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Building Permit #881-15 - 292 CANDLESTICK ROAD 5/6/2015
® 14ORTH 1 BUILDING PERMIT TOWN OF NORTH ANDOVER ° o APPLICATION FOR PLAN EXAMINATION * - S b Permit NO: Dat � � e Received SS Date Issued: �9ACHUS MPORTANT: Applicant must complete all items on this page r zi } MAPO P� t-' k CTT . � . 1,:;,r N. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ')q One family ❑ Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other IRV V1Gater�welff £,� oeia4cew,eo wiy c�Uw�S wD 's U&u t Cir c:�7 5�ei- Identification Please Type or Print Clearly) OWNER: Name: 54ejoL ek7 ggrefy PhoneC'?7*jv't4��1�Iff Address: ot a�'R 4"'Up, § iv r r 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: $ //, S7cs FEE: $ V�9.-D Check No.: Receipt No.: �2k-75 r NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �[ f13tElre� et� �el', ,�..;-i�!-,., , .%�,*,::i, ;�"Vl" !�......� !i • , .�_�._'� :. .." !i � '. ,t,� r -!---:.!i. . .... .�f_� -NZ-�A,-,: '. ,., , ; . ,1, ,- � .: ,I I I- -;1,t,-,� �",,,,:�� 1..., , , , - .. , ... .'k .. . .... a:��,:qi;,:;, � , .1.1, 'Yll �11:�� i, :- ;4�,,.: - 11 � , .. ,;:i.;I. -.. ,�;.., ,�,;,.�j�,:.:yi;,j�,�!I. 1,": it��, ;,,,_.., ,.H:'�-�:-, ",l .. , ,�il � a i ,,:.�,- .,-I��i.:1.!;�,V-,;�Y,`'!', : , . 1:�:i;�:i,t`-$.ii,��I di,�,':,'l::!!::t�:� .1�j::��.",�.?p..�,�-q; ,'..1,:, .*_, - � . . .s j'. ;; , "',, I �;! - , �li. ! , I , !i"', I. �:1 �. , 1�I,j j! ', I -, ji;!- . ,...:-!.-';,,;'I-A!-' , . .1: i I , , t�'.i,�.1,,�Z,, , . : . . 1 .� : I. '13�Ili,,i!.'l; 1�I I I x ,, �*:, ; : ,I.1, , �, t� i I , i � , .I � .. , -., 4,�.". 1,,*�',,'! 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I - : I ,; .",, ; . .%I.: t � - - '. 14� 1,�- I 41 . . -, . 5 11A, � .:,. � ''i. :;: ii 4. .i �,: J� % - . ..� �i ",.� ;, . . i ,;. . .1, , , . - .1.I ., ,��,, ;;t - , ,.��."', ,;: . .. , . . �:�, 4.�!Lj�.: i P'l 141i I:: � w , , : ,� . , ��_ I - .�. .14�al - Plans SutOifted ❑ Plans Waived ❑ Certified Plot Plan�R stamped Plans ❑ Type"F SEWERAGE DISPOSAL Prblic Sewer ❑ Tanning/Massage/Body Art ❑ 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 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 a 'Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit „DPW Town Engineer: Signature: Located 384 Osgood Street F;IRE: DEPA TMENT r Temp ®uP,,p ,ter on.site dye ow. �(Lo t d at 1y, `Mai S rfee`t . Fir De a ent sig ure d�`to- _ - - - .: Dimension Number of Stories: Total square feet of floor area, based on Exterordimensions. 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 NOTES and DATA-- (For department use) ❑ Notified for pickup Call Email Date _ Time Contact Name Doc.Building Permit Revised 2014 i; . , Building Department The following 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 o 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 ❑ 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/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 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 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 f ,A TH Town of Andover No. _ 16 - �O LANE h A ver, Mass,COCMIcntwh A�R•eTIE.P 'MIT T S U BOARD OF HEALTH Food/Kitchen LD Septic System THIS CERTIFIES THAT ......:.. 7.G �..:.. ! C..r.:.... BUILDING INSPECTOR �-�.... .Fes... ... �'• � ?:��.................................................................... has permission to erect .......................... buildings on 4:�5�.�,�.� ,sf... .. .............. Foundation � Rough to be occupied as .................: .� ..�- . !::'��( �-?�' ........................................................................... ••• Chimney provided that the person accepting this permit shall in every 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 CONSTRUCTIOV TARTS Rough v Service ...... G!?: ................ BUILDING.INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. Morgan Exteriors LLC 130 Rockingham Rd. Londonderry N.H. 03053 April 20, 2015 Stephen Kareta 292 Candlestick Road North Andover, MA 01845 Dear Stephen, Thank you for allowing us the opportunity to bid on your home improvement project. I would briefly like to tell you about Morgan Exteriors, LLC and why you should choose us for your remodeling project. Morgan Exteriors protects your property by covering you with $2,000,000 of liability insurance. Workers Compensation Insurance covers all of our employees so you are not exposed to any Liability. We are licensed and registered in Massachusetts and New Hampshire. Home Improvement Contractors Registration # 146964. We are members of the Better Business Bureau (BBB), N.H. Home builders