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Home My WebLink AboutBuilding Permit # 4/12/2016 of BUILDING PERMIT TOWN OF NORTHA DOVER ® - APPLICATION FOR PLAN EXAMINATION / 1 Dermot N®#: I�°� l � ' Date Received � 1 �,y'°�RATED Ss�cnus`` Date Issued: IMPORTAN r: Applicant must complete all items on this page LOCATION e<0--S.S Qi Print PROPERTY OWNER Print 100 Year Structure yesno MAP PARCEL: /3 ZONING DISTRICT: Historic District ye no Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic. ❑Well , ❑ Floodplain ❑Wetlands ❑ Watershed Distract r. 0,11Vater/,Sewer`, DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: 17 _ �,�f Phone: 41'7 Y-5-6-3- L LV Contractor Name:br- ( e)4Vione: Email: Address: s-- Fr3/qLLf �A'3 2- Supervisor's Construction Licenser Exp. Dater j Home Improvement License: /93;i)--75 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. Total Project Cost: $ a600 FEE: $ Check No.: C/ Receipt No.: d L NOTE: Persons contracting with alnregistered contractors do not have access to the guaranty fund 1 _t own2 "`'' lidu O ;+ ";` " 0 ° a 1bQ4-,,2djP2b( % : dA4! h ver, ss, Coc"Ic"t WICK RATEO F'P M E.. 4�,��C� U BOARD OF HEALTH ER T L �D Food/Kitchen Septic System 9 �y BUILDING INSPECTOR THIS CERTIFIES THAT .................. Aroe,.j........... ....�.l4!.M'I. ............................................... - has permission to erect .......................... buildings on . ...ess. 1p�... .. .... ......... Foundation Rough to be occupied as ..... .....� ...........S�,.��L. .. ...li kvioL.................... Chimney provided that the person acceptin this permit shall in every respect conforthe 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT I S I 6 MONTHS ELECTRICAL INSPECTOR LES CONSTRUCTION STARTS Rough Service ........... .... .... . .. ... .. .......... ......................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired t® Occupy Building 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 Approved by the Building Inspector. Burner Street No. Smoke Det. Contract - Detailed Pella Window and Door Showroom of Haverhill Sales Rep Name: Okeefe,Timothy 45 Fondi Rd HIC#183279/Tax ID#26-1413183 Sales Rep Phone: 978-423-5052 Haverhill, MA 01832 Sales Rep Fax: Phone: (978) 373-2500 Fax: (978) 373-7274 Sales Rep E-Mail: OKeefeTA@pellaboston.com i. "k CA - 0 "In .61 0 �'A`dd Ml fi *.L Andrew Firmin Firmin,Andrew,5 Crossbow Ln,North Andover,MA,US,01 Quote Name: Firmin Encompass Slider 5 Crossbow Ln 5 Crossbow Ln Order Number: 741TA0747 NORTH ANDOVER,MA 01845-3037 Lot# Quote Number: 7655005 Primary Phone:(617)6945153 NORTH ANDOVER,MA 01845-3037 Order Type: Installed Sales Mobile Phone: County: ESSEX Payment Terms: Deposit/C.O.D. Fax Number: Tax Code: MA TAX 6.25 E-Mail: acfirm@yahoo.com Quoted Date: 3/15/2016 Great Plains#: Customer Number: 1006196621 Customer Account: 1003666933 -111"§ tt ....... pg"'IK""01 0.1"'26" ribut"' 0 ati Ng 10 KITCHEN Vinyl Windows I Doors By Pella, Double Sliding Door Fixed 1 Vent Left,70.75 X 79.5, Qty White 1 1:7280 Fixed I Vent Left Double Sliding Door PK# Frame Size: 70 3/4 X 79 1/2 772 General Information: Standard,Vinyl,Nail Fin With Mullion Groove,4 1/2",17/16",3 1/16 Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Tempered Low-E Advanced Low-E Insulating Glass Air Filled Non High Altitude Hardware Options: White,White Viewed From Exterior Screen: Sliding Screen,Standard Frame Size:70.75"X 79.5" Unit Accessories: No Accessory Option Grille: No Grille, Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=301",Glazing Pressure=170. Composite Upgrade>48-Composite Upgrade greater than 48 inches Qty I Finish Patio Trim-Finish Paint/Stain Patio Door Interior Trim Only Qty I PD-2 Wide-Install 2-Wide Sliding Patio Door Qty 1 Delivery/Setup-Delivery/Setup Qty 1 Thank You For Purchasing Pella@ Products PELLA WARRANTY: Pella products are covered by Pella!s limited warranties in effect at the time of sale.All applicable product warranties are incorporated into and become a part of this contract. For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Printed on 3/15/2016 Contract-Detailed Page 1 of 4 Customer:Andrew Firmin Project Name: Firmin,Andrew,5 Crossbow Ln,North Order Number: 741TA0747 Quote Number: 7655005 Andover,MA,US,01 Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor Pella Windows&Doors will be bound by any other warranty unless specifically set out in this contract. However,Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening(egress)information does not take into consideration the addition of a Rolscreen[or any other accessory]to the product.You should consult your local building code to ensure your Pella products meet local egress requirements. Per the manufacturer's limited warranty,unfinished mahogany exterior windows and doors must be finished upon receipt prior to installing and refinished annually,thereafter. Variations in wood grain,color,texture or natural characteristics are not covered under the limited warranty. INSYNCTIVE PRODUCTS:In addition,Pella Insynctive Products are covered by the Pella Insynctive Products Software License Agreement and Pella Insynctive Products Privacy Policy in effect at the time of sale,which can be found at Insynctive.pella.com. By installing or using Your Insynctive Products you are acknowledging the Insynctive Software Agreement and Privacy Policy are part of the terms of sale. Project Checklist Review (Installed Orders Only) Before the Installation the Homeowner agrees to do the following: Obtain Condo Association Approval Obtain Historic Approval Remove existing shutters and awnings Remove air conditioners Remove existing shades, drapes,window treatments, wall hangings, and personal belongings Move furniture at least 3 feet away from work area Tie or cut back trees, bushes and shrubs in the work area Arrange to have alarm system and doorbells disconnected Arrange to have any plumbing and electrical repairs or changes made by appropriate licensed contractor Provide a door handle and lockset for entry door if Pella handle and lockset is not purchased. Before the Installation Pella agrees to do the following: Obtain Building Permit(When required) Prefinish products when purchased in contract During the Installation the Homeowner agrees to do the following: Keep pets safely away from work area Keep children safely away from work area Allow Pella Installer room to work safely within your home During the Installation Pella agrees to do the following: Deliver and unload products purchased per contract Place and remove drop cloths in work area then vacuum, and remove all debris at end of day Remove existing product, including storm windows, and dispose of it unless otherwise specified For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Printed on 3/15/2016 Contract-Detailed Page 2 of 4 Customer:Andrew Firmin Project Name: Firmin,Andrew,5 Crossbow Ln,North Order Number: 741TA0747 Quote Number: 7655005 Andover,MA,US,01 Install all products using method specified in contract per Pella Installation Instructions Replace interior and/or exterior trim only if purchased If Purchased, install exterior primed pine wood trim or Composite. Composite will be unfinished. If Purchased, install interior trim matching wood window finish or White trim for Impervia and Encompass Install non-Pella entry door lockset provided by you. Pella is not responsible for it's quality or performance After the Installation the Homeowner agrees to do the following: Be available for completion and sign off to verify all products purchased are in working order Reinstall existing shutters and awnings Re-install existing shades, drapes,window treatments, wall hangings, and reposition furniture Arrange to have alarm system and doorbells reinstalled Reinstall air conditioners Remove stickers from product and save for energy rebate and tax purposes Wash all interior&exterior glass surfaces Fill nail holes and joints on interior trim if windows are to be stained(after staining) Clean up exterior casing issues due to storm window removal if full wrap or new exterior trim is not purchased Project Checklist has been reviewed Customer i tial Product Only Addendum has been reviewed Customer initial Credit Card Account#: Last 4 Digits 0388 Expiration Date: 5 / 2020 Charge final payment to same account L—P— (Upon substantial completion) Customer initial For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Printed on 3/15/2016 