FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`SUPREME
`COUNTY
`--
`
`FRANCISCO
`
`STATE
`
`COURT
`OF THE
`OF NEW YORK
`--
`------------------------------------------------X
`ROSARIO,
`
`OF NEW YORK
`
`Plaintiff,
`
`-against-
`
`TENANTS
`
`CO-OP
`
`GENTRY
`THE GENTRY
`a/k/a
`JL WHITE
`TENANTS
`MANAGEMENT,
`CORPORATION,
`MANAGEMENT
`and WHITE
`INC.
`
`LTD.,
`
`---------------------------
`THE GENTRY
`
`TENANTS
`
`Defendants.
`
`----------------------------------X
`CORPORATION,
`
`Third-Party
`
`Plaintiff,
`
`-against-
`
`LEARDON
`
`BOILER
`
`WORKS,
`
`INC.,
`
`----------------------
`
`FRANCISCO
`
`ROSARIO,
`
`Third-Party
`----------------------------------------X
`
`Defendant.
`
`Plaintiff,
`
`-against-
`
`ANDREA
`BOILER
`
`BUNIS
`
`WORKS,
`
`MANAGEMENT,
`INC.,
`
`INC.
`
`and LEARDON
`
`--------------------------------------------------------
`
`-------X
`
`Defendants,
`
`RESPONSE
`
`PLAINTIFF'S
`COMBINED
`& NOTICES
`
`TO
`
`DEMANDS
`
`Index
`
`#:
`
`155290/2015
`
`Action
`
`No.:
`
`2
`
`Index
`
`#:
`
`156972/2016
`
`The
`
`Defendant/Third-Party
`
`Plaintiff,
`
`THE
`
`GENTRY
`
`TENANTS
`
`CORPORATION;
`
`and ANDREA
`
`BUNIS
`
`MANAGEMENT,
`
`INC.
`
`by
`
`and
`
`through
`
`attorneys,
`
`AHMUTY,
`
`DEMERS
`
`& McMANUS,
`
`ESQS.,
`
`sets
`
`forth
`
`as
`
`objections
`
`its
`
`to
`
`1 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Plaintiff's
`
`Combined
`
`Demands
`
`& Notices
`
`as a whole
`
`and
`
`to
`
`each
`
`and
`
`every
`
`separatc
`
`demand
`
`contained
`
`herein,
`
`that
`
`said
`
`demañd
`
`is
`
`premature,
`
`overly
`
`broad,
`
`unduly
`
`burdensome,
`
`irrelevant,
`
`calls
`
`for
`
`information
`
`not
`
`within
`
`the
`
`purview
`
`of
`
`the
`
`answering
`
`defendant,
`
`a
`
`fishing
`
`expedition,
`
`and
`
`not
`
`reasonably
`
`calculated
`
`to
`
`lead
`
`to
`
`evidence
`
`relevant
`
`to
`
`the
`
`prosecution
`
`of
`
`the
`
`action
`
`Without
`
`waiving
`
`any
`
`of
`
`said
`
`objections,
`
`the
`
`answering
`
`defendants/
`
`third
`
`party
`
`plaintiff
`
`sets
`
`forth
`
`as and
`
`for
`
`a response
`
`to plaintiff's
`
`Combined
`
`Demands
`
`& Notices
`
`upon
`
`information
`
`and
`
`belief
`
`as follows:
`
`1.
`
`Photos
`
`- This
`
`answering
`
`defendant
`
`has
`
`not
`
`located
`
`any
`
`photographs
`
`other
`
`than
`
`those
`
`exhibits
`
`marked
`
`at
`
`the
`
`deposition
`
`of
`
`plaintiff
`
`& The
`
`Gentry
`
`Tenants
`
`Corporation.
`
`As
`
`of
`
`this
`
`date,
`
`plaintiff
`
`has
`
`yet
`
`to
`
`exchange
`
`copies
`
`of
`
`the
`
`Exhibits
`
`the
`
`deposition
`
`of The
`
`Tenants
`
`although
`
`same
`
`were
`
`marked
`
`at
`
`Gentry
`
`Corporation,
`
`duly
`
`demanded
`
`at
`
`the
`
`conclusion
`
`of
`
`said
`
`deposition.
`
`2.
`
`Incident
`
`Reports
`
`-
`
`Object
`
`to
`
`demand
`
`as
`
`overly
`
`broad,
`
`unduly
`
`burdensome,
`
`irrelevant,
`
`privileged,
`
`calls
`
`for
`
`information
`
`not
`
`within
`
`the
`
`purview
`
`of
`
`the
`
`answering
`
`defendant/
`
`third
`
`party
`
`plaintiff,
`
`a
`
`fishing
`
`expedition,
`
`and
`
`not
`
`reasonably
`
`calculated
`
`to
`
`lead
`
`to
`
`evidence
`
`relevant
`
`to
`
`the
`
`prosecution
`
`of
`
`the
`
`action
`
`-
`
`without
`
`hereto
`
`as Exhibit
`
`"A."
`
`waiving
`
`any
`
`objections,
`
`see Incident
`
`Report
`
`annexed
`
`3.
`
`Inspection/
`
`Maintenance
`
`records
`
`- Object
`
`to
`
`demand
`
`as
`
`overly
`
`broad,
`
`unduly
`
`burdensome,
`
`irrelevant,
`
`calls
`
`for
`
`information
`
`not
`
`within
`
`the
`
`purview
`
`of
`
`the
`
`answering
`
`defendant/
`
`third
`
`party
`
`plaintiff,
`
`a
`
`fishing
`
`expedition,
`
`and
`
`not
`
`reasonably
`
`calculated
`
`to lead
`
`to evidence
`
`relevant
`
`to the
`
`prosecution
`
`of
`
`the
`
`action,
`
`and
`
`unclear
`
`as to
`
`the
`
`documentation
`
`requested.
`
`Without
`
`waiving
`
`any
`
`such
`
`objections,
`
`and
`
`without
`
`2 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`making
`
`any
`
`representation
`
`as
`
`to
`
`the
`
`work
`
`or
`
`services
`
`of
`
`other
`
`parties
`
`-
`
`see
`
`annexed
`
`hereto
`
`copies
`
`of Work
`
`Orders
`
`from
`
`LEARDON
`
`BOILER
`
`WORKS
`
`INC.;
`
`as Exhibit
`
`"B"
`
`and
`
`proposals
`
`relative
`
`to the
`
`boiler
`
`installation
`
`annexed
`
`hereto
`
`as Exhibit
`
`"C."
`
`4.
`
`All
`
`records
`
`for
`
`any
`
`sources
`
`regarding
`
`complaints
`
`from
`
`any
`
`source
`
`whatsoever
`
`- Object
`
`to
`
`demand
`
`as overly
`
`broad,
`
`unduly
`
`burdensome,
`
`irrelevant,
`
`calls
`
`for
`
`information
`
`not within
`
`the
`
`purview
`
`of
`
`the
`
`answering
`
`defendant/
`
`third
`
`party
`
`plaintiff,
`
`privileged,
`
`a
`
`fishing
`
`expedition,
`
`and
`
`not
`
`reasonably
`
`calculated
`
`to
`
`lead
`
`to
`
`evidence
`
`relevant
`
`to
`
`the
`
`prosecution
`
`of
`
`the
`
`action
`
`- without
`
`waiving
`
`any
`
`such
`
`objections,
`
`this
`
`answering
`
`defendant/
`
`third-party
`
`plaintiff
`
`is unaware
`
`of
`
`any
`
`such
`
`complaints.
`
`5.
