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17A-145 (5)
BP-2022-1169 220CHESTNUT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-145-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Pennit# BP-2022-1169 PERMISSIONIS HEREBY GRANTED TO: Project# ROOF Contractor: License: Est. Cost: 18800 SEXTON ROOFING CO 99689 Const.Class: Exp.Date:.10/05/2023 Use Group: Owner: BENOIT IRENE J Lot Size (sq.ft.) Zoning: URA Applicant: SEXTON ROOFING CO Applicant Address Phone: Insurance: P O BOX 6327 (413)534-1234 7pjubog07898222 HOLYOKE, MA 01041 ISSUED ON:09/19/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-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: 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(s(1,4:1.&\,_ . Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner bZ. - The Commonwealth of Massachusetts Board of Building Regulations and Standards . .POR . .:� Massachusetts State Building Code,-780 CAR,7th edition MUNIUCISPE TY Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised January One-orTwo-FamilyDwelling 1,2008 This Section For Official Use Only Building Permit Number: -9 AA - • pol Date Applied: Signature: -_-F/ /'/Cv �izZ mrnis Building Cosionerf Inspector ofBuildings Date �f •w"�_ ' • SECTION 1:SITE INFORMATION 1. rop(1er ddress 1.2 Assessors Map&Parcel Numbers 1.lals this an accepted street?yes n0 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.O.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private❑ Zone: - Outside Flood Zone? Municipal 0 On site disposal system 0 Chat if yes0 • SECTION 2: PROPERTY QWN ERSHIP' 1 Owner'of Record: ' rl��c,,le1'n/ 440///7,4-k • 7ae� 0 Ae �ivi,,' APr" KXo,,r-,,c Name n Address for Service: - , Signature Telephone - SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building l'd-Owner-Occupied ®-``Repairs(s) 0 Alteration(s) iJ Addition ❑ Demolition 0 Accessory Bldg.❑ Number of Units 7 Other ❑ Specify: Brief Description Proposed Work: • rn U <-w ,1 - "-ie1/— SECTION 4:ESTIMATED CQNS 1TtUCTION COSTS • Item Estimated Costs: • Official Use Only (Labor and Materials)_ . 1.Building S 1. Building Permit Fee:S Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 0 Total Project Cost](Item 6)x multiplier . , x 3.Plumbing S ' • 2. Other Fees: $ 4.Mechanical (HVAC) $ List: . 5.Mechanical (Fire $ Total All Fees:S Suppression) _ g Check No. )O Check Amount: / Cash Amount: 6. Total Project Cost: S yl i/, 14`4" IIPaid in Full ElOutstanding balance Due: • JSC013=3Fa1ti 114°.L.-mirPzIragscias XEM.2.114013a ZrnElbS rc2f(la -£ • uado 13=s°Pua =pits 2uRooajo addl. • - cr:120d AzVoliP izicrEcual-1 wzgsks 2ulomuuto addl. • szttgq13101..TG-12cPnatst S11100Xpalle JVCFUUN 1 P 11:11100 wow../qeif.gsti &nil:1(11113E4P-20(FraN s=m111S '1"1"N -b)raw arytg stiTD (Eitued 231=P3P‘S:397aP1=1141 Pam‘°2E21/63 gMARIPIXO (11-bs)raw moil mini. :asfiFcluolMuucgtal z[11. 130413d13=a3c111 VGA&TeRmrsilos tog& 7 SCIAtAM-SSEUTALSVIi pum Ct U33:1 2SUZIFI10544=Ins IM39=113003 2CF1 topzutugtal 11:30fActur,SletVil iisp:tuos act UM urollaid om Ip uo uppuumpu!liurpodtu!