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24A-042 (11)
120 JACKSON ST BP-2020-0266 GIS#: COMMONWEALTH OF MASSACHUSETTS MW:Block:24A-042 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-2020-0266 Proiect# JS-2020-000451 Est.Cost: $23144.00 Fee:$0.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ERIK NERSTHEIMER 100459 Lot Size(sa. ft.): 274428.00 Owner., NORTHAMPTON CITY OF JACKSON STREET SCHOOL Zoninpz: URB(100)/ Applicant: ERIK NERSTHEIMER AT. 120 JACKSON ST Applicant Address: Phone: Insurance: 1341 ELMWOOD AVE (401)744-8387 WC CRANSTONRIO2910 ISSUED ON.91412019 0:00:00 TO PERFORM THE FOLLOWING WORK.WEATHERIZATION/INSULATION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: 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: FeeTVpe: Date Paid: Amount: Building 9/4/2019 0:00:00 $0.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner sA4 /a,7SY0-\- Versionl.7 Commercial Building Permit May 15,2000 Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: I This section to be completed by office L 4 � 073 ' Map a�f4— Lot (JqZUnit �/02 �N►Pi O� Nl D/06 a Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: Signature Telephone 2.2 Authorized Anent: Y Name(Print) Current Mailing Address: Signature ! _ ✓' Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 1 y (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) Ok 5. Fire Protection fff►►►��� 6. Total = (1 +2 + 3 +4 + 5) Check Number This Section For Official Use Only Building Permit Number Date Issued Sign tore: I t Buil ng Commissioner/Inspector of Build Date �7A► j e e �" LI h Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description Enter a brief description here. 1. �tJ�9;I/arts �i o��j2 S , -Z . //z S&& /Z19C' vOCL Of Proposed Work: oA,'N4C 1 C©1,. 3. 6tvv (Z- v,✓-ini.SVt �s cv C�Mh ov✓ c✓�c( /,4-,, L r✓Tr2 SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational Q, 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify. COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 1 m.e st =_ 2nd 2nd 3rd 3rd th Total Area(sf) Total Proposed New Construction (sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40, §54) 7.1 Flood Zone_Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood ZoneE] Municipal ❑ On site disposal system❑ . / VcrdooL7Commercial Building Permit May l5,20OO S. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be fined in by Building Department Lot Size Frontage Setbacks Front 7- Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved #of Parking Spaces (volume&Location) A. Has aSpecial Permit/Variance/Finding ever been issued for/on the site? �� �_��� NO �_��� DON'T KNOW ��� YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO �� »�� DON'T VV KNOf YES �~*��� �-� -___- v��- IF YES: enter Bonk Page and/or Document# - — 01-N- �� B. Does the� ��site a brook, body NO »�� DONT KNOWV�y YES v�� IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained �-��-� »-�Obtained Date��/ ' . �� �� C. Doany signs exist onthe pnope� �_�y7 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 0 NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb(doohng. grading, excavation, orfilling)over 1 acre oriaitpart ufacommon plan that will disturb over 1acre? YEGK l NO K^�- �� �� IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 55,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number i Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor RISC ANG I'VtG�`2/✓y(t' Not Applicable ❑ Company Name: Responsible In Charge of Construction 1,7'41 LCA? 4sJ ..v _. as C2e�voly Oa �/v Address Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes O No a SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, _.!. . ... 1.u2-7Hft f... 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. Print Namfi Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder License Number 1241/ ZL4&11t+0 14v�s G?o�✓Si vy dc'1 c7 Y/ c> Address Expiration Date 741 -$3 Signature Telephone SECTION 13-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, §25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the bui ing permit. Signed Affidavit Attached Yes No 0 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: I -) 50CKS'v4, 9`1, The debris will be transported by: ',Sas AA.16-1 tfR6cs.% The debris will be received by: RI Q-43o2cS' / foyl2y- 6 S Best/ p/ad' 30 H4,S7'•n/, 2 1 OC�\a/'T Building permit number: Name of Permit Applicant �Z-3 d h<�' Date Signature of Permit Applicant From: 13 O,) c_D To: Louis Hasbrouck Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 The Massachusetts Building Code, section 107.1 allows for an exclusion from requirements for construction control in certain situations. In accordance with code section 104.10, 1 request that you grant a modification to waive the requirement for construction control of the project at 100 o f Cis vii S i Ic lox?t oje±4�rv,v because the work is of a minor nature, will not affect structural elements, health, accessibility, life or fire safety, and will be done in accordance with the prescriptive requirements of the code. Thank you for your consideration. Respectfully, The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 �y www.mass.gov/dia «'orkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aplicant Information Please Print Legibly Name (Business/Organization/Individual):Thielsch Engineering Address: 194 Francis Ave. City/State/Zip:Cranston, RI 02910 Phone#:(401)467-6454 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓a I am a employer with 599 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.FJ I am a homeowner doing all work myself.[No workers'comp.insurance required.]' 10[] Building addition 4.E]I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.E:]Roof repairs These sub-contractors have employees and have workers'comp.insurance. 14. Other Insulation 6,F-1 We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Zurich American Policy#or Self-ins.Lic.#:WC373096109 Expiration Date:01/01/2020 Job Site Address: 120 Jackson St. City/State/Zip:Northampton MA01060 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 c. 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 of a STOP WORK ORDER and a fine of up 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. I do hereby certify der a pai and penalties of perjury that the information provided abov s tru and correct. Si nature: Date: ?` 02 7 Phone#:(401) 784-3700 x 6133 Official use only. Do not write in this area,to be completed by city or town official. 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#: Client#: 73967 THIELENG2 DATE(MM/DD/YYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 01/03/2019 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 endorsement(s). PRODUCER CONTACT NAME: Allison R.Dyen CPCU Starkweather&ShepleyPHONE 401 435-3600 aC No): 401 431-9651 AIC No Ext PO Box 549 ADDRESS: adyen@StarShep.com Providence, RI 02901-0549 INSURER(S)AFFORDING COVERAGE NAICp 401 435-3600INSURER A Zurich American(IGS) 16535 INSURED INSURERS:Hanoverin-rano co 22292 Thielsch Engineering, Inc. INSURER C:uWJWa or tOn'IOn(PISCO) 15792 Thielsch Group, Inc. INSURER D Arn rican0—t-(Zurich) 26247 195 Frances Avenue INSURER E raIllinois Union 27960 Cranston,RI 02910 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TR TYPE OF INSURANCE ADDLISUB WVD POLICY NUMBER MMIDDY EFF MM/DDYYEYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GL0373096209 1/01/2019 01/01/2020 EACHOCCURRENCE $11,000,000 CLAIMS-MADE 7X OCCUR PREMISES Ea�REoNaTuED,.. $300,000 MED EXP Any one person) s6,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY�ECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAP373096309 1/01/2019 01/01/202 E,.diiintl LE LIMIT 2,000,000 IXANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS X AUTOS Per accident D X UMBRELLA LIABX OCCUR AUC485718808 1/01/2019 01/01/202 EACHOCCURRENCE $15 000 000 EEXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DED I I RETENTION$ I $ A WORKERS COMPENSATION WC373096109 1/01/2019 01/01/202 X PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN *See Remarks* E.L.EACH ACCIDENT $11,000,000 OFFICER/MEMBER EXCLUDED? � N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 -- B Lsd/Rented Equipt RHED13073302 1/01/2019 01/01/202 $200,000;$1,000 Ded C Professional Liab B0621 PTHIE0001 19 1/01/2019 01/01/2020 $2,000,000/$5,000,000 E Pollution Liab CPYG71476297001 )1/01/2019,01/01/2021 $2,000,000/$5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) **See Following Page for Job/Coverage Descriptions& Remarks** (See Attached Descriptions) 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. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD #1248528 PAT1 1 DESCRIPTIONS (Continued from Page 1) Named Insured Listing: Thielsch Engineering, Inc. Thielsch Group, Inc. Creative Environment Corp. Coldmasters Temperature Control, Inc. dba Modern Metal Insured Divisions: RISE Engineering Gaskell Associates BAL Laboratory ESS Laboratory ALCO Engineering Water Management Services **Workers Comp Information** States Included for Workers Compensation Section 3 A: AL,CT, FL,GA, LA,MA,MO, MD, NH,NY,OH(Including Stop Gap), PA, RI,TN,TX,VT Section 3 C:All States Endorsement Included except the following States: ND,OH,WA,WY USL&H Coverage Included for All States insured under 3 A **Professional Liability Information** Each Occurrence Limit$2,000,000;Aggregate Limit$5,000,000 **Pollution Liability Information ** Each Occurrence Limit$2,000,000; Aggregate Limit$5,000,000 SAGITTA 25.3(2014/01) 2 of 2 #1248528 RISE Engineering Air Sealing and Insulation Specifications Facility: Jackson St. School LOCATION: 120 Jackson St, Northampton MA 01060 GENERAL PROJECT DESCRIPTION • Perimeter air sealing. • Seal and insulate center attic. • Door weather-stripping. Weatherization Measures • Air sealinq: The insulated flat roof sits of a corrugated steel deck that is not sealed at the perimeter allowing heat to escape at the roof edge/ exterior wall transition. Flat roof perimeter: 830 If of the perimeter has the corrugated roof deck sitting on top of the CMU wall where there are 1" gaps in the corrugation of the roof deck that can be sealed using one part foam. Center attic: Seal the 1160 sf attic flat under the existing R-30 (nominal) blown fiberglass and 900 sf un-insulated vertical common wall areas using one part foam. The common wall areas will be insulated with R-13 fiberglass batt and a 1" (r-6.5) rigid insulation board. The attic access hatch will be weather-stripped and insulated. • Door weather-stripping: There are 29 exterior doors that would benefit from new/ replacement weather-stripping. Install weather-stripping and appropriate sweeps to: - 11 double steel doors= weather-strip the frame, replace the astragals and install sweeps. - 18 single steel doors= weather-strip the frame and install sweeps. 1 �� �'� �-" s �,# ., �_-- ,, r. �,r��l � �_ c ,. _ . —--�--- .��- ��. �� � �� ' � � �� _, n� � � � s�� � �� ^_ __ � > -- ---- -- �.� INSTALLATION AGREEMENT Jras Account: 1 106332004 Audit# I ('G(-N(-R0030290,5 Read this Agreement and make sure you understand it before signing it. Make sure all blanks are filled in. "Phis A reentent hus le al force and effect and binds those who sign it. This Agreement is made on 7111/2019 between RISE Engineering 1341 Elmwood Avenue Cranston RI 02910 800-422-5365 hereafter called"RISE"& The Jackson St School,120 Jackson St.,Northampton,MA 01060 hereafter called"Customer". This Customer of the above mentioned property is the: OWNER LESSEE Check one) Work Location if different from Above: YM Y O DESCRIPTION OF WORK TO BE PERFORMED:In condiseration of RISE s agreement to perform in a good workman)ke manner all Work("the Work")detailed in the attached Work Order(s),Customer agrees to the terms and conditions of this Agreement The Work to be performed imiudes' a QTY Energy Efficiency Measure 1 830 LF Roof perimeter air sealing 2 1160 Central attic air seafin,3 5"FG Batts&1 rig d board on cheek wa Is,2'n id foam and weatherstrip on attic access hatch 2 11 weather strips,astragals and sweeps on double steel doors 4 18 weather strips and sweeps on single stee doors Nate:Building subject to further inspection and or combustion testing prior to commitment of installation and or utility agreement. No deposit necessary. TOTAL Project Cost Utility Incentive I Customer Contribution I Annual Savings* Payback Period' $ 23,144"20 5 18.144.20 5 5,000-001 5 3,683 UO 14 Based on Estimates PRICE:RISE and Customer agree that all Work described n the attached Work Order(s)and shown on the accepted Offer Sheet,attached hereto,will be performed at a Total Cost of: $ 23,144.20 Total Cost The total amount eligible for Energy Efficiency Measure Incentives is: $ 23,144.20 Eligible Price Through RISE, Columbia Gas Co. will pay an incentive through Its program of: $ 18,144.20 Incentive Amount Customer agrees that the amount it must pay for the performance of the Work Is- $ 5,000.00 Customer Share FORM AND TIME OF PAYMENT OF CUSTOMER SHARE:Customer agrees to pay Customer Share as follows(select option below): XThe customer will direct Columbia Gas to pay all incentive payments directly to RISE Engineering.Upon coAspletion of all work,RISE Engineering will Issue an invoice to the XCastomer for the Customer share of the costs The Customer will pay the'ustomer Share of the costs within(45)days of the receipt of the Invoice. Customer wig contract and pay in full for the work through afternative/independent means.Within thirty(30)days of successful completion of the Work RISE will be contacted to perform a post-installation/implementation inspection of the Work After approval of the Work by RISE,verification of costs and submittal of required documentation including but not limited to permits,invokes,proof of payment,etc.Customer will received incentive payment from RISE in the amount of the above listed Incentive Amount within thirty(30)days of the RISE inspection and mceotve approval by the above utility company. Failure to notify RISE of completion of the work and/or failure to subm t requited documentation within the thirty(301 day timeframe may result in loss of Incentive Amount payable to customer COMMENCEMENT AND COMPLETION OF WORK:The work will begin on or about 8/12/2019 and continue each day thereafter until all Work is completed,barring delay caused by circumstances beyond RISE s reasonable control. If Customer is contracting in full through alternative/independent means, all Work must be completed and all documentation,as noted above,must be submitted to RISE within one hundred eighty(180)days from date of execution on this agreement. DISCLAIMER OF LIABILITY AND RELEASE OF COLUMBIA GAS OF MASSACHUSETTS Bay State Gas company d/b/a Columbia Gas of Massachusetts is not a parry to this Agreement.RISE and Customer,and their successors,executors,administrators,and assigns,do hereby release and discharge Columbia Gas of Massachusetts,its parent company,agents,affiliates,officers,directors and employees(the"Utility")from any and all claims,liabilities and actions of any kind,for loss,damage or injury to persons or property arising directly or indirectly from thea participation in this Agreement,or from the Work performed;and they each agree to defend,indemnify and hold harmless the Utility from and against any such claim,Nobility or action.Customer acknowledges that calculated energy savings are estimates only and are not guaranteed. ADDITIONAL IMPORTANT TERMS AND CONDITIONS ARE ON THE AEVERSE SIDU 16 4, RETURNCOPY WITH CUSTOMER`$ORIGINAL SIGNATURE TO RISE ENGINEERING ." 7n1no19 .r RISE Representative Signature Date CLostilaWPOWature Date Additional Customer Signature Date ADDITIONAL TERMS AND CONDITIONS insurance.RISE will be respumlble to Customer x any third party for any propetu damage or bodih Conn caused by RISE,it,co pbtees or Aa SUbcdnsrncCurs m the perfumancr of.or os a result of,the Work under thus Agreement and will nairain an)Insurance required to meet this obligation W ork perfgrsalne The Work described in this Agreement will he performed by or under the direction of RISE for the Cusuaxer in accordance wadi the Cantu and conditions of this Agreement RISE is an independent conuactur and is"acting as an agent of Cohimbia Gas of Slassachusetts kI�E agrees that products msta{kJ 1lJ erutallautsn slaCklarAs nlrat meet or exceed standards set firth m the Cohnmbra Gras of\sassachumu Demand Side Nlanagenrem PCngram If Cusrmner Ism lessee and Cox the mvnec st"Ile preprrty where the N a►rs to be perfixmed,the CustWer a:knnwkdges that the tTvner's written nmsent to the 1York ra necessar}prior to Ile winrmcneemeut of alyb'ork. Warranties.For any Improvement arranged by RISE.RISE warrants that the Work and the materials fu o s ed comply with the regwrentents of chis Agteemem and show set forth on Columbia Gas of Slassachuseru s Otimod Side Slaagenteat program In the event cry defect art 11 orknwtslup or nsytarals,or damage caused by RISE,its sobconuacton ernpb2as ter agents,as dwtrovrred within cute year aIle,the completion of the Work.Including.lean up,RISE shall 41 ns own"larme,forthwith remedy repair,correct,replace or carie W lit remedied,Ietvued,x roplaced,such danuge or such defect in materials or N'orknwuhlp The faegouag warranties alas sur,nve ani Irupecom performed an accordwx with the Program (Attach any aJJawaat temu agr%vd Co by RISE and Cmionert This actinic gives Cha Customer sprcil"x legal uglta and the Custuaer may alio have chef nglxs wltclt vac.tram state Io state Authoriaalias by Catlgaler The Customer hetet"authorises RISE to"tans openings necessary for the parformance of services and the mstallauon of rhe GmxL<ipacrfsed R1SF'.will close all.loch openings ilia Mat and Wolsir l ille Colmar I IUwea'!r,Ifupamnus are mad!thfWgh xllkea.bn'Ifk alueer,:dtlminwm,asl•efloa ihingks Or slding 11 nbRw'rust fm paxslhle IU match aha-color w texture of the exasing nrraten d axacily,and in that t w em RISE shall not(+c iespwurblc liq Its mafxhty to do so If the Customers building a back plaatereJ Cheat ibis Alp"Client is void The Customer guars tm full Integrity ofall walla and Cidh compliance with all dMicelsla codes and standards Ifilus Agreement relates to W rk to be performed an J„eftntg wits art n Sluhi-fam,h Facility(I e..facditles with five 0 p sr more Jwellinf until,the Owner of such Facdgy must compkhe and execute Che attached Sluhi-fanuh Authorization Ruler The ROcr ss an integral part ofdus Agreemem Castorer vworramtdes. Cuuaaer wanams that n Is an autluxved korai ter Cha wvaer of the Itemises and than it had absuhue authorgy to contract ux the Rork herein specuicJ Vaforeseeu ewulitiem RISE,its subnmtractars,en-joloyees.rte agents%lullprix rte emmneluerent of de 1C ods reasonably endea,or m d6cowt conditions onurbuting the overall cast of the \Conk Cvatornel aclnuwkJges that usIlorescen cundnivns,iachklrrlg,lqn ria hnutvgl aro dx•encumuen,�ui'rtgul.ucJ to huadoau nuurnals a cunJmwn,shah be tin responstbabty of tlar customer and aro nut included in the:palet of this Agreement Active fins Aetonul.Cusinner ac'know'ledges that It will not be entitled to hICIMIyC;\rmugra ctrl(:untonner has a rah&mine,and current Columbu(ias of mria%acfustus account Cusimmi fwthor ackmowUlles that it must dcmonattate dot it is taking frim dellw*of gas before it Is entitled to tncentrw Anvmnt No Duplicate luceatives.Custo neer aektun%Wges that Energy liffciency Steastres for which an h tcn;i%e Alirowll is reetwrJ wider illi Agieennenl:are nor eligible for any Whin Utility sponsored rebates or incentives. [f tele Custonser receives nuftple rebates andw mecrurws for the same n>casures(s).it all prop lmly refund am-rebateincentive to which it war not emnitd Dual•Footl capability.In Che event that u C'ustonnr bus or numfams dual-fuel easvldtxw a8ti Che csomplcnon ofthe Wil,Customer acknowlc,*s that it mast sign a Shnmwm Use Agrvrmcnr wish C.durdna Gas of Stassachnecits Primtothe payment ofthe Incent"e Annum Customer 21W mcknowkdgts that aha Slmmnmr ufsage Agrecmcm shall be specific to the Customer's site conditions as drey exist atter[he performance of the Work Payment is full.if Customer n rn default_RISE will Site Cuswnwr nulaee of Mss i'act as rer(usreJ 1"appbsable law If Cusionni has not cured default wghm 21 Jays alter C'uslaner has been green required nonce.RISE naay require Customer Io MOM anlourns owed umier this Agreement in A.plata rmtresr ala rate of 11ro APR Incurred from the rine ofthe default.in one single payment Customer mac nuke additional payment,or tray'more than the payment due.at any uta wtlfiove penaln Colleclioa costs and lateresi.Custonxr agrees w pay RISP's court cost,auonxys fen and Interest dRISE takes action to enforce Ifni Agrecrutin tid collect amounts Cosionur owes under this Agreement:as allowed by law Customer ivill be In default under this Agreement If tl breaches a material prmunin of this Agreement. Release orCusla str iuferaatioa "al agree Mat we nay Juclow mf'onts�wxi atuwt your cred�tuwfMtaess Ilii Cha.Agreement to consumer ne(innutg ageleles.a atTCliates ark)subandunes aid w oihera ire ratio tquutesa reasltns Wynn are an Jefaidt wider Chis.\gieensont J,xlusure of nnfwrnauat about Ibis Agreement may adw ersely affect your credit rating Cnstalet cwusenli sec RISE obt:umng Cusuallrer's credit and other account mfrrmwion front CohnnMa 1 ias of Slassxhusols if;vwartor.F:xectuon of IMs Agreement a%a Culantor(also known as a Cosrrprer)binds the Guarantor to all of'the reins of this Aareemnn Guarantor understands that it is prsranieeing the C'usumei s prima w pea all amounts oaa ag under this Agrctnemn akl wawnw any rcgwrclients aCmxlce..(xcsentnlrnt,aral dishowr haeuf If the Customer does not M.Guarantot wall hast Its-RISE may eolkcl any amount owed under this Agreeuacat from Guarantor without first trying W collect halt the Custom r.Guarantor most pair RISE even d'RISEIaf Calls to talc any action pernutled Calder tics Agreement against the Customer or At Collateral.rbf falls to protect or preserve the Collateral-to waives any ofour rights under this Agrtsalent.or sal allows die Customer to make paymentsatter the due date RISE may take anv oafthese actions ivahout ulhng the Cust mlar Other Important Prosisions This Agreement,including the pro,mats relating to price and payment cannot be changed exeept by a written siatenaem signed by both RISE and Customer The obligations under this Agreement are binding an de Customer,its successors,asssgrs,executor,administrator.x heirs RISE may assign its rights fm whole or in pan)wider this Agreement to Columbia Gas of Massacfmsau If flus Agreement is assigned to Columba Cias dSlaasar:hiarus.Cnaton er Covers io nuke its paymetts directh to Columbia Gas of Slassachu Its erns assignee Customer agates that RISE may delay enforcing its rights alder this lgreerneM walking kismg dense rights an any other nghu Crntomer also agrees Chat enforcenem orally particular legal right will not prevent RISE froma tnrorcirej any alter legal lights Any party signing this Agreemttu on bebalf orthe Cgs,frl el'shall III,sespalsible fn mmig the crane amount cawed anklet ,his Agrecinent Ifany ofthe tante of dos Agreement ore Invalid or de lewd no,AJ by order afa court,the renumnsg terms of this Agreclnetu shuR nut be afitrted. A y pro,issan catlbci ng with applicable 43u wall be considered to be modified to comply with the law This Agicemlru will be goworted and interpreted under Sfassaclwsnts law and will take eftaa u a seand mstrunent.Any clam arcing hereunder shall only be brought and hard In a slate court Located m the Coomaomvraih of Slassachuse ls. XOTIC OYI,I'TO TIIE EXTENT RE QCIIRED Bl'i M SHALL ANN'I(OI.DER OF TRIS AGREF.%IE\7'BE st-Bircr'I'O TIIE CI„ IMSA\D DEFENSES WHICH THE CUSI'O1\IER COt LD ASSERT AGAIMST TIIE PROVIDER OF GOODS OR SERVICES OBTAINED PURSUANT HERETO OR WITH Ti IE PRO(-EEDS IIEREOF.TO THE EXTENT ALLOWED BY LAW.RECOVERY HEREU\DER Bl' THE CUSTOMER SHALL NOT EXCEED Ah1OCN'TS PAiD BY THE CUSTO)IFR HEREUNDER CITY OF NOR ON, MASSACHUSETTS CENTRAL SERVICES Memorial Hall,240 Main Street Northampton, MA 01060 David Pomerantz (413) 587-1238 Fax:(413) 587-1248 Director Central Services RISE Engineering 1341 Elmwood Ave. Cranston, RI 02910 Dear Sirs, By this letter, the City of Northampton assigns its Columbia Gas incentive payment to Rise Engineering, 1341 Elmwood Ave., Cranston, RI 02910, for the energy initiative project specified below. Please send the incentive directly to and payable to Rise Engineering who is our contractor for this project. Rise Engineering will credit the full incentive amount towards the total project cost of$23,144.20 and invoice the City of Northampton $5,000 for the balance. School—Gas Account#106332009, Audit #CGCSCR00302905, approved incentive amount: $18,144.20(Columbia Gas, through Rise). If you have any questions regarding this authorization please feel free to call Northampton's Energy& Sustainability Officer, Chris Mason, at(413) 587-1055 or the Director of Central Services, David Pomerantz at(413) 587-1306. Sincerel Chris Mason Energy& Sustainability Officer City of Northampton ENERGY CONSERVATION MEASURES TO BE PERFORMED LOCATION: The Jackson School, 120 Jackson St, Northampton,MA FURNISH&INSTALL: Building Weatherization Air seal 830 LF flat roof permimeter Air seal 1160 sqft,R13&1"rigid board on cheek walls,insulate and weatherstrip access hatch to central attic 11 double steel door weather strips,astragals and sweeps 18 single steel door weatherstrips and sweeps FLAT ROOF AIR SEALING Project Cost Utility Incentive Customer Contribution JAnnual Savings* JPayback Period* $ 9,853.20 1 $ 7,724.55 $ 2,128.65 $ 2,374.00 0.9 *Based on Estimates CENTRAL ATTIC Project Cost lUtility Incentive Customer Contribution lAnnual Savings* Payback Period* $ 8,323.00 1 $ 6,524.93 $ 1,798.07 $ 211.00 8.5 * Based on Estimates WEATHERSTRIPS Project Cost I Utility Incentive Customer Contribution JAnnual Savings* Payback Period* $ 4,968.00 1 $ 3,894.73 $ 1,073.27 $ 1,098.00 1.0 * Based on Estimates TOTAL Project Cost Utility Incentive lCustomer Contribution JAnnual Savings* JPayback Period* $ 23,144.20 $ 18,144.20 1 $ 5,000.00 1 $ 3,683.00 1.4 * Based on Estimates Note: Building/House subject to further inspection and/or combustion testing prior to commitment of installation and/or utility agreement. Facility owner responsible for all necessary ventilation work if needed. All measures must be completed to qualify for utility rebates. Mode bland � � .�_ Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction.Supervisor Specialty CSSL-100459 ' Expires: 03/28/2020 ERIK J NERSTHEIMER 16 INDIAN RUN RD. WAKEFIELD RI 02878 Commissioner CIL Restricted to:Construction Supervisor Specialty CSSLaC -Insulation Contractor CSSL-WS-Windows and Siding Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpl