36-278 (3) 1111,x2008 9:07 AM FkOH: Fang Cushman Insuc Icing _Cushman Ins '10: 14136540365 PAGE: 002 OF 003
Client#: 15940 ROBER53 DATE ACORD,. CERTIFICATE OF LIABILITY INSURANCE 01111 8�� �
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
King 8r Cushman, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
King&Finn Streets ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O.Box 447
Northampton,MA 01061 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Peerless Insurance
Robert N.Quigley Woodworking INSURER B:
95 Berkshire Trail INSURER
Cummington,MA 01026 INSURER D,
INSURER E:
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/MrM DA nfYY
A GENERAL LIABILITY CCP8038483 06109107 06109108 EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $50.0()o
CLAIMS MADE R OCCUR MED EXP(Any one person) s5,000
PERSONAL&ADV INJURY $1000000
GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG s2,000,000
PCLICYF_j JPERCT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
(Per person)
SCHEDULED AUTOS
HIRFDAUTOS BODILY INJURY $
(PeracddaM)
NON-OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY', AGO $
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $
CCGUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WCSTATU- OTH-
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $
ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.DISEASE-EA EMPLOYEE $
OTTICERfMLMBER EXCLUDED.
If yes,descrbe under E.L.DISEASE-POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRW710N OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
woodworking
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Common Sense Design DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN
45 Luther Shaw Rd NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT,BUT FAILURE TO DO 50 SHALL
Cummingto n,MA 01026 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTH REPRESE ATNE
ACORD 25(2001108)1 of 2 #7185 LMB m ACORD CORPORATION 1988
88 King Street, Suite B ALTERTHE COVERAGE AFFORDED BYTHE POLIES BELOW.
Northampton, MA 01060-3257
INSURERS AFFORDING COVERAGE NAIL#
INauREB WINSTON H. BANCROFT ELECTRICACONTRACTOR INSURERA: Travelers Indemnity Co of Amer 25666
P.O. BOX 156 NSURERB: Travelers Indemnity Co 25658
CHESTERFIELD, NA 01012 INSUREHC: St Paul Travi rs Ins Companies TPC001
WSURERD: Liberty mutual
INSURER E:
COVERAGES
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 ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAW,
INSR I TYPE OF INSURANCE POLICY NUMBER POLICY EffECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY 68069398678 04/01/2007 04/01/2008 EACH OCCURRENCE $ 1000,
C.OMWRCIAL GENERAL LIABILITY DAMAGETORENTED $ 300,
CLAIMS MADE ❑OCCUR MED EXP(Arty one person) $ rj
A PERSONAL A ADV INJURY b 1,D00 0
GENERAL AGGREGATE $ 2,000',00
GENL AGGREGATE LIMIT APPLI ES PER: PRODUCTS-COMP JOP AGGi $ 2 NO
POLICY JPECa _LOG
AUTOMOBILE LIABILITY BA69390979 04/01/2007 04/01/2008
ANY AUTO COMBINED SINGLE LIMIT $
(Ea aociderrt) 1 000
ALL OWNED AUTOS
BODILY INJURY $
B X SCHEDULED AUTOS (Fes Dwsw)
X HIRED AUTO
BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY UAMAGL $
(Par newent)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESSNMBRELLA LIABILITY CUP0655Y336 04/01/2007 04/01/2008 EACH OCCURRENCE S 1,000,000
OCCUR El CLAIMSMADE AGGREGATE $ 1,000,000
C $
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND WC STATU- OTH
EMPLOYERS'LIABILITY
ANY PROPRIETDRiPARTNERlEXECIlTIVE
El.EACH ACCIDENT $
OFF ICEWMEMER EXCLUDED? E.L.DISEASE-EA UPLOYEE $
It yse,deecaibe ut der $
SPECIAL PROVISIONS below F,L DISEASE-P(AIC.Y 111,117
OTHER
DESCRIPTION OF OPEMTIONS r LOCATKW r VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT?SPECIAL PROVISIONS
SHOULD ANY OF THE ABOVE DESCABED POLICES BE CANCELLED BORE THE
EXPIRATION DATE THE UM,THE M04 MSURER WILL ENDEAVOR TO VIAL
Common Sense Design 10 DAYSwwFEN NOTICE TO THE cEmw-rATE HOLDER NAiIED TO THE LEFT,
Marc Hoechstetter BUT FARM TO MIML SUCH,OTME SHALL IMPI 6E IOOBLK211ATION ORLWOU)"Y
Upper Bryant Road OF ANY KMD UPON THE ems,ITS AGENTS OR NATIVES.
CttlIfIllRgtOR, NA 02026 rRobert TMOflIZEDREPRESEIItATiVE
Borawski/BORJM2
ACORD 25(2001/081 FAX: 634-0365 ®ACORD CORPORATION 1988
166 East.Street HOLDER.TM CIERUCICATE DOW NOT AMEND.eXTeW OR i
PO Box 4889 ALTER 7M 00VO I M AFFORDED BY THE POUCM8 BErTAi1IIL J
Pittsfield WIL 01243
Phcme:413-447-7376 Paxs413-443-7608 MURIM AFFORDM COVERAGE B
+�D
A. Peerless 1ASUran a Ccaqmmy 24198
RMR,RER 8:' Z:elilMier
Casgo Plumbing 4 8aat.�.aagg
Christ S�riadlehurst McyuREleG mrwia sea sReas.we.oe_
8eek$st�'"�lte 8 ��a
E
G�
THE POMMS Of INSURAWS LIS ISD BELOW HAVE SEER 16WO TO THE NIOURM NAIM ABOVE FOR THE POLICY PERIOD MMATM NOTWITHSTANOW
ANY REQUWA09,TFAM OR COMITIO I OF ANY COWAACT OR OTHER DOCUMBVT WfM RESPECT TO WNICM THIS CERTIFICATE MAY SE MM OR
MAY PERTAPI.Tie>MSUMAMCS AFFORDED BY THE POLICIES DESCRIBED HERFM 19 SUBJECT TO ALL THE MWIS.EXCLUSIONS AND CONDITIONS OF SUCH
F%C44,4S.AQGRE[+ATE LR1TT5 ZKOW14 MAY NAMµSEEM RSDLK:9D BY PAID CLAIM&
LTR TYPE CIF P+OLICYNIBMip1 LYMTS
GENERAL LIAMILITY EACH OCCURRENCE $2000000
mr-
A X COMmERGY^LGENFRALu*mLrTY CBP0123340 03/03/07 03/03/0$ PREMRIES 000n.rlol s 100000
cLARIS MADE XI 1A OCCUR UM SW V wN vw■mU $5000
POISOMALLADVNSAM s2000000
X SOL AGG $3000000 OMMERALAGOREwTM g-4000000
GEWLAGGREGATF LMT AMIE PM. PRODUCTS-compmrAm z4000000
POLICY � LOS son. 1000000
AU TOMMMLE LLABIL(TY
$ ANY AUTO BA8120543 03/03/07 03/03/08 lEa' &RiGLELUNIT 31000000
ALL OWNED ALTOS
�xx
SCMEOULED AMS �pWp s
WREDAUTOS BO
NowowNEO AUTOS ;
WIT OAMAE& s
S#ARAGE LIABf 1r1' AUTO ONLY-EA ACCE/EM T S
ANY AUTO I OTHER THAN EA ACC f
1 AUTO ONLY. AGG i
&KC995 AMRMM LIA91un' EACH OCCURRENCE f
tll1 OCCUR Q CLAIMS WIDE AGGREGATE 3
3
OEOUCTIBUE f
REYENTION f ;
Woffla tsOONPENSATIOMAJID
C uTTVE 1iC2245354 03122/07 03/23/08 Euenc�lACc:IDO1T 3500000
AW OFFICEILMEMO0 ExCLWEDI &L.DMEASE.EA E-LO f 500000
zP PR=abeh*w E.L.016EAU-POLICYLRMT f 500000
oTNae
pE$CWPTIDN of OPERAT10M81 LOCI►TIDNIS,vE1I1ctF.s I EYCR.UBplli ADDED ar®IDOR3�NT/dllCW.rI1oI11wo11s
CiERTMICAFE HOLDER CANCiELLATM
$110"AMY OP THE AMOVE OpGRMIBD POUCISS 001 CANCISAM BQORE THE EMP"TIOM
pATE TNERSQP�THE IOSIIEIS 1Ig4111O11IMll E110EAVOR M MAR. 10 DAYS SASTTEN
NOTICSc TO THE CERTMIRIITE HOLDER MARIED TO THE LW T.BUT FALURE TO 00 SO SHALL
Marc '$DEI Cb8 t$t ter IMPOSE NO OMLIOATIDM CM LLIBLITY OF AMY IUM UPON THE IMSWUk TTf AGEMT;OR
45 Luther Shag Road wTRRm
Cumlailugtos Mh 01026
ACORD 2542001M 0 ACORD CORPORATION 1988
� .. .�.. .• .. ,�■ w . .� . • ■������ro�v� 1/11 1ICI
PRODU= THIS CBZI7FICATE IS OSI.eD ASA MATTEROF RORYATION
Bresnahan Insurance Agency, in ONLYAND CONRWNOR16M UPONTtEG6tTFICATE
100 Whiting Farms Road HDLOOL THIS CMTIRCATEDOESNOf AMEND,EMM OR
Holyoke, NA 01060 i ALTER THE COVERAGE AFFORDED BY THEPOLICKS BELOW.
INSURERS AFFORdNG COVMGE NAIC#
INSUR® NSURERA PMC In¢u moo Agana Inc
Harris 6 Gxay NsuREn a
Ray Gray and Stuart Harxie INSURER C: -
21 Main St. PO Sox 300 I NSUR�o.
Ashfilald, NA 01330
COV EMGM
THE POLICIES OF INSURANCE USWD BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO INDICATED.NOTWITHSTANDING
ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TMIS CERTIFICATE MAY BE ISSUED QR
MAY PERTAIN,THE INSURANCE AFFORDED$Y THE POUCIES DESCRIBED HGREIN IS SUBJECT TO ALL SHE TERMS,OCLUSIONS AND CONDITIONS OF 6VCH
POLIOIN0.AGGREGATE UMITS SHOWN MAY MAVE BEEN REDUCED BY PAID CLAIMS.
INSR D POLICY NUMBER S 7I1E POLICY OIZ N
I.E11iS
t�iEil�LMBElfY ' EACHOCCURRENCE S
n
COMmmCIALGEmeRA uABIUTY . . Eaoxrr s •-
CLAMS MADE I OCCUR M®EIE Me f.
P m%"AL&my NJUw S
- GENERALAGGRB�TE is
� GBd'LPGGRGGAT[LIMIfApPUESPBi: I PRODUCTS-COLFA7PA�pG i
POLICY 7, T I I LOG
AUTOMOBILE LIMI M COMBINED SINGLE LIN1f f
AfYAUTO
(
ALLOI1104&DAUT08 BOOIL ) RY I S
SCHMU M AUYOS
WRMAUTOS � RY
S
NON-OWNEDAUTOS -
IIf DAMAM s
GARAGE UABILRY AUTO a1Q.Y.9A AQCIDW S
„I,I,AUM g� aiACC s
AOUTOONTL s
E MEVINMEIM14AWBII GC
RY EACH OURRWCE t
OCCUR CLAMS MADE I AOOWSA-M $
DEDUCTIBLE -
RRSWION $ I I S
I RKHt$CdAPElt51QI0MAND i TORTWQ,S�
,A ILOYC/1C•LIANLITY =1762585 2/4/0'7 2/4/08 EL EACH ACCIDENT i 100,000
PROF R jEr0R/PMTNERC(Er,VTK
F k*MI!XCUJDmP ( ELO E-EAEMPUYVEE s 100,000
F s ° ISael►s ELDISEASE-POLICYLIMIT s 5D0,000
OTHER
I
DI;ICRIPTgM OF OPERATI(111$►UOGAS10NS f 11EHIC1.l31l7�LU610NS IDOED BY 91D�5F�F�f SP&GiAL PROVISIDId
CERTIRGATE[MOM CAMCMLAT.IW
SHOULD ANT OF THE MOW DB&CRIBID F0LICESBE CANCELLm BEFORE THE F]VIIIIATI ON
OATETHMEDF.THEI$EIN6WMRERWLLBWPAMMMJNL __0 BMWRITIM
MESA Hoachatetter NDTIC ETO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAB.URE TO D050 SHALL
45 Luther Sham Rd. IYPOSENoCOL"UMORLWBEftYOFMY KIND UPON 7MWSURER,ITS AGENTSOR
CImmminaton, MA D1426
AU ewf am
Ade
ACOR]25(2NIM) TION 1936
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
King&Cushman,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
King&Finn Streets ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O.Box 447 II
Northampton,MA 01061 INSURERS AFFORDING COVERAGE I NAIL#
INSURED INSURER A Peerless Insurance
Marc Hoechstetter;Common Sense Design INSURER B:
45 Luther Shaw Road INSUf?ER G
Cummington,MA 01026 INSURER D
INSURER F:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTW ITFiSTANDING
ANY RECIUIREMENT,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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE PDUCY EXPIRATION urNirs
LTR TYPE OF INSURANCE POLICY NUMBER TE DA "
A GENERAL LIABILITY CCPS314563 04/17/07 04/17108 EACH OC-CLJRRENCE $1.0W.000
DAMAGE TO RENTED $50.0m
]( GOMMEROAL GENERAL LIABILITY I III�S(Ea r:r"mn
CLAIMS MADE 51 OCCUR MED E.XP(Any ore person) $5000
PERSONAL&ADV INJURY $1:00(),000
GENERAL.ACIGREGATE $2 000 000
SULN'L Arr_REGAT E LIMIT APPLIES PER. PRODUCTS-CCXNP!OP AGG $2,N0,00
pout "- IOC
JECT AUTOMOBILE LIABILITY I COME NED SINGLE LIMIT $
ANY AUTO (Ea accident)
ALL OWNED AUTOS BDDiCr INJURY
(�pe�n) $
SG"FDUUM Ak"Ds
�HIRFDAUTOS I BODILY 1URY $
(Per accident)
NDN-OWNFn Al ITOS
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUT0 ONI Y-FA ACanFNT $
ANY AUTO OTHER TtiAN EA ACG $
AUTO ONLY ACC 5
EXCESSJUMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR FI CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE $
RETENTION $ $
TATU- DTH
WORKER'S COMPENSATION AND 1T WGS E
EMPLOYERS'LIABILITY E L.EACH ACCIDENT S
ANY PR0PRTETOR/PARTNERILXECUT1VL
OFFICEWMEMBEREXCLLAED7 E.L.DISEASE-EAEMPLOYEE $
ayes.tlescrDe under
SPFC.IN PROVISIONS AWhw E L DISEASE-POLICY LIMIT $
OTHER
DESCRFTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFOIIi THE EXPIRATION
Mr.Peter Haas DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _In DAYS TIIRIrTEN
Ms.Julie Zuckman NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
51 Woods Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Northampton,MA 01060 REPRESENrATNES-
ACORD 25(2001108)1 of 2 #7182 LMB o ACORD CORPORATION 1988
ons and Standards
Board off Building Regulati
= HOME IMPROVEMENT CONTRACTOR
VFWi
Registration: 139410
r
,
Expiration*. 7/14/2009 Tr# 261046
T ype: . Individual
MARC J HOECHSTETTER
MARL HOECHSTETTER .
45 LUTHER SHAW FAD``
CUMMINGTON, !VIA 01026 Administrator
t
Board o ui rnwg u�o and an ar s g
Construction Supervisor License
LIGe e: CS 61816
Ew. 2212009 Tr# 9801
wt
MARK J HOECHS E
45 LUTHER SHAW°
CUMMINGTON. MAO 0 [- nmmiceinnpr