=too'Vat --i-Dwapun plug Auttuur2 io nod uuReilFpe orp osaaze WEerf=Mat 101ev'Jnta( jR)/OPIEW:03 Iscuaeoldcal=On Uct U!TAUMSPQ11011) iorm1um3 polalsgoroame so* oqxn 1U3 313'NM&ucao itzgrsol op oitTfunactsiLital e scrump)opt_Immo uy :S11.0/4.1 • urea suaav pazoogniv 2ast,u0 - uiluxuslopun pue agpaiesou4 gulp lsaq alp GI au=zou pue arm _ Sag is!paum000 UOICIETWOEL!2113,10 fl Terp Xxofrad jo soRtguad pee sued alp zapun isms f.cfaloq extopq acereu tau 2a9aux; MOLLNIFVIDa0.1.h3DV nzmonmvo ao qnouzy3s • zwa tamoragi 3Ftzancorg)=law vws°rutia It/0yd 01/11 0-1-PICID • (Th-uoeatildde !!,,, . sup Sq.pazpaple apnal043ftpeps srameEr titt*UFA{AM U0 3=E 01 4217tdcud pZECirtS=pia_Iputtao 9AateTirta ItCei Sandal/110.1.3VZILLK03 110 SaUltlit&O • 1.12111A1C3LTIM410t3 3H 0.1.14011NZINORLEIVIERsitet0 c1,14011...,3S s3,3 acEPrulf 46-sPUTVP21127$ IPEEld 2a!PLE4 WU°oolleassi=MP le!a2P 241 a!Its ILuti ZIARPRINsup Mueld moPE:gl. s514 41163-PMVIRLIs fug 11421thico q;slim 46,1=Pgle zmunnsur 1ia9esmdtmo szwolsk kffkisz -zsr raw) ivn.wsativansta NOILIFSM2611110.1 4112M0141 .?!•101,1...73S 1:17 1“.ehlf.c_c-FLIT firtwo flat • -sauxiS Put-0N {432 112WWgriffj4laP3C‘ LrE67 VhiP Agli-44=144 -1 Jetiedic'r uoPeasOkiama =mew• -01 JO=MN A0.3 3114 a- boy/ pug 121/V,r2000-1-XJc' Verplt —6 EMI ow)appramo-3 lemuamarkal=mg polo:p.:1;ra rs ..pmen..(3 a =app.Ltoaa zumplapi _ to!xernsal smanciddid 2ormli Pal PRDS 21417$11301203Parlit sta. sup=.0a 2u90azt Lawry( ytt az"=Tels`ronpiln ainmn.cr'Laura vet lem.P1snt - (It 112 opesr en en,seciepomED rors=nra n 6C NI-C ?WI-YOH 2d•Cy ImxIS Par L-e99 CrIPV (21c146"'=) :141-Iszt xog -1=4* 1 1S:110 2an*1 _ gran auFragat4 .24tungustyouri flra,9 cto/s/o/ ‘066 rs SrilAMES 2401.1.31:12LISM0D AIDLL.73S proposal SEXTON ROOFING AND SIDING C www.sextonroofing.com VMO P.O. Box 6327 og— . Holy oke, MA 01041 Setting the Stamina! "' '"' "" �yea • a111wr+." 'll"'�Ss p. 413.534.1234 1'. 413.539.9906 MA I-TIC_# 118239 sexto_nroofiing( 1 wtmai..cont SUBMITTED TO:Danny Mulligan& ' PHONE 347-742-4584 DATE S/2/22 Maureen McMurray STREET 220 Chestnut St. EstAQ. / ` „. 8.coea CITY,STATE,ZIP Florence,Ma.01062 n,otr 7' ON ROOFIN • ;Y SUBMITS SPECIFICATIONS AND ESTIMATES FOR: 1) Strip and remove existing shingles and dispose of in proper landfill 2) Inspect roofing deck and replace as needed $105.00 per sheet. 3) Install new metal edging to rakes and eaves of roof.(white/brown) 4) Install ice and water shield on eaves(6'), vent stacks, in valleys,chimney, and at intersecting roofs. 5) Install synthetic roofing underlayment on remainder of roof. 6) Install new flanges over existing vent stacks. 7) Install starter shingles on caves and rakes of roof. 8) Install IKO Architectural style roofing shingles as per manufacturers'specifications. 9) Install new cap over ridge vent. 10)Install 1/2"fiberboard, fully adhered.060 EPDM membrane,all flashings on rear upper dormer. l l)Reflash chimney as needed(a S400.00 12)Supply manufactures Lifetime warranty and SRC 5 yr. workmanship warranty. arreunON HOMEOW'NERS:PI EASE COVER ALL PERSONAL BELONGINGS IN THE ATTIC,GARAGE,OR STORAGE AREAS DUE TO POSSIBLE ROOFING OEMSS OR DUST COMING TNROt"GII CRACKS OE WOOD DrCEr G. SEXTON RO(FLNG SHAil.AMY FOR ALL PE OUS FOR PROJEC1 w e 064,4 likod We Propane hoogy to furnish nrst.dai and labmw cornpinto in accordance with tho above spacificatienit,fool tho Eig*fo.n Thousand Eight HHnrrdnnt DOLLARS (511.1MXi.0O)PA)A1KER7S TO DE MADE AS FOLOPTS: due In full upon completion All Material is guaranteed to be as spv.;fierL Alf work to be Meted in a TARrtborizcd workmanlike manner aa-onlin5 to standard psadices. Any akerasion of Signature deviation from above specifications tavctivtOR<Wm aorta will be eat+clttcd only upon unties valet,,and wilt hermit an exua diary aver and*overlie estimate.DAMAGES mhUsitESANnorttiva viimdanort IdARTSON HorstMAY ; Note:This prom sal may be withdrawn by us if notated within j III UNAVOIDABLE A.1't)WE ARE MU tSalitW,F$. Not responsbie the water (14)days. damage during coasts ctian. Owner to pay responsible legal fees for non- payment.And applicable tamest_ fitteptaste d Smoot The above prices,speeifications � Signature and conditions arc satisfactory and are hereby aid" Y are authorized to the work as specified. Payment will be made as outlined above. / _ l ` Signature i _ j City of Northampton Fi Massachusetts "Y. �e . r, << 0 :1 ( • F DEPARTMENT OF BUILDING INSPECTIONS• S, �'. 212 Main Street • Municipal Building s c Northampton, M► 01060 rah ;7C�a 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: o6' n1 f/J ST `/�/ Q2' � Y The debris will be transported by: Name of Hauler: 4-5356c/ )4-$49.4 6c,, /cl( 0-1 (-U/24a Signature of Applicant: Date: 2 Z Department of Industrial Accidents Office of Investigations 1 Lafayette City Center ` 2 Avenue de Lafayette,Boston,MA 02111-1750 "My•'� www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibly Name (Business/Organi7ation/Individual):Sexton Roofing&Siding Inc Address:P.O. Box 6327 City/State/Zip:Holyoke, Ma.01041 Phone#:413-534-1234 Are you an employer?Check the appropriate box: Type of project(required): I.❑ I am a employer with 4. © I am a general contractor and I employees(fu and/or part-time).* have hired the sub-contrm..tors 6. ❑New construction ll listed on the attached sheet. 7. ❑Remodeling El I am a sole proprietor or partner- ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in anycapacity. employees and have workers' P ty. $ 9. ❑Building addition [No workers' comp.insurance comp.insurance. 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.❑Plumbing repairs or additions myself. [No workers'comp_ right of exemption per MGL 22 e Real repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] 'any applicant that checks box#1 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. 'ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have oployees. If the sub-contractors have employees,they must provide their workers'comp.policy number. am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site !formation. isurance Company Name:Travelers Property Cas Co Of Am olicy#or Self-ins.Lic.#:7PJUBOG07898227 Expiration Date:06/4/23 �b Site Address: City/State/Zip: • ttach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a tie 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 flip to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of tvestigations of the DIA for insurance coverage verification. do hereby certify under the ' ins and penalties of perjury that the information provided above is true and correct ignature: Date: hone#: / Z 3 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(check one): 10Board of Health 20 Building Department 3❑City/Town Clerk 4.0 Electrical Inspector 5:lumbing Inspector 6.00ther Contact Person: Phone#: e A• �DJ CERTIFICATE OF LIABILITY INSURANCE D"TE aD� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE-CIthI e-It.ATE 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 poii Y{+es)Est be mWarsed- 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 mole Katie Hutchinson ORMSBY INSURANCE AGENCY PHONE mic.ti,edr (413) INC,Mob DDr L A kbutchiiIScn nS.OJr - ADDRESS: P 0 BOX 718 M A C i MUG* WEST SPRiNGFIELD MA 01160 I A: TRAVELERS PROPERTY CAS CO OF AM I 25674 INSURED INSURER B_ SEXTON ROOFING&SIDING INC INSURER C: INSURER r PO BOX 6327 INSURER E: HOLYOKE MA 01041 INSURER F: i COVERAGES CERTIFICATE NUMBE3R 782111 REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BROW HAVE BEEN I. 1 RFT)TO 171E INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICAIEU_ NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WfiH RESPECT TO WHICH THiS CERTIFICATE MAY BE ISSUED OR MAY Ptit I AIN, 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. a...as R POLICY EFF 1 M>PQ RYY no'"S CRR TYPEOFWSURAMCE IISD VIVO Pr1�ffiBI9t 5 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 DAMAGE TO RENTED CLAMS-MADE OCCUR PREMISES(Ea ) S MED BO tray one dam) 1 5 N/A PERSONAL&ADV ILIURY 1 S GENL AGGREGATE LIMIT APPLIES PER - GENERALAGGREGATE S ARO PRODUCTS 5 POLICY PRO-JECT LDC [T OTHER: • S AUTOMOBILELIABJI.IIY COMBINED SINGLE LIMIT $ (Ea mod) ANY AUTO BODILY MANY(Perperson) S ALL OwNE} SCHEDULED N/A HOMY INJURY(Per a S OS J NON-OWNEDDAMAGE S AUTOSHIRED _ (Per accident) S UMBRELLA tIAB I OCCUR EACHOCC R8iCE S ASS.rna CLAIMS-MADE - NIA AGGREGATE I S RETENTIONDED 5 S woRI ERs coNPENsATFOr1 x 1 More 10 1 AND EMPLOYERS'LIABR7IY YIN A ofFi ae wnt NIA WA 7PJUBOG07898222 06/04/2022 06�t2023 E� nz r s 1 000 000 (Mandatory in NH) El_DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under O€' CRIPTION OF OPERATIONS beta., I EL_osEASE--POLICY Loon s 1,000,000 I NIA DESCRIPTION OFO ERAS I iLaeanouSJVEHICLES tACORD filLAddalkinalRotoarks�+-d racy i: dE i ,s Workers'Ccaiii. ineliu.,benefits will be paid In Massachusetts einplayees only_Pursuant to Endo'sesura,t WC 20 03 06 B.no authorization is given to pay claims for benefits to employee in states other than Massachusetts if the insured hires,or has tided those employees outside of Massachusetts. This certificate of insurance shows the poficy in force on the date that this certificate was issued{tins the expiration date on the atnove policy precedes the issue date of this certificate of insurance}_ The status of this coverage can be h,u lit,.ed daily by accessing the Proof of Coverage-Coverage Verification Search-tool at www_nass.gav _ ns/_ CERTIFICATE HOLDER CAN W..ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WLLL' BE DELIVERED IN ACCORDANCE MTH THE POLICY PROVISIONS. 1 AUTHORIZED REPRESENTATIVE MA 01040 Daniel M.Crawly,CPCU,Vice President—Residual Market—WCRIBMA i ©19$8-2014 ACORD CORPORATION_ All lights reserved. er_nan os r')rrinra-i-1 •n+e i Ian rornarTs. mswi Lilo,ors rerinclmn.F grys=urinm.-,F sr_nun r ___-...•, SEXTO-2 OP ID: KH A�oRL) CERTIFICATE OF LIABILITY INSURANCE DATE(MMrowYYYY) O6/30/2022 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 413-737-0300 raonl,+�eAcT Eric Dembinske Ormsby Insurance Agency,Inc. PHONE 413-737-0300 I FAX 413-737-0617 698 Westfield St PO Box 718 i(A/C,No,Ext): ((A/C,No): West Springfield,MA 01090 E-MAILD edembinske@ormsbyins.com Eric Dembinske INSURER(S)AFFORDING COVERAGE NAIL S INSURER A:Northfield Insurance Company INSURED INSURER B:Progressive 24260 Sexton Roofing&Siding,Inc. PO Box 6327 INSURER C: Holyoke,MA 01041 INSURER D 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. INSR TYPE OF INSURANCE ADDL)SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRINSR MVO 1MMIDDIYYYTI ,(MIWDIVYYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'0MMI CLAIMS-MADE X OCCUR WS45073 06/25/2022 06/25/2023 PREM SES/Fa occu r nce) $ • 100,000 • MED EXP(Any one person) $ 5,000 PERSONAL&AM/INJURY $ 1,000,000 GEM_AGGREGATE LIMIT APPLIES PER: _GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO 04434955-0 05/15/2022 05115/2023 BODILY INJURY(Per person) $ - OWNED SCHEDULED - -"X AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED r PROPERTY DAMAGE(Pe ) $ _ A!ADS ONLY _ AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEO RETENTION$ $ . WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS'LIABILITY Y IN ANY PROPRIETOR/PARTNER/EXECUTIVE TO BE ISSUED SEPARATELY E.L EACH ACCIDENT .$ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) EL DISFASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) roofing&siding contractor CERTIFICATE HOLDER CANCELLATION NONE-01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACITF(ORIZED REPRESENTATIVE i ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. �►`� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 06/17/2022 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 NAME Karina Silva MAYFLOWER INSURANCE GROUP INC PHONE.e.rl: (774)773-9702 j FAX nbi E-MAIL ADDRESS: J"karina ma�,powerinsurance-com 2 Court St Unit B INSURER(S)AFFORDING COVERAGE NAIC# Plymouth MA 02360 INSURER A: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER B: MNP CONSTRUCTION INC INSURERC: INSURER D: 76 GROVE ST APT 1 INSURER E: MILFORD MA 01757 INSURER F: COVERAGES CERTIFICATE NUMBER: 785876 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. I R OF INSURANCE ADDL SUER POUCPOUCY NUMBER (MMIDDYYY TYPE INSO LTR NSD WVO IYY) (MMIDDIYYYY) UMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE . $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE $i POLICY PRO JECT LOC PRODUCTS-COMPIOP AGG $ OTHER $ AUTOMOBILE LIABILITY (Ea COAIBIN eDtSINGLE LIMIT $ accidANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED H N/A BODILY. INJURY(Per accident) $ HIRED ONLY AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) 9 UMBRELLA UAB - OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE N/A AGGREGATE $ DED I RE ItNTION$ $ WORKERS COMPENSATION X 8TEATUTE 0R_ AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETORJPARTNER/EXECUTIVE EL.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED7 NIA NIA N/A 6S60U136R43531322 06/08/2022 06/08/2023 • (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if mom 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/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SEXTON ROOFING & SIDING INC ACCORDANCE WITH THE POLICY PROVISIONS. 102 PINE ST REP RESENTATIVE PRESENTATIVE f,. r1 Q Holyoke MA 01040 Daniel M.Croy ,y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD Cent# DATE ,ti CERTIFICATE OF LIABILITY INSURANCE 03tu/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND.CONFERS NORIGHTUPON THE CERTIFICATE HOLDER.THIS • CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIYB_YAI W,EXIBiW ORALTHt TIE COVERAGE AFFORDED BY1HEPOLICES BELOW_THIS CERTIFICATECERTWICATE OF INSURANCE DOES NOTCONSTITIJTE ACONTRACT BETWEEN THE ISSUING INSURERS),AUTHORIZED REPRESENTATIVE OR PRODUCERAND.THE CERTIFICATE HOLDER. .:; • IMPORTANT:tithe certificate holder is an ADDITIONAL.INSURED,the po&y(ies)m ist.be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions otthe eabia - peiey( .p�.. i�►ra ea.d.aasa twist r+dan this 8 e does not confer rim to the ,rxrtificatae holder in Neu of such endorsemeot(s). • PRODUCER CONTACT GuthameGam°smt° NAUG FtIONE •870:7 I-INSURANCE GROUP INC to G`'�'bdk • .• EMAIL 799 GORHAM ST AoOrIEss: LOWELL,MA 01852 *MIRE:IMAM:WO!•GCOVERAGE IwC INSURED •BISURERA„SEVERAL STAR INDEMNITY COM FI&IRERWARBE.LA PROTECTION INSURANCE LDG HOME IMPROVEMENT INC INSURER a . :.: 18 SPRING ST FL1 INSURER:D:.TRAVELERS PROPERTY,CAS GOOF AM MILFORD, MA 01757 I URER.E:•: INSURER F COVERAGES CERTIFICATE NUMBER:000015. . REVISION.NUMBER:. INDICATED_NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR DOCUMENTWJ74 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICES.DESCRIBED HEREIN IS SUBJECT TO TALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES:LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. eLSRL AOC I SEER POLICY— PCLICY1EXP • TR TYPE OF RISURANCE 1es vein POLICY NUMBER ammxvvren.. .:. yyyy) LAWS A GENERAL •nl dfil EAOi OCCURRENCE $ I.aO( 00 DAMAGE TOWNI° X AVE CIALGEese.0 Pry PREMISES�a�/av) $ iog m om -e a IX I i®oCP(1r,R,.pose) $ viola) a° 1M 395923A 3/5l2 3/512023 PERSUML&TWwunor s LA00,00400 GENERAL AGATE $ za o,oaa o • AGGREDATE1RAITAPPLIES Pat ~wasCuKimd OP.AaoAPa• $ 7fnnnnno oo POLK7 fl PROJECT ILOC B , •BI E RLITY L LSAT )) U $ Iaaaoam AUTO emaYtaumr(Per m�l $ 20.0011110 AUIn sorsszco1020096012 4/132021 4/13/2022 eo°a.Y mum(IPe-ecmiq S 40,000A0 AGMS —NONOWNm PROPERTY DAMAGE HIRED Auras �,Trus tr`.atecIANn $ im,00E00 UT.6RELALIAS OCCUR EACH OCCURRENCE EXCESS - - AGGREGATE E7 Am RETENTIONS D NOk/O3C1 GOSEP9611AON vrH l ,nt meY DIN •BPLOTELT tJAea.ny LAU= ER Cnfa FL OFRCERAIDIAMER�'�'ANY PROMETCRIPARTMDREXECISTIVE 6HUB4N86974.'322 EA61ARS17E11r 2 312E42023 $ IA01100000 El-ISEASE-EA EMPLOYEE $ ia°opaono }AL,Snub OF O DFSQCPTIONOFOPERATIONSbe.. E.L.OLSFASE-POLC/LYarr $ umo,000.o° . •- • OF OPERATIONS/LOCATIOnS I VE3i1Q.ES(AtaJIAaIRD 1°r,AdweonA Remarks SC'r•+4 a Own s a Te}Tvel)- GFTIFRA LIABtt11Y:16rrcpAaad rrsralphs and the rr6ficAle(Alder is no adJbunal imza r Workere Comperml r benefits led be paid to Afassachuseftnempiomesmay_Ptesra4m Endorsement INC 2103 06 8,no at mn is given m pay darns far benefits to empiorees it states other-than Atassardersells Bthe rosined hie.orhas hied those eo nk:yeas amide of Massachusetts This cute ofinsurance shows the policy in tree on the data*stilts certificate was isvert:(oYess thesorpirafini data smile above policy precedes the issue dale of this certificate of iTsrranoe),7hesfatre oftlaeimveraye can be morrtored:daiy bySearch. as sing thePhrofof Coverage-Coverage Vera-Arun Sesr to°laf swamis _ ... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE • EXPIRATION DATE IT IS THE CUSTOMER'S RESPONSA81uTY TO INFORMEANY SEXTON ROOFING&SIDING INC CHANGES OR CANCELATION& 102 PINE ST.,HOLYOKE MA GUILHERME CAMOSSATO 1/1 019Rs2 10ACO DC0RPONMIONAlditsteso red. , STATE OF CONNECTICUT DEPARTMENT OF CoNSUMER PROTECTION. at massachusetts_ HOME IMPROVIMENT,CONTRACTOR , - -_ 9 conallonwea" -nnat Lice/151u' vi5ionof ds Professl- std st EV:gat-rrj.51Li i ON SR Di Reguleijolls a olidar- it card of suading i:kii...-4,sctr speclattY : '104 Piiii0e etifx7 -I Ai HOELYC.)*-":„41; .i 2411 c onStru ......- Oil 0512°23 I ,____ ,_1?''.- ',_,___':ilt •` I CStL'4:199689 :-..' ',: 41 4 SEXTON ROOt 1-EN,Q..&SEDIKG CO '2 VeRt-rr,v-j r-1'..7-it : i -5 Pti BoX b4‘J--` it. ,'''11.,,r $. --, • MC0605383 - i::,;;.,..;:::42/0.02Q2,DP"':-.-M-3/31/2023 tioLvoicE wiA,.,.-0104 i., • 4. ..,,-, - . •. . ... i.' '-- if! r.1;r••:.r'ieT..." •i'..4:::::f. :4',.-'4.51•*'''CO• SIGNED •k,*()ISSA":1/4- _ s,._ .., ...._ Commissioner a' -._ _ Fi..9-..g=istamni•N..e'.'reie P'46 PakiSg BLE R.ELSIZTRAT213N AES•S OCR., TON ST2:•$ ;N-17.111DUAL Ma-15ER 7..",A 3 i.-:. SECIZIN ROOFING& SaTON,EVOIETT 113239 P.0_BOX 6327 If ,. A e.c Currant HOLYOKE,MA 01041 Siang Inc ,, I. 44. 1/2 https1/5eseinamocastalmmaissiticificenseeristaspx - _ • ., , . . .. .. • . , • . 1 . . • • • ... . . • - • , . . . *. •