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23D-163 (15)
BP-2023-1242 127 MAPLEWOOD TERR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23D-163-001 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-2023-1242 PERMISSION IS HEREBY GRANTED TO: Project# CHIMNEY REPAIRS 2023 Contractor: License: Est. Cost: 11410 PHIL BEAULIEU 62638 Const.Class: Exp.Date: 06/13/2024 Use Group: Owner: KORMAN ISRAELOFF NORA &PHILIP S Lot Size (sq.ft.) Zoning: URB Applicant: PHIL BEAULIEU & SON HOME IMPROVEMENT Applicant Address Phone: Insurance: 217 Grattan St 413-592-1498 WMZ-800-6205-2023A CHICOPEE,MA 01020 ISSUED ON: 09/11/2023 TO PERFORM THE FOLLOWING WORK: CHIMNEY REPAIRS,REPLACE SKYLIGHT 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 it 3-1 f Ii Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner kJ The Commonwealth of Massachus; is 135p Board of Building Regulations and St,nda e c0 M 1C IF0'ALITY ' },• Massachusetts State Building Code, 7:: MMt oofi,?, c E Building Permit Application To Construct, Repair, Renovate a ti.'�r%r i& vise, Mar 2011 One- or Two-Famil Dwellin '414o�c770 Y °so This Section For Official Use Only Building Permit Number: r DI 3. /aw'I?' Date Applied: gto a, Z., Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 12r1 . (.0_ 1.1a 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.I.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' 2.1Owner'of Record: Nora =srael off F/oreou.-- I-4A o ro(02 Name(Print) City,State,ZIP 12-1 Maplewood T-e-rract N/3)230- 19i 1 r)ora'i sQ cemc.a‘+.r. - No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction ❑ Existing Building lid Owner-Occupied lid Repairs(s) if Alteration(s) 0 Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units _ Other ❑ Specify: Brief Description of Proposed Work2: (t poln-f- rear le'} Side C.kimney I pour nea.•( rrasonr\4 GY19wn, f Glace -Fl0.sk;vtq t- roof-tn9 arov-nW clnlmn !act pipe boof Collar on �€ C d ormf-r la[t�l Oru._ �;-t Li) 1, f. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ l ( 410,00 I. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ 4 F Suppression) Total All Fees: ,j Check No.11,0441heck Amount —(." Cash Amount: 6. Total Project Cost: $ I ) , L4 10. ciO 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES • 5.1 Construction Supervisor License(CSL) !?S-Ol9Zl9 36 In ! ZS Phil Beaulieu&Sons Home Imp.,Inc. License Number Expiration ate 1'�-ml 217 Grattan Street,Chicopee,MA 01020 HI REG#100073 List CSL Type(see below) u 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 S ,, WS Window and Siding Sid (Lit3)592!4 92 alb eo u i `�I4tQ PB 1-}1., h e.4 1F nsu at onl Burning Appliances Telephone Email address D Demol i t i on 5.2 Registered Home Improvement Contractor(HIC) 'DOG 3 U2 17124 HI�� Phil Beaulieu&Sons Home Imp.,Inc. HIC Registration Number Expiration Date 217 Grattan Street,Chicopee,MA 01020 HI REG#100073 rn loe_aul► perm.rte+ No CSL#CS-062638 Email address Alain Beaulieu Cif PH:(413)592.1498/Fax:(413)594.6008 Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.f 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 Is ce of the building permit. Signed Affidavit Attached? Yes No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT If,as Owner of the subject property,hereby authorize Ph/ I Cake i t g9415 i Vnekst=r0. to act on my behalf,in all matters relative to work authorized by this building permit application. Nora TS rae l o f-F 9 /c,, 123 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 BeatAl mAA i sans ffgivul. Trn f rgvr-c i1 -- 9 /(v /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(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/dns 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 Massachusetts • DEPARTMENT OF BUILDING INSPECTIONS x 212 Main Street • Municipal Building yJti �a Northampton, MA 01060 'rJ11; arO`,N' CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, 554, 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: D 6-iy?" `'sr- US A liautlin9 $ 1 cy Location of Facility: S5 5 I0( r�"a ,�� 0 Lp 0 82- The debris will be transported by: (/ Name of Hauler: Signature of Applicant: ``^ Date: q /Cr, /2 3 rir Approved by Nora Israeloff on Aug 18,2023 Approved Phil Beaulieu&Sons Home Improvement,Inc. Beaulieu 217 Grattan Street HOME IMPROVEMENT,INC. Chicopee,MAU1020 Phone:(413)592-1498 38723 Far(413)594-6008 Nora Israeloff Phone 413-582-0467 Cell 413-230-19134 lob Address: 127 Maplewood Terrace Florence,MA 01062 Print Date: 8-21-2023 Chimney Description Strip all layers of roofing around the rear left side chimney(family room/bathroom) Install new lead flashing at the base of the chimney Re-point one chimney from the roof line up.and pour new masonry crown Seal chimney with masonry sealer(Manufacturer recommends a new application every 2-4 years) Replace the existing roofing around the lower section of the chimney to match as close as possible(may not match perfectly)using Atlas Pinnacle roofing-Color.Pewter Replace the existing roofing around the upper section of the chimney to match as close as possible(may not match perfectly)using EPDM roofing Specifics: Repoint the rear left side chimney(both the upper and lower section) S4,390 00 Rear Dormer Pipe Boot Repair Description Strip all layers of EPDM