32A-058 (38) 50 UNION ST#10 COMMONWEALTH OF MASSACHUSETTS BP-2021-1763
Map:Block:Lot:32A-058-
010 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2021-1763 PERMISSION IS HEREBY GRANTED TO:
Project# Contractor: License:
Est.Cost: $16146 JEFFREY CONNORS 110763
Const.Class: Exp.Date:05/05/2022
Use Group: Owner: PEARSALL CORNELIA D J
Lot Size(sq.ft.)
Zoning: URC Applicant: NEWPRO OPERATING LLC
Applicant Address Phone: Insurance:
26 CEDAR ST (781)844-8249
WOBURN, MA 01801
TO PERFORM THE FOLLOWING WORK: ISSUED ON:08/20/2021
INSTALL NEW TUB/SHOWER
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.
Signature:
• f • yeC2? - 6
Fees Paid: $105.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
r
The Commonwealth of Massachusetts
Board of Building Regulations and Standards FOR r,
MUNICIPALITY ,1,1
i, • Massachusetts State Building Code, 780 CMR USE 1 t.
-+
Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling ?c mm
This Section For Official Use Only _,z 1�
Building ermit Number: t I a7�3 Date A lied: z'' rn
EVIL/3 iti g J7 ZoZi 271
CD
rn
Building Official(Print Name) Signature Date o p `J
z
SECTION 1:SITE INFORMATION °'
1.1 Property Address:/.--T— ) j//77�NJ iriV 1.2 Assessors Map&Parcel Numbers
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 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:✓.0 - / i � A �✓0 T 1Fr,/ ,,0 ^ 0/Pe
Name(Print) ity,State,ZIP n yam^
>0 + 1DAI?'fl%/177D y/-3 -�., 2 9
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check that apply)
New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 S ci :
Brief Descri ' Proposed orke: i/ I1 74 e
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Lab; and Materials)
1.Building $ f /4/i,,,,o-p 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ / 0 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 13egs} U�
�l/ Check No. LL(�,( Check Amount: Cash Amount:
6.Total Project Cost: $1�/�‘,!O ❑Paid in Full 0 OutstandingBalance Due:
i
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction pervisor Lice a(CSL), . -1/ )7j ��. 59ZZ_
��� j f& (L•iceense/Number Expiration Date
Name of/ Holdej� ����� t f
11��//Xol List CSL Type(see below) v
No Street kl
/) Te Description
�%,�) �""/� / ' �' LC;�� ") (U, Unrestricted(Buildings up to 35,000 cu.ft.)
�`'�" ��/ R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
711-0 4"7- / SF Solid Fuel Burning Appliances
�i/ J I Insulation
Telephone Email address D Demolition
5.2 Re istere y�ome Im r e ent C/ontracjo�r(HI 1//6e 2 0
�r IQ //kv HIC Registration Number Expiration Date
HIC anymgo [ICemey
2 j)�j/I IOW/ 7J r/9 y 2 Email address
City/Town,State,ZIP 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 Issuanc f the building permit.
Signed Affidavit Attached? Yes No .❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize 7/F/� (rDA91/44--As
to act on my b half,in all matters relativ to work authorized by this buildin permit application.
(bgAl �lk �ot l�-.. �►T� 7_ -4-9 -- zJ
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest der the pains pe alties of perjury that all of the information
5.9„ulained in this ap gation is true and ac e to e of my owledge and understanding.
ti/C
Print Owner's oGAuthorized Agent's N c c Sig 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.gov/dps
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
- " - Massachusetts �4vt.'. 3►- ''<<
(1-1 !.1 DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 ss�
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, 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: , /1'/
The debris will be transported by:
Name of Hauler: fr 2 #
Signature of Applicant:
Page 1 of 10
CT Reg# 52Th / / ►
R Reg 214146
RI Reg#26463
7 7 '" /7,4
26 Cedar St Woburn, MA 01801
800-242-9974
Federal ID#20-2625129
Jacuzzi Contract
Customer Information
Cornelia Pearsall Cornelia Pearsall:413-320-2831 Date:07/24/2021
50 Union St Unit 10 Cornelia Email: cpearsal@smith.edu Rep: Meghan Rocha
Northampton MA 01060 Office#800-242-.9974
Location Agreement
NEWPRO hereby agrees that it will, for the consideration hereinafter mentioned, furnish all labor and material necessary to install
the goods purchased by Owner in accordance with the terms described on the following pages of this agreement(collectively,
this"Agreement")at the premises located at:
50 Union St Unit 10
Northampton MA 01060
Tub Details
Package-Skirt: Tub&Walls-Straight Wall Color-Style: Alabaster White-3 x 6 Subway
Base Size- Drain: 36"x 72"x 21"Jacuzzi Soaker-Left Walls To Ceiling: Yes
Base Color: Alabaster White Trim Kit: Kohler Modern
Grab Bar(s): 24" &24" Kohler Fixture Finish: Brushed Nickel
Accessories/Labor
Accent/Seam Trim -Smooth- Match Walls QTY 1
Flat Wall 65 x 97 -Subway-Alabaster White QTY 1
Corner Trim (1 3/4") -Smooth-Alabaster White QTY 1
Prairie Corner Shelf-Smooth-Match Walls QTY 4
6 Ft Curved Rod QTY 1
Remove Jetted Tub QTY 1
Remove Wall QTY 0.5
Tile Removal (As Needed) (Wet Walls Only) QTY 1
Build Wall QTY 0.5
Extensive Plumbing or Drain relocation QTY 1
Installation&Promotion Details
Newpro will remove any demoed or installation debris from the property in relation to this contract. All promotions were applied
at the time of purchase and can not be combined with any future offers.
Discounts
First Responder/Educator Discount Applied
Payment
Total Price: $16,146
Deposit: $5,382
Due Upon Completion: $10,764
Payment Method: Cash
Page 2 of 10
Estimated Start&Completion
Estimated Start: 14 to 16 weeks
Estimated Completion: 1 toe!/f/ s
Customer understands they will be contacted to set a firm installation date once all product is received.
State MA
Year Home was Built 1851
LSWP NO
This space intentionally left blank
Page 10 of 10
Massachusetts Disclosures
(Massachusetts Disclosures):All contractors and subcontractors must be registered by the administrator of the Board of
Building Regulations and Standards and any inquiries about a contractor or subcontractor relating to a registration should be
directed to:Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170, Boston, Massachusetts 02116
Telephone: (617)973-8700.
It shall be the obligation of NEWPRO to obtain any and all permits necessary under this agreement, as the Owner's Agent.
NEWPRO shall advise Owner of any necessary permits.The Owners who secure their own construction-related permits or deal
with unregistered Contractors will be excluded from the guaranty fund provisions of MGLC, 142A.
Any deposit required under this Agreement to be paid in advance of the commencement of work shall not exceed the greater of
one-third of the total contract price or the actual cost of any materials or equipment of a special order or custom-made nature,
which must be ordered in advance of the commencement of work, in order to assure that the project will proceed on schedule.
No final payment shall be demanded until the contract is completed to the satisfaction of the parties.
List of documents to be incorporated into this Agreement: Specification Sheet(s).
Terms and Conditions Continued
Owner has read and agrees to the terms and conditions of this Agreement. Owner specifically agrees to the(1)Total Cash Price;
(2)work being performed;and(3)work not being performed. Owner understands that this Agreement and any attachments
contain all of the promises made by NEWPRO.Owner has been orally advised of his right to cancel this transaction at any time
prior to midnight of the third business day after the date of this transaction and Owner was provided with two(2)copies of a
cancellation form explaining this right.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
YOU THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS
DAY OF THIS TRANSACTION.SEE THE ACCOMPANYING NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION
OF THIS RIGHT.
The undersigned gives NEWPRO permission to debit their checking/savings account,or process a credit card transaction,for
the deposit amount indicated on or after the contract date. Subsequent payments,such as start payments, or completion
payments will remain in effect until I cancel it in writing,and agree to notify NEWPRO of alternate payment intentions. If the
above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business
day. For ACH debits to my checking/savings account, I understand that because these are electronic transactions,these funds
may be withdrawn from my account as soon as the above noted periodic transaction dates. In the case of an ACH Transaction
being rejected for Non Sufficient Funds(NSF) I understand that NEWPRO may at its discretion attempt to process the charge
again within 30 days. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of
U.S. law. I certify that I am an authorized user of this credit card/bank account and will not dispute the scheduled transactions
with my bank or credit card company; provided the transactions correspond to the terms indicated in this authorization form.
Future Communication&Product Update Acknowledgement
Newpro Operating LLC may contact me in the future about its products and services at the phone number I provided above
using an automatic telephone dialing system. I understand I am not required to provide consent as a condition of purchasing
from Newpro Operating LLC and I may revoke this consent by calling (800)342-2211 (Option 1).
By initialing, I acknowledge that I have read, understand and agree to the above conditions.
i(
Cornelia Pearsall
07/24/2021
Date
Meghan Rocha
07/24/2021
Date
This space intentionally left blank
uyc I vI Iv
•
OW=
Jacuzzi 1 Work Order
Customer Information
Cornelia Pearsall Cornelia Pearsall:413-320-2831 Date:07/25/2021
50 Union St Unit 10 Cornelia Email:cpearsal@smith.edu Rep: Meghan Rocha
Northampton MA 01060 Rep#800-242-9974
Package Includes
Kohler or Jacuzzi Valve/Trim Kit,Shower Head,2 Grab Bars(1 on Neo-Angle),Chrome Finish, 1 Corner Trim, Floor Repair,
(Drain Conversion 1 1/2"to 2" on Tub to Shower)
Tub Measurements
Val Pack Tub&Walls Base Color Alabaster White
Base Size 36"x 72"x 21"Jacuzzi Soaker Wall Color Alabaster White
Skirt Type Straight Wall Style 3 x 6 Subway
Drain Location Left Walls to Ceiling-Room Height Yes-96
Base Width x Opening Length 36 x 72 Ceiling Panel None
Right Side Wall Width 42 Fixture Finish Brushed Nickel
Right Surround Width 40 Trim Kit Kohler Modern
Left Side Wall Width 40 Grab Bar(s) 24" &24" Kohler
Left Surround Width 40
Accessories/Labor
Accent/Seam Trim-Smooth-Match Walls QTY 1
Flat Wall 65 x 97-Subway-Alabaster White QTY 1
Corner Trim(1 3/4") -Smooth-Alabaster White QTY 1
Prairie Corner Shelf-Smooth-Match Walls QTY 4
6 Ft Curved Rod QTY 1
Remove Jetted Tub QTY 1
Remove Wall QTY 0.5
Tile Removal(As Needed)(Wet Walls Only) QTY 1
Build Wall QTY 0.5
Extensive Plumbing or Drain relocation QTY 1
Installation Instructions
Left Wall Valve, Shower Fixture, Partial Tile Removal,2 Corner Shelves,Corner Trim, Build Wall
Back Wall Partial Tile Removal,24" Grab Bar
Right Wall 2 Corner Shelves, Partial Tile Removal,24" Grab Bar, Special Bend
This space intentionally left blank
Page 2 of 16
Additional Details
-Please confirm exact location of shelves and grab bars with customer
-building wall up on left side, move shower head forward to align with valve.
-seam trim and additional 65W wall included. Please use the ordered soapdish wall sizes to cover side walls and wrap built
wall completely.The two side walls can be used to split proposed soapdish wall as they aren't large enough to finish side
walls as proposed (right wall will need to be 40"W)
*PLEASE ORDER VALPACK SOAPDISH WALL AS 97HX65W, NOT 85H. ORDER ADDITIONAL 97HX65W PANEL WITH BENT
ENDS(TO BE USED ON RIGHT SIDE WALL).
**INSTALLERS CAN PARK OUT BACK TO UNLOAD, CONDO UNIT ENTRANCE RIGHT INSIDE BUILDING ENTRANCE FROM
THAT SIDE**
Pre-install Checklist
Variance Required NO
Fixture Install Shower Head Only
Curtain Rod or Glass Doors to be Installed Curved Curtain Rod
Property Type Condo/Townhouse WITH Own Shutoff
Bath Location 2nd Floor
Existing Base Type Jetted Tub
Existing Walls Tile
Is there access behind wet wall or below base? NO
Ceiling Panel/Soffit NO
Window Within Wet Area NO
Wainscoting/Accessories NO
Parking Options Parking Lot, Street
Second Full Bath YES
Additional Items to be Installed None
Are there any existing problems with the plumbing? NO
This space intentionally left blank
Page 3 of 16
Drawing
Drawing
a�Fp x�
( 1
°m:rbrw
ran y«..tcy4 m'sk • aU ppvf�
_fine
unis
E°
44141111111111111111111111111111111.
This space intentionally left blank
Page 5 of 16
Image: 1.2
!''' h r fI` ';.1 Ai * ••H r s_. .
,f
,,, ,, 4 '‘ .i.,,,
/ri
/ gf
III
1111111111ii 1:;','
' ' p1::„.., ,..".":„..i.„,,, I I : . 1''''''''1::
Items '; i •' i i
1111111111 t •
,�■� I $
I
n I a
. -;-:-7--'-.--- ----+--
rtik 11. a., ,.
I 1
i �4� . ,- ;'. I
L *,
�� \ \\ -,,
tk 1_____ rujj4 ,, . ,.„..., - , _, \ 1
-r 1 : \ \\\I
r. }*, l� . • ��'� � ,
i .. 11•.., „, , , , ,. .
, , , \ , , 4,
ir.. :, 4. , 1, ;,..
, ,f ;,
r
Page 6 of 16
Image: 1.3
•
IIIII - 'Ti---,..,
_ iiimiliii,
11 ilsI •� �•lme•
= t 1 I , r■ Ili
I Ili f-- ' ' rammil■rX.t�
n. w to iiiiuiiiiu' iJ1 .
i • ■■ ill
�� 1
III\ 1
_■■■ ■■■1 = i/ ■■■■■ ■ ■■■■
ir'1!: ø 'Ir'
■■■■■ ■ ■
ir 1
I II II II
4
_ _-_1-- ■ ■
,_ ii .
_1_‘.4ti--, 1 - -
,,,. _,,_ ,_ ., t ,___..
.: _ , ,,,, , 1i i: ..
IR air
Y'
4 - . ,4 ' ..,.-1 t t_
._ .,..„...,-,,,.„,;- . 1,_ 1
1
-- , - -, ,!;-,.i,_ , , 1 -,_•_4 _I L , ! oil
-- , 1 , - 1 ___._,,, ;, i
1---7-______L__log „- . 1 1
t 4
1 .., ., _ ., ,, i f 1 i
r#n.+ i I _
i ,,, II'
i l
f ,
1
4
8/2/2021 Mail-Sarah LaFerriere-Outlook
Condo Approval-Cornelia Pearsall-50 Union St #10 Northampton MA
Meghan Rocha <Mrocha@newpro.com>
Sun 8/1/2021 9:32 AM
To: P&P North <ProcessingandProcurementNorth@newpro.com>
Cc: Sarah LaFerriere <slaferriere@newpro.com>
See below. Came in earlier but the contact spelled my email incorrectly.
Thank you!
Meghan Rocha
Design Consultant
Newpro
603-305-2674
www.newpro.com
Begin forwarded message:
From: Cornelia Pearsall <cpearsal@smith.edu>
Date:July 31, 2021 at 12:49:44 PM PDT
To: Meghan Rocha <Mrocha@newpro.com>
Subject: Re:Work in #10 Coolidge Park Condos
In case it's helpful to know, I had forwarded to him your email about the work being done
and the COI.
Cornelia
On Sat, Jul 31, 2021 at 3:47 PM Cornelia Pearsall <cpearsal@ smith.edu> wrote:
Hi Meghan -- see below for Condominium Property Manager approval.
Thanks ---
Cornelia
Cornelia Pearsall
Forwarded message
From: Coolidge Park Condominium Association <coolidgeparkcondoPgmail.com>
Date:Thu, Jul 29, 2021 at 11:21 AM
Subject: Work in #10 Coolidge Park Condos
https://outlook.office.com/mail/inbox/id/AAQkADA1NWE5NjEwLWExZGItNGMyr04MDE0LTIwN2JINjc2ZjUyMgAQAMp7bIMVn2JNmicu8JQItRQ%3D 1/2
8/2/2Q21 Mail-Sarah LaFerriere-Outlook
To: <Mrocha@mwepro.com>
Cc: Cornelia Pearsall <cpearsal@smith.edu>
Hi,
Cornelia has asked me to send you an approval of her proposed work project.
Nothing structural is being done, therefore CPCA gives approval of the work to be done
in the bathroom.
Sincerely,
AJ LaFleur
AJ LaFleur
Unit #5 413.695.4852
Coolidge Park Property Manager
PO Box 1182
Northampton, MA 01061-1182
cool idgeparkcondo@gmail.corn
https://outlook.office.com/mail/inbox/id/AAQkADA1NWE5NjEwLWExZGItNGMyYi04MDEOLTIwN2JINjc2ZjUyMgAQAMp7blMVn2JNmicu8JQItRQ%3D 2/2
The Commonwealth of Massachusetts Print Form
1 ` Department of Industrial Accidents
- Office of Investigations
I( ,t,.
I Congress Street,Suite 100
J Boston,MA 02114 2017
www mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information y�> y� r� � Jy�� � l , Please Print Legibly
Name(Business/Organization/Individual): /►l 4)�r ilk / ', ,_! 7A zLe__.. .
Address: z4 C�ir / i
City/State/Zip:)1 0ag A/4 /' >f Phone#: 7 ' — 27`2 2-17/9
- Are ydu an employer?Check the appropriate box: Type of project(required):
'1. I am a employer with ' 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. 0 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 8. ❑Demolition
workingfor me in anycapacity. employees and have workers'
P t3'• 9. ❑Building addition
[No workers'comp.insurance comp.insurance.t
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 PI bing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12.❑ ' ••f repairs
insurance required.]t c. 152,§1(4),and we have no �f
employees. [No workers' 13.iNP �,7 Other `KUv-
comp.insurance required.] /<E IVy Vim"-//j\
IftAny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
l-lotneowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors 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.
l am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. r{��/ //y7 g,71.2-4-2-- /ry-.y":fr)14.12 (.: / ,.�vA1l r
Insurance Company Name: r
Policy#or Self-ins.Lic.#://) 9 2�6 ,�f / Expiration Date: " 202 Z
Job Site Address: 5v All l�/" t"' LI r/7 1) City/State/Zip: ! i o-A,)4ft
Attach a copyof the workers'compensation policy declaration page(showing the policy number and expiration date). d/0
66)
P
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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby ce t>�fy' under the pa• nd penalties of perju,y that the information provided above is true and correct
Signature: _ �'T�'(� Dater �" — Z UZ'
Phone#:
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
•
Office of Consumer Affairs and Business Regulation
1000 Washington Street- Suite 710
Boston. Massachusetts 02118
Home Improvement Contractor Registration
Type: Supplement Card
Registration: 146589
NEWPRO OPERATING,LLC. Expiration: 05/04/2023
26 CEDAR ST.
WOBURN, MA 01801
Update Address and Return Card.
Office of Consumer Affairs 8 Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Supplement Card before the expiration date. If found return to:
Registration Expiration Office of Consumer Affairs and Business Regulation
146589 05/04/2023 1000 Washington Street -Suite 710
NEWPRO OPERATING,LLC. Bost ,MA 02118
JEFFREY CONNORS
26 CEDAR ST. r:;.(4,04^
o valid without signature
nlOBURN,MA 01801 Undersecretary /
,- ! < . -- Commonwealth of Massachusetts
`V Division of Professional Licensure
` Board of Building Regulations and Standards
o nstruetioin Supervisor
CS —110763 : 1spires : 05l05l2022
JEFFREY C ORS
q Ny+
1 .
S4 CAL,® FIELD RD :�
Y
` ERW1 K ME 03909
SOUTH B
< L Y
,, 1.
5. <VI , . .. ,, .
ner v Oc.di '. i Commissio 1�
E1 :,. ,%•.,1.
.
-- e` 4�,y•
,y E '.� t. rl • r �i
l .{. r ♦ - - •'t• t-. 7 y • - I� �1. w �. L • •y it i. '4.
`y r. �4.1$",y,,k .,may 514y ..r ."4 .v '� ` J,• .4 „ ti , i .i'' ..1 • ,1/ :1.• " .i '' •. ..
., tip: 'i.,>.•J�...4'•.0.1 r`._. , .'� .1l;,c i- .. .-. .._. -psi ..L+ _ .. .}.
____...........k) 9 DATE(MM/DD/YYYY)
A��� CERTIFICATE ®F LIABILITY INSURANCE
04/28/2021
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 Melissa Pflug
NAME:
Mackintire Insurance Agency PHONE (508)366-6161 FAX
9 Y (A/C,No,Ext): (A/C,No):
11 West Main St E-MAIL Melissap@mackintire.com
ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC#
Westborough MA 01581 INSURERA: Employers Mutual Casualty Co 21415
INSURED INSURER e: Colony Insurance Company
Newpro Operating LLC INSURER C:
26 Cedar St. INSURER D:
INSURER E:
. Woburn MA 01801 INSURER F:
COVERAGES CERTIFICATE NUMBER: 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 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.
INSR '0 3 c- POLICY EFF POLICY EXP LIMITS
LTR TYPE OF INSURANCE INSD MD POLICY NUMBER (MMIDD/YYYY) (MMIDO/YYYY)
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
• DAMAGE TO RENTED 500,000
CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) S
MED EXP(Any one person) S 10,000
A 6D15090 , 12/31/2020 12/31/2021 PERSONAL&ADV INJURY s 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 3,000,000
PRO- LOC PRODUCTS-COMP/OPAGG S
2,000,000
POLICY JECT EMPLOYEE BENEFITS s 1.000,000
OTHER: —
(Ea BIitleenl SINBL•E LIMIT'•• s 1,000,000
ALIT—pMOBILE LIABILITY
ANY AUTO BODILY INJURY(Per person) S
A OWNED X SCHEDULED 6Z15090 12/31/2020 12/31/2021 BODILY INJURY(Rev accident) S
AUTOS ONLY AUTOS PROPERTY DAMAGE
HIRED NON-OWNED S
X AUTOS ONLY x AUTOS ONLY (Peracedenl)
Uninsured motorist BI s 250,000
X UMBRELLA LIAR OCCUR EACH OCCURRENCE S 5.000.000
A EXCESS LIAR CLAIMS-MADE 6J15090 12/31/2020 12/31/2021 AGGREGATE s 5,000,000
DED X RETENTION S 0 S ,
WORKERS COMPENSATION X STATUTE OTH-
ER
AND EMPLOYERS'LIABILITY Y I N 500,000
A ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A 6H32803 05/01/2021 05/Ol/2022 E.L.EACH ACCIDENT s
OFFICER/MEMBER EXCLUDED? 500,000
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S
If yes,describe under E.L.DISEASE-POLICY LIMIT S 500,000
DESCRIPTION OF OPERATIONS below
. Each Occurrence $1,000,000
Pollution Liability B CSP304242 12/31/2020 12/31/2021 Aggregate $2,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Contractor/Carpentry/Siding Install
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.
To Whom It May Concern
AUTHORIZED REPRESENTATIVE
JAY _
I
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD