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HomeMy WebLinkAboutDECKING AND RAILING REPAIRS v %%OaTw O BUILDING PEIT °L TOWN OF NORTH ANDOVER _ t APPLICATION FOR PLAK1 ;EXAMINATION ; Permit NO: (G° 'lam Date Re eived �i 1 �q�� ���,W , 41 9,9 A��A7E0 PPP��S r,, . sgcHus Date Issued: IMPORTANT:A2plicant must com Tete all items on this page LOCATION ; � PROPERTY OWNED ®6G7a.►J' bO"t kil r �a Print MAP NO PARCEL: ZONING`N§TRICT: Historic District ' yesno ;Machine Shop Village yes - no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑AJIteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑.Septic ❑Well 0 Floodplain ❑Wetlands ❑ Watershed District El Water/Sewer Identification Please Type or Print Clearly) OWNER: Name: 1 �_Phone: 6() e>- 7q-7 - 72 Address: ®+j6 CORTRACTC}R' Name: Phone: Adtlress Grp E �Z�k 0. Supervisor's Construction License. Expo, Dater 7r rne Improvement License: Exp. `Date: Ho ARCHITECT/ENGINEER -"tip-{ & ULnL4 Phone: 9-784 Z tSP4 Address: 5D45 LAi I€max Dp! #t4 xU �Reg. No. qt _q 3 FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 1 FEE: $ Check No.: Receipt No.: 4 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner 1-cE 6--7rF*_-T' Signature of cont ct _ Kurt Slimak Project Manager ❑ Stamped Plans ❑ Plans Submkted• 2gsS "Second Avenue TYPE OF SEWERAGE I S Waltham,MA 02451 ing Pools ❑ Public Sower 'Fell Your r onlonanco andUimprovation for me is`Y Mobile.(617)212-4081 ,cicaging/S.ales ❑ Fax: (866)408-6738 Private(septic tank,etc. email:k,-t W-k@,,E1P1"1-"ll""com www.spsinconl ine.com THE-FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF e U FORM PLANNING & DEVELOPMENT Reviewed On SignatureAA�` COMMENT'S ONSERVA,TI®N �RevVi�ewed an Sl nature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decisionlreceipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Colt nectionlSi nature& Date Driveway Permit ])'PW Town Engineer: Signature: Located 384 Osgood Street IFZE ®EPARTtVIEI l' Temp,,,,(,Dump stet on site .yes Located at 124 Main Street FrreDeparfnnent qlgnaare/dat®, , ., i COMMENTS ': r—iff-911 AM tkORTH ' i 'own ot ndover 0 To Y C' LAKE h y ver, Mass, C0C"1C nEWICK 111' S U BOARD-OF HEALTH Food/Kitchen rvERMmIT T LD Septic System THIS CERTIFIES THAT ,gy p .....C#v%d&� .......•T BUILDING INSPECTOR has permission to erect O' 9/ ,. �-� .T Foundation ...........� ........... buil In son ... ... .. ..... ...... ...:�.!� . ... ... o - Rough tobe occupied as ................. ......................... .. ....... ............................................. Chimney provided that the person accepting this permit shall in every respect conform to the.terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT PIE I 6 ELECTRICAL INSPECTOR LES CTI Rough Service ..... .... ...................... Final B LDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. 3FS Proposal for Services Project: The Colonnade 1401 Great Pond Road North.Andover, MA 41845 Prol)ared For: Rick Stern Sutton Management Company,Inc. j PO Box 773 I North Andover,MA 01845 (978) 689-9994 Prepared By. Chuck Huntley Schernecker Property Services,inc. 283 Second.Ave,Waltham.,MA 02451 (781)487-2516 chuck.huntley a@,l)sinconline.com www.spsincot0ine.com SPS HZC#: 123615 Expiration Date: October 22, 2015 Date Submitted: October 1,2015 Proposal#: 5441821 The Colonnade-Gulter,Roof,Siding,and Dooks Th¢Coloamada I Propusulg;544)821 cope 0-F or General Description: SPS,Inc,will provide the necessary supervision,labor,and materials to-perform the work specified in this PFS in a good and workmanlike manner and in compliance with applicable laws and codes.The pricing provided in this PFS encompasses,in general,the following: Siding: Scope of work to include installation of vinyl siding on the detached and attached garage, The existing T-111 wood siding will be prepared by removing a 12"section along the base of the wall then installing PT plywood to resist damage resulting from contact with the driveway.The existing T-111 wood siding will be covered with Tyvec housewrap followed by the installation of CertainTeed Monogram horizontal siding,Each garage door will have the jambs and weatherstripping removed and replaced with PVC stock of the same size,A new vinyl soffit will be installed to complete the work. i R :Garage roof replacement to include removal of ext ' roof system to expose the roof i ion,Repairs to the roof dcc completed using the allowances pr t s fa work is required a written change order will be n yste uded waterproof membrane, synthetic underla metal edge flashing to prep face for GAF archite Ingle. , Included.Areas; ° Detached garage siding and door trim,7 bay attached garage siding and door trim. ° _Detached garage soffit ° Angled PT support brackets will be removed and re-installed • Garage door jambs and weather stripping on the jambs only • Steep roof areas of the detached garage • Low slope area of the detached garage will received a fully adhered FPDM membrane ° Dumpster costs and permits • Roof deck and framing replacement up to the allowance quantity ° Removal raid re-installation of existing gutters ° Replace deteriorated fascia with new PVC Excluded Areas: ° Siding repair or replacement 'Fetal Price for work as specified in the Scope of Work: SMINSAD A 'tional Items,Alternate items and Unit Prices Pt' ng provided on Page 5 is for specific items not included in the contracted Scone of Work,Please note that ese items are additional to the"Total Price". Schedule of Work Schnnweker Property Sarviaes 1283 Second Avume,Waltham MA 024511 80OA24.2A63 i spstwoullne com )'age 2 of g '1 I The Colommda.Wtar,Roof,Siding,and Decks The Colonnade I Proposal#;5441821 The work heretofore described is scheduled to commence on October 1,2015 with an expected duration of approximately 42 days,Substantial completion is expected by November 12,2015. Acceptance of Proposal The undersigned,as authorized representative(s)of the property listed,have read the terms stated herein and accept the terms as written. i /610101/15 b IT :• nn r:_ n xu VATE DAM Chttck flunt1 Vice President It; rn �Oy �JSGI�► ��1 �I1/ MIX I Ij I 8chermokcr Property Services 1283 Socnnd Avonw,Waltham MA 02451 1 8110 47.4.2468 I sonconline.com Page 3 of 8 Tho Colowtudo-Giluor,Roof,Siding,and Docks no Colonnade!ProposaM 5441821 Total Price for work as spociflod hi t1tv Scope of Work Type of Price/Type Itein Description Quantity Quantity of Quantity Extended Price 1. Balcony rim joist replacement on townhouses 1.00 Job $2,000.00 $2,000.00 2. Balcony deck board replacement with PVC decking 1.00 Job $11,960.00 $11,960.00 on townhouses 3. PVC railing on townhouses 1.00 Job $12,000.00 $12,000.00 4. Vinyl siding on first floor of townhouses 1.00 Job $3,800.00 $3,800.00 S. Rebuild 2 sets of stairs on townhouses with PT 1.00 Job $14,000.00 $14,000.00 framing,PVC railings,and PVC decking. 6. Misc.exterior repair allowance 1,00 Job $5,000.00 $5,000.00 Ole I AA -1-t— " &A •Qc4vbu f on freestanding garage(see attached 1.00 Job $26,825 addendu r specific contract quantities included for rotted sheathin d framing) 9. New vinyl on ftont of frees garage I Job $7,500.00 -4W,"0-061- 10.New PVC soffit on front of freestanding 1.00 Job $2,000.00 —ftt"-00- A" a 11.Now guttuxs and downspo . ant of 1'r n ftiv Job $2,800.00 gallige 12.Replace asemeat window wells on mansion 1,00 Job $700.00 w.S=Aa. ,ZiaX oplommWfil Owl'asilk'QUO)WOM J Schorawker Ptuporly&xYlm 1283 Second Avenue,Wafthm MA 0245 1 1 800A24,2468 I spalnomilinexorn Page 4 of 8 The Colonnade-Gutter,Pont,Siding,and Decks The Colonnade 1 Propmatil;5441821 Prop Nat Thum; Praposal:11,18 proposal Is valid until Oar 22 2015.If this propasal has not been accepted by said date,then this proposal is deemed withdrawn by SPS. I Acceptance of Proposal:The signature of the Owner or Owner's authorized agent shall constitute Owner's agreement to the term$and conditions contain horein. Owner's Managing Agont:If Owner has engaged the services of a property managoment company("inanaging agoof)to act on Its behalf Mill regard to the subject matter of this agi'eeutent,the managing agent and its representatives shall be considered authorized ugents of tile Owner.With regard to the subject matter of this agreement,Owner shall be bound by And SPS,hic,shalt be entitled to rely upon statements anis actions of the managing agent, Etittre Agreement:This proposal and any documents specifically listed wider Contract Documents or ineorpoated by reference constitute the entire agrooment between