HomeMy WebLinkAboutMiscellaneous - 9 WALKER ROAD 4/30/2018 (3)B
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$ THIS CERTIFICATE IS ISSUED A6 A MATTER OF INFORMATION
8WD GROUP LIMITED ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERMCATE DOES NOT AMEND, EXTEND OR
3000 MARCUS AVENUE
ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW.I
CB 5028 COMPANIES AFFORDING COVERAGE
LAKE SUCCESS, NY 11042 COMPANY
616-328-8300 A U, S. FIRE
sump -
COMPANY
RMA Home Services, Ince B CRUM & FORSTER
3200 Cobb Oa l l er i e Parkway COMPANY
Suite 260 C
Atlanta, GA 30339 COMPANY
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INDICATED,NOTWITHSTANDINGANYREOUIREMENT, WT, POLIOY PERIOD
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE SURANCE 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 PAD CLAIMS,
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DATE (NMIDDIM DATA (IIaINIM V V LaI11R
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CLAIMS MAOI: . OCCURNAL
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AMAGE (Aar oM fire) ! 1000000
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ANY AUTO COMBINED SINGLE LIMIT !
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ALL OWNED AUTOS
BODILY INJURY
RCHEOULED AUTOS (Per penes) =
x HIRED AUTOS -
BODILY NAAIRY
x NON -OWNED AUTOS (Per eeeldem)
PROPERTY DAMAGE _
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ACCIDENT YJ
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DISEASE • POUCY LIMIT I; 500000
OFFICERS ARE: ExGL
DISEASE • EACH EMPLOYEE I ! 6 0 0 00
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As: 200 Butterfield Drive, Unita
& 91, Ashland, MA 01721
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` HOME IMPROVEMENT CONURa ions andREGISTRATION
Board of Building Reg
One Ashburton Place - Room 1301
Boston, Massachusetts 02108
HOME IMPROVEMENT CONTRACTOR
Registration 126893 Expiration 08/03/00
Type - PRIVATE CORPORATION
RMA HOME SERV/HOME DEPOT AT HOME SE
MARK S. ROBIDOUX
3200 COBB GALLERIA PARKWAY #260
ATLANTA GA 30339
Installed
Siding and Windows
Mark S. Robidoux
OualM Assurance inspector
Phone (508) 881-6394
Fax (508) 881-2906
1(877) 31 -DEPOT
RMA Home Services, Inc.
200 Butterfield Drive, Unit B
Ashland, MA 01721
�\ HOME IMPROVEMENT CONTRACTOR
Registration 126893
Type - PRIVATE CORPORATION
Expiration 08/03/00
RMA HOME SERV/NOME DEPOT AT H
S. ROBIDOUX
ADMINISTRATOR 3200 COBB GALLERIA PARKWAY 42
ATLANTA GA 30339
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Date.,f�p.��f .
e HO:t7M,' TOWN OF NORTH ANDOVER
p t�.�o ;•� �O
PERMIT FOR PLUMBING
,SSACHUSE�
This certifies that ..J.�'?b�?h �C?!�.0..................... .
has permission to perform...w..............................
plumbing in the buildings of .P. -7S. 1. .G �.....................
at . IA.Aq. I /-, /.m .) �.� .. 4. ,7 ............ . North Andover, Mass.
Fee •.' .. Lic. No...�� .? j .1 .. ............................. .
PLUMBING INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
M.\
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
AIle , Mass. Date �J� 19�/? Permit #
0
Building
Owner's
"Type of Occupancy , i D - ti tl r-1 L_
New ❑ Renovation Replacement [H"*' Plans Submitted: Yes ❑ No ❑
FIXTURES
Installing Company Name t' it ,EeT Pr MA TAe0 Check one: Certificate
Address — ��r� C'LRthim�n) �P j ❑ Corporation
�Y? C T N o C --A) - yo A 0a VL,/❑ Partnership
Business Telephone lc ;f ? -'-1'7 7 1 9-01—rm/Co•
Name of Licensed Plumber r4 f r3 r=�? T fry S! -I ,�virVlr4 1r41�t�
INSURANCE COVERAGE:
I have a current 1' bility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No ❑
"if you have checked ves, please
/indicate the type coverage by checking the appropriate box
liability insurance policy ld Other type of indemnity ❑ Bond ❑
t,WNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the permit issu for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plum ' g e and 9apter of the eral Laws.
Titre re of Ucensedlum r
Oty/Town Type of License: Master % Journeyman ❑ �
APPROVED O FIC U ONL License Number �_3 5
Y
•
it • • -
■.■.
■.■■■.■■■■■■�.■■■■.■.■i
Installing Company Name t' it ,EeT Pr MA TAe0 Check one: Certificate
Address — ��r� C'LRthim�n) �P j ❑ Corporation
�Y? C T N o C --A) - yo A 0a VL,/❑ Partnership
Business Telephone lc ;f ? -'-1'7 7 1 9-01—rm/Co•
Name of Licensed Plumber r4 f r3 r=�? T fry S! -I ,�virVlr4 1r41�t�
INSURANCE COVERAGE:
I have a current 1' bility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No ❑
"if you have checked ves, please
/indicate the type coverage by checking the appropriate box
liability insurance policy ld Other type of indemnity ❑ Bond ❑
t,WNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the permit issu for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plum ' g e and 9apter of the eral Laws.
Titre re of Ucensedlum r
Oty/Town Type of License: Master % Journeyman ❑ �
APPROVED O FIC U ONL License Number �_3 5
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