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10B-092 (12) d-s I3P-2022-0387 191 MAIN STPARCEL 13 COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 10B-092-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-0387 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS Contractor: License: Est. Cost: 19663 WINDOW NATION LLC 116396 Const.Class: Exp.Date:05/20/2025 Use Group: Owner: A ROBERTS CYNTHIA Lot Size (sq.ft.) Zoning: URB/WP Applicant: A ROBERTS CYNTHIAWINDOW NATION LLC Applicant Address Phone: Insurance: 191 MAIN ST LEEDS, MA 01053 575 UNIVERSITY AVE (866)217-9582 WC9064617 NORWOOD, MA ISSUED ON:04/15/2022 TO PERFORM THE FOLLOWING WORK: 14 REPLACEMENT WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: �1 • r i ,52 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massachusetts .0) Board of Building Regulations and Standards FOR Massachusetts State Building Code,780 CMR MUNICIPALITY Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Nat ]E I V E[) . One-or Two-Family Dwelling This Section For Official Use Only APR Building ermitNumber: 8P- a 3--317 Date Applied: 4 2O22 /Ch J / Kpsili s LI�-74?� . J Signature UI_DING INSPECTIONS Building Official(Print Name) gl RTHAMPTON,MA 01060 SECTION 1:SITE INFORMATION 1.1 Property Address:,n;��,/y �� 1.2 Assessors Map&Parcel Numbers OqL 1.1 a Is this an accepted street?tr 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 OWNERSIIIPI 2.1 Owner'of Record:- Zill � /� /n�� TO b) Name ZJP /t, Mi)-1/✓ / r City/ i 4? 3 ^/No.and Street Telephone mail Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(checIvEl that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) br Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.0 Num o U its Other 0 pecify: Brief Description of Proposed Work': h/�J /2 / i ' ---)Vv 42-1-),(i67-iii2) -1 ,or)-/-) 5 . U-1/ Z2? K_ SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $/9 zz 3,6) I. Building Permit Fee:$ Indicate how fee is determined: // ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All Fees:$ Suppression) Check No$Of(Check Amount: 9O Cash Amount: 6.Total Project Cost: $I� 040 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) )� e5 7//'39 2� 2 �j� 2I f Bryz License Number FJ Expiration Date Name of CSL Holder.., C_c.1�/!�(/'/b 4')/ - 19 Z/}'� List CSL Type(see below) No.and/treatizmi4 T Description �jt Jet ) �' °� Unrestricted(Buildings up to 35,000 cu.ft.) !/� �i v� R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding �j -Z) --4) 2--7 SF Solid Fuel Burning Appliances 1 Insulation Telephone Email address D Demolition 5.2 Registered/ Home Improv ant Contractor C) /' 7' z 4 MA/Pt-Ad A z- HIC Registration Number Expiration Date HiCl ;ex�pp'�H >�01 j; r ii/ ivi` ��I� L09 / Y y 7 ,d2 ,666—2�/YB2 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 Issuan f the building permit. Signed Affidavit Attached? Yes No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTORO APPLIES� FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize eit 722) 77 2 - to act on my behalf,in all matters relative to work authorized by this building permit appl' ion. biR -� - 7-- -320202 - 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 :.d penalties of perjury that all of the information contained in this application re and ac _ •to to the be: .' owledg d understanding. EfbriPt)tg,..,- �i" w Sri=Print Owner's 's -°''��ectronic 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.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 r• Massachusetts ��.` '<< 1 p. c i N 'I4 • DEPARTMENT OF BUILDING INSPECTIONS y: ; ti �2, :( -7 212 Main Street • Municipal Building J " .r ..,.,,..... 