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HomeMy WebLinkAboutBuilding Permit # 10/20/2016 BUILDING PERMIT 1T O� iLen 66 a TOWN OF NORTHANDOVER i < ° - APPLICATION FOR PLAN EXAMINATION - Date Received RAr£n Permit No#: �$SacwuS Date Issued-./ IMPORTANT Applicant must complete all items on this page _ LOCATION � ., .. Print PROPERTY OWNED � ¢ Print 100 Year Stnicture yes nod MAP PARCEL: ZONING DISTRICT: HistoricDistrict" yes Machine Shop Village yes dftP TYPE OF IMPROVEMENT PROPOSED USE { Residential Non- Residential _n...._-- New Building m ❑ One family �^ --lefAddition fgTwo or more family ❑ Industrial ❑Alteration No. of units: [I Commercial Repair, replacement [IAssessory Bldg _ _. Li Others: Ei❑ Demolition ❑ Other �^, rr° a �rau �rrr ��, 9��ry 1 r �•J.,1 rwr }(w �!� tr vkru v�tor� p�„U�G�u1NS(fIY�' DESCRIPTION OF WORK TO BE PERFORMED. Identification- Please Type or Print Clearly k 5 OWNER: Dame: x � Phone: Address: 2-Q, t Contractor Name: . Phone: d� Email: 4,4 Address: 110 " „ � Supervisor's Construction License: 05 t Exp. Date.- Home ate:Horne Improvement License Z 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: $ 2-2-1 FEE: $ 5 , Check No.: Receipt No.:_ .._ -., NO'T'E: Persons contracting with unregistered contractors do not have acc ss to the guaranty f ico Imv, »., '"�.111M�Pn!�d��l , i, n � i ���,� %'!/'"�”, / � "„"'?"�i�/'��'i7lr�'ifimi�i�'�/rri71f�1T//%!7„r r!!ll�n�/"'U�,. � �(� m,,,,,✓i„ ' I�/(J � � Plans Submitted_$ Plans Waived ❑ Certified Plot Plan,TS Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer b Tanning/MassagelBody Art qSwum gPools ❑ Well ❑ Tobacco Salos ❑ ood P ackaging/Sales ❑ Private(septic tante,etc, ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR orFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On)bl ILAI Zoo Signature COMMENTS CONSERVATION Reviewed onTl Si nature , COMMENTS HEALTH Reviewed on Si nature COMMENTS .honing Board of Appeals:Variance, Petition No: Zoning Decisionlreceiptsubmltted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Si nature&Dafie Drivewa i'ermit ]DPW Town Engineer: Signature: Located 384 4sgoa Street F R DSPRMENe.T Temp�urnste o lsitYes �_ � na r ,^ I=rre ©e = ar#rnent siert �ureldate � b ...� 3_ ,1..;.� r�Ma x:i:'� 9'�:r��.._,.,1 ..•,.a sm. ,r��4,_ ,..--a..,..a^-,?. ��'df��u:,� r -"or '-: ua«m � %40 R T1l own of : �* over O - 0 No. 26 �p h h ver, Mass, ?& 2oCNIc"EWICK Ok. ZO �" `r U BOARD OF HEALTH PERMIT T Food/Kitchen 11 LD Septic System THIS CERTIFIES THAT....................... ...d .V...y�,. 4.41cf15.,T2sv.0................................ BUILDING INSPECTOR has permission to erect .......................... buildings on .... ::.. ...., .�7. , .i� .,. .............. Foundation O Rough to be occupied as ......... ....�� ... ......��j�.R.: .. sa!'!�... ,f!f".�!!i -��.ZOE Chimney provided that the person accepting this permit shall in eve respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Final Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST ION RTS Rough Service .... . ................ ...... .. . .................. .... ............ BUILDI INS ECTOR Final GAS INSPECTOR Occupancy Permit Required to 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. 098 Forest Street Ke "1Y1 ur . North Andover,MA 01845 ®] PH:978-688-5335 Building Contractor ' FAX:978 688-7207 Proposal To: John Savastano 273 Green Street All Home improvement Contractors and Subcontractors engaged in home improvement contracting,unless North Andover, Ma. 01845 specAcallyexempt from registration byProvisions ofChapter 142A of the general laws,must be registered with the Commonwealth of Massachusetts.inquiries about registration and Status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place, From: Kevin Murphy Roam 1301,Boston,MA 02108.(617)-7278598 CC: Date: 10112/2016 .lob: inlaw addition/garage Date of plans: 9/16 Architect: Steve Foster Location: Same Section 1-Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in writing contractor will begin work on or about 9130116. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 1130117.The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement. Section 11-Warranty The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 year following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup,the Contractor shall, at his own expense,forthwith remedy, repair correct, replace,or cause to be remedied, repaired,or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in o connection with the agreed-upon work. I Section III -Scope of Work Page 1 of 5 Kevin Murphy Page 2 of 5 Building Contractor 98 Forest Street North Andover,MA 01845 PH:978&865335 FAX 97&6867207 General Proposal is to add 28'x28 garage with rooms above as shown on plans. Building permit will be obtained by contractor. Owner to provide plans, plot plan, and any variances 1 structural engineering that may be required by town. Excavating Excavation required to install foundation 1 driveway will be provided. Any additional fill will be removed from site. Back filling and rough grading will be provided. No allowance has been made for relocation of any underground utilities, removal of ledge, landscaping or lawn installation. An allowance of $5000 has been included for retaining walls. New driveway will be paved. Foundation Poured concrete foundation will provided as shown on plans. Footings will be 10'x20", walls will be 10" thick, grade to be determined in field. Foundation will be coated to code. Five inch thick concrete floor,will be poured over crushed stone base. Concrete cutting will be provided to gain access to existing basement area. Doghouse to existing basement area will be removed and blocked up. Building All frame, roof, and siding materials will be supplied and installed to match existing 1 meet code/as shown on plans. Floorjoists and roof rafters will be 2x10. Exterior walls will be 2x6. Interior petitions will be 2x4. All floor, wall, and roof sheathing will be fir plywood (314 on floors, 112 on walls, 518 on roof) . Ice and water sheild will be installed at all roof edges. Roof shingles to match existing. Exterior walls will be wrapped with Tyvek or equivalent. Vinyl siding will be supplied and installed to match existing ( as close as is available ) . Harvey, all vinyl windows, will be supplied and installed as shown on plans. Insulated fiberglass exterior doors will be supplied and installed as shown on plans. One insulated steel garage door and opener will be supplied and installed. Harvey all vinyl replacement windows will be supplied and installed in existing openings in main house. Hopper windows in basement will be replaced with new Harvey units. Plumbing Plumbing required to add new kitchen, three fixture bath, and laundry connections will be provided. An allowance of$4000 has been included for fixtures. A separate gas fired hot water heater will be supplied and installed.Any new water or gas meters required,will be provided by owner. Electrical Electrical work required to wire addition to code will be provided, Twelve recessed lights have been included. General layout to be approved by owner prior to rough. Panasonic fan 1 light will be supplied I installed in bathroom. Any surface mounted fixtures ( ceiling fans, vanity lights ) to be supplied by owner, installed by contractor. Phone 1 cable 1 computer lines to be roughed in by electrician, to be connected by service provider. No allowance has been included to provide any high def TV l surround sound wiring. Existing electrical service will replaced 1 upgraded with two meters. Heating/Air Conditioning A separate gas fired, forced hot air heating 1 air conditioning system will be supplied and installed to properly heat/cool addition. p