Loading...
HomeMy WebLinkAboutBuilding Permit #690-14 - 1065 Osgood Street 4/8/2014TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: v Date Received Date Issued: 111 Uz q4=*=P1*P­ORTANT: A licant must complete all items on this page LOCATIONLOLL— Print- PROPERTY OWNER— �-- 100 Year Old Structure yes no Print MAP NO- PARCEL ZON G DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF -IMPROVEMENT.' ❑ New Building. ❑ Addition ❑ Alteration ❑ Repair, replp,ce!.nm�nt 11 Demolition Septic ❑ Well ❑ Water/Sewer u une campy g Two or Riore fanily• Ll /Hssessory u riouuPidilI AU Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Address D Supervisor's Construction License:' v5"�� /� Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $100 F THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ , %� FEE: $ -- Check No.:6 3 5- Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted[] Plans=Ullaived-❑:. -Certified Plot Plan ❑ Stamped Plans ❑ Y._ TYPE-_OFMEWERAGEDISPDSAL Public Sewer ❑ Tann ing/Massage/Body Art ❑ ....Swimming Pools ❑ Well ❑ Tobacco -Sales -E] •Food Packaging/Sales ❑ Private "(septic tank, etc.: Permanent D"urnpster on Site ❑ -THE- FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM ` PLANNING & DEVELOPMENT COMMENTS DATE REJECTED: - DATE APPROVED _. -El �5�8 I CONSERVATION COMMENTS (1j bel -ore r� oA 4&7 Ae ;sem&/ Reviewed o �7 C4 HEALTH Reviewed on Signature COMMENTS t Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Commen Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit DPW To` z Engineer: Signature: FIRE DEPARTM AT _ Temp Dumpster on site yes Located-at;124,Main Strdet- Fire Departme►it,signatu'r_e/date'''_ COMMENTS . Located 384 Osgood Street no . dimension Number of Stories: Total land area; sq. ft.: Total square feet of floor area, based on Exterior dimensions. ELECTRICAL: Movement of Meter location; rust or service drop requires approval of Electrical Inspector Yes No DANGERZONE LITERATURE: Yes No MGL -Chapter 466 -Section 21A -F and G min.$100=$1000.fine NOTES and DATA — (For department use) Doc.Building Permit Revised 2010 U -�.✓ S v -e I A4�j� C. Ao - f74x 0/7 t WOE Cia S)bw►',I O rLA S — Ili � !rte EI Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department • The fotcowing is'�a-list of the required forms to be filled out fir.: the appropriate. permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ B.iailding Permit Application Li Workers Comp Affidavit Li Photo Copy Of H.I.C. And/GrC.S.L Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire -'Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) a- Enginee ring Affidavits -for Engin - __d_products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all casts if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw, al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subwted with the building application Doc: Doc.Building permit Revised 2012 Location&eo vL/ gl No. Date �I Check # TOWN OF NORTH ANDOVER Certificate of Occupar;cy $ Building/Frame Permit Fee_ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ f I` Building Inspector U) CD 0 Z CD o Cr A C cm o 00 D C� Cr CD o CD Q O co 10 CD O Owj v �G 0 0 N CD CD M CD CD tn' O O CD O CD m X m Z V/ < o��° O 2 _"• MU < CSD -0 N �• r -DL. � n Q m z o �5- N. o NCD T ~' oo.-a m 5 -h = � N W O .,L (1) m CD CD O 2 OQ -1 D O C n --I N Q. � m rr co O 11I O �• � 0 Ip CD C _0 CL 0 p O co rr r+ r3 r+ 1 v `D = n :! to. CL 0 2. M�— �- ND` 3� �CQ `° .S �- 4( ** OO�t O O O0 6 o Ax (D (D p Cn CD CD CD C m "D o jw I� o CL V1 V) W _n ''i, A T VI �p T ,T7 T (1 �'J T V) T 3 O 77 m -i ((D 0 C (D j N 60 OOC S -< 3 (D O S :' ou O DOG 3' S O QOG s O 3 Q p' N �. n < O Q. n n m Dv' m zO D 0 m m n r m m z V C +) Z H m m O M 3s C z Z v� o m 0 3' fD 00 D O 2 m D x s �,qm SUB - CONTRACT AGREEMENT BETWEEN George E. Merrill & Sons Inc. 38 School St. Salem, NH AND Maple -Leaf Construction Co., Inc. 5 Congress Street Nashua, NH 03062 for Site Work & Unsuitable Soils Removal At PENTUCKET BANK North Andover, MA Dated 3/25/14 AROMects: Lynnfaeld Engineering, Inc. Contract Amount $ 7249550.00 Maple -Leaf Construction Co., Inc. Job #:14-013 PO #: 