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29-336 (4)
236 ACREBROOK DR BP-2017-0249 GIS#: COMMONWEALTH OF MASSACHUSETTS Map- Block:29-336 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: Weatherization BUILDING PERMIT Permit 4 BP-2017-0249 Project# JS-2017-000429 Est.Cost: $2792.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Grouo: AMERICAN INSTALLATIONS LLC_ Lot Size(sq.t): 10018.80 Owner: POWERS FRANCIS E&NANCY R Zoning: Applicant: AMERICAN INSTALLATIONS LLC AT: 236 ACREBROOK DR Applicant Address: Phone: Insurance: 130 COLLEGE ST (413) 552-0200 SOUTH HADLEYMA01075 ISSUED ON:8/30/2016 0:00:00 TO PERFORM THE FOLLOWING WORK: Attic and Basement insulation and air sealing POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occuoancy Signature: FeeType: Date Paid: Amount: Building 8/30(2016 0:00:00 $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner titUtJVED_ ,(0--I036. AUG 252016 - peparhnedt use'oo _— tatty of Northampton $fehl6 or Psnritt Building Department taabiCtaRmueway t+emelt 212 Main Street Sew®,l$epticavambllitr Room 100 WeteryWeg Avalab$y Northampton,MA 01060 Two Sets SSraimm PNan phone 413-587-1240 Fax 413-587-1272 pl'oti'Site Plane APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION t-SITE INFORMATION 1.1 Praeartv:address: This section to be completed by office 236 Acrebrook Drive Map Intel! Zone Overlay District 8171 St District Os District SECTION 2-PROPERTY OWNERSHIPSAUTHORIZED AGENT 2.1 Owner of Recast Francis d-Nancy Powers 236 Acrebrook Drive Name(Print) raft Address 413-586-964 See attached Telephone Signature 202 AuthodR+d Aaene. ' American Installations 130 College St., Ste 100 South Hadley, MA 01075 Name(Tying Current Meng Pains: American Installations + IL . C,( i.,� 413-552-0200 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Ian Estimated Cost(Dogma)to be Official Use Only canplated by permit applicant 1. Bu*dhW $2,792 (a)Butiding PermitFee 2. Electrical ,)Estimated Total Cost of Cc EV tom(e) 3. Plumbing Building Pennit Fee 4. Mechanical(HVAC) Q.Fire Protection Q. Totai:(1+2+3+4+6) $2,792 Check Number This Section For Official Use Only Date BWdi%Penna Number: Signature Sufl,q Cernmissionedinspector of Builders Dare Section 4. ZONING Alt Information Abet Be Completed.Permit Can Be Dented Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled by Beading Department Lot Size Frontage I I Setbacks Front Side LI I R:I L I R.-1 I 1 Rear Building Height O I Bldg.Square Footage Open Space Footage (tis area mines Nag&paved I I pasting) #of Parking Spaces Fill: —r _---11 (volume&Location) A. Has a Special PermitNariance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES 0 IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book I Page and/or Document Al B. Does the site contain a brook,body of water or wetlands? NO 0 DONT KNOW 0 YES 0 IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained O , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES,describe size,type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0 IF YES,describe size,type and location: • E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 ears or Is It pert of a common plan that will disturb over I acre? YES O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is remdred. SECTION Es DESCRIPTION OF PROPOSED WORK(check all appUkabl ) New House 0 Addlem, 0 R°oorstWndows Alteration(s) ❑ Roofing ❑ dr Accessory Bldg. 0 Demolition 0 New Signs ICA Decks ICI Siding f?) Othea Wooror k Atha t�ic.1arn� asement insulation and air sealing throughout Alteration of echidna bedroom Yes_No Adding naw bedroom Yes No Attached Narrative Renovating u,fir*Nhed basement Yes No Plans Mashed Roe -Sheet iia.If New house anti Or addWon to(misting housinsi,,complete the.foilawib o: a. Use ofbuilding:One Forney Two Family Other b. Number of moms N each fealty unk Number of Bathrooms c. Is there a garage attacked? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces orWoodstovae Number of each p. Energy Cora wagon Compliance. Masschesk Energy Canptierxemrm attached? h. Type of construction L Is construction rattan 100 A of wetlands? Yes No. Is construction*Min 100 yr. gocdplain Yes No J. Depth of basement or cellar floor below finished grade K. WB building conform to the Building and Zoning ragdadors? Yes_No. I. Septic Tank City Sewer^_ Private wag City water Supply SECTION Ta-OWNER 4UTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Francis lr Nancy Powers as Owner of the subject property hereby author'," American Installations to act on my being,In of matters relative to wak authorized by this building pemdt application. See attached 8-I2-16 Signalise atOwner Date 11.111111.1.11.11111.11.11111.1.1111C— L American Installations as OWDertArdMdzed Agent hereby dedare that the statements and Information on the foregoing application are hue and accurate,to the beat of my knowledge and belief. Signed under the pains and penalties of cagey. American Installations Pent Name t, �+ American Installations 1 . (22.4„-- 872-IS Signature of Whrsrffpart Date SECTION S-CONSTRUCTION SERVICES WI Licensed Construction SupeMsor: Not Applicable 0 Name of License Holder• Wesley K. Couture 106178 LReme Number 130 College St., Ste 100 South Hadley, MA 01075 9/29/17 Address //�� Expiration Date L&) L/---------413-552-0200 Signature Telephone p.Registered Home improvement Contractor Not Applicable ❑ Wesley Couture 175982 Company Name Registration Number American Installations 6/27/17 Address Expiration Date 130 College St., Ste 100 South Hadley, MA 01075 Telephone 413-552-0200 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e.152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application.Fare to provide this affidavit will result in the denial of the issuance of the binding permit. Signed Affidavit Attached Yes. Af No.._.. ❑ 11. -Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)thmlies and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780. Sixth Edition Section 108.3.5.1. pethdtlon of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm struchirs.A per$who constructs more than one home In twmvear period shall not be considered a homeowner. Such"homeowner'shall submit to the Building Official,on a form acceptable to the Building Official.that he/she shall be responsible for all such work performed under the Indies permits As acting Construction Supervisor your presence on the job site.d l be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Camps sation) and Chapter 153(Liability of Employers to Employees for injuries not resulting inDeath)of the Massachusetts General Laws Annotated,von may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature City of Northampton A ^�` ' ,Massachusetts FtZ 4 ,gyp n212 PlaEBTin O£B•IIAING 2lSa i1 ina6 212 !lain atbamt • ), I DPipal Building f ^m Northampton, is 01060 'V 1 236 Acrebrook Drive Property Address: Contractor Name; American Installations Address: 130 College Street Ste. 100 City,State: South Hadley,MA Phone: 43-552-0200 Property Owner Fancis d Nancy Powers 236 Acrebrook Drive Address: City State. Florence,MA I,American Installations (contractor)attest and affirm that the building I intend to insulate does not have any open air(knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signature G ,4 J — I/ Date 1� 08-12-16 L1,111111 Loomed&Insured www.Americaninstagations.com MA CR St 106178 American Installations MA Registration p 175982 -Efficient Home Services- 130 College Street-Smite 100.Saudi Hadley,MA 0107$•Oche:(413)532.0200 Fax:14131552-0202• Emailirpport#Amerlanlmtatladons.com AIR SEALING PROPOSAL Francis Powers 236 Acrebrook Dr Florence,MA 01062-3502 Site ID:$00050193936 Project ID:P00050222202 Customer ID:C00050195436 Contract ID;20160706 ASEAL Description Quantity Location Perform Air Sealing at Estimated 62.5 CFMS0 Per Hour 10 Living Space $843.20 Sub Total: $843.20 Utility incentive Share $84320 Customer Contribution 50-00 WARRANTY'.American Installations,LLC will provide the above stated homeowner with a 3 year workmanship warranty. American Installations.lIC hereby proposes to furnish all material and labor to complete the above scope of work in accordance with the above specifications and At local arid state buiMiag regulations for the Total Dontran Value as stated herein. ACCYWANCE OF PROPOSAL:The above poses,specifications and conditions TOTAL CONTRACT VALUE=$ 0 are satisfactory and are hereby accepted. You are authorized to do work