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HomeMy WebLinkAboutBuilding Permit #438-14 - 1570 Osgood St Bldg 30 Suite 2200 11/15/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: � Date Received Date Issued: iAl IMPORTANT: Applicant must complete all items on this page LOCATION eq-r- Print PROPERTY OWNER Print 100 Year Old Structure yes no MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: / Irl .S . C'�� �s Phone: 28 r - 3 " - P-2-4A Address: 9 l7/ /"17 Supervisor's Construction License: Exp. Date: % Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. i --- / ���, Total Project Cost: $ FEE: $ �' Check No.: Receipt No.: I T ns contracting with unregistered contractors do not have access tothe aranty fund a e of A ent/Owner _ S nature of contractor Plans Submitted L.J Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans 4-- y fi nti Plans Submitted'❑ Plans-Waived-0 Certified Plot Plan ❑ Stamped Plans ❑ T'YP1-ORSEWERAGEDiSP_OSAL Public Sewer ❑ Tanning/MassageBodyArt ❑. . Swimming Pools ❑ Well ❑ Tobacco.Sales ❑ Food Packaging/Sales ❑ Private.(septic tank,etc.. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT' ❑ ❑ COMMENTS i :CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature A COMMENTS ,q Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes . .ning Board Decision: Comments -� Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW'Tovv;z ]Engineer: Signature: Located 384 Osgood Street FIRE-DEPARTMENT - Temp Dumpster on siteyes. no Locatea-at 124 Mair; Strdet Fir e'Departinerif signature/date`' f ' �• / CO MM.ENTS� �i S S� C /LG Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. .Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL-Chapter 166 Section 21A-F and G min.$100-$1000 fine NOTES and DATA— (For department use i ® Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department • 'The fol;'swing is-a list of the required-forms to be filled out for the appropriate permit to:be obtained. Roofing, Siding, Interior Rehabilitation Permits o-` Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ 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) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ 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 cas::s 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 submitted with the building application Doc: Doc.Bui?ding Permit Revised 2012 Location No. Date t t • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee - s Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �. Check r_ L Building lnspector I I J Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 166,200.00 m $ - $ 1,994.40 Plumbing Fee $ 249.30 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 249.30 Total fees collected $ 2,593.00 1600 Osgood Street 438-14 on 11/15/2013 NETTS Buildout for HVAC School 314 R Date.. . 11�3.l� �.. ... . lk1 t -,�13 ,,ORTM WN F NORTH A OVER pf �.ao ,^.1�0 p� PERMIT FO CHA INSTALLATION O ;� D r + �,SSACMUSEt This certifie that . . . . d . . . . . . . . . . . . . . . . . has permission fo echani 1 installation '. . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . !1� �5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at .,.�P . . . . . . , North Andover, Mass. GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Commonwealth of Massachusetts Sheet Metal Permit Date: 1 ( 15 1 3 Permit# Estimated Job Cost: $ .35, 00. I - I !�� Permit Fee: $ "C-7211 �4- Plans Submitted: YES NO X Plans Reviewed: YES NO X Business License# 5a. Applicant License# 416 ? Business Information: Property Owner/Job Location Information: Name:cen*-CLI CbQA i RU+j� cA_+rH ,rnc. Name: NET FS Street: q Ne a l P S-t ce gaE Street: City/Town: W(,jkrf)1 M14 Q jam/ City/Town: I\J Telephone: 2?1-93-1— d FY Telephone: -F-V­ ibS- Z`)6 Photo I.D.required/Copy of Photo I.D. attached: YES_X NO d s��r rnr;>il &4-/4D-_1 unrestricted license �'&2 41-2 restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational X Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Ktiukea Exhaust System x Metal Chimney/Vents_Z-_ Air Balancing Provide detailed description of work to be done: -- lnst.Vl �a� c INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes® No❑ H you have checked Yes •indicate the type of coverage by checking the appropriate box below: A liability Insurance policy ® Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box®,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit Issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Proeress Inspections Date Comments Final Inspection Date Comments Type of License: By ®Master Title ❑Master-Restricted Cityrrown ❑Joumeyperson Signature of Licensee Permit# ❑Joumeyperson-Restricted L., �q Fee$ License Number: 1 ❑ Check at www.mass.aov/dol Inspector Signature of Permit Approval 3 A .. 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F l •.d r , yiY� �- ' :•rJr � 1�r�'11''F�iYrs�r'r� Fr�R'`r �yr i3�{!.' : ! r ����'r•'t r �'F r ! t'Ct,. .Ytr*trr y'4 ; 1 ,gyp r sY,{'h$44 -tiry4 Lc , r r r�ii•.. - - .fr r 7g�Y7 r)rYtf�,< nr w• F i _F: i-: ''1,.1?{JY`'L�"�r 'ttly'�irr �f,r i e.t �. F' �ra� r r •• r t pY t r b J✓: shy + r•r M1 j it,Jr..,. i .en��t yr�'cf;•. • � . . J ., r' r•.. Page 1 of 1 a �Y -�` Central Cooling PE`B°°YAREA (978)531-4422 WOBURN AREA Heating Inc. °81, 8288 y NEYVTON AREA .. (617)928-3368 JQQ 0 9 NORTH MAPLE STREET WOBURN, MA 01801 roUR come o�� November 12, 2013 NETTS Lab piping fit up 1600 Osgood Street N.Andover, Ma. 01845 978-965-2969 We are pleased to quote the sum of$ $41200 for the following work associated with the above mentioned project based on drawings dated 11/8/2013 by MEA Engineering Associates Work Included: • Install 6 inch round all fuel chimney as per plan and spec for 4 oil appliances. • Install appropriate size pvc intake and exhaust for 4 gas appliances • Install GB-300 roof fan and curb including specified ductwork and louver • Install Acme SIS-20k roof intake fan, curb and damper per plan • Install ductwork for intake fan and exhaust fan using galvanized steel mains down from the roof and connecting into egg crate return grilles and steel boxes with 18" insulated flex • Insulate ductwork per plan using 2"FSK insulation • Provide roofer(no open flame on roof) • Provide crane • All required permits Not included: • Wiring-power or control • Oil day tank or piping • Flex chimney connections • Furnace drains or thermostats • Gas piping • Start or check of equipment Guarantee: C tral Cooling and Heating guarantees all material and labor for one complete "DrI Customer Date Central Cooling and Heating Date Your Comfort is Our Priority... 41 Years Serving the Boston Area (781) 932-9017 fax www.centralcooling.com tAORTH Town of sAndover p . ... - No. 0 Z e�l�tll� ,� oh ver, Mas � COC MIC Nl WICK �T AERATED pP��,�S S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THA ... ... ................0 .. .....,.... ..!� �s BUILDING INSPECTOR ...... .............. .............. ......... has permission to erect g � ,,, �,,�„ , �, ,,,, ,,,,,� ,r,. Foundation _ .......................... buildin s n .. .... ..... ..... cRough to be occupied as .. �. .7;;:;nUrII............................................. ........................... 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI ARTS Rough Service .......... .... . 116.. ,..*.......................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired 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. SEE REVERSE SIDE NETTTS To whom it may concern, New England tractor Trailer School is proposing starting an HVA -R school at 1600 Osgood st N Andover Ma.The estimated cost of the "build out" portion of the job is$125,000, consisting of$25,000 in equipment and $100,000 for construction costs. We would like to request a building permit to begin the process of the construction. Sincerely, James Roddy Director of Safety and Training N ETTTS (978)397-2806 �I i Page 1 of 1 1 ..�t ',...i PEABODYAREA -4422 Central (978)531 WOBURN AREA Heating in(,' x8,,833 e288 NEWTON AREA (617)928-3366 r. rvUP CC)ty V(% November 12, 2013 NETTS Lab piping fit up 1600 Osgood Street N.Andover, Ma. 01845 978-965-2969 We are pleased to quote the sum of$ $41,200 for the following work associated with the above mentioned project based on drawings dated 11/8/2013 by MEA Engineering Associates Work Included: • Install 6 inch round all fuel chimney as per plan and spec for 4 oil appliances. • Install appropriate size pvc intake and exhaust for 4 gas appliances • Install GB-300 roof fan and curb including specified ductwork and louver • Install Acme SIS-20k roof intake fan, curb and damper per plan • Install ductwork for intake fan and exhaust fan using galvanized steel mains down from the roof and connecting into egg crate return grilles and steel boxes with 18"insulated flex • Insulate ductwork per plan using 2" FSK insulation • Provide roofer(no open flame on roof) • Provide crane • All required permits Not included: • Wiring-power or control • Oil day tank or piping • Flex chimney connections • Furnace drains or thermostats • Gas piping • Start or check of equipment Guarantee: C tral Cooling and Heating guarantees all material and labor for one complete U Customer Date Central Cooling and Heating Date Your Comfort is Our Priority... 41 Years Serving the Boston Area , (781)932-9017 fax www.centralcooling.com M. E.A. Engineering Associates Inc. M: Consulting Mechanical Engineers 20 Felton Street, Waltham, M& 02453 781/894-6730 FAX 781/647-3542 CONSTRUCTION CONTROL AFFIDAVIT START OF PROJECT PROJECT TITLE: New England Tractor Trailer School—HVAC School PROJECT LOCATION: 1600 Osgood Street,North Andover,MA NAME OF BUILDING: 1600 Osgood Street In accordance with Section 107.6 of the Massachusetts Building Code, I, Alfred E. Muccini, Registration No. 23539, hereby certify that I am a Registered Professional Engineer. I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL ✓ FIRE PROTECTION ✓ ELECTRICAL ✓ OTHER(SPECIFY) PLUMBING ✓ FIRE ALARM ✓ For the above named project, and that, to the best of my knowledge, such plans, computations, and specifications meet the applicable provisions of the International building Code and Massachusetts State Building Code Amendments, all acceptable engineering practices and all applicable laws and ordinances for the proposed use and occupancy. I shall perform the necessary professional services and be present on the construction site in accordance with my contract with the owner to determine that the work is proceeding in accordance with the documents approved for the building permit,and I shall be responsible for the following: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Special engineering professional inspection if critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. 4. Periodic progress report with comments to the Building Inspector. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACT ,TION AND READINESS OF THE P OJECT FOR OCCUPANCY. -JV1 OFp� ALFRED CyG E. N — 0 MUCCINI .23� tgna re � .�,c� �1STE����� /aNALEN Subscribed an MY abe e me this day of 20/ :�5 � 6 Notary Public * A M. CANNON M Commis ion EwApires Notary Public COMMONWEALTH OF MASSACHUSETTS My Commission Expires January 16,2015 M. E.A. Engineering Associates Inc. Consulting Mechanical Engineers 20 Felton Street, Waltham, MA, 02453 781/894-6730 FAX 781/647-3542 CONSTRUCTION CONTROL AFFIDAVIT START OF PROJECT PROJECT TITLE: New England Tractor Trailer School—HVAC School PROJECT LOCATION: 1600 Osgood Street,North Andover MA NAME OF BUILDING: 1600 Osgood Street In accordance with Section 107.6 of the Massachusetts Building Code, I, Alfred E. Muccini, Registration No. 23539, hereby certify that I am a Registered Professional Engineer. I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL ✓ FIRE PROTECTION ✓ ELECTRICAL ✓ OTHER(SPECIFY) PLUMBING ✓ FIRE ALARM ✓ For the above named project, and that, to the best of my knowledge, such plans, computations, and specifications meet the applicable provisions of the International building Code and Massachusetts State Building Code Amendments, all acceptable engineering practices and all applicable laws and ordinances for the proposed use and occupancy. I shall perform the necessary professional services and be present on the construction site in accordance with my contract with the owner to determine that the work is proceeding in accordance with the documents approved for the building permit,and I shall be responsible for the following: 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Special engineering professional inspection if critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. 4. Periodic progress report with comments to the Building Inspector. UPON COMPLETION OF THE. WORK, I SHALL SUBMIT A FINAL, REPORT AS TO THE SATISFACT TION AND READINESS OF THE P OJECT FOR OCCUPANCY. o� ALFREDE. �y G MUCCINI No.23M lv'ALE L Subscribed ana swoi" oebe e in this day of 201— Notary Public * A M. CANNON M Commis ion pires Notary Public COMMONWEgtTH OF MASSACHUSETTS My Commission Expires January 16,2015 f � .CCa►M1IIIQNWE, LTH OF M ► -#t SETT'S P�L U M B E ft �t S F 1 TT 1 '�,(/�.� I SSUES F 0 L L 0 W I I�Myd �'1; E01 A r G� .��' D A5 A PLUMB IGpGC �. �. �.:�� � HEAT f 4 4- F NC'�'{{�) '�)} y(rw� ��yi5)-"� A��/j(.,�„ .,, 'ti•�+r-� L,1 �•i�i �� $+5�,.'r F.,�': �{'�• .. 'kr I �' { r. y 'i `I.\'•• I 1 1 � to v � ,. r �{"��,... yx�^�� �` � • - 21 T y 6879 ,; on n- ^•.c�?T'�a. .•rte n,..,.�.. ..--, -�., v�;.'-. . W 1 ommowealth of Ma t setts rt4, Division of Registratiot Board of Plumbina MARK JS.J; ., 275 MID WILMIN 4 Master Plu :4, PL15985-M 05/01/2014 112Q ., '' 005015 License No, Expiration Date. serial No. 0 DATE(MMIDD/YYYY) A� 1 11/14/2013 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 lieu of such endorsement(s). PRODUCER Risk Strategies Company CONTACT NAME: f Z 160 Federal St. 2nd Floor PHONE C No • 781-449-4440 4 FAX AIC No): 781-449-9616 Boston, - Boston, MA 02110 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC M www.risk-strategies.com INSURERA: Arbella Protection INSURED INSURER B: Central Cooling& Heating,Inc 9 North Maple 5t INSURERC: Woburn MA 01801 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 18354867 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE A UBR POLICY NUMBER MM/DDYEFF IYYYY POLICY EXP LIMITS LTR111M JMfP_ A GENERAL LIABILITY 8500045287 11/30/2012 11/30/2013 EACH OCCURRENCE $ 1000000 TO V COMMERCIAL GENERAL LIABILITY DAMAGEPREMISES S(RENTED 100000 Ea occurrence) $ CLAIMS-MADE F✓ OCCUR MED EXP(Any one person) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2000000 POLICY PRO LOC $ a AUTOMOBILE LIABILITY 15050400003 11/30/2012 11/30/2013 Ea EICI DISINGLELIMIT $ 1000000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) AUTOS ✓ AUTOS $ NON-OWNED P OPEGRdenDAMAGE $ HIRED AUTOS ✓ AUTOS $ A UMBRELLA LIAB H OCCUR 4600029637 11/30/2012 11/30/2013 EACH OCCURRENCE $ 5000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5000000 DEDL—i RETENTION$10000 $ $ A WORKERS COMPENSATION 00486811-12 11/30/2012 11/30/2013 WC STATU- O7H- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500000 OFFICER/MEMBER EXCLUDED? a N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OZZy Properties THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AM: Ellen Keller ACCORDANCE WITH THE POLICY PROVISIONS. 1580 Osgood St N Andover MA 01845 AUTHORIZED REPRESENTATIVE Bernard Gitlin ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 18354867 Barbara Mazotas 11/14/2013 6:53:26 AM Page 1 of 1 ® CERTIFICATE OF LIABILITY INSURANCE 11/14/2013 DATE(MMIDD/YYYY) A�O 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 lieu of such endorsement(s). PRODUCER Risk Strategies Company CONTACT NAME: Barbara 160 Federal St. 2nd Floor PHONE o xt• 781-449-4440 14 A/c No): 781-449-9616 Boston, MA 02110 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# www.risk-strategies.com INSURERA: Arbella Protection INSURED INSURERS: Central Cooling& Heating,inc 9 North Maple-St INSURERC: Woburn MA 01801 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 18354548 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR A GENERAL LIABILITY 8500045287 11/30/2011 11/30/2012 EACH OCCURRENCE $ 1000000 ✓ COMMERCIAL GENERAL LIABILITY PREMISES(E.EocccuErrence $ 100000 CLAIMS-MADE M✓ OCCUR MED EXP(Any one person) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2000000 POLICY PRO LOC $ a AUTOMOBILE LIABILITY 15050400003 11/30/2011 11/30/2012 EO ae NdeDInt)SINGLE LIMIT $ 1000000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) AUTOS ✓ AUTOS $ NON-OWNED PROPERTYent DAMAGE ✓ HIRED AUTOS ✓ AUTOS Per accid $ $ A UMBRELLA LIAB ✓ OCCUR 4600029637 11/30/2011 11/30/2012 EACH OCCURRENCE $ 3000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3000000 4DED RETENTION$10000 $ $ A WORKERS COMPENSATION 00486811-11 11/30/2011 11/30/2012 WCSTATU- 0 AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EX-­'-E.L.EACH ACCIDENT $ 500000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OZZz�yy�Properties THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AR Ellen Keller ACCORDANCE WITH THE POLICY PROVISIONS. 1580 Osgood St N Andover MA 01845 AUTHORIZED REPRESENTATIVE Bernard Gitlin � p^N . ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 18354548 Barbara Mazotas 11/14/2013 6:47:40 AM Page 1 of 1 ACQ® CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 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 lieu of such endorsement(s). PRODUCER Risk Strategies Company CONTACT NAME: Barbara a2 ot 160 Federal St. 2nd Floor Boston, MA 02110 PHONE A/c No Ext• 7 1-449-44 x 214 ax ac No: 7 144 - 1 E-MAIL ADDRESS: Z r I 0 INSURERS AFFORDING COVERAGE NAIC p www.dsk-strategies.com INSURERA: Arb Ila Protection INSURED Central Cooling & Heating,lnc INSURER B: 9 North Maple-St INSURER C: Woburn MA 01801 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 18354859 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 ADDL SUBR LICYEXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDY/YYYY MEFF M DD/ YYYY LIMITS A GENERAL LIABILITY 8500045287 11/30/2012 11/30/2013 EACH OCCURRENCE $ 1000000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100000 CLAIMS-MADE 7 OCCUR MED EXP(Any one person) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2000000 POLICY PRO- ECI 1-1 LOC $ a AUTOMOBILE LIABILITY 15050400003 11/30/2012 11/30/2013 Ea 11INaccideDtSINGLE LIMIT $ 1000000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ✓ AUTOS NON-OWNED PROPERTY DAMAGE ✓ HIRED AUTOS ✓ AUTOS Per accident $ $ $ A UMBRELLA LIAB N OCCUR 4600029637 11/30/2012 11/30/2013 EACH OCCURRENCE $ 5000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ SOOOOOO DED RETENTION$10000 $ A WORKERS EMPLOY RS'LI A ILII1ON 00486811-12 11/30/2012 11/30/2013 we sTATU- o AND EMPLOYERS' PARTNER Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F_N] N/A E.L.EACH ACCIDENT $ 500000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE N.E.T.T.S. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1580 Osgood St ACCORDANCE WITH THE POLICY PROVISIONS. N Andover MA 01845 AUTHORIZED REPRESENTATIVE Bernard Gitlin ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 18354859 Barbara Mazotas 11/14/2013 6:53:02 AM Page 1 of 1 Business Banking P.O.Box 152&! R'iimingtou,DF,19850 Customer service information ® Customer service: 1.888.852.5000 bankofamerica.com NEW ENGLAND TRACTOR TRAILER 0Bank of America, N.A. TRAINING OF MASS INC P.O. Box 25118 MAIN ACCOUNT Tampa, FL 33622-5118 304 VICTORY RD QUINCY,MA 02171-3122 Your Full Analysis Business Checking - Small Business for October 1, 2013 to October 31, 2013 Account number: 0000 5222 0944 Account summary Beginning balance on October 1, 2013 $698,493.50 #of deposits/credits: 153 Deposits and other credits 1,237,977.81 #of wlthdrawals/debits:65 Withdrawals and other debits -1,083,248.54 #of days 1n cycle:31 Checks -0.00 Average ledger balance:$812,728.15 Service fees -1,400.79 Ending balance on October 31, 2013 $851,821.98 Deposits and other credits Date Transaction description Customer reference Bank reference Amount continued on the next page PULL:E CYCLE:87 SPEC:E DELIVERY:E TYPE: !MAGE:A BC:MA _