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HomeMy WebLinkAboutBuilding Permit # 9/20/2016 ............................ AORT14 BUILDING PERMIT 0 I #6 �4N, TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit No#:X� Date Received q"ED U5 Date Issued- ... -------- OIRTANT: Applicant must complete all items on this page L LOCATION Print PROPERTY OWNER Print 100 Year Structure yesn boI MAP672- PARCEL: ZONING DISTRICT:-.-Historic District yes -no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE ResidentialNon- Residential E New Building One family E Addition [I Two or more family E Industrial 11 Alteration No. of units: E Commercial ,9 Repair, replacement - 0 Assessory Bldg E Others: El Demolition FJ Other.-.... ........... EL/� d"b ,Waters b is nct_,,,,,, "I'M41W /4' _7 �g, 0511 DESCRIPTION OF WORK TO BE PERFORMED: nq P Pv%,V­s -Tv V—r-.-s"r cF:, c Q7 Identification- P se T pe or Print Clearly OWNER.- Narne: t,4A e ri Phone: ,()Z-r*-S Address: 42-m,4 -V�N�w -UD V 12 Contractor Name: Phone: t 03-''S0­ 1-132 a, Email: ,1'% & - C arn Address: Supervisor's Construction License:- C553kO' Exp. Date: 44�14/,Z> I Home Improvement License:__-I (P Exp. Date: too ARCHITECT/ENGINEER p e, Phone: Address: Reg. No. FEE SCHEDULE:BULDINGPERMIT.$JZOO PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered ontr c !rs do not0aye access to the guarantywd � 1 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Seex ❑ Taur�ing [Mas sage/Body Art ❑ SwiiuirgPools ❑ WOR ❑ To-bacco Sales ❑ Food Packaging/Saps ❑ Private(septic tank etc. ❑ PaxanentDwxtpster om Site ❑ THE FOLLOWING SECTIONS FOR OFPICF USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING (on DEVELOPMENT Reviewed On Signature COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed ori Si nature GOMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decisionlreceipt submitted yes Planning Hoard Decision: Comments Conservation Decision: Comments Wader& Sewer Connection's r�aturo &Dafe Drivewa Permit DP''4U•Town Kaginee)r: Signature: ocated 384. Osgood Street Ez�RE,DE`PAR+TMI�NTTemp�Durripsteror�;�ite: :yes ,rno ' Located at 124'lUlain Street• '' , 4ire�Department signature/date r , COMME S � NQRTtY '4 Town of Andover No. 0M�� a�d�� * � h � soh ver, Mass, COCNIC Nl WICK V� X1,4 4�Rwreo S U BOARD OF HEALTH Food/Kitchen PERN �T LD Septic System THIS CERTIFIES THAT ............... ... ,......,.. BUILDING INSPECTOR ............. ...... .... ...... .....................,... ........................... has permission to erect .......................... buildings on . ........... � !! .. , ... . ......... Foundation Rough � .. . ... .. .. ....... .. Y. . to be occupied as .... ... ..... ...,..., Chimney provided that the person accepting this permit shall in every respect conform to the terms of thea lication Final on file in this office, and to the provisions of the Codes and By-Law elating 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TION Rough Service .... ... .... Final BUILDIN SPEC OR GAS INSPECTOR OecupaneV Permit Required to QceyBE 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 Approved by the Building Inspector. Burner Street No. Smoke Det. Main Level 30' 29'4" Front Porch $ 9'6" 13'3.. 6'3" 27721 ��9" 1 10'7" Bathroom BedrooM2 o N11'10" M2'11" 14'5" Kitchen/Dining Roo 1 cn M 1 " tam 1' M Bedrooml / se-9 co allw 9'Y 7'5" 10' 11'3"— o ° Chase .—TY 4'-----1 Nursery Family Room m losetl (1) 14 11 Main Level ROJAS_ANA 8/4/2016 Page: 132 2nd Floor 30' 1" 6,51122t Closet (1) C% L1 in 7 Master Bedroom �o r' Bathroom 5, S., Hallway m 16' $„ 2, 8'1-1-3, j 3' 10' 11" 11' 6" M Closet FN} T Ln Ch;T& G` Son's Bedroom Guest Room Closets" Alcove (2) � r 2, ,� cV 2'4, I � oset? ? 11' 7" N 1 26' 9" 2nd Floor ROJAS_ANA 8/4/2016 Page: 133 Basement 27 7" 26' 11" Basement 2' 8„ N Stairs Basement ROJAS_ANA 8/4/2016 Page: 131 Main Level °� d �LQ►JSTi2Vc-� tit 4--"UE f,E.t�F2t A.J i scant Porch, CaSrnE�T-C- � b� 25`1 T9° I 10`7" Bathroom `„ Bedroom2 � 3 FCL,p m�nrG. tvtE�16 � In e. -1-b e x---STXC-J(r over w atm 11,10” 1.1- 1-2' { t HBO D 14'5"- 4'---Kit;, l ini o �a1 t4i'.TxfkL. (rvT oG {SMS tairz 1 �t.Cc-'f�t�z4Prt� (gag, 4L, tiGMT3( � Bedrooml 'CO GOMPir( j reco 0 _ Go�� 1w �Nscs t. T T-on( �t-t5i �{�f1tL Chase 2 7 � � I Tursery Family Room osetl (1) 1 - 14r\rI T- Main Level RaJAS_ANNA 8/4/2016 Page: 14 -'2nd Floor 3E 2 R 5" 22' U Closet (1} 6 � e\ ) y Master Bedroom y � 2 Bathroom J y \zw a. y 168" 2' S'-1—y ^ y 1R l2 - I£ 6" T r- y Closet G T 1 I s� _ � 1 Son's Bedroom Guest Rom qac %m7 (37 2 34 \ ® mem T M 3' 1" 26' 9` . � 22J Floor kD&S ANA 84Z2m6 P 15 Easement i 277 26' 11" QtJ rn1' f�sc3a3G ��rtS - Basement R. � Stairs LKJ R Basement ROJAS_ANA 8/4/2016 Page. 13 Kitchen Design & Specifications Project III;Rojas,Ana 964'" 37 Riverview St.N.Andover,MA Cabinet Specifications: f 24" 23 4" Manufacture;We '.nets F33o Cab Line.,Wolf Classic Style:Saginaw tx�O C 76D-customer to select Material:Maple W2130L W1530R Color- G B09L 6158 Features: f >Made in America F$30...—SQ30 >Maple door with a raised veneer center panel >Solid maple slab drawer heads 00 1 >Full X"plywood sides,backs,tops and bottoms Lo >%"solid wood corner blocks .�- >3/n"bullnosed adjustable plywood shelves COI >Dovetail drawer construction with sidemount glides >Hidden.plywood hanging rails top and bottom J i By signing below,I agree to the cabinet design and co specifications being presented.I further understand that I will not be held liable for any measurement :j errors-this to be the responsibility of the contractor. Customer Signature REF,20:ICE36 i W3612 Date 61117 Please sign and date Page 1 of 4 Digital Representation of your kitchen e.a-,w Via.,. �, w Y'i' �J� r. �y d�.�"'�� '`:,� ,✓r ML � r s � 4 r' j F � 2 W Page 2 of 4 k Digital Representation of Your Kitchen (Optional Upgrade) *Full height pantry,,fridge panels, and deep above fridge cabinet not included. Additional cost for labor and material please add $943.80 1 tiry p+r ti 1 6 4 � N Page 3 of 4 Cabinet Information ........ ........ _ SAGINAW Classic styling,with a nod to what's new The raised panel cabinets say"traditional"but with a slightly bolder, cleaner line,which makes Wolf's Saginaw cabinets Ideal for a wide range of ""✓ ` kitchen designs. Choose frons four rich finishes:crimmn.chestnut,honey or dark sable. Whatever you decide,you'll enjoy geriulne American craftsmanship, including the solid American maple cabinet doors and drawer fronts that ' are standard in all Wolf cabinets. Available Calors Crimson Chestnut Honey Dark Sable http://www.wolfhomeproducts.com/classic-cabinets/#saginaw Sample Kitchen (shown in honey) e o ti Page 4 of 4 ELITE CONSTRUCTIONMassachusetts A DIVISION OF SERVICEMASTER ELITE This Agreement is made between MAJE Inc. d/b/a Elite Construction, herein called "Contractor" and Roias.___Ana herein called "Customer", This Agreement incorporates by reference any"Agreement for Services" previously executed by the parties. In the event of an express conflict between a term in the prior agreement and this agreement,the terms of this agreement shall control. Customor(s): Contractor: Rojas,Ana Elite Construction Fed,Employer ID: 271456522 37 Riverview 12 Continental Blvd Street Merrimack,NH 03054 North Andover,MA 01845 (603)888-4100 Mass.Reg.#: 165712 Customer Phone Numbers:Cell:(978)242-2630:ANA'S# Cell: 978 884-00640 BROTHERS# Contractor and Customer,for the considerations named a ree as follows: Article 1. Scope of Work The Contractor shall furnish the materials and perform the work as described in the attached Scope of Work(a.k.a, Estimate)on property at; 37 Rlyfrview Street Uorth Andgver.M8 Q1815(the"Property"). If Customer is dissatisfied with any aspect of the materials provided or work performed, Customer must notify Contractor, in writinct, within 10 days of the date the particular work/service at issue was performed, or within 10 days that the articular issue was discovered or could have been discovered by Customer upon a reasonable inspection: otherwise Customer is resumed to be full satisfied with the materials provided and the work performed. Permits: The following building permits are required and will be secured by the Contractor as Customer's agent unless otherwise agreed: (Customers who secure their own permits will be excluded from the Guaranty Fund provisions of MGL ch. 142A.) Article 2: Time of Completion Subject to payment of thde osit, the work described in the Scope of Work shall be commenced within 15 da of r ceiving signed contract or before { i Z-u and shall be substantially completed within 60 days of job start or before 0 N For purposes of this Agreeme t, s bstantial completion is defined as at least 95%of the work complete as per the Scop of W rk. Any changes to the Scope of Work, additional work required, delays due to non-payment, or unforeseen circumstances may change the substantial completion date. Article 3: The Contract Price Customer shall pay the Contractor for materials and labor to be performed under this contract the sum of forty thousand six hundred sixty six & 76i100 Dollars ($40,666.76). Contractor reserves the right to collect any supplemental funds from Customer and/or the insurance company for scope oversights or understatements, including mechanical or electrical expenses, roof repair expenses, or other unforeseen issues. In the event the insurance company pays out additional funds for work Contractor performs above and beyond the agreed Contract Price and/or original Scope of Work, the notification and approval requirements in Article 5 shall not apply and Customer shall immediately pay said funds, in full, to Contractor. Contractor will deduct amounts for any work not performed under the Scope of Work. Article 4: Payments The Contract Price shall be paid in the following manner: A deposit of $TBD on bank or$15,000.00 is due at the time of signing. Second payment of$TBD on bank$15,000.00 is due upon completion of 50%of entire project. Third payment of$0.00 is due upon substantial completion of entire project. Balance of$TBD on bank or$10,666.76 is due at the completion of the job. If payment is not made when due, Contractor may suspend work on the job until all payments have been made. A failure to make payment for a period in excess of 7 days from the due date of the payment shall be deemed a material breach of this contract. Article 5: Changes to Scope of Work The Scope of Work will be used by Contractor to determine the work to be performed; however, due to the nature of such work and the inability to predict what is present, or absent, behind walls, the Scope of Work may not be followed exactly and changes may be made in the field at the discretion of Contractor. Customer will be notified of such changes only when the change: results in an increase to the total cost of the Contract Price; involves a structural or mechanical element; involves installation of an item of inferior quality than what was set forth in the Scope of Work; or, involves a significant visual/aesthetic change, In the case of such changes, Customer may object to the change, in writing, after which Contractor and Customer shall work together with any adjuster, to resolve the issue. If there is any additional charge for any change, the additional charge will be due upon completion of the alteration or deviation work. If any work is required in order to meet state or federal building code requirements, or to obtain a certificate of occupancy, Customer hereby agrees, without further notice or permission required, that Contractor may complete that work and that Contractor shall be paid by Customer for that work in the event the insurance company does not cover it. Article 6: Limitation on Damages/Waiver of Jury Trial The parties hereby waive the right to seek or collect indirect, consequential, punitive, exemplary or special damages in any action arising out of or relating to this Agreement. Contractor's maximum liability arising for any claim arising out of or related to this Agreement shall be the amount paid to Contractor by Customer under this Agreement. The parties also irrevocably waive trial by jury in any action arising out of or relating to this Agreement, If Customer is in default of its payment obligations under this Agreement and Contractor commences a court proceeding to collect amounts due hereunder, Customer shall be liable for Contractor's reasonable attorney's fees incurred in such collection action. Customer consents to the jurisdiction of the Massachusetts Essex County Superior Page 1 of 2 i Court-Lawrence with respect to any action or proceeding arising under or relating to this Agreement. Such jurisdiction is non-exclusive and suit may be brought in a different court having jurisdiction over the parties. This Agreement shall be interpreted in accordance with Massachusetts law, exclusive of Massachusetts choice of law provisions. NOTICES Massachusetts law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza, Room 5170, Boston, MA 02116 or by calling 617-973-8787 or 888-283-3757. YOU MAY CANCEL THIS AGREEMENT IF IT HAS BEEN SIGNED AT A PLACE OTHER THAN THE CONTRACTOR'S NORMAL PLACE OF BUSINESS, PROVIDED YOU NOTIFY THE CONTRACTOR IN WRITING AT HIS/HER MAIN OFFICE OR BRANCH OFFICE BY ORDINARY MAIL POSTED, BY TELEGRAM SENT OR BY DELIVERY, NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FOLLOWING THE SIGNING OF THIS AGREEMENT IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT, AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE CONTRACTOR OF YOUR CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. YOU WILL, HOWEVER, BE RESPONSIBLE FOR PAYMENT OF,AND CONTRACTOR MAY RETAIN ANY PAYMENT RECEIVED FOR,WORK ALREADY PERFORMED AT THE TIME THE CANCELLATION WAS RECEIVED. IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE CONTRACTOR AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED,ANY MATERIALS DELIVERED TO YOUR PROPERTY UNDER THIS CONTRACT; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE CONTRACTOR REGARDING THE RETURN SHIPMENT OF THE MATERIALS AT THE CONTRACTOR'S EXPENSE AND RISK. IF YOU DO MAKE THE MATERIALS AVAILABLE TO THE CONTRACTOR AND THE CONTRACTOR DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION, YOU MAY RETAIN OR DESPOSE OF THE MATERIALS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE MATERIALS AVAILABLE TO THE CONTRACTOR, OR IF YOU AGREE TO RETURN THE MATERIALS TO THE CONTRACTOR 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 TO Elite Construction, 12 Continental Blvd, Merrimack, NH 03054, TO BE RECEIVED NO LATER THAN MIDNIGHT OF (3 days from date signed below), I HEREBY CANCEL THIS TRANSACTION. Date: Customer's Signature: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Two identical copies of the contract must be completed and signed. One copy to the Customer.The other copy to be kept by the Contractor. If there is more than one owner of the Property, all owners should sign below. Notwithstanding, the signature of anV one owner binds all other owners. Dated; ustomerl her 1 C Dated: fte, r— Customer/Owner Dated: Co ractor, MNE, Inc„dl a Elite Construction Name of Elite Salesperso', kdifferent �1 U 92 CONTINENTAL BLVD • MERRIMACK NH • 03054 PHONE: 603/888-4100 SERVING NEW HAMPSHIRE, VERMONT, MAINE AND MASSACHUSETTS Page 2 of 2 The Commonwealth of Massachusetts z Department ofIndustrialAccidents I Congress Street,Suite 104 voston,MA 02114-2017 :4q www.mass.gov/dza ,�. WbrkeW Compensation insurance Affidavit:Builders/ContractorsXlectricians[Plumbers, TO BE FILE'D WITIC TEE RERARTTING ATJTItORITY. A licantlaaformatiou. please:l'rint Le it l me (i3nsiness/Qxgauizatio:r�nclividual). M # 1 L—t.:7 Address: I city/state/Zip: � _....._..___ _ r r I U 05 _ 'hone#: La 0 { .Axeyou an employer?Ctiecirtfie apl ropriaie box: Type of project(required); 1. l am a employerwith 1; 1 inployces(full and/or part tirne).* 7.• Now colistructzon 2.01 am a sole proprietor or partnership and have no employees working for me in $, emodelirig any capacity.[No workers'comp.insurance required.] c), Demolition ID I am a homeowner doing all workmyself[No workers'comp-.insurance required.]t 10 F]Building addition 4.F]l am a homeowner and wilt be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.L]Eleoffical repairs or additions proprietors withno eiuployees. 12 Plumbing repairs or additions 5111 am,ageneral contractor and f have hired the sub-contractors listed on the,attached sheet. .[]Tt otif rep airs 'these sub-contractorslaav%e,employees and bave workers'comp.insurance.$ 6.[]We are acorporag9a pndifs gfcers,have exorcisedtheirright ofbxemptionperMGT,c. 14.F1 OtIfer _. _ 1,52,§1(4),andwehavena..emplayees.[Npworkers'comp,insurance required.] *Any applicanttbat checks b&Bl must also'01 out the section below showingtheirworlcers'eompensationpolicy information, i Homeowners who sl151isif jjiia af#davit indicatingthey are doing all workand then hire outside contractors mustsgbmit anew affidavit indicating such. Contractors that check this.boxmust•at€ached an.additional sheet showing the name of the sub-contractors and state whether orpot those entities have employees.'lithe sub-cor%tractors Bane employees,they mt:st proQide their workers comp.policy number. 1 ain an employer that:is p>OVu dlhg worlfers'coinpen.s�ation insurance for my employees.' Beraiv is the policy avid joF�site infarxnatian. Insurance;Company Name:- a' ... Policy#or Salt-ins.Lie,#: t- . ...r Expiration Date: car. Job Site Address: .. • --. Cityf�5tate/tip:C t 'l c� ✓ Attach a copy of the workers' cbmpe cation policy declaration,page(showing the policy number and expiration date). Failure to secure coverage as required Ruder MGL c. 152, €,i'25A is a criminal violation punishablo'by afane up to$1,500.00 and/or one-year impriso ument,as well as civil penalties in the form of a STOP WORK ORDER and a fine dup to$2.50,00 a day against the violator.A,copy of this statement may be:forwarded to the Office of Investigati6ns of the DIA for insurance coverage verification. X do Hereby cerli y under tlie„pains and penalties afpet,jury treat the irxformatian pr ovzclea'aXra✓e is rue and correct. Sia-nattiu �' w -- _Date: Phone Official z s,e only. Da not write in this area,to be completed by city or town officiaX City or Town: _._ _ Permit/License# fssuiug AuthorJty(circle one): i 1..Board of Health 2.Building Department 3.City/Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other__-____-- Contact Person:._,- Phone#:_ - �-� CCAPLLC-02 AMORSE ACC�l20" CERTIFICATE OF LIABILITY INSURANCE DaTE 1o1YYYY) 9l112121212016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(los)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#AGR8150 NAME: Ann Morse,CIC Clark Insurance PHONE 603 716-2367 No): 603 622-2854 rc One Sundial Ave Suite 302N ANo Ext: ) Manchester,NH 03102 a DRESS:amorse@clarkinsurance.com INSURER($)AFFORDING COVERAGE MAIC 0 INSURER A:Peerless Insurance 24198 INSURED INSURER s:Netherlands 24171 CCAPS,LLC dba ServiceMaster Elite INSURER C:Crum&Forster Specialty Insurance Co 44520 MADE,LLC dba Elite Construction 12 Continental Blvd INSURER D Merrimack,NH 03054 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 R TYPE OF INSURANCE NSD WVO POLICY NUMBER MDLSUBR MiDDIYYYY MMIUD�YY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -DAMAGE 170FRENTED CLAIMS-MADE a OCCUR CBP8869089 0812912016 08/29/2017 PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 6,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY FX j� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY Ea COMBINEDISINGLE LIMIT $ 1,000,000 B X ANY AUTO BA8867299 08/2912016 08/29/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 A JEXCEf S LIAB CLAIMS-MADE CU8862891 0812912016 08/29/2017 AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 $ WORKERSOTH- COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY Y t N C8994621 08/29/2016 08/29/2017 E.L.EACH ACCIDENT $ 1,000,000 OFFICEA ANY PROPRIMS RI PARTNERlEXECUTIVE NIA (Mandatory In ER EXCLUDED9 [Mandatary In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Contractor Pollution PK0104371 08/29/2016 08/29/2017 Each Occurrence 2,000,000 C Liability PKC104371 08/29/2016 08/29/2017 Includes Mold DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space is required) Alan DeGeorge&Matt Troyer are excluded from Workers Compensation coverage. Workers Compensation States covered in 3A: NHIMAIMEIVTINY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE n Of North Andover MA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOW Tow Osgood 5t.,Suite MA ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED {REPRESENTATIVE ICJ1fI v r ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD _ ZG Qa?2??2�Q??.�/I�.CC �f2 t2 - ���l'(;L?':�:�C�;GJ2•�''G��� ;f >` Office of Consumer Affairs nd Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 165712 Type: Supplement Card Expiration: 3/22/2018 MAJE LLC.Idba Elite Construction JAMES RYAN 12 CONTINENTAL BLVD -- MERRIMACK, NH 03054 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card SCA 1 20M-05,11 ce of Consumer Affairs&Business Regulation License or registration valid for individual use only OME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Office of Consumer Affairs and Business Regulation . Registration: 165712 Type 14 Park Plaza-Suite 5170 Expiration: 3/22/2018 Supplement Card Boston,MA 02116 MAJE LLC,ldba Elite Construction ELITE CONSTRUCTION JAMES RYAN 12 CONTINENTAL.BLVD MERRIMACK,NH 03054Undersecretaryvalid without signature I x` �at ��11tSt311 � i - _ x E e'� i .�1