Contract-Detailed Page 3 of 4 Customer:Andrew Firmin Project Name: Firmin,Andrew,5 Crossbow Ln,North Order Number: 741TA0747 Quote Number: 7655005 Andover,MA,US,01 Project Checklist has been reviewed Tim OKeef Andrew Firmin Please print) am ( a > Pella Sales Rep Na lease I Taxable Subtotal $1,107.08 om Signature Pel p Signa a Sales Tax @ 6.25% $69.19 3/15/16 5/16 Non-taxable Subtotal $1,246.50 Date ` Date Total $2,422.77 _its,,,_ -- Deposit Received $1,211.38 redit tarI5 Approval Signature Amount Due $1,211.39 For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 3/15/2016 Contract-Detailed Page 4 of 4 PELLA WINDOWS AND DOORS CONTRACT 7. PAYMENTS 1. TERMS AND CONDITIONS Pella shall be entitled to stop the Work upon written notice to Owner for any material default or failure by Owner,including but not limited to,the Owner's These Terms and Conditions are an integral part of the contract set forth on the failure to pay Pella the amount due within seven days after the date payment is Product Order(the"Contract")between New England Window and Door LLC due. dba Pella Windows&Doors,Inc.("Pella")and the person(s)identified on the Product Order("Owner")to supply the products(the"Products"),and perform 8 CORRECTION OF WORK the work(the"Work")described or referred to in such Contract. For Product Only purchases,a signed"Product Only Addendum"is a required part of the Pella shall correct installation Work not in conformance with the requirements contract. of the Contract,if notified in writing by the Owner within two years after the Completion Date or,if earlier,the date on which the Work is substantially 2. OWNER completed and payment of the Purchase Price made subject to a holdback as provided above.Correction of Work as herein provided shall be Owner's sole Pella is not responsible for any existing security systems.Owner shall remove remedy for defective workmanship,and is provided in lieu of any and all other all shades;verticals,blinds,curtains,drapes or window mounted air remedies.Pella's obligation to correct Work is conditioned on Pella's prior conditioners,prior to the installation of the Products.Pella's installers are not receipt of all payments then due. responsible for the removal or installation of these types of items. Pella is not responsible for pre-existing window coverings fitting on newly installed Pella windows. 9. LIMITED PRODUCT WARRANTY Pella shall warrant all Pella products,but only in accordance with the Pella The Owner shall provide complete access to the work site between the hours Windows&Doors Limited Warranty.THIS LIMITED WARRANTY SHALL of 7:00 a.m.and 6:00 p.m.(Monday through Friday)for Pella's installers to BE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND deliver the Products and perform the Work. PELLA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED,WRITTEN OR ORAL(INCLUDING WITHOUT 3. PELLA LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS Pella will be responsible for and have control over construction means, FOR A PARTICULAR PURPOSE). methods,techniques,sequences and procedures and for coordinating all portions of the Work.Pella will be responsible for the Work of its Pella 10. NO CONSEQUENTIAL DAMAGES Contractors who will install the Products. UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR Unless provided otherwise in the Work description,Pella will provide and pay CONSEQUENTIAL,INCIDENTAL,INDIRECT,OR SPECIAL DAMAGES, for all labor,materials,equipment,tools and machinery,transportation,and WHETHER FORESEEN OR UNFORESEEN. other facilities and services necessary for the proper execution and completion of the Work. 11. HOME IMPROVEMENT CONTRACTORS The materials and equipment furnished under the Contract will be good quality All home improvement contractors and subcontractors shall be registered with and new unless otherwise required or permitted,the Work will be free from the director of the Home Improvement Contractor Registration Program defects not inherent in the quality required or permitted,and the Work administered by the Board of Building Regulations and Standards. Pella and confonn with the requirements of this Contract.Pella shall not be responsible any of its subcontractors identified in this agreement have been registered. for damages or defects caused by abuse,modifications not executed by Pella, Any inquires about Pella or any of its subcontractors relating to registration improper or insufficient maintenance,improper operation or normal wear and should be directed to:Director,Home Improvement Contractor Registration, tear. Pella will keep the premises and surrounding area free from 10 Park Plaza,Room 5170,Boston,MA,02116,617-973-8787,888-283-3757 accumulation of waste materials or rubbish caused by performance of the or visit the HIC website at http:/hvww.mass.gov/ocabad Work. 12. PERMITS(MA customers only) 4. CHANGES Pella is obligated to and will obtain the following permits for this project: Buildin . Homeowners who secure their own permits will be The Owner may order in writing changes in the Work consisting of additions, excluded from the guaranty fund provisions of Massachusetts General Laws, deletions,or modifications("Change Order"). Any Change Order shall chapter 142A. include an adjustment to the Price and the Substantial Completion Date,as determined by Pella. Pella reserves the right to approve or disapprove any In addition to the rights and warranties enumerated in this agreement,you may Change Order and any such Change Order must be signed by both Owner and have additional rights under Massachusetts General Laws,chapter 142A and Pella to be effective. 780 Code of Massachusetts Regulations R6. 5. SUBSTANTIAL COMPLETION 13. NOTICE OF CANCELLATION Owner understands and agrees that the Substantial Completion Date is an You may cancel this agreement if it has been signed by a party estimate only and that the actual date on which the Work is completed may be thereto at a place other than an address of the seller,which extended to allow for Change Orders requested by Owner or if the time to may be his main office or branch thereof,provided you notify complete the Work is affected by conduct of the Owner,weather,labor disputes,availability of subcontractors,acts of God,fire or other causes the seller in writing at his main office or branch by ordinary reasonably beyond Pella's control.If for any reason the Work is not fully mail posted,by telegram sent or by delivery,not later than completed by the Substantial Completion Date(including any extensions midnight of the third business day following the signing of this contemplated above),but is substantially completed by such date,i.e.,the agreement. Product has been installed,but minor parts or components are missing or need to be replaced or repaired,a hold back proportionate to the cost of remaining See the attached Notice of Cancellation for an explanation of parts or work to be completed is acceptable.However,the holdback will not exceed the amount of the completion costs or 10%of the remaining unpaid this right. balance of the Price,whichever is less. 6. FINANCING Do not sign this contract if there are any blank spaces. If payment of the Price is financed with a financial institution through Pella,all financing paperwork must be completed upon signing of this Contract and the -swum& 10 requisite approvals and authorizations for the full amount of the requested ustomer nature financing shall have been received from the financial institution. 3115116 Date DISPUTES THE CONTRACTOR AND THE HOMEOWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT PELLA HAS A DISPUTE CONCERNING THIS CONTRACT,PELLA 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 TO SUCH ARBITRATION AS PROVIDED IN M.G.L.c. 142A Pella Windows & Doors Contractor omeowner NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. NOTICE OF CANCELLATION Date of transaction: 3/15/16 You may cancel this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this agreement; or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so,then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to Pella Windows and Doors, at 45 Fondi Rd., Haverhill, MA 01832 not later than midnight of 3/18/16 (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.m ass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individttal): �� ;� �tt; Address: 45 City/State/Zip: rut.l 1 17 '?-- Phone#: q3 lb®Z6- 72 5*, Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with � 4. ❑ I am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ZkRernodelinln ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp.insurance.: 5. We are a corporation and its 10.❑Electrical repairs or additions required.] ❑ p 3.❑ I am a homeowner doing all work officers have exercised their i l.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL Y insurance required.] ' c. 152, §1(4),and we have no 12.[:]Roof repairs employees. [No workers' 131-1 Other comp.insurance required.] 'Any applicant that checks box#1 most also fill out the section below showing their workers'compensation policy information. 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'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicv and job site information. Insurance Company Name: N.L4 C fL4 az- € fig 1✓ Policy#or Self-ins.Lic.#: 4o 0 L4 0 1 C r Expiration Date: :7 � 1 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 certify,under the pains and penalties ofperjury that the information provided above is true and correct. Signature: - - -- - - ----- - - --------- ------- Date:-- --� ------------- Phone#: Offzcial use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2. Building Department 3.City/Town Cleric 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: ACORD CERTIFICATE E F LIABILITY INSURANCE 0622DATE912015NINVDDAYYYY, THIS CERTIFICATE 13 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 he endorsed. IF SUBROGATION IS WAIUED, subject to the farms and conditions of the policy;certain policies may require an endorsement. A statement on this cert)ricate does not confer eights to the certificate holder in lieu of such endorsement(s). PRODUCER NTACT Fred C.Church,Ina NAME: DWMY A CadeO,GIC,RPLU 41 Wellman Skeet PHONE Lowell,MA 01851 a 978 32Pi231 AX , (Bili)454-1805 Na (608)225-1985 EMAIL ADDRESS. dmnl9fredcchurch.com INSURERJ6J AFFORDING COVERAGE NAIC t/ INSURED INSURERA. Crl¢easlM-nceCompanyorAmedcs 31534 New England Window SDoor LLC INSURERS: New HaalpshtreEmployers insurance Company 13083 45 Fondi Road INSURER G: Haverhill,MA 01832-1302 INSURER D: INSURER E: COVERAGES5445T INSURER F: CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT TREVISION NUMBER: POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEQ 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 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. INSR AOOL SUER LTR TYPE OF INSURANCE POUCYNUMBER MPOLICYEFF POLICYEXP GENERAL LIABILITYY MIDD 17MIDD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE g 1,000,000 DAMAGE TO RENTED 100,OD0 CLAIMS•MADEl( OCCUR PREMISES fEs occurrences 5 A X CG0001 ZBNB161407 MEDEXP(Anyonaparson) $ 10,000 711/_015 7/1/2016 PERSONALS ADV INJURY $ 1.0 00,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000 POLICY X �RC X LOC PRODUCTS-COMP/OPAGG $2,900,000 AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT ANY AUTO Ea accident ALL OWNED M SCHEDULED BODILY INJURY(Perperson) S AUTOS AUTNON OWNED BODILY INJURY(Peraccidanl) $ HIRED AUTOS AUTOS PROPERTY DAMAGE Pe accident)$ UMBRELLA LIAR $ OCCUR EXCESS IJAB CLAIMS-MADE EACH OCCURRENCE s DED RETENTION S AGGREGATE 5 WORKERS COMPENSATION 5 AND EMPLOYERS,LLABIUTY X YIN 0 ST TU-Y LIMITS OE H B OFFICERIME BER EXCUDED7RTN �CIfr(VE N/A 400040101EL EACH ACCIDENT $ 7/1/2015 7/112016 500,000 (Mandatory In NH) IIEea,describe under E.E.L.DISEASE-EA EMPLOYE $ 500,000 DSCRIPTION OFOPERAT10N5 Below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPRONOFOPERATIONS ILOCATIONS/VEHICLES(AttachACORD101,Additional Remarks Schedule,i€more spacebars .red) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE ACCORDANCEWITHTH POLICYPROVISIONIISE WILL BE DELIVERED IM cc of Consumer Affairs&business Regulation License or registration valid for indivWul use only i�IfIE IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 183279 Type: Office of Consumer Affairs and Business Regulation 4' Expiration:, 9/24/2017 Supplement Cord 10 Park Plaza-Suite 5170 Boston, 02116 NEW ENGLAND WINDOW&DOOR, LLC. PELLA WINDOWS&DOORS' William Nichols 45 FONDI ROAD HAVERI-IIL.L,MA Q1832 Undersecretary Not validwithout signature ,as 1 I m! "aJ .. fP➢ CS-089853 ' WILLUM R NICHOLS $7 PEA TREE Rl HAVERHILL MA-.,01830; . /0/2662016