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06-022 (32) 44 EVERGREEN RD BP-2020-1103 GIs#: COMMONWEALTH OF MASSACHUSETTS MV.-Block: 06-022 CITY OF NORTHAMPTON Lot:-020 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: REPLACEMENT WINDOWS/DOORS BUILDING PERMIT Permit# BP-2020-1103 Project# JS-2020-001852 Est.Cost: $2396.0.0 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO.- Const. O.Const.Class: Contractor: License: Use Group: WINDOW WORLD/ROBERT E BUSHEY JR 57011 Lot Size(sa.ft.): Owner. BIANCA NOE Zoning: URA Applicant. WINDOW WORLD/ROBERT E BUSHEY JR AT. 44 EVERGREEN RD Applicant Address: Phone: Insurance: 1029 NORTH RD (413) 485-7335 O WC WESTFIELDMA01085 ISSUED ON.5/4/2020 0:00:00 TO PERFORM THE FOLLOWING WORK.-4 REPLACEMENT WINDOWS 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 sib nature: FeeTvpe: Date Paid: Amount: Building 5/4/2020 0:00:00 $40.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only -' City of Northampton Status of Permit: /f Building Department Curb Cut/Driv' er 212 Main StreetSewer/Septi�-Av�r btftt'y----- - -- ',. ` Room 100 Water/Well4 vailability Two s oftru�tgN9�` Northampton, MA 01060 TSet � *,�,�A`�Vy, P�Brl� i ^^ phone 413-587-1240 Fax 413-587-1272 Plot/Site Platys f Other Speci APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A(?K}"T ,_YlPAM1L'Y)DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office ���� l` \ 1� t �L'.1 / Map b Lot 22- Unit l�rl t L—Lr cks Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: L- o r r. �U ttin �5 ►mss %LIQ Name(Print) Current cling Address: J pi °3 (See c 7n'�raffl -10 3 (j, Ci-5:b- Signature � Signature Telephone 2.2 Authorized Agent: IC12.�iV�lP �.L(� SMA 000165 Name� Pn t)_a j Current Mailing Address: ignature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed b permit applicant 1. Building (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) (�L Check Number 5Z This Section For Official Use Only r T Building Permit Number: —/103 Date Issued: J z0?6 5`�_�(J�(J XPI Signature: 5- q ZDZy Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacemeri�(j{fffdows Alteration(s) Roofing Or Doors . Accessory Bldg. ❑ Demolition ❑ New Signs [C7] Decks [[] Siding[Q] Other[E::A Brief Description of Proposed Work: LJ repi(I(�(N)>r Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a.if New house and or addition to existing housing COMPlete the following: 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 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, t �r,% (\ �A property as Owner of the subject hereby authorize «11 to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date as Owner/Authorized Agent hereby declare that the statementd 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. a Print nt Nme J 15 1i Signature f Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:_ License Number Address Expiration Date Sign pre Telephone (p l 9.Registered Home Improvement Contractor: Not Applicable ❑ _RObfwf N_'IsInq Ib564I Company Name Registration Number -windn`\Ii�c�rlrl cif' 1 'fi�rn MC.SS Inc, 3I i4 f 2 Address Expiration Date (02� Ortyl V,6 L6Ra ' f\ d MR 010 51ephone 41 1335 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 this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... ❑ 11 - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780 Sixth Edition Section 108.3.5.1. 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 than 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 he/she shall be responsible for all such work performed under the buildinE permit As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the 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 Laws Annotated,you may be liable for person(s) you hire to perform work for you 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 7 C�L (' � i( .k7l) The Commonwealth of Massachusetts W Department of Industrial Accidents a I Congress Street,Suite 100 Boston,MA 02114-2017 V•V Wt www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. Applicant Information TO BE FILED WITH THE PERMITTING AUTHORITY. Please Print Le¢tbly Name (Business/Organization/Individual):Window World of Western MA Address:1029 North Road City/State/Zip:Westfield, MA 01085 Phone#:413-485-7335 Are you an employer?Check the appropriate box: 1.�✓ I am a employer with 20 employees(full and/or part-time).' Type of project(required): 2.❑I am a sole proprietor or partnership and have no employees working for me in 7. ❑New construction any capacity.[No workers'comp.insurance required.] 8• E]Remodeling 3.[DI am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.F1 I am a homeowner and will be hiring contractors to conduct all work on m property. 10E]Building addition ensure that all contractors either have workers'compensation insurance or are solI will proprietors with no employees. 11.Q Electrical repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.t 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.E✓ Other Replacement Window: 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:Liberty Mutual Insurance Policy#or Self-ins.Lic.#:WC2-31 S-377947-020 05/07/20 Expiration Date: Job Site Address: '"+ " rCi /State/Zi G Attach a copy of the worke' compensation policy claration page(showing he policy numberan pirat on 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. 1 do hereby certify under the pa#ss a5dpenaldes of perjury that the information provided above is true and correct. Signature: Date: `� 5 Phone#:413-485-7335 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#: AFFIDAVIT In accordance with the provisions of MGL c 40, §54, 1 acknowledge, as a condition of the Building permit, all debris resulting from construction activity governed by this Building Permit shall be disposed of at V � F, � 1i_r, � tLilNrwl mR �' Aw w (NAME OF FACILITY) a properly licensed solid waste facility dfined b MGL C 111, §150A. Date Signature of Permit Applicant PRINT OR TYPE THE FOLLOWING INFORMATION: (NAME OF PERMIT APPLICANT) (TYPE OF MATERIAL TO BE DISPOSED OF) R (PROPER ADDRESS) WINDWOR-01 CHRY TAL LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/7/2020 Commonwealth of Massachusetts J ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS (® Division of Professional Licensure END, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES L Board of Building Regulations and Standards TITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED Constrt t16A II.'1Spervisor R ;i the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. CS-057011 Upires.06128/2 Is of the policy,certain policies may require an endorsement. A statement on ROBERT E BUSH :)f such endorsement(s). 12 DAIRY LN' eR,NT CT Chrystal L Greenleaf SOUTHWICK MA 010 PHONE o (ac,N ,Ext):(413)594-5984 �V/c,No ):(413)5.92-8499 :+ & nDORIEss:chrystal@phillipsinsurance.com INSURERS)AFFORDING COVERAGE NAIC p Commissioner INSURER A:State Automobile Mutual Ins Co INSURER B:State Auto Property&Casualty INSURER C:A. I. M.Mutual Ins.Co. 33758 tL INSURER D: _ IIC Vnnr»mr�artr�/�n/'!nl(rrun��uJr//J Office of Consumer Affairs&Business Regulation INSURER E: HOME IMPROVEMENT CONTRACTOR I INSURER F: TYPE:Corporation REVISION NUMBER: ' Reafstration iration 165641 03/14/2022 iW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD WINDOW WORLD OF WESTERN MASSACHUSETTS,INC. TION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ,VE BEEN REDUCED BY PAID CLAIMS. tPOLICY EFF POLICY EXP LIMITS ROBERT BUSHEY JR. 1,000,000 1029 NORTH RD �1 0t CL aGl`> lc EACH OCCURRENCE $ W ESTFIELD,MA 01085 4/9/2020 4/9/2021 DAMAGE TO RENTED 500,000 Undersecretary $— MED EXP(Any oneperson) 10,000 PERSONAL&ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 IJECT I I Lw 1,000,000 PRODUCTS-COMP/OP AGG OTHER: B AUTOMOBILE LIABILITY COM�BIINEDcidentSINGLE LIMIT = 1,000,000 (EaANY AUTO BAP2480934 4/9/2020 4/9/2021 BODILY INJURY(Per person) $ OWNED AUTOS SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY X SCHEDULED R X AUTOS ONLY X AUOTOS ONLY (Peri acEcl annt�AMAGE $ A X UMBRELLA LIAB X OCCUR 1,000,000 EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE PBP2891125 4/9/2020 4/9/2021 AGGREGATE 1'000,000 DED X RETENTIONS 0 C WORKERS COMPENSATIONX PER �( OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N MZ-800-8007695-2020A 5/7/2020 5/7/2021 1,000,000 OFFICERMIEMBEW EXCLUDE D9 N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1'000'000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA.This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 474-1n. Ff � fCordec. y ,Me !'7t�"l�O S Ar'lld Doors � - �. i . teat. €aOYJast E,�arket _ -5, ) MI Ut4jetCIQW. 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Rrobucr a RYarocu, frfrGc afrcrr„- xn� .cr6 ""tit nrrc.org >% amanca vrcarr�aax`'Ry if J<' enugretaceerAvindowc im Corti13ed/Certifcado For full inforotatioq sea ia6e1 on ®Cattff�edi e� For full inforniation,sea label an product Para inlormaciun cam en' do t Pira infOr Maci6n Milifeta.cansuhar la etigneta del ptixlrMeIo. Alexa.consulrar la stag,„eta°Ojel Prodtrcto. _ Perf Grade +DP Perf Grade +DP(ASD) -DP(ASD) Water � LC-PG35� 38 0 D) -QP(ASD} LC-PG35 35.08 35.09 � Max Test Size 50.13 Water Max Test ize sport# - STC QRC 40.00 X 72 00 ac37Ro-�T Florida fp 5.43 72.00 X 60.00 RM-M-109-4r - 29/24 aU” s 20840 r stacked for individual wndows Ratings are for�Mdividual windotus and doors only. For information regarding mulled nit test size T Ple tfoe contact end daor-,Only. For info or stacked units,please contact your sales representative.Pos and IVs ®P tirttRed b ; E130o. Your representative,pos tion regarding mulled the unit test site.Tested to AAMAMOMMMA 101A.SZA440.05 AAMA label may be ddtfional info*AAm label be consea ed y 1f'S.2/A440 OS Gand lass e9 DP limited by Concealed gardin Y glazing bead or.t According to Mall in 9�ng bead or track filler. For d.com.nat information regarding ���� 9 installation instruction73. s,please visit ck ester.For installation instructions,please vied www.miwd.com. � 26772468.1.1.1 Printed M Pnnted on 71612016 3:fiD:03 PM 8112 12016 8:10:12 AV :max City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building Northampton, MA 01060 Psb � ,10� 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: L�' emc�( (Please priatfiouse number and met name) Is to be disposed of at: � !LlGl 9, (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: l l icdow, Ck A ofyz�' - � � /I'I'�S 1�?u �1 h Rc� c.L;�S-��� (Company Name and Address Signature of ermit 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. ut�4,k/ Window World Of Western Massachusetts 1029 North Road 413-485-7335 westernmass@windowworld.com Bianca Noe BiancaRNoe@yahoo.com Estimate : Partia Bill Address: Install Address: Estimate#E1586876051339 48 Evergreen Rd, Bldg C Unit 215 48 Evergreen Rd,Bldg C Unit 215 Leeds,MA Leeds,MA Date of Estimate:4/14/2020 101053 01053 Valid Until:5/14/2020 DESCRIPTION • • 5%Baystate Noble Donation 1 0.00 0.00 4000 Series DH Solarzone 4 549.00 2,196.00 Permit&Administrative Fee 1 200.00 200.00 TOTAL AMOUNT $2,396.00 CUSTOMER PAYMENT DETAIL Check Amount $1,200.00 TOTAL PAID $1,200.00 CUSTOMER DUE $1,196.00 *No extra work if not in writing *Customer Comments: *Installer Notes:Both bedrooms @35-1/2 x 50 ck previos install Design Consultant-Tim Drost HIC:165641 FEID#27.1993659 Customer ID Details Id Type I Driver's license Id#* S24t Id Issue State* Mass Id Expiration Date 24y Sales Rep Recommended: r Interior Stops r Exterior Capping Customer Declined: r Interior Stops r Exterior Capping Pre 1978 built homes: My home was built in the year 1978 (initial) (initial)I decline third party verification survey your yard prior to us arriving and look for potential problems. Some trees and vigorous bushes need to be pruned back to give us access to your windows.Delicate plants and shrubs in areas right below a window should be temporarily relocated if they cannot survive being stepped on and you want to preserve them.We strive to be careful when working around vegetation,but our priorities are to focus on our work,your windows and our safety while working on your property.We are not responsible for any damage to plants,shrubs or landscaped areas. 5.Arrival and Departure Times.We will advise you of the expected arrival time for our crew at the time we set up the installation date with you.We generally stay till the job is done,unless it will be a 2 or 3-day job,in which case we may work as long as there is daylight.It is our policy that our installers get a sign-off'form and collect the outstanding balance at the completion of the job.We ask that you be available to approve the job and make final payment at the time of completion.If this is not convenient for you,we need to know before we start the job.Inclement weather and other unforeseen hindrances are a fact of life and as such we ask that you understand if the weather,traffic,etc.cause a delay or cancellation of an Installation appointment.We typically do not schedule more than a day or two in advance to try to avoid such issues. 6.Our Work-site.We like to set up our work-site as close to your windows and doors as possible and generally your driveway is the best spot.If using the driveway will block a garaged car,please be ready to pull it out upon arrival. 7.Alarm Systems.For those of you who have alarm systems,the alarm company should be notified and advised of our job.They will be responsible for the disconnection and reconnection of your alarm system. 8.Where do we start?Upon arrival,the crew leader will survey the job and determine where to begin.If you have a preference,feel free to advise us and we will accommodate to the best of our ability.Because we work in stages(i.e.,removal of old windows,setting the new window,wrapping of exterior,etc.),we don't complete the job one window at a time.The job moves along in a rolling progression where each operation is done on all windows at the same time.This produces a qualityjob. 9.if the job takes more than a day,will there be any openings in my house?Of course not.We only remove that which can be reinstalled in the same day. Although there may not be a complete window,it will be weather-tight and secure for ovemight.(Please no critiquing at this time). 10.Pets.We love furry,four-legged creatures;however,we need your help in supervising them.We are not always able to close a gate or door behind us when carrying a window,so please keep them in a safe place.Our job description does not include scampering down the street after Fido with new found freedom.Many people say,do not wont',he doesn't bite,but many installers have been bitten.So please secure dogs that have an aggressive bark towards strangers. 11.Expect some dust,noise and general disruption of your living space.Construction work can sometimes be messy depending upon the scope of your job.It's an unfortunate reality of remodeling,but we do our best to keep,things under control.We appreciate your patience and understanding,during the job and until everything is finished.Even after we have cleaned up,it is advisable to survey the areas for something we may have overlooked(Le„kids rooms,baby's room). 12.*Damage to walls and old trim stops.For those of you who have old aluminum and steel windows and are replacing them due to sweating and damaging of the walls be advised that all water damage plaster will most likely fail out.in addition,all the patch works you have done over the years will fall out also.This is normal; however,we are not plaster experts,so the repair to those wails would best be left to the experts.In some cases,due to out of square openings,new trim is required to make the window look good"Unless noted on the contract new trim will not be provided or installed by us.You can expect to do some touch up painting on the trim after the installation of your new windows.This is not always necessary and is usually minor if it occurs.if your trim stops around your sashes are very old,dry,and brittle,they may snap and crack upon removal.if this happens,we can leave them off if you please,or for a small up charge,replace them with newer ones.Many of the old-style stops are no longer available so we would replace the entire window with newer style stops.Should we discover any hidden damage to the fiame or wall area we will advise you before we proceed.Should you decide to replace or repair anything,the price will be added to your balance. 13.Relax and enjoy the show.After we've been introduced to your home,feel free to run errands,take a walk,or just relax.If a question should arise;ask the crew leader for clarification.We enjoy people who are interested in what we do,and most customers are intrigued with the process.We do get nervous,however,when a customer constantly hovers over our shoulder.Like any professional,we're always happy to answer questions,but we appreciate being able to concentrate on our work without interruptions and distractions.This ensures a safe and quality installation. 14.Past Due Balances are subject to a service charge of 1.5%per month.In the event that this amount is placed in the hands of an attorney for collection,the purchaser agrees to pay all costs of collection,including a reasonable attorney fee.Return check fee is$50(fifty dollars). P.S.Now would be a good time to review contract with the salesman to be sure of your order options and work to be done.Only the items and services on the contract will be done.If you have any questions whatsoever,now is the time to ask. Window World of Western Massachusetts may not require an acceleration of payments as specified in the payment section(front)for the reason that he deems himself or the payments to be insecure.However,where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the contract,which are in possession of the owner,shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. Arbitration;Window World of Western Massachusetts and the PURCHASERS)hereby mutually agree in advance that in the event Window World of Wester Massachusetts has a dispute concerning the contract,Window World of Wester Massachusetts may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration in M.G.L.c 142A. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Customer Signature Sales Rep Signature