45303 SUBCONTRACT AUEEMENT PO #: 45303 JOB #: 14-013 THIS AGREEMENT, made this 25th day of March, 2014, AD, by and between George E. Merrill & Sons, Inc. Hereinafter called the Sub -Contractor and MAPLE -LEAF CONSTRUCTION COMPANY, INC. hereinafter called the Contractor For the consideration hereinafter named, the Sub -Contractor covenants and agrees with said Contractor as follows: FIRST. The sub -contractor will furnish all materials and labor, including all necessary scaffolding, and fully construct and in a good substantial, thorough and workmanlike manner perform and in every respect complete the following: Supply labor, materials and equipment for a complete installation per sub -trade and plans & specs. Scope of work to include but not limited to removal and replacement of approximately 4,000 yards of unsuitable soils per the Geotechnical report listed in the enumeration of documents. Installations of drainage structures and piping per site plans. Installation of all gravels, underground detention and retentions systems as shown. Installation of curbing, base paving and finish paving per the contract documents. Installation of retaining walls with stamped engineered drawings. Installation of sewer lines, water lines and excavations for new electrical power conduits. Installation of bollards, site fencing at retaining walls, generator pad and dumpster pad. Supply and installation of light pole bases. Installation of erosion control fencing and hay bales. Installation of stormdrain systems. Excavation and backfill for footings and foundations. Gravels and compaction for interior and exterior concrete slab on grade. All work to be in accordance with the contract documents listed on Attachment "4" Enumeration of documents. All clean up associated with the execution of this subcontract agreement is the responsibility of George E. Merrill & Sons, Inc. and is to include sweeping and cleaning of the existing road way per the WPA Form % order of conditions. The following attachments are included and required as part of this agreement: Attachment "A" — Insurance Requirements (2 Pages) Attachment "B" — Professional Liability Attachment "C" — OSHA Safety Acknowledgement Attachment "D" — Subcontractor Clean -Up Acknowledgement Attachment "E" — Massachusetts Sales Tax Attachment "1" — Subcontractor Requisition Form Attachment "2" — Waiver of Lien for Labor & Materials Attachment "3" — Continuation Sheet for Application and Certification for Payment Attachment "4" — PEntucket Bank Site Enumeration of Documents 3-24-14 For the above numed structure, according to the plans and specifications (details thereof to be furnished as needed) of Lynnfield Engineering, Inc. Civil Engineer(s), And to the full satisfaction of said Architect. SECOND. The Sub -contractor will promptly begin said work as soon as he is notified by the Contractor that the ground is clear or the structure far enough advanced to allow the beginning of that portion included hereinunder, and will carry forward and complete said work as rapidly as said Contractor may judge that the progress of the structure will permit, unless detained by other Sub -contractors; in which event he will promptly notify the Contractor in writing, who (if satisfied that said delay is caused by others than said Sub -contractor hereinunder) will allow additional time sufficient in his judgment to make up the time so lost. This paragraph shall cover any extra work done or materials furnished under this contract. THIRD. The Sub -contractor will furnish said materials, including all necessary scaffolding, and prosecute said work with due diligence, without delay, and will not in any manner, by delay or otherwise, interfere with the work of the Contractor, or any other Sub -contractors, and should the said Contractor conclude that the said Sub -contractor is delaying said work, he shall notify said Subcontractor, who shall, within Two days thereafter, furnish whatever materials are required by said Contractor, and employ additional men, as required by said Contractor, and in case said Sub -contractor fails to comply with said demand, the said Contractor shall have the right to furnish said materials and employ said additional men and charge the expense thereof against the said Sub -contractor and deduct same from this contract, and should the amount or balance due on said contract be insufficient, to collect said deficiency by legal process, including costs incurred. Merrill SC, Page 1 It is understood by the subcontractor that time is of the essence and that the subcontractor will commence work and employ a sufficient number of qualified workman to, at all times, maintain work progress commensurate with project requirements. No allowance for time will be made Sub -contractor for delay in preparing his drawings or in securing approval of Architect hereto when such drawings are not properly prepared for approval of Architect. When extension of time for strikes or fire casualties has been granted Contractor by Architect or Owner, the same extension will be granted said Sub -contractor. FIFTEENTH. The Sub -contractor further agrees that he will within ten days from date provide the Contractor with a bond in the sum of $N/A conditioned for the faithful performance of this contract in all its particulars, duly executed with Surety company acceptable to the Contractor, as surety, and in the form and contents acceptable to the Contractor. IN CONSIDERATION WHEREOF, the said contractor agrees that he will pay to the said Sub -contractor, (in accordance with the monthly payment terms below), the total sum of: SEVEN HUNDRED TWENTY-FOUR THOUSAND FIVE HUNDRED FIFTY DOLLARS **$724,550.00** r i for said materials and work, said amount to be paid as follows: Ninety per cent. (90 %) of all labor and material which has been placed in position and for which payment has been made by said "Owner" to said Contractor, to be paid on or about the 28th of the following month, except the last payment, which the said Contractor shall pay to said Sub -contractor immediately after said materials and labor installed by said Sub -contractor have been completed; approved by said Architect, and final payment received by the Contractor and satisfactory evidence furnished to Contractor by Sub -contractor that all labor and material accounts for use on this particular work have been paid in full. Requisitions must be received by Maple - Leaf two (2) days prior to the end of the month in which work was completed. It is further understood and agreed that no payment on account shall act as an approval of said work or materials, or any part thereof. Release of liens will be submitted prior to final payment being made. All negotiations and agreements prior to the date of this memorandum are merged herein. We have read and fully understand this agreement. The Contractor and the Sub -Contractor for themselves, their successors, executors, administrators and assigns, hereby agree to the full performance of the covenants of this agreement. IN WITNESS WHEREOF, they have executed this agreement the day and date written above. GEORGE E. MERRILL & SONS, INC. WITNESS: SUBCONTRACTOR BY DATE MAPLE -LEAF CONSTRUCTION CO., INC. WITNESS: CONTRACTOR BY DATE Merrill SC, Page 3 FOURTH. Should said Sub -contractor fail to begin, continue and complete the work as hereinbefore provided and should the Contractor suffer or permit said Sub -contractor to occupy more time than required under this agreement, in that event the said Sub -contractor hereby covenants and agrees to indemnify and save harmless the said Contractor from any loss or damages which he may be compelled to make good to the owner of said building, under or by virtue of the contract with the owner, for or on account of delay in the completion thereof, insofar as said delay was caused by the said Sub -contractor. FIFTH. The Sub -contractor shall provide sufficient, safe and proper facilities at all times for the inspection of the work by the Architect, the Contractor or his authorized representatives. He shall, at once, remove all materials and take down and rebuild all portions of the work condemned by the Architect or Contractor, upon receiving notice in writing of such condemnation. SIXTH. The Sub -contractor shall not employ any workmen whose employment on the building or improvement may be objected to by any of the other Sub -contractors, the Contractor, the Architect or the owner. SEVENTH. No extra work or changes under this contract will be recognized or paid for, unless agreed to in writing before the work is done or the changes made; in which writing shall be specified in detail the extra work or changes desired, the price to be paid or the amount to be deducted, should said changes decrease the amount to be paid hereunder. EIGHTH. The Sub -contractor hereby covenants and agrees to indemnify and save harmless the Contractor from any and all manner of claims or suits for infringements of patents or violation of patent rights, including all costs and expenses to which the Contractor may be put in defending any actions that may arise under this clause of the contract. NINTH. The Sub -contractor agrees to indemnify and save harmless the Owner and General Contractor against loss or expense by reason of the liability imposed by law upon the Owner or General Contractor for damage because of bodily injuries, including death at any time resulting therefrom; accidentally sustained by any person or persons or on account of damage property arising out of or on account of or in consequence of the performance of this contract, whether or not such injuries to persons or damage to property are due or claimed to be due to any negligence of the Sub -contractor, his employees, his agents or servants. TENTH. The Sub -contractor shall protect and indemnify said Contractor against any loss or damage suffered by any one arising through the negligence of the Sub -contractor, or those employed by him or his agent or servants; he shall bear any expense which the Contractor may have by reason thereof, or on account of being charged therewith; and if there are any such injuries to persons or property unsettled for, when the work herein provided is finished, final settlement between the Contractor and Sub -contractor shall be deferred until such claims are adjusted or suitable special indemnity acceptable to the Contractor is provided by the Sub -contractor. ELEVENTH. The Sub -contractor shall take out and pay for Employers' Liability or Workmen's Compensation insurance as required by the State in which this work is performed, also Public Liability and Property Damage insurance, in amounts to be agreed upon by the Contracting parties. Upon signature of this contract the Sub -contractor must submit certificate of insurance to include Owners' or Contractors' Protective Liability. TWELFTH. The Subcontractor shall pay all Sales Taxes, Use Taxes, Excise Taxes, Old Age Benefit and Unemployment Compensation Taxes upon the material and labor furnished under this contract, as required by the Statutes of the United States Government and the State in which this work is performed. THIRTEENTH. This contract shall not be assigned by the Sub -contractor. Any attempt to assign the contract shall operate as an instant forfeiture and repudiation thereof by the Sub -contractor and the rights of the parties shall be determined in the same manner as though the Sub -Contractor had at the time of such attempted assignment failed and refused to continue to perform the contract. FOURTEENTH. It is expressly UNDERSTOOD AND AGREED by and between the parties hereto that time is and shall be considered the essence of the contract on the part of the said Sub -contractor, and in the event that the said Sub- contractor shall fail in the performance of the entire work to be performed under this contract, by and at the time or times herein mentioned or referred to, the said Sub -contractor shall pay unto the said Contractor, as and for liquidated damages, and not as a penalty, the sum of N/A Dollars per day, which said sum of $ -0- per day, in view of the difficulty of estimating such damages with exactness, is hereby expressed, fixed, computed, determined and agreed upon as the damages which will be suffered by the Contractor by reason of such default; and it is understood and agreed