HomeMy WebLinkAboutBuilding Permit # 5/11/2015 BUILDING IT ®F No Dr
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION h
Permit No#: Date Received �Rp0 aTEo"afa° c5
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Date Issued:
PORTANT: Applicant must complete all items on this page
LOCATION 5/77 Nr(o ,
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PROPERTY OWNER Hej ! 5K dh�lntVt�
Print 100 Year Structure yes no
j MAP d ' PARCEL: 2 ZONING DISTRICT: s no
Historic District ye
Z°7 ! � 2� Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition N�Two or more family ❑ Industrial
0 Alteration No. of units: ._Commercial
.Repair, replacement ❑Assessory Bldg ❑ Others:
❑0 Demolition El
ElOther
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DESCRIPTION OF WORK TO BE PERFORMED:
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Identifition- ease Type or Pr! t Clearly
OWNER: Name: (N\ Phone:QI6 b5
Address: ��;I -7-
Contractor Name: py (0.62 Phone: 7 ( (-f -7 I(L->
Email k . CaLyN
Address: _ we M(,� 6�2O
Supervisor's Construction License: - 001 5'�`16 Exp. Dater (016,
Home Improvement License: Exp. Date:
ARCH ITECT/ENGINEER i V (Ct,� Phone: ��� 77I �
Address: f)50 kLtix CG �� �/ i 4 Reg. No.
FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ r FEE: $ I
Check No.: Lcf& Receip No.: A
NOTE: Persont.s contracting with unregistered contractor d o have access to the guaranty fund
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t4ORTH
Town of Andover
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LUI BOARD OF HEALTH
PERMIT
■ Food/Kitchen
CERTIFIESLD Septic System
THIS • . t
Foundation
4010 a Rough
rp fi n�t h#ils t shall in every respect conform to the terms of the application
provided that the person acc Final
on office, 1 to the provisions of •,i and 1. to the Inspection,Alteration •.,...
Construction of • •'.. in theTown of NorthAndover. O•
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT
tit" X!-.. ■ ;ER477777
NTH A •UNLESS ■ Rough
BUILDINGService
...............
INSPECTOR
INSPECTORGAS
Occupancy ' Required tl Occupy Buildin !: Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Api 1, t; b BuildingInspector.
SmokeStreet No.
Det.
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S V
Proposal fServices PFS)
Project,
Heritage Green Condominiums
39R Farrwood Ave
North Andover, MA 01845
Prepared For:
Rosann Ciofolo
Affinity Realty & Property Management, LLC
63 Atlantic Avenue
Boston, MA 02110
(978) 685 4434
Prepared :
Chuck Huntley
Schernecker Property Services, Inc.
283 Second Ave, Waltham, MA 02451
(781) 487-2516
chuck.huntley a@spsinconline,com
www,spsinconline.com
SPS HIC#: 123615
Expiration Date: July 1, 2015
Date Submitted: April 7, 2015
Proposal #: 5439739
Deck Replacement and Associated Masonry Repair Heritage Green Condominiums I Proposal#:5439739
c"ope of Work
General Description;
SPS,Inc.will provide the necessary supervision, labor,and materials to perform the work specified in this PFS in a good and workmanlike
manner and in compliance with applicable laws and codes,The pricing provided in this PFS encompasses,in general,the following:
Deck Replacement to include removal and disposal of existing steel and wood deck frame. Removal of
specified exterior brick wall, and interior GWB to expose header and joists for repair as described in the
drawing package. New concrete footings,stair landings to be installed followed by new pressure treated
deck frame and stair assembly as shown in the drawing package.The rail system will be a cable system
"Raileasy" by Atlantis.The deck boards will be a capped PVC board from Fiberon's Advantage product
line.All brick masonry will be repaired as described in the drawing package.
The drawing package referred to above was created by Wessling Architects of Quincy,MA dated
02/18/14.
Included Areas:
® Demolition and disposal of existing steel and wood deck
® Interior repair to GWB removed to expose header will be to a"paint ready"finish
® Temporary shoring,as required,and protection of tenant areas during renovation
® Building Permits
Excluded Areas;
• Architect inspections,fees,drawings,or other documents
• Performance or payment bonding
® Painting.
• Interior floor joist,sub floor,and finished floor
® Steel lintel/replacement
Total Price for work as specified in the Scope of Work: $292,900.00
Additional Items, Alternate Items and Unit Prices
Pricing provided on Page 4 is for specific items not included in the contracted Scope of Work. Please note that these items are
additional to the "Total Price".
Schedule of Work
(determined at proposal signing)The work heretofore described is scheduled to commence on with an expected duration
of approximately days.Substantial completion is expected by
Acceptance of Proposal
The undersigned,as authorized representatives)of the property listed,have read the terms stated herein and accept the terms as r
written. fir,_ c � � � iGC�act
04/07/15
SIGNATURE DATE SIGNATURE DATE '...
Chuck Huntley Vice President Rosann Ciofolo
Schernecker Property Services( 283 Second Avenue,Waltham MA 02451 1 800.424.2468 1 spsinconline.com Page 2 of 8
Deck Replacement and Associated Masonry Repair Heritage Green Condominiums Proposal#:5439739
WE TITLE NM1E TITLE
Schernecker Property Services 283 Second Avenue,Waltham MA 02451 800.424.2468 spsinconline.com Page 3 of 8
Deck Replacement and Associated Masonry Repair Heritage Green Condominiums I Proposal4:5439739
l tali Price for work as specified in the Scope of Work
Type of Price I Type
Item Description Quantity Quantity of Quantity Extended Price
1. Deck Replacement and Associated Masonry Repair at 25/27 1.00 Building $129,150.00 $129,150.00
Farrwood Drive
2. Deck Replacement and Associated Mason Repair at 103/105 1.00 Building $129,150.00 $129,150,00
Farrwood Drive
3. Atlantis Raileasy Cable System 2.00 Buildings $6,050.00 $12,100.00
4. CertainTeed Undershield deck protection 2.00 Buildings $3,750.00 $7,500,00
5. Composite Decking Fiberon Advantage capped decking 2.00 Buildings $7,500.00 $15,000.00
[Total: $292,900.00 1
Additional Items, Afternate Iterns and Unit Prices
Type of Price/Type
Item Description Quantity Quantity of Quantity Extended Price
1. Alternate#1: Composite Decking (additional cost per building) 1.00, Building $7,500.00 $7,500.00
2. Alternate#2:Atlantis Raileasy Cable System (additional cost per 1.00 Building $6,050.00 $6,050,00
building)
3. Alternate#3: PVC trim posts,stringers,and deck frame 1.00 Building $11,850.00 $11,850,00
(additional cost per building)
4. Alternate 44: Dry-Snap underdeck protection (additional cost 1.00 Building $3,750.00 $3,750.00
per building)
5. Alternate#5:Remove-Flash-Reinstall 8 doors(additional cost 1.00 Building $5,500.00 $5,500.00
per building)
Schernecker Property Services 1283 Second Avenue,Waltham MA 02451 1800.424.2468 1 spsinconline.com Page 4 of 8
Deck Replacement and Associated Masonry Repair Heritage Green Condominiums I Proposal#:5439739
Property Notes & Present Job Conditions
The following conditions were identified during the visual analysis of the property.These notes are not meant to be,nor to replace, an
engineering report.Additional historical information and/or an invasive analysis would be likely to provide further information.
Pricing Note
EPA RRP / Lead paint
The pricing provided assumes that the property was built after 1978 or that the work being performed will not require SPS,Inc.to follow
the EPA guidelines for renovation,repair and painting (EPA RRP rule). If the work is subject to the guidelines of the EPA RRP rule or any
DEP or local rule regarding lead paint,then the pricing will be re-evaluated and will likely increase.
Permit
SPS,Inc.acting as the Owner's agent,will apply for and obtain any necessary construction-related permits.The cost of any such permits
will be paid by SPS,Inc.and shall be included in the pricing provided,unless specifically excluded.The Owner or its agent shall assist SPS,
Inc.,with any required signatures,documents,or other cooperation necessary to obtain such permits.Construction control by a licensed
engineer or architect,if required by the permitting authority or if elected by Owner,is not included in the pricing provided and is to be
contracted directly by the Owner.
Unforeseen Conditions/Change Orders
Renovation work involves removal of existing materials to expose hidden surfaces.By its nature,renovation work is likely to result in
uncovering conditions that were not foreseen. It is likely that unforeseen conditions will be uncovered when existing materials are removed.
Unforeseen conditions usually necessitate changes in the scope of work and an increase in the total price of services.Changes to the
scope of work as a result of unforeseen conditions will be presented to the Owner or managing agent in the form of a written Change
Order.All Change Orders,regardless of the reason for the Change Order,must be documented and approved in writing by SPS, Inc.and
Owner or Owner's agent.Change Orders may be approved by email.
Ci itiord Pricing Note
® Drawing package provided by Wessling Architects was used to complete the deck replacement bid.
® The interior ceiling repair is limited to installation of GWB to a"paint-ready"finish
® The stairwell handrail included in this proposal is pressure treated with black hardware.
® All deck frame posts will be made from 6x6 PT stock as required in the current 2012 IRC,
Schernecker Property Services 1 283 Second Avenue,Waltham MA 02451 1800.424.2468 1 spsinconline.com Page 5 of 8
Deck Replacement and Associated Masonry Repair Heritage Green Condominiums I Proposal#:5439739
Proposal: This proposal is valid until July 1, 2015. If this proposal has not been accepted by said date, then this proposal is deemed
withdrawn by SPS.
Acceptance of Proposal:The signature of the Owner or Owner's authorized agent shall constitute Owner's agreement to the terms and
conditions contain herein.
Owner's Managing Agent: If Owner has engaged the services of a property management company("managing agent")to act on its behalf
with regard to the subject matter of this agreement,the managing agent and its representatives shall be considered authorized agents of the
Owner.With regard to the subject matter of this agreement,Owner shall be bound by and SPS,Inc,shall be entitled to rely upon statements
and actions of the managing agent.
Entire Agreement:This proposal and any documents specifically listed under Contract Documents or incorporated by reference constitute
the entire agreement between SPS, Inc. and Owner. Both parties warrant that there have been no promises, obligations or undertakings,
oral or written, other than those herein set forth. No material modification of the terms of this Agreement shall be effective unless approved
in writing by SPS,Inc. and Owner or Owner's agent,Modifications may be approved by email.
Work Progression:Start dates,amount of time needed to complete the work,and completion dates will be estimated at the time of signing
of the PFS, prior to the commencement of the work. The schedule may be modified by mutual agreement for any reason, Changes in the
Scope of Work are likely to impact the schedule,Inclement weather and other circumstances beyond SPS,Inc.'s control are also likely to cause
changes in the work progression. Delays caused by Owner,its managing agent or their representatives,may result in additional charges,
Representations:SPS,Inc.is in the business of providing maintenance and capital improvement services to real property.The PFS contained
herein has been prepared on the basis of a visual inspection of the property.SPS makes no warranties or representations about the physical
condition of the property at the time of this proposal.
Materials Storage and Inspection:SPS,Inc.requires that it be allowed to store the materials and equipment necessary for the performance
of the specified work on the property in a mutually agreeable location. Such materials and equipment shall be subject to inspection and
approval by the property agent.
Protection of Work Areas:The work areas are to be secured and protected during the performance of the work. Unless otherwise noted,
SPS Inc.will be responsible for damages to the Owner's property caused SPS Inc.during the performance of the work.
Rubbish Clean Up and Removal:SPS,Inc.will dispose of rubbish,trash and debris resulting from the performance of the work in a manner
approved by the Owner or authorized agent.Such disposal will be in compliance with applicable laws and regulations.SPS,Inc.shall maintain
the job site in reasonably neat and clean condition during the performance of the work.
