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22B-012 (4) 61 MEADOW ST BP-2018-0985 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:22B-012 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ROOF BUILDING PERMIT Permit# BP-2018-0985 Project# JS-2018-001793 Est.Cost: $15500.00 Fee, $40.00 PERMISSIONIS HEREBY GRANTED TO. Const Class: Contractor: License: Use Group: MJT HOME IMPROVEMENT INC - MICHAEL CRISAFULLI 055318 Lot Size(su.ft.): 24001.56 Owner: RYAN JUDITH A zodne� WP(67)/URB(60)/URA(40)/ Applicant: MJT HOME IMPROVEMENT INC - MICHAEL CRISAFULLI AT. 61 MEADOW ST Applicant Address: Phone: Insurance: 181 BOSTON POST RD EAST SUITE 1 (617)637-0761 WC MARLBOROUGHMA01752 ISSUED ON.•413/2018 0:00:00 TO PERFORM THE FOLLOWING WORK STRIP & SHINGLE ROOF -40 SQRS 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: Cas: 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 Occupancy Signature: FeeType: Date Paid: Amount: Building 4/3/2018 0:00:00 $40.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner !_ Department use only i—' City of Northampton Status of Perms: Ac:r u�- ^cas Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability '( Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING /� H/ SECTION 1 -SITE INFORMATION V `� t 1.1 Property Address: _'./ This section to be completed by office b ra(q,00W $T{—ee Map �6 Lot Unit 0/06,2 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: T D ib ( Name(Print) Current Mailing Address: Q70(OoZ Tele�pho eT' SignaN 2.2 Aulhorizetl Aoen . I NJ- 0l�I� frJs��N Rosi ROWn sem/ !S Name Print) Current Mailing Address: 1 Z�L J21 Gv�o(f� 7K164-O i 4:37-07/62 ignature T�hone SECTION 3-ESTIMA CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed bpermit applicant 1. Building - 100 (a)Building Permit Fee 2. Electrical © (b)Estimated Total Cost of 5S 5"-QW Construction from 6 3. Plumbing c) Building Permit Fee / /� 4. Mechanical(HVAC) 451 5.Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number i Date Issued: Signature: 3 �6 guiding Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) $eC[i00 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled o by 3 R 3 s Building Depamnmt Lot Size Frontage Setbacks Front Side U R: L: R: Rem Building Height Bldg. Square Footage, Open Space Footage / (tut arm mous bldg&par arkm ? #of Parking Spaces 2/ A/ �owme&kuoatmu A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 00% DONT KNOW O YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO ,kV DONT KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q 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 © NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it pan of a common plan xc that will disturb over 1 acre? YES © NO L IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5.DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Or Daa s I S4 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[0] Other[� Brief Description of Proyose9�/ n _ (',y Work 7 77 /— /�```��J�C®�-� �yi6J A c� Alteration of existing bedroom Yes to Adding new bedroom Yes Attached Narrative / Renovating unfinished basement Ves Plans Attached Roll -Sheet 6a.If New house and or addition to oxistina houshria, complete the followin : a. Use of building: neamily Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? /4V—* d. Proposed Square footage of new construction. Dimensions e. Number of stories? 7-- I. Method of heating? A,41 Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. AA Masscheck Energy Compliance form attached? !v h. Type of construction S B I. Is construction within 100 ft.of wetlands? Yes No. construction within 100 yr. Floodplain_Yes No j. Depth of basement or cellar Floor below finished grade k. Will building conform to the Building and Zoning regulations? a No. L Septic Tank CitySewerV/ Private well_ City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, •-.� y Y �Y�"zt/ ,as Owner of the subject property herebygoth ize to ac n be ,in I matters relative to work authorized by this building permit application. 21�47 /hof r Date 1, %G��T7 V��/�✓�/H�//t/('i4'7N"' ,as Owner/Authorized Agent hereby declare that the statemlitnts and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under lh i sand ties of perjury. r f Print Name Signature of Owner/Agent D e SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: ,{ r Not Applicable ❑ 2 / Name of License Hold. "/((-/>"N„V l F�N4U!N a5 5-3-31 F License Number Address Expiration Dat sG vn &srII4 C-” Signature Telephone 9.Reaister d Home Improvement Contractor: Not Applicable ❑ /7ff 5� y Cpaan ' me_ Regi simli N be Add/rexssss/ E xpira ion Dale / / )00.5-r " Telephone /Pl7/�? O / SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted vdlh this application.Failure to provide this affidavit vdll result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... ❑ City of Northampton QS Massachusetts D212 Mn S OF BUILDING al Building Jsr cx, 212 Mein Street • NYM Clo Building Norttempton, NP 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration,renovation,repair, modernization, conversion, improvement, removal, demolition,or construction of an addition to any prerexisting owner-occupied building containing at least one but not more than four dwelling units....or to structures which am adjacent to such residence or building"be done by redstered contractors. Note:If the homeowner has contracjed with a corporation or LLC,that entity must be registered Type of Work: 0( Est.Cost: (0 / Address of Work: , // Date of Permit Application: r I hereby certify that: Registration is not required for the following reason(s): Work excluded by law(explain): —Job under$1,000.00 Owner obtaining own permit(explain): Building not owneroccupied ) t cr(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.ISEE NPNT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I Pereby apply for a building eram as he Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building pemut as the owner of the above property: Date Owner Name and Signature City of Northampton Massachusetts I� DEPAETNENT OF BUILDING INSPECTZONS 212 Main Sweat •Nunwipal Building NorNampton, HA 01060 Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: (al YrW" ow `3l wl� ref ill .oIGG� (Please print house number and street name) Is to be disposed of at: (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Signature App icant or Ow er Date If, for any reaso , the debris will not be disposed of as indicated,the Applicant or Owner shall notify the Building Depart ant as to the location where the debris will be disposed. The Conamaweakh ofA2assachusefts beparmfent oflndustrialAccidents 1 Congress Street Suite 100 Boston,BSA 02119-2017 wivasnu rsgov/dirt Workers'Compensation nsurance Affidavit:Builders/Contractors/Electriciam/Plumbers. TO B�FILED WITH THE PERMITTING AUTHORITY, Applicant tInformation I killingPrint Legibly Name(Husinuas/Organiz�atio`Mndividual): �,..�.r� Address: Vvs 7► Ao ; ¢y City/State/Zip: Phone 4: 0/7,f'� `17'6 S7'6 xI Me you an employer?Check the appropriate v Type of project(required) L®I ens a employer with .employees fill Wallet part time).' 7. Q New construction a.❑leaesolemalocarrarpedmrshipandhav noeaployecrwarking furadir 8. []Remodeling any capacity.INo workers'comp.urination required] 3.[31aa hommownar doing ell work myself lt}a workers'amp.irwrenm rrq ni I 9. []Demolition m 4.❑l am a homeowner and will be Wising contr tors to conduct all work ono o . Twill IO�Building addition r. petty, msuretwe with no emploeither have work 'compensetioniwrence or ere sole 11.[]Electrical repairs or additions popriaers with no nnploycm. 1 12,E]Plumbing repairs or additions 5❑Isan.gdreral nominator and l have hired tl(e¢ub,ohincton listed on the attached shit 13,Woof repairs y�Th' dv entirunvectors have empbyees and Gave wockete,camp.waimur csa 6,pk arae ae,..tion its takers have a axion]thcU right ofexcmption per MGL c. 14.®Other X 751,gland(4;ard cox have no employees.[No workus'comp inswvrca rin u'ved] "Any applicant that checks box el must els.fill out the section below showing their deducts'compensation paltry information. t Homeowners win submit this affidavit insurance,they art doing all work and then hire outside contractors must submit a new affidavit indicating such. IConnactore that check this hos amt anachcd ea additional sheet slowing the name ofthe sub-contractors and used wbother or not those entities have employes,. Ifthesub-contactaa have employees,they must pmvidetheir umhea'comp.paliry number. Inmrmemployerthraisprovidingivorkers'compemationimuranceformyemp/nyees. Below is thepolhey andjob site information Insurance Company Name: / ass I Q/7 Policy#or Self-ins Luc.#: an, Expuatmn Date/ i Job Site Address: / I} �� 'r City/StatefLip', �012'tY� �/.1'1 Attach a copy of the workers'compen anon policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required u der MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well a civil penalties in the form of a STOP WORIC ORDER and a fine ofup to$250.00 a day against the violator A copy ofthis s tomcat may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under•! e M afperjury that the infarmadonpravided doov fs true dcarrect. Signature Date: ? 2�/ f Phone : Official use any. Do not;site in tills area,to be completed by city or town official City or Town: PermitHAceme# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Camman'neaith W Mdssachu%etn ®! Orvisian of Professional Licensure I ..Board.ofBuildingRegula[ions aM-Stantlartls __. Constwdion Supervisor CS-055318 E3pires:Dtfi612020 �', i MICHAEL P CRISAFULLI' 86 MIPPLE STREET SOUTH WEYMOUTH MMA 02190 cCommissioner ' r-7e Ynrnroineon0/"a(l.ua�/sem Ree offoasumer Afla'vs&Business Reguixrioo , OME IMPROVEMENT CONTRACTOR "Alk, RegistPIUM 178909 s Type; Al Expidation: BV2018 Supplement Card fi W.-HOME IMPROVEMENT INC. MICHAEL CRISAFULLI 4 KATHRYN LANE 93 HOLLISTON,MA01746 pntlensenetary ItuxcxRa@Melaux�w++YW wervwxw•'ww..+'ww<a wM».YuwdawMeA�r»V dYODY10 WfIq 0awW10w•p oOW qurWNWl aWr>mYWii I. {64Yt4[?KgM�fY 'Of vem"RAP N„�'{ iYYOdNp7 Y9tC4 1 -*� >�amudx+w .._.�.�� 'eN61WMrild Atlt10d➢NLNNW➢DN1gOQ'�JY _ M ggbOMqq 30 l'AM OW19N 'tNWWRl a1Y4 WNW" ➢FLL 9go8w ggtttONMee MYJR10dgOWYWeOQ]AOgYYNAdgAMYW@f10Nt 601 yy➢� q��p7, NI Y AT dO AYyddwvaa OAR 1VN6111d0V�a➢lYYtl nt WN ld➢U�t®➢d VldY➢dri QNY➢q W 18➢'.NAHd6 NIWQVVq _ Wwne..n.=.YR.�ac«ndwYaa<«vmu.x=a+Rxxas'w R u o 0001000'4f 000'OpQ'4s sxauaYxaxL�0' O{pLWYft t48Ll041lq iw00004861£ 'vm.p"♦'A' emuuBmaW eRmeoMt 'I f BSbdBd6eV� IYxRYRYOY'10 MRttegYe � 9 PBId{XtYMJOVRJVqYIYJ00 tlx1YYIBtlBNO t R W TN R tA'tlfAHNlYA1IXYdOtQGY6fe0 UOLMWO GLOW➢ ' In6� A1xo� Y@ 0 ' } ( WIAWYW AB � alrnA+�r 1f00'000'¢R oov�mxia'BAaxwba got��'77 !�((''''''}}Axar F `f 060'000'£R vroaxogrmfgwBq' - :YYdsNrttnrnrmdi08Wwgir.••._...i 000'000'40 AtdYtOdUyYiNlOWlgd; M OM LOOM= 0£££1 � V Q0�04f MuNdYarrNjbLt10WY I 0woo I.,u�ua+u� qty➢smwnrcn q➢➢'QOp'{R Mla" I ALHeNfL:t�4 xE1YI0YWYNlJ A slmn eaYr waiu '9NMDUIYd A9Og311PdY@IBiINYAYN ARW RVM1Ne gLWYI"eW diYJAgdtSgNAtUptqII MryfM()IetSKAN➢ RIK W 3NL 1TI O11gd HI 91 armo gaew 0 ivy 0NL AY x w`ml318gNYtlx01q 3NJ.'MY AYW fNS d0fteel WA AYA gLYDIdIlYgJ OINL H'JIIiM 0110gdegq NilAt LNOY111000 gWilO NO iarNiN�.'J ANY 3p 1pNiCM0.'!fq Wx➢L'1N01Ygtl166tl ANr ORNtlM/Lg441MlgN 'OHIYOWNI tiaOPld A011d13N1 q N dWl(16M WL tl1 O W NOR BAYN Mt1Ygq 000 M�.d6601�I1gd iNA tYW AYIllFp OL OI dd or AAI 3 MYJ emu", . (uY1WIRM �Y1116W AAM40IT;°O ' __ OY4�t0 WOL.6Y S 1 mqe ... .... _ AN f4iPW own w doxy 'i0Ytl416P01B000TdNdY• .. .. :. . ._. _..wo6'6uugEeaque7riga tii x�LeR u ugµ6vO�1,mYYHmet ft,"O&PB46r6q i` &NMV.M vou"WII 48uull ltt tWOk pO% IRdW104/wo fW ! s1ouO0op WegWwe MOy NO luWINWW v 'mein"""to agrkfd,{RM WfUa' 006 0616low'"pa equcl'WU.glI""bWmm61 NOILY/gUIHMO w eNwt O"A YYlON MW1 WN' RWe de 01to N!1202oyq�i0v`f81HiNNONt 6FeI106i 3001 N3➢Mt28.i0YNLM0O Y 33t11UAN66.tOW 6160 YlIpOM d0 91YD191N96 0611 •63pf70d Wd AS 060661 W BOVUW IML MW W ONalN3'at6WY A'OMLLYC�11 A9BNLYWNtW AOW am 31WJ1 2mvmmt4 vmwLL160*U NM s1NOW ON 66&6N)6 w AMNO NOILYWW0+1lN OG VW Y➢Y 0➢d6W OR➢tV01JAW60 ONi 1 um i 1 MJT Home Improvement Inc. Estimate 181 Boston Post Rd East, Suite 1 Marlborough, MA 01752 Date Estimate# Office: (508) 624-9000 3.2018 1^_91 Fax: (508) 624-9001 marcosjrterrenasi4honnail.com www.mjthomeimproveiiientine.com Name/Address Jab Address Jar,Ryan 61 hicadmeSt 61 Mcodnw St Florcn�. NIA 011161 I'lorcnc0 MA01062 RoofngPmj r 413-265-9033 ju l")aohf.pihmnnilsom Description Qty Cost Total Scope of the work to be pichermcd NewSh'mglcs Pooling tot the Whole Hou se it 350.09 14890.00 Protmt and saf.goard at all rims.all soon......no,sta,un,,.tisture,and all elamuris that ino) he at looted by the propose work. hemp',of czj'nrtg asyhnit shingles and roofing related produce,doao to the plywood or board, Popo',dumlote, pro Ided b}M,I'I tlom,lmpe,,,mcnl lac Rnwi is an; loose plywood using 8d ring sham,nails. Determine it lhore is en}rotted plywood or boards that bill aced to be..,lace(rot labor only oddltional$vo sy/It far 1A ledger board,or 555.00 per sheat el plywood). Install 8"aluminum dip edge and rake edges on all rooting Pei mcers and mFlash all pipe penetrations. Install 6too and wxtor leak barrier alone edges and i'across ra]lcys cos and edges.skylights and'In ntno," Install pm-cut stanei strip_cover surfaces i,.it synthnic paper deck mate rises 'ym.m leaeo a,l allowing a mi...com ot6"acv lap. InNa1l life time architw-mral shingles(GAF-TimhenIt,,)over entire mol'arce using a hurricane nails prate",of six nails pet shingles.>crs.s the indsiry slandard otfort nails per shingla_ Shingles,11 he installed is stop thiplikel Install cobra on c Pial ridge vents and rides cap,plo.flashing da-ices. Perform daily clean no al thejob site as'well a thorough ufuaning once Ihejoh is cnnoeri'dl, including a nta,"Pc sweep to remove all not Is. Inspection or it,at(hr end or each dap to ensure is complete and doe customer is satisfied. Permits will be oMained b) M.IT Home Improvntent tire. 10 years wmknern,i pttarran' lMutual Insurance Company Pol is 4 wC2-315616864-0 17 f-:pirati.n Date: 7-10-18 Livens.fi 178909 Gsp:6-02-2018 Ry]inning both hnmc manor and business ownersi natorso,in this documem.it becomes it contact.and both para agree to the cement of it, I rms and CriJuan,for paront ,4 5 1,100,0(1 apLar Contract'ignite U^Cc 5 S 900.0(1-o')....Job tan } ' i hI0011.0(1-allonlob omplcltlo It tat vend In Wll N wl2ubrcreant in the FlatRoof area. f y_ 1 650.00 650L0O Bandon. Pc nils and Dumparcis - "� { � 1 I 1 500.00 500.(10 � C r/ b Total Page 1 MJT Home Improvement Inc. Estimate 181 Boston Post Rd East, Suite Marlborough, MA 01752 Date estimate# Office: (508) 624-9000 :3 n 2018 1291 Fax: (508) 624-9001 marcosjrterrenas o�otmail.com www.mjtf-omeimprovementine.com Name/Address Joh Address Judy Ryna 6I Mcedoo St 61 Meadow Sl Florcnm-M9o1062 Plorcn" MA 01062 Rouliap_ Proj,o 113-265-0033 od,,,111l1ta hotmall.com Description Dty Cost Total Vcut Skylights Install dd Flashing 2 1,500.00 3.000.00 Install Meal Srrip Vent in the Soffit in the whale house. 200 250 50400 Total SI5,A10.00 Page 2 aco ms CERTIFICATE OF LIABILITY INSURANCE L� 0 112 312 01 8 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 ao ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGAT(ON 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 endorsements). PRODUCER Brazway Insurance CONT CT ISABELE COROEIRO 345 Main St Unit 81 NAMPHONE 978.455-5991 PAX .978-455-9934 Tewksbury MA 01876 RAIKn1i.€.nc____. __.JAry,xal. ADDRees:info@brazwayinsuranceagency.com INSURERS)AFFORDING COVERAGE RAID 1xsUHERA:WESTERN WORLD soul 1NSURBD MJT HOME IMPROVEMENT INC IxsuRER e:COMM ERC E INSURANCE 161 BOSTON POST RD EAST 1 1xsuHEa c LIBERTY MUTUAL MARLBOROUGH MA 01752 INSURER D NSUREN E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIN Is TO CERTIFY THAT THC- POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT ATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBLECr TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL_TR TYPE OF INSURANCE SUDP LI 5 WV POLICY NUMBEN jMMLICYIRE MM POLICY E P LIMITS r/ COMMERCIALGENERAL LIABILITY --Am� LA11011HEELV L S1,900,000 CLAIMSMAUh ❑✓ OCCVrt UAMAO TO RENTED 100,000 PRLMSET(L rz( 5 A NPP8413336 0711912017 0]/1912018 �ILU Lx tent S,.11 51,0000 ILI15ONAI N AQV wrmiv 51,000,000 RN L AGGNtGA t e uMn APRILS PER GTXLIHALAUGFLUAIL 62,000,000 RvoucvPLC( Loo NAK is C.MIC AGG 52,000,000 yLIHUE S AUTOMOBILE LIABILITY FliCamiwGlE nmr st,OD0,000 ANY ALI0 FCFI Yw,IueV vtt ( 0^lsunl S B ✓ AUMESP nrr.&ui ED GRMS71 0812412017 0812412018 DOE Y,wuFORLav rPu er.< m' s AU105(]NLY AET05 AUTO ALI03 CNED PROPERJLrI' GE '. 5 AUTOS ONLY AV1050xLY (Per eccden) S UMBRELLA LIAR OCCUROCR E] LACI VCCUHRLNCL S EXCESS LIAR CIAIMSMADL AGCREGAIL LIEU 7 RHITNICHE AND WORNERS COMPENSATION V— S II EMPLOYERS LIABILITY 5 IVIL LIE C Y R-. ,IZTCk ART E. caTVE NN MIA WC231 S616864017 0711012017 0711012018 EL EAC/ 0011111 51.000,000 (M)andatory m NCH) cL Dew _ u.USEASe-EA errvLovee X 1,000,000 IUIS.HIPIONO OPIJNnONSbaal FUH LAs'L-'CLIC' 51,000,000 oma. - -- - - 00 Eno BE CHIPnoN OF OPERATIONS I LOCATIONS VEHICLES (ACORD Io+,Aanmmnd R.ma,Nz smenxm,finny 1.Mm<n.mr morv[P«n md'Lrel CARPENTRYIROOFINGISIDING/PAINTING(CONTRACTOR) CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED. CERTIFICATE HOLDER CANCELLATION OFFICE USE ONLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1 AUTHORIZED REPRESENVSIUE \ ©1988-2Di5A ft ORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Pmnvmn zing Ponre..11.11 tiYI—Y.--loon5Bo5.x In,,ICI 1,11,clop F,N1d1lne 80B ONde»,