HomeMy WebLinkAboutBuilding Permit #767 - 67 SHERWOOD DRIVE 5/22/2007BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: q � Date Received
Date Issued: 61, 2Z- bq--
DESCRIPTION OF WORK TO BE PREFORMED:
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OWNER: Name:,
Please Ty a or Print Clearly)
)roc, nv(�,,. 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: $ FEE: $_
Check No.: � Receipt No.:,:--
-2L� 3�
NOTE: Persons contracting with unregiste d 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
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
.a
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/S
Located at 384 Osgood Street
Dimension
Number of Stories:
Total land area, sq. ft.:
Total square feet of floor area, based on Exterior dimensions.
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector
Yes No
DANGER ZONE LITERATURE: Yes
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 2007
No
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:r All dumpster_perm permits. sign�of _f rp Fire, Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified Surveyed Plot Plan
L, Workers Comp Affidavit
o Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
o 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
�..�_� .��❑...Certi�ed�-opese � v,.a. a,n_..__ . _�. r,,. �z�.v __.__.__..r.. _.__.. _ _. __ .__._._ _ . w _. � _. __
Li 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
Li 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
Locationn7�o . 1L �Ae1-1wapw
No. / (, -�' Date 5 2 -Z �-
�aRTM
TOWN OF NORTH ANDOVER
3?i._ •SOL
F : 9
Certificate of Occupancy
$
'��s'••'° • ttt'
swCH
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$`
TOTAL
$
�7
Check #
20263
Building Inspector
RED APPLE
RENOVATIONS
jr..onte -rez wdelin.g Pr-oJ�,ss on.-,- is
Construction Contract
10,6, COPY
This construction contract (the "Contract"), dated May 17, 2007 is by and between the
following homeowner(s) and contractor:
Homeowner(s):
Property address
City., State, Zip
Contractor:
Representative:
Street
Telephone
Federal Identification Number:
Massachusetts License Numbers:
Construction Supervisor
Home Improvement
Bill and Ronna Duffy
67 Sherwood Drive
North Andover, MA 01845
Red Apple Renovations, Inc.
Chris Matey, President
9 Bartlet Street, #332
Andover, MA 01810
978.409.1293
56-2309042
CS 083511
138132
L GENERAL r-
In consideration of the mutual promises contained herein, Contractor agrees to perform the
following work: furnish all labor, materials, tools, equipment, and supervision to construct
or renovate the Homeowner's residence according to this Contract and the following
documents (collectively with this Contract, the "Contract Documents"). The project, is
generally described as repair front wall (the "Project").
The Contract consists of this document, Exhibit I - General Conditions, and Exhibit II - the
Project.
Change orders and modifications_ shall be in writing and shall become part of this Contract.
2. PRICE
The total projected price for the work agreed upon based on a time and materials rate of
$70 per hours for labor plus materials and ancillary charges at Red Apple's cost plus 25%.
Payment terms are set out below in Paragraph 6.
3. STARTING AND SUBSTANTIAL COMPLETION PROVISIONS
The work will begin on or about May 1, 2007 The work will be substantially completed on or
about July 1, 2007 This project, once construction starts, is estimated to take 2 -3 months
to complete (exclusive of any punch list items). This time estimate, as well as the projected
start date, is dependent upon some or all of the following variables:
• Weather
• Delays in the availability of materials required for the project.
• Condition of .materials once delivered to worksite.
• Unforeseen conditions arising in the course of the project
• Other delays as outlined in Section 3 Exhibit I of the contract.
4. SPECIFIC REQUIREMENTS FOR MATERIALS AND WORKMANSHIP
a. This Contract will be completed by the Contractor in a good and workmanlike
manner, using good quality materials.
b. If applicable, the Contract price includes the allowances listed in the Contract Details
Section.
S. EXPIRATI6N OF THIS CONTRACT
This Contract will expire thirty (30) days after the date first written above if not accepted in
writing by Homeowner and returned to Contractor within that time.
