Loading...
HomeMy WebLinkAboutMiscellaneous - 133 CAMPBELL ROAD 4/30/2018 133 CAMPBELL ROAD 210/1068-0078-0000.0 North Andover MIMAP May 8,2013 106."216 60V �S6 Road P 1t e a 111 CAMPBELL RD 141' 121 CAMPBELL RD 155' 62' 106.B-0037 133 CAMPBELL RD _. 106.B=0036 149 CAMPBELL RD '' 106.B-0078 "y ,•`-'...�U.r<.: t..:-� ,p...vA!� . . .��,,�,, Sly..: I,'-��.: ,t,•�- 106.B-0033 I, .._._. .- vJLt t::.:' ; .._._. .. ��Ut:::•...i; ��l..i r:. .. :' a:::.:".. .:_::.? . :::::,S1cc ......•._.•:.: ._.. iu i:_.='alu':::_::;: _ :- '�Jcr ::_:::: :::=:. J.0:i :-._ 'uJu ''alu ;:.:_ a, - - d 4.? yJIt"':,•.:. r.i,..:aUu :::" lur,.i,.. `_,:.. :._...:• _... .-•.-'•.:-btu.::::::":,3Jr,�';_;..,ilcr.-: �:::-aUtr-`•.:_:'alr`.::::r",SJu'�'_::al,cr..: do. •"::::" •;.s!••.:-aU.u-•"':::�'�U�..,,1:..:�aV.[�':`.`:::"�aVr;�•;- _. ...Cllr. "•:':....;.._�•-:_.�SJ.(c ��_.:...,.,.._:=-::..,aUt� '�-�•...:. u!({-c__•�a�ltr::r�::.��'aUlt...-_-�'�1,:�{:i_•:::ulH,t_.:r_:�?alt`i::•_:.•_ 106.6-0034y� _.aUcc••::::"aUu'-':_: .:',::::u1l '`_:_:'Jtcr::. Uri'.`.'::::"��U.r.:•`!'•.::SU,r�:":::"• .,,i,... .:::::"�lt�:. ._. •'�Sllr:_-..__....._.-:.:::-vJ.••=•::. Flu :: Rail Line Interstates to Hodmntal Datum:MA Stateplane Coordinate System,Datum NAD83, Interst — Major Roads Meters Data Sources:The data for this map was produced by Merrimackf NORTH Valley Planning Commission(MVPC)using data provided by the Town of Roads '� North Andwer.Additional data provided by the Executive Office of Ci Easements j �� ���0 Environmental Affairs/MassGIS.The information depicted on this map is ❑MVPC Boundary L for planning purposes only.It may not be adequate for legal boundary O - t° definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER L3 Municipal Boundary �' S MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING - Trolls 4L • THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ♦ i �t OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT O Parcels • o� _ ,?t'♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF t7 Hydrographic Features THIS INFORMATION +•�o^ < Streams 1SSAG44USt 7,Wetlands Exempt Lands 1"=68 ft 4- i N2 �%' 6 J J Date.... k NOR7M TOWN OF NORTH ANDOVER 10 . PERMIT FOR WIRING Its US This certifies that ......0)...C..s..r-.c.� ........ ` J t� ...... ........(.. ............................... has permission to perform ...... P v..t.S. f'.......G"`u ....� ......... ....... .................... wiring in the building of........ �� VL ................................................................... at r ... P ^ North An do Cvr, ass. � SF�3} .cJU... Lic.NoA ...s. ......... . ........ ELE.CR C WHITE:Applicant CANARY: Building Dept. PINK:Treasurer �� �r� .f)(L �F�� �1�1USET S -- Office Use on �j DEPARTAIFNTOFPUBLICSAFM Permit No. — - BOARD OFMEPREVEM70NREGMT10AN5rC14R12.-00 --- _ Occupancy&Fees Checked APPUCATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 0192 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) (� - MAP Owner or Tenant Owner's Address PARCEL 0 7 Is this permit in conjunction with a building permit: Yes No (Check Appropri f-� ? Purpose of Building Utility Authorization No. Existing Service ex) Amps P/ olts Overhead Underground © No.of Meters New Service Amps / / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work / () � t)k l 60 7b OCJ �No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground around No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections 'No.of Water Heaters KW No.of No.of Si s Bailasis No.Hydro Massage Tubs No.of Motors Total HP 1C OTHER IrntrarreCo�u�age Rasttantb�lhetac�me;t�aisseltsGataalLaws I ha%,eaamutLabfl1yftEurdrcePthqy rdxkgCxnT1deOpwdm CoArdWcrksstksttmale4ivalmt YES NO Iha„eahngedvttidptodofsarnetDthe0ffim YES 1 o IVU 0 If}wimedm*cdYES,pkaseutdic&thetAxof vuaFbyd-odargthe WSURANCE [7 BOND ® OTHER ® ftaseSpacify) ETia6m Dai ® Esknated Valuec(F]t�l Woik$ � WodCiDt </ --hpedwD&- RcE.,.l &LC Signedtrda$iePa>al'esar \ sv U/ FIRM NAME f tZ ed LtrcatseNa I�ac�l�`✓1 lL� � ���l/�s>, � � Lit�eNo .1�� BtsinessTdNa Lj .3 6122) 61 Q'2) AkTeLNa d/S qZ�6 a 2 ” OWMI R'S INSURANCEWAIVER;Ian ma dxvheLi==dmnatl�ethea�staanceo tritssub�ar ieq ascatgmedbyM�a GeralLavts andthattnysgrxt cn$aspewWp&xdmwar esthism4man t (Please check one) Owner Agent Telephone No. PERMIT FEE Location No. Date MORTot TOWN OF NORTH ANDOVER Of tt.•° ,•,�O O? i_• • OL � 9 ` Certificate of Occupancy $ Building/Frame Permit Fee $ sncMusE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 163 v f j Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING t", TIMOR '/ BUILDING PERMIT NUMBER: -�� DATE ISSUED: 43 X I A .0. ic SIGNATURE: 1�a4f . . Building Commissionerli for of Buildings Date z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 1/3 Map`Number ✓Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: /. cl- Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Rapired Provided Requred Provided v 1.7 Water Supply MAGI-C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record e ✓` e Cs Cct :✓/ Name(N-1) Address for Service Signature Telephone 2.2 O*ner of Record: Name Print Address for Service: O Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address D Expiration Date ic Signature Telephone r u 3.2 Registered Home Improvement Contractor Not Applicable ❑ v -1r1 s +,.I& � l Company Name �� m ^' Registration Number Address L CIS Z Expi tion D Signature Telephone NORTH own of Andover No. • .... ...... 0 __ LA . dover, Mass., COCHICHE0 ,,9\\, BRAT ED BOARD OF HEALTH Food/Kitchen PER IT T D Septic System BUILDING INSPECTOR THISCERTIFIES THAT................W............................................................................. ........... ...................... .......1011�.... ?1 AVFoundation has permission to erect........................................ buildings on .../63.3 - ................................. ..... Rough to:be occupied a .I.............. Chimney ' ** * '* ' .. ......... provided that the_ accepting thi rmit shall in every respect conform to the terms of the application on file in Final this office, and tdithe 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 PERMIT EXPIRES IN 6 MONTHSFinal ELECTRICAL INSPECTOR UNLESS CONSTRUCTION SrT � S . Rough Service ............................................................ *ria4 41 ING INSPECTORFinal Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. LSEE REVERSE SIDE Smoke Det.1:� cn li, •J , r , �! ,:.A�,n:.i !�r��"•" '� .:A�=r ti-`'� f�711 r-%i..'h ';��'I'ti 1{`:. n{� ,-F t;.•�� -'� ,•f O r,c,'' r >1"'' `r•;"1 '1: rf' rtil �. j+. i. S�' air F ;:;'. cis„r. ,,c' 4 ,_ ,,' , .J�T � ._�., 'y' ,''(:'` �I { : -.7.T{:Y:`�; c,r. i -a�;i��ii•.r�'�'►-.^�'�'• -.~p� r„ IN '! 4 ',tr •. .;it,.i�'., �:� �•`_• ,�}I'.',�'F' _ li' 'rlt.'- .. .\ C +•a< - 1�•ti 1' ' ;J r L,,..�0..:...,:_::r�.:.'w 1!.-.�'.tW.at•�YiY �' � C> Y' .. •,r.. -i• ., r,• ..� ,- a•oa•..+•A15.1.7J�-wi+rriAlar',!r'iASib• 1 :-'•.:¢, ti N :. ,r�'�yr{��,.,lrl. 'wr*...L•-�..:r •. r +MSM•- �.r�')•.'c-._�'�'�li'r;X. o G i�ti, i, •li.frs�lf .,• 'r�:': d�4 .r '.y:' � •z<• -ass•� W-� / �v`E � C_ L�'t<:r/1/r/ �.- ...;�.t�',��- _a' .. I� �., ,J. '.r. i e _ �IiT1 ��/��.'i'�„ '-- �, �i7-.'.r:t.' �'L!J•da 'T] .Z.) B `�` °� oard of. Building Regula `ons and Standards 1301 ;, ;_•;` �, -Room one Ashburton Place Basion. Massachusetts azo$ Nlassachus :,.• :>, ?; ,FA Contractor Registration Home Imprflvernent Contra P 128471 A- r, �_ R.egls9ration, r 'rypts: Ltd Liability CotPotetlon `•y; 4111120115 ,s. ! ;;. •; . LLC INSTALLED PRODUCTS USA _____ ,•,���_-�.., MICHAEL VERBI_E G — _ 207 G KELSEY LANE SUITE -- --- TAMPA, FL 33619 — - --— �;i`�; -; ':;tP. ,n eason for dwagt. .y - .. m i r Upd!ife Addren and rete cat d.ASark r ,t.:'ti; , Addree9 Rfutrs's1 F-1 Employment [f Lost Cord - c'Y j''3`� N +- 31 M1' 4• � iOpg4 ��IOOaYH i I i��1 I .�a:, "�'t� ;/Re flYolf6r �•- - '+< �. 1' ;'Jd rtl, �•�r r u�ensr or regisintion vrtid for(hdtr'idal sae ant}* 8oa�lt o[Building Rrqulagant and 8lrndudr the eplrailtn date. If found telurn Wore HOME IMPROVEMENTGONTAACTOlaas ud standards nf 8utidioe Re latDoard �sr , an Pioce Rm 139) 5 h! Rsebtratlon: t2e471 00tAsh6url its Expiration: 4111fms Bosiva,ltita.0I108 'i; 3•f' Typo: Lld!IaHAlty CorootaRon ;.: t .,t°. ?77a�. }Q"r• ' - INSTJU-t-ED FF#ODUC73 U51113.0 �/ r• ��= , MICHAEL VERBLE -- r-, L6EYIME SUITE O ,.-�Cy�.''i �— .-__ --- Sig A ==c; 247 3 Kt: Not vend FYtlhoul dertilurc sir,% ;�, 1 ,.•'`:�i..rl.� , Snl6trdOr .Ir- 'F'r . c '.. ?ALIPA.FL ai819 Adm f `. Ir. .i.;,L... : iti:'}}'y'*- at• r,; ”, tom'` 5 •;;' c:' 1< •..i,l- _ ,i -- - '!.•r- -1 '.�. t' - '4i''d.''G•:+.`.. _ :;y1 i?" ` i r_ :,. 'i.' - t•�,;.. •n.':Y - _ ':r•t "'L�: ki, v; , � - v 4 'L qt.f CD ,1 f 'r S W 1: 'r:P �, 't':-,. - 'l,>. 7.1'i. - - R. .C-.'4::..'..;i::.<i• it • if' "`; t ` 'I .I I :c 5' a' - - .,i ,�• :,t'r ''F-:: :.i.ir - els• ',k' :A!0.! ', .:i' :M :'r'!�•`v': V - �: .41;:1 1. .ii- .,a...1 s• di. :i;, ,? rrt'�-: .l'. e � d: ,e:, _ 'i: y�v•+;t s:?�t �`e:�r�<._ r r •.'1 ,.�. �: il•: �ti'C. 'iii' 'N' ,i. .�, '::1�c� 1�1'(;( Y ,f�' �..t �! �!\' .,:.••V:`' 1'� l,:'r �•l! '.�y.� L,i' I <, t'r'I::LV.. yY.i�\��-�?r.t .,l iC "li •.i �.a�E - ( ��: •(1 •.'!" .. =1:' i�`1.Yi,''�;. '.i.r iw •r; ;}Tr,: �T �1, JJt If L' Home Depot j STORE#: vS' 207-6 KeLwy Lane Jy i 2 _ Tampa,Florida 33619 JOB#: >)7 ( Home Improvement Contractor Consumer Vain Dept:1-888681.7221 LEAD#: CD Z�d`i Z MA Lic#128471 CT Lit%#566155 ` E HOME PHONE p OFFICE Nu- »�F� CWIFEIS NAL"lE IS NIJ� ]6-meq-b' 18 N 4 /) /�� 1 I CITY STATE ZIP `2/ 3 C69-wl l l 1 N, � 44 AQ- 0lc�iyZIP /PAEST CROSS STREET INSTALLATION ADDRESS,IF DIFFERENT CrtY STATE DP SALESPERSON TO CHECK ITEMS TO BE ' ❑PREPARATION '<ROOFING ❑SHEET METAL ❑SOFFIT&FASCIA §•CLEAN-UP 810 AND SPECIFY ON PROPOSAL TEAR-OFF ❑CARPENTRY ❑VENTILATION. ❑GUTTER WORK C S INSPECTION REVEALS THE FOLLOWING PROBLEM AREAS: ❑NAIL OVER EXISTING SHINGLES(Go over). Kshingles ❑Decking ❑Chimney Flashing ❑Shakes,Tiles,Metal Apply over existing shingles.CAUTION:New materials will conform [3Vent Pipe Flashing ❑Dormer Flashing ❑Ventilation ❑Guttering to unevenness of existing deck and/or shingles. INSTALL- El Valley NSTALL❑Valley Flashing❑Overhang&Trim❑Exposed Ceiling �§Wlnd/VJater/Ice UnderlayriTent N �[SCJ Ln.Ft. ❑Other FLASHIN Instal r Rework: ❑Dormer/Wall Flashing HOME DEPOT agrees to arrange installation of the following type of Chimney Flashing Cl Step Flashing ❑Vent Flashing roofing material with limited material warranty by the Manufacturer. ❑Other Flashing \ TgP,f_?,L)N't 30 VX14 of-koCU VENTILATION TO INSTALLED: Material Name Years Color ❑Ridge Vents ❑Static Vents ❑Eave Vents V ��, ❑Turbine Vents ❑Power Vents ❑Gable End Vents (see limited warranty for details) STACK COVERS:Replace# Size: Note:No warranty given for leaks caused by backup of nails. Size: EDGE TO BE INSTALLED:. Note:Blends show less variation in shade due to light reflection than solid colors.Black normally has some shade variation. Install N CW M Tt) L.F. To be installed on a I story house.Rise Per 12" GUTTERING(Color and Description): ❑Attached Garage ❑Free-Standing Garage❑Low-Slope OVERHANG AND TRIM(Color and Description-Reasonably Match ' Other. existing): TYPE OF EXISTING ROOF: CLEAN-UP AND REMOVAL: Job site will have a neat, clean appearance after tfie job is completed. Shingles Q<Gable ❑Hip' ❑Mansard ❑Shakes Note:Home Depot is not responsible for any existing masonry,wood ❑Tile ❑Low-Slope ❑Slate ❑Other or other materials, nor any items above the roof line.Any hidden Note: Home Depot takes no responsibility for identification nor conditions which require add'tiona/work or any extras requested by removal nor disturbance of existing environmental problems or purchaser will be.billed se pa tety and purchaser agrees to pay for hazards.If it is determined that any of the material or jobsites are an the work as an extra. � Initials. Additional Layers:It is possible during the course of installation that environmental hazard, the purchaser must arrange(at purchaser's additional layers of material could be found.If!additional layers are sole additional expense) for removal, haul-away, dumping and found pu he r grees to pay$ ,per square per layer as replacement of terials according to.existing local, state and an extra. Initials. Federal law initials. Installation Dates:.The current estimated start date should be within ❑Valley type-Existing New Ln.Ft. the next . '•weeks.Subsequently,based on the estimated MAIN ROOF has_�__layers of 3 T work in this contract,the current estimated completion date should be within days of the actual start date. ADJACENT ROOF has layers of Note:These estimates are subject to,the DELAYS/N INSTALLATION REMOVE existing 3 `T>Yn roofing to the deck,cover condition on the reverse. with a new felt and then apply roofing materials. Special Instructions: DECK: Plywood " Thickness T&IS "x " �E p X _T tr�— Q L FS �l NYS Other: FLoIrllf.7� IN �1M". _1'.I�U !N'1'P4�xtJi" ROTTEN OR DETERIORATED DECKING: Home Depot will install approved sheathing where needed.No charge or estimate has been PI�1C� rNCL SES �LFtu� made for replacing such rotten or deteriorated wood. If such conditions are found,purchaser will.be llled separately and agrees to pay for the work as an extras Initials. v- CASH PRICE:$ J l i�&L/ Approximate Monthly Payment:$ (may v be >�'or not applicable based upon credit approval) METHOD OF PAYMENT:(The credit terms and conditions are provided on a separate document:)P' valid for thirty(30)days. ❑Cash:payments as follows:$ down,balance due upon completion. If payment by check:BANK FERENCE: CONTACT NAME: PHONE# Credit Card:Circle One: HD MC VISA AMEX DISCOVER Card# 9-71 It I Co 6 t j�0 Downpayment Amount(if Any): e Authorized Cardholder's Signature: ! Exp.Date: ❑Home Depot Extended Credit SUBMITTED BY APPROVED B ; 'REPRESENTATIVE MANAGER VWe,the owner(s)of the pre es desc' ed above(hereinafter referred to as"Purchaser(s)")offer to contract wlth The Home Depot to furnish, deliver and arrange for ins tion of all materials necessary according to the above speciffcatforis.'THE TERMS AND CONDITIONS OF THIS AGREEMENT ARE CONTAINE IDES OF THIS FORM.Do not sign this contract If there are any blank spaces. PURCHASER'S SIGNATURE: SPOUSE'S SIGNATURE: DATE: YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE \ OF THE TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Note:The following,Construction related.pennitrs are necessary before the contracted work begl . Itis the Hor1(e Imprvverrient Contractor's obligation to.obtain such permits as the owner's agent.Own ia3;' lea thslr own permits`Rth unregistered contractors will beb*06ded fr6m'thb:guarenty.fund provisions of M.G.L.c.142A. I�` =?""'`''!'• r °r deal ,i,il,�. ,•:I,.r ''IJ HDAS-BF002-0800-MA "e•r;i.,:^ill+�•�In Pi: n. 'I �l MARSH USA INC. CERTIFICATE 4F .INSURANCE_ CERTIFICATE NUMBER CHI-000365231-00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ' Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE First Indiana Plaza POLICY.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR-ALTER THE COVERAGE 135 N.Pennsylvania,Ste.-1600 AFFORDED BY THE POLICIES DESCRIBED HEREIN. Indianapolis,IN 46204 COMPANIES AFFORDING COVERAGE Attn:PAT VORNHOLT (317)261-9363 COMPANY 01376-CAS- A ZURICH INSURANCE COMPANY INSURED - COMPANY- INSTALLED OMPANY-INSTALLED PRODUCTS USA,LLC B COLUMBIA CASUALTY COMPANY DBA HOME DEPOT INSTALLED ROOFING - - 207 KELSEY LANE,SUITE G COMPANY TAMPA,FL 33619 C COMPANY D COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 5 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES-.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - - - CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVEPOLICY EXPIRATION - -- LIMITS LTR DATE(MMIDD/YY) DATE(MMIDDIYY) A GENERAL LIABILITY GL03481762-00 06/23/02 06/23/03 :GENERAL AGGREGATE $ 2;000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ - 1,000;000 - CLAIMS MADE OCCUR _ - -PERSONAL 6-ADV INJURY $ 1,000,000 OWNER'S 6 CONTRACTOWSPROT EACH OCCURRENCE $ - - 1.000,000 FIRE DAMAGE(An.one.fire) $ 50,000 MED EXP(Any oneperson) $ 5,000 A AUTOMOBILE LIABILITY BAP3517406-02 06/23/02 06/23/03 -.COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO - ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS - - (Per person) - " - HIRED AUTOS BODILY INJURY $ , NON-OWNED AUTOS - -(Peraccdenq, - - - PROPERTY DAMAGE $. I, GARAGE LIABILITY AUTO ONLY=EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: - EACH ACCIDENT $ . .. -. AGGREGATE $ B ExcEss LIABILITY CUP349141992 06/23/02 06/23/03 EACH OCCURRENCE $ 5,000;000 X UMBRELLA FORM - AGGREGATE - - - $ 5,000,000 OTHER THAN UMBRELLA FORM $, A WORKERS COMPENSATION AND W 03517407-02 06/23/02 TA7U- OTH EMPLOYERS'LIABILITY . WCSLIMBS -.. ER .. EL EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ - X INCL �EL DISEASE-POLICY LIMIT 1,000,000 PARTNERSIEXECUTIVE OFFICERS ARE: _ EXCL - EL DISEASE-EACH EMPLOYEE $ 1,000.000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS(LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS). ALL OPERATIONS OF THE NAMED INSURED ARE SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICIES. 1 CERTIFICATE HOLDER CANCELLATION *. SHOULD ANY OF THE POLICIES DESCRLED-HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30.GAYS WRITTEN NOTICE TO THE INSTALLED PRODUCTS;USA,LLC CERTIFICATE HOLDER NAMED HEREIN,;BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR DBA HOME DEPOT INSTALLED PRODUCTS/ HOME DEPOT INSTALLED ROOFING LIABILITY OF ANY KIND UPON THE INSUfiER AFFORDNGCOVERAGE.ITS AGENTS OR REPRESENTATIVES: 207 207 KELSEY LANE,SUITE G TAMPA,FL 33619 MARSH USA INC. r BY: Patricia A.Vomholt 'I `�T.,,.„r,_('�,-,,ons.L.OD MM1(9199) VALID AS OF: 0626/02