as specified-Payment will be 1/3 down prior to start of work,and balance due Down Payment=$ 0 ND upon Completion. Balance Due Upon Completion z- 0 Signature /v Date 7b-16 Property Owner{Print) )Sign)_ Date PeprczentaNve{Prot }..... iAgn! Date 7616 mumem/on xmpc8moc This PAGE pm THE pEykim SDE This PAGE ANG uttncmi anwtw xateiow IMAWPONS. sslxwtvzutndu ucxmiuxurzaamnamfma5 ccmrzxr',wom omLuua®amutxmnxucTCUTRE-ncovAS'noSEm'woveu AF.ww¢*mauawapwnn uve,avuunoxsrvnaaolx.wm'orrnt RIE FOLLOWING TERMS AND CONDITIONS ALSO APPLY 1. TRIS AGREEMENT IS MANEGE TO TME APPROVAL OF A MANAGER OF TIE COMPANY FOR THISAGREEMENTTOBE EFFECTIVE UNDER ANY CONDIDON. l SHOULD DEFAULT BE MA0EINIREPAYMENT OF TRSAGR£EMENT,CHARGES SHALL BE ADDEO PROM THE DATE THEREOF AT A RATE OKONEANDONEAALF)I4/2I PERCEITPER MONTH.08%PER ANNUM)WITH A MINIMUM LBARGEOF$R,M PER MOND.ANO INAGEOLN THE HANDNA AN ATTORNEY OR COLLECDONAGEUCYFORCOLL6lIDN,PLt AuuORNEYSF£FS,EXPENSES AND COSTS OF COLLECTION SHALLBE PAID BY THE CLIENT,IN ADDITION,CUED?UNDERSTANDS THAT IN FAILING TO PAY ACCORDING TO THE ABOVE TERMS,COMPANY MAY HAVETME RIGIrIOALEIN ON THE PROPERTY. 3. THE COMPANY AGREESTHAT WHEN DELAYS BECOME KNOWN TO THE COMPANY,THE COMPANY WILL ADVISE THE CLIENT AS SOON AS REASONABLE. 4. COMPANY AGREES THAT,NOTWITHSTANDING ANY AGREEMENT FOR MATERIALS AND/OR LABOR BETWEEN COMPANY AND THIRD PARTY,COMPANY IS RESPONSIBLE TO CLIENT FOR COMPLETION OF All WORK DESCRIED IN A PMELYANO WORKMANLIKE MANNER. S. ALLWARRANSNS FOR EOUWMENTANDPRODUCTSSUPR@DBY ME COMPANY UNDER THIS AGREEMENT MIMI 41£DIODE GIVEN SY THEMANUFACIVRERS Of SUCH EQUIPMENT ANO PROOUCSS. UNDER SUCH MANUFACTURER'S WARRANTIES,THE CLIENT MAY BE BEIUREDTO REGISTER OR MAIL INA WARRANTY CARD OR OMER EVIDENCE OF OWNERS/1M AND USE OF SUCH EQUIPMENT AND/OR PRODUCTS IN ORDER TO ACTIVATE SUCK WARRANTIES. 6. THE QUOTATION ON ME PAGE HEREOF DOES NOT INCLUDE EXPENSES OR CHARGES FOR BOND OR INSURANCE PREMIUMS OR COSTS BEYOND NORMAL INSURANCE COVERAGE,ANY SUCH ADDITIONAL EXPENSES,PREMIUMS OR COST SHALL BE ADDED TO THE TOTAL AGREEMENT AMOUNT. 7, WE COMPANY'S LIA01HTYFOR CLAIMS AMUSING OUT OF THIS AGREEMENT SHALINOI EXCEED THE TOTAL AGREEMENT PRICE EXCEPT YO THE EXTENTTHOSE DAMAGES ARE PROVEN TO BE SOLES DUE TO THE COMPANY'S.NEGLIGENCE. 6. DURINGTHE DURATION OF THE WORK.THE CVENVS HOMEOWNERS INSURANCE WLi.OE RESFON5181E FOR ANY AND ALL DAMAGES AS LONG AS THE/YMWANY HAS-CAM THE APPROPRIATE ACTION TO PROTECT AREAS OF WORK. 9. THE COMPANY IS NOT RESPONSIBLE FOR PREEXISTING DEFICIENCIES OR HAZARDOUS MATERIALS THAT MANIFEST THEMSELVES DURING THE CONSTRUCTION PROCESS.E.G.WOOD ROT,MOLD, ASBESTOS,NAIL POPS,DUCTWORK AND CONNECTIONS,PLUMBING AND VENT PIPES,PECKING DEFLECTION.ETC. IF A PRE-EXISTING DEFICIENCYOR HAZARDOUS MATERIAL IS ENCOUNTERED PRIOR TO OR DURING CONSTRUCTION,AND COMPANY IS NOTIFIED IN WRITING,COMPANY WILL TRY TO ASSIST CLIENT WITHIN THE COMPANY'S MEANS AND CAPABILITIES TO CORRECT THE PROBLEMISj ON A DME ANDMATEAIAL BASIS.CLENTAGREESTHAT SUCH COMMONS ARE UNAVOIDABLE BYTHECOMPANY AND SHALL NOTBECONSIDEREDAVIQLATION OF THEAGREEMENTANO THAT ODE FU THESE C EMMONSTHG DURADON Of THE WORK ANHEOUIPDOAMORCOMPtEIION MAY 0IFFER F40Mfl4TASREED(PON,IFAPFL ABLE.VDERTNSAGREEMEN'C 10. REPLACEMENT OF DETERIORATED DECKING,FASCIA BOARDS,ROOF MCR,VENTILATORS,FLASHING,RAFTERS,1014;INSULATION OR OTHER MATERMLSAPE NOT INCLUDED UNLESS OTHERWISE NOTED HEREIN. 11. THE COMPANY WILL NOTRE RESPONDS-MCl/RIME SCRATCHING OR DENTING OF INTERIOR WALLS AND CEILINGS,FLOORS,TRIM.GUTERS,DOWNSPOUTS,FXISTNG SIDING MID WINDOWS.DOORS, OIL DROPLETS IN DRIVEWAYS,HAIRUNE FACTURES IN CONCRETE OR BLACKTOP DRIVES AND WALKS,OR DAMAGE TO PLANTS OR SHRUBBERY. IF EXCESSIVE DAMAGE IS CAUSED BY COMPANY, COMPANY WILL REPAIR OR REPLACE DAMAGED AREA ONLY ATCOMPANY'SEXPENSE 1$, MECOAW+IY UNDER PRO>RHMiSOFCHATER 143AOrTHE GENERAL LAWSISREQLIREDTOAPPLYFOR ANDOBTAIN ALCONSTRUCNMtRELATED PERMITS THE COMPANY SHH.LNOTBE DEEMED RESPONSIBLE FOR OOAYSIN WE WORK DESCRIBED W MISAGREEMEMCAUSED BY REGULATORY PERMIT GRANTINGORINSPETIONAL AGENCIES,AUTHORITES,OR INONIDUAS 13. THISAGREEMENT INCIUOING THE PROVISIONS RELATING TO PRICE AND PAYMENTSCHEIDULE.CANNOT BE CHANGED OR ALTERED EXCEPT BY A WRITTEN STATEMENTSIGNED BY ROEITHE COMPANY AND THE CLIENT. 14. ANY REPRESENTATIONS,STATEMENTS,OR OTHER COMMUNICATION NOT WRITTEN ON'THIS AGREEMENT ARE AGREED TO BE IMMATERIAL MID NOT RELIED ON BY EITHER PARTY,AND DO NOT SURVIVE THE EXECUTION OF THIS AGREEMENT. 15, DRSAGREEMENTCANNOTEE CANCELLED WIT OUTTHE ML UAI.WRITTEN COMSE/COE OOTHPARiES EXCEPT AS OTHERWISE SET FORTH HEREIN, 16. MISAGREEMENT.AND ANY WARPABttt(SI PROWMD HERD:NWT SHALLNOT BE ASSIGNED EXCEPTED OR WITH THE WRITTEN PERMISSION OFTFE COMPANY. 17 IF THE CLIENT FAILS TO PERFORM ITS OBLIGATIONS HEREUNDER OR TERMINATES THIS AGREEMENT WITHOJT THE PRIOR WRITTEN CONSENT OF THE COMPANY,THE HENT SHALL BE LIABLE FOR DAMAGES FOR THE GREATER OF THE COMPANY'S ACTUAL DAMAGESOR 25%OF THEAGREEMENTFOR RESTOCKING FEE. I0. MIT CHANGES TO MATERIALS BY THE CI lENT(BRAND,STYLE,001.011,ETC AFTER SAID MATERIAL HAS BEEN DELIVERED OR IS IN ROUTE TO THE CLIENT CXIULD RESULT IN A S%RE-STOCKING FEE BASED ON THE COMM SAID MATERIALS. 19 TEISAGREEMENT SHAALBE EFFECTIVE ONLY UPON ITSEX¢WON 8T 41PARTIESHERETO,PRIORTO WHICH TIME IT SHALLBE D€FMEOA PROPOSAL.IHECOMPANYRESERVEO'IDE RIGHT TO REVOKE DINS MCIOSATMOWSEROM DATE H IS EXECUTED BYTHECOMPANYIFITD NOT EARLIER EECUTEDBYTHECUENTANDTHEREWIREO DOWN PAYMENT RECEIVEOPRoRTG THE EXPIMTION OF SUCH 90 DAY PERIOD:AFTER AO DAIS,ANO IN THE EVENT COMPANY DOES NOT REVOKE THE PROPOSAL.COMPANY RESERVES INE RIGHT iO REVISE ITS PRICE IN ACCORDANCE WITH IIS COSTS IN EFFECT AT SUCH TIME. 20 IP ANY PROVISION OF THIS AGREEMENT SHOULD BE HELD TO BE INVALID OR UNENFORCABLE,THE VAUDITY AND ENFORCEBIUTY OF THE REMAINING PROVISIONS OF THIS AGREEMENT SHALL NOT BE AFFECTED THEREBY. 21 ARBITRATION)IN THE EVENT RTE QIENT AND COMPANY HAVE A DISPUTEREGARDING ANY OF THE TERMS.CONDITIONS.PROVISIONS,OR PERFORMANCE OP THIS AGREEMENT,THE PARTIES AGREE TO PLACE THE MATTER INTO ARBITRATION BEFQHANINDEPENDENT ARBITRATOR ASSGNE0EY THE AMERICAN ARBITRATION ASSOCIATION TO RESCIND THEIR DISPUTE, 21ANY DICIXMRPRDCTION.REIMBURSEMENCW OTHER PROGRAM THAT IS FART OF ASTATE SPONSERED VTIWY PROGRAM(I.E.MASS SAVER)IS MSI ITOTHEAVAILABRNYOEWAUFNW STATE SPONSERED PROGRAM AND WILL BE SUBJECT TO TERMINATION IF THE STATE SPONSERED UTILITY PROGRAM IS DISCOUNTNUED. FURTHERMORE IDE TERMS AND COND14aNS OF STATE SPONSERED UTILITY PROGRAMS MAY BE ALTERED DR UPDATED PERIODICALLY WITH OR WIMOUT NOTICE. 23. AMERICAN INSTALLERS,LLC IS NOT AN AGENT OF ANY UTILITY COMPANY OF OTHER VENDOR WORKING BY,THROUGH.OR UNDER THE MASS SAVE'ENERGY PROGRAM. El WESTERN MASSACHUSETTS ELECTRIC COMPANY(THE UTILITY)IS ENTITLED TO 1DO%OF THE ENERGY BENEFITS ASSOCIATED WITH ALL ENERGY CONSERVATION MEASURES,EXCLUDING THE VALUE OF ENERGY COST SAVINGS BY THE CLIENT,BUT INCLUDING ALL RIGHTS TO ALL ASSOCIATED ISO-NE ENERGY,CAPACITY AND RESERVES PRODUCTS COMPANY AGREES TO PPOVIDE THE UTILITY WITH SUCH FURTHER DOCUMENTATION AS THE VERITY MAY REOUEr'TOCONFIRM THE MUIYS O W NERSHIP OF SUCH BENEFITS AND PRODUCTS 14. CLIENT UNDERSTANDS AND ACBNOWCEOCES MAT COMPANY IS NOT AN AGENT,VENDOR OR SUB-VENIXNS OF THE UTILITY WITH RESPECT TO THE INSTALLATION Or ANY ENERGY EMILDENCY MEASURES.IN THE EVENT OF HE FAILURE OF ANY ENERGYCONSERVATKKi DEVICE TOPERFORMAS EXPECTED.CLIENT AGREES THAT CLIENT'S SOLE RECOURSE ISTOTTE COMPANY AND NOT TO CONSERVATION SERVICES GROUP(CSG)OR TO THE UTILITY.THE UTILITY AND ITS OPERATING COMPANIES WALL NOT MAINTAIN,REMOVE OR PERFORM ANY WORK WHATSOEVER ON THE ENERGY CONSERVATION MEASURES INSTALLED.CLIENT UNDERSTANDS AND ACKNOWLEDGES THAT ITS PARTICIPATION IN THE MASS SAVE NOME ENERGY SERVICES PROGRAM IS VOLUNTARY AND THAT IT HAS CONSENTED FOR COMPANY TOINSTALL THE PROPOSED ENERGY CONSERVATION MEASURES. 26. CLIENT AGREES THAT ITSMAU.NOT HOLD RG,TME UTILITY.THEIR AFFIWTES OR OPERATING COMPANIES LIABLE FOB COMPANY'S FAILURE TO PERFORM GS 0BLIGATONS UNDER THIS AGREEMENT, POR FAILURE OF THE ENERGY CONSERVATION MEASURES TO FUNCTION,FOR ANY DAMAGE TO CLIENTS PREMISES CAUSED BYCOMPANY OR FOR ANY AND ALL DAMAGES TO PROPERTY ORINJURY TO PERSONS CAUSED RIME ENERGY CONSERVATION MEASURES. 2T WENT S RESPONSIBLE FOR TIM PAYMENT OF ANY ANDALL FEDERAL.STATE,DR LOCAL TAXESTIW ARE APPUCAOLETO MISATREEMENT. LIMITED TIME OFFER.TME PRICES AND INCENTIVE OFFERED IN THIS CONTRACT APE SUBJECT TO CHANGE IN ACCORDANCE WITH THE WESTERN MASSACHUSETTS ELECTRIC COMPANY MASS SAVE HOME ENERGY SERVICES PROGRAM OFFERS MA CLIENTS:Yoe may cancel this agreement if it has been signed by a party thereto at a place other than an address of the sener,which may be his main office or branch thereof,provided you noUifythe sear in rarities at hkmainoffce or branch by ordinaryMei(Posted,bytelegramseat or Trydegyery,not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanatkm of this right. DATE CLIENT'S SIGNATURE DATE COMPANY REPRESENTATIVE'S SIGNATURE en t cased&dw„ea ih°11,11111 www.AmericanlnstalIatons,cam MA`St A]06178 American Installations MA Registration x275981 -EfficentHnMeServkes - 130 College UMW Suite 1W Som Nadey.MA01075 • Oats:(413)5524200 Fn:(413)551.4201•Routh wpporl@AmeXonlroblbtbnssom WEATHERIZATION PROPOSAL Francis Powers 236 Acrebrook Dr Florence,MA 01062.3502 Site ID:S00050193936 Project ID:P00050222202 Customer ID:C00050195436 Contract ID:20160706 WORK. Description Quantity Location Da RIlifg 56 WA $122,64 Hatch:Thermal Barrier Poryiso 2 inc ROW 1 Liam Space $4111 AnkF nr(Van Blow Cellulose s• 1.275 (Hing Spars E1185.00 _._.. ----- — - ..._ Bub Total: E1.919.355 Utility Incentive Shan $1.46101 Customer Contribution $487.34 WARRANTY:American Installations,LLC will provide the above stated bomeownet'with a 3 year workmanship warranty. American Installations.LLC hereby proposes refurnish all material and labor to complete the above scope of work in accordance with the above specifications and alt local and use bSiding regulations for the Taal ronntrwt Value amazed retain. ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions TOTAL CONTRACT VALUE=$ 48234 are satisfactory and are hereby accepted,you are authorized to do work as specified.Payment will be 1/3 down prior to start of work,and balance due Down Payment $ 207 PAI 7-646 upon Completion. � Balance Due upon Completion=$ 280.3C4�1 Signature `•/a'w/ u Date 1 — Y7 — 1 Property Owner(Print) ,, (Sign)_... Date aepresentabve-.(Pant) (jay Nen) p' Date NISMillEEMENT IS COMPOSM 47$'mils PAGE AND THE RaVEME E MO5IALL BE caNsttTFMN1AGREEMENT MENT ovum.PMnawn M lxLVEiS AGREEiuwut BEtWEE AMAMERICANu iNsiunaNS. nu HEBfE EPNAS NEFEmTon EO coArmr..tom ME .AGNAMED Mott NEmNAnERREFEAHEtTOu'rvExr.axovau Ak sutaCFo ALLu9NOPW9TE LAWS,EEWLa11ONS 4NCrOADINMLESOf THE • THE FOLLOWING TERMS AND CONDITIONS ALSO APPLY 1, THIS AGREEMENT IE W&ECFTO THE APPROVAL OF A MANAGER OF THE COMPANY FOR THIS AGREEMENT TO BE EFFECTIVE UNDER ANYCONDITION. 3. SHOULD DEFAULTED MADE IN THEPAYMENT OF TWSAGREEMENT.QIMGES SHALL BE ADDED FROM THE OqE THEREOF AT A RATED£ONE ANDONEHAt£1L-Oli PERCENT PERWINDHOEK PER ANNUM)WITH A MINIMUM CHARGE OFBl,W PER MONTH,ANO IF PLM➢iNTHENANDSC=ANATCORVEY OR CLLFC ONAGENCYFORCOLLECLIDN.A34AnORNEYS FEES.EXPENS6ANOCOSTS OF COLLECTION SNAIL BE PAID BY THE CLIENT,INADDIiIDN,CLIENT UNDERSTANDS THAT IN PULING TO PAY AC WRDINGTOTHE MOVE TERMS,CDMPANY MAY HAVE THE RIGHT TO A LEIN ON THE PROPERTY. 3. THE COMPANY AGREES THAT WHEN DELAYS BECOME KNOWN TO THE COMPANY,NE COMPANY WILL ADVISETHECLIENT AS SOON AS REASONABLE. 4. COMPANY AGREES MAT,NOTWITHSTANDING ANY AGREEMENT FOR MATERIALSAND/OR LABOR BETWEEN COMPANY AND THIRD PARTY,COMPANY IS RESPONSIBLE TO CLIENT FOR COMPLETION OF ALL WORK DESCCRIBEDIN A TIMELY MID WORKMANLIKE MANNER. 5 ALLWARRANEIES£OR EQUIPMENT AND MADAM SUPPLIED BY ME COMPANY UNDER THIS AGREEMENT SHALL BE THOSE GMYI BYTHE MFXVFACTURERSW very EQUIPMENT ANDPROMKTS. UNDERSUCH MANUPACEUREWS WARRANTIES.THE CUENT MAY BE REQUIRED TO REGISTER OR MAIL IN A WARRANTY CARD OR OMER EVIDENCE OF OWNERSHIP AND USE OF SUCH EQUIPMENT AND/OR PRODUCTS IN ORDER TO ACTIVATE SUCH WARRANTIES, 6. THE QUOTATION ON THE PAGE HEREOF DOES NOT INCLUDE EXPENSES OR CHARGES FOR BOND OR INSURANCE PREMIUMS OR COSTS BEYOND NORMAL INSURANCE COVERAGE,ANY SUCH ADDITIONAL EXPENSES,PREMIUMS OR COST SHALL BE ADDED TO THETOTAL AGREEMENT AMOUNT. 2. THE COMPANYSLIMIury FOR CLAIMS ARISING OUT OF THIS AGREEMENT SHALL NOT EXCEED THE TOTAL AGREEMENT PRICEEXCEPT TD THE EXTENT THOSE DAMAGES ARE PROVEN TO BE SOLER DUMMIED COMPANY'S NEGLIGENCE R MIRING THE DURATION OF THE WORK ME COMM HOMEOWNERS INSURANCE WILL BE RESPONSIBLE FOR ANY AND ALL DAMAGES AS LONG AS PFM COMPANY HAS TAKEN THE APPROPRIATE ACTION TO PROTECT AREAS OF WORK. 9. ME COMPANY IS NOT RESPONSIBLE FOR PREEXISTING DEFICIENCIES OR HAZARDOUS MATERIALS THAT MANIFEST THEMSELVES DURING THECONSTRUCTION PROCESS.E.G.WOOD ROT,MOLD, ASBESTOS,NAIL POPS,DUCTWORK AND CONNECTIONS,PLUMBING AND VENT PIPES,DEMING DEFLECTION,ETC.IF A PRE-EXISTING DEFICIENCY OR HAI,AROOUS MATERIAL IS ENCOUNTERED PRIOR TO OR DURING CONSTRUCTION,AND COMPANY IS NOTIFIED IN WRITING,COMPANY WINTRY TO ASSIST CLIENT WITHIN THE COMPANY'S MEANS AND CAPABILITIES TO CORRECT ME PROBLEMS) ON A TIME40MATERLALSSIS.CLENT AGREES MAT SUCH CONDIFICNSAREUNAVOIOABIE BYOLE COMPANY ANDS MALL NOT 31 CONSIDERED AVIOIADON Of TME AGREEMENT ANDTHATDIR TO THESE CONDnpNSTILB ouaAT) N CR fiR WWOFKE AND SCHEDULED CATE OF COMPLflTON MAY tFFER FROM MATAGDEED UPON„F APPLICABLE,UNDERhtSAGREEMENT. 10. REPLACEMENT OF DETERIORATED DECKING,FASCIA BOARDS,MOP JACKS,VEN11LATORS FLASHING RAFTERS, OISTS,INSULATION OR OTHER MATERIALS ARE NOT INCLUDEDUNLESS OTHERWISE NOTED HEREIN. 11. THE COMPANY WILT.NOT BE RESPONSIBLE FOR THE SCRATCH NO OR DENTING OF INTERIOR WALLS AND CEILINGS,FLOORS,TRIM,GUTTERS,DOWNSPOUTS.EXISTING SIDING AND WINDOWS,DOORS, OIL DROPLETS IN DRIVEWAYS,HAIRUNE FRACTURES IN CONCRETE OR BLACKTOP DRIVES AND WALKS,OR DAMAGE TO PLANTS OR SHRUBBERY. IF EXCESSIVE DAMAGE IS CAUSED BY COMPANY, COMPANY WILL REPAIR OR REPLACE DAMAGED AREAONLY AT COMPANY'SEXPENSE, 32. THECOMPANY UNDER PROVISIONSOF CHAFFER I42AOF THEGENERALLAWS ISREQUIREDTO APPLY FORAM)WAIN ALLCONSTRUCTION-RE(ATEDPERMITY THECOMPANY SALLHOTOEREMED RESPONSIBLE FOR OEWYSLN THE WORK DESCRIBED INDEAGREEMENTCAUSEDBY REGMATORY PERMIT GRANTINGCRINSPECTIONAL AGENCIES,AUTNORITIES.OR INDIVIDUALS, 13, THIS AGREEMENT.INCLUDING THE PROVISIONS RELATING TO PRICE AND PAYMENT SCHEDULE,CANNOT BE CHANGED OR ALTERED EXCEPT BY A WRITTEN STATEMENT SIGNED BY BOTHTHECOMPANY AND THE CLIENT. 14, ANY REPRESENTATIONS,STATEMENTS,OR OTHER COMMUNICATION NOT WRITTEN ON THIS AGREEMENT ARE AGREED TO BE IMMATERIAL AND NOT RELIED ON BY EITHER PARTY,AND DO NOT SURVIVE THE EXECUTION OF THIS AGREEMENT. 35. THbAGREEMENTCANNOT BE CANCELLED WITHOUT THEMUTGALWRITTEN CONSENT OF BOM PARTIES EXCEPT AS OTHERWISE SETPORTH HEREIN. 16. THISAGREEMENT,AND AHY WAARPMTYS}PROWDEDHEREUNTERSHALL NOT BE ASSIGNED EXCEPT BY DR WIffi THE WBIREN PJIM15DoN OF 1Y'COMPANY. O. IF THE CLIENT FAILS TO PERFORM CS OBLIGATIONS HEREUNDER OR TERMINATES THIS AGREEMENT WITHOUT THE PRIOR WRITTEN CONSENT OF DE COMPANY,THE CUENT SHALL BE LIABLE FOR DAMAGES FOR THE GREATER OF THECOMPANYSACTUAL DAMAGES OR 25%OF THE AGREEMENT FOR RESTOCKING FEE. 10, ANY CHANGES TO MATERIALS BY THE CLIENT(BRAND)STYLE,COLOR,ETC J AFTER SAID MATERIAL HAS BEEN DELIVERED OR IS IN ROUTE TO THE CLIENT COULD RESULT IN A 5%RESTOCKING FEE BASED ON THE COST OF SAID MATERIALS. 19 TWSAGREEMENTSMN.L BEEFFECTIVE ONLY UPON IMEXECUTION BYKLPARTIESHERETOPRHMTO WHICH TIME IT SHALLBE DEEMED A PROPOSAL{HECMPANYRESERVES NE BIGHT TO REVOKE MIS PROPOSAL SA DAYSFROM DATE RIS EXECUTED BY THECOMPANY IF MIS MDT EARLIER EXECITEDBY TI+E COENT AND THE REWIRED DOWN PAYMFNTRECEFMED PRIM TOME EXPIRATION OF S UCH 90 DAY PERIOD;AFTER 90 DAYS,AND IN THE EVENT COMPANY DOES NOT REVOKE THE PROPOSAL,COMPANY RESERVES THE RICHTTOREVISEITS PRICE IN_ACCORDANCE WITH ITS COSTS IN EFFECT AT SUCH PIE. 20. IF ANY PROVISION OF THIS AGREEMENT SHOULD BE HELD TO BE INVALID OR UNENFORCABLE.THE VALIDITY AND ENFORCEBILITY OP TIE REMAINING PROVISIONS OF DISAGREEMENT SHALL NOT BE AFFECTED THEREBY. 21 ARBITRATION:IN THE WENT IDE[DENT AND COMPANY HAVE A DISPUTE REGARDING ANY OF THE TERMS,CONMTONS,PROVISIONS.OR PERFORMANCE Of THIS AGREEMENT,THE PARTIES AGREE TO PLACE THE MAULER INTO ARBITRATION BEFORE AN INDEPENDENT ARWTAATOR ASSIGNED BY THE AMERICAN ARBITRATION ASSOCIATION TO RESOLVE TIeR DISPUTE. 2$. AMY OLYOUNT,PROMOTON.REIMBURSEMENT.OR OMER PROGRAM THATIS PART Of A STATESPONSERED UTILITY PROGRAM(IA_MASS5AVPI SSUBJECT TO THEAVARAWUtt OFQUAUFANG STATE SPONSERED PROGRAM AND WILL BE SUBJECT TO TERMINATION IF THE STATE SPONSERED UTILITY PROGRAM IS OISCOUNNNUEO. FURTHERMORE THE TERMS AND CONDITIONS OF STATE SPONSERED UTILITY PROGRAMS MAY BE ALTERED OR UPDATED PERIODICALLY WITH OR WITHOUT NOTICE. 23. AMERICAN INSTALLERS,LLC IS NOT AN AGENT OF ANY UTILITY COMPANY OF OTHER VENDOR WORKING BY,THROUGH,OR UNDER THE MASS SAVE ENERGY PROGRAM. 24, WESTERN MASSACHUSETTS ELECTRIC COMPANY(THE UTILITY)IS ENTITLED TO 100%OF TAE ENERGY BENEFITS ASSOCIATED WITH ALL ENERGY CONSERVATION MEASURES,EXCLUDING THE VAL.LIE OF ENERGY COST SAVINGS BY DE CLIENT,BUT INCLUDING AO RIGHTS TO ALL ASSOCIATED ISO-NE ENERGY,CAPACITY AND RESERVES PRODUCTS.COMPANY AGREES TO PROVIDE THE UTILITY WITH SUCHFORMER DOCUMENTATION AS THE()TWIT MAYREQUEST TO CONFIRM THE VITLITY$OWNERSHIP Of.SUCH BENEFITSANDPRODUCTS. 25. CHEM UNDERSTANDS AND'CKNOWtEIXSEc THAT COMPANY IS NOT AN AGENT,VENDOR DR SUSVE 40 ROFRTE DEMI WIEN RESPECT TO THE IISTNLATION OF ANY ENERGY EFFICIENCY MEASURES IN THE EVENT OF THE FAILURE OF ANY ENERGY CONSERVATION DEVICE TO PERFORM AS EXPECTED,CUENT AGREESMAT CLIENT'SBMXRECOURSE IS TO THE COMPANY_AND NOT TO CONSERVATION SERVICES GROUP(CSG)OR TO THE MUTT.THE UTILITY AND ITS OPERATING COMPANIES SHALL NOT MAINTAIN,REMOVE OR PERFORM ANY WORK WHATSOEVER ON THE ENERGY CONSERVATION MEASURES INSTALLED.CUENT UNDERSTANDS AND ACKNOWLEDGES THAT ITS PARTICIPATION IN THE MASS SAVE HOME ENERGY SERVICES PROGRAM IS VOLUNTARY AND THAT IT HAS CONSENTED FOR COMPANY TO INSTALL THE PROPOSED ENERGY CONSERVATION MEASURES. 26, CLIENT AGREESDAT IT SHALL NOT HOLD 0%',THE UTILITY,THEIR AFFILIATES OR OPERATINGCOMPANIESLIpBLE FOR COMPANY'S FAILURE TO PERFORM ITS OBLIGATIONS UNDER THIS AGREEMENT, POR FAILURE OF TMEENERGYCONSERVA'TION MEASURES TO FUNCTION,MR ANY DAMAGE TO CLIENTS PREMISES CAUSED BY COMPANY OR FOR ANY AND ALL DAMAGESTOPROPERTY OR INJURY TO PERSONS CAMEO BY THE ENERGY CONSERVATION MEASURES. 17 CLIME IS RESPONSIBLE FOR THE PAYMENT OE ANY AND ALL FEDERAL STATE,OR LOCAL TAXESTHAT ARE APPLICABLE TO DISAGREEMENT. MEMO TIME OFFER.THE PRICES AND INCENTIVE OFFERED IN THIS CONTRACT ARE SUBJECT TO CHANGE IN ACCORDANCE WITH THE WESTERN MASSACHUSETTS ELECTRIC COMPANY MASS SAVE HOME ENERGY SERVICES PROGRAM OFFERS. MA MENTIS;You may cancel this agreement Itk has been signed by a petty thereto at a place other than an address of the seder,which may be Msmail officeOr branch thereof,provided you notdythe seder inwritingat his main office or branch by ordinarymail pmYed,bytelegramsent or by delivery,not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. DATE CLIENTS SIGNATURE DATE COMPANY REPRESENTATIVE'S SIGNATURE The Commonwealth of Massachusetts he =p Department of industrial Accidents � -5 ; - Office of Investigations die ;r—-� I Congress Street, Suite 100 -Z t•el Boston, MA 02114-2017 r,„"��a' www.mass.goWdia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (BusimssforgssisarloMMividustp American Installations, LLC Address: 130 College Street, Suite 100 City/State/Zip: South Hadley, MA 01075Phone #: 413-552-0200 Are you an employer? Check the appropriate box: Type of project(required): L© lama employer with 27 4. ❑ I ran a general contractor and 1 6. ❑Ne w 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. 0 Remodeling ship and have no employees These subcontractors have g. ❑ Demolition workingfor me in anycapacity. employees and have workers' P IY f 9. ❑ Building addition [No workers' comp.insurance comp,insurance. required.] 5. D We area corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. No workers' comp. right of exemption per MOL 12.0 Roof repairs insuranceuired. t c. 152,§I(4),and we have no ] employees. [No workers' 13.®Other Insulation comp. insurance required.] 'Any applicant that checks box a I mast also fill out the secaon below slmwing their workers'compensation policy information. Homeowners who submit this dadavit indicating they are doing all work and then hire outside contrarian must submit a new affidavit indicating such. 1Conoactors out check this box moat attached as additional seem showing rbc same of de sub-connectors and Cate whether or am those artistes have employees. If the sob-contractors have employees,they must provide their swrkers'comp.policy number. Iam an employer roar is providing workers'compensation insurance for my employees Below is the policy and job site Information. Insiname Company Name-. Guard Insurance Companies Policy#or Self-ins. Lie.#: UaaRWC6O9917 j� Expiration Date,: 09/04/2016 Job Site Address: 3`((0 / 1l. feif00k un ye C0y/state/zip: 1NO rh o.mgtrfl C)IbbO 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 DR for insurance coverage verification. I do hereby cent)"under the pains and penalties of perjury that the information provided above is tree and correct. S'. a ,.. rr. ,.-!_' Date: nU � I 1 - I (0 - Phone#; 'I/.3-552-()Roo 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#: ACORUF CERTIFICATE OF LIABILITY INSURANCE °gTELMAV zvfern `/ 9/4/2015 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 INSURER4S), 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,sutgect to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does notcenter rights to the certificate holder In lieu of such endorsements). PRODUCERCOVERACT Linda Powers Webber s Grinnell POORENo (413)586-0111 to.Pyr 14131586-6181 R North Ring Street Er8,AntwERs:1poerersewebberandgrinnell.Com INSURERIS)AFFORDING COVERAGE MAIC 4 Northampton MA 01060 MauasaA�wloyere Mutual Caaualty INSURED NStMERs 3smGOAND/sH GUARD American Installations, LLC INSURER c: Attn: wee E. Suzanne Couture INSURER D: 130 College Street Suite 100 MSURERE: South Hadley MA 01075 INSURER F: COVERAGES Limit REIGATE NUMBERs4aster 9-2015 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 PERTNN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHONM MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY ESP RIR TYPE QFINER LM ..tnlMry "4"Y"Ell ilk YYI � I �� R cONNERCUOF INSURANCE MERRY EI+I{ ■•■{1.000,000 A X CLAMSMADE i I OCCUR 1 5D3535216 9/4/20159/4/2016 10,000 _ E- ,I INJURY 1,000,00° GERI AGGREGATE UMWAPPLIES PER X PJVACY rICam Fl j Iff OTHER• AUTOMOBILE UA UTY &NNED SING 1,000,000 A ANY AUTO RWRY INHAtY(Par Anon) ��EO X I MIlEO 533535216 9/4/2015 9/4/2016 BCOSY INJURY(Pyazgvq X HMO AUAOS Z A OSSO -PROPERTY DAMAGE _— Meat 8,000 X UMBRELLA UAB OCCUR EACH OCCURRENCE S 1 000000 A EXCESS U CLAIMS-MADE AGGREGATE S 1 00 000 CEP X RETENOONS 10,080 553535216 9/4/201 9/4/2016 S WORKERS CONPENSAItON PER 01H- MWEIPIAYRRWI seurt YIN siATi-I ER ANY OPRIETCREARREP/FXIXURVEEL EACH ACCENT S 00,000 C£nCERMEMERR Er-LIMED? ACCIDENT 8 'If Mandatory41NH) UPIC609917 9/4/2015 9/4/2016 6,t„ AS DISEE-EA EMPLUYFES 500,000 yes, at.111166" CESCAIPTIQN OF OPERATIONS NOM EL DISEASE-POLICYUMI 5 500,000 A Commercial Property 50.3535216 91412015 9/4/2016 RORER.510.31 20,000 aeAu2de51.000 40,000 rwscP1PTWN Of OPERATIONS?LONDON 1vEMCLE$IAG0RD 101.Ae6RNPM Remhe UMBER,may be Slae6W if mole space la ttgM09,1 Proof of Coverage. Workers, Compensation policy includes class code 5474 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS MITORIZED REPRESENTAIWE Kevin Joyce/LMP y f11983-2014ACORD CORPORATION. All rights reserved. ACORD 25(2014E1) The ACORD name and logo are registered marks of ACORD SPS025:m on: IIr Massachusetts-Department of Public Safety Unrestricted-Buildings of any use group which Board of Building Regylations and Standards contain less than 35,000 cubic feet(991m)of Construction Sunervi:or MOMMMIE enclosed space. License:CS-100178 11111 uw cs its r WESLEY CO1TF1*E i' ah 166 NORTH MAIM 97�p r-_ South Hadley M.'Of ''„ ‘6, failure failure to possess a current edition of the Massachusetts 4. Ig, 'State Building Code is causeforrevocation of this license. 72, .41-4oner' Expiration Commissioner 09/29/2017 for DeS Licensing'animation visit www.Mass.Gov/0115 L/ne Vow' / 'i 1 Ott i I I tat' Office of Consumer Affairs and Busi- ss Reo'-lation e 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 175982 Type: LLC Expiration: 6/27/2017 Trp 265208 AMERICAN INSTALLATIONS, LLC WESLEY COUTURE 130 COLLEGE STREET SUITE 100 SOUTH HADLEY, MA 01075 Update Address and return card.Mark reason for change. scat n 20M 05/11 0 Address n Renewal ❑ Employment Q Lost Card c3/e'f .eaii,/oC(m Anie// °Mee of Consumer Affairs&Business Regulation License or registration valid for individul use only A OME IMPROVEMENT CONTRACTOR pbefore the expiration date. If found return to: istm0on' 975982 Type: Office of Consumer Affairs and Business Regulation Fxplra0on 6E/2017 LLC 10 Park Plaza-Suite 5170 Boston,MA 02116 AMERICAN INSTALLATIONS,LLC WESLEY COUTURE t /AT / 130 COLLEGE STREET SUITE leo >c yip„�_ //�/r�� A.,, SOUTH HADLEY,MA 01075 Undersecretary N valid without signature