Loading...
HomeMy WebLinkAbout51812-Z TOWN OF SOUTHOLD "" BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 51812 Date: 04/07/2025 Permission is hereby granted to: Jose Castano PO BOX 703 Mt.Sinai, NY 11766 To: install roof-mounted solar panels to existing single-family dwelling as applied for. Premises Located at: 1700 Grathwohl Rd, New Suffolk, NY 11956 SCTM# 117.-4-3 Pursuant to application dated 02/27/2025 and approved by the Building Inspector. To expire on 04/07/2027. Contractors: Required Inspections: Fees: SOLAR PANELS $100.00 ELECTRIC -Residential $12S.00 CO-RESIDENTIAL $100.00 Total $325.00 Building Inspector , �ra TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 ► J" Telephone (631) 765-1802 Fax (631) 765-9502 https:// ^^ of l rldta rz0v Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only E `_' E 0 V E PERMIT NO, Building Inspectcr: (J 025 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Bulld'Ing DepartmOnt Owner's Authorization form(Page 2)shall be completed. Town of Sooulhold Date:02/14/2025 OWNER(S)OF PROPERTY: Name:Jose Castano scTM# LOOO-117.00-04.00-003.00 Project Address:1700 Grathwohl Rd. New Suffolk, NY 11956 Phone#:631-965-9655 Email:jeannem1724@netscape.net Mailing Address:1 700 Grathwohl Rd. New Suffolk, NY 11956 CONTACT PERSON: Name:Trinity Solar- Samuel Magliaro Mailing Address:2180 5th Ave Unit 1 , Ronkonkoma, NY 11779 Phone#:631-319-7233 Email:brittany.gaumer@trinity-solar.com DESIGN PROFESSIONAL INFORMATION: Name:Trinity Solar- Ayracon V Almaraz Mailing Address:2211 Allenwood Rd. Wall, NJ 07719 Phone#:(631)319-7233 Email:Ayracon.Almaraz@trinity-solar.com CONTRACTOR INFORMATION: Name:Trinity Solar- Samuel Magliaro Mailing Address:2180 5th Ave Unit 1 A, Ronkonkoma, NY 11779 Pnone#:(631)319-7233 Email:brittany.gaumer@trinity-solar.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure RAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:. ❑Other $51,215.18 Will the lot be re-graded? ❑Yes ONO Will excess fill be removed from premises? ❑Yes [:]No 1 PROPERTY INFORMATION Existing use of property: Intended-use of property:Solar Panels Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ❑No IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized Inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law. Application Submitted By(pi r name):TCII 'Ity Solar- Samuel Magllar0 ®Authorized Agent ❑Owner Signature of Applicant: Date: I $ I Z STATE OF NEW YORK) SS: COUNTY OF 5U+f0[If!!% ) Samuel M ag I i a ro being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Agent (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. � Sworn before me this 0 dal Y of 0 ZO Notar ublic SARAH YARBROUGH NOTARY PUBLIC-STATE OF NEW IORK No.01YA6441255 PROPERTY OWNER AUTHORIZATION Qualified in Suffolk County (Where the applicant is not the owner) My Commission Expires 09-26- 29 ,, Jose Casta n o residing at 1700 Grathwohl Rd. New Suffolk, NY 11956 Trinity Solar- Samuel Ma liana do hereby authorize, to apply on my behalf to the Town f South Id Building Department for approval as described herein. Owner's Signal Date Jose CasftQoo Print Owner's Name 2 p BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD a Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ro err southoldtorunn ov - sea nd southoldtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Trinity Solar Name: Richard Guarneri License No.: ME-57843 email: Rich.guarneri@trinity-solar.com Address: 2180 5th Ave Unit 1A, Ronkonkoma, NY 11779 Phone No.: (631)319-7233 JOB SITE INFORMATION (All Information Required) Name: Jose Castano Address: 1700 Grathwohl Rd. New Suffolk, NY 11956 Cross Street: New Suffolk Ave. Phone No.: 631-965-9655 Bldg.Permit#: 52 1 15 1 email: jean nem1724 netsca e,net Tax Map District: 1000 Section: 117.00 Block: 04.00 Lot: 003.000 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Installation of a utility approved,grid inter-tied,flush mount,roof mounted,5 Hanwha 410 solar panels,2,05kW photovoltaic electricity generating system, Construction Cost:$51,215.18 Circle All That Apply: Is job ready for inspection?: YES 1' Nd Rough In Final Do you need a Temp Certificate?: YES / g Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect - Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Formals uY 1 a , 21. �w k C L7� zz— ,N Vro r, 71 m ., d a t N v 0 O a 6 O L h a 6 Y C:D n n a ( w gal r �r _ w e x o Q r x a x 3 x Y6iW4 O a I Z 0 rr¢ .