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<br />J.}!::L-r::>-2006 <br /> <br />08:59 <br /> <br />.; . P - . , ~ <br /> <br />7275791401 <br /> <br />-. --... ,...... <br /> <br />7275791401 <br /> <br />.- , . ~........... <br /> <br />P.02 <br /> <br />D-.r..4. DtIiJ', CI'Cu, All' <br />N.do"cJ M...,~,. <br />S"ciflhJ, UlUlttf'Writillg UIIU, NmiolUll ACC()lUIlS <br />lUG Risk Ma".Z.JII.t, IIIe. <br />DINCr Dial; 212.oUa.329) <br />FIX NCI. 21204>>-3." <br />debra.dalvUiW.It.CO(D <br /> <br />-RISK <br />fUIII MANAGEMENT <br />175 W.... StIc<< - JItA n.",. <br />N~ Ywk, No I. lion <br /> <br />LEITER OF ASSUMPTION <br /> <br />Date: 12114/06 <br /> <br />Name of Employer: Paycbex Business Solutions <br />Name of Carrier: New Hampshire m.urance Company <br />Carrier's Policy Number: WC7656672 <br />Policy E~iration Date: 611/07 <br />Type ofInsuran~: Workers' Compensation and Employers Liability lnsUl1lDCe <br /> <br />To Whom It May Concern: <br /> <br />This is to certify that il$ of 12110/06 IV FlolMell PaVini. Inc. is insured for W orktr! I <br />Compensation under the above policy number. <br /> <br />By my signature hereundtr, I certify tha.t: <br /> <br />1. r am a duly authorized employee or agent of the Carrier named above; and <br />2. The carrier named above has entered into a contract of Workers' Compensation <br />and Employer's Liability Insurance with the Employer named above, subject to <br />the details of Coverage described above. <br /> <br />Sfgn.Jf\(}JJ.Ut91..hv.J~ <br /> <br />Date:_12/14l06 <br /> <br />Name: Maria Vordonis <br /> <br />Title: Underwriter <br /> <br />TOTAL P. 02 <br />