| This information is for historical reference only. |
|
| Status: D - INACTIVE |
Entered On: 11/21/1997
|
|
| | | |
| |
Policy Number |
Insurance Co. Name |
Expires |
| Workers' Comp: |
1220 163 8 |
STATE INSURANCE FUND |
11/19/2000 |
| Disability: |
89100158851 |
NATIONAL BENEFIT LIFE INS |
|
| General Liability: |
5357435 |
LEXINGTON INS. CO |
11/17/2000 |
| Bond: |
|
|
|
|
 |  |  |
| State Insurance Waiver Recieved: |
Date Waiver Recieved:
|
| WC Valid For Demolition: |
WC Cancelled: |
Cancel Date:
|
|
THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION S & A CONSTRUCTION CORP.OF KINGS "D"-CONTRACTOR CHANGED THE NAME.SEE#22685 BOND# SB9966144 CALENDAR YEAR 2000/GENERAL ACCIDENT INSURANCE C0.OF AMERICA POLICY CANCELLED PER LETR. DATED 08/07/2001 EFF. 08/28/2001 |
| Business Address:
1233 48TH ST BKLYN, NY 11219
|
| Business Phone: |
|
|