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HomeMy WebLinkAboutBuilding Permit # 12/4/2015 � phQRYhf � BUILDING PERMIT0� TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION Permit N0:11 Date Received �, p`�N'YRD FN`y a{ Date Issued; ' �4CHU ` IMPORTANT 1�5hcantwr - must :�, fete all items on this LOCATitN Wdad R tge `Tomes l0 Wards dge + �e fort �ndc�ver PROPERTY'QWNE Wpod i e Horir es M 17 1 C 4' arras rkh Street, a tan�MA� 210 MAP NQ PARCEL, ZONING bISTRICT�Hlstoric Dtsr�ct yes na TYPE OF IMPROVEMENT PROPOSED USE Residential _...,......._.._.._........,.,.,,..,,.,µ..____ ,__.. _._. Non Residential ❑ New Building ❑ One family ❑Addition iXTwo or more family ❑ Industrial ZXAlteration No, of units; 230 11 Commercial IX Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ mow_, a -777 D Septic 4�Well o Elnadplain D VUetlrids Qw Watershed Dastrict77 ❑1iVaterlSewr Replace kitchen cabinets in all units, replace bath/kitchen flooring er the unit matrix, re lace unit entry doors, replace heating systems upgrade interior and site lighting,mill and resurface road and Parking area Increase accessible units to twelve units - Identification Please Type or Print Clearly) OWNER: Name: Wood Ridge Homes LLC Phone: 617-532-8605 Address: 24 Farnsworth Street Boston MA. 02210 CONTRACTOR- Narne: Phone,: 781 88 7 3 NEI Cntractn Inc Address 5u�eNit rs'Ccnstructi6mLicenseY , Exp -date94 .....� Homedrnp�o�retrwen#`Licens, date y Michael Liu. ARCH ITECT/ENGINEERThe Architectural Team _ Phone: 617-884-4329 Address;SDo mandant' Wgy Chefs �Q� Q Reg. No, FEE SCHEDULE:BOLDING PERMIT:$12,00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: �. . ` FEE: Check No,: 34a5_2' No,; ----Receipt NOTE: Persons contracting with unregistered contractors do not have acda t t re guaranty fund Signature"of Ayent/Owner irjnature of cotitractr t ° ,. n .mm t Ph Swroior Project Manager 21 P iccila flak Diiv,e eKi ied 'Piot Man F1 Stamped Pians ❑ Rawlolph,M.A 02.368 T)1 t (781)356-7666 3 Pub, d (781)835-3722 c (978)852-1659 TE Pools ❑ Wei e sjorica,c`P,ncigc.cmi , f (781)356-1221 ging/Saleswww 11cil"'C.corn THE FOLLOWING SECTIONS FOR OFFICE USE ONLY d�NT L SIGN OFF- U FORM Vincent Barboza Superintendent tele (781)356-7666 sewed On Signature cell (978)807-0346 fax (781)356-2221 email vbarboza@NEIGC.coin 27 Pacella Park Drive Randolph,MA 02368 www.NEIGC.com ERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No; Zoning Decision/receipt submitted yes Planning Board Decision: Comments Cons9pafion Decision: Commenfs Wker&Sewer Connection/SI�I1a�IIr��®a1Ee Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street SIRE,®EP, R�TM G01T - Temp Dumpst"r o.n r ,yes o Located of V4,Main Sfree$ Fiib De000rinont sig"alt."e hj'Ate COMMENTS - IAoRTH ndover Town of 0 w •i F-0-W, "** ?, T 1 VeI'9 MasS OI. COCHIC"CWICK 1' QORATEDwoo M M LD S ll BOARD OF HEALTH Food/Kitchen I IL-2 Septic System PERM 1111111111IF AL BUILDING INSPECTOR THIS CERTIFIES THAT ®• • •••••••••••• ••••••••• 'V'•"" ................ ........................................... ..................... .•••••••.•.• Foundation . buildings on . )�o• •• . .... ...... has permission to erect ..�.......... Rough T,,, No Chimney d MO ,��, .... ... .. ............... im v to be occupied as ... .. . . .............................. ne d that the person accepting this permit shall in every respect conform to the terms of the application Final provide on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and PLUMBING INSPECTOR Construction of Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT S S Rough Service ...... ..............................................:. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Periteguired to occupy Buildin� Rough Final Display in a Conspicuous lace on the Premises — O of Remove FIRE DEPARTMENT No Lathing or Dry Wall To Be ®One Until Inspected an rove the Building Inspector. StreetrNo. Smoke Det. October 19, 2015 Steve Joncas Northeast Interiors,Inc. 27 Pacella Park Drive Randolph,MA 02368 RE: Wood Ridge Homes Dear Mr. Joncas: I have received your building permit application and drawings dated September 11, 2015 for the Wood Ridge Homes project located at 10 Woodridge Drive in North Andover MA and will release the building permit once the permit fee is received in this office. If you need any further assistance,please let me know. Sincerely, North Andover Building Department Gerald A. Brown Inspector of Buildings tuy IMPORTANT NOTICE TO POLICYHOLDERS - TERRORISM RISK INSURANCE ACT On December 26, 2007, legislation was enacted extending the federal Terrorism Risk Insurance Act of 2002, as amended (TRIA or the "Program"), until December 31, 2014. In accordance with TRIA , we must make coverage for"certified acts of terrorism" available under your policy. Previously, TRIA defined "certified acts of terrorism"to I or individuals "acting on behalf of any foreign persons or include only acts of terrorism committed by an individua foreign interest. " This was commonly referred to as "foreign terrorism". Coverage for "domestic terrorism", or acts of terrorism perpetrated by persons with no ties to foreign persons or interest, was provided in accordance with the terms and conditions of your policy, unless specifically excluded. On policies effective on or after December 26, 2007, TRIA no longer distinguishes between foreign and domestic terrorism in its definition of certified acts of terrorism". As a result, a "certified act of terrorism" now includes both foreign and domestic terrorism. The actual coverage provided by your policy for"certified acts of terrorism" is limited by the terms and conditions of your policy and/or applicable rules of law. For the duration of the Program, "certified acts of terrorism"will be defined in our policies as follows: A"certified act of terrorism" means any act certified by the Secretary of the Treasury, in concurrence with the Secretary of State and the Attorney General of the United States, to be an act of terrorism pursuant to TRIA. The criteria contained in TRIA for a "certified act of terrorism" include the following: 1. The act resulted in insured losses in excess of$5 million in the aggregate, attributable to all types of insurance subject to TRIA; and 2. The act resulted in damage within the United States, or outside the United States in the case of certain air carriers or vessels or the premises of a United States mission; and 3. The act is a violent act or an act that is dangerous to human life, property or infrastructure and is committed ansindividual an orto nfluence'viduals the policy oIng as part r affect the f an conduct effort t o coerce the c ndutt ofthe United States Government on of States by the United St coercion. Terrorism coverage made available in our policies is partially reinsured by the United States Department of the Treasury (the "Treasury") under a formula established by TRIA. Under this formula, the federal share equals 85% of that portion of insured losses that exceed the applicable insurer deductible. However, if aggregate insured losses attributable to "certified acts of terrorism" under TRIA exceeds $100 billion in a Program Year (January 1 through December 31)the Treasury will not make any payment for any portion of such losses that exceeds $100 billion. If aggregate insured losses attributable to certified acts of terrorism under TRIA exceed $100 billion in a Program Year(January 1 through December 31)and we have met our insurer deductible under TRIA,we shall not be liable for the payment of any portion of such losses that exceeds $100 billion and, in such case, insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. The premium attributable to coverage for "certified acts of terrorism" is set forth as follows. The charge for terrorism is either shown in Item 4 of the Information Page or on the Schedule.The rate for terrorism will apply as of the effective date of your policy or the anniversary rating date if different from the effective date. The terrorism rates are subject to change at any time based on state regulatory action. Page 1 of 1 Form WC 66 03 37 F Printed in U.S.A. How You Should Keep Your Records computation of premium. Their remuneration is By maintaining your payroll records in accordance with assigned without division to the actual operation in the following guidelines, you might reduce your which they are engaged. If their duties are the same insurance costs. as those of a worker, foreman or superintendent, their payroll is assigned to the classification that develops Overtime. In most states, the amount paid in excess the highest payroll. Minimum and maximum payrolls of straight time pay can be deducted if it can be apply to executive officers. verified in your records. You must maintain your records to show pay separately by employee and in Automated Records. If your records are automated or you plan to automate in the near future you can summary by classification of work. obtain maximum benefits by setting up your records to *Division of an employee's payroll to more than one include insurance requirements. Our Premium Auditor classification is not allowed in most states. will be pleased to assist you in setting up your records. Contact your Hartford Representative if you would like Exception: For construction, erection or stevedoring this assistance. operations the payroll of an employee may be NOTE: The contents of this publication are not allocated to each type of work performed if proper intended to supersede any definitions or conditions of records are kept. Your records must show the number of hours and amount of payroll for each type your policy, the Workers' Compensation Law or any of work. If you do not keep such a breakdown, the full legal rulings. salary must be charged to the highest rated *Your state may have specific rules or exceptions. classification to which the employee is exposed. Please contact your Hartford Representative for Executive Officers in most states are considered details that may apply and answer questions you may employees of their corporation and included in the have. Form 98456 5th Rev. 12-13 Printed in U.S.A. Page 2 of 2 o A review of your safety program to determine its adequacy and recommend modifications to that plan where needed. o Specific hazard evaluations, including ergonomics, industrial hygiene or material handling. o An initial survey and evaluation to address potential safety and health hazards. o Consultation to help management establish a comprehensive loss prevention Program. o Periodic summaries of accidents and analysis of causes. o Follow-up visits to check on progress and to provide continuing assistance when required. A Word About OSHA The Occupational Safety and Health Act of 1970 and similarly approved State Plans require employers to provide their employees with safe and healthful places to work. The Occupational Safety and Health Administration (OSHA) of the U.S. Department of Labor and similar State agencies enforce the regulations and apply penalties (civil and criminal) for non-compliance. New standards have been developed, and through application and interpretation, standards change. You should make yourself aware of the standards that are applicable to your operations, and assure yourself that reasonable efforts are made to be in compliance. Copies of the standards are available through most libraries, or can be obtained through OSHA or the U.S. Government Printing Office. You should know that neither The Hartford, nor any other party, can fulfill your obligations under the Law. Questions related to your legal obligations should be referred to your legal counsel. Some Safety Reminders from The Hartford: Have you considered: o The need to formalize your safety efforts to assure compliance and document your efforts? o The need to acquire Material Safety Data Sheets on all hazardous materials and the need for training on appropriate safety measures for your employees? o Requirements for record keeping of injuries, illnesses, and exposure to hazardous substances? o Assessing each job task to determine hazards and needed controls? o Measuring each exposure to hazardous substances to determine the need for control or personal protective equipment? o What mechanisms are in place to periodically verify that exposure controls (guards, ventilation systems, etc.) are still in place and working? o What specific training your employees and your supervisors need to avoid hazards in the workplace? o What specific OSHA standards apply to your business? Page 2 of 6 Form 97485 14th Rev.Printed in U.S.A. THIS BROCHURE IS PROVIDED FOR INFORMATIONAL PURPOSES ONLY. IT IS NOT INTENDED TO BE A SUBSTITUTE FOR A COMPLETE ON-SITE SAFETY INSPECTION CONDUCTED BY A QUALIFIED LOSS INSPECTIONCONTROL CONDUCTEDSPECIALIST. BOTH TOREADERS PROMOTE ENCOURAGED TO HAVE SUCH AN INSPECTION WORKPLACE SAFETY AND TO COMPLY WITH APPLICABLE LAW. FOR ADDITIONAL INFORMATION N TASSISTANCE, EITHER TELEPHONE OR AIL THIS FORM TO YOUR HARTFORD AG OR NEAREST OFFICE OF The HART ORD NOTICE TO ARKANSAS POLICYHOLDERS The Hartford is required by law to provide its policyholders with certain accident prevention services at no additional cost as required by ARK. Code Ann. §11-9-409(D) and Rule 32. If you would like more information, call The Hartford's Loss Control Department, One Hartford Plaza, HO-GL-19-1, Hartford, CT 06155 at 1-860-547-7761. If you have any questions about this requirement, call the Health and Safety Division, Arkansas Workers' Compensation Commission at 1-800-622-4472. NOTICE TO CALIFORNIA POLICYHOLDERS The Hartford is required by law to provide its policyholders with certain occupational safety and health loss control consultation services as required by the California Labor Code, §6354.5, at no additional charge. If you would like more information call The Hartford's Loss Control Division at 1-860-547-7761 for occupational safety and health loss control consultation services. California Workers Compensation insurance policyholders may register comments about the insurer's loss control consultation service by writing to: State of California Department of Industrial Relations Division of Occupational Safety and Health P.O. Box 420603 San Francisco, California 94142 NOTICE TO PENNSYLVANIA POLICYHOLDERS The Hartford maintains and provides accident and illness prevention services as required by the nature of lvania the penia toin Act For'ness or its operation, in accordance with e more information about these services contact your Hartford yWorkers' Compensation or nearest office of The Hartford. Page 4 of 6 Form 97485 14th Rev.Printed in U.S.A. To The Hartford's Loss Control Department: Yes–I am interested in obtaining information concerning: Business Continuity Construction General Topics Construction Site Consultation _ Accident Analysis _ Business Travel Safety _ _ Accident Investigations _ Contingency Planning Overview _ Construction Equipment Hazards _ Establishing a Loss Control Program _ Emergency/Disaster Response _ Hazard Communication _ Hazard Recognition _ Emergency Evacuation Drills _ Ladders& Scaffolds _ Safety Committees _ Emergency Preparedness Planning _ Trenching & Evacuation Fall Protection Industrial Hygiene Property Ergonomics Automatic Sprinkler System _ Back Injury Prevention _ Hazard Communication _ _ Computer Workstation _ Industrial Hygiene (general) — Flammable Liquids Cumulative Trauma Disorders — Indoor Air Quality — Fire Prevention and Protection _ _ Ergo Train-the-Trainer Noise Exposures_ Fire Drill and Evacuation Telecommuting — Respiratory Protection — Hot Work Permit Program _ Transportation Workers' Compensation Other Topics_ 3-D Driver Training _ Bloodborne Pathogens — Business Risk Management _ Driving Defensively — Drug Screening _ General Liability Investigations _ Fleet Newsletter — Machine Safeguarding _ Product Liability Programs _ Guide to Successful Driver Mgmt _ Return to Work Programs _ Safety Training School Bus Driving Tips — Slip and Falls — Security/Terrorism Name Company Policy# Address City &State dip Code Email Address: Telephone For more information on the above,you can visit our website at htt s://www.thehartford.com/losscontrol Or you may forward your request to: Fax line: 1-860-723-4459 Or mail to: The Hartford Financial Services Group Loss Control Department One Hartford Plaza HO-GL-19-1 Hartford, CT 06155 Page 6 of 6 Form 97485 14th Rev.Printed in U.S.A. FLORIDA CONTRACTING CLASSIFICATION PREMIUM ADJUSTMENT PROGRAM WORKERS COMPENSATION-PREMIUM CREDIT APPLICATION (cont'd) INSURED NORTHEAST INTERIORS INC POLICY NO. 02 WE QT9983 EFFECTIVE DATE 03/05/15 CARRIER NAME SEE ATTACHED ENDORSEMENT Notice: Unless Code(s), total wages paid,total hours worked, and calendar quarter reported are indicated and application is signed, it cannot be processed. Contact your agent if assistance is desired. Is this a new business? 0 No F__1 Yes If no, submit information for the THIRD calendar quarter (July, August, September) of the prior calendar year as reported to taxing authorities. mplete calendar quarter following the effective date of your workers If yes, submit information for the FIRST co compensation policy. The following is based on actual wages and hours worked, as reflected in our payroll records,for the complete calendar quarter ending "Contracting classifications" are those classifications subject to the following code numbers: 0042 5059 5348 5491 5703 6229 7605 0050 5069 5402 5506 5705 6233 7855 1322 5102 5403 5507 6004 6235 8227 2799 5146 5437 5508 6006F 6236 9534 3365 5160 5443 5509 6017 6237 9554 3719 5183 5445 5535 6018 6251 3724 5188 5462 5537 6045 6252 3726 5190 5472 5551 6204 6260 5020 5213 5473 5606 6206 6306 5022 5215 5474 5610 6213 6319 5037 5221 5478 5613 6214 6325 5040 5222 5479 5645 6216 6400 5057 5223 5480 5651 6217 7538 TOTAL FLORIDA TOTAL WAGES HOURS CLASSIFICATION CODE PAID* WORKED*** Contracting Classifications: Non-Contracting Classifications: **These figures are to exclude overtime premium pay, (e.g. an employee makes $16/hour and is paid time and one-half, only report the payroll based upon the $16/hour), pay in excess of the maximum individual payroll for executive officers or the pay in excess of payroll amount charged to partners and sole proprietors as shown on the state rate pages, as well as the entire pay for any exempt sole proprietor, partner, or officer. For each classification code, combine all wages for that code in a single entry. Employee names are not required. ***Including overtime hours. Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. SIGNATURE POSITION DATE Form 09-4C(CCPAP) Page 2 of 2 Form WC 66 01 05 Q Printed in U.S.A. WORKERS COMPENSATION MASSACHUSETTS CONSTRUCTION CLASSIFICATION PREMIUM ADJUSTMENT PROGRAM APPLICATION INSURED NORTHEAST INTERIORS INC FEDERAL EMPLOYERS ID NO. ADDRESS CITY STATE ZIP POLICY NO. 02 WE QT9983 EFFECTIVE DATE 03/05/15 CARRIER ISSUING OFFICE SEE ATTACHED ENDORSEMENT NOTICE: Unless Code(s), Total Wages Paid, Total Hours Worked, Calendar Quarter Reported are indicated and application is signed, the application cannot be processed. Contact your agent if assistance is required TOTAL MASSACHUSETTS TOTAL WAGES HOURS CLASSIFICATION CODE PAID* WORKED *EXCLUDE OVERTIME PREMIUM PAY. The foregoing is based on actual wages and hours worked, as reflected in our payroll records, for the complete calendar quarter ending SIGNATURE POSITION DATE Form WC 66 01 06 D Printed in U.S.A. Page 2 of 2 IMPORTANT NOTICE it FLORIDA WORKERS' COMPENSATION INSURANCE BENEFITS DEDUCTIBLE ELECTION FORM Florida Workers' compensation Law permits an employer to purchase workers' compensation insurance with a state authorized $2,500 deductible plan. Any amounts paid by you shall not apply to your experience rating. This option is not available if your policy is retrospectively rated. There is no premium reduction under this deductible option. Please check the option which you have elected and return this form to the company prior to the effective date of your coverage. O 1. 