6. PAYMENT
a. Timely payment by. the Homeowner of all sums due under this Contract is of the
essence io this Contract. The parties agree to the following schedule of payments:
1. Progress payments:
The Homeowner will be billed weekly for the work completed through the end
of that week.
The Contractor shall provide the Homeowner with his own waiver or cumulative
subcontractors' waivers equal to the amount paid for any progress payment.
b. The billing schedule is for the convenience of the homeowner and does not reflect
the percentage of effort or actual work expended at the time of the payment. If for
any reason the project should be discontinued during the construction process, the
client will be for the actual work completed to date.
c. The Contractor may cease operations if the Homeowner as required herein does not
make any progress payment, and proceed to collect any balance due with any legal
remedy. Alternatively, the Contractor may continue operations, as set forth in the
attached,
7. SIGNATURE
Attached hereto as EXHIBIT I are General Conditions governing the rights and obligations of
the parties to this Contract. The parties are further subject to the laws of Massachusetts
governing contracts and mechanics' liens, and acknowledge the right of the Contractor to
place a lien or security interest on the property of the Homeowner.
IN WITNESS WHE EOF, we have hereunto set our hands and seals this
�1a day of e , 20C�-J .
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
Homeowners contractor
2
Homeowners)
The Homeowner may cancel this Contract if it has been signed by the Homeowner at a place
other than the office of the Contract -or, provided that -the Homeowner notifies the Contractor
in writing at the Contractor's office by ordinary mail, telegram or personal delivery, not later
than the midnight of the third business day following the signing of the Contract. See
attached Notice of Cancellation for further explanation of this right.
3
EXHIBIT I
GENERAL CONDITIONS
These General Conditions are part of the Contract between Bill and Ronna Duffy
("Homeowner") and Red Apple Renovations, Inc. ("Contractor") for work at 67 Sherwood
Drive, North Andover, MA 01845, dated May 17, 2007.
1. CONTRACTOR'S DUTIES — GENERAL
a. To direct and control the work contracted for in accordance with the terms of this
Contract and all applicable codes, laws, and regulations, and as the building permits,
if any, issued for this project require.
b. To inspect the site, examine the pians and specifications, if any, and supervise all of
Contractor's employees, and to direct the work of ail subcontractors selected by
Contractor.
c. To maintain the work site in a safe and clean condition, to the extent consistent with
the Contrach The worksite will be left in a "broom clean" condition.
d. To advise the Homeowner promptly if concealed conditions are ascertained which
require additional or different work, and to proceed in such event in accordance with
this agreement.
2. HOMEOWNER'S DUTIES — GENERAL
a. To provide adequate utilities for the work agreed upon.
b. To advise the Contractor of any condition of the property which affects Contractor's
ability to perform.
c. To provide secure storage areas for materials delivered to the work site.
d. To execute in a timely manner all permit applications and other documents
necessary for the work to proceed.
e. To perform no work on the project without a written agreement with the Contractor.
f. To avoid interfering with workers.
g. To make no agreements with any tradesperson, subcontractor, or Contractor's
employee outside the scope of this Contract without the written consent of the
Contractor.
h. Homeowner shall notify his insurance agent of the execution of this Contract and
obtain any necessary Riders to his current coverage or any locally customary forms
of coverage, such as Builder's Risk, to cover Homeowner's interests and liabilities
during the construction process.
3. DELAY
Contractor shall not be responsible for delays caused by events beyond the control of
the Contractor, including but not limited to: strikes, war, acts of Gad, riots,
governmental regulations and restrictions. Delays caused by Homeowner's failure to
make allowance materials' selections or caused by the performance by Contractor of
additional or necessary work shall likewise be excusable delays.
4
4. PERMITS
The contract will obtain the following permits:
Town of North Andover Building Permit
It is the obligation of the Contractor to secure such _permits as the Homeowner's agent.
Note: if the Homeowner secures its own permits or deals with unregistered contractors,
the Homeowner is excluded from the Guaranty Fund provisions of MGL c. 142A.
