24C-009 (4) BP-2024-0735
17 ADARE PL COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24C-009-001 CITY OF NORTHAMPTON
Permit: Exterior Res
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2024-0735 PERMISSION IS HEREBY GRANTED TO:
Project# WINDOWS 2024 Contractor: License:
Est. Cost: 10690 RENEWAL BY ANDERSEN 090125
Const.Class: Exp.Date: 10/06/2024
Use Group: Owner: CHARLES JEFFREY
Lot Size(sq.ft.)
Zoning: URB Applicant: CHARLES JEFFREY
Applicant Address Phone: Insurance:
17 ADARE PL
NORTHAMPTON, MA 01060
ISSUED ON: 06/11/2024
TO PERFORM THE FOLLOWING WORK:
REPLACE 4 WINDOWS
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:
Gas: 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: 1/2.
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Buildine Commissioner
p .s - &4a,.I tifr"xc.� Pt 1"4- Me ) E EIVED
(Cfet...•4( y a'd ise, crt� .gam f,r,41 , of� k
V JUN -IV 2024
The Commonwealth of Massachusetts
U.!44)
Board of Building Regulations and Standards FOR
Massachusetts State Building Code, 780 CMR DEP r h . , _ddf TIDNS
f1ORTHAMIUSE.MA01060Y
Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: 6 a- -2'y- 736. Date Applied:
/I`U,5 // G I/ zozi/
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
I- A-4 .v.,-Fhannin /nR
1.1a Is this an accepted street?yes t/ 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.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
❑ Zone: _ Outside Flood lone?
Public 0 Private Municipal 0 On site disposal system 0
_ Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
CA ft#re j /1/r,Ase.14,70 �vrl in/ U AO10 0
Name(Print) City,State,ZIP
/}dd,re- Pt 234-399 -65/6/ ckjeg aye/c/o-tl.co,+t
No.and Street Telephone F;me6I Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other �pecify:
Brief Desci}ption of Proposed Work2: OeoM,,�4-c e -•d �Q 1L( y a', dow_s-
//i 12k, /i7"c 0'44 nv ,5 c C Ito 45,Cs
tf d . Z c
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ l� b 4e ,y 1. Building Permit Fee: $ Indicate how fee is determined:
/ ❑ Standard City/Town Application Fee
2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $
Suppression) Total All Fad /6
Check No. Check Amount: l4 Cash Amount:
6.Total Project Cost: $ ��` 90 . 4N 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
��e me_ License Number Expkatiofi Date
Name of CSL Holder S-
List CSL"Type(see below)
No.and Street Type Description
r ./S 3 Z U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
Cite!1 own,State,ZIP M Masonry
RC Roofing Covering
CUL Window and Siding
SF Solid Fuel Burning Appliances
g560--952 Wi 2- «newit I hi&I'd?cSme,cofltren;43 c, I Insulation
Telephone Email address D Demolition
5.2 Registered LHome Improvement Contractor(HIC) / .. /PO / S
�enew, J AwJ4it^ ( C G HIC Registration Number Expirat' n Date
HIC Company Namefor HIC Registrant Name
34a r1ws d renewal ietnder e erP. 4o,pre;13.o,
No.and Street Email address ,/
laorent• in o/ctlGo— 9S2 -Y11Z •
—
City/fown,State,ZIP'' Telephone
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 C. No........... ❑
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
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNERI 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.
6'/411L - 62rdaw- ✓N G— G -
L `,
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.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) 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"
The Commonwealth of Massachusetts
Department of Industrial Accidents
fi iflils
Office of Investigations
- ; Lafayette GOY Center
A•� 2 Avenue de Lafayette, Roston,MA 02111-1750
\`'- www.mass.gov/dia
Workers'Compensation Insurance Afftda' it: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Renewal by Andersen
Name (Btruness Organi-tatiuuulndiridual):
Address 30 Forbes Rd. ___.__s._._______z.-T_____ _a__ __________-
Cityr'StateIZip:Northborough, MA 01532 Phone #- 607=966=0412v-_
Are you an employer?('heck the appropriate hos: 'type of project(required):
1.i 1 am a employer with 30 4- ❑ I am a general contractor and l
employees(foal and/or part-time).* has e hired the sub-contractors t' ❑New construction
2-CI I am a sole proprietor or partner- listed on the attaclwd sheet. 7. Remodeling
ship and have no employees Mese sub-contractors have 8. ❑Demolition
workingfor me in anycapacity. employees and have xorkers'
P tY 9. El Buildng addition
[No workers'comp.Insurance comp. insurance.*
required.) 5.j] We are a corporation and its ti.❑Electrical repairs or additions
3.0 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
Ys' 12.0 Roof repairs
insurance required.] .r C. 152.q 1(4),and we have noReplacement
employees. [No workers' 13.�[Other
comp. 'insurance required.]
'Any applicant that chaffs bins 1 roust also fill out the sevtlect below showing their workers'compensation policy information.
t Raruowttcrs who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a nc s affidavit indit.ating such_
4Cucitattor,that:11.-ci.this bus must Mt wheel an additional,tires show mg t c is nx n the sub-contractor,and ante whether or not those entities have
c:111,10.,:e,. If the sub-cuntraL to:>iuvc employees.they must pintidc thou u octet s'comp.FWIi:s nutsebxr.
i wit an employer that is providing workers'compensation insurance for twit employees, Below is the policy and job site
information.
Insurance company Name: Old Republic Insurance Co.
