| This information is for historical reference only. |
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| Status: D - INACTIVE |
Entered On: 05/12/1999
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Policy Number |
Insurance Co. Name |
Expires |
| Workers' Comp: |
5445-686Y131 |
US LIABILITY INSURANCE |
04/09/2000 |
| Disability: |
DBL -112-163 |
FIRST REHAB INSURANCE |
|
| General Liability: |
CL 2094610 |
MT. VERNON FIRE INSURANCE |
03/24/2000 |
| Bond: |
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| State Insurance Waiver Recieved: |
Date Waiver Recieved:
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| WC Valid For Demolition: |
WC Cancelled: |
Cancel Date:
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POLICY HOLDER'S FULL NAME: INNER CITY BUILDERS & DEVELOPMENT, INC
POLICY NO: WORKERS COMP:5445-686Y131-5-99
BOND # 24186427 FOR CALENDAR YEAR 1999 - $25,000.00 FOR ALL LOCATIONS
WESTERN SURETY COMPANY |
| Business Address:
146-18 ROCKAWAY BLVD S. OZONE PARK, NY 11436
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| Business Phone: |
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