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HomeMy WebLinkAboutBuilding Permit #1172-16 - 132 PLEASANT STREET 5/10/2016 BUILDING PERMITo� NORrH ,� ��t�co �bv 1.0 TOWN OF NORTH ANDOVER- APPLICATION NDOVER APPLICATION FOR PLAN EXAMINATION- * _ " q 1- Permit No#: IM-14 Date Received �,�SSqCHUs���� Date Issued: �� < IMPORTANT: Applicant must complete all items.on this--page LOCATION Print PROPERTY OWNER J Isco /.�rd � (} Q� Print 100 Year Structure yes no MAP07(9 7© PARCEL-4 ZONING DISTRICT: Historic District yes no 'I Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building F One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ _ :Septic Well` ❑`Floodplain 0 Wetlands ❑ V1/atershed6iDistnct- ®''\Natter/Sewer DESCRIPTION OF WORK TO BE PERFORMED: svti,�rorrn 6.11"t,CT rC'�iP�i2 S�Jam-is A��-. y6czsc� Id ratification- Please Type or Print Clearly OWNER: Name: Phone: � ��wr sic �-,SG�fi' ✓��y z��5 Address: 1,3a Contractor Name: S ��EPhone: 7 '� G•d >8 Email: 45 44a p�- e9 Address' /D'. t�/ .,¢r�� rao Supervisor's Construction License:G =oS"8 �1� Exp. Date: p Home,lmprovement License: a ARCHITECT/ENGINEER Phone-,- Address: hor-Address: Reg.. Np,w FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATM_CQST OAF.$125.00 PER S.F. Total Project Cost: $ /� CO� FEE Check No.: Receipt h@o 3 5' NOTE: Persons contracting with unre istered contractors do not have-access;to.:the guaranty fund { r f J � Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ T. ning/Massage/Body Art ❑ Swinnuing Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on_ Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes t Planning Board Decision: Comments Conservation Decision: Comments a Water& Sewer Connection/Signature Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DE�R" Temp Dump is er on site' y ed sl a L Located at 124 Mam Streetl w Fire Depant signature/date ~ Al f®MIVIE`*w'� �' -, .-.w y '.tg CTS' Dimension Number of Stories: Total square feet of floor area, ba§&&ort' terior dimensions. Total land area, sq. ft.: r. ELECTRICAL: Movement of Meter location, mast or service drio'lixecIdires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department ruse) i ® Notified for pickup Call Email Date Time Contact Name - Doa.Building Pexuit Revised 2014 i i Building Department The following is a list of the required forms to be filled out for the appropriate permif to be obtained. i Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building pp Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses � Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (if Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application 46 Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) fl Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 9r Location 1 f rF= No. f - Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $Q.'/ . Foundation Permit Fee $ F Other Permit Fee $ TOTAL $ r_ Check o/ 30353 Building Inspector NORTy Town of ndover No. A , h , ver, Mass, COCNIt Nt WICK V BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT .........v�`.� ��•%`�/�c�- ............................................................................. BUILDING INSPECTOR �� Foundation has permission to erect buildings on ..1��4...1.:,,<.�.�'�" —�� .:........................ ......................................................... j/GF_ �t✓�I/c'�.�I G� �L Gxd C�9 Rough u h tobe occupied as .................................................................. ... ....................... 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 relating to the Inspection, Alteration and 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 CONSTRUCTION STARTS Rough ....................... ...t�Grs: ��/.:.................................... Service final BUIL1DING INSPECTOR 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. R.S. HEBERT Construction & Remodeling Inc. 102 Adams Ave. No. Andover Mass. 01845 (978) 686-0786 Phone / Fax Lic. #:058241 Reg. #:153811 DATE: 4/16/16 OWNER'S NAME: MR. & Mrs. Steinberg 132 Pleasant St. No. Andover Mass.01845 JOB. Front Porch Windows & Paint House I. PARTIES This contract (hereinafter referred to as "Agreement") is made and entered into on this 16th day of April by and between Mr.& Mrs. Steinberg (hereinafter referred to as "Owner"); and R.S.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 1. Remove existing casement windows and door from front porch. 2. Supply and install 4 new Harvey classic casement windows. 3. Supply and install a new 15 lite door unit. 4. Install new light fixture supplied by owner. S. Sand and refinish porch floor. 6. Replace water damaged shingles on sides of dormers and porch roof line and replace missing shingles. 7. Paint entire house exterior including trim two coats color by owner. AIP- s� Contractor Owner C6wner 1 A. LUMP SUM PRICE FOR ALL WORK ABOVE*$ 17,600.00 III. GENERAL CONDITIONS FOR THE AGREEMENT ABOVE 2. 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 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 Contractor Owner O er B. DATE OF WORK COMMENCEMENT AND SUBSTANTIAL COMPLETION Commence work:5/16/16 Construction time through substantial completion: Approximately,5/31/16 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. Contractor Owner Uwner D. PAYMENT SCHEDULE AND PAYMENT TERMS 1. PAYMENT SCHEDULE: *1St payment: due when Agreement is signed and returned to Contractor. $ 3,000.00 ( Deposit on windows) 2nd payment when work starts. $ 10,000.00 * Final Payment: Balance of contract amount $4,600.00 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 (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 Contractor Owner weer 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 retired judge 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. 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 Contractor Owner er 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 CO TRACTOR' SIGNATURE ikc' DATt OWNER'S SIGNATURE DATE NE ' S SIGNATU E i Contractor Owner er The Commonwealth ofMassc chusetts Department of Industrial.Accidents 1 Congress Street,Suite 100 Boston,JM 02114-2017 www mass gov/dia yV• Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNIITTING AUTHORITY. • Applicant Information Please Print Legibly Name(Business/Organizationfhidividual): //� � j�/L�L pivS/,t/ o��r ["_Z�41G Address: A? Y,V c City/State/Zip: acde/�G ®tf e$�. Phone#: Are you an employer?Cltecktlie appropriate box: Type ofproject()required): 1.[?f1am a employcrwith employees(full and/or part-time).* 7. Fj1ew construction oe 2.❑I am a sole proprietor or partnership and have no employees working for me in $. Remodelirig any capacity.[No workers'comp.insurance required.] ' 9. ❑Demolition 3.F1 I am a homeowner doing all work myself[No workers'comp..insurance required.]t 10 Fj Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11..❑Electrical repairs or additions proprietors with no employees. 12: Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ 13.[]Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.❑We are a corporation and ifs officers,have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have nq employees.[No workers'comp.insurance required.] e *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit#his affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must-attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors fiavo employees,they,must provide their workers'comp.policy number. I afire an employer that is providing workers'compensation insurance for my employees.'Below is•the policy and job site information. Insurance Company Name: ®/ylmete� Policy#or Self-ins.Lic.#: 10.5 4)C 2,579 9"Z Expiration Date: /-/-/02 Job Site Address: /� 2 � em City/State/Zip: c U4 o l S Attach a 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 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 Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify u der the p 'ns and penalties ofperjury that the information provid�abov�e 's true and.correct. Signature: Date: �/` Phone# Offecial use only. Do not write in this area,to be completed by city or town offecial.. City or Town: Permit/License# Issuing Authority(circle one): ; 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Informati®n and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract'f Me, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enferprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance;construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not Because of such employment b6 deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall. enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.". Applicants Please fill-out the workers'compensation affidavit completely,by checking the'boxes that apply to your situation and,if necessary,supply sub=contractoi(s)name(s),address(es)and-phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you'are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should'ei ter'their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number.-In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant.as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 CongressStreet, Suite 100 Boston,MA 02114-2017 -Tel.#617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia --� RSHEB-1 OP ID: KM ,a►coRa• CERTIFICATE OF LIABILITY INSURANCE DATE(OW0o41201 "' �--' sr1zo1s 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(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 endorsem s PRODUCER cKA0RNTF-^Or Lawrence R.Michaud,CIC Michaud,Rowe And Ruscak Ins. PHONE 978 688 8829 F P.O.Box 188 ax NO: 557 2130 North Andover,MA 01846 Ems;lmichaud@_mrrinsuirance.com Lawrence R.Michaud,CIC INSU AFFORDING COVERAGE NAIL# INSURERA:Commerce Insurance Company 34754 INSURED R S Hebert Const&Remod,Inc. WSIR:ER B:NorGuard 102 Adams Avenue usuRERc: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. POLICY EXP LTR W„TYPE OF INSURANCE AD O POLICY NUMBER HN POLICYEFF (Ifimm= LIMITS C COMMERCIAL GENERAL LIABLITY EACH OCCURRENCE S 1,000, CLAIMS-MADE FIOCCUR RSBP611273 05/1112076 05119/2017 DAMAGE TO RENTED PREMISES �,� $ 60,00( X Business Owners MED EXP(Any ore 1 ) $ PERSONAL BADV INJURY $ 1,000, GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JPERC F-]LOC PRODUCTS-COMPIOPAGG $ 2,000,00 OTHER S AUTOMOBLL£LIABILITY COMBINED SINGLE UMIT $ 1,000, A ANy AUTO 88CM08 12!1912015 1211912016 BODILY INJURY(Per person) S ALL OWNED X AUTOS BODILY INJURY(Per amdem) $ HIRED AUTOS AUTOS PROPERTYDAMAGE $ UMeRc„a LIAR OCCUR EACH OCCURRENCE $ EXCESS LLAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIA BLITYSTATUTE ER B ANY PROPRETORIPARTNERIEXEcunvE Ya w/A RSWC759421 01/01/2016 01/01/2017 E.L.EACH ACCIDENT S 100, OFFICERIME MBER EXCLUDED? (M—daft"In NIfl EL DISEASE-FA EMPLOYE $ 100,000 DES6RId PTIOH OurFOPERATIONS beMw EL DISEASE-POLICY LIMIT $ 500,000 PROPERTY 5,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddRional Rema"SchoduW may bs alacl I more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Jennifer Scott Sfieinbu THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 132 Pleasant 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 ✓lie-�o»vinaiuuea�i o�.��aOac�%udet� -, Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration::.;:=153811 Type: Expiration: _1+•9/2017 Private Corporatio R. .HEBERT CO 8 RE QDEL"=lNG.INC. RONALD HEBERT,` �_.. ?: 102 ADAMS AVE. NO ANDOVER,MA 01845T1; �— Undersecretary Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-058241 Construction Supervisor RONALD S HEBERT ~ 102 ADAMS AVE N ANDOVER MA 01845 (,A_ Expiration: Commissioner 01/08/2018 \� a