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HomeMy WebLinkAboutBuilding Permit #842-13 - 236 GRAY STREET 6/5/2013Permit NO: 7a2 —1-3� Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 3 Date Received I IMPORTANT: Applicant must complete all items on this page I LOCATION Z5 6 . G9^�) .S T -Print _. PROPERTY OWNER N1i�2y L .3 Et(L.b-M.L. ; 15..0 u $1 1 Print100 Year.Old Structure yes° MAP NO: 1©1 D PARCEL: 22 ZONING DISTRICT Historic District yes P Machine Shop Villaae ves .TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well 0 Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Itj 6.C-0yrJ0 �O.tuEn l�t� �u,v��,i StAr M M 1i'y(- ?oo L Identification Please Type or Print Clearly) OWNER: Name: Miami, L id -- Holm S0t454 Phone: `?7g '333 05 I i Address: 2 3 (cp (Ge?" S /VOr244N AfVbo Vr;i� VYl � 01 -6 q, CONTRACTOR Name: /J.E, i reAPhone: .741 3�5y np Z(o Address: � ToWPJ576A)O I'e-1� 1,V,,V�ik �l' l�1�v4 01gYo Supervisor's Construction License: 'L Exp. Date: t S Home Improvement License: 1-13 Date: 1(1to l 1 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ ,510 dao.00 FEE: $ Check No.: e;— Receipt No.: (i, elkil NOTE: Persons contracting with unregistered contractors do not have access to the ranty fu Signature of Agent/Owner Siginature of contractor' Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stam ed Plans UUa UH No. ef- 9�z --13 Date Check #4�4 26481 TOWN OF NORTH ANDOVER Certificate of Occupancy $- Building/Frame Permit Fee $60p�,04 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ BuildnF1'hspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL - •mss Public Sewer ❑ Tanning/Massage/BodyArt ❑ .. Swimming Pools ❑ -__ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM . DATE REJECTED PLANNING & DEVELOPMENT ❑ COMMENTS CONSERVATION COMMENTS HEALTH Reviewed o Reviewed on 5_ 16ry DATE APPROVED N odd' D40a1 c Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes-.- Planning es._ Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Tow` !]Engineer: Signature: . Located 384 Osgood Street FIRE `DEPARTM' NT - Temp Dumpster on site yes no Located at 124 MainStreet Fire Departrfierrt-signature/date COMMENTS Dimension (Number of Stories: Total square feet of floor area, based on Exterior dimensions Total land area, sq. ft.: (ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NU i Lb and UAfA — (For department use ® (Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The folpwing is a list of the required forms to be filled out for the appropriate. permit to be obtained. 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks L3 Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) L3 Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ 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) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: 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 app al 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: Doc.Buil;ding Permit Revised 2012 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 5'50,000.00 m $ - $ 600.00 Plumbing Fee $ 75.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 75.00 Total fees collected $ 850.00 236 Gray Street 842-13 on 6/5/2013 In round Pool A� & CERTIFICATE OF LIABILITY INSURANCE FOATE"GONY" /9/201 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(iss) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an erglorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorssment(s). PRODUCER FIAI /Cross Insurance 1100 Elm Street Manchester NH 03101 NAME' Lynn Blanchard PHONE (603) 669-3218 ;AX(608) 6�5-4991 AN: No : EnMAIL DRF .lblanchard@crossagency-cam iNSUBERS)AFFOITING COVERAGE NAIC 0 INSURERAAcadia Ins Co. INSURED -' Pool Builders, Inc. 810 Providence Highway NOrwood MA 02062 INSURERB-AmC.uard Ins CO 42390 INSURERC: INSURER D . INSURER E . INSURER F: CnVFRAr FR CFRTIFICATF NItMRFR-Peel Rni lrlmrA 701-4 nctlIQIAN W lamocn- 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 CLAIMr4. LTR TYPE OF INSURANCE OUL POLICY NUMBFA POLIO EFF POUCY EXP LIMITS A 60E.RALUABIUTY X COMMERCIAL GENERAL LIABILITY CLANS -MADE OCCUR FA5035555 /1/2019 /1/2014 EACH OCCURRENCE $ 1,000,000 ENILU pR g. occc urmnw $ 250,000 MEOEXP tAWwepmm) S 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 rAGGREGATELIMIT APPLIES PER. POLI(',Y JFCT PRO- LOC PRODUCTS -COMP/OPAGO $ 2,000,000 $ AANY AUTOMOBILEUABILJTY AUTO UYALL 003 ED X AAUTOSULED X HtREDAUTOS X AUTOS�ED 035558 /1/2016 /1/2014 Eeg3,qS 11000,000 BODILY INJURY (Pa person) $ BODILY INJURY (Per acddern) 4 PROP mO OAG $ Underklaoiedm.wW $ 50,000 A X UMBRELLA UABOCCUR EXCESS LIAR x CLAIMS -MADE - VA5035560 /1/2013 /1/2014 EACH OCCURRENCE $ 1,000,000 AGGREGATE S 1,000,000 DED X I RETENTIONS 10,00 B WORKERS COMPENSATIONTATU- LI AND EMPLOYERS' ABILITY YIN ANY PROPMETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) IIyes IPTIO OF or DE.SCRd'710N Of OPERATIONS below O N/A ONC442656 /1/2013 51112014 OTH- ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E,L. DISEASE - POUCY LIMIT S 500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ARad11 ACORD IYT, AdMIlonal Rcnrares Schedule, irmme space is mqutred) Covering work performed by the Named Insured during the policy period. v/1sv LL.Li1 r wn (781) 334-4068 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, `NOTICE WILL BE DELIVERED IN N.E. Waterscape Design, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 9 Townsend Road Lynnfield, MA 019140 AUmT OMED REPRESENTATIVE th . George/LM5 qj--t�- ;L ^W%FFNW w mw Iwlwar ACOK0 CORPORATION- All rights reserved. INS026 (2Dmoonol The ACORD name and logo are registered marks of ACORO CERTIFICATE OF LIABILITY INSUKANGt OCARDS pID . ! American Insurance 122 Quincy shore Drive Quincy MA 02171-2906 ONLY AND CONFERS NO RIGHTS UPON THE CE7iTIFICATI HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ALTER THE COVERAGE AFFORDED BY THE POLICIES BEI INSURERS AFFORDING COVERAGE INSURER A: Ohio Casualty_— INSLIRERB: Caruso Corporation INsuRERc 320 ChaFgger Street INSURER Revers a 02151-4328 --..---------.. ....._ _. -- _-• - :INSURER E- COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSURED FUMED ABOVE FOR THE POUCY PERIOD INDICA MO. NOTWITHS rANDING 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 ANDCONOITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. D - — - POLICY NUMBER DATE MIODIYYYY GATE MMRiDRYYY LIMITS P OF iNSURANC6 MAIC 0 LTR N3RQ FA CHOCCVRRENCE S1,000,000 GENERAL LIABILITY A, X COMMERCIAL GENERAL UASIM 54318323 11/27/12 11/.27/13 PREMISES Eeoawance) 1 ZOO, OOO CLAIMS MADEl" I OCCUR MED EXP (Any Ow Demon) _ _ 210,000 _ • Incl Contractual PERSONAL BAOVINJURY 11, 000, 00_0 R InCl X, C, V GENERALAC.GREGATE 12,9_00.,900 2,000,000GENT. GENt AGGREGATE OMIT APPLIES PER- PROfXjCTS-Y . COMP/OP AGG - S 2 , 000, 000 -- POLICY JECT LOC • 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f 1, 000 , 000 A ANY AUTO BA054318323 11/27/12 11/27/13 1(EQ oatdent)- _- --- ALL OWNED AUTOS BODILY INJURY 1 - (Por palm) X SCHEOUI.ED ADIOS _.... BODILY INJURY X WREO AUTOS 1 (Per9cadmlf) X NON-OWNEO AUTOS ._ PROPERTY DAMAGE (PBreeddem : GARAOEUABIUTY AUTO ONLY -EA ACCIDENT Ld ANY AUTO OTHER THAN EA ACC AUTO ONLY AGG S EXCESS I UMBRELLA LIA BILITV EACH OCCURRENCE 1 _ - OCCUR CtAIM$MAOE - PGGREOATE _-W S. .-._-._• -._• -, .S -j OEDUCTIRLE t '----_---.. ' RETENTION 1I _---- 1 WORKERS COMPENSATION XJTORY LIMITS ER - N ANOEMPLOYERS•LIABILITI 'ANYPROPRIETORIPARTNEWEXECUMt] OFFICERIMRM9ER EXCLUDEM 54318323 12/01/12 12/01/13 E.L.EACHACCIDENT - -" 1500,0_00 _ (Mandalory In NN) E.L DISEASE • EA EMPLOYE E 5 O O, 0 0 0 If yes. domf under _ I F.L OISEA5E . POIJCY UNIT S 5 0 0 . 0 00 OTHER DESCRIPTION OF OPERATIONS I LOCATWNS J VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIORS OERATIONS OF INSURED ADDITIONAL INSURED: NEW ENGLAND WATERSCAPES CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE TNF EXI'MATIC DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O BAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO $HALL New England Waterscapes IMPOSE NO OBLIGATION ORUABIUTYOf! ANY KIND UPON THE INSURER.ITS AGENTS OR Attn: dreg Hummer REPRESENTATIVES. 9 Townsend Road AUTNORREPREPRESEMTATIV15 Lynnfield MA 01940 James J. Farren,CPCU,CRM 25 (2009101) 01988-2009 ACORD CORPORATION. All right$ The ACORD namD and logo are register marks of ACORD A� 0 CERTIFICATE OF LIABILITY INSURANCE °"'�` °�°°�Y""' 5/14/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE 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, H the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights t0 the certificate holder in lieu of such endorsemen PRODUCER Jaynes O'Connell Insurance Agen 758 Boston Rd Billerica, MA 01021 INSURED JOHN C ADAMS 17 LINKS RD w);8Tr0tD, MA 01886-1536 ACT NAME: LESLIE HANNON PMONe 978 667-6150 1 I FAX (Ar. N . (978) 667-0587 E�YIAI` ADDRESS: Jimins@OCONNELLIN3URANCE.NET INSURE 9 AFFORDINOCOVERAGE NAIC0 INSURER A: Merchants INSURER EI: THE HARTFORD INSURERC: INSURER D: INSURFRE: INSUR F : I :J .- 11�12wrscc !`FRTIFIf`ATF NIIMRF R- REVISION NUMBER: vTHIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION 01= ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS ANDCONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTfiR TYPEOFINSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NEW ENGLAND WATERSCAPE DESIGN UCYNUMBER POLICY EFF M MDI P UMTS A 17 GENERALUABIUTY IALCEWRALLIABILITY DICERcTED LASMADE OCCUR 77 DOPIOSS239 2/8/13 a/e/14 EACH OCCURRENCE $ 1,000,000 DAM4GETORE mo$500000 NEO EXP are person $ 15,000 PERSON4L8ADVINIURY S 1,000,000 GENERAL AGGREGATE S 2.000,000 GEN'LAGGREGATE LMIT APP LIES PER POLICY P O- LOC PRODUCTS-COMP/OPAGG S 2,000,000 f IWTOMOBILELIABWri ANYAUTO ALLOWNED SCHEDULED AUTOS NON-OWNEDQOPnDANAGE HIREDAUTOS _ AUTOS �D INGLELMrr a serer M 80DILY INJURY (Pm pamon) S BODILyINJURY (per ec010ent) S f f UMBRELLALIAB TCESS LIAR OCCUR CLAIMSM4DE EACH OCCURRENCE f AGGREGATE S DEO BETENTION S U VMKERSCOMPENSATION AND EMPLOYERS' LIABILITY ---1100,000 ANY PROPRIEIORIPARTNERIE)TOUTNE Y (Ma�RAl1Elory nN6ZEXCLUDED7 NI IfE8 descrlbe Under DfYSCRIPTIONOFOPERATIONS below N/A 6S60UB-4553P54-7-12 3/4/13 3/4/14 wcsrATu- 07H - E.L. DISEASE -EAENPLOY 100,000 E.L. DISEASE-POLICYLANR 500,000 091SCRIPTION OF OPERATIONS I LOCATIONS ! VENCLES (A =h ACORD 101, A00100nat Rcrrarks Schaduk, if more space ie recItimd) TILE WORK �,ww�r un, wco CANCFI l ATInId %)I 938AZU1U ACVKL) GUKI•UKAI1VrR. An ngms; reserves. ACORD 25 (2010105) The AC ORD name and logo are registered marks of ACORD Phone: Fax: (781) 334-4068 E -Mail' SNOULU ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NEW ENGLAND WATERSCAPE DESIGN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTA %)I 938AZU1U ACVKL) GUKI•UKAI1VrR. An ngms; reserves. ACORD 25 (2010105) The AC ORD name and logo are registered marks of ACORD Phone: Fax: (781) 334-4068 E -Mail' x LL D 0 m c N u6 Y -p O LL E y Q N 0 z C7 Z m 0 LL by D d' T cu U t6 C LL r0 b z Z J a tlD 3 d' (� C LL p Z Q U W J W Op 7 K N U i N C LL cc a Z H GD :3E K C LL W Q a G LU LL 7 m Z v N O E N occ= Cc 0 CLCD M= Q •«. c E c N V r S E Q CD 0 ' F YO O ICY W y / 0 Z r JV 0 Q Co • 0 v► - r. P CL Cc E An 1• L m N O .