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36-307 (2) BP-2022-1614 106 CARDINAL WAY COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 36-307-001 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-2022-1614 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2022 Contractor: License: Est. Cost: 5075 PHIL BEAULIEU 62638 Const.Class: Exp.Date: 06/13/2023 SLEDZIESKI ALEXANDER P & BROOKE A Use Group: Owner: SLEDZIESKI Lot Size (sq.ft.) Zoning: WSP Applicant: PHIL BEAULIEU & SON HOME IMPROVEMENT Applicant Address Phone: Insurance: 217 Grattan St 413-592-1498 WMZ80062050 CHICOPEE, MA 01020 ISSUED ON: 12/13/2022 TO PERFORM THE FOLLOWING WORK: NEW ROOF TO BAY WINDOWS, NEW RIDGE CAPPING & RIDGE VENT TO ENTIRE HOUSE 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: �. V Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner t The Commonwealth of Massachusetts Board of Building Regulations and Stanfiards! DEC 1 3 „„ ' FO1� W MUl*1ICIPiP►LITY Massachusetts State Building Code, 780 CMIt { USE Building Permit Application To Construct,Repair,Re oval O1�d0 _ , ---R w Jed Mar 2011 One-or Two-Family Dwelling ` '.°`PTHq"•11'Tnr. .,A c���u This Section For Official Use Only Building Permit Number: 0- 2 03 »6/y 1 Date Applied: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers lot `nal Wax/ , nI oielnc�c- 1.1 a Is this an accepted street?yes ✓ no I Map Number Parcel l�Tumber 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.40,154) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public El Private CI Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'uf Record: , )IL)C 3Ie.elziesk; _ F!opemu mA 0 I z Name(Print) City, State,ZIP IOU CAA-CI)na�l/JCtAy Ni3)(oq S 2325 Sledge. me/Jic ni ce Q No.and Street Telephone Email Address f'Y1Q.1,tom SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building ge Owner-Occupied Ciff Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: of Description of Proposed Work2: f t^/ 10 i S Brief new rid9c.Caiopin $ ri ge Ant- e - . SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 5, Q�5.00 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ i 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ r Total All Fees: $ Suppression) Check No.I ItI Check Amot4 Cash Amount: 6.Total Project Cost: $ S/ 017 s 0 0 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS— 0(02(0 3 5 /0/13/23 Phil Beaulieu&Sons Home Imp.,Inc. License Number Expiration Date 217 Grattan Street,Chicopee,MA 01020 r , HI REG#100073 List CSL Type(see below) CSL#CS-062638 • Alain Beaulieu Type Description PH:(413)592.1498/Fax:(413)594.6008 U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding 1 Q SF Solid Fuel Burning Appliances 63)E ►�q 2� (`1--12 rn b�l PS 1[ S f ei- i Insulation Telephone Email address D Demolition /5.2 Registered Home Improvement Contractor(HIC) 100073 / i2q 4111111 Phil Beaulieu&Sons Home Imp.,Inc. IIlC Registration Number Expiration Date 217 Grattan Street,Chicopee,MA 01020 HI REG#100073 nibeaul i.e i PQ+fs.ne. CSL#CS-062638 Email address Alain Beaulieu PH:(413)592.1498/Fax:(413)594.6008 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 Issuance 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 Phi I 13eot.IA II't4A* Sons Home Trnpnv,einu rfl" ton act on my behalf,in all matters relative to work authorized by this building permit application. Slid 2 i e 5 kit i 2 2 Z 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. Till 13eaukAA.B Sons H-c Cy pi -e - t 12/ 6 122 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" City of Northampton PT S`S s'� Massachusetts ��� ,<< * G, ( 4 4 DEPARTMENT OF BUILDING INSPECTIONS s' e . M: 212 Main Street • Municipal Building"IpsoV y.� Northampton, MA 01060 s'Njy; Too 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: PS�z� Location of Facility: US n a.uJl i n tic n� 1 s Mufti"? Rd -6 d Cr The debris will be transported by: Name of Hauler: USA vG G\ Signature of Applicant: _ Date: /2/& /22 Your Proposal has been Approved! Phil Beaulieu & Sons Home Improvement, Inc. 217 Grattan Street - Chico see, MA 01020 VA Al Phone: 413) 592-1498 Fax: 413) 594-6008 Be • aulieu HOME IMPROVEMENT, INC. L..7. 1967 61722 Alex Sledzieski 413-695-2825 106 Cardinal Way Florence,MA 01062 Print-date: 12-2-2022 Alex Sledzieski 106 Cardinal Way Florence, MA 01062 Cell: 413-695-2825 sledgemechanical@gmail.com Roof Repair Furnish and install new roofing on both baywindows Furnish and install new ridge capping and ridge vent on all ridges of the home Color to match as close as possible $5,075.00 General Includes removal and disposal of all debris Any rot found during the project is to be repaired or replaced at a rate of($185.00)per hour+materials+ 15%of .terial Payment Schedule Total - $5,075.00 $500.00 deposit at signing;half the balance due before the start project;remaining balance due upon completion • Phil Beauhe &SONS HOME IMPROVEMENT,INC. ROOFING SIDHO WIDOWS DOORS "The Exterior Experts" •13 5 92-14 98 Price Escalation: In the event of significant delay or price increase of material,equipment or energy occurring durin the performance of the contract through no fault of the Contractor,the Contract Price,time for completion of contract requirements shall be equitably adjusted by change order.A change in price of an item of material,equipment,or en rgy will be considered significant when the price of an item increases twenty percent(20%)between the date of this Contra and the date of commencement of work. Work Schedule:The anticipated work commencement date will be determined and communicated to Homeowner a signing, but not to exceed nine months from signature,with substantial completion within 45 days after commencem nt. Contractor to notify the Homeowner if factors outside our reasonable control require any material changes to this tim frame. • Substantial Completion:To the extent that work has been substantially completed,but certain materials need to be replaced or repaired by an original manufacturer or third party supplier(the cost of which does not exceed 10%of the overall Contract price),the remaining balance shall still be due and payable minus the commercially reasonable cost of such items, which may be held back by Homeowner until such items are replaced and payment hold-back shall then be due. Change Orders:To the extent that Homeowner requests and/or agrees to the addition or removal of products and/or services after the execution of this Contract,the Homeowner shall sign a change order specifying the changes in the scope of the Contract and pricing,which shall modify such provisions of this Contract but otherwise incorporate all provisions of this Contract as if fully set forth therein. Finance Charge: 1 A%monthly(ANNUAL PERCENTAGE RATE OF 18%)will be added to the unpaid portion of the balance due.Homeowner agrees to pay these charges.In the event of default of payment,Homeowner agrees to pay reasonable Attomey's fees&court costs.This agreement does not constitute a release of liability. By Homeowner's signature below,Homeowner acknowledges and agrees to the above. Arbitration:Contractor&Homeowner hereby mutually agree in advance that,in the event either party has a dispute concerning this Contract,either party may submit a dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs&Business Regulation and each party shall be required to submit to arbitration pursuant to M.G.L.c 142A,§4. Contractor Obligations:All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices.Alterations or deviations from above specifications involving extra cost will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes, accidents or delays beyond our control.The Home Improvement Contractor Regulation Statute,M.G.L.c. 142A gives you certain warranties and homeowner's rights thereunder.Contractor shall inform Homeowner of any and all necessary permits,and it shall be the obligation of the contractor to obtain said permits.Homeowner is responsible for the cost of the permit fee.The permit fee will be determined by the local building department and will be billed immediately to the Homeowner.If Homeowner secures his/her own permits,he/she will be excluded from the guaranty fund provisions of M.G.L.c. 142A. Registration:Contractor to have all registration,license number and insurance required by the state.Contractor to be registered with the Director of Home Improvement Contractor Registration.Certificate of Registration#100073.Any inquiries about Contractor relating to registration should be directed to the Consumer Hotline at(617)973-8787.Contractor to carry commercially reasonable insurance.Contractor's workers are covered by Worker's Compensation Insurance. Customer Acceptance of Proposal: Upon signing,this document becomes a binding contract under law.The above prices,specifications and conditions are satisfactory and are hereby accepted.Contractor is authorized to do the work as specified.Payment will be made as outlined in the payment schedule.Contractor may withdraw this proposal at any time prior to signature by Homeowner.Homeowner may cancel this Contract without penalty or obligation within three(3) business days from the date signed.Contractor may withdraw this proposal if not accepted within 30 days. Customer Consents:Contractor is authorized to use media for promotional purposes.Contractor is granted permission to access property after signing until project completion. Homeowner's signature grants permission to Contractor to obtain all necessary building permits cy) Googlest A+ e o *Stay Connected with our social media and helpful links above Proposal Date:December 1,2022 Revised From March 23,2022 Estimate Date:March 16,2022 PBHI Representative Fran Beaulieu Authorized Signature I confirm that my action here represents my electronic signature and is binding. Do not sign this contract if there are any blank spaces. v Signature: Approved by: lot Alex Sledzieski Date: 12-1-2022 6:57 PM I rtc ..tittcrnvrtrveuttrt IV [rluaJu6ttuautt. 4.7� Department of Industrial Accidents „^).ti .:, ,_ '-1 Office of Investigations I' 4 ' �` Lafayette City Center \\:�, s 2 Avenue de Lafayette, Boston, MA 02111-1750 _,,;,, a <. . www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/individual): Phil Beaulieu & Sons Home Improvement, Inc. Address: 217 Grattan Street City/State/Zip: Chicopee, MA 01020 Phone #: 413-592-1498 Are you an employer? Check the appropriate box: Type of project (required): 1.E i am a employer with 25 4. ❑ i am a general contractor and i employees (full and/or part-time).* have hired the sub-contractors 6 ❑ New construction 2.❑ i am a sole proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in anycapacity. employees and have workers' p ry 9. ❑ Building,additiot [No workers' comp. insurance comp. insurance.: ❑ We are a corporation 5. and its 10.0 Electrical repairs or additions officers have exercised their 1 1.❑ Plumbing repair, or additions 3.0 I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t- c. 152, §I(4), and we have no 1 employees. [No workers' 13.0 Other comp. insurance required.] "My applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicting such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees, they must provide their workers'comp.policy number. I t am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A.I.M. Mutual Insurance Company Policy#or Self-ins. Lie. #:WMZ 06-800-6205/-2022A Expiration Date: 2/25/2023 , Job Site Address: 1 20 01P C JA_Q. k City/State/Zip: 6d re")C IL-. 111 A QiOLo2 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day/against the violator. Be advised that a copy of this statement may be forwarded to the Off ce of investigations of thg,,.DiA for insurance coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: 'AEA gesai''t Date: i 2- I /ZZ Phone#: 413-592-1498 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 3OCity/1'own Clerk 4.0 Electrical Inspector 50'lumbing Inspector 6.0Other Contact Person: Phone#: ACCPREP CERTIFICATE OF LIABILITY INSURANCE DATE!MM/D0lYYVYI 03/02/22 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 CONTNAME: ERIC ERIC MASON THE MASON AGENCY INC INC,No,ExtI: (413)569-2307 FAX (413)569-2308 504 College Hwy ADDREss: themasonagencyt amerIcan-natIonal.com Southwick,MA 01077 INSURER(S)AFFORDING COVERAGE NAIC// INSURER A: FARM FAMILY CASUALTY INSURANCE 13803 INSURED INSURER B: PHIL BEAULIEU&SONS HOME IMPROVEMENT, INSURER C: INC. INSURER D: 217 GRATTAN STREET INSURERE: Chicopee, MA 01020 MA 01020 INSURERF: 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 SUER POLICY EFF POLICY EXP LIMITS INSD WVD POLICY NUMBER /MMIDDIYYYYI IMMIDDIYYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 300,000 BUSINESS OWNER'S MED EXP(Any one person) $ 25,000 A x x 2001 X281 0 02/25/22 02125/23 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY JEC LOC PRODUCTS-COMP/OP AOC $ 3,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY Per person) $ OWNED SCHEDULED A _ AUTOS ONLY X AUTOS X 2001C7139 ' 02/25/22 02/25/23 BODILY INJURY(Per tfccidw ) $ XHIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY X AUTOS ONLY (Per accident) S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS-MADE 2001 E1738 02/25/22 02/25/23 AGGREGATE S 3,000,000 DEC X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N IA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMN $ DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES !ACORD 1111,Additional Remarks Schedule,tnay be attached if more space Is required) CARPENTRY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES B CANCELLED BEFORE SAMPLE THE EXPIRATION DATE THEREOF, NOTICE WIL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIV ©1988- 015 ORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD PHILBEA-01 CHRISTINE coR0 CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY) `.� 2/1N 8/2 s/2o22 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 papa Christine Sullivan Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (NC,No,Est):(413)594-5984 (ac,No):(413)592-8499 Chicopee,MA 01013 Miss:christine@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC It INSURER A:A.I.M.Mutual Insurance Company INSURED INSURER B: Phil Beaulieu&Sons Home Improvement Inc. INSURER c: Phil Beaulieu 217 Grattan Street INSURER D: Chicopee,MA 01020 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 LTR INSD WVD IMMIDD/YYYY1 (MMIDDIYYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR - DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY jPEf LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOS ONLY AUTOSp BODILY INJURY(Per accident) $ _ AHI URE�TOS ONLY _ AUTOS ONLY PPer acGtlentDAMAGE $ _ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS IX MUTE EH EMPLOYERS'LIABILITY R WMZ-800-6205-2022A 2/25/2022 2/25/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ FFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1'000'000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance 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 • • Commonwealth of Massachusetts 111 Division of Professional Licensure Board of Building Regulations and Standards Co nstructiOii'SUpervisor CS-062638 Expires:06/13/2023 ALAIN M BEAULIEU 217 GRATTAN STREET - CHICOPEE MA 01020 'f)/�•c•.101° Commissioner c't f. St • tJl-rq. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration tl Type: Corporation PHIL BEAULIEU&SONS HOME IMPROVEMENT, ING - • Registration: 100073 217 GRATTAN STREET ▪ Expiration: 06/07/2024 CHICOPEE, MA 01020 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:Corporation Office of Consumer Affairs and Business Regulation Registratiojj Expiration 1000 Washington Street Suite 710 100073 06/07/2024 Boston,MA 02118 'NIL BEAULIEU&SONS HOME IMPROVEMENT,INC. LAIN M.BEAULIEU _ z ) '17 GRATTAN STREET E _ . jars• ;HICOPEE, MA 01020 Undersecretary Not valid without signature