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43-014 (3) BP-2024-0517 41 PARK HILL RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 43-014-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-0517 PERMISSION IS HEREBY GRANTED TO: Project# DOOR/ ENTRY 2024 Contractor: License: PHIL BEAULIEU & SONS HOME Est.Cost: 13255 IMPROVEMENT 62638 Const.Class: Exp.Date:06/13/2025 Use Group: Owner: E HALL-SMITH SHARON Lot Size(sq.ft.) Zoning: WSP Applicant: PHIL BEAULIEU & SONS HOME IMPROVEMENT Applicant Address Phone:, Insurance: 217 GRATTAN ST (413)592-1498 WMZ-800-6205 CHICOPEE,MA 01020 ISSUED ON: 05/08/2024 TO PERFORM THE FOLLOWING WORK: REPLACE BASEMENT ENTRY DOOR, ADD ROOF OVER STAIRS TO BASEMENT 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: Final: Final: Final: Rough Frame: (:as: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: /6/2. Fees Paid: $86.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner The Commonwealth of Massachusetts MAR j 4 2024 r FQR JNICALITY W Board of Building Regulations and Stnda M� Massachusetts State Building Code,7 0 C 1 i : U E Building Permit Application To Construct,Repair, Itenovat rOrt 'i y w ised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building P rmit Num : 1 P-,2 9-5J 7 Date Applied: c„i 5-8-zozy Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION . Pry erty Address: 1.2 Assessors Map& Parcel Numbers c el Flores tv 1.1 a Is this an accepted street?yes 11 no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.I.c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private CI Municipal— Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 3- FIhA 'Ownc ccH°—I1- S i t 14 0f Cam- , t Pt 0 , 0 (92 Name(Print) jN� City.State.ZIP `t1 R.if k +-h l I Pot ('t13)coos-0178 ha)lshs cao I. Cain No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building lid Owner-Occupied 6(1 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: BrAf Description of Proposed Work2: lee johate., ba.fe lt_n+ p_n (1 ).r c,J f r tt ) - 1-�-e( i aS S en f k 5h9m�► of..pC. Ca.1 -ru c 4- Q vOo� St et ose.( S9-et, +p d00-&•cn evt.-�. S�10Pt4r- �} .E LA! 2 `-h c'k Col T"00 I tAr� SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 13 2 SS Oo I. Building Permit Fee:$ Indicate how fee is determined: r ❑ Standard City/Town Application Fee 2. Electrical S o Total Project Cost`(Item 6)x multiplier x 3. Plumbing $ — 2. Other Fees: S 4. Mechanical (HVAC) S — List: 5. Mechanical (Fire S Suppression) Total All Fees „. } 1VCashCheck No. f4 Itteck Amount: " Amount: 0 6.Total Project Cost: S i 3` 2 S S. 0 Paid in Full 0 Outstanding Balance Due: i(i l 2/1-1 d--- 173ti ziO SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Cs—002 ZA 38 62/13125 isms ism"I Phil Beaulieu&Sons Home Imp..Inc. License Number Expiration Date I 217 Grattan Street.Chicopee.MA 01020 List CSL Type(see below) HI REG#100073 CSL#CS-062638 Type Description Alain Beaulieu U Unrestricted(Buildings up to 35,000 Cu.ft.) PH:(413)592.1498/Fax:(413)594.6008 R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 100073 !P/ 7J2li I IIC Registration Number Expiration Date �+--" P� hil Beaulieu&Sons Home Imp..Inc. n �"'' 1 217 Grattan Street.Chicopee,MA 01020 rnb eQt t.I;C.t,t'aJ HI KEG#100073 Email address CSL#CS-062638 Alain Beaulieu Telephone P11 (4111 592 1498/Fax.(4131 594.6008 SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached'? Yes No .0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize PH( 8eaAn.1 i 6t4 Sons }to ct' t fir,-,. • to act on my behalf,in all matters relative to work authorized by this building permit application. See_ Co'►+t✓# c3 /o /24 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Rif ( 13CA,A,4.1 l.e to 3 Sty {-- dt_ , r-orCeliN42-6.+ 3/,9/z if Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov dps 2. When substantial work is planned,provide the information below: Total floor area(sq. El.) (including garage, finished basement/attics,decks or porch) Gross living area(sq. (l.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton aH�Me, • sic 1 Massachusetts Af? '<< 4 �t � y d I $ DEPARTMENT OF BUILDING INSPECTIONS c . Iq;sE y �1 212 Main Street • Municipal Building Jk Ps Northampton, MA 01060 sfrw a,'3‘�, CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, 554, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: iit.4./1-40SAV- Location of Facility: SSS f e,/ 1Li 4-, Cr © (9408 Z The debris will be transported by: Name of Hauler: Signature of Applicant: > Date: 3/B/2y 1 Approved by Sharon Hall-Smith on Feb 10,2024 Approved INT-‘11-1P2111\-AN Phil Beaulieu&Sons Home Improvement,Inc. Beaulieu 217 Grattan Street HOME IMPROVEMENT, INC. Chicopee,MA 01020 �.* 1047 Phone:(413)592-1498 5424 Fax:(413)594-6008 Sharon Hall-Smith Phone:413-695-0978 Job Address: 41 Park Hill Road Florence,MA 01062 Print Date: 2-12-2024 Basement Stairs Roof Cover Description Price Construct a gabled roof structure over the existing rear stairs $8,005.00 Roof the new structure to match the house- Manufacturer and Color:To be determined Cover the ceiling with white vinyl and wrap all soffits,fascia,and rake trim with brake formed aluminum I Add side panels to minimize water coming in when it rains Furnish and install two(2)vinyl wrapped 4x4 columns Basement Storm Door Description Price Remove and dispose of one(1)existing storm door $1,075.00 Furnish and install one(1)32x80 Andersen 10-series full view white storm door with retractable screen in the basement Traditional Handle/Color.Black/Handle Location:Left Basement Entry Door Description Price Furnish and install one(1)32x80(custom size)S210 ThermaTru by Reeb entry door system in the $4,175.00 basement Energy Star glass Primed door-To be painted by others 5 1/4 white cap stock composite jamb Bronze threshold Swing:RHIS Schlage standard lockset and deadbolt-Hardware Color:Brushed nickel Hinges to match the lockset as close as possible #2 primed pine interior casings-To be painted or stained by others Cap exterior casing with white brake formed aluminum i Description Price Complete finished carpentry inside and outside Insulate and caulk the perimeter General Total - $13,255.00 Includes removal and disposal of debris Any rot found during the project is to be repaired or replaced at a rate of$195.00 per hour per lead carpenter or$115.00 per hour per apprentice + materials+ 15%of material Payment Schedule 1/3 deposit is due upon signing; Half the remaining balance is due at the start of the project; The remaining balance is due upon completion FINANCING OPTIONS FROM GreenS ah A Goldman Sachs Company r No Interest if APPLY NOW Paid in Full in 12 Months subject to credit approval.Interest is brleo during the promotional per oc but alL interest is waved if the purchase amount is pad in full within 12 months. Fixed Rate 12.99% APPLY NOW for 120 Months Plan 2832.Loan term 4'20 months at f xed rate of 12.991'APR.for example.assuming the fu I credit limit is used or loan approva date. for every S1.000 franced at 12.99%APR 120 month y payments of S 14.93.' Reduced Rate APPLY NOW for 120 Months Subject to cred t approval.Fixec nte'est rate of 7.99S-19.99%based on creditworthiness for 120 mortis.°ayrnent example assumes one t me $10.000purchase or approval date:APR 7 999s-19.99ii:with 120 payments of S121.27-1193.18. 'Subject to credit approval —hese examples are estmates only Actual payment amounts basec or amount and timing of purchases. Cal 9e8-220-ACO2 for firancirg costs and terms.Financing for the Green5ky9 consumer low-orovam s provided by Equal Opportunity Lenders.GreenSkyfi is a rag stereo trademark of GreeriSky.L_C a subs.d any of Goldman Sachs Bank USA.NMLS 014183e2.Loans orgnated by Goldman Sachs are issued oy Goldman Sachs Bark USA.Salt Lake C,ty Branch.',AILS t2C9"t3. www.nmi scor surer access.org. C LENDER Legal Price Escalation: In the event of significant delay or price increase of material, equipment or energy occurring during the performance of the contract through no fault of the Contractor,the Contract Price,time for completion of contract requirements shall be equitably adjusted by change order. A change in price of an item of material, equipment, or energy will be considered significant when the price of an item increases twenty percent (20%) between the date of this Contract and the date of commencement of work. Work Schedule: The anticipated work commencement date will be determined and communicated to Homeowner at signing, but not to exceed nine months from signature, with substantial completion within 45 days after commencement. Contractor to notify the Homeowner if factors outside our reasonable control require any material changes to this time frame. Substantial Completion: To the extent that work has been substantially completed, but certain materials need to be replaced or repaired by an original manufacturer or third party supplier(the cost of which does not exceed 10%of the overall Contract price), the remaining balance shall still be due and payable minus the commercially reasonable cost of such items,which may be held back by Homeowner until such items are replaced and payment hold- back shall then be due. Change Orders: To the extent that Homeowner requests and/or agrees to the addition or removal of products and/or services after the execution of this Contract, the Homeowner shall sign a change order specifying the changes in the scope of the Contract and pricing,which shall modify such provisions of this Contract but otherwise incorporate all provisions of this Contract as if fully set forth therein. Returned Check Fee: A fee of$25.00 per instance of a returned check will be added to the remaining balance. Finance Charge: 11/2% monthly (ANNUAL PERCENTAGE RATE OF 18%)will be added to the unpaid portion of the balance due. Homeowner agrees to pay these charges. In the event of default of payment, Homeowner agrees to pay reasonable Attorney's fees & court costs. This agreement does not constitute a release of liability.By Homeowner's signature below, Homeowner acknowledges and agrees to the above. Arbitration: Contractor &Homeowner hereby mutually agree in advance that, in the event either party has a dispute concerning this Contract, either party may submit a dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs & Business Regulation and each party shall be required to submit to arbitration pursuant to M.G.L.c 142A,§4. Contractor Obligations All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices.Alterations or deviations from above specifications involving extra cost will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. The Home Improvement Contractor Regulation Statute, M.G.L.c. 142A gives you certain warranties and homeowner's rights thereunder. Contractor shall inform Homeowner of any and all necessary permits, and it shall be the obligation of the contractor to obtain said permits. Homeowner is responsible for the cost of the permit fee.The permit fee will be determined by the local building department and will be billed immediately to the Homeowner.If Homeowner secures his/her own permits, he/she will be excluded from the guaranty fund provisions of M.G.L.c. 142A. tggistration: Contractor to have all registration, license number and insurance required by the state. Contractor to be registered with the Director of Home Improvement Contractor Registration. Certificate of Registration #100073. Any inquiries about Contractor relating to registration should be directed to the Consumer Hotline at(617)973-8787.Contractor to carry commercially reasonable insurance.Contractor's workers are covered by Worker's Compensation Insurance. Customer Acceptance of Proposal: Upon signing, this document becomes a binding contract under law. The above prices, specifications and conditions are satisfactory and are hereby accepted.Contractor is authorized to do the work as specified. Payment will be made as outlined in the payment schedule. Contractor may withdraw this proposal at any time prior to signature by Homeowner. Homeowner may cancel this Contract without penalty or obligation within three(3)business days from the date signed.Contractor may withdraw this proposal if not accepted within 30 days. Customer Consents: Contractor is authorized to use media for promotional purposes.Contractor is granted permission to access property after signing until project completion.Homeowner's signature grants permission to Contractor to obtain all necessary building permits. � <<101 or(111111‘\4.11 1011)?\-114 him Beaulieu HOME IMPROVEMENT, INC. Stay Connected with our social media and helpful links above* Proposal Date:Feb 1,2024 revised from Jan 30,2024 Estimate Date:Jan 26,2024 PBHI Representative:Fran Beaulieu I confirm that my action here represents my electronic signature and is binding. Do not sign this contract if there are any blank spaces. Signature: Date: Feb 10,2024,7:01 PM Approved by: Sharon Hall-Smith �_ \ 1ne iummunweuttn o/ inumucnu.setts Department of Industrial Accidents '1 .-''� Office of Investigations _ i` Lafayette City Center ' J 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ?hi I 6 CAM-(tee b c-0 ns } -'givi _, .J_-rrQ r f)vc 1an.. - Address: 2I -1 Giro 4-1 Gil St. C ,I•: c. 0-Pet- M- OtO2L City/State/Zip: Phone #:3 SI2 ' 14 9 8 Are u an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 25 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6 ❑ New construction 2.❑ i am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' P tY 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12,❑ Roof repairs insurance required.] + c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.Insurance Company Name: prio M(i(.Tis ! Tr)SU.r 0 0 L ^C 0 ry pCt,r/ OS - 202 3 *n Policy#or Self-ins. Lic. #: W�Z- 800-(o 2 ? Expiration Date: 2/ 25 /25 Job Site Address: 41 Par t1 M// Pd. City/State/Zip: r oy '?C.X. MA 21O/0 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 DIA for insurance coverage verification. . --- - -------------- --- - -------- t do hereby certify under its alti perjury that the information provided above is true and correct. Si azure: - Date: (--3/8/2({ Phone#: q/ 3 - 55q 2 -14 9 8 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (check one): 1❑Board of Health 20 Building Department flaky/Town Clerk 4.0 Electrical Inspector 5Elumbing Inspector 6.0Other Contact Person: Phone#: A`�D DATE(MM/DDIYVVYI ® CERTIFICATE OF LIABILITY INSURANCE 2I13/2024 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 have ADDITIONAL INSURED provisions or 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 cONTACT NAME: ERIC MASON _ THE MASON AGENCY INC ip"rc°.NQ ljw;_(413)569-2307 1 WC.No): (413)569-2308 504 College Hwy no AIL themasonagencysaamerIcan-natIonal.com Southwick,MA 01077 INBURER(S)AFFORDING COVERAGE NAICR INSURER A: Farm Family Casualty Ins 13803 INSURED .-- INSURERS: ---- PHIL BEAULIEU &SONS INSURER c: _ _ HOME IMPROVEMENT, INC. INSURERO: 217 GRATTAN STREET INSURER E: Chicopee, MA 01020 MA 01020 INSURER F• COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS `O 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 ICY BF!, POLICY EXP LIMITS LTR INSO WVO POLICY NUMBER (YMIDD/YYYY) IMMlOO/YYYM X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 RENTED CLAIMS-MADE OCCUR IISEES0 L- (E.aa oc urrrsncp , $ 300,000 BUSINESS OWNER'S MED EXP(My one person) $ 25,000 A _ 1 2001X2810 2/25/2024 2/25/2025 PERSONAL S ADV INJURY S 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 3,000,000 POLICY i Ea [ J LOC PRODUCTS-COMP/OP AGG S 3,000.000__ I OTHER: S AUTOMOBILE LIABILITY COMBINED tSINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) S �/ OWNED SCHEDULED BODILY INJURY Ter occident) L A X AUTOS ONLY X AUTOS 2001C7139 2/2512024 2/25/2025 XHIRED f .7 NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY ; AUTOS ONLY (Peracddent) - X UMBRELLA LIAR X OCCUR EACH OCCURRENCE s 3,000,000 A EXCESS LIAB CWMS-MADE 2001 E1738 2/25/2024 2/25/2025 AGGREGATE S 3,000,000 DED X RETENTIONS 10.000 $ WORKERS COMPENSATION PER QTH- ANDEMPLOYERS'LJABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTNE E EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? n .L N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ II yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1D1,Additional Remarks Schedule.may be attached it more space is required) CARPENTRY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PROOF OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT IVE 1 -2 CORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD PHILBEA-01 ABI AcoRif, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDYYYY) 2/13/2024 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 have ADDITIONAL INSURED provisions or 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 rit hts to the certificate holder In lieu of such endorsements. PRODUCER NAME CT Abijanied Fontanel Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/o,No,ego:(413)594-5984 (NC,No): Chicopee,MA 01013 RPORESS:abil§phillipsinsurance.com INSURERS)AFFORDING COVERAGE NAIC ll INSURER A:A.I.M. Mutual Insurance Company 33758 INSURED INSURER 8: Phil Beaulieu 8 Sons Home Improvement Inc. INSURER C: Phil Beaulieu 217 Grattan Street INSURER 0: Chicopee,MA 01020 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 ADOL SUBR1 POUCY EFF POUCY EXP LTR TYPE OF INSURANCE INSD WVD) POUCY NUMBER IMYIDD/YYYYI IMM/DD/YYYYI OMITS COMMERCIAL GENERAL UABIUTY I EACH OCCURRENCE S CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES fEa ocairrencet $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE_ $ POLICY �T LOC PRODUCTS-COMP/OP AGG $ OTHER $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY lEa accident) $_ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AURTEO�S ONLY AUTOS BODILYBODILY INJURYTy p (Per accident) $ -^ AUTOS ONLY —r AUTO ONLY (Per aaccideent)DAMAGE $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED i I RETENTION S $ A WORKERS COMPENSATION X STATUTE 0TH 1 AND EMPLOYERS'LIABILITY YIN WMZ-800-6205-2023A 2/25/2024 2/25/2025 1,000,000 ANY PROPRIIETTORR/PARTNER/EXECUTIVE j E L EACH ACCIDENT $ aitgrA In NH)EXCLUDED' IV N/A 1,10,000 E L DISEASE-EA EMPLOYEE $ If yes describe under 1,000,000 DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance ACCORDANCE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2018/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Re ulations and Standards ConsConstktitilka tSNipervisor CS-062638 . IE,pires:06/13/2025 ALAIN M BE�. 1LIEU 217 GRATTA$STREET CHICOPEE Mfj 01020 Aliks %6, Commissioner eyk f. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation Registration: 100073 PHIL BEAULIEU&SONS HOME IMPROVEMENT,INC. Expiration: 06/07/2024 217 GRATTAN STREET CHICOPEE, MA 01020 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Businoss Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration dato. If found return to: TYPE:Corporation Office of Consumer Affairs and Businoss Regulation Reg1stration Expplrrtien 1000 Washington Street -Suite 710 100073 06/07/2024 Boston,MA 02118 'HIL BEAULIEU&SONS HOME IMPROVEMENT,INC. kLAIN M.BEAULfEU I17 GRATTAN STREET M��L.t!i((��rlc' ;HICOPEE,MA 01020 Undersecretary Not valid without signature Plans r rear en w pv-rrv,; 4- `il park rill Pao( r(orui a , M. Z)Li I5 vJ)C Li f 'I 1 0 11jnLt,,,5 t 1 1 72, inC1.4 \ _5/4 r (if*Ws" Phil Beaulieu&Sons Home Imp.,Inc. 217 Grattan Street,Chicopee,MA 01020 HI REG#100073 CSL#CS-062638 Alain Beaulieu PH:(413)592.1498/Fax:(413)594.6008 S,st"1 0 cv :5t.il l 1 '' 'r Ic'vj _)00Q., , 11 ciao ,.01 I s ' , lxi .......____ I ', , ,A,,,,,,,,_:\ ---Nz.____...__ 1 ti�� /-)sci\-\