0 r�i Northampton, MA 01060 sVjq ‘ 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: li f -24-7.)_b A912-- i' / The debris will be transported by: Name of Hauler: e-ii)M9.4.. „(eigi o ►SAL Signature of Applicant: Date: �a�,; 2Q2 - • . 1070 North Farms RoadNitAf Date of Agreement: Wallingford,CT 06492 March 21,2022 WINDOW NATION 7- Sales: 866-446-2846 License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582 1/ PRODUCT SPECIFICATIONS Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (413)923-1924 Primary Mobile jlacoff@gmail.com Jodi Lacoff (413)387-9369 Primary Mobile Cynthia Roberts 191 Main 21 Leeds,MA 01053 Buyer(s) listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications (collectively,this"Agreement"). Windows-Belle Vue inclusions:Beveled exterior frame with drip-cap,Fusion welded frame and sashes,Limit lock on double hung windows, Multi-Layer weatherstripping , Defense-Tek Cam-action lock, Special formula uPVC, Constant force balance system on double hung window,Integral lift rail,Super Spacer,CoreFX reinforced meeting rail, Forecaster sloped sill, Gatekeeper sash-to-sill interlock, exterior custom capping, installation by factory certified crew,clean up and haul away of all job related debris. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. It is agreed and understood by and between parties that the Product Specifications,along with the Custom Remodeling and Improvement Agreement,constitutes the entire understanding between the parties,and replaces any and all prior negotiations,representations, or agreements,either written or oral. The Product Specifications may not be changed,modified,or varied in any way (with exception that installation materials may be substituted with similar products when inventory shortages exist)unless such changes are in writing and signed by both Buyer(s)and Window Nation,LLC. Buyer(s)hereby acknowledge that Buyer(s)has read the Product Specifications. I have read and received each page of this 4 page Product Specification. Window Nation uyer(s) Signature of Exterior Design Consultant Signature Paul Cangialosi-License#On File YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. March 21,2022 www.windownation.com Page 1 of 4 VitIO • • 1070 North Farms Road Date of Agreement: Wallingford,CT 06492 March 21,2022 WINDOW NATION Sales: 866-446-2846 License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582 PRODUCT SPECIFICATIONS Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (413)923-1924 Primary Mobile jlacoff@gmail.com Jodi Lacoff (413)387-9369 Primary Mobile Cynthia Roberts 191 Main Leeds,MA 01053 Work Order Details: • Model:Belle Vue W:36" H:50" Location:Level 2,game room [ 1 Quantity:3 • Style:Double Hung • Configuration:Equal Sashes • Grids:None - Glass:Extreme 2 Pane/Low-E&Argon • Screen:Half Screen A • Color:Interior Whitc/Extcrior White Model:Belle Vue W:36" H:50" Location:Level 2,cynthia office 2 Quantity:2 • Style:Double Hung • Configuration:Equal Sashes • Grids:None • Glass:Extreme 2 Pane/Low-E&Argon • Screen:Half Screen + • Color:Interior White/Exterior White .— Model:Belle Vue W:32"H:50" Location:Level Z,cynthia office 3 Quantity: 1 + • Style:Double Hung • Configuration:Equal Sashes • Grids:None • Glass:Extreme 2 Pane/Low-E&Argon • Screen:Half Screen 1 + • Color:Interior White/Exterior White Model:Belle Vue W:32"H:50" Location:Level 2,Bathroom 4 Quantity:! a • Style:Double Hung • Configuration:Equal Sashes • Grids:None • Glass:Extreme 2 Pane/Low-E& • Screen:Half Screen Argon/Tempered Full • Color:Interior White/Exterior White March 21, 2022 www.windownation.com Page 2 of 4 1070 North Farms RoadNOWV Date of Agreement: Wallingford,CT 06492 March 21, 2022 WINDOW NATION Sales: 866-446-2846 License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582 PRODUCT SPECIFICATIONS Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (413)923-1924 Primary Mobile jlacoff@gmail.com Jodi Lacoff (413)387-9369 Primary Mobile Cynthia Roberts 191 Main Leeds,MA 01053 Work Order Details(cont.) Model:Belle Vue W:32"H:50" Location:Level 2,Bedroom 5 Quantity:3 • Style:Double Hung • Configuration:Equal Sashes • Grids:None • Glass:Extreme 2 Pane/Low-E&Argon • Screen:Half Screen • Color:Interior White/Exterior White • Model:Belle Vue W:36"H:50" Location:Level 2,jodi room 6 Quantity:3 • Style:Double Hung • Configuration:Equal Sashes • Grids:None • Glass:Extreme 2 Pane/Low-E&Argon • Screen:Half Screen • Color:Interior White/Exterior White • Model:Belle Vue W:32"H:50" Location:Level 2,Bathroom (master' 7 Quantity: 1 • Style:Double Hung • Configuration:Equal Sashes • Grids:None • Glass:Extreme 2 Panc/Low-E& • Screen:Half Screen Argon/Tempered Full • Color:Interior White/Exterior White Additional Items 14-EPA Lead Containment Install-Window(Per Opening) Special instructions: Told to remove blinds 2202283726 March 21,2022 www.windownation.com Page 3 of 4 1070 North Farms RoadNAAR/ Date of Agreement: Wallingford,CT 06492 March 21,2022 WINDOW NATION Sales: 866-446-2846 License#: 197968 WINDOWS SIDING • DOORS Service: 866-217-9582 PRODUCT SPECIFICATIONS Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (413)923-1924 Primary Mobile jlacoff@gmail.com Jodi Lacoff (413)387-9369 Primary Mobile Cynthia Roberts 191 Main Leeds,MA 01053 Installation Details: Window Removal Type:Wood Additional products needed in the future:No Exterior Trim:G8 Exterior Trim Color:White Customer agrees to allow Window Nation to post a yard Sealant:OSI Quad Max sign until 30 days after install:Yes Insulation Around Window:OSI Quad Foam Year house was built: 1965 Clean Up and Haul Away:Yes EPA Lead Containment Required:Yes EPA Lead Testing Required:Yes HOA Approval Required:No March 21, 2022 www.windownation.com Page 4 of 4 • . 1070 North Farms RoadNa‘ARIF Date of Agreement: Wallingford,CT 06492 March 21, 2022 WI N DOW NATION Sales: 866-446-2846 License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (413)923-1924 Primary Mobile jlacoff@gmail.com Jodi Lacoff (413)387-9369 Primary Mobile Cynthia Roberts 191 Main Leeds,MA 01053 All home improvement contractors and subcontractors shall be registered. Inquiries about a registered home improvement contractor should be directed to the Office of Consumer Affairs and Business Regulation Home Improvement Contractor Program, 1000 Washington Street, Suite 710, Boston,MA, 02118, 617-973-8787 Buyer(s)listed above hereby jointly and severally agrees to purchase the goods and/or services of Window Nation,LLC. ("Contractor")in accordance with the prices and terms described in this 6 page document and the Product Specifications,which are incorporated as part of the Agreement(collectively,this"Agreement"). This Agreement represents a cash sale of goods and services. Buyer(s)agrees to pay the cost of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyer(s)may seek for their purchase. Sale Total $19,414.00 Setup&Disposal Fee $249.00 Estimate Project Start:14-16 weeks Permit Fee $0.00 Estimate Project Finish:1 to 3 days after start Total Sale Price $19,663.00 Sales Tax(0%) $0.00 Total Amount Due $19,663.00 Buyer(s)acknowledge that definite start and completion Down payment-none $0.00 dates are NOT of the essence. Delays beyond Contractor's Balance Due $19,663.00 control not included in calculating timeframes. See COD(Payable at time of install) $0.00 Section 5 of the Terms and Conditions. Amount Financed $19,663.00 This Agreement constitutes the entire agreement and understanding between the parties,and this Agreement replaces any and al I prior negotiations,representations,or agreements,either written or oral. No amendment,modification or waiver of this Agreement shall be valid or effective unless in writing and signed by both parties. Buyer(s)hereby acknowledge that Buyer(s) 1)has read the entire Agreement and has received a completed,signed,and dated copy of this Agreement,including the two accompanying Notice of Cancellation forms,on the date first written above and 2)was orally informed of his/her right to cancel this transaction. Buyer(s)also agrees and understands that if Buyer(s)finance the work with a third-party,the terms of that financing will be contained on separate documents,including any finance charge. Price includes all discounts and promotions. I have read and received each page of this 5 page Agreement. Window Nation uyer(s) Signature of Exterior Design Consultant Signature Paul Cangialosi-License#On File YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. March 21, 2022 www.windownation.com Page 1 of 5 • • '1070 North Farms RoadNA/At Date of Agreement: Wallingford,CT 06492 March 21, 2022 WI N DOW NATION Sales: 866-446-2846 License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582 PRODUCT SPECIFICATIONS Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (413)923-1924 Primary Mobile jlacoff@gmail.com Jodi Lacoff (413)387-9369 Primary Mobile Cynthia Roberts 191 Main Leeds,MA 01053 Order Summary: Belle Vue Belle Vue 12 Double Hung 2 Double Hung Configuration:Equal Sashes Configuration:Equal Sashes Grids:None Grids:None Glass:Extreme 2 Pane/Low-E&Argon Glass:Extreme 2 Pane/Low-E&Argon/Tempered Full Screen:Half Screen Screen:Half Screen Color:Interior White/Exterior White Color:Interior White/Exterior White Total Order Summary of Units 14 Additional Items 14-EPA Lead Containment Install-Window(Per Opening) Special instructions: Told to remove blinds 2202283726 Installation Details: Window Removal Type: Wood Additional products needed in the future:No Exterior Trim:G8 Exterior Trim Color:White Customer agrees to allow Window Nation to post a yard Sealant:OSI Quad Max sign until 30 days after install:Yes Insulation Around Window:OSI Quad Foam Year house was built: 1965 Clean Up and Haul Away:Yes EPA Lead Containment Required:Yes EPA Lead Testing Required:Yes HOA Approval Required:No March 21,2022 www.windownation.com Page 1 of 1 • The Conunonwealth of Massachusetts i--7A—mb—. I Department of IndustrialAccidents - 1 Congress Street, Suite 100 �=':j Boston,MA 02114-2017 ''4` �_ www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information i Please Print Legibly Name(Business/Organization/Individual): �/t.://1/1 =- G�1/ /U. -1 -0// I ;G. Address: .��^ %�)✓ %74/ , l' �_ City/State/Zip:NA/14-1 ? d l%/ 6 Phone#: _ -/"C,/— 7---'1 !' j726 Are you an employer?Check the appropriate box: ,�/ r Type of project(required): I.I 1'I I am a employer with employees(full and/or part-time).' 7. ❑New construction ,'2..01 no a sole proprietor or partnership and have no employees working for me in 8. Ei Remodeling • any capacity.[No workers'comp.insurance required.) 3.0 I am a homeowner doingall work myself. r 9• ❑Demolition , y [No workers'comp.insurance 4.❑I am a homeowner and will be hiring contractors to conduct all work on ray property. I will 10[]Building addition ensure that all contractors either have workers'compensation insurance or are sole I I.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors IiSred on the attached sheer. 13.0RD repairs These sub-contractors have employees and have workers'comp.insurance.; 14. ther / iVU "d� 6.0 Wo am a corporalion and its officers have exercised their right of exemption per MGL c. 152,ti 1(4),and we have no employees.[No workers'comp.-insurance required.) 'Any applicnnt that checks box 1.11 must also fill out the section below showing their workers'compensation policy information. _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 en additional sheet allowing the name of the sub-contractors and state whether or not those entities have --.0tployees. If the.sub-contractors have employees,they must provide their workers'crimp.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: l/ (� —�"' r Cv Gi .-�1 G_ - ' q6 /�17 p -— � Policy#or Sell=ins.Lic.#: +!'�� Expiration Date- / G�� Job Site Address: /‘'i I / )9V City/State/Zip: e3) Attach a copy of the workers'compensation policy declaration page(showing the policy number an expiration date), Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a tine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a line 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 cer ' nder the pi3'ns and penalties of perjrrry that the information provided above is true and correct. t - -- ) Z Signature.. t - • �� ' Date: Phone#: _ it _� Lin/ _ _jam% ' _.f / -,L) 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 it: 4 ,VINDO-1 • CPT. JAR-,. �,.,..- CERTIFICATE OF LIABILITY INSURANCE 08/042021 THIS CERTIFICATE IS ISSUED AS A 1NIATTER 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 .4 CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. f 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 endorsementfs). PRODUCER 440-461-1101 I CONTACT Tim Fitzpatrick Todd Associates,Inc. PHOCrE 440-461-1101 I Fax 40-t4"o-Di82 23825 Commerce Park,Suite A IA:c.No.Ect1: :Iaic.Cla): Beachwood,OH 44122 I Sion=ss:lrusso@toddassociates.com Timothy P.Fitpatrick INSURERIS)AFFORDINGcovaRaca ) v,uc: I tasuReRA:Selective ins.Co.of America 125T2 l•ISURED i SSSURERa:Selective Ins.Co. of the 5E 139926 $Nfntlaw Ndticn Holding,LLC )!SURER C: I mtlow:!anon LLC ilrkra Window Nati n.Inch, 3110 Ala01e Lawn slid.._,3S !INSURER a Fulton-MO:0739 IINSURER i INSURER=: I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER. THIS IS TO C=RT1F'!THAT THE POLICIES OF INSURANCE LIS T'EC SEL CW HAVE SEEN ISSUED TO T:-HE INSURED NAMED ABOVE FOR THE POL:CY PERIOD INOIC?;EO. NOTWITHSTANDING ANY REQUIREMENT TERM OP, CCNOIT'CN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI-'I CH THIS CERTIFICATE MAY BE ISSUED OR MA'!PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MA'!HAVE BEEN REDUCED BY PAID CLAIMS. 'CISRf 1ADDL!SUER) i POLICY EFF • POLICYE.YP I TYPE OF INSURANCE I IC!sn f?pin I POLICY NUMBER l ImpamDr"YY9t i,,NAUDnerywi: !R.11TS A 1 X I COMMERCIAL GENERAL LIABILITY I 1 i iI EACH••CC••RRENC_ I- 1,000.000 I I CLAIMS-MACE 1 ^I OCCUR I S2423S73 108/04/2021108/04/2022 DAMAGE TO a'sectimncm I s 500,000 I : I Nis°mac?.,arw'no aor,am i ; 15,000 I ' I 1,000.000 PERSONAL 3 AD'!!NJUR'! t ; ?_NERA -.;GRE•_.+r_ s ` � 2,000.000 I G-'r_,CIGR= .�7=ul.0_ l.APPLIES PER: I � I i 1 I 2.000,000 ! I POL'CY 1 X 'eiJCT I X I-'C i I t 1??CCrIJC73-..C\1P'CP dw I ; I I O:.-I=P• I i 1 i I ; - 2C1,13ICiED SINGLE_.MI i - 1,000.000 A I AUTOMOBILE LIAa1LITY i I !•=h 3a.dern • ET I ANY AUTO I 'S217.3577:S'359977 108/04/2021 i 08/04/20221 Eocl. .N.,I,R'• Par:eraanr i .ZIT T]DIET Ell oACA.•l O ! j i 3OCIL'.I'S L:R'• Persc:een:i ; "a1P CIG r`rC1=C I 1 I P.t.3c=d''C.1hW3E i L~ 1 , ERTYti i ; .>Ur SOCIL'{ i fOOP$.f i i ' AIll UMBRELLA LIAB . X I OCCUR I I i EACH CCCUPRENC i ; 10,000.000 1 EXCESS LIAB CL11Ms.'JA0EI I IS2423578 108/04/2021 08/04/2022I AGGREGATE 310.000.000 I I DEO I X I RETENTIONS 01 i i 1 > '�3 ' I B WORKERS COMPENSATION I ( X I i,.aT':7= I I_?• ' AND EMPL.OYERS'UABILITr Yi4I I 08104/2021 08/Od12022 I, 1,000,000 A ANY PROPRIETOmPARPIEPJEXECUnVE X 4'/C906J6171�OS1 _L EACH 1CClCe IT OFFICER/MEMBER EXCLUDED? IL. I!A ! 9 ! 1,000,000 —J,�` YlC306a-o 16(MI ,08/04/2021 0810r1/202_I=;.CIscA3E-?..'xIFLC'r23 5 (Mandatory In NH) ; it•Fes.describe under I j i i - 1,000.000 DESCRIPTION OP OPERATIONS belcv I I E._713'e.-5c- CL:�!?ibll'. I 1 I ! DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101.Additional Remarks Schedule,may Os attached if mots space is required) Waiver of Subrogation is provided where required by written contract and as permitted by law. CERTIFICATE HOLDER CANCELLATION BOSTBO4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. - AUTHORIZED REPRESENTATIVE ? ACORD 25(2016/03) 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • `ilir Division of Occupational Licensure Board of Building Req;lations and Standards Constti'ion Svrsor CS-116396 x '` =; ; F�tpires:05i20l2025 BRANDON LSO 142 RHODE I>gLAND • 1 RI O ,- CUMBERLAlCommissioner drtl I' 1fnHilo THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affaiand Business Regulation 1000 Washington treet- Suite 710 Boston, Massachusetts 02118 Home Im royement ContractorRegistration ..•.i I rK ' 1!..........m :_ r Type: Supplement Card WINDOW NATION LLC i Re istration: 197968 8110 MAPLE LAWN BLVD,#335 "'t - -== 4-- E>t�ifation: 02/12/2024 A, ormer.w Z w ` FULTON,MD 20759 ijki - = tom; 111.10 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affair's S Business Regulation Registration valid for Individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Su bf'ement Card Office of Consumer Affairs and Business Regulation Reejstratton Expiration 1000 Washington Street -Suite 710 197968 02/12/2024 Boston,MA 02118 WINDOW NATION LLC 1.zLix y� rBRANDON BOYLE4i: I 575 UNIVERSITY AVE '*?\ "- 4� i i�0 46004' r----' ''''--- C-------- // NORWOOD,MA 02062 `i;y Undersecretary Not valid without signature '5::.'::-.:11,41,:lii..^c:;:.17;'-'7"r rX,• ' ;:-.:,-,1::.E.I.:- ..........- . -,..../61*7.24*&4-.•_, ,...:41 7,-7.---t• ...f.:,..r.,..ilittv-a.:- . - .1;.....,... ;.,,,zt...!-rk,);.:4_13,.: .,,.....,,...,,,,,,If pl, r.,,-::.1:L't 41.11"-i.,.. -..sk. •kki, 4 • - • .,..: . . „ 't— N:I"; •44.4.'"''..z:t-f+:1•-(---.. -..t:v., — Vsk . •i:ti ''''.+:,c- ,+ -v.-- 3 ,._,..,....F.A.,....1., I :. .........kw,•.t.i.•:.; :::-....,:VV.w,..-.....z,-.11:.,,Ekl.K.k.2,,,,,, ' . 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ADDITIONAL PERFORM,',INCE.:--RATL..INGS:77A? -.1"- Visible Transmittance i Condensatioh-'ROsistai3tej .-;:::-4!! - - i.:..• . . . . ... .. -,:,,.. ''' r15. • 0 .55 --60:-:.--L....,-".__-:::-. :',-,:i "4 . • 3 .. • 1...1,..0...te4d.4.".am:11+•—•-•rent lay"r..1111.1 itr to opplir We.re Rc Pii.... .h.eiS rar:::,_:".": .,,r.: -:.......lf ... -.... -r".7•VI t.s.I.L.4% MR::..1.111 per AO rirtil mired fix n 1Lxid sete!...--. .. :..- ;,.,..:.F.ti• . ,,.,___.,...:: •-• •""'"•,•"•: ,,, , ., se. 7.6, I.a 1.:-.7 004.-;tv,1.narosounered an,prat X r- .-7 ''`'.•"' '.'"....''-.-•,yr ...E.,ra. 4m 41.rer-rrd.Lew.Corsuft ru.w:d3CII..ler.':.- ,"•-•-:.'F . ;:g.r. -oar•:......:art...!I.111%ft.. .......—- .• ..... --r,.....1....,1....alt..3 er.l.r tro.r.,,,nrr.• •,,,,....,,,,,..0.0 :la.=:• , • 1657492-020 *_ '. ?-- • Mt::• • . . . . . . . . -• . .. . ' ... 1