`
`Witnesses
`
`-
`
`upon
`
`information
`
`and
`
`belief,
`
`Brian
`
`Policatro
`
`(c/o
`
`Leardon
`
`New York
`
`La
`
`Boiler
`
`Works);
`
`Juan
`
`R. Gil,
`
`48 Ellis
`
`Place,
`
`Ossining,
`
`10562;
`
`Jorge
`
`De
`
`Cruz,
`
`710
`
`Croes
`
`Avenue,
`
`Apt
`
`3F,
`
`Bronx,
`
`New York;
`
`6.
`
`Experts
`
`- Defendants'/
`
`Third-Party
`
`Plaintiff's
`
`Expert
`
`Disclosure
`
`as
`
`to
`
`Joseph
`
`Pessalano,
`
`C.R.C.
`
`was
`
`previously
`
`served
`
`on June
`
`25,
`
`2018;
`
`Defendants'/
`
`Third-
`
`Party
`
`Plaintiff's
`
`Expert
`
`Disclosure
`
`as to Jerry
`
`A.
`
`Lubliner,
`
`M.D.
`
`was
`
`previously
`
`served
`
`on
`
`August
`
`2018;
`
`Defendants'/
`
`Third-Party
`
`Plaintiff's
`
`Expert
`
`Disclosure
`
`as
`
`to
`
`23,
`
`Daniel
`
`Feuer
`
`was
`
`previously
`
`served
`
`on August
`
`23,
`
`2018.
`
`Further
`
`expert
`
`information
`
`shall
`
`be exchanged
`
`pursuant
`
`to the CPLR
`
`or Court
`
`Order
`
`under
`
`separate
`
`cover.
`
`7.
`
`Adverse
`
`Party
`
`Statements
`
`- None,
`
`other
`
`than
`
`those
`
`statements
`
`which
`
`may
`
`be
`
`contained
`
`in the
`
`plaintiff's
`
`medical
`
`records,
`
`plaintiff's
`
`Workers'
`
`Compensation
`
`records,
`
`Plaintiff's
`
`employee
`
`file
`
`with
`
`JRS,
`
`and
`
`Plaintiff's
`
`Unemployment
`
`file,
`
`all
`
`of
`
`which
`
`plaintiff
`
`has
`
`access
`
`to;
`
`3 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`8.
`
`9.
`
`Other
`
`claims/
`
`litigation
`
`arising
`
`out
`
`of
`
`subject
`
`incident
`
`- none
`
`known.
`
`Surveillance
`
`materials
`
`- none
`
`known.
`
`10.
`
`Others
`
`involved
`
`in incident
`
`- object
`
`to
`
`form
`
`of
`
`demand;
`
`without
`
`waiving
`
`objection,
`
`upon
`
`information
`
`and
`
`belief
`
`at
`
`the
`
`time
`
`of
`
`the
`
`incident
`
`plaintiff
`
`was
`
`with
`
`three
`
`other
`
`individuals,
`
`identified
`
`under
`
`#5
`
`above.
`
`11.
`
`Records
`
`pertaining
`
`to
`
`inspection
`
`of work
`
`in progress
`
`- Object
`
`to demand
`
`for
`
`as overly
`
`broad,
`
`unduly
`
`burdensome,
`
`irrelevant,
`
`calls
`
`information
`
`not
`
`within
`
`the
`
`purview
`
`of
`
`the
`
`answering
`
`defendant/
`
`third
`
`party
`
`plaintiff,
`
`a fishing
`
`expedition,
`
`and
`
`not
`
`reasonably
`
`calculated
`
`to
`
`lead
`
`to
`
`evidence
`
`relevant
`
`to
`
`the
`
`prosecution
`
`of
`
`the
`
`action.
`
`Without
`
`waiving
`
`any
`
`objections,
`
`this
`
`answering
`
`defendant/
`
`third
`
`party
`
`plaintiff
`
`is not
`
`in
`
`possession
`
`of
`
`any
`
`such
`
`documêñts
`
`regarding
`
`inspections
`
`of
`
`work
`
`in
`
`progress,
`
`etc.;
`
`which
`
`however,
`
`did
`
`locate
`
`an
`
`engineer's
`
`proposal
`
`is annexed
`
`hereto
`
`(Exhibit
`
`"C").
`
`At
`
`this
`
`time,
`
`it
`
`is
`
`unknown
`
`whether
`
`any
`
`services
`
`were
`
`provided
`
`by
`
`said
`
`Engineering
`
`Consultant
`
`under
`
`said
`
`(or
`
`other)
`
`proposal.
`
`12.
`
`Records
`
`of
`
`oral
`
`complaints
`
`for
`
`six months
`
`prior
`
`to
`
`date
`
`of
`
`loss
`
`- Object
`
`to
`
`demand
`
`as overly
`
`broad,
`
`unduly
`
`burdensome,
`
`irrelevant,
`
`calls
`
`for
`
`information
`
`not
`
`the
`
`purview
`
`of
`
`the
`
`defendant/
`
`third
`
`a
`
`within
`
`answering
`
`party
`
`plaintiff,
`
`fishing
`
`expedition,
`
`and
`
`not
`
`reasonably
`
`calculated
`
`to lead
`
`to evidence
`
`relevant
`
`to the
`
`prosecution
`
`of
`
`the
`
`action.
`
`Without
`
`waiving
`
`such
`
`objections,
`
`none
`
`currently
`
`known.
`
`13.
`
`Similar
`
`accidents
`
`-
`
`Object
`
`to
`
`demand
`
`as
`
`overly
`
`broad,
`
`unduly
`
`burdensome,
`
`irrelevant,
`
`calls
`
`for
`
`information
`
`not
`
`within
`
`the
`
`purview
`
`of
`
`the
`
`answering
`
`defendant/
`
`third
`
`party
`
`plaintiff,
`
`a fishing
`
`expedition,
`
`and
`
`not
`
`reasoñably
`
`calculated
`
`to
`
`4 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`lead
`
`to evidence
`
`relevant
`
`to the
`
`prosecution
`
`of
`
`the
`
`action.
`
`Without
`
`waiving
`
`objections,
`
`none
`
`currently
`
`known.
`
`14.
`
`Names
`
`of
`
`all
`
`employees,
`
`agents
`
`and
`
`servants
`
`on
`
`duty
`
`at
`
`the
`
`premises
`
`on
`
`June
`
`6,
`
`2014,
`
`along
`
`with
`
`dates/
`
`period
`
`of
`
`employment
`
`including
`
`superintendent,
`
`foreman,
`
`safety
`
`manager,
`
`the
`
`property
`
`manager
`
`and
`
`owners
`
`representative
`
`- Object
`
`to
`
`demand
`
`as
`
`overly
`
`broad,
`
`unduly
`
`burdensome,
`
`irrelevant,
`
`calls
`
`for
`
`information
`
`not
`
`the
`
`within
`
`the
`
`purview
`
`of
`
`answering
`
`defendant/
`
`third
`
`party
`
`plaintiff,
`
`a
`
`fishing
`
`expedition,
`
`and
`
`not
`
`reasõñably
`
`calculated
`
`to lead
`
`to evidence
`
`relevant
`
`to the
`
`prosecution
`
`of
`
`the
`
`action.
`
`Without
`
`waiving
`
`any
`
`objections,
`
`upon
`
`information
`
`and
`
`belief,
`
`the
`
`answering
`
`defendants/
`
`third
`
`party
`
`plaintiffs
`
`are
`
`not
`
`in
`
`possession
`
`of
`
`records
`
`which
`
`reflect
`
`which
`
`employees
`
`if
`
`any,
`
`were
`
`on
`
`duty
`
`on
`
`June
`
`6,
`
`2014.
`
`Without
`
`waiving
`
`any
`
`no
`
`known
`
`foreman
`
`or
`
`manager.
`
`objections,
`
`there
`
`was
`
`safety
`
`The
`
`property
`
`manager/
`
`owner's
`
`representative
`
`as of
`
`the
`
`date
`
`of
`
`loss
`
`was
`
`Andrea
`
`Bunis,
`
`deceased.
`
`Luis
`
`Soto
`
`was
`
`identified
`
`per
`
`deposition
`
`testimony
`
`as
`
`being
`
`assigned
`
`to
`
`the
`
`premises
`
`in
`
`June
`
`of
`
`2014;
`
`and
`
`upon
`
`information
`
`and
`
`belief,
`
`Brian
`
`Policatro
`
`(c/o
`
`Leardon
`
`Boiler
`
`Works);
`
`Juan
`
`R. Gil,
`
`48 Ellis
`
`Place,
`
`Ossining,
`
`New York
`
`10562;
`
`Jorge
`
`De La Cruz,
`
`710 Croes
`
`Apt
`
`Bronx,
`
`New York
`
`were
`
`present
`
`on the
`
`date
`
`of
`
`loss.
`
`Avenue,
`
`3F,
`
`15-18.
`
`Names
`
`and
`
`address
`
`of
`
`all
`
`employees,
`
`agents
`
`and
`
`servants
`
`of
`
`each
`
`defendant
`
`responsible
`
`for
`
`the
`
`inspection,
`
`maintenance
`
`repair
`
`and
`
`service
`
`of
`
`the job
`
`site
`
`-
`
`- Object
`
`to
`
`demand
`
`in
`
`form
`
`as
`
`calls
`
`for
`
`legal
`
`conclusion,
`
`as
`
`overly
`
`broad,
`
`unduly
`
`burdensome,
`
`irrelevant,
`
`calls
`
`for
`
`information
`
`not
`
`within
`
`the
`
`purview
`
`of
`
`the
`
`answering
`
`defendant/
`
`third
`
`party
`
`plaintiff,
`
`a fishing
`
`expedition,
`
`and
`
`not
`
`reasonably
`
`calculated
`
`to
`
`5 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`lead
`
`to
`
`evidence
`
`relevant
`
`to
`
`the
`
`prosecution
`
`of
`
`the
`
`action
`
`-
`
`without
`
`waiving
`
`any
`
`objections,
`
`upon
`
`information
`
`and
`
`belief,
`
`the
`
`defeñdãñt/
`
`third
`
`party
`
`plaintiff's
`
`employees
`
`did
`
`not
`
`perform
`
`maintena.nce
`
`and/
`
`or
`
`repairs
`
`to the
`
`boiler
`
`room.
`
`LEARDON
`
`BOILER
`
`WORKS,
`
`INC.
`
`and
`
`JRS
`
`Boiler,
`
`Inc.
`
`have
`
`been
`
`identified
`
`as being
`
`present
`
`as of
`
`the
`
`date
`
`of
`
`loss.
`
`as of
`
`the
`
`date
`
`of
`
`loss
`
`19.
`
`Copies
`
`of
`
`contracts
`
`in effect
`
`regarding
`
`boiler
`
`- See
`
`attached
`
`contract
`
`between
`
`THE
`
`GENTRY
`
`TENANTS
`
`CORPORATION
`
`LEARDON
`
`BOILER
`
`WORKS,
`
`INC.
`
`annexed
`
`hereto
`
`as Exhibit
`
`"D."
`
`20.
`
`Copies
`
`of
`
`all
`
`invoices
`
`for
`
`one
`
`year
`
`for
`
`all
`
`contractors
`
`- Object
`
`to demand
`
`as
`
`overly
`
`broad,
`
`unduly
`
`burdensome,
`
`irrelevant,
`
`calls
`
`for
`
`information
`
`not
`
`within
`
`the
`
`purview
`
`of
`
`the
`
`answering
`
`defêñdañt/
`
`third
`
`party
`
`plaintiff,
`
`a fishing
`
`expedition,
`
`and
`
`not
`
`reasonably
`
`calculated
`
`to
`
`lead
`
`to
`
`evidence
`
`relevant
`
`to
`
`the
`
`prosecution
`
`of
`
`the
`
`action
`
`without
`
`waving
`
`such
`
`objections,
`
`invoices
`
`have
`
`not
`
`been
`
`located.
`
`21.
`
`Copies
`
`of
`
`all
`
`inspections
`
`regarding
`
`boiler/
`
`job
`
`site
`
`for
`
`one
`
`year
`
`prior
`
`June
`
`6,
`
`2014
`
`-
`
`object
`
`to
`
`demand
`
`as
`
`duplicative,
`
`and
`
`is
`
`unclear
`
`of mêªñiñg
`
`"iñspection"
`
`-
`
`without
`
`objections,
`
`see
`
`work
`
`orders
`
`from
`
`LEARDON
`
`-
`
`to
`
`of
`
`waving
`
`any
`
`BOILER
`
`WORKS,
`
`INC.
`
`and
`
`proposals,
`
`annexed
`
`hereto
`
`respectively
`
`as Exhibits
`
`"B"
`
`and
`
`"C".
`
`22.
`
`Copies
`
`of purchase
`
`order(s)
`
`and
`
`invoices
`
`for
`
`the
`
`boiler
`
`that was
`
`replacing
`
`the
`
`old
`
`boiler
`
`at
`
`premises
`
`-
`
`object
`
`to
`
`demand
`
`as
`
`üñcicar;
`
`and
`
`not
`
`limited
`
`in
`
`scope,
`
`without
`
`waiving
`
`objections,
`
`no
`
`such
`
`documents
`
`have
`
`been
`
`located.
`
`PLEASE
`
`TAKE
`
`NOTICE,
`
`that
`
`these
`
`answering
`
`defendants/
`
`third-party
`
`plaintiff
`
`6 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`reserve
`
`the
`
`right
`
`to
`
`amend
`
`and/or
`
`supplemeñt
`
`this
`
`response
`
`upon
`
`conclusion
`
`of
`
`discovery/investigation
`
`to and
`
`up
`
`including
`
`time
`
`of
`
`trial.
`
`Dated:
`
`November
`
`Albertson,
`
`2018
`14,
`New York
`
`,
`& McMANUS
`
`SKM
`
`MARIE
`AHMUTY,
`Attorneys
`
`I. GOÚTZOUNI
`
`for
`
`DEMERS,
`Defendant/
`Plaintiff
`Third-Party
`THE GENTRY
`TENANTS
`CORPORATION
`I.U.
`
`200
`
`Willets
`Road
`NY 11507
`Albertson,
`294-5433
`#: CHY 106115
`
`(516)
`Our
`
`File
`
`TO:
`
`AVANZINO
`Attorneys
`FRANCISCO
`26 Court
`
`for
`
`Brooklyn,
`
`(718)
`FAX
`
`No.:
`
`(718)802-0189
`
`& MORENO,
`Plaintiff
`ROSARIO
`Suite
`Street,
`NY 11242
`802-1616
`
`P.C.
`
`2015
`
`GAMBESKI
`
`& FRUM
`
`Attorneys
`LEARDON
`Taxter
`565
`
`Elmsford,
`
`for
`
`Third-Party
`BOILER
`Suite
`Road,
`New York
`347-5522
`
`(914)
`FAX
`
`No.:
`
`(855)721-4009
`
`Defendant
`WORKS,
`220
`
`INC.
`
`10523
`
`7 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`FILED: NEW YORK COUNTY CLERK 11m2018 04:47 P
`
`NYSC3F DOC. NO. 34
`NYSCEF DOC. NO. 34
`
`IND
`EX NO.