1 reject this deductible option and elect that the company pay all benefits due under my policy. ( ) 2. 1 elect this deductible option to be applied to Indemnity and/or Medical benefits under my workers' compensation insurance policy and each subsequent renewal. All indemnity and/or medical claims shall be paid by the company. The law requires that you reimburse the company for any deductible amounts so paid. If you do not return this form promptly to the company, it will be construed to mean that we should pay in full all benefits due under your policy with no contribution on your part. If you have any questions, please call your Agent. Policy Number 02 WE QT9983 Date Signature and Title Employer Name NORTHEAST INTERIORS INC Agent Name Date Signature SMITH BROTHERS INSURANCE LLC Form WC 66 03 41 Printed in U.S.A. Policy Expiration Date: 03/05/15 Process Date: 02/27/15 Report all work-related injuries to your supervisor immediately. IN CASE OF INJURY OR ILLNESS ON THE JOB, CALL... MEDICAL CARE COORDINATORS HOSPITALS TO UPDATE PROVIDER INFORMATION CALL THE HARTFORD'S NETWORK REFERRAL UNIT AT 1-800-327-3636, PROMPTLY THE HARTFORD Date Posted WC 550026A it WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY In return for the payment of the premium and subject to all terms of this policy,we agree with you as follows: GENERAL SECTION A. The Policy disease law of each state or territory named in This policy includes at its effective date the Item 3.A. of the Information Page. It includes any Information Page and all endorsements and amendments to that law which are in effect during schedules listed there. It is a contract of the policy period. It does not include any federal workers or workmen's compensation law, any insurance between you the employer named in federal occupational disease law or the provisions Item 1 of the Information Page) and us (the insurer named on the Information Page). The only of any law that provide nonoccupational disability benefits. agreements relating to this insurance are stated in this policy. The terms of this policy may not be D. State changed or waived except by endorsement issued State means any state of the United States of by us to be part of this policy. America, and the District of Columbia. B. Who Is Insured E. Locations You are insured if you are an employer named in This policy covers all of your workplaces listed in Item 1 of the Information Page. If that employer is Items 1 or 4 of the Information Page; and it covers a partnership, and if you are one of its partners, all other workplaces in Item 3.A. states unless you you are insured, but only in your capacity as an have other insurance or are self-insured for such employer of the partnership's employees. workplaces. C. Workers Compensation Law Workers Compensation Law means the workers or workmen's compensation law and occupational PART ONE - WORKERS COMPENSATION INSURANCE A. How This Insurance Applies C. We Will Defend This workers compensation insurance applies to We have the right and duty to defend at our bodily injury by accident or bodily injury by expense any claim, proceeding or suit against you disease. Bodily injury includes resulting death. for benefits payable by this insurance. We have 1. Bodily injury by accident must occur during the the right to investigate and settle these claims, policy period. proceedings or suits. 2. Bodily injury by disease must be caused or We have no duty to defend a claim, proceeding or aggravated by the conditions of your suit that is not covered by this insurance. employment. The employee's last day of last D. We Will Also Pay exposure to the conditions causing or We will also pay these costs, in addition to other aggravating such bodily injury by disease must amounts payable under this insurance, as part of occur during the policy period. any claim, proceeding or suit we defend: B We Will pay 1. reasonable expenses incurred at our request, We will pay promptly when due the benefits but not loss of earnings; required of you by the workers compensation law. Page 1 of 6 Form WC 00 00 00 C Printed in U.S.A. Policy Expiration Date: Process Date: exposure to the conditions causing or 5. Bodily injury intentionally caused or aggravating such bodily injury by disease must aggravated by you; occur during the policy period. 6. Bodily injury occurring outside the United States of America, its territories or 5. If you are sued, the original suit and any possessions, and Canada. This exclusion related legal actions for damages for bodily apply to bodil in u to a citizen or does not injury by accident or by disease must be resident apthe United States to America or brought in the United States of America, its territories or possessions, or Canada. Canada who is temporarily outside these countries; B. We Will Pay 7. Damages arising out of coercion, criticism, We will pay all sums that you legally must pay as demotion, evaluation, reassignment, damages because of bodily injury to your discipline, defamation, harassment, employees, provided the bodily injury is covered humiliation, dis-crimination against or by this Employers Liability Insurance. termination of any employee, or any personnel The damages we will pay, where recovery is practices, policies, acts or omissions; permitted by law, include damages: 8. Bodily injury to any person in work subject to 1. For which you are liable to a third party by the Longshore and Harbor Workers' reason of a claim or suit against you by that Compensation Act (33 U.S.C. Sections 901 et third party to recover the damages claimed Seq.), the Noappropriated Fund against such third party as a result of injury to Instrumentalities Act (5 U.S.C. Sections 8171 your employee; et seq.), the Outer Continental Shelf Lands Act (43 U.S.C. Sections 1331 et seq.), the 2. For care and loss of services; and Defense Base Act (42 U.S.C. Sections 1651- 3. For consequential bodily injury to a spouse, 1654), the Federal Mine Safety and Health Act child, parent, brother or sister of the injured (30 U.S.C. Sections 801 et seq. and 901-944) employee; provided that these damages are any other federal workers or workmen's the direct consequence of bodily injury that compensation law or other federal arises out of and in the course of the injured occupational disease law, or any amendments employee's employment by you; and to these laws; 4. Because of bodily injury to your employee that 9 Bodily injury to any person in work subject to arises out of and in the course of employment, the Federal Employers' Liability Act (45 U.S.C. claimed against you in a capacity other than Sections 51 et seq.), any other federal laws as employer. obligating an employer to pay damages to an C. Exclusions employee due to bodily injury arising out of or This insurance does not cover: in the course of employment, or any 1. Liability assumed under a contract. This amendments to those laws; exclusion does not apply to a warranty that 10. Bodily injury to a master or member of the your work will be done in a workmanlike crew of any vessel, and does not cover punitive damages related to your duty or manner; obligation to provide transportation, wages, 2. Punitive or exemplary damages because of bodily injury to an employee employed in maintenance, and cure under any applicable maritime law; violation of law; 11. Fines or penalties imposed for violation of 3. Bodily injury to an employee while employed in federal or state law; and violation of law with your actual knowledge or and the actual knowledge of any of your executive 12' Seasonal AgrDamages i/culltural able nWorker Protection Acct officers; (29 U.S.C. Sections 1801 et seq.) and under 4. Any obligation imposed by a workers com- any other federal law awarding damages for pensation, occupational disease, violation of those laws or regulations issued unemployment compensation, or disability thereunder, and any amendments to those benefits law,or any similar law; laws. D. We Will Defend We have the right and duty to defend, at our expense, any claim, proceeding or suit against you for damages payable by this insurance. We have the right to investigate and settle these claims, proceedings and suits. Page 3 of 6 Form WC 00 00 00 C Printed in U.S.A. Information Page, coverage will not be B. Notice afforded for that state unless we are notified Tell us at once if you begin work in any state listed within thirty days. in Item 3.C. of the Information Page. PART FOUR -YOUR DUTIES IF INJURY OCCURS Tell us at once if injury occurs that may be 4. Cooperate with us and assist us, as we may covered by this policy. Your other duties are listed request, in the investigation, settlement or here. defense of any claim, proceeding or suit. 1. Provide for immediate medical and other 5. Do nothing after an injury occurs that would services required by the workers interfere with our right to recover from others. compensation law. 6. Do not voluntarily make payments, assume 2. Give us or our agent the names and obligations or incur expenses, except at your addresses of the injured persons and of own cost. witnesses, and other information we may need. 3. Promptly give us all notices, demands and legal papers related to the injury, claim, proceeding or suit. PART FIVE - PREMIUM A. Our Manuals 2. all other persons engaged in work that could make us liable under Part One (Workers All premium for this policy will be determined by Compensation Insurance)of this policy. If you our manuals of rules, rates, rating plans and do not have payroll records for these persons, classifications. We may change our manuals and the contract price for their services and apply the changes to this policy if authorized by materials may be used as the premium basis. law ora governmental agency regulating this This paragraph 2 will not apply if you give us insurance. proof that the employers of these persons B. Classifications lawfully secured their workers compensation Item 4 of the Information Page shows the rate and obligations. premium basis for certain business or work D. Premium Payments classifications. These classifications were You will pay all premium when due. You will pay assigned based on an estimate of the exposures the premium even if part or all of a workers you would have during the policy period. If your compensation law is not valid. actual exposures are not properly described by those classifications, we will assign proper E. Final Premium classifications, rates and premium basis by The premium shown on the Information Page, endorsement to this policy. schedules, and endorsements is an estimate. The C. Remuneration final premium will be determined after this policy Premium for each work classification is ends by using the actual, not the estimated, premium basis and the proper classifications and determined by multiplying a rate times a premium rates that lawfully apply to the business and work basis. Remuneration is the most common covered by this policy. If the final premium is premium basis. more than the premium you paid to us, you must This premium basis includes payroll and all other pay us the balance. If it is less, we will refund the remuneration paid or payable during the policy balance to you. The final premium will not be less period for the services of: than the highest minimum premium for the 1. All your officers and employees engaged in classifications covered by this policy. work covered by this policy; and Form WC 00 00 00 C Printed in U.S.A. Page 5 of 6 83 (Policy Provisions: WC 00 00 00 B) 99 QT INFORMATION PAGE WE WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY INSURER: SEE ATTACHED ENDORSEMENT NCCI Company Number: 14974 THE Company Code: 9 HARTFORD Suffix LARS RENEWAL POLICY NUMBER: 102 WE QT9983 oo Previous Policy Number: 102 WE QT9365 HOUSING CODE: S5 1. Named Insured and Mailing Address: NORTHEAST INTERIORS INC (No., Street, Town, State, Zip Code) 27 PACELLA PARK DR FEIN Number: 454421768 -RANDOLPH, MA 02368 - State Identification Number(s): The Named Insured is: CORPORATION Business of Named Insured: CONSTRUCTION Other workplaces not shown above: SEE ATTACHED SCHEDULES 2. Policy Period: From 03/05/15 To 03/05/16 12:01 a.m., Standard time at the insured's mailing address. Producer's Name: SMITH BROTHERS INSURANCE LLC 68 NATIONAL DRIVE GLASTONBURY, CT 06033 Producer's Code: 021715 Issuing Office: THE HARTFORD 301 WOODS PARK DRIVE CLINTON NY 13323 (800) 962-6170 Total Estimated Annual Premium: $119,040 Deposit Premium: Policy Minimum Premium:$1,216 FL (INCLUDES INCREASED LIMIT MIN. PREM. ) Audit Period: ANNUAL Installment Term: 10 The policy is not binding unless countersigned by our authorized representative. Countersigned by '--f C 02/27/15 Authorized Representative Date Form WC 00 00 01 A (1) Printed in U.S.A. Page 1 (Continued on next page) Process Date: 02/27/15 Policy Expiration Date: 03/05/16 SCHEDULE OF OPERATIONS This Schedule of Operations forms a part of the policy effective on the inception date of the policy unless another date is indicated below: INSURER: TWIN CITY FIRE INSURANCE COMPANY Company Code: 7 Policy Number: 02 WE QT9983 Schedule Number: 01-09-01 Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Location Address of operations covered by this schedule: NORTHEAST INTERIORS INC 7380 SAND LAKE RD STE 500 ORLANDO FL 32819 NAILS: 238350 FEIN: 454421768 UIN: SIC: 1751 NO. OF EMPL: 00 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Classifications Total Estimated Rates Per Estimated Code Number and Annual $100 of Annual Description Remuneration Remuneration Premium 5403 IF ANY 10.54 CARPENTRY NOC 5606 IF ANY 1.86 CONTRACTOR - PROJECT MANAGER, CONSTRUCTION EXECUTIVE, CONSTRUCTION MANAGER OR CONSTRUCTION SUPERINTENDENT 5606 IF ANY 4.11 CONTRACTOR - PROJECT MANAGER, CONSTRUCTION EXECUTIVE, CONSTRUCTION MANAGER OR CONSTRUCTION SUPERINTENDENT (USL AND H INCLUDED) 8810 81,600 .25 204 CLERICAL OFFICE EMPLOYEES NOC WAIVER OF SUBROGATION (0930) 2.00 PERCENT OF PREMIUM 4 Countersigned by Authorized Representative Form WC 99 00 05 (1) Printed in U.S.A. Process Date: 02/27/15 Policy Expiration Date: 03/05/16 SCHEDULE OF OPERATIONS This Schedule of Operations forms a part of the policy effective on the inception date of the policy unless another date is indicated below: INSURER: TWIN CITY FIRE INSURANCE COMPANY Company Code: 7 Policy Number: 02 WE QT9983 Schedule Number: 01-20-01 Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Location Address of operations covered by this schedule: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH MA 02368 NAILS: 238350 FEIN: 454421768 UIN: SIC: 1751 NO. OF EMPL: 000 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Classifications Total Estimated Rates Per Estimated Code Number and Annual $100 of Annual Description Remuneration Remuneration Premium 5348 IF ANY 5.93 TILE - CERAMIC, STONE, MOSAIC OR TERRAZZO WORK - INSIDE 5403 930,000 9.86 91,698 CARPENTRY NOC 5437 IF ANY 4.86 CARPENTRY-INSTALLATION OF CABINET WORK OR INTERIOR TRIM 5474 IF ANY 5.22 PAINTING OR PAPERHANGING NOC & SHOP OPERATIONS, DRIVERS 5478 IF ANY 4.80 CARPET, LINOLEUM, VINYL, ASPHALT, OR RUBBER FLOOR TILE INSTALLATION Countersigned by Authorized Representative Form WC 99 00 05 (1) Printed in U.S.A. Process Date: 02/27/15 Policy Expiration Date: 03/05/16 SCHEDULE OF OPERATIONS This Schedule of Operations forms a part of the policy effective on the inception date of the policy unless another date is indicated below: INSURER: TWIN CITY FIRE INSURANCE COMPANY Company Code: 7 Policy Number: 02 WE QT9983 Schedule Number: 01-20-01 Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Location Address of operations covered by this schedule: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH MA 02368 NAICS: 238350 FEIN: 454421768 UIN: SIC: 1751 NO. OF EMPL: 000 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Classifications Total Estimated Rates Per Estimated Code Number and Annual $100 of Annual Description Remuneration Remuneration Premium 7380 70,000 6.17 4,319 DRIVERS, CHAUFFEURS AND THEIR HELPERS NOC - COMMERCIAL 8742 IF ANY .16 SALESPERSONS, COLLECTORS OR MESSENGERS - OUTSIDE 8810 4,200,000 .08 3,360 CLERICAL OFFICE EMPLOYEES NOC WAIVER OF SUBROGATION (0930) 2.00 PERCENT OF PREMIUM 2,700 Countersigned by Authorized Representative Form WC 99 00 05 (1) Printed in U.S.A. Process Date: 02/27/15 Policy Expiration Date: 03/05/16 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY QUICK REFERENCE Beginning Beginning on Page on Page INFORMATION PAGE PART TWO-Continued 1 G. Limits of Liability .............................................. 4 General Section................................................................ 1 H. Recovery From Others..................................... 4 A. The Policy ............................................................... 1 I. Actions Against Us ................ .......................... 4 B. Who Is Insured ........................................................ 1 C. Workers Compensation Law................................... 1 PART THREE-OTHER STATES INSURANCE........ 4 D. State........................................................................ 1 A. How This Insurance Applies ............................ 4 E. Locations ................................................................. 1 B. Notice ........................... ................................... 5 PART ONE-WORKERS COMPENSATION INSURANCE.......... 1 PART FOUR-YOUR DUTIES IF INJURY OCCURS.............. 5 A. How This Insurance Applies.................................... 1 B. We Will Pay............................................................. 1 PART FIVE-PREMIUM .............................................. 5 C. We Will Defend ....................................................... 1 A. Our Manuals ........................... ......................... 5 D. We Will Also Pay..................................................... 1 B. Classifications.......................... ........................ 5 E. Other Insurance ...................................................... 2 C. Remuneration .......................... ........................ 5 F. Payments You Must Make ...................................... 2 D. Premium Payments ............................... .......... 5 G. Recovery From Others............................................ 2 E. Final Premium................................. ................. 5 H. Statutory Provisions ................................................ 2 F. Records ................................ ........................... 6 G. Audit................................................................. 