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HomeMy WebLinkAboutBuilding Permit # 10/13/2015 p OF QaoRTH `� BUILDINGPERMIT ��4e o 6 ti4 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ~y Ay hct" Permit No#: Date Received �RA�OArEDCHusDate Issued: IMPORTANT: Applicant must complete all items on this page LOCATION t Print PROPERTY OWNER &UV Print 100 Year Structure yesno MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other DESCRIPTION OF WORK TO BE PERFORMED: � Identification- Please Type or Print Clearly OWNER: Name: , CGS Phone: a 7�r Address: t A/9,0 . Contractor Name• , Email: Address Supervisor's Construction License: Exp. Date _ZL. - Home Improvement License: ' - l Exp. Date: -Y"--t ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE,BULDINF PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ M. FEE: $ " =-off tqriChe k No. Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund d � rr �J � I r i yjt�t .�✓,, //f ��.,r /r��/�l��� a r i i r i /��"l�� �Jl��//������/>/�,/ k tjORTH Town of ndover ® ..aa'� •'�'�' �' to C% LAKE h ver, 6 ss, 15.7,zK COC HI CNEWICK �•9 °Rwreo AY�'�,�5 S L] BOARD OF HEALTH Food/Kitchen PER IT T Septic System M', I THIS CERTIFIES THAT °.. .......... .c,:.. � 1 '.................................................................... BUILDING INSPECTOR has permission to erect ........ ...... buildings on .......k.......... a Foundation ..... 2 . .......!�......................................... �. � �� � Rough tobe occupied as ............... ............... . .. ... . .. .. .......9J. ........................................ Chimney provided that the person accepting this ermit shall in every respect conform to the terms of the application Final 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMITI IN ® T S ELECTRICAL INSPECTOR LESS CONSTRUC 1® TS Rough Service ................... ....................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® i9ccupy Building Rough Islay 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. Contract ® Detailed Pella Window and Door Showroom of Haverhill Sales Rep Name: Griseto,Anthony © 45 Fondi Road Sales Rep Phone: 978-490-9666 Haverhill, MA 01832 Sales Rep Fax: Phone: (978) 373-2500 Fax: (978)373-7274 Sales Rep E-Mail: GRI SETOAC@pellaboston.cam Customer Information` Project/]Delivery-Address t?rder Information Guy Mcclellan Mcclellan,Guy,NorthAndover,MA,1626509 Quote Name: 5 Windows 21 Appleton St 21 Appleton St Order Number: 741AG0518 NORTH ANDOVER,MA 01845-3119 Lot# Quote Number: 7164862 Primary Phone:(978)3608906 NORTH ANDOVER,MA 01845-3119 Order Type: Installed Sales Mobile Phone: County: ESSEX Payment Terms: Deposit/C.O.D. Fax Number: Tax Code: MA TAX 6.25 E-Mail: Quoted Date: 9/16/2015 Great Plains#: 7445779 Customer Number: 1006616241 Customer Account: 1002080869 Customer Notes: MA North Andover $1211000($30 MIN FEE), Customer is required to pay building permit fee with a seperate personal check made out to Pella Windows and Doors Line# Location: =Attributes, 10 Delivery Delivery/Setup-Delivery/Setup Item Price Qty Exfd Price $199.75 1 $199.75 For more information regarding the finishing,maintenance, service and warranty of all Pella®products,visit the Pella@ website at www.pelia.com Printed on 9/23/2015 Contract-Detailed Page 1 of 7 Customer:Guy McClellan Project Name: McClellan,Guy,NorthAndover,MA,1626509 Order Number: 741AGO518 Quote Number: 7164862 Line,# Lpcatibn; Attributes 15 LR Vinyl Windows 1 Doors By Pella, Double Hung, White U l j Item Price Qty Ext'd Price 5 Y $501.56 2, $1,003.12 1:SizeNon-Standard Size Double Hung,Equal PK# General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",Sill Adapter Included,No Head Expander 725 Exterior Color I Finish: White Interior Color/Finish: White Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: White,Standard Vent Stop Screen: Full Screen Viewed From Exterior Grille: GBG,No Custom Grille,3/4"Contour,Traditional(3W2H!3W2H) No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 PI Express-Express Pocket Qty 1 Line* Location; Attributes. 20 '-LRItem Price Q Ext'd Price Vinyl Windows(Doors By Pella, Double Hung, White �c�Jy ��-� � $512.72 2'' $1,025,44 1:S izeN on-Standard Size Double Hung,Equal PK# General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",Sill Adapter Included,No Head Expander Exterior Color/Finish: White q 725 Interior Color/Finish: White Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: White,Standard Vent Stop Screen: Full Screen Viewed From Exterior Grille: GBG,No Custom Grille,3/4"Contour,Traditional(3W2H 13W2H) No Ext.Wrap/Cap-No Exterior WraplCap Qty 1 PI_Express-Express Pocket Qty 1 For more information regarding the finishing,maintenance, service and warranty of all Pella@ products,visit the Pella@ website at www,pelia.com Printed on 9/23/2015 Contract-Detailed Page 2 of 7 Customer: Guy Mcclellan Project Name: Mcclellan,Guy,NorthAndover,MA,1626509 Order Number: 741AGO518 Quote Number: 7164862 Line# Location; Attributes 25 HaV_. Vinyl Windows I Doors By Pella, Double Hung, WhiteItem Price Qty Ext'd Price XyZ/Z $545.92 1 $545.92 ri 1:SizeNon-Standard Size Double Hung,Equal PK# General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",Sill Adapter Included,No Head Expander 725 Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude it Hardware Options: White,Standard Vent Stop Screen: Full Screen Viewed From Exterior Grille: GBG,No Custom Grille,3/4"Contour,Traditional(3W2H/3W2H) PI—Pocket Integrated Stop-Pocket Integrated Stop Qty 1 Thank You For Purchasing Pella® Products PELLA WARRANTY: Pella products are covered by Pella's limited warranties in effect at the time of sale.All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor Pella Windows&Doors will be bound by any other warranty unless specifically set out in this contract. However,Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening(egress)information does not take into consideration the addition of a Rolscreen [or any other accessory]to the product.You should consult your local building code to ensure your Pella products meet local egress requirements. Per the manufacturer's limited warranty,unfinished mahogany exterior windows and doors must be finished upon receipt prior to installing and refinished annually,thereafter. Variations in wood grain,color,texture or natural characteristics are not covered under the limited warranty. INSYNCTIVE PRODUCTS:In addition,Pella Insynctive Products are covered by the Pella Insynctive Products Software License Agreement and Pella Insynctive Products Privacy Policy in effect at the time of sale,which can be found at Insynetive_pella.com. By installing or using Your Insynctive Products you are acknowledging the Insynctive Software Agreement and Privacy Policy are part of the terms of sale. Project Checklist Review (Installed Orders Only) Before the Installation the Homeowner agrees to do the following: Obtain Condo Association Approval Obtain Historic Approval Remove existing shutters and awnings Remove;-air conditioners Remove-existingshades, drapes, window treatments,Wall hangings, and personal belongings For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella,com Printed on 9123(2015 Contract-Detailed Page 3 of 7 Customer:Guy Mcclellan Project Name: Mcclellan,Guy,NorthAndover,MA,1626509 Order Number: 741AGO518 Quote Number: 7164862 Move furniture.at least 3 feet away from work area Tie or cut back trees, bushes and shrubs in the work area Arrange to have alarm system and doorbells disconnected Arrange to have any plumbing and electrical repairs or changes made by appropriate licensed contractor Provide a door handle and lockset for entry door if Pella handle and lockset is not purchased. Before the Installation Pella agrees to do the following: Obtain Biuilding'Permit(When required) Prefinish products when purchased in contract During the Installation the Homeowner agrees to do the following: Keep,pets safely away from work area ?``= Keep children safely away from work area Allow Pella Installer room to work safely within your home During the Installation Pella agrees to do the following: Deliver and unload,products purchased per contract Place and remove drop cloths in,work area then vacuum,and removeiall Abbris.at.end.of..day;,:w Remoue,existmg product mcludmg storm windows, and dispose of it unless otherwise spedifiecl Install`a'll`.products•usmg'metho'd specified m contract perPella'I"nstall`ation Inst'ruction's Replace interior and/or exterior trim only if purchased If Purchased, install exterior primed pine wood trim or Composite, Composite will be unfinished. If Purchased, install interior trim matching wood window finish or White trim for Impervia and Encompass Install non-Pella entry door lockset provided by you. Pella is not responsible for it's quality or performance After.the.Installation the Homeowner agrees to do the following: Be available for completion and sign off fo verify all products purchased are in working,order Reinstall,existing shutters and awnings Re=install existing shades, drapes,window treatments, wall hangings, and reposition furniture Arrange to have alarm system and doorbells reinstalled Reinstall air conditioners Remove stickers from product and save for energy rebate and tax purposes Wash all interior&exterior glass surfaces Fill nail holes and joints on interior trim if windows are to be stained (after staining) Clean up xt for casing issues due to storm window removal if full wrap or new exterior trim is not purchased Project Checklist has been reviewed ustomer nrtial Product Only Addendum has been reviewed Customer initial Credit Card Account#: Last 4 Digits For more information regarding the finishing,maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 9/23/2015 Contract-Detailed Page 4 of 7 Customer:Guy Mcclellan Project Name: Mcclellan,Guy,NorthAndover,MA,1626509 Order Number: 741AGO518 Quote Number: 7164862 Expiration Date: / Charge final payment to same account . :-, (Upon substantial completion) customer;n;tia Project Checklist has been reviewed lVil �/, Custom r Name (Please print) Pella S les- I m P s int) Order Totals i ' Taxable Subtotal $1,545.98 \10 Cust er Signature gym_ e a Sales Rep Signature Sales Tax @ 6.25% $96.62 � Non-taxable Subtotal $1,228.25 Date Date Total $2,870.85 Deposit Received $0.00 Credit rd Ap o )-Signat Amount Due $2,870.85 For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella@ website at www.pella.com Printed on 9/23/2015 Contract-Detailed Page 5 of 7 PELLA WINDOWS AND DOORS CONTRACT 7. PAYMENTS 1. TERMS AND CONDITIONS Pella shall be entitled to stop the Work upon written notice to Owner for any material default or failure by Owner,including but not limited to,the Owner's These Terms and Conditions are an integral part of the contract set forth on the failure to pay Pella the amount due within seven days after the date payment is Product Order(the"Contract")between New England Window and Door LLC due. dba Pella Windows&Doors,Inc.("Pella")and the person(s)identified on the Product Order("Owner")to supply the products(the"Products''),and perform 8 CORRECTION OF WORT{ the work(the"Work")described or referred to in such Contract. For Product Only purchases,a signed"Product Only Addendum'is a required part of the Pella shall correct installation Work not in conformance with the requirements contract, of the Contract,if notified in writing by the Owner within two years after the Completion Date or,if earlier,the date on which the Work is substantially 2 OWNER completed and payment of the Purchase Price made subject to a holdback as provided above.Correction of Work as herein provided shall be Owner's sole Pella is not responsible for any existing security systems.Owner shall remove remedy for defective workmanship,and is provided in lieu of any and all other all shades;verticals,blinds,curtains,drapes or window mounted air remedies.Pella's obligation to correct Work is conditioned on Pella's prior conditioners,prior to the installation of the Products.Pella's installers are not receipt of all payments then due. responsible for the removal or installation of these types of items. Pella is not responsible for pre-existing window coverings fitting on newly installed Pella 9. LIMITED PRODUCT WARRANTY windows. Pella shall warrant all Pella products,but only in accordance with the Pella The Owner shall provide complete access to the work site between the hours Windows&Doors Limited Warranty,THIS LIMITED WARRANTY SHALL of 7:00 a.m.and 6:00 p.m.(Monday through Friday)for Pella's installers to BE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND deliver the Products and perform the Work. PELLA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, WRITTEN OR ORAL(INCLUDING WITHOUT 3. PELLA, LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS Pella will be responsible for and have control over construction means, FOR A PARTICULAR PURPOSE). methods,techniques,sequences and procedures and for coordinating all portions of the Work.Pella will be responsible for the Work of its Pella to. NO CONSEQUENTIAL DAMAGES Contractors who will install the Products. UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR Unless provided otherwise in the Work description,Pella will provide and pay CONSEQUENTIAL,INCIDENTAL,INDIRECT,OR SPECIAL DAMAGES, for all labor,materials,equipment,tools and machinery,transportation,and WHETHER FORESEEN OR UNFORESEEN. other facilities and services necessary for the proper execution and completion ofthe Work. 11. HOME IMPROVEMENT CONTRACTORS The materials and equipment furnished under the Contract will be good quality All home improvement contractors and subcontractors shall be registered with and new unless otherwise required or permitted,the Work will be free from the director of the Home Improvement Contractor Registration Program defects not inherent in the quality required or permitted,and the Work administered by the Board of Building Regulations and Standards. Pella and conform with the requirements of this Contract.Pella shall not be responsible any of its subcontractors identified in this agreement have been registered. for damages or defects caused by abuse,modifications not executed by Pella, Any inquires about Pella or any of its subcontractors relating to registration improper or insufficient maintenance,improper operation or normal wear and should be directed to:Director,Home Improvement Contractor Registration, tear. Pella will keep the premises and surrounding area free from One Ashburton Place,Boston,MA 02108,617-727-8598 accumulation of waste materials or rubbish caused by performance of the 12. PERMITS(VIA customers only) Work. lln iqb ig�ed to and will obtain the following permits for this project: 4. CHANGES t V . Homeowners who secure their own permits will be excluded fro ie guaranty fund provisions of Massachusetts General Laws, The Owner may order in writing changes in the Work consisting of additions, chapter 142A. deletions,or modifications("Change Order"). Any Change Order shall include an adjustment to the Price and the Substantial Completion Date,as In addition to the rights and warranties enumerated in this agreement,you may determined by Pella. Pella reserves the right to approve or disapprove any have additional rights under Massachusetts General Laws,chapter 142A and Change Order and any such Change Order must be signed by both Owner and 780 Code of Massachusetts Regulations R6. Pella to be effective. 13. NOTICE OF CANCELLATION �. SUBSTANTIAL COMPLETION You may cancel this agreement if it has been signed by a party Owner understands and agrees that the Substantial Completion Date is an thereto at a place other than an address of the seller,which estimate only and that the actual date on which the Work is completed may be may be his main office or branch thereof,provided you notify extended to allow for Change Orders requested by Owner or if the time to complete the Work is affected by conduct of the Owner,weather,labor the seller in writing at his main office or branch by ordinary disputes,availability of subcontractors,acts of God,fire or other causes mail posted,by telegram sent or by delivery,not later than reasonably beyond Pella's control.If for any reason the Work is not fully midnight of the third business day following the signing of this completed by the Substantial Completion Date(including any extensions agement. contemplated above),but is substantially completed by such date,i.e.,the Product has been installed,but minor parts or components are missing or need See the attached Notice of Cancellation for an explanation of to be replaced or repaired,a hold back proportionate to the cost of remaining parts or work to be completed is acceptable.However,the holdback will not this right. exceed the amount of the completion costs or 10%of the remaining unpaid balance of the Price,whichever is less. Do not sign this contract if there are any blank spaces. 6. FINANCING If payment of the Price is financed with a financial institution through Pella,all '`J financing paperwork must be completed upon signing of this Contract and the requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. Custer SiRaature Date DISPUTES THE CONTRACTOR AND THE HOMEOWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT PELLA HAS A DISPUTE CONCERNING THIS CONTRACT,PELLA MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN M.G.L.c. 142A Contractor XR" Homeowne NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. NOTICE OF CANCELLATION Date of transaction: '—�� You may cancel this transaction,without any penalty or obligation,within three business days from the above date. If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this agreement; or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so,then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to Pella Windows and Doors, at 45 Fondi Rd.,Haverhill MA 01832 not later than midnight of ��` 2c f )—(three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) The Commonwealth offtMaisaekeseas Depart®nent of Industrial Aceidenis Office of Investigations 1 Congress Street, Suite 100 Boston, fl 02114-2017 www.mass.go>v/dia Workers' Compensation Insurance Affidavit. 1$uilders/Contractors/Electricians/Plumbers A plicant Information Please Print Legibly Name(Business/organization/Individual): j�aI/AJ,1inJi0m�ie bti3c.tf1� Address: 4! City/State/Zip: t t ) 2 .2 Phone M '73?) Are you an employer?Check the appropriate box: Type of project(required): 1.[,I am a employer with 4. ❑ I am a general contractor and 1 6 ❑New construction have hued the sub-contractors employees(full and/or part-time).* listed on the attached sheet. 7. temodeling 2.❑ I am a sole proprietor or partner- These sub-contractors have ship and have no employees 8. ❑Demolition employees and have workers' working for me in any capacity. 9. ❑Building addition o workers' cora insurance comp.insurance.+ [N P• 10.❑Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.El am a homeowner doing all work officers have exercised their 11.®Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]+ c. 152, §1(4),and we have ao employees. [No workers' 13.0 Other comp.insurance required.] '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 cheek this box must attached an additional sheet showing the name of the sub-conhactors 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 providing workers'compensation insurance for'fly enrplopees. Below is the policy and jab site information. _ Insurance Company Name: M4 Policy#or Self-ins.Lic.#: Lh)00 0 4 fol Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section MA of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify,under the pains and penalties o perjury that the information provided above is true and correct. _ —Date. n� Signature: - ---- - - — — -- Phone# 7f?-. zz I a Y,:,— 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 b.Other Contact Person: Phone#: CERTIFICATE OF LIABILITY INSURANCE D6/T�41A �M1DDIYYYYj 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 cars ficate holder is an ADDITIONAL INSURED,the policy(les)must he endorsed. if SUBROGATION IS WAIVED,subject to (he terms and conditions of the policy,certain policies may require an endorsement A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NTE DDmmyA.Codeg,CIC,RPLU Fred C.Chump,plc 41 walman Sfmal PHONE 9783!21231 FAX No: (970)45M1 1665 fmve9.MA 01651dca1dl@Wcchurch.cmn (800)2254065 AE�QRESS: INSURER(S)AFFORDING COVERAGE NAIC9 INSURER A- CBnenslasuranceGampanyofAmerica 31534 INSURED INSURERS: Now Hampshire Employers insurance Company 13003 New England Window 6 DoorLLC INSURERC: 45 Famii Road Havedigl,MA 01032-1302 INSURER D. INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:54457 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 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 REDUCEDBYPAID CLAIMS. INSR ADOLSUOR POUCYEFF POLICYEIIP LIMITS LTR TYPEOFINSURANCE POUCYNUMBER M6WD M1D0 GENERALUABILITY EACH OCCURRENCE S 1,OD0,00D DAMAGE TTR-Bffffl S 10G,008 X COMMERCIAL GENERAL LIABILITY PREMISESES Decanance CLAIMS-MADE OCCUR. MEDEXP(Any almperson) S 10,000 A X CG0001 %BN016140T 7/112015 71112016 PERSONAL LADVINJURY g 1.OD0,009 GENERAL AGGREGATE S 2,000,000 GEMLAGGREGATE LIMIT APPLIES PEP: PRODUCTS-COMPIOPAGG S 2.009,000 POLICY X PRO- X LOCJECT S ACOMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Eae den! ANYAUTO BODILY INJURY(Parperson) S ALL oAUTOSwwo SCHALIT EDULED BODILY INJURY(Peraceldent) S HIRED AUTOS RUN-OSWNEO PROPERTYDAMAGE S er accidon S UMBRELLA UAB OCCUR EACH OCCURRENCE 3 EXCESS LIAR CLAIMS-MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION X WC STAN- DTH- ANO EMPLOYERS'LIABILITY U I ANY PROPRIETORIPARTNEAIMCUTIVE YIN EL EACH ACCIDENT g 500,060 B OFFICEIINEMBER EKGLUDE07 MIA 400640101 7/1f2015 71112018 500,606 (MandaInryinNH) E.L.DISEASE-EA EMPLOY $ If yas,dase0a under 500,060 DE5CRIPTIONOFOPERATiONShalovv EL DISEASE-POJ CYUMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(A[BchACOR13161,AdditionalRemadm$chedule,Umorespaeeismquimdl CERTIFICATE HOLDER CANCELLATION SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOR DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORM P.EPREMTATIVE '. �C (/r_n�i nrn�r�nen•ff�o�i-�, �r�J�crc�crJc°f/J License or registration valid for individul use only Ice of Consumer Affairs&Business Regulation before the expiration date. If found return to: E IMPROVEMENT CONTRACTOR office of Consumer Affairs and Business Regulation - Type: 10 Park Plaza-Suite 5170 egistratiow PP.183279 supplement Card Boston,MA 02116 > Expiration: 9/2412017 NEW ENGLAND WINDOW&DOOR,LLC. PELLA WINDOWS&DOORS William Nichols • 45 FONDI ROAD Not valid without signature HAVERHILL,MA 01832 Undersecretary vs4lzJ1 r k i - ' yy, iYfi)➢5 �,'�na,'V �11� .Ili 7 CS-089853 u WILLIAM R N CKQLS . 57 PEARTREE RD' HAVERiML MX:,01830 t �.�.-� 10/26/2016