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49-050 (2) BP-2023-0966 691 PARK HILL RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 49-050-001 CITY OF NORTHA i/IPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-0966 PERMISSION IS HEREBY GRANTED TO: Project# WINDOW 2023 Contractor: License: Est.Cost: 2915 RENEWAL BY ANDERSEN 090125 Const.Class: Exp.Date: 10/06/2024 Use Group: Owner: CO-TRUSTEES PERKINS DAVID L&NANCY L Lot Size (sq.ft.) Zoning: WSP Applicant: RENEWAL BY ANDERSEN Applicant Address Phone: Insurance: 30 FORBES RD 508-351-227 MWC31415822 NORTHBOROUGH, MA 01532 ISSUED ON: 07/26/2023 TO PERFORM THE FOLLOWING WORK: REPLACEMENT WINDOW 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 NORFHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I 4 1. >2 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner REC, / The Commonwealth of Massachusetts W 01 Board of Building Regulations and Standards FF Massachusetts State Building Code, 780 CM' t), USEOR ITY cpr Building Permit Application To Construct, Repair, Renovate 0 r :-1 0,. to/A, ised�1 r 201 One-or Two-Family Dwelling TO6 Mq necri�N This Section For Official Use Only 100° s Building P unit Number: ...1— 3-3- ctC[Q Date Applied: i �k,jt_.> / s f�� Z7 740?3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: c/ 1.2 Assessors Map&Parcel Numbers 65'l Farb. km10 1.la Is this an accepted street?yes 4-,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: �v i a ePeA4)(N-s rlo rend 4tA 0,6 2— Name(Print) City,State,ZIP 6qi/ Aa/4i, t+ i/ cko d a69 - 99F -2 9y p r4.i'iSKY;/lGrcor'+'l 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) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other "Specify: C 7(acCM� 64/:1 6•^Li Br f Description of Proposed Wor�k: y J reMd a v+ a/ /I ory/ac e / -' ✓1 claw- /rIC-e 4- /'tiles (�' i /1 o .5 ilx,tcr/,�' -' 64C GS LI i ✓ 1 2 q SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: Z.S'l.S� ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ I'd i Oo' Check No.gee/Check Amount: Cash Amount: 6. Total Project Cost: $ 2,1/6",60 %Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-090125 10/06/24 Jaime Morin License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 30 Forbes Rd No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Northborough MA 01532 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 860-952-4112 renewalbyandersenkgopern its.org I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 170810 12/22/2023 Renewal by Andersen LLC HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 30 Forbes Rd renewalbyandersen(a)gopermits.org No.and Street Email address Northborough MA 01532 860-952-4112 City/Town, State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes El 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 to act on my behalf,in all matters relative to work authorized by this building permit application. 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. U•.,i. ter. .,,_._ 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 wtiv.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" The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations Lafayette City Center 2 Avenue tie Lafayette, Boston, MA 02111-1750 www.mass.got/dia %porkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers .kpplicant Information Please Print Legibly Renewal by Andersen Name (Business'Organization'Individual): Address: 30 Forbes Rd. City/State/Zip:North borough, MA 01532 Phone #:508-351-2277 Are you an employer? ("heck the appropriate box: Type of project(required): 1.14 1 am a employer with 30 4. Q I am a general contractor and I 6 Q New construction employees(fidl andi'or part-time).* have hived the sub-contractors listed on the attached sheet. 7. 0 Remodeling 2.❑ 1 am a sole proprietor or partner- ship and have no employees These sub-contractors have g. Q Demolition workingfor me in anycapacity. employees and have worker's" ' P ry 9. Q Building addition [No workers' comp.insurance comp. insurance.' 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 then 11.0 Plumbing repairs or additions myself. [No workers' comp_ right of exemption per MOIL 12.0 Roof repairs insurance required.) ' C. 152,*1(4),and we have noReplacement employees. [No workers' 13.} other p comp. insurance required.] *Any applicant that checks box#I must also fill out the section below!flowing their workers'compensation policy information_ +Homeowners who submit this affidavit indicating they arc 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-contractor and state whether or not those entities have employees. If the suh-coutracturs twavc employees.the) must prutirdc their workers'comp.pulley nonuser. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Old Republic Insurance Co. Policy#or Self-ins. Lic. M WC 314158 22 Expiration Date:10/01/2023 Job Site Address: �CL.�l4— /©e4 City/State.LF,�j ip (enre 44 0/06 Z Attach a copy of the workers' compensation policy drrlaration page(showing the policy number sad expiration date). Failure to secure coverage as required under Section 25A of MC;L c. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and'or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a day .t,atnst the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the 1)t \ for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signtturr: 9414efit4i- 1 'ZL+L- i)ate• 03/31/23 Phonc &10 95'2 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): I❑Board of Health 2❑Building Department 3altytiownClerk 3,0IlettricalInspector Sralunihing Inspector 6.00ther Contact Person:__ Phone City of Northampton 0. /7- - Massachusetts ��+ #.- << t ,K*.-- F, .. DEPARTMENT OF BUILDING INSPECTIONS ti: '�. � k' 212 Main Street • Municipal Building v6 b �.. �'. .f Northampton, MA 01060 sJ'fr 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: -' be S ed /46/-4bDid,A5\-, r I D,'f3Z_ The debris will be transported by: Name of Hauler: C��$Z 044,14-01400Uki Signature of Applicant: Date: "-- / 'z3 RENEWAL brANDERSEN �g illas r(EWINDOW8DOORREPIA(EMENT Re: Massachusetts Solid Waste Affidavit Good day, Please find attached location where the installers will bring their debris from the jobs. These are all Renewal by Andersen location. • WASTE MANAGEMENT—30 FORBES RD, NORTHBOROUGH, MA 01532 When filling out any solid waste affidavit, it's the installer whom will be removing the garbage and dumping the trash at the Renewal by Andersen dumpster locations closest to that job. Thank you, Go Permits RENEWAL BY ANDERSEN SPECIFICATION Ft TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS AND TEST DATA NFRC Total Unit Performance (continued) U Factor Renewal by Andersen "' 8TU1 hr ft2 of Product RIO Pet tuf fiarAR*ass . ( ( ))I 4 Air HP Gas iiirr Air HP Gas BIN Without Grilles 0.44 0.42 0.61 0.61 .82 Clear Full Divided Light Grilles 0.45 0.43 0.55 0.55 Without Grilles 0.31 0.27 0.33 0.32 .72 Low-E4® Full Divided Light Grilles 0.32 0.28 0.29 0.29 Picture Without Grilles 0.31 0.27 0.20 0.20 .40 (Full Frame) Low-E4®Sun Full Divided Light Grilles 0.33 0.29 0.18 0.18 Without Grilles 0.30 0.26 0.22 0.22 .65 Low-E4®SmartSun Full Divided Light Grilles 0.32 0.28 0.20 0.20 Low-E4®SmartSun Without Grilles 0.25 0.22 0.22 0.21 .63 with HeatLockTM Full Divided Light Grilles 0.25 0.22 0.20 0.19 Without Grilles 0.45 0.43 0.64 0.64 .82 Clear Full Divided Light Grilles 0.46 0.44 0.57 0.57 Without Grilles 0.31 0.27 0.34 0.34 .72 Low-E4a FllDii ill 0.31 0.31 Picture Without Grilles 0.31 0.28 02 0.2 .40 (Insert Frame) Low-E4"Sun Full Divided Light Grilles 0.33 0.29 0.19 0.19 \ ,WithoutGril-les� 0.30 427 0.23 0.23 .65 lo -E4 w 'SmartSun"' _ Full Divided Light Grilles 0.32 0.28 0.2 0.21 Low-E4"SmartSun n es 022 0.22 .63 with HeatLockTM Full Divided Light Grilles 0.25 0.22 0.20 0.20 Without Grilles 0.44 0.42 0.61 0.61 0.82 Clear Full Divided Light Grilles 0.45 0.43 0.55 0.55 Without Grilles 0.31 0.27 0.33 0.32 0.72 Low-E4® Full Divided Light Grilles 0.32 0.28 0.29 0.29 Picture Without Grilles 0.31 0.27 0.20 0.20 0.40 (Universal Frame) Low-E4®Sun Full Divided Light Grilles 0.33 0.29 0.18 0.18 Without Grilles 0.30 0.26 0.22 0.22 0.65 Low-E4a SmartSun Full Divided Light Grilles 0.32 0.28 0.20 0.20 Low-E4®SmartSun Without Grilles 0.25 0.22 0.22 0.21 0.63 with HeatLockTM Full Divided Light Grilles 0.25 0.22 0.20 0.19 09-11 COMPANY CONFIDENTIAL- REVISION AA-01 Agreement Document and Payment Terms �� DBA:RENEWAL BY ANDERSEN OF BOSTON David&Nancy Perkins RENEWAL Legal Name:Renewal by Andersen LLC 691 Park Hill Rd HIC#170810 Florence,MA 01062 brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(269)908-2784 NO SW[1010006 MI In4cMc Phone:(508)351-2200 i Fax:(508)986-7072 I rbaboston@gmail.com C:(269)908-2784 David& Nancy Perkins 07/11/23 BUYER(S)NAME CONTRACT DATE 691 Park Hill Rd ,Florence, MA 01062 (269)908-2784 (269)908-2784 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER dperkins44@me.com PRIMARY EMAIL SECONDARY EMAIL NOTES: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen LLC d/b/a Renewal By Andersen of Boston("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. TOTAL JOB AMOUNT: $2,915 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. DEPOSIT RECEIVED: $971 BALANCE DUE: $1,944 Estimated Start: Estimated Completion: 10-12 weeks 1 day AMOUNT FINANCED: $0 We schedule installations based on the date of the signed contract and secondarily on the date METHOD OF PAYMENT: Credit Card in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. NOTES: Buyers)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement. No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank. You are entitled to a copy of the contract at the time you sign. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 07/14/2023 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. 19r -- l-72/''' , SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Antoine Tannous David Perkins Nancy Perkins PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 07/11/23 Page 2 / 34 Payment Authorization Form DBA:RENEWAL BY ANDERSEN OF BOSTON David&Nancy Perkins RENEWAL Legal Name:Renewal by Andersen LLC 691 Park Hill Rd HIC#170810 Florence,MA 01062 byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(269)908-2784 ft[SIM([mow DOCtIflIAMKII Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(269)908-2784 David Perkins Nancy Perkins BUYER NAME CO-BUYER NAME 691 Park Hill Rd Florence ADDRESS CITY MA 01062 (269)908-2784 (269)908-2784 STATE ZIP CODE PHONE NUMBER 1 PHONE NUMBER 2 Antoine Tannous $2,915 SALES REP CONTRACT BALANCE PAYMENT SCHEDULE ($2,915) CASH DEPOSIT(1) FINANCE DEPOSIT(2) START OF JOB(3) SUBSTANTIAL COMPLETION(4) CREDIT CARD $971 $0 $971 $973 (1) CASH DEPOSIT: 1/3 of the purchase price is due at Contract Signing. This may be paid in part or in whole by cash,check,or credit card ("Cash Deposit"). (2) FINANCE DEPOSIT: 1/3 of the purchase price is due at Contract Signing. This may be paid in part or in whole with financing("Finance Deposit"). (3) START OF JOB: 1/3 of the purchase price is due at Start of Job. (4) SUBSTANTIAL COMPLETION: Final payment is due on the day of installation when all windows and/or doors included in this agreement have been installed into their openings and any interior and exterior trims have been applied("Substantial Completion"). If there are any outstanding warranty claims or service items,customer may retain an amount equal to the value of the outstanding item(s)or work to be done,not to exceed 10%of the total purchase price. Due to project changes after Contract Signing,the final payment is subject to change. BY SIGNING BELOW, I/WE,THE BUYER(S): 1. Authorize Renewal by Andersen to initiate debit or credit entries for payments based on the amount(s),form of payment(s),and timing specified in the Payment Authorization Schedule above. 2. Acknowledge that this Authorization is to remain in full-force and effect until Renewal by Andersen has received written notification from the Customer of its termination in such time and manner as to afford Renewal by Andersen and their Depository Institution a reasonable opportunity to act on it. 3. Acknowledge that the origination of a ACH transaction(recharging of checking account)or recharging of credit card to Customer's account must comply with the provisions of US Law. 4. Understand that if there is a change in the set date of a debit or credit entry, Renewal by Andersen must notify the customer minimally 7 days in advance. David Perkins 07/11/23 BUYER NAME SIGNATURE DATE Nancy Perkins j2, ,"4 07/11/23 CO-BUYER NAME SIGNATURE DATE 07/11/23 Page 4/ 34 Go Permits, LLC 105 Buttonball Lane GCII Glastonbury, CT 06033 PERMITS Scott Doughman Phone: 860-952-4112 Fax: 860-430-6719 scottdoughman@gopermits.org Re: Building Permit Application - Licenses Good day, Please find attached permit application, licenses and supporting documents. Renewal by Andersen sold the job and is the G.C. and CSL - CSL #CS-090125 -- Exp. 10/06/24 - HIC #170810 -- Exp 12/22/23 - Workers Comp -#MWC 3145822 — Exp. 10/01/23 Old Republic Insurance Co All licenses and insurances are attached. Once the permit is ready: • Please fax or e-mail a copy of the permit and receipt to the below address and mail the original to the homeowner: Fax: 860-430-6719 Email: renewalbyandersenagopermits.orq • If you unable to mail the permit to the homeowner please send to the below address and we will ensure the permit is at the home posted at the time of installation: Go Permits, LLC 105 Buttonball Lane Glastonbury, CT 06033 If we are required to pick up the permit in at the building department, please call 860-952- 4112 once it's ready and we will come to get it. Thank you, Go Permits Papa 1 of 2 A0 d CERTIFICATE OF LIABILITY INSURANCE o4/21`a`i2cu' 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 WSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(lee)must have ADDITIONAL WSURED provisions or be endorsed. If SUBROGATION IS WAIVED.subject to the terms and conditions of the poicy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certficate holder In lieu of such endorsenerE(s). PRODUCER FACT R11116 Tears Watson Certificate Cantor Will Torero Nataoe Mora IoG. mimeCenturyBlvd i.cry 1-sT7-945-7375 i I 1-8se-s67-237e P.O. e 305101 E PAPPL bat AOOREa< car tit icateaprlllia.con MaaivilL, ISI 372305191 DM INauhER[SI AFFORDING COVERAGE NAILa MMNERA Old aapub)ac Laurance Co pony 24107 WeUREO MODIER 6 aanaral by Aadssaaa SAC 30 ranee and M EUER C: nor tbba.o,s b, ta►O1S32 MBUIEREl: NWERE M81111ER F: COVERAGES CERTIFICATE NUMBER:V26007651 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. NOTWTTHSTANOING 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 MLIRR TYPE OF*PENANCE PyDMyD POUCY RUMMER 011111101NYTTYL,aigroormn, LINTS X COIPBMCML GENERAL LAMM EACH OCCURRENCE I 2,000,000 CWMSAMACE El OCCUR PREMISES IEa 00CalRenatI 1 S00,000 A LIED EXP Glint era prsanI S 10.000 ABUT 314161 22 10/01/2022 10/01/2023 PER90NAl 8ADVINAIRY S 2.000,000 GENT AGGREGATE LSAT APPLES PEFL GENERAL AGGREGATE I 4,000.000 POLICY Q C3LOC PRODUCTS-COMYOP AGO S 6,000,000 OTHER S AUTOMOBLEtMWTY COMBINED SINGLE LW I S,000,000 X ANY AUTO BODILY INJURY(Pr pets" S A ^�OARED SOEGULED 611112 314133 22 10/01/2022 10/01/2023 BDOILY INJURY(Par acctlentf S AUTOS HIRED ONLY �, AUTOS NON-OWED PR7PE TYDAMAGE ^�AUTC15 ONLY ,� AUTOS ONLY Met swarth MORELLALIAB 1 OCCUR EACH OCCURRENCE I •J EXCESS UM CLM,SE.MADE AGGREGATE S CEO I I RETENTION SWORKERS COMPF3MATION $ Y1N X I 6,l,TE 1 1 W- AND A ARYPFYJFRIETCPPARTNEREAECUTT.E O EL EACH ACCIDENT S 1,000,000 OFFCERAUEbBEREACLUDECT NIA PIC 31a155 22 10/01/2022 10/01/2023 1,000,000 PMandaMry Ln SM EL.DISEASE.EA EMPLOYEE S n yea ar,C .undo _ 1„MO,000 DESCRIPTION OF OPERATIONS tuna E L.IXrcaCF POLICY LIMB S DESCRIPTION OF OPOLATION81 LOCATIONS 1 VBUCLE8 IAC0111/101.Additional Reads Schwas,our be N adnd Poem soma b rpretl CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES se CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WLL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AU711011GE0 REPRH9rSATrrE 14 Evidence of Itlsuranca 1. r Gt'~ 1 2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016f03) The ACORD name and logo we registered marts f ACORD +a m: 23076070 tea: 267E324 Commonwealth of Massachusetts Calla4tlCtll1N Supervisor© Division of Occupational Licensure Unrestricted-BidSlings of airy use group which contain Board of Building Regulations and Standards i M less than 34,000 cubic et(991 cubic meters)of enclosed `,Ps'.004 fibri SUperv,sor Voce 1 CS-090125 Expires: 10/0612024 JAIME L MORIN -; 54 NOTTiNGWAM RD 1 - RAYMOND NM 0307T,' y'- i ,.. • ..... D .tYdi13 Failure to possess a cwtant edition of the Massachusetts Co- . a•• n Stele Building Code is cause to revocation of this Manse, or Stele this license cafe(017)77F-3200 or msd www.aress.goWda THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingtg0 Street- Suite 710 Boston, Massachusetts 02118 «r.r R istration Home Impro emerrt C.Q _ e9 0: r 'irlif """""""it* it Type Supplement Gard Registtatw+.i. 170810 RENEWAL BY ANDERSEN LLC •' .w. Expitatean 12/22r2023 30 FORBES RD "'" NORTH8OROUGH.MA 01532 *el, I Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Registration valid for individual use only befvte die Office of MEIMPConsumer Affairs& ONTF%a Regulation ..sppk�r�n A.ew If found return to: HOME IMPROVEMENT ni Cord ►t Office of Consumer Altair%and Business Regulation TYPE.SiaY:Oii>R7tent trifle t000 Washington Street -Suite 710 lie 17lI810 l 0;0 Boston,MA 02110 1711K10 121271�KJ2' RENEWAL BY ANDEftSEN tiC JAIME MORIN )� "Jtf FORGES RD x e.i <,',:+."r . F C, 4()fiTHBORt]UC�H,MA 01532 Undersecretary Not lid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingtop Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor istration -- 4.1 iv a g* Type Supplement Card 7 alien. 170810 REN*WAL BY ANDERSEN LLC aeon 12022f2023 30 FORBES RO , NO4 THBOROUGH MA 01532Update t { Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Registration veld for individual use only be/ore the Office of ME IMPROVEMENT Allah gONTR a Ragulatfon .. A.R. M found return to: HOME PE.Sis CONTRACTOR Office of Consumer Affairs and gusinass Rogulabon TYPE.S,A�i{nriE Gant 1000 Washington Street •Suits 710 R4s170810 1 Boston,MA 02111 t10N10 t2.`�•l+713 RH4EWAL BY ANDERSEN LLC JAIME MORIN 30 FORBES RD t ,par. a:wrh � .mot NORTHBOROUGH.MA 01632 Not VRlid without slgrl-latLIro