Completion and Acceptance: The work will be deemed to be complete when the conditions as described in the PFS have been performed
by SPS,Inc. Upon completion,SPS,Inc.will provide notice to the Owner that the entire work or an agreed portion thereof is complete.Upon
such notification,the Owner or Owner's agent will promptly inspect the work and will notify SPS,Inc.of any incomplete or defective work.SPS,
Inc.shall take such measures as are reasonably necessary to complete such work or remedy such deficiencies.
Insurance:SPS,Inc.maintains Worker's Compensation Insurance,General Liability Insurance and Automobile Insurance.Upon request,SPS,
Inc.will facilitate the delivery of a Certificate of Insurance from its insurance agent naming the property Owner as an"Additional Insured."
Warranty: Unless otherwise noted, SPS, Inc.warrants the work performed under this PFS against defective workmanship for a period of
two (2)years from the date of completion and acceptance.This warranty is expressly conditioned upon the Owner's full performance of its
payment obligations hereunder.Any holdback or nonpayment by Owner will invalidate this warranty. - -- - - ----
Schemecker Property Services 1 283 Second Avenue,Waltham MA 02451 1800,424.2468 1 spsinconline.com Page 6 of 8
Deck Replacement and Associated Masonry Repair Heritage Green Condominiums I Proposal#:5439739
Owner shall also have the right to terminate the agreement for convenience.Owner shall give SPS,Inc.ten(10)days advance written notice.
Owner shall be responsible for paying SPS for all work performed to the date of termination plus SPS reasonable costs of demobilizing plus
twenty percent (20%) of the value of the work remaining to be performed under the agreement,
Nominal versus actual dimensions:The actual dimension of a 2x4 is approximately 1.5"x 3.5"."2x4"is the nominal dimension.The actual
dimensions of many materials differ from their advertised nominal dimensions.Nominal dimensions are used in proposals and specifications.
SPS does not assume responsibility or liability for the discrepancy between any nominal versus actual measurements.
Indemnity: To the fullest extent permitted by law, the Owner shall indemnify, defend, and hold harmless SPS, Inc. and its agents and
employees of and from any claims by third parties or unit owners arising out of SPS,Inc.'s performance hereunder unless it is finally adjudicated
that such damages,loss or expense was due to gross negligence,willful misconduct or material breach by SPS, Inc. Owner shall indemnify
SPS,Inc.,for any and all damages,losses,and expenses arising therefrom including but not limited to attorney's fees and expenses.
Termination: SPS, Inc.'s termination for cause. Should (1) the work be stopped b)any public authority for a period of thirty (30) days
or more,through no fault of SPS, Inc,; (2)the Owner fail to make any payment properly due hereunder in a timely manner; (3)the Owner
cause or fail to prevent a condition that results in an unreasonable delay in SPS,Inc.'s ability to perform hereunder;or(4)the Owner fail to
comply with other material terms of this agreement,then SPS,Inc.,shall give written notice by certified mail or by hand to Owner or Owner's
authorized agent specifying the grounds for termination.Owner shall have seven (7) days to correct the condition giving rise to the notice.
If the Owner fails to cure within seven (7) days after receipt of the notice, then SPS, Inc. may stop work or terminate the Contract. SPS,
Inc, shall be entitled to recover from Owner payment for all work executed plus twenty percent (207o) of the value of the work remaining
to be performed under the agreement.
Owner's termination for cause.Should SPS,Inc. (1)abandon the work; (2)fail to diligently prosecute its obligations under this agreement;
(3) or blatantly disregard applicable laws and codes; then the Owner shall give written notice by certified mail or by hand to SPS, Inc.,
specifying the grounds for termination.SPS,Inc.,shall have seven (7)days to correct the condition giving rise to the notice.If SPS,Inc.,fails
to cure within seven (7) days after receipt of the notice, then the Owner may terminate the Contract.SPS, Inc,shall be entitled to recover
from Owner payment for all work performed to the date of termination,
Safety: SPS, Inc.will maintain a safe work zone.Anyone entering the work zone should wear appropriate Personal Protective Equipment
(PPE).At a minimum this includes hard hat and safety glasses.Other PPE may be required depending on the work being performed.Once
inside the work zone,any outside party including inspectors shall comply with SPS,Inc.and OSHA safety guidelines.Inspectors and/or outside
parties should be escorted by an SPS,Inc.employee inside the work zone.
Governing LawNenue/Dispute Resolution:This agreement is governed by and subject to the law of the Commonwealth of Massachusetts.
In the event of a breach of this agreement,the non-breaching party shall be entitled to recover its reasonable attorney's fees and expenses.
Any issue,claim,or dispute related to this agreement,its performance or a breach thereof shall be shall be decided by an independent single
arbitrator in or within 25 miles of the city of Boston using American Arbitration Association,JAMS, or another similar mutually acceptable
arbitration service. The arbitration shall be conducted in accordance with the Construction Industry Arbitration Rules of the American
Arbitration Association currently in effect, The award rendered by the arbitrator or arbitrators shall be final,and judgment may be entered
upon it in accordance with applicable law in any court having jurisdiction thereof,The finding shall be binding with no other recourse.The
parties shall share equally the cost of arbitration and arbitrator's fees.The prevailing party shall be entitled to recover its attorney's fees
and expenses including its share of the cost of arbitration and arbitrator's fee.
No Consequential or Delay Damages:SPS,Inc. and Owner waive claims against each other for consequential damages arising out of this
agreement.This mutual waiver includes damages incurred by Owner for delay,rental expenses, loss of use,income,profit,and the like.This
mutual waiver includes damages incurred by SPS, Inc.for office expenses,office personnel, business and reputation,and for loss of profit
except anticipated profit arising directly from the work,as specifically provided for herein.
No Third Party Beneficiaries: This Agreement will not confer any rights or remedies upon any person other than SPS, Inc. and Owner.
Specifically, this is not an agreement with any individual_unit_owner of a condominium association when the Owner is a_condominium
association. No unit owner has the right to expect or demand any work or performance by SPS, Inc.
Schemecker Property Services 1 283 Second Avenue,Waltham MA 02451 1800.424.2468 1 spsinconline.com Page 7 of 8
Deck Replacement and Associated Masonry Repair Heritage Green Condominiums I Proposal#:5439739
Hidden building components:Fasteners are required to penetrate the sheathing in order to achieve the material manufacturer's installation
guidelines.Any mechanical lines, electrical lines, pipes, ducts,other means of conveyance, or equipment located directly behind/beneath
the sheathing may be subject to harm.SPS is not liable for any damage to items in this zone.
._..__..__...
Scherrecker Property Services 1283 Second Avenue,Waltham MA 02451 1 800.424.2468 1 spsinconline.com
Page 8 of 8
Initial Construction Control Document
To be submitted with the building permit application by a
Registered Design Professional
for work per the 8h edition of the
Massachusetts State Building Code,780 CMR,Section 107
Project Title: Heritage Green Balcony Replacement Date: 5/5/2015
Property Address: Heritage Green Condominiums, North Andover MA
Project: Check one or both as applicable: 0 New construction Existing Construction
Project description: Remove existing exterior balconies and stairs/ships ladders/ladders. Restore and waterproof
areas of the facades related to the balconies that have been damaged due to previous water
infiltration. In areas where deteriorated wood framing is uncovered due to previous water
infiltration the affected framing is to be removed and replaced with new wood members to
restore the framing's required structural capacity. Install new wood framed balconies and stairs.
James Patrick Mackey MA Registration Number: 50651 Expiration date: 8/31/15 am a
registered design professional, and I have prepared or directly supervised the preparation of all design plans,
computations and specifications concerning:
Do Architectural ' [ ] Structural Mechanical
[ ] Fire Protection [ ] Electrical Other
for the above named project and that to the best of my knowledge,information,and belief such plans,computations and
specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted
engineering practices for th6 proposed project. I understand and agree that I(or my designee)shall perform the necessary
professional services and be present on the construction site on a regular and periodic basis to:
1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the
contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and
quality of the work and to determine if the work is being performed in a manner consistent with the approved
construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work,I shall submit to s, official a'Final Construction Control Document'.
Enter in the space to the right a"wet"or ,
electronic signature and seal: 'f.-14
ra No, 5015,
MEDFORD
MA
Phonenumber: 617-845-5076 mackey@wesslingarchitects.com
4
lii.,WUse Only
�4
"1`PVr,,;7 74,
Building Official Name: Permit No.: Date:
Version 06 11 2013
The Commonwealth of Massachusetts
Department of IndustrialAceidents
i d X Congress Street,Suite 100
Boston,MA 02114-2017
.�` www.mass.gov/dia
byy Workers'Compensation Insurance Affidavit:Builders/Contractors/E lectricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Plea Print Legibly
Applicant Information
se
Name(Business/Organization/Individual): (
Address:
City/State/Zip: W I I A- aV—KM� � � Phone#: I 1 '167
Are you an employer?Check the appropriate box: Type of project(required):
i I am a employer with_[_employees(full and/or part-time).* 7. ❑New construction
2.❑I am a sole proprietor or partnership and have no employees working for me in g. F1 Remodeling
any capacity.[No workers'comp.insurance required.] 9. ❑Demolition
3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition
4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.0 Electrical repairs or additions
ensure that all contractors either have workers'compensation insurance or are sole
proprietors with no employees. 12.[]Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.F1 Roof repairs
These sub-contractors have employees and have workers'comp.insurance.$ 14.❑Other
6.F]We are a corporation and its officers have exercised their right of exemption per MGL c.
152,§1(4),and we have no employees.[No workers'comp,insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors 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 ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: ' t
t Expiration Date: `
Policy#or Self-ins.Lie.#: t
City/State/Zip: I1 &4 ,
Job Site Address:_�� �C
Attach a copy of the workers' compensation 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$250.00 a
day against the violator.A copy his to ment may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do that f
hereby certify tinder th pa' s a d enalties of perjurythe information provided above is true nd convect.
Dater
Signature: y
Phone#:
Official use only. Do not write in this area,to be completed by city or'town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
05/07/2015 07:42 7814872505 SPS INC PAGE 02
A �RQ� T I FI CA T LIABILITY DATE(MMlDD/YYW)
INSURANCE 5,6/2015
I S UERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
0ERT16CATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on thin Certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER N Claire Soutilier
Cleary Insurance Inc PHONE , (617)723-070000; NQ ^x (617)723-7275
226 Causeway Street -ADOBESS.eboutilier@clearyinsurance.com
INSURER($)AFFORDING COVERAGE NAIC 0
Boston MA 02114-2155 tNSURERA-.Continental Western Insurance 10804
INSURED INSURER 8;Union Insurance Com an 5844
Schernecker Property services, Inc. INSURERCfAcadia Insurance Comoaav 31325
283 Second Avenue INSURER D:
INSURER E
Waltham MA 02451 INSURER F:
COVERAGES CERTIFICATE NUMBER:2014-15 Liability REVISION NUMBER.-
THIS IS TO CERTIFY THAT THE POUCIES 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
LTR TYPE OF INSURANCE P LICY NUMBER P IpNYYY MMS V EXP LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGENTED "
P �„ occt.rrnncrs � 300,000
A CLAIMS-MADE ®OCCUR PA 0183614-18 12/31/2ola 1z/3112o1s MED EXP(Any one person) $ 5,000
PERSONAL&ADV INJURY $ 110001000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPUES PER PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY x PRO- LOC $
AUTOMOBILE LIABILITY COME L LIMIT 1,000,000
B ANY AUTO BODILY INJURY(Pet person) S
A OWNED X SCHEDULED 0183615-18 12/31/201412/31/2015 BODILY INJURY(Per accident) $ M
X HIRED AUTOS A AUTOS ED PROPER AMA E S
Pcr
$
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000
C EXCESS LIAR CLAIMS-MADE AGGREGATE $ '000'000
DED RETENTION UA 0183616-18 12/31/2014 12/31/2015
C WORKERS COMPENSATION $
AND EMPLOYERS'LIABILITY
7DISEASE
OTH-ANY PROPRIETOR/PARTNER/EXECUTIVE�Y/NOFFICER/MEM8ER EXCLUDED? f-N7 N/A NT $ 1 000 000
(Mandatory in NH) CA 5074'780-12 12/31/2014 12/31/201EMPLOYE S 1000QQQ
I ESCRIPTIOe under (EXCludea MA)DESCRIPTION OF OPERATIONS below ICY LIMIT S 11000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks SehedUie,It mere apace Is required)
The Town of North Andover and Heritage Green Condominiums are included as additional insureds for general
Liability per insurance coverage form CLCG0492 (02/12) as required by written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Heritage preen Condominiums ACCORDANCE WITH THE POLICY PROVISIONS.
39 Parrwood Avenue
North Andover, MA 018455 AUTHORIZED REPRESENTATIVE
Claire Boutiliar/CTH -
ACORD 26(2010/05) ®1988-2010ACORD CORPORATION. All rights reserved.
INRf19S(gmnn;�nj TNA QrnRn nem&aNA InAn 9rn . poke n0 Af`ngry
05/07/2015 07:42 7814872505 SPS INC PAGE 03
Client#:1025557 SCHERPRO
ACORD-,,A CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
5/07/x0'15
HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERT%.`ICATE 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 I!!'I I cAte holder is arADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to
the terms and Conditions of the policy,certain policies may requlre an endorsement.A statement on this certificate does not Confer rlghts to the
certificate holder In lieu of such endorsement(a).
PRODUCER NAME: Kathy Wagner
USI Insurance Solutions LLC E"N 413-750-4222
123 Interstate Drive Arc,No):610-537-4670
E-MAILD $; kathy.wagnerual.biz
West Springfield, MA 01088
855 874-0123 �Mor�
ING COVERAGE NAIL F
INSUREp A l ABC Mamp SIG ggggg
INSURED
Schernecker Property Services, Inc. INSURBR 9:
283 Second Avenue INSURER C
Waltham,MA 02451 INSURER D: Y
INSURER E:
fNSURERF: �. -
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 Oil CONDITION OF ANY CONTRACTOR 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
LTR TYPE OF INSURANCE_ INSR U6 PpLICY NUMBER MM/DD//YLIGY WY MMO/LDDY LIMITS
GENERAL LIABILITY w
EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY DAnGE TO RENTED
GR EE88 Ea occurr me
CLAIMS-MAGE OCCUR MED EXP(Any one erspn) $ Y
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMP/OP AGG $
POLICY PR4 LOC
$
AUTOMOBILELWgILITY EOMBII N) LELIM $
Q
is
BODILY INJURY(Per person) $
SCHEDULED
AUTOS BODILY INJURY(Por eaddenl) $
HIRED NON-OWNED Per PERacciY„DAMA $
AUTOS
OCCUR EACH OCCURRENCE CLAIMS-MADEAGGREGATENTION!$
WORKERS COMPENSATION YIN ABCMg12000115 1/01/2015 01/01/201 )C x
A WC$TATU- OTH-
AND EMPLOYERS'LU181LrTy
ANY PROPRI OR/PARTNER/EXECUTIVE
OFFICER/ME DER EXCLUDED? (V N/A E.L.EACH ACCIDENT $1,000,000
If yes,desc In Under
_- E.L.DISEASE-EA EMPLOYEE $1 000000
If yes,describe untler
DESCRIPTION OF OPERATIONS below E.L.013EABE-POLICY LIMIT $1,000,000 ~
T-
DESCRIPTION OF OPERATIONS/LOCA'T10NS/V@HICLES(Attach ACOAb 101,Additional Reniarka Schedule,IT more apaca is reOuUad)
Proof of MA Workers'Compensation Coverage
CERTIFICATE HOLDER CANCELLATION
Heritage Green Condominium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
30 Farrwood Ave. ACCORDANCE WITH THE POLICY PROVISIONS,
North Andover,MA 01845
AUTHORIZED REPRESENTATIVE
®1988-2010 ACORD CORPORATION,All rights reserved,
ACORD 25(2010/05) 1 of 1 Tha ACORD name and logo are registered marks of ACORO
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