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HomeMy WebLinkAboutBuilding Permit #189-15 - 61 ESSEX STREET 8/22/2015 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: '� Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION: 61 Essex Street PROPERTY OWNER:Steven N. &Anna L.Gesing MAP NO: 103 PARCEL:5 ZONING DISTRICT: R 1 Historic District yeAn Machine ShopVilla e e TYPE OF IMPROVEMENT PROPOSED USE Q New Building ❑One family ❑Addition ❑Two or more family ❑ Industrial Alteration No.of units: Commercial 0 Others: ❑ Repair, replacement 0 Assessory Bldg. SHED ❑ Others ❑Demolition Other 0 Septic 0 Well ❑Floodplain 0 Wetlands 0 Watershed District 0 Water/Sewer Attachments&: Professional Service Providers: Watershed Special Permit: Waiver-Attached Notice of Decision:Dated August 11, 2014,granting a Waiver of the Watershed Protection District Special Permit to allow the location and construction of our 24'x 14'shed on our referenced lot. Shed Plot Plan and Wetland Survey-Attached Plot Plan Engineer: Bill McLeod/Peter D.Goodwin—Andover Consultants;One East River Drive, Methuen MA 01844 Copy of Bill for Purchase of Shed from Reeds Ferry Small Buildings Inc.and Summarized Estimate of Other Install Costs Time and Materials costs for Cement Pad will be provided once billing is received.Anticipate total Install T&M=$2800 Electrician:Chuck Fay; Fay Construction, Lawrence MA; License#29617 Ph: (978)828-7835 Plumber: William DeSontis License#10768 Cement Pad Install: Kevin Fitzgibbons; Kevco Enterprises; North Andover, MA; Ph:(978)265-4782 Reeds Ferry Shed-Contractor.MA Contractor Registration#and Construction Supervisor License-Attached Reeds Fea Shed-Contractor:Certificate of Liability Insurance-Attached (Identification- Please Type or Print Clearly) ; OWNER:Name: Steven N. & Anna L. Gesing Phone: HM-(978)655-5660/CELL—(617) 633-1968 Address: 61 Essex Street, North Andover, MA 01810 a CONTRACTOR Name: Reeds Ferry Small Buildings Inc. Phone: (603)883-1362 Address: 3 Tracy Lane Hudson, NH 03051 Supervisor's Construction License: Michael Carleton -CS-095889 Exp. Date:05/12/2016 Home Improvement License: Reg.#- 119903 Exp. Date:09/17/2015 ARCHITECT/ENGINEER: Peter D. Goodwin;Andover Consultants Inc. Phone:978-687-3828 Address: One East River Drive, Methuen MA 01844 Reg. No.48133 FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost:$19,295.35 FEE:$ 2-25Z-00 a Check No.: Receipt No.: 2D "il NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Vl Signature of Contractor f r Location 1 l0 No. r �'� Date r r • - TOWN OF NORTH ANDOVER • ��'ffi�ED Ts.� • a,. • Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# i r Building Inspector P F q Plans Submitted Q Plans Waived Q Certified Plot Plan Q Stamped Plans Q TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well Q Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc.) Q Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED LANNING&DEVELOPMENT El - �-' COMMENTS dp,,,, J 0(L4 — :�— DATE REJECTED DA APPROVED CONSERVATION ❑ __ _ _ COMMENTS DATE REJECTED DATE APPROVED!