`156972/2016
`INDEX NO. 156972/2016
`
` VYSC
`
` LIV" .D
` 3F:
`
`Rfi
`11/14/2018
`RECEIVED NYSCEF: 11/14/2018
`
`A
`EXMIBIT
`EXHDBH A
`
`8 of 82
`8 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`WORKEAS'
`
`State
`
`of New York
`Employer's
`
`Work-Related
`
`- Workers'
`
`First
`
`Compensation
`Report
`
`Board
`
`of
`
`Injury/IIIness
`
`C-2F
`
`110) of the injury/illness
`injury or illness must be reported within 10 days (Per Section
`to a pensity.
`or be subject
`A work-related
`form C-2F to the Workers' Compensation
`Board if the employer's
`insurer will be submitting
`to submit
`are not
`required
`Employers
`If you need assistance
`to the Board on the employer's
`behalf.
`this form, please
`the sccident
`infarñiaticñ
`completing
`electronically
`accident
`on the best method
`If you submit
`iñfarmatics.
`of reporting work-related
`this form to
`for guidance
`insurer
`your
`contact
`NY 13902 and provide
`a copy to your
`please send it to P.O. Box 5205, Binghamton,
`insurer.
`the Board,
`
`O boÒO
`
`Employee
`
`Name
`
`C1r-K
`
`WCB Case Number
`
`(JCN)
`
`Claim Administrator
`
`Claim Number
`
`Date of
`
`injury
`
`One.
`
`O(o,
`
`20)
`
`.
`
`INSURER
`
`/ CLAIM ADMINISTRATOR
`
`INFORMATION
`
`insurer
`
`ID
`
`O
`
`O
`
`$U
`
`ÑG)
`
`(
`
`C)
`
`Ff
`O
`f-l
`5 t De of
`
`EMPLOYEE
`
`INFORMATION
`
`StT*d
`
`\
`
`O
`
`7
`t O
`
`\ O -
`
`$
`
`66
`
`b O
`
`State
`
`Country
`
`Middle Name/Initial
`
`Suffix
`
`State
`
`Country
`
`Date of Hire
`
`e O
`
`.
`
`)
`
`Gender
`
`dle
`
`O Female
`
`Uñkacwn
`
`insurer
`
`Name
`
`Name
`
`Info/Attrt
`
`Address
`
`City
`
`Postal Code
`
`Claim Admin
`
`ID
`
`First Narne
`
`Last Narne
`
`Mailing Address
`
`City
`
`Postal Code
`
`Phone Number
`
`Date of Birth
`
`Employee
`
`SSN
`
`Occupation
`
`Description
`
`C
`
`Of)
`
`t C,
`
`C-2F (1-14)
`
`Page 1 of 3
`
`www.web.ny.gov
`
`9 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Time of
`
`Injury
`
`Emp;üyméñt
`
`Status
`
`(JLSCX2
`
`Estimated Weekly Wage
`
`3fo()
`
`O
`
`- ©°
`
`Work Week Type
`
`Work Days Scheduled
`
`Standard Work Week
`O Sun
`
`n Ós
`
`EMPLOYEE
`
`INJURY
`
`CLAIM INFORMATION
`
`Date Emp'oya
`
`Had K
`
`of
`
`the Injury
`
`O
`
`Date Employer
`
`Had Kñüw:édge
`
`of Date of Disability
`
`7
`
`Number
`
`of Days Worked Per Week
`O Fixed Work Week
`
`Varied Work Week
`
`rs
`
`Fri
`
`O Set
`
`6(
`
`O
`
`Fufi Wages Paid for Date of
`
`Injury
`
`s O No
`
`Emi-icyer
`
`Paid Salary
`
`in Lieu of Compensation
`
`OYes
`
`ONo
`
`initial Treatment
`
`Medical Treatment
`
`Ernergsñcy Evaisaticñ
`
`Minor On-Site Treatment By Employer
`OMinor Clinic/Hospitat Treatment
`Hospite!!zation Greater Than 24 Hours O Future Major Medical/Lost Time Anticipated
`
`Death Result of
`
`In ury
`
`OYes
`
`o
`
`Unknown
`
`of
`
`Date of Death
`(S
`
`.
`
`Number
`
`of Dependents
`
`_
`
`Nature
`
`Injury
`
`(i.e. Laceration, Bums, Fracture, Strain, etc)
`
`Part of Body (i.e. left arm, right foot, head, multip e, etc)
`
`Cause of
`
`injury
`
`Accident/Injury
`
`(i.e. Motor Vehicle, Machine, Strain or Injury by lifting, etc)G
`3d
`Description
`(see instructions)
`
`(.C..4
`Q CL
`T
`
`,
`
`X cwo
`a
`T O
`
`CCMC
`et
`
`LAJi
`
`Y\Û
`5 .
`
`OL t
`
`WORK STATUS
`
`1nitial Date Last Day Worked
`
`Initial Date Disability
`
`Began
`
`Initial Return
`
`to Work Date
`
`Return To Work Type
`
`OActual
`
`OReleased
`
`Physical
`
`Restrictions
`
`OYes
`
`Return To Work Same Employer
`
`[sfffs
`
`No
`
`Premises
`
`(see instructions)
`
`OEmployer
`
`Lessee
`
`OOther
`
`Organization
`
`Name
`
`Street
`
`City
`
`County
`
`Location Narrative
`
`T \} 6
`
`G
`
`Tuchboe
`
`\
`
`jlfC
`
`Witnesses
`
`-....
`
`,
`
`State
`
`Postaicode
`
`Country
`
`Business
`
`Phone Number
`
`C-2F ('l-14)
`
`Page 2 of 3
`
`www.wch.ny.gov
`
`10 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Ot
`
`Name
`
`UI Number
`
`Industry
`
`Code
`
`EMPLOYER
`
`INFORMATION
`
`Employer
`
`FEIN
`
`Manual Clasemeatiarl
`
`Code
`
`info/Attn
`
`Mailing Address P O-f6OX.
`( OS4
`
`City
`
`Postal Code
`
`Of
`
`IOl B
`
`State
`
`country
`
`State
`
`country
`
`Insured
`
`FEIN
`
`.3CA
`
`INSURED
`
`INFORMATION
`
`Physical
`
`Addr
`
`City
`
`Postal Code
`
`Contact Name
`
`c
`
`O 5
`
`Contact
`
`Business
`
`Phone Number
`
`Insured Name _
`
`(C
`
`( p')
`
`insured
`
`Type
`
`8frEsured
`
`OSelNnsured
`
`P
`of
`
`as
`
`j~_jUninsured
`
`insured
`ac,2sm
`
`Location
`
`ID
`
`i
`
`Policy Expiration
`
`)
`
`ID
`Policy Number
`Date Q 6 O (
`Policy Effective Date O
`It
`or person
`of an employer
`or carrier, who KNOWINGLY
`on behalf
`or any empicyss,
`An é¡ripicyêr
`or carrier,
`agent,
`acting
`as to a material
`In the course
`fact
`OR REPRESENTATION
`A FALSE STATEMENT
`of
`investigation
`MAKES
`reporting,
`of,
`or payment
`under
`for
`the purpose
`of avoiding
`provision
`of such
`a claim for any benefit
`this
`chapter
`or adjusting
`BE GUILTY OF A CRIME AND SUBJECT
`FINES AND IMPRISONMENT.
`TO SUBSTANTIAL
`or benefit
`SHALL
`payment
`is true to the best of my knowledge
`The above information
`and belief.
`
`If prepared
`
`by the employer:
`
`S!;nct==
`
`of Person Preparing
`
`Form
`
`CA,
`
`Date
`
`Print Name
`
`Title
`
`Phone Number
`
`C-2F (1-14)
`
`-
`
`Page 3 of 3
`
`www.wch.ny.gov
`
`11 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`FILED: NEW YORK COUNTY CLERK 11m2018 04:47 P
`NYSC 3F DOC. NO. 34
`NYSCEF DOC. NO. 34
`
`IND
`EX NO.
`156972/2016
`INDEX NO. 156972/2016
`
` VYSC
`
` LIV" .D
` 3F:
`
`Rfl
`11/14/2018
`RECEIVED NYSCEF: 11/14/2018
`
`EXHIBIT
`B
`EXHEQW B
`
`12 of 82
`12 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Leardon
`
`Boiler
`
`Works,
`
`Inc.
`
`N9041689
`
`Tel:
`Fax:
`
`718-585-5314
`718-585-5315
`
`AC DAW
`
`INVOlCE NO.
`
`MECll:
`
`IIELPElb
`
`CONTRACT
`
`WMMœ DAE:
`
`PURCHASE ORDER NO.:
`
`MECII 2:
`
`IIELPER 2:
`
`PROPOSAL NEEDED
`
`YES
`
`NO
`
`WORK PERFORMED ON:
`
`BOILER #1
`BOILER #3
`
`BOILER #2
`OTHER:
`
`BURNER MAKE/MODEL:
`
`CA#
`
`Avenue
`9 Walton
`NY 10451
`Bronx,
`
`Ai(It
`
`/ totA
`
`,M)B SITE:
`
`PIlONE NO:
`
`CONTACT PERSON:
`
`DAY WORK
`
`EMERGENCY SERVICE
`
`BILL TO:
`
`ADDRESS:
`
`TYPE:
`
`QTY.
`
`.ACCOUNT
`
`NEW ACCOUNT
`
`C.O.D
`
`MATERIAL
`
`.
`
`STOCK #
`
`DESCRIPTION OF WORK
`
`RECOMMENDATIONS:
`
`Signature of Person Approving Work
`
`TF
`
`UNIT:
`
`.
`
`LABOR
`
`MAT.
`
`MISC.
`T&M TAX
`
`TOTAL
`
`NOTE: SERVICING ACTIVITY ASSUMES NO RISK FOR DAMAGES RESULTING FROM MECHANICAL DEFECTS, CORROSION OFi OTHER
`PROBLEMS OF DEFECTIVE INSTALLATIONS AND OTHER HAZARDS COMMON TO OR RESULTING FROM AGING AND/OR SYSTEMS ABUSE.
`
`13 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Leardon
`
`Boiler
`
`Works,
`
`Inc.
`
`w-
`
`Negf,
`
`Tel:
`Fax:
`
`718-585-5314
`718-585-5315
`
`NTART DATE:
`
`\
`
`INVOICE NO.:
`
`COMPLETION
`
`DATE:
`
`t1/ 2
`
`PURCItASE ORDER NO.:
`
`Avenue
`,9 Walton
`NY 10451
`Bronx,
`
`T 4
`
`..
`
`JOB NITE:
`
`Pl IONE NO:
`
`CONTACT PERNON
`
`'
`
`EMBROENCY SERVICE
`
`CONTRACT
`
`ggELPER--
`
`SUNDAY/HOLIDAY
`
`C(
`
`TED
`
`YEN
`
`DAY WORK
`
`OVERTIME
`
`H1LL TO:
`
`ADDRESH:
`
`IEELPER 2-
`
`RETURN DATE:
`
`NO
`
`NO
`
`YEN
`
`IN)lLER
`}W)ILER
`
`1
`
`th)ILER
`(YrHER:
`
`2
`
`CAA
`
`EXP.
`
`PROPORAL NEEDED
`
`WORK PERFORMED ON:
`
`BURNER MAKE/MODE
`
`IW)lLER MAKK/MOD
`
`TYPE:
`
`ACCOUNT
`
`NEW ACCOUNT
`
`C.O.D.
`
`CONDmON:
`
`ACTION TA335t:
`
`Flucose:
`
`M
`of Pusson
`tigiumme
`.
`.wRVICING ACTNITY ASSUMES NO RISK FOR DAMAGES RESULM FROM
`----
`mna
`
`,,ms.
`
`14 of 82
`
`as:nah
`
`W OR OTHER
`I E
`,
`FUOist AGING ANDOR SYSTEMS ASUSE.
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Avenue
`479 Walton
`NY 10451
`
`ronx,
`
`JOB SITE:
`
`3W FA
`
`c
`
`PHONE NO:
`
`CONTACT PERSON: __
`
`DAY WORK
`
`OVERTIME
`
`BILL TO:
`
`ADDRESS:
`
`Leardon
`
`Boiler
`
`Works,
`
`Inc.
`
`.
`
`N90408M
`
`Tel:
`Fax:
`
`718-585-5314
`718-585-5315
`
`O CONTRACT
`
`SUNDAY/HOLIDAY
`
`START DATE:
`
`Û
`
`-.
`
`COMPLETION
`
`DATE:
`
`nf
`
`INVOlGE NO.:
`
`PURCllASE ORDER NO.:
`
`A \
`
`ugog g.
`
`HELPF.H•
`
`MECH 2:
`
`IIELPER 2:
`
`___
`
`COMPLETED
`
`'ES
`
`NO
`
`RETURN DATE:
`
`PROPOSAL NEEDED
`
`YES
`
`NO
`
`WORK PERFORMED ON:
`
`HOlLER #1
`BOILER #3
`
`BOlLER #2
`OTHER:
`
`BURNER MAKE/MODEL:1
`
`CA#
`
`TYPE:
`
`OTY.
`
`ACCOUNT
`
`NEW ACCOUNT
`
`C.O.D.
`
`MATERIAL
`
`STOCK #
`
`.7
`
`DESCRIPTION OF WORK
`
`RECOMMENDATIONS:
`
`PRICING:
`
`---
`
`LABOR
`
`MAT.
`
`MISC.
`
`TAX
`
`}jijir
`
`Signature of Persor
`NOTE: SGFiviciÑG ACTIVITY ASSUMES NO RiSK FOR bAMAGES RESULTING FROM MECHANICAL DEFECTS, COGROSION ORhTHER
`PROBLEMS OF DEFECTIVE INSTALLATIONS AND OTHER HAZARDS COMMON TO OR RESULTING FROM AGING AND‡R SYST MS ABUSE.
`
`15 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Leardon
`
`Boiler
`
`Works,
`
`Inc.
`
`N90/g
`
`44
`
`Avenue
`D Walton
`NY 10451
`
`Bronx,
`
`JOB SITE
`
`PiloNE NOn
`
`CONTACT PERSON:-
`
`_____
`
`EMERGENCY SERVICE
`
`CONTRACT
`
`SUNDAY/HOLIDAY
`
`DAY WORK
`
`OVERTIME
`
`BILL TO:
`
`ADDRESS:
`
`TYPE:
`
`ACCOUNT
`
`NEW ACCOUNT
`
`C-O.D.
`
`Tel:
`Fax:
`
`718-585-5314
`718-585-5315
`
`START DATE:
`
`dLA Ó ÎÛÊ
`
`COMPLETION
`
`DATE:
`
`INVOlCE NOa
`
`PURCilASE ORDER NO.:
`
`MECIl:
`
`HELPER
`
`4-Î
`
`MECH 2:
`
`HELPER 2:
`
`COMPLETED
`
`YES
`
`NO
`
`RETURN DATE:..
`
`PROPOSAL NEEDED
`
`YES
`
`NO
`
`WORK PERFORMED ON:
`
`BURNER MAKE/M(
`80 ElmUME
`
`)
`
`BO1LER #1
`BOILER #3
`
`O BOlLER #2
`OTHER:
`
`CA#
`
`QTY,
`
`MATERIAL
`
`STOCK #
`
`DESCRIPTION OF WORK
`
`CONDITION:
`
`ACTION TAKEN:
`
`RECOMMENDATIONS:
`
`PRtCING:
`
`QUCTF
`
`.
`
`.....
`
`LABOR
`
`MAT.
`
`MISC.
`T&M TAX
`
`__
`
`of
`
`on Approving Work
`NOTE: SERVICING ACTIVITY ASSUMES NO RISK FOR DAMAGES RESULTING FROM MECHANICAL DEFECTS, CORROSION OR OTHER
`PROBLEMS OF DEFECTIVE INSTALLATIONS AND OTHER HAZARDS COMMON TO OR RESULTING FROM AGING AND/OR SYSTEMS ABUSE.
`
`UNIT:
`
`WTAL
`
`16 of 82
`
`

`

`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Inc.
`
`w¿
`
`44s16
`
`Tel:
`
`Fax:
`
`718-585-5314
`718-585-5315
`
`Leardon
`
`Boiler
`
`Works,
`
`START DATE: © ZS
`
`INVOICE NO:
`
`MECH:
`
`A /Z2
`
`7'5
`
`COMPLETION DATE:
`
`PURCHASE ORDER NO.:
`
`V1/^
`
`MECH 2:
`
`HELPER: 2:
`
`S
`
`O NO REWM DAR____
`
`O CONTRACT
`
`O SUNDAY/HOLIDAY
`
`HELPER:
`COEMD
`
`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`#f
`
`0
`
`Avenue
`479 Walton
`NY 10451
`
`Bronx,
`
`JOB SITE: C
`
`PHONE NO:
`
`CONTACT PERSON:
`
`O DAY WORK
`
`OVERTIME
`
`BILL TO:
`
`.
`
`ADDRESS:
`
`PROPOSAL NEEDED
`
`O YES
`
`O NO
`
`WORK PERFORMED ON:
`
`BURNER MAKE/MODEL:
`
`BOILER MAKE/MODEL:
`
`BOILER #1
`d BOI ER #3
`'
`
`f 6 f
`
`-..
`
`O BOEER #2
`OTHER:
`
`CA#
`
`FXR
`
`TYPE:
`
`ACCOUNT
`
`NEW ACCOUNT
`
`O C.O.D'
`
`QTY.
`
`MATERIAL
`
`STOCK#
`
`DESCRIPTION OF WORK
`
`RECOMMENDATIONS:
`
`n±re
`
`of Person A proving Work
`
`PRICING:
`
`TE
`
`O UNIT:
`
`LABOR ..._
`
`MAT.
`
`MISC.
`
`TAX
`
`TOTAL
`
`U T&M
`
`NOTE: SERVICING ACT VITY ASSUMES NO RISK FOR DAMAGES RESULTING FROM MECHANICAL
`DEFECTS, CORROSION OR OTHER
`PROBLEMS OF DEFECTIVE INSTALLATIONS AND OTHER HAZARDS COMMON TO OR RESULTING FROM AGING AND/OR SYSTEMS ABUSE.
`
`17 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Leardon
`
`Boiler
`
`Works,
`
`Inc.
`
`N9
`
`43779
`
`Tel:
`
`Fax:
`
`718-585-5314
`718-585-5315
`
`START DATE
`
`COMPLETION DATE:
`
`Ó/ÌYi
`
`______
`
`INVOICE NO: _..
`
`PURCHASE ORDER NO.:
`
`MECH:
`
`) Ai224
`
`O CONTRACT
`
`RELPER:
`
`MECH2:
`
`HELPER: 2:-
`
`EMERGENCY
`
`SERVICE
`
`O SU DAY/HOLIDAY
`
`COMPLETED
`
`YES
`
`O NO
`
`RETURN DATE
`
`.
`
`Avenue
`479 Walton
`nx, NY 10451
`
`JOB SITE:
`
`At 31unit^)
`
`PHONE NO: ______
`
`CONTACT PERSON:
`
`DAY WORK
`
`O OVERTIME
`
`BILL TO:
`
`ADDRESS:
`
`TYPE:
`
`ACCOUNT
`
`O NEW ACCOUNT
`
`O C.O.D.
`
`BOILER MAKE/MODEL:
`
`QTY.
`
`MATERIAL
`
`STOCK#
`
`DESCRIPTION OF WORK
`
`PROPOSAL NEEDED
`
`WORK PERFORMED ON:
`
`O NO
`
`O YES
`..
`#1
`BBOILER
`O BOILER #3
`
`BURNER MAKE/MODEL:
`
`Q
`
`BOILER //2
`OTHER:
`
`CA#
`
`EXP.
`
`RECOMMENDATIONS:
`
`--
`
`-
`
`Signature
`
`of Person Apprcving Work
`
`PRICING:
`
`QUOTE
`
`O UNIT:
`
`LABOR
`
`MAT.
`
`MISC. -
`
`TAX
`
`TOTAL
`
`- U T&M
`
`NOTE: SERVICING ACTIVITY ASSUMES NO RISK FOR DAMAGES RESULTING FROM MECHANICAL DEFECTS, CORROSION OR OTHER
`PROBLEMS OF DEFECTIVE INSTALLATIONS AND OTHER HAZARDS COMMONTO OR RESULTING FROM AGING AND/OR SYSTEMS ABUSE.
`
`18 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Leardon
`
`Boiler
`
`Works,
`
`Inc.
`
`N9
`
`45565
`
`Tel:
`
`Fax:
`
`718-585-5314
`718-585-5315
`
`START DATE:
`
`INVOICE NO:
`
`17 - i 3
`
`COMPLETION DATE:
`
`A t'AC-
`
`MECH:
`
`)
`
`21,..
`
`O CONTRACT
`
`HELPER:
`
`PURCHASE ORDER NO.:
`
`MECH 2:
`
`HELPER: 2:
`
`COMPLETED
`
`YES
`
`O NO
`
`RETURN DATE:
`
`PROPOSAL NEEDED
`
`O YES O NO
`
`WORK PERFOAMED ON:
`
`BOILER #1
`O BOILER #3
`
`O BOILER #2
`ŒHER:
`
`BURNER MAIÓE MODEL
`
`BOILER MAKE/MODEd
`
`3
`
`3
`
`CA#
`
`EXP.
`
`...
`
`Avenue
`479 Walton
`NY 10451
`
`Bronx,
`
`JOB SITE:
`
`PHONE NO:
`
`hŸ.'v
`
`la.)
`
`CONTACT PERSON: ____
`
`RDAY WORK
`
`O OVERTIME
`
`BILL TO:
`
`ADDRESS:
`
`EMERGENCY
`
`SERVICE
`
`O SUNDAY/HOLIDAY
`
`TYPE:
`
`ACCOUNT
`
`NEW ACCOUNT
`
`C.O.D.
`
`QTY.
`
`.
`
`MATERIAL
`
`STOCK #
`
`DESCRIPTION OFWORK
`
`CONDITION:
`
`ACTIONTAKEN:
`
`4fECOMMENDAT ON
`
`Signature
`
`of Pers
`
`ÄppÁving Work
`
`O UNIT:
`
`/Ÿ
`
`TOTAL
`
`NOTE: SERVICING ACTIVITY ASSUMES NO RISK FOR DAMAGES RESULTING FROM MECHANICAL DEFECTS, CORROSION OR OTHER
`PROBLEMS OF DEFECTIVE INSTALLATIONS AND OTHER HAZARDS COMMON TO OR RESULTING FROM AGING AND/OR SYSTEMS ABUSE
`
`19 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`O
`
`Leardon
`
`Boiler
`
`Works,
`
`Inc.