by the parties of this contract that the liquidated damages hereinbefore mentioned are in lieu of the actual damages arising from such breach of this Contract, which said sum the said Contractor shall have the right to deduct from any moneys otherwise due or to become due to the said Sub -contractor, or to sue for and recover compensation or damages for the non-performance of this contract at the time or times herein stipulated or provided for. The Subcontractor knows that the Contractor must have his contract performed on or before the 31st day of October, 2014 ; and it is therefore understood and agreed that the work provided for herein shall be entirely completed on or before October 10, 2014 and to that end the Subcontract or will perform not less than the following average amount of work: Merrill SC, Page 2 os8s-LLL (8[6) XY! oSZL-LLL (9t6) 11610 S"3SnHOVSSVW 'Sd3ANVO It 31115 3AV SOIN0810373 Z orejo Sll3SnWYSS1'n 77IHa4VH 133d1s OYn/dd3n 1 xNV813M7111N3d 803 03dVd36fd --- NY -7d 7OWNOO NOUV1N3WIO3S .✓rf/f nt U f •x -,r n>x ,„ ,, " o„g v,�, o Sd33NION3 7Y1N3WN0diAN3 ON117n.003 'ONI `ONIM33NION3 O731JNN.l7 sero su3snHorssrn '"ooxY H1anN 133415 000,`!50 Uol 3OV7dt3HdVn AAS d3HO1(181V NNV813XDfUN3d ONV NOISOd3 e ,N � y sL QQ 4 t IIP. g`p 11.1 11 ab1 1 tlq � SBR§ �� Eg ie R�g33�a g gyp g Yp1 ! 1 R �g 4q as 6 4atl Ypy$gSg6fipd� 3bi6 ' fi@$ deR lit qyyq & gR Q¢ � Y�§g it % R �B@ Fe rad c� 4 x I I 46�l3�e14,B Id4 x Ea 8 $� ��sa>r �:4b� �HIM N y� X .iisb o mer IF - J � 4✓� �/-'/' 111 � $ xt If ;, LJ 1 i Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor' License: CS -056615 -0 1 WILLIAM W "COEUR 3 MITCHELL ST-- Nashua T;Nashua NH 03060 Expiration commissioner 05/23/2015 Leathe, Brian From: William Francoeur <wfrancoeur@mlccinc.com> Sent: Friday, April 04, 2014 12:09 PM To: Leathe, Brian Cc: Larry Bird; LLUPONI@pentucketbank.com; GShaw@PentucketBank.com Subject: Project start at 1077 Osgood St. Attachments: Site Trailer Location.pdf Hello Mr. Leathe. My name is Bill Francoeur from maple -Leaf Construction Co., Inc. I will be applying for a building permit for the Pentucket Bank sometime next week. My question is can we begin the site work prior to the building permit being issued. We have a large amount of unsuitable soils to remove prior to any building installation can take place and I would like to begin the site work portion next week. We have met with the conservation representative this morning and we are all set in this regard. Could you let me know please if there would be any issues with starting the site work for the project. Also we would like to move an office trailer on site. I am not sure if I review this with you but I have attached a drawing showing the approximate location we would like to place the office trailer. I have reviewed this with Jennifer Hughes and she would be fine with this location. Thank You. Bill Francoeur Project Manager Maple -Leaf Construction Company, Inc. 5 Congress St. Nashua, NH 03062 Telephone - (603)882-7498 Fax - (603)595-8688 www.maple-leafnh.com E -Mail - WFRANCOEUR(a-),MLCCINC.COM Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. Leathe, Brian From: Bellavance, Curt Sent: Tuesday, April 08, 2014 11:56 AM To: Leathe, Brian Subject: Fwd: Butcher Boy, Bank Brian, FYI ----- Forwarded message ----- From: "Michael Miller" <MMiller@CITYOFLAWRENCE.COM> To: "Bellavance, Curt" <cbellava @townofnorthandover.com> Subject: Butcher Boy, Bank Date: Tue, Apr 8, 201411:10 AM Curt Sorry for my delay in getting back to you. My email and I have not been getting along lately. I don't think the bank will be a problem, however I am not the final say. Ask the bank for a copy of the response that they received from the filing of their " FAA Form 7460-1, Notice of Proposed Construction or Alteration. " That response letter will determine whether or not the proposed building is a presumed hazard to air navigation, and if so, what measures are needed to mitigate the hazard. As I said before, the mitigation could be as little as putting a red hazard light on the building, or as significant as redesigning the structure to reduce the height. Have Brian give me a call (978 -794-5880) with any questions. Take care, Mike From: Bellavance, Curt [cbellava@townofnorthandover.com] Sent: Monday, March 31, 2014 9:27 AM To: Michael Miller; Leathe, Brian Subject: RE: Butcher Boy, Bank Mike: I believe you said the bank was all set??? From: Leathe, Brian Sent: Monday, March 31, 2014 9:24 AM To: Bellavance, Curt; Maylor, Andrew Subject: Butcher Boy, Bank FYI: I understand Dunkin Doughnuts is being held up by the FAA because it is in the flight path of the airport. To avoid a similar delay of the proposed bank at Butcher Boy plaza, I will be requesting an approval from the airport before issuing the permit. Brian Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.see.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. AC"R O® CERTIFICATE OF LIABILITY INSURANCEF -DATE YY) 3/26/2014 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 THE ROWLEY AGENCY INC. 139 Loudon Road P.O. BOX 511 Concord NH 03302-0511 CONTACT NAME: Danielle Rice TFAX PHONE AC_. (603)224-2562 A/C No): (603)124-8012 EMAIL drice@rowleyagency.com A _DRESS INSURERS AFFORDING COVERAGE NAIC # INSURER A:Firemen Is Ins Co of Wash. DC 21784 INSURED Maple -Leaf Construction Co., Inc. PO BOX 443 5 Congress Street Nashua NH 03062-0443 INSURERB:Acadla Insurance Company 31325 INSURERC: INSURER D INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 250 000 PREMISES Ea occurrence $ r A CLAIMS -MADE a OCCUR PA0376492-13 /1/2014 /1/2015 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICYX PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED /1/2014 4/1/2015 AUTOS AUTOS X X NON -OWNED [AA0376574-13 PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ AGGREGATE $ B EXCESS LIAR I I CLAIMS -MADE DED I X I RETENTION$ 0 $ UA0376575-13 4/1/2014 4/1/2015 A WORKERS COMPENSATION X WC STATU- OTH- LIMIT AND EMPLOYERS' LIABILITY Y / NTORY ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) N / A PA0376576-13 /1/2014 /1/2015 E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below 3A States: NH & MA E.L. DISEASE - POLICY LIMIT $ 500,000 B UAG376575-13 /1/2014 4/1/2015 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Covering operations of the named insured during the policy period. 1"A1411a1h-11r-IIII;Lei III J;q� �fG\►lyaA�G\�l�J► Town of North Andover, MA 1600 Osgood St. Building 20, Ste. 2-36 North Andover, MA 01845 ACORD 25 (2010/05) INS025 (201005).01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Danielle Rice/DJR ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACC?R h'r CERTIFICATE OF LIABILITY INSURANCE3/26/2014 DATE Y) 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 THE ROWLEY AGENCY INC. 139 Loudon Road P.O. BOX 511 Concord NH 03302-0511 CONTACT NAME: Danielle Rice PHONE (603)224-2562 TFAX A/C No:(603)224-8012 EMAIL .drice@rowleyagency.com A DRESS INSURERS AFFORDING COVERAGE NAIC # INSURER A:Firemen Is Ins Co of Wash. DC 21784 INSURED Maple -Leaf Construction Co., Inc. PO BOX 443 5 Congress Street Nashua NH 03062-0443 INSURERB:Acadia Insurance Company 31325 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 250 000 PREMISES Ea occurrence $ � A CLAIMS -MADE OCCUR PA0376492-13 4/1/2014 /1/2015 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AA0376574-13 /1/2014 /1/2015 AUTOS AUTOS XX NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 9,000,000 AGGREGATE $ 9,000,000 B EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 0 $ UA0376575-13 /1/2014 /1/2015 A WORKERS COMPENSATION X WC STATU- OTH- I I FR CRYANY AND EMPLOYERS' LIABILITY Y / NLIMITS PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A pA0376576-13 /1/2014 /1/2015 E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below 3A States: NH & MA E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Covering operations of the named insured during the policy period. lif 3iillill�iL117�1�1 Rta33:1 Town of North Andover, MA 1600 Osgood St. Building 20, Ste. 2-36 North Andover, MA 01845 ACORD 25 (2010/05) INS025 (201005).01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Danielle Rice/DJR ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD