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Home My WebLink AboutBuilding Permit # 8/18/2016 O BUILDING PERMIT AORTH 16 TOWN OF NORTH ANDOVER to APPLICATION FOR PLAN EXAMINATION 4 3 Permit No#: Date Received "'ArEv Date Issued: IM OffljNT: Appli( :,ant must ai cojmpale on this pag LOCATION .s�03 4 Pr' t PROPERTY OWNER S "2, Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT:_M.-Historic District yes no Machine, Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE ........ Residential Non---,Residential--- D New Building One family W/Addition Li Two or more family 1.1 Industrial E.] AlterationNo. of units: Ll Commercial Li Repair, replacement D Assessory Bldg Li Others: 0 Demolition El Other d O,,:W shed Ds n 0 Flood Wetlan s "Wo ti 01 _�/',_'��....... e r1,S Wat' 6W r DESCRIPTION OF WORK TO BE PERFORMED:,- 4 4 Identification- Please Type or Print Clearly 3 OWNER: Name: e5m��:_ Phone: 93 Address: flC C4 Contractor Name: 21/u Phone: ies 11 I Email: &2 Address: 100 Supervisor's Construction License: 4- Exp. Date: L!joe: 4�3 811 Exp. Date: �mlr�."r vementyp�n�s . ARCHITECT/ENGINEER D57,25,ePhone: � 6K47,0 C 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: $ 0 e, FEE: $ TI Check No.: Receipt No.: 2Z)C, NOTE: Persons contracting with unregister 461 ntractors (to not have access to,,t,,, e guaraptyfund Signature_ -of-cantractq/ Pians Submitted ❑ Plans Waived ❑ Certified Plot Plan Q Stamped Plans TYPE OF SEWERAGE DISPOSAL Public sewer Well Ta' mngfM"-age/Body Art El Swhnm-ag Pools � Tobacco Sales Private(septic tank, etc. Q Food Packa P111101,1 Dumpstey on Site glSales III THE FOLLOWING SECTIONS FOR OFFICE INTERDEPARTMENTALSIGN OFF m U FOME ONLY PLANNING DEVELOPMENT Reviewed On 1 Signature !� COMMENTS CONSERVATION Reviewed on Si nature ~ COMMENTS EALTH Reviewed on' Si nature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yea Manning .Board Decision: — Comments Conservation Decision: Comments Water Sewer Connection nature& Date DPW Town E)agineer: SiDrive wa Permit gnature: FIRE DEPARTMENT Temp Qimpser op site ' ' Located 384 Osgood Street Located at 124 Mani Street yes,,.. g� ;,. FrreDepa►-tm0nt�i natureldae COMfUIENTS t vWRTH q Town of t _,r b ndover p No. � bl o 1,AK, h ver, Mass, COCMICHEWICK yol' A°"�gTEP S Ll BOARD OF HEALTH PERN T LD Food/Kitchen Septic System THIS CERTIFIES THAT ..... �.5 .. SLIL-11-11111111111111 BUILDING INSPECTOR ............. ..... ... ............... Foundation has permission to erect .......................... buildin s on .. Rough to be occupied as .+i��!lrt .. ...(. ... .................. ..!Nr.. . ..... . . .... , ...... ......... 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-Laq relati the Inspection Altera 'on and Construction of Buildings.in the Town of North Andover. •� � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough ® g y Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONST TI® Rough Service .. ., . . ...... ............ Final BlJILDI INS ECTOR GAS INSPECTOR OecupanEE .Permit Required to Oceupy Ruildin 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 Bet. ................ North Andover MIMAP August 18, 2016 �v I I. illl�� 1llullil I I Yr II I.i;i f ryry //ryry yy��ry/�r y I �A � r h , 53E3 pSG�OOC4 ST � �� 1� a /il, f kayY,ijf` �! o �I I 9 � Sw26 OSCaC)CY1,7 STrG� 49B 0SG`47(3G1 ST �'I r 102 0,-0002 nu` 038 0 0010 102.0 0001 u� +� []MVPC an Interstates Horizontal Datum:MA Slaleplane Coordinate System,Datum NAD83, —I Meters Data Sources:The data for This map was produced by Merrimack —SR NOIYT►/ Valley Planning Commission(MVPC)using data provided by the Town of Roads Or 4 o � North Andover.Additional data provided by the Execuliva Office of Environmental Affairs/MassOIS.The Information depicted on this map Is Easements a b for planning purposes only' nl It may not be adequate for legal boundar P 9 p�s Y- Y 4 g° Y Parcels O -• o definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES.EXPRESSED OR IMPLIED,CONCERNING y - * THE ACCURACY.COMPLETENESS,RELIABILITY,OR SUITABILITY .x t OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT a� C0 9 M w M a y ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE.OF pP+�rru�r+d- THIS INFORMATION AC1iUg�� 1"=135 ft ~.�`.' North Andover MIMAP August 18, 2016 101.0-0010 101.0-0009 01 0 036.0-0003 0 J# 4P 101.0-0008 40 4f -)gee' ee. 7 M A :7 n 101.0-0011 "0 "J14 if ....... Jar 550 OSGOOD ST J 'j, 1, 01 sib 036.0-0005 NICK R2 'MA, 538 OSGOOD ST 101.0-0012 036.0-0006 523 OSGOOD ST 036.0-00 L. 02.0-0005 526 OSGOOD ST 10 STEVENS ST U`1 036.0-0016 _7"AItz 102*0-0004 U) 's�j' 510 OSGOOD ST 18 STEVENS ST ds 18 STEVENS ST 498 OSGOOD ST 102.0-0002 036.0-0010 102.0-000�1 "' 036 -0007- 0 MVPC go Zoning Overlay Zoning Municipal Boundary (3 Adult Entertainment Distdc Busmo!s I District Cj Machine Shop Village Ova 44 Buslnw a 2 District Horizontal Datum:MA Staleplane Coordinate System,Datum NAD83, Rail Line M Watershed Protection Dist N Busmix a 3 District Meters Data Sources:The data for this map was produced by Merrimack Interstates 0 Historic Mill Area IN Buslnaa 4 District %40R'rN Valley Planning Commission(MVPC)rising data provided by the Town of 1 0 Medical Marijuana M Genera,Business District North Andover.Additional data provided by the Executive Office of SR 0 Do—town Overlay District Or Plarne, Commercial Dev a0 Environmental AffairstMassGIS.The information depicted on Ithis map is 0 Historic District Comics,Development Dist for planning purposes only.It may not be adequate for legal boundary Roads Osgood Smart Growth(40 Cooled Development Dist 0 definition or regulatory interpretation.THE TOWN or NORTH ANDOVER Easements0 Condo Development Dist MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Hydrographo Features Industri it I District THE ACCURACY,COMPLETENESS,RELIAB31.1TY,OR SUITABILITY D Parcels Streams odustrml 2 District it OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Wetlands , :i it 3 District ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF i �dub 0 do oil S District THIS INFORMATION Exempt Lands Reside i ce I District Reside so 2 D:stfict A us R-1,16 re,3 District decc 4 District I"=135 ft —d cos District do"6 District gat d5ldential District T PLOT PLAN 409 5011TH BROADWAY LAWRENCE,NORTHERN H MA�09 ASSOCIATES,` �S�z IAS ES; INC. (978) 837 3335 FAx:(978) 837-3336 MORTGAGOR: STEPHEN DUFRESNE DEED REF. 1968/159 LOCATION., 523 OSGOOD ST/AKA 0 STEVENS ST PLAN REF. #5958 CITY,STATE., NORTH ANDOVER, MA SCALE: I"=60' DATE: 8/95/16 JOB #: ro / / b / / / 1 PROPOSED 1 STY ADDITION 1.5f # 523 DK ACRES tj O O ,. ar EXISTING SCRN DWELLING PORCH O C1' �S OF 0. U PLOT PLAN NORTHERN 8 ASSOCIATES, "02 I A LC401 SOUTH BROADWAY LAE 1 :(98) 83 3335 FAX:(978)( ) 837--3336 MORTGAGOR, STEPHEN DUFRESNE DEED REF. 1968/151 LOCATION.- 523 OSGOOD ST/AKA 0 STEVENS ST PLAN REF. #5958 CITY,STATE: NORTH ANDOVER, MA SCALE., 1"=60' DATE. 8/15/16 JOB #; b c / / HED / / / PROPOSED 1 STY ADDITION 1.5f ACRES �Q # 523 DK d EXISTING �SCRN DWELLING PORCH d o0 o ,� .0 R.S. HEBER''T' Construction & Remodeling Inc. 902 Adams Ave. No. Andover Mass. 09845 (978) 686-0786 Phone / Fax Lie. #:058241 Reg. 4:153811 DATE: 8/15/16 OWNER'S NAME: Steve Dufresne 523 Osgood ST. North Andover MA. 01.845 Tel.# 978-833-9036 JOB. Two stall garage I. PARTIES This contract (hereinafter referred to as "Agreement") is made and entered into on this 15th day of August 2016 by and between Steve Dufresne (hereinafter referred to as "Owner"); and RS.Hebert Construction & Remodeling Inc., (hereinafter referred to as "Contractor"). In consideration of the mutual promises contained herein, Contractor agrees to perform the following work, subject to the terms and conditions below: II. GENERAL SCOPE OF WORK DESCRIPTION Supply and install all material and labor required to complete The following work. 1. Supply building permit. 