`
`Avenue
`479 Walton
`NY 10451
`
`Bronx,
`
`2. Ø G.LO
`
`JOB SITE:
`
`PHONE NO:
`
`CONTACT PERSON:
`
`EMERGENCY
`
`SERVICE
`
`O CONTRACT
`
`O SUNDAY/HOLIDAY
`
`DAY WORK
`
`OVERTIME
`
`BILL TO:
`
`ADDWSS
`
`TYPE:
`
`SACCOUNT
`
`O NEW ACCOUNT
`
`C.O.D.
`
`N9
`
`45594
`
`Tel:
`
`Fax:
`
`718-585-5314
`
`718-585-5315
`
`START DATE:
`
`3Ö
`
`-
`
`I 3
`
`COMPLETION DATE:
`
`3 A /Y12
`
`INVOICE NO:
`
`PURCHASE ORDER NO.:
`
`Al
`
`2-L
`
`MECH:
`
`HELPER:
`
`MECH 2:
`
`HELPER: 2:
`
`COMPLETED
`
`SyES
`
`O NO
`
`RETURN DATE:
`
`PROPOSAL NEEDED
`
`O YES
`
`O NO
`
`WORK PERFORMED ON:
`
`#1
`BBOILER
`O BOILER #3
`
`O BOILER #2
`CTfHER:
`
`BURNER MAKE/MODEL:
`
`1
`
`BOILER MAKE/MODEL:
`
`CA#
`
`EXP.
`
`QTY,
`
`MATERIAL
`
`STOCK#
`
`co"="
`
`01
`
`Go k
`
`.
`
`DESCRIPTION OF WORK
`
`ACTIONTAKEN:
`
`RECOMMENDATIONS:
`
`.
`
`PRICING:
`
`QUOTE
`
`LABOR
`
`MAT.
`
`MISC. -
`
`T& M
`
`TAX
`
`Signature
`
`of Person Àjfproving
`NOTE: SERVICING ACTIVITY ASSUMES NO RISK FOR DAMAGES RESULTING FROM MECHANICAL DEFECTS, CORROSION OR OTHER
`PROBLEMS OF DEFECTIVE INSTALLATIONS AND OTHER HAZARDS COMMON TO OR RESULTING FROM AGING AND/OR SYSTEMS ABIJSr
`
`UNIT:
`
`TOTAL
`
`20 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Avenue
`479 Walton
`NY 10451
`
`Bronx,
`
`Di!(
`
`\
`
`JOB SITE:
`
`PHONE NO:
`
`.
`
`CONTACT PERSON:
`
`Leardon
`
`Roiler
`
`Works,
`
`Inc.
`
`u9
`
`48881
`
`START DATE:
`
`INVOICE NO:
`
`ME
`
`:
`
`f e
`
`O C
`
`CT
`
`/
`
`L ER:
`
`Tel:
`Fax:
`
`718-585-5314
`
`718-585-5315
`
`( j
`
`COMPLETION DATE:
`
`/ /
`
`PURCHASE ORDER,NO.:
`
`___ MECH 2:
`
`HELPER: 2:
`
`EMERGENCY
`
`S
`
`V
`
`b DAY/HOLIÚAY
`
`COMPLETED
`
`O YES
`
`O NO
`
`RETURN DATE:
`
`PROPOSAL NEEDED
`
`O YES O NO
`
`O DAY WORK
`
`OVERTIME
`
`BILL TO:
`
`ADDRESS:
`
`TYPE:
`
`QTY.
`
`WORK PERFORMED ON:
`
`U BOILER #1
`O BOILER #3
`
`O BOILER //2
`OTHER:
`
`BURNER MAKE/MODEL:
`
`BOILER MAKE/MODEL:
`
`CA#
`
`EXP.
`
`ACCOUNT
`
`O NEW ACCOUNT
`
`C.O.D.
`
`MATERIAL
`
`STOCK#
`
`DESCRIPTION OFWORK
`
`CONDITION:
`
`ACTIONTAKEN:
`
`.,
`
`RECOMMENDATIONS:
`
`Signature
`
`of Perso
`
`app.-
`
`g Work
`
`PRICING:
`
`QUOTE
`
`O UNIT:
`
`LABOR
`
`MAT.
`
`NilsC.
`
`TAX
`
`TOTAL
`
`T&M
`
`.r
`
`NOTE: SERVICING ACTMTY ASSUM.ES NO RISK FOR DAMAGES RESULTlNG FROM MECHANICAL DEF!ECTS, CORRO ION OR OTHER
`AND OTHER HAZARDS COMMON TO OR RESULTING FROM AGING AND/ R SYSTEMS AB SE.
`PROBLEMS OF DEFECTIVE INSTALLATIONS
`
`21 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Leardon
`
`Boiler
`
`Works,
`
`Inc.
`
`N9
`
`46944
`
`479 Walton
`Avenue
`NY 10451
`
`Bronx,
`
`f
`
`li f Ûf^,!
`
`JOB SITE:
`
`PHONE NO:
`
`CONTACT PERSON:
`
`DAY WORK
`
`EMERGENCY
`
`SERVICE
`
`BILL TO:
`
`ADDRESS:
`
`..
`
`/F/
`
`START DATE:
`
`INVOICE NO:
`
`MECH:
`
`Ó
`
`O CONTRACT
`
`HELPER:
`
`Tel:
`
`Fax:
`
`718-585-5314
`
`718-585-5315
`
`.,Î - /
`
`.3
`
`COMPLETION DATE:
`
`. PURCHASE ORDER NO.:
`
`MECH 2:
`
`HELPER: 2:
`
`COMPLETED
`
`.
`
`YES
`
`O NO
`
`RETURN DATE:
`
`PROPOSAL NEEDED
`
`O YES
`
`U NO
`
`WORK PERFORMED ON:
`
`BOlLER #1
`O BOILER #3
`
`O BOILER #2
`OTHER:
`
`BURNER MAKE/MODEL:
`
`BOILER MAKE/MODEL:
`
`CA#
`
`EXP.
`
`TYPE: Q ACCOUNT
`
`O NEW ACCOUNT
`
`O C.O.D'
`
`QTY.
`
`MATERIAL
`
`STOCK#
`
`DESCRIPTION OFWORK
`
`CONDITION:
`
`ACTIONTAKEN:
`
`RECOMMENDATIONS:
`
`.
`
`flM/h((-)GW9
`
`f
`
`6 f
`
`1
`
`Ay
`
`207/V
`
`==
`
`-
`
`Sigr etu re of Person Approving
`
`oTk
`
`..____
`
`PRICING:
`
`--C
`
`QUOTE
`
`UNIT:
`
`. -
`
`O T&M
`
`LABOR
`
`MAT.
`
`MISC.
`
`TAX
`
`TOTAL
`
`NOTE: SERVICING ACTIVITY ASSUMES NO RISK FOR DAMAGES RESULTING FROM MECHANICAL DEFECTS, CORROSION OR OTHER
`PROBLEMS OF DEFECTIVE INSTALLATIONS AND OTHER HAZARDS COMMON TO OR RESULTING FROM AGING AND/GR SYSTEMS ABUSE.
`
`22 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Avenue
`479 Walton
`NY 10451
`
`Bronx,
`
`JOB SITE:
`
`1Ó
`
`ÎA
`
`PHONE NO:
`
`CONTACT PERSON:
`
`O DAY WORK
`
`O OVERTIME
`
`BILL TO: ___
`
`A DDRESS
`
`Leardon
`
`Boiler
`
`Works,
`
`Inc.
`
`N9
`
`46336
`
`Tel:
`Fax:
`
`718-585-5314
`718-585-5315
`
`START DATE:
`
`INVOICE NO:
`
`MECH:
`
`Ó Ód f
`
`O CONTRACT
`
`HELPER:
`
`Û(9
`
`COMPLETION DATE:
`
`___
`
`PURCHASE ORDER NO.:
`
`MECH 2:
`
`HELPER: 2:
`
`O SUNDAY/HOLIDAY
`
`COMPLETED O YES
`
`O NO
`
`RETURN DATE:
`
`PROPOSAL NEEDED
`
`O YES O NO
`
`WORK PERFORMED ON:
`
`O BOILER #1
`O BOILER #3
`
`O BOILER //2
`OTHER:
`
`BURNER MAKE/MODEL:
`
`CA#
`
`TYPE:
`
`ACCOUNT
`
`O NEW ACCOUNT
`
`O C.O.D.
`
`QTY.
`
`MATERIAL
`
`STOCK#
`
`DESCRIPTION OF WORK
`
`CONDITION:
`
`ACTIONTAKEN:
`
`--
`
`RECOMMENDATIONS:
`
`C:g=tere
`
`of Person Approving Worlr
`
`PRICING:
`
`QUOTE
`
`UNIT:
`
`LABOR
`
`MAT.
`
`MISC.
`
`TAX
`
`TOTAL
`
`T&M
`
`NOTE: SERVICING ACTIVITY ASSUMES NO RISK FOR DAMAGES RESULTING FROM MECHANICAL DEFECTS, CORROSION OR OTHER
`PROBLEMS OF DEFECTIVE INSTALLATIONS AND OTHER HAZARDS COMMON TO OR RESULTING FROM AGING AND/OR SYSTEMS ABU
`
`23 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`6
`
`Leardon
`
`Boiler
`
`Works,
`
`Inc.
`
`N9
`
`48271
`
`Avenue
`479 Walton
`NY 10451
`
`Bronx,
`
`JOB SITE:
`
`PHONE NO:
`
`CO TACT PERSON:
`
`DAY WORK
`
`EMERGENCY
`
`SERVICE
`
`BILL TO:
`
`A DDRESS
`
`START DATE:
`
`INVOICE NO:
`
`MECH:
`
`O CONTRACT
`
`HELPER:
`
`..
`
`Tel:
`Fax:
`
`718-585-5314
`718-585-5315
`
`COMPLETION DATE:
`
`PURCHASE ORDER NO,:
`
`MECH 2:
`
`HELPER: 2:
`
`COMPLETED
`
`YES
`
`O NO
`
`RETURN DATE:
`
`PROPOSAL NEEDED
`
`O YES O NO
`
`WORK PERFORMED ON:
`
`1' OILER #1
`O BOILER #3
`
`BOILER #2
`OTHER:
`
`BURNER MAKE/MODEL:
`
`BOILER MAKE/MODEL
`
`CA#
`
`EXP.
`
`TY PE
`
`ACCOUNT
`
`O NEW ACCOUNT
`
`O C.O.D.
`
`QW,
`
`MATERIAL
`
`STOCK#
`
`DESCRIPTION OF WORK
`
`RECOMMENDATIONS:
`
`S|gñãtürs
`
`of Person Approving Work
`
`PRICING:
`
`4UOIL
`
`,
`
`.UNIT:
`
`LABOR
`
`MAT.
`
`TAX
`
`TOTAL
`
`O T&M
`
`DÂMAGES.RESULTING
`FROM MECHANICAL DEFECTS, CORROSION OR OTHER
`b
`NOTE: SERVICING ACTIVITY ASSUMES NO RISK
`INSTALLATIONS ANO 05MUR MAZARDS COMMON TO OR RESULTlNG FROM AGING AND/OR SYSTEMS ABUSE
`PROBLEMS OF DEFECTIVE
`
`24 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`Avenue
`479 Walton
`NY 10451
`
`Bronx,
`
`JOB SITE:
`
`PHONE NO:
`
`CONTACT PERSON:
`
`Leardon
`
`Boiler
`
`Works,
`
`Inc.
`
`N9
`
`4 898
`
`6
`
`Tel:
`Fax:
`
`718-585-5314
`
`718-585-5315
`
`START DATE:
`
`INVOICE NO:
`
`MECH:
`
`PC
`
`O CONTRACT
`
`HELPER:
`
`'/
`
`COMPLETION DATE:
`
`PURCHASE ORDER NO.:
`
`MECH 2:
`
`HELPER: 2:
`
`EMERGENCY
`
`SERVICE
`
`O SUNDAY/HOLIDAY
`
`COMPLETED O YES
`
`O NO
`
`RETURN DATE:
`
`O DAY WORK
`
`O OVERTIME
`
`BILL TO:
`
`ADDRESS:
`
`TYPE:
`
`QTY.
`
`PROPOSAL NEEDED
`
`O YES
`
`O NO
`
`WORK PERFORMED ON:
`
`O BOILER #1
`BOILER #3
`
`O BOILER #2
`OTHER:
`
`BURNER MAKE/MODEL:
`
`BOILER MAKE/MODEL:
`
`CA#
`
`EXP.
`
`ACCOUNT
`
`NEW ACCOUNT
`
`C.O.D.
`
`MATERIAL
`
`STOCK#
`
`DESCRIPTION OF WORK
`
`CONDITION:
`
`ACTIONTAKEN:
`
`(
`
`(
`
`Ô.
`
`!
`
`RECOMMENDATIONS:
`
`___
`
`S g..
`
`of Person à pre
`
`PRICING:
`
`QUOTE
`
`LABOR
`
`MAT.
`
`MISC.
`
`TAX
`
`TOTAL
`
`T&M
`
`NOTE: SERVICING ACTIVITY ASSUMES NO RISK FOR DAMAGES RESULTING FROM MECHANICAL DEFECTS, CORROSION OR OTHER
`INSTALLATIONS AND OTHER HAZARDS COMMON TO OR RESULTING FROM AGING AND/OR SYSTEMS ABU
`PROBLEMS OF DEFECTIVE
`
`.
`
`25 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`FILED: NEW YORK COUNTY CLERK 111112018 04:47 P
`
`' NYSCEF DOC. NO. 34
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`INDEX NO- 156972/2016
`
`
`
`
`
`‘> R«c«1v«D VYSCEF: 11/14/2018
`RECEIVED NYSCEF: 11/14/2018
`
`
`
` i1l1 §
`
`EXHIBIT
`C
`EXHEBHT C
`26 of 82
`26 of 82
`
`

`

`FILED: NEW YORK COUNTY CLERK 11/14/2018 04:47 PM
`NYSCEF DOC. NO. 34
`
`INDEX NO. 156972/2016
`
`RECEIVED NYSCEF: 11/14/2018
`
`WELOtWD& HOlLERREPAJR
`
`February
`
`12, 2014
`
`Monahan
`
`Christine
`Original
`Energy
`Boulevard
`500 Executive
`NY 10523
`Elmsford,
`
`Dear Ms. Monahan,
`
`RE:
`
`21 Fairview
`
`Avenue
`
`you with
`to provide
`We are pleased
`address. We shall
`perform
`referenced
`
`a proposal
`to install
`the following:
`
`a new boiler
`
`and convert
`
`to gas at
`
`the
`
`the boiler
`of asbestos within
`room.
`the presence
`-Test
`the existing
`from the premises
`cut up and remove
`boiler, model
`Federal
`-Disconnect,
`4" concrete
`the new boiler.
`-Furnish
`and install
`pad to receive
`a
`housekeeping
`one new F