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HomeMy WebLinkAboutBuilding Permit #765 - 57 Peters Street 5/27/2010Permit NO: v� i %&ORTt! �t�to qti BUILDING PERMIT of TOWN OF NORTH ANDOVER 3 - " .. �� APPLICATION FOR PLAN EXAMINATION. ~ Date Received rutl TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family - Addition Two or more family Industrial Alteration No. of units: mmercia Others: air, repl t Assessory Bldg Demolition Other Mr SepIc el� 7Foola�r�ret�andsr1ate�saeiDastrict � � � TVfia -�"t L ... � -, ... ..,� , .:Ca,p'...t it�`z?s",, r`,T.�,�,�` ?... �•ti". ,..,''�;F.. �.`r:I�= �'`.�Y" �n'�' '3, S -N E .,f .. .,, �� Y� �! ur..at mir i rury ur VVUMK I V tit FKtFOKMED: f►xrviAze, A?,,.i W144 in8C O_ -I b� , UC f rc'le Ff✓Ac (AA4S to d oorS. Identification Please Type or Print Clearly) OWNER: Name: Drell Ur)11r ; b wt,E'rffobiST Cf-(UeeH Phone: 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: $ .25"6.3 , �/ 38 /6 FEE: $ Check No.: ReceiptNo.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public. 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 I DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on- Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: " Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: - Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: t, Locatea 664 US Ooa street 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 Doc.Building Permit Revised 2010 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 o 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 . ❑ 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) ❑ 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 Ptot Pian ❑ 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 2008 Location No. Date MORTIr TOWN OF NORTH ANDOVER F 9 • ; Certificate of Occupancy ;� $ s'•ry° Eta' Building/Frame Permit Fee $ 43 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # -)/:2�/ 23215 Building Inspector Location -71���/ No. Date MORTol TOWN OF NORTH ANDOVER ' L Certificate of Occupancy $ Z,2,1 Building/Frame Permit Fee $ sgCHUs Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 372 2313to4 L BuAdigg Inspector r�r .ioloodsul Ouipimg VW '.ianopuV gjioN 'Jaaa;S s.1313d LS `gaangO jslpogjaN pa;iull;s.IIA 00'001$ :033 :01 panssl alnag!J133 *Arlddv AVN SV SNIOILV'I110aH HaH,LO HXIS (INV 9(103 9MIG II 11:11VIS SlIlSIIHDVSSVN rjHI AO S.NOISIA02Id URI, H.IIA ,13AI� a.in a n _ a2Io��V uI u u SV Q:1Idl1aa0 :IS AVIAi Stg 10 VV .zanoPuV uIJON iaaJIS s-TaTad LS go.zngD jsipoigj5 i paliun lsji j NO QUIV301 ONIQ'II1Ig JHI ZVHI SaIAILHaD SIH,L OIOZ `I £ jsn2nV :ajuQ S9L ioqumN Tiuuad OuipImg 251AO(INIV H,LHON 3O NAXOZ ADNVJfID30 ?Y JS11 30 AlVDIJLLWAD . n7e i t rA W �¢ x A ° z ° � o W x z w A O as u o w° N p, cn a o .co -ti w° x °�° U m w a a x °�° a0' ro w w „� W x a2 v U) m w x � w a w v q 0 „ V) v Q v o cn : m c :;�, 5 c : O o� . vv 'ate cc 10 :CcC =o m o� v a� O o uo� r CD cE N W m ce �3 y O w Df ®.5 y �[ C m O = N y O G O ca :ave m N O �L O Q! = OCD Co Q L- a CD �Z O c cc = H N m Clt C O O O C* _ �... m W y=.. r 'fl = �... •N 0.= A = =`r ®•N oZ V m ®= = C F- V� a ®' O _ A ` y� C f- : « o.�.. 00 ? L H 0 U Cf) 2 o Oil 0 � o Z o CL. O y CD Cmo CO) 0 'fl h O O �m m ca CLCD I- 3 0CDo 0 O Q CL Q c o.4.0 C caca C CD CL V h O C C CO) D Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Andover c a� STI® o; s�� 4 A G t a $ lir. , tj s - me. �. All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Name / Address First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders. com Date 05/20/2010 Estimate # T 412 Proposal for Flood Repairs Description Proposal for the Flood Damage Repairs Division 1 - General Conditions Building Permit - obtain the necessary building permit Dumpster Permit fee Disposal Services - (2) 30yd disposal containers Toilet Rental - 2 months Miscellaneous Labor - general construction clean up Cleaning Services - post construction clean up mop all floors to move in condition Locksmith Service - to re -key all exterior doors - post construction Construction Services - Project Management/site supervision Church storage trailer - 4 months Storage Box Rental - temp storage trailer for the church - rental of a 40x8 temp storage container for the exclusive use of the church only - monthly rental rate: $188.00 Storage Box Rental - delivery, set-up, damage waiver, tax ($144.75) Storage Box Rental - return freight Miscellaneous Labor - set up and fasten shelving boards and brackets Materials - 2x12x10 kd for rental shelving units Temporary Office Trailer and Set up for the Church - 4 months Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: A . Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: I =1 Ace All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Sig Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: �v�.nynyS,rwv-nv�nc aaa n unci c:vviwnir Name / Address First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate # 412 Proposal for Flood Repairs Description Site Trailer Rental - office trailer for Pastor and Secretary - monthly rental rate: $318.00 Site Trailer Rental - delivery, set-up, damage waiver, tax ($521.13) Site Trailer Rental - knock down & return freight Electrical Subcontractor Services - to include the following - Supply and install (2) Pushmatic twin breakers to make room for a 2pole breaker - Supply and install (1) 2pole 60amp breaker Pushmatic - Supply and install (1) 60amp 240volt feeder to temp office trailer - Permit Fee Miscellaneous Labor - remove the existing basement cellar sash and provide temp plywood to run feeder out of parsonage to trailer. Miscellaneous Labor - fabricate and install a driveway speed bump to protect the service line to the trailer and install 1/2" conduit for low voltage IT wiring Materials - 1/2 sheet 1/2" plywood, 2x10 kd stock,2x6 stock and fasteners Computer Consulting - IT service tech for Internet phone hook-up to include: - run new lines under the temp speed bump from the parsonage to the office trailer in 1/2" conduit - supply and install a switching router - programming of router and computers to connect Demo Demolition Subcontractor Services - to remove all remaining drywall from the ceilings and interior partitions to access the wiring and feeds in the basement. - partially remove more drywall in the office areas to allow for the replacement of new vapor barrier - remove insulation wherever needed - dispose of debris Thank you for giving us the opportunity to provide this quote for you! Tota All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Sig Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Name / Address uy y ,-wuc ua n u wcic uvvwn: First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. — 01845 Fax # 978-557-0213 www.AndoverEquityBuilders. com Date 05/20/2010 Estimate # 412 Proposal for Flood Repairs Description - broom clean areas and wet wipe horizontal trim and hepa vac remaining areas - use a negative air system to control dust Construction Storage Trailer Storage Box Rental - temp storage trailer for the construction repairs - rental of a 20x8 temp storage container for the exclusive use of the contractor only - monthly rental rate: $132.00 Storage Box Rental - delivery, set-up, damage waiver, tax ($141.25) Miscellaneous Labor - set up and fasten shelving boards and brackets Materials - 2xl2x10 kd for rental shelving units . Division 2 - Site Work Division 3 - Concrete Division 4 - Masonry Division 5 - Metals Division 6 - Woods and Plastics Miscellaneous Labor - to prep area for complete demo and repairs to include: - remove and label all existing door hardware and panic bars to be stored for re -installation on the new doors - remove and store all firematic sprinkler head covers to be re -used if allowed Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Sig Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: i wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Andover .0.1.ilrlin=iy�::Cr.nr Mn.r�n ne ii i� wnm n.i�.�u:nl All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Name /Address m First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate # 412 Proposal for Flood Repairs Description - install proper blocking and mounting for the new cabinets counters and existing bath fixtures - removal of all of the existing doors and frames at the lower level - remove the damaged kitchen sink and cabinet out side the mechanical room. Miscellaneous Labor - make the necessary repairs at the upper lever offices to include - label and store all hydronic baseboard heating from the upper level to be reinstalled after drywall repairs. - repair the missing vapor barrier on the exterior walls - assist in the removal and storage of all lighting fixtures to be re -installed after drywall and ceiling work - reframe the back wall in room # 102 that was cut open to make the sprinkler main repair Miscellaneous Labor - scribe and install a new laminated kitchen cabinet and counter at the above location to include cutting in the existing ss sink and faucet Miscellaneous Labor - reinstall all of the previously removed sprinkler head covers and install new door labels Materials - misc framing materials to reframe wall in room #102, misc strapping for the ceiling, blocking, corners and build outs. Division 7 - Thermal & Moisture Protection Insulating Subcontractor Services - as needed to place the damaged or missing insulation in both the exterior and interior partitions Division 8 - Doors & Windows Materials - supply 30 new prefinished commercial B -rated 90 minute fire doors and frames to be installed using existing handle sets and closers Carpentry Services - install 30 new replacement doors and frames in the basement previously removed from water damages and install all of the saved hardware Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date / /2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: o�na�uiy iivmv ua n n w,�1v vur+owns Name / Address First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate #7 412 Proposal for Flood Repairs Description Carpentry Services - remove and replace one 3 -wide casement window at the rear of class room 106 to allow for the delivery of drywall Carpentry Services - remove the damaged 4 -wide casement window at the rear of classroom 104 and replace with a new unit from Andersen Materials - new Andersen 4 -wide casement white clad unit complete with new screens and hardware. Materials - Ix10 rough sawn ship lap pine to patch in the exterior, Tyvek, grace flashing tape etc. Painting Subcontracting Services - color match and stain the above siding patch - labor and materials Division 9 - Finishes Drywall Drywall Services to supply and install 5/8: sheet rock over all walls and ceilings, tape, seam and apply one coat of primer - basement - First Floor and stairway - patch all walls, tape, seam and prime Note: * Contractor to remove window for drywall delivery Interior Painting Painting Subcontracting Services - to repaint the entire basement walls and ceilings with (2) coats of latex paint Prep work - Light sand all walls - Caulk as needed with Sherwin Williams 950 caulking. Finish Work Thank you for giving us the opportunity to provide this quote for you! 11 Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date / /2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date / /2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: 4 W11V111L1Wi11C Ub 11 11carie-vYr+vwn1 Name / Address First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com -T Date 05/20/2010 Estimate #7 412 Proposal for Flood Repairs Description - Apply two coasts of contractor grade Sherwin Williams latex interior paint to all walls located in the "school/basement" area. Colors to be determined. - Paint all ceilings in above area with two coats of latex ceiling paint. - Door frames to painted as agreed if necessary. - Doors will delivered with a factory finish, if finish needed application Of two coats of poly, sheen to be determined for an additional $ 90 per door. Flooring - VCT- level one Flooring Subcontractor Services - to supply and install new VCT flooring as follows: - Rip up all old tiles and prep floor - supply and install 3645 sq.ft. of Mannington commercial vct the - supply all floor prep and adhesive materials - supply and install rubber stair nosing - supply and install 4" rubber cove base as needed Flooring - VCT - main level Flooring Subcontractor Services - to supply and.install new VCT flooring as follows: - Rip up all old tiles and prep floor - supply and install 1440 sq.ft. of Mannington commercial vct the in the main hall, storage, stairwell, #200 and bathroom - supply all floor prep and adhesive materials - supply and install rubber stair nosing - supply and install 4" rubber cove base as needed Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date / /2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Andover �l nc.w. All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Sig Date _, /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Baur ome as i it were nuvown. Name / Address First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate # 412 Proposal for Flood Repairs Description Flooring - Carpet - main level Flooring Subcontractor Services - to supply and install new commercial grade carpet as follows: - supply and install 118.13 yds of commercial carpeting - color TBD - direct glue installation - supply all floor prep and adhesive materials - supply and install 4" rubber cove base as needed Flooring - Carpet - level one Flooring Subcontractor Services - to supply and install new commercial grade carpet as follows: - supply and install 6.66 yds of commercial carpeting - color TBD - direct glue installation - supply all floor prep and adhesive materials - supply and install 4" rubber cove base as needed Flooring Subcontractor Services - install treads on main stairs Division 10 - Specialties Sprinkler Work Fire Sprinkler Protection Services - Quality Fire Protection emergency services - invoice #72047 (To make the original pipe replacement repairs to the damaged sprinkler feed) Fire Sprinkler Protection Services - Quality Fire Protection reset fire alarm and trouble shoot tamper switches etc ... as follows - services from 5-18-2010 to 5-21-2010 Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Sig Date _, /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. Ol 845 A Proposal For: Andover Name / Address :%V VIIYII:1.y;j',%UV V.1•IIVIIIC Yi 11 II Yr�CI C:V VI'V W11: — First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate # 412 Proposal for Flood Repairs Description - (5-18-2010) coordinate with N. Andover Water Dept. to turn the water on at the street for the sprinkler system; check all repair work for leaks - ok; open, clean & prep the dry sprinkler valve for reset; drained low points; will return to reset valve. - (5-19-2010) serviced the compressor & changed oil - tested ok; attempted reset of dry valve but water leaked past gaskets; gaskets were inverted and still presented leaks; ordered new gasket set. - (5-20-2010) disassembled and replaced all (3) gaskets on the dry valve; reassembled, reset and restored system with water; drain all low points; replaced both tamper switches on OS&Y valves damaged in flood; replaced gate valve on the main drain line; Fire Alarm panel would not clear on sprinkler zone - will return with fire alarm tech to restore system. - (5-21-2010) rewired all sprinkler devices to Fire Alarm Control Panel; tested - ok; cleared all troubles and restored FACP to normal: replaced 3/4" check valve that was defective. Miscellaneous Labor - meet Quality Fire over several days and assist with temp lighting and reset/trouble shoot of main fire alarm service panel and water turn on and secure the building. Division 11 - Equipment Division 12 - Furnishings Materials - supply a new double door laminated/thermofoil kitchen cabinet in white with fillers as needed for the wash sink basin just outside the mechanical room. Materials - supply a new 5' laminated countertop for the above cabinet Materials - hardware for above (2 handles @ $5 each) Division 13 - Special Construction Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Andover Name /Address q;u�uyn vv:_:wu:c a�a a..0 .w�: C.w:•uwn: First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate # T 412 Proposal for Flood Repairs Description Division 14 - Conveying Systems Elevator Repair Embree Elevator to address the elevator equipment on Elevator #210-R-106 that was compromised by flood water. - provide isolation of existing control wiring and identify with labels - remove and discard existing main controller - remove existing hydraulic pump motor - remove existing emergency stop switch in pit - furnish and install (1) new main controller - furnish and install compatible floor selector system - furnish and install hydraulic pump motor - properly install existing landing door keeper - provide full adjustment of elevator equipment - apply