SPS,Inc.and Owner.Sloth parties warrant that there have been no promises,obligations or undertakings,oral or f written,otter than those herein set forth.No material modification of the tenors of this Agreement shall be effective unless approval ht writing by SPS,Inc,and Owner or Owner's agent,Mod'►ffcations may be approved by omail,. Work Progression.,Start dates,amount of lime needed to complete the work,and completion dates will be estimated at the time of signing of the PFS,prior to(lie commencement of the wort.The schedule may be modified by mutual agreement for any reason.Changes in the Scope of Work Are likely to impact the schedule,Inclement weather and other circumstances beyond SPS,Inc.'s control are also likely to cause changes Jill the work progression.Delays caused by Owner,its awnaging agent or their representatives,may result in additional charges, Reprosentattous.SPS,Inc.is in the business of providing maintenance and capital Improvement services to regi property.Tile PAS contained heroin has boon prepared on tite basis of a visual inepecdon of the property.SPS makes no warranties or roproseat4tions about die physical condition of the property at the time of this proposal, Materials Storage and Inspectiont SPS,1110.requires that it be allowed to store tho materials and oquipment necessary for the performance of the specified work on the property in a anittatliy agreeable locution.Such materials and equipment shall be subject to inspection and approve! by the property agent. Protection of Work Areas:The work areas are to be secured and protected during the performance of the work.Unless otherwiso noted,SPS Inc,will be responsible for damages to the,Owner's property caused SPS Inc,during tho performance of the work. Rubbish Clean Up and Removal:SPS,Inc.will dispose of nebbish,trash and debris resulting ftom the performance of the work in a mariner I approved by the Owner orautbotixed agent.Such disposal will he in compliance with applicablo laws find regulations.SPS,Inc,shall maintain j the job alto in reasonably nun and*loan condition during the performance of die work. Completion and.Acceptance:The work will be*teemed to be complete when the conditions as dcscribcd in the P178 have been performed by SPS,Inc.Upon completion,SPS,ire.will provide notice to die Ownerthat the entire work or an agreedportion theroof is*omplete.Upon such notification,the Owner or Owner's agent will promptly Inspect the work and will notify SPS,inc.of any incomplete or defective work.SPS, Inc,shall take such measures as are reasonably necessary to complete such work or remedy such deficiencies. InsurancC:SPS,tile,maintains Worker's Compensation Insurance,0enoral Liability Insurance and Automobile Insurance.Upon request,SPS, Inc,will facilitate the delivery of a Certificate of Insurance from its insurance agent naming the property Owner as an"Additional Insured," Warranty:Unless otherwise noted,SPS,Inc,warrants the work performed under this PPS against defbctive workmanship for a period of two (2)years from rho date ofcompletion and acceptance.This warranty is cxpressly conditioned upon the Owner's full performance of its payment Obligations hereundor.Any holdback or nonpayment by Owner will hhvalidute this warranty. Owner shall also have lite right to terminate the agreement for convenience.Owner shall give SPS,fac.ten(10)days advance written notice. Owner shall be responsible for paying SPS for all worse perfimmd to the date of termination plus SPS roasontiblo costs of demobilising plus twenty percent(20%)of the value of the work remaining to be performed under die agreement, Nominal versus actual dimensions:The actual dimension of a 2x4 is approximately 1.5"x 3.5".112x4"is the nominal dimension,The actual dimensions of many material3 differ from their advertised norninal dimensions.Nominal dimensions are used in proposals and spocirioation5. SPS does not assume responsibility or liability Ibr the discre911110y between any nominal versus sowal measuremears. Indemnity:To the fullest extentpemnitu d by law,the Ownershall indemnify,defend,and hold harmlcsa SPS,Inc.and its agents and employees of and from tiny claims by third parties or unit owners arising out of SIS,Inc.'s performance hereunder unless it is finally adjudicated that such Schemecker Property Services 1283 Steond Avenue,Weliham MA 024511800A24.2468 i spsinconline.com Page I of a The Colounuth I Pmpoaulll:5411821 SPS Specifications Work to be performed according to the manufacturer specifications for the product indicated unless otherwise noted, These Specifications and the associated pricing assume the use of owner-supplied electrical power and water unless otherwise noted. R®OM' G ITEM MANUF'ACTU_R13R PRODUCT NAME S17X/COLOR I DETAIL Asphalt Shingle OAF Timberline TBD Waterproof Membrane GAF Weatelwateh Black Underlaymont GAF Shinlemate EPDM Membrane Versico O.U60"EPDM Black SPS,Inc.Will: Install waterproofoig membrane on the roof sheathing in the following;locations: 6' on eaves wrapped over fascia; on valleys; at hip locations; 18" at ridge; at chimneys,skylights,vents,etc. 18" at transition walls fit Mansard roof locations ° Install roof shingles with 6 nails per shingle--"hurricane"or"storm"nailing. ° Install new aluminum step flashing at above-roof tmasitions. I i i i SchomeckoT PropeYry Serv1om j 293 Sewmd Avenue,Walfham MA024511900.424,24681 spduamllnoxom Page 1 of l The Commonwealth of Massachusetts Department of Industrial Accidents a 1 Congress Street,Suite 100 Boston,MA 02114-2017 wivmmass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TOB);TILED WITH THE PERMITTING AUTHORITY. _An hcantInfonmation Please Print Leszibly Name (Business/Organization/Individual): r('C�tJEG�-'1'Z 0eC"�M% c— Address: 28 Eeo�� G City/State/Zip: MSC fA ^ d_ok DZ'-n Phone#: Are you an employer?Check the appropriate box, Type of project(required): 1.�am a employer with�fi/employees(full and/or part-time).# 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. n Remodeling any capacity.[No workers'comp.insurance required.] 9• ❑Demolition In I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11 ❑Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole proprietors with no employees. 12.n Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.n Roof repairs These sub-contractors have employees and have workers'comp.insurance-t 14,[�Jbthel' t;? �A-t� 6.n We area corporation and its officers have exercised their right of'exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *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 nexv 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. Iain an employer that is providing ivot•Irers'compensation insurance fol•rrty employees. Below is the policy ail d job site information. Insurance Company Name: � i� M'6``� W����' -S 1 � Policy#or Self-ins.Lie.#: QBL��l� 12 t�t"X.5 11 S � Expiration Date: r�t �� Job Site Address: 1401 1 CSI C�rP�� r �"'� � _City/State/Zip: ��c�FTt� /ktJ OIS�5 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORD ORDER and a fine of up to$250.00 a may be forwarded to the Office of Investigations of the DIA.for insurance day against the violator.A copy of this statement coverage verification. I do hereby certify It tiler' air penalties of pellury that the irtforrt:atimt pt•ovided above is true and correct. Date'. i t ►v i s Si nature: Phone#: Z v n CL EE only. Do not write in this area,to be completed by city or town official. n: Permit/License# hority(circle one): Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector nson: Phone#: ACC)R"® CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD/YYYY) k..- 12/18/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed, if SUBROGATION IS WAIVED,subject to the terms And conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s), PRODUCER NAME, Claire aoutilier Cleary Insurance Inc PHONE (617)723-0700 FAX (617)723-7775 226 Causeway Street ADDRL •obout:ilier@clearyinsurance.com INSURERS AFFORDING COVERAGE NAIC$ Boston MA 02114-21555 INSURERA:Continental Western Insurance 10804 I INSURED INSURERB:Union Insurance CoLupapy 25844 Schernecker Property Services, Inc. INSURERC:Acadia Insurance Company 1325 283 Second Avenue INSURERD: INSURER E: Waltham MA 02451 INSURER F: COVERAGES CERTIFICATE NUMBER:2014-15 Liability REVISION NUMBER: THIS.IS TO CERTIFY THAT THE POLICIES.OF INSURANCE LISTED BELOW-HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE-INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADOL S BR POLICY EFF POLICY EXP _ POLICYNU BER - D YYY). [MMIDD=i LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIALGENERAL LIABILITY E ISESGE�T� c $ 300,000 A CLAI"MADE aOCCUR CPA 0183614-18., ..„ 12/31/2014 2/31/2015 MED EXP(Arane 'arson) $ 5,000 _ PERSONAL 8 ADV INJURY $ 1,000,00D GENERALAGGRCGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ 2,000,000 POLICY X PRO LOC $ AUTOMGBILELIABILITYCome I SINGLE MR 11000,000 BIx ANY AUTO BODILY INJURY(Per person) $ AUTOS }[ AUTO$ 0183415-18 2131(2014 2/31/2015 BODILY INJURY(Per acddent) S NON-OWNED PROPER YDAMAGE $ HIRED AUTOS X AUTOS i $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE A----5,000,000 C EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 _ DED I I REMNTIONS PUk 0183616-18 2/31/2014 2/31/2015 S G WORKERS COMPENSATION WCSTATU• O1hl- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L,EACH ACCIDENT $ 1100010 00 (Mandatory In EREXCLUDEO't NIA Cp 5074780-12 12/31/2019 2/31/2015 (MandatorylnNH) EL DISEASE-EA EMPLOYE $. 1,000,000 u.qas da6tdbo under Excludes t9A) DCSORIPTIONOr01'ERATIONSbelow ( E.L.DISEASE POLICY LIMIT S 1,000,0 00 j DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Altach ACORD 101,Addltlanul Remarks Schadulo,If more spate Is required) j I i CERTIFICATE HOLDER CANCELLATION ? i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Sehernecker Property Services, Inc. 283 Second Avenue Waltham, MA 02451 AUTHORIZCOREPRESENTATIVE 1 Claire Bout:ilier/JCS ACORD 25(2010105) O 1988.2010 ACORD CORPORATION. All rights reserved. INS025(2oloo6pi The ACORD name and logo are registered marks of ACORD i /�9v /p�jj''�� Client#:1025557 SCHERPRO ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDIYYYY) 1 12/18/2014 ; THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In!leu of such endorsement(s). PRODUCERN}A{ME: T Kathy Wagner US]Insurance Solutions LLC PAI&No Ext:413-750-4222 ac No:610-537-4670 123 Interstate Drive E-MAILkathy.wagner@usi.biz West Springfield, MA 01089 ADDRESS: Y•wa g INSURER(S)AFFORDING COVERAGE NAIC 9 855 874-0123 INSURER A:ABC Mass Workers Comp SIG 99999 INSURED INSURER B: Schernecker Property Services,Inc. INSURER C: 283 Second Avenue Waltham,MA 02451 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIHEMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, gEXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ASR S VDR POLICY NUMBER M DJYYYY MM AEOY LIMITS GENERALUABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY � �ESry $ CLAIMS-MADE FIOCCUR - MED EXP(Any one person) S PERSONAL&ADV INJURY S GENERALAGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ POLICY jRa LOC $ AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT - . . Ea accident ANYAUTO BODILY INJURY(Per Person) $ ALLOWNED SCHOEDULED BODILY INJURY(Pet $ AUTOS AUTS ( ) HIREOAUTOS ANNOSVJNED PPOPERT�YS-DAMAGE S $ UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ '.. A WORKERS COMPENSATION ABCMA12000115 1/020LTOgTH ANDEP�LOYERS LIABILITY wTAYIN -S - ANYPROPRIETORIPAr�TNERlEXECUTIVE E.L.EACH ACCIDENT 1$1,000.000 OFFICERMIEMBEREXCI.UDED? a NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE$1,000,000 DEde=Ibe under SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000 000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addlllonal Remarks Schedule,It more space Is required) Proof of MA Workers'Compensation Coverage Proof of Massachusetts Workers Compensation Coverage 1 i i CERTIFICATE HOLDER CANCELLATION I For Insurance Purposes only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE p y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN t QQ ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE y ..., .I" ©1998-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S13921784/M13920367 PZPZP f I I i i 's Massachusetts -bepartment of Public Safety Board of Building Regulations and Standards COnst"IctiOn Supers-isor License: CS-03665 KURT NL SUMW 42 SEARLE ST. Georgetown MA 63 } w Expiration Commissioner 03/07/2096 CKlie VKoit»toniveallf"loAa admie113 e of Consumer Affairs&Business Regulation EIMPROVEM.OT CONTRACTOR egistration - $t;. .. Type: Explratidnt -014401-7 . .. Supplement C&� Schernecker Property SgNti s,iltc: .:. KURT SLIMAK 283 Second Avenue Ott. ,-,{•.-- I Waltham,MA 42451 Undersecretary I I ' I