NYC 9/11 Public Portal Document
ICE
265 Wilson Avenue WA EHOUSE
Westbury, t3Y 11590
338 Moffat Sfreet
(516) 338-9800 Brooklyn, NY 11237
(718) 428-4900
RESTORATION
CERTITIATE OF COMPLETION/
DIRECTION TO PAY
RE- y3~
A/ czw
TIDE UNDERSIGNED, HAVING AUTHORIZED ALL CITY
CONTRACTING & CLEANING, INC. TO PERFORM CLEANING, SOOT
REMOVAL, WATER EXTRACTION, REMOVAL OF FURNITURE, DEBRI
REMOVAL AND/OR REPAIRS AT THE ABOVE CAPTIONED
LOCATION
ACKNOWLEDGED THAT THE SERVICES PERFORMED BY ALL CITY
CONTRACTING & CLEANING, INC. HAVE BEEN COMPLETED.
SAID UNDERSIGNED AUTHORIZES THE INSURANCE
COMPANY
COVERING THE ABOVE CAPTIONED PREMISES TO MAKE PAYMENT
DIRECTLY TO ALL CITY CONTRACTING & CLEANING INC.
IF INSURANCE COMPANY MAKES PAYMENT TO INSURED
THEY
WILL MAKE PAYMENT TO ALL CITY WITHIN 7 DAYS OF
RECEIVING
PAYMENT.
Any persons who knowingly and with intent to defraud any insurance
company or other person files an
application for insurance or statement of claim containing
any mart ally false information, or concealS for
the purpose of misleading information concerning any fact
material thereto, commits a fraudulent
insurance act, which is a crime, and shaU also be subject to a civil
penalty nor to exceed five thousand
dollars and the stated value of the claim for each such violation
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NYC-WTC 000098114
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