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300 ACREBROOK DR BP-2017-1154 cls#: COMMONWEALTH OF MASSACHUSETTS Map:Block:29-328 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit# BP-2017-1154 Project# JS-2017-001955 Est.Cost: $3038.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: AMERICAN INSTALLATIONS LLC 106178 Lot Size(sq. ft.): 10497.96 Owner: WEIMANN LORRAINE M& MARTIN W WEIMANN Zoning: Applicant: AMERICAN INSTALLATIONS LLC AT: 300 ACREBROOK DR Applicant Address: Phone: Insurance: 130 COLLEGE ST (413) 552-0200 WC SOUTH HADLEYMA01075 ISSUED ON:4/I3/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:ATTIC & BASEMENT INSULATION &AIR SEALING THROUGHOUT 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 IV Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate ofOccu•anc si nature: FeeTvpe: Date Paid: Amount: Building 4/13/2017 0:00:00 $65.00 212 Main Street. Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-1154 APPLICANT/CONTACT PERSON AMERICAN INSTALLATIONS LLC ADDRESS/PHONE 130 COLLEGE ST SOUTH HADLEY (413)552-0200 PROPERTY LOCATION 300 ACREBROOK DR MAP 29 PARCEL 328 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid ,,,V (it; /)CD Building Permit Filled out Fee Paid Typeof Construction: ATTIC&BASEMENT INSULATION&AIR SEALING THROUGHOUT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106178 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: __LA.pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:* Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance' Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition D lay t#7r...."/ 7-1377 Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. 16-2159 l.`y�` bepariment use ordy City of Northampton smtua of Permil: f \� Building Department cwb ftgma,n way Permit 212 Main Street Sewerl$epacavailap)Illy _ N Room 100 WateriWell'Avalsbility \ N - Northampton, MA 01060 Two 8ets ofStrudagal Macs -phone 413-567-1240 Fax 413-587-1272 PIetiSltePians ��' APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWEWNG SECTION 1 SITE INFORMATION 1.1 Property Address: �yThhis section to be completed�lby office 300Acrebrook Drive Map rX-/ Lot A1C) unh. Florence,MA 01062 Zone Overlay District Elm St.Distdct CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Lorraine Weimann 300 Acre brook Drive Florence, MA 01062 Name(Pring Cunent Melling Address: (413)896-4700 See attached - Telephone Signature 2.2 Authorised Anent: American Installations 130 College St., Ste 100 South Hadley,MA 01075 Name(Print) Cuner3 Mating Address: American Installations 413-552-0200 Signature Telephone SECTION 3•ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Budding $3,038.40 (a)Building Permit Fee 2. Etecbieai (b)Estimated Total Cost of Construction from(6) 3. Numbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection ((� 6. Total=(1+2+3+4+5) $3,038.40 Check Number 4,3-9 KF This Section For Official Use Only Building Permit NumberDie Issued: Signature: Building CmrmissbnadMspedor of Butidings Section 4. ZONING All Information Must Be Competed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled inby Building Department Lot Size Frontage Setbacks Front I Side L: -J R:77 L: • Rear Building Height Bldg.Square Footage % F-7 I Open Space Footage (Lot area mina bids&paved I L J Panna) #of Parking Spaces �—I Fill: 14 (volume&Location) . A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW O YES o IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW O YES O IF YES: enter Book I Page and/or Document VI B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O ,Date Issued: C. Do any signs exist on the property? YES O NO O IF YES,describe size,type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O IF YES,describe size,type and location: E. Will the construction activity disturb(clearing,grading,ration,or filling)over 1 acre or Is it pan of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. pgCTiON 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House fAdditionS Replacement Windows Alteration(s) 0-1 Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition 0 New Signs [o] Decks (a Siding[JI Other[fij Brief Desgip0on ofp roposed Work Attic and frasement insulation and air sealing throughout Alteration of existing bedroom Yes No Addbtg new bedroom Yes No Attached Narrative Renovating unfinished basement _, Yes �No Plans Attached Roll -Sheet sa.If New house and or addition to existing nOusina,complete the fOilowlnn: a. Use of building:One Family Two Family Other b. Number of rooms in each family unit Number of Bathrooms c. is there a garage attached? d. Proposed Square footage of new construction. Dimensions a. Number of stories? L Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance—form attached? It Type of construction 1. Is construction within 100 ft of wetlands? Yes No. Is construction within 10D yr. Ooodplaln Yes No j. Depth of basement or raga Door below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank_ City SowerPrivate well City water SupplyY SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Lorraine Weimann ,as Owner of the subject property herebyauthorize American Installations to act on my behalf,in all matters relative to work authorized by this building permit application. ,Set attached 4/12/17 Signature of Owner Date I, American Installations as OwnerlAuthodzed Agent hereby declare that the statements and brfinmuton on the foregoing appgcatiien are gum and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. American Installations Print Name American Installations 4/12/17 Signature ofOmerIAgent Date SECTION 8-CONSTRUCTION SERVICES a21 Licensed Construction Supervisor: Not Applicable D )items of License Holder: Wesley K. Couture 106178 License Number 130 College St., Ste 100 South Hadley,MA 01075 9/29/17 •.•��`. _ Expiration Date '.� A 1) . A .A.,! 4-..nature Telephone 8.RerdsteredNome improvement Con t or. Not Applicable I7 Wesley Couture 175982 Company Home Registration Number American Installations 6/27/17 Address Expiration Date 130 College St., Ste 100 South Hadley, MA 01075 Telephone 413-552-0200 SECTION 10-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 tits affidavit will result in the denial of the issuance of the building permit Signed Affidavit Attached Yes ill No 0 11.-Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) or two(2)families and to allow such homeowner to engage en individual for hire who does not possess a license,presided that the owner acts as snnerviser.CMR 788, Sixth Edition Section 1883.5.1. Definition of Homeowner.Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more then one home In a two-year period shall not be considered a homeowner. Such"homeowner shall submit to the Building Official,on a form acceptable to the Building Official,that heshe shall be ranonstiale for all suck work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion ofthe work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Saws Annotated,you may he liable forperson(s) you hire to perfmm work for yon under this permit The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature City of Northampton Cpl .4 , Massachusetts � A L t� 1' 1" IMPARTMENT or BUILDING raspscsxcesx 2 Minn 212 in Statist .t • Municipal Building '3e.\ oC Northampton, 191 C1060 Property Address: 300 Acrebrook Drive Contractor Name: American Installations Address: 130 College Street Ste. 100 City, State: South Hadley, MA Phone: 43-552-0200 Property Owner Name: Lorraine Weimann Address: 300 Acrehrook Drive City, State: Florence,MA 01062 I, American Installations (contractor)attest and affirm that the building I intend to insulate does not have any open air(knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. e Date 4/12117 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: 300 Acrebrook Drive The debris will be transported by: American Installations The debris will be received by: Waste Management - Chicopee Landfill Building permit number: Name of Permit Applicant Wesley K. Couture 4-1217 t(/1&1ti A . Date ignature of Permit Applicant comaaat Licensed&Insured \• www.Americanlnstallations.com MA CSL«:106178 American Installations MA Registration II175982 -Efficient Home Services- 130 College Street Suite 100,South Hadley,MA 01015 • Office:(413)SS2-0200 rax(013)552-0202 • Email:support@Americanlnstallatbm.com AIR SEALING PROPOSAL Jacobus NI Weiman 300 Acrebrook Dr Florence. MA 0 10 62-3 50 2 Site ID: 500050265491 Project ID: P00050305261 Customer ID:C00050267266 Contract ID:20161212. ASEAL Description Quantity Location Perform Fur Sealing at Estimated 62.5CFM50 Per Hour 8 Living Space $674.56_ Extenor Door Weather Stripping 2 N!A $65 18 .__.N./._ Door Sweep 2 WA $48.386.38 Sub Total:. .. $776.10 Utility Incentive Share $776.10 Customer Contribution $000 WARRANTY:American Installations,LTC will provide the above stated homeowner with a 1 year workmanship warranty. American Installations,LLC hereby proposes to furnish all material and labor to complete the above scope of work in accordance with the above specifications and all local and state building regulations for the Total Contract Value as stated herein. ACCEPTANCE OF PROPOSAL:The above prices specifications and conditions TOTAL CONTRACT VALVE=$ 0.00 are satisfactory and are hereby accepted. You are authorized to do work as Down Payment=$ 0.00 specified.Payment will be 1/3 down prior to start of work,and balance due PAID upon Completion. SalemUpon Completion $ 0.00 Signature 'O. p Nate 12-11-2016 Pmpeny Owner(Print) welmann.Lorraine ✓✓ /sign) Date Craig A.Dragovich - 12-12-2016 Representative;(Print) (Sign) Date THIS ADP EE ME Nr compssED ins PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CON SI DERE)TIE ENTRE AGREEMENT PARTIES INVOLVED MIS AGREEMENT is BETWEEN MAEPICAN INSTALLATIONS. LLC HE"AFTER REFERRED TO AS'COMPAS r.AND THE wnrnlsl NAMED awierz LAWS.a ECUunaNSMID DRDiuxas ar rHE THIS AGREEMENT 15 COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE AGREEMENT BY THE PARTIES INVOLVED. THIS AGREEMENT IS BETWEEN AMERICAN INSTALLATIONS,LLC HEREINAFTER REFERRED TO AS"COMPANY",AND THE CUSTOMER(S)NAMED ON THE REVERSE SIDE,HEREINAFTER REFERRED TO AS"CLIENT",AND WILL BE SUBJECT TO ALL APPROPRIATE LAWS, REGULATIONS AND ORDINANCES OF THE STATE OF MASSACHUSETTS OR CONNECTICUT RESPECTIVELY,AS WELL AS ALL LOCALJURISDICTIONS. THE FOLLOWING TERMS AND CONDITIONS ALSO APPLY 1. THIS AGREEMENT IS SUBJECT TO THE APPROVAL OF A MANAGER OF THE COMPANY FOR THIS AGREEMENT TO BE EFFECTIVE UNDER ANY CONDITION. 2. SHOULD DEFAULT BE MADE IN THE PAYMENT OF THIS AGREEMENT.CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF ONE AND ONE-HALF(1-1/2) PERCENT PER MONTH.(18%PER ANNUM)WITH A MINIMUM CHARGE OF$2.00 PER MONTH,AND IF PLACED IN THE HANDS OF AN ATTORNEY OR COLLECTION AGENCY FOR COLLECTION,ALL ATTORNEYS'FEES,EXPENSES AND COSTS OF COLLECTION SHALL BE PAID BY THE CLIENT. IN ADDITION,CLIENT UNDERSTANDS THAT IN FAILING TO PAY ACCORDING TO THE ABOVE TERMS,COMPANY MAY HAVE THE RIGHT TO A LEIN ON THE PROPERTY. 3. THE COMPANY AGREES THAT WHEN DELAYS BECOME KNOWN TO THE COMPANY,THE COMPANY WILL ADVISE THE CLIENT AS SOON AS REASONABLE. 4. COMPANY AGREES THAT,NOTWITHSTANDING ANY AGREEMENT FOR MATERIALS AND/OR LABOR BETWEEN COMPANY AND THIRD PARTY,COMPANY IS RESPONSIBLE TO CLIENT FOR COMPLETION OF ALL WORK DESCRIBED IN ATIMELY AND WORKMANLIKE MANNER. 5. ALL WARRANTIES FOR EQUIPMENT AND PRODUCTS SUPPLIED BY THE COMPANY UNDER THIS AGREEMENT SHALL BE THOSE GIVEN BY THE MANUFACTURERS OF SUCH EQUIPMENT AND PRODUCTS. UNDER SUCH MANUFACTURER'S WARRANTIES,THE CLIENT MAY BE REQUIRED TO REGISTER OR MAIL IN A WARRANTY CARD OR OTHER EVIDENCE OF OWNERSHIP AND USE OF SUOI EQUIPMENT AND/OR PRODUCTS IN ORDER TO ACTIVATE SUCH WARRANTIES. 6. THE QUOTATION ON THE PAGE HEREOF DOES NOT INCLUDE EXPENSES OR CHARGES FOR BOND OR INSURANCE PREMIUMS OR COSTS BEYOND NORMAL INSURANCE COVERAGE,ANY SUCH ADDRIONAL EXPENSES,PREMIUMS OR COST SHALL BE ADDED TO THE TOTAL AGREEMENT AMOUNT. 7. THE COMPANY'S LIABILITY FOR CLAIMS ARISING OUT OF THIS AGREEMENT SHALL NOT EXCEED THE TOTAL AGREEMENT PRICE EXCEPT TO THE EXTENT THOSE DAMAGES ARE PROVEN TO BE SOLEY DUE TO THE COMPANY'S NEGLIGENCE. 8. DURING THE DURATION OF THE WORK.THE CLIENT'S HOMEOWNERS INSURANCE WILL BE RESPONSIBLE FOR ANY AND ALL DAMAGES AS LONG AS THE COMPANY HAS TAKEN THE APPROPRIATE ACTION TO PROTECT AREAS OF WORK. 9. THE COMPANY IS NOT RESPONSIBLE FOR PREEXISTING DEFICIENCIES OR HAZARDOUS MATERIALS THAT MANIFEST THEMSELVES DURING THE CONSTRUCTION PROCESS. E G.WOOD ROT,MOLD ASBESTOS,NAIL POPS,DUCTWORK AND CONNECTIONS,PLUMBING AND VENT PIPES,DECKING DEFLECTION,ETC.IF A PRE-EXISTING DEFICIENCY OR HAZARDOUS MATERIAL IS ENCOUNTERED PRIOR TO OR DURING CONSTRUCTION,AND COMPANY IS NOTIFIED IN WRITING,COMPANY WILL TRY TO ASSIST CLIENT WITHIN THE COMPANY'S MEANS AND CAPABILITIES TO CORRECT THE PROBLEM(S)ON A TIME AND MATERIAL BASIS. CLIENT AGREES THAT SUCH CONDITIONS ARE UNAVOIDABLE BY THE COMPANY AND SHALL NOT BE CONSIDERED A VIOLATION OF THE AGREEMENT AND THAT DUE TO THESE CONDITIONS THE DURATION OF THE WORK AND SCHEDULED DATE OF COMPLETION MAY DIFFER FROM THAT AGREED UPON,IF APPLICABLE,UNDER THIS AGREEMENT. 10. THE COMPANY IS NOT RESPONSIBLE,AND THE CLIENT AGREES TO HOLD THE COMPANY HARMLESS.FOR ANY PROBLEMS AND/OR DAMAGES,INLCUDING BUT NOT LIMITED TO MOW GROWTH,ARISING FROM THE PERFORMANCE OF AIR SEALING WORK BY THE COMPANY AS A RESULT OF ANY KNOWN OR UNKNOWN MOISTURE CONDITIONS. 11. THE COMPANY IS NOT RESPONSIBLE FOR,AND THE CLIENT AGREES TO HOLD THE COMPANY HARMLESS,FOR ANY PROBLEMS AND/OR DAMAGES RELATING TO ICE DAMMING THAT MAY ARISE DURING AND/OR AFTER THE PERFORMANCE OF WORK BY THE COMPANY. 12. REPLACEMENT OF DETERIORATED DECKING,FASCIA BOARDS,ROOF JACKS,VENTILATORS,FLASHING.RAFTERS,JOISTS,INSULATION OR OTHER MATERIALS ARE NOT INCLUDED UNLESS OTHERWISE NOTED HEREIN. 13. THE COMPANY WILL NOT BE RESPONSIBLE FOR THE SCRATCHING OR DENTING OF INTERIOR WALLS AND CEILINGS,FLOORS,TRIM.GUTTERS,DOWNSPOUTS,EXISTING SIDING AND WINDOWS,DOORS,OIL DROPLETS IN DRIVEWAYS.HAIRUNE FRACTURES IN CONCRETE OR BLACKTOP DRIVES AND WALKS,OR DAMAGE TO PLANTS OR SHRUBBERY. IF EXCESSIVE DAMAGE IS CAUSED BY COMPANY,COMPANY WILL REPAIR OR REPLACE DAMAGED AREA ONLY AT COMPANY'S EXPENSE. 14. THE COMPANY UNDER PROVISIONS OF CHAPTER 142A OF THE GENERAL LAWS IS REQUIRED TO APPLY FOR AND OBTAIN ALL CONSTRUCTION-RELATED PERMITS. THE COMPANY SHALL NOT BE DEEMED RESPONSIBLE FOR DELAYS IN THE WORK DESCRIBED IN THIS AGREEMENT CAUSED BY REGULATORY PERMIT GRANTING OR INSPECTIONAL AGENCIES,AUTHORITIES,OR INDIVIDUALS. 15. THIS AGREEMENT,INCLUDING THE PROVISIONS RELATING TO PRICE AND PAYMENT SCHEDULE,CANNOT BE CHANGED OR ALTERED EXCEPT BY A WRITTEN STATEMENT SIGNED BY BOTH THE COMPANY AND THE CLIENT. 16. ANY REPRESENTATIONS,STATEMENTS,OR OTHER COMMUNICATION NOT WRITTEN ON THIS AGREEMENT ARE AGREED TO BE IMMATERIAL AND NOT RELIED ON BY EITHER PARTY,AND DO NOT SURVIVE THE EXECUTION OF THIS AGREEMENT. 17. THIS AGREEMENT CANNOT BE CANCELLED WITHOUT THE MUTUAL WRITTEN CONSENT OF BOTH PARTIES EXCEPT AS OTHERWISE SET FORTH HEREIN. 18. THIS AGREEMENT.AND ANY WARRANTY(S)PROVIDED HEREUNDER SHALL NOT BE ASSIGNED EXCEPT BY OR WITH THE WRITTEN PERMISSION OF THE COMPANY. 19. IF THE CLIENT FAILS TO PERFORM ITS OBLIGATIONS HEREUNDER OR TERMINATES THIS AGREEMENT WITHOUT THE PRIOR WRITTEN CONSENT OF THE COMPANY,THE CLIENT SHALL BE LIABLE FOR DAMAGES FOR THE GREATER OF THE COMPANY'S ACTUAL DAMAGES OR 25%OF THE AGREEMENT FOR RESTOCKING FEE. 20. ANY CHANGES TO MATERIALS BY THE CLIENT(BRAND,STYLE,COLOR,ETC.)AFTER SAID MATERIAL HAS BEEN DELIVERED OR IS IN ROUTE TO THE CLIENT COULD RESULT IN A 5%RE-STOCKING FEE BASED ON THE COST OF SAID MATERIALS. 21. THIS AGREEMENT SHALL BE EFFECTIVE ONLY UPON ITS EXECUTION BY ALL PARTIES HERETO,PRIOR TO WHICH TIME IT SHALL BE DEEMED A PROPOSAL.THE COMPANY RESERVES THE RIGHT TO REVOKE THIS PROPOSAL 90 DAYS FROM DATE IT IS EXECUTED BY THE COMPANY IF IT IS NOT EARLIER EXECUTED BY THE CLIENT AND THE REQUIRED DOWN PAYMENT RECEIVED PRIOR TO THE EXPIRATION OF SUCH 90 DAY PERIOD;AFTER 90 DAYS,AND IN THE EVENT COMPANY DOES NOT REVOKE THE PROPOSAL COMPANY RESERVES THE RIGHT TO REVISE ITS PRICE IN ACCORDANCE WITH ITS COSTS IN EFFECT AT SUCH TIME. 22. IF ANY PROVISION OF THIS AGREEMENT SHOULD BE HELD TO BE INVALID OR UNENFORCABLE,THE VALIDITY AND ENFORCEBILITY OF THE REMAINING PROVISIONS OF THIS AGREEMENT SHALL NOT BE AFFECTED THEREBY. 23. ARBITRATION:IN THE EVENT THE CLIENT AND COMPANY HAVE A DISPUTE REGARDING ANY OF THE TERMS,CONDITIONS,PROVISIONS,OR PERFORMANCE OF THIS AGREEMENT,THE PARTIES AGREE TO PLACE THE MATTER INTO ARBITRATION BEFORE AN INDEPENDENT ARBITRATOR ASSIGNED BY THE AMERICAN ARBITRATION ASSOCIATION TO RESOLVE THEIR DISPUTE. 24. ANY DISCOUNT,PROMOTION,REIMBURSEMENT,OR OTHER PROGRAM THAT IS PART OF A STATE SPONSERED UTILITY PROGRAM(I.E.MASS SAVE')IS SUBJECT TO THE AVAILABILITY OF QUALIFYING STATE SPONSERED PROGRAM AND WILL BE SUBJECT TO TERMINATION IF THE STATE SPONSERED UNLITY PROGRAM IS DISCOUNTINUED. FURTHERMORE,THE TERMS AND CONDITIONS OF STATE SPONSERED UTILITY PROGRAMS MAY BE ALTERED OR UPDATED PERIODICALLY WITH OR WITHOUT NOTICE. 25. AMERICAN INSTALLERS,LLC IS NOT AN AGENT OF ANY UTILITY COMPANY OF OTHER VENDOR WORKING BY,THROUGH,OR UNDER THE MASS SAVE'ENERGY PROGRAM. 26. CLIENT IS REPSONSIBLE FOR THE PAYMENT OF ANY AND ALL FEDERAL,STATE,OR LOCAL TAXES THAT ARE APPLICABLE TO THIS AGREEMENT. 216. coma animate Licensed a Insured • www.Americanlnstallations.com MACS`t 106178 American Installations MA Registration IXll5982 -Efficient Home Services- 130 College Street Suite 100,South Hadley,M401075 • Office:013)552-0200 fax:013)552-0202 • Email:wpport@AmericanInstal4aom.com WEATHERIZATION PROPOSAL Jacobus M W eiraaa 300 Acrebrook Dr Florence.MA 01062-3502 Site ID: 500050265491 Project ID: P00050305261 Customer ID:C00050267266 Contract ID:20161212 WORK Description Quantity Location Attic Floor Open Blow Cellulose 11'__ _.. 966 Living,Space _. . _ $1 ]28.00 PropaveMYor 4' 64 AtOc $245,12 Hatch:Thermal Barrier Palylso 2 inch(Attic) 1 Living Space 241]1 __. vent bath fan to root flapper 1 Atfic $12921 Dammirg.. ... . .. 54 WA__.._ ..._. $118.26 Sub Total: $2262.30 Utility incentive Share $1696.72 Customer Contribution $565.58 WARRANTY:American Installations,LLC will provide the above stated homeowner with a 2 year workmanship warranty. American Installations,LLC hereby proposes to furnish all material and labor to complete the above scope of work in accordance with the above specifications and all local and state building regulations for the Total Contract Value as stated herein. ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions TOTAL CONTRACT VALUE=$ 56558 re satisfactory and are hereby accepted. You are authorized to do work as Down Payment =$ 18800 specified.Payment will be 1/3 down prior to start of work,and balance due PAID upon Completion. B ance Due Upon Completion=$ 377.58 Signature 'LC oma— - Date 12-12-2016 Property Owner(Print) Weimanry Lorraine (Sign) Date Representative':(Print Craig A.D[agovich (Sign) Date 112-12-2016 LLC HEREINAFTER REFERRED TOAS'COM PAN'',AND THE MENSi NAMED dPIATE LAWS,RELULAnQNSAND ORDINANCES OF ME THIS AGREEMENT IS COMPOSED OF THIS PAGE AND THE REVERSE SIOE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE AGREEMENT BY THE PARTIES INVOLVED. THIS AGREEMENT IS BETWEEN AMERICAN INSTALLATIONS,LLC HEREINAFTER REFERRED TO AS'COMPANY",AND THE CUSTOMER(S)NAMED ON THE REVERSE SIDE,HEREINAFTER REFERRED TO AS"CLIENT',AND WILL BE SUBJECT TO ALL APPROPRIATE LAWS,REGULATIONS AND ORDINANCES OF THE STATE OF MASSACHUSETTS OR CONNECTICUT RESPECTIVELY,AS WELL AS ALL LOCAL JURISDICTIONS. THE FOLLOWING TERMS AND CONDITIONS ALSO APPLY 1. THIS AGREEMENT IS SUBJECT TO THE APPROVAL OF A MANAGER OF THE COMPANY FOR THIS AGREEMENT TO BE EFFECTIVE UNDER ANY CONDITION. 2. SHOULD DEFAULT BE MADE IN THE PAYMENT OF THIS AGREEMENT,CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE Of ONE AND ONE-HALF(1-1/31 PERCENT PER MONTH.(18%PER ANNUM)WITH A MINIMUM CHARGE OF$2.00 PER MONTH,AND IF PLACED IN THE HANDS OF AN ATTORNEY OR COLLECTION AGENCY FOR COLLECTION,ALL ATTORNEYS'FEES,EXPENSES AND COSTS OF COLLECTION SHALL BE PAID BY THE CLIENT. IN ADDITION,CLIENT UNDERSTANDS THAT IN FAILING TO PAY ACCORDING TO THE ABOVE TERMS,COMPANY MAY HAVE THE RIGHT TOA LEIN ON THE PROPERTY. 3. THE COMPANY AGREES THAT WHEN DELAYS BECOME KNOWN TO THE COMPANY,THE COMPANY WILL ADVISE THE CLIENT AS SOON AS REASONABLE. A. THE COMPANY AGREES THAT,NOTWITHSTANDING ANY AGREEMENT FOR MATERIALS AND/OR LABOR BETWEEN COMPANY AND THIRD PARTY,COMPANY IS RESPONSIBLE TO CLIENT FOR COMPLETION OF ALL WORK DESCRIBED IN A TIMELY AND WORKMANLIKE MANNER,AND IN CONFORMITY WITH THE STANDARDS Of THE MASS SAVE HOME ENERGY SERVICES PROGRAM. 5. THE COMPANY WARRANTS ALL EQUIPMENT AND PRODUCTS SUPPLIED BY THE COMPANY UNDER THIS AGREEMENT AGAINST ANY DEFECT IN MATERIALS,MANUFACTURE, DESIGN,OR INSTALLATION FOR ONE YEAR FROM THE DATE THE MATERIALS ARE PROVIDED AND/OR INSTALLED,WHICHEVER IS LATER. 6. THE QUOTATION ON THE PAGE HEREOF DOES NOT INCLUDE EXPENSES OR CHARGES FOR BOND OR INSURANCE PREMIUMS OR COSTS BEYOND NORMAL INSURANCE COVERAGE, ANY SUCH ADDITIONAL EXPENSES,PREMIUMS OR COST SHALL BE ADDED TO THE TOTAL AGREEMENT AMOUNT. 7. THE COMPANY'S LIABILITY FOR CLAIMS ARISING OUT OF THIS AGREEMENT SHALL NOT EXCEED THE TOTAL AGREEMENT PRICE EXCEPT TO THE EXTENT THOSE DAMAGES ARE PROVEN TO BE SOIREE DUE TO THE COMPANY'S NEGLIGENCE. S. DURING THE DURATION OF THE WORK,THE CLIENT'S HOMEOWI6ERS INSURANCE WILL BE RESPONSIBLE FOR ANY AND ALL DAMAGES,TO THE EXTENT SUCH DAMAGES WERE NOT THE FAULT OF THE COMPANY,AND SO LONG AS THE COMPANY HAS TAKEN THE APPROPRIATE ACTION TO PROTECT AREAS OF WORK.ANY DAMAGES DIRECTLY RESULTING FROM THE FAULT OF THE COMPANY SHALL BE COVERED BY THE COMPANY'S INSURANCE. 9. THE COMPANY 15 NOT RESPONSIBLE OR PREEXISTING DEFICIENCIES OR HAZARDOUS MATERIALS THAT MANIFEST THEMSELVES DURING THE CONSTRUCTION PROCESS.E.G. WOOD ROT, MOLD,ASBESTOS, NAIL POPS, DUCTWORK AND CONNECTIONS, PLUMBING AND VENT PIPES, DECKING DEFLECTION, ETC. IF A PRE-EXISTING DEFICIENCY OR HAZARDOUS MATERIAL IS ENCOUNTERED PRIOR TO OR DURING CONSTRUCTION,AND COMPANY IS NOTIFIED IN WRITING,COMPANY WILL TRY TO ASSIST CLIENT WITHIN THE COMPANY'S MEANS AND CAPABILITIES TO CORRECT THE PROBLEM)$)ON A TIME AND MATERIAL BASIS. CLIENT AGREES THAT SUCH CONDITIONS ARE UNAVOIDABLE BY THE COMPANY AND SHALL NOT BE CONSIDERED A VIOLATION OF THE AGREEMENT AND THAT DUE TO THESE CONDITIONS THE DURATION OF THE WORK AND SCHEDULED DATE OF COMPLETION MAY DIFFER FROM THAT AGREED UPON,IF APPLICABLE,UNDER THIS AGREEMENT. 10. THE COMPANY IS NOT RESPONSIBLE,AND THE CLIENT AGREES TO HOLD THE COMPANY HARMLESS,FOR ANY PROBLEMS AND/OR DAMAGES,INLCUDING BUT NOT LIMITED TO MOLD GROWTH,ARISING FROM THE PERFORMANCE OF AIR SEALING WORK BY THE COMPANY AS A RESULT OF ANY KNOWN OR UNKNOWN MOISTURE CONDITIONS. U. THE COMPANY IS NOT RESPONSIBLE,AND THE CLIENT AGREES TO HOLD THE COMPANY HARMLESS,FOR ANY PROBLEMS AND/OR DAMAGES RELATING TO ICE DAMMING THAT MAY ARISE DURING AND/OR AFTER THE PERFORMANCE OF WORK BY THE COMPANY. 11. REPLACEMENT OF DETERIORATED DECKING,FASCIA BOARDS,ROOF JACKS,VENTILATORS,FLASHING,RAFTERS,JOISTS,INSULATION OR OTHER MATERIALS ARE NOT INCLUDED UNLESS OTHERWISE NOTED HEREIN. 13. THE COMPANY WILL NOT BE RESPONSIBLE FOR ANY MINOR DAMAGES,SUCH AS SCRATCHING OR DENTING OF INTERIOR WALLS AND CEILINGS, FLOORS,TRIM,GUTTERS, DOWNSPOUTS,EXISTING SIDING AND WINDOWS,DOORS,OIL DROPLETS IN DRIVEWAYS,HAIRLINE FRACTURES IN CONCRETE OR BLACKTOP DRIVES AND WALKS,OR DAMAGE TO PLANTS OR SHRUBBERY.THE COMPANY MAY CHOOSE TO VOLUNTARILY REPAIR ANY MINOR DAMAGE CAUSED BY THE COMPANY AT THE COMPANY'S EXPENSE.IF EXCESSIVE DAMAGE IS CAUSED BY THE COMPANY,THE COMPANY WILL BE RESONSIBLE FOR THE REPAIR OR REPLACEMENT OF THE DAMAGED AREA ONLY AT COMPANY'S EXPENSE. 14. THE COMPANY UNDER PROVISIONS OF CHAPTER 142A OF THE GENERAL LAWS IS REQUIRED TO APPLY FOR AND OBTAIN ALL CONSTRUCTION-RELATED PERMITS. THE COMPANY SHALL NOT BE DEEMED RESPONSIBLE FOR DELAYS IN THE WORK DESCRIBED IN THIS AGREEMENT CAUSED BY REGULATORY PERMIT GRANTING OR INSPECTIONAL AGENCIES, AUTHORITIES,OR INDIVIDUALS. 15. THISAGREEMENT,INCLUDING THE PROVISIONS RELATING TO PRICE AND PAYMENT SCHEDULE CANNOT BE CHANGED OR ALTERED EXCEPT BY A WRITTEN STATEMENT SIGNED BY BOTH THE COMPANY AND THE CLIENT. 16. ANY REPRESENTATIONS,STATEMENTS,OR OTHER COMMUNICATION NOT WRITTEN ON THIS AGREEMENT ARE AGREEO TO BE IMMATERIAL AND NOT RELIED ON BY EITHER PARTY, AND DO NOT SURVIVE THE EXECUTION OF THIS AGREEMENT. 17. THIS AGREEMENT CANNOT BE CANCELLED WITHOUT THE MUTUAL WRITTEN CONSENT OF BOTH PARTIES EXCEPT AS OTHERWISE SET FORTH HEREIN. 10. THIS AGREEMENT,AND ANY WARRANTY(5)PROVIDED HEREUNDER SHALL NOT BE ASSIGNED EXCEPT BY OR WITH THE WRITTEN PERMISSION OF THE COMPANY. 19. IF THE CLIENT FAILS TO PERFORM ITS OBLIGATIONS HEREUNDER OR TERMINATES THIS AGREEMENT WITHOUT THE PRIOR WRITTEN CONSENT OF THE COMPANY,THE CLIENT SHALL BE LIABLE FOR DAMAGES FOR THE GREATER OF THE COMPANY'S ACTUAL DAMAGES OR 25%OF THE AGREEMENT FOR RESTOCKING FEE. 70. ANY CHANGES TO MATERIALS BYTHE CLIENT(BRAND,STYLE,COLOR,ETC.)AFTER SAID MATERIAL HAS BEEN DEUVERED OR IS IN ROUTE TO THE CLIENT COULO RESULT IN A 5%RE- STOCKING FEE BASED ON THE COST OF SAID MATERIALS. 21. THIS AGREEMENT SHALL BE EFFECTIVE ONLY UPON ITS EXECUTION BY ALL PARTIES HERETO,PRIOR TO WHICH TIME IT SHALL BE DEEMED A PROPOSAL.THE COMPANY RESERVES THE RIGHT TO REVOKE THIS PROPOSAL 90 DAYS FROM DATE IT IS EXECUTED BY THE COMPANY IF IT IS NOT EARLIER EXECUTED BY THE CLIENT AND THE REQUIRED DOWN PAYMENT RECEIVED PRIOR TO THE EXPIRATION OF SUCH 90 DAY PERIOD;AFTER 90 DAYS,AND IN THE EVENT COMPANY DOES NOT REVOKE THE PROPOSAL,COMPANY RESERVES THE RIGHT TO REVISE ITS PRICE IN ACCORDANCE WITH ITS COSTS IN EFFECT AT SUCH TIME. 22. IF ANY PROVISION OF THIS AGREEMENT SHOULD BE HELD TO BE INVALID OR UNENFORCABLE,THE VALIDITY AND ENFORCEBILITY OF THE REMAINING PROVISIONS OF THIS AGREEMENT SHALL NOT BE AFFECTED THEREBY. 23. ARBITRATION:IN THE EVENT THE CLIENT AND COMPANY HAVE A DISPUTE REGARDING ANY OF THE TERMS,CONDITIONS,PROVISIONS,OR PERFORMANCE OF THIS AGREEMENT, THE PARTIES AGREE TO PLACE THE MATTER INTO ARBITRATION BEFORE AN INDEPENDENT ARBITRATOR ASSIGNED BY THE AMERICAN ARBITRATION ASSOCIATION TO RESOLVE THEIR DISPUTE. 24. ANY DISCOUNT, PROMOTION, REIMBURSEMENT, OR OTHER PROGRAM THAT IS PART OF A STATE SPONSERED UTILITY PROGRAM (I.E. MASS SAVE% IS SUBJECT TO THE AVAILABILITY OF QUALIFYING STATE SPONSERED PROGRAM AND WILL BE SUBJECT TO TERMINATION IF THE STATE SPONSERED UTILITY PROGRAM IS DISCOUNTINUED. FURTHERMORE,THE TERMS AND CONDITIONS OF STATE SPONSERED UTILITY PROGRAMS MAY BE ALTERED OR UPDATED PERIODICALLY WITH OR WITHOUT NOTICE. 25. AMERICAN INSTALLERS,LLC IS NOT AN AGENT OF ANY UTILITY COMPANY OR OTHER VENDOR WORKING BY,THROUGH,OR UNDER THE MASS SAVE°ENERGY PROGRAM. NEITHER THE UTILITY COMPANY NOR ANY OTHER VENDOR WORKING BY,THROUGH,OR UNDER THE MASS SAVE*ENERGY PROGRAM SHALL HAVE LIABILITY TO THE CLIENT FOR ANY ACTIONS OF THE COMPANY UNDER THIS AGREEMENT. 26. THE COMPANY IS RESPONSIBLE TO PAY ANY REQUIRED FEDERAL,STATE,AND LOCAL PROPERTY,LICENSE,PRIVILEGE,SALES,USE,EXCISE,GROSS RECEIPTS,AND OTHER LIKE TAXES WHICH MAY,NOW OR THEREAFTER,BE APPLICABLE TO THE INSTALLATION WORK UNDER THIS AGREEMENT. The Commonweafth of Massachusetts t_re==tl Department of Industrial Accidents g=rior. Office of Investigations i'- 600 Washington Street =y = Boston,MA 02111 • - www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/ContractarstEtectricians!Plumbers Applicant Information Please Print Legibfy Name(Bmincsseorganimtionandivlduap: American Installations,LLC Address: 130 College Street,Suite 100 City/State/Zip: South Hadley,MA 01075 Phone#: 413-552-0200 Are you an employer?Check the appropriate box: Type of project(required): I.© I am a employer with 31 4. ❑ t am a general contractor and I 6. ❑New construction employees(full and/or pan-tirne)* have hired the sub-contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet,t 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp.insurance. 9. 0 Building addition [No workers'comp.insurance 5. 0 We area corporation and its required.) officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I i.❑ Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.)* employees.[No workers' 13.N Other Insulation comp.insurance required] *Any applicant that checks,box gt must also lilt out the talion below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating toy arc cluing all ooh and then hire outside cool netors must submit a new affidavit Indicating such. :Contractors that chm;k this box must attached an additional sheet showing lie name oftle subcontractors and their workers'comp policy information_ • I nt tion- I am an employer that is providing workers'compensation insurance far nay employees. Hetow is the policy and job site information. Insurance Company Name: Guard Insurance Companies Policy#or Self-ins.Lie.B. AMWC731485 —. Expiration Date: 09/04/2017 f�/� lob Site Address: t )00 ACfehronk Dr. City/State/Zip:,,_ ('� r'orence tv )Ito`aAO 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 31500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a rine 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 DR for insurance coverage verification. !de hereby certify ander Ike pains and penalties of perjury that the imfornratwa provided above is true and correct Signature` 21/21 Adt-f, [ R_ Date: y — Phone#: U 41.3-55200 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/Licenst# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector o.Other Contact Person: Phone#: A o d CERTIFICATE OF LIABILITY INSURANCE 9�1/2D '"M�;c"T 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 POUCIES 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,UM policy(W)must be endorsed. If SUBROGATION IS WAIVED,subject to the tents and conditions of the polity,certain policies may require an endorsement A statement on this certificate does not corder rights to the certificate Nobler In lieu of such endorsement(s). PRODUCER CONTACT Linda Poore Webber & Grinnell PHONE „ (413)586-0111 ISLE ,(113)596-64$1 8 North Ring street ASW ® :lpowrs@wehberandgrinnall.n M +• AFFORDING COVERAGE NAICO Northampton HA 01060 _-_ a.sumas iwployara Mutual Casualty NSDRED I MURE:R 09arkshire Hathaway GOIMD Ins. Co. American Installations, LLC INSURING: Attn: Wes c Susanne Couture INSURER O: 130 Collage Street, Suite 100 INSURER E: South Hadley HA 01075 IreURERF: COVERAGES CERTIFICATE NUMBERmastar zap 9-2017 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POq�LIC� IES.TWITS SHOWN MAY HAVE BEEN REDUCEDppppBY PAID CUBES. LTATYPETWE OF INSURANCE yyp potty//UMW ,RmVOpY1WT1T Petry �Pe LIMITS COMMERCIAL OENEML WINTRYI EACH OCCURRENCE 1,000,000 DAMAGE TO ANTED A R CLAIMS-MADE I j OCCUR • i PREMISES Ma omnacel 500,000 X LiquorLiabilitVI 503535217 19/4/2016 9/4/2017 MED EXP(Any one person) 10,0001 PERSON46ADV INJURY 1,000,000 GENU AGGREGATE UNIT�APPLIES PER. GENERAL AGGREGATE 2,000.000 X POLICY JppEaT LOC PRODUCTS-COMM.'AG3 2,000,000 OTHER: S AUTOMOISLE LIALIGTYCOMBINE0 SINGLE UNIT STEA oxidant) 1,000,000 A ANY AUTO i BOORT INJURY(Ps moan) S AUTOS ^'ALL OWNED X I SCHEDULED 5E3535217 9/4/2016 9/4/2017 BODILY INJURY IWWY , O I X HIREDAUTOS I X AUTOS I(Perac DAMAGE S P P.pchR S 8,000 A 1 UMBRELLA UAB OCCUR EACH OCCURRENCE 1 1,000,000 A I EXCESS WS CLAIMS-MADE AGGREGATE S 1,000,000 QED X RETENIOHS 10,000 533535217 9/4/2016 9/4/2017 6 -WORKERS COMKNSAnOI s PER DTH- ANDEMROYERSWMLITY YIN STATURE ER ANY€RCER RIETdiFMLUDED'ECIRNE E.L.EACH ACCIDENT 5 50.0 0 00 B OFFICER/1E145ER EXCLUDED' N/A -.- mandatory InNH) 9RNC609917 9/4/2016 9/4/2017 EL p$FASE-FA EMPLOYEES 500,000 NLESTm MxtIW OMT ICRIPTN)N CFOPFlL4MINS Sow EL DISEASE-POLICY LIMIT 5 500,000 A Co ercia1 Property .SA3535217 9/4/2016 9/4/2017 TeacaueI1W0 $20,000 wawa lion $40,000 OtSCRIPRON OF OPERATIONS LOCATIONS I VEMQES dcow al.AMMaxl Rnsits&11.1X.may 6e Rachel UMW*Space SMARM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUINOwa'n PFPPFEEMAXWE Kevin Joyce/LHP — ED 1988401/ACORD CORPORATION. All rights reserved. ACORD 25(2011/01) The ACORD name and logo are registered marks of ACORD INS025"mar ipMassachusetts -Department of Public Safety Unrestricted-Buildings of any use group which Board of Building Regulations and Standards contain less than 35,000 cubic feet(991183)of Construction Supervi%or M enclosed space. License:CS-106178 ctn'c 4 WESLEY COunrgE�nom 166 NORTH MAI$s f - South Hadley M.+F once) 74V failure to possess a current edition of the Massachusetts v letto - .'Mate Building Code is cause for revocation of this license. j„L,.d,66�. Expiration Commissioner 09/29/2017 tor OPS Licensing viformationvnrt www.Mass.6ov/DPS _ cV%€ ?pa�rnn ancwweaf i V /eke ade..� mss` Office of Consumer Affairs and Busy ss Regr lation 11 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 175982 Type: LLC Expiration: 627/2017 Tr0 265208 AMERICAN INSTALLATIONS, LLC WESLEY COUTURE 130 COLLEGE STREET SUITE 100 SOUTH HADLEY, MA 01075 Update Address and return card.Mark reason for change scat 0 20M 05/11 0 Address 0 Renewal 0 Employment 0 Lost Card c7b.,#o ne mowerea 0/6/211dl., /.z cfL 1 \ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only W OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistm6on: 175982 Type: Office of Consumer Affairs and Business Regulation Expiration 6127/2017 LLC 10 Park Placa-Suite 5170 Boston,MA 02116 AMERICAN INSTALLATIONS,LLC WESLEY COUTURE 130 COLLEGE STREET SUITE 107) , ,„ //^/Lt/ SOUTH HADLEY MA 01075 Undersecretary N slid without signature