` HEALTH ❑ ❑ COMMENTS Luz LL r Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes O Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT-Temp Dumpster on site yes no Located at 124 Main Street ° Fire Department signature/date COMMENTS r � 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 NOTES and DATA— (For department use) ❑ Notified for pickup Call Email 3 Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 19,295.00 m $ - $ 231.54 Plumbing Fee $ 28.94 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 28.94 Total fees collected $ 389.43 Foundation 100 61 Essex Street 189-15 on 8/22/15 24 x 14 Shed OORTH Town of . s E . , ndover 0 No. �-_ - �` h ver Mass o K > COCl/ICMl WICK y01. q�4A-rEO r'PP�,�S S u BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System -we THIS CERTIFIES THAT . .,... ..... ....... ,�, ................................................ BUILDING INSPECTOR has permission to erect buildings on Foundation .......................... ..�.... ...... ........... Rough tobe occupied as .................................6"..Ap.................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHELECTRICAL INSPECTOR UNLESS CONSTRUCTI ^ ST S Rough Service ................ .. . ..... ................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. A'> • BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION: 61 Essex Street PROPERTY r'WNER:Steven N. &Anna L.Gesing / MAP NO: 1U3 PARCEL:5 ZONING DISTRICT: R 1 Historic District yen ' Machine Sho Villa e e n TYPE OF IMPROVEMENT PROPOSED USE New Building ❑One family ❑Addition [�Two or more family ❑ Industrial Alteration No.of units: F1 Commercial(5 Others: ❑Repair,replacement 0 Assessory Bldg. SHED ❑ Others ❑Demolition I ❑Other i 0 Septic 0 Well --T❑Floodplain 0 Wetlands ©Watershed District ❑Water/Sewer Attachments&: Professional Service Providers: Watershed Special Permit:Waiver-Attached Notice of Decision:Dated August 11,2014,granting a Waiver of the Watershed Protection District Special Permit to allow the location and construction of our 24'x 14'shed on our referenced lot. Shed Plot Plan and Wetland Survey-Attached Plot Plan Engineer: Bill McLeod/Peter D.Goodwin—Andover Consultants;One East River Drive,Methuen MA 01844 Copy of Billfor Purchase of Shed from Reeds Ferry Small Buildings Inc.and Summarized Estimate of Other Install Costs Time and Materials costs for Cement Pad will be provided once billing is received.Anticipate total Install T&M=$2800 Electrician:Chuck Fay;Fay Construction,Lawrence MA;License#29617 Ph: (978)828-7835 Plumber:William DeSan tis License#10768 Cement Pad Install:Kevin Fitzgibbons;Kevco Enterprises;North Andover,MA;Ph:(978)265-4782 Reeds ferry Shed-Contractor.MA Contractor Registration#and Construction Supervisor License-Attached Reeds Ferry Shed-Contractor:Certificate o Liability Insurance-Attached (Identification-Please Type or Print Clearly) OWNER:Name: Steven N.& Anna L. Gesing Phone:HM-(978)6SS-S660/CELL-1617)633-1968 Address: 61 Essex Street, North Andover MA 01810 CONTRACTOR Name: Reeds Ferry Small Buildings Inc Phone:(603)883-1362 Address: 3 Tracy Lane Hudson NH 03051_ Supervisor's Construction License:Michael Carleton-CS-095889 Exp. Date:05/12/2016 Home Improvement License:_ `Reg.#- 119903 ,—^ Exp. Date:09 17 2015 T— ARCHITECT/ENGINEER: Peter D.Goodwin:Andover Consultants Inc Phone:978-687-3828 Address: One East River Drive. Methuen MA 01844 Reg. No.48133 FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost:$19,295.35 FEE:$ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owner Signature of Contractor z Dimension Number of Stories Total square feet of floor, 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 NOTES and DATA—(For department use) ❑ Notified for pickup-Date Doc.Building Permit Revised 2012 Location �r't �-�� �' _,`, .1.0 No. i I Date �— . • TOWN OF NORTH ANDOVER Certificate of Occupancy $ - Building/Frame Permit Fee $ Foundation Permit Fee $ A Other Permit Fee $ TOTAL $ Check# I I �� Building Inspector jatoR �r oop Town of North Andover Office of the Planning Department Community Development and Services Division c 1600 Osgood Street North Andover, Massachusetts 01845 NOTICE OF DECISION Watershed Special Permit-Waiver Date of Decision: August 11,2014 Application of: Steven Gessing 61 Essex Street North Andover, MA 01845 Premises Affected: 61 Essex Street,North Andover, MA 01845, Map 103 Parcel 5, within the R-1 zoning district. BACKGROUND On August 7, 2014, the applicant's engineer, William S, MacLeod, P. E., P. L. S., requested a Waiver of the Watershed Protection District Special Permit, in accordance with the North Andover Zoning Bylaw section 4.136.8, so as to allow the addition of 24' x 14' shed on the above referenced lot within the Non-Discharge Buffer Zone of the Watershed Protection Zone. FINDINGS OF FACT On behalf of the Planning Board,the Community Development Director, Curt Bellavance,has approved a Watershed Special Permit Waiver based on the following findings: • The proposed shed will be placed on a concrete pad and is more than 200' from a wetland resource area,thus located within the Non-Discharge area of the Watershed Protection Zone. • The existing dwelling is serviced by a septic system but the shed will not have plumbing facilities or be connected to the existing system. • The owner has confirmed that the shed will not have any gutters or downspouts. CONDITIONS • The applicant is required to apply for a Watershed Special Permit for any additional construction of outbuildings or building additions. Curt Bellavance Community Development,Director 7q y ) q 2Z0 r �� We�-� zw f http/mimapinvpc.org/NorthAndovermimap/Viewer.aspx �3 - (�t Toren of North And_ X G, �0 File Edit View Favorites Tools Help X Google 1 %831 Search-I s-a Share i More Q john enright- 1%, - ® u R-p - Page w Safety w Tools NZ Base Map Zoning 2612 Aerials watershed Zone - Utilnres Selection Legend f locationMarkup t, Help Mobile Scale I"=89_ _Jft select .--[y'Parcels ,"" <r S 'dt;.t"tw ® (show all) - —-- ---� IL nw �,, ;<< Owner Prop—ID Address i a r SCULLY,CNRiSTOPHER,1 103.0-0005-0000.0 fil ESSEX STR rE. ro .4 e Borland i sek�ded To Mailing Labels To Spreadsheet Y . a ope t -� Building Permits Planniaq Septic Pu 3 Afir i�. Print TRM owned SCULLY CHRISTOPHER,I n 0 wner2 C/O STEVEN N.GESING Address 61 ESSEX STREET r i� PropertyID 103.0-0005-0000.0 } Lot Sae 7.16 A i '1 E SSEwST y Fiscal Year 2013 •.:. Land Use Code 101 Last Sale Date 40039 Book/Page 11731 a Total Valuation$504800 Building Type RN Year Built 1965 Finished Area 2300 sq.f Assessor Hap NorthAndoverAssessorMap103_26x_ More Info:Click here for Assessor website ODCREQ 3t�ty�OODG b T a _ < 1 P"Edy Search Page ',vj Go - Save Map as Image U... p.. Monday,Aug 04,2014 09:38 AM ( r hdP:limimapmYpc orglNorthAndovermlmap/Viewecaspx fJ-� C'i l Town of Norrrtll And_. x File Edit View Favorites Tools Help x Goggle — — _ -- .�Search-i 1_q Share i More Q ®john enright- - q7 page- Safety- Tools w e — • ,tie — "' - Y- . ;: . Base Map Zoning 2012 Aerials Watershed Zone Utilities Selection legend Location Markup � _y I �} Help Mobile Scale I"= I-78c .aft yr- Select U;Parcels _ U, Owner Prop ID Address k� SCULLY,CHRISTOPHER,3 103.0-0005-0000.0 61 ESSEX STR v � `N, x I j BDzford 1 selected To Mailing Labels To Spreadsheet r 3, �" �;}; property Building Permits Planning Septic Pu Print 5"A tr fOwnerl SCULLY,CHRISTOPHER,J ^ .'q: '�•"`0: ,`'i 7 ` s i, Owner2 C/O STEVEN N.GESING ,n» x',�� Address 61 ESSEX STREET •0 4"�;`$ 193?OliBS i•;y i. i PropertyID 103.0.0005-0000.0 `,`' x <, \ Fiscal Size 7.16 A fis cal Year 2013 Land Use Code 101 a Last Sale Date 40039 � r, xl,�o o_;,�, ";_ Book/Page 11731 Total Valuation¢504600 Building Type RN - X • '• Year Suitt 1965 "r A61 " Finished Area 2300 sq.R e„ ♦ rtr, _ �, Assessor Map NorthAndoverAssessorMap103_26x: .. � `,,.- More Info:Click here for Assessor website Property Search Page Go - - Save Map1 1111111 IllEas Image .� - 9:37 AM 1 14 Monday,Aug 04,2014 09:37 AM REEDS FERRY SMALL BUILDINGS INC Sales Order 3 TRACY LANE HUDSON,NH 03051 ORDER DATE S.O. No. 4/19/2014 7736 Bill to Ship to STEVEN GESING STEVEN GESING 61 ESSEX ST 61 ESSEX ST N ANDOVER MA 01845 N ANDOVER,MA 01845 617-633-1968 Due Date Rep Install Date 8/14/2014 MRM 8/14/14(Thu) Item Description Ordered Rate Amount VGVC 14X24 A 14X24 Vinyl Grand Victorian Cottage W/A Donner 1 13,419.00 13,419.00T FLINT Flint Gray Vinyl Siding 280 0.00 O.00T C ADD SHAKES&... Add.Vinyl Shakes or Cedar Clapboard Siding(per lin.ft.) 24 27.00 648.00T Flint Gray on front with frieze board. ADD W HT C&V Add Wall Ht.Cedar&Vinyl Siding 76 0.00 O.00T BLACK ARCH Black Architectural Shingles(Moire) 12 0.00 O.00T STD BLACK(NO... Standard Black Shingles 1 0.00 O.00T S GREEN LARGE Large Green Shutters 2 0.00 O.00T DELETE NF No Floor in Building(per sq.ft.of floor) 280 -1.00 -280.00T 3008 15 LITE 3008 15 Lite Window in Door(upgrade) 2 100.00 200.00T 8X7 0HD 7x8 Overhead Door for Grand Victorian 1 0.00 O.00T 30X40 F LARGE 30X40 F Large Window 2 0.00 O.00T MW 24"Square C... 24"Hilton Cupola with Glass 1 425.00 425.00T MW STOP C Copper Top 1 126.00 126.00T L414- Loft 4'x 14' 1 150.00 150.00T WB 2'X7'Work Bench 1 120.00 120.00T TW 30" 30'Transom Window 5 0.00 O.00T TW 29 1/4 29 1/4 Transom Window 2 0.00 O.00T RF- 2x6 Wall Construction 336 4.00 1,344.00T SUBTOTAL 16,152.00 SPRING SALE Spring Sale Discount -10.00% -1,615.20 Subtotal $14,536.80 Sales Tax (6.25%) $908.55 Total $15,445.35 Shed Installation Estimated Costs for 61 Essex Street; North Andover, MA - 01845 Est. Cost Total Shed and Install Cost; Plus Installation Preperation (Labor-Time and Materials) $15,445.00 Total Shed & Installation Cost - Reeds Ferry Small Buildings, Inc. Cement for pad - KEVCO Enterprises $1,500.00 $150/Yard x 10 Yards Labor for Creating Pad - KEVCO Enterprises $900.00 2 men @ $150/hr @ 6 hours Di-q for Water line to faucet on shed Dig for Electrical line to shed Excavate, level &form pad with mini foundtion 1'D x 1'W x 288' L Add Ramp into Shed for 8' overhead door $300.00 Rental of Dig Whitch $800.00 Electrician - Chuck Fay $800 Materials and Labor Run power to shed Install 4 Power Outlets Install 4 Flourescent lights Install Shed lighting flanking front door and garage door $350.00 Plumber-William DeSantis $350 Materials and Labor Connect to main water a line to shed with valve for seasonal drain Install Faucet to outside of shed $19,295.00 Steps for Building Approvals 1 Done Obtain Plot Plan - Bill MacLeod 2 Done Obtain Conservation Review of area for shed due to location in the Watershed 3 Done Obtain Critical Contractor information for Building Inspector 4 Done Apply for Building Permit 5IT/B/D jApply for Electrical Inspection for power into shed 6IT/B/D jApply for Plumbing inspection for water line to shed outside faucet eels Ferry Sheds _ Office of Consumer Affairs and Business Regulation v 10 Park, Plaza - Suite 5 170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 119903 Type: Private Corporation Expiration: 9/17/2015 Tr# 243851 REEDS FERRY SMALL BUILDINGS INC MICHAEL CARLETON — -- ---�- 3 TRACY LANE ----- ---__.._____ HUDSON, NH 03051 Update Address and return card.Bark reason for change. Address _ Renewal _ Employment Lost Card _ aro { eat<ulaons �n� anBkC�Zf�uit- al One shllurton Place - Race 1 ;t f i BoSion. Niassachusems 0';! ConSiT coon Super`isor •-�^- MICHAEL CARLE TON 202 HARDY STREET -_ cs o95ss9 DUNSTABLE I'."r. '-�'02 i ,glCHAEL CARLETO% 202 Hard} St. Dunstable NIA01827 9511212014 A`oRv°� CERTIFICATE OF LIABILITY INSURANCE 51291/DD/YYYY) 5/29{2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsoment. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Rhont3a Noble THE ROWLEY AGENCY INC. PHONE IAIC.No Fiat- (603)224-2562 FAx (603)224-8012 139 Loudon Road EMAILADDRESS.rnoble@rowleyagency.com P.O. Box 511 INSURER(S)AFFORDING COVERAGE NAIC B Concord NH 03302-0511 INSURERA:The Netherlands Ins. Co. 24171 INSURED INSURER B:Liberty Mutual Ins Co Reeds Ferry Small Buildings, Inc. INSURER C: 3 Tracy Lane INSURER D: INSURER E: Hudson NH 03051 INSURERF: COVERAGES CERTIFICATE NUMBER-,14/15 general cert REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ILTRNSR I TYPEOFINSURANCE ADDL U POU CYEFF POLICYEXP POLICY NUMBER fMwQ0fYYYYl fMwDv1r-YYYILIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITYPRMA or S 100,000 A CLAIMS•MADE �X OCCUR �CBP8157302 6/2/2014 /2/2015 MED EXP(Any one person) 5 5,000 I� PERSONAL 3 ADV INJURY $ 11000,000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER I POLICY X PRO• I PRODUCTS•COMPIOP AGG S 2,000,000 X LOC S AUTOMOBILE LIABILITY I I CGMeBINEeDtSINGLE LIMIT rE�cc 11000,000 A X ANY AUTO I BODILY INJLRY(Per person) S X AUTOS QED X AUTOSISCHED 8158001 /2/2014 6/2/2015 NON-OWNED D BODILY INJURY(Per ecadent) S X HIRED AUTOS X AUTOS PR PERTY DAMAGE S I Per acutlent ' IS X UMBRELLA UA3 X OCCUR EACH OCCURRENCE S 4,000,000 B EXCESS UAB CLAIMS-MADE f ! AGGREGATE S 4,000,000 OED X R T NTI 10,00q 8159&03 '6/2/2016 ,6/2/2015 A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY A STATES: NH 4 MA I S �r WC STATL OTtI- I I ANY PROPRIETORIPARTNEMEXECUTIVE YIN E08152302 $00EXCLUDED OFFICERSI TORY I IMI 000 OFFICERIMEMBER EXCLUDED? NIA E L EACH ACCIDENT(Mandatory In NH) 16/20/2014 /20/2015 EA EMPLOYE S 500 000 If es,desonbe under i E L DIS EASE DESCRIPTION OF OPERATIONS tn)l. I E.L DISEASE•POLICY LIMIT S 50o 000 I I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addldonal Remarks Schedule,If mon space is required) Covering operations of the named insured throughout the policy term. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN, "For Informational Purposes Only" ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE Rhonda Noble/RLN ACORD 25(2410105) ©1988.2010 ACORD CORPORATION. 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