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29-263 (3) BP-2024-1163 84 LONGVIEW DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-263-001 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-2024-1163 PERMISSION IS HEREBY GRANTED TO: Project# 2024 ROOF Contractor: License: Est.Cost: 8400 MATTHEW CARRIER CSL117335 Const.Class: Exp.Date:06/03/2026 Use Group: Owner: TORRES LE MINH H&LIZBETH M Lot Size(sq.ft.) Zoning: WSP Applicant: STONE MOUNTAIN ROOFING LLC Applicant Address Phone: Insurance: 156 NORTHAMPTON ST (413)998-9010 7PJUB6R27941623 EASTHAMPTON,MA 01027 ISSUED ON: 09/10/2024 TO PERFORM THE FOLLOWING WORK: REPLACE ASPHALT ROOF 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: /7/77-'P Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner Docusign Envelope ID:B7A00125-30DF-409D-B87C-547FE4AA41C4 cr.) The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY USE 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—P-202L!— Il(O 3 Date Applied: �> [—'7 �!/e--/'!Ter) / Building Official(Print Name) i ature Dat SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 84 Longview Dr. Florence 29 -263-001 I.I a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zon ng Information: 1.4 Property Dimensions: WS 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: Public 0 Private 0 Zone: Outside Flood Zone? — Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Colin Chickles Florence MA 01062 Name(Print) City,State,ZIP 84 Longview Dr. 808-209-5314 chickles2@yahoo.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other Specify: Roofing Brief Description of Proposed Work: Strip and replace asphalt roof SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 8,400.00 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ' ❑ Standard City/Town Application Fee . ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) Total All Fees: S o Check No.t(D l.5 Check Amount:$((),— Cash Amount: 6.Total Project Cost: $ 8,400.00 ❑Paid in Full 0 Outstanding Balance Due: Docusign Envelope ID:B7A00125-300E-409D-B87C-547FE4AA41C4 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-117335 06/03/2026 Matthew Carrier License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 156 Northampton St., No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Easthampton, MA 01027 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-998-9010 stonemountainroofingllc@gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 206447 09/15/2024 Stone Mountain Roofing LLC HIC Registration Number Expiration Date HIC Company Name or HIC Re istrant Name 156 Northampton St. stonemountainroofingllc@gmail.com No.and Street Email address Easthampton, MA 01027 413-998-9010 City/Town,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 I 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 Stone Mountain Roofing LLC/Matthew Carrier to act on my behalf,in all matters relative to work authorized by this building permit application. -DocuSigned by: 8/8/2024 © Colin Chickles CA 7) 0.1L_ Print Owner's Name(ISlerigq fps w) 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 tgtlie best of my knowledge and understanding. / l Matthew Carrier °�\�^-� ci! 9/02. Print Owner's or Authorized Agent's Name(Elect nic Si nature) 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" Docusign Envelope ID:B7A00125-3ODF-409D-B87C-547FE4AA41C4 City of Northampton _>oti, SA.-.................. (4?..y� Massachusetts �'` DEPARTMENT OF BUILDING INSPECTIONS y. �`�° Ree .� 212 Main Street • Municipal Building "_r Northampton, MA 01060 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: Valley Recycling, 234 Easthampton Rd., Northampton MA 01060 The debris will be transported by: Name of Hauler: Aaron's 24/7 Towing & Roll Off Services Signature of Applicant: Date: 91?/2-4927 The Commonwealth of Massachusetts =w� Department of Industrial Accidents . Office of Investigations ' Lafayette City Center 4 2 Avenue de Lafayette, Boston, MA 02111-1750 d wwH.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Stone Mountain Roofing LLC Address: 156 Northampton St. City/State/Zip: Easthampton MA 01027 Phone #:413-998-9010 Are you an employer? Check the appropriate box: Type of project (required): 1.❑ 1 am a employer with 4. ®' I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. El New construction 2.0 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑ 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.] t 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 I lomeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors 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: Travelers Policy#or Self-ins. Lic. #:7PJUB6R27941623 Expiration Date:02/17/2025 Job Site Address: 84 Longview Drive City/State/Zip: Florence, MA 01062 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature:OieeZttezo 1 .44ieti Date: 9/9/24 Phone#: 413-998-9010 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 30City/Town Clerk 4.0 Electrical Inspector 5Elumbing Inspector 6.0Other Contact Person: Phone#: A DATE(MM/DD YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/23/2024 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 Michelle Lastowski NAME: Alera Group,Inc. PHONE Ext): (413)586-0111 FAX(AI No): (413)586-6481 (A/Webber&Grinnell Division E-MAIL mlastowski@webberandgrinnell.com ADDRESS: 8 North King Street INSURER(S)AFFORDING COVERAGE NAIC S Northampton MA 01060 INSURER A: Berkley Specialty Insurance Co INSURED INSURER B: Arbella Protection 41360 Stone Mountain Roofing LLC INSURER C: WCAR-Travelers 156 Northampton Street INSURER D: INSURER E: Easthampton MA 01027 INSURER F: COVERAGES CERTIFICATE NUMBER: Exp 2025 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. IICY EXP NSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DD/YYYY MMPOLICY EFF LDD/YYYY LIMITS LTR .INSD WVD ( J { ) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000.000 CLAIMS-MADE X OCCUR PREM PREMISES(EaEoccurrrence) $ 100,000 MED EXP(Any one person) $ 5.000 A CGL0159193 02/18/2024 02/18/2025 PERSONAL&ADV INJURY $ 1,000,000 GENTAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2.000,000 PRO- POLICY J PRO ECT LOC PRODUCTS-COMP/OP AGG $ 2.000.000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED 5/ SCHEDULED 1020114776 02/18/2024 02/18/2025 BODILY INJURY(Per accident) $ _ AUTOS ONLY /� AUTOS HIRED —r NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) PIP-Basic $ 8,000 • UMBRELLA LIAB OCCUR EACFI OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION - PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER v/N 500,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA 7PJUB6R27941623 02/17/2024 02/17/2025 E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500.000 If yes,describe under 500.000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/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 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 'V r Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Re ulations and Standards Cons tonfSrvisor CS-117335 L b(pires:06/03/2026 MATTHEW CIRRIER 36 LYON HILIc ROAD CHESTER Mk,01011 •)l.I,11rti1.7''� Commissioner tt f FI THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC Registration: 206447 STONE MOUNTAIN ROOFING,LLC Expiration: 09/15/2026 156 NORTHAMPTON ST. EASTHAMPTON,MA 01027 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:LLC Office of Consumer Affairs and Business Regulation $egi J Iratlon 1000 Washington Street -Suite 710 206447 09/15/2026 Boston,MA 02118 STONE MOUNTAIN ROOFING,LLC MATTHEW CARRIER 156 NORTHAMPTON ST. EASTHAMPTON,MA 01027 Undersecretary of valid without signature Docusign Envelope ID:A7F9F71B-33F0-495F-9460-2513B849A9E8 ' f Massachusetts A Department of Industrial Accidents Office of Investigations Lafayette City Center 1. 1 ' 2 Avenue de Lafayette, Boston, MA 02111-1750 wwx.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): SRJ Construction LLC Address:201 Union St. City/State/Zip: Manchester CT 06042 Phone #:413-693-5543 Are you an employer? Check the appropriate box: Type of project (required): 1.❑✓ I am a employer with 18 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ Ncw construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' 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.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no Roofing comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. l lomcowners who submit this affidavit indicating they arc 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 an:an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Liberty Mutual Insurance Policy#or Self-ins. Lic. #:06-15628-24240-342341 Expiration Date:08/28/2025 84 Longview Drive Florence, MA 01062 Job Site Address: City/State/Zip: 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. c--Firmado Dar gnature, Date: 9/9/24 4193E45E... Phone#: Official use only. Do not write ii: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 3UCity/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: ACO® DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 09/03/2024 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 ERICA LUCERO NAME: LUCERO INSURANCE AGENCY PHONE 203-220-2622 FAX LA'c.No.Ertl: INC.No): 836 FOXON RD E-MAILss: ELUCER04@FARMERSAGENT.COM AoorEAST HAVEN CT 06513 INSURER(S)AFFORDING COVERAGE NAIC C INSURER A: ATLANTIC CASUALTY INSURANCE CO_ INSURED INSURER B: LIBERTY MUTUAL INS SRJ CONSTRUCTION LLC INSURER C: 201 UNION ST INSURER D: MANCHESTER CT 06042 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 TYPE OF INSURANCE ADOL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WV MI D POUCYNUMBER (MDD/YYYY) (MMIDD/YYVYI 'X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DGE TO ED CLAIMS-MADE I^J OCCUR PREMISES(Ea occurrence) rence) $ 100,000 _ MED EXP(Any one person) $ 5,000 A L261008944-0 08/29/2024 08/29/2025 PERSONAL&ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL.AGGREGATE $ 2.000,000 POLICY n jECOT n LOC PRODUCTS•COMP/OP AGG S 1,000,000 I OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY ^ AUTOS ONLY (Per accident) $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER B ANP OFF CER/MEMBEREXCLUD D?ECUTIVE Y] N I A 06-15628-24240-342341 08/28/2024 08/28/2025 E.L.EACH ACCIDENT $ 100,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 100.000 M yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 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 Stone Mountain Roofing LLC. ACCORDANCE WITH THE POLICY PROVISIONS. 156 Northampton St.Easthampton,MA 01027 AUTHORIZED REPRESENTATIVE ERICA LUCERO ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Docusign Envelope ID:B7A00125-30DF-409D-B87C-547FE4AA41C4 Stone IKo[ntEdII Roofing LLC 156 Northampton St Easthampton, MA 01027 413-998-9010 stonemountainroofingllc@gmail.com STONE MOUNTAIN www.stonemountainroofingllc.com/ ROOFING ,IX._ Contract ADDRESS CONTRACT# 1407 Colin Chickles DATE 08/06/2024 84 Longview Dr. Florence, MA 01062 DESCRIPTION 1. Remove the existing roofing shingles 2. Inspect the existing plywood for any rot or deterioration. Any new plywood will be $75 per sheet installed. (Wood prices subject to change) 3. Install six feet of ice and water shield on eaves and three feet around all penetrations 4. Cover remaining roof with synthetic underlayment 5. Install new 8" aluminum drip edge on all eaves and rake edges 6. Install architectural shingles by CertainTeed(Landmark PRO) https://www.certainteed.com/residential-roofing/products/landmark-pro/ Color Choice: MAX DEFINITION MOIRE BLACK 7. Install Shingle Vent 11 ridge vent on the peak of the roof(where applicable) http://www.airvent.com/index.php/products/exhaust-vents/ridge-vents/shinglevent2 8. Complete all necessary flashings including new LIFETIME pipe boots https://lifetimetool.com/product/ultimate-pipe-flashing-shingle-kynar-coated/ Includes CertainTeed Lifetime Limited Warranty (Transferable) with 10 year SureStart period. https://certainteed.widen.net/content/srzv 1 kjewe/pdf/surestart-warranty-brochure-00-02-203-NA-EN- 2301.pdf?u=nwk4fd Remove all debris from premises, and throughout the job, continue cleanup and keep the premises undamaged. WE ARE NOT RESPONSIBLE FOR DEBRIS THAT MAY FALL INTO ATTIC. Please be proactive and prepare for the worst by covering everything in the attic. We recommend covering with tarps or plastic sheeting. Please use reasonable caution during the installation process: do not walk or drive under active work, or on areas of potential roofing debris. Stone Mountain Roofing will obtain the necessary building permit. Installations are weather permitting; inclement weather will cause scheduling delays. Either party may cancel this contract for any reason, up until the time of firm scheduling and/or the second deposit, with a full refund of deposit less any permit fees paid. Landmark PRO shingles=$8,400 MA-CSL#117335 MA-HIC#206447 CT-HIC.0668321 Docusign Envelope ID:B7A00125-30DF-409D-B87C-547FE4AA41C4 DESCRIPTION Thank you for choosing Stone Mountain Roofing. Expected Installation: Fall 2024. A $500 deposit will secure contract,permitting, material order, and priority scheduling. The balance of the one-third deposit, $2,300 will be due prior to installation. The balance shall be due upon completion,within 10 days of invoice. Accounts outstanding over 30 days subject to 2% finance charge monthly. Warranty confirmation shall be provided upon final payment. Installation and manufacturer warranties are not in effect until Paid In Full. TOTAL $8,400.00 —Dausi9nea by: 8/8/2024 Accepted By Accepted Date '-94ADE43AA48C414... MA-CSL#117335 MA-HIC#206447 CT-HIC.0668321