Insulation 6 I Kevin Murphy Page 3 of 5 Building Contractor 98 Forest 8 eet North Ardover,W01845 PH:97BROB5335 FAX:978-GW7207 Fiberglass insulation will be installed to code. Plaster Addition will be blueboarded and skimcoat plastered. Ceilings in first floor will be smooth. Garage will be textured, Interior Trim/Doors Pre-primed interior trim and doors will be supplied and installed to match existing. An allowance of$15,000 has been included to supply kitchen and bath cabinets 1 counters. Painting Interior painting will be provided. One coat of primer, and two coats of finish will be applied to all painted surfaces. Flooring Hardwood floors will be provided in living room, bedroom, and kitchen, to match existing house. Three coats of oil based urethane will be applied. Tile floor will be provided in bathroom. An allowance of$6 per square foot has been included for tile materials. Waste Removal All construction debris will be disposed of by contractor. Items Not Included No allowance has been made to provide any applainces. i i Kevin Murphy Page 5 of 5 nuildjug coutmCtor 98 rmt!f shwi NCM Rnxlom,M401895 PH:DT84W� FW 97888$-7207 Section IV-Price Schedule We hereby propose to furnish material and labor-complete in Accordance with above specifications for the sum of.....................................$ 221,00 Payment to be made as follows: Percents eAtem Descri ion Amount 1 Permit obtained 1 deposit $15,000 2 Foundation poured $25,000 3 Root frame com fete $35,000 4 Windows 1 siding installed $30,000 5 Rough plumbing /electric complete $27,500 6 Plastering complete 1 $25,000 7 Interior trim /cabinets installed $25,000 8 Painting /flooring complete $20,000 9 Job 100% complete $18,500 i Total 9 $221,000.00 "Notce:W aweew(far Homo irnpra.�oast Odd watt steel€MO*o a down payment fadvw=depoo d more that uKFM d the tofat w*ad price of the tonal amount of am deposits or a pa)yra s w6ch the ooni dor mist make.In advaince,to ader ardor dhwAise obWn delivery of sped al oder materials and"Jpmenl,44drevsr Is V,699r Contractor: Kevin Murphy i 98 Forest Street No.Andover, MA 01845 Registration No: 101874 ! Section V-Acceptance Acceptance of Proposal-l have read this document and accept the prices,specifications,and conditions stated. I understand that upon signing,this proposal becomes a binding contract.You are authorized to do the work as speo'rfied. Payment will be made as outlined above. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction cancellation must be done in writing DON TSIC HIS CONTRACT IF THERE ARE ANY BLANK SPACES Signature Date Signature Date �$16 N83'00'00"E FMD 148.38' 1 1~ LOT AREA= I sI s 17,595 S.F. ?era 9l)K3 93xa 49.5' Ex. Spot Grade (TW) ;'SHED 511.3' O r NO"I ROOFED 9 �5 BULKHEAD 94x5 9122 9x9 �.•yi 14.6' � 41 26.5' % II o "� EX 2 CAR lO 94r.1 q5 " ll� GARAGE j TTo 90x9 PROP, ADDIRON t� TOP o/Foundotton O 3 2 CAR GARAGE j Efevatloo=100.00' % /:' i,.F cd 16.0' p N w/LIVING a1K1-? AREA A80VE EXISTING o0 1 STY WOOD �::> EX. Bit. 9Gr8 STRUCTURE Z 24.8' #'273 Cone, 89 6 28.0' % Driveway h l Prop. Bit. /ii,. 34r' �gy, / / COnc. I( � 91xi1 36.9' 328' Driveway I 30.2' 17.8' 17.7' 14.2' 1 1 94`5 s81'11'52"W 'SBDH J e _ 141.15' FND N8g 2544"W BACKTFND S T R E E T �uPG R E E N E 9c:;1 Edgeof Pavement •KPLAN PURPOSE: sl 3 DEED REFERENCES: OWNER INFORMATION. BK: 2851 PG:313 (N.E.R.D.) TO PERMIT A TWO FAMILY DWELLING LORRAINE M. SAVASTANO PLAN REFERENCES: ZONING TABLE: 273 GREENE STREET NORTH ANDOVER, MA 01845 PLAN# 2469 ZONING OISTRICT. R4 ASSESSOR INFORMATION: REQUIRED PROVIDED t,AOF ASSESSOR MAP 16 PARCEL 62 MAX. HEIGHT 35 FEET < 35 FT PAM MIN. FRONT SETBACK 30 FT * 30.2 FT Amils NORTH ANDOVER ZONING MIN, FRONT SETBACK 20 FT ** 16.0 FT*** BOARD OF APPEALS MIN. SIDE SETBACK 15 FT 24.8 FT MIN. REAR SETBACK 30 FT 56,3 FT MIN. LOT FRONTAGE 100 FT 150.40 FT € CERTIFY THAT THIS PLAN MIN. LOT AREA 12,500 S.F. 