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Home My WebLink AboutJET CENTER REALITY, LLC can h, Department of Fire Services <•�b , Office of the State Fire ]Marshal P.0.Box 1025, State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2023 (City or Town) (Date) NOTE: Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13, of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Jet Center Realty,LLC (ADDRESS): F.O. Box375 Wilmington,MA 01887 is the holder of the license granted(Date): 3/10/1980 for the lawful use of the building(s) or other structure(s)situated or to be situated at (ADDRESS): 97 Commerce Way NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. 30,000 gals (1 Jet A 8�15,000—Avgas) Q-).,2,023......... ............. %;��.� ............... (Si=�— .By ..... G,GU�. ....................... �- oi Title) (Clerk) (State whethef owner,occupant or holder) (Address) /91m, �G (w 3 Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2020 (City or Town) (Date) NOTE: Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: g, (TITLE HOLDER): Jet Center Realty,LLC (ADDRESS): P.O.Box375 Wilmington, MA 01887 t 1 is the holder of the license granted(Date): 3/10/1980 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 97 Commerce Way NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. 30,000 gals(1 000-Jet Af 15,000—Avgas) Receive0 ........ ............... .. 4.. B ..y 'Avlek/ de ........................................ (Offici it (Clerk) /J (State whether owner,occupant or holder) (Address` i The Commonwealth of Massachusetts Department of Industrial Accidents Office fiice of Investigations 600 Washington Street Boston,MA OZIII www mass govldia. Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Le 'bl Business/Organization Name: 1 l� Address: �- City/State/Zip F,Ar,y u an employer?Check the appropriate box: Business Type(required): 1 am a employer withemploryees(full and/ 5. Retail or part-time).* 6. ❑Restaurant/Bar/Eating Establishment 2.❑ 1 am a sole proprietor or partnership and have no 7. (]Office and/or Sales(incl,real estate,auto,etc,) employees working for me in any capacity. •g, 0 Non-profit [No workers'comp.insurance required] 3.❑ We are a corporation and its officers have exercised 9, ❑Entertainment their right of exemption per e, 152,§1(4),and we have 10,[]Msnufhcturing no employees,[No workers'comp,insurance required) 11,❑health Care 4,❑ We are a non-profit organization,staffed by volunteers, with no employees,[No workers'comp.insurance req.] 12. ;(Other rPA� *Any applicant that chucks box N I rmat also fill out the section below showing their workers'compensation policy information. ++if the corporate officers hgvc exempted themselves,but the corporation hm other employees,a workers'compensation policy is required and such an organisation should check box#1. I Oman employer that is providing workers'compens on insurance for my a loyees. Below Lc the policy i ormado Insurance Company Name: insurer's Address. City/State/Zip: Policy#or Self-ins,Lic:# Expiration Date: Attach a copy of the workers'compensation policy declaration page(showing the policy number and (xpirati date),. Failure to secure coverage as required under Section 25A of MOL c, 152 can lead to the imposition of criminal penalties of a fine up to$1,so0.00 and/or one-year imprisonment,as well as civil penalties in the fonn of 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 h auranotooyerage veifcation, i I do hereby certo,under t alnl andpers ties ofperjury that the Information provlderl above is true and correct, Signature; Date' Phone } Official jicial use only. Do not write In this area,to be completed by city or town o,fj`lclaL City or Town: Permit/License# i Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clark 4._Licensing Board 5.Selectmen's Office 6.Other i Contact Person: Phone#: www.MUs,gov/dia i j i DATE MMIDDI'/YYY) iiiiiiiiiiiiiiii SURANCE .-T 15 20 OF LIABILITY IN THIS ICpTE NFERS NO RIGHTS UPON 7HE CERTIFICATE HOLDER• CERTIF N ONLY AND CO sU NGONSURERIS)HE POLICIES THE COVER!► AUTHORIZED ACOR MpnER pp INFORMp,T10 EXTEND OR AL7ER�EEN 7HE IS ect to SEE ICONTRACT BE IS y�A1VED,subj ,nVELY OR NEGAT O7 ON T TUTE A CATION to the THIS C RTIFICATE IS ISSUED AS A DpES N endorsed• If SUBRO snot confer rights ES NOT AF OF IN URAN7 E CERTIFICATE HOLDER. Tes)must be CERTIFICATE DOES CER,AND the Policy( A statement on this certificate doe BELOW. 7H1S CER INSURED, OR PRODU a require an endorsement. REPRESENTATIVE holder is an A n olicies m Y gonacorso FAX (761)937-3202 TANT: if the certificate policy,Certalin P Michael AIC No IMPOR conditions of the Po emenNs►• NAME: 'i81)93�-3200 the terms and PHONE NAIC• certificate holder in lieu of such endors michaei@bonacorsoins COVERAGE 5666 A enCY/ Inc• ADDRESS: AFFORDING Co• PRODUCER INSURERS pro ert Casualt 1.325 gonacorso Insurance 9 Travelers Street INSURER A' 10 Cedar I p�cadia � NSURERS' unit # 32 01801 INSURER C: Woburn anies) INSURED Corp. ( Benevento CoTnP INSURER D: concrete INSURER E: Benevento REVISION NUMBER: INSURER F P.O. Box 459 ICHTHIS MA 01-881 21 Concrete NUMBER:20 ECT TO ALL THE TERMS, THE POLICY PE WITH RESPECT TO Wilmington CERTIFICATE W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE ORCONDITIONBY THE POLICIES DESCRIBED HEREIN IS SUBJECT LIMITS GES LICIES OF INSURAN TELISTED BELO D C COV ERA PO T OF ANY CONTRACT E OTHER I ED CUMEIS THIS IS TO CERTIFY THAT THE THE INSURANCE AFFORD PDLICY EXP $ l,000,00 NOTVVITHSTANDINGRNY REOUIREMEN , MAY HAVE BEEN REDO PoDcY EFF MMIDprcYYY 50,00( Y I ISSUED OR MAY PERTAIN, LIMITS SHOWN MMIDDI�YY EACH OCCURRENCE INDICATED. $ CERTIFICATE MAY ADDL SUER POLICY NUMBER DAMAGE TO RENTED 10,00 EXCLUSIONS AND CONDITIONS OF SUCH POLICIE rrence PREMISES Ea occu $ I TR TYPE OF INSURANCE /1/2021 MED EXP(AM one person) 1 000,00 /1/2020 $ GENERAL LIABILITY g3g34_TIL-20 PERSONAL&ADV INJURY 2 DDD,OC -630-9A` $ �( COMMERCIAL GENERAL LIABILITY OCCUR GENERAL AGGREGATE ,Z 000,0( CLAIMS-MADE al $ A L Ded S 0 PROD UCTS-COMPIOPAGG $ XXCU X Contractual COMBINED SINGLE LIMIT 1 000 0 Ea acc dent GEN'L AGGREGATE LIMIT OAPPLIES P LOC BODILY INJURY(Per person) $ POLICY XIrc AUTOMOBILE LIABILITY /1/2020 /1/2021 BODILY INJURY(Per accidenq $ 10 9A650242 20 PROPERTY DAMAGE $ X ANY AUTO SCHEDULED Per accident A ALL OWNED AUTOS $ 5 AUTOS NON-OWNED Medical payments HIRED AUTOS AUTOS RENCE $ 5,0001( EACH OCCUR X UMBRELLALIAR X OCCUR AGGREGATE $ 5,00011 A EXCESS LIAR CLAIMS-MADE UP 9A650278 /1/2020 /1/2021 $ WC STATU- DTH- DED X RETENTION$ x A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT $ 1 000 ANY PROPRIETOWPARTNERIEXECUTIVE NIA /1/2020 /1/2021 OFFICERIMEMBER EXCLUDED? -9J446987-20-14-G E.L.DISEASE-EA EMPLOYEE $ 1,000, (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000, DESCRIPTION OF OPERATIONS beloW IH9A650278 /1/2020 /1/2021 Per Schedule B inland Marine DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE AB THE EXPIRATION DATE TOVE DESCRIBED POLICIES BE C North Andover, MA 01845 ACCORDANCE WITH THE THEREOF ANCELLED B OUCY pNOTICE WILL BE DELIVERED IN BEFORE ROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(20•)0/0s) chael lNS025(201005).oT gonacorso% The ACORD name and logo are r 1988-2010 egistered MarkS ACORp CO 0 Of ACORD RATION. All rights reserved. A�pR�® THIS'C CERTIFIC CIERRTIFICATE IS ISSUED qs A BELOW.T rE HIS DOES NOTAFF �IIATTER OF ATE OF Llq BI aco REPRESEll IS E�R R E OF►N INFOR L 1 T Y ►NS URq NC VELY OR NATION O the ORTAIVi Nthe certlN D(/CER,AND THE DOES Np COAMEND,EXTEN ORgLT NO RIGF(TS Up0 OATE(MM/DDnYYY) rnTs and cats holder is a ERTIFIC CON A CO N THE CERTIFICATE Bon conditions n ADDITIO ATE HOLDER. R THE C 4/g/2020 certlfi�te holder in lieu of$the policy,ce NAL INSU NTRgCT BE TTHE SSCING HSURER Y THE pp�CIES is PRODUCER uch endonsenT �n policies may reRED'the Policy()es Bonacorsoso O Cedar S Insurance A9enc t(sl. 4u1re an endorsementu A state" nt on If SUBRpGAT1pN I (S/.AUTHpRIZED Unit St Yr Inc this Certificate does WANED,subject to Woburn 32 PHONEael 8onacorso not confer rights to the (781)937-3200 INSURED 14A 01801 ADDRESS:mike@bonaco FAX Lawrence rso3 Zia.com A/C No; (781)937_ ence Jet INSURERS 3202 '0 BOX 375 Center LLC; Jet Center RealtyINsuRERB:Tallmark Insurance 0. OVERAGE 11min5ton LLC RER C:Libert ers Insurance CCo. NI r INSU DVERAGES MA 01887 INSURER0: Mutual Insurance Co THIS I$T' INSURER E: NDICATEp ER CERTIFICATE NUMBER:2019 0 CERTIFY THAT THE P INsu KI TWITHSTANDINGANY SOFINSURANC Master RERF: %ERTIFICATE Mqy 8E ISSUED REQUIREMENT TERM LISTED BELOW XRTIFIC NSAND CONDITION�p MAY PERTAIN,T ERM OR CONDITIONVE BEEN ISSUED T REVISIpN O THE INSURED NAMED ABOVE FOR THE POLICY PERIOD HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HE NUMBER: SUCH POLICIES.LIMITS ANC OF ANY CONTRACT TYPE OF INSURANCE OR OTHER DOCUMENT GENERAL LIABILITY RANCE AD SUER SHOWN MAY HAVE BEEN REDUCED BY W►TH RESPECT TO PAID REIN IS SUBJECT TOgLL THE TERMS HIS POLICY NUMBER MM�CYEFF CLAIMS. X COMMERCIAL GENERAL LIABILITY D/YYYY MM�ayEyyy CLAIMS-MADE LIMITS OCCUR EACH OCCURRENCE 990779100 DAMA E 70 RENTED $ 1,000,000 2/il/2019 2111 PREMISES Ea occurrence /2ozo $ 50,000 MED EXP(Any one person) $ ;EN'LAGGREGATE LIMITAPPUES PER: PERSONAL a ADv INJURY 10•000 $ 1,000,000 K POLICY PRO• GENERAL AGGREGATE LOC $ 2,000,000 AUTOMOBILE LIABILITY PRODUCTS-COMP/OPAGG $ 2,000,000 Hangarkeepers Liability COMBINED SINGLE LIMIT $ 1,000,000 - ANYAUTO Ea acc dent ALL OWNED SCHEDULED BODILY INJURY(Per Person) $ AUTOS AUTOS NON-OWNED BODILY INJURY(Per accident) $ HIREDAUTOS AUTOS PROPERTY DAMAGE Per accident $ $ EACH occyRR�(� A r: (�{. Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2019 (City or Town) (Date) NOTE Complete top and bottom of form and forward both sections and fee to local sing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13, of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Jet Center Realty,LLC (ADDRESS): P.O.Box375 Wilmington,MA 01887 is the holder of the license granted(Date): 3/10/1980 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): ESS): 7 Commerce Way MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. 30,000 gals: 5,000-Jet & 15,000—Avgas) f ......... o K RMe �... .�. ( ) G� .201 nature T.lw4jK..................................... B (Official Title) (Clerk) (State whether owner,occupant or holder) (Address) 4s ; I DATE(MMIDDIYYYY) ACOIR ® CERTIFICATE OF LIABILITY INSURANCE HOLDER. THIS 19 THIS RTGHTS UP NTHECERTIFICAT IFICATE I NOT AFFI .S ATINELYEOR NEGATIVELY AMEND, XTEND OR ALTER THIE COVERAGE AFFORDED BY THE POLICIES IS CERTIFICATE DOES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if theconditionscertificate of the policy,ertaDnDpoIIOCNes may Irequue ciao endorsement.the policy(iOs sA statement on th st be enlorsed. if U certificate cat I does of con er rights to the the terms and certificate holder in lieu of such endomement(s). Michael Bonacorso FAX NAME:CT PRODUCER PHONE (']81)937-3200 AICNo: 17e>.1937-32oz Bonacorso insurance Agency, Inc. ADDRESS:mike@bonacorsoins.com 10 Cedar Street NAIC# INSURERS COVERAGE AFFORDING Unit # 32 Woburn MA 01801 INSURER A:Hallmark Insurance Co. INSURER B:Travelers Insurance CO. INSURED Lawrence Jet Center LLC; Jet Center Realty LLC INSURER c:Libert CO.Mutual Insurance INSURER D: PO Box 375 INSURER E MA 01887 INSURER F Wilmington REVISION NUMBER: COVERAGES CERTIFICATE NUMBER:2016 MasterICY THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM 1 C CONDIBELOTION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO iAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE LWHICH PERIOD CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BYS ARIBED ID CLAIMS.HEREIN IS SUBJECT TO ALL THE TERMS, POLICY EFF POLICY EXP LIMITS AD SUBR POLICY NUMBER MMIDDIYYYY MMIDDNYYY 1,000,000 LTR SR TYPE OF INSURANCE EACH OCCURRENCE $ GENERAL LIABILITY DAMAGET RENTED $ 50,000 PREMISES Ea occurrence X COMMERCIAL GENERAL LIABILITY 2/11/2018 2/11/2019 10,000 MED EXP(Any one person) $ A CLAIMS-MADE ❑X OCCUR 990779100 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPIOPAGG $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: Hangarkeepers Liability $ 1,000,000 PRO- MLOC COMBINED SINGLE LIMIT X POLICY AFICT Ea accident AUTOMOBILE LIABILITY BODILY INJURY(Per person) $ ANYAUTO BODILY INJURY(Per accident) $ ALL OWNED SCHEDULED PROPERTY DAMAGE $ AUTOS AUTOS Per accident NON-OWNED $ HIREDAUTOS AUTOS EACH OCCURRENCE $ UMBRELLA LIAB OCCUR AGGREGATE $ EXCESS LIAB CLAIMS-MADE $ OTH- DED RETENTION$ WC WORKERS COMPENSATION COMPENSATION AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.DISEASE-EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-POLICY LIMIT $ If yes,describe under DESCRIPTION OF OPERATIONS below 2/11/2018 2/11/2019 $2,000,000 Aggregate B Pollution Liability gp105591113 2/11/201e 2/11/2019 $2,00o,000Bldg ato,0000ed C Hangar Insurance Property D59395A it more space is required) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule, Echael CELLATION CERTIFICATE HOLDER ANY OF THEER POLICIES BE CANCELLED BEFORE IRATION DA WILL BE DELIVERED IN ANCE WITHIONS. Town of North Andover Town Clerk REPRESENT 120 Main Street North Andover, MA 01845 Bonacor I ©1988-2010 ORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD INS025(zo+oos).o+ Department of Fire Services `b Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2018 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148,Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Jet Center Realty,LLC (ADDRESS): P.O.Box375 Wilmington,MA 01887 is the holder of the license granted(Date): 3/10/1980 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 97 Commerce Way NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. 30,000 gals (1,5,,000-Jet A 8c 159000—Avgas) Received ....... .2018...... ti,.J., . ................ ... ................ ... (Sig re). By ...... ... ...............'� r." ........................... (Official 't ) (Clerk) (State whether owner,occupant or holder) 9` ..�.ormorm-.WaLA .............. / (Address) bps ��SjCt � Department of Fire Services Office of the State Fire Marshall P.O.Box 1025,State Road,Stow,MA 01775 REGISTRATION North Andover, April 30,2018 (City or Town) (Date) ' This is to certify that Jet Center Realty, LLC gas, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of gistration setting forth that: Northeast Executive Jet, LLC v holder of the license granted(Date)3/10/1980 e lawful use of the building(s)or other structure(s)situated or to be situated at: 97 Commerce Way y ted to the KEEPING, STORAGE, MANUFACTURE OR SALE OF F A "ABLESR EXPLOSIVES. 30,00 gals (15,000 Jet A & 15,000 Avgas) (Signature and Official Title) Clerk Note:A certificate of registration must be filed on or before April 30'h of each year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2019 �`� CERTIFICATE OF LIABILITY INSURANCE DATE/4/2/DD/YYYY) 4/4/2018 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Michael Bonacorso NAME: Bonacorso Insurance Agency, Inc. PHONE (781)937-3200 q/X No;(781)937-3202 10 Cedar Street AoDRIE :michael@bonacorsoins.com Unit # 32 INSURERS AFFORDING COVERAGE NAIC# Woburn MA 01801 INSURERA:Travelers Property Casualty Co. INSURED INSURER B: Benevento Companies INSURERC: Benevento Sand & Stone Corp. INSURERD: P.O. BOX 459 INSURERE: ,Wilmington MA 01887 INSURER F: COVERAGES CERTIFICATE NUMBER:18 / 19 Sand Stone 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. INSR ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 50,000 A CLAIMS-MADE 7OCCUR -630-9A543934-TIL-18 1/1/2018 1/1/2019 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X JFCTPRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED X SCHEDULED 810 9A650242 18 1/1/2018 1/1/2019 AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident Medical payments $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ P 9A650278 18 1/1/2018 1/1/2019 $ A WORKERS COMPENSATION X I WC STATU- I OTH- AND EMPLOYERS'LIABILITY LIMITS -EEL ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A -9A56043-3-18 1/1/2018 1/1/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 Leased and Rented Equip. -630-9A543934-TIL-18 1/1/2018 1/1/2019 $250,000 A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of North Andover 120 Main Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Michael Bonacorso/MJB �K ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD / ys Department of Fire Services 'y b Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2017 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local sing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Jet Center Realty,LLC (ADDRESS): P.O.Box375 Wilmington,MA 01887 is the holder of the license granted(Date): 3/10/1980 for the lawful use of the building(s)or other structure(s) situated or to be situated at (ADDH DRESS): 7 Co merce Way ANDO (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. 30,000 gals(15,0 -Jet A& 15,000—Avgas) 102017......... .................... ... Re d ig na .QwVS4.( ......................... B (State whether owner,occupant or holder) (Official Title) Clerk) 9 .ConnCcc ..ova ............... (Address) ® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 4/4/2017 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the polirseme) must at endorsed. if SUBROGATION n WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). coNTACT PRODUCER NAME: Michael Bonacorso Bonacorso Insurance Agency, Inc. PHONE ('781)937-3200 FAX ,(781)937-3202 AL .michael@bonacorsoins.com 10 Cedar Street Unit # 32 INSURERS AFFORDING COVERAGE NAIC# Woburn MA 01801 INSURER A:Travelers ty Co. INSURED INSURER B: Benevento Companies INSURER C: Benevento Sand & Stone Corp. INSURER D: P.O. BOX 459 INSURERE: Wilmington MA 01887 INSURER F: COVERAGES CERTIFICATE NUMBER:17 / 18 Sand/Stone 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 P PAID CLAIMS.EXP BR POLK;POLICY NUMBER MMIDD/Y1 MM/DD LIMITS INSR TYPE OF INSURANCE 1,000,000 LTR EACH OCCURRENCE $ GENERAL LIABILITY 50,000 PREMI ES Ea occurrence $ X COMMERCIAL GENERAL LIABILITY -630-9A543934-TIL-17 /1/2017 /1/2018 MED EXP(Any one person) E 10,000 A CLAIMS-MADE OCCUR 1,000,000PERSONAL 8 ADV INJURY E GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: Is ri POLICY X PIFrTRO LOC COMBINED IN LE LIMIT 1 000 000 AUTOMOBILE LIABILITY Ea accdent BODILY INJURY(Per person) E A ANY AUTO ALL OWNED X SCHEDULED 10 9A650242 17 /1/2017 /1/2018 BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE y X NON-OWNED Per accident HIRED AUTOS X AUTOS Medical payments $ EACH OCCURRENCE $ 5,000,000 X UMBRELLA UA13 X OCCUR 5,000,000 AGGREGATE _ A EXCESS LIAB CLAIMS-MADE /1/2017 /1/2018 $ 9A650278 17 DED RETENTION X WC STATU- OTH- A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N E.L.EACH ACCIDENT $ 1 000 000 ANY PROPRIETOR/PARTNER/EXECUTIVE N/A /1/2017 /1/2018 OFFICER/MEMBER EXCLUDED? BQB-9A56043-3-17 E.L.DISEASE-EA EMPLOYE $ 1,000,000 (Mandatory in NH) Ifyes,describeunder E.L.DISEASE-POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS below Leased and Rented Equip. -630-9A543934-TIL-17 /1/2017 /1/2018 $250,000 A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,It more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of North Andover 120 Main Street AUTHORIZED REPRESENTATIVE North Andover, MA 01845 Michael J Bonacorso ACORD 25(2010/05) 01988-2010 ACORD CORPORATION. All rights reserved. INS025 r90+nn51 n+ Tho Art"iRr1 n nama ad Inn n ara ranictorarl marlrc of Ar..nPiri E;s.•:-.-s,,,,, ' �ie l,¢trurawuVu o� ✓lLaoeuuzeo. '!a y Department of Fire Services �9e s9 Office of the State Fire Marshal P-O. llox 1025.State Reed.Stow. MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2016 a'm vrI",a1 loaLL� NOTE: Complete top v,d hnnem of form and forward both sections xad fee to local Lkensin;Awhoritc 1('0 ur l o,cn(Ilk l. DO NOT RETURN NORM TO THE DEPARTM EST OF FIRE SERVICES. In accordance with the provisions of Chapter 148,Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Jet Center Realty, LLC (ADDRESS): P.O. Box375 W iLni,elon, M A 01887 is the holder of the license granted (Date):3/10/1980 for the lawful use of the building(s)or other structure(s) situated or to be situated at (ADDRESS): 97 Commerce Way NORTH ANDOVER, MA 01845 lciw ormwm as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. I%OT€: This certit5rate of registration must be signed by the holder or the license d,said licenseJJJ s granted prior to July 1.1936. Otherwise by the owner or e,ccpaot or the lend licensed. 30,000 gals(1$01(� 4vgas) _. ._2016...._..._ Rec� . . rs� t r .�J Owner . ..... B) fall al Titltl o lc 1 (Sf f m„ uPent ,r hnaui fnddr�n C7 b' Department of Fire Sen ices x r- Offirr, of the State Fire Marshall a 11.O. Bm 1025_State Ii,al.Stow.MA 01775 SY4 y9r. REGISTRATION North Andover, Apri130,2016 or,ar r,,,.r1 (Dam This is to certify that Jet Center Realty , LLC has- in accordance with the provisions of Chapter 148.Section 13, of the General Laws, filed with me a certificate of registration setting forth that: Northeast Executive Jet. LLC is the holder of the I'wense granted(Date) 3'1 O/1980 I'or the lawful ascot'the building(s)or other structures)situated or to be situated at 97 Commerce Way as related to the KEEPING. STORAGE. MAN U FACTURE OR SALE OF FMAl3LF.S OR EXPLOSIV FS. 30,00 gals (I5,000.Ict A & I5,000 Avgas) t9eomnrc and an"man of Clerk Nulc.A,o ur,.w of r v.,ratinn must be bled on or beture npril i0'"of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2011 ACIOR& o/TIE IMM'o 6YYI CERTIFICATE OF LIABILITY INSURANCE 4/12/20 16 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If fine certificate holder Is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,cartain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). CONTACT Michael BOnacorso PRODUCER NAM : Honacorao Insurance Agency, Inc. Px0NE . (]RS)93]-3200 FAA .Oelld 1-12. 10 Cedar Street 'MAIL Schaal@bonacoreoins.com Unit A 32 INSURERS AFFORDING COVERAGE NAIC. Woburn MA 01801 INSURER Travelers Property Casualty Co. INSURED IxsuRER B: Benevento Companies INSURER C: _ Benevento Sand 6 Stone Corp. IxsuREa o: P.O. BOX 459 INSURER E: Wilmington FLA 01887 INSURER F. COVERAGES CERTIFICATE NUMBER:16 / 17 Sand Stone REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 INDICATED. NOT A THE TANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WEIGH 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. POLICY EFF POLICYE%P IHner TYPEOFINSURANCE POLICYNUMBER M6VOMYYY MMIOOIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES EeU—wren 1 50,000 t1 CIAIMS MADEEXI OCCUR -630-9A543934-TIL-16 /1/0016 /1/2037 NED E%P(A.,one person) E 10,000 PERSONALS ADVINJURY a 1,000,000 GENERAL AGGREGATE E 2,000,000 GENL AGGREGATE LIMIT APPLE S PER. PRODUCTS-COMPIOEACR 5 2,000,000 POLICY X PRO LOC COMBINED IN LE LIMIT b AUTOMOBILE LIABILITY Ea ariEenl 1 000 coo JAEKCESSLRUS ANY AurO BODILY NURV IPer parson) 1 ALL OANED X SCHEDULED 10 9A6502a2 16 1/1/2016 /1/2017 BODILY INJURY('or axlaem) s AUTOS AUTOS PROPERTY DAMAGE HIREDALTOS X AUOTTOG EO Paratnoenl b Maemal a meets E UMBRELIA VAS X OCCUR EACH OCCURRENCE 1 51000,000 CLAIMS�MADE AGGREGATE 1 5,000,000 DEG RETENTION P 9A65D2]8 16 /1/2016 /1/201T $ A WORKERS COMPENSATION X WC STATU- OT& AND EMPLOYERS'LIABILITY YIN ANY FROPRIE TOR PARiNERIEAEOUTIVEO IA ELEACH ACCIOENi 1 1 000 000 OFF,CCON E^HH'EFCm0 E 0o RIIB_9AS6043-3-16 /1/2016 1/1/2017 EL DISEASE EAEMPLOYE S 1 000 000 11 or desviorWAx ELDISEASE-POLICY LIMnb 1000000 DESCRIPTION OF OPERATIDNS Eelw - DESCmPTION OF OPERATIONSI LOCATIONS I VEHICLES(Amch ACORD 1Dy Additional RamaMe Schedule,If more apace Is Required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWR of North Andover 120 11ein Street AUTHOR6EU REPRESENTATIVE North Andover, M 01845 Michael d Bonacorso ACIDIFIED 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INSBunol PTsm Tm a DOOn name and In—Im.enlcl111d no ame nF If cnnn el omworl.� of Madda� Department of Fire Services Office of the State Fire Marshal P.O.Be. 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2015 (City or Town) (Date) NOTE:Complete DO NOT top and bottom of form and forward both Scants and fee to locat ruRN FORM TO THE DEPARTM NT OF FIR :SERVICES. sing Authority(City or Town Clerk). In accordance with the provisions of Chapter 148,Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Jet Center P.O.Box3 Realty,LLC (ADDRESS): Wilmington,MA 01887 for the lawful use of the building(s)or other is the holder of the license granted(Date): 3/10/1980 (ADD ESS)' 97 Commerce structures)situated or to be situated at NORTH AN Way DOVER,MA 01845 (City Or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the Im30,000 Ole if atalscense w00 as granted t ed pri st or 00IY AV m) Otherwise by the owner or occupant of the land licensed. g g C �o .....:...................... ... Received ..... .... ...........2015......... (si ewre) ..ovl�f' ............................ B (Sts,whetherowner, pam y „ljy�f[,(,,, (Clerk) .. occu mholdm) (Off¢ial Title) (Clerk) aco d CERTIFICATE OF LIABILITY INSURANCE 17127 bYYYYI 4/7/2015 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(S), AUTHORIMO REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be andorsed. N SUBROGATION IS WAIVED, subject to Me terms and condNions of the Policy,certain policies may require an endomemont A statement on this certificate does rot confer rights to the carillons holder In lieu of such endorsement(s). PRODUCER NT XAME'ACIMichael BonaCOLOC Bonacorso Insurance Agency, Inc. PxoxE (T81)937-3200 FAX A.,LTexl elT-lxhz 10 Cedar Street ,michael@bonacoreoine.com Unit # 32 INSURE AFMADINDCOVERAGE NAN:e Woburn MA 01801 INSURER.Travelers Property Casualty Co. INSURED NSURER B: BBnBVentO C00pa11168 INSURER C: Benevento Sand S Stone Corp. INSURER D: P.O. BOX 459 INSURER E: Wilmington MA 01887 INSURER F: COVERAGES CERTIFICATE NUMBERAS / 16 Sand Stone 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. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WMICH THIS CERTIFICATE MY 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. INS0. TypE OFINWMHCEAWL POLICY EFF POLICY UP LYR RUIR MWD UNITS an W lI UGH OCCURRENCE $ 1,000,000 X COMMERCIALGENERALUASURY p $ 50,000 A cWMSd1ADE ❑X OCCUR -630-9ASM393A-TIL-15 /1/2015 /1/2016 xED E%P(A,rypmpmm t 10,000 PERSONAL6PININFJflV f 1,000,000 GENERAL AGGREGATE f 2,000,000 GMI AGGREGATE UNIT ARMIES PER: PROCOCTS COMPANAGG f 2r000,000 POLICY X PRO LOC f AUTOMOBILE WBILnY aINEDHA ADDDAIU 11000.00 A ANY AUTO WDLYINJURYIPepsecnl f .OWNED X SCHEDULED 30 9AG50242 15 /1/2015 /1/201fi AUTOS AUTO, BOpLT INJURY 1PrcNFMI f X HIREDAUTOS X EO PROFERT�OPMAOE f Meeul h f X YMBRa4A We X OCCUR EACH OCCURRENCE S 5,000,000 A EXCESS. CWMS-MACE AGGREWTE f 5,000,000 DEO RETEMI N 9A6502T8 15 /1/2015 /1/2016 S A WORxERS COMPENSUI X ATLL OTH- AND EMPLOYERS'WBILITY YIN ANY YICERMEMaEXPFXCLUDRIE ECUOVE� NIA E.L EACH ACCIDENT f 11000,000 (Mandator,In NHl -9A560A3-345 /1/2015 /1/2016 ELISEASE-EAMPLOYE f 1,000,000 I)ea.Ee.NuMM DESCRIPTION OF OPERATIONS DARA EL DISEASE-POLICY UMR L 1 000 000 DE9CRIPMNOFOPEMTIONSILMATONSIVEHICLES (AO hACORD101,.EElxonl RemeM1FSCMBule,Nmonepe l., .1F01 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town OF North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Street North Andover, MA 01845 AUTHORMED REPRESENTATNE Michael J Bonacorso ACORD 25(2010105) 01988-2010 ACORD CORPORATION. All rights reserved. INS0251M,Ym., The ACrlenmmo.ne,1—em ronlelnro,l—Ir.MArnion as Car>",td�l f of 6zfiid A,4e& vm Department of Fire Services Office of the State Fire Marshal P.O.Be.1025,State Road,Slow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2014 (City or Town) (Daft) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk), DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148,Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Jet Center Realty,LLC (ADDRESS): P.O.Box375 Wilmington,MA 01887 is the holder of the license granted(Date): 3/1 011 9 8 0 for the lawful use of the built ing(s)or other structure(s)situated or to be situated at (ADDRESS): 97 Commerce Way NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, erwise by the owner or occupant of the land licensed. 3090 als(1,Sj000-Jet A& 15,000—Avgas) Received rLL.d.�.......2014......... ...... ..... . ..r-'.��...................................... ... (Signatum) By ..... .. owu.P ........ Ow�fr................I.................... Rcial Tine) (Clerk) (SSt�tate whether owner,occupant or holder) ...9k..c"!r:r(t LUa✓........................... (Address) �arnrnarff0ea�i rib �' aaaac�u,.o.e�4. �ela�.-.sys� ✓✓ s Department of Fire Services of a Office of the State Fire Marshall P.O.Box 1025,State Road,Stow,MA 01775 REGISTRATION North Andover, Apri130,2014 (City or Town) (Date) This is to certify that Jet Center Realty, LLC has, in accordance with the provisions of Chapter 148,Section 13,of the General Laws, filed with me a certificate of registration setting forth that: Northeast Executive Jet,LLC is the holder of the license granted(Date)3/10/1980 for the lawful use of the building(s)or other stmcture(s)situated or to be situated at: 97 Commerce Way as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. 30,00 gals (15,000 Jet A & 15,000 Avgas) n !�.91/l KG.. �✓GLa.. (Si remd Off¢iel Title) Clerk Now A cenificate of registration must be filed on or before Alan 30a ofeach year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2015 A�Rye CERTIFICATE OF LIABILITY INSURANCE 3�ZoiQ 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policytes)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER RAAISSE"DTI N Chael BOnaCorso Bonacorao Insurance Agency, Inc. PHONE (781)937-3200 FAX .p0UY]7-3202 30 Cedar Street 'MAIL .miclLaelgbonaeoreoine.com Unit If 32 INSUREflS AFFORdNG COVERAGE an.A Woburn MA. 01801 INSURERA:Travelers Property Casualty Co. INSURED INSURER B: Benevento Companies INSURER c: Benevento Send 6 Stone Corp. INSURER D: P.O. Box 459 INSURER E: Wilmington M& 01887 INSURERF: COVERAGES CERTIFICATE NUMBER:14 / 15 Send Stores 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 MATH RESPECT TO WHICH THIS CERTIFICATE MY 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 CI-AIMS. 11S. Ty WINMMNCE POLICY NUMBER POLICY EFF PoMCYEV UMn p E.UX. FncHDCLVRRENCE S 1,000,00( X COMMERCIAL GENERAL UABILITY PREMISES Ee—nence E 50,000 A CWMSMACE O OCCUR -630-9A543934-TSL-16 /1/2014 /1/2015 MEDEXP(A,— rem) S 10,000 PERSONAL.AWIWURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 7GENTASQ1RrTEOMn ASFLIE$PER: PROOMTS-CGMR0P AGO f 2,000,000 POLICY X Par_ LOC S AVfgapsEF T NEC SINGLE LIMIT 11000.00 A ANY AUTO BODILY INJURY(Per panne) S ALL CARRIED X SCHEDULED iODULED 1D M650242 14 /1/2014 /1/2015 BODILY INJURY IPeraMerM1) f X HREO AUTOS X NON YmED PRCFERTY MMAGE f UTOS MCOYd mb f X ...L.uAe X gCC,IJR EACH BCCORNENCE f 5,000,000 A EXCESS LOS CLNMS-MACE AGGREGATE S 5,000,000 DED RETENTI N 9A65027B 14 /1/2014 /1/2015 S A WORNERSCOMPENSATON X NC TATU OTH ANDFSIPLOYEfl3MMUW YIN N,Y PROPPMRVARTNEINEeECUTIYE E.L EACH ACCIDEM f 1 000 000 OFFICERMEMBER EXCLUDED N❑ NIA (WnOeay In Np M1e-9A56043-3-14 /1/2014 /1/2015 EL DISEASE EAEMPLOYE S 1 000 000 Ilyet WeuON OFO DESCRIPTION OF OFERATIQV$[M E.L.q$ POUCYLIMIT f 1,000.000 DESCRIPTION 01 OPERATIONS LOCATIONS VENICLES(Amer,ACORD 101,Adde..tl RemnMn ScMUM,ans,Rpi.I"See ) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE WE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Street North Andn"r, 1dA 01845 AUTHORIZED REPRESENTATVE 'nhael J Bonacozso ACORD 25(2010105) ®1988-2010 ACORD CORPORATION. All rights reserved. INS023,.,nn,tM T..Ar.npn......A loon—rn w roA mnru.m Ann.. ^ ,s .•• A. 4ancmoruBeaCflt j�//Laddac 'dam i Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road.Slow.MA 01775 CERTIFICATE OF REGISTRATION North Andover Apri130,2014 (Caro'Town) (ome) NOTE:Complmc top and ban.of form and forward both sections and fee to local Licensing Amhomy(City or Town Clerk) DO NOT RETURN FORM DEPART ENT OF FIRE SERVICFS In accordance with the provisions of Chapter 148.Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Jet Center Really,LLC (ADDRESS): P.O.Box375 Wilmington,MA 01887 is the holder of the license granted(Dale): 311011980 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 97 Commerce Way NORTH ANDOVER,MA 01845 (City arTown) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate ofregistration must be signed by the holder orthe lirense afraid license was granted prior to July 1.1936, Otherwise by the owner or occupant of the land licensed. 30, eb( 0-JetA& 15,000—Avgas) Received ...........................2014......... ...... ..... 1 .......................__...,-.......... (Siloorne) By ....................................... oWf1..................................... (01116.1 To.) (Clerk) (Sine whmam owner.occupant or holder) ...l.F..CP.^.men}'. Lf/<.✓........................... (AddAI lanunotu9ea.U6i o�✓/zadaacfeuae�a A+` ( Department of Fire Services Office of the State Fire Marshall P.O. Be. 1025,State Road,Stow,MA 01T15 REGISTRATION North Andover, Apri130,2014 (Gry or Town) (now) This is to certify that Jet Center Really,LLC has, in accordance with the provisions of Chapter 148,Section 13,of the General Laws, filed with me a certificate of registration setting forth that: Northeast Executive Jey LLC is the holder of the license granted(Dale)3/10/1900 for the lawful use ofthe building(s)or other structure(s)situated or to be situated at: 97 Commerce Way as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. 30,00 gals(15,000 Jet A& 15,000 Avgns) IStg wemdnmelul Tnle) Clark New Acrnincme of mgimelion must br RlN on ur be(Apnl Je"afemM1 yam. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2015 se 4 \ o as �\ C- 1s tp°mr�n"°°uae a�C�/l�aaaac�rua°'l!b GIs Coordinates �rG�/c�J'.r��aritr. Qrlk,ver —zx,� ----EMU— Certificate of Registration FP-5 mew. (Rev 05'2009) Massachusetts General Law, Chapter 148 §13 In a=Nanca with the provisions of Messachuseft Gene al Lew.Chapter 148 §13,the undersigned hereby cepir'es that: Person,partnership,corporation or other entity: 7a4 Center Z2 1 l.l.0 4} Cnmmeree Is the holder of a license granted on _. 3106 1Qa D ,and subsequently amended on For the lawful use of buildings and structures located or to be located at: Q't- CGmm % PUJ4u C., VIA-e JLA Wbp 'Aa A.11 As relates to the keeping,storage,manufacture,or sale of flammables,combustibles,or explosives. ✓t/ i ylzrli y t All materials most be stored in accordance with the provisions of Massachusetts General Law Chapter 148 the Massachusetts Fire Code(527 CMR),and all other applicable laws and regulations including the terms and conditions of the subject license.Ouantities stored may not exceed the maximum quantity specified by the license. REGISTRATION This is to certify that the within named license holder has in accordance with the provisions of Massachusetts General Law,Chapter 148 §13 filed with me, a certificate of registration setting forth that the above named entity is the holder of license as relates to the keeping,storage, manufacture,or sale of flammables, combustibles, or explosives at the above described location. si,unnedwidw Thk an THIS REGISTRATION AND THE LICENSE MUST BE CONSPICIOUSLY POSTED ON THE LAND FOR WHICH IT IS GRANTED. cflaz way ol � �p �7 GIS Coordinates rOtGr��Viuva o/ {�_.U.., Qn t�ntFtf Application For License -------TUNG— FF M Massachusetts General Law, Chapter 148 §13 (Rev.04-2010) ❑ New License iSl'Lended License Application is hereby made in accordance with the provisions of Chapter 148 of the General Laws of Massachusetts for a license to store fiammables,combustibles or explosives on land in buildings or structures herein described. Location of Land: q 7- COrnmercc ll)a tl �v �! r-1n -gm Attach a plot plan ofthe property indicating the location ofproperty,lines and all buildings or structures. Owner of Land: C:L3 a�- a 2 uwrnc- •— � res 11 Address of Land Owner: yq^l „Lh.,n Skrs%A ti Lt 0,1trina OtygS Use and Occupancy of Buildings and Structures: Ifthis is an application for amendment of an existing license,indicate date of original license and any subsequent amendments Or'atr,al l�cenS* ko11% Sca._ Yilt.r>_.d g= .w o cu�tanu Flammable and Combustible Liquids,Flammable Gases and Solids Complete this section jar the storage offlammable and combustible liquids,solids,and gases;see 527 CMR 14; Attach additional pages if needed All tanks andcontainers are consideredfull for the purposes of licensing and permitting. PRODUCT NAME CLASS MAXIMUM UNITS CONTAINER QUANTITY gal.,Ibs, UST,AST,I11C, Cubic feet drums e IR S 000 Total quantity of all flammable liquids to be stored: Total quantity of all combustible liquids to be stored: Total quantity of all flammable gases to be stored: 7n.DOo 0al6g5 V Total quantity of all flammable solids to be stored: LP-gas(Complete this section for the storage of LP-gas or propane) Indicate the maximum quantity of LP-gas to be stored and the sizes and capacities of all storage containers. (See 527 CMR 6) :• Maximum quantity(in gallons)of LP-gas to be stored in aboveground containers: List sizes and capacities of all aboveground containers used for storage: :• Maximum quantity(in gallons)of LP-gas to be stored in underground containers: List sizes and capacities of all underground containers used for storage: Total aggregate quantity of all LP-gas to be stored: Fireworks (Complete this section for the storage offrreworks) Indicate classes of fireworks to be stored and maximum quantity of each class. (See 527 CMR 2) ti• Maximum amount(in pounds)of Class 13G: Type/elms of magazine used for storage: ❖ Maximum amount(in pounds)of Class 1.4G: Type/class of magazine used for storage: ❖ Maximum amount(in pounds)of Class IA: Type/class of magazine used for storage: Total aggregate quantity of all classes of fireworks m be stored: Explosives(Complete this section for the storage ofexplosims) Indicate classes of explosive to be stored and maximum quantity of each class.(see 527 CMR 13) aa Maximum amount(in pounds)of Class Ll: Number of magazines used for storage: A Maximum amount(in pounds)of Class 1.2: Number of magazines used for storage: > Maximum amount(inpounds)of Class 13: Number of magazines used for storage: Maximum amount(in pounds)of Class 1.4: Number of magazines used for storage: Maximum amount(in pounds)of Class 1.5: Number of magazines used for storage: :• Maximum amount(in pounds)of Class 1.6: Number of magazines used for storage: I, 11r.. la aaasr�t ,hereby attest that I am authorized to make this application.I acknowledge that the information i herein is accurate and complete to the best of my knowledge and belief.I acknowledge that all materials stored pursuant to any license granted hereunder must be stored or kept in accordance with all applicable laws,codes,rules and regulations, including but not limited to Massachusetts Chapter 148,and the Massachusetts Fire Code(527 CMR). I further acknowledge that the storage of any material specified in any license granted hereunder may not exceed the maximum quantity specified by the license. Signature Date a 1 Name V,;„ Aaggor4,1 Fire Department Use Only I, ,Head of the Fire Department endorse this application with my ❑Approval ❑Disapproval tpauRO 01 in DVarev,( Date Recommendations: FP-2A(Rev.04/2010) Page 2 SEE REVERSE SIDE FOR IMPORTANT INFORMATION THE COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER Bill No. 2535 Fiscal Year 2014 41th Quarter Make checks Payable To: Actual Real Estate Tax Bill Town of North Andover Office of Collector of Taxes Collector of Taxes Jennifer Yarid,Treasurer/Collector PO. Box 184 Medford,MA02155-0002 Office Hours: 11 Mon. 8:30-430 Tues. 8:00-6.00 xJ� Wed 8:00-4:30 Thurs.8:00-4:30 D Fri 800-1200 pc88402 NOAntlREspl T32 P1••••••"•A11r0••3-DIGR 018 TAX COLLECTOR: 978-688-9550 =RD 'I.I.I..."E' IIII"�I' IASSESSOR: 978-688-9566 ECTIVE JET Pay online at JATwww.townofnorthandoveccomRRDA 01880-6249 Please use the enclosed lockbox envelope to expedite your payment. This will assist us in processing your payments more efficiently. The Tax CDIIector S Office is located at 120 Main Street. Town of North Andover 4th Quarter Receipt Fiscal Year 2014 4th Quarter Actual Real EstateTax Bill Bill No. 2535 T PROPERTY DESCRIPTION Jennifer Yarid, Collector of Taxes Feel Estate Tax 412875.90 A LOC:97 COMMERCE WAY UNIT A CPA 6396.28 CLASS CODE: 364 SPECIAL ASSESSMENTS Benermenm /0.00 X MAP-LOT-PLOT'.210-036.0-0016-0000.A Betterments NO.00 WatedSawer Liens 80.00 P SOOK/PAGE: / LAND AREA:0 Acres Liens 10.00 Subtotal 113262.18 A TOT TAXABLE VAL:662000 y Tax Rate Per$1,000 Lend 0 Prelim Tex 86428.63 Building 662000 E 1 Res. 3 Carr4.41 3 AS 9.45 t TOTALVALUE 662000 4MSid Qtr.Due SM112014 13417.83 14.41 14.41 19.46 19.46 4M Qtr. Due 6/01I2014 /340.82 R Interest at the tale of 14%par a due will accrue payments Metla /9846.9fi Assailed Owner as of January 1.2013: on overdue payments from the due date until AbetemenUAdjuaMnnt 10.00 payment is made. C C/O ABDI BEWAST CTIVE JET Peet Due 10.00 360 AUDUBON ROAD I IIIIIIIIIII IIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII Internal io.0o Q WAKEFIELD,MA AMOUNTDUE P 01880 511114 $3417.82 Y Town of North Andover 4th Quarter Payment Fiscal Year 2014 4th Quarter Bill No. 2535 R' Actual Real Estate Tax Bill PROPERTY DESCRIPTION Jennifer Yarid, Collector of Taxes Real Earn.Tax r13W6.90 E LOC:97 COMMERCE WAY UNIT A CPA $386.28 M CLASS CODE: 364 Betterments /0.00 1 MAP-LOT-PLOT:210-036.0-0016-0000.A Payments mods sitar 3/17/2014 WeterlSewer Liens /0.00 T BOOKIPAOE: / may not as Will on Nis bill. Subtotal $13262.19 T LAND AREA:0 Acres TOT TAXABLE VAL:662000 A Tex Rate Per$1,000 NMI.Tax 16426.63 N 3rd on.Due W0112014 /3417.83 C 1 Fes. 2 Opensp 3 Comm 4lnduat 4M Qtr.Due SMI/2014 /3417.82 14.41 14.41 19.45 19.46 Payments Made 198d4.36 E Aaseesed Owner as of January 1,2013: AbetemenUAdlusrment 10.00 NORTHEAST EXECTNE JET I IIIIII IIIII IIIII IIIII 111111111111111 HIM IIIII IIII IN PanDue small) C C/O ASIA BEfUAT Interest 0.00 O 360 AUDUBON ROAD AMOUNTDUE P WAKEFIELD,MA otaao 511114 $3417.82 Y 04203393512014000000000000000000000100002535000000341782046 "+gs.:•.^.a`o<r tJfiC W1/N//M1HN of ondda� a e 'x Department of Fire Services °D Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April30,2014 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148,Section 13,of the General Laws,the undersigned hereby certifies that: (TITLEHOLDER): Testa Aviation,LLC � MJr r�A, owvs¢t• (ADDRESS): 360 Aubudon Rd. GOr ��— Wakefield,MA01880 D is the holder of the license granted(Date): 3/10/1980 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 97 Commerce Way NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder ofthe license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. 30,000 gals (I5,000-Jet A& 15,000—Avgm) Received ...........................2014......... ............................................................... By ....................................... ...................................................... lOmcid Title) (Clerk) (State wholoorawneq occu antor hold,,) .........................I............................ (Address) I.OriL,I7.67N1?P.O.GG{ OS ✓IC.cLddaCiKfdPM.b Department of Fire Services '$ Office of the State Fire Marshall P.O.Box 1025,State Road,Stow,MA 01775 r„ s^ REGISTRATION North Andover, April 30,2014 (City or Town) (Date) This is to certify that Testa Aviation,LLC has, in accordance with the provisions of Chapter 148, Section 13,of the General Laws,filed with me a certificate of registration setting forth that: Northeast Executive Jet,LLC is the holder of the license granted(Date)3/10/1980 for the lawful use of the building(s)or other structures)situated or to be situated at: 97 Commerce Way as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. 30,00 gals (15,000 Jet A& 15,000 Avgas) naNre and Official Title) Clerk Note:A certificate ofregistration most be filed on or before April 30"of each year, (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2015 • F�yb •o• ycFPc VOW l.R1YrM'tQ11A4�-C(f4GfG lJL G{7l4dPM2 q Department of Fire Services Office of the State Fire Marshal c_ P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2012 (City or Town) (Dam) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Testa Aviation,LLC (ADDRESS): 360 Aubudon Rd. Wakefield,MA 01880 is the holder of the license granted(Date): 3/10/1980 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 97 Commerce Way NORTH ANDOVER, MA 01845 (City w Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. 30000 s 1 - A& 15 —Avg" Received ... ... .... ..2012......... .. ..........�...... ... .....:�'/{p(�.... ( ..... 1 By . �It,C. .(- .... ............. .......... (Official Tide) (Clerk) (Stain whether owntr,occup t or holder) 3ho.C.�...s�on.��Q.,.�?d� .f dl�r (Address) yy,\5 •on y� ` (J.y,Q L,Q/yUy),pn4ZCCL-NA4 QL 0Ea(10aw4.r L14 Y S, Department of Fire Services x„ Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North-A9dover April30,2011 (City&Tdwa) (Date) NOTE;Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Testa Aviation,LLC (ADDRESS): 360 Aubudon Rd. Wakefield,MA 01880 is the holder of the license granted(Date): 3/10/1980 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 97 Commerce Way NORTH ANDOVER,MA 01845 (Cary or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. 30,000 gal 15,000-Jet A& —Avgas) Received .14'tl../� 2011......... ........ r -....... ... . ...... .VlAJLIW . s� ,,N�e) Hy . a / �.. ' . -...... .........l .ClS .dl .). e.. ............ (ouncial Title) (Cleric) S h• �eNer owner,occupmt or hot ) • (Address) Department of Fire Services J ce of the State Fire Marshal 3.Box 1025,State Road,Scow,MA 01775 (� [CATE OF REGISTRATION North Andover April 30, 2011 (Cayar Town) (Dae) am and forward both sections and fee to local Licensing Authority(City or Town Clerk). CO THE DEPARTMENT OF FIRE SERVICES. [ion 13,of the General Laws,the undersigned hereby certifies that: I 980 for the lawful use of the building(s)or other iSS): 97 Commerce Way VDOVER,MA 01845 own) FACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. igned by the holder of the license if said license was granted prior to July 1,1936. f the land licensed. 30,000 gals(15,000-Jet A& 15,000—Avgas) Received .FJ .. �..�7' ....2011......... ................ ............ re)—......I..................... (y�, �! � ^ '�'/ (Signature) By . �• I1 Q. /fiCl� ..... ..........................................I........... 1� 10(fwlel Title) (Clerk) (Sate wbetherowner,occupanl orholder) ...................................................... (Address) Cf).QIIL/rfr1ftA13P.C[GL/4 OG ✓/la4da2G/i.[tdOKd Aw �z Department of Fire Services Office of the State Fire Marshall oa o.D P.O.Box 1025,State Road,Stow,MA 01775 REGISTRATION North Andover, April 30,2011 ICiry or Town) (Uetc) This is to certify that Testa Aviation ,LLC has, in accordance with the provisions of Chapter 148, Section 13,of the General Laws, filed with me a certificate of registration setting forth that: Northeast Executive Jet, LLC is the holder of the license granted(Date)3/10/1980 for the lawful use of the building(s)or other structure(s)situated or to be situated at: 97 Commerce Way as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLF&gR EXPLOSIVES. 30,00 gals(15,000 Jet A& 15,000 Avgas) �T) -xS.. C............ Sgnetnre and Official Title) Clerk Note'.A ceni0cale of regisvalion must be 01ed on or before Apnl 30'"of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES. EXPIRES APRIL 30,2012 ' e ss •'• s.�< C��{L¢ k.WiNHOJrM2P.(LLL/L OL :l/L[iQO.[1CHAEdCKa 3 Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2011 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148,Section 13,of the General Laws,the undersigned hereby certifies that: 7(eSi�. HVt4xo n ( (C (TITLE HOLDER): .alaau�.+�±^_c. (ADDRESS): 360 Aubudon Rd. Wakefield,MA 01880 APR is the holder of the license granted(Date): 3/10/1980 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 97 Commerce Way NORTH ANDOVER,MA 01845 (City m Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. 30,000 gals(15,000-Jet A& 15,000—Avgas) Received ...........................2011......... ............................................................... (Signmure) By ....................................... ............................................ (Official Tide) (Clerk) (State whether owner,occupant or holder) ...................................................... p�pp (Address) �.O,nsrf.¢rudea.LCR aL (' add.[LcllJ.w.eK0. J �- Department of Fire Services e Office of the State Fire Marshall sss s o P.O.Box 1025,State Road,Slow,MA 01775 REGISTRATION \ North Andover, April 30,2011 (City or Town) (Due) This is to certify that has,in accordance with the provisions of Chapter 148, Section 13,of the General Laws, filed with me a certificate of registration setting forth that: Northeast Executive Jet, LLC is the holder of the license granted(Date)3/1 011 9 8 0 for the lawful use of the building(s)or other structure(s)situated or to be situated at: 97 Commerce Way as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. 30,00 gals (15,000 Jet A & 15,000 Avgas) ..............I......................... (signature.0 Officim Title) Clerk Note:A certificate of registration must be filed m or before Apol 3&of each yea. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2012 The Commanwealth ojMassachusetts _ Department oflndustrial Accidents a�+' I�arrr.ra4rlws 600 Wmhinglon street Boston,Mou 01111 Workers'Com easatim Cassette AlGda,k-Geocral Butiaeraes tom, Testa Aviation.Inc. _ _ ,dyes, 360 Audubon Rd city Wakefield mh5 MA _ - 01880 g N 781-245-3555 work sit,loatim fm eyhesl• . I as a bde prapnnmf and haw aW me Bmiatlr Type: IlQall�Rr9amm✓B>r/Pa[¢rg Pnahiicb.neat �working m my uprary Office❑Sales(including Real Patzt4 Autos uc) I am m e amcw_With 7.'o ° jfa0 d:prat time} Other Imam MVIOYW providing _. ompM81imfar my®NWyaw—ling mlhiejak <$rriCk.)Ith w` MEnca1 I am s side prpiaor and haw hired the indepemdeat coatnctae limed below who how the following wartaY compeasafiwpalicw - wd eommos•nssv. t . fr- .aYra p� D.b,.r..e.+e.r•e.sr mW.+d�s.sue.25A dtata,]at u,kW r rh.tgrsr.N,ebl�lp.sdtlr N,tY qr tt�rlN idle .�Yre,•a°Pb�ar r r'h!P"MI�r y.rrr N,6Tol wO1tl'OIIaffiloi,b Ntlaaas.by ytst r f ra0..adr de. e.y N tlr.rrrr syb i.weid w b ORbtb.stlpa.s Nlb 1NA ke..r,p erW,Wa rd.iarrby.Mr rrpr.,nrpae.aA..f��//qq))/��_ry�ale n.s�in..w.�...uu.e... • w�.1r/g`K am plc. rrr�a o `v u re4— ,1lltalme Ply a WM Iolhb—ftb--vI9Wbltl./'WtM. W ❑ beet lfl®edua+.+p, LrwiwrN Oak 1 epmw. Dham P, EIR-n�k 0alher OP ID:MS a`�rzo CERTIFICATE OF LIABILITY INSURANCE DAo41o711YYI 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this wrtifcam does not confer rights to the certificate holder in lieu of such endorsements). 935-8486 NAME PRODUCER 761- DeSanctis Insurance Agcy,Inc. 781-933-5645 PHONE PAR Na: 36 Cummings Park Woburn,MA 01801 1sAODUC ACORESS:EA —' CUSTOMER ID,TESTA-4 INSURERS AFFgI WCOVMGOE NAME INSURED Testa Aviation, Inc. INSURER.:Illinois National Ins Co Testa Aviation,LLC. INSURER a:Zurich North America Testa Aviation Realty, I.L.C. INSURER C: Testa Resources,I.I.C. Nex Jet Realty, I.I.C. DISURERD: 360 Audubon Rd. INSUSERE: Wakefield MA n1RRn W UR F: COVERAGES CERTIFICATE NUMBER: 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. INSRj ANXPOLICY EFF A. mm TYPE W HISURANCE POLICYNUMBER MRNOTYYY MM GEMER LMBIl1ry EACH OCCURRENCE a 50.0B6,D A X CCAMERCNL GENEMLLILa1LITY GM378267801 01/1 2N1 OQ72111 PREMISES a -- CLAIMIMADE ❑OCCUR APED E%P s PERSONAL&ADVINJURY a X Aircraft LWblllt GENERALAHGREWTE a 50,000, GENLAOGREGATE LIMIT APPLIES PER: PRODUCYS-COMPIOPAGG a POLICY r7 PECT RO- F LM a AYTmIg UANNry COMBINED SINGLE LIMIT r (Er x p NH) ANYAUTO SODILY INJURY(Per') s ALL ONMED AUTOS WDILYIWURYHW.kNrs $ SCHEDULED AUTOS PROPERTY DMMOE HIRED AUTOS (PnmdOms) s NORCWNEDAUTOS a a ..-EL LIPB WB OCCUR EPCHOCCURRENCE s ERCESB CLAMg.MnDE AGGREGATE s __J DEDUCTIBLE s RETENTION $ a VJORNERB CONPEXSA90N X WC BTATU. OTX- pXD EMPLGYER511ABILITY B AN PROPRIETORFARTNE.K&CmnE YIN C485741400 MA,FL,NJ,RI 12/31110 1201N1 ELFACHACCIDENT s 1,000,GDC OFFICEFMEMBER EXCWCED'I MIA (MnNb,r in NH) A,TX,NH,NC,SC,CT,NY,PA EL DISEASE.EA EMxo s 1,000, xyee aescYea Ymar DESCRIPTION OF OPERATIONS Eebx EL DISEASE-PMICY MIT i A Ircmft Hull GMG]9267801 111112111 0,11121112 Phya Dam Sae Deduct NI DESCRIPTONOFOPERATIONSILOCATONSIVEHICLES IAWch ACORD 101,Mdrlonal Ramaru SMMYIa,IImmspats Tare IM) RE:WC Affidavit CERTIFICATE HOLDER CANCELLATION NOAND-5 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Office of the Town Clerk 120 Main Street AUTHORIZED REPRESENTATNE North Andover,MA 01845 e e, Q 1988-2609 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo am registered marks of ACORD OP ID:MS 4�iro CERTIFICATE OF LIABILITY INSURANCE °" 0'oonlla07ill " 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If me certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this Certificate does not confer rights to the Certificate holder in lieu of such endorsemen s. PflODULE0. 781-935-8480 CONTNAMEACT DeSanctis Insurance Agcy, Inc. 781-933-5645 PHONE JIMxR: 36 Cummings Park MAIL Woburn,MA 01801 PRODUCERSUG,,TESTA-4 INSURERS MMRDWOfAVEMOE HUMID# INSURED Testa Aviation, Inc. WWRER A:Illinois National Ins Co Testa Aviation,LLC. NWRERB:Zurich North America Testa Aviation Realty, LLC. W WMR C: Testa Resources,LLC. Nex Jet Realty,LLC. IxWRER o: 360 Audubon Rd. INWMRE:_ Uml: COVERAGES CERTIFICATE NUMBER: 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 CIAIMS, INSR EFF POLICYEMP LIMRB TYPE OF WBURANCE POLICY NUMBER W WYYYY GENERAL WAIII EACH OCCURRENCE 3 50,000, A jXM�=EFn7LC" GM379267801 01112/11 04112H1 PREMISES Ed 3URMEDE%P(MYorc 3 — PERSONKSAWIMJJRY 3 raa LNblllt GENERM AGGREOOTE 3 30,000,00 fiNLACCMEG4TELIMTAPPLIESPER PROdICTB-COMPNN'Mio f Pc I Y PRO. LOC S ,SUTd MW nAMllry COMBINED SINGLE UMT $ (ER...0 AMYAUTO BODILY INJURY(Px pxwnl S CLOWNED AVMS BODILY INJURY(Por a]NN 3 SCHEDULED NJTOS PROPERTY DNM(1E HIRED AUTOS (PMpyrylgg $ NO"WNED AUTOS f f UMBRELLA LWB OCCUR EACH OCCURRENCE S EXCESS WB CINAS#NDE AGGREJITE f OEOUCTMLE I S RETENTION f WORKERS COMPENSAIWN X YIC STGMYLATIF OT1" AND EMPLOYERS'WBIUMY ER B Am PRGFRETORFARTNEREXECUmAE Y❑ C485741400 MA,FL,NJ,RI 12/31110 12/31/11 E.L.EADHACCIDENT 3 1,000100 OFFICERMEMBER EXCLUDED? MIA DQUInry In NH) A,T),NH,NC,SC,C7,NY,PA EL.DISEASE-EA EMPLOYEE f 1,GD0,00 rc S swim OFO 1,000, DEBCRIPTON OFOPER)MONS fLDISEABE-POLICYLIMn 3 A Aircraft Hull GM37B267901 01112/11 04/12112 Phya Dam ase B.I. Oedac NI OESCMPTpNOFOPERATIONSILOCADONSIVERELES MMus ACOWtet,AEdWmMftMMSMMNM.Rm # OISrequired) RE:WC Affidavit CERTIFICATE HOLDER CANCELLATION NOAND-5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Office of the Town Clerk 120 Main Street AUTHORQED REPRESENTATVE North Andover,MA 01845 O 1988-21Y09 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD INSURER'S AFFIDAVIT AS TO WORKERS'COMPENSATION INSURANCE I Nary Ellen Sleger, Account Representative, [Name,Address]run: DeSanctis Insurance Agency,inc., 36 Coos ngs Park, Woburn, M afoul C l �, it ❑ an authorized representative of Insurance Company [Company Name] (a producer'in the voluntary market)[ ® an authorized agent of Zurich North Aaeriea Insurance Company(an agent [Company Name] in the voluntary market authorized to sign on behalf of a producer)[ ❑ an authorized signatory of the ,the Prime Contractor [Company Name] (an insured of a producer in the involuntary market pool)[ ❑ an authorized signatory of the Sub-Contractor(an insured of (Company Name] a producer in the involuntary market pool,group,or otherwise insured)[ and do hereby aver that effective Deeeeber 31, 2010 [Dme],Testa Aviation,Ine.,360 Audubon Rd., Wakefield, NA the Prime or Sub-Contractor,is insured for Workers' Compensation insurance with Zurich North Awrica Insurance Company under Policy No[s]. NC"57414M pursuant to the attached Certificate of Insurance,and in accordance with Massachusetts General Laws, Chapter 152 and Subsection 7.05A of the Standard Specifications for Highways and Bridges of the Highway Division of the Massachusetts Department of Transportation. G Sggne UK Y Ellen Stager Account epresentative Title COMMONWEALTH OF MASSACHUSETTS On this 7th day of April, .20�1 before me,the undersigned notary public,personally -- appeared YVY1vl��PYI Cpn!J [document signer],proved to me through satisfactory evidence of iden ification,whi was/were A t\ f-11SR.. ,to be the person who signed the preceding or attached document in my presence,and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of their naxkdVAA0dkdjd REBECCA STENQUIST Notary sefMesseeke [Printed Name] My Commission Expires September I,2017 'A producer is a insur ce company Nat provides insurance policies directly,not an insurance agent. 