__ c •a > N = b: ca U c N O o Z � L N ,0 CD C 1o c r Ix N y- 3im CD �. •> c � a � L r \ Q .0 m. 0 d ... 0 c L ca 0 N tm : c. Q L LCCO O N 4 V m d I z LL 'y Q. H O O i N = -6- Z. Z, Z L 'E ��_� O LJ.I L v N i I•- �j• (� G> 0-0 d NQ' O C "- C O N .O F- t Z 0 -OU > 0 LU co Z o �m Z O co O Z V W c x Z W 0 F_- cn W W a Z L- 0 O � O O d Z N O D ^� O i W Q W O ^ W Win O cc O Q O. 0 Q OA v Cc J.a0 .QO4) rz O CL L) cc •c CL U) 0 � The Commonwealth of Massachusetts Department of Industrial Accidents Office of Inyestigations o+a e I Congress Street, Suite 100 Boston, MA 02114--2017 New England Waterscapes Design, Inc. June 3, 2013 Nine (9) Townsend Road Lynnfield, MA 01940 Notice of Decision Regarding Affidavit of Exemption for Certain Corporate Officers or Directors Pursuant to the provisions of MGL 152, Section 1(4) as the amended by Ch. 169 of the Acts of 2002 your affidavit has been reviewed and the Office of Investigations has determined the following: NOTE:. It is your obligation to submit an approved affidavit to your insurance carrier in order to complete this process. X The affidavit was approved on 5/30/2013. Attached please find your approved affidavit. The affidavit was rejected on . Your affidavit was rejected for the following reason(s): Related SWO Case 1D#: Affidavit ID #: 168262 dC; 77-1 (2 9 �xe Office of Consumer Affairs and BYiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Regisb6on: 173738 Type: Corporation Expiration: 1116/2014 NEW ENGLAND WATERSCAPES P S _(Gw GREGORY HUMMER 9 TOWNSEND RD LYNNFIELD, MA 01940 SCA 1 0 20M-05!11 (92. f,N ofrice of Consumer Affairs & Business Regulation WgeME IMPROVEMENT MIPROVEMENTCONTRACMR =6 on: .,jj3738 Type: iration--41- Corporation NEW ENGLAND WAT�#3SAPEE5E81GN INC. GREGORY HUMMER 9 TOWNSEND RD LYNNFIELD, MA 01940 Undersecretary Tr# 233407 -"'Update Address and return card. Mark reason for change. F1 Address E] Renewal r] Employment Ej Lost Card License or registration valid for individul use only before the expiration date. -1f found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MA 02116 Not valid without signature FORM 153 The Commonwealth of Massachusetts � rjWu;e 6dr : Department of Industrial Accidents -- Office of Investigations - Dept. 153 t � w ( 3 0 2LIi 13 I CanV*" 3UVet, 3UW 100, Boston, Mas=dn0etts 0Z114Z017 Mta//www=&gev/aa1ffWekLfflWOID#:- - AFFIDAVIT OF EXEMPTION FOR CERTAIN CORPORAL-- OFFICERS OR DIRF.Cf ORS Chapter 169 of the Acts of 2002 amended M.G.L. c. 152, §1(4) by adding the following paragraph: "This chapter shall be elective for an officer or director of a corporation who owns at least 25 percent of the issued and outstanding stock of the corporation. Notwithstanding section 46, these provisions shall apply only if the corporate officer provides the commissioner of industrial accidents with a written waiver of his rights under this chapter. Said commissioner shall promulgate regulations to carry out the purpose of this paragraph Violations of this paragraph shall subject the corporation to the penalties set forth in section 25C." Pursuant to M_G.L. c. 152, §1(4) as amended, We the undersigned officers of:, New England Waterscapes Design, Inc., 9 Townsend Road, Lynrfreld, MA 01940-1624 (Nu- or Corporation and Addresa) each holding at least 25% of the issued and outstanding stock in said corporation, do hereby invoke the right to be exempt from the provisions of M.G_L. c. 152, §25A and therefore are not required to carry a workers' compensation policy covering the undersigned corporate officer(s) or director(s). I/We the undersigned do also waive any and all rights to make claims for benefits as defused in M.G.L. c. 152 for any injuries that may be sustained while in the employ of the above-named corporation. Further, Uwe the undersigned do understand that, should the above-named corporation hire or have in its employ any employee(s) in addition to the undersigned corporate officer(s) or director(s), said corporation is required to obtain workers' compensation coverage for the employee(s) as prescribed by M.G.L. c. 152, §25A. VWe the undersigned have read and understand the statements and obligations as delineated above and Uwe have checked the appropriate box below my/our name(s) indicating my/our desire to be exempt or not to be exempt from the provisions of M.G.L. c. 152. Signed ander the and penalties of perjury: Gregory C. Hummer, President 05/292013C= .v v e Print Name &Title Z I to exercise my right of exemption or ❑ I wish NOT to exercise my rigid of exemption Date (=Wdd/YYYY) Z .221. < to O �rn Signature ❑ I wish to exercise my right Print Name & Title of =nption or ❑ I wish NOT to exercise my right of exemption Date (nMlddhyyyy) 3[ G2rn U3 Signature ❑ I wish to exercise my rigid Print Name & Title of exemption or ❑ I wish NOT to exercise my right of exempbmt Date (nm/dd/y)W) Signature Print Name & Title Date (n,/dd/yyyy) ❑ 1 wish to exercise my right of exemption or ❑ I wish NOT to excise my right of exemption Note: ALL ELIGIBLECORPORATE OFFICERS MUST SICK THERE CAN BE NOMORE THAN SIGNATURFS, les&uefims OR back Form 153 - 7/2010 D Nevi England Waterscapes Design, Inc. 9 Townsend Road, Lynnfield, MA 01940 Telephone 781-334-0026 SWIMMING POOL CONSTRUCTION AGREEMENT The terms on the reverse side are part of this agreement BUYER(S): Names... ..................................................... Site of Swimming Pool to Be Built ..... za('e.... .... _ Mail Address..................................6)l.i`o a ...... ��I�DC%/zt...... r..0 .......d Residence Phone ...... . ?....5.- '53 .. ©.��. ��...Office Phone ...................................................... New England Waterscapes Design, Inc. (hereafter "Waterscapes") agrees with the buyer or buyers above named (hereafter the "Buyer") to construct a swimming pool and/or spa in a good and workmanlike manner in accordance with the following terms and specifications. DIMENSIONAL SPECIFICATION Width .............. ?.. �............................ Length ..........i2................................. Water Surface area.......... 70.�5............................... Perimeter............1. l .......................... Depth....................................to........ ......... :Shape ...... 5/: ........ 1 .. AUTOMATIC EQUIPMENT SITE PREPARATION 36. Automatic Pool Cleaner: Yes (y(, ); No ( ) FOL4015 /A,G 1. Layout pool on site before excavation for approval by Buyer .................. Included Make .............. .........:...................... Model .............................................. 2. Set pool elevation on site before excavation for approval by Buyer ........ Included 37. Stub plumbing for future cleaner: Yes (x ); No ( ) ......................... 3. Trees in access, working area and pool site to be cut down by Buyer 38. Automatic Chemical Feeder:.. 4.t..,+9''TT77-X*r2p.... 3.&�i t..... so that stump does not exceed four feet in height ................................. By Buyer ►► 11 4. Uprooting of stumps and shrubs in access, working area and pool site POOL HEATER AND UTILITIES to be: By Waterscapes( ); By Buyer( ) 39. Deluxe Pool Heater/Boiler: Yes( ); No ( ) 5. Removal of walls, fences; and other above -ground obstructions in ac- Size ....... ........ Make ...... W. .... ndr/Outdr ......................... cess, working area and pool site........................................................... By Buyer Propane, ( JG ), Oil ( ), Nat ( ) 6. Remove from pool site on day of excavation only: 40. Heater venting and fuel connections...................................................... Stumps Yes L kNo fN Cut trunks & limbs Yes ❑ No 41. Automatic Time Clock............................................................................ Asphalt Yes A No ;5 Shrubs Yes ❑ No 42. Ropes and Floats.................................................................................. Concrete Yeslight(s), () No Other Debris Yes ❑ No G 43. Install underwater li ht s , each with 8' of c nduit: Number of truckloads allowed for removal of above material Yes ( x'); No ( ) watts "y (any additional loads required to be provided by owner) 44. Electrical bonding/grounding of pool as required by city or town or 7. Removal or relocation of cesspools, septic tanks, leaching fields, state code............................................................................................. sewers, pipes and utilities (overhead/underground)................................ By Buyer 45. Electrical wiring and connections........................................................... 8. Routine excavation of pool and removal of excavated material. See Terms and Specifications #5 on the back of this contract......................Included 9. Hand form and shape pool.................................................................... Included GENERAL CONSTRUCTION SPECIFICATIONS. 10. Steel reinforcing to be used in pool structure ......................................... Included 11. Reinforcing to be both horizontal and vertical in pool structure ............... Included 12. Steel reinforcing to meet or exceed all city, town, county and state codes.................................................................................................... Included 13. Quality controlled gunite structure (Buyer to water cure gunite daily for 7 days and fill pool promptly after plastering) ........................................ Included 14. Install continuous bond beam around skimmer ...................................... Included 15. One set of shallow end steps ............................ -7.44, Included ,�Ze: 45.�I�.....� (!1�eS1 Included 16. Finishing pool interior with waterproof plaster....... -........................................................ ed 19. Backfilling and grading.......................................................................... By'Buyer HYDRAULIC AND FILTERING SPECIFICATIONS 20. Approved deluxe filter -_ Model ........ W&40......1�.�L.....Size ........�Q.. `� '. .. Included 21. Pump and motor: Type ..... EW.0 .....Size..... a ...................... Included 22. Hair and lint strainer............................................................................. Included 23. Pressure Test all pool piping.................................................................. Included 24. Hook up all water lines from filter to and from pool ............................... Included 25. Non -corrosive plumbing throughout....................................................... Included 26. Hydrostatic Valve................................................................................... Included 27. Provide return inlets for filtered water to pool ......................................... Included 28. Main drain suction line with grate.......................................................... Included 29. Automatic recessed deluxe skimmer ...................................................... Included 30. Leaf strainer basket in skimmer............................................................. Included 31. Vacuum fitting outlet in skimmer............................................................ Included 32. Free floating action skimmer weir.......................................................... Included 33. Up to 20' of plumbing between filter and skimmer ................................. Included 34. Precast concrete pads for pool equipment ............................................. Included 35. Backwash line....................................................................................... Included SPA 46. Hydro Therapy Spa Yes ( ); No () Attached ( ); Separate ( ), Lig t Yes( ), No( ) SALES TAXES AND INSURANCE 47. Payment of all sales taxes on pool components and accessories pro- videdhereunder.................................................................................... 48. Comprehensive motor vehicle insurance on all motor vehicles; worker's compensation insurance on all workers; public liability and negligent property damage insurance................................................................... GUARANTEE 49. (See separate guarantee).................................................................... ACCESSORIES 50. Deluxe cleaning tools (18" nylon brush, Hand leaf skimmer, ther- mometer, pool test kit, deluxe vacuum) .................................................. 51. Diving board: Yes ( ); No ( X) Make............................ Size............................ �elor............................ 52. 3 tread stainless steel ladder: Yes ( ); No ( C) 53. Pool slide: Yes ( ); No (Xx ) Curve Left ( ); Curve Right( ) Color ............................................. 54. Slide, diving board jigs, grab rail jigs and ladder jigs to be installed by decking contractor or buyer vl)a Included v0 - By Buyer Included Included ,:�w C /-- By Buyer By Buyer Included Included Included Included OTHER 55. Raised Bond Beam: Yes ( ); No ( A 6"...........................ft., 12 ............................. ft., 18 ............................. ft. 56. Initial start-up chemicals. 25 lbs. D.E. and 48 oz. Pool Shock ................. Included 57. Provide initial start-up & instruction........................................................ Included 58. Rock Pack$............................................................................... Not Included DDITION�L SPECIFI5C TI NS ' / / ...... Ll l/! .....Y.�1.12 ......!rtJ..... a2 �. !? -4 ............. G Ili L [_ . ..... ... ... . .�1` ..... .....��i. k?%t+4.I.l ice......... �.VyP p VV 1z t Gfl-A7+� t� tcJ� vGr9t��v�L PAYMENT The Buyer agrees to pay Waterscapes the following Contract Amount for Waterscapes performance of its obligations under this Agreement: CONTRACT AMOUNT $D r D g 5% DOWN PAYMENT $ BALANCE 5 EE $ PAYMENT SCHED 40% Date sc eduled fo xcavation. $ 55% Date sche d for Gu ' e Installation. $ 5% Date scheduled f applicatio of Plaster finish prior to commencement of work. $ THE BUYER UNDERSTANDS THAT BY SIGNING THIS AGREEMENT, HE OR SHE ENTERS INTO A CONTRACT WITH WATERSCAPES CREATING LEGALLY ENFORCABLE RIGHTS AND DUTIES FOR BOTH WATERSCAPES AND THE BUYER CONCERNING WATERSCAPE'S CONSTRUCTION OF A SWIMMING POOL, MEETING THE SPECIFICATIONS CONTAINED IN THIS AGREEMENT. ANY CHANGES IN ANY OF THE TERMS OR SPECIFICATIONS OF THE AGREEMENT MUST BE MADE IN WRITING SIGNED BY WATERSCAPE AND THE BUYER, AND NO VERBAL CHANGES IN THESE TERMS AND SPECIFICATIONS ARE PERMITTED. AS PART OF ITS OBLIGATIONS UNDER THIS AGREEMENT, WATERSCAPES IS PROVIDING THE BUYER WRITTEN GUARANTEES REGARDING THE SWIMMING POOL WHICH IT WILL CONSTRUCT PURSUANT TO THIS AGREEMENT. THESE GUARANTEES ARE CONTAINED IN A SEPARATE DOCUMENT WHICH IS PROVIDED TO THE BUYER WITH THIS AGREEMENT. THE BUYER HAST IGJ IT TO�G�EL THIS AGREEMENT AT ANY TIME BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE ON WHICH EITHER THE BUYER OR WATERSCAPES IG D TH ,P RM BY GIVING WRITTEN NOTICE OF CANCELLATION TO WATERSCAPES. BUYER _ DATE: 5 NATURE OF SWIMMING POOL CONSTRUCTION AGREEMENT 1. This Swimming Pool Construction Agreement is an agreement for construction