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25C-155 (6) BP-2021-1987 5 ORCHARD ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-155-OOl 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-2021-1987 PERMISSIONIS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 7000 ENERGY PROTECTORS INC 101143 Const.Class: Exp.Date:06/16/2022 Use Group: Owner: PINEDA,CAROL & MICHAEL MCDONALD Lot Size (sq.ft.) Zoning: URB Applicant: ENERGY PROTECTORS INC Applicant Address Phone: Insurance: 64 PAXTON RD (774)253-0277 6S62UBOG29826021 Spencer, MA 01562 ISSUED ON:10/07/2021 TO PERFORM THE FOLLOWING WORK: INSULATION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I` ' , >2 . I Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner / The Commonwealth of Massachus tts OCT �40 WI Board of Building Regulations and Stan:.rds�r Q ' se Massachusetts State Building Code, 780 C •• 0,9 o2 c� LTNI SE LI Building Permit Application To Construct,Repair,Renovate Or b,cr�'"c,!ts . `Revi.edAla, 2011 One-or Two-Family Dwelling 14' c',. This on For Official Use Only �Oc�ys Building ermit Number: ��a� "I Date Applied: r`"UI A)1 �5 al /b-6-a'/ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 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: Zone: ____ Outside Flood Zone'? Public❑ Private 0 Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: �r`rN t' C 4.C.e-1 !Ica dOn-c 4 NarYh(0 I Pik At CA 06D Name(Print) City,State,ZIP c orchgrc�, SA is-6.). 15-4-1?42._ 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 Er-Specify: 6� A, 'Y\ Brief Description of Proposed Work: t V‘.S 4 1/4.e.... "VW P10- e c lCd r (--•-t k,l SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 7( 0;x() 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) 1 Check No Total All Fee $ �/'' � 1 Check Amount. Cash Amount: 6. Total Project Cost: SeitOod 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-101143 6/16/22 Joshua Dada License Number Expiration Date Name of CSL Holder U 64 Paxton Rd List CSL Type(see below) No.and Street — Type Description Spencer,MA 01562 U Unrestricted(Buildings up to 35,000 cu.ft.) encer _p — _— R Restricted 1&2 Family Dwelling City Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding 774-253-0277 SF Solid Fuel Burning Appliances j dada79@hotmail.com Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 172960 8/19/22 Energy Protectors Inc. HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 64 Paxton Rd jdada79@hotmail.com No.and Street 774-253-0277 Email address Spencer,MA 01562 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 Issue ce of the building permit. Signed Affidavit Attached? Yes No 0 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 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 in this application is true and accurate to the best of my knowledge and understanding. �_och O Print O\‘ner's or Authorized Agent'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.U.L.c. 142A. Other important information on the HIC Program can be found at wWV'.mass.goy/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" The Commonwealth of Massachusetts i� —: _(1 Department of Industrial Accidents C _;ikI_ 4, 1 Congress Street,Suite 100 ��_ Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Annlicant Information Please Print Legibly Name(Business/Organization/Individual):Energy Protectors Inc Address:64 Paxton Rd City/State/Zip:Spencer,MA 01562 Phone#:774-253-)277 Are you an employer?Check the appropriate box: Type of project(required): LEI I am a employer with 1 1 employees(full and/or part-time).* 7. El New construction 2.E3 I am a sole proprietor or partnership and have no employees working for me in 8. 12 Remodeling any capacity.[No workers'comp.insurance required.] 3.0I am a homeowner doing all work myself.[No workers'comp.insurance required.]? 9. ❑Demolition 10 0 Building addition 4.El I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.12 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ]3.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per TIGL c. 14.p✓pother Insulation 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. I.Homeowners 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. lithe 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:Ace American Insurance Co Policy#or Self-ins.Lic. #:6S62UB0G29826021 Expiration Date:9/01/22 • Job Site Address: c 0(C6.Lc T City/State/Zip:kl GrijiNCM p t 1614. Q IUD Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: - ( 1"--Date: O � 1"--( Phone#: •A —aC i -7 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#: City of Northampton " Massachusetts H =` DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building 'gyp ca. Northampton, MA 01060 SN,y. 3nc\' 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: n ` Ir 5penceri,Y101-- 6r5-6_ The debris will be transported by: Name of Hauler: -3—a341 6 ak. 1 'Phec-5`i, 0rd c - Signature of Applicant: Date: '`t ` I/24 a. � City of Northampton \` 4''" Massachusetts '' Va 1 ,C � } .4 "! r f r DEPARTMENT OF BUILDING INSPECTIONS 9 ,•icy 7 212 Main Street • Municipal Building ,�• Northampton, MA 01060 Property Address: 5 ntt frf �-7'-i Contractor Name: Ln<r 1i PckL4rS 1v ( Address: 6t( 1'c*i, , eI City, State: Rix h t«, Me- 01 %2 Phone: -pL.1_. 3- oa--rj Property Owner Name: .4' , J nc4 I, k IVrd,C_ -, (I Address: 5 0ia6rd 5 City, State: f u c Aft,p r`-.- -- I, A'Si- c(Jc, (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube) wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. i Contractor signature Date ��2 5-(2 f DocuSign Envelope ID:0E739CCB-31 E4-417D-9634-EFEEFC4FOEOF RISE ENGINEERING OWNER AUTHORIZATION FORM Michael Macdonald (Owner's Name) owner of the property located at: 5 Orchard Street (Property Address) Northampton, MA 01060 (Property Address) hereby authorize C'nl1 POl 66 Subcont ctor(to be filled in by office) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. This form is only valid with a signed contract. The permit will be secured by the subcontractor, at no additional cost. It is the homeowner's responsibility to close out this permit by contacting their municipality :at the completion of this work. r—DocuSgned by. Ow' 4Y"S' i jhatbre 3/5/2021 I 4:09 PM EST Date RISE Engineering, a Division of Thielsch Engineering, Inc. 60 Shawmut Road Unit 2 I Canton, MA 02021 1339-502-6335 www.RlSEengineering.com AWR firCERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) I1%...---. 08/30/21 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 CON NAMEACr Nina Arroyo Coonan Insurance Agency,Inc. PHONE Eat): 508-987-7122 (aC,No): 508-987-7152 267 Main Street �� ADDRESS: Nina@coonaninsurance.com Oxford,MA 01540 INSURERS)AFFORDING COVERAGE NAIC N INSURER A: AIX Specialty INSURED INSURER B: Safety Energy Protectors,Inc. INSURER C: Century Surety Insurance 64 Paxton Road INSURER D: Spencer,MA 01562 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TNSR ADDLBUbR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE /NSD MD POLICY NUMBER (MMIODIYYYY) LMM/DD/YYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE IO RENTED 1 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) S 100,000 MED EXP Any one person) S 5,000 a y L1N-H714840-00 08/31/21 08/31/22 PERSONAL 8 ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S 2,000,000 X POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER S —~AUTOMOBILE LIABILITY r COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) S B OWNED X SCHEDULED AUTOS ONLY AUTOS y 6236519 12/23/20 12(23121 BODILY INJURY(Per accident) S XHIRED X NON•OWNED PROPERTY D°AMAGE $ _ AUTOS ONLY — AUTOS ONLY S X UMBRELLA LIAB X OCCUR «— EACH OCCURRENCE $ 3,000,000 ^C EXCESS LAB CLAIMS-MADE Y CCP1005749 08/31/21 08131/22 AGGREGATE S 3,000,000 DED RETENTIONS $ WORKERS COMPENSATION I STATUTE IPER H I ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES IACORD 101.Additional Remarks Schedule.may be attached it more space is required) Workers Compensation insurance certificate to follow under seperate cover. Action Inc-and National Grid USA its direct and Indirect parents subsidiaries and affiliates shall be named as additional Insured on Commercial General Liability and Automobile Liability policies CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN Worcester Community Action ACCORDANCE WITH THE POLICY PROVISIONS. Council 484 Main St.ste.200 AUTHORIZED REPRESENTATIVE Worcester,MA 01608 I ,,,i 0 1988-2015 ACORD CORPORATION. All rights a rved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AC•i'l ® DATE IMM/DD/YYYY) C CERTIFICATE OF LIABILITY INSURANCE 08/31/2021 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 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 CONTNAME: Nina Arroyo COONAN INSURANCE AGENCY PHONE (508)987-7122 FAA wc.mei: E-MAIL ADDRESS: Nina coonanInsurance.com 267 MAIN ST MSURER(SIAPPORDINGCOVERAGE NAIC0 OXFORD MA 01540 INSURER A: ACE AMERICAN INSURANCE CO 22667 INSURED INSURER B ENERGY PROTECTOR INC INSURERC: INSURER D:__ 64 PAXTON RD INSURERS:_ SPENCER MA 01562 INSURER F: COVERAGES CERTIFICATE NUMBER: 690758 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 PAIDpp CC�LAIMS. IY EXP LIR' TYPE OF INSURANCE '�ADDI INaD wSUSR' I POLICY EFF JMM/DD/YYYYI IMMMD//YYYYI LIMITS LTR m POLICY NUMBER I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE OCCUR PRMAGE SO RENTED PREMISES IEa occurrence) $ MED EXP(Any one person) S N/A PERSONAL&ADVINJURY $ OEM AGGREGATE LIMITAPPLES PER: GENERAL AGGREGATE _ _ lPOLICY! JE8 LOC PRODUCTS•COMP/OP AGO S OTHER : AUTOMOBILE LIABILITY EOMBINEDllSINGLELIMIT $ ecdden ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOSNON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) S UMBRELLA LIAR OCCUR EACH OCCURRENCE S _ EXCESS LAB C(,A)MS•MADE N/A AGGREGATE S 0E0 RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X SP ATUTE R ANYPROPRIETOR/PARTNER EXECUTIVE Y N E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED7 NM NIA NIA 8882UBOG29826021 09/01/2021 09/01/2022 -- (Mandatory M NH) E.L.DISEASE•EA EMPLOYEE $ 500,000 I(yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Addttlonal Remarks Schedule,may be attached N more spec*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.govAwd/workers-compensation/investigations/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Eversource National Grid ClearResult ACCORDANCE WITH THE POLICY PROVISIONS. 120 Turnpike Rd Suite 200 AUTHORIZED REPRESENTATIVE Dw( C Southborough MA 01772 Daniel M.Crt,ni y,CPCU,Vice President—Residual Market—WCRIBMA 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 4 ; 4,.. •...,, ' i ;AP. ..'.."""••".. ''''''........-^'.."''''''.....-'.......'.........''''. ‘1,:,,.......'..,'. '24.....:'. It p:flt s .',•"•.':*2:::77'. '.''.}I ‘C q .....,,,..:....:.„.. ., ...,„...,......,. . . ,..:,...,.. , litsit.. .2.:aNt ti,3 els 0 ( . k: 1 1,,,. - t• t::.,..'j.;.:...4 ., .'-. ',:.:r.4..,';.•....,.':',..4.; - :4,,,,::. 'if •.,;>.',....q?1,.•'" '''''',"'gi%-'2' '•' •f.A.L, ,'A,%:,'; • rf.t:',...r::: .; ../. 1c,',..,..; -, ....,, ''. '•'. . 1' k;,-,,),. ,r. . * - ,...• • ••• Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 • Home Improvement Contractor Registration Type: Carpon:Won Regiet son: 172960 ENERGY PROTECTORS INC. Expiration: 08/19/2022 84 PAXTON RD. SPENCER, MA 01562 Update Address and Return Card. Offios of Consumer Affairs&Business Reguistion HOME IMPROVEI ENT CONTRACTOR . Registration valid for indhriduai use only TYPE:Corporation before the expiration dabs. If found return to: SIMMINAM1F. Office of Consumer Affairs and Business Regulation 172980 08/14W2022 10011 Washington Street -Suite 710 ENERGY R GY PROTECTORS INC. Sc. ,MA 02118 JOSHUA DADA �V 34 PAXTON RD. ,,.,fa.g. of valid without signature MA 01582 Undersecretary