1 Fm Primp or Sub otmcmr companies iosured through the voluntary marktl,this Al idavit must be completed by Ne insurer or an authorized agent of the insurer. I Ifthc Prime or Sub-Contmclor is insured through the involuntary insurance rrmrket,a pool,such as the Worker's Compensation Inspection and Rating Bureau,or is otherwise insured they may provide a Certificate of Insurance and this Affidavit which may be signed by an authorized signatory(company officer)of the Prime or the Sub-Contractor. Effmtive 10-MayAO s..a.yc C�/IEE W7MrLQ17�s1'.2Q/�G{L OL [LGlLL[dP� 3 �y Department of Fire Services `aspa_1,C�e Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2010. (City or Town) (Dah) NOTE:Complete top and bonom of farm and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that- (TITLE HOLDER): Testa Aviation,LLC (ADDRESS): 97 Commerce Way is the holder of the license granted(Date): 3/10/1980 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 97 Commerce Way NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July],1936, Otherwise by the owner or occupant ofthe land licensed. 30,000 gals(15,000-Jet A& 15,000—Avgas) Received ..<.C/l:P!/.c). 2010......... ............................................................... .' (Signature) By ... v. .LMUth) ..f `.(Cl ............. ...................... (Officid Tine) (Clerk) (State whMtt owntt,occupnnt or holder) ...................................................... (Address) Proof of Coverages Search Page 1 of 1 Labor and Workforce Developme i` , Date Last Updated: 4/21/2010 Navigation Links Workers' Compensation Proof of Coverage - Employer Details FOG Disclaimer New POD Search Employer Name: NORTHEAST EXECUTIVE JET LLC Address: 97 COMMERCE WAY Report City/Town: NORTH ANDOVER, MA 01645 Workplace Fraud Back To Results Page 1 all Policy Number Inaurar PolicyTerm LIBERTY MUTUAL FIRE INS CO Debarm WC231S370435018 150 LIBERTY WAY PO BOX 9090 11/082008 0128/2009 List . . DOVER,NH 03821 Back TO Results >> Education Links Limitations of Search Results Who Needs WC lnumence? This Proof of Coverage Application allows the public to search workers' Employer's Guide to WC compensation insurance coverage information for policies in the Voluntary Market Employees FAOs About WC and Assigned Risk Pool. Do not assume that an employer is operating without coverage if your search results do not return policy information.An employer may Injured Workers Guide to WC still have a valid workers'compensation policy under a different business name or Injured Workers FAOs About may have an alternate method of coverage which includes licensing as as self WC insurer or membership in a self insurance group. Use the following links to view listings of Self-insured Employers(PDF)and Self-Insurance Groups(Excel) in Massachusetts. Related Links With limitetl exceptions,every employer in the Commonwealth with one or more Experience Rating History employee(s)is required by law to have a valid workers' compensation insurance Connecticut Poe Search policy at all times.If you are unable to find an employer or suspect an employer is wrongfully operating without workers'compensation insurance, please submit a New Hampshire Poe Search Workers'Compensation Investigation Referral Form or contact the Office of Investigations at 617-727-4900 x214 or toll free at 1-877-MASSAFE(627.7233). New York POD Search Classification Request Form http://64.73.57.96/Details.wpx 4/21/2010 Proof of Coverage Search Page 1 of 1 Labor and Workforce Developme Oman. Date Last Updated: 4/2112010 Navigation Links Workers' Compensation Proof of Coverage-Search Results POC Disclaimer Relurr to Search Page 1 of i ) ))' New POC Se arch Employer Ci NORTHEAST EXECUTIVE JET LLC NORTH ANDOVER,MA 07845 Report 97 COMMERCE WAY y'IOrkpl3Ce fraad Return to Search <C '< > >> Limitations of Search Results Debarmilnt List This Proof of Coverage Application allows the public to search workers' compensation insurance coverage information for policies in the Voluntary Market and Assigned Risk Pool. Do not assume that an employer is operating without Education Links coverage if your search results do not return policy information.An employer may still have a valid workers'compensation policy under a different business name or Who Needs WC Insurance? may have an alternate method of coverage which includes licensing as as self insurer or membership in a self insurance group. Use the following links to view Employers Guide to WC listings of Self-insured Employers(Pon and Self-Insurance Groups(Excel) in Employer's FAOs About WC Massachusetts. Injured Workers Guide to WC With limited exceptions,every employer in the Commonwealth with one or more employee(s)is required by law to have a valid workers'compensation insurance Injured Workers FAGS About policy at all times.If you are unable to find an employer or suspect an employer is WC wrongfully operating without workers'compensation insurance, please submit a Workers'Compensation Investigation Referral Form or contact the Office of Related Links Investigations at 617-727-4900 x214 or toll free at 1-877-MASSAFE(627-7233). Experience Rating History Connecticut POC Search New Hampshire POC Search New York POC Search Classification Request Form http://64.73.57.96/Search.wpx 421/2010 • Proof of Coverages Search Page 1 of 1 Labor and Workforce Developmelffil Date Last Updated: 4I2112010 Navigation Links Workers' Compensation Proof of Coverage - Employer Details POC Disclaimer New POC Search Employer Name: NORTHEAST EXECUTIVE JET LLC Address: 97 COMMERCE WAY Report , City/To": NORTH ANDOVER,MA 01845 Workplace Fraud Back To Results Page 1 of 1 t�1 11I 1» - a Policy Number Insurer Policy Term LIBERTY MUTUAL FIRE INS CO Debarm nt WC231S370435018 150 LIBERTY WAY PO BOX 9090 11soa/2OD8 01128/2009 Llst _, DOVER,NH 03821 flack To Results « 7[—>' Education Links Limitations of Search Results Who Needs WC Insurance? This Proof of Coverage Application allows the public to search workers' Employer's Guide to WC compensation insurance coverage information for policies in the Voluntary Market Employers FAOs About WC and Assigned Risk Pool. Do not assume that an employer is operating without coverage if your search results do not return policy information.An employer may Injured Workers Guide to WC still have a valid workers'compensation policy under a different business name or may have an alternate method of coverage which includes licensing as as self Injured workers FAOs About insurer or membership in a self insurance group. Use the following links to view listings of Self-insured Employers(POF) and Self-Insurance Groups(Excen in Massachusetts. Related Links With limited exceptions,every employer in the Commonwealth with one or more Experience Rating History employee(s)is required by law to have a valid workers'compensation insurance Connecticut POC Search policy at all times.If you are unable to Find an employer or suspect an employer is wrongfully operating without workers'compensation insurance, please submit a New Hampshire I Search Workers'Compensation Investioation Referral Form or contact the Office of Investigations at 617-727-4900 x214 or toll free at 1-877-MASSAFE(627-7233). New York POC Search Classification Request Form http://64.73.57.96/Details.wpx 4/21/2010 LMG 1/11/2007 10: 58 PAGE 002/002 LMG wdfios a ci In:ururrc THIS CEHFIF:CA E:S ISSJ�L`ASANNI"(ER CF:k FCIUAAfILW LWLY ANL`CCkFEBS NO HatiID'UI'(YJYW 1NE CEI?iIFICATE:10.L'EI?. THS CFIITIFlOgI F.Ni NOT AN NJHUfIANCF POLIOV ANL DOES rJOr AUIJJ[I EXTEND OA AU E !Fill;C(IVIiHAUE AFFOHDI H HY'fill F OL:CIES IJSI ED E)H 0N This is to Cerl that PROUiiCF_R OP RECORD: CENE9TS CONSOLIDATED SERVICE INC 76 BLANWIL4RD RD 21i°1TL MINUFEDIAN INSURANCE AGCY INC BURLINGTON,NIA 01803 76 BLANCHARD RD HURLTNGTON,h4A 01803 .4t!heissue date.!thn,certfical inemerllry the CumFarlYundm In.Fwlicy(iee)tla+-Wbnlerr. Thninsurencn aKnrind�y 111^Iie4d Puiicyliesi is suhjec;to all meir tars,evtusions and cnneitiars ane is ool alxmd by any mir,wremen;,term or ccndman M any contract or maer do alman:with rs eG to whi^h this metificale rtr_y be isss:ed. TYPE OF POLICY POLICY DATE POLICY NUMBER LIMITS OF LIABILITY cox.",wu,lat 6rter wC COV. B I Aw w ole Ftllnwi•v Slxr±x 011612007 WC2-31S-333642- MA Bodily l ri_ry 3y WORKERS Accident Eacn 01/76/2006 1r97 grE..h $1 000 000 COMPENSATION Bodily In,ry By Disease Each $1 I)00 000 Farson $1,000,000 Paiicy L:Slit GENERAL Genes:Aggregate-Other ihan Ili:L'ComPleleci Ops LIABILITY $ ❑ oroductsrCorepicted Operation5.4gglecete N/A rJ:A Bodily injury and Property Damage Liahilky $ Per Parson' ❑ Orgavin_5an ::C:;I;f:RIENCIE AUTOMOBILE Each Acddcr,; Sngla Uc.e LIABILITY B 1.And F. C.Combined OWNED Each Pers,-•-. NON-l)WNED N/A N A Each A.cciderd of Cccurlence HIRED Each Accident or Cceunerce OTHER -F LOOATION(S)OF OPERATIONS a:OB JJ(IF APPLICABLE) COVERS Ei S E ES NOTEIJ S LEASED TO: Fi PODGY COVERS THE EMPLOYEES OF--HE ENSURED LEfLeED TO: NORTHEAST EXECUTIVE JET LLC 200 PARK ST STE 2 NORTH READING, FAA 01864 NCNWOFiNC.el.'u1TMN SHT:I�.�ANY OF THE AP_VF-IFQc.Ri FIl 01 OsEe EF CAN EOLF,FiFFOF%T F RV:PATION-ATE TNF OF,='F.'.FSO W. �♦FPA11 B':LL F:N.^.F:R'Jfn'O MLII. :0 b"s H'RTEN NOTCF TO THE CEPTIFICATF PICIaER NMIFD nFLPJJ. F.l rN:UnE TO 4AVL OOCH NOTICE SHALL :VPOSF ND QUJ2Sr'.CNO'UV ]Lll,'!AJNYINCUWN IHEC4M?'RM1,'.I ND F,rrs W,RWESENIAI:VFS LIKE=:f AILT�CjLI{A,LpIN.S.URANCE Gi?Oiiv TOWN OF NORTH ANDOVER -'Nr*•� ATTN: TOWN CLERK AUTHORIZED REPRESENTATIVE 120 MAIN ST PORTSVOUTH NH NORTH ANDOVER. MA 01845 DATE ISSUED O'lil V2007 OFFICE 0020 '1'cfs cerM:rata Ls erer.::ed by LIUIE h;II'MUl"IJPI.INSIIFiANOR O£IOUF'as rasgreds Burn insuranre as a aearcad ny Thaw Cempanias BS y'rJRb Nair Complete top at form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. -- Fgiliilil rOGY.r, Q�GG/2 r7�V!/�LLLQ2GLd C3, =JCfza?Y�mzmL a`V'Une CJeYUtceb— �IiV(d/.o2 o��li.Y9 �irb+/e'�arz ti 04 kW City or Town NORTH ANDOVER Cate APR1L 30,c (p APPLICATION FOR CERTIFICATE 'bF REGISTRATION In accordance with me provisions of Chapter 148. Section 13, of the General Laws,the undersigned hereby certifies that NORTHEAST EXECUTIVE SET, LLC wm.wrcwwus... 97 COMMERCE WAY is the holder of license granted 3/10/80 foCthe lawful use of the building(s)or other structure(s)situated or mn to be situated at 97 COMMERCE WAY as named to the K�i-WG, STkVnE. MANUFACTURE OR SAL OF FLAMMASL25 OR EXPLOSIVES. NORTU" MA 01845 anwr�, licau'on forceraficata of registradon must be signed by the holder of itrs f/certse if said license was granted poor ui July 1, 1936, otherwise by the owner or occupant of me d i ins Submitted by by —A W l D��wpSy P �Q --- ------- -------- -- - Northeast Executive Jet,LLC SOUTHERN NEW HAMPSHIRE 4946 Michael P.Phillips BANK a TRUST COMPANY 200 Park St,Suite Mdwer,MA 6 SeIW,NH North Readie MA 01864 54-1951114 (978)664-3674 Corporate Office 3/24/2006 PAY TO„.. ORDER THE Town of North Andover $ rr150.00 ORDER OF One Hundred Fifty and 00/100rr«rrrrrrrrrrrrrrr .r prrarr««rrrrr r�4 "DOLLARS, 8 I'{ ..,w1: IFS--• I Town of North Andover 1' , 120 h n Street 2 North Andoveq MA 01845 MEMO Renewal Underground Storage Tank License 2006 ae 11a00494611. 1:0 1 140 18 501: 10 1 266 SN' \\ i I TOWN OF NORT}fANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 „OnTN i.•':; Joyce A.Bradshaw : ..�•�-'� � Y Telephone(978)688-9501 Town Clerk ' FAX(978)688-9557 Northeast Executive Jet, LLC 97 Commerce Way North Andover,MA 01845 March 16, 2006 To Whom It May Concern: Enclosed please find your 2006 Registration Renewal Form(s) for above ground and/or underground storage tanks listed at the address(es)on the enclosed form(s). Renewals are due April 30"of each year. The fee for renewal is $150 per site. Please sign the top portion of the registration form and return it with the appropriate fee, payable to the Town of North Andover, 120 Main Street,North Andover,MA 01845. The bottom portion is yours to be displayed along with your license. Your immediate attention in this matter is greatly appreciated. Very truly, , , /.,, Q 7d u �J_! Joyce Bradshaw Town Clerk Enc. e Note_ Complete top of fans and forward both section and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Salary. � ��nvrrearuoetz� ayOC/Gr!�aaaac�waetly 1/��rmrreC_p�'ri�e V vpw.cffi— �uwacarc a��'rir5 ✓�"MsvenGan Cltyar Town NORTH ANDOVER Date APRIL 30,c'Q-0(p APPLICATION FOR CERTIFICATE bF REGISTRATION In acanlance with the provisions af-ChApler 1,18.Section 13. of the General laws. the�undenigned hereby card8es that NORTHEAST EXECUTIVE JET, LLC - w..anaa+ux�+.. 97 COMMERCE WAY is the holder of I'icense granted 3/10/86 � foothe lawful use of the building(s)or other structure(s)situated or to be situated at 97 COMMERCE WAY su.w w....r as rewted to the Kc?ING.STORAGE. MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER MA 01845 Nore:This application foroartifimre of registratlan must be signed by the holder of the license Asaid license was granted prior to July 1. 1936, otherwise by the owner or acrupant of the land ficensed Received Submitted by by --------------------------------------------- �— E ILOiYI7/I72U'I2L(/e�AL/L fi�. �JVLGGrwQ.(iZlL62W.Y E MIT �g'Y®j��/�3' -�CfL2�//ILe•/ECO�V"lvXe Cl Mw4CG3 —�ct�mM�/dL�GI�O'XQRe V P/%G ✓-XO(I/KZnL City or Town NORTH ANDOVER Date APRIL 30,e7CUp REGISTRATION no is to cnffy that NORTHEAST EXECUTIVE JET. LLC has, in accardance with the provisions of Chapter 148, Secden 13•1of the General Laws, filed with me a cartilage of registration sehong forth that NORTHEAST EXECUTIVE JET, LLC is the holder of the license granted 3/10/80 for the lawful use of the building(s)or other svuCure(s)situated or a.� to be situated w 97 COMMERCE WAY 'NORM ANDOVER MA 01845 su.r+mn�row as retailed to the K'c_?ING•STORAGE MANUFACTURE OR SALE OF R AMMABLe OR EXP�CS Vj jp- Now:A ca*=m of agisoatlon meat be AM on or before April Saw at each year. THIS RE•GISTRATICN MUST BE CONSPICUOUSLY POS i cD ON THE PAEMISES 04/22/05 12:07 FAX 781 860 9562 GENESIS CONSOLIDATED [d]000 04/20/2005 12:02 FAX 19786621444 YOMMEAST EXECUTIVE JET 0000 4 The CO21ftaanWealfh of Massachusetts Aeparfinent of1ndustrW Accidents 600 R'ashington Slrl� Boston,MOS. 02111 WwYen'Co je=tlem IasmgaaA ndavit-G,merai IlLom w A Cecit, lnm e/L cc - � 1 Rnelovcrc esw YYIQ RRUS •oLme %7R-/RY6��C/ wmY Aae �. ElI am a sole propriaw and have ne We Boslacv 139c: otli ,° ❑Rm1l❑Ra#em'®t1Ber/Pa 16 Fsfahlishmat� w "em wva�Y......- --- ❑Ot&e❑ sales Cmamdine-- IlMtm ----- )__.. i am aH m I wnh em 1 (fWi dt art lhne . OWc I am en mlplayg ptevid'm�awrkcs' uaapmaatim>a o�'mpbYe>S 0.V[�C an lYic JeU I . C;CS ' L-7. - I am a wle'pmp is , and have hired the i0dep®deR OtltIDaC�9listed 6elaww8o Gave We I011mvivg wvrl . aamprnrsrim pdi m: ro 'B fv Itl ea- ' Y�uvrie,eem.mvm.rygrvVmrrd wdq Soma 25A olh1rd.1�2oetgaq melofi+rncev,✓eNwtm.11�d16o of•0ae vpm 41,502oo wbor .. am��'fOP'Yoa�tq�6..rlvaµmktn q iblb[m of r 31'OP W VHY VR11Gx.er r f uer510600 a d�9'T�vn I uata�amd Uvl r eepy.Iam mower IDs7bhrwrdd to 6A t)eaq aflarvuptleq eflb iII�rs ee�mae rarair.ma. f Po bartlrya Fy rmdar fieprd ' dpena�Wd efperlorylhm rdee NJ n'r�'a'rP^^Jed eGavr is oaeaerruL s"� //11 eaamo78/—�-72—iF9oO Pvvemam CAA / (' i P l/ - � e1Svnl mr.vut ue ve..,nr.mtbu erwm Maem➢19n1 b1 eq or nvrs vlarwr �4 .,tyvr mwa ,— -._ . — PmEtltl°egetl OBaa'Yo[n`pvrm,°^e [ ®Lemdq Hera J rLar4lr mmrJ)zte ra+inro•n.rHmea 9ehvmrar't omn QBwkb Dgn+meni DOlyer�— 04/22,05 12:06 FAX 781 860 9562 GENESIS CONSOLIDATED 121002 -LMG 4/22/2005 11:35 "AM. PAGE 3/003 LMG c.,x rwla.wau THIS GERTIPIGATf ss 19EUE0 AS A MATTER 6 MFORNATCN ONLY AND GDNFERS'AL RIGHTS UPON YOUTNE CERTFIOATO HOLDER THIS CERTFIGATE IS NOT If11NSURANCE PWGYANG GOES NOT AMEND EATBNO OR ALTER THE GOVEMGE AFFORDED BYTHE POLICIES LISTED BELOW. Phis is to Ceirlify that PRODUCER Of RECORD:GENESIS CONSOLIDATED SERVICE INC MINUTEMAN INSURANCE AGCY INC PO BOX 156 76 BLANCHARD RD- LEXINGTONaMA 02420 BURLINGTONr MA 01903 Artheiwce dabdIhia eexdUrwa,insuredby MEs anInr alllred p any(es)Oslatl IwIon The ordinance afforded ethe Ilated psi.mea)is wbjcet Nt all Ihelr temis,ezdusons and cgnrHNona and ID notallantl by any lDgpiremenS krm orcandlliwl w any egntraa or dM1er Document dlh cl l0 xsiai Mis cerEfiwle ma ba Imued. TYPE OF POLICY POLICY DATE POLICY NUMBER - LIMITS OF LIABILITY weep Aaelded LIMA COV.B ' LM Nne FNuMIp BbYa 0111612005 WC2-SIS-333642- MA BOofily Injury By WORKERS 0111612006 786 Accident Each $1,000000 Atodent COMPENSATION Bodily injury Ely Disease Each $1 000 000 person $1.000,000 Policy Used GENERAL enema Aggregate-Otterthan Pmd/Completed Ops LIABILITY - $ ED - Produds/Completed Operations Aggregate NIA N/A - Bodily Injury and Property Damage LJability ' Per Penonl O manlmtlan OCCURRENCE AUTOMOBILE - Ears Acadent-Single Limit- . LIABILITY - 0.I.And P.O.Coninned - OWNED Each Person NON.OWNEO N/A N/A Each Acadentor Occurrence HIRED Each Accident Or ccurrence OTHER LOCH ON(S)OF OPERATIONS ii,JOBleuF APPLICABLE), COVERAGE IS RESTRICTED TO EMPLOYEES LEASED TO: NORTHEAST EXECUTIVE JET LLC NOTIONICLIMNont NOIKe OPCµaew Trso MrCLDoM KTXEAWVE DEECABFO P0.1fJE6raE CMKFILW BFFUETHF ons"NeTONOATS TNenons�THE RFYNO CCNAANY Ws.ANDEANOR TO N4L 30 ON(t WNIREN NOTICE TO TXE CI Houses MM19 sea N= eUT PLLURE TO NAL DUCH NOIRE SPILL ssl` JM NO O6<�GYM1ON OR l'IdIRV 4V HIVD-RON PH2 CCMYIrvY.ITY.W W'9 CR RBVR6aMTAT rye9 ILIB=MUTUAL INSURANCE GROUP TOWN OF NORTH ANDOVER OFFICE OF THE TOWN CLERK 120 MAIN ST AUTHORIZED REPRESENTATIVE NORTH ANDOVER,MA 01845 PORTSMOUTH NH - DATEISSUED UvzUaU05 ThIs wNlEwla is emclned by LIBERTY MUTUAL INSURANCE GROUP serespedasutln iMumnoe as is affooded by Those Canpeniea BSTTLRS 04/22/05 12:07 FAX 781 860 9562 GENESIS CONSOLIDATED 0004 LMG 4/22/2005, 11:37 AM:'. PAGE 2/002 LMG Cadlkala'a,sa m. THIS CERTIHCATE IS ISSMIJ AS A MATTER I,INFORMATON ONLY AND CwaxS NO RIGHTS up-TDU THE CERTIFICATE HOLDER TNIs CERTX1CpTE IS NOT AN IxSURANCE POLIC AND DOES NOT AMEN EMEN DR ALTER THE COVERAGEpRPORDED BTTHE PoGCIFS LISTED BELOW. This i tto Car ' •that PRODUCER OF RECORD: GENESIS CONSOLIDATED - - SERVICE INC MINUTEMAN osURANCE AGCY INC POBOX I56 76 BLANCIIARD RD LEXINGTON,MA 02420 BURLINGTONiMA 01803 - At Me Issue dale of Mil Pedlimie,Insured by tho Cm,any under Mo PollEy(ds}lisped Selo Tha insunnoe attolded by Me Ilsted pdicy(Jas)is wblex ball M011erms,-11-. na and mndhons and is not aI@red bir any rewdranmt MIm or cobdldm of any sItnp or other document with a to wfiich Mis certlSoem ma balssued. TYPE Or POLICY POLICY DATE POLICY NUMBER. LIMITS OF LIABILITY OanueFAaaaNdUnderWC COV,B .Laia d IS.Fcaow+ARS..a 01/1612005 - WC2.31S-333042r MA : AcciAcdllymdent jury By Each WORKERS 0111612006 165 Accident ¢1,000.000 COMPENSATION Bodily Injury By eam Disease $1 DOO,D00 Pa. $1,000,000 ' Pdicy aura B@NERAL nere Aggregate-Other than Prod/eompleied Cps LIABILITY - .$ Products/Completed Operations Aggregate S . N/A N/A BDdflylnjuryand Property Dama9e1Ja EiWy Per Peladd OrynnliatiM OCCURRENCE AUTOMOBILE EaN Acddam-Singlelimir- B.I.And P.M COTHned LIABILITY OWNED Each Person ❑ NON-OWNED WA' .N/A Each Accident or occurrence - HIRED Each Actldentor Occurrence OTHER LOCATIONS) OPERATIC S&JOB#(IFAPPUC ) ,. COVERAGE IS RESTRICTED TO EMPLOYEES LEASED TO: NORTHEAST EXECUTIVE JET LLC !aJ YrMN meuuu SITIRIeonplml, xn aTxc CmnXu� 40TI[E rl CµafllATgX' sXcAO NR OFTNE P9WE DEFLRI®P0.1CIEa 9E CNiG1LEC E6aRE lME dPIRLTION 017E iXRfOF.TIE IWUIN�COAPMn AIuL TOENCP.vIA91LMaV 10 Ws Rrr`aN >aPA'n TM9 AG�iagf RE..SR!NANSO �� RµuRE To MFl WON NOTIM sHfL MPGE NO OWILIBERTY MUTUAL INSURANCE GROUP THE COMMONWEALTH OF MA — DEPT OF INDUSTRIAL ACCIDENTS OFFICE smamsr OF INVESTIGATIONS AUTHORIZED REPRESENTATIVE 600 WASHINGTON ST - - PORTSMOUTH NH BOSTON,MA 02111 DA EISSUW D42arzTO, This oeltifirale is a—atad by LIBERTY MUTUAL INSURANC9 GROUP es leepeclsslHA insunlnce as is aftnded by Th sc Camasmas RS TTm Northeast Executive Jet LLC SOB NK&TRUSTCOMPANYE 4698 Michael P.Phillips AMovor,MA a Salem,NH 2W Pmk St,Suik 2 6418014 North Readin .MA 02864 (978)664-3674 Corporate OftePAY TO do<nnnc q ORDER OFE TImyn of North Ando er ...,— $ **150.00 e771Ae. 7 One Hundred Fifty and 00/100r++www+wwwwraw++rarrr+r+r+rr ,+++++++++rrrr+rarrrwwrrwwwwr+r —oOLLARS e. Town of North Andover P.O.Box 124 North Andover,MA 01845 i l.�"0YW'ld MEMO UST Registration Renewal 2005 .-- •* ��•004698111 1:0 L 140 LB 501: 10 L 266 Sir Note: Complete top of farm and forward both sections and fee to local licensing authority(Cfty or Town Clerk). Oa not make application to department of Public Safety. b �/!�W/�meNtta�V'UKN �e/N�UGC+35 — �bVNedn o�V'urN �MBT1B�6sG City or Town NORTH ANDOVER Data APRIL 30,Ca005 APPLICATION FOR CERT1FICATVDF REGISTRATION In accordance with the proyisions of Chapter 148.Section 13.at the General Laws,the i n iersigned hereby ceralies that NORTHEAST EXECUTIVE JET, LLC 97 COMMERCE WAY a me haider of license granted 3/10/80 fdo4he lawful use of the building(s)or other=c:ure(s)situared or to be squared at 97 CO1*[ERCE WAY su.w�.t..tw as related to the KS_-. ING,STORAGE,MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, NA 01845 'w, Nate:i his appGcanon forcardficare of regi anadan must be signed by the holder of the license it said license was granted prior m Juty 1, ISI otherwise by Me owner or ocupanr at the land licensed. , Received Submitted by by --------------------------------------------- �j �_ (; VitY1Yl/172!%IZLl12f2GG/L G�(%I�GQddaC/ZCLd2LGfl �GGG`�®r �'3' �2ji2N�iiI49lr.�p�V'vxe �Ma++NtpC1 — �XOUM6 FJId/d[�GVtNrK �16 City or Town NORTH ANDOVER Date APAIL 30,dCOJ REGISTRATION This is W certify that NORTHEAST EXECUTIVE JET, LLC has, in accordance with the provisions of Clearer 148, Secban 13. of the General Laws, filed with me a certificate of regisrration serring iorm mat NORTHEAST EXECUTIVE JET, LLC is the holder of the license granted 3/10/80 for the lawful use of the building(s)or other strucure(s)situated or oe. tome situated at o] COERCE WAY NORTH ANDOVER MA 01845 5u.xmtumor . as relaso to the KEEPING,STORAGE MANUFACTURE OR SAL OF Ft,4MMASL=S/O�R EXPLOSIVES. �yw GI• 7�1fO1�t�6N/' Nafa:A cardficam at regisrato,miar W filert m ar before April,?,,at cam year. THIS REGISTRATION MUST BE CONSPICJOUSLY POSTED ON THE PREMISES :Irevw'rs61 Note_ Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. �c7roorea rwr�eaLCLc o�C> acae�Z t s ' @, =Jefeai.�iszenCo�.t�>sri,.o Vvxvieeb — �rir�iaiorc o��u.+s �i ruerctean City or Town NORTH ANDOVER Date APRIL 30, 2004 APPLICATION FOR CERTIFICATE OF REGISTRATION In aecoro tnce with me provisions of Chapter 148. Section 13, of the General Laws, me undersigned hereby candries that NORTHEAST EXECUTIVE JET, LLC .wm.mma.us�o. 97 COMMERCE WAY .mw a the holder of license granted 3/10/80 for the lawful use of the building(s) or other structures)situated or wn to be situated at 97 COMMERCE WAY se.wwwmmew as related W the KEEPING, STORAGE MANUFACTURE OR SAL OF FLAMMA13LES OR EXPLOSIVES. NORTH ANDOVER MA 01845 Note: i his application for certificate of registration must be signed by the holder at the license it sad license was granted poor to July 1, 1936, otherwise by me owner or oc_upant of me two licensed. Recaived Submitted by • ,ww. by .wm. su....o,.r•..,..�,w dam.. oxu nu .em... _-------------�y—y�------__/i—/ --__--_—/ --__----____ . Vi 0/IYYI'YG('./IZ(.!{eCLLLiZ C�� /LL/Q2� g. �efi2xGneenCo��vxe C-1ewr.,ccci —'�'�ieder�.rwu�nd FS'ta raga CJ�an,E ✓,�xz>rc v City or Town NORTH ANDOVER Date APRIL 30, 2004 REGISTRATION This is to ceroly that _NORTHEAST EXECUTIVE JET. LLC has,in accordance with the provisions of Chapter 148, Season 13.of the General Laws, filed with me a certificate of registration setting form Nat NORTHEAST EXECUTIVE JET, LLC is the holder of the license granted 3/10/80 for the lawful use of the building(s)or other strucure(s)situated or to be situated at e7 rt�E WAY "NORTH ANDOVER k% 01845 as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMAELES OR EXPLOSIVES. - sv•ew•.m orwn fin Note:A cercfimfs of reglsmaon must be filed an or before April 311 at eeck year. THIS REGISTRATION MUST HE CONSPICJOUSLY POSTED ON THE PREMISES '.(nwea]961 Nate: Complete top of farm and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. 1pc7x7rcaruuea�C o�Va�aaaaw,c�u�ae�la a � Je�iaoGinemto��'vre C%v>stxcea— �riwaiu�c o��tixe �,+sverctiarc Clty or Town NORTH ANDOVER Date /4 ate, �V' APPLICATION FOR CERTIFICATE OF REGISTRATION In zezomance with the provisions of Chapter 148. Seardw 13, of the General Laws the undersigned hereby certifies that KING AIRCRARTERS rttARit_aTgEST 47 00mmExCE coaly s the holder of licenso granted 3/10/80 for the lawful use of the buiiding(s)or other struc[ure(s)situated or to be situated at 2-GEARK3'IR= q1 C.0Y_t.t.�erC.¢ \,Q se.wa.. m related to the KEEPING. STORAGE. MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Note: this appGradon for card6care of registration must be signed by fhe holder of the/kanse if sad license was granted prior to July I, 1936, otherwise by the owner or occupant of the land Gcenseo. necaived Submitted by by orae rw ,m... _—_ _____ -------------------------------------. �amirna7cusea� r�c�aaabc�ivaeda r-S i� � �efia7LnaenCa��'rixe Vrwr�ice: — L/�td/srr�rwouin2yVCa/a�eC�airt� ✓rar�ra�ro �[ `_" City or Town NORTH ANDOVER Date REGISTRATION ` u to certify that *1N,9-A1 GHA*T9R5 t �VAf\eC,�''C has, in accdnlance with the provisions of Chapter 148. Section 13, of the General Laws, filed with me a certificate of registration setting form mat KING AIRCHARTERS is the holder of the license granted 3/10/80 for the lawful useLof the building(s)or other swcure(s)situated or Q-1 C.or.. cc 4 w oe situated at 2-41tAfW-6i"E?, NORTH ANDOVER, NA 01845 surwmmme. .. w related to me KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. . —vim sy.nw.a.aem,r Note:A canr5ote or ngisnadon must tw Merl on or before April 30fh of eac't year. THIS RE31STRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES 310 i NOTICE NOTICE TO TO EMPLOYEES EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-49DO As required by Massachusetts General Law, Chapter 152, Sections 21, 22, &30, this will give you notice that I (we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: Liberty Mutual Group NAME OF INSURANCE COMPANY P.O. Box 7202 Portsmouth, NH 03602-7202 ADDRESS OF INSURANCE COMPANY WCS-315-333641-144 02101104 POLICY NUMBER EFFECTIVE DATES Minuteman Insurance Agency, Inc. Lexington, MA 02421 NAME OF INSURANCE AGENT ADDRESS PHONE Employees Leased to: Northeast Executive let, LLC North Reading, MA 01864 EMPLOYER ADDRESS Tony Cigna 02101104 EMPLOYER'S WORKERS COMPENSA-TION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, it the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention,employees are hereby notified that the insurer has arranged for such attention at the Nearest&best medical treatment facility, or as directed NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER Form WC 08 20 01 B Printed in U.S.A. From:97&5648415 TO:Maureen Moran Date:InW2 Time:12:41:40 FM Pegs 2 of 2 04/28/04 11:26 FAX 781 860 9582 GENESIS CONSOLIDATED 11001 Eiis No ORtl u�DOES OTN ��NO mceS EWNH THIS. l _ O, MLD BELW.W110ERTIFMATE13EaE AORALTER CERIIFlCJI NOT AN INSURANC THIS i4 LO C *"al GENESIS CONSOLIVATED SERVICRS INC PRODUCER OF RECORD; PO BOX 156 MINUTEMAN INS AGENCY INC LEXINGTON,MA 02A20 21 WORTHEN RD 1n FL LEXINGTON,MA 02420 M ma issue dab atNs alw,insured by the Colryeny undw O,@ policy(iss)fisted below. The in wa elfome4 by the Iistsd Pofq(m)N subjectlo atl tneN wmr,axdmione arld wMlllom aIM la not alwretl by arty npuimment.wlm w wnd8)on ni elry 6vMnd or whar dmumonl wM8 ws w W H%this mr8fioela newy ba usuetl. TYPE OF POLICY POLICY DATE POLICY NUMBER LIMBS OF LIABILITY emwaee x COV.B trtwaf M Fallowing SbMe 021012004- WCI-318s33642-144 Bodily Injury By Eaa WORKERS 02/01/2005 Accident Aaaident s1,Doo ooD Bodily Injury Fly COMPENSATION Disease - I.1+w an $I 000 000 . .`$7;000;000 POIWy Lena OENERIRL .General AOgr,Oab•Ojnar than'-Prd ,l pletsd Opa 'ILIABILlTy $ i r�A00taEs a- ., ...:. ...: S N/A NIA Bodlry Injury and PropA'Ity Darltege abdiry, ._ ...__ Par rs Omanaatgn � DCWRHENCE - ',. . ::. . . Aocitlerd-31 L-L-m- 'AUTOMOBILE B And p.D.combimd .•..LIABILITY . .: ... , _. ❑ � Paraun NDN- NED NIA N/A Each Accident a Ocearance HIRED Earh Accident Or Occurrence OTHER L ATION(S)OF 01706IONS&JOB ill,(IFAPPLICABLE) PROJECT: STATE OF MA AS NOTED IN SECTION 3A OF THE CLIENT: POLICY NORTHEAST EXECUTIVE JET,LLC XX ore ar.TH Uex CO.e v arw w irc rro•�• i NOTIG60F CARCR 11OHtaXOI&d ANY OFTHE WTa9CRaEN OA1 6E GNC&LLFD BELONe.XBEWIRAT ON MT6 SUCH TH[beue8:CpIPPNf WALENBEAVOR TOC1,, as GAYFyMN V"T XaTICE TO THE �TI5 OkR HOLDERMEriGU NV.EO BELOW„ FYLUIE?O 1WL 9(ICX NLfICE,$HP11_IMPgBE XO ' OBSWa�:4R1WIGpv'OPA'IYIgNd UPW TX6C1M1PNfl:n'B FGEIlI6 d10.EPRE66NTAlWYY -- _ —.-...__ .....___._. -..._.LTBERTY-MUTTALIIVSTJICAMU=0UP' —. TOWN OF NORTH ANDOVER mNFa+` 120 MAIN STREET •. _."' "XM6kTaCl f&PA'�£E"Nl'ATIVE `sxaaw NORTH ANDOVER,MA 01845 PORTSMOUTH NH 04115=04 04/152DDa OFFICE W20 This mrtiflcate b amouted by U ERT/NWTLwL INSURANCE GROUP u reapecm such m•uwnm m is e0onled by Those Cempsmil a5772Re ' Rpr °22 04 ❑9: 3la Janelle O 'Loughlin 978-664-0415 p. 2 LIBERTY MUTUAL GROUP INVOLUNTARY MARKETS OPERATIONS PO BOX 8090 WAUSAU, WI 54402-8090 NORTHEAST EXECUTIVE JET LLC 200 PARK ST STE 2 N READING MA 01864 WC5-31S-333642-144 c t= e=e INWREo cow Rpr' 22 04 09: 32a Janette O 'Loughlin 978-664-8415 p. 3 WC 96 06 05 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY POLICY INFORMATION PAGE ENDORSEMENT THE FOLLOWING ITEMS(S) ARE CHANGED TO READ: THE FOLLOWING PREMIUM BASIS(S) IS AMENDED TO READ: STATE: MASSACHUSETTS LOCATION: 001 01 CLASSIFICATION: AIRCRAFT OR HELICOPTER OPERATION: NOC — OTHER THAN CODE: 7423 PREMIUM BASIS: 227656 RATE: 2.73 PREMIUM: 6215 THE FOLLOWING ENDORSEMENTS REPLACE THOSE ON THE POLICY: GP02923 01/96 EXTENSION OF INFO PAGE WC 17 10 MA 01/96 COUNTERSIGNATURES OF RESIDENT AGENTS THE FOLLOWING ENDORSEMENT(S) IS DELETED: GP04695 07/01 MA WC GUIDE LETTER ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. The total premium and surcharges shown on this change endorsement represent the revised Insurance costs for the full policy term. Any additional or return premium payable as a result of this change Is shown below. This is not a bill. If necessary,a bill will be sent separately. This endorsement changes the policy to which it Is attached and is effective on the date issued unless otherwise stated. Policy Effective Date 02-01-04 Policy No. WC5-31S-333642-144 Endorsement No. 001 Endorsement Effective Dale 02-01-04 Insured GENESIS CONSOLIDATED SERVICES INC ADD'L PREMIUM: $ 721 Insurance Company LM INSURANCE CORPORATION Carrier Code 27243 DATE OF ISSUE 04-09-04 Countersigned By SEE ATTACHED FORM 1710 INSLflFD COW Rpr' 22 04 09: 32a Janelle O 'Loughlin 378-664-8415 p. 4 Extension of Information Page WC 00 00 01 A Item 4. SWOOP: NASSACeVSETT3 CIREsifioatlon of Operations Premium BeSis Rite EnBlesin this item,exapt as specilicallyprovid.d.lsewh.r.in Mls Cade Estimated Total Psr$1000f Estimated Annual policy;do not mod Ity MY of the Quiet 2roulhu.ns at Nis P011W No. nual N uneraaon Remuneration Pnsmlum 001-01 GENESIS CONSOLIDATED SERVICES FEIM / 04-3106172 SIC CODE 45al 200 PARE ST STE 2 NORTH READING MA 01864 AIRCRAFT OR HELICOPTER 7423 227,656 2.73 $ 6,215. OPERATION: NOC - OTHER THAN HELICOPTERS: ALL OTHER EMPLOYEES a DRIVERS TOTAL CLASS PREMIUM $ 6,215. INCREASE LIMITS 1.02 9812 $ 124. EXPERIENCE PREMIUM .94 9898 $ -380. ARAP RATING PLAN 1.00 0277 STANDARD TOTAL $ 5,959. EXPENSE CONSTANT 0900 $ 264. TERRORISM RISK INS ACT 2002 .03 9740 $ 68. MACHWC (SURCHARGE) 1.037 0936 $ 220. FINAL TOTAL $ 6,511. RATIMO DATE: 12/01 Experience Modification: .94 Policy No, WCS-31S-333642-144 Page No. I GPO 2923 WC 0000 01 A mauFo uat — Rpr' 22 04 09: 32a .Ianelle O 'Loughlin 978-664-8415 p. 5 E1dension of Information Page WC 00 00 01 A Item 4. S18te Of: MASSACHUSETTS Classilicetion of Operations Premium Basial Rafe Entimhlhis IMM. wPt w speoificellypr"dedeaewh&M lnihis Code Estimated TOMIAn Per$10001 Estimated Annual of ;do rot math 01 to other pmvWiwsol this poliw W. noel Remuneralton Rem anon Premium MA - STATE SUMMARY TOTAL CLASS PREMIUM $ 6,215. INCREASE LIMITS $ 124. EXPERIENCE PREMIUM $ -380. ARAP RATING PLAN STANDARD TOTAL § 5,959. EXPENSE CONSTANT § 264. TERRORISM RISK INS ACT 2002 § 68. MACHWC (SURCRARGE) $ 220. FINAL TOTAL $ 6,511. POLICY TOTAL ESTIMATED COST $ 6,511. RATING DATE: 12/01 Experience Modification: .94 Policy No. WCS-31S-333642-144 Page No. 2 GPO 2923 WC 0000 01 A inwn®aory Rpr' 22 04 09: 32a .lanelle O 'Laughlin 970-664-8415 p. 6 COUNTERSIGNATURES OF RESIDENTAGENTS The policy identified below, of which this endorsement forms a part,is hereby countersigned with respect to all por. tions of the risk located in the state(s) in which the Resident Agent(s)reside. Policy Number: WC5-31S-333642-144 Policyholder Name: GENESIS CONSOLIDATED SERVICES INC Address: PO BOX 156 LEXINGTON, MA 02420 Resident Age t(s)''Couuntter[s�'/ajazure State MA WC 1710 wsur�o caw From 97"64841E To:Maureen Moran Date:4rz82004 Time:12:41:40 PM Page 2 of 2 04/28/04 11:26 FAX 791 660 9502 GENESIS CONSOLIDATED Q001 Card Y urmce THIS CERTIFICATE La MUM ASAMATIER OF INFORMATON ONLY AND CONFERS NO PoTAfr3 UPON YOU THE CERTIFICATE HDLDER. THIS CERfIFlGA 15 NOT AN INtiUM I AND OOFSNOT END EAr£N0,00.ALTFA C GEAFGORDED OY P LIES TIRED aEIAW. Thjs;s t0 Certify that GENESIS CONSOLIDATED SERVICES INC - PRODUCEROFRECORD: PO BOX 156 MINUTEMAN INS AGENCY INC LEXINGTON,MA 02420 21 WORITIRN RD ler FL LEXINGTON,MA 02420 At tore Rena sate of ibb caM,inmrad by UNs Company undafd,e Poli4T(ics)rented below. TNa insurance afforded by tha listed PGOW065)R sugeclto aP Nett @inns,exdusrons eIM coMlgem and le nor[alhrod by wry requfroment,tarts w mndiiian of airy mnaed er otMr dammont vMh TYPE OF POLICY POLICYDATE POLIOYNUMBER LIMITS OF LIABILITY coN.m9e ;O COV.B Law M are FMman9 latac 02JOIfd004- WCI-31S-333642-144 BOdity injury By WORKERS 02N1n2005 Accident A Eg,Ih $1,000 000 COMPENSATION 'Bodity Injury eV Each Disease FMon $1000 000 s1;o0a o80 Panty ISnd ,OENEKPIL .Oenarei Aggregate-Orherthan ltretlr64mPlated Opa '4.IABILITY $. . N/A Bodity In)ury and Propldy Damage Liebliity -_ Par raoN Organization O.00CIAiRF_NCE .' 'AUTOMOBILE F_adrAwYaem-aprgleumn- " LU/81LITY ._ r B.L And P.D.Combined OWNED PMawi _ FJ t40N-0WNED NIA NIA Each Acddwd Or Ocwarance HIRED Each Acddenl Pf OCpin®tKe OTHER LOCATION(S)OF OPERA N JOB Y(IFAPPLICABLE) PROJECT: STATE OF MA AS NOTED IN SECTION 3A OF THE CLIENT: POLICY NORTHEAST EXECUTIVE JET,LLC w rwN ar ra r uve.s IN. ea • s re MNT4N1 NOTrS aGRGrC3LLAlIMe BHPI&D At1YOF T&YIINT e0 PoIiCIEa PO af£wr21NE PA N WTL rUGHaPn T2 RaUNGCOMPMlf VOILL`EHPEAVwI'Tg.MNF al MMTSerrate TO TSE CWTGG YUOea NANEO BLQW.BUS GYLUSV TO MNL SUCH N6TICf,$f4LL1.4P0K,NP __..... 1 OBIYIAT�CilSletY{�ILItTW/YYrNINP IIPCN TNatl]npYlY.rt'a APIMSM HEPPEBGNrATINFI:. .._. .. .. .__—_._. ...-.UMT77vRTTUALIfGUlMRCr=UP--I TOWN OF ICORTR ANDOVER - 120 MAIN STREET -'"" '"'A'OYHORYLED'RT:PiY�SE7UYATIVE - NORTMANDOVER,MA O1945 PORTSMOUTH NH DATEISSUED 04 f3!2OD4 OFFICE OU29 Thiq pNll®te b eamalaa by U ERTY MlJl-U,k-INSURANCE GROUP As mmrscw ft N bnuranee as R ffrardsd by Thane Ceenpadaa w 7y2Ra - t e ' ` k' € ". ,. ' r� "u .x, x"aCt ^ d+%,1ss Ta, •iz6 `"r�'4s`;.' ^"�-4'r 'sC-�L'A >. _has. Note: Complete top of form and forward both sections and fee to local licensing authority(City or Town Clerk). Da not make application to department of Public Safety. � �Oc7xnw�ncuea,�lf a�C�/�aaaac�ucaeCts � S,t?/lrl//lle9[C6�V'r/M@ C.:/IYVLC91— Lf/ueocaas O�V"UXB ✓-.�'8'UB�il.Gd3 NNW City or Town NORTH ANDOVER Date AORlc 310, ?IV APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 146. Section 13, of the General Laws, the undersigned hereby certifies that KING AIRCHARTERS «rn.a.w.aos.e 2 CLARK STREET C ¢7 r'2?/w 4Ec'F Ct),QV Z b the holder of license granted 3/10/80 n for me lawful use of the building(s)or Omer suticture(s)situated or to be situated at 2 CLARK STREET sg..wMne., as related to the KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMASLSS OR EXPLOSIVES. NORTH ANDOVER, MA 01845 am ~ Note: This applicadon for cerd6mre Of regfsrraapn must be signed by me bolder of rite Ifcanse if said license was granted prior ro July I, 1936, drherwiae by me Owner or occupant of the land licensed. Received Submitted by wu by .wm. v.,...»a..�.,. ---------------------------------------------- �arrurrcarrcuJea� c�C/GlaaaaclivaP.lZb S. � �e �vxe V rwvcies — CS° C/arrrE �y City or Town NORTH ANDOVER Dale AOR/L 3/,aGIl73. REGISTRATION Ths s to certify,mat KING AIRCHARTERS has, in accordance with the provisions of Chapter 148. Section 13, of the General Laws, filed with me a certificate of registration setting fOM that KING AIRCHARTERS is the holder of the license granted 3/10/80 o.r. for the lawful use of the building(s)or other structures)situated or to be situated at 2 CLARK STREET, NORTH ANDOVER, MA 01845 su.wm�r as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. 7,�� U 7CGlA —V— Spurvn uu oeo.�rm Note:A carsfiorc of Mgismtbn must be Ned on or belong April 30M of eat,,year. THIS REGISTRATION MUST BE CONSPICJOUSLY POSTED ON THE PREMISES F' i rgweg 79 1 Note: Complete tap of form and forward both sections and fee to local licensing authority (City or Town Clerk), 00 not make application to department of Puhlic Satery. ` � (jam VJ(%IYI/�I7.Z.LOiIZG�L'y2CLLGiL rY�/J;xU(�GQiJdtLpC�2LL�2//�.1 }-_]l' =%B�.Q/�inePnl4�LJ'U V//Ir'VtC85 — jy/aa�ph ry[�•I/1K :l�irSLCrtl[On Cly or Town _NORTH ANDOVER Date 41d3b d100/ APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with me provisions of Chapter 14.8, Section 13. of the General Laws, the undersigned hereey certifies that KING AIRCHARTERS 2 CLARK STREET is the holder of license granted 1110/80 for the lawful use of the building(s)or other structure(s)situalea or to de situated at 2 CLARK STREET su.w,...wo.. as related to the KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Nora: 1hn application for cem(cara of rapsrration must ce signed dy the harder 0/fne license it sad license was granted pnor to July 1, 1936, otherwise ay the owner or ocupanr of the land ficensea. Recamed Submitted by m ov, ab w m . _____ ____________ _- � � amirr2CCoo2eaea r��z r.��uz�a�Ca,e�u/aeG�1 ;mod � �e�+.axGr^a'nCa��ureVerriices — G�inde�rouncr�:JCo�ira�e�o�uc �Ao�roinc CitY or Town NORTH ANDOVER Date�!j(f -0 100/ REGISTRATION ,is is to certify that KING AIRCHARTERS .nos, in acccafame with the te"10ns 01 Chapter 148, Section 13. of the General Laws. filed with me a certificate of registration setting farm Nat KING AIRCHARTERS is the holder of the license granted 3/10/80 o.o for the lawful use of the buildings)or other struCure(s) situated or :o be situated at 2 CLARK STREET, NORTH ANDOVER. MA 01845 as reimea to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FFL�LAMMABLES OR EXPLOSIVES. �1Cu1 0 2.LN//�:J a� syuw..nomy rr Nor.:A cambore of regtsaaoon must be filet on 01 0e/are April 30M at tech year. THIS REGE7nA7ION MUST BE CONSPIQIOUSLY POSTED ON THE PREMISES o rtHsea'.561 Note: Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. �, �, �anz,tno�rceuea,� a��arraczc�iticaeL�3 '� '��c,>r�rc�� Ve�uacea— �iwdtora �� ✓Z'-� C1ry or Tpwn North Andover Date April 30, 1999 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby cerfifies that KiAg 6 i;Q QRi;;G m�.ams.orvr.. 2 Clark Street is the holder of license granted 1/l NRn for the lawful use of the building(s) or other structure(s)situated or am to be situated at 2 Clark Street snwmv mvm. as related to the KE=PING,STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. North Andover Note:This applicator,for certificate of registration must be signed by the holder of the license if said license was granted prior to July 1, 1936, otherwise by the owner or occupant of the land licensed. Received Submitted by om sq,.w. b/ arm rr m.0 ___----______________________________________. � �canvmoauuea,� r��laaaacluaet,5ii �_ � '��tqe�.� ��,,,,�_'alG.��,�rdeS' Vp� ✓,w�r�vrma Clry or Town North Andover Date April 30, 1999 REGISTRATION King Aircharters This is to cenity that has,in acardance with the provisions of Chapter 148, Section 13, of the General Laws. filed with me a cendcale of registration setting King Aircharters forth that is the holder of the license granted 3/10/80 for the lawful use of the building(s)or other struchure(s)situated or am to be situated at '2 CluC r sus.rea�i..m as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF F.AMMABLES OR EXPLOSIVES. r Q AJ�1/]�irl!//2J `0�'17.IJYL C�CP.L1L ✓� smw.wonsar nos Note:A carobate or repsmili&n must be filed on or before April"of each year. THIS RE•31STRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 yOnTM Joyce A.Bradshaw Telephone 978 688-9501 Town Clerk � �� P ( ) ^ . FAX(978)688-9556 9� d31C oUSE�� March 29, 1999 King Aircharters 2 Clark Street North Andover,MA01945 Dear Sir: Enclosed please find your 1999 Registration Renewal Form(s)for underground storage mnk(s). Renewals are due April 300 of each year. The current fee is$100.00 per site. Please sign the top portion of the registration form and return it with the appropriate fee,payable to the Town of North Andover, 120 Main Street,North Andover,MA 01845. The bottom portion is yours to be displayed along with your license. Your immediate attention in this matter is greatly appreciated. Very y trruully, et L.Eaton, Assistant Town Clerk enc. � �Gamrmrrrzcvecz�Gli c�P/G`artuccLccc:leCl`,t �'� � �J 1.e`tartnxenCa�J"��rs`J 9'zuccal — LGn�ar.0 �st�n¢i�Ccxa()d'J¢n�c �x.Zr2m Ciyor Town N- Anaoquz. Date ';-Q-08 LICENSE In accordance with the provisions of Chapter 148 of the General Laws, a license is hereby granted to use the land herein cescribed for the lawful use of the building.... or other structure....which islare or slate to be situated thereon, and as described on the plat plan filed with the application for Nis license. Location of land Q C LgRK 15MUTE Nearest crass street 0&'Cod ar Q5� t lsuex e.r,..wn q �1 ' 1 ,` n Owner of land � icium3n(L MUtIIC pttl Address 10( sglzv ST Number of buildings or other structures to whichThis application applies I Occupancy or use of such buildings lit-` ,� AnA k xa I}�-T fYW 1 R knGfl(G._ Qrw 5'11R1A6'c- Total capacity of tanks in gallons:—Aboveground Underground Kind of fluid to be stored in tanks:—Aboveground Underground ,59r F1 1 AV6-+S n "� 01-.70-i98D � ` Restrictions-If any:n SAIA-e' l Nan/nv Ur k,ir .rSE ?MY FRom ASfI( t��n�L-Y4>SI rU 6- //9� THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY TH.-.REOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED Fa-z(revised 7rse1 PLACE ON THE LAND FOR WHICH IT IS GRANTED f.r�na- toe-5-x-roe»< �IIr �mnnumulru1111 of �il„s., rl�t5rfls ,.� , �.p �7 UO) DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON North Andover __19 (cur or T. 0 (D.t.) APPLICA I IOiA FOR LICENSE For the lawful use of the herein described building.... or other structure_.., application is hereby made in accord- ance with the provisions of Chapter 149 of the General laws, fora license to use the land on which such building._. or other structure.... is/are or is/are to be situated, and only to such extent as shown on plot plan trhich is Bled with and made a part of this application. Location of land..._ tawrence.n m Municipal Airpt. Nearest cross street Clark.St. off Route 125 essee - stre.. p. q . .. .1 yyrr 426 Chadwick Rd Bradford, MA �iit§lEtr of land....Bird ,t,,ea,gtpg ..AA>».............................Addresa . . Number of buildings or other structures to which this application ap lies...._..Oge..(1J.. ...................._........._....._.............. Occupancy or use of such buildings._Hanga.r., Stor. a.ge, Main eaa.nce...an. d _Offices ... . ..... .. .. _.... ....... .. . .. Total capacity of tanks in gallons Aboveground............. ....................._....................Underground ._50,_000__.pal.,......._...... ...Kind of fluid to be stored in tanks_...........MRbil l.et. A . ................................................ .......................................................................... R G, INC 4 , roved—$� ro ed Chairman pp ppv a.bruarY 2.Q, . ....19$0 . .l-,_,.. .!F-fGz INC d... (s t ,. .r xpp( oBoa r of Directors c� �i ,. Ac67 7La. Qhjef 6 Chadwtcks Rd Bradford MA (Hed or Fiee Dept.) '"" (Addrea.)�� 5.-. -U of Tnnunnnwratt4 of :fflnguurllnurffs lug DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON North Andover -ram 19 3' f{[qii (oky or rm.v) (D.t.I In accordance with the provisions of Chapter 143 of the General Laws, a license is hereby granted to use the land herein described for the lawful use of the building.... or other structure..., which is/are or Ware to be situated thereon, and as described an the plot plan filed with the application for this license. Location of land Lawrence Municipal__Airport,_.Nearest cross street Clark St, off Route 125. Lessee ..st as n..> 426 Chadwtck Rd Bradford MA Qet CY of land _._Btrd .Lea�,mg �nc,..... . . ...._Address ............ ...._... ... . . . _..... .. . . .. Number of buildings or other structures to which this license applies ....__....Q.ne„(,1J ......................_....._...... Han ar, Sto ra a Maintenance and Offices Occupancy or bse of such buildings ............g......._. ...........$....r...._..... _..............................._............................ ......_....._._..._._... Total capacity of tanks in gallons:—Aboveground....._. ........... ._...Underground .....50,.000, gal............. ._.......... Kind of fluid to be stored in tanks ... Mobil Jet A ...i. ....1 . . _..._ ... ..__.. Restrictions—If any: .-...... ... ....... ......NLJJ.. A v N.�and February 15, 1996 (MEETEn9ironmental NEET Ref. #9601156 Technologies, Corporation Mr. Donald Brown King Aircharters P.O. Box 905 North Andover, MA 01845 508-688-6888 RE: Environmental Site Assessment, 2 Clark St. , N. Andover, MA Dear Mr. Brown, New England Environmental Technologies (NEET) Corp. is in the process of generating the final Environmental Site Assessment Report for the above referenced property. We hope to have the final report ready for delivery in about one week. Pursuant to your request, the followincj is a summary of NEET's preliminary findings and recommendations: 1) Testing of the two underground storage tanks (USTs) on site revealed that both tanks passed the precision testing. A copy of this test was forwarded to the North Andover Fire Department, and will be included in NEET's report. 2) Trace levels of petroleum contaminants were found in the groundwater monitoring wells installed on site. Levels are consistent with "normal" operations involving filling USTs, minor spills, etc. No exceedences of the Reportable Concentrations (RCs) established by the Massachusetts Contingency Plan (310 CMR 40.0000) were observed in any soil or groundwater samples collected and analyzed by NEET. Based on the results, no releases have occurred on site which require reporting to the Department of Environmental Protection (DEP) . 3) No volatile organic compounds (VOCs, solvents, petroleum compounds) were detected in the drinking water sample collected on site. 4) The highest levels of contaminants were observed in the water sample collected from the "dry well" and the nearby groundwater monitoring well. The data suggests that the dry well is not watertight, and is a source of release to the environment. 5) The floor drains within the hangar building discharge to an oil/water separator located, presumably, outside the building (NEET was unable to inspect the separator) . The separator then discharges into the dry well, which is comprised of a concrete cast, cylinder-shaped well, approximately 6 ft. in diameter and 4 ft. deep, and covered by a manhole. 310 Main Street.Giowlaw. MA 01834 Telephone(509)521-1111 Facsimile(wii)521-1760 0 v February 15, 1996 NEET Ref. #9601156 NEST 6) NEET recommends that the use of the dry well be discontinued as soon as possible. If the dry well is not watertight an being regularly pumped, it represents a violation of the EPA Safe Drinking Water Act. The Massachusetts DEP Underground Injection Control (UIC) Program regulates the discharge to "shallow injection wells", and provides guidance for the proper notification and closure of floor drains, dry wells, etc. A copy of the DEP's "updated floor drain guidance" letter is enclosed. Note that the DEP is not penalizing facilities in noncompliance with the UIC regulations. NEET would be happy to assist you with the decommissioning of the dry well. 7) The following options are available for replacing the existing dry well system: a) Close the floor drains, and eliminate the floor drain system (oil/water separator, dry well and piping) completely. Approximate Cost = $ 5,000 - $7,000. b) Close the dry well only, and divert the discharge from the oil/water separator to an aboveground tank via a pump-up system, where the pump is placed within the separator. The tank should be diked or double-walled, and placed inside the building. Approximate Cost = $ 18,000. c) Close the dry well only, and install a double-walled underground storage tank with interstitial monitoring, gauge, overfill protection (high level alarm) . Approximate Cost (including installation and testing of a 600 gallon UST) _ $ 26,000. If you would like to have a detailed cost estimate for any of the above-described options, please call me. In the meantime, NEET will be working on finalizing the Environmental Site Assessment Report. If you have any questions, again, please do not hesitate to call me at 508-521-1111. nce el r David Senior Hydrogeologist COmmorlweORh of Massachusetts Executive Office Of Environmental Affairs Department of Environmental Protection William F.Weld Trudy Ca:e sweri EZ TsoN Seri ill•• �lJPpATfD. IAOR DRAIN WDANCf`"••iY. February 1995 In 1974, Congress passed the Safe Drinking Water Act. This federal act required the Environmental Protection Agency(EPA)to develop an Underground Infection Control(UIC)program m protect ground. water from subsurface discharges via injection wells. EPA transferred authority over the Massachusetts UIC program to the state Department of Environmental protection (DEP) in 1982. The DEP's UIC program targets high risk injection wells such as those originating from floor drains in industrial or commercial facilities. The DEP is not penalizing facilities in noncompliance with the UIC regulations. Indeed, many businesses came into this noncompliance simply by complying with the state building and plumbing codes (the inconsistencies between these regulations have been eliminated). Rather, since DEP's goal is to protect drinking water resources, the focus here is to eliminate existing discharges to the ground, and remove any identified contamination before it becomes a mote serious concern. By complying with the program, a business is not only contributing towards that end, it is protecting its long-term financial resources. In addition to educating the regulated community about the UIC program, the purpose of this mailing is to distribute the DEP's recently revised guidance, 'Massachusetts Closure Requirements for Shallow Injection Wells. This document discusses how to decommission an unauthorized injection well and manage any pollution identified with such a system. Appendixes to this document include: • a revised UIC NOTIFICATION FORM, to be submitted to the DEP upon completion of the closure of all unauthorized injection well systems, and • a brief summary of the closure document for non-technical readers. Additional attachments to this mailing are: • Brochure: 'Common Questions Regarding Industrial Floor Drains"; • FORM WS-1: Notice of Plumbiner Insvector Annro -al to Seal Floor Drain; and • Factsheet: "Preventing Pollution in Hazardous Material Use/Storage Areas." All enclosures to this letter may be copied and distributed freely. For further information on this issue, contact d'acob Moss (617/556-1165) or Ron Stelline (6171292.5859) of the UIC Program. One winter Street • Boston,Massachusetts 02108 • FAX(617)SM-1049 0 Telephone(61r)292-5500 7 February 26, 1996 NEET # 9601156 ET In addition to performing a site inspection and a review of historical and regulatory records, NEET's investigation included the installation of three soil borings/groundwater monitoring i wells and sampling and analysis in order to assess current soil and groundwater quality conditions on site. This investigation was performed at the request of King Aircharters, Inc. , the current tenant. This Environmental Site Assessment has been completed in accordance with NEET's proposal #529, dated November 1, 1995. All conclusions made in this report are based upon the investigation performed and are subject to the limitations presented in section 9.0 at the end of this report. 3.0 SITE CHARACTERIZATION 3.1 Site Location and Description The sice, 2 Clark Street, North Andover, MA, is located immediately east of the Lawrence Municipal Airport, approximately - 1000 feet northwest of the intersection of Osgood Street (Route z 125) and Great Pond Road (Route 133) (see Figure 1) . Access to the site is provided by a private access road located at the end of Clark Street, where Clark Street meets with the Lawrence Municipal Airport property. The access road enters the site from r the north. The site is further identified in the Town of North n Andover Assessors Records as the "Executive Set" office condominium and maintenance hangar located on the Lawrence a Municipal Airport property in North Andover, Mass. The site is comprised of a 100 ft. x 100 ft. metal construction airplane hangar, and attached 20 ft. x 100ft. two story, masonry block office building. Paved vehicle parking areas are located to the northeast and southeast of the building, and a larger, paved airplane ramp and taxiway leading from the hangar bay to the adjacent Airport Taxiway is located to the southwest of the building. c z According to municipal records, the site was developed in N 1975. The site is currently occupied by King Aircharters, a private air charter company. 3.2 Abutting Properties The site is located on the Lawrence Municipal Airport property, which is tax-exempt in the Town of North Andover (The building value only, is taxed) . The current owner of the property x is the City of Lawrence Airport Commission. Airport taxiways and Vu, runways are located immediately to the northwest and southwest. Undeveloped, airport land is located immediately northeast and s southeast of the developed portions of the site. The nearest c s private properties consist of Borden (Chemical) Company property z a to the east, and commercial/retail properties to the southeast, on Osgood Street. The Borden Company operates a plastics "resinite" y 2 7 February 26, 1996 NEET / 9601156 :ET 1.0 EXECUTIVE SUMMARY New England Environmental Technologies Corporation (NEET) has completed an Environmental Site Assessment of the commercial ' building and immediately surrounding property located at 2 Clark Street in North Andover, Massachusetts (hereinafter referred to as ' "the site") . The site is further identified in the Town of North Andover Assessors Records as the "Executive Jet" office condominium and maintenance hangar located on Map 35 - Lot 16, the Lawrence Municipal Airport property in North Andover, Mass. The site is located immediately east of the Lawrence Airport runways, approximately 1000 feet northwest of the intersection of Osgood Street (Route 125) and Great Pond Road (Route 133) . Access to the site is provided by an access road beginning at the end of Clark Street. The site is currently used as a jet/airplane maintenance and storage hangar, and office. NEET's investigation included the installation of three borings/groundwater monitoring wells, precision testing of underground storage tanks on site, soil, groundwater and dry well sampling and analysis, and a review of local, State and Federal regulatory agency records. Based upon a review of the information collected, no direct evidence of a reportable release of oil or hazardous materials was observed at the site by NEET. However, analytical data collected by NEET suggests that the concrete vault/dry well associated with the floor drain system on site is not watertight, and therefore, may be in violation of EPA and DEP regulations pertaining to floor drains and dry wells, etc. NEET recommends that the use of the "dry well" be discontinued as soon as possible. Modifications to the floor drain system on site should be conducted in accordance with the Massachusetts Department of Environmental Protection (DEP) Underground Injection Control Program. 2.0 OBJECTIVES n 0 The objective of this investigation was to identify evidence pertaining to the storage, use, release and threat of release of oil and hazardous materials (OHM) on and in the immediate vicinity of the site, as defined within Massachusetts General Laws, Chapter 21E, the Massachusetts Oil and Hazardous Materials Release Prevention and Response Act (M.G.L. c. 21E) and 310 CMR 40.0000, the Massachusetts Contingency Plan (MCP) . In support of this investigation, NEET performed an on-line database search of r Federal and State records relative to the use, storage, and release of OHM at the site, and within a one mile radius of the s� site. NEET also reviewed pertinent files at the Town of North iy Andover's municipal offices (Assessors Office, Town Clerk, Water Department, Building Department, Engineering Department, Fire >a Department, Health Department) . .n im i i 1 w February 26, 1996 NEET $ 9601156 JEET Mass. DEP sites and Incidence Response/Spill Piles: o Z o Borden Packaging and Industry, 1 Clark Street, 750 feet east of the site. Currently a Massachusetts DEP Location To Be Investigated (LTBI) site. Petroleum contamination in soil and groundwater has been reported. �+ o Texaco Station, 980 Osgood Street, 0.3 mile southeast of the site. Currently a Massachusetts DEP Location To Be Investigated, gasoline contamination in soil and groundwater has been reported. o Lawrence Airport - several spills on record with DEP. October 22, 1992, release from a vehicle fuel tank (of 11-50 gallons of jet fuel) . July 8, 1994, a release of 90-140 gallons of Set fuel from a Leaking Underground Storage Tank was reported. i_ 5.0 SUBSURFACE INVESTIGATION 5.1 Boring/Monitoring Well Installation z s On January 16 & 17, 1996, three (3) soil borings (B1, B2 and B3) were advanced on the property. Drilling operations were conducted using an Acker Soil Sentry mobile drill rig utilizing 4.25" ID, hollow stem augers. All equipment used during the o drilling operations was steam cleaned prior to use. a The borings were advanced to depths of fifteen feet below ground surface. Saturated soils indicative of the presence of groundwater were encountered at a depths of eight to nine feet. Groundwater monitoring wells, MW-1, MW-2 and MW-3 were subsequently installed in borings B1, B2 and B3 , respectively. The locations of the borings/monitoring wells shown in Figure 3 . The monitoring wells were constructed of 2 inch diameter Schedule 40 PVC riser and slotted well screen, reaching total depths of 15 feet. The annular space around each screen was packed with silica sand to approximately one foot above the H screen, where a one foot thick bentonite seal was installed. The remainder of the borehole was backfilled with natural fill. Each well was completed with a watertight, protective road box set flush in concrete at ground level in order to prevent surface water intrusion. Well construction details, in addition to complete descriptions of the materials encountered, are presented in the attached Drilling/Well Construction Logs. X v y rC o m 9 N y C O S za r n O m G 6 H �V February 26, 1996 IEE T NEET # 9601156 report, in addition to the summary reports and radius map from NEDMT's Environmental FirstSearch Report for the subject site, dated January 17, 1996. The regulatory database search was conducted in accordance with the records review recommended by ASTM Standard E-1527-94, Standard Practice for Environmental Site Assessments: Phase I Environmental Site Assessment Process. h In addition, NEET conducted inquiries and a review of available files at the Town of North Andover municipal offices, including the Fire Department, Town Clerk, Assessor's Office, Engineering Department, Board of Health, Building Department, and the Planning Board. No records of releases of oil or hazardous materials on or in the immediate vicinity of the site were observed during NEET's municipal regulatory agency review. The following records were identified relative to properties in the immediate vicinity of the site: - NPL: None listed for the site or areas within a one-half mile radius of the site. - CERCLIS: None listed for the site or areas within a one-half a mile radius of the site, z a - ERNS: None listed for the site or areas within a one-quarter mile radius of the site. n r - UST Listing: According to North Andover Fire Department a records, two (2) 15,000 gallon underground storage tanks (USTs) a containing jet fuel and aviation gasoline are currently located on site (see Appendix II) . On January 1, 1996 a certified Precision tank testing was performed, by P.M. Environmental, on -� the above mentioned tanks. Results of this testing indicated no apparent leaks associated with the USTs or their appurtenances (see Appendix I) . In addition to the on-site USTs several USTs are located within a one half mile radius of the site. They include the following: T 0 1 Clark Street, Borden Resinite, 750 feet east of the site, c currently has five (5) 15, 000 gallon USTs. Four (4) m containing plasticizer and one containing #6 Heating Fuel. '^ o 980 Osgood Street, North Andover Texaco, 0.3 mile southeast of the site, currently stores gasoline in four (4) 4, 000 gallon USTs. RCRA Listing: A review of the RCRA generators listing and provisional ID listing indicated no small or large quantity x hazardous waste generators are located on site or within a one- ti quarter mile radius of the site. o c 9 m N y C O 9 za r ca o^' 5 y 7D February 26, 1996 NEET # 9601156 :ET 0 4.0 SITH HISTORY = n r c The record of ownership and historical use of the site was '^ based on records on file with the Town of North Andover municipal = offices. Since the buildings construction circa 1975, past H tenants on site have included Executive Jet East, Inc. and Million Air, Inc. 4.1 Past and Present Ownership and Use According to the Town of North Andover's Assessors records, the site is currently owned by City of Lawrence Airport Commission. The site is currently used as a jet/airplane maintenance and storage hangar, and office. 4.2 OHM Used, Generated and Stored On Site Current use of the subject property consists of the inspection, maintenance and repair of jet/airplanes, which involves the storage, use, and generation of small quantities of oil, antifreeze, grease and waste oil. Large quantities of jet fuel and airplane gasoline, for the purpose of on-site fueling,are stored in two (2) 15, 000 gallon underground storage tanks � (USTs) . Both USTs are registered with the North Andover Fire Department. On January 16, 1996 a certified precision tank testing was performed, by P.M. Environmental, on the above tanks. e Results of this testing indicated no apparent leaks associated with the USTs or their appurtenances (see Appendix I) . Based upon NEET's review of RCRA Generator ID Listings, no EPA Hazardous Waste Generator ID Number has been issued for the site. 4.3 On-Site Oil and Hazardous Material Disposal NEET's inspection of the site and a review of Federal, State and local records did not indicate current or historical practices of on-site OHM disposal. However during NEET's site inspection several floor drains were observed within the hangar building on as site. The floor drains discharge to an oil/water separator which y discharges into a concrete vault/dry well. 4.4 Documented Releases/Regulatory Agency Review NEET's Federal and State regulatory agency review was performed using NEET's in-house database and New England DataMap Technology (NEDMT) Corporation's on-line database service. This database search included the United States Environmental m Protection Agency's (EPA) NPL, CERCLIS, RCRIS LG/SG (RCRA k Generators) and TSD (Treatment, Storage and Disposal) facilities, �+ and ERNS listings, and the Massachusetts Department of s m Environmental Protection (DEP) listings for registered Underground y Storage Tanks (USTs) , Solid Waste Landfills (SWL) and all c hazardous waste sites and spills (State Sites, Spills) listed with z a the DEP since 1990. Descriptions of the above regulatory c m databases are provided in the Database Reports section of this �+ N 4 0 February 26, 1996 E C T NEET $ 9601156 manufacturingfacility o y approximately 750 feet to the east of the = hangar building on site. Plaza 1060, a commercial strip mall with a variety of businesses (dry cleaners, travel agency and C limousine service, chiropractor office, etc. ) is located approximately 800 feet to the southeast of the site, adjacent to Z Osgood Street. The main terminal buildings associated with the Lawrence Municipal Airport are located approximately 800 feet southwest of the site. 3.3 Topographic and Hydrogeologic Characteristics According to the USGS Topographic Map for South Groveland, Mass. , the site is located at an elevation of approximately 145 feet above mean sea level. The nearest surface water bodies are a wetland located approximately 400 feet to the east, between the site and Clark Street, and Lake Cochichewick, located 1000 feet to . the southeast. Lake Cochichewick is a potable surface water supply for the Town of North Andover. The nearest municipal groundwater supply wells are located 4, 100 feet west and 4, 000 feet northwest of the site. 30 The site and surrounding area is slightly sloped downward _to the east. Surface water runoff from the nearby wetland was observed by NEET to be flowing toward the north, where a stream, located immediately east of the airport, flows northward to the s Merrimack River. The Merrimack River is located approximately 4000 feet to the northwest. The Merrimack River is not utilized y by any downstream communities as a potable water supply. y Surface water in h a of the site is directed the east and the north viathepavedlotsandthe access road on site. No catch basins were noted on the subject property. According to the Flood Insurance Rate Maps for the Town of North Andover, (Community Panel 1290098005C, dated 6/2/93) , the subject site is in Zone X, outside the 500-year floodzone. 3 3.4 Utilities T The site is serviced by underground electric, telephone e and natural gas lines. A private septic system and water supply well are also located on site (see Figure 3) . An on-site inspection by a NEET representative on January 16, 1996 indicated the presence of three floor drains within the concrete floor of the airplane hangar, which according to the tenants on site, lead to an oil/water separator and subsurface vault/dry well located outside the building. The oil/water separator was not inspected by NEET, due to the presence of snow against the building. However, a manhole, covering a concrete-cast vault/dry well was y observed by NEET (see Figure 3) . o c am aH y C O S zy r n o m G) N 3 { rFebruary 26, 1996 EE IT NEET 1 9601156 � In addition to performing a site inspection and a review of z historical and regulatory records, NEET's investigation included c the installation of three soil borings/groundwater monitoring wells and sampling and analysis in order to assess current soil H and groundwater quality conditions on site. z w This investigation was performed at the request of zing Aircharters, Inc. , the current tenant. This Environmental Site Assessment has been completed in accrdance with NEET's proposal #529, dated November 1, 1995. All conclusions made in this report are based upon the investigation performed and are subject to the limitations presented in section 9. 0 at the end of this report. 3.0 SITE CHARACTERISATION ., 3.1 Site Location and Description The site, 2 Clark Street, North Andover, MA, is located immediately east of the Lawrence Municipal Airport, approximately y 1000 feet northwest of the intersection of Osgood Street (Route 125) and Great Pond Road (Route 133 a the site is provided b ) (see Figure 1) . Access to of Clark Street, wherey a Clark1Streetccess meetsroad withltheted at Lawrencee end Municipal Airport property. The access road enters the site from a the north. The site is further identified in the Town of North Andover Assessors Records as the "Executive Jet" office condominium and maintenance hangar located on the Lawrence a Municipal Airport property in North Andover, Mass. J The site is comprised of a 100 ft. x 100 ft. metal construction airplane hangar, and attached 20 ft. x 100ft. two story, masonry block office building. Paved vehicle parking areas are located to the northeast and southeast of the building, and a larger, paved airplane ramp and taxiway leading from the hangar bay to the adjacent Airport Taxiway is located to the southwest of the building. c According to municipal records, the site was developed in a 1975. The site is currently occupied by King Aircharters, a N private air charter company. 3.2 Abutting Properties The property, site whichsis located tax-exempthin Lawrence TownMof lNoorth Andover (The rn building value only, is taxed) The current owner of the property y is the City of Lawrence Airport Commission. Airport taxiways and o c runways are located immediately to the northwest and southwest. Undeveloped, airport land is located immediately northeast and southeast of the developed portions of the site. The nearest to s private properties consist of Borden (Chemical) Company property the east, and commercial/retail properties to the southeast, on ll Osgood Street. The Borden Company operates a plastics utheast, o u",m 2 Not, Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make applicadcn to department of Public Safety. 2� �Oc7zyna�reulerz� a��C�aaaac�urae,lZy yef avrmxnCa�C�ure V tiwicffi — vwb on o��wsrevenCan City or Town NORTH ANDOVER pate APRIL 30,c9005 APPLICATION FOR CERTIFICATE OF REGISTRATION In aconlance with the provisions of Chapter 1A8;Sedcn 13. of the General Laws. the undersigned hereby certifies that NORTHEAST EXECUTIVE JET, LLC ....dam..>.>� 97 COMMERCE WAY 's the holder of license granted 3110/80 faothe lawful use of the building(s)or other struaure(s)situated or w. to be situated at 97 COMMERCE WAY as related to the Kc?ING, STORAGE. MANUFACTURE OR SAL OF FLIMMAELES OF EXPLOSIVES. NORTH ANDOVER MA 01845 Nate:This applicadan forcerm9cate of regivnition must be signed by Me balder of Me license if said license was grdnred poor rO July 1, 1936, Otherwise by ere owner or ocrp// of the/an I ensed. Recei 41) Submitted by r Ty Nate: Complete tt�tam and tamer tl bath sections a0es to label licensing atithcrny (City or Taw lerk), Do not make applibeticn to department of public Safery. e _ � �Urir7�//71.�a2LI�lyQCLGG/2 O/L�lCZd6cT.CiUAQ2�TL,��.l '" �efe¢�'hneoeCa��'ure Vnwccea—/�vrxoeo�c o��jSvrS :l-ievexCian City or Town NORTH ANDOVER Date APRIL 30, 2004 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance won the provisions of Chapter lA8, Sectlan 13.of me General Laws, the undersigned hereby cardfies ;hat NORTHEAST EXECUTIVE JET, LLC 97 COMMERCE WAY - is the holder of license granted 3110/80 for the lawful use of the building(s) or other struc:ure(s)sduateo or to be situated at 97 COMMERCE WAY as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER MA 01845 Note: Tha appGcadon for certl6cate of regfstraacn must be signed by the vider of license i1 said license was granted pncrlc Juiy 1, 1936, omenrae by the owner ar occu r 11 land licansed. Received Jv� \ to �rn� by t� Submitted by 117 nn Y� \C P \ ��l1 Note_ Compiete td form and forward both sections to 10=1 licensing authority (City or Tow ark). oa not make appiioatian to d eparonerrt of Puhlic Safety. _, C �c�nimaru�ea/� o��/ f�uaellt �' � '—'/e�an GmenCa��—'vre C`%.>vecas_ '�.vwacarc q��iiirs �,.eve�rGan CRyor Town NORTH ANDOVER Cate�LWIL_ 3121 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chanter 1 AS. SeCt"I 13, of the General Laws, the undersigned hereby certifies Nat KING AIRCHARTERS x...dnee.aYsv. 7 rl ARK 5TREET l,9'7 l'U.�J//7P n LUor is the holder of license granted 3/10/80 for the lawU use of the building(s) or other stmmum(s)situated or to be situated at 2 CLARK STREET as related to the KEEPING, STORAGE.MANUFACTURE OR SALE OF FLAMMAELES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Noce.The appficadbn for certficate of mgistraacn m=be signed by Me holder of the license if said license was J_�Y��yrJXJed nor ra July 1, 1936, orhenwse by the owner or ocupanr o1 Me land licensed. Received ✓Oh! " lei n —P2� �^ f �" 1��^ Submitted by I�L q 1 b'/ —__��.wv. C'lfeC_LIIfa'1�t�-k Nate: Complete Oaf farts and forward both sections fee to local licensing aumoriry (City or To Clerk). 0a not make application to epartmetlt of Puhl'c Satery VY � �U'rYI/IYG6�I2LfJ2Q�L{G M�/ �L�;y City or Town NORTH ANDOVER Date AVR/L .3/J1 q?WR APPLICATION FOR CERTIFICATE OF REGISTRATION In acardanas with the provisions of Chapter 1A8. Sectlon 13,of the General Laws, the undersigned hereby camries that KING AIRCHARTERS 2 CLAEK STREET w�. is the holder of license granted_3/10/80 r. for the lawful use of the building(s)or other stluCure(s)siNated or to be arcuated at 2 CLARK STREET — as related to the KEEPING,STORAGE, MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Note: This application for cent6mte of m9lv210n must be signed by Me holder of M Ilce N said ' se was granted poor to July 1, 1936, otherwise by Me owner or o¢upanr off an ! erased. oz/ Recefved lirr s. 1 .gp �a Submilt by aetmr.a. ------------------- - Note: CompleteC7f torn and forward both secdon fee to local licensing authority (C7ty or 7o erk), Do not make application to de partment M of public Safety. Ile , �C%rl7/IiZ(YIGC(f2a.GG/7, b�U//�QQQCLCiL G�l1 ry exveeoa — �y�,� _G�'uws :JTrevenCecn City or Town NORTH AN—OVER Date 3d 00/ APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 14 6 . Sedian 13. of the General Laws, the undersigned heresy certifies that KING AIRCHARTERS w+aanue.a 9 �mmc 4 / is the holder of license granted_1110180 for Me lawful use of the building(s)or other smaure(s) aituatetl or to be satiated at 2 CLARK STREET as related to the KEE'PING. STORAGE, so. MANUFACTURE OR SAL OF FLAMLAMMASLES OR L FXP OSiVES. NORTH ANDOVER, MA 01845 Note: 777is applloation/or caraflgte of registration must be signed granted poor to✓uy 1, 1 g36, otherwise by me owner or loc dahe m of Ner ate li ense sad. Anse was d li ad. Received 1�71rI�A. e'!!� Submitted by by mi} OQCUWO17- rnm'/ Iln cOltG W � Note: Complete t", '' farm and forward both sections a� uthcnty (C:ty or Town Ierk). Do not make application to d to Iop1 ficsnsng apartment of Public Safety. a_ � �rrelaour�lyea�Lyi p�`uiae/JL��.t d %=•""' C�V'UKq C-1 tYi^VIC., — J'GUra,�j� ayI/M4 ✓-/gLC/it GlL AAnnte�City ar lawn NORTH ANDOVER Oa, 31 , ,.�IM APPLICATION FOR CERTIFICATE OF REGISTRATION In a==nm with the provisions of Chapter 148. Section 13. of the General Laws. the undersigned hereby certifies that KING AIRCHARTERS L RK TREET mm is the holder of license granted 3/10/80 for the Lawful use of me building(s)or Omer saucmre(s)mtualed or to be situated at 2 CLARK STREET as related to the KE='SING, SiOFAGF-MANUFACTURE OF SALE OF FLAMMABLES OF EXPLOSIVES. NORTH ANDOVER, 14A 01845 Nora:Thrs app/fradon for oerOfirate of regi,,alton must be signed by the holder o1 the frcense it said license was grantedpncrtcjtdy 1, 1936, caymh�afr�xise by Me owner oracupanrr f thlandlfce ifsai Received_Ste(1 4� �1� L yi ��0 1 -•i uhmittea by a„�� by - /at..r,-Y--seF ----------------------- Note: Complete tMW form and forward both sectiansn fee to local licensing authority(City or Tc lerk). Do not make application toINFartment of Public Safety. F �a�remw�crlea� o�C>l�La�aac�c�e�a Clty or Town North Andover Date April 30, 1999 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that y' ti agam 2 Clark Street is the holder of license granted 7/l n/o'kn for the lawful use of the building(s) or other structures)situated or to be situated at 2 Clark Street so.wenry„ew as related to the KEEPING,STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. North Andover Ciro rein Note:This application forcera(cate of registration must be signed by the holder of the license if said li a was granted pdor to July 1, 1 A36, otherwise by the owner or ocrpent of f k is icensed. Recenived• .S, //r'�f Submitted by z t��a1t aw, e.. _ nrc» P,Ar= Crdrtc� m.'r11 �° cum rm. 2 C��K S`Ta.,.,. ? Pov goy- - 7 1 Note: Complete upper lower portions of farm and fares oth sections to local licensing authority(City or lie Clerk). Do not make application t � PP �PatYment of Public Satery. �C(YiJf//YGOiI2lU2CLG�iL G�. U� ��QQCGClZ�2C�l Sw ",Vj e�6�J'GX9 VC/�Urtad — �r/UWGNL t3L V'GX9 City ar Town N F1NDD�1><K Date 'a5 398 APPLICATION FOR LICENSE For the lawful use of the herein described building...or other structure...., application is hereby made in with the accordan Provisions of Chapter 148 of the General Laws, for a license to use the land on which such building....or other structurece wi wi Ware or are to be situated,and only to such extent as shown on plot plan which is filed with and made a part at this application. Locatlon of land a CLRRK ST'/1FLT Nearestcross street —0�600!i ! Sr. CFl IRS) 11 �� lsnwe,w.e„r Ownerof land r am guJil M tni CiPa� R:%Afyla}- Address, �9a 50TTON 5"F N grOOVE Number of buildings or other structures to which this application applies Occupancy or use of such buildings�FCriCE �jrVp �IR�Ri� �IGI� nCa �hr� Ql>Yf Aft TOW capacity of tanks in gallons:—Aboveground Underground- 80 t 0 Knd of fluid to be stored in tanks:—Aboveground Underground T Pr {)V6-PrS Approved IS,oeo� (I5,o� = Disapproved KIN(r W�fq c�arr=�R¢ 8111 Naxm alsr-TErC_, z ,a,,,, � CLARK Tpeer Al Amt�oym Note: Complete f fomt and forward both sections fee to local licensing authority(City or To Jerk} Do not make application to�rtmem of Public Safety. :. VJfY/7'U/77.0�IZLllP ��,��CLQ�`Q iy City or Town NORTH ANDOVER Date APRIL 30, 1998 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section la, of the General Laws, the undersigned hereby certifies that KING AIR CHARTERS D.B.A. NORTH EAST JET CENTER 2 CLARK STREET, NORTH ANDOVER, NA 01845 Mw�� PEB. 20, 1980 wmy is the holler of license granted for the lawful use of the building(s)or other structures)situated or mn to be situated at 2 CLARK STREET as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, MA ay. Note: This application for cardy/cate of registration must be signed by the hoider of the ft s se if said Ixem a was granted prior to July 1, 1936, otherwise by the owner or occupant of Yeceived ao Submitted b m�. sr.....n.ro.�..�,ammmvn- amcurm. � CLA2e Srf'� Old F Department of Fire Services f I� Office of the State Fire Marshal P.O.Box 1025,Stale Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover Apr1130,2009. (City or Town) (per) NOTE:Complete top and bottom of form and forward both sections and an,to local Licensing Authority(City a Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES In accordance with the provisions of Chapter 148,Section 13,of the General Laws,the undersigned hereby certifies that. (TITLEHOLDER): amalacay-g;e_...:.._ ,_.,,CTEESTA NVIAttoN . ,LL:C-... . (ADDRESS) q-1 C17jMgkF(j WAY a. ��O V is the holder ofthe license granted(Date):3/10/1980 for the lawful use ofthe building(s)or other structure(s)situated or to be situated at (ADDRESS): 97 Comanerou Way NORTH ANDOVER,MA 01845 (CityaTaws) se;related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder ofthe license if said license wen granted prior N July 1,Met, Otherwise by the owner or occupant ofthe land licensed. 30,000 gals(15,000-Jet A&15,000—August) Received ...........................2009......... ............................................................... (Si�atum) By .........(08'iei......al T..T.id itle .................. ..............................accup.erta.. hltl... ot.da)r ............ ) (Clerk) (Sens whMerowrcr, .....................................I................ �t p O p {, (Admen) l.afi m,,, ea��i aL gzt,46nchf,neKa J Department of Fire Services Office of the State Fire Marshall P.O.Box 1025,state Roan Stow,MA 01775 REGISTRATION North Andover, Apri130,2009 ��S to Av1 off 10 tv, LL(. (CltyaTursm (Der) This is to certify that has, in accordance with the provisions of Chapter 148,Section 13,of the General Laws,filed with me a certificate of registration setting forth that Lbe 'T ESTA RU 1 FFT10PD, LL C is the holder ofthe license granted(Data)3/10/1930 for the lawful use ofthe building(s)or other structure(s)situated or to be situated at: 97 Commerce Way as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. 30,00 gals(15,000 Jet A& 15,000 Avgas) /7 .. Seca H...�.. i .na omr;,t Tier) Clerk Note:AadTIO of resiSTB mart befledCa US A POSTED yee. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2010 Note: Complete top of farm and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application _todepartment of Public Safety. Ot �U'I'lY7GO7GClJ2rZLL/2 Q�C%// CdL/A.Q2�%L City or Town NORTH ANDOVER Data APRIL 30, APPLICATION FOR CERTIFICATE bF REGISTRATION In aeam 1hCv with the provisions of Chapter IAB,-Section 13,of the General Laws,the undersigned hereby certifies that NORTHEAST EXECUTIVE SET, LLC w..w,vowaro,.. 97 COMMERCE WAY is the holder of license granted 3/10/80 faathe lawful use of the building(s)or other am;cture(s)situated of w. to be situated at 97 COMMERCE WAY as related to the Kc—oiNG,STORAGZ MANUFACTURE OR SAL OF FLAMMABLES OR EXP!CSIVES. NORTH ANDOVER, MA 01845 Nate:ibis application forcertlBrare of regWmDon must be signed by the holder of me license if said license was grained prior to July 1, 1936, bmerwise by me owner or oe..upanr of me land licensed. peae'yed Submitted by by _-------------------------------------------' r,�,- � � �c'arrurnGncuea�Clc c�G/f/laaa�cclivaeC� ='ems �' �e�canrLinenCa�C��'vKe Ve�veces-2�ixiecicrJCow�e�am� ✓nw�awrz Cfry or Town NORTH ANDOVER Date APAIL 30, REGISTRATION T he is to canny that NORTHEAST-EXECUTIVE SET, LLC has. in acamance with the provisions of Chapter 148. Secdan 13,of the General laws, filed with me a certificate of registnaton setting farm that NORTHEAST EXECUTIVE SET, LLC b the holder of the license granted 3/10/80 for the lawful use of the building(s)or other smcure(s)situated or to be situated at —97 COMMERCYd WAY NORTH ANpOVEg. kt wrw 01845 su .waw as related to the KEEPING.STORAGE. MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. sq.w.worerym Nora:A confai a of regivrepon must De mN an or before April Wan of eacr yeti. THIS RE-31S7RATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES In�sea'Nsl Note_ Complete top of form and forward both sections; and fee to local licensing L authority (City or Town Clerk). 00 not make application to department of Public Safety. �cnvrna�uue a�Vl�`aQaac`iccaeL�t ?�efiarl' o�- vX& rxvicea— �vrJiaicrn o/�urn ✓°irevexLion City or Town NORTH ANDOVER Date APRIL 30, APPLICATION FOR CERTIFICATE bF REGISTRATION In acartlance with the provisions of Chapter iaa;Section 13,of the General Laws, the u ndersigned hereby cerdfies that NORTHEAST EXECUTIVE JET, LLC wm.amo.dsa.,. 97 COMMERCE WAY is the holder of license granted 3/10/80 fcethe lawful use of the building(s)or other saticture(s)situated or wn to be situated at 97 COMMERCE WAY su.wam.tw as related to the Kc—°ING, STORAGE, MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 r rw r~ Nor&:This application forcerdffcere of registration must be signed by the haider of the license if sad license was granted pnw fc July 1, 1935, arherwoe by the owner w oo rpant of the land licensed. pecetved Submitted by aquM by --------------------------------------------- City or Town NORTH ANDOVER Date APRIL 30, REGISTRATION This is to ms,*Nat NORTHEAST EXECUTIVE JET, LLC has, in ac:ordance with the pmvisions of Chapter 148.Secdon 13, of the General Laws, filed with me a certificate of registration sesing ionh that NORTHEAST EXECUTIVE JET, LLC is the holder of the fkense granted 3110/80 Ow. for the lawful use of the building(s) or other stivaure(s)situated or to be situated at _ 97 rpmKFgCE WAy. T70RTB ANpOVES, k% 0184 su..ramntmo. - as related to the KEEPING.STORAGE, MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. se.w..moarmr rs Nw&:A raMmm of mpsnaticn mustw/fled on or b&lore April 3mh of eac,y&en TrilS REGISTRATION MUST BE CONSPICJOUSLY POSTED ON THE PREMISE'S [In.aao'961 LIr Note, Camplets told of icon and forward both sections and fee to local licensing authority (City or Town Clerk) Oe not make application to department of public Safety. � � �7r rOrin7mw�rrc�ea� a�6ac`ucaeLl%t C J me7zC �'vre CJnwecea— ��uitiore p��?as ✓-rsvanCeon City or Town NORTH ANDOVER Data APRIL 30, APPLICATION FOR CERTIFICATE 13F REGISTRATION In acamanca with the provisions of Chapter 148,-Section 13. of the General Laws, the undersigned hereby cardfias that NORTHEAST EXECUTIVE JET, LLC 97 COMERCE WAY is the holder of license granted 3110/80 0. IOCthe lawful use of the building(s)or other structures)situated or to be situated at 97 COMMERCE WAY sawwn'.,w as related to the KE=—ING, STORAGE MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER MA 01845 o.rr ow NOW This abdiiration forcerdficars of registration mrtst be signed by the holder of the 4canse if said license was granted pdara July 1, 1936, otherwise by the owner or o=panr of the land Acansed. Received ou. Submitted by bye• _------------------------- '; � Vi'rYm/J)Z!%/ZLIfeQGLJZ C��%/�CCLQ6CGCy7 .l E+ � �efcaxGineicCp��vv V er�xaes —2��ndex�xaunt2yCJ�xa�a�ili/r� ✓xx�r¢.m, City or Town NORTH ANDOVER Cate APRIL 30, - REGISTRATION This is to whity that NORTHEAST EXECUTIVE JET LLC has, in a=rdanca with the provisions of Chapter 148, Section 13. of the General Laws, filed with me a cernfipate at registration setting forth that NORTHEAST EXECUTIVE JET, LLC is the holder of the license granted 3/10/80 for the lawful use of the building(s) or other struCure(s)situated or to be situated at 97 COMMFona WAY 'NORTH ANDQUZ, *f 01845 as related to the K'cc_PING,STORAGE MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES sww..momo.,rn. Nate:A rarfsave of mg seahan moon"Red on ar beiore April 3mn at eaeh year THIS REGISTRATION MUST BE CONSPICUOUSLY POST'cD ON THE PREMISE'S 'Ire,wa'1%1 Nate: Complete tap of icon and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to deparonent of Public Safety. _, � �an>rma�recaea� o�C�/Cycraa�zcjivaelty a� `=J�han�mrnto��^'rire C�rww.cas — ?�ys�ca-ry p�r�iix5 ✓"xsx�.aCcorc S City or Town NORTH ANDOVER Date APRIL 30, APPLICATION FOR CERTIFICATE 13F REGISTRATION In a=marl with the provlsipna of Chapter 146. Section 13. of the General Laws, the undersigned hereby certifies that NORTHEAST EXECUTIVE JET, LLC 97 COMMERCE WAY b the holder of license granted 3/10✓80 0.» foCthe lawful use of the building(s)or other structures)situated or to be squared at 97 C010ERCE WAY as related to the KEEPING, STORAGE,MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Nore:i his application for cerdrimre of registrabon must be signed by the holder of the license if said license was grdr red prior ro Juty 1, 1936, ornenviss by Pre owner or o=pant of me land licensed. Received ae. Submitted by by m N ---- ;— :, � �carrrmerrrecUecz�`c r�G�aacliccae/X,ci ✓10(t hint City or Town NORTH ANDOVER Date APRIL 30, REGISTRATION . This is to certify that NORTHEAST EXECUTIVE SET LLC has, in aerordars:a with Ne pmvislons at Chapter 148, Section 13, of the General Laws, filed with me a cerdfipate of registration setting ions mat NORTHEAST EXECUTIVE JET, LLC is the holder of the license granted 3/10/80 for the lawful use of the building(s) or other stiuc;ure(s)squared or oa. to be squat"at gT rDA1MEnr'E WAY NORTH Anmrerno 45 Su;_ 01818 5 as related to the KEEPING,STORAGE,MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES . swN..woem,rm. Note:A cearfics a or nrgBaabon must be a/M on ar Gefare April doN of sari year. THIS REGISTRATION MUST HE CONSPICUOUSLY POSTED ON THE PREMISES 1 heweo:%1 Notes Complete top of farm and forward both sections and fee to local roaming authority (City or Town Clerk). Do not make application to department of Public Safety. � � �e7ro�rca�uuecz�C f�GiaGaQaczc�iccaeCl%S s ' 6, �' efianGmrrrca�C"�iire.Flciawccm— ?�uNaiarc geC�iire Z✓',+evmxteon City ar Tdwn NORTH ANDOVER Date APRIL 309 APPLICATION FOR CERTIFICATE 13F REGISTRATION In acrornance with the provisions of Chapter 148,Section 13. of the General laws, theundersigned hereby cerdaes that NORTHEAST EXECUTIVE JET, LLC 97 COMMERCE WAY .eew a the holder of license granted 3/10/80 laothe lawful use of the building(s)or other structure(s)situated or w. to be situated at 97 COMMERCE WAY m.w«e.wc. as related to the Kc—ING, STORAGE MANUFACTURE OR SAL OF FLAMMABI ES OR EXPLOSIVES. NORTH ANDOVER MA 01845 - Note:ih#application forceirtificze,of regisirmoon must be signed by the holder of me 4canse if said license was granted prior to July 1, 1936, orherwisa by the owner or occupant of me land licensed. Reeaered Submitted by by _- -__—__------------------------------------. �— 1-�\ � �OrI77/I72r/JZClJ2p�l2 fi�C%!/GCLQQCLC!'GLIQPG(/3 �"..®§�'y�"' �efs2xGinerztp��vxe �enxces —�'Gr;drr�owrcd�Cara�m�/ain� ✓Aor�namc Citycr Town NORTH ANDOVER Date APRIL 30, 'REGISTRATION 'This is to ardfy that NORTHEAST EXECUTIVEJET. LLC has, in aaordanee with the previsions of Chapter 1 AH. Section 13, of the General Laws, riled with me a certificate of registration setting torah that NORTHEAST EXECUTIVE JET, LLC is the holder of the license granted 3110/80 aw for the lawful use of the buttding(s) or other sttucture(s)situated or to be situated x g7 rOMMFRrtr WAY 'NORTH ANDOVER 11A 01845 se«rvn�w as related to the KEEPING,STORAGE, MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. syw..w aim ra. Noce:Aardliap,of legstabo^must be Mellon orbefore Apro ZOO of can year. THIS REGISTRATION MUST BE CONSPICUOUSLY POS i cD ON THE PREMISE'S i(rensac'me) Note: Complete top of form and forward both sections and fee to local licensing authority (City or Taw Clerk). Do not make application to department of public Safety. tmff� a - a, �Je�ia7GinexCa��'uv CJ nwccasta — �wraean o��2rs ✓-revanCeon City or Town NORTH "DOVER Date APRIL 30, APPLICATION FOR CERTIFICATE 10F REGISTRATION In a=mance with the pmvisicr s of Chapter 146.Section 13, of the General Laws, theundersigned hereby certifies that NORTHEAST EXECUTIVE JET, LLC 97 COMMERCE WAY xw.., is the holder of license granted 3/10/80 focthe lawful use of the building(s)or other smicture(s)sivated or a ro be situated at 97 COMMERCE WAY sn.wwa.�ww as related m the KEEPING, STORAGE.MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER MA 01845 Note: i his application lorcerdfrcare of registration must be signed by the holder of the llosme,if said license was granted pnor m July 1, 1936, otherwise by me owner or o=panr at me land/Idansed. Recewed Submitted by by o.w ayuv. oam w. __ ______________________--�_�J—,IEEE /--___________. `-�®a � �efiaxGnrent o��uKe �eowiaaas —2G�npfer�irownr��Carxo�e�/amf ✓"r�wnrc ' City or Town NORTH ANDOVER Data APRIL 30, REGISTRATION . This is to ortlly,that NORTHEAST EXECUTIVE JET LLC has, in accordance with the provisions of Chapter 148, Section 11. of the General Laws. filed with me a certificate of registration setting lonm that NORTHEAST EXECUTIVE JET, LLC is the holder of the license granted 3/10/80 aw for the lawful use of the building(s)or other struC,ure(s)situated or to be situated at _97 COMMERCE WAY 'NORTH ANDOVER MA 01845 su.wwwAmw as related to the KEEPING,STORAGE,MANUFACTURE OR SAL OF PLAMMABLES OR EXPLOSIVES. SA.w+m ammr rut Nars:A cardpom of registration must be lead an or betas April JOm at each year. Tr11S REGISRA T ION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES i(mvseo-MI