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HomeMy WebLinkAboutBuilding Permit # 3/20/2015 NORTH .9 BUILDING PERMIT o �o N® 3? TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received)A— �.gq�^areo Date Issued: " , ssgca+u$E I ORTANT:Applicant must complete all items on this page / / / / / l / / / l TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: [°Commercial Wkepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other /// / ,,, /! � r /J1 //„r.. % ,.rr / ,. .� / c�.,:-I////., , y G rrr�/ / r ,, //,r ,,, , / ,r, „//./ l/// /i�//,rte /i i, / /// /, r � / re.: Y , Cars : rt"0..v, KA�,��s,, _ P 4 �.�mew��� �.0 Y-"° C`s �w h Identification Please Type or Print Clearly) OWNER: Name: C �,� . :,,`-. A"v���c rk�k Phone: '_I S; � l ,��' 3) ,'i Address: 1� I , Iffm r� l / 1 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total i ..i ." C FEE $ Check No.ect�,ost:on Receipt No.: NOTE: Persons cP tracting with unregistered contractors do not have ac to e'gua>» t1'fund Signature ofAgent/Owner ,: Signature af`contractor °` ' 7"7-- FORTH Town of Andover N 7;qo o. _ h ver, ass, m e mNQ a. 1 C OC NIf N!W.CK SATED AP���.��? BOARD OF HEALTH I Food/Kitchen PtR� MIT D Septic System THIS CERTIFIES THAT......... ...... . .. .. .......... .. ..................... ... .... ...................... BUILDING INSPECTOR has permission to erect.......................... buildings on Foundation g ............ .. .. .. to be occupied as .......". e'4-- Rough provided that the person accepting this permit shall in a respect conform to the terms of the application Chimney on file in this office, and to the provisions of the Codes and fay-Laws relating to the Inspection,Alteration and Final Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STARTS Rough Service ...... ... .. ........ ............... ........................ BUILDING INSPECTOR Final ccupancV Permit RaLired to Occum Buildin Rough GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not RemoveFinal No Lathing or Dry Wall To Be one FIRE DEPARTMENT Until Inspected and Approved by the r ' , In: € � Burner \ Proposal#JH2258l'D KIDD-LUUKKCi C:Ca lFZR Ca F ^-r I C 1 M Tel 508.799.9500 23 North Street Fax 508.792.3745 Commercial and Residential Roofing Solutions Worcester,MA 01605 March 12,2015 Sutton Hill Center-Genesis Healthcare Attn:Mr.Carlos Correia 1801 Turnpike Street N.Andover,MA 0 18 10 RE: Partial roof replacement Dear Mr. Correia, Thank you for considering Kidd-Luukko Corporation for yoylj�;,roofing needs.Per your request,we have prepared the following proposal utilizing products manufactured by �S�I ast Roofing,Inc.and GAF Materials Corporation. Duro-Last is a high-performance,mechanically/tl ah �C membrane.Its warranty,aesthetics appeal and weatherproofing capabilities far exceed otl s}/sur 1/ ysteins.Please note the proposed roof system is not the least expensive solution available,but ppent.We are available to assist in selecting „ o�� alternative cost saving measures Wu/fti� e tdit� '!�us with a layover in lieu of complete tear off down to deck. We propose the follownr suit .hie: ,770177,71, Duro-Last Pl C iii (Gil iii/ it 'aJ • Remove and properl3spc e sf¢ir ,, asl b, teafs o�cf y c}tttta • Remove and properly c�rap�rf�e Mirex's11 Mrlg oof syst fhs fC c�on6h deck!' ' ,«,✓ • Furnish and install qVe age R20� /8"%pe#;foot tape 3�c,p�ul rsfs yanutate�rlg'ulati�utr,itilkehanically fastened. • Furnish and install lib trill v✓hYfe niechanlically fasfened,prefabs ated Mir o=t ast y roof membrane with heat welded seams and details. Membrane shall wrap up sidewalls and terminate under existing counter flashing at masonry walls.At shingled parapet walls,membrane shall wrap up and terminate under new edge metal • Furnish and install manufacturer's required breather vents. • Furnish and install curb and mechanical penetration flashings at existing rooftop equipment. • Please note the nine(9)PTAC units under the windows must be removed for proper flashing.Removal and reinstallation shall be the responsibility of the facility. • Furnish and install new aluminum flashings for PTAC units. • Furnish and install two(2)roof drain boots and dome strainers. • Furnish and install 4"face 24 ga galvalume two piece compression style edge metal in your choice of 30 standard Kynar colors at roof edges. • Furnish Duro-Last 15-Year NDL Material and Labor Warranty. • Kidd-Luukko 2-Year Workmanship Warranty. • Removal of associated construction debris to be disposed of in proper fashion-premises to be left in broom clean condition Kidd-Luukko Corporation can furnish materials and labor for an investment of$24,950.00 Options: 1. 20 year warranty.Upgrade to 20 year NDL warranty. $600 Shingle goofs • Remove and properly dispose of existing single layer roof system down to wood deck. • Furnish and install white.019 aluminum F8 metal drip edge at eaves and rakes. I www.kidd-luukko.com -i Proposal#JH2258CD • Furnish and install.019 aluminum step and apron flashings. • Furnish and install full coverage GAF WeatherWatch leak barrier. • Furnish and install GAF ProStart starter strip at all eaves and rakes. • Furnish and install GAF Timberline HD lifetime Architectural shingles(nailed-color to be selected by customer from standard color range)Valleys shall be of closed cut construction. • Furnish and installation of GAF CobraCoil ridge vent. • Furnish and installation of GAF Seal-A-Ridge Cap Shingles on all hip&ridges(color to match shingles) • Furnish and installation of pipe boots at existing. • Furnish GAF System Plus Limited Warranty • Kidd-Luukko Corporation 2 Year Workmanship Warranty. • Removal of associated construction debris-magnetically sweep job site-premises to be left in broom-clean condition. Kidd-Luuldco Corporation can furnish materials and labor for an investment of: $13,975.00 Special Notes: • This proposal is consistent with the following: • A flat roof deck that requires tapered insulation.",Should the roof deck be sloped to provide drainage, savings maybe afforded for flat insulation • The reuse of adequate existing through wall flashing.Should said flashing be faulty or not be in reusable condition,Kidd-Luuldco Co��ioration can provide a mason to furnish and install new soldered copper through wall cpunterflashYng for$37,800. • It shall be noted that at the time of inspection;the roof was not visible due to snow and ice. • Kidd-Luuldco will require the services ofplumber�electrician and/or an HVAC contractor for necessary modifications or removal of the PTAC units Kidd Luukko oan Pi Ovide the services of necessary tradesmen as need for an add�Eional fee i • Customer may opt for Kidd Luukko to mstah additional baro Last�valkVvay pads for,$38.00 per 30"x60"walk pad. � " Softie jurisdictions require ri archifecturaUengmeering rey, for a roof replacement"permit. Should such a review be required,raddition l fees swill be charged.� • Permit Acquisition ees aresnot included in-this proposal A1Lpermi,tting costs incurred byKidd-Luukko Corporation will req°"uire`ai add to'the contract: k Exclusions• • Latent Conditions • HVAC disconnect and reconnect • - Masonry wall counter flashing If you have any questions please call.Should you choose Kidd-Luukko to perform this work,please sign this proposal,notate the selections desired,and fax or mail to our office or call toll-free 1-866-915-ROOF(7663).We'll order materials right away(to increase curb appeal and protect your property immediately). Thank you again for the opportunity to bid on your project.We look forward to working with you. Respectfully, Justin Hardy Estimator Kidd-Luukko Corporation 2 www.kidd-luukko.com f Proposal#JH2258CD Please take the time to read and sign our terms. By accepting this proposal you are agreeing to Kidd-Luukko Corporation's terms and conditions. A portion of our terms and conditions are printed below. If you do not understand or agree to any of these terms,please contact our office immediately for clarification. If an agreement has been made or expressed that is not printed in this document,please contact our office immediately for verification and documentation. Deposit of thirty percent required.-Progress payments required.-Remainder due upon completion.Finance charges of 1.5%per month/18%annually for late payment apply. If Kidd-Luukko Corporation in its sole judgment turns this account over to a collection agency or attorney for collection,customer herein agrees that such reasonable collection and legal fees and expenses will be added to customers indebtedness,whether or not suit is ever actually brought.Customer reserves the right to cancel within 3 days prior to start date.-20%re-stocking fees may be applied.Price includes all applicable taxes.-Anything not specifically mentioned in this proposal is not included.Before,during,and after photographs may be taken and publicly published for advertising purposes.Varying conditions may create the need for follow-up inspections and/or subsequent updates/corrections.Customer understands and agrees to permit and allow access for these inspections,and any subsequent work that may be required,with or without specific prior notification for a period of up to one year after substantial completion.All disputes hereunder shall,at Kidd-Luukko Corporation's option,be resolved by binding arbitration in accordance with rules of the American Arbitration Association.Excess materials remain the property of Kidd-Luukko Corporation.-This proposal is valid for 6o days unless other specifically noted. While all materials are typically sourced from a single source,customer should be aware that colors of aluminum and steel components are subject to slight variation within color family. Kidd-Luukko Corporation can apply for and acquire all necessary building permits,however,our proposals DO NOT include the costs associated with the proper acquisition, posting,and close-out of any applicable and required permits.ALL PERMIT FEES and associated costs are payable,by the customer,IN ADDITION to the above proposal. These costs may include,but are not limited to,actual permit fees,charges of required architects and/or engineers,acquisition charges,posting charges,inter-office processing costs,dose-out charges,etc. These permit costs are compiled and the total Is added to aboy.eproposal. These charges become part of the contract total and are subject to all contract terms.This proposal is consistent with Kidd-Luukko Corporation's standard insurance coverage.Should additional coverage be required,additional charges may apply.Bonding fees are not inducted with this proposal,unless otherwise noted.Should the Project require Kidd-Luukko Corporation to be bonded,additional fees may apply. The addition of tapered insulation does not guarantee totalremoval of,alI existing ponding water without a comprehensive and thorough roof analysis. This service is not included in a routine roof inspection.Slope anal ysis"laij be performed for an additional fee to be determined on a case by case basis. Unless specifically noted in the above scope of work or special notes this propos-, 'does not provide for any fees associated with police details,dosing of public ways,or any additional,spegfic charges unique to this project Customer shall be aware that the addition of tapered insulation does notguaranlee total removal of all existing ponding waterwithout a comprehensive and thorough roof analysis. This service is not included in a routine roof ins a o/i-Slope analysis can be performed for an additional fee to be determined on a case by case basis. Kidd-Luukko Corporation shall perform the work desenbed at'a puce quojed subject to the following atljus tment In the event that the price of any materials to be used in this work should increase beyond the price at which the matenal was available to Kidd-Luukko Corporation at the time 4submission of this Proposal/Contract,the price quote shall be lricreased toletlecCthe additional cost of the material to Kidd-Luukko Corpgration. NO CARPENTRY,PAINTING,'MASONRY'UENTIt AT[ON R,EQUIREMENTS;SNOW ORICE REMOVAL OR ANY WORK OTHER THAN SPECIFIED HEREIN IS CONTEMPLATED IN THIS PROPOSAL:NO°ORAL'COMMITMENTS FOR ADDITIONAL WORK,MATERIALOR OTHER ITEM5HAVE BEEN MADE BY REPRESENTATIVES OF KIDD-LUUKKO CORPORATION. MOLD DISCLAIMERThe Buyer is aware that mold especially in structures where there have been msItances of wsterleaks or condensation,can grow in unseen places, including nducting walls,underneath beams afloors and in fn`sulated areas`Certain types of mold may pose a danger to health.The buyer acknowledges and agrees to the following: (1)Kidd-Luukko Corporation's scope of work shall not include the Identification,detection,abatement,remediation or removal of any type of mold or mildew,(2)K cid-Luukko Corporation does not assume in the performance of its worrk,'any obligation or liabilityto the Bu erft an 1.dal , y y party claim ng by,throughr under the Buyer,arising out of any failure to identify,detect,abate,remedy or remove mold or ,rryldew and(3f)IGdd-Luukko Corporation shall not be liable in any fespect forany personal injury or property damage, " including,without limitation,damage to any structure or its component parts,or if any contents thereof,which may result from or arise out of the presence or growth of mold or mildew of any type of nature,and regardless of whether such mold was present before or after the work was performed. PLEASE BE ADVISED THAT THE PROCESS OF ROOF DEMOLITION AND INSTALLATION may cause substantial vibration to the structure below resulting in the disturbance of dust,debris,and unsecured objects. Kidd-Luukko Corporation will use its best efforts to minimize such vibrations,however,the owner of the structure shall endeavor to secure any and all unsecured objects and to cover objects that maybe damaged by falling dirt and/or debris.Kidd-Luukko Corp is not responsible for any building systems below the roof deck that may be damaged by roofing fasteners during the roofing process.SATELLITE DISHES may be temporarily removed and re-aftached at their approximate original location. These dishes will most likely lose satellite reception. Re-positioning and'fine-tuning"of these dishes as needed to ensure proper device reception remains the responsibility of customer. KIDD-LUUKKO CORPORATION IS NOT RESPONSIBLE FOR ANY AND ALL SIGNAL/SATELLITE RECEPTION LOSS. INSTALLATION OF RIDGE VENTS,EAVE VENTS,PASSIVE OR POWERED ROOF VENTS,AND/OR SOFFIT VENTS may Involve cutting through substrate at various locations causing some debris to fall into the corresponding area. Furthermore,removal of existing roof system may cause debds to fall into similar interior locations. Customer is responsible for protecting valuables in these areas and is responsible for the dean-up of any subsequent debris. DUMPSTERS WILL BE PLACED ON YOUR PROPERTY temporarily to accommodate the rubbish and debris generated by your demolition project. These containers are large and heavy and may weigh up to 15 tons(30,000 lbs)when loaded. The default placement of these roll-off containers will be"in the driveway,closest to roof,not blocking garages and other on-site vehicles if possible". In some instances,these containers can cause damage to the driveway,landscaping,and/or other objects of value. If customer requires special placement of dumpster or requires lumber or other materials to protect the placement surface to prevent damage to driveway,landscaping or other property please notify our office in writing so that arrangements can be made to meet these needs. Very small amounts of construction debris and fasteners may remain at work site,especially location under the dumpster after removal. This debris is the customers responsibility and shall not be construed as improper dean-up. Customer releases Kidd-Luukko Corporation from liability and holds them harmless regarding any damage resulting from dumpster placement,removal,and remaining debris. Any materials,hazardous or otherwise,placed in dumpster by any party other than a tGdd-Luukko Corporation Representative,will result In an appropriate charge to the customer. These charges include,but are not limited to,hazardous material charges,return trip charges,and charges for weight exceeding 5 tons. WEATHER PREDICTION IS NOT AN EXACT SCIENCE. Kidd-Luukko Corporation makes decisions and judgment calls based on experience and available weather prediction services. Customer understands and agrees that ultimately,weather IS NOT predictable and releases Kidd-Luukko Corporation from any responsibility to predict the weather and releases Kidd-Luukko Corporation from any liability and responsibility to repair subsequent damage caused by inclement weather during installation. CONDITIONS caused by extreme weather,including,but not limited to,ice dams and flooding,wind-driven rains are completely excluded from any and all oral,expressed, written,or implied warrantees,whether real or unreal.Customer agrees to render and hold harmless Kidd-Luukko Corporation In regards to the prevention,cause,remedies, maintenance,removal,etc.and any and all related subsequent damage. CUSTOMER IS AWARE OF THE RISKS INVOLVED IN DEMOLITION AND CONSTRUCTION. More specifically,customer is aware of the risks involved in material storage, dumpster utilization,roof removal,roof construction,and dean-up. This process is performed by professionals trained and experienced in the roofing trade using methods, techniques,and judgments in line with industry standards and typical of"roof removal and installation'. Any additional protections and compliances required to protect the property and surroundings remain the responsibility of the customer. Customer agrees to render and hold harmless Kidd-Luukko Corporation,its agents,sub-contractors, waste haulers and associates in regards to dumpster place enemoval,material storage,protection of objects of value,strikes,inclement weather,failures of existing roof sy terns,and y sub eq t damage. agree selections/name/date Proposal#JH2258CD-MACS License#081045-Properly Insured-HIC License#136063-GAFMC#ME09208 4 www.kidd-luukko.com Proposal#JH2258C'D i / ��/� (�� f l li it / / %/i� //i% r��/ / Shingle roofs in consit�o}� Bl /IVIk�ra io5 ed/� j�G�i %�� '% �la/i I,f j�iiii'� /ri/i %%i RI VI/A. f� 3 www.kidd-luukko.com Co m _ The 6,6- m monwealth ' of Massachusetts ' _ De arlmeht of Fine S&rvices Office of be State Fire Marshal � 6.V*cmisu.-ib4SW,4�a1�AG17� PERMIT- North Andower �ermi3Nv �' is 3LCvrdrxL vim&pmvwvQ j OE14€•'01,1 4 8 Cb*tcr I-Q.ac pmvi&b' soc60S a'7 011 34 ' 3�sd Daae - ' F�11 naotc ofprrscri,Frrmst Cacpa�s�taa � - Pumluirnto locate dumpater.for eonstruccion/renova citin/demo lition o-". building ; I ' duaister.wast be. ZS' from strueture if unable _to Mace �rieh r�o'�isPd � X0'60= J.earaace dum sten must be covered with p2yv -ad or Car '8aQ- o tea day /eon ,-Z����� Tr�rrr — - {G ve bw6m by strmt wd rA,ormw=as tq psa 1cd wkgL%b 2mtiGcadw orxaetica) FaFrid� 50.00 r Fixe Chief 1 O r m F- CD m The Commonwealth of Massachusetts Department oflndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 �•s www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/i lectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly �t.. -_ dame(Business/Orgatiyzation/Individual): � r �• �t�a���(g�"�°a a'g r 1.,�'�r ����!��"��'w Address: City/State/Zip: r c 1 r�,r� �- Phone#: t,y _V'19 9-)._�,�. � Are you an employer?Check the appropriate box, Type of project(required): 1.Q`I am a employerwith J61 mployees(full and/or part-time).* 7. Q New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t ❑ 10 Building addition 4.Q I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11. Electrical repairs or additions proprietors with no employees. 12.F1 Plumbing repairs or additions 5.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.# f 6.Q We area corporation and its officers have exercised their right of'exemption per MGL c. 14. Othei 4 <?C 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 11 �C,J JVX t kt c(r *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is pt'ovidir:g woilrers'contpetisatiott ittstu'artcefor ntyeniptoyees. Below is the policy andJob site information. 7 Insurance CompanyName. " `� � � ��~�, (,fir I f Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: "C/ City/State/Zip: Attach a copy of the workers'comp sation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORD ORDER and a fine of up to$250.00 a day against the viJp1a10 copy of this st tement may be forwarded to the Office of Investigations of the DTA.for insurance coverage verifdatio 1. 7 I do hereby certify tder the sins t penalties ofperjuiy that the information provided above is true and correct, Signature: . ... M Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ACC> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD"Y'"' � 10/3/2014 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 poiicy(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 CN NAMONTACTE: y Agu J8 lar R.S. Gilmore Insurance Agency, Inc. PHONE , (508)699-7511 FAC o:(508)695-3957 RE 27 Elm St. E-MAIL P. 0. BOX 126 INSURERS AFFORDING COVERAGE NAIC# N. Attleboro MA 02761 INSURERA:Gemini Insurance 10833 INSURED INSURER 13:Safety Insurance Company 9454 Kidd-Luukko Corporation INSURERC:Scottsdale Insurance Company 23 North Street INSURER D:Star Insurance Company INSURER E: '.. Worcester MA 01605 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1410147033 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 ADDL 5 BR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TZ-FFE-NTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 300,000 A CLAIMS-MADE OCCUR VIGPOI5369 0/1/2014 0/1/2015 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 T POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY (EaaccidentSINGLE LIMIT 11 00,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNEDX SCHEDULED 6219509 9/1/2014 9/1/2015 BODILY INJURY(Per accident) $ X AUTOS AUTOS X NON-OWNED PROrPERTnlDAMAGE $ HIRED AUTOS AUTOS Medical payments $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 C X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTION LS0089973 0/1/2014 0/1/2015 $ D WORKERS COMPENSATION WC STA OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE I N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? Ll 0071916301 /2/2014 /2/2015 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ifyyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks 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. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATIVE Tim Gilmore/AMKAHA ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 t7R1nn51 m Tho Ar:r)Pn name anrt Innn aro ronictarart mance of Ar:r1Rr) t Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction supervisor License: CS-081045 SEAN G KIDD 233 EIGHT LOTSRO" = SUTTON MA 015590 L 1 ,rig} expiration 11/13/2015 i commissioner Massachusetts -Department of Public Safety y Board of Building Regulations and Standards j Construction Supervisor License: CS-081057 ROBERT A LWIO a" 142 ALMON THI[irA Barre MA 010057 expiration Commissioner 03/29/2016 -- ..-.-............. �,�e`�o7rrinwrzcoeaL/t!a��ursa�uaeG�i: Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR — egistration: 36063 Type. xpiration 61E/ 0 LS_ Private Cor orati KIDD-LUUKKO CORPORATION SEAN KIDD 23 NORTH STREET _ WORCESTER, MA 01605 Undersecretary