Loading...
38D-016 (4) BP-2023-0271 8 CHARLES ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38D-016-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2023-0271 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2023 Contractor: License: Est. Cost: 12350 GLOBAL HOME EXTERIORS INC 106203 Const.Class: Exp.Date: 03/18/2025 Use Group: Owner: W. NIMS,DAWN E. &JONATHAN Lot Size (sq.ft.) Zoning: URB Applicant: GLOBAL HOME EXTERIORS INC Applicant Address Phone: Insurance: 60 DUVAL RD (774)289-0563 7PJUB 1 K76070821 SUTTON, MA 01590 ISSUED ON: 03/07/2023 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: T', (al . +' , >2 . • I ' I Fees Paid: S40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner Ad(S:\ -. / /1\i.,,e,,, CY 66-id - / The Commonwealth of Massachusetts o 99 \,,'" ,,�* FEB Bo ird of Building Regulations and Standards .69N ' ' �� FOR ; 023 Massachusetts State Building Code, 780 CMR°9°y��� 6' Mt ICIPALITY -1, , c� USE .uilding P-rmit Application To Construct,Repair,Renovate Or .- °; a '' evisydMar 2011 ' One-or Two-Family Dwelling =• l',,p,,, This Section For Official Use Only �'o, �/p5^ *,/� Building Permit Number: 5V- A 3� oi'7/ Date Applied: / k uiL Z5 /Z . -f -7-2023 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 8 Charles St 1.la 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(It) 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 ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Dawn Nims Northampton,MA 01060 Name(Print) City,State,ZIP 8 Charles St (802)451-6942 Text dnims65@yahoo.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 lteration(s) 0 Addition 0 Demolition 0 Accessory Bldg..0 Number of Units Other HAS ci : Roof Replacement pe fY Brief Description of Proposed Work2: Remove existing layer,inspect decking,replace if needed,install proper underlayements,install new shingles SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 12,350.00 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Costa (Item 6)x multiplier x_ 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: ) Check No.�,0 Check Amount: l Cash Amount: 6.Total Project Cost: $ 12,350.00 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 106203 03/18/25 Fredy T Arboleda Jaramillo License Number Expiration Date Name of CSL Holder List CSL Type(see below) RC 60 Duval Rd No.and Street Type Description Sutton Ma 01590 U Unrestricted(Buildings up to 35,000 cu. IL) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 508-269-7860 globalroofingorg@gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 193875 12/3/24 Global Home Exteriors Inc HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 60 Duval Rd globalroofingorg@gmail.com No.and Street Email address Sutton Ma 01590 508-269-7860 City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152. § 25C(6)) Workers Compensation Insurance affidavit must completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Iss ce of the building permit. Signed Affidavit Attached? Yes No .0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Fredy T Arboleda Jaramillo to act on my behalf,in all matters relative to work authorized by this building permit application. Dawn Nims 3/9/23 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER1 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 acc to to the best of my knowledge and understanding. Fredy T Arboleda Jaramillo 3/9/23 Print Owner's or Authorized Agent's Name(El • gnature) Date NOTES: 1. An Owner who obtains a building permit do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement ontractor(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 SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street Municipal Building � - 40Northampton, MA 01060 ss'!,` 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: The Barnish Companies The debris will be transported by: The Barnish Companies Name of Hauler: Signature of Applicant: Date: 3/9/23 The Commonwealth of Massachusetts 1 Department of Industrial Accidents VS -;, ,IVISONIN! Office of Investigations 1=, ,,,,,,,,, 600 Washington Street ":.. Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Global Hone Exteriors Inc Name(Business/Organization/Individual): 80 Duval Rd Address: City/State/Zip: Sutton Ma 01590 Phone#: 774-289-0563 Are you an employer?Check the appropriate box: Type of project(requi d): 1.0 I am a employer with 2 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New constructio 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ii Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp. insurance.: required.] 5. 0 We are a corporation and its 10.12 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no 110 Other Roof replacement employees.[No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indic ing such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entitles have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Travelers Property and Cas CO of AM Insurance Company Name: 7PJUB1 K76070822 12/22/2023 Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 8 Charles St City/State/Zip: Northampton,MA 01060 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 Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains and penalties of pedury that the information provided above is true and correct Stag tature• Date: 2/9/2023 Phone#: 774-289-0563 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.gov/dia /171 \.. Prepared For GLOBAL ROOFING Dawn Nims 8 Charles St Northampton, Ma 01060 GLOBAL ROOFING Estimate # 1778 60 Duval Rd Date 08/18/2022 Sutton, MA 01590 Phone: (508) 269-7860 Email: globalroofingorg@gmail.com Web: www.globalroofinginc.org Description Total Replacement Description Of Work $0.00 Have agent send insurance certificates to customer Pull permits on specified job Answer any and all questions from customer Verification of materials prior to start of job OSHA safety protocols are followed Complete project right the first time Call building inspector for inspection (EG) Asphalt Roof Replacement Description (Main roof and roofs attached, no out $12,350.00 buildings) Removal: Layers (1) If additional layer $50.00 a Sq per layer(19 Sq = $950.00) If slate or wood shake will be an additional $100.00 a Sq per layer Remove anything not fastened/secured from perimeter of the house/building so roof debris does not damage Fasten heavy duty tarps to roof to cover entire house to protect the siding, deck(s) and landscaping around the house Place blue tarps on the ground around the perimeter Remove existing Shingles Felt paper Drip Edge Pipe boots Page 1 of 4 Decking: Inspect decking re-nail with Galvanized Coil Ring Shank nails, $85.00 a sheet 1/2 inch plywood, $7.00 a lineal foot for ledger board if needs replacement Underlayment: Install ice and water shield 6 feet on eaves 3 feet on penetrations 3 feet on valleys 3 feet on intersection walls Install synthetic paper on remain roof Install F8 drip edge on eaves and rakes Penetrations: Replace chimney flashing if needed will be additional cost($850.00 labor and materials) Replace pipe boots Replace bathroom vents if needed Replace missing or broken flashing Make sure all penetrations are water tight Certainteed Landmark Classic original Lifetime Architectural Shingles: Colors available: Charcoal Black Weatherwood Pewterwood Georgetown Gray Install starter strip on eaves and rakes Install Architectural Shingles (CertainTeed Landmark Classic) Nailed by code (6 nails per shingle) Ventilation: Inspect ridge to make sure ridge is cut 1 1/2 inch on each side according to code and proper Page 2 of 4 air flow Install ridge vent on ridge where needed Install shadow ridge caps over ridge and hips Roofing Debris: Roof debris will be cleaned up through the project, removed from the job site and disposed Nails and staples wi►► be picked up with heavy duty utility magnets to avoid any incidents (kids, pets, tires, etc.) Payment on job completion $0.00 10% interest ever week on amount not paid per agreement Customer has 3 days from contact signing date to void contract Warranty $0.00 Materials: Lifetime, (Transferable 1 time to new home owner in the first 12 years) Workmanship: 10 years Subtotal $12,350.00 Total $12,350.00 Page 3 of 4 By signing this document, the customer agrees to the s document. ervices and conditions outlined in this on".\ f3r Global Raofr g HfC 193875 CSSL 106203 Signed on: 12/05/2022 Signed an: 12/05/2022 Dawn Nims Page 4 of 4 A � DATE(MM/DD/YYYVI CERTIFICATE OF LIABILITY INSURANCE 12/12/2022 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 LEANDRO GUIMARAES NAME: POINT INSURANCE INC PHONE ext): (508)552-8066 (A/C 424 NO): (508)552-8065 424 BELMONT ST E-MAIL Iguimaraes@pointinsure.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# WORCESTER MA 01604 INSURERA: ATLANTIC CASUALTY INS CO INSURED INSURER B: Commerce Insurance Co 34754 GLOBAL HOME EXTERIORS INC INSURER C: 60 DUVAL RD INSURER D: INSURER E: SUTTON MA 01590 INSURER F: COVERAGES CERTIFICATE NUMBER: Master Cert 2022 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �/ DAMAGE TO RENTED 100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A L307002278 12/22/2022 12/22/2023 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ 50,000 g OWNED X SCHEDULED BDPS64 12/02/2022 12/02/2023 BODILY INJURY(Per accident) $ 100,000 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ 100,000 AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 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 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. 210 Main Street Northampton, MA 01060 AUTHORIZED REPRESENTATIVE I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r \ R AMR CERTIFICATE OF LIABILITY INSURANCE IDATEIMMOD,YYYY) 12/12/2022 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 pollcy(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. LEANDRO GUIMARAES POINT INSURANCE INC PHNE SAC No.EIIt); (617)783-1160 {ac,Noy. A uimaraes D'ltinsure.com ADDRESS; � �pi .__ 1 103 COMMONWEALTH AVE IN SURE RIS i AFFOROING COVERAGE NAIC u BOSTON MA 022151111 INSuRERA: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER 8: GLOBAL HOME EXTERIORS INC INSURERC INSURER D: 60 DUVAL RD INSURERE: SUTTON MA 01590 INSURER F: COVERAGES CERTIFICATE NUMBER: 843308 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTEO 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 MR 1 ADDL MAW_----- _—.__-_.POLICY EFF • POLICY E%P LTR, TYPE OF INSURANCE INSD wYD. POUCY NUMBER IMMIDOtYYYY) LMMIOOn'YYYI Larne COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMSfi1ADE OCCUR DAMAGE TO RENTED PREMISES(Ea n_tt ren_e; $ MED EXP(Any p^e penCn? S N A ,PERSONAL A ADY INJURY $ i OENL AUGHtLiA.It LIMN AeHL,tS PEN ••litNEH.AI.AGuHEGArE $ POLICY L JCcr LOC PRODUCTS•COMP.00P AGG S OTHER S AUTOMOBILE .COMBINED SINGLE LIMIT f LEA eccOenq .— ANY AUTO BODILY INJURY iPer person' 'I AUTOS SCHEDULED 1 BODILY INJURY tPer awderel $ .AUTOS ONLY AUTOS N.A i _. _____ _. HIRED NON•OVJNED I. i PROPERTY DAMAGE S (MY ((Perrr A _ .AutOS ONLY AUTOS O egnt.__. UMBRELLA UAB 1 OCCUR 1 i EACH UL•::URHLNCE--„__ S • i EXCESS LIAR CLAIMS-MADE' NIA I AGGREGATE S OLD •RETENT'NS I S ' PER ' TOtH �� 7PJUB1K76070822 X £rATUTE NT.ER_ AND EMPLOYERS'LIABILITY WORKERS COMPENSATION ANT NROFHEtI;k.PdRTt.ER�ExE4VirrE YIN EL_EACHACCIOENT s 1,000.004_. A OFP.CERAIEMBEREXCUJDEC N.A NIA NeA 12,22/2022 12/22/2023 FL DISEASE S 1,000,000 _ (Mandatory in NH) 11_yyes M18.e OPERATIONS OF OPERATIONS DBlOe =L D SEASE-POUCY LIMIT,$ 1,000,000 NA DESCRIPTION OF OPERATIONS,'LOCATIONS r VEHICLES IACORO 10t,Addltl:nai Remarks Schedule,may he attached It more apace Is rewind) Workers'Compensation benefits will be paid to Massachusetts employees only Pursuant to Endorsement WC 20 03 06 B,no authorizatioi 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 MassachLsetts This certificate of insurance shows the policy in force on the date that this certificate was Issued(unless the expire!on 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 goviiwd'workers-compensationlinvestigations CERTIFICATE HOLDER CANCELLATION ANY oFBE Town of Northampton THE SHOULD EXPIRATIIONH E DATE E DESCRIBED THEREOF, NOTICE POLIC1 ELLED WILL BE ES CDELIVERED BEFORE IN 210 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE Daniel M Crowley CPCU.Vice President-Residual Market-WCRIBMA Q 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration r n r I. Type: Supplement Card Registration: 193875 GLOBAL HOME EXTERIORS INC .1E`. Expiration: 12/03/2024 DB/A GLOBAL ROOFING E _,, 60 DUVAL RD SUTTON,MA 01590 M t. Update Address and Reim 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:Supplement Card Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street-Suite 710 193875 12/032024 Boston,MA 02118 GLOBAL HOME EXTERIORS INC D/B/A GLOBAL ROOFING FREDDY T.ARBOLEDA JARAMILLO 60 DUVAL RD :Ga,Gfw.k SUTTON,MA 01590 Undersecretary N out signature Corns ItOttwealth of Massachusetts y Division of Professional Ltcensurr eosin of Building Regulations and Standards Co+nstructionSftperYfai>r Specialty CSSL 106203 Eapires•01 I8 202.5 FREDY T ARBOLEDA JARAMILI 0 60 DUVAL RD SUTTON MA 01590 0 Cernrn ,siu, • Construction Supervisor Specialty Restricted to: CSSL-RF•Roofing Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For Information about this license Call(617)727 3200 or visit www.rnass.govldpl