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HomeMy WebLinkAboutBuilding Permit # 7/31/2015 TOWN OF NORTH q APPLICATION FOR PLAN EXAMINATION * [" �yM Permit NO Date Received .0"'Are.WppP`ti�� �GM6U`x�� Date Issued: IIVIPORTANT: Applicant must complete all items on this page )Pry �f� 1. ir, d r r'�er} i r r t ra.r r ( rs ✓ � r{,i r r � r r r £ IQ { r✓✓u r ,[P r"' r r r � ✓ y,� r � r r r, P §rli r r r °lMr £ r£ It +�ly Ntrr a.. r r ✓✓- �' rt ' - ' i a r r y � £i, -r1 £ � rr �, ( a r 1< "/ 1 7 ` 7 A � r i � rrr z r a rr � � / irl ✓ r �+ r +, �I � t G�� R�`�f +� �� �►Ia�t��lll�� �t"$�1�11�r�'17rli�f�i1�"ru��„ � z ,� ,,r � f ' '� A / '�� l� F, Ir4 �,. p t-.. i 1 ) f Y t/ �I-�n r ri - 1./ ✓ � l �J r f rl� � �d0`rp f � 'PAR �✓�. ,� ; OP11N � f1T#��C�"�,� ;„�Histr�rP �I �rwp`kf , :, � y n�� ✓, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial E Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other �ptlo ❑ Il 1 1 1 lve#( i �Dl ti t Roofing related trim and siding replacement. Identification Please Type or Print Clearly) OWNER: Name: AlcottVillage Condominium Trust/C/O MSG Management Phone: 603-235-9188 Address: 231 Hampstead St. Methuen, Ma 01844 i e�H,+ r r f Sr r r r 6r.. r r r r r-r ,r r, 1 ✓, r � r ' yy�,,µw ✓� , i r - z"r�d r r 't i " r I r r�r� 1F s >rryp 1 r �r�;� r n p'�yry r�" fir' o � '`r n. a�, ��r r -r ry"r^� ) r rr r r �.r .r✓y`'4 r7 r r i� ! ! ✓rf �r r Y ,.rt .. ) 1"�# ��� *�A'��, �i'1 Yi�i� s l r � it � r ! � r {rr� F A� � r r r y Y� r l e r r °r ,f ( r 7 i /� �r S t � A r i ✓ r ✓ � r r Ir /r 7 t°r �� d x y y + l� � r �yi } ✓ � 7 , i r 1£ " £� i � l xf , � lr , /:a 1 r l }k F�dwr1 IkMF� �eI111Q.1;1767 ylri� t' ` � is ( rr r✓ 1 � Y i i r s -14 � it l r I ✓f x �7 ' Y 5 ar„ r£ 'k r ,� � l r r r a)� ::y i � 1 r � - P z ✓, t n i i� � ,��i:+�,'l lr��l� ?:X���7�Ik���l�� ��yre� r l' f r 'r ✓r.r�� ;s a �"' ,�jt �!,��`�'M r. r '� � r r r ✓ + r ii2 a "t,` f r° 'a t. r r � r:, 'r f�r +y/4� f f ��r;,.,�*i'r'rn'^rTa+^� /r�T M�� 1<?rr f . 1�y ��1";',����� �� �IC7� �,f ri �1y" y 3r£ry r r li fr r � r�f 1 � r� � ���7*�M 'i� ;{ � '� r '�r ✓ t £,ok,�z�al„r�i�9�,?��.,"�'„�,sr+ �„'i in,✓'�✓£o�i t-£�l � �£r, r.rr..,, „m,r �+Io�+..lx„ ,✓a r, r a .��h a}✓ '-rn+�a,a, „frr .c.,, is r,��i ✓r: 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 Project Cost: $ FEE: $ Check No.: N -- Receipt No.: '7-Z! ( 5S NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Igraiare:r�f;'Agent/Qwrtel ;Stgntclr of`'cnrtractar t%O R TH Town of . � � : �, Andover ® - :� 0 0 •T _ _ _ . Tjzz �O LAKE h " ver, Mass, 3 coc NIc HEWIcH " A�RArEo 01P1:�' S ll BOARD OF HEALTH PER IT * ..... LD Food/Kitchen Septic System THIS CERTIFIES THAT . ....�1�. ....� ... ......�..• � ... BUILDING INSPECTOR ...... .. ....... .. .. .. ................... has permission to ere ..... buildings on .. G, Foundation Rough to be occupied as �, ..� ............••• Chimney ........................4. 1....1 ......j 40 ..... ...... provided that the person accepting this permit sa in every respect conform to the terms of the application Final p p p g on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and 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 LESS CONSTRUCTION §T Rough Service ......................... ... .... .......................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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 Approved by the Building Inspector. - Burner Street No. Smoke Det. Proposal for Pre and Post roof Carpentry Work of Alcott Village Condominium Complex North Andover,MA Property Manager: Brian Oulette MGS Management LLC 40 Alcott Way North Andover,MA 01845 603-235-9188 MGS.management4 r�verizon.net General Description of work to be performed: Carpentry replacement to rakes and fascias prior o roofing and above roof corners and siding after roofing work to exterior stained and painted surfaces of buildings A,B, C, D, E, F and G located at Alcott Village Condominiums, Alcott Way,North Andover,MA. Specific Description: Areas Included: Above roof clapboard siding,corner boards and rake boards, fascia boards. Areas Excluded: Window sash,inner window sills,doorjambs,entry doors,decks,railings, stairways, items listed under unit resident responsibilities; any porch enclosures; any other area not specifically included. Unit Resident Responsibilities: Removal and replacement of personal property from deck,parking cars well away from building during production, unlocking windows, removal & replacement of storm windows, removal and replacement of window screens & slider screens and providing timely access to entry doors. Non-cooperation will result in exclusion of these surfaces. Prime Touch shall not be liable for any property that is not removed by the Unit Resident. Production Process: Timing: The job will be completed in the 2015 painting season (April to October, 2015 weather permitting). The crew will remain on the job site from start to finish of the project. Prime Touch will not leave the job site prior to completion. Each building will be completed in a continuous fashion to minimize the disruption of the unit owners. Communication: Prime Touch will designate a Project Manager. The trustees are requested to designate one Property Manager and one Board Member to be the project contacts for unit owners to communicate questions, issues and problems. Clear controlled communication and swift remedy will provide all parties with a positive experience. Prime Touch will utilize two way door hangers for the unit owners or tenants to communicate actions required to facilitate the painting of their unit. � t��€ch 6 Huron Drive Natick,MA 01760 S E a v i t E s 800-767-8910 Alcott Village 2015 Exterior Carpentry Proposal 06/12/15 Page 1 of 6 Pre-Paint Carpentry Selection of Work Levels: Demolition: Inspect exterior siding and trim surfaces. Remove deteriorated siding and trim boards Remove deteriorated underlayment and flashings Remove deteriorated sheathing, insulation and framing(billed @ time &materials) Properly dispose of all debris Rake and clean the jobsite daily Carpentry Work: Install new framing, insulation and sheathing(billed @ time& materials) Install Ice & Water Shield where applicable at window& door openings,rooflines and decks Install new underlayment and flashings Install new siding&trim(billed per unit pricing table below) Install aluminum flashing between all clapboard siding joints Install new materials with stainless steel or galvanized fasteners Prime all cut wood Miter all joints to shed water Caulk all new work with paintable caulk Materials: Framing Kiln Dried Spruce-Pine-Fur Sheathing %Z"CDX Plywood Underlayment Tyvek Home Wrap/ 15 lb.Felt Paper Ice& Water Shield Grace Ice&Water Shield or Equal Flashings Aluminum and lead flashing Siding Pre-Primed Non Finger Jointed CVG Cedar Siding Trim boards PVC Trim Boards Interior Repairs: Interior repairs(repairs inside the sheathing of the building)which may be needed caused by the Work which are to be reasonably expected due to the nature of the Work, for example, interior wall cracks, nail pops, electrical, plumbing, and hvac lines hit by nails, etc, shall be addressed upon request of the Owner by Change Orders. The determination of whether an interior repair was to be reasonably expected due to the nature of the work or as a result of the negligence or other failure of the Contractor shall be decided by the designated Principles/Contacts of the Owner and the Contractor. � 6 Huron Drive uch Natick,MA 01760 S E R V I C E S 800-767-8910 Alcott Village 2015 Exterior Carpentry Proposal 06/12/15 Page 2 of 6 PRIME TOUCH CARPENTRY PRICING: Price includes Labor,Materials,Equipment and Two-year Guarantee The amounts listed as estimated work are based upon a ground level inspection of the property.Actual amounts of work will vary from unit to unit. The billing for all work performed will be submitted to the Property Manager/Condominium Association Representative for approval on a weekly basis.No additional work exceeding the cost of the Estimated Carpentry Work will be performed without the written approval of the Property Manager/Condominium Association Representative. All Dormer fascias will be removed prior to roofing as to install proper blocking and sheathing behind the soffit and fascia,then covered in ice and water-shield and properly flashed by the roofer. All front entrance lower roofs will have the siding and trim removed to be fully covered in ice & water-shield by the roofer. All roof to wall transitions will have the siding and trim removed to be covered 18" up the side wall with ice and water- shield by the roofer. Pre roofing pricing is to replace ALL rakes and fascia.We will replace rakes and fascia,as needed using PVC trim invoiced at the unit pricing below.The reason for the full replacement pricing is to give the option for total replacement. Pre-Roofing Work Labor Cost Material Cost Total A 1-4 $4,680 $2,340 $7,020 B 5-9 $5,850 $2,925 $8,775 C 10-15 $7020 $3510 $10,530 D 16-21 $7,020 $3,510 $10,530 E 22-29 $9,360 $4,680 $14,040 F 30-33 $4,680 $2 340 $7,020 G 34-39 $7020 $3,510 $10,530 Total $45 630 $22,815 $68,445 Post roofing work includes all above roof corner boards and clapboard siding.Short chimneys will have corners and siding replaced in full.Large rear chimneys removed by roofer. Post-Roofing Work Labor Cost Material Cost Total A 1-4 $6,098 $3,700 $9,798 B 5-9 $7,623 $4,625 $12,248 C 10-15 $9,147 $5,550 $14,697 D 16-21 $9,147 $5,550 $14,697 E 22-29 $12,196 $7400 $1959 F 30-33 $6,098 $3,700 $9,798 G 34-39 $9,147 $5550 $14,697 Total $59,456 $36,077 $95,532 Painting includes one coat to pro-primed re laced areas of trim and siding Painting Labor Cost Material Cost Total A 1-4 $1830 $450 $2,280 B 5-9 $2,288 $563 $2,850 C 10-15 $2,745 $675 $3,420 D 16-21 $2,745 $675 $3,420 E 22-29 $3,660 $900 $4,560 F 30-33 $1,830 $450 $2,280 G 34-39 $2,745 $675 $3,420 Total $17,8 3 $4,388 S22.230 Optional work: • Second coat of painting if chosen would be an additional$16,675 • Changing front small chimneys to vinyl siding instead of cedar clapboard -$225 per chimney • At dormer fascia to roof transitions,removing sheathing to install blocking underneath$40/area 6 Huron Drive PRIMEI-ouch Natick, MA 01760 5 E n v r t E 5 800-767-8910 Alcott Village 2015 Exterior Carpentry Proposal 06/12/15 Page 3 of 6 Additional arpentry Work will be billed at the Unit Pricing listed below: Item Unit Labor/Unit Material/Unit Cost/Unit TI-11 sq.ft $75.00 $150.00 $225.00 Clapboard Siding lin,ft $2.00 $1.75 $3.75 10 PVC lin.ft $4.50 $1.50 $6.00 1x4 PVC lin,ft $4.50 $1.65 $6.15 1x5 PVC lin.ft $4.50 $1.85 $6.35 1x6 PVC lin,ft $4.50 $2.25 $6.75 1x8 PVC lin,ft $4.50 $3.00 $7.50 1x10 PVC lin,ft $4.50 $3.75 $8.25 1x12 PVC lin,ft $4,50 $4.50 $9.00 5/4x4 PVC lin.ft $4.50 $2.50 $7.00 Garage Door Stop lin.ft $4,50 $3.00 $7.50 PVC Sill Nosing lin,ft $4.50 $3.50 $8.00 908 Casing PVC lin,ft $4,50 $3,50 $8.00 Hourly Rate hour 1 $48.00 $48.00 Material Mark U % 1 1 $0.15 $0.15 *All repair work not included but not limited to sheathing,framing,window&door installation(including measurement),interior window or door trim work,interior repairs due to sheathing or framing replacement,leak investigation&repairs, deck/deck repairs and moving utilities will be billed at time&materials. 6 Huron Drive PRIMEtouch Natick,MA 01760 S E R V { C E s 800-767-8910 Alcott Village 2015 Exterior Carpentry Proposal 06/12/15 Page 4 of 6 Prime Touch Guarantee: Prime Touch guarantees our workmanship and materials will not fail for two(2) years from the date your project is completed as determined by the date that the specific building was accepted and invoiced. There are some limitations to the Guarantee.Please see below. Definition of Workmanship: The intent of this guarantee is to protect the customer from faulty application by Prime Touch or faulty materials provided by Prime Touch. The intent of this guarantee is not to transfer liability of existing deficiencies in building design, construction, or previous workmanship and previous materials provided by other contractors, from the property owner to Prime Touch. Areas where there has been a history of failure are not guaranteed unless corrective measures have been taken to eliminate the root cause of the historical failure. Prime Touch guarantees to remedy failed areas, at no cost to the owner. Guarantee work shall be scheduled in the production schedule after verification and completed in the order of the production schedule,weather permitting. Definition of"remedy": Prime Touch will repair the failed area, and only the failed area. Due to fading, the fresh coating applied to the failed area may not match exactly. All guarantee repair work will be performed at the same level of preparation as performed in the original contract. Service Limitations: This guarantee does not cover any damage resulting from external cause such as, but not limited to, negligence, misuse, abuse, unauthorized repair by others; defects in design, construction, or previous workmanship; fire, water, windstorm, sand abrasion,hail or any other act of God. Work necessitated by any of the foregoing will be subject to charge at our prevailing demand service rates. IN NO EVENT SHALL PRIME TOUCH BE LIABLE FOR SPECIAL,INDIRECT,INCIDENTAL OR CONSEQUENTIAL DAMAGES. Limitations to the Guarantee: Guarantee applies to all areas except: -Any area not specifically included in the contract -Galvanized metal -Varnished or transparent stained surfaces - Walked-on surfaces,flat horizontal surfaces,windowsills -Mildew or Algae -Painted or stained roofs or gutters -T- 111 siding, finger jointed trim and siding areas - Sap stain bleeding, Knot staining -Rotted or deteriorated substrates -Coatings applied to factory finishes,plastic,vinyl or glass -Any area or surface specifically excluded from guarantee in the above proposal 6 Huron Drive PRIMEr"Ouch Natick, MA 01760 5 E R V I C E S 800-767-8910 Alcott Village 2015 Exterior Carpentry Proposal 06/12/15 Page 5 of 6 The Fine Print Deposit: A 10%deposit and the return of a signed proposal is required to secure a position in the production schedule. 20%payment is required upon start of the project. Payment Schedule: Prime Touch will submit invoices on a section-by-section basis. Invoices are due and payable seven (7) days from date of submission. Prime Touch and the Property Manager/Condominium Association Representative will agree upon the submission procedure prior to the start of the project. Past due amounts are subject to a service charge of 1.5%per month,which is an annual rate of 18%. Utilities: Pricing is based on the Condominium Association providing free and clear access on a unit-by-unit basis to water and electricity required to perform the proposed service. Unit Resident Responsibilities/Water Infiltration: Removal and replacement of personal property from deck, parking cars well away from building during production, unlocking windows, removal & replacement of storm windows, removal and replacement of window screens & slider screens and providing timely access to entry doors.Non-cooperation will result in exclusion of these surfaces. Prime Touch shall not be liable for any property that is not removed by the Unit Resident. Prime Touch shall not be held responsible for water infiltrating any double pane window or door seal during power washing. Sign Off Procedure: Prime Touch requests and the Property Manager/Condominium Association Representative agree that each building or section of a building will be signed off after an inspection by the Prime Touch Project Manager and either the Property Manager/Condominium Association Representative. These inspections will be completed in a prompt manner not exceeding forty-eight(48)hours from notification. Proposal Validity: This proposal expires thirty (30) days from the date found on Page 1. Due to ongoing requests for painting service, acceptance of this proposal for production by Prime Touch is subject to the sole discretion of Prime Touch based on available production capacity. Once accepted by Prime Touch,the project will be completed within the season. Acceptance: Alcott Village Condominium Association having met on ----�1agree to request that the above- described work be accepted for completion for the above price. Signed: Duly auth rizedd1Representative of Alcott Village Condominium Association Signed: U Property MAnager, horized Agent of Alcott Village Condominium Association. 6 Huron Drive t �cl Natick,MA 01760 s E R v i' c E 5 800-767-8910 Alcott Village 2015 Exterior Carpentry Proposal 06/12/15 Page 6 of 6 TOWN OF NORTH ANDOVER AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units...or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exception, along with other requirements. Type of Work: Roofing related trim and siding Est. Cost ,47 Address of Work �� Alcott Way, North Andover Owner Name: Alcott Village Condominium Trust Date of Permit Application: 7/31/15 1 hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Permit No. Job under $1,000 Date Building not owner-occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND LINER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: 7/31/15 Primetouch Services 155685 Date Contractor Name Registration No, OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name The Commonwealth of Massachusetts Department of-Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02X14-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY, Annlicant Information Please Print Legibly Name (Business/Organization/Individual): Primetouch Services Address: 6 Huron Dr. City/State/Zip: Natick, MA 01767 Phone i#: Are you an employer?Check the appropriate box: Type of project(required): 1.®I am a employer with 60 employees(fill and/or part-time).* 7. ❑New construction 2.F_J 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. F1 Demolition 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Building addition 4.F]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.Q Plumbing repairs or additions 5.n 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.x 14.®OtherTrim/Siding 6.0 We area 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.] IL *Any applicant that checks box 41 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. #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 erttployer'tltat is providing iporlcers'eontpertsation insurance for'rrty employees. Belotp is the policy and job site information. Insurance Company Name:Star insurance Co. Policy#or Self-ins.Lic.#:WC0452496 Expiration Date:4/11/2016 Job Site Address: Alcott Way, City/State/Zip:-North Andover, MA 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 WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under thepains andpenalties ofperjury that the inforinationprovided above is true and correct. Signature: /�'�\� Date:7/31/15 Phone#: 508-652-9170 Official use only. Do not rprite 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#: PKIM11=4 UN IU:SUK DATE(M M/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 07/30/2015 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), 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 CONTANAME: Loretta Brown FBinsure,LLC PHONE FAX DBA FBinsure A/c No Ext:508-824-8666 A/C, /c No): 508-880-0142 PO Box 509 ADoaess:loretta@f!Linsure.com Taunton,MA 02780 Tom Rogers,CIC,CRM,CWCA INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Group 39926 INSURED Prime Touch Services Inc INSURER B:Star Insurance Company 18023 Attn: Mr. North INSURER C 6 Huron Dr Natick, MA 01760 INSURER D: INSURER E; INSURER 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. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR SD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE � PREMIOCCUR S1916323 10/15/2014 10/15/2015 DAMAES( a occRENTED urrence $ 500,000 SES E X Blkt Add'1 Ins MED EXP(Any one person) $ 10,000 X Blkt Waiver PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY r JEST D LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: PD Ded $ 250 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 A ANY AUTO A9092598 10/15/2014 10/15/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIREDAUTOS X NON-OWNED PeOaccidentDAMAGE $ AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE S1916323 10/15/2014 10/15/2015 AGGREGATE $ 5,000,000 DED I X I RETENTION$ 0 $ WORKERS COMPENSATIONX PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WC0452496 04/01/2015 04/01/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? F 7N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Equipment Floater S1916323 10/15/2014 10/15/2015 Lsd Equip 100,000 ACV/Special Form Ded 500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Painting and Carpentry Contractor. CERTIFICATE HOLDER CANCELLATION ALCOTT1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Alcott Village ACCORDANCE WITH THE POLICY PROVISIONS. C/O MGS Management LLC 40 Alcott Way AUTHORIZED REPRESENTATIVE Andover, MA 01845 Tom Rogers, CIC, CRM,CWCA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD -Massachusetts -DePartyrient of Publi i d Building Reg a ti � s and oras g, ;cense: CS-068912 MATTIpEW T ISna park r Hopedale MA 03347 JWH MSsO er 091 OM016 Office! affairs and �azsiness Regulation 10 Park Plaza - Suite 5170 Bostonpassac setts 02116 Home Improvement� ctor Registration Registration: 155685 Type: Private Corporation { x 1 ' Expiration: 56112017 Tr# 268024 PRIME TOUCH SERVICES INC �"° WILLIAM NORTH ��� at HURON DRIVE -- NATICK, MA 01760 i`�yM1 v ti Update Address and return card.Mark reason for change. scAy 0 2OM•asna . m Address [] Renewal ® Employment Lost Card I Office of Consumer Affairs&Business Regulation License or registration valid for individui use only OME INPROVI MONT CONTRACTOR before the expiration date. If found return to., g5 Type; Office of Consumer Affairs and Business Reguiation Facpi oat _ Frhrate Corporation 10 Park Pt -Suite 5270 i; Boston,MA 02216 PRIME TOUCH SE 1 WILLIAM NORTH ��R 6 HURON i7Rt1tE �-- NATIClt'MA 01760 - Underseeretary Not valid without signature