Policy#or Self-ins. Lie.#: MWC 314158 22 Expiration Date:10101/2024
Job Site Address: /q. i4eJaiG "9/ City/State/Zip:/t/sis Adi / ei/ eara0
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 S1,500.00 and/or one-year imprisonment. as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to S250.00 a day against the violator. Be ads ised that a copy of this statement may be forwarded to the Office of
Invuti,_ations of the DIA for insurance coscrage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
SI turc: /'/16''LLIL I)atc d— L' '4 `.7
---
Phone#. 9-40 - 9c Z - Wi
Ofcial use only. Do not write in this area.to he completed by city or town official.
('its or town: Permit:License M _ R
Issuing Authorit (check one►:
10Board of Health 20 Building l)epartmcnt 3D('its•'lown Clerk f.❑Electrical inspector 5D'lunthing
Inspector 6.0other �- __ __
Contact Person: Phone u:
City of Northampton
O A'
Massachusetts �?5 i:- "./e,
DEPARTMENT OF BUILDING INSPECTIONS y;
'k • ' 212 Main Street • Municipal Building v� OD
;•
w+R,fir.S ,P O
Northampton, MA 01060 fNjy . �1
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, 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:
Location of Facility: 30 6zh ,"('4,"----01-L /MA- ofS.3
The debris will be transported by:
Name of Hauler: 144 frAAa
ae,y,.d
Signature of Applicant: ` Date: 6—b" 7
U.S. Canada
ENERGY ENERGY
uEl 0 STAR STAR
Andersen• Andersen NFRC CsrtfDad g g u p v6.0 v4.1
Product Una 5 Glass Grille Type Products = UO C '� P
Product Type Type Directory Number a I 0=1 Y ! € r ry n
Z S U $ 413 N O oeo
Z si
22 Annealed Glass•w/No Grilles and Grilles Less Than 1"
No Gales ANON-59-0OMfp001 11211 1.05 0.32 0.05 22 <02 - NC - I - - - -
W Simulated Divided Lb or Installed Interior Removable ANGM-59-0094400002 029 1.05 0.29 0.49 20 <02 -
AFull Divided Lite AN041-59-00805-00001 0.51 1.76 0.29 0.45 17 4 02 - - - - - - -
FlnNlpht'•(prlll.sbetrsen-dwyla..) AND-N-59-00057-00001 0.30 1.70 0.29 0.49 19 <02 - NC - - - -
No Grille. ANDN-59-0085500001 030 1.70 0.20 020 14 4 92 - NC I - -
gM Simulated Divided Lite or Installed Interior Removable AND-N-59-00450-00002 0.20 1.70 0.14 11.27 12 <9.2 • NC - - •
E}
Full Divided Lite AND•Nd9-000511.00001 0.31 1.75 0.1e 227 11 <L2 - - - -
li F l'i • ' •ul LAies-.,u •1.__si ANON•59-0060Q_-00001 0.71 1.70 4.16 0.27 1 <.2 • - -
Na Grlllee AND4159-00851-00001 I 1 I •I I •
W Simulated Divided Lite or Installed Meador Removable ANDN-59-00851-00002 .I
3 �^
3 N r• Full Divided Lib AND-N-59-00857-00001 I i I
FMrNyhl"(yrlb ese dgb tareen• wss) ANDJi59.000M-00001 I
abeam.... 11111
Simulated!balled Lite or Installed
interior RerebN O9M ANN- -0O6-00002 I N III
g F Full Divided Lite AND-N59-00654J0001
Firwllpht^(9A wrr4 llea-betaheyW /ba15a l ) A -0090F000p1 I I
1 No Grilles AND4159-00909-00001
it 1 Simulated Divided Lite or metalled Mender Removable 4N04159-00901100002
? Full Divided Lite ANDN•9-00972-00001
Finelight•(prIlle.betwreen-tly-glass) ANDN-59-00976-00001 I
No Gnaw ANO-Nd9-0097000001 •I
t °
LAl c Simulated Divided Lib or metalled Interior Removable AND-N-59-00970-00002 ••
I
200 Series E = Full Divided Lite 4/1049-99-009 7 3-000 01 I
Tilt-Wash vt;
Double-Hung FineligM'•( th►9law) AND-01-0a0B7e0000i I
No Grilles AND-N5940966-00001 N w
b. Simulated Divided LNs or Irmstelisd Meter Removable ANDM30-0000LO0M2 N I
9 .a i Full Divided UM AND•N59-00071.00001 N I III
FlneOpfe^(pn0esbe0vsen4Nsylan) 04ON-59-00977-00001 020 1A5 0.43 0.52 20 402 N • - - 21 - -
22 Annealed Glass•wl Grilles r or Greater
5lmulstad Divided Lite or Installed Interior Removable ANDN-59-00114900003 0.29 1.05 0.24 0.43 ie <02 - NC
'F
A Full DMded Lite ANDN•9-00$$1•00001 0.30 1.70 020 0.43 17 462 - NC - -
FlnNipht^(tulles-between-the-glare) ANON-59-00573-00001 0.31 1.76 0 29 0.49 17 4 02 r - - -
Simulated Divided Lite or Installed!Manor Removable ANDN-900650-00003 0.30 1.70 0.16 024 11 4 0.2` -1 NC Sc -
A• H Full OMded Lots ANDN-59-0066240001 021 1.76 0.16 624 10 4112 - - - - •
-
J FInellght'•(poltsbehYMntlrplam) ANON59-00674.00001 0.32 1.62 0.1e 0.27 10 <0.2 -• - - -
1 Simulated Divided Lite or leetelted Interior Removable AND-N50•ee061-00003 026 1.65 0-17 e.70 13 <0.2 • NC SIC - - .
A VM N
Full
DdedLite AN 0.30 1.70 0.17 0.39 12 <02 - NC -
vt
ET Flnellpht'•(erles-bNrswm4Mylaee) AND-N-59-00075-00001 031 1.76 0.19 0.44 12 <02 - • - - - -
c Simulated Divided Lift or Installed Meer Removable ANDN-9-0064a00003 0.30 1.70 0.42 0A7 2e <02 - - ,21
A 1y Full Divided Lite AND-N-9-00590-00001 0.31 1.76 0.42 0.47 25 <02 -1
- - 21 - •
a. Fineupht'•IDn b M llesstwen< y •N lass) AND5900672-00001 0.32 1-e2 0.47 L54 27 <02 - - - 21
i Simulated Divided Lite or metalled Interior Removable MID-N56-00060-00003 0.20 1.9 020 0.42 19 <0.2 - NC 21 - -
ii Full DMded Lite ANDN59-00975-00001 0.28 1.59 0.29 0.42 16 <0.2 - NC 21
S
Finelght^(pn0esbelresn-thegtees) ANDN-SCSM1Ip01 0.26 1.54 0.24 6.4e 21 <02 - NC - 21 - -
r r Simulated Divided LIN or Installed Meer Removable AND-NS9d0070410e07 021 1.56 0.17 03e 14 <42 NC SC - -
i
Full Divided Lite N ANO -9-00976-00001 0.2e 1511 0.17 02 - NC - - -
e 14 <02 9C
a; Firellebt'•ignlleebsiw..Mhe-laaa) AND•N59-00962-00001 020 1510 0.19 0.43 15 <0.2 NC SC I - -
This information is for reference only.
Del.a current and Daoamber 15 2014 and a a ojec:b crave
Performance varies by unit size and options selected. Peso o155 Se.P•9el ter more Inforrabon
For specific unit performance Information,please contact your dealer or Andersen Sales Representative.
RENEWAL
byANDERSEN
/� FIUME WINDOW a DOOR P IXIMENT
Re: Massachusetts Solid Waste Affidavit
Good day,
Please find attached location where the installers will bring their debris from the jobs. These
are all Renewal by Andersen location.
• WASTE MANAGEMENT—30 FORBES RD, NORTHBOROUGH, MA 01532
When filling out any solid waste affidavit, it's the installer whom will be removing the
garbage and dumping the trash at the Renewal by Andersen dumpster locations
closest to that job.
Thank you,
Go Permits
Go Permits, LLC
430 105 Buttonball Lane
Glastonbury, CT 06033
PERMITS Scott Doughman
'\ '°""~' Phone: 860-952-4112
Fax: 860-430-6719
scottdoughman@gopermits.org
Re: Building Permit Application - Licenses
Good day,
Please find attached permit application, licenses and supporting documents.
Renewal by Andersen sold the job and is the G.C. and CSL
- CSL #CS-090125 -- Exp. 10/06/24
- HIC #170810 -- Exp 12/22/2025
- Workers Comp - #MWC 314158 23 — Exp. 10/01/24
Old Republic Insurance Co
All licenses and insurances are attached.
Once the permit is ready:
• Please fax or e-mail a copy of the permit and receipt to the below address and mail
the original to the homeowner:
Fax: 860-430-6719
Email: renewalbyandersen(a gopermits.org
• If you unable to mail the permit to the homeowner please send to the below address
and we will ensure the permit is at the home posted at the time of installation:
Go Permits, LLC
105 Buttonball Lane
Glastonbury, CT 06033
If we are required to pick up the permit in at the building department, please call 860-952-
4112 once it's ready and we will come to get it.
Thank you,
Go Permits
Commonwealth of Massachusetts Construction Supervisor
Division of Occupational Licensure Unrestricted_SulMises of way use group which contain
Board of Building Regulations and Standards less than 35,000 cubic feet(!f1 cubic meters)of enclosed
_;n s t,(�1CTt Ott Jlipe ry I s o r %pace.
ry
CS-090125 Spires: 10/06/2024
JAIME L MORIN
54 NOTT1NGHAM
RAYMONO Nil
V
:01, e*Ul.LVds133 Failure to possess a currant edition of We MemeillMeili
2Slate Building Code is came for revoet>41•1"Mism&
Ccrn^sisalancr ,a�,rv.c K. asn i...414. r10
For trt!o1rt1s abort MY MOM
O cm(S1 a)727-32N a Mil srrrrraesipr11111
Uttice of Uonsumer Affairs and business Kegulation
1000 Washingtcet - Suite 710
Bosto n, Massachusetts-02118
Home ImRroierpent=+• 'frai ar_'e•istration
:ftx
y; Type: Supplement Card
RENEWAL BY ANDERSEN LLC a% N � i ation 170810
30 FORBES ROAD E -bon: 12122/2025
NORTHBOROUGH, MA 01532 ,,+ .�,.,�=I S .,..—_ w 1i
\ =`rw I
1\' �! Jay
cs.,....,,....,t7 ...,
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. If found return to:
TYPE:SuppfCament Card Office of Consumer Affairs and Business Regulation
Regj.W tion •.EXttl[3tlolt 1000 Washington Street -Suite 710
110810 92/2212025 Boston,MA 02118
2ENEWAL BY ANDERSEN LW, t`
t_t8 t ----,
AIME MORIN td ' Y �ry�
:0 FORBES ROAD - .,Alt."`. "' ju_
o
JORTHBOROUGH,MA 01532-
Undersecretary ` Not valid with ut signature
RENEWAL
y .- brANDERSEN
rbl ciiN Ows CON roucB1Er
To Whom It May Concern:
This letter will authorize the following persons)to act as agent(s) on behalf of Renewal by
Andersen LLC, 9900 Jamaica Ave South, Cottage Grove MN 55016 to pull for permits and
Inspections with respect to the installation, maintenance and repair of windows and entry
dnnr{i..enripr Mass.a[husptts State Home Improvement Contractor license number 170810 and
Construction Supervisor License rumber CS-090125.
If you have any questions, please call me at 508.351.2277 ext 6.
Authorized person(s),
Go Permits LLC Sarah Hammad David Anderson Maureen Kivei
Scott Doughman Ryan Bsondo Sovannara Kuy Mark Foster
Glynn Norgan Jennifer wirike Wendy Holden Gerald Cramer
Nick Rago Dane! Vi.ckerman Stepher Wilder Katie Grocott
Bonnie Myers Carrie Folgno Michael Rogers Rachel Orloff
•
;-'Jamie Morin
Renewal by Andersen tiC
HIC 170810
CSL—CS090125
local District Office Address
30 Forbes Rd
Northborough, MA 01532
Renewal by Andersen LC hmaica Aye Saud.Coltater Grave Mt SSO1b
l Page 1 of 1
A�ORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
09/21/2023
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 Willis Towers Watson Certificate Center
NAME:
Willis Towers Watson Midwest, Inc.
c/o 26 Century Blvd iNHC.No pQy 1-877-945-7978 NE FAX
1-888-467-2378
E-MAIL P.O. Box 305191 ADDRE certifioatea@willis.caa
SS; .. ._
Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIL•
INSURER A: Old Republic Insurance CCopany 24147
INSURED INSURER B:
Renewal by Anderson LLC - --
30 Forbes Road INSURER C: _
Northborough, MA 01532 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:W30224860 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 I ADDL SUBRT POLICY EFF 1 POLICY EXP
LTR I TYPE OF INSURANCE INSO WVD POLICY NUMBER (MMIDOIYYYY) MI(MDDIYYYYI LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ S 3,000,000
-1 I DAMAGE TO RENTED 500,000
J CLAIMS-MADE 1 X OCCUR PREMISES(Ea occurrence) b
A I PIED pfP(Any one parson) S 10,000
MWZY 314161 23 10/01/2023.10/01/2024 PERSONALBADVINJURY S 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 6,000,000
X POLICY I PRO-
JECTLOC PRODUCTS-COMP/OP AGG S 6,000,000
OTHER $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000
_ (Ea accident
)( ANY AUTO BODILY INJURY(Per person) S
A MANED SCHEDULED 1 WPM 314159 23 10/01/2023 10/01/2024 BODILY INJURY(Per accident) S
AUTOSONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE S
AUTOS ONLY ^ AUTOS ONLY (Per accident) -
S
—i UMBRELLA LIAB — OCCUR EACH OCCURRENCE S _
EXCESS LIAB CWMS.MADE AGGREGATE S
DED RETENTION S S
WORKERS COMPENSATION X PER OTH•
AND EMPLOYERS'LIABILITY STATUTE _ER i -
A ANYPROPRIETORJPARTNER/EXECUTIVE YIN EL.EACH ACCIDENT S 1,000,000
OFFICER/MEMBER EXCLUDED" a NIA ME 314158 23 10/01/2023 10/01/2024
(Mandatory in NH) EL.DISEASE-EAEMPLOYEE S 1,000,000
If yes.describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UMIT S
DESCRIPTION OF OPERATIONS I LOCATIONS I 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
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIIZZE}D/REPRESENTATIVE
Evidence of Insurance " '�-"� Imo-^
O 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
SR IC: 24694639 EA 1: 3138744
`` II
dba:RENEWAL BY ANDERSEN OF BOSTON Charles&Nancy Jeffrey
Legal Name:Renewal by Andersen LLC I License#HIC# 1/0810 17 Adare PI
RENEWAL 30 Forbes Road I Northborough,MA 01532 Northampton,MA 01060
brANDERSEN Phone:(508)351-2200 I Fax:(508)986-7072 I H:(239)398-6461
w WWI...a.00a nnrwr rbabostonooerationsarchiveOgmail.com
Measure Tech:Tony Coviello,(978)798-9249
Installation Package
17 Adare PI
Northampton , MA 01060
PRODUCTS: 4 WINDOWS: 4 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 0
Updated 5/23/24
BUYER REPRESENTATIVE
Charles & Nancy Jeffrey Marc Festa
17 Adare PI (617)645-4202
Northampton , MA 01060 Marc.festa@andersencorp.com
H: (239)398-6461
Year Built: 1900
TECH MEASURE
chjeffrey24@icloud.com
Tony Coviello
Est. Duration: (978)798-9249
anthony.coviello@andersencorp.co
m
dbar RENEWAL BY ANDERSEN OF BOSTON
legal Name:Renewal by Andersen LLC I License#HIC#170810
30 Forbes Road I Northborough,MA 01532
Phone:(508)351-2200 I Fax:(508)986-7072 I
rbabostonoperationsarchiveOgmail.com
Measure Tech:Tony Coviello,(978)798-9249
05/23/24 Page 1 /9
A/11'
4,10/ Order Summary
dbl.:RENEWAL BYANDERSEN OF BOSTON Charles&Nancy Jeffrey
Legal Name:Renewal by Andersen LLC I License A HIC•170810 17 Adare PI
RENEWAL 30 Forbes Road I Northborough,MA 01532 Northampton,MA 01060
brANDERSEN Phone:(508)351-2200 I Fax:(508)986-7072 I H:(239)398-6461
A.MU•IIM TJI 6RK.•441
rbabostonoperationsarchive@gmail.com
Measure Tech:Tony Coviello,(978)798-9249
ID# ROOM SIZE DETAILS
JOB
107 Dining 24" 46" Window: AcclaimTM Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
23-5/8" 45-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator:
PG Rating: 40 I DP Rating: + 40/ - 40 Glass: All Sash: High Performance
SmartSun Glass, No Pattern Hardware: White Screen: Fiberglass, Half
Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1:
Colonial 3w x 1h, Sash 2: No Grille Mlsc: Remove and Reinstall Window
Treatments, Removal of existing window treatments and reinstall. Renewal
by Andersen is not responsible for damage to treatments, or if existing
treatments no longer fit opening upon completion of installation.
Construction: Insulate weight pockets (1), LSWP Windows (1), Window
Blinds (1) Material: None
108 Dining 24" 46" Window: AcclaimTM Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
23-5/8" 45-1/4' Traditional Checkrail, Exterior White, Interior White Performance Calculator:
PG Rating: 40 I DP Rating: + 40 / - 40 Glass: All Sash: High Performance
SmartSun Glass, No Pattern Hardware: White Screen: Fiberglass, Half
Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1:
Colonial 3w x 1h, Sash 2: No Grille Misc: Remove and Reinstall Window
Treatments, Removal of existing window treatments and reinstall. Renewal
by Andersen is not responsible for damage to treatments, or if existing
treatments no longer fit opening upon completion of installation.
Construction: Insulate weight pockets (1), LSWP Windows (1), Window
Blinds (1) Material: None
109 office 30" 58" Window: Acclaimw Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
29-3/4" 56-5/8" Traditional Checkrail, Exterior White, Interior White Performance Calculator:
PG Rating: 40 I DP Rating: + 40 / - 40 Glass: All Sash: High Performance
SmartSun Glass, No Pattern Hardware: White Screen: Fiberglass, Half
Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1:
Colonial 4w x 1h, Sash 2: No Grille Mlsc: Remove and Reinstall Window
Treatments, Removal of existing window treatments
05/23/24 Page 2 / 9
Order Summary
dba:RENEWAL BYANDERSEN OF BOSTON Charles&Nancy Jeffrey
legal Name:Renewal by Andersen LLC I License#HIC#170810 1/Adare PI
RENEWAL 30 Forbes Road I Northborough,MA 01532 Northampton,MA 01060
brANDERSEN Phone:(508)351-1200 I Fax:(508)986-7072 I H:(239)398-6461
rbabostonoperationsarchiveOgmail.com
Measure Tech:Tony Coviello,(978)798-9249
ID# ROOM SIZE DETAILS
and reinstall. Renewal by Andersen is not responsible for damage to
treatments, or if existing treatments no longer fit opening upon completion
of installation. Construction: Insulate weight pockets (1), LSWP Windows
(1), Window Blinds (1) Material: None
110 office 30" 58" Window: AcclaimTM Double-Hung (DG), 1:1, Flat Sill, Insert Frame,
29-3/4" 56-5/8" Traditional Checkrail, Exterior White, Interior White Performance Calculator:
PG Rating: 40 I DP Rating: + 40/ - 40 Glass: All Sash: High Performance
SmartSun Glass, No Pattern Hardware: White Screen: Fiberglass, Half
Screen Grille Style: Grilles Between Glass (GBG) Grille Pattern: Sash 1:
Colonial 4w x 1h, Sash 2: No Grille Misc: Remove and Reinstall Window
Treatments, Removal of existing window treatments and reinstall. Renewal
by Andersen is not responsible for damage to treatments, or if existing
treatments no longer fit opening upon completion of installation.
Construction: Insulate weight pockets (1), LSWP Windows (1), Window
Blinds (1) Material: None
PRODUCTS: 4 WINDOWS: 4 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 0 Updated 5/23/24
JOB NOTES
LSWP;4 DG INSERTS
4 DG INSERTS INSIDE INSTALLS, INSULATE WEIGHT POCKETS, L-TRIM ON EXTERIOR. R&R BLINDS
Estimated Duration:
05/23/24 Page 3 /9
Installation Invoice
Charles&Nancy Jeffrey
17 Adare PI
Northampton,MA 01060
H:(239)398-6461
DESCRIPTION QUANTITY UNIT PRICE TOTAL
Base Unit Installation Charges,Full Frame&EJ Frame
Base Unit Installation Charges, Insert Frame&Base Frame
Install Double-Hung Window-DG (Base Frame), 60-69.99 UI 2 $112.00 $224.00
Install Double-Hung Window-DG (Base Frame), 80-89.99 UI 2 $112.00 $224.00
Base Unit Installation Charges, Patio Doors
Base Unit Installation Charges, Entry Doors
Construction Charges
Distance >then 50 (Shortest Route), JOB 1 $50.00 $50.00
Insulate weight pockets, 107, 108, 109, 110 4 $20.00 $80.00
Window Blinds , 107, 108, 109, 110 4 $20.00 $80.00
LSWP Windows, 107, 108, 109, 110 4 $35.00 $140.00
SUBTOTAL $ 798.00
Additional Items
ADDITIONAL $
TOTAL $
Installation Invoke 117 Adare PI, Northampton , MA 01060 Page 9/9
Agreement Document and Payment Terms
DBA:RENEWAL BY ANDERSEN OF BOSTON Charles& Nancy Jeffrey
EWAL Legal Name: Renewal by Andersen LLC 17 Adare PI
REN ENNI E WA LRSEN HIC#170810 Northampton ,MA 01060
auvn wa nn . 30 Forbes Road I Northborough,MA 01532 H:(239)398-6461
Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com
Charles & Nancy Jeffrey 05/23/24
BUYER(S)NAME CONTRACT DATE
17 Adare PI,Northampton , MA 01060 (239)398-6461
BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER
chjeffrey24@icloud.com
PRIMARY EMAIL SECONDARY EMAIL
NOTES:
Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen LLC d/b/a Renewal By Andersen of
Boston("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in
the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and
incorporated herein by reference(collectively,this "Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed
all work under this Agreement.
TOTAL JOB AMOUNT: $10,690 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed
must be made by personal check,bank check,credit card,or cash.
DEPOSIT RECEIVED: $3,563
BALANCE DUE: $7,127 Estimated Start: Estimated Completion:
8-12 weeks 1-2 days
AMOUNT FINANCED: $0
We schedule installations based on the date of the signed contract and secondarily on the date
METHOD OF PAYMENT: Credit Card in which we complete the technical measurements.The installation date that we are providing at
this time is only an estimate.We will communicate an official date and time at a later date. Rain
and extreme weather are the most common causes for delay.
NOTES: Cc; 1/3 deposit$3563; 2/3 sub.complete $7127
Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal
understandings changing or modifying any of the terms of this Agreement. No alterations to or deviations from this Agreement will be valid without the
signed,written consent of both the Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the
terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on
the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement.
NOTICE TO BUYER: Do not sign this contract if blank. You are entitled to a copy of the contract at the time you sign.
YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 05/28/2024 OR THE THIRD
BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF
CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
IY114JVA/IVO C444-5t6i
SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE
Marc Festa Charles Jeffrey Nancy Jeffrey
PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME
05/23/24 Page 2/ 35
4011.
1 Itemized Order Receipt
DBA: RENEWAL BY ANDERSEN OF BOSTON Charles& Nancy Jeffrey
RENEWAL Legal Name: Renewal by Andersen LLC 17 Adore PI
HIC#170810 Northampton ,MA 01060
brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(239)398-6461
VIM Wew 110111911LENN
Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com
ID#: ROOM: SIZE: DETAILS: PRICE:
107 Dining Window: AcclaimTm Double-Hung (DG) 1:1 Slope Sill, Insert
Frame, Traditional Checkrail, Exterior White, Interior White,
Performance Calculator: PG Rating: 40 I DP Rating: + 40 / -
40 Glass: All Sash: High Performance SmartSun Glass, No
Pattern, Hardware: White, Screen: Fiberglass, Half Screen,
Grille Style: Grilles Between Glass (GBG), Grille Pattern:
Sash 1: Colonial 3w x 1h, Sash 2: No Grille, Misc: Remove
and Reinstall Window Treatments, Removal of existing
window treatments and reinstall. Renewal by Andersen is not
responsible for damage to treatments, or if existing
treatments no longer fit opening upon completion of
installation.
108 Dining Window: Acclaim Double-Hung (DG) 1:1 Slope Sill, Insert
Frame, Traditional Checkrail, Exterior White, Interior White,
Performance Calculator: PG Rating: 40 I DP Rating: + 40 / -
40 Glass: All Sash: High Performance SmartSun Glass, No
Pattern, Hardware: White, Screen: Fiberglass, Half Screen,
Grille Style: Grilles Between Glass (GBG), Grille Pattern:
Sash 1: Colonial 3w x 1h, Sash 2: No Grille, Mac: Remove
and Reinstall Window Treatments, Removal of existing
window treatments and reinstall. Renewal by Andersen is not
responsible for damage to treatments, or if existing
treatments no longer fit opening upon completion of
installation.
05/23/24 Page 3/ 35
Itemized Order Receipt
/! DBA: RENEWAL BY ANDERSEN OF BOSTON Charles& Nancy Jeffrey
RENEWAL Legal Name: Renewal by Andersen LLC 17 Adare PI
HIC#170810 Northampton ,MA 01060
byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(239)398-6461
,q1 weu ooa,mu nnX1rn
Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com
ID#: ROOM: SIZE: DETAILS: PRICE:
109 office Window: Acclaim'*' Double-Hung (DG) 1:1 Slope Sill, Insert
Frame, Traditional Checkrail, Exterior White, Interior White,
Performance Calculator: PG Rating: 40 I DP Rating: + 40 / -
40 Glass: All Sash: High Performance SmartSun Glass, No
Pattern, Hardware: White, Screen: Fiberglass, Half Screen,
Grille Style: Grilles Between Glass (GBG), Grille Pattern:
Sash 1: Colonial 4w x 1h, Sash 2: No Grille, Misc: Remove
and Reinstall Window Treatments, Removal of existing
window treatments and reinstall. Renewal by Andersen is not
responsible for damage to treatments, or if existing
treatments no longer fit opening upon completion of
installation.
110 office Window: Acclaimm4 Double-Hung (DG) 1:1 Slope Sill, Insert
Frame, Traditional Checkrail, Exterior White, Interior White,
Performance Calculator: PG Rating: 40 I DP Rating: + 40 / -
40 Glass: All Sash: High Performance SmartSun Glass, No
Pattern, Hardware: White, Screen: Fiberglass, Half Screen,
Grille Style: Grilles Between Glass (GBG), Grille Pattern:
Sash 1: Colonial 4w x 1h, Sash 2: No Grille, Mlsc: Remove
and Reinstall Window Treatments, Removal of existing
window treatments and reinstall. Renewal by Andersen is not
responsible for damage to treatments, or if existing
treatments no longer fit opening upon completion of
installation.
WINDOWS: 4 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 0 TOTAL $10,690
Renewal by Andersen is committed to our customers'safety by
�EPA--• ' complying with the rules and lead-safe work practices specified by the EPA.
05/23/24 Page 4/ 35
Payment Authorization Form
11, DBA: RENEWAL BY ANDERSEN OF BOSTON Charles& Nancy Jeffrey
Legal Name:Renewal by Andersen LLC 17 Adare PI
RENEWAL HICU 170810 Northampton ,MA 01060
brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(239)398-6461
1WVr[tll11q/100011111“,
Phone:(508)351-2200 I Fax:(508)9867072 I rbaboston@gmail.com
Charles Jeffrey Nancy Jeffrey
BUYER NAME CO-BUYER NAME
17 Adare PI Northampton
ADDRESS CITY
MA 01060 (239)398-6461
STATE ZIP CODE PHONE NUMBER 1 PHONE NUMBER 2
Marc Festa $10,690
SALES REP CONTRACT BALANCE
PAYMENT SCHEDULE ($10,690)
CASH DEPOSIT(1) FINANCED DEPOSIT(2) SUBSTANTIAL COMPLETION (3)
CREDIT CARD ?:1,S63 $0 $7,11.
(1) CASH DEPOSIT: Renewal by Andersen requires thirty-three percent(33%)of the purchase price paid at Agreement Signing. Buyer(s)may pay
through the following payment methods:cash,check,debit card,or credit card("Cash Deposit").
(2) FINANCED DEPOSIT: Renewal by Andersen requires thirty-three percent(33%)of purchase price advanced when the windows and/or doors
are ordered. For Buyer(s)that receive approved financing through a Renewal by Andersen lender("Lender"),the Lender will advance this required
amount directly to Renewal by Andersen("Financed Deposit"). For open-end credit loans,the Lender will not extend credit to the Buyer(s)and. For all
financings,the Buyer(s)will not owe any payments until Substantial Completion(as defined in item 3 below)and the Lender has delivered the
remaining balance to Renewal by Andersen.
(3) SUBSTANTIAL COMPLETION: Renewal by Andersen requires the final payment(which shall be delivered by the Lender in the case of
projects financed through Lenders)on the day of installation when all windows and/or doors included in this Agreement have been installed into their
openings and any interior and exterior trims have been applied("Substantial Completion"). If there are Change Orders associated with the project
covered by this Agreement,the difference in the Job Amount will be reconciled in the final payment requested from the Buyer(or the Lender in the
case of a project financed by a Lender)upon Substantial Completion.
BY SIGNING BELOW, I/WE,THE BUYER(S):
1. Authorization for Direct Payment Via ACH: The Buyer(s) acknowledges providing Renewal by Anderson a check or designating a checking
or savings bank account at a depository financial institution by providing Buyer(s)' account and routing number information for the
payments listed above at Agreement Signing and Renewal by Andersen entered the account Information into its payment system. Buyer(s)
authorizes Renewal by Andersen to electronically debit the designated account(and, if necessary,electronically credit the account to
correct any erroneous debit) based on the amount(s),form of payment(s),and timing as specified in the Payment Authorization Schedule
above. Buyer(s) acknowledges that Renewal by Andersen may reattempt any payment that is returned unpaid.
2. Authorization for Card Payment: The Buyer(s)acknowledges authorizing Renewal by Anderson to apply the payments listed above to
Buyer(s)' credit or debit card that Buyer provided at Agreement Signing and Renewal by Andersen entered the card information into its
payment system. Buyer(s)authorizes Renewal by Andersen to charge the Buyer(s)' credit or debit card based on the amount(s),form of
payment(s), and timing as specified in the Payment Authorization Schedule above. Buyer(s) acknowledges that Renewal by Andersen may
reattempt any payment that is declined.
3. Buyer(s) agrees that any payment transactions that Buyer(s) authorizes comply with all applicable laws.
4. Buyer(s) acknowledges that this payment authorization will remain in full-force and effect until Renewal by Andersen has received
written notification from Buyer(s)that Buyer(s)wish to revoke this authorization at least three (3) business days' prior to the scheduled
payment date. For any change orders that affect the payment amount set forth above,Renewal by Anderson will notify Buyer(s)of the
payment amount that will be debited or charged at least ten (10) calendar days prior to the transaction date.
Charles Jeffrey c i Q. 05/23/24
BUYER NAME SIGNATURE / DATE
05/23/24 Page 05/23/24 _ Page 5/ 35
CO-BUYER NAME SIGNATURE DATE
Addendum to Existing Contract
o/—r dba:RENEWAL BY ANDERSEN OF BOSTON CHARLES&NANCY JEFFREY
Legal Name:Renewal by Andersen LLC I License#HIC# 170810 17 Adare PI
RENEWAL 30 Forbes Road I Northborough,MA 01532 Northampton,MA 01060
bYANDERSEN' H:(239)398-6461 I C:
fwumtwePtstOnMasuun Phone:(508)351-2200 I Fax:(508)986-7072 I rbabostonoperationsarchive@gmail.com
Buyer(s) Name: Charles & Nancy Jeffrey Addendum Date: 05/29/24
Buyer(s) Street Address: 17 Adare P1
Primary Telephone Number: (239)398-6461 Secondary Telephone Number:
Primary Email: chjeffrey24@icloud.com Secondary Email:
This document is in reference to a contract agreement dated 05/23/24,between the parties that arc named above in this document.
May it be known that the undersigned parties,for good consideration,do hereby agree to make the following changes and/or additions that are outlined below.These additions shall be made valid as if
they arc included in the original stated contract.
No other terms or conditions of the above mentioned contract shall be negated or changed as a result of this here stated addendum.
ADDENDUM DETAILS
ID: ROOM WIDTH HEIGHT DETAILS PRI( E
-ITEM MODIFIED-
107 Dining 23-5/8" 45-1/4" Window: AcclaimTM Double-Hung (DG), 1:1, Slope-Sill, k},ser e, Flat SO
Sill. insert Frame. Traditional Checkrail, Exterior White, Interior White,
Performance Calculator: PG Rating: 40 I DP Rating: + 40/ - 40, Glass:
All Sash: High Performance SmartSun Glass, No Pattern, Hardware:
White, Screen: Fiberglass, Half Screen, Grille Style: Grilles Between
Glass (GBG), Grille Pattern: Sash 1: Colonial 3w x 1h, Sash 2: No
Grille, Misc: Remove and Reinstall Window Treatments, Removal of
existing window treatments and reinstall. Renewal by Andersen is not
responsible for damage to treatments, or if existing treatments no
longer fit opening upon completion of installation.
-ITEM MODIFIED-
108 Dining 23-5/8" 45-1/4" Window: AcclaimTM Double-Hung (DG), 1:1, Slope-Sill, l+asert Frame, Flat SO
Sill. insert Frame. Traditional Checkrail, Exterior White, Interior White,
Performance Calculator: PG Rating: 40 I DP Rating: + 40/ - 40, Glass:
All Sash: High Performance SmartSun Glass, No Pattern, Hardware:
White, Screen: Fiberglass, Half Screen, Grille Style: Grilles Between
Glass (GBG), Grille Pattern: Sash 1: Colonial 3w x 1h, Sash 2: No
Grille, Misc: Remove and Reinstall Window Treatments, Removal of
existing window treatments and reinstall. Renewal by Andersen is not
responsible for damage to treatments, or if existing treatments no
longer fit opening upon completion of installation.
- ITEM MODIFIED-
109 office 29-3/4" 56-5/8" Window: AcclaimTM Double-Hung (DG), 1:1, Slope-Sill, Incer4-Frame, Flat SO
Sdi. Insert Frame. Traditional Checkrail, Exterior White, Interior White,
Performance Calculator: PG Rating: 40 I DP Rating: + 40/ -40, Glass:
All Sash: High Performance SmartSun Glass, No Pattern, Hardware:
White, Screen: Fiberglass, Half Screen, Grille Style: Grilles Between
Glass (GBG), Grille Pattern: Sash 1: Colonial 4w x 1h, Sash 2: No
Grille, Misc: Remove and Reinstall Window Treatments, Removal of
existing window treatments and reinstall. Renewal by Andersen is not
responsible for damage to treatments, or if existing treatments no
longer fit opening upon completion of installation.
- ITEM MODIFIED -
110 office 29-3/4" 56-5/8' Window: SO
05/23/24 Page 1 / 2
Addendum to Existing Contract
s."44�',, dba:RENEWAL BY ANDERSEN OF BOSTON CHARLES&NANCY JEFFREY
Legal Name:Renewal by Andersen LLC I License#HIC# 170810 17 Adare PI
RENEWAL 30 Forbes Road I Northborough,MA 01532 Northampton,MA 01060
brANDERSEN' H.(239)398-6461 I C:
rJuuartwowaeoannurrn Phone:(508)351-2200 I Fax:(508)986-7072 I rbabostonoperationsarchive@gmail.com
[DO ROOM WIDTH HEIGHT DETAILS PRICE
Acclaimx"" Double-Hung (DG), 1:1, Slope-S , Insert Frame, Fiat Sni.
Insert Frame. Traditional Checkrail, Exterior White, Interior White,
Performance Calculator: PG Rating: 40 I DP Rating: + 40 / - 40, Glass:
All Sash: High Performance SmartSun Glass, No Pattern, Hardware:
White, Screen: Fiberglass, Half Screen, Grille Style: Grilles Between
Glass (GBG), Grille Pattern: Sash 1: Colonial 4w x 1h, Sash 2: No
Grille, Misc: Remove and Reinstall Window Treatments, Removal of
existing window treatments and reinstall. Renewal by Andersen is not
responsible for damage to treatments, or if existing treatments no
longer fit opening upon completion of installation.
SALES TAX SO
PRICE $0
IN WITNESS WHEREOF, you and Contractor have caused this Addendum To be executed as of 05/29/24
Legal Name:Renewal.by Andersen LLC Buyer(s)
dba:Rene By Andersen of Boston
Signature of Contractor Representative Signature Signature
Tony Coviello Charles Jeffrey Nancy Jeffrey
Print Name Print Name Print Name
05/23/24 Page 2/ 2