of a pool and/or spa in accordance with the terms and specifications set forth herein. It does not provide for certain items necessary for a completed pool project. The Buyer is responsible to make an additional provision for decking, fencing, backfilling, grading, retaining walls, landscaping and drainage. The Buyer is responsible for providing all necessary electrical work and for the provision of acceptable water to fill the pool. PREPARATION OF ACCESS, WORKING AREA, AND POOL SITE 2. Waterscapes requires access to the pool site and a working area at the pool site. Unless otherwise agreed, the Buyer shall be responsible for providing an adequate access, an adequate working area, and a pool site dear of all trees, stumps, plantings, fences, walls and other obstructions and structures. The access and working area must be capable of supporting the operation of heavy equipment during the construction of the pool, and in the event the access and working area will not allow heavy equipment to operate, the Buyer shall be responsible for the corrective work necessary_to pernit.coristruction to proceed. Waterscapes shall not be responsible for any damage to property (such as curbs, sidewalks, driveways, sewers, cesspools, septic tanks, pipes; utility lines, patios, lawns, trees or shrubs) within the access, working area, and pool site during construction. COMPLIANCE WITH ZONING,, PERMITS, VARIANCES AND ORDERS OF CONDITIONS 3. The Buyer has the responsibility to secure all permits, variances, and orders of conditions necessary for pool construction and is solely responsible for ensuring that the on-site location of the pool complies with the local zoning and any applicable deed restrictions, variances, or orders of conditions. Waterscapes shall have no responsibility in the event of any noncompliance. ON-SITE LAYOUT OF POOL LOCATION, SHAPE AND ELEVATION 4. Prior to excavation, the pool location and the elevation of its rim shall be laid -out on site by Waterscapes with notice to the Buyer, and the Buyer or a representative authorized in writing shall be present and shall approve in writing the on-site pool location, shape and rim elevation. After excavation is completed, Waterscapes shall have no responsibility to change the approved pool location or shape or the approved elevation of the pool rim. EXCAVATION AND SITE CONDITIONS S. The contract price is based on a "routine excavation" which is defined as being an excavation on a pool site which meets the following conditions. The pool site is not filled ground and does not contain any peat or other organic material, stumps, expansive material (such as wet clay) or buried trees. There is no ledge, rock formation, boulders, underground tanks, leaching fields, sewers, pipes, underground utility lines or other man-made obstructions to excavation. The -existing earth material around and below the pool shell is capable of bearing the weight of the pool. The pool site contains no groundwater ('Groundwater" shall be construed to mean any water encountered during the excavation of the pooQ. . ADDITIONAL WORK ON ACCOUNT OF SITE CONDITIONS 6(a). When Waterscapes discovers one or more of the site conditions listed in Paragraph 5 during the course of its excavation for a pool, it will, as fully as possible, disclose to the Buyer the nature of the site condition and give its best estimate about the extent of the condition. Waterscapes will specify to the Buyer the construction work and materials necessary to deal with each such site condition. Waterscapes will make a good faith estimate of the amount of work and materials involved if Waterscapes has discovered enough about the site condition to be able to give such an estimate. In some cases, additional excavation is required before the extent of the condition can be determined and, if this is the case, Waterscapes will so advise the Buyer. (b). After the discovery of a site condition requiring additional costs, the Buyer shall have the option of requiring Waterscapesto fill the excavation with suitable fill; if the Buyer elects this option, the Buyer shall be responsible for Waterscapes's actual costs of site preparation, excavation, hauling, dumping, filling and materials plus 20% for overhead. (c). If site conditions require work at additional cost, Waterscapes will submit a written offer to do the work except that Waterscapes need not submit an offer to do blasting, jackhammer work, and removal of cesspools, septic tanks; leaching fields, sewers, pipes or utilities. The Buyer may make his or her own arrangements at his or her own expense to have any such additional work, required by site conditions, to be performed to Waterscapes's specifications, as are reasonably necessary for completion of the pool. ROCK PACKING WHEN WATER IS ENCOUNTERED 7. If, during the course of excavatidn; any ground water is encountered, or soil conditions with low percolation rates, the completed excavation will be rock -packed (a layer of crushed stone will be spread in the deep -end bowl of the pool) to stabilize the excavation and to provide a footing at an additional cost of $475 to the Buyer. If removal of 50 gallons of water per minute over the course of a one-hour period is exceeded by ground water infiltration into the excavation, and Waterscapes determines that the pool is unbuildable on account of the water condition, it shall notify the Buyer, and its obligations under this agreement shall thereafter be limited to filling the excavation with suitable fill, and the Buyer shall only be responsible for Waterscapes's actual costs of site preparation, excavation, hauling, dumping, filling, and materials plus 20% for overhead. DIMENSIONS ARE APPROXIMATE, LIQUIDATED DAMAGES FOR DEVIATION 8. The length, width, and depth dimensions of a pool or spa are approximate with up to six inch tolerances either way and within such tolerances shall be deemed to meet the specifications contained in this agreement. The perimeter and water surface area of an irregularly shaped pool, if specked, are approximate with tolerances up to 3% either way. If any deviation in length or width of a pool is greater than six inches but will not substantially affect the normal use and enjoyment of the pool Waterscapes, as the remedy, shall credit the Buyer $3 per square foot for a water surface area in excess of the area specified on the reverse side and $9 per square foot for a water surface area less than the area specified on the reverse side. If any such deviation in depth of a pool is greater than six inches but will not substantially affect the normal use and enjoyment of the pool Waterscapes, as the remedy, shall credit the Buyer $20 per inch for a depth in excess of six inches over the depth specified and $50 per inch for depths less than six inches under the depth specified (the depth of the pool is the distance between the finish floor of the pool and the middle of the water line tile). If any deviation in perimeter or water surface area of an irregularly shaped pool is greater than 3% but will not substantially affect the normal use and enjoyment of the pool Waterscapes, as the remedy, shall credit the Buyer $3 per square foot for excess water surface area and $9 per square foot for deficient water'surface area. COMPLETION OF THE POOL 9. Waterscapes shall use reasonable good faith efforts to ensure completion of pool construction within a reasonable time. Allowance shall be made for delays due to inclement weather, frozen or water saturated site conditions, lack of necessary permits or inspections, delays by outside contractors, labor unrest, acts of God or other circumstances beyond Waterscapes's control. The Buyer shall use good faith reasonable efforts to ensure timely performance of the work by outside contractors and.promptly to.advise Waterscapesuponcompletion of any work necessary for the performance of additional work by Waterscapes. The pool will be deemed complete upon application of plaster finish. Following completion of the pool, Waterscapes will not be responsible for the removal of gunite rebound -material, which -is a-gunite by-product produced during the gunite application and is buried during backfilling. The conttactor reserves the right to cancel this agreement if the start of construction is for any reason delayed (100) one hundred days from the date of this agreement. WORKING DAYS 10. Working days are to be defined as any weekday Monday through Friday, (weekends, legal holidays, days with precipitation exceeding .02 inch in any 24 hour period or days with temperatures below 38 degrees Fahrenheit in any 24 hour period are not considered working days). After completion of the gunite application no further working days will be counted until the buyer has notified Waterscapes that the backfilling process is complete. After the the and coping is complete no further working days will be counted until the buyer has notified Waterscapes that the decking installation is complete. Delays caused by municipal and or local regulations (such as electrical inspections, recertification of pool location, surveys, eta) or outside contractors such as electricians, decking contractors, landscapers, etc., are not to be considered working days. No warranty work Will be performed during the months of October, November, December, January, February and March. The pool will be deemed completed upon application of plaster finish. PAYMENT BY BUYER 11. With notice to the Buyer as to each date, Waterscapes shall schedule dates for the commencement of excavation, for the commencement of gunite installation, and for the commencement of plaster finish application. Upon Waterscapes's arrival at the pool site on each such date ready, willing, and able to perform, the Buyer is obligated to make a payment specified on the first page of this agreement. Non-payment by the Buyer at or prior to such -time shall be a breach of this agreement and shall relieve Waterscapes of further obligation to perform under this agreement, provided that no payment shall be due from the Buyer until Waterscapes has completed all the work necessary to permit commencement of the work scheduled on the.given date. In the event a Buyer makes payment within fourteen days of the due date of a missed payment, the breach of contract shall be cured, and Waterscapes shall resume work within a reasonable time, but the Buyer shall be liable to Waterscapes for the value of the labor and equipment plus 20% for any corrective work required as a result of the work not having proceeded as scheduled (this amount shall be added to the amount due at the next stage of construction). Any outstanding payment due prior to the date scheduled for application of plaster finish is to be paid by Buyer, prior to application of plaster finish, in either a Bank Check or Cashier's Check. If Buyer does not cure the breach and Waterscapes institutes legal action against Buyer on account of non-payment of the amount due, the prevailing party's costs and, expenses in such legal action, including reasonable attorney's fees, shall be paid by the losing party. If the Buyer shall wrongfully breach the Buyer's payment obligations for pool -related work performed by an outside contractor (such as an electrician or decking contractor), and such contractor shall assert a lien pursuant to G.L. a 254 s.al, Waterscapes's obligations under this agreement may at Waterscapes's election, be suspended until such time as the Buyer cures such breach. WATERSCAPES'S INSURANCE COVERAGE 12. All workers involved in construction of the pool shall be covered by Worker's Compensation Insurance. All vehicles brought on the site shall be covered by Comprehensive Motor Vehicle Insurance. WATERSCAPES' NOT LIABLE FOR WORK OF OUTSIDE CONTRACTORS 13. Waterscapes will not be responsible legally or otherwise for work performed by outside contractors, such as electricians, landscape contractors, decking contractors, fencing contractors, blasting contractors, eta, or for any personal injury or property damage, including damage to the pool caused by such outside contractors. The Buyer shall be responsible to ensure timely, workmanlike performance from such outside contractors and adequate insurance coverage for the work performed by them. If Waterscapes shall refer the Buyer to an outside contractor, it does so as a gratuitous customer service and does not undertake any responsibility, legal or otherwise, on account of such reference. CARE OF THE POOL AND SAFETY OF ITS USERS 14. Upon application of the gunite, in order to permit proper curing, the Buyer shall wet down the gunite twice daily for a period of seven days. Upon completion of the pool, the Buyer shall be responsible for its proper care and maintenance and to ensure that the pool water is kept in proper chemical balance. The Buyer understands that misuse of a swimming pool, diving board, slide, ladder, or spa can result in personal injury, and that the users of a pool and its associated equipment must behave responsibly with a high regard for the safety of the users of the pool, and Waterscapes shall have no responsibility for any injury Im or damage resulting from the Buyer's failure to maintain the pool and its equipment in a safe condition or from any misuse of the pool. BUYER TO PROVIDE TEMPORARY FENCING DURING CONSTRUCTION 15, The Buyer understands that for their own safety, unauthorized persons, specifically children, must be kept out of the work area and pool site from the time excavation is commenced. The Buyer shall provide suitable temporary fencing surrounding the work area and the pool site with a gate or suitable means of closeable access for construction equipment. Upon completion of the pool, the Buyer shall be responsible to replace the temporary fencing with permanent fencing. GUARANTEES AND WARRANTY 16, Waterscapes provides a written Limited Warranty which specifies certain guarantees and warranties on the pool, the plumbing, and the equipment. Except as may be otherwise required by law, Waterscapes's Limited Warranty contains all the guarantees and warranties given by Waterscapes. 17, WATERSCAPES'S LIMITED WARRANTY DOES NOT COVER CHECKING OR HAIRLINE CRACKING OF THE POOL'S PLASTER FINISH WHICH DOES NOT RESULT IN THE POOL LEAKING, HAIRLINE CRACKS IN THE TILE GROUT OR IN THE COPING STONES, THE LIMITED WARRANTY DOES NOT COVER DAMAGE TO THE POOL STRUCTURE IF CAUSED BY IMPROPER WINTERIZATION, FLOTATION OF THE POOL SHELL, INADEQUATE BEARING CAPACITY OF THE SOIL UNDER THE POOL FLOOR, EARTHQUAKE, FLOOD OR OTHER ACTS OF GOD. POOL IS NOT GUARANTEED AGAINST FLOTATION. THERE IS NO GUARANTEE THAT THE PLASTER, TILE AND COPING WILL BE UNIFORM IN COLOR AND WILL NOT BE SUBJECT TO STAINING AND MOTTLING. THE AGREEMENT AND WARRANTY ARE THE ENTIRE CONTRACT. THE AGREEMENT AND WARRANTY ARE THE ENTIRE CONTRACT I& This agreement andWatersrapes's Limited Warrarity constitute the, entire contract between the Buyer and Waterscapes with respect to construction of the pod. There can be no modification or amendment of any of the terms of this agreement except by a writing signed by both Waterscapes and the Buyer. This agreement binds all signing as the Buyer jointly and severally and shall inure to the benefit of Waterscapes's assigns. If arty provision of this contract is for any reason declared void or enforcable, thie'shall not affect the validity of the remaining provisions. 04 ro s-4 �� rn O N O z O O x + +, zo0,oO U M � N Q) •� a �iD�iTS o 1�/ \ W4V c II UO .� 366�� 0r. ^\ 0E" Q a� \U O a O W rn \ �� Z 4� YJ CO U O U S O o CO co \ O 0 0 Co co O U N C� \ 1 ,Op',Pt, rAl LO O 00 W U �i co c» O b � 0 ^ O d' N p II M�� 4 >.� U U > U �:l V) -4- U) U) 'U)U) 4 Xo�- y . ,. r., i � �