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43-127 41 GREENLEAF DR BP-2021-1033 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:43 - 127 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ROOF BUILDING PERMIT Permit# BP-2021-1033 Project# JS-2021-001763 Est.Cost: $22500.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JUSTIN SQUIRES 115236 Lot Size(sq.ft.): 54014.40 Owner: CONNORS MICHAEL W Zoning: Applicant: JUSTIN SQUIRES AT: 41 GREENLEAF DR Applicant Address: Phone: Insurance: 17 MAPLE AVE (413) 270-3165 W(, NORTHAMPTONMA01060 ISSUED ON:3/22/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE ROOF 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 NORTHAMPT N ITN VIOLATION OF ANY OF ITS RULES AND REGULATIONS. y • Certificate of Occupancy Signatur : FeeType: Date Paid: Amount: Building 3/22/2021 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner '9F 2Z.. The Commonwealth of Massachusett 9 Board of Building Regulations and Standards 9 > FOR -LW]. Massachusetts State Building Code, 780.Ci ;� e �Oc'J IUNIUIPALITY �1 r�",�` SE Building Permit Application To Construct,Repair,Renovate Or' ish a // Revised Mar 2011 One-or Two-Family Dwelling :-` :',; "tc s This Section For Official Use Only Building Permit Number: '• ' r e, Date Applied: eeU 10 55 // 3-22-262/ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers ve_ 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owperl f Record• NIAchat I Cox\nww5 rlor- ( . , MA 0 ) 06 )- Name(Print) City,State,ZIP q I 6 f ?vt l t.ct1 'Or, 013-s3-1-19 i ‘ No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: ) SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee:$ '-(8 Indicate how fee is determined: 2.Electrical $ ti Standard City/Town Application Fee 0 Total Project Cost (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: 1� 2.1, 5 0 0.0 0 Check No.67- Check Amount: _!�0 Cash Amount: 6. Total Project Cost: ,,ii_-•-;i.44 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) cS- 115a34 09-0 a. -aoa.li ITA S-)-i 4 SGi to i r e'S License Number Expiration Date Name of CSL Holder List CSL Type(see below) `1 'M A fp it f_ T e Description No.and Street L Unrestricted(Buildings up to 35,000 cu.ft.) Ai 0( k rn W 1-0'9• PIA (' 1 O C(� R Restricted lie Family Dwelling City/Town,State,ZIP M Masonr y RC Roofing Covering WS Window and Siding esih yl SF Solid Fuel Burning Appliances ttI? 70- SIC5 SS IAi (e_5cah+(a.c�tvtq 'C_d,� I Insulation Telephone Email address J D Demolition 5.2 Registerede Home Improvement Contractor(HIC) a 4 d 1 10‘120' -IAS i ,• �1 lnt ( e HIC Re istration Number Expirion Date HIC Company Name or HIC Registrant Name r j 1'? M c ,It_ 1AcN/C ``I ti,k( i 1 -.) opt N'.�.C/la✓V\ No.and S 1 Email address i G City/Town,State,Z Telephone SECTION 6: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 0 No .❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,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. Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained' is ap,licatio/ is true and accurate to the best of my knowledge and understanding. 03 _ , Print Own 's or Aut,• r cnt's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.govidps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton •?, 1 SAS ..'®' S/ � ••' ` 4\ Massachusetts ��� a DEPARTMENT OF BUILDING INSPECTIONS r� ? ca` ..• i. i;lif 212 Main Street • Municipal Building s 4 �.. Northampton, MA 01060 srf, 10° CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, 554, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: Vet lit QC y C � ( v1 The debris will be transported by: Name of Hauler: �S�i Signature of Applicant: Date: 0? " 0 a The Commonwealth of Massachusetts n....emotw Department of Industrial Accidents ! Congress Street,Suite 100 • Boston. MA 02114-2017 • www.mass.gor/dia Uaukrrs' ( onapensation Insurance Aflidasit:Builders'(ontractordEkctriciansiPlumbers. l 1►R1 111.ED%%WI 711E PER%II 1.111(:a,t I IIOR1 11. Xonlicant Information II Please Print 1.eeibh Name 1 Bikini-ss t►r antiauutn lndrsiduall: 'Cl (Au lt'`S ( c 1 (et c-1-s k\J . C Address: [7 Mo.e Ie 4-v A-- oi0; City/State/Zip:/State/Zip: �� {-finwe k0✓� � r "II Phony#. 13 -'a-7 U — � s Art'ON an ensplwrr'.'( hick the appropriate hue: Type.1 project(required): 1.0 1 am a cavity!,er%Nth cn plosecs thud alai or part-tarnc t• 7. D New construction 20 I am a sole pnaprattor of purtncrship and hase no outdo)ces%irking for me as 8. D Remodeling ism capacity. 1`u+4ucters'iurnp.anuranc-e regwnd) 9. ❑Demolition 3.rjj lam a honey%net dome:all work myself.I`u wurkcrs'cons, insurance required.)• 10O Building addition 4.0 I am a hunnvwnet and will tse huuir Contractors to conduct all%ink on my property 1 wall ensure that all contractors either has..workers-compensation amuran.r us Are sole I ICI Electrical repairs or additions proprietors with nu ctriployces- 12.p Plumbing repairs or additions I arse a general cuntraator and I has c hind the sob-contractors lasted.n the attached sheet I3�QooMf tCparf� sub-contractors-contractors hase employees and(rase w se utkers.eeanp insurance ',,Q't 6.0 We an a corporation and its outer.s has a cheressed then right of c scrriptrun per M(.L I4.C3Odllt 152..1(4).and we base no ctaaployces.lNV%ur►cr,'comp Insurance required) •Any applicant that chocks hot as I mast also till out the section below sho.s mg their workers'compensation policy uafunnatrun Nurraywnera s who subtract this affichisat indacatine they arc doing all work and then hire outside cuntracturs mini subnut a mess affidas a aawiacatang such. :Contractors that cheek this but must attached an alJauunal sheet shining the name oldie sub-contractors and stair whaler to not those entitles base canplosccs It the sub-c.nrracturs lose carq'loscc'.dues must pr.,+a.1.then: -..rkers-cssnp puiwy uu$*sr. s_- . I am an employer that is providing workers'compensation insurance for►u_t'employees. Below is the policy and job site information. Insurance Company \attic Policy.#or Silt-ins.Lac. =. Expiration Date: Job Site Address: City State Zip Attach a copy of the workers'compensation policy declaration page(showing the policy number and respiration date). Failure to secure coseragc as required under N1G1 c. 152. §25A is a criminal siolationpunishable Ins a tine up to S1.50 0.IIO and-or one-year imprisonment.as well as cis aI penalties in the form of a STOP WORK ORDER and a tine of up to S250.1I0 a day against the s rulator. A cops of this statement may be forwarded to the Office of Investigations of the DI-t for insurance coverage seritication. I do hereby - the ins and penalties of perjury that the information provided above is true and correct Signature: r P Date. G 3 - t o ),6 a Phone g. 14/3 — . 3 ( .C) 5 Official use only. Do not write in this area,to he completed hr car or town official ('it or Town: Permit License h Issuing.►uthorit♦ (circle onel: I. Board of Health 2. Building Department 3.( its -I ossn Clerk 4. Lkctrical Inspector 5. Plumbing Inspector 6.Other ( ontact Person: Phone>Y: AC o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 10/26/2020 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 Leandto Guimaraes NAME: Universal Insurance Agency,Inc. (PAMIC A ONN,Eat): (508)752-9333 FX,No): (508)752-9303 374 Belmont Street E-MAIL leandro@universalinsagencycom ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC P Worcester MA 01604 INSURER A: Western World Ins Co Inc 13196 INSURED INSURER B: Eagle Team Construction Inc INSURER C: 89 School St Apt 3 INSURER D: INSURER E: Milford MA 01757 INSURERF: COVERAGES CERTIFICATE NUMBER: Master Cert Nm 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. ILTRR ADDLTYPE OF INSURANCE 1 SD sUBR POLICY EFF POLICY EXP WVD POLICY NUMBER LIMITS (MM/DDIYYYY) (MM/DDlYYYY) X COMMERCIAL GENERAL LIABIJTY EACH OCCURRENCE S 1,000,000 TO RENTED CLAMS-MADE X1 OCCUR DPREPAISES(Ea occurrence) S 50,000 CL — MED EXP(Any one person) y 5,000 A NPP8606034 09/04/2020 09/04/2021 PERSONAL&ADVINJURY $ 1,000,000 GENL AGGREGATE LAC-APPLES PER GENERALAGGREGATE S 2,000,000 POLICY PRO-JECT LOC 0PRODUCTS-COMP/OP AGG 2,000,00 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LINT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY (Per accident) S UMBRELLA LIAB _ OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION S S WORKERS COMPENSATION I ATUTE I I ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETORIPARTNER/FYFCUTIVE N/A EL EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory In NH) El.DISEASE-EA E+PLOYEE S If yes.describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I 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 Sagewood Home Exteriors ACCORDANCE Mill THE POLICY PROVISIONS. PO Box 25 AUTHORIZED REPRESENTATIVE Blandford MA 01008 01988-2015 ACORD CORPORATION. All rights reserved. ACOR° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/26/2020 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 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: vvtinam Males UNIVERSAL INSURANCE AGENCY ONE (A/C,No,Est); (508)7529333 FAX INC. EMAIL willlam nINermall COm AODREss: � �9�Y-374 BELMONT ST IMSURER(S)AFFORDUIGCOYERAOE NAICa WORCESTER MA 01604 INSURER A: PENNSYLVANIA MANUFACTURERS ASSOC INS t 12262 INSURED INSURER B: EAGLE TEAM CONSTRUCTION INC INSURER C: INSURER D: 89 SCHOOL ST 3 INSURER E MILFORD MA 01757 INSURER F: COVERAGES CERTIFICATE NUMBER: 589168 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.L gMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE MID ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD ?ND POLICY NUMBER (MDIYYYYI (MM/DDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO RENTED S CLAMS-MADE OCCUR PREMISES(Ea occ nerve) $ MID EXP(My ogle person) $ WA PERSONAL&ADV INJURY $ GENT_AGGREGATE LAST APPLES PER GENERAL AGGREGATE S POLICY JJEECT LOC PRODUCTS-COMI'IOPAGO $ OTHER: S COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) S _ HIRED AUTOS NON-OWNED DAMAGE (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR cLAIrs.MAOE N/A AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION Nor X PRSTATUTE ERO - AND EMPLOYERS'LIABILITY FIEiE rrvE EL EACH ACCIDENT $ 1,000,000 A OFCR/MEMBEREXCUDEC? WA WCMA000095700 06/17/2020 06/17/2021 (Mandatory in NH) El..DISEASE-EAEMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LBW $ 1,UW,UUU N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensationfinvestigations/. 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. Sagewood Home Exteriors PO Box 25 AUTHORIZED REPRESENTATIVE Blandford MA 01008 Daniel M.Crowley,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. HOME IMPROVEMENT AGREEMENT Telephone: (413) 270-3165 This AGREEMENT is made and entered into on March 7th ,2021,by and between: Homeowner Information("Owner") Contractor Information Name("Contractor") Name: Michael Connors Company Name: J.Squires Contracting LLC Street Address(No P.O.Box): Contractor/Owner: Justin Squires 41 Greenleaf Drive Street Address: 17 Maple Avenue City/Town: Florence City/Town: Northampton State: MA Zip Code: 01062 State: MA ZipCode:01060 Last four(4)of SSN or EIN No.: Federal ID No.: Home Phone: Salesperson: Cell Phone: 413-537-1911 Contractor Registration No: HIC-200006 Work Phone: Registration Exp.Date: 11/01/2022 WORK TO BE PERFORMED;MATERIALS TO BE USED;SPECIAL ORDER MATERIALS;PERMITS;AND TIME LINE. Contractor agrees to perform the work for homeowner as further detailed on Exhibit A, which is attached hereto and incorporated herein. Exhibit A also sets forth(i)the materials expected to be used for the project;(ii)a list of all special order materials that need to be received prior to the commencement of the services to be provided by the Contractor;(iii)permits required; (iv)the schedule for the Contractor's performance;(v)warranties,if any;and(vi)any other contracts,exhibits,schedules,plans,or documents material to the services to be performed by the Contractor. TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE The Contractor agrees to provide the work,furnish the material and labor specified above for the sum of $ 22.500.00 (This amount includes all finance charges,if any). Payments will be made according to the following SCHEDULE: $ 6.750.00 upon signing the contract(shall not exceed the greater between 1/3 total contract price or the cost of special order materials). $ 11250.00 7 days after start date $ by_/_/ or upon completion of $ 4500.00 upon completion of the contract. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Two identical copies of the contract must be completed and signed.One copy should go to the homeowner and one kept by the co ntractor. Owner: /`----� J.SQUIRES CONTRACTING LLC fu st%n e�quirea Printed Name:Michael Connors By:Justin Squires Date:03/07/2021 Date:03/07/2021 Printed Name Date: Owner may cancel this Agreement if it has been signed by a party thereto at a place other than at the address of the Contractor, which may be his main office or branch thereof, provided Owner notifies the Contractor in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of the Agreement. See attached notice of cancellation for an explanation of this right. This agreement is subject to the terms in conditions contained herein including those set forth on in any Schedule or Exhibit referenced herein and those located on the reverse side of any page of this Agreement,a Sr br ln(e or an Exhibit referenced herein. Owner hereby acknowledges that Owner has reviewed all the terms and conditions and sisters to bound such terms and conditions. Owner Initials MC Owner Initials Exhibit A Work Scheduled To Begin: 04/19/2021 Expected Date of Completion: 05/03/2021 Address: 41 Greenleaf Drive.Florence. MA 01062 Contractor agrees to do the following work for homeowner: See Attached Exhibit A This agreement is subject to the terms in conditions contained herein including those set forth on in any Schedule or Exhibit referenced herein and those located on the reverse side of any page of this Agreement,a Schedule or an Exhibit referenced herein. Owner hereby acknowledges that(honer has reviewed all the terms and conditions and agrees to bound such terms and conditions. Owner Initials Owner Initials NOTICE OF CANCELLATION OWNER MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF OWNER CANCELS,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE AGREEMENT OR SALE, AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL, OWNER MUST MAKE AVAILABLE TO THE CONTRACTOR AT YOUR RESIDENCE,IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS AGREEMENT OR SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE CONTRACTOR REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE CONTRACTOR'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE CONTRACTOR AND THE CONTRACTOR DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION,OWNER MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE CONTRACTOR, OR IF OWNER AGREES TO RETURN THE GOODS TO THE CONTRACTOR AND FAILS TO DO SO, THEN OWNER WILL REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO: J. SQUIRES CONTRACTING LLC 17 MAPLE AVENUE NORTHAMPTON,MA 01060 NOT LATER THAN MIDNIGHT OF (date). I HEREBY CANCEL THIS TRANSACTION. Date: Owner's Signature: NOTICE OF CANCELLATION OWNER MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF OWNER CANCF.TS,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE AGREEMENT OR SALE, AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL,OWNER MUST MAKE AVAILABLE TO THE CONTRACTOR AT YOUR RESIDENCE,IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS AGREEMENT OR SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE CONTRACTOR REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE CONTRACTOR'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE CONTRACTOR AND THE CONTRACTOR DOES NOT PICK THEM UP WITHIN'TWENTY DAYS OF THE DATE OF CANCELLATION,OWNER MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE CONTRACTOR, OR IF OWNER AGREES TO RETURN THE GOODS TO THE CONTRACTOR AND FAILS TO DO SO, THEN OWNER WILL REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED A DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO: J. SQUIRES CONTRACTING 17 MAPLE AVENUE NORTHAMPTON,MA 01060 NOT LATER THAN MIDNIGHT OF (date). I HEREBY CANCEL THIS TRANSACTION. Date: Owner's Signature: TERMS AND CONDITIONS ARBITRATION: The Contractor and the homeowner hereby mutually agree in advance that in the event the Contractor has a dispute concerning this contract,the Contractor 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 Regulation and the consumer shall be required to submit to such arbitration as provided for in MGL C. 142A. Adc---eC-9Contractor.J.Squires Contracting LLC Homeowner. Date: 03/07/2021 Date: 3/9/21 NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute settlement initiated by the Contractor. The owner may initiate alternative dispute resolution even where this section is not separately signed by the parties. ACCELERATION OF PAYMENT: Homeowner's Financial Insecurity. A Contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. Contractor's Financial Insecurity. In instances where a Contractor deems him/herself to be financially insecure,the Contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal from said account would require the signatures of both parties. SUBCONTRACTORS:The Contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the Contractor. The Contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement. NO SECURITY INTEREST:Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence. Notwithstanding the foregoing, should the Owner default on its obligations under the terms of this Agreement, the Contractor shall have the right to pursue any and all legal remedies available to it under M.G.L.c.254, et. seq. or any other statutory provision. CONTRACT ACCEPTANCE: Upon signing, this document becomes a binding contract under law. The Contractor encourages the Owner to review the following cautions and notices carefully before signing this contract; not to be pressured into signing and to ask questions if something is unclear. HOMEOWNER'S RIGHTS: A homeowner's rights under the Home Improvement Contractor Law (MGL chapter 142A) and other consumer protection laws (Le. MGL chapter 93A) may not be waived in any way, even by agreement. An enumeration of other matters on which the homeowner and Contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. General questions or need additional information about the Home Improvement Contractor Law or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA. 02116 617-973- 8787, 888-283-3757, or visit the OCABR website at http://www.mass.gov/ocabr/. If you want to verify the registration of a Contractor or if you have questions or need additional information specifically about the Contractor registration component of the Home Improvement Contractor Law, TERMS AND CONDITIONS contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA.02116 617-973-8787,888-283-3757,or visit the HIC website at http://www.mass.gov/ocabr/. Go online to view the status of a Home Improvement Contractor's Registration: http://db.state.ma.us/homeimprovement/licenseelist.asp. For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800, 508-755-2548,or 413-734-3114 Version 2.1 - 11/22/2010. The Contractor is responsible for completing the work as described, in a timely and workmanlike manner. Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract, and the three-day rescission period has expired. NATURE OF WORK AND AGREEMENT PRICE: Contractor agrees to commence work on Owner's property and coordinate matters with Owner and Owner's insurance company in order to affect repairs quickly and professionally. Contractor shall supply itemized specifications to Owner and Owner's insurance company showing the work specified and its cost,and accept payment in the amount agreed to by Contractor. All proposed work is subject to approval by appropriate building officials and Owner. The total amount agreed to be paid for the work specified and the time schedule of payments is set forth on the first page of this Agreement. PERMISSION TO START WORK: Owner agrees to allow Contractor to commence work on the above-described property, to pay Contractor the amount agreed to by Contractor and Owner's insurance company for work performed by Contractor,and to direct Owner's insurance company to include the name of Contractor on any settlement drafts or checks. ADDITIONAL CHANGES TO WORK: Owner may,from time to time,in writing,make changes in or additions to the work to be performed by Contractor and Contractor shall make such changes or additions at Owner's sole cost and expense,at such prices as Owner and Contractor may agree to in writing ("Change Orders"). Contractor will obtain Owner's written permission before doing any work not covered by Owner's insurance carrier. Any modification to the original Agreement must be in writing and agreed to by both parties. INSURANCE AND DELAYS IN WORK PERFORMANCE: Contractor may not be liable to begin work or continue the work due to weather conditions, strikes, accidents, unavailability of material,or delays beyond Contractor's controL Owner must carry fire,general liability,tornado,and other necessary insurance. Contractor and its subcontractors shall provide all insurance required to fully protect their employees and subcontractors. If payments are not made by Owner,within three (3) days, after the date as applicable on the payment schedule, Contractor may elect to terminate performance and cancel this Agreement. If Contractor elects to terminate performance and cancel this Agreement,Contractor shall do so by notifying Owner in writing. Performance by Contractor is conditioned upon payment by Owner. If Contractor is delayed at any time in the progress of the work TERMS AND CONDITIONS by an act or omission or the neglect of Owner, or by any employee or agent of Owner, or by any separate Contractor employed by Owner, or by changes ordered in the work, or by labor disputes, conditions not reasonably anticipated, unavoidable casualties, or any causes beyond Contractor's control, or by delay authorized by Owner, the Agreement time shall be extended by change order for such reasonable items as Owner and Contractor may determine. WORKMANSHIP: Contractor shall cause the work to be done in a good and workmanlike manner according to the standard practices of the trade. Contractor will provide a one (1) year warranty as required by Massachusetts State Law. DEFAULT: In the event of default in payment or in any other manner by Owner,Owner agrees to pay all costs of collection including reasonable attorney's fees,in addition to other damages incurred by Contractor. Owner further agree to pay the maximum interest permissible by the laws of the State of Massachusetts on any sum in default. CONCEALED CONDITIONS: Should Contractor discover concealed conditions or unknown conditions in an existing structure different from normal conditions customarily found or unknown conditions below the ground, then the Agreement amount may be increased by a change order upon the request of Contractor or Owner within five (5) days after the condition is first observed. Contractor and Owner or Owner's insurance representative shall agree on the cost prior to the work being completed. Both parties agree that any work to be performed shall be stated in writing and signed by both parties,which shall become a part of this Agreement. BINDING OBLIGATIONS: The obligations of this Agreement are binding upon Contractor and its successors and assigns and upon Owner and Owner's heirs, successors,executors, administrators, and assigns. STARTING AND COMPLETION DATES: The start and completion dates may be altered or extended for delays beyond the control of Contractor. Any change orders signed after this Agreement date may affect completion dates. UPDATING OF AGREEMENT: Estimates are honored for sixty (60) days from above date. If the parties have not executed this agreement or the Owner has not paid the required deposit prior within the sixty (60) day period, Contractor reserves the right to reprice the Work. If the parties cannot agree on any revised pricing, all deposit money shall be returned to the Owner and this Agreement shall terminate. ATTENTION HOMEOWNERS: Please cover all personal belongings in the attic, garage, and storage areas due to the possibility of roofing debris or dust coming in through cracks of the wood roofing. Contractor will not be responsible for debris or dust in the attic or storage areas. Agreed upon work may not begin until both parties have received a fully executed copy of the contract, and the three day rescission period has expired.