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HomeMy WebLinkAboutBuilding Permit # 7/27/2016 BUILDING PERMIT 40��g� I ��No�T6 i's . TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#•• Date Recoived E M ��' n90ea T ' 'Zi '4 �SStiCHU$�4 Date Issued: ORTANT:A Iicaut must complete,ail items on this page LOCATION. 1 3 Prin PROPERTY OWNER Pri 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District ye no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 'ane family ❑Addition ❑Two or more family ❑ Industrial i-Alteration No. of units: ❑ Commercial epalr, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑Wetlands ❑ Watershed.District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: C Identification� Please Type or Print Clearly �� )) OWNER: Name: V - �_ t Phone: 9-79, X01 '7" Address: I�55 I I 1d Contractor Name: C 1 Cilffl Phone: 9 1 a Q) Email: C- �3 Address: f1 Supervisor's Construction License: (�S-()aq '3'3 a _Exp. Date: ZV FZ/� Home Improvement License: J Iq L3 L C Exp. Date: ARCHITECT/ENGINEER Phone: 3 j Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF TIME TOTAL ESTIMATED COST BASED ON$'725.00 PER S.F. Tota! Project Cost: $ L4 o FEE: $ Check No.: (. Receipt No.: '� ' NOTE: Persons contracting witli unregistered conte o s do n ha access to the guaranty fund Pr B NORTft own of 2Andover O No. , h , ver, Mass, M44 .Z COC HIC HI wICR V �sqs R�Yea 5 U BOARD OF HEALTH Food/Kitchen PER _ !IT Septic System THIS CERTIFIES THAT ................ .!. ...... BUILDING INSPECTOR . .........� e ..,......,,.. .Y. ...,.. ,l� .... ,ej Foundation has permission to erect.......................... buildings on ... . ... ..... �Q f� FRough to be occupied as ...y..�e .... .. .. ...... ... ......... ...... .. ...T�' ................... ....... ..... chimney provided that the person accepting this permit shall 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 rel ' g to the Inspe tion,Alteration and Construction of Buildings in the Town of North Andover. �w CL, PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST ION Rough Service ..... .. ... .... .... ... ....... Final BUILDIN.... INSPE.. TOR GAS INSPECTOR 0ccy2qncK Permit Re uired to Occupy Buildin 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. T CONSTPUCHON i HAVERMUP MA 01835 WWW.WMkMMe'k&yC0UStMCfl0n-00M PHONE# 978-891-9303 PROPOSAL 4/26/16 Project name: Vincent Helfrich Bear Hill Rd. North Andover, MA 01845 SCOPE:CHANGE OF ENTRY WALL WINDOWS&FINi$H • Provide portable toilet per client request. • Provide permits for all work in scope below. • Install plastic wall in the foyer to protect the other areas of the home from dust,debris and contamination from construction. • Remove sheetrock on entire front wall. • Remove windows and doors from entire front wall. • Remove all trim and siding on front entry only. • Reframe entry to accommodate new window and door layout agreed upon with the homeowner. • Window removal and replacement in the front of the existing house. • Design new exterior and interior finish details for new window layout in the foyer. • Insulate all exposed foyer walls per code. • Install%"blue board and plaster to all affected areas of remodel of front foyer wall. • Install Interior and exterior trim details of foyer as per design accepted by homeowner. • All materials excluding door and windows will be purchased on HR Jackson account. PELLA WINDOWS& DOOR:$12,161.00 ORAtM TOTAL:$40,058.37 A 50%deposit of$20,000 is due to be put on the schedule and to purchase windows and door which both have lead times. **This price includes the Pella door option as agreed .There is no electrical or paint included in this Proposal.Disposal will be done daily to a dumpster provided by the WMC.WMC work will be completed in a imely nd clean manner and in observance of OSHA regulations. ** M ay Construction LLC Vincent Helfrich Massachusetts Dottie Improvement Sam to Ontlract This Ihrm satisfies all basic mquitytrctas Ortho state's Houle Improvement CnnnanaT lMw(MOL chapter 142A).but doer not Iticludc etandi rd language la project hamtowoers. S(xtt IcBal adeicc it neccssory. Any person planning Immo iinprovM mts should first obtain A copy of"A ?dsssachusd[s Consumer Guide to Hama lmpmvtuneni"before agreeing to any wort on your rraidertce.You may obtain a free copy by calling the OMce ofConsunscr Afrairs and Business Re tattoo's Consumer lnfunttation 1latiac at 617-973-8787 or 1-888.283-3757 or on our website. Horneown Irf to tractor itfpr n t c Name (,ranpany amc ! ' 1lvaham AECY. StmlAddtas(dnnot usexPanOmccBaxeddresr) CrnlrartorlSalrsperstntlD'RT=NAo- S Y - Citylfnwn Slate 'LipCedc Busi��ddFcer(muttiaelcuiaa ) 7 Diwime phone Evening Phalle city lCm m rate trip C / qZ,a 2 MliiingAtldtyas(Itdiffamlfkanaobovc) BurincnPhone- 71'1_0 'honc FerrcrnlEm IoycrtE?�S.S.Number 11¢m.FsywrprcM evl,wnsr ora h°rrDr aW��.>o� lAn lDj+1�R Ihed wH►� 7 I 0 l T a card nasantka wra�r 'rhe Contractor agrees to da the fallowing walk for the Homeowner, (Descn1c in ditch the Rork to conlpkted,rpeciftrog the type,brand.and grade of mslerials to beilml, •) Required Permits-The foflowing building pcmtits ate required Prapottd Star)and Completion Schedule-Tho(aliowlag ichedulc wilt and will be secumd by the contWor as the homeowner's agent: be adilmd to unless circumstances beyand the contmatut s control arise (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of . Dato whet$contractor will begin controcted walk, MGL chapter 142A.) f Q idma chat conrraclal work svill be suhaUsntially campidcd- Tolyl Contract Prlca and Pu tncnt Sefredulc The Cunimcior agrees to perform the work,furtdah the maietiul and labor specified above for ilia total sutra af: Payments will be made according to the fol lowing lichedute: t EtOODO upon signing contract(cot to cxcMd I!3 of the total c/onrrart price s[ the cost of special ordaf itcun,whichever ie greater) T1// by _ 1�i or upon completion of f 1 ---- Yby 1 !�or upon completion of rr L S upon completion of the contract. (Law forbids dnnanding full payment until contract is c+lmpteted to both party's satisfaction) Ilia following mutrdal/equipmcn[must be lfw;al S to be paid fur otdtra!1 rJt rc rhe calnw-ted work begins in order to mea the cnmpletian achr&k.(0e) 5 to be paid far NOTES.(1)Including ail Rnancc Charges(")law rcquim thal any deposit at do An.pa)rnenl n4uilod by the cantmour berate wnuk begins tnay not c etisd the leirxtet of(Q one-third arthr total contract price or(b)the actual tan of any tpcckal equipment or ewtom made material which must be rp=N1 unlcrad in advat1w to m«l the complcilan rchcdule. o , Sukrintrsclars-The contractor agrees to be Solely tesporlsibk:for completion of illc utak dcmribcd regardless oftho octlans of any third (tarty/subconwactor utilized by the contractor.Site contractor funkier ap=to be solely responsible for all Payments la All aubconimcturs fur Contact Acceptance-Upon signing,this docunla a becomes a binding cantrwi under law.Unless otherwise nosed within this document.the cantina sbat)not Imply drat any[len of other swuriry interest hos been placed on the residenca. Review the following eaullonc and nallces carefully,before signing this contract. o Uan't ba pressured Into sigi dng the canirria Tnkc thnc to toad wid fully undcntand it. Ask questions ifsonuthing is unclear. Make.cam ibc cnntrartnr has n vniid l tomo v a ie . ' .The law mitilms nwst home impmverOM eonuuctors and subcontractors to be rcestercd Mitt the Director of Homc Improvement ContruvIor Rcglstrulion. You cosy inquiry about contractor registralion by writing to the Director in 10 Park pia»Room 5170,Boston,MA 42116 or by railing 617.97)-8787 or 868.383-3757. Dom the contractor have In iurance7 Ask the Contractor for his lasurnmc company infumiation so that you can confimi wvtsage,Or M14'to gra a copy Orn"pmororinsurance'document. Know your tights and responsibilities. Read the Important Information an the tevarie side orchis fulm and gra a copy orilic Consumer Guide to ilia I[ome Improvement Cnutractor Law. you may r]ttleel this agccrwrlt irit has b"ll signed at a place other than the conlractues normal place of business,provided you notify the contractor in writing at his/her main efliee or branch office by ordinary nod posted,by tcicgran sent or by delivery,not later than nudnight ofthe third business day fol(nwin(t Ilia signing of this agreement, Sett tie winched notice of canceliasion form for an exptatmlion orchis right. DO NOT SIGN THIS coyrRACT IF-MERE Alar ANY IJLeLNK SP ACESIif rwa ids i 1 air;.of out 6a C.Tktw ant 1W.4.Vee s9pY hh.std gra 4-P7/2"copyV by ase rulelaclvr llomeo er's S(grbalura y"' ❑o[e Contractor Arbitration The Nome Improvement Contractor Law provides homeowners with the right to initiate an arblUution action(as an altemative to court action)ifthey have a dispute wit)t a contractor. The same right is not automatically afforded to a Contractor,ho+vevcr. The contractor would have to resolve any dispute ltalshe has with a homeowner in court unless both parties agree:to the opti anal clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the hoincowner by the Horne Improvement Contractor law. The contractor amid the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit tilt:dispute to a private arbitralion firm which has been approved by the Secretary of the Executive Office of Consutner Affairs and Business Regulation and if consumer shall be required to submit to soul, itratio�5 provided In Massachusetts General Lajchupr 142A.Horn is Signature es S eNOTICtE,The signatures of the patties above apply only to the agreee pa 'es to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties, Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Low(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agmemmt, However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law_ Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of flit Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addltion to guarantees or warranties provided by the cantriclur,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpnse, An enumeration urnthcr matters on which the homcowner and contractor lawfully agree maybe added to the terms of the Contract as long ns they do not restrict a homeowner's basic Consumer rights. If you have questions about your cansumcr/homcowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in de, 11 i"and should not be signed until a copy of all exhibits raid referenced documents have been attached Parties are also advised not to sign the document until alt blank sections stave been filled in or marked as void,deleted,or not applicable. One original sighed copy of the contract with attachments is to be given to the owner and the other!rept by tine contractor. Any mudilieation to the original contract must be in writing and%Vued to by bath parties,Contracted work may not begin until both parties have received a fully txccuted copy of ilia contract,and tltc three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates speeiried ort the paynwnt schedule in cases where the homeowner deems hirnTherseif to he financially insecure. however,in instances where a cuntxactor dooms himlhersetf to be financially insecure,the contractor may require that the balance.of funds not yet duc be placed in u joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of bath parties, Additional Infarmatfon If you stave general questions or need additional information about the llomc improvement Contractor Low or other consumer rights,or if you wish to obtain a free copy of "A Mossachuscits Consumer Guide to Home Improvement" contact: Consumer Information Hotline office of Consumer Affairs and Business Regulation 10 Park Plaza,Room S 1711,Boston,MA 02116 617.973-8787,888-283-3757 or visit the OCABR website at hit)]l"wtvw.tnasti, If you want to verify the registration of a contractor or if you have questions or need additional information spmifically about