and Remodelers, and the National Association of Remodelers. We are also recipients of the Angie's List Super Service Award year after year and have achieved Elite Pro Status with Home Advisors (formerly known as Service Magic). As a legitimate and dependable remodeling company, we maintain these affiliations and credentials to provide you with the highest level of confidence and customer service. All of our window mechanics and estimators are certified installation experts, and attend pre-approved on-going training to keep them up to date on the latest technological advances in windows including the local building codes and window specifications. With a permanent place of business and almost 20 years in the remodeling industry, we take pride in our quality workmanship and specialty services offered to our clients. Very Truly Yours, Lou Chalifour 978-973-8375 (mobile) Morgan Exteriors LLC 130 Rockingham Rd. Londonderry N.H. 03053 This project has been specified in accordance with local building codes, industry standards and the manufacturer's specification requirements. Certified craftsman will install all work, to insure qualification for the manufacturer's Lifetime warranty. General scope of work: Remove interior trim stops from the sides and top of the windows. Care is taken to cut the paint line to minimize chipping of the interior finish. Expect paint to chip at the joints. Touch up of the interior trim is not included. Remove the existing wood sash top and bottom. • Insulate any cavities with fiberglass or low-expansion foam insulation where possible. • Remove the parting bead if existing at the sides and top. • Apply Silicone sealant to the interior of the exterior stops. • Insulate the base/sill of the wood openings. • Insulate the head expander of the new window system. • Install the new replacement windows plumb and square. • Screw the new windows to the original wood frame. Adjust the expander on both sides to remove any bow in the master frame. • Insulate both sides of the new windows with low-expansion foam insulation. This will prevent air movement at the perimeter of the window and reduce any drafts. The insulation also reduces noise infiltration. Interior Finish: • Reinstall the original interior trim. • Caulk the perimeter of the interior with paintable Silicone sealant. • Clean all windows upon completion and vacuum work area when done. • Canvases are used during installation when needed. • Replace any rotted framing lumber at $6.00 per foot. • Replace rotted sills at$70.00 each. 2 - - i I i I i Morgan Exteriors LLC 130 Rockingham Rd. Londonderry N.H. 03053 Window Specifications: OKNA 500 Series Insul-Tec Deluxe Glass Type: XR-5 Double-pane with Argon U-Factor: .25 Remeasure, order, inspect, and install: Qty: 21 Style: Double Hung Qty: Style: Qty: Style: Qty: Style: Interior color: white Ext. Color: white Grids: ✓ contour flat Wrap exterior trim with aluminum.... Style: Color: A- Solid UPC Vinyl Construction Will not scratch, dent or corrode like aluminum and wood materials. ® Fully Welded Frame and Sash Eliminates separations and air leaks, supplying maximum strength and energy efficiency Foam-Filled Frame & Sash Adds Improved Energy Efficiency Power LiftTm Balance System Smooth Window Operation-Never needs adjustment Full Interlock with Triple Weather-Stripping Provides Low Air Infiltration for Increased Comfort and Thermal Efficiency. This Window has an air infiltration rate of 0.02cfin/ft2 which is 15 Times Less Air Draft than Industry Allowed Air f 0.3c In Infiltration Rate o .fi fnilft2 • One Piece Sloped Sill Eliminates Clogged and Frozen Weep Holes-Stops air infiltration and chimney effect drafts. • Insulated Extra-Strength Glass Package Increased Strength and Sound Reduction. HeatSeal®Warm Edge Spacer Guarantees Your Home the Warmest Glass and Least Condensation Possible. • ClimaGuardTm Heat Reflective Coating Keeps Your Home Cooler in the Summer and Warmer in the Winter. This Reduces Heating and Cooling Costs and Significantly Reduces Harmful UV Radiation. This Window has a U Value of .25 which is the Lowest in the Industry for Double Pane Windows. - Push Button Spring-Loaded Night Latches Adds Security While Allowing Both Window Sashes to Remain Partially Open for Ventilation. Factory Installed Half Screens Thru Vision Plus Fiberglass Screens are Removable for Convenient Seasonal Storage. 3 i i Morgan Exteriors LLC 130 Rockingham Rd. Londonderry N.H. 03053 General Details: 1. Dispose of old windows and scrap material. 2. Work area shall be kept neat and clean on a daily basis and returned to normal upon completion of the project. 3. All work shall have a Lifetime workmanship warranty. 4. A Lifetime materials warranty shall be provided upon receipt of final payment. 5. All work follows existing OSHA regulations as mandated by 29 CFR 1926 for the construction industries. 6. We are a Lead-Safe EPA Certified Renovation firm and follow all lead-safe work practices as required by law. If your house was built prior to 1978 and lead paint is detected on the windows that are being replaced, there will be an additional $75 charge per window in order to comply with these laws. 7. All work will follow local building code requirements and any permits required will be obtained by Morgan Exteriors, LLC. Actual cost of these permits are the responsibility of the homeowner and will be added to the final bill. 8. We maintain a current General Liability and Workman's Compensation Insurance Policy. A copy is available upon request to verify coverage. 9. Windows will be installed 4-6 weeks from the day of re-measure (please add 2-3 weeks for custom colors or tempered glass), and will take approximately 1-2 days to be installed. Special Instructions: 4 � - . � Morgan Exteriors LLC 130 Rockingham Rd. Londonderry N.H. 03053 Certifications & Affiliations CertainTeed Vinyl Carpentry Master Craftsman Dreamspace® Sunroom Dealer Advanced Alside Siding Product Specialist Exclusive Starmark Window Dealer Advanced Alside Window Specialist Thermal Industries Authorized Dealer Factory Direct OKNA Window Dealer Energy Star Retail Partner INVESTMENT TOTAL FOR SPECIFIED WINDOWS We hereby propose to furnish all labor and materials in accordance with the above specifications for the sum of: $11 ,875 Price includes all coupons and discounts. 1/3 deposit at acceptance of proposal Deposit received: 1/3 due at start of project Date: 04/20/15 Check#: Visa 1/3 due at completion Amount: $4,000 Authorized Signature Date 04/20/15 Authorized Signature Date Morgan Exteriors — Date 04/20/15 Representative Acceptance of Proposal Terms and Conditions Since this contract is for made-to-order goods,it is not subject to cancellation other than the inability to obtain financing or proper permits.If you cancel this contract any time subsequent to the third business day after the date of the contract and prior to the start of work.You agree to pay us the difference between our estimate of the cost of material and labor and the amount of the total sale.(Our lost profit)You agree to pay according to the above schedule of payments.If you fail to pay according to the terms above then you must pay a collection cost equal to our actual costs of collection up to 15%of the total amount you owe.Plus attorney's fees and court costs.Any unpaid balances will incur interest charges of 18%annual or 1.5%monthly. 5 - - Morgan Exteriors LLC 130 Rockingham Rd. Londonderry N.H. 03053 Right of Rescission I have the right to terminate this contract within three (3) business days of signing this agreement. If I choose to terminate this contract, I will contact Morgan Exteriors, LLC office on or before 04/23/15 . In the event I terminate this agreement there will be no penalties, and any deposits of mine will be promptly returned. If the customer is a corporation or limited partnership, the undersigned, jointly, severally or individually hereby unconditionally guarantees the obligations stated herein. Signature �\ Date 04/20/15 Signature Date 6 Okna Windows & Doors 215—788—7000 KCI—IG_— —1 5500DHdx—New Construction Double Hung Deluxe (5500DH—D) National Fenestration ;Vinyl Frame Foam Filled•314"Insulated Glass unit Rating Councit0• •Low—E High Pert.Glass with Argon Gas With Grids — _ Vertical Slider — — — — ENERGY PERFORMANCE RATINGS U—Faclor(U.S./I—P) Solar Heat Gain Coefficient 4 .25 4 .27 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance 0 .49 62 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of environmental conditions and a specific product size. NFRC does not recommend any product and does not warrant the suitability of any product for any specific use. Consult manufacturer's literature for other product performance information. www.ntrc.org ENERGY STAR" Gualifled In All 1 States The Commonwealth of Massachusetts Department of IndustrialAccidents d 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): 0/' �`zdj Address: City/State/Zip: 0316 Phone#: ((�03) 9,S0 9,;-_ Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition I❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 E]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 its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this 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 have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. n Insurance Company Name: !'Q y c4e GV T Policy#or Self-ins.Lie.#: JyfUVI::/ - Expiration Date: /4/s /cr_ Job Site Address: ��ldt CG�oU�3f�`�fG City/State/Zip:, / 4vte- ,� Odfeys_ 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 verifica•on. Ido hereby ce fy under therns andpenalties ofperjury that the information provided above is true and correct. Si nature: I Date: -7 Phone# C U1�3 s_�© ! Official use only. Do not write in this area to be completed b city or town official. .ff Y P Y ty .ff' 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#: Information 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 of hire, 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 enterprise,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 be 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-contractor(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 enter 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 burn 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 Congress Street, 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 --� CERTIFICATE OF LIABILITY INSURANCE 04/23/2015D/YYYY) 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(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Paychex Insurance Agency Inc PAYCHEX INSURANCE AGENCY,INC. 150 SAWGRASS DRIVE PHONE FAX 877-266-6850 FAX 585-389-7426 ROCHESTER,NY 14620 E-MAILESS� Certs@paychex.com AD R INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: NorGUARD Insurance Company 31470 MORGAN EXTERIORS LLC INSURER B: 1308 ROCKINGHAM ROAD LONDONDERRY,NH 03053 INSURER C: 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. NSR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR NSR WVD (MMIDDIYYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES(Ea occurrence) $ =1CLAIMS-MADE[::]OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: POLICY =PROJECT=LOC PRODUCTS-COMP/OP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) AOBODILY INJURY $ SCHEDULED (Per person) AUTOS SCAUTOS NON-OWNED BODILY INJURY HIREDAUTOS AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND MOWC578120 09/15/2014 09/15/2015 X WE STATU- OTH- EMPLOYERS'LIABILITY TORY LIMIT ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000.00 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000.00 (Mandatory in NH) Yn N/A E.L.DISEASE-POLICY LIMIT $ 500,000.00 If yes,describe under DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION ATTN BUILDING DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 120 MAIN STREET DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY NORTH ANDOVER,MA 01845 PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 1 ACORD 25(2010/05) @1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I I Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License:CS.092194 %,tiF'.rt ti MARC W COUTUE 114 LANGFORDJkD. r RAYMOND NS 8307 41-440- Expiration Commissioner 07/1712015 Office '� • . of Consumer Affairs.and Business Regulation 10 Park Plaza - Suite 5170 Boston,Massae etts 0211.6 Home Improvement C or Registration Registration: 146964 TWO: Ltd Ltabillo Partne a MORGAN FJCTERIORS.LLC. w Expiration: .6/2/2015, Tri: 240532 MARC COUTURE X '130 ROCKINGHAM RD. LONDONDERRY, NH 03053 4 - 6cA I'* 2014-0r�jt see 'Update Address-and return card.Mark reason for.chaage. _. n Address El Renewal E] Employment. Lost Card • Jrce of�m tune r Affairs B� �eefld > ME IMPRO °iaepa Licensdor registration•valid for individul use only Type Ulration: E1116ENT CONTRACTOR before the ezpirMion•date. If found reinro to: �'Ltd'Ua08➢ce of Conanmer Affairs and Busi4ess Regulation Wilyr Partner t0 Park Plaza.Suite.5170 MORGAN EXMR10 Boston,MA 02116 MARC COUTURE - 130 ROCKINGHAM RD. LONDONDERRY,NH 03053 g"` Undersecretary ANOt'va-lid-without signature Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration % Registration: 146964 ' r f Type: Ltd Liability Partne 6 = _ ` Expiration: 6/2/2017 Tr# 265529 INt MORGAN EXTERIORS LLC. MARC COUTURE 78 LONDONDERRY TURNPIKE ',` _ ---- — --- --- HOOKSETT NH 03106 ' date Address and return card.Mark reason for change. SCA 1 .?; 20M-05/11 Address ❑ Renewal [:] Employment Lost Card C>��ie iparr��woeauecz�o�C�/�aQari�eraeG� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: ,?„146,964 Type: Office of Consumer Affairs and Business Regulation Expiration 6/2I201.7Ltd Liability Partne 10 Park Plaza-Suite 5170 Boston,MA 02116 MORGAN EXTERIORS LLC 4' MARC COUTURE J .` + `/` 78 LONDONDERRY TIRt�PfKf, x.x4> HOOKSETT,NH 03106 ”' - ' Undersecretary Not valid without signature i