for Dept. of Public Safety repair permit. - assist Department of Public Safety inspector with scheduled visit. Division 15 - Mechanical HVAC Services - DELIVERY OF MATERIALS AND LABOR FOR THE PURPOSE OF REPLACING THE EXISTING AIR - HANDLERS THAT WERE UNDERWATER AND TO INCLUDE THE FOLLOWING: - (1) NEW 15 TON COMMERCIAL VERTICAL AIR HANDLER - (1) NEW 5 TON HYDRO AIR UNIT - ALL ASSOCIATED DUCTING ADAPTATIONS AND CONNECTIONS Thank you for giving us the opportunity to provide this quote for you! Tota All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Sig Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date — /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: novnun.yyy�u�.nvmC as n n w,ererour,own: Name / Address ; .. .. s, .. First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate # 412 T Proposal for Flood Repairs Description - May have to change the damper motors (2) on the economizer mixing boxes for each unit. Add: $1,000.00 if needed Project Management Plumbing and Heating Subcontractor Services - INSTALLATION OF 2 NEW GAS FIRED FORCED HOT WATER BOILER TO REPLACE EXISTING BOILER CONSISTING OF THE FOLLOWING: - (1) 5 SECTION AND (1) 6 SECTION PEERLESS GM BOILERS PER -FH -513 RECONNECT SUPPLY AND RETURN 0 EXISTING SYSTEM RECONNECT GAS RECONNECT ELECTRICAL TO BOILER NEW WIRING FROM PANEL TO EXISTING CIRCULATORS REMOVAL OF OLD BOILERS FROM PREMISES REQUIRED PERMITS 4" SOLID BLOCKS TO PLACE BOILERS ON (1) 75 GALLON GAS WATER HEATER (1) HIGH LIMIT CONTROLLER (1) BOILER STAGING CONTROLLER (1) HEADER CONTROL UNIT (1) LOW WATER CUT-OFF WITH MANUAL RESET (1)TWO BOILER MODULE MANIFOLD Plumbing and Heating Subcontractor Services - Plumbing as follows: - REPLACE EXISTING (2) LAV SINK AND 1 WALL HUNG WATER BUBBLER. - REPLACE APPROX.30 FT OF WATER MAIN THAT IS RUSTED FROM MAIN SHUT OFF TO WATER METER Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date — /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Name / Addresses FtIYVIIV IIiy(�VVI•IIWIIJG Wa n u n,c:c vveyw::: �.:' ' =:'' First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate # T 412 Proposal for Flood Repairs Description Plumbing and Heating Subcontractor Services - DISCONNECT EXISTING KITCHEN SINK AND FAUCET AND RECONNECT AFTER CABINET REPLACEMENT BY OTHERS Plumbing and Heating Subcontractor Services.- REPLACE 54 FT OF HIGH CAPACITY BASEBOARD WITH ENDCAPS IN LOWER LEVEL ONLY Plumbing and Heating Subcontractor Services - INSTALL A MUSTEE 18F LAUNDRY TRAY SINK AND GERBER 49-244 FAUCET WITH NEW HOT WATER LINE FROM CLOSET. Plumbing and Heating Subcontractor Services - DISCONNECT EXISTING KITCHEN SINK AND RECONNECT EXISTING Plumbing and Heating Subcontractor Services - REMOVE 7 PIECES OF BASEBOARD FROM THE EXTERIOR WALLS AT THE SECOND LEVEL. - REINSTALL EXISTING BASEBOARD AND PURGE THE HEAT ZONE. Project Management Plumbing and Heating Subcontractor Services - meet G/C and to turn on water supply feeds to the second floor and make sure all valves are holding. - repair the copper water supply line feeding the toilet in the bath off classroom #200 that was cut by Servpro during demolition Division 16 - Electrical Main Panel Replacement Electrical Subcontractor Services - to replace the Main MDP and RP panels and parts as required by the North Andover Electrical Inspector to include the following: Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date / /2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other. consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Andover 4'daCj s enc: F Mt Hn work is warrantea for matenais ana labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Sign Date / /2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: uun�y�yAuui-nvrne as it �r were our�vwn: Name / Address ' First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate # T 412 Proposal for Flood Repairs Description MDP • Supply and install (1) Cutler Hammer 400Amp 120/240V 3Phase Interior • Supply and install (1) Cutler Hammer 400Amp 3 Phase Breaker • Supply and install (1) Cutler Hammer 175Amp 3 Phase Breaker • Supply and install (1) Cutler Hammer 125Amp 3 Phase Breaker • Supply and install (2) Cutler Hammer 60Amp 3 Phase Breaker RP • Supply and install (1) Cutler Hammer 225Amp 120/240V 3 Phase Interior • Supply and install (1) Cutler Hammer 40Amp 3 Phase Breaker • Supply and install (1) Cutler Hammer 30 Amp 3 Phase Breaker • Supply and install (1) Cutler Hammer 30Amp 1 Pole Breaker • Supply and install (20) Cutler Hammer 20 Amp 1 Pole Breakers * Note: This is the Cutler Hammer panel as discussed that is available in 3 business days Project Management Basement Repairs Electrical Subcontractor Services - to make the necessary repairs in the basement of the First United Methodist Church as follow: Temp Lighting -Supply and install (3) strings of temp lighting with cages in basement only Mechanical Room Thank you for giving us the opportunity to provide this quote for you! Total Hn work is warrantea for matenais ana labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Sign Date / /2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Andover nu All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: /Y�IIYII;Iy'rIV V1+11VIIIc YJ 11 11 Ty'=1C-VV1"VWlil Name / Address . , ;.