the GAF Stmoe A k cessary lknitm Wammry Visit got.comA IRS to gwkfvk g GAF products, '25-year SelnGumd Plus-Algae Protection Limited Warranty against blue- green algae discoloration is available only on products sold In packages bearing the StainGuard Pke logo.See GAF Stongle&Axessory vW cl Wananfy lot complete wveage and restrictions and qualifying products. Well.)UL Online Certikdon Nerfon for actual assemblies. Before After Perlodicalh tested by Independent and Internal lobs to ensure mmpllonce with ASTNI D3462 al the time of manufacture. Cut-up 3-tab strip shingles used at the hips A distinct finishing look that also protects against With sealant applied as specified In manufaturei s Installation lnshucticns and ridges. leaks and shingle blow-offs. hu maximum wind speed mieFoge. Note.See gdf.com/RidgeCapAvailabildy trn regional availability. N To learn more about the Lifetime' Roofing System visit gaf.com/Lifetime 0 © N ICE' AMf111GN WINNER "rz�i21 We protect what matters most" t U L tII O C/) O C .E L Q � co C `o ° 0a ' Ncn U (Dco Cp U) �+ N +. O O N U c� L v 0 0 J W D U (n 3 C O O U Q J � E Z NI `� :3 ° v o -o a� . O i� C c as L E m U >1 o E w M Of C: +" >, Z w Q 3 co t Q Z = y O U .� CO O C � U 0 0 ° = U uu L (� C O C a ° L O O }, U to `� U = U C +� C o U U U ° O Q Q +-. E �. � CL O V U o 0 E wZ3 CD a U c i cn O E-- C —� c0 o O Z o o N ol = O - O U V) C) 0 0 ii 2 .A�.rw1I.S.-..P'""�i•�.�" �, '�„' �' '+ .l. l.'.�,�•"",yalv �.�.f•TAwT4�l.'�.S"�.ni. ems' �•• _.:_'_ _. _ .. _. - — --- — -- Ct� R.•ems- r � , )ester e George Latimer t, // / James!Maisano L'-= J Westchester Counh Esecutise Director.Consumer Protection Department of Consumer Protection Home Improvement License �= .. GUNNER LLC (- -a 194 SOUTH WATER STREET ~, f =? GREENWICH.CT-06830 � ter'� '' �•':<o.1 �„+ This license is issued in accordance ssith Article XVI of the Westchester County Consumer Protection Code and is valid only upon =1 presence of the official department seal.Proof of citizenship or immigration status is not required for issuance of this license. r NO"i FOR FEDERAL PURPOSES �i Lol- a j License Number rF¢ �� Date of Expiration _},-� WC 35879 H22 0 +� 11/01/2024 Ii s�chOster Co``�� L �tto)� ►! j, ; �� --t �o�; _ �ti ,aii; s il„ ! 1'"° *` :_ ;t ,:� n-r 1��-n- �-��,5 :�'; <o)► 0,�; t F y r ►r tNy: '�1P s sty/N`t �Nt.141� r)r 1t1t.IN iI�':�5'illll lN� �i.'.t' 1111.1N1w.s. (; 111J.1a� :y aN�1Nd �L.�tyS Nn d;.,.y5 11Al L' i.., _..4 �:. ��,e•., .:.yvY: :�v�; :'�v� .�.9t �_�. ,e��itr._. � �C�J'��fl/A1\ i��.. `ter. .qC. v .di .a,�y -qua ��. s may► ,��.. . r ..V.. 0e add' L� '' '�•``y '�4t.Y�..ai'6 v '� s"•��' '�,d� K'L'' ' Client#: 1952221 HOMEEN ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/30/2024 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER ME:CONTACT Jennie Foster USI Insurance Services LLC PHONE FAX ac No Ea;855 874-0123 AC No; 203 634-5701 530 Preston Avenue E-MAIL usictcertificates@usi.com ADDRESS: Meriden, CT 06450 855 874-0123 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Admiral Insurance Company 24856 INSURED Gunner LLC INSURER e:Liberty Mutual Insurance Company 23043 194 S Water St INSURER C:Selective Insurance Company of America 12572 Greenwich, CT 06830 INSURER D: 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 CONTRACTOR 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 ADDL UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN SIR WVD __. POLICY NUMBER _ {MM/DD_ IA LIMITS A X COMMERCIAL GENERAL LIABILITY CA00004513602 4/21/2024 04/21/2025 EACH�qOCCURRENCE $1 000000 CLAIMS-MADE ❑X OCCUR PREMISES(E.occurrence $5000O MED EXP(Any one person) s5,000 PERSONAL&ADV INJURY $1 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY�JECOT LOC PRODUCTS-COMP/OP AGG $1,000,000 OTHER: $ C AUTOMOBILE LIABILITY S2579842 9/27/2024 OW27/2025 COMBINED SINGLE LIMIT Ea accident) 1,000,000 X ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X NON-OWNED PROPERTY DAMAGE AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ I DED I RETENTION$ $ B WORKERS COMPENSATION WC533S381014053 1/19/2024 01/19/202 PER X oTR- ANDEMPLOYERS'LIABILITY ANY PROPRIETORFARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1 000 000 OFFICER/MEMBEREXCLUDED? � N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 10.000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Village of Rye Brook is included as an Additional Insured under the General Liability policy,for ongoing and completed operations, when required in a written agreement in accordance with policy terms, conditions, and exclusions regarding services provided by the Named Insured. CERTIFICATE HOLDER CANCELLATION Village of Rye Brook SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 938 King Street ACCORDANCE WITH THE POLICY PROVISIONS. Rye Brook, NY 10573 AUTHORIZED REPRESENTATIVE (c)1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S43188187/M42873328 SZBZP NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE Gi AAAAAA 832024199 GUNNER LLC 194 S WATER ST GREENWICH,CT 06830 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER GUNNER LLC VILLAGE OF RYE BROOK 194 S WATER ST 938 KING STREET GREENWICH, CT 06830 RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W2485 011-7 336017 09/12/2024 TO 09/12/2025 10/30/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2485011-7, 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:/IWWW.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 THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. 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 S7*2 NCE FUND 4 DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 898437915 U-26.3