17,595 S.F. HAS BEEN PREPARED IN ACCORDANCE WITH THE RULES * SETBACK REQUIRED OFF OF GREENE STREET AND REGULATIONS OF THE REGISTERS OF DEEDS. ** SETBACK REQUIRED OFF OF TRINITY COURT PER CORNER LOT REQUIREMENT IN R4 DtSTRICT DATE: ------- *** EXISTING RESERVED FOR REGISTRY USE ONLY PLOT PLAN OF LAND , 273 GREENE STREET NORTH ANDOVER, MA PREPARED BY: SULLIVAN ENGINEERING GROUP, LLC P.O. BOX 2004 WOBURN, MA 01888 GRAPHIC SCALE 781-854-8644 SGALE:'I"=20' 0 10 20 SCALE: 1"=20' DATE: 7/12/16 i EI' IRGY COINSERVATION APPLICATION FORM FOR LOVv'-RISE RESIDENTIAL NEW CONSTRUCTION anal .ADDITIONS 780 CN/M Appendix J Applicant Name: Site Address: ?--1'3 �kvv, Use Group: Date of Application: �,o k Applicant Phone: act 4 Applicant Signature: Compliance Path (check one): 0 Prescriptive Package (Limited to 1- or 2-family wood frame buildings heated with fossil fuels only) t5 M Package(A through K-K from Table J5.2-1 b): Heating Degree Days (HDD65) from Table J5.2.1 a: (For items d. through i., fill in all values that apply from Table J5.2.1b:) a. Gross Wall Area —sq.ft f. Wall R-value R- b. Glazing Areal sq.ft. g. Floor R-value R- c. Glazing %(100xb�a)-% h. Basement wall R- d. Glazing U-value U_ i. Slab Perimeter R- e. Ceiling R-value R"_ j. Heating AFUE ❑ Component Performance: "Manual Trade-Off' (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) D Zone 12 F-1 Zone 13 n Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if applicable] n MAScheck Software Attach Compliance Report and Inspection Checklist printouts n Home Energy Rating System Evaluation Attach Home Energy Rating Certificate (HERS rating score must be 83 or higher) El Systems Analysis OR 0 Renewable Energy Sources Attach Mass Registered Architect or Em�incer Analysis ALTER-NATIVE FOR ADDITIONS ONLY: a. Gross Udall +Ceiling,Ar tea N 0A scl.ft. b. Glazing Areal V1.5 sq.ft. c, Glazing% (100 x b a) Ln% ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below: oC,wn2 t,,,,tL'2_ 3 j_%X.all Floor I Basement Wail i �tab Pm-irneTer, Ike in 03021-37 R-13 P-19 I R-IQ 1Z-10.-ft __--L I Glaz.ing Area may be either Rough Opening or Unit dimensions. 2 Based on N w _FRC listing. Applies either to ever�,, unit, or to area- eighted average of all units. R-30 ceiling insulation may be used in place of R-37 if the insuiationachievcs the full R-VJ0�,Cr the entire C ili)Parra riot C0m;) SSe(-_T (W(n.1..:.terior walls, and including,an), access openings.)El r_- (­rcater than 4(. % -I-azin—to-wall and grov.s arca) c t n i'0'0 C J,,flZ p ndix 0ffi' ,it 's �3ig aturc� The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,M4 02114-2017 wimmassgovIdia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE 171LED WITTI THE PERMITTING AUTHORITY. Applicant Information Please Print Ltdbly Name (Business/Organization/Individual): 6 Address: c- T City/State/Zip: t,)v , Phone 4: S-.3 3 Are you an employer?Check the appropriate box: Type of project (required): 1.M I am a employer with � cployccs(full an&or part-time).* 7. E] New construction 20 1 am a sole proprietor or partnership and have no employees working for incia 8. Q Remodeling any capacity.[No workers'comp,insurance required.] 9. El Demolition 301 am a homeowner doing all work myself.[No workers'comp.innuance required.)t 4.E]I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 a Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employ=. 12.0 Plumbing repairs or additions 5-0 1 am a general contractor and I have hired the subcontractors listed on the attached sheet. Tbesc sub-contractors have employees and have workers'comp.insuranmt 13.[:]Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.®fie 152,§1(4),and we have no employees-[No workers'comp.insurance required.) Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy ialormation- 13—owners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such, =Contractors that check this box must attached an additional sheer showing the name of the sub-contractors, and stater whether or not those entities have —PlOYces- If the sub-contractors have employees,they must provide their workers'comp.policy number, am an employer that isproviding workers'compensation insurance far my employees. Below is the policy andjob site information. Insurance Company Name: _)%, Policy#or Self-ins.Lic.fl: Expiration Date: 'I, Job,Site Address: 2713 s City/State/Zip: I"J y, 6 VIA-IIA-1, Attach 2 COPY of the workers'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 STOP WORKORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage Verification. I do hereby,certify qnder,,the pains and penalties of perjury that the information provided above is true and correct. Date: Phone ff: s-3 Off use only. Do not write in this area, to be completed by city or town officiaL City or Tow-n: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone ATF(MRLDUNI'YY€ SR CCERTIFICATE 4F LIABILITY INSURANCE 7/O11/2016 THIS CERTIFICATEIS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HDLDER.TH€S 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 REPRESENTATIVEDR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificateholder is an ADDIYIONAUNSURED,the policy(IDs)must have AODITIONALINSURED provisioner bo ondorsed, If SUBROGATIOMS WAIVED,subject to the terms and condigonsof the policy,certainpoliclesmayrequirean endorsement.Astatement on this cerdNcatedoes not confer fights to the certlRcateholder In Vauof such andorsement(s). PRODUCER NAME CONTACT Sandi Munroe M P ROBERTS INS AGCY INC PHONE PA 978\683-3147 N°,EMI978)683-8073 PfC,No: � 1060 Osgood Street LE! Sandi@mprobertsinsurance.com North Andover, MA 01845 RISURER(5)AFFORDING COVERAGE NAICp INSURERA: MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & REMODELING INSURERS: GUARD INSURANCE 98 FOREST STREET INSDRERc: NORTH ANDOVER, MA 01845 INSURERD; INSURER E INEURERF: OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BFLOW 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 WTH 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, EXCLUSIONSANDCONDITIONS OF SUCH POLICIESAIMITS SHOWNMAY HAVE BEEN REOUCED BY PAID CLAIMS. cepa POLICY EFF POLICY EXP w TYPEOFINSURANCE wsn POLICY NUMBER AS M LIMITS X COMMERCIALGENERAL LIA13i�LITYY EACI OCCURRENCE S 1,000,000 M=E TO RENTED CINMS-MA11E 1 X 1 OCCUR PREMISES E,°mmerK.e $ 500,000 L.::..d MED ExP(Anym�e pa -) $ 15,000 BOPI06$945 11I22/1S 11/22/16 A PERSONAL SADV INJURY $ INCLUDED GEVL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY J�C LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY �OA1eB3c.EDS€NGLE LIMIT $ 1.,000,000 ANYAUTO BODILYINJURY(Par p.,—) S OWNED SCHEOULED MCA7013608 01/23/16 01/23/17 BODILY INJURY(Para"Ident) s A AUTOS ONLY X AUTOS MEO NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Pes accident $ UMBRELLA LIARHVOCUR EACH OCCURRENCE $ 1,000,000 A [qf -CESS LCINAIEAiAOE AGGREGATE $ 1,000,000 CUP9145304 11/22/15 11/22/16 DED I X I RETENTION s 10,000 $ OTH­ WORKERS COMPENSATION X I PER ER STATUTE ER ANDEMPLOYERSTIABIWY Y111 uh %lW�Er°anxaiu[ttfrfcasNE � E.L.EACH ACCIDENT $ 500,000 B IA 07/01/16 07/07./17 500,000 ;Mandal°rYn NN} KEWC726509 E.L.DISEASE-EA EMPLOYEE S I Ilyes.descdbauedar 500,000 DESCRIPTION OFOPERATIONS talon E.L.DISEASE-POLICY Lill IT S I DESCRIPTION OFOPERATIONS ILUCATIONS!VEHICLES(ACORD IM,Additbnal Remarksachedula.may be allarhed If more space IS ragceretl) CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER 1600 OSGOOD STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED DEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NORTH ANDOVER MA 01845 ACCORDANCEWITHTHE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE M N C 1988-2055 ACORD CORPORATION. AK rights reserved. ACORD26�2016103) The ACORD name and[ago are registered marks of ACORD