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HomeMy WebLinkAbout- Permits #12638 - 53 HERRICK ROAD 8/25/2014 c ....................... TOWN OF NORTH ANDOVER OF „■o 9� i F � PERMIT FOR WIRING B�CHUS� This certifies that J t =E ' .'' F has e p rmission to perform .... �, .". wiring in the building of at N � � ....� ,Nort Andover, Mass. Fee h , LIc. No. .... - A �I ELECTRICAL INSPECTOR v Check# ='' Mq MY,;IMO I uLVj BOARD 0FFIRfYVRF-Vb-NIyIUN Ht---UtJLAJJ kfam�5 call or, �,avo Nn�k� ,R. ohfjj-r T AUROPLICA THO Al FOR PE . o.p 9 Rr rp o pz,ol E L-F�c nf R I CA L W 0 N,K Bfectdcal Cb.db(&E Q�527 QW,",1.2.0 0 Papw OR TYFOW Z-AT-OPM&M-A), C"I Aty or ZISA0 of-fil'S UAW," Okvac, r j—* xAft'ga-aLo 70.ar,ma 'r6k.k Nro ns eelQr q a �"?P&wno Xnaspeaw of -- f. -V (Vadcuq) Y ,of lhlo°d mt-'k 60, ove No.0 kelo.0-f f-aRlauviTPawkea TOM I I I f rm of INTO;,of Paug.R� ca"Id- 'V-Ijq er I F.Xqc,. Nm GRID e .......... or•y"Z7 xm'b Reaters Sim ag.0�,qi td m TTo, L—� pohk ,& t f Y.)Ysb�ldedvaluo Q),Tkou a vift GC. 10, I-Tou oml � BOND•Fj MUM,X(SOWJ 9r, M2 I �% ta- eil itd of 7, g A �Mi I aeto o I?-M Vg (7 Addvmsm Alf, Xmij•b((-Acdcmie.)0 omor El ril",b-fa agent Q �^--� DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 09/25/2013 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 V' certificate holder in lieu of such endorsement(s). PRODUCER CONTACT v NAME: Aon Risk Services Northeast, Inc. PHONE FAX '- Morristown N7 Office (A/c.No.Ext): <866) 283-7122 A/C.No.: <$00) 363-0105 44 Whippany Road, Suite 220 E-MAIL p Morristown NJ 07960 USA ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Ins Co 16535 ADT LLC INSURERB: American Zurich Ins Co 40142 ADT Security Services 1501 Yamato Rd INSURER C: Boca Raton FL 33431-4408 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570051395419 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. Limits shown are as requested SR TYPE OF INSURANCE ADD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MM/DDIYYYY A GENERAL LIABILITY GLO5095899 MM/DD/YYYYEACH OCCURRENCE $2,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED X PREMISES Ea occurrence) $1'���'��� CLAIMS-MADE X❑OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $4,000,000 M Lo PRO- X POLICY OJECT LOC o t` AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Lo Ea accident ANY AUTO BODILY INJURY(Per person) 0 ALL OWNED SCHEDULED BODILY INJURY(Per accident) y AUTOS AUTOS NON-OWNED PROPERTY DAMAGE V HIRED AUTOS AUTOS Per accident) N UMBRELLA LIAB OCCUR EACH OCCURRENCE V EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION B WORKERS CO COMPENSATION AND wc509589701 10/01/2013 10/01/2014 X WSTTUOTH- A ABIL YIN WC509589801 10/01/2013 TI R ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $2,000,000 OFFICER/MEMBER EXCLUDED? N N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $2,000,000 If describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000_ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) �a --e -A e �B 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 b-- POLICY PROVISIONS. TOWN OF NORTH ANDOVER AUTHORIZED REPRESENTATIVE INSPECTOR OF WIRES9 124 MAIN ST. NORTH ANDOVER MA 01845 USA �pyy i ! :6DY6 ili�YCr.�7c/1GrL>� e_,l7ELS. ©1988-2010 ACORD CORPORATION.All rights reserved. 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