- n �2® a of yaj ak .. wQyOj >I ODO w 0 is aw0zoNz aaON��oNh wa xTd N3aoo z�w..zOw�ax� >azguw�o ImO0m o0rw�0m� S.pp{oxoo-ao-zo�®za aawo �Qmg�o o ® a ®w0� o�woNwwoN z�wa o O o F592 w O p® q w�zIwo z �wo Oc 000z0 a030 o o o 0 -ti-� oo m fl C0o �RO N0, wwoZW�ao_Jgo 'V- e . a r Suffolk County Department of Labor, Licensing & : Consumer Affairs N VETERANS MEMORIAL HIGHWAY * HAUPPAUGE, NEW YORK 11788 # DATE ISSUED: 01/29/2014 No. H-52821 k -t SUFFOLK COUNTY 1 .dome Improvement Contractor License g 1 This is to certify that William F Condit doingbusiness as Trinity Solar LLC E `` �; having furnished the requirements set forth in accordance with and subject to the rovisions of a licable _ £ laws, rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR, in the County of Suffolk. {;. g "mac... � NOT VALID WITHOUT ,� Restrictions Additional Businesses � � DEPARTMENTAL SEAL H11 -Solar AND A CURRENT _> 1 CONSUMER AFFAIRS '` r =' ID CARD . r Wayne T. Rogers Commissioner g -1 uttolk County Crept,off Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE Name WILLIAM FCONDIT Business Name This cenFrles Pd�at the r6niC bearer ns.dui li Y o!'ar L,E by the r'ounty o u k License Number H-52621 rssuedY 1l212014 Way Expires: 011'C7112025 Commissioner sinner oner A DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 5/28/2024 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 ri hts to the certificate holder in lieu of such endorsement(s). PRODUCER IOt1AMEAc Alexander Gillikin _ Arthur J. Gallagher Risk Management Services, LLC PHoA"ILE AFAX EO I856-482 9900300 Fellowship Road - 856482 18ss -M .... Suite 200 ADDRESS. Cherlyi NiNI.BSD,Cert ( AJG cram INSURER S AFFORDING COVERAGE NAIC# Mount Laurel NJ 08054 _._.......,...1), sE..... ..�������.a............ — rance rnp" ..... .. 25569 — �NSURERA:Gotham InsU......___ .n_... INSURED Solar LLC TRINHEA-03„INSU,RERB:National Union Fire Insurance Company%of Plttsbur9- 19448 2180 Fifth Avenue, Unit 1A . ,.... ._ _ F y .,,,,,_, _ 1718 Underwriters IncINSURER Endurance American S eclalt Ins Co 4 Ronkonkoma, NY 11779 INsuRERD Libe Insurance 19917 INSURERS: Columbia Casualty!Company ...� 31127 INSURIER F COVERAGES CERTIFICATE NUMBER:364362391 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.. _ ........., _._., 1NSR TYPE OF INSURANCE IANDL DID POLICY NUMBER IpNOpf 21 EEYF^/FY I M1001YY LIMITS L7R. A X COMMERCIAL GENERAL LIABILITY GL202100013378 6/1/2023 6/1/2025 EACH OCCURRENCE $2,000.000 1 � .. .�- !�-I CLAIMS-MADE 1K OCCUR PREfJII E Ea o, 0,000 .._... ........... .......................... ... ...., MED EXP(Any one person) $5,000 1 PERSONAL B ADV INJURY $1,000,000 ES'.GEN'L AGGREGATE LIMITAPPLI - PER��---� '•••� -• �•• .___.............:.�...........,.,. GENERALAGGREGATE $2,000.000 _ OTHER' )( PR PRODUCTS COMP/OPAG �� ....„ { JE PR O- LOC u $2,000 000 mmm .,U m 2,000,001) B AUTOMOBILE LIABILITY CA 2960145 6/1I2024 6/1/2025 COMBINED,cdp�IMGL,. LIMIT $ _. X ANY AUTO BODILY INJURY(Per person) $ R,I AUTOS ONLY AUTOS ONLY _t_. ,q U OWNED SCHEDULED AUTOS ONLY _ AUTOS IW HIRED NON-OWNEDMEaccident) $ m,m � . �p ad nI ( $ BODILY (Per .,, - ..... $ E ELLALIAB XLCC LAIM$MADE E00023 6989102 6/1/2024 6/1/2025 AGGREGATE OCCURRENCE $5,000 000 _ C UMBW 7039650582 6/1/2024 6/1/2025 R D X EXCESS LIAB $5,000 000 DEp f RETENTION$ Lanit x of$5„000 000 $19,000,000 { B WORKERS COMPENSATION H ANYD EMPLOYERSPAIRB ER/EXECUTIVE WC 013588107 6l1/2024 6/1I2025 E PER TE f R YIN OFFICER/MEMBEREXCLUDED? N/A LEACH ACCIDENT $1,000 000 S7A7.U....YYYY..... ......, (Mandatory in NH) E L..DISEASE EA EMPLOYEE $1,000 000 If yes,describe under !1 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,.000,000 B Automobile CA2960145 6/1/2024 6/1/2025 All Other Units $250/$500 Comp/Collusion Ded Truck-Tractors and Semi-Trailers $250/$500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Southold 54375 Route 255 AUTHORIZED REPRESENTATIVE Southold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Workers' YORE CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured Trinity Solar,LLC 631-319-7233 2180 Fifth Avenue,Unit 1A 1c.NYS Unemployment Insurance Employer Registration Number of Ronkonkoma,NY 11779 Insured Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,aWrap-Up Policy) Number ....... ............. 2. Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) National Union Fire Insurance Company Town of Southold 3b.Policy Number of Entity Listed in Box"1 a" 54375 Route 25 Southold, NY 11971 WC 013588107 3c,Policy effective period 6/1/2024 to 6/1/2025 3d.The Proprietor,Partners or Executive Officers are ❑ included.(Only check box if all partners/officers included) ❑ all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"T'insures the business referenced above in box 1 a"for workers' compensation hinder the New York State Workers'Compensation Law. (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PACE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2 The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Michael Price (Print name of authorized representative or licensed agent of insurance carrier) Approved by: t4,u 6/1/2024 (Signature) (Date) Title: C.E.O.North America Telephone Number of authorized representative or licensed agent of insurance carrier: Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www,wcb.ny.gov Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. C-105.2(9-17) REVERSE Workers' VOI CERTIFICATE OF INSURANCE COVERAGE rofrc STATE Compensation Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured TRINITY SOLAR, LLC 2180 FIFTH AVENUE, UNIT 1A 631-319-7233 RONKONKOMA, NY 11779 Work Location of Insured(Only required if coverage is specifically limited to 1 c.Federal Employer Identification Number of Insured certain locations in New York State,i.e.,Wrap-Up Policy) 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Town of Southold Standard Security Life Insurance Company of New York 54375 Route 25 3b Policy Number of Entity Listed in Box 1 a Southold, NY 11971 R71757-000 3c.Policy Effective Period 7/1/2013 to 6/1/2025 4. Policy provides the following benefits: ❑- A.Both disability and Paid Family Leave benefits. B.Disability benefits only. C.Paid Family Leave benefits only. 5. Policy covers: ❑)c A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or classes of employer's employees: Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has Date Signed 6/2/2 disability and/or Paid Family Leave benefits insurance coverage as descr dabo ve. (Signature of insurance carrier'sa�ut.hop it ,[representative or NYS licensed insurance agent of that insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR—DBL/POLICY SERVICES IMPORTANT:lf Boxes 4A and 5A are checked, and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier, this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B, 4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd. 8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200. ,PART 2.To be completed by the NYS Workers'Compensation Board(only if sox 413,4C or 513 of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS 'Workers' Compensation Board, the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers'Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and Paid Family Leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1, Insurance brokers are NOT authorized to issue this form. D113-120.1 (12-21) 1111111111111111111111111111111111111111111111111111111111 Additional Instructions for Form 1313-120.1 By signing this farm, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in Box 1 a for disability and/or Paid Family Leave benefits under the NYS Disability and Paid Family Leave Benefits Law. The insurance carrier or its licensed agent will send this Certificate of Insurance Coverage (Certificate)to the entity listed as the certificate holder in Box 2. The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is cancelled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in Box 3c, whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any nights or responsibilities beyond those contained in the referenced policy. This Certificate may be used as evidence of a NYS disability and/or Paid Family Leave benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or Paid Family Leave benefits policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Insurance Coverage for NYS disability and/ or Paid Family Leave Benefits or other authorized proof that the business is complying with the mandatory coverage requirements of the NYS Disability and Paid Family Leave Benefits Law. NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair,that the payment of disability benefits and after January first,two thousand and twenty-one, the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first,two thousand eighteen, the payment of family leave benefits for all employees has been secured as provided by this article. DB-120.1 (12-21)Reverse t Suffolk County Dept.,of Labor,Licensing&Consumer Affairs MASTER ELECTRICAL LICENSE Name RICHARD GUARNERI Business Name This certifies that the Rasco Electric Corp I' bearer is duly 6ce;nsed' License Number ME-53689 by the County of suffojlk Issued: 06/19/2014 W"m&-r "rr-y Expires: 06/01/2026 Commissioner p