6 PART TWO-EMPLOYERS LIABILITY INSURANCE............. 2 A. How This Insurance Applies.................................... 2 PART SIX-CONDITIONS ..................................... 6 B. We will Pa 3 A. Inspection ........................ ................................ 6 C. Exclusions ............................................................... 3 B. Long Term Policy.................. ........................... 6 D. We Will Defend ....................................................... 3 C. Transfer of Your Rights and Duties ................. 6 E. We Will Also Pay..................................................... 4 D. Cancellation .......................... ........................... 6 F. Other Insurance ...................................................... 4 E. Sole Representative ................... ..................... 6 IMPORTANT: This Quick Reference is not part of the Workers Compensation and Employers Liability Policy and does not provide coverage. Refer to the Workers Compensation and Employers Liability Policy itself for actual contractual provisions. PLEASE READ THE WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CAREFULLY. Form WC 66 01 56 B Printed in U.S.A. Process Date: 02/27/15 Policy Expiration Date: 03/05/16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LONGSHORE AND HARBOR WORKERS' COMPENSATION ACT COVERAGE ENDORSEMENT Policy Number: 02 WE QT9983 Endorsement Number: Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH, MA 02368 This endorsement applies only to work subject to the Longshore and Harbor Workers' Compensation Act in a state shown in the Schedule. The policy applies to that work as though that state were listed in Item 3.A. of the Information Page._ General Section C. Workers'Compensation Law is replaced by the following: C. Workers'Compensation Law Workers' Compensation Law means the workers or workmen's compensation law and occupational disease law of each state or territory named in Item 3.A. of the Information Page and the Longshore and Harbor Workers' Compensation Act (33 USC Sections 901-950). It includes any amendments to those laws that are in effect during the policy period. It does not include any other federal workers or workmen's compensation law, other federal occupational disease law or the provisions of any law that provide nonoccupational disability benefits. Part Two (Employers Liability Insurance), C. Exclusions., exclusion 8, does not apply to work subject to the Longshore and Harbor Workers' Compensation Act. This endorsement does not apply to work subject to the Defense Base Act, the Outer Continental Shelf Lands Act, or the Nonappropriated Fund Instrumentalities Act. SCHEDULE Longshore and Harbor Workers' State Compensation Act Coverage Percentage FL 121.00 MA 25.40 The rates for classifications with code numbers not followed by the letter "F" are rates for work not ordinarily subject to the Longshore and Harbor Workers' Compensation Act. If this policy covers work under such classifications, and if the work is subject to the Longshore and Harbor Workers' Compensation Act, those non-F classification rates will be increased by the Longshore and Harbor Workers' Compensation Act Coverage Percentage shown in the Schedule. Countersigned by Authorized Representative Form WC 00 01 06 A Printed in U.S.A. Process Date: 02/27/15 Policy Expiration Date: 03/05/16 Compensation Rating and Inspection Bureau address is that which is shown in Item 1 of the of Massachusetts at the address shown in this Information Page or in a change of address Endorsement Endorsement to the Policy. You are responsible for notifying us in writing at the 4. Insured's Mailing Address company address shown in this Endorsement Notices relating to this Policy will be mailed or about any change to your mailing address. delivered to your mailing address. Your mailing Addresses The Workers' Compensation Rating and Company Address Inspection Bureau of Massachusetts THE HARTFORD Attention: Customer Service Department 101 Arch Street, 5th Floor 301 WOODS PARK DRIVE Boston, MA 02110 www.wcdbma.org CLINTON NY 13323 Commissioner of Insurance Division of Insurance Department of Banking and Insurance 1000 Washington St 8th Floor Boston, MA 02118-2218 Form WC 20 03 03 D Printed in U.S.A. Page 2 of 2 it THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FLORIDA TERRORISM RISK INSURANCE PROGRAM REAUTHORIZATION ACT ENDORSEMENT Policy Number: 02 WE QT9983 Endorsement Number: Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH, MA 02368 This endorsement addresses requirements of the policy or affect the conduct of the United States Terrorism Risk Insurance Act of 2002, as amended Government by coercion. by the Terrorism Risk Insurance Program 3. "Insured Loss" means any loss resulting from an Reauthorization Act of 2007. act of terrorism (including an act of war, in the Definitions case of workers compensation) that is covered The definitions provided in this endorsement are by primary or excess property and casualty based on and have the same meaning as the insurance issued by an insurer if the loss occurs definitions in the Act. If words or phrases not in the United States or at the premises of United defined in this endorsement are defined in the Act, States missions or to certain air carriers or the definitions in the Act will apply.I vessels. 1. "Act' means the Terrorism Risk Insurance Act of 4. "Insurer Deductible" means, for the period 2002, which took effect on November 26, 2002, beginning on January 1, 2008, and ending on and any amendments, resulting from the December 31, 2014, an amount equal to 20% of Terrorism Risk Insurance Program our direct earned premiums, over the calendar Reauthorization Act of 2007. year immediately preceding the applicable Program Year. 2. "Act of Terrorism" means any act that is certified 5. "Program Year" refers to each calendar year by the Secretary of the Treasury, in concurrence between January 1, 2008 and December 31, with the Secretary of State, and the Attorney 2014, as applicable. General of the United States as meeting all of the following requirements: Limitation of Liability a) The act is an act of terrorism. The Act may limit our liability to you under this b) The act is violent or dangerous to human policy. If aggregate Insured Losses exceed life, property or infrastructure. $100,000,000,000 in a Program Year and if we have met our Insurer Deductible, we may not be c) The act resulted in damage within the United liable for the payment of any portion of the States, or outside of the United States in the amount of Insured Losses that exceeds case of the premises of United States $100,000,000,000; and for aggregate Insured missions or certain air carriers or vessels. Losses up to $100,000,000,000, we may only The act has been committed by an individual or have to pay a pro rata share of such Insured individuals, as part of an effort to coerce the civilian Losses as determined by the Secretary of the population of the United States or to influence the Treasury. Form WC 09 04 03 A Printed in U.S.A. Page 1 of 2 Process Date: 02/27/15 Policy Expiration Date: 03/05/16 it THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MASSACHUSETTS TERRORISM RISK INSURANCE PROGRAM REAUTHORIZATION ACT ENDORSEMENT Policy Number: 02 WE QT9983 Endorsement Number: Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH, MA 02368 This endorsement addresses the requirements of the civilian population of the United States or to Terrorism Risk Insurance Act of 2002,as amended influence the policy or affect the conduct of the and extended by the Terrorism Risk Insurance United States Government by coercion. Program Reauthorization Act of 2007. "Insured Loss" means any loss resulting from an act Definitions of terrorism (including an act of war, in the case of The definitions provided in this endorsement are workers compensation)that is covered by primary or based on and have the same meaning as the excess property and casualty insurance issued by definitions in the Act. If words or phrases not an insurer if the loss occurs in the United States or defined in this endorsement are defined in the Act, at the premises of United States missions or to the definitions in the Act will apply.I certain air carriers or vessels. "Act" means the Terrorism Risk Insurance Act of "Insurer Deductible" means, for the period beginning 2002, which took effect on November 26, 2002, and on January 1, 2008, and ending on December 31, any amendments resulting from the Terrorism Risk 2014, an amount equal to 20% of our direct earned Insurance Program Reauthorization Act of 2007. premiums, over the calendar year immediately preceding the applicable Program Year. "Act of Terrorism" means any act that is certified by "Program Year" refers to each calendar year the Secretary of the Treasury, in concurrence with between January 1, 2008 and December 31, 2014, the Secretary of State, and the Attorney General of as applicable. the United States as meeting all of the following requirements: Limitation of Liability a. The act is an act of terrorism. The Act limits our liability to you under this policy. If b. The act is violent or dangerous to human life, aggregate Insured Losses exceed $100,000,000,000 property or infrastructure. in a Program Year and if we have met our Insurer Deductible, we are not liable for payment of any c. The act resulted in damage within the United portion of the amount of Insured Losses that States, or outside of the United States in the exceeds $100,000,000,000. For aggregate Insured case of the premises of United States missions Losses up to $100,000,000,000, we will pay only a or certain air carriers or vessels. pro rata share of such Insured Losses as determined d. The act has been committed by an individual or by the Secretary of the Treasury. individuals as part of an effort to coerce the Form WC 20 01 01 Printed in U.S.A. Page 1 of 2 Process Date: 02/27/15 Policy Expiration Date: 03/05/16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MASSACHUSETTS NOTIFICATION ENDORSEMENT OF PENDING LAW CHANGE TO TERRORISM RISK INSURANCE PROGRAM REAUTHORIZATION ACT OF 2007 Policy Number: 02 WE QT9983 Endorsement Number: Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH, MA 02368 The purpose of this endorsement is to notify you of a Your policy provides coverage for workers' pending law change with respect to the terrorism compensation losses caused by acts of terrorism or coverage provided under your workers' war, including workers' compensation benefit compensation -and- employers' liability insurance obligations required by Massachusetts law. policy. This endorsement does not replace the Coverage for such losses is still subject to all terms, separate Massachusetts Terrorism Risk Insurance definitions, exclusions, and conditions in your policy. Program Reauthorization Act Endorsement (WC 20 01 01) that is attached to your current policy The premium charge for the coverage your policy and that remains in effect as applicable. provides for the "Insured Losses" defined in the Massachusetts Terrorism Risk Insurance Program The Terrorism Risk Insurance Act of 2002 (TRIA) as Reauthorization Act Endorsement (WC 20 01 01) is previously amended and extended by the Terrorism shown in Item 4 of the Policy Information Page. This Risk Insurance Program Reauthorization Act of 2007 premium charge may continue or change for new, (TRIPRA), provides for a program under which the renewal, and in-force policies in effect after federal government will share in the payment of December 31, 2014 in the event of TRIPRA's insured losses caused by certain acts of terrorism. In expiration or extension, subject to regulatory review. the absence of affirmative US Congressional action to extend, update, or otherwise reauthorize TRIPRA, in whole or in part, TRIPRA is scheduled to expire December 31, 2014. Since the timetable for any further Congressional action respecting TRIPRA is unknown at this time, and exposure to acts of terrorism remains, we are providing our policyholders with relevant information concerning their workers' compensation policies that become effective on or after January 1, 2014 in the event of TRIPRA's expiration. Form WC 20 01 02 Printed in U.S.A. Page 1 of 1 Process Date: 02/27/15 Policy Expiration Date: 03/05/16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MASSACHUSETTS CANCELLATION ENDORSEMENT Policy Number: 02 WE QT9983 Endorsement Number: Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH, MA 02368 This endorsement applies only to the insurance against. Such cancellation shall not be effective provided by the policy because Massachusetts is until ten days after written notice is given by us to shown in Item 3.A. of the Information Page. you and the Workers' Compensation Rating and - - - -- - -Inspection-Bureau ofMassachusetts (Bureau),- The Cancellation Condition of the policy is replaced or until notice has been received by the Bureau by the following: that you have secured insurance from another insurance company, whichever occurs first. Our Cancellation notice to the Bureau may be given by electronic transmission. 1. You may cancel this policy by mailing or delivering to us advance written notice 3. We will mail or deliver the notice of cancellation requesting cancellation. Such cancellation shall to you at your last address, which shall be the not be effective until ten days after written notice mailing address shown in Item 1 of the is given by us to The Workers' Compensation Information Page or the change of mailing Rating and Inspection Bureau of Massachusetts address shown in an Endorsement to the Policy. (Bureau), or until notice has been received by Pursuant to M.G.L. Chapter 175, Section 187C, the Bureau that you have secured insurance a written notice of cancellation shall be deemed from another insurance company, whichever effective when mailed by us if we obtain a occurs first. Our notice to the Bureau may be certificate of mailing receipt from the United given by electronic transmission. States Postal Service showing your name and address as stated in the policy. 2. We may cancel this policy only if based on one or more of the following reasons: (i) nonpayment 4. Any of these provisions that conflict with the law of premium; (ii) fraud or material that controls the cancellation of this insurance misrepresentation affecting your policy; or (iii) a policy is changed by this statement to comply substantial increase in the hazard insured with the law. Form WC 20 06 01 A Printed in U.S.A. it THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WORKERS' COMPENSATION BROAD FORM ENDORSEMENT Policy Number: 02 WE 4T9983 Endorsement Number: Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH, MA 02368 Section I of this endorsement expands coverage provided under WC 00 00 00 A. Section II of this endorsement provides additional coverage usually only provided by endorsement. Section III of this endorsement is a Schedule of Covered States. You may use the index to locate these coverage features quickly: INDEX SUBJECT PAGE SECTION 1 2 PARTS ONE and TWO 2 01 We Will Also Pay 2 PART-THREE 2 02 How This Insurance Works 2 PART -SIX 2 03 Transfer of Your Rights and Duties 2 04 Cancellation 2 05 Liberalization 2 SECTION II 2 VOLUNTARY COMPENSATION INSURANCE 2 06 Voluntary Compensation Insurance 2 A. How This Insurance Applies 2 B. We will Pay 3 C. Exclusions 3 D. Before We Pay 3 E. Recovery From Others 3 F. Employers' Liability Insurance 3 SECTION III 4 08 Schedule of Covered States 4 Form WC 99 03 00 D Printed in U.S.A. (Ed. 5/10) Page 1 of 4 ©2010,The Hartford Process Date: 02/27/15 Policy Expiration Date: 03/05/16 4. Bodily injury by accident must occur D. Before We Pay during the policy period. Before we pay benefits to the persons 5. Bodily injury by disease must be caused entitled to them,they must: or aggravated by the conditions of your 1. Release you and us, in writing, of all employment. The employee's last day of responsibility for the injury or death. last exposure to the conditions causing 2. Transfer to us their right to recover from or aggravating such bodily injury by others who may be responsible for the disease must occur during the policy injury or death. period. 3. Cooperate with us and do everything B. We Will Pay necessary to enable us to enforce the We will pay an amount equal to the benefits right to recover from others. that would be required of you as if you and If the persons entitled to the benefits of this your employees were subject to the workers' insurance fail to do those things, our duty to compensation law of any state shown in Item pay ends at once. If they claim damages 3.A. of the Information Page. We will pay from you or from us for the injury or death, those amounts to the persons who would be our duty to pay ends at once. entitled to them under the law. C. Exclusion E. Recovery From Others This insurance does not cover: If we make a recovery from others, we will keep an amount equal to our expenses of 1. any obligation imposed by workers' recovery and the benefits we paid. We will compensation or occupational disease pay the balance to the persons entitled to it. law or any similar law. If the persons entitled to the benefits of this 2. bodily injury intentionally caused or insurance make a recovery from others, they aggravated by you. must reimburse us for the benefits we paid 3. officers or employees who have elected them. not to be subject to the state workers' F. Employers' Liability Insurance compensation law. Part Two (Employers' Liability Insurance) 4. partners or sole proprietors not covered applies to bodily injury covered by this under the Standard Sole Proprietors, endorsement as though the State of Partners, Officers and Others Coverage Employment was shown in Item 3.A. of the Endorsement. Information Page. This provision 6. does not apply in New Jersey or Wisconsin. Form WC 99 03 00 D Printed in U.S.A. (Ed. 5/10) Page 3 of 4 it THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT TO WORKERS' COMPENSATION BROAD FORM ENDORSEMENT - EMPLOYERS' LIABILITY STOP GAP COVERAGE Policy Number: 02 WE QT9983 Endorsement Number: Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address. NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH, MA 02368 This endorsement changes the Workers' A. This coverage only applies in North Dakota, Compensation Broad Form - Endorsement — Ohio,Washington, and Wyoming. Employers' Liability Stop Gap Coverage E. This paragraph is removed. 7. Employers' Liability Stop Gap Coverage Form WC 99 03 59 B Printed in U.S.A. 03/05/16 Process Date: 02/27/15 Policy Expiration Date: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy Number: 02 WE QT9983 Endorsement Number: Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH, MA 02368 INSTALLMENT PREMIUM ENDORSEMENT IT IS HEREBY UNDERSTOOD AND AGREED THAT THE ESTIMATED ADVANCE PREMIUM OF $119,040 WILL BE PAYABLE IN INSTALLMENTS AS OUTLINED IN SCHEDULE OF PAYMENTS. SCHEDULE OF PAYMENTS ESTIMATED NO DUE DATE ADVANCE OF PAYMENT PREMIUM 01 03/05/15 29,760 02 04/05/15 9,920 03 05/05/15 9,920 04 06/05/15 9,920 05 07/05/15 9,920 06 08/05/15 9,920 07 09/05/15 9,920 08 10/05/15 9,920 09 11/05/15 9,920 10 12/05/15 9,920 Nothing herein contained shall be held to vary, waive, alter, or extend any of the terms, conditions, agreements or information of the policy, other than as herein stated. This endorsement shall not be binding unless countersigned by a duly authorized agent of the company, provided that if this endorsement takes effect as of the effective date of the policy and, at issue of said policy, forms a part thereof, countersignature on the Information Page of said policy by a duly authorized agent of the company shall constitute valid countersignature of this endorsement. Countersigned by Authorized Representative Form G-2240-2DT Printed in U.S.A. Process Date: 02/27/15 Policy Expiration Date: 03/05/16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTIFICATION OF CHANGE IN OWNERSHIP ENDORSEMENT Policy Number: 02 WE QT9983 Endorsement Number: Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH, MA 02368 Experience rating is mandatory for all eligible insureds. The experience rating modification factor, if any, applicable to this policy, may change if there is a change in your ownership or in that of one or more of the entities eligible to be combined with you for experience rating purposes. Change in ownership includes sales, purchases, other transfers, mergers, consolidations, dissolutions, formations of a new entity and other changes provided for in the applicable experience rating plan manual. You must report any change in ownership to us in writing within 90 days of such change. Failure to report such changes within this period may result in revision of the experience rating modification factor used to determine your premium. Countersigned by Authorized Representative Form WC 00 04 14 Printed in U.S.A. Process Date: 02/27/15 Policy Expiration Date: 03/05/16 .0-14 4 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FLORIDA CONTRACTING CLASSIFICATION PREMIUM ADJUSTMENT ENDORSEMENT Policy Number: 02 WE QT9983 Endorsement Number: Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH, MA 02368 The premium for the policy may be adjusted by a Florida Contracting Classification Premium Adjustment factor. The factor was not available when the policy was issued. If you qualify, we will issue an endorsement to show the premium adjustment factor after it is calculated. Countersigned by Authorized Representative Form WC 09 04 01 Printed in U.S.A. Process Date: 02/27/15 Policy Expiration Date: 03/05/16 ,� THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MASSACHUSETTS LIMITS OF LIABILITY ENDORSEMENT Policy Number: 02 WE QT9983 Endorsement Number: Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH, MA 02368 This endorsement applies only to the insurance provided by Part Two (Employers Liability Insurance) because Massachusetts is listed in Item 3.A. of the Information Page. Our liability to you under Section 25 of Chapter 152 of the General Laws of Massachusetts is not subject to the limit of liability that applies to Part Two (Employers Liability Insurance). Countersigned by Authorized Representative Form WC 20 03 01 Printed in U.S.A. Process Date: 02/27/15 Policy Expiration Date: 03/05/16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MASSACHUSETTS PENDING PREMIUM CHANGE ENDORSEMENT Policy Number: 02 WE QT9983 Endorsement Number: Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH, MA 02368 A filing is being considered by the Massachusetts Division of Insurance which may result in premiums different from those shown on the policy. If it does, we will issue an endorsement to show the new premiums and their effective date. Countersigned by Authorized Representative Form WC 20 04 01 Printed in U.S.A. Process Date: 02/27/15 Policy Expiration Date: 03/05/16 it THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MASSACHUSETTS PREMIUM DUE DATE ENDORSEMENT Policy Number: 02 WE QT9983 Endorsement Number: Effective Date: 03/05/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: NORTHEAST INTERIORS INC 27 PACELLA PARK DR RANDOLPH, MA 02368 Section D of Part Five of the policy is replaced by this provision: PART FIVE PREMIUM D. Premium Payments is amended to read: compensation law is not valid. The audit and You will pay all premium when due. You will pay retrospective premiums shall be paid by the the premium even if part or all of a workers due date indicated on the billing statement. Countersigned by Authorized Representative Form WC 20 04 05 Printed in U.S.A. Process Date: 02/27/15 Policy Expiration Date: 03/05/16 tuy '011A MASSACHUSETTS BENEFITS CLAIM AND AGGREGATE DEDUCTIBLE PROGRAM Dear Policyholder: Section 25A of Chapter 152 Massachusetts Workers' Compensation Law requires the Massachusetts Workers' Compensation Assigned Risk Pool and voluntary market insurers to offer to insureds with workers' compensation policies, which provide coverage in Massachusetts, a choice of medical and indemnity benefits deductibles. In accordance with the statute, as amended, the Division of Insurance has approved two separate and distinct deductible programs, one without an aggregate limit, and one with an aggregate limit. An insured may select either program, or neither of them. These programs are not available for insureds with retrospectively rated policies. The first program, Massachusetts Benefits Deductible Program, without an aggregate limit, which has been in effect since January 1, 1993, is intended for insureds who have the financial ability to handle some losses they incur. This program allows these insureds to establish an amount of loss they can absorb and purchase insurance only for losses above that predetermined deductible amount. Under this program, medical and indemnity deductibles of$500, $1,000, $2,000 and $2,500 shall be offered to every employer. In addition, an insurer or the Pool, at its option, may offer to any employer providing collateral deemed adequate by such insurer, a medical and indemnity benefits deductible of$5,000. The deductible shall apply separately to each claim for bodily injury by disease or accident. The insurer shall pay all benefits required under the provisions of M.G.L.c.152 directly to the appropriate party. Subsequent to insurer payment of any amount which falls within the deductible limit on any claim, the insurer may seek reimbursement from the policyholder. Failure to make complete reimbursement for deductibles within thirty days of receipt of bill from the insurer shall constitute non-payment of premium and be grounds for termination of the policy. The entire cost of all claims shall be included in the experience data used to determine the experience modification of the insured regardless of the requirement that reimbursement must be made for the deductible amount on any claim. If you wish to elect a medical and indemnity deductible, and your policy is being renewed effective on or after January 1, 1997, you must make your election before the effective date of your policy, otherwise at the next renewal of your policy. ( ) $ 500 ( ) $ 2,500 ( ) $ 1,000 ( ) $ 5,000 ( ) $ 2,000 ( ) Do Not Elect ------------------------------------------------ ( ) $ 2,500 with Aggregate ( ) Do Not Elect Policy Number 02 WE QT9983 Employer Name Date Signature and Title NORTHEAST INTERIORS INC Agent Name Date Signature SMITH BROTT4RRR TNqTJRANCE LLC Form WC 66 01 51 A Printed in U.S.A. Process Date: 02/27/15 Policy Expiration Date: 03/05/16 Some techniques we use to protect Personal Personal Financial Information means financial Information include: information such as: a) secured files; a) credit history; b) user authentication; b) income; c) encryption; c) financial benefits; or d) firewall technology; and d) policy or claim information. e) the use of detection software. Personal Health Information means health We are responsible for and must: information such as: a) identify information to be protected; a) your medical records; or b) provide an adequate level of protection for that b) information about your illness, disability or injury. data; Personal Information means information that c) grant access to protected data only to those people who must use it in the performance of identifies You personally and is not otherwise their job-related duties. available to the public. It includes: a) Personal Financial Information; and Employees who violate our Privacy Policy will be b) Personal Health Information. subject to discipline, which may include ending their employment with us. Transaction means your business dealings with us, such as: At the start of our business relationship, we will give You a copy of our current Privacy Policy. a) your Application; b) your request for us to pay a claim; and We will also give You a copy of our current Privacy c) your request for us to take an action on your Policy once a year if You maintain a continuing account. business relationship with us. You means an individual who has given us Personal We will continue to follow-our -Privacy Policy Information in conjunction with:- regarding Personal Information even when a a) asking about; business relationship no longer exists between us. b) applying for; or As used in this Privacy Notice: c) obtaining; a financial product or service from us if the product Application means your request for our product or or service is used mainly for personal, family, or service. household purposes. This Privacy Policy is being provided on behalf of the following affiliates of The Hartford Financial Services Group, Inc.: 1stAGChoice, Inc.; Access CoverageCorp, Inc.; Access CoverageCorp Technologies, Inc.; American Maturity Life Insurance Company; Archway 60 R, LLC; Business Management Group, Inc.; Champlain Life Reinsurance Company; DMS R, LLC; Eloy R, LLC; Ersatz Corporation; First State Insurance Company; Hartford Accident and Indemnity Company; Hartford Administrative Services Company; Hartford Casualty General Agency, Inc.; Hartford Casualty Insurance Company; Hartford-Comprehensive Employee Benefit Service Company; Hartford Equity Sales Company, Inc.; Hartford Fire General Agency, Inc.; Hartford Fire Insurance Company; Hartford Funds Management Company, LLC; Hartford Funds Management Group, Inc.; Hartford HLS Series Fund II, Inc.; Hartford Insurance Company of Illinois; Hartford Insurance Company of the Midwest; Hartford Insurance Company of the Southeast; Hartford Integrated Technologies, Inc.; Hartford International Life Reassurance Corporation; Hartford Funds Distributors, LLC; Hartford Investment Management Company; Hartford Life and Accident Insurance Company; Hartford Life and Annuity Insurance Company; Hartford Life Insurance Company; Hartford Life Private Placement, LLC; Hartford Lloyd's Corporation; Hartford Lloyd's Insurance Company; Hartford Mezzanine Investors I, LLC; Hartford Residual Market, L.C.C.; Hartford Retirement Services, LLC; Hartford Securities Distribution Company, Inc.; Hartford Series Fund, Inc.; Hartford Specialty Insurance Services of Texas, LLC; Hartford Strategic Investments, LLC; Hartford Underwriters Insurance Company; Hartford Technology Services Company, L.L.C.; Hartford of Texas General Agency, Inc.; Hartford Underwriters General Agency, Inc.; HARTRE Company, L.C.C.; HL Investment Advisors, LLC; HLA LLC; Horizon Management Group, LLC; HRA Brokerage Services, Inc.; Lanidex Class B, LLC; M-CAP Insurance Agency, LLC; New England Insurance Company; New England Reinsurance Corporation; Nutmeg Insurance Agency, Inc.; Nutmeg Insurance Company; Pacific Insurance Company, Limited; Planco, LLC; Property and Casualty Insurance Company of Hartford; Revere R, LLC; RVR R, LLC; Sentinel Insurance Company, Ltd.; Sunstone R, LLC; Symphony R, LLC; The Evergreen Group Incorporated; The Hartford Alternative Strategies Fund; The Hartford Mutual Funds, Inc.; The Hartford Mutual Funds II, Inc.; Trumbull Flood Management, L.L.C.; Trumbull Insurance Company; Twin City Fire Insurance Company;White River Life Reinsurance Company. Form WC 66 03 30 G Page 2 of 2 NOTICE TO EMPLOYER: If you have a Drug-Free Workplace Program established and maintained in accordance with Florida law, and you would like to apply for the 5%premium credit that is available, please complete this form and forward it to your insurer. Re-certification is required annually. APPLICATION FOR DRUG-FREE WORKPLACE PREMIUM CREDIT PROGRAM Name of Employer: Date Program Implemented: Testing: Procedures for drug testing have been established and/or drug testing has been conducted in the following areas: Job applicant F-] Routine fitness for duty Reasonable suspicion Follow-up testing to Employee Assistance Program Notice of Employer's Drug Testing Policy: Copy to all employees prior to testing F-] Show notice of drug testing on vacancy Posted on employer's premises announcements Copy to job applicants prior to testing F-] Copies available in personnel office or General notice given 60 days prior to testing other suitable locations No notice required because the employer had a drug testing program in place prior to July 1, 1990 Education: Resource file on providers Employee Assistance Program Education Name of Medical Review Officer: A. Name of approved Agency for Health Care Administration Lab or United States Department of Health and Human Services Certified Laboratory: B. Phone No.: ( ) C. Address: Your certification is subject to physical verification by the insurer. Your policy is subject to additional premium for reimbursement of premium credit, and cancellation provisions of the policy if it is determined that you misrepresented your compliance with Florida law. Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. Employer Name Date Officer/Owner Signature* Title *Application must be signed by an officer or owner. THE ABOVE SIGNED CERTIFIES THAT THIS INFORMATION IS A TRUE AND FACTUAL DEPICTION OF THEIR CURRENT PROGRAM. Notary Public's Signature Date Expiration of Commission (NC3010) Form 09-1 Form WC 66 03 44 Printed in U.S.A Policy Number: 02 WE QT9983 Process Date: 02/27/15 Policy Expiration Date: 03/05/16 it FLORIDA CONTRACTING CLASSIFICATION PREMIUM ADJUSTMENT PROGRAM WORKERS COMPENSATION PREMIUM CREDIT APPLICATION The Florida Contracting Classification Premium Adjustment Program is applicable to qualifying employers engaged in contracting operations. A special premium calculation, which may result in a premium credit for you, will be based on average hourly pay rates for each classification of contracting operations. In order that your premium may be correctly established, please return the completed premium credit application, as set out on the reverse side of this letter,to the: National Council on Compensation Insurance, Inc. Customer Service Center 901 Peninsula Corporate Circle Boca Raton, FL 33487-1362 They will advise us of any premium credit applicable. If NCCI does not receive this application duringthe policy period or within three (3)years after the policy period ends,your premium calculation will not reflect any possible premium credit. For each applicable classification (both contracting and non-contracting) covering your company's operations in the state of Florida, report the total Florida payroll (excluding overtime premium pay, pay in excess of the maximum individual payroll for executive officers or the pay in excess of payroll amount charged to partners and sole proprietors as shown on the state rate pages, as well as the entire pay for any exempt sole proprietor, partner, or officer) and the corresponding total number of hours worked, for the third calendar quarter (July, August, September) of the prior calendar year as reported to taxing authorities. Note#1: If you did not engage in contracting operations during the third quarter of the prior calendar year the requested information to be provided should then be for the last complete calendar quarter prior to the effective date of your workers compensation policy. Note#2: If you are a new business submit the requested information, for the first complete calendar quarter following the effective date of your workers compensation policy, when available. Note#3: In the absence of specific records for salaried employees, you should assume that each individual worked forty (40)hours per week. Please preserve your payroll records that formed the basis for this declaration as we will be required to verify the reported information in order for any premium credit to be applied. Thank you for your cooperation. TURN PAGE OVER FOR PREMIUM CREDIT APPLICATION Form 09-4C (CCPAP) Form WC 66 0105 Q Printed in U.S.A. Page 1 of 2 Process Date: 02/27/15 Policy Expiration Date: 03/05/16 MASSACHUSETTS CONSTRUCTION CLASSIFICATION PREMIUM ADJUSTMENT PROGRAM WORKERS' COMPENSATION PREMIUM CREDIT APPLICATION The Massachusetts Construction Classification Premium Adjustment Program has been proposed for employers engaged in construction operations and is applicable to policies eligible for experience rating. A special premium calculation, which may result in a premium credit for you, will be based on average hourly pay rates for each classification of construction operations. In order that your premium may be correctly established, please return the completed premium credit application, as shown on the reverse side of this letter, to: The Workers'Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street, 5th Floor Boston, MA 02110 Attention: Customer Services If you prefer to submit the application electronically to The Workers' Compensation Rating and Inspection Bureau of Massachusetts, you may do so on their website - https://www.wcribma.org/mass. Select Products and Services at the top of the page, and then select Online MCCPAP. The Workers' Compensation Rating and Inspection Bureau of Massachusetts will advise us of any premium credit applicable. IMPORTANT Initial written notice of possible credit under this Program is given to you at policy inception or during the policy term. If you have not already submitted an application for credit prior to policy audit, you will be requested to sign a form acknowledging receipt of notice and, at the same time, requested to indicate whether you will apply for a credit. If you apply for a credit, you must submit a completed and signed application to the Bureau before the completion of the audit of the affected policy. In any event, the completed and signed application must be received by the Bureau within six months of the expiration date of the affected policy, or within one month of the time you receive written notice of the Program, whichever is later. For each applicable classification (both construction and non-construction)covering your company's operations in the State of Massachusetts, report the total Massachusetts payroll (excluding overtime premium pay) and the corresponding total number of hours worked for the third calendar quarter (July, August, September) as reported to taxing authorities. Note#1: If you did not engage in construction operations during the most recent third quarter, the requested information to be provided should then be for the last complete calendar quarter prior to the effective date of your workers'compensation policy. Note#2: If you are a new business (no prior operations), or an existing business engaged in construction operations for the first time, submit the requested information for the first complete