S. PREFERRED VENDOR CLAUSE
Except where expressly permitted, all material and fixtures will be purchased by Red
Apple Renovations. This is done to ensure that all materials are of the highest quality
and that the vendors offer good customer support. If, for some reason, materials for the
project are not purchased by Red Apple Renovations, the following conditions apply:
a. Red Apple may at its discretion charge a handling fee to supervise the installation
and coordination of these materials.
b. Any and , all materials not purchased by Red Apple are excluded from the project
warrantyL
6. INSURANCE
Contractor agrees to maintain all necessary forms of insurance to protect the
Homeowner from liability for any occurrence arising from the performance of this
Contract. Contractor agrees that he shall cover his own employees for worker's
compensation and carry general liability, and that all forms of insurance carried
hereunder shall be with reputable companies licensed to do business in this state.
Homeowner agrees to carry full coverage on the subject property covering Homeowner's
risk of loss during the construction period, together with all special forms required by
reason of the performance of this Contract. Specifically, Homeowner shall contact
Homeowner's insurance agent and secure any necessary Builder's risk coverage prior to
the commencement of the work.
7. HIDDEN, CONCEALED and UNFORESEEABLE CONDITIONS
The parties agree that in the event Contractor discovers a condition requiring an extra
cost that they shall proceed as follows: The Contractor shall notify the Homeowner
verbally at once to expedite agreement as to the charge to correct or cure such
condition, and provide a written estimate as soon as practicable. The parties must agree
to such extra charges, or agree to a resolution method, or this Contract may be canceled
by either of them.
For purposes of this section, a "hidden, concealed and unforeseeable condition" shall
mean a condition not readily observable to a prudent contractor Inspecting the subject
property for the purpose of performing this Contract.
8. WASTE REMOVAL CONTAINERS
The project may require a dumpster to be located on the property. It is the owner's
responsibility to provide a location and adequate access for a dumpster location.
In some cases, a dumpster can damage the surface it is placed on. Dumpsters are
generally placed on boards to minimize surface damage. Every effort is made to
minimize any damage as a result of dumpster presence. The types of damage possible
may include, but are not limited to, dead grass, gouges in the soil and scrapes or chips
on asphalt or pavement. Unless expressly included in this contract, Red Apple is not
responsible for the repair of this damage.
5
9. ADDITIONAL WORK
Any additional work or materials desired by the Homeowner shall be agreed upon -in
writing and such extras shall become a part of this Contract. Unless otherwise agreed,
any additional work shall be paid for as performed. Failure of the Homeowner to sign a
change order shall not preclude recovery for same by Contractor, and acceptance of said
additional.Work or materials shall be presumed, unless there is written notice to the
contrary.
Contractor shall advise Homeowner at the time of agreement on any additional work as
to any additional time required to -perform this Contract.
10. TERMINATION and CANCELLATION
Contractor shall have the right to stop all work on the project and keep the job idle if
payments are not made to Contractor in accordance with the payment schedule set forth
above, or if Homeowner repeatedly fails or refuses to furnish Contractor with access to
the job.site or product selections or information necessary for the advancement of the
work. Simultaneous with stopping work on- the project, Contractor shall give Homeowner
written notice of the nature of Homeowner's default.
If work Is stopped due to any of the above reasons (or for any other material breach of
Contract by Homeowner) for a period of seven (7) days after notice, and the
Homeowner has failed to cure the default, then Contractor may, without prejudicing any
other remedies Contractor may have, give written notice of termination of the Contract
to Homeowner and demand payment for all completed work and materials ordered
through the date -of work stoppage, -and any other loss sustained by Contractor,
including the balance of the Contract. Thereafter, Contractor is relieved from all other
contractual duties. Upon such termination, the Contractor shall have all remedies
provided by law, including such lien rights as then apply.
The Homeowner may terminate this Contract upon the following conditions:
a. Any other failure to perform this Contract required by the terms of this Contract.
b. No termination shall be effective unless 10 days notice of Homeowner's intent are
given as provided below, during which time the default may be cured by the
Contractor.