•. First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate # 412 Proposal for Flood Repairs Description - Supply and install (1) T101 time clock - Supply and install (1) 6 CKT Gen -Tran - Rewire (2) boilers - Disconnect and rewire (14) circulators - Supply and install (4) single pole switches - Wire customer supplied motor on sprinkler system - Disconnect and reconnect AH# 1 from load side of disconnect Room # 100 - Remove and Reinstall thermostat - Demo all outlets in room complete including all wiring - Supply and install (5) complete outlet assemblies - Remove and Reinstall (1) phone jack - Remove and reinstall (4) existing wraparound fixtures - Remove and replace (2) 3way switches Room #101 - Demo all outlets in room complete including all wiring - Supply and install (4) complete outlet assemblies - Remove and Reinstall (2) phone jack - Remove and reinstall (4) existing wraparound fixtures - Remove and replace (1) single pole switch Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Andover All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above.. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Sig Date _ //2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: .,gvuuuy�r;vu�•numC caa n n,w;ere:vu[+vwn: E h Name / Address — First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www. AndoverEquityBuilders.com Date 05/20/2010 Estimate #7 412 Proposal for Flood Repairs Description Room #102 - Demo all outlets in room complete including all wiring - Supply and install (5) complete outlet assemblies - Remove and Reinstall (2) phone jack - Remove and reinstall (4) existing wraparound fixtures - Supply and install (2) 3way switch assemblies - Remove and replace (1) Cat 5 Jack - Remove and replace (1) Coax Jack - Remove and reinstall (1) duct smoke test switch Room#102A - Remove and reinstall (1) thermostat - Disconnect and reconnect (1) 20amp single phase circuit to air handler Room # 104 - Demo all outlets in room complete including all wiring - Supply and install (5) complete outlet assemblies - Remove and reinstall (5) existing wraparound fixtures - Remove and replace (2) 3way switches - Remove and replace (1) 4way switch - Remove and reinstall exit sign Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above.. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Sig Date _ //2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Andover All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Name / Address First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate # 412 Proposal for Flood Repairs Description Room# 105 - Demo all outlets in room complete including all wiring - Supply and install (5) complete outlet assemblies - Remove and reinstall (6) existing wraparound fixtures - Remove and replace (2) away switches - Remove and replace (1) 4way switch - Remove and reinstall (1) thermostat Room #106 - Demo all outlets in room complete including all wiring - Supply and install (6) complete outlet assemblies - Remove and reinstall (5) existing wraparound fixtures = Remove and replace (2) 3way switches - Remove and replace (1) 4way switch Room #1075 - Remove and replace (1) single pole switch - Remove and reinstall (1) ceiling mount compact fluorescent fixture Room #1085 - Remove and replace (1) single pole switch - Remove and reinstall (1) ceiling mount compact fluorescent fixture Room #1095 - Remove and replace (1) single pole switch - Remove and reinstall (1) ceiling mount compact fluorescent fixture (missing lens) - Remove and replace (1) phone jack Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street , North Andover, MA. 01845 A Proposal For: Andover Name / Address + uvwyJfrwyi-nvnm ua n n WcIv vurvwnt. b �; First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate #7 412 Proposal for Flood Repairs Description Room # I I OS - Remove and replace (1) single pole switch - Remove and reinstall (1) ceiling mount compact fluorescent fixture - Remove and replace (1) phone jack Bath #I - Remove and replace (1) single pole switch - Remove and reinstall (1) wall mount fluorescent fixture Bath #2 - Remove and replace (1) single pole switch - Remove and reinstall (1) wall mount fluorescent fixture Main Hall Lower - Remove and reinstall (4) wraparound fixtures - Remove and reinstall (1) exit sign - Remove and replace (1) switch over pilot - Remove and replace (1) GFI dead front - Remove and replace (2) smoke detectors - Remove and reinstall (1) horn/strobe Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Sig Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract.. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Andover d JII All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices.. Signature below acknowledges receipt of two Rights of Rescission forms included below. Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: r uw�ay your. nvrne as it �r were vur!vwn: .• Name / Addresses First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate # 412 Proposal for Flood Repairs Description Hall off Main Hall lower - Remove and replace (2) 3way switches - demo outlet in room complete including all wiring - Supply and install (1) complete outlet assemblies - Remove and reinstall (2) wall mounted fluorescent lights - Remove and reinstall (1) exit sign - Remove and reinstall (1) smoke detector Hall Leaving Rm # 104 - Remove and replace (1) switch - Remove and reinstall (1) wall mounted light Elevator Equipment Closet - Remove and replace (1) switch - Remove and replace (1) 3phase 30amp disconnect - Remove and replace wiring from load side of disconnect to motor Hall off elevator - Demo all outlets in room complete including all wiring - Supply and install (2) complete outlet assemblies - Remove and reinstall (2) existing wraparound fixtures - Remove and replace (2) 3way switches - Remove and reinstall (1) pull station - Remove and reinstall (1) horn/strobe - Remove and reinstall (2) exit signs - Remove and reinstall (1) smoke detector Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices.. Signature below acknowledges receipt of two Rights of Rescission forms included below. Date _ /_/2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Name/Address First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders.com Date 05/20/2010 Estimate # 412 Proposal for Flood Repairs Description Electrical Permit - Local Permit Fee up to $125.00 Not included: - Overtime hours - Dumpster or garbage removal - Code upgrades - Requirements of local electrical, fire, building inspectors - Snaking wires for any reason - Removal of sheetrock in way of wiring - Temp power, generator, distribution box Electrical Code Upgrades Electrical Subcontractor Services - make the following upgrades to the existing electrical as required by the North Andover Electrical Inspector: - Supply Tamper Proof devices in lower basement (Cost difference from regular outlets to upgrade to tamperproof - Supply and install outlets in upper basement level (Suggested Per Inspector) - Supply and install new switches in upper basement level (Suggested Per Inspector) - Supply and install (3) replacement phone jacks - Supply and install (1) replacement cable jack - Supply and install (2) blank plates - Supply and install (1) old work box for wire hanging out of wall - Supply and install (1) exterior gen-tran outlet for portable generator - Supply and install (2) strobe only in basement bathrooms Not included: Thank you for giving us the opportunity to provide this quote for you! Total All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date _ / /2010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Andover All worK Is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date _ /_/201 0 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: 0 ouuq,n?gqur_ none as IT Ir were.our,own! . Name /Address �4 • °� .st, First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquit),Builders.com Date T 05/20/2010 Estimate # 412 Proposal for Flood Repairs Description - Overtime hours - Dumpster or garbage removal Project Management Construction Services - Overhead 10% Construction Services -Profit 10% Note: * This scope does not allow for any additional items that may be required by the Building Officials of the Town of North Andover that are not specified above. * There are still some pieces that are undetermined at this time to include some built-in shelving/lockers that are in classrooms 104-106 that need to be clarified. * The Building Inspector is requiring that all studs be sprayed with a mold preventative by Servpro after final clean-up and it has not been determined if that has been done or not. If not, that will be an addition to the above scope. Terms: Thank you for giving us the opportunity to provide this quote for you! Total All worK Is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date _ /_/201 0 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: n Andover Equity Builders, Inc. 607 Turnpike Street North Andover, MA. 01845 A Proposal For: Andover 41 or ` + `,. rI ; a � < i WYi 's c, Name / Address w'FW11 11111 bi}!+VV1-nvnle-us msr were:ouriowns •,-; 01., :1, ' First United Methodist Church 57 Peters St. Phone # 978-557-0212 North Andover, Ma. 01845 Fax # 978-557-0213 www.AndoverEquityBuilders. com Date 05/20/2010 Estimate # T 412 Proposal for Flood Repairs Description Deposit required: $10,000.00 due at signing of contract to obtain permit and order water heater etc. 2nd payment due: $50,000.00 at delivery of preliminary schedule and start of demo to order materials. 3rd payment due: $35,000.00 due upon completion of rough Electrical re -wire. 4th payment due: $25,000.00 due at completion of HVAC installation. 5th payment due: $25,000.00 due at start of Elevator repair. 6th payment due: $25,000.00 due at delivery of drywall 7th payment due: $35,000.00 due at start of door installation. 8th payment due: $25,000.00 due upon delivery of flooring materials 9th payment due: $15,000.00 due upon start of painting. Final Payment due: Balance due upon completion of final inspections and receiving of occupancy certificate. Thank you for giving us the opportunity to provide this quote for you! Total $256,438.16 All work is warranted for materials and labor for a minimum of one year. This proposal is valid for one month from the date above. The total listed below is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. Each change order must be approved by you before the work begins. Payment for all change orders is expected at the time they are signed. If this proposal Is accepted please sign one copy and return it to Andover Equity Builders Inc. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment of any invoices. Signature below acknowledges receipt of two Rights of Rescission forms included below. Sig Date) X12010 ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any downpayment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc.,607 Turnpike Street, North Andover, MA 01845 Date: I wish to rescind my contract with Andover Equity Builders for this proposal. I wish a refund of $ for the deposit made be sent to: Name: Signature: Massachusetts - Deparhncnt of Public .Saifct� Boartl ul Buildin, Rc;ulittions and Standard's Conptruction Supervisor License License: CS 12411 Restricted to: 00 KENNETH M LAROSE 53 PORTER RD ANDOVER, MA 01810 I ��uuuissi�nu•r Expiration: 6/16/2010 • .i Tr#: 26838 z_ Massachusetts - Department of Public SafctN Board of Building kt ; UlatiOIIS :tut! Standards Construction Supervisor License License: CS 75425 - Restricted to: 00 �. MICHAEL A 'AMEEN 1 SORENSON RD SALEM, NH 03079 Commissioner J F: Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR ' Re istration: 9� . , 126392 !: y , Expiration: 5/25/2010 Tr# 269608 Type: Private Corporation i ANDOVER EQUITY BUII.DERS'INC KEN LAROSEl 53 PORTER RD,��G1 y ANDOVER, MA 01810 Administratpr Expiration: 5/10/2011 Tr#: 2165 ACORD CERTIFICATE OF LIABILITY INSURANCE ,. 