calendar quarter following the effective date of your workers' compensation policy when available. Note#3: In the absence of specific records for salaried employees, you should assume that each individual worked forty (40)hours per week. Please preserve your payroll records which formed the basis for this declaration as we will be required to verify the reported information in order for any premium credit to be applied. Thank you for your cooperation. Turn Page over for Premium Credit Application Form WC 66 01 06 D Printed in U.S.A. Page 1 of 2 Process Date: 02/27/15 Policy Expiration Date: 03/05/16 Ma, IMPORTANT NOTICE The Longshoremen's and Harbor Workers' Compensation Act requires that a written employer's report of any injury or death be made within 10 days to the Deputy Commissioner in the compensation district in which the injury or death occurred. An Employer who fails to comply is subject to a fine up to$500.00. To avoid the possibility of a penalty, report all injuries within 48 hours. Form WC 66 00 56 Printed in U.S.A. FLORIDA DEPARTMENT OF FINANCIAL SERVICES Division of Workers' Compensation Tom Gallagher, Chief Financial Officer IMPORTANT WORKERS' COMPENSATION INFORMATION FOR CONTRACTORS Coverage Requirements Out-Of-State Contractors 1) A contractor or sub-contractor who is engaged in 1) An out-of-state contractor must immediately the construction industry and employs one or notify his or her insurance company and, or more employees must have Florida workers' insurance agent that it has employees that are compensation insurance. Corporate officers, in engaging in work in Florida. addition to limited liability company members, sole proprietors, partners, and independent 2) An out-of-state construction industry contractor contractors engaged in the construction industry who has employees engaged in work in Florida, are considered employees under Florida's must either obtain a Florida workers' workers' compensation law. However, a compensation insurance policy or an contractor or sub-contractor who is engaged in endorsement must be added to the out-of-state the construction industry and is a corporate contractor's policy that lists Florida in section officer or a member of a limited liability 3.A. of the policy. company can apply for and obtain a valid construction industry_ exemption. Workers' 3) A Florida construction contractor engaged in compensation insurance is still required for the work in this state who contracts with out-of-state contractor's or subcontractor's employees. contractors, must require proof of a Florida 2) A contractor shall require any sub-contractor workers' compensation policy or an who sub-contracts work from a contractor to endorsement to the out-of-state contractor's provide evidence of Florida workers' policy that lists Florida in section 3.A. of the compensation insurance. If the sub-contractor policy. If the out-of-state subcontractor does not has a valid exemption, then the subcontractor provide proof of a Florida workers' shall also provide a copy of his or her certificate compensation policy or of an endorsement to of exemption to the contractor. the policy, or does not have a valid workers' compensation exemption; the Florida contractor 3) A change in job duties performed by employees must contact his or her workers' compensation or an increase in the amount of payroll of a insurance carrier to update his or her policy to business must be reported to the insurance include such sub-contractor and any persons company. that are employed by such sub-contractor. 4) If a contractor has secured workers Enforcement Provisions compensation coverage for his or her employees by entering into an employee leasing 1) The Florida Division of Workers' Compensation arrangement, the contractor must specifically is responsible for enforcing employer identify coverage for each and every employee. compliance with the coverage requirements of The contractor must notify the employee leasing the workers' compensation law. Compliance company of the names of all the covered investigators have the authority to conduct on- employees and any additional employees that site inspections of job sites to ensure employer are working on a jobsite that may have been compliance. Investigators can also request an excluded from the employee leasing employer's business records. An employer arrangement. Any change in job duties must produce the required business records performed by the employees must also be within five business days of the division's written reported to the employee leasing company. request for records. If the employer fails to 5) Please see the reverse side of this flyer for respond to the request within five business information about obtaining worker's days, the division will issue a stop work order compensation insurance and for the eligibility upon the employer requiring the employer to requirements for a construction industry cease all business operations in the state. exemption. Form WC 66 03 65 Printed in U.S.A page 1 of 2 it IMPORTANT NOTICE FOR FLORIDA POLICYHOLDERS If you would like to present inquiries or obtain information about coverage or obtain assistance in resolving a complaint, please contact YOUR HARTFORD AGENT, or you may contact The Hartford at the number stated below. SERVICING OFFICE: THE HARTFORD 301 WOODS PARK DRIVE CLINTON NY 13323 (800) 962-6170 Written correspondence is preferable so that a record of your inquiry is maintained. PLEASE BE SURE TO INCLUDE YOUR POLICY NUMBER IN ANY CORRESPONDENCE. Form G-3152-1 Printed in U.S.A. Process Date: 02/27/15 Policy Expiration Date: 03/05/16 POLICY NUMBER: Our President and Secretary have signed this policy. Where required by law, the Information Page has been countersigned by our duly authorized representative. Terence Shields,Secretary Andrb A.Napoli,President Includes copyrighted material of the National Council on Compensation Insurance, used with its permission. © 2000 National Council on Compensation Insurance. DELAWARE: Delaware forms have been copyrighted by the Delaware Compensation Rating Bureau or the Pennsylvania Compensation Rating Bureau. NEW JERSEY: New Jersey forms have been copyrighted by the Compensation Rating and Inspection Bureau. NEW YORK: New York forms have been copyrighted by the New York Compensation Insurance Rating Board. PENNSYLVANIA: Pennsylvania forms have been copyrighted by the Pennsylvania Compensation Rating Bureau or the Delaware Compensation Rating Bureau. Form WC 99 00 01 H (Signature/Copyright) OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE: Rehabilitation of Wood Ridge Homes PROJECT LOCATION: 10 Wood Ridge Drive NAME OF BUILDING: All Buildings on Site NATURE OF PROJECT: Level 1 Alteration Of 230 existing residential units, including replacement of kitchen and bath finishes and replacement of boilers and water heaters IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, M. Salim Afsar REGISTRATION N0.39033 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT • ARCHITECTURAL • STRUCTURAL • MECHANICAL • FIRE PROTECTION • ELECTRICAL X OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AST TH SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OC P SIGNATURE SCRIBED AND SWORM TO BEFORE ME THIS 2nd DAY OF October 2015 NOTARY PUBLIC MY COMMISSION EXPIN;- ARBARNOTARY PUBLICONWEALTH OF MASSACHUSE7T3omm.Expires Oct.27,2017 OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER ry t CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE: Rehabilitation of Wood Ridge Homes PROJECT LOCATION: 10 Wood Ridge Drive NAME OF BUILDING: All Buildings on Site NATURE OF PROJECT: Level 1 Alteration of 230 existing residential units, including replacement of kitchen and bath finishes and replacement of boilers and water heaters IN AZb gniew M.NCE `WNIoHznyRTICLE 116 OF THE MASSACREG STRATION NHUSETTS STATE O BUILDING 34029 CODE, I, BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT 0 ARCHITECTURAL * STRUCTURAL • MECHANICAL 'X FIRE PROTECTION 0 ELECTRICAL • OTHER(SPECIFY)_Plumbing X FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORTS O THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR PANC . SIGNATUR BSCRIBED AND SWORM TO BEFORE ME THIS 2nd DAY OF October 2015 NOTARY PUBLIC MY COMMISSION EXPIR FIDAA E. BARBAR NOTARY PUBLIC OF MSS MSEM WMMMM"ONWEALTH y Comm.Expires Oct.27,2017 OFFICE OF BUILDING INSPECTOR °{ TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE: Rehabilitation of Wood Ridge Homes PROJECT LOCATION: 10 Wood Ridge Drive NAME OF BUILDING: All Buildings on Site NATURE OF PROJECT: Level 1 Alteration of 230 existing residential units, including replacement of kitchen and bath finishes and replacement of boilers and water heaters IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, 1 Zbiqniew M. WoznV REGISTRATION N0.34029 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT • ARCHITECTURAL • STRUCTURAL • MECHANICAL 'X FIRE PROTECTION • ELECTRICAL • OTHER (SPECIFY)_Plumbing X FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR C PANCY L SIGNATUR SU CRIBED AND SWORM TO BEFORE ME THIS 2nd DAY OF October 2015 N TARY PU IC MY COMMISSION EX1WEN ARICCHUSETTS27,2017 OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE: Rehabilitation of Wood Ridge Homes PROJECT LOCATION: 10 Wood Ridge Drive NAME OF BUILDING:All Buildings on Site NATURE OF PROJECT: Level 1 Alteration of 230 existing residential units, including replacement of kitchen and bath finishes and replacement of boilers and water heaters IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, I, M. Salim Afsar REGISTRATION N0.39083 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT • ARCHITECTURAL • STRUCTURAL • MECHANICAL • FIRE PROTECTION • ELECTRICAL X OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY , A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS A THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECAFORANCY. URE S CRIBED AND SWORM TO BEFORE ME THIS 2nd DAY OF October 2015 �' FIDAA E. BARBAR NOTARY PUBLIC MY COMMISSION EXPI NOTARY PUBLIC COMMONWEALTH OF MASSACHUSETTS My Comm.Expires Oct.27,2017 OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER CONSTRUCTION CONTROL PROJECT NUMBER: PROJECTT]TLERehabilitation of Wood Ridge Homes � PROJECT LOCATION: 10 Wood Ridge Drive | NAME OF BUILDING: All Buildings on Site NATURE OF PROJECT: Level 1 Alteration Of 230 existing idfi l units, including replacement of kitchen and bath finishes and replacement of boilers and water heaters | | � IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, | | Michael E. Liu REGISTRATIONN BEING A REGISTERED PROFESSIONAL ENG|NEER/ARCH|TECH HEREBY CERTIFY THAT | � HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS' COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT mARCHITECTURAL w STRUCTURAL 0 MECHANICAL � FIRE PROTECTION 0 ELECTRICAL 0 OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT,TOTHE BEST OFMYKNOVVLEGE.SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING COOE,ALL ACCEPTABLE ENGINEERING PRAT|CEG. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRE8ENTONTHE CONSTRUCTION SITE ONAREGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING A8SPECIFIED IN SECTION 118.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval ofthe quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being pedbnnad in a manner consistent with the construction documents. PURSUANT TO SECTION 118.2 .2 | SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TC]THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OFTHE WORK, | SHALL SUBMIT FINAL REPORT A@TCJTHE � SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR AUPANCY. � 8U SCRIkED AND SWORKTO BEFORE ME THIS / OF �Si NAT RE NOTARY PUBLIC MY C[)MK8|GS|C3N EXPIRES May 11, 2018 OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER -AM., CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE: Rehabilitation DfWood Ridge Homes PROJECT LOCATION: 10 Wood Ridge Drive NAME OFBUILDING: All Buildings on Site / NATURE OF PROJECTLevel 1Alteration Of230 existing idti l units, including replacement of kit6h--en and bath finishes and replacement of boilers and water heaters IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, | Michael E. Liu REGISTRATIONNo .5721 BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT 0 w STRUCTURAL MECHANICAL | FIRE PROTECTION 0 ELECTRICAL 0 OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OFTHE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRAT|CES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review,for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. ]. Be present at inbena*|a appropriate to the stage of construction to buconme, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed inamanner consistent with the construction documents. PURSUANT T[) SECTION 118.2 .2 | SHALL SUBMIT WEEKLY , APROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION CJFTHE WORK, | SHALL SUBMIT AFINAL REPORT AS TO THE G/Q'|GFACT(]RY COMPLETION AND READINESS OFTHE PROJECT FOR OCCUPANCY. - � SIGNATURE � SUBSCRIBED AND SWORM TO BEFORE ME THIS ^ DAY OF00 Zb � ~ . NOTARY PUBLIC MY C[]MK8|83|DN EXPIRES May 11, 2018 Section 3. Sources and Uses ofFunds Page 1I Uses of Funds The Contractor certifies that,to the best oflheir knowledge,the construction Direct Construction: estimates,and trade-item breakdown on this page are complete and accurate. 105. Who prepared the estimates? Josef F.Reitman Name Signature 106. Basis for estimates? Wood Ridge Homes Budget Revised July 20,2015 Phase F D17 Trade Item Amount Permit Fee Description 107. 3 Concrete $ 181,300 $ - 181,300 108. 4 Masonry 109. 5 Metals $ -26,100 $ 26,100 110. 6 Rough Carpentry $ '60,860 $ 60,860 111 . 6 Finish Carpentry $ 255,485 S 255,485 112. 7 Waterproofing 113. 7 Insulation $ 55,000 $ ' 55,000 114. 7 Roofing 115. 7 Sheet Metal and Flashing 116. 7 Exterior Siding 117. 8 Doors S 404,680 $ 404,680 118. 8 Windows 119. 8 Glass 120. 9 Lath&Plaster 121 . 9 Drywall $ 114,300 $ 114,300 ',... 122. 9 Tile Work 123 . 9 Acoustical 124. 9 Wood Flooring 125. 9 Resilient Flooring S 331,575 $ 331,575 126 _9 Carpet. 127. 9 Paint&Decorating $ 200,549 S 200,549 128. 10 Specialties $ -'76,710 $ :76,710. 129. 11 Special Equipment j 130. 11 Cabinets $ 555,000 $ C 555,000 131 . 11 Appliances S 403,955 $ 403,955 132. 12 Blinds&Shades 133 . 13 Modular/Manufactured 134. 13 Special Construction $ 54,000 S 54,000 Solid Surface Tub Surrounds 135. 14 Elevators or Conveying Syst. 136. 15 Plumbing&Hot Water $ 904,200 $ - Plumbing permit fee 137. 15 Heat&Ventilation $ 1404,000 $ - HVAC permit fee 138. 15 Air Conditioning '.. 139 15 Fire Protection 140. 16 Electrical $ -922,950 $. -Electrical permitfee 141 . Accessory Buildings 142. Other/misc 143 . Subtotal Structural $ 5,950,664 S 2,719,514 144. 2 Earth Work $ 284,633 $. 284,633 145 . 2 Site Utilities •146 . 2 Roads&Walks 147 . 2 Site Improvement $ 51,800 $ 51,800 148. 2 Lawns&Planting $ - $ - 149 2 Geotechnical Conditions NIC 150 2 Environmental Remediation $ ':103,500 151 2 Demolition $ 283,275 $ 283,275 152. 2 Unusual Site Cord 153 . Subtotal Site Work $723,208 $ 619,708' 154. Total Improvements $ 6,673,872 $ 3,339,222' 155. 1 General Conditions $ 849,313 $ - GC's,P&P Bond,Liability Insurance,Workers Comp,Building Permit 156. Subtotal $7,523,185 $ 3,958,930,$12.per$1000.=$47,508.per fee 157 . 1 Builders Overhead $ 269,062 158 . 1 Builders Profit $ 1179,375 159. TOTAL $7,971,622 '261,124 sq It including community and service building 160 Total Cost/square foot: $ I` 30.44 Residential Cosds.f.: Application Date: Revised Date:N/A The Commonwealth of Massachusetts nt Form 1 Department of Industrial Accidents Office of Investigations =t I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Naffi0 (Business/Organization/Individual):NEI General Contracting Inc _ Address:27 Pacella Park Drive City/State/Zip: Randolph MA 02368 Phone #: 781-356-7666 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 employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑✓ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.1 required.] 5. ❑/ We are a corporation and its 10.2 Electrical repairs or additions 3.❑ I 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.] t c. 152, §1(4), and we have no employees. [No workers' 13T] 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 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 andjob site information. Insurance Company Name: Hartford Insurance Group-DBC Policy #or Self-ins. Lic. #: 02WEQT9983 Expiration Date: 03-05-2016 Job Site Address: Wood Ridge Homes 10 Woodridge Dr N. Andover City/State/Zip:Randolph MA 02368 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 25A 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. I do hereby certify under the pains and enalties ofperjury that the information provided above is true and correct. teven Joncas My.-5 '�S'w°'� My. �« ­x o-NE�� t Cwtr.ron�.­4=5J­@���,��s 10/8/2015 SlgnnatUl'e' ois.oso3ossau-0sroo 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 Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: i i I General Contract for Construction Yr This agreement(herein"Agreement"or"Contract"),:dated, 10A �5- is.between � THE CONTRACTOR: I Northeast Interiors,Inc,d/b/a NEI General Contracting i 27 Pacelia Park Drive = Randolph,MA 02368 3 And THE OWNER: j Wood Ridge.Homes LLC 24 Farnsworth Street Boston,MA 02210 For the Project known as; Renovation of Wood Ridge Homes Located-at: 10 Woodridge Drive North Andover,MA 01845 The Scope of Work defined in this agreement is a resultof the drawings,plans,and specifications enumerated herein,the creation of the following design professional(s): The Architectural Team,Inc. 50 Commandant's:Way.at Admiral's Hill Chelsea,MA 02150 1 Lender: (d)Massachusetts Housing Finance Agency("MassHousing") (2)Wells Fargo Affordable Housing Community Development Corporation("Wells Fargo") i 4 t i i I 'I i j I s =. I i TABLE OF ARTICLES 1 THE WORK OF THIS CONTRACT 2 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION 3 CONTRACTSUM 4 PAYMENT j 5 DISPUTE RESOLUTION 6 ENUMERATION OF CONTRACT DOCUMENTS I 7 GENERAL PROVISIONS i 8 OWNER 9 CONTRACTOR '• 10 CONSTRUCTION BY OWNER OR BY SEPARATE CONTRACTORS j 11 CHANGES IN THE WORK 12 TIME 13 PAYMENTS AND COMPLETION 14 PROTECTION OF PERSONS AND PROPERTY 15 HAZARDOUS MATERIALS a 16 INSURANCE&BONDS `I 17 CORRECTION OF WORK ' x 18 MISCELLANEOUS PROVISIONS 19 TERMINATION OF THE CONTRACT 20 CLAIMS AND DISPUTES s I i I J I I ARTICLE THE WORK OF THIS CONTRACT The Contractor shall execute the Work described in the Contract Documents,except as specifically indicated in the Contract Documents to be the responsibility of-others. ARTICLE 2 DATE Or, CONIMENCEMENT AND KIISTANTIAL COMPLETION, §:2.1 The date of commencement of the Work shall be §:2;2 The:Coiitract Time shall be,measured-from the date of cornmencement. §:2.3 The Contractor shall use;its best efforts to achieve Substantial..Completion.of the entire:Work as defite.d by Article 5,mot later than Two Hundred Fifty(250)working days(Excluides Weekends and State&FederaliHolidays) from the date of commencement (hereinafter "Contract Time" or "Substantial. Completion Date"), subject to adjustments of this Contract Time as provided in the Contract Documents including extensions of the:Contract Time caused by delays as described in Articles 10, 11, 12; Contractor agrees that all times stated in the Contract, Documents hre:of the essence. Notwithstanding any rights or authority granted to Owner in the Contract Documents, Contractor shall assume full responsibility, control over and charge of, construction means,methods, techniques, sequences or procedures, as well its safetyprecautions and programs in comiection with the Work. Notwithstanding any contrary provision contained in this Agreement, the Contractor will provide sufficient supervision,labor,equipment and materials to assure the most efficient and expeditious construction process.If the Contractor is behind schedule-to such an extent that the contractor will be unable-to achieve Substantial Completion of the entire Work as such dates may be extended pursuant to the terms of this Agreement, then,the Contractor shall employ such additional forces,obtain such additional equipment, chipl6y such additional supervigibii and pay such additional overtime wages as may be required to place-the progress of the Worl( on schedule its required 'for timely Substantial Completion and as necessary to use best effort's in completing the.Work pursuant to the.construction schedule attached hereto: and incorporated herein as Addenda R,time being of the essence. ARTICLE 3 CONTRACT SUM § um in current funds for(h. 'I The Owner shall.pay the Contractor the Contract S e Comractor's performance of the .Contract, The Contract Sum shall be Seven Million, Nine Hundred &:Seventy One Thousand, Six.Hundred & Twenty-two I)ollars ($7,971,622.00), subject:to additions and deductions as'ptovided in,the,Contract Documents and to which Owner has specifically consented to by separate written agreement and work order with Contractor, The Contract Sum includes the cost of all Work required by or reasonably inferable from the Contract Documents and all costs,expenses,fees and other amounts for materials,supplies,labor,eqqipmentJiisurance,bonds,permits., ? licenses, approvals,all items necessary for Contractor to complete all of the Work in accordance with the Contract Documents,and all costs;expenses,fees,or other anioutiis' asso:designated in the Contract Documents, 3.2 The-Stipulated Sum is based upon the following alternates,if any,which are described in the Contract Documentsand are hereby accepted by the Owner: §3,12 Unit.prices.,if any:NA.., §3,13 Allowances included iry tlie:stipulated sum,ifany:(Ite-Tereme any Allowances Included in Bid) ARTICLE 4 PAYMENTS r §4.1 PROGRE$8,PAYMENTS 4,1.1 Based upon Applications for Payment submitted by the Contractor,the Owner shall,upon confirmation and approval by'OwnerN Architect and Lenders that such Work has been completed pursuant to such Application,make progress.payinents,on account of the Contract Sum to the Contractor as provided below.Owner shall be entitled to >! witijhold a`maximum of5�l3Gij%retainage from eacli payment to beniadeto Contractor as set forth herein.Such j retainage shall not became due and payable to Contractor until such time as Architect.has certified that such retainage is payable based on the:complefion of any monetized punchlist as set:forth herein, or as required by law. i 4.1.2 Thep eriod covered by each Application for Payment shall be thirty(30)days.The first Application for Payrri.ghtsl all be submitted thirty(3 0)days.after the date of commencement as set forth above. S � §4.1.3 Upon Substantial:Completion,the Owner and Contractor shall mutually agree upon the punchlist of remaining Work and all amounts not previouslypaid less 150%of the:value nfthe punchlist,shall be paid to Contractor, 150%of the value of each punchlist item shall be paid at the time that punchlist item is completed. §4.1.4.Upon ireview and approval:of each Application for Payment by Owner's Lenders,such review and approval being,a condition.precedent fo Contractor's right to payment,the Owner shall:make payment to:the Contractor not later than,forty-five(45)days after submission of each Application for Payment.. §:4.1..4 Payments shah bear interest from the date payment is due at:the rate stated below,or in tileabsence thereof, at the legal rate prevailing from time to time.at the place where the Project is located,whichever is greater. s • 8%for unpaid balances greater than 45 days, t §4.2 FINAL PAYMENT §4:2.1 Final payment,constituting the entire unpaid balance of the Contract Sum,shall be made by the Owner to the Contractor within fifteen(15)days after(i)the final lien release is executed and provided to Owner in the form. attached hereto:and incorporated herein as Addenda F (herein`-Final Lien Rele'ase');(ii)all Work including all unchlist items have been fully completed and confirmed by Owner'(iii):Contractor delivers unconditional final lien releases(in the form:attached hereto as Addenda G)from all subcontractors and suppliers providing services;labor and/or materials to the Project,if any,(iv)the Contractor has delivered any additional documents that Owner's Lender's may require,and(v)the Contractor has fully performed the Contract except for the Contractor's responsibility to correct Work as provided in Section 17. ARTICLE S SUBSTANTIAL COMPLETION 1 §5.1 Substantial Completion is defined as that time when the Architect has certified that the Work being performed in occupied units is sufficiently complete as to allow for complete and unfettered use,or occupancy,of the units and f only monetized punchlist Work remains to:be completed. ARTICLE6 ENUMERATION OF CONTRACT DOCUNIENTS §6.1 The Contract Documents are defined in Article7 and,except for Modifications issued after execution of this Agreement,are enumerated in the sections below. 6.1.1 Thel?ro ect Specifications:The Architectural Team,Se terriber ect Ma l l.,20:15,Pro nual § j.. P p j §6.1,2 The._Drawin.gs;Insert Author,Date,and List of Pages §6.1.3 General Conditionst General Conditions/General Requirements as set forth in The Architectural Team; September 11,2015,Project Manual §6.1,4 TIre:Addenda;if any;:- Addenda ny;;Addenda Date Pagts .�5 Oc u ted Relitrb 1;rdzr a l a m { 4`�� F t 3 ^y Sv.. it rk t�1 � F {. i 1 }•(-- t t the Arc�itteclura T+eant;�A dOfn 1 f ftill .3_3 ,, s. ., –«,—.--..0 . .�_�r•�:1.. ,t1� tIl'Pass>;3nUsutg�Ust1>n�nce Requr'rem�nts ��.�.; _; ... . ..... ... ... i 1 E r. Q ARTICLE'7 GENERAL PROVISIONS §7.1 THE.CON:TRACT DOCUMENTS r The"Contract Documents"are enumerated in Article 6 and consist of thi .Agreement(including,if applicable, Supplementory and other Conditions of the Contract),Drawings,,Speci.facations,Addenda,issued prior to the execution of this Agreement,other documents and Addendalisted in this:Agreement and Modifications issued after execution of this Agreement:A Modification is a written amendment to the Contract signed by both parties, including without limitation.a formal Change Order.The intent of the Contract Documents is:to include all items necessary for the proper:execution and completion of the Work by the Contractor,The Contract Documents are complementary,and what is required by one shall be as binding as if required by all;performance by the Contractor shall be,,required to the:extent consistent with the Contract Documents-and reasonably;inferable from them.as being necessary to produce the indicated results; In the event of any conflict between the Contract Documents as set forth herein,the document containing more specificity,higher'level of quality,.or greater quantity shall govern over the more general requirement,lower quality requirement,or lower quantity.In the event that any conflict cannot be resolved be reference to specificity;quality, s or quantity,the Contract Documents shall be given priority in the order in which they are set forth above,i.e. y Section 6.1.1 shall govern over:Section 6.1,2;Addenda A shall govom over Addenda C,etc. §7:2TIIE CONTRACT The Contract Documents form the Contract for Construction.The Contract represents the entire and integrated agreement between the parties hereto and supersedes all prior negotiations,representations or agreements,either written.or oral,The Contract may be amended or modified only by a Modification.The Contract Documents shall not be construed:to create a contractual relationship of-,my kind between any persons or entities other than the y Dwner and the Contractor. i x.7.3 THE WORK The term `Work means the construction and services required by the Contract Documents, whether completed or t1ia� Bb.' 1 a Yotliiethi; tn�i3lultTds all other rime Us, equipment and services provided or to be:provided by ; tl�e olit AC,tbi tI5 f�ilftll li1c :Ct%tractor's obt-atiahti.The=Work may constitute the whole or a part of the Project; Gon aktor a[feel;tttttt 3Z3c 10q l shall incl obl"ll wtatic hd'services which are inferable,necessary,and/or incidental ty llie �Jorl. qs cytti+tutatl ltyat�l',Contract 10e11Ctetlt L.fttntractor shall furnish all labor, materials, egtupment and i services necessary to fulfill all of Contractor's obligations, under the Contract Documents. Contractor shall be responsible for all matters relating to the performance ofthe W.ork.and the constriction of the Project. §7.3.1 Inferable.The expression"inferable"and similar terms in the Contract Documents shall be interpreted to mean reasonably mferable by contractor familiar with the Project,havingreviewed the.drawings and specifications, and::exercising the care,skill and diligence provided by contractors familiar with projects of similar scope to the Project.The following are examples of"reasonably inferable": ,1 There are 6 doors shown on a floor with the same model,type and use—5 of the doors have locksets specified and the others do not.It is reasonably inferable that Contractor will provide locksets of equal model and quality for the other door,as the other 5 that are specified, .2 There are 10 rooms on a floor,similar model,type and use—9 of the rooms.have:paint showy on the s walls,but it is:unclear whether the 10t1'room is to be painted ornot. It is reasonably inferable and" therefore the Contractor shall paint the 10'x'room to the same finish as shown for the other 9 rooms on the floor. 3. The mechanical drawings indicate a fan unit.It is reasonable inferable the Contractor shall provide appropriate wiring,circuits and breakers to provide a fully integrated operating system so it will operate.per itsintended use so long as the electrical system.has:been designed accordingly to support ft. 3 r � 'I i ! ', I The following are:examples where itis NOT-reasonably inferable"from the Contract Documents: .1 There are 4 rooms on a floor.The electrical drawings indicate 2 lights in one room and 5 lights in the other three rooms.It is not reasonably inferable that Contractor is to provide 5 lights in the:roorus shown with-2 lights,unless the design intent of the 4$room in_question is of similar use and function. e 2 The structural drawings.indicate#6 reinforcing.steel bars in.the slab.During the shop drawing review process the structural engineer increases the size of the reinforci.ttg steel bars from#6 to#10:Itis not reasonably inferable that the Contractor is to provide#10 reinforcing steel bars,unless such bar size revision is:a correction consistent with other information provided within the.Plans and Specifications. .3 The mechanical*awings indicate 6 inch risers,After review of the mechanical units and associated risers; the mechanical engineer determines that:8 inch risers are required.Itis not reasonably inferable that the Contractor is to provide.8 inch risers,unless such riser size revision is:a correction consistent with other inforynatyonprovided witbin.the Plans and Specifications i §7.4 INSTRUMENTS OF:SERVICE lustruments of Service are.representations;in any medium of expression now known or later developed,of the tangible and intangible creative work performedby the Architect and the Architect's consultants under their respective professional services agreements.Instruments of Service mayinclude,without limitation;studies, ' surveys;models,sketches,drawings,specifications,and other similar materials. i §7.5;OWNERSHIP AND USE OF DRA.WI*;S,SPECIFICATIONS AND OTHER INSTRUMENTS OYSERVICE §7,54 The Owner shall be deemed the owner of the Instruments of Service,inoluding the Drawings arid Specifications;and will retain all common law,statutory and other reserved.rights,including copyrights.The Contractor,Subcontractors,Sub-subcontractors,and material or equipment suppliers shall not own or claim a copyright inthe Instruments of Service.Submittal or distribution to meet official regulatory requirements or for other purposes in connection with this Project is not to be construed as publication in derogation.of the Owner's, 4 Architect's or Architect's consultants'reserved rights. §7.5.2 The Contractor,Subcontractors,Sub-subcontractors and material or equipment suppliers are authorized to use and reproduce the Instruments of Service provided to them solely and exclusively for execution of the Work.All copies made under this authorization shall bear the copyright notice,if any,:shown on the Instruments of Service. The Contractor,Subcontractors;Sub-subcontractors,and material or equipment suppliers may not use the Instruments of Service on other projects or for additions to this Project outside the scope of the Work without the specific written consent of the Owner. i i §7.6 TRANSMISSION OF DATA IN DIGITAL FORM If the:parties intend to transmit Instruments of Service or any other information or documentation in.digital form, they°shalt endeavor to establish necessary protocols governing such transmission.,unless otherwiseprovided.in the Agreement or in the Contract Documents, ARTICLE 8 OWNER §RJ INFORMATION AND SERVICES REQUIRED OF THE OWNER §8.1.1 The O:tvner shall furnish all necessary surveys and a legal'description of the site. §8.1.2 The Contractor shall be entitled to rely on the accuracy of information furnished by the Owner but shall - exercise proper precautions relating to the safe performance of the Work. §8.1.3 Exeept for permits and fees that are required for the construction itself,the Owner shall secure and pay for other necessary approvals,casements,assessments and charges required for the construction,use or occupancy of permanent Structures or for permanent changes in existing facilities.Where the Work involves renovations to occupied units,Owner will be responsible for expenses associated with relocation of existing tenants,security with respect to the tenants belongings,.and providing access to the occupied units. 4 i §8.1.4 Prior to.commencement of the Work,the Contractor may request in writing that the Owner provide reasonable evidence that the Owner has made financial arrangements to fulfill the Owner's obligations under the i Contract. I §8:2 OWNER'S.RIGHT TO STOP THE WORK Ifthe Contractor fails to.correct Work which isnot in accordance with the requirements of the Contract Documents, ; l or repeatedly fails£o carry out the Work in accordance with the Contract'Documents the Owner may issue a written order to:the Contractor to stop the Work,or any portion thereof,until the cause for such.order is eliminated; however,the right of the:Owner to stop the Work-shall notgive:rise to a duty on the part of the Owner to exercise this:right for the benefit of the Contractor or any'other person,or entity. Additionally,where Contractor expressly acknowledges that the Project involves Work in an occupied building, a Owner may issue:a written order to the Contractor to stop the.Works or any portion thereof,to comply with the.rules„ requirements,-regulations;complaints,concerns,claims or objections of the pecupants of the Project. ` §8.3 OWNER'S RIGHT TO CARRY,OUT THE WORK If the Contractor defaults or:neglects to carry out the Work in accordance with the Contract Documents,and fails Within a fi..e:dayperiod after receipt of written notice from the Owner to.cotrunence and continue correction of such default or neglect,the Owner,without prejudice to any other remedy the Owner may havej may correct such deficiencies and may deduct.the reasonable costthereof,including Owner's:expenses and compensation for the Architect's services made necessary thereby,from the paym..entthe or:thereafter due the Contractor. i ARTICLE CONTRACTOR } §9.1 REVIEW OF CONTRACT DOCUMENTS AND FIELD CONDITIONS BY•CONTRACTOR §;9,1:1]3ecause fhe Contract Dovuments are complementary,the Contractor shall,before starting:eaeh:portion of the Wotk,carefully study and.compare th'e yarious:Contract Doc;itrhents relative to that portion of.the Work,.as well os f the:information furnished by ilhe Owner pursuant to Section 8.1.1, 611 take field:measurements of any existing: conditions related to that portion of the Work and shall obseKve any conditions at the site affeedng ik,,These { obfigations.are for the purpose of facilitating coordination and.constxuction by,the Contractor And are not forthe purpose of:discovering errors,omissions,or inconsistencies in the Contract Documents;however,the Contractor shallpXgmptly reportto the Architect any errors,inconsistencies,or bmassioiis discovered by:or made known to the Contractor-:as a request for information in such form as thetArchitect may require:It is recognized that the Contractor'S:review is made in,the'Contractor's capacity as a contractor and riot as a licensed design:professional and!hat Contractor is notltable or otherwise.responsible,for design errors:or inconsistencies.Contractor represents and warrants that itis dulylicens.ed and,that any and all subcontractors or materialmen hired or sourced by Contractor shallalso be duly licensed to the extent required by:any applicable law„rule or regulation f §:9.1.2 The Contractor is not required to ascertain that the Contract Documents are in accordance with applicable laws,statutes,ordinances,codes,rules and regulations,or lawful orders of public authorities,but the Contractor shall proinptly reportto the Architect any nonconformity discovered by or made known to the Contractor as a request for information in such form as the Architectmay require.Contractor shall additionally and promptly report such matters to Owner.The exactness of grades,elevations,dimensions or locations given on any drawings issued by Architect are not guaranteed by Owner or Architect.Contractor shall therefore satisfy itself as to the accuracy of all grades,elevations,dimensions'and locations.In all cases of interconnection of its Work with existing or other work,it shall verify at the site all dimensions in relation to such existin,g:-or other work.Any errors resulting from ; Contractor's failure to perform the verifications required by this paragraph shall be promptly rectified by Contractor At no additional cost to Owner.Before ordering any materials or doing any Work,..Contractor and each subcontractor j shall verify measurements.No extra charge or compensation will be allowed on account of differences between actual dimensions and the dimensions.indicated on the Drawings.Any difference which may be found shall be _ submitted to Owner for resolution before proceeding with the Work. §9.1.3 Notwithstanding anyother language in any other paragraph of this Agreement or the Contract Documents, the Owner and Contractor recognize that the Work on this Project includes rehabilitation,remodeling,demolition and refurbishing of existing structures and that there may be encountered condition-,that could not have been reasonably foreseen or anticipated by the Contractor, Furthermore,Owner and Contractor recognize that conditions may exist that could not be discovered by a reasonable inspection of the accessible work site,and that were not 5 i disclosed bytlte Owner or Architect,because they had.no knowledge of the condition. If said conditions are discovered,an adjustment to the contract sum and/or time shall be made;pursuant to Article 11. §9.2 SUPERVISION AND CONSTRUCTION PROCEDURES §9..2.1 The Contractor shall supervise and direct the Work,using the Contractor's best skill and attention.The Contractor shall be solely responsible for.and have control over construction means,methods,techniques,sequences and procedures,and for coordinating all portions of the Work under the Contract,unless the Contract Documents give other specific instructions concerning these matters. §9.2.2 The:.Owner shall have the right to interview,approve,reject,and/or replace the Contractor's onsite . superintendent and/or supervisor on an ongoing basis;at any time,throughout the course of the Project.Owner may require Contractor to replace1ts onsite superintendent and/or supervisor if,in Owner's sole reasonable discretion., there is a basis for requesting such replacement.Nothing contained in this paragraph,nor Owner's excise of the k discretion provided for.hereiin,shall in any way excuse Contractor from its sole responsibility for the construction :means,methods,techniques,sequences and procedures,-and for coordinating all portions of the Work under the Contract. §9.3 LABOR AND.MATERIALS §9.3.1 Unless otlierwise.provided in the Contract Documents,the Contractor shall provide and pay for labor, materials,equipment,tools,construction equipment and machinery,water,Beat,utilities,transportation,and other :facilities and services necessary for proper execution and completion of the Work whether temporary or permanent and whether or not incorporated or to be incorporated in the Work. §9:3:2 The Contractor shall enforce strict discipline and good order among the Contractor's employees and other persons:.earrying out Work.The Contractor shall.not permit employment of unfit persons or persons not skilled in tasks assigned to them.No labor employed by or on behalf of Contractor shall be the cause of any labor disturbance,strike,picketing,jurisdictional dispute or work slowdown.If any dispute,strike,picketing or slowdown shall occur due to the labor employed by or on behalf of Contractor or a subcontractor of this Agreement,then Contractor shall immediately rectify such condition. , §9.4 WARRANTY The Contractor warrants to the Owner that materials and equipmentfurnished under the Contract will be of good j qudlity andnew and shall be fhe.brand and model required by the ContractDocuments,without substitution,unless a substitution has been authorized by Owner in writing,and title to any materials or equipment to be incorporated in to the Work.-shall be free of any security interests or financing(other than Owner's financing)unless the Contract Documents permit otherwise.:The Contractor further warrants that the Work will conform to the requirements of the Contract Documents and willbe free from defects,except for those inherent inlhe quality of the Work the Contract Documents require or permit.Work;materials,or equipment not conforming to theserequirements may be considered defective. t: i Further,the Contractor has represented that it is experienced in performing Work in occupied units or under otherwise occupied conditions.Accordingly,the Contractor expressly warrants that it utilize means and.methods and perform the Work in such a way asto be appropriate given that tbeproject.will be occupied.The Contractor further acknowledges.and,agrees to be bound by the Occupied Rehab Rider attached as Exhibit A,As part of Contractor's Work,Contractor shall provide Owner with an Occupant Claim procedure to be approved by Owner and employed by Contractor throughout the course of the Project. §9.5 TAXES The Contractor shall pay sales,consumer,use and other similar taxes that are legally enacted when bids are received or negotiations concluded, whether or not yet effective or merely scheduled to go into effect. Contractor shall be solely liable for, and pay,all sales taxes on all work, labor and materials it provides, and shall he solely liable for, and pay,all contributions,assessments or taxes for unemployment or old.age insurance or annuities now or hereafter imposed by any government or governmental entity,as well as all union fees or payments which are measured by wages, salaries or other remuneration paid to persons employed by Contractor or any Subcontractor, or by Work performed under this Contract. i, 6 5 i §9,6 PERMITS,FEES,'NOTICES,AND COMPLIANCE WITH LAWS §9:6:1 Unless otherwise provided:in ibe:Contract Documents,the Contractor shall secure.and pay for the building permit as well as other permits,fees;licenses:and inspections by government agencies:necessary for proper execution and completion of the Work that are customarily secured after ez8.cution of the Contract and legally required at the time bids are received or negotiations concluded. §.9.6,2 The Contractor shall comply with:and give notices required by applicable laws,statutes;o..rdinances,codes, rules.and regulations,and lawful.orders of public authorities applicable to performance of the Work.If the Contractor performs Work knowing into be contrary to applicable laws,statutes;ordinances,codes,rules and regulations;or lawful orders of public authorities,:the Contractor shall assumeappropriate responsibility for such Work and shall bear the costs attributable to correction:.:: k §9.7 ALLOWANCES The Contractor shall include in the Contract Sum all allowances stated in lite Contract Documents.The Owner shall select materials and equipment under allowances with reasonable promptness. Allowance amounts shall include the costs to the Contractor ofinate.rials.and equipment delivered at the site and all required taxes,less applicable trade s discounts;Allowance amounts shall not include the Contractor's costs for unloading and.handling at the site,.labor,. i installation,overhead;and profit. §9.8 CONTRACTOR'S CONSTRUCTION SCHEDULES §,9.81 In addition to the Construction Schedule.included in Addenda:B,the Contractor shall periodically prepare and submit for the Owner's information a Contractor's construction Schedule for the Work.The schedule shall not exceed tinne.limits current under the Contract Documents,shall:be revised at appropriate,intervals as required by the conditions of the Work and Project;shall:be related to the entire Project to the extent required by the Contract—- Documeiits;and shall provide for:expeditious and practicable execution of the Work. §9.8.2 The Contractor shall perform the:Work in„general accordance with the most:recent schedule submitted to the j Owner. §9.9 USE OF SITE t The Contractor shall confine operations at the site to areas permitted by applicable laws,statutes,ordinances,codes, rules and regulations,lawful orders of public authorities,and the Contract Documents and.shall not unreasonably i encumber the site with n aterlals or equipment. 1 §9:10 CUTTING AND PATCHING The Contractor shall beresponsible for cutting,fitting or patching required to complete the Work or to make its i parts ft.toge.ther properly. §9.11 CLEANING UP The Contractor shall keep the:premises and surrounding area free from accumulation of waste materials or rubbish caused by operations under the Contract:At Completion of the Work,the Contractor shall remove waste materials, rubbish,the Contractor's tools,construction equipment,machinery and surplus material from and about the Project. i� Furthermore,where the Project will be occupied during the performance of the Work,Contractor agrees to remove all waste,rubbish,and/or other unused construction materials from any occupied space at the end of each work shif3 so that the premisesmay be reasonably used by any occupant.Contractor further agrees to clean the Project in accordance with the Occupied Rehab Rider attached hereto as Exhibit A. §9.12 ACCESS TO WORK The Contractor shall provide the Owner and Architect access to the Work in preparation and progress wherever located. §9.13 INDEMNIFICATION §9.13.1 To the fullest extent permitted by law,the Contractor shall defend,indemnify,and hold harmless the Owner,MasslJousing,Wells Fargo,their agents and employees,Owner's subsidiaries,affiliates,directors,officers, 1 partners, members,shareholders,Owner's Designees,Architect,Architect's consultants and agents and employees (collectively the"Indemnitees")and employees of any of them from and against claims,damages,losses and 7 expenses,including but not limited to attorneys'fees,arising.out of or resulting from performance or failure to perform the Work or breach of this Agreement.or:to the extent caused by,or arising out of,the acts or:omissions:of Contractor,a subcontractor,anyone directly or indirectly employed by them or anyone for whose acts they may be liable,regardless of whether or not such.claim,damage,loss or expense is caused ia_part by a party indemnified hereunder Such.obligation shall not be:construed to negate,abridge,or-reduce other rights or obligations of indemnity which would otherwise exist as to a party or person described in this Section 9.13:1. §9.13.2.In claims against any person or entity indemnified under this Section 9.13 by an employee of the Contractor,_a Subcontractor,anyone directly or indirectly employed by them ovanyone for whose acts they may be livable,the indemnification obligation under Section 9.13.1 shall not be limited by a limitation on amount or type of damages;comp ens.gtion or benefits payable'by or for the Contractor or Subcontractor under workers'compensation acts,disability benefit:acts or other employee.benefit acts e. S §9,13.3 in addition to the foregoing indemnity obligation,where itis expressly understood that the Project will be occupied duriitg the performance ofthe Work;and Contractor is solely responsible for means and methods of performing the Work in an occupied site,to the fullest extent.permitted bylaw,Contractor expressly agrees to defend,indemnify,and hold harmless the Owner from and against any and all claims asserted by the occupants of the Project,and,their guests;or any applicable association:of occupants,arising:out of or related to the performance ofthe Work described herein,regardless ofthe actual or alleged cause asserted by such occupants.The indemnity ;; .obligation set forth herein-shall be in addition to the.other indemnity obligations of Contractor as set forth herein. C ARTICLE 1`0 CONSTRUCTION BY OWNER OR:I3Y SEPARATE CONTRACTOR'S §10.1 The Owner reserves the dglit.to perforin construction or operations related to the Project with the Owner's i ownforces_, to award separate contracts in connection with other portions of the Projector other construction:or I operations on the site under conditions.of the contract identical or substantially similar to these, f §:10.2 The Contractor shall afford:the Owner and separate contractors reasonable opportunity for introduction and i storage of their materials.a.nd equipment and performance of their activities,and shall connect and coordinate the Contractor's activities with theirs as required by the Contract Documents, §10.3 The Owner shall be rouribursed:by the Contractor for costs incurred by the Owner which are:payable to a separate contractor because of delays;improperly timed activities or defective construction of the..Contractor.The Owzrer shall be responsible to:the Contractor for costs:incurred by the Coritractor because of delays,improperly aimed activities damage to the Work or defective construction.of a separate contractor. ARTICLE 1:1 CI3ANG,ES IN THE WORK 11.1 B appropriate Modification chan ei to the Work may: accomplished accom lished after execution of the Contract.The t Owner,without invalidating the Contract,may request changes in the Work within the general scope ofthe Contract consisting of additions, deletions or other revisions, with the Contract Sum and Contract Time being.adjusted accordingly. Such changes in the Work shall be authorized by written Change Order agreed to and signed by the Owner and Contractor. Adjustments in the Contract Sum and Contract Time resulting from a changein the Work shall.b.e.determined by mutual agreement of the parties. Notwithstanding any provision contained herein to the contrary, any change in the Contract Sum or the Contract Time shall be accomplished only by change order.No.course ofconduct or dealings between the parties,nor express or implied acceptance of alterations or additions to the Work, and no claim that Owner has been unjustly enriched by any alteration or addition to the Work, whether or not there is, in fact,any unjust enrichment to the Work,shall be the basis of any claim loran increase in any amounts due under the Contract Documents or a change in any time period provided for in the Contract Documents.. In the event that Owner has.directed, or has allegedly directed, a change in the Work and Owner and Contractor cannot agree on a written Change Order, Contractor shall proceed with the Work as directed by Owner and seek entitlement to additional time and/or compensation from the Owner through the dispute resolution procedures set forth herein.In no event shall the failure of Contractor and Owner to agree on the terms of a written Change Order excuse the Contractor for moving forward with the completion of the Work as directed by Owner. i §11.1.1 Change Orders for additional work shall be based on the Contractor's actual costs incurred,plus a 8 i i P percentage fee for'overhead and profit which'is consistent with the Contractor's original bid. i §11.21f concealed or unforseen.conditions are encountered at the site,the Contract Sum and Contract Time shall be egu.itablyadjusted only as mutually agreed upon in writing between the Owner and Contractor,.consistent with the costs incurred and appropriate fee actually incurred by Contractor. ARTICLE 12 Td*M*E If:the Cor tmetor is delayed, at any titre in the commencement or progress of the Work by Changes in the Work per Article 14,by labor disputes,fire;unusual delay in deliveries,abnormal adverse weather conditions,unavoidable casualties,or by any causes beyond the Contractor's reasonable control,or by other causes which the parties determines mayiustify delay;then the Contract Time,only,shall be extended by Change Order for such reasonable time as the Contractor and Owner shall determine.In no event shall Contractor be entitled to an increase in the Contract Price or to the recovery of other delay,disruption,and/or inefficiency based damages due to:any delay in the completion of the Project or any extension of the Construction Schedule.It is expressly understood that an eXtension of time shall be the Contractor's only remedy for any delay,disruption,or inefficiency experienced on the Project,unless the Contractor can demonstrate reasonable general conditions cost that are unavoidable due to the nature of the delay. ARTICLE 1:3 PAYMENTS AND COMPLETION The Contractor warrants that title to all Work covered by an Application,for Payment will pass to the Owner no later than the time of full payment.The Contractor further warrants that upon submittal of an Application.for Payment all Work for which Certificates for Payment have been previously issued and payments received from the Owner shall be free and clear of liens,claims;security interests or other encumbrances adverse to the Owner's interests. s ARTICLE 14 PROTECTION OF PERSONS AND PROPERTY §14.1 SAFETY PRECAUTIONS AND PROGRAMS The Contractor shall be responsible for initiating,maintaining and supervising all safety precautions and programs required by law in connection with the performance of the Contract.The Contractor shall take reasonable precautions for safety of,and shall provide seasonable protection to prevent damage,injury or loss to .1 employees on the Work and other persons who may be affected thereby; .2 employees of the Owner; .3 Occupants ofthe Project and their guests; .4 the Work and materials and equipment to be incorporated therein,whether in storage on or off the site,under care,custody or control of the Contractor or the Contractor's Subcontractors or Sub- subcontractors;and .5 other property er at the site or adjacent thereto such as trees shrubs lawns,walks pavements, P .P ty J p � roadways,structures and utilities not designated for removal,relocation or replacement in the course of construction. The Contractor shall comply with and,give notices required by applicable laws,statutes,ordinances,codes;rules and regulations,and.lawful orders of public authorities bearing on.safety of persons and property and their protection fi•om damage,injury or loss,The Contractor shatl promptly remedy damage and loss to property caused in whole or in part by the Contractor,a Subcontractor,a sub-subcontractor,or an directly or indicectlyemployed by any of them,or by anyone for whose:acts the..y may be liable and for which.the Contractor is responsible under Sections 14,1.2 and 14.13,except for damage or loss attributable to acts or omissions.of the Owner::or Architect or by anyone for whose acts either of them may be liable. The foregoing obligations of the Contractor are in addition to the Contractor's obligations under Section 9.13. ARTICLE 15 HAZARDOUS MATERIALS § 15.14 The Contractor is responsible for compliance with the requirements of the Contract Documents regarding. hazardous materials:If the Contractor knowingly encounters a hazardous material or substance not addressed in the Contract Documents,and if reasonable precautions will be inadequate to prevent foreseeable bodily injury or death: to persons resulting from a material or:substance,including butnot:limited to asbestos or:polychlorinated biphenyl (PCB),encountered on the site by the Contractor,the Contractor shall;upon recognizing the condition;immediately ! stop Work in the affected area and report the condition to,the Owner and Architect in writing.When the material or substance has been rendered..harmless,Work in the affected area shall resume upon written agreement of the Owner 9 i and Contractor.By Change-Order,the Contract Time shall be extended appropriately and the Contract Sum shall be increased in the amount of the.Contractor's reasonable additional costs of shutdown,delay and startup. §15.1.2 Notwithstanding any provision to the contrary,the Contractor expressly acknowledges the existence of Asbestos Containing Materials CACMs").at the Project site within occupied units.Contractor further acknowledges and agrees that the Work to be performed under this Agreement;includes the proper abatement of°all ACMs on the .Project site and/or within any occupied units as described in the FLI Environmental;Inc.report dated April 9,2015, which.is hereby incorporated-by reference.The Contractor:agrees to properly abate all ACMs in accordance with all applicable laws,rules,regulations,standards,and/or requirements of any applicable inspector or governmental authority;including,:but not limited to,:any requirements of M.G.L,ch.21E et seq.To the fullest extent permitted by law,the Contractor shall in lemni;fy,,defend and hold harmless the Owner,Masd3ousing;Wells Fargo;Architect, Architect's consultants:and:agents and employees of any of them_from and against all claims,damages,:losses and expenses,including but:not limited to attorneys'fees,arising out of,relating.to,caused by,or resulting from the Contractor's failure to properly abate:the AGMs in accordance with all legal requirements,including,but not limited to,the requirements of M:G.L,ch.2.1E et.seq. This Contractor's obligation includes without limitation,where the I Owner is held liable by a government agency for the cost of remediation of a hazardous material or substance by reason of Contractor performing the Work. ARTICLE 16 INSURANCE AND BONDS §10.1 The Contractor shall purchase from,and maintain in a company or companies lawfully authorized to do business in the.jurisdiction in which the Project is located,insurance as set forth in the Contract Documents,and more specifically,Addenda D&:E. This insurance shall be written for not less than limits of liability specified in the Contract Documents orrequiredby- law,whichever coverage is greater.Certificates of Insurance acceptable to the Owner shall be filed with the Owner prior to commencement of the Work.Each policy shall contain a provision that the policy will notbe canceled or allowed to expire until at least 30 days'prior written notice has been given to the Owner.The Contractor shall cause the Owner and any other parties reasonably required by Owner to b.e.named as an additional insured on the:various coverages as set.forth in said Contract-Document's,and more specifically,Addenda D&E. Contractor hereby waives all rights of subrogation against Owner,and its officers,directors and employees,and any other entity named as an additional insured on thepolicies required under the Contract Documents. s � The Indemnitees provided by Contractor in this Agreement shall be included as Additional Insureds under 1 Contractor's insurance policies. Coverage afforded the.Additional Insureds under these policies shall be primary insurance.If the Additional Insureds have other insurance which is applicable to the loss,such other insurance shall I be on an excess and/or contingent basis. §16.2 OWNER'S LIABILITY INSURANCE The Ownershall be responsible for purchasing and maintaining.the Owner's usual liability insurance. §16.3 PROPERTY INSURANCE � 16.3.1 Unless otherwise provided,the Owner shall purchase and maintain,in a company or companies lawfully Authorized to do business in the jurisdiction in which the Project is located,property insurance on:an"all-risk"or equivalent policy°form,including builder's risk,in.the amount of the initial Contract Sum,plus the value of subsequent modifications and cost of roar rials supplied and installed by others,comprising total value for the entire Project at the site on a replacement cost basis without optional deductibles.Such property insurance hall be maintained,unless otherwise provided in the Contract Documents or otherwise agreed in writing by all persons and entities who are beneficiaries of such insurance,until final payment has been made as provided in Section 4 or until no person or entity other than:the O.wnerhas an insurable interest in the property required by this Section 163.1 to. i be covered,whichever is later.This insurance shall include interests of the Owner,the Contractor,Subcontractors and sub-subcontractors in the Project, §16.3.2 A loss insured under the Owner's property insurance shall be adjusted by the Owner as fiduciary and trade payable to the Owner as fiduciary for the insureds,as their interests may appear,subject to requirements of any applicable mortgagee clause.The Contractor shall pay Subcontractors theirjust shares of insuranceprocceds 10 I 1 i i received by the Contractor,and by appropriate agreements,written where.legally required for validity,shall require Subcontractors to make payments to their sub-subcontractors in similar manner. ARTICLE 17 CORRECTIONOF WORK §17.1 In addition to the Contractor's obligations under Section 9.4,if,withiit:one year after the date ofSubstanfial is Completion of the Work or designated portion thereof or after the date for commencement of warranties established under Section 13,or by terms of an applicable special warranty required by the Contract Documents,any of the Work:is found to be not in accordance with the requirements of the Contract Documents,the Contractor shall correct it promptly after receipt of written notice from the Owner to do so unless the:Owner bas previously given the Contractor a written acceptance of such condition.The Owner shall give such notice promptly.after discovery of the condition.During the one-year period for correction of Work,if the Owner fails to notify tbe.Contractor and give the Contractor an opportunityto make the.correction,the Owner waives the rights to require correctionby the Contractor and to make.a claim for breach of warranty. .Contractor does:liereby assign and transfer to:Owner all r warranties heretofore or hereafter received by Contractor with respect to materials and equipment utilized in the Work:and services furnished by subcontractors:or vendors. §17;2 If the Contractor fails to correct nonconforming Worlc within a reasonable time,the Owner may correct it in aecord.arice with Section 8.3; §17.3 Theone-year period for correction of Work shall be:extended with respect to portions of Work first i. performed after.Substantial Completion by the period of time between Substantial Completion and the actual completion of that portion of the Work.Further,there shall be an additional one-year warranty period:applicable to E repaired work,such that each item of work.that is repaired under this Article 17 shall itself have a.one-year warranty. ARTICLE 18 MISCELLANEOUS PROVISIONS §18.1 ASSIGNMENT OF CONTRACT Neither party to the Contract:shall assign the Contract without written consent of the other,except that Contractor may subcontract project work and'the Owner may,without consent of the Contractor,Assign the Contract to a lender providing construction financing for the Project if the lender assumes the Owner's rights.and obligations under the Contract Documents including without limitation all obligations to pay the.Contractor for Work performed prior to the:assignment.The Contractor shall execute all consents reasonably required to facilitate such assignment. Notwithstanding the foregoing,Contractor expressly consents to the assignment and/or attornment of any rights of the'Owner and its subsidiaries,parents,affiliates or members,including Barkan Development,LLC and:Barkan North:Andover;LLC,as between each other and agreed to be bound to each entity to the extent of any':interest transferred between them.. §18,2 GOVERNING LAW The Contract shall be governed by the laws of the Commonwealth of Massachusetts,exce,pt where Massachusetts conflict bflaw analysis wotild.apply:the law of.a foreign jurisdiction. Massachusetts substaritive lav✓sliall apply=in all instances, §;18.3 TESTS AND INSPECTIONS Vests;inspeetions:and.approvals ofportions of the Workrequired by the Contract Documents or by:applieable laws, i statutes ordinances,codes,rules and regulations or lawful orders:of public. authorities shall be made at an appropriate lime.,Unless outer-Wise provided,the:Contractor shall make arrangements for such tests,inspections and i approvals vsii h an_independent testing laboratorybr entity acceptable to the Owner,br witli the appropriate public authority,:and shall bear all related costs of tests,inspections and approvals.The:.Contractor shall give the Architect timely notice of when and where tests and:inspections are to b.e,made go that the Architectmay be present for such procedures.The Owner shall bear°costs of;(l).tests.inspections:or approvals that do not become requirements until after bids are received;or negotiations concluded,and(2)tests,m8pections:or approvals where building codes or applicable laws or regulations prohibit the Owner from delegating the costs to the,Contractor. §18.4 CONLMENCEMENT OF STATUTORY LIMITATION PERIOD The Owner and Contractor sha°Il commence all claims and causes of action,whethei':in contract,tort,breach of warranty or otherwise,against the other arising out of or related to the Contract in accordance with the requirements ]1 � s I =' I ofthe final:dispute resolution:method selected in the Agreement within the period specified by applicable law,The Owner and Contractor waive all claims and causes of action not conimepced to accordance with.this Section 18,4. §18.5 REPRESENTATION OF PERMITTED USE Owner hereby represents that*the Work called for hereunder is permitted provided;alI applicable perm, are obtained by Contractor and that:any arid all interested third-parties,including without limitationlenders,landlords, occupants,or others,are aware of andhave consented to the Work called for,hereurider without conditions. §18.6 INSPECTION OF SUBCONTRACTS Contractor shall,provide Owner with a:list of subcontractors it intends to utilize in the performance of the Work and will provide Owner with a copy:of the written subcontract to be used with each such subcontractor for inspection of Owner upon request, ARTICLE 19 SUSPENSION:OR TERMINATION OF THE CON'T'RACT � §19.1 TERMINATION$Y THE CONTRACTOR Ifthe Owner fails to make payment as provided in Article 4,or otherwise materially breaches this Agreement,the Contractor may upon no less than seven(7)days prior written notice.to Owner;suspend or terminate the Contract.at its:reasonable discretion and recover fibm the Owner payment for Work executed. § 19.2:TERMINATION By THE OWNER §1913 The Owner may at any time terminate the Agreement for the Owner's cor vertienee and without cause,The Contractor shall be entitleid to receive payment:for Work executed,and costs incurred by reason of such termination, but not profit on the Work 3vhich has not been executed or performed, x , In addition,the Owner may tenriinate the Agreement if the Contractor ' i .1 repeatedly:refuses or fails to supply enough properly skilled workers or proper materials; ; .2 fails to make payment to Subcontractors for materials or labor in accordance with the,respective agreements between the Contractor and the Subcontractors,except where thc.reason for such failure ; is due to the Owner's failure.to pay the Contractor for such materials or labor;or .3 repeatedly disregards applicable laws,statutes,ordinances,codes,rules and regulations or-lawful orders of a public authority. e 19.2.2 When any of the above reasons exists,the Owner,upon certification by the Architect that sufficient cause s exists to justify such action,may,after giving the Contractor seven(7)days'written notice including the opportunity to take reasonable steps towards curing the alleged default,terminate the Contract and take possession of the site and of all materials,equipment,tools,and construction equipment and machinery thereon owned by the Contractor and i may finish the Work by whatever reasonable method the Owner may deem expedient.Upon request of the u } Contractor,the Owner shall furnish to the Contractor a detailed accounting,of the costs incurred by the Owner in finishing the Work. §19.23 In the event of termination for cause,if the unpaid balance-of the Contract Sum exceeds reasonable costs of finishing the Work,such excess shall be paid to:the Contractor.If such reasonable costs and damages exceed the unpaid:balance,the Contractor shall pay the difference to the Owner,The amount to be paid to the Contractor or Owner;as the case may be,shall:be certified by the Architect,upon application,and this obligation for payment shall survive termination of the Contract but be subject to the Article 20 process provided below. § 19:3 SUSPENSION If the Contractor fails to obtain:a building permit or a certificate of occupancy through no fault of the Contractor,or if there is an Owner initiated work-stoppage of more than 30(thirty)days,the Contractor shall be entitled to suspend the Work upon written notice to Owner. Contractor shall be entitled to a Change Order for remob:ilization/demobilization costs and to an adjustment of the contract time equal to the amount of days suspended. ARTICLE 20 CLAIMS AND DISPUTES §.203 Claims,disputes and other matters:in question arising out.ofor relating to this Contract shall be subjeet to mediation as a condition precedent to:binding dispute resolution.Mediation shall be administered by JAMS in :Boston,Massachusetts.A request for mediation shall be made in writing,delivered to the Other party to this: 12 t L Agreement,and filed with the person or entity administering the;mediation. If a matter does not resolve via mediation,then the dispute;shall be filed: n the Suffoik'CountSuperior Coutt.or appropriate.District C.. rt depending on the size of°the dispute: §:.2d,2,If a claim,-dispute or oilier matter in question relates to or is the subject of a mechanic's Tien,the party asserting;such matter:may proceed,in accordance with applioable:law to comply with the lien notice or filing t deadlines, Notwithstanding any provision contained)ioretn to t]ie c ontrary provided that Contractor'has been paid by owner theregputsd sums hereunder•(or the applicable portion thcreofj due to Contractor pursuant to the Agreement(except as:otherwise specifically_provided herein),:Contractor shall not voluntarily permit any laborer's, materiainien's,mechanic's;or other similar liens to be filed or:otherwise imposed.on any part ofitl?e Work:or the w property on which the_W is performed.If any Laborde ,inaterraltnen's,mechanic's,or'gther similar lienor claim s thercofis filed or•other Vise imposed against,the Property'Contractor„within twenty(20)days a$er:actuaI notice to Contractor'of the filing of such lien Orr.other itriposit'ion thereof;Shawl cause sudh4ien to be.released or otherwise: discharged,;eXcept as to liens which Contractor;is:oontesting in good faith by appropYiate:action diligently pursued, provided;Contractot has notified,Owner oftho,nature of such lien.arid informed Owrigr;ofthe type of aciionl%eing pur-sued'4y Contractor and,ifrequested by Owner,has provided Owner'with a suretybond reasonably-satisfactory'to ydtier,sufficientto'cover;such claim in the.event Contractor.is unsuccessful in.contesting, 'same or has made other arrangements reasonablysatisfadko_ry to Owner;.Tf,however,Contractor;wttliin'fhe aforesaid twenty. (2g)day period,. does:not.c.ause such lien either.to be released and discharged forthwith or contests same in the manmer provided hereigabove,then Owner shall have the right to"pay all sums necessary to obtain such release and discharge and reduce the Contract Sum^_by the amount ofsuch payments trade by Owner.Contractor shall indemnify,defend.and }told harmless Owner from all claims,losses,demands,causes of action.orsuits of whatever nature arising out:of anysuch lienor that part of the fork covered thereby, ARTICLE 21 The failure to enforce any provision in this Contract shall not ever constitute a waiver of the parties'right to enforce it in the future, z ARTICC,E 22 MISCELLANEOUS s i §22.1 When professional certification of performance criteria of materials,systems or equipment is required by the applicable buildings department (or:equivalent) or other City, State, County or federal agency, Contractor shall provide the..person or party providing the certification with full information on the relevant performance requirements and on the materials, systems, or equipment that are expected to operate at the Project site: This certification shall be based'on performance under the conditions generally prevailing or expected at the Project site. q Owner and Architect shall be entitled.to rely upon the.aomauy and completeness of such certificates, i ; §22:2 If any provision of this Agreement is invalid or unenforceable as.against any person or party,the remainder of o I the Contract Documents and the applicability of such provisions to other persons or parties shall not be affected thereby. Each provision of the Contract.Documents shall, except as otherwise herein provided, be valid and enforceable to the fullest extent permitted by law. i 22.3 All expenses for overtime or premium costs for product or shipping necessary for adherence to the § p p p" Pp� g rY Construction Schedule shall be the responsibility of Contractor,who shall notify Owner promptly of any delays that .might affect the Construction Schedule, Ii §22.4 Contractor+shall furnish and maintain all temporary ladders, barriers, fences, trailers, storage container's, catwalks,ramps,runways,chutes,:derricks,stairs,hoists,cranes and similar items required for the proper execution of the Work, including the work of Subcontractors, Any and all of these facilities shall be constructed so as to prevent damage to, including staining or marring of,pennanent Work. All damage resulting from the use of such facilities shall be repaired by Contractor at its expense. §22.5 Contractor's:indemnity obligations under this Contract shall also include,but not by way of limitation, all: fines,penalties, damages;judgments, liability; costs,.expenses,attorneys' fees resulting from any (i) violation or j failure to comply with any law, statute, ordinance, regulation,code or requirement of public authority, that bears upon the performance of the Work by Contractor,a subcontractor or any other person to whom either is responsible, except to the extent any breach of law, code or regulation was the result of following the Contract Documents and Contractor could not reasonably have discovered the error or omission;(ii)means,methods,procedures,techniques, t 13 i or sequences of performance of the Work; (iii)violations of any perti?it or other approval ,of a public:authority applicable to the Work by Contractor, a subcontractor, supplier or any person or entity for whom either is responsible;and (iv)any costs:or expenditure.s.by any'Owner Designee in connection with enforcing:the indemnity, defense and hold harmless obligations contained''herein. §22 8 (a)Each party shall perform its obligations in a manner that complies with:all applicable laws(including identifying and procuring required permits, certificates, approvals and inspections) required of such party or for which such party is responsible hereunder. 4 (b) Contractor shall comply with all applicable federal, state and local employment and other laws,, government regulations and orders. s This Agreement entered into as of the day and year first written above. Wood Ridge Homes LLC Northeast Interiors,Inc.d/b/a By: NEI General Contracting By: . arkan North Andover,LLC — Jos f' et an Manager Vice esident Tbereunto Duly Authorized Dated: �y�« �S Dated.> x i i 3 s r` 9 i i i s 14 j I Massachusetts.=Depa*rtment o;pacblac Safety_ vvaa'u yr BL`ding ct�eay^e ca€o'-.s �^.ai Construe,703'S Supeniso, 3CeC4Se: C$-0955839 VINCENT E BAR13bZk lq rZA,RyANNE , � .-, PI,ALSTOW NH D3865 'I L Commissioner 81119/2016 Y Massachusetts -Department of Public Safety Board of Building Regulations and Standards License: CS-045635 STEVEN C JONCA� 4 TENNEY RD ` �' � PELHAM NH 03-076 I ,3 �V n` �✓ � moi_ Expiration Commissioner 1 211 712 0 1E