2. Demo existing one stall garage. 3. Excavate for footings and foundation per plan. 4. Form and pour concrete foundation. 5. Pour 4" concrete garage floor. 6. Frame and make weather tight two stall garage and kitchen addition per plan. Contractor Owner Owner A. LUMP SUM PRICE FOR ALL WORK ABOVE* $ 74,900.00 III. GENERAL CONDITIONS FOR THE AGREEMENT ABOVE 1.STANDARD EXCLUSIONS: Unless specifically included in the "General Scope of Work" section above, this Agreement does not include labor or materials for the following work: Plans, engineering fees, Testing, removal and disposal of any materials containing asbestos (or any other hazardous material as defined by the EPA). Labor or materials required to repair or replace any Owner-supplied materials. Repair of concealed underground utilities not located on prints or physically staked out by Owner which are damaged during construction. Surveying that may be required to establish accurate property boundaries for setback purposes (fences and old stakes may not be located on actual property lines). Final construction cleaning (Contractor will leave site in "broom swept" condition). Landscaping and irrigation work of any kind ,correction of existing out-of-plumb or out-of-level a conditions in existing structure. Correction of concealed substandard framing. which may be discovered in the removal of walls or the cutting of openings in walls. Removal and replacement of existing rot or insect infestation. Failure of surrounding part of existing structure, despite Contractor's good faith efforts to minimize damage, such as plaster or drywall cracking and popped nails in adjacent rooms or blockage of pipes or plumbing fixtures caused by loosened rust within pipes. Exact matching of existing finishes. Public or private utility connection fees. Repair of damage to roadways, driveways, or sidewalks that could occur when construction equipment and vehicles are being used in the normal course of construction. Cost of /testing/remediating mold/fungus/mildew and organic pathogens unless caused by the sole and active negligence of Contractor as a direct result of a construction defect that caused sudden and significant water infiltration into a part of the structure. Cost of removing ponding ground water or other unusual concealed site conditions during excavation B. DATE OF WORK COMMENCEMENT AND SUBSTANTIAL COMPLETION Commence work: when permit is granted. Construction time Contractor Owner Owner through substantial completion: Approximate 8 weeks, not including delays and adjustments for delays caused by: holidays; inclement weather; accidents; shortage of labor or materials; additional time required for Change Order and additional work; delays caused by Owner, Owner's design professionals, agents, and separate contractors; and other delays unavoidable or beyond the control of the Contractor. C. CHARGES FOR ADDITIONAL WORK: CONCEALED CONDITIONS, DEVIATION FROM SCOPE OF WORK, AND CHANGES IN THE WORK 1. CONCEALED CONDITIONS: This Agreement is based solely on the observations Contractor was able to make with the project in its condition at the time the work of this Agreement was bid. If additional concealed conditions are discovered once work has commenced or after this Agreement is executed which were not visible at the time this Agreement was bid, Contractor will point out these concealed conditions to Owner, and these concealed conditions will be treated as Additional Work under this Agreement. Contractor and Owner may execute a Change Order for this Additional Work. Contractor is released, held harmless, and indemnified by Owner from all pre-existing mold, fungus, mildew, and organic pathogen problems and is not responsible for costs or damages associated with correcting, containing, testing, or remediating the same. . DEVIATION FROM SCOPE OF WORK: Any alteration or deviation from the Scope of Work referred to in this Agreement involving extra costs of materials or labor (including any overage on ALLOWANCE work and any changes in the Scope of Work required by Owner, Owner's design professional, Owner's agent, or building inspectors) will be treated as Additional Work under this Agreement resulting in an additional charge to Owner. Contractor and Owner may execute a Change Order for this Additional Work. a Contractor Owner Owner 9 0 3 D. PAYMENT SCHEDULE AND PAYMENT TERMS 1. PAYMENT SCHEDULE: * First Payment: $ 5000.00 Due when Agreement is signed and returned to Contractor. 2nd payment: Due when work starts. $25,000.00 3r" payment: $25,000.00 Due when foundation is complete. 4t" payment: $1.0,000.00 Due when frame is complete. * Final Payment: $ 9,900.00 Balance of contract amount when work is complete. 2. PAYMENT OF CHANGE ORDERS/ADDITIONAL WORK: Payment for Additional Work is due upon completion of either all or part of the Additional Work and submittal of invoice by Contractor. E. WARRANTY Thank you for choosing our company to perform this work for you. Your satisfaction with our work is a high priority for us, however, not all possible complaints are covered by our warranty. Contractor does provides a limited warranty against material defects on all Contractor- and subcontractor-supplied labor and materials used in this project for a period of one year following substantial completion of all work. This warranty covers normal usage only. You must contact the Contractor upon discovering an item in need of warranty service. Additionally, Owner's hiring of others or direct actions by Owner or Owner's separate contractors to repair a warranty item are not covered by this warranty and will not be reimbursed by Contractor. No warranty is provided by Contractor on any materials furnished by the Owner for installation. No warranty is provided on any existing materials that are moved and/or reinstalled by the Contractor within the dwelling or the property (including any warranty that existing/used materials will not be damaged during the removal and reinstallation process). One year after substantial completion of the project, the Owner's sole remedy Contractor Owner Ower a (for materials and labor) on all materials that are covered by a manufacturer's warranty is strictly with the manufacturer, not with the Contractor. Repair of the following items and related damages of every kind are specifically excluded from Contractor's warranty: problems caused by lack of Owner maintenance; problems caused by Owner abuse, Owner misuse, vandalism, Owner modification, or alteration; and ordinary wear and tear. Damages resulting from mold, fungus, and other organic pathogens are excluded from this warranty unless caused by the sole and active negligence of contractor as a direct result of a construction defect which caused sudden and significant amounts of water infiltration into a part of the structure. Deviations that arise such as the minor cracking of concrete, stucco, and plaster; minor stress fractures in drywall due to the curing of lumber; warping and deflection of wood; shrinking/cracking of grouts and caulking; fading of paints and finishes exposed to sunlight are all typical (not material) defects in construction, and are strictly excluded from Contractor's warranty. F. WORK STOPPAGE AND TERMINATION OF CONTRACT FOR DEFAULT Contractor shall have the right to stop all work on the project and keep the job idle if payments are not made to Contractor strictly in accordance with the Payment Schedule in this Agreement, G. DISPUTE RESOLUTION AND ATTORNEY'S FEES Any controversy or claim arising out of or related to this Agreement involving an amount less than $5,000 (or the maximum limit of the Small Claims court) must be heard in the Small Claims Division of the Municipal Court in the county where the Contractor's office is located. Any dispute over the dollar limit of the Small Claims Court arising out of this Agreement shall be submitted to an experienced private construction arbitrator that shall be mutually selected by the parties to conduct a binding arbitration in accordance with the arbitration laws of the state where the project is located. The arbitrator shall be either a licensed attorney or retiredjudge who is familiar with construction law. If the parties can not mutually agree on an arbitrator within 30 days of written demand for arbitration, then either of the parties shall submit the dispute to binding arbitration before the American Arbitration Association in accordance with the Construction Industry Rules of the American Arbitration Association then in effect. Judgment upon the award may be entered in any Court having jurisdiction thereof. 0 Contractor Owner Owner 1 i1 H. ENTIRE AGREEMENT, SEVERABILITY, AND MODIFICATION This Agreement represents and contains the entire agreement and understanding between the parties. Prior discussions or verbal representations by Contractor or Owner that are not contained in this Agreement are not a part of this Agreement. In the event that any provision of this Agreement is at any time held by a Court to be invalid or unenforceable, the parties agree that all other provisions of this Agreement will remain in full force and effect. Any future modification of this Agreement should be made in writing and executed by Owner and Contractor. I have read and understood, and I agree to, all the terms and conditions contained in the Agreement above. DATE CONTR TOR'S SIGNATURE DATE OW R'S SI NATURE DATE OWNER'S SIGNATURE OWNER HAS THE RIGHT TO CANCEL THIS CONTRACT WITH IN THREE DAYS OF SIGNING THIS CONTRACT Contractor Owner Owner _ The Commonwealth OfMasxcehuseas . .Department of IM4,ustrialAccidents Z Congress Street,Suite 100 Boston,MA 02114-2017 , wwW-Maysgov/dia • �o�kexs'Cox€zp�aksatia:aZnsuranceA�davi�.Bzul.�exslCoz��racfoz's/EI@ctxzciansli'inmhexs, TO BB YMED WITH TEE YRWI.0 TTINe-AUTROMTY. A icant 7nilormmtioxt Please print Le 'bl Name (Bllsiuess/0rganizafion/h dbidual): Address: City/State/zip: 0 dd 1 - - Awe#: Areyou an employer? CktC'ekI&ap roprlaie box: Type of project(�'qq Pd)' am a einPloyarwith i employees(full and/or part time)* 7. Q New'cozisttuation 2.0 lam a sole propdetor or partnership and have na eMplayees wonting forme in 8. Remodeling any capacity.[No workars,comp.insurance rcgaired.] ❑Demolition IF]lam ahomeownerdoiag alt work myself[l+Ta worke€s'eamp..insoraneerequired.]t 10 U�'Builc3t3]g addition 4.F]lam a homeownex and will be hiring contractors to conduct all wwdc on my property. 1-will 1.1.Q�laotrical repairs oxn_dditiox�s ensure that all Contractors eitherhave workers'Compensation insurmee or are sole i proprietors vithno employees. 12 Q Plumbing repairs or additions 5.❑1 am ageneral eon€ractor and I have hiredthe sub-contractors listedon the attached sheat. lg: Rao£:repairs These sub-cantractorsiiave employees and bwe,workers'comp.insluance t 14.❑Outer 6.❑Wc,are a corpoxat-aoa and ifs offrers have sxerdsedtheirri&of examPtion perMGL c. 152,§1(4),aQdwehaven0.etrr layees.[Noworkers'co-,np insurancezeyuired.l �.p , Argy applicant that chacks bdx jVl must alsaM out the section below showingtheirworkers'comps rnsatioupoIicy information. T Homeowners vvho 3a1im1J1Va affidavit iudicatingtheY are doing all work and thea fixe outside contractors must submit a now af5dae indicating such. TContcactors Aiat check this box must4ttapj2ed an additional sheet showing&0 name ofthe sab-contractors andstate whether ornotthose entities hive employees. Xfihesub-coritracors 3aveeznpinyees, lieymustpraoidetheir workers'comp.policyxxmnber, I a z ora erri�loyert7zat7s.prO-V cd ng-workers'compensation irzsurancefor my errtployees.'Beloit/istheponcy andjob site inforrnatiozz, Insuranco Company Name: �►2 [sem �-Lr r'� ' 9S/ pira"on Dat e: XJi Policy#or Self-ins.lic. lob Site 3 [.s� City/State/Zip;/Yrr 4111, Address: ] � Attach a copy n£ihevsro workers' cOmpejlgatron policy declaration page(shOwingthe laolicyrxuzztbex and expiration date). Failure to secuxc coverage as requixed under MGL c. 1.52, §25A is a criminal.violation punishable Tey a eta up to$1,5Q0.00 audlax one-year i nprisoz�ment,as walX as civilpenaltl�s in the faun of a STOP WORK ORDLR and afne ofup to$250.00 a clay against*e -violator. copy of this statement may be forwarded to the Office of Investigations of fro D7A for insuxaxtce CRVexago verification. X do/aereby cerci er tJ e res and ponaides ofperjxrry Haat the irzformatiorz pravidecl bone is iue and eorxee u Si atuxe_ / 9 Phony Official use only. Do not-Ivr'ite in this area,to lie completed by city or to7�72 offici�rZ City or Town: ??Px�xtlt�r2CerASe� Issuing.Anthor#Y-(circle Otte): i x.Board of 3 eait)6 2.Building Depaxtmtent 3.City/Town Clerk 4.Electrical inspector 5.721uml7ing Inspector a 6.OtlYer o e. Phone#: Contactperson. RSHEB-1 OP ID: KM ACQRO' F DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 1 0811712016 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 pollay(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 NAMEACT : Lawrence R.Michaud,CIC _ Michaud,Rowe And Ruscak Ins. PHONE FAX P.O.Box 188 A1C Ivo Wit).978 688 8829 AIC No): 978 557 2130 North Andover,MA 01845 E-MAIL Lawrence R.Michaud,CIC ss:Imichaud@mrrinsurance.com INSURER(S)AFFORDING COVERAGE NAIC iE INSURER A:Commerce Insurance Company 34754 INSURED R S Hebert Const&Remod,Inc. INSURER t;:NorGuard 102 Adams Avenue INSURER c:AmGuard N Andover, MA 01845 _ 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. .__. _......... ADDL SUB .,_ POLICY EFF POLICY EXP .....,,,_ SR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS LTR C COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE EIOCCUR RSBP611273 05/1112016 05111/2017 UAmAGE7 0 RENTEDDAMAGE PREMISES Fa occurrence $ 50,000 X Business Owners MED EXP{Any one person} $ PERSONAL BADVINJURY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO E-1 LOC PRODUCTS-COMPIOP AGG $ 2,000,00 JECT - OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 _ Ea accident„_,_ _ A ANY AUTO BBCM08 12/19/2015 12119/2016 BODILY INJURY(Per person) $ ALL OWNEDX SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY $DAMAGE HIRED AUTOS AUTOS P -- $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETEN€ION$ $ WORKERS COMPENSATION PER I OTH- AND EMPLOYERS'LIABILITY ___.___ STATUTE]- ER YINB ANY PROPRIETORIPARTNERIEXECUTIVE RSWC759421 0110112016 01/0112017 E.L.EACH ACCIDENT $ 100,00 OFFICERMIEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,00 I€yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 PROPERTY 5,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Steve Dufresne ACCORDANCE WITH THE POLICY PROVISIONS. 523 Osgood Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Massach.ism,s Depawtrnernt cJ Public; SafgstyP Board of Builciirna.a Rm gulat;ons r.,,nd Standards Licenser CS-058241 RONALD S HEBERT 102 ADAMS AVE N ANDOVER MA 01848 - or.r.nrmssaoner 0110812018 . %674 �CaIP7A,YYaf1-Xl4,fXd.6C (pX'F 17 ,c-,'4'tsCX+1.4eXC.X'8,a'1r1 -a.- Office of Consumer Affairs&Business Regulation � HOME IMPROVEMENT CONTRACTOR ;y Registration: 153811 Type: nail Expiration: 119/2017 Private Corporation P R.5 rHEBERT CO:&REMODELING INC. RONALD HEBERT 102 ADAMS AVE. NO ANDOVER,MA 01845 Undersecretary