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17C-105 (5) 71 HIGH ST BP-2019-0240 GIS H, COMMONWEALTH OF MASSACHUSETTS Mao:Block: 17C- 105 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Perm+t: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: KITCHEN RENO BUILDING PERMIT Permit# BP-2019-0240 Proiect# JS-2019-000387 Est.Cost: 564000.00 Fee:8416.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: THOMASDADMUN 107919 Lot Size(sn.ft.): 6446.88 Owner: LOCOCO MARIE D&MARIE AUGUSTINA LOCOCO Zoninu� URB(100)/ Applicant. THOMAS DADMUN AT: 71 HIGH ST Applicant Address: Phone: Insurance: 60 SCHOOL ST (413) 387-7381 HATFIELDMA01038 ISSUED ON:8124/2018 0.00:00 TO PERFORM THE FOLLOWING WORK:KITCH EN RENO 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 0 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 of Occupancy Signature• FeeType: Date Paid: Amount: Building 8/24/20180:00:00 5416.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2019-0240 APPLICANT/CONTACT PERSON THOMAS DADMUN \C Q ADDRESS/PHONE 60 SCHOOL ST HATFIELD (413)387-7381 PROPERTY LOCATION 71 HIGH ST — MAP 17C PARCEL 105 001 ZONE URB(100)/ 11 Js THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST CLOSED REQUIRED DATE �v ZONING FORM FILLED OUT " Fee Paid Buildin2 Permit Filled out C Fee Paid Typeof Constructiom_KITCHEN RENO New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included Owner/Statement or License 107919 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOjLNATION PRESENTED: _UlApproved_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 Delay -_ /LLl� -6AVA 61 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 �[/GfrOnig 18 Sin*f V 1— city 11 N ipton % 14 g p Buil p 13 2018 n 2 2 M[n Street Roo 10C North mpt@N". ,oDWWmspffcYod -1-2 phone 413-58 APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING --------7 SECTION I -SITE INFORMATION I.IP,wefWAddress: This section to be completed by office Map Lot 10'6' Unit 0A olob' Zone Overlay District Elm St.District Ca District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED ZIENT 2.1 Owner of Record: M AfA li x-6110 It l bslSr. � 0A 0 IoC 2- Name(Print) Current Mailing Address: Signature OAL ja� Telephone 41b- 5s4- z�!54 2.2 Authorized Anent Tgm" -POVDdo ) bo SuWLS�. , ko-titu). HA o[o� Name(P Current Mailing Address rl'.' Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only in I ted b ermit applicant 1. Building (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing 00 Building Permit Fee Ji 4. Mechanical(HVAC) vC, 5. Fire Protection 6. Total=(I +2+3+4+5) 00c) -oo Check Number This Section For Official Use Only Building Permit Number Date I Issued: Signature: Building Commissionedinspector of Buildings Date +0W @ ka VA EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be fined in by BandmBce9anmGrt Lot Size Frontage Setbacks Front ' Side L. R: ._ Ll.. R Rear _.. Building Height Bldg.Square Footage Open Space Footage ye (Lot area minus bids&paved -- parking) NofPuking Spaces Fill: volume&Wczdon) --- A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES O IF YES, date issued:. IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES IF YES: enter Book i Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOWO YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained ® , Datelssued: C. Do any signs exist on the property? YES © NO 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 IF YES, describe size, type and location: E. Will the construction activity disturb(cleating grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO t lc t IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check II tobblicti Now House ❑ Addition ❑ Replacement Windows Alterations) I� Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding[0] Other[0] Brief Description of Proposed pp jLITLtitl.7 Work: t�rp>�bGr,l- Alteration of existing bedroom_Yes No Adding new bedroom Yes x No Attached Narrative Renovating unfinished basement Yes ___),( No Plans Attached Roll - Sheet sa.If Ngw house and or add@Ion to existina housing complete the following: a. Use of building :One Family Two Family Other Id. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes _No. Is construction within 100 yr. floodplain_Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes_No. I. Septic Tank City Sewer_ Private well_ City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT `^ I, ]"IAItiUe �.0-(.BLO ,as Owner ofthe subject property � j� hereby authorize -1t,�N'°Yriri 0"MA',J to act on my behalf,in all matters relative to work authorized by this building permit application. ?MI.0 A .Sri Signature of Owner Data as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. 714-1A Q/n>)Kd ) Print Name � ( � -- �(��I ��� Signature of OwnerlAgent Date SECTION 8•CONSTRUCTION SERVICES 8.1 Licensed Construction Sureemiso—r( Not Applicable D Name of License Holder: 1 1J��'�! DAVi CS - 101111 license Num9 r ( 0 �CIbn�Sr.�IFA,Yira��HA otD3Y� 24 � Lo19 Addres Expiration Date � �, f. — 41 �� a 13Bt Signature Telephone 9.Raolsteeed Home Imarovement Cantrai Not Applicable D rtlt- TVY44& rsfLf Luc, 1'19 (D82- Company Nam l Registration Number 60 4"11tYlhdlo38 ?)Ug( � Address Expiration Date Telephone SECTION 10.WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.GL C. 152, §25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... D City of Northampton Massachusetts � 4 c DEPARTMENT OF BUILDING INSPECTIONS �k 212 Mein Street a Nanicipal Building Jy Oa Northampton, MA 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the`reconstruction,alteration, renovation, repair, modernization, conversion, improvement,removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by repistered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered. Type of Work: � oOf t ESL Cost: 4 (P 000• Address of Work: 711 f 6" ST. Date of Permit Application: Q'J�2b 201 Qj I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000.00 _Owner obtaining own permit(explain): _Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.C.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT. SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent ofthe owner: SIz317.11y, 1""" DOAIa 1�9�bx Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton a- Massachusetts � ' c L 'C DEPARTMENT OF BUILDING INSPECTIONS 212 Hain street aeunicipal Building Nortlumpton, MA 01060 Debris 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. The debris from construction work being performed at: It N,c;N Sr. (Please print house number and street name) Is to be disposed of at: (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: Att(Nw7�T1JG (zrf,7cu�1(✓ (Company Name and Address) 'll '�"12-olb Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. a�Ci2�ac�ut;�el�s Office of Consumer Affairs and siness Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement CGutivetor Registration r Registration: 179682 Type: LLC ( E>miradon: 872612018 Tri 419291 THE TUCKER GROUP I.I.C. y THOMAS DADMUN 60 SCHOOL ST - [ , HATFIELD, MA 01038 Update Address nod return,cud Mvkreswnfor chafte. Ej Address 7 Renewal J Employment Lost Cud 9CP 6 31rke511 �e 0ke aConniver mAiRmdunw•.,Safti^.,Ro{NkfiftL License u r iebftion vWd for ia9Cid01 w 001Y g. HpME IGPROVEMENT CONTRACTOR sslaro the<:pindoe data if found rens n: @ RpptradmC'1 7= Type, Office of Couumer AKdin and auNmu Regulation rr3�' i8 LLC 10 Park Plait-Suite 5170 07 &Mos,MA 02116 THE TUCKER ORCJIW 40.tr THOMAS OAWUW, 60 SCHOOL ST _ HATFIELD.MA 01030 Oedmfecetxry Not vdW without sigsatue ACORd CERTIFICATE OF LIABILITY INSURANCE DAT12/7DIYVYO zr1anolT 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: lithe certiboafe holder Is an ADDITIONAL INSURED,Ule polisy(ias)must haw ADOITIORAL INSURED provis7orls or be endoreed. 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 conhr rights to the certificate holder in lieu of such slldmaeffemgE). PROOucragA Susan Fleury,CIC MR "a cussanotno. _. __.. _.p NOE I C4T3,, 0 -_.. . Ale.ND: 1413)$84-9322 P.O.Box 447 Ap ese: sOeUrYEKPgGUSMMaNWM 1761Gng SVI INSURER( AFFMDING COVERAGE HAD. NodhamDion MA Owl MMMERA Main Street Amenca Assurance Cc. 29939 INSUIIEO INSURERS: DADMUN DESIGN&CONSTRUCTION 2Mc; 60 SCHOOL ST INSURERS: IXMJMX E: HATFIELD MA 01036-9]4] MSUREn F: COVERAGES CERTIFICATE NUMBER: CL17121,102420 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 RECIE REMENT,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 POHCI ES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE MY,p PMICYNUMBER gunI I.MILIMITS X COMMERCIALGENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 CLAIMI OCCUR PREMISE$ EB emnenu E 500,000 MEDE%F n orc n 5 10,000 A MPT46940 111131201] 11/1312018 PERSONALEADNNJLl E 1.000,000 GER]AGGREGATE LIMIT APPUES PER: GENERA-AGGREGATE 5 2,000.000 FIXICY ❑7COi LOC PRWIGTS-COMPIOPAGG 5 2'000'006 OTHER_ Menllry Remrery ri AUTO MOBILE IAINUTY I. le N E ANYAUTO BODILY WARY(.,'..,)OWNED SCHEDULE. BODSY INJURY(Pmu .X)AUTOS ONLY AUTOS HIRED NONOWNED AUTOS ONLY AUTOS.NLYUMBREW LIA9 OCCUR EACH OCCURRENCEE%CESS LNB CI NS-MADE AGGREGATE OED RETE-..E PER AND EMPLOYERS LIABILITY AND EMFLOYERS'LNBILITY YIM STATUTE ER ANYPROPRIETOP/PAMNENE%ECUTNE ❑ NIA EL EACH ACCIDENT $ OF FICE W M3ABER E%O.ICEDP (MMEel .r NXl EL.p5EA5E-EA EMPLOYEE S IIEkRI TIO.0Me, DESCRIPTION OF OPERATIONS CeIox EL.DISEASE-FDLICV LIMIT a DESCRIWmNOFWEMTIONSILOCAT SIVEXICLES(ACOR01e1,AddlgonoR mn MM1edul,,MYGawe .dIrmo,eepau Ienqu,ndI 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. AUTHORREDREPRESENTATIVE p 198&2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD � � � �s.e �a, . ,�,a.,ar,« �� ",�"° �a ' � 7 �, 6NL0�'Sa � s 'ysuo� }�s�iW�S��ysypgsN '"*f' The Commonwealth of Massachusetts Department of Industrial Accidents *I, I Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia orkera'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant I f do Please Print Legibly Name (Business/OrganintioNIndividual): VAI)M ro Dwt o Crry,61ayr RtTr�, Address: 1.60 Soab L- Sr. City/State/zip: 4*TrILk.q 0 A 0603$ Phone#: � 13 3�7 9b61 Are you on cantilever?Cheek the appropriate box: Type of project(required): LE]I am a cmployerwith employess(Poll and/orpeo-time)" 7. ❑New construction 2.❑Iamasole proprietor or permership and have no employees working former. S. ❑Remodeling any capr civ.loo workers•comp.issuance ourined] owrrtr dem II work myself No workers'veto sura. d 9. El Demolition I am a home g a yse [ p io ce require ]t 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑ Building addition come that all compeers either have workers'compmimraof citation unre arceole 11.[]Electrical repairs or additions pr.Mc.rs with no empl,ce, 12.❑Plumbing repairs or additions 5 to am a general contactor and l have hired the sub-contacters listed oa the attached sheer 13. Rauf repairs I These sub<onmctors have employees and have workers comp. watawe. ❑ fi.❑We are a cetpom[ion and its officers have exercised their right of exemprion per MGL c. 14.Q Other 152,§I(4),and we have no employees.[No workers comp.insummemcoirot •Any applicant that checks box#1 must also fill out me section below showing their workers compensation policy information. `Homeowners who submit this affidavit Indicating they are doing all work and then hire outside m.naemrs muat submit a new affidavit indicating such. :Contractors that check this box most attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contactors move employees,they most provide their werkers con, 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: Policy#or Self-ins.Lic.#: ''II Expiration Dato Job Site Address: it [ bto[' City/Statelzipe Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL a 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form ofa STOP WORK ORDER and a fine ofup to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby cert% under the paigns a da pe loes ofperjuy that the information provided above is true and correct. nn S' nt ,a..v-rte Ile, ��Gtnn�-�— Date: V I Z.2✓I 2, �1 Phone 4 -1-bf2 Official use only. Do not write in this area,to be completed by city or town ofJ7ciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DADMUN Design +Construction Project Info: SubContractor List Lococo Residence 23-Aug-18 41 High St Florence, MA 01062 Subcontractor: SMG Plumbing and Heating Scott Grochowski Cell: 413-364-7492 James Elkins Electrician Cell: 413-210-1379 SDL Home Improvement- Insulation Paul Schmidt Cell: 413-695-5485 Right Way Drywall Brian Johnson Cell: 413-537-2119 Northern Granite Work: 413-737-8700 Cortina Tile Franco Cortina Cell: 413-537-7614 Dion and Sons Flooring Daren Dion Work: 413-584-6170 Executive Painting Joe Ingram Cell: 860-490-3285 ACS CERTIFICATE OF LIABILITY INSURANCE 211 12017 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 CONSTITUTEA CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the c urtificater 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 Ne policy,Certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endoreement(s). PRODUCER ONTACT Clinician Carball0 NAME: Finck B Fares Insurance Agency l he PHONE BID (413)527-5520 (. No: (413)52]-59]0 6 Cam Lane E.MML ADDRESS: brarbello®finckendpertas.mm pUe INSURERS)AFFORDING COVERAGE NAIC0 Easthampton MA 01027 INSURERA: Amelia Insurance Group 17000 INSURED INSURER B' S M G Plummng 8 Heating INSURER 133 Moen Road INSURER D' INSURER E: Wes[fl¢Id MA OID85 INSURER F: COVERAGES CERTIFICATE NUMBER: CL17101003195 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OFAMC SUBIR P U EFF P U YEXP LTR DIED WV° POLICY NUMBER MMIC MW°NYYYY LIMITS X COMMERCIAL GENERAL W&LITY EACH OCCURRENCE E 1,000,000 QAIMSMADE ®OCCUR PREMISES fEa Cc nsma 5 50,000 MEOEXP(AMoneperson) $ 5,000 A 9520043004 09104/2017 09104)2018 1ER60NALSADVN,UpY 5 1,000,000 GENL AGGREGLTE LIMIT APPLIES PER GENERALAGGREGILE IS 2,000,000 X POLICY ❑PELT E LOC PRODUCTS-COMPOPAGG $ ?08Deae OTHER E AUTOMOBILE LIABILITY LCOMBSINEED ent,SINGLE LIM17 $ ANYAUTO BO°IIINJ°RY(Parpe—) E OWNED SCHEDULEDBODILY INJURY 1Per accum) E AUTOS ONLY AUTOS HIRED NON OWNED PRGPERTYOAMAGE $ AUTO60NLv AUTOS ONLY PBrecresm 8 UMBRELICIAB OCCUR EACHOCCURRENCE $ EXCESS UPS CLAIMS-MARE AGGREGATE S DEC I NETErviION 5 5 WORKERS --[r COMPENSATON R OTH- AND EMPLOYERS'LIABILITY YIN ATUTE ER ANY OFFICERIMEMBER EXCLUDE@ECUTIVE ❑ NIA ELEACHACCIOENT E IMecatOry lu NHl E.L.DISEASE-EA EMPLOYEE E II . camme Mer °ESLRIPTION GF OPERATIONS Ce I- EL.DISEASE-POLICYLIMIT 5 DESCRIPTIONOFOPEM ONSl LO AMI IVEHICLES(ACORD 101,Achadonel Remarks Schedule,maybe moral N manspace Ie required) PmOf cf Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Tom Datlmun I D+C ACCORDANCE WITH THE POLICY PROVISIONS. 60 SChool SI. AUTHORRFD REPRESENTATIVE N Hatfield MA 01038 C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(3016/03) The ACORD name and logo are registered marks ofACORD a Roc ibis CERTIFICATE OF LIABILITY INSURANCE DATEIMMRJD r , online THIS CERTIFICATE IS ISSUED ASA 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 endorsemend(s). PRODUCER C NI NAME: Bresnahan Insurance Agency,In ucNIEOdo 413-536-0536 ".No: 4135344291 100 Whifing Farms Road ADDRESS: Holyoke,MA 01040 INSUREVS)AFFORDING COVERAGE SAID INSURERA: Mapre Commerce Insurance Co. INSURED INSURER B: James Elkins INSURER C: 2 Williams Street INSURER D: Holyoke,MA 01040 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT0.7 TYPE OF INSURANCE INSID MD POLICY NUMBER MMID MMIDDMYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMSMADE O 06CUR PREMISES 101 Overrence $ MED E%P(Anon. —) $ 5.000 A 8008030003716 0WOU18 05/05119 PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER GENERALAGGREGATE S 2,000,000 X POL �JECT �LOC PRODUCTS-COMPIOPAGG S 2,000,000 OICYTHER: S AUTOMOBILE LIABILITY CRO MBMHEmOSIN LE LIMIT S ANYAUTO BODILY INJURY(Per perecn) S OKNEDSCHEDULED BODILY INJURY(Per a¢IOenp S AUTOS ONLY AUTOS PROPERTY DAMAGE HIRED NON GAINED 5 AUTOS ONLY AUTOS ONLY Per acci0enl Is UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 EXCESS LIAB CIAIMSlAAGE AGGREGATE S OED I I RETENTIONS $ WORNERSCOMPENSATON 0TH. AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOWPARTNENEXECUTIVE❑ N/A EL EACH ACCIDENT S OFFICERrMEMBER EXC W DED lManWray In ANN E L DISEASEEAEMPLOYEE $ ry oaemoe under DESCRIPTION OF OPERATIONS OeIow I E DISEASEPOLICYLIMIT S DESCRIPTION OF OPERATONSI LOCATIONS/VEHICLE$ IALORD101,AOOiOanal R..G .ScNe ,lgmay Eea hedifmonsMceisrequireI Electrician CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Dadmun Design&Construction ACCORDANCE WITH THE POLICY PROVISIONS. 60 School St. Hatfield,MA 01038 AUTHORIZED PRESENTATIVE 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD A�ROa CERTIFICATE OF LIABILITY INSURANCE 41n 1 a 20 B 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 Certifloate holder is an ADDITIONAL INSURED,the policy(we)MUM be endorsed if SUBROGATION IS WANED,subject to j the ounce and conditions of the Polity,certain policies may raeuim an andonven ant, A watament on this caminoev time nal confer dgms to the .w ificab holder in no.of such aWorwment(s). PRoeuci xOBT Cynthia BwuYraon, CISR Shabbier 6 Grinnell PHO ASC.N.,on (413)586-4111 pA%tuel.waJse. soar !,,.. B North %inq Street Via ,chandanon8uabbazandgsinnall.0. INaVRENI/l AifINldNfr tOIERAGE NAIL. !Northampton LW 01060 'waPPED..Selactiea To. Co of S Carolina INSDREa ',IWndes. 8electiye In. Ce of South a..t 39926 SOL Home Improusicant Contractors Inc. !.INMMITIF 24 Chestnut Sit...t xeUREN U. ',.iNEURERE iHatfield _ MA 01038 COVERAGES CERTIFICATE NUMBERTHEalt it £Act 2019 REVISION NUMBER! TH'S IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE.BEEN ISSUeC 10 THE INSURED NAMED ABOVE FOR THE POI'.CY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONOi'ON OF ANY CONTRACT OR OTHER COCONUT WITT,, RESPECT TO WHCH THS ! CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO AL. ILF ITRMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BE PN REDUCED BY PAID CLAIMS (LiRYM yp PD4CY pUNDEN Mit r%r YkvYYyY E%P%%e LISTS % COMMERCIAL aEMERAL t1ANLiTr FAL-OLCIIUINF 6 L000,0001 A rAiM5w0[ X `c iw -ANANETo ATHEO uA s lOC.0001 6¢24.069 .�uv 1. .illil9 10,000) cexcowa xuvirvJuer .6 1,000,000 v'Ev �GBEGAi6 JMit:.t+ .3 Pon "I"le l"llelA'E 6 3,000,000 X rt6v Plf41 =For (I :otnxq aOc s 3,DOC,00DI OMI( AmaMaaaewmrtv -----� Zr149Ft.T. 9.13 1.000,000 V V C e9Ji Vi 'r✓' = j A XIT i" `0A91603]E i1G!B 4 01 lITITT, NODI 1 NJa .n. 5 % NJA) DS X,4DHCWNiR IFe, YDLMfCO S U.. SI WIS 100,0001 X Han"B.LA IT As % ace:= ..� Eua''h CIIRNENC.i S : 000 0001 A EXCESS LIM <LANONMCE 'n{.,^fiIlit E 1.000,000 Va} % ry rPoIDM1 30 91 S2204"5Ij2016 SQI10_9 y WLRNER6 COMFENIAnON X AXD EMP4WlRE'LIAMLRY 'IN pvo OFR EtOwn enrEeLCL v NIA C" r 500,000 ' NUENMEMBEN iz,lil ITel Y B INYA.M bl .VN) 1M542.J YE a e..._ �at9 L - .YF E MWOYE!:> 500,000 J[A Al F1010 olIPATIONS roI�w _ ASt 50C,000 I i 11na Workers Cru pe1La tion poli,cA IOne 1T, t include Lover. g Iw�NFNrtlMmen ryNn n,pWn01 _as The tiorkare Compensation policy does not include coverage for Paul Schmidt, Kendrick Deapsey and Douglas 9mhmvdt. I I CERTIFICATE HOLDER CANCELLATION j SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE DADHUH Design ♦ Constx'l3Ction THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 60 School Street ACCORDANCE WITH THE POLICY PROVIs10NS. Hatfield, MA 01038 AUTNUMEID REPRESENTATIVE q V 4NO-2014 ACORD CORPORATION. All rights nursed. ACORD 25(2014101) The ACORD name and logo am registered min ke of ACORD I14802501uni ACC)PUY CERTIFICATE OF LIABILITY INSURANCE EAM(N'"'DDY"-`) 4/3/17 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: 8 the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions ofthe policy,certain policies say require an endorsement A statsmerd on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NRMEAFT MAttheW Brown Dale A Frank Insurance Agency, PHONE 413 665-8324 1 mx Na: (413) 665-1280 PO Box 455 ADDRESS: info@DaleFrankInsurance.com Sunderland, MA 01375 INSUIEIt(SLAFFO0.OING COVEMGE XAICp _ INSURERA:Providence _ INSURED INSURERS:Progressive Rightway Drywall Inc. INSURIERC:Guard Brian Johnson INSURER D: 206 Coles Meadow Road INSURER E: Northampton, MA 01060-1111 INSURER F: COVERAGES CERTIFICATE N UMBER: 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 CONDTIONS OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUN -TpOUCY EFF POLICY OR TYPE OFINSURNI(£ pOULY NURSER M.Rximm HauDEYYrviUMTS A GENERALUABiLIT' WPOO93210 1/15/19 1/15/18 EACHOCCURRENCE $ 1,000,000 ' X 1caMMERCML CENEw,LLwBwoAMAOE TO-RENTED Tv 3 50,.000 LIAIMSMADEOU,UR MED EXP(A Paao,) $ _5,000 PERSONAL&ADV INJURY i $ 1,000 OQQ GENERAL AGGREGATE 5 2,000,000 T GEN'LAGGREGATE LIMITAPP_LIE_S PER I PRODUCTS COWNSC . 5 2,000,000 POLICY PECT RO LCL $ B OLT)MOSILELIABIUtt 02849700-1 1/26/17 1/26/18 EeauI ED SINGLE LIMI $ -- ANYAUIO BODILY INJURY(Pe p¢on) $ ALTOS N=D SCHEDAUTOS BODILY BODILY INJURY(Per—dent) $ 500,000 NON-ONMED PROPE RfY DAMAGE q HIRED AUTOS AUTOS (P e,acuEmU_ UNERSE- nA9 OCCUR EACH OCCURRENCE $ eocci LU1B CLAIMS MAGEpOGHERATE $ DED RETENTION $ L. MaKERSCOMPENSATON A2NC615297 3/8/171 3/8/18 WC STAT0. OTH- MIDEMPLOYER$'LNDLTY YIN BE AND EL.EN:HACOLENT $ 100,000 OFFIfERrtu1EM1NER EXCUAEO'+ NIA (Mntlabry In AE EL.DISEASEEAEMPLOYEE $ 100,000 MY, RIPIONantler DESCRIPTION OF OPERATIC [slow E.L.DISEASE-POLICYLIMIT $ 500,000 DESCRIPTIONOFOPERATONS/LCCATONS I VEHCLES (AtlwBACORD tet,Aasional ReneM Sewn,le,ff—appiangUraf) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DAIS THEREOF, NOTICE WILL BE DELIVERED W Tom Dacll ACCORDANCEWmI THE POLICY PROVISIONS, 60 School St Hatfield, MA 01038 AUTHORDED REPRESENTATVE Matthew Brown ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The AC ORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: !A� CERTIFICATE OF LIABILITY INSURANCE D"TE'MMIDD"Y" 12/15/2017 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 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 endomement(s). PRODUCER NAME T Marayda Pagan, Extension 103 Foley Insurance Group Inc. Px°cnxn (413)214-]474 ac No:14131214'744' 37 Elm Street EMAIL m agan®fole insurance rou com msREss: P y g p' INSURERSAFFORDING COVERAGE NAICtl West Springfield MA 01089-2703 INSURER A:Patrons Mutual Insurance CO of CT 20028 INSURED INSURER B:Travelers Indep. CO Of CT 25682 New England Granite LLC INSURERC: 75 West School Street INSURER D: West Springfield, MA 01089 INSURER E. INSURER F: COVERAGES CERTIFICATE NUMBER:CL17121510698 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 CI NIMS. INSfl TypE OF INSURANCE AUXL ICL1CT NUMBER Po�CD rvFYY POLICY P DMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1S 1.000.000 DAMAGE 10 FEN ItU A C-IIMSMAOE 7.1 OCCUR PREMISES(Ea om,rren,e IS 300,000 OP2]91]52 5/33/2017 5/23/2018 MED EXP(Any one person) 5 5,000 PERSONALS ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE ' $ 2.000,000 E POLICY C'JEC T i� LOC ' PRODUCTS-COMPIOPAGG S 2,000,000 EC OTHER. $ AUTOMOBILE LIABILITY CEOM�BINUEED SINGLE LIMIT S ANY AUTO BODILY INJURY(Per Person) S ALL OWNED 6CHEDULED BODILY INJURY(Par ecciDenn S AUTOS ry.I.P.. DPROPERTY DAMAGE $ HIRED AUTO$ AUTOS P—$crown 8 UMBRELLA OAR ' OCCUR EACH OCCURRENCE 5 EXCESS LAB C1NEJMAOE 'AGGREGATE $ DED FFETENTION$ I S VWOTH RRERS COMPENSATION E PER AND EMPLOYERS'UABIN NTY STATUTE ER ANY PROPRIETORIPARTNEWEXECUTIVE YNI" EL EACH ACCIDENT $ 100,000 OFFICRM.EM BER EXCLUDED? UB6J159599D42G 10/2]/201] (MandauYin NH) 10/33/2018 EL DISEASE-EAEMPLE 5 100,000 B If yes.0earria uMer DESCRIPTION OF OPERATIONS be22 EL DISEASE-POLIOY Cry UNIT I S 500.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AEEIUarul Pers n$Schedule.may be matlud froom apace ie required) Proprietor/Partner/Executive Officer/Member exclusion applies on Worker. Courpensation. CERTIFICATE HOLDER CANCELLATION tamd®dadmundc.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE DADMUN Design + Construction THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Thomas Dadmu s ACCORDANCE WITH THE POLICY PROVISIONS. 60 School St Hatfield, MA 01038 AUTHORQED REPRESENTATIVE BrianFoley/LYNNE 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) Client#:41601 CORTH ACORD_ CERTIFICATE OF LIABILITY INSURANCEDAmem.-I 4/0712017 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 INSURERS,AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policylies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endomement.A statement on this certificate does not confer rights to the cmlificate holder in lieu of Such enciomement(s). PRODUCER NAM Ep T Mary A. Henderson People's United Ins.Agency MAPdl°c"ria x(.413 781-6871 FAX ac Ne: 1391 Main Street,3rd Floor DDRESS:Mary.Hendemon@peoples.com PO Box 4950 INSURERS)AFFORJXNOCOERAGE Nolo Springfield,MA 01101 INSURERA:Merchants Mutual Insurance Co 23329 INSURED INSURER B: _ Cortina Tile of West Springfield 1645 Riverdale ST INS REDc: W.Springfield, MA 01089 NSURERD_ _ IN E: _ NSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS LS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. INS. ADDLSVB -POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSe AND POLICY .ER MMoGmArYY MMIOOIYYW LIMIT$ A X COMMERCIALGENEMLLNBILITY X BOP1071849 3/30/201703/30/201 EACH OCCURRENCE $1000000 OAM4(,pT RENTED CLAIMSMACE 1000UR PREMISE$ Ee ovurtano $500000 X BIkt AI Per Prior MED PP(My one Damm $5000 Written Contract PERSONAL S ADV INJURY $ GEN IT AGGREGATE LIMIT APPLIES PER'. GENERAL AGGREGATE $2,ODD,000 PR POLICY FAXI JECOT LOC PRODUCTS-COMHOPAGG 82,000,000 OTHER: $ AUTOMOBILE LIABILITY Ear-dEnISINGLE LIMIT $ ANY AUTO BODILY INJURY(Per Gemn) $ B ALL OVMED SCHEDULED BODILY INJURY(Peracodenl) $ u AUTOS AUTOS NON.ONAED PROPERTY DAMAGE $ If AUTOS AUTOS PerawEenl A X UMBRELLA LIAR X OCCUR CUP9146566 3/30/2017 03/30/201 EAC.00.U.RENCE $1 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE '$1 000 000 DPD X RErENTION$10000 $ A MRNERB COMPENSATION 'WCA1033448 3/30/2017 03/30/201 X PER ',OTH- AND EMPLOYERS'LIABILITY - ANYPROPRIETORIPARTNEWE%ECUTIVEY�N EL EACH ACCIDENT $500,000 OFFICERIMEMDER EXCLUDED? �NL NIA IMernmemo nNH) I EL.DISEASE-EAEMPLOYEE $500060 I'M yea oeuida w,me DE SORIPTION OF OPERATIONS.— E.L DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATION$I LOCATIONS I VEHICLES(ADDED 101,AEOitlonal Remarks simerme,may se aXacNtl it more pace is reamn d) Blanket Additional Insured per Merchants form MU8277(1111); Blanket Additional Insured-Completed Operations per Merchants form MU8530(Ill 1) Proof of Insurance CERTIFICATE HOLDER CANCELLATION DADMUN Design+Construction SHOTHELD ANY EXPIRATIONDATEDATE VTHEREOF,E NOTICEIES BE WILL OBE CELLED DELIVEREDONE Attn: Tom Dadmun ACCORDANCE WITH THE POLICY PROVISIONS. 60 School Street Hatfield, MA 01038 AUTHORRED REPRESENTATIVE PArA&S C AfHd,WOAZ ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) 1 Off The ACORD name and logo are registered marks of ACORD #S812656/M795873 MADCT !{ CERTIFICATE OF LIABILITY INSURANCE DATEIMNIDDMW, /27/2017 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 i5 an ADDITIONAL INSURED,the policy(ies) must be endorsed. M SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsemerd. A statement on this certificate does not confer rights to the certificate holder in lieu of such endamement(s). PRooucea NAME^Oi Barbara Grynkiewicz Webber S Grinnell PHONE (413)586-0111 arc xo: (413)$86-6401 8 North King Street EMAIL ADDRESS: g b rynkiessicz@wdgrl ebberan onell.cons INWRERB AFFORDING COVERAGE NAICp Northampton MA 01060 INMRERA:Patrons Mutual Ins. Co. of CT INSURED ausp nUState Act. PLO ert 6 Casualty Inc. A. Dion 6 Son Floor Contractors, LLC INSURER C: Attn: Donald 6 Daren Dion INSURER D: P.O. Box INSURER E' Hadley MA 01035 INSURER r: COVERAGES CERTIFICATE NUMBER:Exp 7/1/18 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 HATH 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. IXSR TYPOLICY EXP TR RE OF INSURANCE POLICY NUMBER MMIDIPYYYn MMNdYYYY LIMITS L X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 DAMAGE i� A CIAIMSMAUE OOCCUR PREMISES Ea cmneme S 300,000 W22806463 03 7/1/2017 7/1/2018 MED EXP(my one person) S 5,000 �rI PERSONAL d AOV INJURY $ 2,000,000 _J 'GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 41000,000 X X RRC' � LOC PRODUCTS-COMPIOPAGG S 4,000,000 POLICY L JECT OTHER S AUTOMOBILE URIMUTY LS MBINEDSNGLE LIMIT g 5,000,000 A ^ANY AUTO BODILY INJURY(Per peraon) $ ALL OMED X AUTOBULED BAE2406132 03 7/1/2017 7/1/2018 BODILY INJURY(Per.-Hear) $ X HIRED AUTOS X NOMOVJNED PROPERTY sr."N'DAMAGE $ AUTOS X 19 PIP Basic S 8,000 X UMBRELLA LIAs OUR EACH OCCURRENCE $ 2,000,000 A E%CESS LIAR CL`/CMS-MADE AGGREGATE S DED RETENTION$ IX52125771 03 7/1/2017 7/1/2018 g MIND ERS COMPENSATION X BTATUTE X ERH AND EMPLOYERS LIABILITY MY PROPRIETORIPARTNEIVEXECUTIVE YIN NIA EL EACH ACCIDENT S 1,000,000 B OFHCER,MEMBE)EXCLUDE% NCE222p6B9 03 7/1/2017 7/1/2018 EL.Lis EMPLOYE S 1 000 000 (ManEabry in NM) H yas desvi�uMe, DESCRIPTION OF OPERATIONS below EL DISEA$E'PDLIDY LIMn $ 1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,AEEklonal Requires Schedule,may be upaeNM N more space Is required) CERTIFICATE HOLDER CANCELLATION tomdijdadmundc.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Tom Dadmun THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 60 School Street ACCORDANCE WITH THE POLICY PROVISIONS. Hatfield, MA 01038 AUTHORIZED REPRESENTATIVE M Horan, CIC, CISR/BK m 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS0251301401) INGRAMJODI MI LS III CERTIFICATE OF LIABILITY INSURANCE D 21512017 ) 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. U 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 endorsemem(s). PaosucEx BRAPDT Melissa L Mills P R The Jarrett Agency NINo,EM):(860)7451222 iArc,Na¢(860)741-6901 657 Enfield Street Enfield,CT 06082 E- uL melissa thejamettagency.com INSURERS AFFORDING COVERAGE NAICN ' INSURER A:Main Street America Assurance Com an 29939 INSURED wUuNN.:NGM Insurance ComDanv 14788 Executive Painting and Wall Covering LLC INSURER c 10 South Road IxsuaeR O: Enfield,CT 06082 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. NOTWTHSTAN DI NO ANY REOUI CEMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WH ICH TH IS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR rypE OF INSURANCE Dot SUBR pOL1CYXVMBER POLICY EFF 1.POLICY E%p LIMITS A COMMERCIAL GENEMLLIA&LIT' EACH OCCURRENCE $ 1'000'000 CLAIMS MA.E X OCCUR MPT7137P 08/22/2017 08122/201B DAMAGE TO RENTED IS 500,000 X BOP MEDE%PAnon $ 10,000 PERSONAL S ADV INJURY s 1,000,000 GEN'L AGGREGATE LIMITAPPLIESPER'. GENERAL AGGREGATE 5 2'000'000 X POLICY[:1 LETT � -COMPIOPAGG LOC PRODUCTS8 2'000.000 OTHE AUTOMOBILE LIABILITY E.OhlCOMBINED SINGLE LIMIT $ ANY ALTO BODILY INJURY Per $ ON ED $CHEDVLED PATES ONLY �AUTB$ 775 INJURYenl $ Q� pµ}I DAMAGE $ AUTOS ONLY AQTOS ONLY $B X UMBRELLAWB X OCCUR $ 1.000'000 ExcEss use CLAIMSMAGE CUT713]P 0 812 2/2 01] OBI22I2018S 1,000,000 OED X RETENTION$ 10,000 $ Vq%ERSCOMPENSA90N PER C AXO EMPLOYENS1A LITY YIN AT E RY PROPRIETORIPART NERIE%ECUTIVE T. E.L ACM ACCIDENT $ aEIDERIMEMBER E%CLLEE.' WLary In RE) a EL DISEASE-EA EMPLOYEES If ya tlacviM LIDE CRIPTION OF OPERATIONS IOw EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarya Schedule.may IM attached if more None Is mquiAd) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE n 8 Construction THE EXPIRATION DATE THEREOF, NONCE WILL BE DELIVERED IN DatlmUn Design ACCORDANCE WITH THE POLICY PROVISIONS. 60 School St Hatfield,MA 01038 AUTN/`O/RMED R(REPRESENTATIVE/ Y V✓✓_ ACORD 25(20161 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD aJXWOKUMAIII D"" Louis Hasbrouck ghasbrouck@northamptonma.gov> 71 High Street Louis Hasbrouck ghasbrouck@northamptonma.gov> Fri,Aug 24 2018 at 9:06 AM Draft To:lam@dadmundc.mm Thomas, We need a set of plans for the lob at 71 High Street.Can you email them to me or drop off a copy? Lel me know if you already did. Thanks. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office ;413)587-1272 fax