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23A-082 (15) BP-2023-0865 17 MAIN ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-082-001 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-2023-0865 PERMISSION IS HEREBY GRANTED TO: Project# 2023 ROOF Contractor: License: Est. Cost: PHIL BEAULIEU 62638 Const.Class: Exp.Date: 06/13/202 Use Group: Owner: LLC E MJ Lot Size (sq.ft.) Zoning: GB Applicant: PHIL B AULIEU & SON HOME IMPROVEMENT Applicant Address Phone: Insurance: 217 Grattan St 413-592-1498 WMZ-800-6205-2023A CHICOPEE,MA 01020 ISSUED ON: 07/03/2023 TO PERFORM THE FOLLOWING WORK: STRIP&REROOF 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: ' , - . Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner ♦ C L L The Commonwealth of Massachusetts ,.I*� Board of Building Regulations and Standards FOR MUNICIPALITY'�.iI "" Massachusetts State Building Code, 780 CMR USE tiling Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling , tt This Section For Official Use Only Buildi n htmber: E3Noza- OR43- Date A plied: _ 4.x..)/z, // .7 -7. 3 26Z3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 17 Main S.F. F/orenc.& MA o(otoZ 2,3A--tisz- oo t 1.1a Is this an accepted street?yes .. no Map Number i Parcel Number 1.3 Zoning Information: 1.4 Property Ditnensions: a ,237 aort. 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 ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: jus+in Jeimbc.11 Ft or'en 4 / I& 11 O 10(92 Name(Print) City,State,ZIP r 1'1 Main S+• ( /3)218-23`I(o jT kimio•cl/o am!ur54-..,,i ,,. No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK' (check all that apply) New Construction CIExisting Building I / Owner-Occupied le Repairs(s) id Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify. Brief Description of Proposed Work2: Sf ri 10 r0o1i,n� On -I- file rl 9h+ Si de 0 4: +kiii.. M in Inous-_- and [-car a-dd-`ii4cv, Siet_i-e- eoof bet N nS. New plywood n .4-4C Ins/afI CuldLr 1a,m.an!- a.ntL ice- W0-4ef n S 1-a 1/ (1.P.v f cap Hal t- r O o SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ to, 9' O.oo I. Building Permit Fe : $ Indicate how fee is determined: ❑ Standard City/To Application Fee 2.Electrical $ — — ❑Total Project Cost3 Item 6)x multiplier x 3.Plumbing $ — 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ Check No.,Vot GCh k Amount: Cash Amount: 6. Total Project Cost: $ ( 0, 9 9 0 GO ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction.Suoervispr License(CSLI Cs — O(02 6 3 8 62 /s 3/25 Phil Beaulieu&Sons Home Imp.,Inc. License Number Expiration Date r 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_.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding (913 q �i /� n -�- SF Solid Fuel Burning Appliances )S /2-14 rheac.4.1i �Na/ /-J3ii•raf i Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 100 73 (p/ 7 /Z4 Phil Beaulieu&Sons Home Imp.,Inc. HIC Registration Number Expiration Date 217 Grattan Street,Chicopee,MA 01020 HIREG#100073 rhbea� 1; � PoffiS- llt�' CSL#CS-062638 Email address Alain Beaulieu Telephone PH:(413)592.1498/Fax:(413)594.6008 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 Issuannce of the building permit. Signed Affidavit Attached? Yes c,Y No ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I'k I,as Owner of the subject property,hereby authorize I Be AtM mu B S 0 S 44$N& Trnp r-8 vf-c.n, 4it to act on my behalf,in all matters relative to work authorized by this building permit application. Se- C.,inD-n --C+ (o /z 7/Z3 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. Phi I Beak)rrM $ Es-nS I9-1YL2 ny.?. (j / 27/23 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(H1C)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 44, Massachusetts �+ •�._ 'e * • fG 1/4 DEPARTMENT OF BUILDING INSPECTIONS y • ` 212 Main Street • Municipal Building '), ca Northampton, MA 01060 'Pk), 3,00 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: Du-nip Location of Facility: u S I-tA-vtig rec ( t'��� 55 5 T l — ►2ot Cet a cI- Ot9Ow-2 )/ The debris will be transported by: Is Name of Hauler: Signature of Applicant: � �� Date: to / 2 7 /03 The Commonwealth of Massachtise#s !'a fr Department of Intlttstrial Accidents.l Office of Investigations _,� ; q 600 Washington Street ✓tom jl Boston, MA 02111 . -50' w►vtv.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ,� Please Print Legibly Name(Business/Organization/Individual): P1 fl 1 19CQ(-4.-11'Lt.( / 8S011 C 14ca tQ,. ,Try�QrDlteiv 4-I�'� r Address: 2 1 &fro I an, 1�** `(� Ciiy/S1alc✓%ip: COO/t+ pre,. MA 01020 phone#: 64,3)5612—! '4-12- Are on an employer?Check the appropriate box: Type of n o ect(required): I. I am a employer with 2 • 0 I am a general cantac.tor and I y project employees(full and/or part-time). have hired the sub-contractors 6. 0 New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employdes "these sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition ]No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and is 10.0 Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work I I.❑ lumbing repairs or additions myself. [No workers'comp. right olexemption per MGL YP 12 Roof repairs insurance required] 1. c. 152, §1(4), and we have!no employees. [No workers' 13.0 Other comp. insurance required. •Any applicant that checks box ill must also fill out the section below showing their workers'compensation policy information. t llomcowners 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 nmst attached an additional sheet showing the name of the sub-contructois and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their xvorkers'comp.policy number. I ant an employer that is providing workers'compensation insurance for n{I'employees. Below is the policy and job site information. /� Insurance Company Name: A.I,M. M��-lad Insurance_ Company ______ Policy II or Self-ins. Lie.II: WMZ'S00 - ( 205 - 2023A Expiration Date: 2/2SI Zy JohSite Address: 1 1 Main Otil ) L>Tt City/State/Zip: FIom)ut. t MA o Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 10b2 Failure to secure coverage as required under Section 25A of MGL c. 152 can Iead 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 icy of Investigations of the DIA for insurance coverage verification. . i do hereby milli, i, s ant tallies of perjug that the information provided above is true and correct. Signature: ' Date: LP 12A 1 2 3 Phone II: ( 413) 512— 1491 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/Licens # issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/'l'own Clerk 4. Fie Meal Inspector 5. Plumbing Inspector 6.Other Contact Person: • Phone#: IOW Approved by Justin Kimball on Jun 20,2023 Approved IAN Phil Beaulieu&Sons Home Improvement,Inc. Beaeu 217 Grattan Street Chicopee,MA 01020 HOME IMPROVEMENT, INC. Phone:(413)592-1498 28 723 Fax:(413)594-6008 Justin Kimball Cell:413-218-2396 Job Address: 17 Main Street Florence, MA 01062 Print Date: 6-20-2023 Proposal for Main St - Roof - Kimball Rear Slate Roof Replacement Description Price Strip all layers of roofing on the right side of the main house and the rear addition slate roof sections-dispose of all debris $10,990.00 Install 1/2"CDX plywood wherever applicable Furnish and install synthetic underlayment Furnish and install ice and water barrier to meet local code Install new aluminum drip and rake edge—Color:Brown Furnish and install ridge vent wherever applicable Replace stack pipe collar(s) Furnish and install lead flashing at the base of chimney Install new step flashing and wall flashing where needed(note:generally existing flashing to remain) Furnish and install new Atlas Pinnacle roofing-Color:To be determined Notes: Remove the satellite dish from the left side roof PBHI only to roof the right side main house and rear addition slate roof sections Left side main house and porches to remain untouched Total Price: $10,990.00 FINANCING OPTIONS FROM GreenSkyn A Goldin Goldman Sachs Company me L„ 41i., - riffi Reduced APR APPLY NOW of 6.99% for 120 Months! Subject to credit approval.Fixed APR of 6.9914 for 120 months. Payment example:for 510,000 purchase on approval date,120 payments of 1116.06. No Interest if APPLY NOW Paid in Full in 12 Months Subject to credit approval.Interest is billed during the promotional penod but all interest is waived if the purchase amount is paid in full within 12 months. re'Sty'and Greens ty Pattern Salmons'are loan program names for certain consumer credit plans emtentled by particinating'erde:s to brn'0iets for nsa purmase of tools arwror serw-es Korn partclpanng merchantstprawlers. Pardo pat le tiers are federally invare7,telrai and sate chartered nnandai nsntalOns prOvili lg mein wttwlut regard to age,race,color,religion nat.:nal crgn. genie,or familial status.Greensky`arc GreenSky resent soutoncx are regktenen traderrarks of GreenSky.LLC.Greensky Suwon&LLC services the bans on behalf of narmcpanrtg'eiders.NML5 fr141ti362.iareensky,LLC and GreenSky Serrlcmg LLC are stlbstdlanes Ce Gamma sacns Bank LisA(Darts orlglrute r DT'lion an tams are ss.red by ua+lrres Sams Bari( ISA.Salt Late City Branch. General Includes removal and disposal of all debris Any rot found during the project is to be repaired or replaced at a rate of$195.00 per hour per lead carpenter or$115.00 per hour per apprentice+ materials+ 15%of material Payment Schedule $500.00 deposit is due upon signing; Half the remaining balance is due at the start of the project The remaining balance is due upon completion gI Price Escalation: In the event of significant delay or price increase of material,equipment or energy occurring during 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 energy will be considered significant when the price of an item increases twenty percent (20%) between the date of this Contract and the date of commencement of work. Work Schedule: The anticipated work commencement date will be determined and communicated to Homeowner at signing, but not to exceed nine months from signature, with substantial completion within 45 days after commencement. Contractor to notify the Homeowner if factors outside our reasonable control require any material changes to this time 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 pro ucts 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: 11/2% monthly(ANNUAL PERCENTAGE RATE OF 18%)will be added to the unpaid porti n of the balance due. Homeowner agrees to pay these charges. In the event of default of payment, Homeowner agrees to pay reasonable ttorney's fees & court costs. This agreement does not constitute a release of liability.By Homeowner's signature below,Homeowner acknowle ges 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 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 inquiri s about Contractor relating to registration should be directed to the Consumer Hotline at(617)973-8787.Contractor to carry commercially re sonable 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. 1111.Wow �° Google Akdh. v.allinei A.! p e o Beaulieu 'raqng HOME IMPROVEMENT, INC. *Stay Connected with our social media and helpful links above'* I Estimate Date:June 20,2023 Proposal Date:June 20,2023 PBHI Representative:Nico Facchini I confirm that my action here represents my electronic signature and is binding. Do not sign this contract if there are any blank spaces. Signature: Date: Jun 20,2023, 1:55 PM Approved by: Justin Kimball Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards Consttyt rSpeIrvisor CS-062638 I*pires:06/13/2025 ALAIN M BEULIEU ; + — 217 GRATTAN STREET ' CHICOPEE Mi9 01020 . • • 4.01jxco..)3 Commissioner dadQn THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation PHIL BEAULIEU &SONS HOME IMPROVEMENT,INC. 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 Regfstratlort Expltatiin 1000 Washington Street -Suite 710 100073 06/07/2024 Boston,MA 02118 'HIL BEAULIEU&SONS HOME IMPROVEMENT,INC. 1LA1N M.BEAULIEU • 17 GRATTAN STREET cG;/&a„4Ar?" ;HICOPEE, MA 01020 Undersecretary Not valid without signature i PHILBEA-01 NICOLES AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/15/2023 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 Nicole Sarafin NAME: Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (ac,No,Exe):(413)594-5984 (ac,No(413)592-8499 Chicopee,MA 01013 E-MAIL nicole@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:A.I.M. Mutual Insurance Company 33758 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 (MMIDD/YYYYI IMM/DD/YYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ _ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRES NONWNED PROPERTY DAMAGE AU TOS ONLY ems Y (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN WMZ-800-6205-2023A 2/25/2023 2/25/2024 STATUTE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVEEXCLUD E.L.EACH ACCIDENT $ FFICERMIEM REXCLUDED? N NIA ((Mandatory in NHI 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 it 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 /"`�®A DATE(MM/DD/YYYYI CERTIFICATE OF LIABILITY INSURANCE 2/15/2023 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 1S 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), CON PRODUCER NAAMMEACT ERIC MASON T H E MASON AGENCY I N C (A/C.PH ONE Ext): (413)569-2307 FAX Na): (413)569.2308 504 College Hwy E-MAIL o Rees: themasonagencyaamerIcan-natIonal.com Southwick, MA 01077 NSURER(S)AFFORDING COVERAGE NAIL# INSURER A: Farm Family Casualty Insurance 13803 INSURED INSURER B PHIL BEAULIEU Sr SONS INSURER C: HOME IMPROVEMENT, INC. INSURER D: 217 GRATTAN STREET INSURER E: _ 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 ADM SUBR POLICY EFF POLICY EXP LIMITS LTR INSD 1MVD POLICY NUMBER (MMIDD/YYY)'1 (MMIDDIYYYYI X COMMERCIAL GENERAL� LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE /� OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 300,000 BUSINESS OWNER'S MED EXP(Any one person) $ 25,000 A x x 2001X2810 2/25/2023 2/25/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY JE a LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ AUTOMOBILE LIABILITY CO BBINED SINGLE LIMIT $(Ea 1,000,000 ANY AUTO X BODILY INJURY(Per person) $ OWND A AUTOS ONLY AUTOSULED x 2001 C7139 2/25/2023 2/25/2024 BODILY INJURY(Per accident) $ HIRED X NON-OWNED PROPERTY accident)DAMAGE AUTOS ONLY AUTOS ONLY (Per X X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS-MADE 2001E1738 2/2512023 2/25/2024 AGGREGATE $ 3,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNER/EXECIITTVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? n N 1 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CARPENTRY 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 REPRESENT lye ©1 -2 CORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD