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17A-140 (10) 215 CHESTNUT ST BP-2020-1299 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A- 140 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2020-1299 Project# JS-2020-002171 Est.Cost: $126000.00 Fee: $819.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KEITER BUILDERS 102457 Lot Size(sq. ft.): 23870.88 Owner: CARDELL JUDITH B Zoning: URA(100)/ Applicant. KEITER BUILDERS AT. 215 CHESTNUT ST Applicant Address: Phone: Insurance: 35 MAIN ST (413) 586-8600 O WC FLORENCEMA01062 ISSUED ON.6/29/2020 0:00:00 TO PERFORM THE FOLLOWING WORK.-NEW ADDITION AND DECK 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: FeeType: Date Paid: Amount: Building 6/29/2020 0:00:00 $819.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner A a nL , t-. -f(:)0 z-GIZ Department use only City Of Northampton Status of Permit: r Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability r 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, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map 1 714 Lot Z O Unit 215 Chestnut St Florence Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Judy Cardell 215 Chestnut St Flroence Name(Print) Current Mailing Address: See attached signed contract Telephone Signature 2.2 Authorized Aqent: Keiter Corporation 35 Main St Florence NamPre Current Mailing Address: 413-586-8600 Sign Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 104,905.00 (a)Building Permit Fee $819 2. Electrical 4,885.00 (b)Estimated Total Cost of 126 x $6.50 Construction from 6 3. Plumbing 8,050.00 Building Permit Fee 4. Mechanical(HVAC) 8.160.00 $819.00 5. Fire Protection 6. Total=0 +2 + 3 +4 + 5) =b. UU Check Number This Section For Official Use Only Building Permit Number: 6i�' p�(� �� y Date Issued: Signature: r�"/ o Building Commissioner/Inspector of Buildings Date Bgrant p@ Keiterbuilders.com 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 filled in b_v Building Department Lot Size Frontage _._.".... � Setbacks Front Side L: R: L: R: i Rear Building Height Bldg.Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces - Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW D YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO OX DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued .a suu � C. Do any signs exist on the property? YES Q 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(clearing,grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) —7EJ New House ❑ Addition ® Replacement Windows Alterations) Roofing Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [M Siding [[3] Other[a Brief Description of Proposed Work: New addition and deck Alteration of existing bedroom Yes x No Adding new bedroom Yes x No Attached Narrative Renovating unfinished basement Yes X No Plans Attached Roll -Sheet 6a.If Newhouse 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 X Private well City water Supply X SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Judy C ardell as Owner of the subject property hereby authorize Keiter Corporation to act on my behalf, in all matters relative to work authorized by this building permit application. See attached Signed Contract 06.24.2020 i gnature of Owner Date I, Keiter Corporation 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. Scott Keiter Print N PNs, &ate 06.24.2020 Sign re of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Scott Keiter CS-102457 License Number _51 A Hatfield St Northampton, MA 01062 6.20.21 AddreExpiration Date _ P r mer 413-586-8600 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Keiter Builders. 175168 Company Name Registration Number 35 Main St Florence MA 01062 4.28.21 Address Expiration Date Skeiter@ KeiterBuilders.Com Telephone413-586-8600 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....... M No...... ❑ City of Northampton Massachusetts �w DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street *Municipal Building Northampton, MA 01060 SSFP k 1� 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: 215 Chestnut St Florence (Please print house number and street name) Is to be disposed of at: Valley Recycling (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: USA Waste (Company Name and Address) &- & 2 6 � 6.24.20 c�lgnature 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. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations c 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Keiter Builders Name (Business/Organization/individual): Address:35 Main Street City/State/Zip: Florence, MA 01062 Phone #:413.586.8600 Are you an employer? Check the appropriate box: Type of project (required): 1.0 1 am a employer with 35 4. ® I am a general contractor and 1 employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.® I am a sole proprietor or partner- listed on the attached sheet. 7. ® Remodeling ship and have no employees These sub-contractors have g. ® Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ 9. ® Building addition required.] 5. ® We are a corporation and its 10.® Electrical repairs or additions 3.® I am a homeowner doing all work officers have exercised their 1 I.® Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.® Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other 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. AIM Mutual Insurance Company Name: _ Policy#or Self-ins. Lic. #: MCC20020005382020 Expiration Date: 6.11 .2021 215 Chestnut St Northampton Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby rtify under the pains and penalties of perjury that the information provided above is true and correct. 06.24.2020 Si attire:4�t ,President Date: Phone#: 413.586.8600 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#: DATE(MMIDD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 05!29/2020 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. 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 Cyndie Henderson CISR,CPIA NAME: Webber&Grinnell PHONE (413)586-0111 FAX (413)586 6481 AIC,No.Ext: (AIC,No 8 North King Street aDORIL chenderson@webberandgrinnell.com INSURER(S)AFFORDING COVERAGE NAIC A Northampton MA 01060 INSURER A: Selective Ins Co of S Carolina 19259 INSURED INSURER B: A.I.M.Mutual/A.I.M. Keiter Corporation INSURER C Attn:Scott Keiter INSURER D 35 Main Street INSURER E Florence MA 01062 INSURER F COVERAGES CERTIFICATE NUMBER: Master Exp 2021 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 TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUUIL bUtlll POLICY EFF POLICY LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 _7 DA GE TO RENTED CLAIMS-MADE ©OCCUR PREMISES Ea occurrence $ 500,000 MED EXP Any one person) $ 15'000 A 52265567 06/01/2020 06/01/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMrr APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PES 7 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ AOWNED SCHEDULED A9105217 06/01/2020 06/01/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acddent Medical payments $ 5,000 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5'000'000 A EXCESS LIAB CLAIMS-MADE 52265567 06/01/2020 06/01/2021 AGGREGATE $ 5'000'000 DED I X1 RETENTION$ 0 $ WORKERS COMPENSATION PEROTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBMBERExCLUDED? � NIA Mcc2oo200053s2o2o 06/11/2020 06/11/2021 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ tf yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS%LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Evidence of Insurance".. ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD j Orders(work deleted from Agreement by Owner). RATES CHARGED FOR ALLOWANCE-ONLY AND TIME-AND-MATERIALS WORK Project Manager.595,00 per hour;Site Supervisor. S85.00 per hour,Lead Carpenter:575.00 per hour;General Carpentry: I 568.00 per hour,Subcontractor.Amount charged by Subcontractor.Note:Contractor will charge for profit and overhead at j the rate of fifteen percent(15%)on all work performed on a time and materials basis(on both materials and labor rates set forth in this Agreement)and on all casts that exceed specifically stated Allowance estimates in the Agreement. PEOPLE AUTHORIZED TO SIGN CHANGE ORDERS The following people are authorized to sign Change Orders: i i (Please fill in line(s)above at time of signing Agreement) PERMITS To perform this work,Keiter Corporation,or subcontractors hired by Keiter Corporation,will obtain,on Owner's behalf, the following permits(if required): =Building Permit X Electrical Permit Smoke Certificate X I Plumbing Permit Demolition Permit X Certificate of Occupancy or Certificate of Completion IT IS THE OBLIGATION OF CONTRACTOR TO OBTAIN THESE PERMITS AS YOUR AGENT. IN THE EVENT THAT CONTRACTOR DOES NOT OBTAIN THESE PERMITS,AND THE OWNER OBTAINS THEM, OR IF CONTRACTOR IS NOT REGISTERED WITH THE BOARD OF BUILDING REGULATIONS,OWNER WILL NOT BE ENTITLED TO OBTAIN ANY BENEFITS FROM THE GUARANTEE FUND ESTABLISHED UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 142A. Contractor's obligation to obtain permits is limited to those permits directly related to performing the work Contractor agrees to do. To the extent that other permits or governmental or regulatory agency approvals,such as,but not limited to, zone changes,variances,special permits,site plan approvals,or approvals of conservation commissions,are required to be obtained before Contractor can obtain their permits, it is the Owner's obligation to satisfy such requirements and to meet those requirements at the Owner's cost. PAYMENT SCHEDULE AND PAYMENT TERMS The total price for performing the work and supplying the materials under this Agreement is One Hundred Ninety Eig}it Thousand Sixty Five Dollars and 21/100(S]98,065.21). Payments against work completed and materials delivered will be made upon receipt from when Contractor notifies Owner that Contractor has reached different completion stages. Payments will be made in the amounts as described below: PAYMENT DESCRIPTION DUE AMOUNT 1 30%of project cost Due prior to starting construction $59,419.56 2 30%of project cost Due at rough framing inspection $59,419.56 3 30%of project cost Due after flooring installation $59,419.56 4 10%of project cost Due at substantial completion $19,806.53 Total 1 $198,065.21 All sums not paid before substantial completion of the work will be due and payable upon substantial completion. 4 SK Owner Contractor Notice will be clamed if delivacd in hand in if cent by Ctilified marl.rearn rcczr,t tea;�t?cd. tSe a�a:rrcz It�tcti t!c front pare of thilt Al,rt:cment. ARBITRATION TII1v CONCI'RACIOR AND IIII,HOMEOWN111 HEREBY NIL-TUALLY AGREE IN A1?ti'A'S(7F T1t.1 T IN THE EVF;N7'111F,CO;NII'RACfOR HAS A DISVPVIE CONCERNING TIM C'O'%?R:t<C'T. THE CON'TRkCtOR MAV SUBMiTSUCH DiSPUTE TO A PRIVATE ARBI 7R,%TION SERVICE WHICH HAS BEEN, FFR %iFD BY T'IIV SECRETARV OF WE EXECUTIVE OFFICE OF CON-StAtER AFFAIRS AND BI-vftiFSS REGULATIONS AND TNF;CONSUMER SHALL BE REQUIRED 70 SUBMIT TO SUCH 1RBf'TRiTiO` AS PROVIDED iN MASS.GENERAL LAWS,C lAll . KF.11'rR CORPORA7`101N(CONTRACTOR) OWNER OII 'V&Xjt//' �res�.A..E '2r 06/01/2020 Wy�� iq Scott Keller,Prmident Date s; t7atr NOTICE nil' SICNAIVRES OF 1*111: PARTIES ABOVE APPLY ONLY TO T1IL AGPEL.MI:N"T OF Till: P,%P if'S 'to ALT FRNATIVE DISPIM: SETTLESWNT INMA7ED BY THE CO%-TRACTC73t Tilt: O'ANl:R %I NY t%ITLATf: ALTIERNATIVI DISPUTL RLSOLLMON EVEN WHERE TINS SECTION IS%orSEFARAlTt.t.1'S:( %Lt)11'Y TIM PARMS. 1111:RICHT 1iD iNMA'TC ALTERNATiVE DISPLTrE RESOLCMON SHALL END r%V0 YLN RS,-tt"TER 'Tito DAM,OF 11IIS AGREI M1:`T. DISPUTE RESOLUTION AND ATTORNEY'S FEES Any rt+nitovaNy ter claim wising out of or rris:ni to t2•.is A_.p=::--=i=%r:,z--z s .s Icss�a�SS,Oti)t or-Z limit of tilt Small Claims Court)must Iv heard in the S=al C1u•:s DT\uN n cf s S:s.:.-i,7j Cc:,;::sn 'c crus^r u4cr:t, Contracior's offam is loratrd.Any dis;vrt ONcx the doll=i0--l"of the S:=a3 Cl----c CA::,- -t 0,x cf=a At 7=--:c^; %hall be submitted town expo icricrd priv a*c &--, by d�_ a binding wivration in accordanot uith chr is kcr-4 tither a ltctmod attomc} or reuse i ju lir u'�.►i�fs-tti:r ni3 c ^s'^s Lr :If *Wes est ect^r J c- t :tr!%raicK u itltin tlutty (..*0)days of tirn:ra dc.r=d f, �-;i :ia�,t -'xr of c pr.Wcs s` sc;,+ tihc c ,r»rr to bittdittr mtsitra icon bt fig Y i}sc Amaicsn.Ar3+ixs^oct�sstii�m di�L'Lc t.hY s►:�;tzr C;s--s•,s t•.R •.� =1Mc{;+s Amraican Atili=ion Association thr_t in cff.w.1 i'_ ^ ^z upoo til-.wa=-+ tv hn rr p 'u st dtratx�f', Il>e Irm ailing p=st� is:^.�irk J letttirn!t^ tet: :�l t o t'•us Ay-rr.�-^�x'�'I I:C`K.-t? of fete.WAs.,and post-jud-M t ttrr"at carr it k Mt ENTIRE AGREEMENT,SEVER-ABILITY, AND MODIFICATIO\ 71lt,Arrtacxncnt n4jvr.,,rniiy:nl La SK t it rtlrt:t:tittlr I the event that tiny provision of this Al tcctncnt is at any time held by a Court to he ins zlrJ or unenforceable, the partici agree that all other provisions of this Agreement will remain in full force and effect. Any future modification of this Agreement ;hould he made in waiting and cxe(:uted by O",ncr and Contractor. MISCELLANEOUS This Agtremcnt is it Massachusetts contract.contains the entire agreement bctc m u,;, any rcprcrcrttattons or warranties not expressly contained in it arc not a part of the Agreement, and it is binding upon mir twits,cxccutnrs,succc%-nrs and assigns.. This Agreement may be modified only by an instnmtcnt in writing signed by b o h of us. This Agreement is subject to and is intended to Comply with the ptnvicicros of Chzptcr 1421A of the Nlazcachusctts Gcncril i,aws anti its corresponding trgulations, YOU MAY CANCEL 1111S AGREEML.NT IF IT IIAS BEEN SIGNED BY A PARTY THERFTO BY FORWARDING YOUR INTENT TO CANCEL IN WRiTING BY ORDINARY MAIL POSTED, BY TELEGRAM SENT OR BY DELiVERY. NOT LAT-11 711AN MIDNIGHT OF TIM nIIRD BUSINESS DAY FOLLOWING THE SIGNING OF 1111S AGREEMENT. By signing this Agreement, you acknowledge that you hate reccixcd a complete and original signal copy of the entire Agtrctttcni and attached Addenda. Contractor may not start rsork until after this Agrrcmcni has been signcd. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY PLANK SPACES. 1*I11.5 GS A LEGALLY BINDING AGREEAlENT IF T11ERii ARE ANY PROVISIONS 111IICII YOU 1X7 NOT UNDERSTAND. YOU SHOULD CONSULT 117TII AN ATTORNI,)'.9 FORE SIG.VLVG. KEITER CORPORATION (CONTRACTOR) OWNER 06/01/2020 l� Scott Keifer,President Date Datc Datz Contractor SK