Loading...
24A-162 (9) BP-2023-0297 333 PROSPECT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24A-162-001 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-2023-0297 PERMISSION IS HEREBY GRANTED 'TO: Project# ROOF 2023 Contractor: License: Est. Cost: 84000 EAST COAST METAL ROOFING 106109 Const.Class: Exp.Date: 12/13/2024 Use Group: Owner: ANACLETO SOBRAL,FILIPE &HEIDI ELIZABETH Lot Size (sq.ft.) Zoning: URA Applicant: EAST COAST METAL ROOFING Applicant Address Phone: Insurance: 254 SUTTON AVE 5087310415 79803 OXFORD, MA 01540 ISSUED ON: D3/13/2023 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: I ! I ,2 9-, , • , . . Fees Paid: $80.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner J L1-Li The Commonwealth of Massachusetts 4„i _ Board of Building Regulations and Standards u ���3 MUNICIPALITYOR F Massachusetts State Building Code, 780 CMR USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: a/o 43-.1 17 Date Applied: 1� (126.55 ///)0 3.9-Z6z3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Add ess: 1.2 Assessors Map& Parcel Numbers 333 rcOpe(i}- S-t-- 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 yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 (,Owner'of Record: , SatrWl AfOi'fl Iwptf I NH 1 0 10626 Name(Print City,State ZIP 333 YCCISQ etc* 5 1')—(4)1i-le°77 No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) g Alteration(s) ❑ Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: 1 r O - I (l 46 II t .e w e r. A e[ J. QV t0-`i-titlt iCX rbObir S( � .W). '�*; %;' l,f17 SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 8 4 1 0 0 0 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: $ '' Q tA q/) Check No.14 I l(Qheck Amount: i 6.Total Project Cost: $ 8L 1 Op() ❑ Paid in Full ElOutstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 00 I Q a MS Cap h,\( cto ANkh MO vY License Number Ex ration Date Name of CSL Holder 3i l i t List CSL Type(see below) �.C. No.and Street) Type Description Wsclin t 'M !\ U Unrestricted(Buildings up to 35,000 Cu.ft.) r ' 't v �O�7g R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding � t SF Solid Fuel Burning Appliances ! to/�V if/ \ e.Cm(i L D lil I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) Cab1- CAS+ Me,f-el,I I��14'�a 1 17 �lJ�� HIC Registration Number xpiration Date HIAAany am o HIC Registr t Name Nye x Street Pf 4 I S 10 one 751°4 i r Email address City/Town,State,ZIP �j�Teelepphone S 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 L .. * melee I q2g i to act on my behalf,in all matters relative to work authorized by this building permit application. St€ V teiChe6 3/I )a 3 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. Qctv ' LecM, iurc 3/ a 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 OµY H0.MY,O;r. Massachusetts ��?' "I R k ,gi DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building v`., OD Northampton, MA 01060 fs VON'‘' 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: OW) AV.146c tO IAft-an-lOp ,l/Y1Lin The debris will be transported by: Name of Hauler: f31 CA, SW CA) f Ut-q Mt) M J Signature of Applican Date: 41 /33 DocuSign Envelope ID:24B0E359-6AEE-4F78-993E-E4CC80CDE211 East Coast Metal Roofing, LLC. AC H J 11.U H J I 254 Sutton Ave, Oxford, MA 01540 METALROOFING Te1: 8446113267 eastcoastmetalroofing.com REQUIRED PERMITS Registered Home Improvement Contractor MA #184472 Registered Home Improvement Contractor CT #HIC.0644642 Rhode Island Registration #40663 Homeowner Information Name: Fi l i pe Sobral Address: 333 Prospect St . City: Northampton , Ma Zip: 01060 Phone: 317-919-1979 Required Permits: The following building permits are required and will be secured by the contractor as the homeowner's agent and I/We as Owners of the subject property, hereby authorize East Coast Metal Roofing, LLC. to act on my/our behalf,. in all matters relative to work authorized by the building permit application: � - fly 0L 2/25/2023 Owner's Signature Date Owner's Signature Date Owners who secure their own permits will be excluded from the Guaranty Fund provision of the MGL Chapter 142A This permit notice forms a part of the Purchase and Installation Contract of the same date. EAST COAST METAL ROOFING,LLC EAST COAST 254 Sutton Ave,Oxford,MA 01540 METAL ROOFING Customer Contact:1-844-611-3267 Visit our website at EastCoastMetalRooflng.coOl NAME Fi 1 i pe Sobral ("Purchaser") jOBADDRESS 333 Prospect St. rPremisser CITY/TOWN Northampton, Ma ZIP CODE 01060 MAILING ADDRESS ZIP CODE HOME PHONE E-MAIL fi1ipeanacletosobral@gmai1.com CONTACT NAME Fillpe WORK CELL 317-919-1979 The Purchaser Is the registered owner of the Premises and hereby contracts with East Coast Metal Roofing,LLC.(the"Contractor")authorizing the Contractor to furnish all necessary materials and labor to install,construct and place the Improvements according to the following specifications, terms and conditions(the"Specifications')on or at the Premises: PROFILE—SHINGLE/x SLATE/_HYBRID/_PVC COLOR Black slate Remove all layers of roofing from house and garage, install Home Improvement Contractor Regn#184472 New plywood on main house and Turret, plywood should be good under the asphalt sections of roof, install box vents as needed, cutting in 2 new skylights on north side of garage to be operable with hand crank, install ice and water, breathable underlayment to code, i stall Permalock slate on house, turret, eyebrows and garage, replace pipe boots, install snow ADDITIONAL SPECIFICATIONS S96- per sheet for plywood install if needed. Guards, and chimney collar 490- per square for extra layer/plywood (strip, clean up, disposal) YES NO ROOFING MATERIAL YES NO ROOFING MATERIAL X- — Rubber/PVC Low Slope Roofing Color Charcoal gray- — Supply adequate electrical power X Flash Skylights# 2-2x4 cutting in new Outlet Location: Back patio x X _ Work with the Contractor to fix damage uncovered — — Flash Vents# 2 3" during installation at a cost agreed to by the parties. X Ridge Vent BOx vents Plywood for rot repair min charge S2.50 sq ft X Respect the work site. In the interests of everyone's X _ Underlayment Ice and water. breathable — — safety,Purchaser will not use or borrow Contractor's x Snowguards# 3 5+/ equipment or tools and will not access or interfere with the project during installation. Skilled professionals ROOF REMOVAL should be hired for any work that requires access to or traversing your roof. X — Strip existing roof(#of layers 2 ) LOCATION FOR DELIVERY X — Haul away roof debris and pay refuse fees. Driveway X Supply 1/2"plywood Start Date* 4-12 weeks or sooner, weather permitting 'Projects may be delayed due to Inventory supply Issues from certain manufacturers. LOCATION FOR BIN: Driveway ** 1-2 weeks or sooner Substantial Completion Date "Unless circumstances are beyond the Contractor's control. THIS CONTRACT INCLUDES THE ALUMINUM SHINGLE COMPANY LIFETIME LIMITED WARRANTY,50 YEAR TRANSFERABLE,NON-PRORATED FOR MATERIALS MANUFACTURED BY THE ALUMINUM SHINGLE COMPANY,PLUS LIFETIME LIMITED WORKMANSHIP WARRANTY PROVIDED BY EAST COAST METAL ROOFING CERTIFIED INSTALLERS. SPECIAL INSTRUCTIONS Contract Price $ 84,000.00 Sales Tax $ Incl uded Financing Requested YES—NO X OAC Total Contract Price $ 84,000.00 _ Interest Rate0%to29.99% Less 1/3 Down Payment $ 28,000.00 Progress Payment $ 28,000.00 Payment not to exceeds____ Total Balance on Completion $ 28,000.00 MAKE ALL CHECKS PAYABLE TO: EAST COAST METAL ROOFING, LLC. You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office of branch thereof,provided you notify the seller in writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. IN WITNESS WHEREOF,the Purchaser and Contractor have hereunto signed their names at the Premises,this 24 day Of February ,2023 EAST COAST METAL ROOFING LLC. Do not sign this contract if there are any blank spaces. Per: , L, Purchaser: • ° ?Mt Signature Ivl.l�L 1^-1'bH'1K'l Signature Print Name Mike Kromm Signature THANK YOU FOR YOUR BUSINESS This is not a credit transaction. If financing is arranged,the Purchaser agrees to sign and provide all necessary documents required by any lender, immediately on request. In order to complete the financing. All surplus material is the property of the Contractor. See reverse of contract for additional terms and conditions. The Commonwealth of Massachusetts Department of Industrial Accidents fri)WO...—. m Office of Investigations ..,tt��_ Lafayette City Center -114- ji 2 Avenue de Lafayette, Boston,M4 02111-1750 � www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): East Coast Metal Roofing Address:254 Sutton Ave City/State/Zip:Oxford, MA 01540 Phone#:508-731-0415 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 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. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance. $ 9. ❑Building addition required.] 5. Q We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.111 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.111 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other 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 indicating 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 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Beacon Mutual Insurance Company Policy#or Self-ins. Lic. #:0000079803 Expiration Date:9/14/23 Job Site Address:' 33 �V 0 j4 City/State/Zip:/V On 1Y) nA K} Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).b ale) 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 certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: 3' 1 I a 3 Phone#: 508-731-0415 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): 1❑Board of Health 20 Building Department 3❑City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: Commonwealth or Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards Constructiwrsupervir Specialty CSSL - 106109 -4; spires : 12/ 13/ 2024 MIRZOHIDJO111 MAHMUDOV 3 WYLLIE RD -� ek FRANKLIN MA 02038 :i f **my f • , , ) vow 1, /1 f.., vVIisi 1II .00 VI •4i l it, atr4 / ice/ ftwift # r" 011AmM"' D AC CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDMW I ) `—�'' 09/12/2022 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 Kevin Pires NAME: Platinum Insurance Agency,Inc. (A/c,No,ExU: (401)272-5900 FAX No); (401)272-5901 1990 Pawtucket Avenue ADDRESS: kpires@platinumins.com East Providence,RI 02914 INSURER(S)AFFORDING COVERAGE NAIC# Phone (401)272-5900 Fax (401)272-5901 INSURER A: Western World Insurance Company INSURED INSURER B Maxi Construction,LLC. INSURER C: 22 Cherry Street INSURER D: Beacon Mutual Insurance Company INSURER E: Pawtucket RI 02860 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYYI IMMIDD/YYYY) LIMITS ID COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 ❑ PREEMIMI E CLAIMS-MADE OCCUR PR SES(E aaoSRENTEDccurrenw) $ 100,000 ( AEl 0 NPP8747093 09/20/2021 09/20/2022 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 © POLICY ❑ PEET- ❑ LOC PRODUCTS-COMP/OP AGG $ 1,000,000 ❑ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ OWNED AUTOS ONLY ❑ AUTOS SCHEDULED BODILY INJURY(Per accident) $ ❑AHUTIREDOS ONLY El NON-OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ ❑ ❑ $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ©STATUTEPER ❑EOTH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIV E.L.EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDED? NIA 0000079803 09/14/2022 09/14/2023 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE East Coast Metal Roofing,Inc. THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 254 Sutton Avenue Oxford,MA 01540 AUTHORIZED REPRESENTATIVE _ 1 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03)QF The ACORD name and logo are registered marks of ACORD ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �/' 09/20/2022 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: Next First Insurance Agency,Inc. PHONE FAX PO Box 60787 A/C.No.Ext) (855)222-5919: (A/C,No): Palo Alto,CA 94306 ADDRESS: support@nextinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Next Insurance US Company 16285 INSURED INSURER B: MAXI CONSTRUCTION LLC - - 22 Cherry St Apt 2 INSURER C: Pawtucket,RI 02860 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:401142492 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. LTRTYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP ' INSR P --- INSD'WVD POLICY NUMBER (MM/DD/YYYY)I(MM/DOIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 DAMAGE TO RENTED CLAIMS-MADE X OCCUR I PREMISES(Ea occurrence) $100,000.00 MED EXP(Any one person) $15,000.00 A X NXT3PDJQH3-00-GL 09/20/2022 '.09/20/2023 PERSONAL BADVINJURY $1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000.00 X POLICY PRO- - JECT LOC PRODUCTS-COMP/OP AGG $2,000,000.00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED --7 SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY -AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ I AUTOS ONLY I AUTOS ONLY (Per accident) $ 'UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ HEXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTIONS $ WORKERS COMPENSATION PER :OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under --- DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ Each Occurrence: $25,000.00 A i Contractors Errors and Omissions X NXT3PDJQH3-00-GL 09/20/2022 109/20/2023 Aggregate: $50,000.00 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is East Coast Metal Roofing.This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement.All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured,and are subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION East Coast Metal Roofing LIVE CERTIFICATE 254 Sutton Ave SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Oxford,MA01540 CIwt.ol El THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN r-?5 .'. ACCORDANCE WITH THE POLICY PROVISIONS. ' AUTHORIZED REPRESENTATIVE ❑' of r•1:. /fir• � I . - I Click or scan to view ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Ag 1 \Business Regulation 1000 Washin tre t-Suite 710 Bosto —.rassashMsetks=g211 S I Home Im.ro erne "4e. rac or'e 'stationi MINION, 11•111111•••Qom-_ i � £ �� ��'- w Type: LLC 1 EAST COAST METAL ROOFING,LLC == ' "��'e iS ation: 184472 I 254 SUTTON AVENUE •--- Qj anon: 01/19/2024 OXFORD,MA 01540D 1 r, 9 .: i �D '• ' I 5,10 Update Address and Return Card, I l THE COMMONWEALTH OF MASSACHUSETTS (` I Office of Consumer Afp rs�&Business Regulation 1 Registration valid for Individual use only before the I I HOME IMPROVE FONTFACTOR I expiration date. If found return to: Office of Consumer Affairs and Business Regulation I Re.1 =--: o—T— ='mration 1000 Washington Street-Suite 710 I I -(8;1•b--` `st%°r Boston,MA 02118 I i LAST COAST MET 7'ai_]2ic_ .— I J4 = I I 154 s LECHIARA — Sq BUTTON AVENUE - <" '7 >- -' 4cG�fr�c'o Undersecretary I Not valid without signature I