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36-157 (7) BP 2022-1324 1 136 BURTS PIT RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 36-157-001 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-2022-1324 PERMISSION IS HEREBY GRANT, D TO: Project# WINDOWS Contractor: License: NEW HORIZONS HOME Est. Cost: 15675 IMPROVEMENT 111998 Const.Class: Exp.Date: 05/10/2023 Use Group: Owner: ANGELA TZOUMAKAS Lot Size (sq.ft.) Zoning: WSP Applicant: NEW HORIZONS HOME IMPROVEME T Applicant Address Phone: Insurance: 2400 BOSTON RD (413)279-3226 LI85000992 WILBRAHAM, MA 01095 ISSUED ON: 10/18/2022 TO PERFORM THE FOLLOWING WORK: REPLACE 10 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 VIO ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: r/ Fees Paid: $40.00 212 Main Street,Phone(413)587-1240.Fax: (413)587-1272 Office of the Building Commissioner A. •• r-,aif✓ jr - 'Ti,.. - 4,61U ` 12 CII e- a)•tL1.4k RECE _ -_ 14 The Commonwealth of Massach setts OCT 1 3 ' 1° ' Board of Building Regulations and an ds 2022 - F R */ Massachusetts State Building Code, 80 Ear 1CPAL_TY Building Permit Application To Construct,Repair, crte �LD1 ci c-ri visg Mar 2011 One-or Two-Family Dwelling 010 1°• �_- - , This Section For Official Use Only r Building Permit Number:� 6" )- )..• b}'f Date Applied: 4-"\.21,-s Doss //�,/7 /6-17-402.Z . Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION _ 1.1 Property Address: 1.2 Assessors &Parcel Numbers A 7'f //36 f3vPis Ad ACC 1`J 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 ycs❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: if.v6e/v 7zouir Akes I/Ore 'e,e fr1AI, 0io6a Name(Print) City,State,ZIP //36 /3i,^f.s A'ri4 4,1, r/7- 980-/?sr Tz ail,.IAK,4s <u.acuf7A-go, No.and Street Telephone Email Addre§s SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied J16 Repairs(s) 0 Alteration(s) 0 fddition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work'-: _ re~ve J. re/14 ci /O ,,,., oki s — --- SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ /S 7 s_ I. Building Permit Fee: $ Indicate how fee is determined: �— -- 0 Standard City/Town Application Fee 2.Electrical $ _ 0 Total Project Cost;(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $_ _ — 4.Mechanical (HVAC) $ Lists 5.Mechanical (Fire $ - — — Suppression) Total All Fees: $ ______ 1' Clie�>kNo. ? Check A: wen .'Cash Amount 6.Total Project Cost: $ /(6 7 f i C Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 9 q U Q 19ruc�e 4. CAr fie,. License Number Expiration Date Name of CSL Holder List CSL Type(see below) //O/2 3 o/n'1 s teci 4e, Type Description No.and Street p A��� ,, 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 SF Solid Fuel Burning Appliances t/il_a 79-32.2b frOlae1 rweorew/ :70...4•.,.;.../iovenh•..-erv,a I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) ye u/ fo/'i Z0� t/o� Jm/covertir.�,f �/a nDt HICC Registration Number Expiration Date HIC Company Name or HIC Registrant Name )yo0 gas/b., Al /r.do oi,':o..•lo«e,.tiporo✓NP+". e.)ij No.and Street Email address w,-/6. ,v►4. 6/Ogf ,/,1- 79-322.6 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 prov de this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes Off 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 /ve w / dt i Z ow 1/O,1re 1/h,orave /yi e-- to act on my behalf,in all matters relative to work authorized by this building permit application. //w &e/p Tzou,•,pjgs 8/a9/1z Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,1 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. Brace_ A ex e 3/2 9/2 a Print Owner'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.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" Double Hun - Soft-Lite Imperial Elite ii Location Bedroom 1 Quantity 2 Size 32 x 45 Ultra Included Double Hun - Soft-Lite Imperial Elite Location Bedroom 2 Quantity 2 Size 32 x 45 Ultra Included . , Double Hun - Soft-Lite Imperial Elite Location Bathroom Quantity 1 Size 32 x 38 Temp Ultra Included 1 Additional Information • White Interior White Exterior • Half screen White Locks All discounts applied Yard Sign Pictures Acknowledgements & Notifications. -Any furniture must moved at least 5 feet away from windows an. 4"...onwp be replaced. -All pets shall remain secured in safe location inside of the home away from windows and/or doors to be replaced. -All driveways shall remain clear during date of installation. -Any HOA approval will be provided by homeowner unless otherwise stated on this contract. -Homeowner is responsible for removing and replacing any window treatments or air conditioning units in or around any windows to be replaced. -Homeowner is responsible for removal and reinstallation of alarm components on any windows and/or doors to be replaced.Contractor will NOT replace alarm components. (Customer Initials) N Nate Towse Angela Tzoumakas 03/24/2022 03/24/2022 Date Date This spacc,intentionally left blank • Customer Information Angela Tzoumakas (517)980-1955 Date: 03/24/2022 1136 Burts Pit RD Tzoumakas@comcast.net Rep: Nate Towse Florence MA 01062 Homeowner's Association NO Start Date: 05/24/2022 End Date: 07/24/2022 Total Contract Amount $15,675.00 Financed?* YES Deposit $1,500.00 Deposit Form of Payment Credit Card Completion and Satisfaction $14,175.00 Balance Form of Payment Finance Financing Details *Amount Financed $14,175.00 Estimated Monthly Payment $0.00 5 year loan terms if possible FINANCING IS SUBJECT TO CREDIT APPROVAL All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to the standard practices. Any alteration or deviation from the above specifications must be made in writing on an Add-on/Modification or Contract form and may become an extra charge over and above the amount stated herein. This agreement is contingent upon delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Homeowner agrees to pay for all work as set forth below. If the homeowner defaults, homeowner agrees to pay all costs of collection, including reasonable attorney fees, in addition to other damages incurred by contractor. An 18% per month service charge will be assessed for all payments not made within 10 days of due per the schedule below. NOTICE OF CANCELLATION r",/, ' , ' $ If/ 14 // te, d" / 'his space€ tendon zl[y left blank YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION. YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL,ANY WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF OU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLD. IF YOU CANCEL,YOU MUST MAKE THE TRANSACTION WILL BE CANCELLD. IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE,IN SUBSTANTIALLY AS GOOD AVAILABLE TO THE SELLER AT YOUR RESIDENCE,IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED,ANY GOOD DELIVERED TO YOU UNDER THIS CONDITION AS WHEN RECEIVED,ANY GOOD DELIVERED TOIYOU UNDER THIS CONTRACT OE SALE; OR YOU MAY,IF YOU WISH,COMPLY WITH THE CONTRACT OE SALE; OR YOU MAY,IF YOU WISH,COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN OR SHIPMENT OF THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN OAT SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE EOF CACELLATION,YOU MAY RETAIN OR DISPOSE OF TWENTY DAYS OF THE DATE EOF CACELLATION,YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUR ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE THE GOODS WITHOUR ANY FURTHER OBLIGATION. IF YOU PAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER,OR IF YOU AGREE TO RETURN THE GOODS GOODS AVAILABLE TO THE SELLER,OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO,THEN YOU REMAIN LIABLE FOR THE TO THE SELLER AND FAIL TO DO SO,THEN YOU REMAIN LIABLE FOR THE PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED AND DATED COPY TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY WRITTEN NOTICE,OR SEND A OF THIS CANCELLATION NOTICE OR ANY WRITTEN NOTICE,OR SEND A TELEGRAM TO: TELEGRAM TO: NEW HORIZON HOME IMPROVEMENT NEW HORIZON HOME IMPROVEMENT 2400 BOSTON RD.,STE#3,WILBRAHAM,MA 01095 2400 BOSTON RD.,STE#3,WILBRAHAM,MA 01095 NO LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FROM THE DATE OF NO LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FROM THE DATE OF THIS CONTRACT. THIS CONTRACT. I HEREBY CANCEL THIS CONTRACT. I HEREBY CANCEL THIS CONTRACT. BUYER'S SIGNATURE BUYER'S SIGNATURE DATE: DATE: i CAAAQ 1 (t Z,CM ttitiXtC'c�^f Al '�./\V�-' O Angela Tzoumakas A NatTowse 03/24/2022 03/24/2022 Date Doe may. !". / ,/ ,,, ei / / , / / / / / , / / e / , „44 „6/ / , , „ , / . / ''''' / , / s.' t f'F EI. : .,... rr#r rlan T31 y 101 blank F / / ,„, ,- / / s/ ', lf , rf ay y " n/ ,,,,,,s/ / / / ,/, /f/ ,,,,,,/, // , / .,/,./ ,,,,,,,, , ' in; �� " gam / /V ,. /y / Y.t, 6 • •.- ,. City of Northampton 7a `Yd9 9A4r. 0 A NS j Massachusetts w+ 1,_ " DEPARTMENT OF BUILDING INSPECTIONS tS�, 212 Main Street • Municipal Building\4 ,0070, ,,,-' Northampton, MA 01060 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: 2 yao 4o,SIb, Al/ phi, diii* 0Si:er The debris will be transported by: Name of Hauler: C4S e//i1 W 4 sle 9/3 S7,)— O01C Signature of Applicant: /,5 44,c, Date: 6/2 0 F. ,, .,. ..„......„„„. The Commonwealth of Massachusetts 'ii4, Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,M.4 02114-2017 WWW.MaN.S.govidia %lusters"t'orupensation Insurance Allidavit:Buliders/Contractors(EktiricianstPlundiers. TO Hi, t 11.ED WITH THE PERMIlliNG AIPTIHORITV. Applicant Information Please Print iirdbtx Milne tilusiorss•organization,Individual): /te tv /71.2 r; z,2", iloi.,7e _I ii-1/°c0,ie rii(),€-74 Address: 2 Y 0 0 a 0-5/-0,`-' /lid City/State/Zip: VISlo c)i 4, 0/0 qr Phone#: //3 3 2 Art'MI ON eamployeet(bt ttre appropriate but: Type of project(requirrd). t.0 i ma a employer loth employees Unit*ma's,/part-tow.. 7. a New constniction 20 1 ara a wk ampricioi or rrartnemInr isnd halve no employers working fur MB int /t, 0 Remodeling any capacity [No worker,'* up,ninurankv required.I 9 El Demolition 301 ant a homeowner dome all work misell [No workers'comp,insiarante nattiredi' 4.0 I am a nort3WWlief and*41 be hustle..N.mtrakion.to conduct 41 work on illy rIt116.1T 10 a Building addition . I wi/i ensure that all contra:tots tuber ha,.e workers'comps-mutton trourance ot SW sole ' 11E3 Electrical refrain.or additions renviei,des wall no employees I 2.0 Plumbing repairs w additions I am a general ono actor and 1 Isis r hued the sub-eonussiont hafts'on the anachott Ara l 3.[J Roof repairs 'thew,att-,,:arars.aais hr.,:,awatrytes and ha workers'amp.insmance. ' 14. 1 othet_1# '"-/ 0"4" f fia wc are a 4.-ortAxation and lb afwvn,hint:rsetetsed dam n#bit of exemption pet kkil e. 02,#1(4k.aid we have no employeei.1No*mien.'ClV1p,14SIMVOCC:wonted." ... *Any applicant that sianeki but al mum also 611 out the itection below show ute then workers'compmisalson pawl tatformat— ion 'loam who Nubm dm&Mato tt ervilcattet they ate doing all woes and dam hue...Anode Ctxtaras.-torA must sohnui a new attidav it induallhos ail& :Contractors that check dm box wood attached an ailititiumi lilted showont the Ilaftfe of the suls-smit1110.41f*and date whether ow not those eatatisrs ham It Lbc....41,eumraetop,kw c ckrartiltem,nay rum pluviiktkwa wodsers'smnp,policy number I am an employer that is providing workers'compensation insurance for my employees. Sekiw is the polity arta job sise information. insurant-c Company Policy#or Self-ins.Lie.#: Expiration Date: I__ i Job Site Address: / /43 .- p-/ ,-.6,-/lIJ .1/7—re--i ,... citystaterhp: 47 e 7114(2/te ,.& Attach a copy of the worlsers*compensation policy declaration page(showing the policy netherand expirstiao date). Fal lure to secure coverage as required under?AGE c. 152,§25A is a criminal violation punishable by 4 line up to 1_500.00 arakor one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a tine of up t $250.00 a ! day against the violator..A copy of this statement may be forwarded to the Office of trivesugations Maw DIA for insurance er age s erifiattion. I do hereby certify wader the puns and penalties of perjury that the information provided above is true anti correct. ff-e -- Signature: /3-x-t'-'r--- / .,, • Date. phone#; /i- ) 7/ - ?2.2 i /. is v , . Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License 0 Ismairig Authority (circle one): I.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone#: , ' ®A DATE(MMtDDYYYY) CERTIFICATE OF LIABILITY INSURANCE 03172022 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 David R Jarry I Neill&Neill Insurance Agency Inc NAME: AX 662 Riverdale Street tac No.Ext): (413)732 4137 IFILrC.Mok(413)7318629 West Springfield,MA 01089 EMAIL dj@neBlandneill.com INSURER'S)AFFORDING COVERAGE _ NAIC0 INSURERA: Penn America 32859 INSURED Easy Home Remodeling,Inc. INsuRERB: Liberty Mutual Insurance Co. 23043 115 Main Street,Apt 3 Westfield,MA 01085 INSURER C: INSURER D: IN SURER 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. NW ADD SUER POLICY EFF POLICY EXP TYPEOFINSURANCE JNSD WVn POLICYNIRBER ILAIMODIYYYY) (M1AIODIYYYY) SETS A COMMERCIAL GENERAL LIABILITY PAV0344340 03/07/2022 03/07/2023 EACH OCCURRENCE : CLAM13-MADE OCCUR PREEMISSEAMAGE SO(Ea occurrence) $ 100�000 MED EXP(Any one person) i 1,000,000,000� PERSONAL&ADV INJURY S 1,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE i 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OPAGO S 2,000,000 I OTHER S COMBINED SINGLE LIMIT AUTOMOBILE LIABILITYa accident] $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) i AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE 8 AUTOS ONLY _ AUTOS ONLY (Per accident) i UMBRELLA LIAR 1 OCCUR EACH OCCURRENCE $ EXCESS LIAR .CLAIMS-MADE AGGREGATE i DEO I RETENTION S i B WORKERS COMPENSATION W(2-31S-828884-011 03R5/2022 03/25/2023 V a/aura I FOR AND EMPLOYERS'LIABILITY '-- ANY PROPRIETOR/PARTNER/EXECUTIVEYIN E.L.EACH ACCIDENT S 1,000,000 OFFICERMtEMBER EXCLUDED', MIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 Ryes desrnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMITS 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION New Horizons Home Improvement LLC SHOULD ANY OF NE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2400 Boston Rd Suite 3, THE EXPIRATION DATE THEREOF. NOTICE WILL BE SLIVERED IN Wilbraham,MA 01095 ACCORDANCE WITH THE POLICY PROVISIONS. i AUTHORIZED REPRESENTATIVE bg:L.,JR2,.,:,. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACo OR CERTIFICATE OF LIABILITY INSURANCE DATE IMM DD:YYYY) 2/9/2022 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 be endorsed. If SUBROGATION IS WAIVED,subject t0 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 LUNIACI Debbie Mac Neal, Zxt 105 Foley Insurance Group Inc. I GNHNEoo Eatl. (413)214-7474 --1-„T,Not I413/214-saT 37 Elm Street Amwms:dmacnealefoleyinsurancegroup.com INSURER(S)AFFORDING COVERAGE NAIC 0 West Springfield MA 01089-2703 INSURER A:Atlantic Casualty Ins. Co. INSURED INSURER B: New Horizon Home Improvement LLC _INSURER C: 2400 Boston Road, Unit 3 INSURERD: INSURER E: Wilbraham NA 01095 INSURERF: COVERAGES CERTIFICATE NUMBER:CL222915061 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 INCY FXP TRR ATYPE OF INSURANCE INSO PM) POLICY NUMBER (ANIDDr YY Y) It 5DD'YYYYI LINTS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED --A )CLAIMS-MADE I X I OCCUR PREMISES LEa ecw 100,000rrarcel $ , 1185000992 1/30/2022 1/30/2023 MED EXP(Any one person) I 5,000 PERSONAL A ADV INJURY $ 1,000,000 GEM.AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2,000,000 POLICY I I LECOT I I LOC PRODUCTS-COMP/OP AGO S 2,000,000 OTHER AUTOMOBILE LIAWLITY COMBINED SINGLE LIMIT $ (Ea ecOdent) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED ^SCHEDULED BODILY INJURY(Per accident) I AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Par acadentL.,_�,. UMBRELLA LIAR OCCUR EACH OCCURRENCE $ -— EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROM:F Tr4Z..PARTNFR/FXECUTIVF E I EACH ACCIDENT 9 OFFICERAIEMEER EXCLUDED? I I N IA (Mandatory in NH) E L DISEASE-EA EMPLOYEE S If yes describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT I DESCRIPTION OF OPERATIONS:LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached d more space is required) The certificate holder named below is included as an additional insured for General Liability coverage for ongoing operations if required by written contract, permit, or agreement executed prior to a loss. A separate Certificate of Insurance for Workers Compensation coverage will be sent to the certificate holder directly from the insurance carrier. 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. AUTHORIZED REPRESENTATIVE Brian Foley/LYNNE >^- • I _ ©1988-2014 ACORD CORPORATION. All r)gt+ts reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD INS026 iT)14011 Commonwealth of Massachusetts Ow sion of Professional LCerrsure Board of Building Regulations and Standards cons 3P rvis0r ✓f CS-111998 - l Aires:05/10/2023 BRUCE ALAN CAR 1 23 QLMSTEQ'AR fi SPRINGFIELD MA 01 } . f 3f4 T iL0. it Commissioner � " THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingtop qtreet - Suite 710 Bostorb Massaphusetts 02118 Home Impro -.. 4 :r 0' 1?,;21,14„Lnt flepie,tration 1; ..... .,,,...;= _ , 7 ir ) ....... I. .,.. V Type. LLC v't .......—Al .,.......„0L.., 1.„ NEW HORIZON HOME IMPROVEMENT LLC 7,771, 17. .'5 ( i ..:Oegisttation: 192602 : "'"` ---=:— '-` Eglicalion: 07/23/2024 2400 BOSTON RD SUITE 3 WILBRAHAM,MA 01095 ... ..,,S,..,,,,, - ....„,. — Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:LIG Office of Consumer Affairs and Business Regulation Register Expiration 1000 Washington Street -Suite 710 192662 07123/2024 Boston,MA 02118 NEW HORIZON HOME EIVENtOVI.ME NI IL(... 7 JOSHUA W.MESKILL 2400 BOSTON RO SUI tE 3 ,!-,,./,',,„..s.-.,e' WILBRAHAM,MA 01095 Undersecretary Nei valid with t signature