11. DISPUTE RESOLUTION AND ATTORNEYS' FEES
a. Dispute kesolution. The Contractor and the Homeowner hereby mutually agree in
advance that in the event that the Contractor has a dispute concerning this contract,
the Contractor may submit such dispute to a private arbitration service which has
been approved by the Office of Consumer Affairs and Business Regulation and the
consumer shall be required to submit to such arbitration as provided in M.G.L. C.
142A. i
Contractor:
Homeowner: L^_3_ SSI/.
Homeowner:
NOTICE: The signatures of the parties above apply only to the agreement of the parties
to alternate dispute resolution initiated by the Contractor. The Homeowner may initiate
alternative dispute resolution even where this section is not signed separately by the
parties.
b. Small Claims Court. Any controversy or claim arising out of or related to this
Contract involving an amount of less than $2,500.00 (or the maximum limit of the
2
court) must be heard in the Small Claims Division of the District Court in Essex
County.
c. Attorneys' Fees. In the event of any litigation between the parties relating to this
Contract, the parry against whom any adverse final judgment is entered (as
specifically determined by the Court), following the expiration or exhaustion of all
appeals, shall reimburse the other parry for such party's costs and expenses
(including, without limitation, all reasonable attorneys' fees, expenses and
disbursements) of such litigation.
d. Inquiries Regarding Contractor. All home improvement contractors and
subcontractors shall be registered and that any inquiries regarding a contractor or
subcontractor relating to a registration should be directed to:
Registration Division, Program Coordinator
One Ashburton Place, Room 1301
Boston, MA 02108
Tei: (617) 727-3000 ext. 25239
12. WARRANTIES
a. The work of the Contractor, including materials and labor, shall be guaranteed for a
period of two (2) years during which period Contractor shall at its own expense
correct any defect arising from its work unless Paragraph 7 of these General
Conditions applies. This provision is in lieu of all other warranties, express or implied,
and Homeowner has no action at law or in equity against the Homeowner after said
date.
b. Any and all warranties for appliances or mechanical systems shall be delivered to
Homeowner when Contractor's final payment is received.
c. Notwithstanding any manufacturer's warranty of any component, appliance, or
system, no action may be brought against the Contractor on this contract, for the
performance of this work, except as provided above.
13. NOTICES
Notices may be sent to either party at the addresses shown above, or mailed by certified
or registered mail. Any mailed notice shall be deemed given as of the date of mailing.
14. SEVERABILITY
If any portion of this agreement is found invalid or unenforceable by any court, the
remaining provisions shall remain in force between the parties.
15. ENTIRE AGREEMENT
This Contract consists of the documents defined above, and constitutes the entire
agreement of the parties. It can be modified only by a written document.
7
NOTICE OF CANCELLATION
You may cancel this Contract, without penalty or obligation, within three (3) business
days from the date this Contract is'fuliy executed. If you cancel, any property traded in,
any payments made by you under the Contract, and any negotiable instruments
executed by you will be returned within ten (10) business days following receipt by the
Contractor of your Cancellation Notice, and any security interest arising out of the
Contract will be cancelled. If you cancel,. you must make available to the Contractor at
your residence, In substantially as good condition as when received, any goods delivered
to you under this Contract; or you may, if you wish, .comply with the instructions of the
Contractor regarding the return shipment of the goods at the Contractor's expense and
risk. If you do make the goods available to the Contractor and the Contractor does not
pick them up within twenty (20) days of the date of Cancellation, you may retain or
dispose of the goods without any further obligation. If you fail to make the goods
available to the Contractor, or if you agree to return the goods to the Contractor and fail
to do so, then you remain liable for performance of all obligations of the Contract. To
cancel the Contract, mail or deliver a signed or dated copy of this Cancellation Notice or
any other written notice, or send a telegram to RED APPLE RENOVATIONS at 9 BARTLET
STREET, #332, ANDOVER, MASSACHUSETTS 01810 not later than midnight of the third
(3rd) business day after the execution of the Contract.
I HEREBY CANCEL THIS CONTRACT.
Date: Homeowner:
Note: Massachusetts State Law requires that all construction contracts include two copies of
a cancellation notice.
11
NOTICE OF CANCELLATION
You may cancel This Contract, without penalty or obligation, within three (3) business
days from the date this Contract is fully executed. If you cancel, any property traded in,
any payments made by you under the Contract, and any negotiable instruments
executed by you will be returned within ten (10) business days following receipt by the
Contractor of your Cancellation Notice, and any security interest arising out of the
Contract will be cancelled. If you cancel, you must make available to the Contractor at
your residence, in substantially as good condition as when received, any goods delivered
to you under this Contract; or you may, if you wish, comply with the instructions of the
Contractor regarding the return shipment of the goods at the Contractor's expense and
risk. If you do make the goods available to the Contractor and the Contractor does not
pick them up within twenty (20) days of the date of Cancellation, you may retain or
dispose of the goods without any further obligation. If you fail to make the goods
available to the Contractor, or if you agree to return the goods to the Contractor and fail
to do so, then you remain liable for performance of all obligations of the Contract. To
cancel the Contract, mail or delivery signed or dated copy of this Cancellation Notice or
any other written notice, or send a telegram to RED APPLE RENOVATIONS at 9 BARTLET
STREET, #332, ANDOVER, MASSACHUSETTS 01810 not later than midnight of the third
(3rd) business day after the execution of the Contract.
I HEREBY CANCEL THIS CONTRACT.
Date: Homeowner:
(Vote: Massachusetts State Law requires that all construction contracts include two copies of
a cancellation notice.
�7
KED APPLE.
RENOVATIONS
1 omw - --e 'a.r_�deh`ng p-ofessimmils
Exhibit II - The Project
Repair Front Wall
The work would include the following:
1P The synthetic stone will be removed from the front wall of the house to expose all
water damaged areas.
V The siding will be removed from the adjacent wail to expose any water damage on
that area.
The water damaged areas will be repaired. The repairs will include removing and
replacing all damaged plywood, framing and insulation. Additional, due to the nature
of the repair, some damage to the interior surface of the wall may also occur. This
will be patched and painted as part of the project once the work on the exterior is
complete.
New gutters will be installed on the second floor roof in the area over the damaged
corner of the front wall.
Once the repair is complete, the wall will be prepared for the installation of new
windows and installing new windows and new stone on the front of the house. This
proposal does not include the installation of new windows or new stone.
�� Bill are sent to the client weekly on Friday and payment is due the following Monday.
Notes:
1) An allowance is an amount set aside in the contract for a specific item. The final
cost will be determined by the fixtures determined. by the homeowner.
2) Paint grade means 4iial ded tobe painted rather than stained.
Homeowners Homeowner(s)
Date 6 - a D- d? Date
9 Bartlet Street #332, Andover, MA 01810 tel: 978.409.1293 fax: 978.945.2446
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Ogee of Investigations
600 Washington Street
Boston, MA 02111
www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
licant Information
Name (Business/Organization/Individual):
Address: a Ae h
City/State/Zip: 4hc Oc 'e
Phone #: C� 4 �- , 40, . 1 a�
Are you an employer? Check the appropriate box:
1. I am a employer with 4. ❑
Y—
I am a general contractor and I
2. ❑employees (full and/or part-time).*
1 am a sole proprietor or
have hired the sub -contractors
listed
partner-
ship and have no employees
on the attached sheet. t
These sub -contractors have
working for me in any capacity.
[No workers' comp. insurance
workers' comp, insurance.
5. ❑ We are a corporation
3. ❑required.]
I am a homeowner doing all
and its
officers have exercised their
work
myself. [No workers' comp.
right of exemption per MGL
c. 152, § 1(4), and we have
insurance required.] t
no
employees. [No workers'
com insu
Type of project (required):
6. ❑ New construction
7. [`] Remodeling
S. ❑ Demolition
9. ❑ Building addition
10.❑ Electrical repairs or additions
11.❑ Plumbing repairs or additions
12.❑ Roof repairs
P rance required.] 13r7l Other
"Any applicant that checks box #I must also fill out the section below If their workers' In policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
{Contractor: that check this box must attached an additional sheet showing the name of the sub contn,cr�ro a.,,r
-- 1"113P. poncy Information.
information.
am an employer that is Providing workers, comp ensation insurance for my employees. Below is the policy and job site
Insurance Company Name: � �:h
Policy # or Self -ins. Lic. #: W C �- -7 4G ( R- e-
Expiration Date: (� (�-�G�
Job Site Address:�� 5���� P s.��
City/State/Zip: �jof�h f �Er, U�l� 0j14� _
Attach acopy of the workers' compensation policy declaration a e showing the policy number and expiration date).
P. g ( --r•—
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
a -7
tains and penalties of perjury that the information provided above is true and correct
U0,, Q C,
Official use only. Do not write in this area, to be completed by city or town gJj`iciaL
City or Town:
I
Permit/License #
ssufng Authority (circle one):
I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person:
Phone #:
CORD
AA�TId. CERTIFICATE OF LIABILITY INSURANCE I*TE(MMnX YYr
03/21/2007
PRODUCER PNS (9 CE AG fart (978) a75.2i71 THIS CERT94CATE IS ISSUED AS A MATTER OF INFIORMATION
THE Hr; HA INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON TME CER71FICATE
d PUNGFIARD AVE H009R, THIS CERTIFICATE OQMSI NOT AMEND, Ei(TEND OR
ANDOVER MA 01810 AI TFR TUU r'ttv=uAlSC Aeenener, — —V — I--- — ,....
INSURED
RED APPLE RENOVATIONS INC
32 WASHINGTON AVENUE
ANDOVER MA 01810
INSURERS AFFORDING COVERAGE NAIL #
INSURER & Commerce Insurance Co
INSURER B: National Grange Mutual
INSURER C: Commer*v Insurance Co
INSURER D: COMMerce Insurance CO
VY a,Y14f11GY. I D l�IP1Yr1111
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONri;ACr ER OR OTHDOCUMENT VVITI� RESPECT ro WHICH THIS C€aTIF1CATE MAY BE
ISSUED OR
MAY PERTAIN, TKE INSURANCE AFFOADED BY THE POLICIES DESCR18ED HEREIN IS SUOMT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLIGIF,S, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAVA
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TYPE OF INSURANCE POLICY NUNSER Patlrr UFWTIVE ROLW OFFAMN
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GENERALr MrNLrlY
X COMMERCIAL UNFRAL LIABILITY
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AUTOMOBILE LIAWTY
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CH CURRENCE
S
Fre
_`000,00
500,000
NFD. EXP (Any one panwq
S 10,000
PERSONAL s aper INJURY
s 9,000,000
GENERALAGGREGA-M
s 2,000,000
PRODUCTS-COMPW ACG.
S 2,000,000
t� -44wtSINGLf LIMIT
250,000
1300ILV INJURY
(Pwpmm)
s 250,000
BODILY INJURY
(F9r e4Gdanr)
5 500,000
PROPERTY OAMAAGE
Par ac;WenO
AUTO ONLY -EAACCID
s 100,000
$
OTHER THAN EA ACC
AUTO ONLY. AGO
EACH OCCURRENCE
$
$
$
AGGREGATE
b
S
5 T
WGSiA
TARII UMrTS OhiER
$
E.L. EACH ACCIDENT
s 100,000
E,L,OISfASE-EAEMPLOYEE
: 100,00Q
ELOISEASE-POUCYLUT
$ 500,000
I ADDED BY ENDORSEMENT/ SPECIAL. PROVISIONS
9
CANCELLATION
SHOULD ANY Of THE ASQVE DESCRIBED POUCIH$ BE CANCELLED BEFORE THE
EXP'RATx* DATE THEREOF, TME ISSUING INSURm WILL FNUEAVOR TO HAIL 10 DAYS
To Do 0 SK&LL IMPOSE NO 10CBC GATION OR LIAWV Y OF ANY KIND UPON THE w$URER
IrG AGENTS OR REPRESENTATr ss.
Diane M. Newton
00 # 2902 0 ACORD CORPORATION 1988
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