02/10/2010 02/low/2 10 PRODUCER (603)669-0704 FAX (603)669-6831 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Infanti ne Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 5125 Manchester, NH 03108 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Joyce Dunlap INSURERS AFFORDING COVERAGE NAIC # INSURED Andover Equity Builders, Inc. A INSURERA: Union Insurance Co. 89 No. Main Street Andover, MA 01810 CPA013298415 INSURER B: INSURER C: EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 250,000 INSURER D: PERSONAL & ADV INJURY $ 1,000,000 INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT R SR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR CPA013298415 09/01/2009 09/01/2010 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 250,000 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY X PRO- JECT X LOC 'PRODUCTS'-'COMP/OP AGG $ 2'000,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS' .:.: ... BODILY Y $ (Per person) INJUR.. ..... HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR 0 CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY I IMITS FR E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Various work throughout the policy term. °Cancellation-excaption: NH -Law requires 10 days notice for cancellation for non-payment of prmeium. -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Town of North Andover _19L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Att : Brian Leathe BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600 Osgood St. OF ANY KIND UPON THE INS R, ITS AGENTS OR REPRESENTATIVES. North Andover, MA 01845 AUTHORIZED REPRESENTAT E ACORD 25 (2001/08) FAX: (978)688-9542 ©ACORD CORPORATION 1988 Buildersrrown of North Andovl4:011 ----------- AM 8982 T; :7S•.�d�• j� 7•'".p :i3ulagT,�'i?'+a4ti17fdc. .... y�i „i�wy:;:r.' '.:C�.:: q::i'.t�:KQid;f !.�' : vv;:.: �4� i 11^•n�.� d•t.'!) ��,`` : 55,, �.:Ir,,,���jW �/f:i. , roi•.u� °u.'} �,h, a:` h C.'. �, � fr p� :Y }I Op bf�,' /. T/•i'; .��'•''•i I'hi�.� �A�..'•k•'W...p•✓:•)11['1�,�I...(1�"AY,��,1.'A'•` [I.'..}NI�3-� ,II;�a,Ss�'rl1.ti�,la�,'?'� (�'t f`�Syrn I(114�yd. { "y q%i `k� ..•Sa,F••f;�:< S'i Y�� t .1N 1 r.'�Y a�!•.l�c.Ul`75"�.:,. . J�;. 5� 1 i 1�, ! � � l 1'i+ iy y � j, n�S''Y N ! ` �\ci1 �,! r ilii .. ^ .1. tr.�. .��. Il. ..'d./n�.,.. ✓ i'L'. IU l Inlcmalivinal Naw England flalla,dvak, Strcct nlr0m. MA 10INN7 Ldoycr EQWtY Btuldrls I11U \'Orth lv111n street do) ei, lA 01810 THTS CRUT1:TCATE TS ISS1Mn AS A MATTI?Ii Or lW-ORALATION ONLY AN,) CONF>_RS NO RD3HTS UPON THE CERTWICATE HOLDER. THIS C'k:1C'1'IPICAT)i DORS NOT AMEND. n7F.NT) OR AT.TRR 17M COVERAGE AITORDIYI BY THE POIXT17", UlloW COMPANIMS AFFORDING COVEFAGE c(.-)W..ANY AA&-"iated Gmployars insurance Company T.RTTRk 1L1.] IJ Iv I.L1L1Ir s MAI -i tib• IVUC:= V1T J N$VHA.NCk Ig,rE) kjELO HA V4 UE N iSSI"kU TO TII'k LVSURID NAMm ABOVE F('iA 17iF P()T,tC'Y FFRTQ[)1Nf1[CATi"T1. NOTWITHSTANDINu" ANY RI:QUBiEtviENf, T)' RM OR CONDITIQN Or A1,Y CONTRACT OR OTTNFR rxx,.Tnt1 LVf Wl'1'li HF5Pg,C r TO WHIAl.T. HTHiS F. TE C RI'IF1C'A'1'J MAY til I.SOUk11 UICMAY 111:X1 Ally. '111L'NSURA1NCE A ry()a11;1,1 kY THE POL1Cli ; DE SCRmID MEN IS S11RIF.c r TO AT.T. THF TERMS. FXC'LTTSTONS ANt) CONT)trIONS OF SUCH POIdCTFS. T.IMITS SHORTT MAY HAVE RFRN R. tjf,'gD BY Y.11L7 CLAIMS. co L'M TYPE arinsultnnci POLICYNUMBRR ruLILTLn'LLtrvc ruwL'TI•.xrlltArlilR VAIL(LIINDNYY( DAZ (MDIOD.'YY} I.IM,ir CLN}vAr. LIAl1IL171' MICRAL ACI}I(LCj,T6 L_lCUMM11 U- LOLM AL LLUIUrY Q C CLAMS MAUTQOCf.UH (� owlreN s c : ��'rn:AL'7cR B aa:•T AUTOMOOILi LIASUrY AM AUTO ALL MIKE AUTOS F,('HLDUIX.D AUTOS HIRF1' AV -OE HOM 0WZD ALMIS t:Alu:i Lubl_R✓ ?M:l,x7 LI^h1, 1, 11 T .•.• VRARELLA FC RM ']'HRR THAW UMERELLA MAN WORICHUR V(IMPENNATION AND I'-MPL11 N b.Ha LI AH I L l f 1' R FPfrtIRiRORr A rw1:b LRu,iXLC UTNE YNI('IRRS.IRC OWN Or NO ANDOVER 600 OSGOOD ST 4OKI H ANDOVER, MA 01tf4: I Llltt NAI .f.AD% INIUCY EACH OCCURREUCF. FIRE rAMAee (&.00e INF) Md) h. ilhN:•. (AnTnn plr:e�l •u>a1uN1•n:aN�:1 r, LII L tk h V�ti U1lKLI14 C I AT Limmi Si A'17: )7Ml:H M" eLD,uurc�u,r<rrr lUU,UU'� 5T341101wU1]9 ()7�14I.�,lNja 07/1 PL ELDISEASE-POTTrYLIMTT 500.000 PI.1)TAPAER-•FA,CHEmUoya xn1)1VY OF TRC AROVF. Tw."MrD POLL= BE CANCELLED BLFM r1Tr1 L&IRA1'k1N DAIL ?REC1F, TFlE L';TJDTO COt a`AhY w7tJ. LNDCAYOR TO MAB yi)Ygl17gK NOl u: h: l n 'I'Kr (*rurivIrA LI)ER NAhOD TO TBB LU7. DC7 FAILURE i v MAD. au(:H NtfrtE:r. t,HAI,L LNPCSE NO ORUCA'TIODI r r.rul ' Oil ANY lUNL LreviaHE C'UMYANY, ns AaKRT8 OR RFPitvxmATIVFA 6187 The Commonwealth of Massachusetts Department o f rndustr ial _gccidents Office Of rMesti6vations 600 ff"ashington Street Boston, A" 62111 Workers' Compensation InsnWWKI.MasS-vov/da urace Affidavit: BlA licant Information uders /Contractors/Electricians/Plumbers PIease Print Leaibi� Name (Business/Orgmiza6on/Individual): Address: City/State/Zip:_ Aoy� ibla Phone #: q,7� - ,S'S -7 _ p j 2 Are tYOU an employer? Check th e appropnate box: 1 am a employer with --- 4. ❑ I am a 2. ❑employees (full and/or part-time).* I am beneraol contractor and I have hired the sub -contractors a sole proprietor or partner_ ship and have no employees listed on the attached sheet t working for me in any capacity, These sub -contractors have workers' comp. insurance. No workers' comp: insurance 5. P ❑ vie are a corporation 3. []required.] .1 am a homeowner doing all and its officers have exercised their work Myself [No workers' comp. right of exemption per MGL c. 152, § I (4), insurance required.) t and we have no employees. [No workers' comp ms Type of project (required): 6. ❑ New construction 7. [] Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions .11.❑ Plumbing repairs or additions 12.❑ Roof repairs urance required.] I 13 ❑Other `--n, z upiicant that checks box i must =?so uu oat fhc section r�:or. ho� : ., fY Iiomeowaets who submit this affidavit indicating thw are d i , . an Worixa:s' cos���.: T otnE aL .vOT} and r_...�.. Policy r .�. ' tin +Contractors that Cbl this bpy mnst attached 8ddit16nai sheet anOWmQ tne¢'hire outside contractors muss? su the name of the sub con bm" a new aeYiaavn indicating such. ttaetors and their wl.k'. ' __,__ - ~- �••.F",yGr uiar is provuting workers' compensation ins information, urance for my employees. Insurance Company --r• I- —.Y +Uoimenon. Below is the policy and, job site Policy # or Self -ins. Lic. #: Sa U 3 LA1 l t p p q Expiration Date:_. LD Job Site Address: `J 7 Ra Tc)ZS SC , Attach a copy of the workers, compensation policy declarationP. as City/State/Zip: �6� W��� 'M -A be (showing the policy number and expiration date). OW +57 Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition of criminal en fine up to $1,500.00 and/or one-year imprisonment, as well as civil Penalties in the form of a STO Of up to $250.00 a da a Penalties of a y against the violator. Be advised that a cc P WORT{ ORDER and a fine Investigations of the DIA for insurance coverage verification PY of statement may be forwarded to the Office of i ao Hereby certify under the pains and penalties of perjury that � � for�on. provided above is true and correct Signature: I n . _ �l c--? /1 _T- - - 0ZI Z cal S'o8- 09-086$ Official use only. Do not write in this are a, to be completed by cam, or tonin ofjiciaL City or Town: issuing Authori I"ermit/License # ty (circle one): Z. Board of Health 2. Building Department .3. Ci /Town 6. Other ' Clerk 4. Electrical Impp ector 5. Plumbin. e. inspector Contact Person: Phone #: Information an- d 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 ox- other legal entity, employing employees. However the owner of a dwelling house having not more than thrmaparf aLents-and who resides therein, or the occupant of the dwelling house of another who employs. persons to c10 mairitem=ce, 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 132, §25C(6) also states that "every state or lo►cal.iicensing agency shall,withiold the Issuance or renewal of it license or permit to, operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of co=npliance 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 ua-� 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 -contractors) 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' comp ensation 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 perruit or license is being requested, not the.Depariment. of Industrial Accidents. Should you have any questions regarding the lave 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 spaceatthe 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/lice-rise number which will be used asa- 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 Office oflnvestigations would like to thank you in advance for your cooperation and should yon have any questions, please do not hesitate to give us a call ; The Depariment'.s:addmss, telephone. and.faa-number_..... The Commcnwmltli- of N:fassachiis6tts Department of lndustrial Accidents Office of Investi atfons 600 V+Washmgton Street Boston,MA 02111 Tel. # 617-727-4900 ea.•t 406 or 1-S77-MASSAFE Revised 5-26-05 Fax # 6.17-727-7749 urvru=.mass.. Qov/dia HIC Registration Lookup The Official Website of the Office of Consumer Affairs & Business Regulation (OCABR) Mass. Gov Consumer Affairs and Business Regulation Home > Consumer > Home Improvement Contracting > _....................... .._............._.........._..........._..............................................._...................._....._......... .......... ........ .... .......... .. Home Improvement Contractor Registration Lookup The list is current as of Wednesday, May 26, 2010. You can search/filter the registration list by any of the criteria below. Search by Registration Number126392 Search Registration Number) Search by Registrant Name Search by City Zip Code Search Registrants ;lick on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. Search Results Page 1 of 1 RELATED LINKS Home Improvement Contractor Registration Home Page REGISTRANT NAME RESPONSIBLE REGISTRATION ADDRESS EXPIRATION STATUS INDIVIDUAL NUMBER DATE ANDOVER EQUITY BUILDERS INC LAROSE, KEN I 126392 I 53 PORTER R 01810 5/25/2012 I Current III © 2010 Commonwealth of Massachusetts http://db.state.ma.usihomeimprovement/licenseelist.asp 05/27/2010 HIC Registration Complaints The Official Website of the Office of Consumer Affairs & Business Regulation (OCABR) Mass. Gov Consumer Affairs and Business Regulation Home > Consumer > Housing Information > Home Improvement Contractor Program > ............ ......................................... _.... .._..........................................................................._................._............................................... HIC Registration Complaints Registration # 126392 Registrant ANDOVER EQUITY BUILDERS INC Name KEN LAROSE Address 53 PORTER RD City, State, Zip ANDOVER, MA, 01810 Expiration Date 5/25/2012 Status Current No complaints found for this registrant. You can also view arbitration and Guaranty Fund histo Back To Search © 2010 Commonwealth of Massachusetts http://db.state.ma.us/homeimprovement/licdetails.asp?txtSearchLN=26355 05/27/2010