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HomeMy WebLinkAboutBuilding Permit # 2/3/2016 TiORTFI BUILDING PERMIT TOWN OF NORTH ANDOVER b raj ' APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 7,9 �AATFo PP,�(� Date Issued: '/ SSACHU I PORTANT:Applicant must complete all items on this page LOCATION ` Print' i PROPERTY OWNER , 4� Print MAP NO: PARCEL ,ZONING DISTRICT: ' Historic District yes," Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building FI One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑Septic ❑Well ❑ Floodplain ❑Wetlands 0 Watershed District ❑Water/Sewer ��\;cam,�� c'��h� - -.c��4°`�..1�� ►�-t; �%�v �' � Y l li��y i:0 t4 34 te) �. Identification Please Type or Print Clearly) OWNER: Name: ^� )C��\� C \ \ Cie, : C� Phone:2 2 u—17 T- --V Address: CONTRACTOR Name: Phone: 9 V IV"76--q4',5 d Address: k Su ervisor'sConstruction License: Exp, Date: i Home Improvement License: �� �: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. UO C' Total Project Cost: $ ;q � FEE: $ Check No.: Leu Receipt No.: r�--��1�1 — NOTE: Persons contractingwith unregi"edcontractors do not have access to theguaranty,fund Signature of Agent/Owner U' ignature of contractors " J r 1 � NORTH ' jrown of2 ' ,l _ L Andover ® -4` to . o �° y T �O LANE h ver, Mass, COCNICNEWICK 1' D�A'rED S u BOARD OF HEALTH PER Food/Kitchen Septic System T T LD THIS CERTIFIES THAT , . .v®. . , BUILDING INSPECTOR ...... .. . ..... .. ... .................. . ....................................... has permission to erect gFoundation .......................... buildings .... .... ....V.114 .®. ... ... . . .. ........ 11 Rough T 0' to be occupied as ... .... lfi s............C..... y .... ..... .................. Chimney provided that the person accepting this permits all in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 NINTHS ELECTRICAL INSPECTOR ® UNLESS N ST TS Rough Service ....... .... ......................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Puildin Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approvedy the Building Inspector. Burner Street No. Smoke Det. February 2,2016 Solar Endeavors.LLC '216 Lafayette Road Rye, NFI 03870 RE:The Livingston Residence Dear Aaron, I visited the Livingston residence to review the roof structure. I have included my field report. In summary the roof rafters should be reinforced with additional collar ties. Please let me know if there is any additional information you need. Sincerely. Dave Gleason Architects P.O. Box 596 Stratham, New Hampshire 03885 603 772-7370 gleasonarchitectsl(grnaiLcom X E. NO.7243 Eon P, RH OF Aid Report -- 11hrumy 1. 2016 ffic Livkq?,ston Rcsidc"uce 3d. Unity Avenue Nonh Andover. MA Ile mof k a hip summe with 2 x 6 Was at M"on coua. Thme are I x 6 Min IS m every thi"I raDen ARhough the roof 4 sWe and does not appmr to 1mve any damage or defolination, (he oaher ruced to be rdnAnmd with 2 x 6 cMhr Ans at ermh mendmn Ile(Mr th Actuld be inmWimi at 1/3 the distance of the raAcr near Hit ridge. Owtv appears to be no odwr conanns, MOLHVS: I I,SONY 1111, ED '06A44 h. EDT Gicawn An%ms E PA I Box 596 CA StrAcun, Am, Hampshire B .4 603 772-7370 g0sonarchituctsQQnNixonn K & C Contracting, Inc. "A Full Service Remodeling Company' January 13, 2016 CUSTOMER INFORMATION David Livingston 34 Unity Ave North Andover Ma 01845 CONTRACTOR INFORMATION K&C Contracting, Inc Kevin Kondrat 7 Marvin St Methuen Ma 01844 978-476-4450 FID#261729246 CS#99457 WORK TO BE PERFORMED Contractor Agrees To Do The Following Work For Homeowner: Install solar panels The following schedule will be adhered to unless circumstances beyond the contractor's control arise: TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE The contractor agrees to perform work,furnish materials and labor specified for the SUM OF: $$33,915.00 PAYMENTS will be made according the following SCHEDULE; $11,305.00 Deposit $11,305.00 Half complete $11,305.00 Upon completion Client's Signature Date � Contractor's Signature Date t - NOTE: All home improvement contractors and subcontractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration shall be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston Ma 02108 617-727-8598 Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on this residence. ARBITRATION The contractor and homeowner hereby mutually agree in advance that in an event the contractor has a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit such arbitration as provided M.G.L c. 142A. Client Signature r Date Contractor's Signature Date C (, hw NOTICE:THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE INITIATED BY THE CONTRACTOR.THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NO SEPARATELY SIGNED BY THE PARTIES. ACCELERATION OF PAYMENT Homeowner's Financial Insecurity:A Contactor may not demand payment in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. Contractor's Financial Insecurity: In instances where a Contractor deems his him/herself to be financially insecure,the Contractor may require that the-balance to funds not yet due be placed in a joint escrow account as a prerequisite to continuing contracted work. Withdrawal from said account would require the signature of both parties. --_- ri Su,nm, od,,u, le;/"Pl us SW 285 MONO (3,3mm ftan* TIN Power controlled: Is i L10 aawNu lmkt,r ' Lowest measuring tolerance in industry I a Every component istested to meet 3 times IEC requirements Ji 7 Designed to withstand heavy accumulations of snow and ice Sunrnodtrle Plus: Positive pet founance tolerance i% dear 25 year linear per Lot mance warranty and 10-year product warranty Glass with anti-reflective coating World-class quality ry la+n R' �✓ i, v, a 7c ren, rJ :r Fully-automated production lines and seamless monitoring of the process and urate- t1"da �Nurrur�i't —, nal ensure the qualitythatthe company sets as its benchmark for its sites worldwide. "' �,�...;..., M '1703 SolarWorld Plus-Sorting Plus-Sorting guarantees highest system efficiency.SolarWorld only delivers modules that have greater than or equal to the nameplate rated power. 25-year linear performance guarantee and extension of product warrantyto 10 years SolarWorld guarantees a maxirnurn performance digression of0.7%p.a.in the course Ya Chi `7YAN�PDGi� of 25 years,a significant added value compared to the two-phase warranties corn- MCI � ��uuuurl i inon in the industry,along with our industry-first"10-year product warranty.' gar "'in accordance with the applicable SolarWorld Limited Warranty at purchase. www.solarworld.com/warranty '... P,Aa9.G1F:IN USft r)F U5 solarworld-corn n nlravrrarrr>rar,s Sunmo dule,c�/? SW 285 MONO (33mm frame) PERFORMANCE UNDER STANDARD TEST CONDITIONS(STC)' PERFORMANCE AT 800 W/M2,NOCT,AM 1.5 Maximum power 285 WP Maximum power ........ ................. P11,11, 2'13.1 WP ............I Open circuit voltage V, 397V Open circuit voltage V, 36.4V .................. Maximurn power point voltage V" 31.3 VMaxiinumpowerpoint voltage—— V11111 28.7 V Short circuit current 9.84 A -short circuit current ........... 7.96 A Maximum power point current 9.20 AMaximurn power point current 7.43 A Module efficiency 01, 17,0'A mm.,"'Ju't m eft'd y tray tial load hti s,t 25'&at 200 W/nO,100% ------- (,1-2`,,)ofth,STC Oficie _y(1000 W/ 1) ,chieved. 'STC 1000W/,,1,25'C,ANAl.S )UaceMlet,,TUV9ho hrd.. 2A,(TUV Mver C.,ifir.11,d), COMPONENT MATERIALS THERMAL CHARACTERISTICS Cells per module 60 Cell type Mono crystalline NOCT 46'C - ----------- TCI„ 0,04 -Celldionensions 617 in x 6J7 in(156.75 x 1563S nun) TC", -0.30%pc Front tempered glass(EN 12150) Frame Clear anodized alUnnnurn TC P, -0.41%/`C .......------------ ......... --- --- Wright 39.7 lbs(18,0 kg) Operating temperature �40'C to 85"C SYSTEM INTEGRATION PARAMETERS 1000 W/m, Maximum systern voltage SCIIINEC 1000 V Maxinuan reverse current 25A 800 W/rn2� --- ---------- Number ofbypass diodes 3 ——-- - ..... ... ....... 600 W/rnl Design Loads' Two rail system 113 psf downward 64 psf upward Design Loads' Three rail system 178 psi'downward 400 W/mz 64 psf upward ............. ... 178 psf downward 200 W/rW Design Loads' Edge mounting 41 psf upward .......------— Pl,-je wfe,to the S."n—I'do installation instructions for the detalls associzited with 100W/M, thes�load'ase, Module-Ibp IV] ADDITIONAL DATA Power sorting' -0 W /fs WP 7.8(961) J-Box IP65 4,20 1 - Module leads PV wire per LJ L4703 with 114 connectors 006.65) 0 4x-I- Module type(UL 1703) 7,12 0026(6.6) Glass tow uon tempered with ARC ilso 85) 00,35(9) 1 0.43(11)1 Compatible with both"Top-Down" and"Bottorn"mounting methods r: Gj ounding Locations: 4 locations along the length of the module in the extended flange. 1.30(33) o 0.35 11,32 (28750 A 39,4(1001) 1.30(33) All units 5l units Provided in j,n,nth,5,, SolarWorld AG tewt,es the right to mike spenficatimn changes wilh-t nca— SW-01-71021JS 12-2014 s o I a SolarEdge Single Phase Inverters For North America SHOOOAJJ,"� SH80OA-US/ SE500OA-US / .,,E6O0OA-US SE7600AWS SE10000MUS SEI 140OA-US .......... VAX FIRMIMIquyug OF The best chcdcefor SolarEdge enabled systems &MgmWd am Wt proWthn(Type"for NK 21:0:1I MAT wrnMAnce Supehat eMrwy(98%) Smak Hodweight and cmsy to NoW on proWded bradet BUilt-kI MMIItOling, Irdenw,connecdun dimugh Ethemet r-rr OW OAdoor and indom!"Wahon Wed vMMge MwneG DCJC cwmemOn only Pnewswmbled gra'oy SMuh fm fmWr hoakMon Optional -re VCMLK..r gf-dCkl daLa,ANSI C121 W,A G1 I IIQY PRANCE-1APAN C1 HNA A1,J`,d RAI 1A l-1 H Nk 1 111 kI ANHW� `:'rR/10 I vv W,s Single for North America auitiui, � �Ip��� mwiVm 9�u�Y)7�&'3Ct1pU\" 1� "f1Vlu' k ( {,,gip rtN p,ry [p { ,{ rry yry,pq�t ry V /U0 {e,, p t p IIIWdl4i NII t�� ,o`t(i� � "50000AiyGy rM ..�Xll„p^rl/ g,16..wRp4giF(Vry)/pG¢�1�y—,4yp iyy(/�:",Yt�4d V,l1'4,N/�t(O`FVh{tl�P ep`yf�.,F� lYU 4,d(,�R'i'"l.A aV( e E Wk VYYuA"Yi, S/aY(.1G,I�fY00A 6 S/,',' l`�€'��F6,dt�5"V"Il.,kS SE"300C1A OS .SE313Of)A-US I SXs 5C:1EJl'A-US fSEOG{➢dlP-USI SE7600A-U; SE1000W USI SE.1 CrbfJm-US � f:Dl1T'E'UY` - I _ 9980 @ 208VNominalACI'eraairr Output1000 :4b OO .,C);O EC10fJ 76001,0000 0.eV14C)\F 11/100 VA ,100 Cpr 2.08V 10800 C))08V Max. IvtrwerC1ut'Yaut' } 3:300 4iso 6000 8.350 :LJ, OD VA ,r9 0 f @'2240V I 10950 @)2440V � v 1(::0titptA Voltage Min,-Nom,Max." E x 83-208 229Var( AC 01,11t)(It V0 Rd[F Mirl:Nom.-Ma:oa'.(n � V w ✓ �f �/ v 211-240 264 Vac AC Frettuenr�y(Min.-Nom.-Max.''' 59.3 GO C',rfk i,(witl'e P II a r,nrrtry p,e'*f1u°i _';7-GC) 6CY.) z 211101)208V 48 fit 208V �T7. A Mtax.0:OI10ru.at'>usC7utpaut'CuticreY 1J.�5 ; 25 f2 71 6-0 'X40V 42 IU)240V GFD1 l A Utility Moniltn¢ng,lwlarldkt;21'r<rlo-a+.Bfca� C:r,uaMY C014E tfrdbl: f hr(�51":)IdS ---- y0f, Yes _ INPUT Recommended Max,DC Power"" 3750 4750 62,50 7500 9500 12400 14250 W Traansfrrrnar;i-I s,UTaY;rOurrrlUi ye, Max,Input Vokage 500 \/d c: l omu DC Input Voltage � 325 ti 208V/.150 @)240V Vdc 16 (,it 2080 (E1 2,08V Max,Input C:ur�e�ntA'3 1`S L 5.S(T 4C7V f 33 2�g 3GY,xa ^240V34._; Ad+: Max.Bri)uG ShOrt C nuait C:uarrer'rk 45 Adc Revcrse Mai it:yProtection Yrs Groun P axin� lult inrinuei¢E 1mi lffar Detection 97.7 92s,2 3,:3 C16euS nsi8ivity y 3 9td.73 9t,; ) 9T5 @ 208V9/ll 208V CEC:Waighted Ffficiency 97.5 98 317.5 97.5 n 97.5 9, 8 @ 240/ 9d ti@ 2"I6MV Ni3,htim frwet Ceisuupdon 25 4 W Su a of tod Curnrimnic ation _.. ._... _ _.. _.. .. _... I Y �Itrtc�it eEt�a� I�I 13S4851 Yf'',272,f tP'rcinr G,Ts¢,ftnst(talrtunnw,l) Revenue C facNe Data,ANSI C 12.1 OfAicm aPl Vapid Shutdown NFC 201,4 6'90.12_ I _ unt.hurr,ality errt*blracl whcrr Sol �F tr9 raY)it}shlstdirePdn laic is itvsfalled"a STANDARD COMPLIANCE Safety OL1741,U tt 99B,M 1998,CSA 22.2 Gi id Connection Sta.daidt, � EE.E.1547 L.missions FCC O,wL,1 b class f:3 i INSl'A1 LAI[C.1N SGxECIFIC:A]lfkNS AC output conduit sirt3/AWG i,titl,fu....� _.... 3/4"minimum/19-,Cr AWCS 3/4„minimum 18-3 AWG DC ,input}yr duit!,ire,/N of strings/ 3f4"r't'airaimum/1-I strings/1.krfi AWG 3/4"rnrrrvernurrr/.l J,tr ing�;/1,1-61,1-61,1-64'uVG AWG Dimensions with Safety switch 31(t.'M x 12.5 x 7/ 30.5 x 12.5x 7.5/ ,rt W x I,)) 1 2,';X:1G)..v//1.`,i x.315 x 260 Ii /7.r x 31,7 x 171 7 7' r T l a x 1.91 I, rr r rra Weight with Safi ty.Switch 51.2/203.2 � 54.-//243 88.'1/QCL1 Ib/12,1; Coolint; Natm al C,:ourverdm i Fans(wer¢gflace,ible) Noise <<2S SO dBA K i i,i rx OYrmerratanY;'lcrnqaetiratura: 't:'3 to+440/ )S to.1.60(A$f.)to+66:1 v¢yu'3Gcnv Crvail.ahflr++,,1(') 11nar1E;e Protection Rating NEMA 3ff °i I m crth r r,iemat s,=tt Cr rso,^er,if,4 s,l;u E,JE xaap�u,,t. Urr7it'd W 125%k,t k calicr',s d✓he.re tyre yza rly;averaa,;.P gl t rni t,aW"is,shove 12 C'/2l"C r d fa 135:f,, ca iI n, it I,Uk—/F F/215 C, N'ur deka lad in{rrrr„Ski ,mPer tv J5,ltr�j/ ✓s;tln. a� usffi rf it ve,�¢cr=r 1 t...... lnply'idrv0L "Atdxho:, tl, r,autervrfll„itit:!,iryu¢s,rrer,t Co th gh,imv i[d�Ce,l. V--uv q S*iv-1 PIN I—. A-USkf)CI'MR2 Rai'd shutdown kit i'/Pd:`iEi000 RSCA-S k. 'r'I�aPfl vsrvi<rn P,/N�SExr�xuJaUS(7e[tM Pd LIM1 IIII� IIW� i ✓!traw � „ y” 35 SolarWorld Modules (285 Watt) Total DC Output=9,975 Wafts 31,V'PVC 2#10 TH HW NEENNEE In String#1 18 Solar Panels,Each with a DC Optinnizer Basement SolarEdge SE String#2 1000OA-US 17 Solar`Panels,Each with a DC Optinnizer Inverter I L_LL 11 Main Electric Panel 200A N_ TO UTILITY SERVICE Outside Meter# Revenue Grade Solar Meter Production Meter LiAnaston Residence External Disconnect 34 Unitv Avenue.No.Andover,MA - WNF Roof-Mounted Solar Array Solar— I EMT 9.975 KW DC 3 #8THHW #M GNO IZE REV Solar Endeavors,LLC SDrawn by:A.Russell 1090 Washington Road A I A Rye,NH 03870 sc E N/A Date:12/16/15 sneer ti \��� ~ \ - \\ D Wh National Grid meter is here. New external disconnect and production meter to b e installed Inverter is mounted in Basement right below array Livingston Residence 34 Unity Ave,North Andover,ISA 35 SolarWorld SW 285 Modules Roof-Mounted polar Array Total DC Output=9,975 Watts 9. 75 DC .. .. .. -. ._. -. SIZE EV Solar Endeavors,LLC A Drawn by:A Russell 1090 Washington Road Rye,NH 03870 SCALE N/A Date:12/16/15 1 S"E" 1 of 1 „ The Commonwealth of'Massachusetts Department of7ndustrialAccidents =� Office of Investigations 1 Congress Street, Suite 100 Boston,MA 02114-2017 fvrvm mass.gov1(1ia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print L e ibl Name (Business/Organizatiorrflndividual): e., _ Address: c €� City/State/Zip: 0'I Phone#: (F Are you an employer? Check the appropriate box: Type of project(required): L El I am a employer with 4. am a general contractor and 1 6. M New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. FIDemolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. D-We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 1.52, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'cornp.policy number. I ant an employer that isproviding workers'contlrensation insurance,for nay empl vees. Below is the policy and,jab site infarmation. Insurance Company Name: lor) Policy#or Self-ins. Lic. #: tJ Expiration Date: _fr Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c of jr under d a pains and penalties of perjury that the information provided above is true and correct. Signature: `"" °' Date; Phone#: C �.. �A COfficial use only. 1,Io not write in this area,to he completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: K&CCO-1 OP ID:SR DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/14/2016 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 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Michaud,Rowe&Ruscak Michaud,Rowe And Ruscak Ins. PHONE FAX P.O.Box 188 (AIC,Na Ell:978 688 8829 A/c No): 978 557 2130 ;North Andover,MA 01845 E-MAADDRESS: IMichaud,Rowe&Ruscak INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Preferred Mutual Insurance Co. 15024 INSURED K&C Contracting Inc. INSURER B: Kevin Kondrat 7 Marvin St INSURER C: Methuen,MA 01844 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR D WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE L-1OCCURBOP0100721827 12/19/2015 12/19/2016 DAMAGE TO RENTED PREMISES Ea occurrence $ X Business Owners MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 '.. JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ '.. ALL OWNED SCHEDULED j L_i AUTOS AUTOS ( BODILY INJURY(Per accident)I$ 1 NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE UC0100608971 12/19/2015 12/19/2016 AGGREGATE $ 1,000,000 DED X FETENTION$ 10000 $ WORKERS COMPENSATION PER OTH. .I AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A '.. (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ PROPERTY 2,500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Carpentry CERTIFICATE HOLDER CANCELLATION NORTH13 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood St Bldg 20 Suite 2035 AUTHORIZED REPRESENTATIVE North Andover,MA 01845 Q ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD consumel-Affairs&Itnsiness Regu{atioo t• omcc o.C CTOtt C� i,aME IMPROVEMENT CbNY1�A° type r egistration: 160272 pfivate CorPI y 717/2816 : xwoy;Ey lration K (;ontreeting Inc, Kevin Kondrat 7 Mervin$t. Undcrsceret�ry a Methuen,MA 01844 ti .rd R f d '. .aU_tQ.t, CS-099457 Kevin E Kondrat 7 Marvin Street Methuen MA O1844 r.rn;ssc;€a; 04/27/2016