the contractor registration component of the l ionic Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8797,988-283-3757 or visit the HIC website at htt '?uwwanrssgnvincc_bt? Go online,to view the status of u Home Improvement Contractor's Registration: Inin:lldh.slwg mlialst jovcn c tliiccn cel s a For assistance with informal medintion of disputes or to register formal complaints against is business,call: Consumer Complaint 5eetion 0trice of the Attorney GOMM 617-727.8400 AND/OR Cleltcr Business Bureau 508.652-480©,508-755.2548 or 413-734-3 114 Ver94np1.t-11R1/1D1a The Commonwealth of•Massachusetts Department of IadustrialAccidents Z Congren,Street,suite 1114 Boston,MA 0211 2017 . I. www.mass govIdra Workers,Compensation Insurance Affidavit:Builders/Contractors/Electrlcians/PlAmbers. TO BE' F1LED' 9TH Tff9 PERMITTING AUTHOPdTy' A licant information ',! Please Print IJe 'bl Name(Business/oxganizailongmdividual): ) r 1 CO jCti�n � AC dross: LS Acci �} C_ Ave . City/Statdzip: / le- ) 1�'I 3 .one#: Are you an employer?&&&e appropriate box: Type of project(Xg4uired): 1.Nj/Iam a employer with_ �loyees(full and/or part-time).* 7,. p coristz uctlon 2.�l am a sola proprletor or partnership and have no employees working fax me in 8. Remodeling any capacity.[No workers'comp.insurance required] g Demolition 3.0 I am a homeowner doing all work myself.[No workers'comp..Imurance required.]t 10 Building addition 4.[]I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation.insurance or are sole 11. ]Electrical repairs or additions proprietors with na eMployegs. 12:Q Plumbing repairs or additions 5.❑I am a general contractor and I haye hired the sub-contractors listed on the attached sheet. 13.]Rooe f epairs Those sub-coutract=r ave9i ployees and have wor , kers'comp.insurance. 6.❑We are a coxporaggn pod its of r�ers have exercised their right of'exemption per MGI,C. 14.El Other 152,§1(4),and wp have n4'O'Qioye'es.[Na workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing theirworkers'eompowat(on policy information. T Homeowners vvho siiblifi gala af&avit indicating they are doing all work and then hire outside contractors must sgbmit anew affidavit indicating such. $Contractors_that checkthi boxmust-atlac�ad an additional sheet showing the name ofthe sub-contractors and state whether ernes those entities have employees. If the sub conlraetors have employees,they must providetheir workers'comp.policy number. -farm an employer tfZat ispr'ovirlinglvoPkers'cormpensatiOn insurancefor my employees'Beloiv is thepolicy and jab site inorrrcation. Insurance Company Name, Policy#or Self ins.Lic.#: Expiration Date. —1 1 Job Site.Address: City/State/Zip: !\GJJqt('_M..A 0 T .Attach a copy of the woxlrers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as Well as civil penalties in the form of a S'T'OP WORK ORDER and a fine of up to$250.00 a day against the,violator.A.copy of this statement may be forwarded to the Offfce of Investigatlons of the DIA,for insurance coverage verification. X do hereby certify urzd cepa s an enalties ofperjr�ry tTiatthe inforinallonprovided above is true and correct Si store: Date l Phone#: (91303 Official use only. Do not lvr ite in this area,to be completed by city or MOB official: City or Town: Permit/License# Issuing Authority(circle one): 3 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Persons: Phone 9: ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDFYY6/ (��, 7/26/16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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: Sandi __mtl_nroe__ --_ M.P. Roberts Insurance Agency PHONE (978) 683-8073 FAX No: (978) 683-3147 1060 Osgood StreetMAIL ADDRESS: Sandi@m robertsinsurance.com North Andover, MA 01845 _ INSURER(S)AFFORDING COVERAGEi+FAIC,.II- INSURER A:Merchants Mutual Insurance Co INSURED INSURER B; W MCKAY CONSTRUCTION LLC INSURERC: ATTN: BILL MCKAY INSURER D; 18 ACADEMY AVENUE INSURER E: HAVERHILL, MA 01835 IN5URERF: 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 ANDCONDITIONS OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE AOOL SU13R _ POLICY EFF POLICY EXP LIMkT5 I SR WVD POUCY NUMBER MMIDWYYYY MMIDDYYYYY A GENERAL LIABILITY BOP9097489 8/14/16 8/14/17 EACH OCCURRENCE $ 1 000_000 COMMERCIAL GENE RALLIAekLITY OAtvtAGETORENTED Ply€M1SE5_(Eaoaur(onco)— $ _ __5.00,_Od_Q_.. MUS.MADE FX-]OCCUR MED EXP(ArVone person) $ 15,000 -- PERSONAL&ADVINJURY $ 1 ,000,000 GENERAL AGGREGATE -S 2 - GEN'LAGGREGATELIMITAPPLIESPER PRODUCTS-COMPIOPAGO S 2,000,000 x POLICY ,E 0 LOC S AUTOMOBILE LIABILITY 8/6/16 8 6 17 COMBINED SINGLE LIMIT A MCAI002126 / / Eaaccidar, $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL 0 WNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPE1�tY DAMAGE _ X HIREDAUTOS X AUTOS Per accident i-- — A X UMBRELLA LIAR }{ OCCUR CUP9147266 8/14/16 B/14/17 EACH OCCURRENCE 3 1,000,0-00---- EXCESS LIA ,000,000_- EXCESSLIAB CLAIMS-MAgE AGGREGATE 5 1,000,000 DED X RETENTION$ 10,000 S WORKERS COMPENSATIONWC STATU- OTH- ANDEMPLOYERS'LIABILITY YIN -TORY LIMIT R_ — - ANY PROPRIETOWPARTNERIEXECUTNE N1 A -E,i,;_E_ACIIACCiDENr OFFICERlMEMBER EXCLUDED? J (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ Efyyes describe under DESG2PTiON OF OPERATIONS below E.I..DISEASE-POLICY LIMIT S DESCRIPTION OFOPERAT1ONS I LOCATIONS/VEHICLES (AttachACORD 101,AddirlonalRomarksSchedale,Ifmore space isrequrod) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN VINCENT HELFRICH ACCORDANCE WITH THE POLICY PROVISIONS. 135 BEAR HILL ROAD NORTH ANDOVER, MA 01845 AUTHORIZED RE EN TIVE wV O 9988-2010 ACORD CORPORATION. All rights reserved. ACO R D 25(204 0105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: WILLI-6 OP ID: LANK ,a►corrn° CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDOfYYYY) 07/26/2016 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL.INSURED,the policy(les) 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 Macdonald i;<Pangione Insurance Phone:978-688-6921 NAME; Kim Landry 104 Main Street Fax:978-688-5350 a�co Ne Ext:978.6$8`6821 arc No;978-6$e-5350 North Andover,MA 01845 E-MAIL kim ins.net Lisa Ross ADDRESS: m p INSURERS AFFORDING COVERAGE NAiC# INSURER A:Guard Insurance Group INSURED W Mckay Construction, LLC INSURERS Billy 18 Academy Avenue INSURERC: c Haverhill, MA 01832 INSURER O: 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. INTSR I kDDL SUBR POLICYEFF POLICY EXP LIMITS LR TYPE OF INSURANCE POLICY NUMBER MMIDD1YYYY MMIDD GENERAL LIABILITY EACH OCCURRENCE $ DAMAG COMMERCIAL GENERAL LIABILITY PREMISES Ea otcu ante $ CLAIMS-MADE FIOCCUR MED EXP(Anyone person) $ PERSONALS ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED deri SINGLE LIMIT a $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS NUTOS ON OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENX SATION WC STATU- OTH- AND EMPLOYERS'LIABILITY T Y LIMITS E A ANY PROPMETORIPARTNERIEXECUTiVE Y -- NIA A MWC700002 03/2912016 0312912017 E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? 540 000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yyes,describe under 500 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD iOl,Additional Remarks Schedule,It more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION 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 Norht Andover, MA 01845 AUTHORIZED REPRESENTATIVE 0 1 988-201 0 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Office of consumer Affairs&Business Reguiation' License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 179265 Type: Office of Consumer Affairs and Business Regulation % Expiration: 7/10/2018 LLC 10 Park Plaza Suite 5170 Boston,rVIA 02116 W.MCKAY CONSTRUCTION LLC, WILLIAM MCKAY 18 ACADEMY AVE. HAVERHILL,MA 01835 Undersecretary I WNot v lid i utsign-ature J@U01SS1ww0D 9V8Lo vW I-llH2l3AVH 7N, anNgAV AW3CIV0V 8L &Vmow wV1111M J051AJ@dns uop:,njjsuo�, :Osu"' spiePUL'IS pui2 suoijejnBaW 6uipl!n8 to PJ009 Aja4L,S oilcind jo 4uawpudac) s1lasnqoes8eV�1