roofing around the rear dormer left side pipe boot as needed Furnish and install one(1)EPDM pipe boot flashing collar Rework EPDM roofing around the pipe boot as needed S1,595.00 Note: Trial and error job-Phil Beaulieu Home Improvement cannot guarantee any future leaking Kitchen Skylight Description Strip all layers of EPDM roofing around the kitchen skylight as needed Remove one(1)30"x47"skylight on the left side low pitched roof Create a 2x6 curb for the skylight to sit on Furnish and install one(1)3046 Curb Mounted Skylight on the EPDM roof-Size:30 1/2"x 46 1/2" Properly flash around the new skylight using EPDM materials Tie into the existing EPDM roof as needed Trim the interior as needed with clear pine to match the existing trim and ceiling Specifics. Skylight interior will come as the standard primed white finish Solar Venting Skylight $5,425.00 Solar skylights may be eligible for 30%tax credit http://www.veluxusa.com/help/tax-credit Total $11 ,410.00 FINANCING OPTIONS FROM 41111 GreenSky A Goldman Sachs Company • . n """ goy rrr Reduced APR of 6.99% for APPLY NOW 120 Months! Luau:it ucur:aata r:Ei.f.ed AIR a'o.'',M ror':u n.ca:ht. t'arTtM eaa^tple'.tor sit wG parcia$t to pppro.at Oa", 1:: parmeno W t'itr a:. . No Interest if APPLY NOW Paid in Full in 12 Months l allert tatredn apron.al Wt.',u it b,tar u.ere the war/WOO?! t»•or alit al',n:e.ett 2 as.M if tm patxM.e a,.N4nr,s as rl it fir I .edih t 1 j msetr•.. • General, Includes removal and disposal of all debris Any rot found during the project is to be repaired or replaced at a rate of S195.00 per hour per lead carpenter or S115.00 per hour per apprentice+materials+15%of material Payment Schedule(To be determined upon signing). Leg 1 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 Schedult: 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. Chanae Orders To the extent that Homeowner requests and/or agrees to the addition or removal of products and/or services after the execution of this Contract, the Homeowner shall sign a change order specifying the changes in the scope of the Contract and pricing,which shall modify such provisions of this Contract but otherwise incorporate all provisions of this Contract as if fully set forth therein. Finance Chem!: 11/2%monthly(ANNUAL PERCENTAGE RATE OF 18%)will be added to the unpaid portion of the balance due.Homeowner agrees to pay these • charges.In the event of default of payment,Homeowner agrees to pay reasonable Attorney's fees&court costs.This agreement does not constitute a release of liability.By Homeowner's signature below,Homeowner acknowledges and agrees to the above. Arbitration Contractor&Homeowner hereby mutually agree in advance that,in the event either party has a dispute concerning this Contract,either party may submit a dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs& Business Regulation and each party shall be required to submit to arbitration pursuant to M.G.L.c 142A,§4. Contractor Obilgationt. 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 he the obligation of the contractor to obtain said permits.Homeowner is responsible for the cost of the permit fee.The permit fee will he 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 front 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 e100073.Any inquiries about Contractor relating to registration should be directed to the Consumer Hotline at(617)973-8787.Contractor to carry commercially reasonable insurance.Contractor's workers are covered by Worker's Compensation insurance. Customer Acceptance of Proposal: Upon signing,this document becomes a binding contract under law.The above prices,specifications and conditions are satisfactory and are hereby accepted.Contractor is authorized to do the work as specified.Payment will be made as outlined in the payment schedule.Contractor may withdraw this proposal at any time prior to signature by Homeowner,Homeowner may cancel this Contract without penalty or obligation within three(3)business days from the date signed.Contractor may withdraw this proposal if not accepted within 30 days. Customer Consents: Contractor is authorized to use media for promotional purposes.Contractor is granted permission to access property after signing until project completion.Homeowner's signature grants permission to Contractor to obtain all necessary building permits. '�.y1 Beaulieu Hnitl'.I Mt'NOYF.%ItNT,INC. Stay Connected with our social media and helpful links above' Proposal Date:Aug 10,2023 Estimate Date:Aug 9,2023 PBHI Representative:Nico Eacchini I confirm that my action here represents my electronic signature and is binding. Do not sign this contract if there are any blank spaces. At% 441#‘1,4 Signature: Date: Aug 18,2023,8:48 AM Approved by: Nora tsroeloff �® DATE(MMIDD/YYYY) ACO CERTIFICATE OF LIABILITY INSURANCE 2/15l2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTNAME: ERIC ERIC MASON THE MASON AGENCY INC (A/co.No,Ext): (413)569-2307 FAX (A/C, (413)569-2308 504 College Hwy E-MAIL DD ass: themasonagency(D.american-natIonalcom Southwick, MA 01077 INSURER(S)AFFORDING COVERAGE NAICB INSURER A: Farm Family Casualty Insurance 13803 INSURED INSURER B: PHIL BEAULIEU &SONS INSURER C: HOME IMPROVEMENT, INC. INSURERD: 217 GRATTAN STREET INSURERE: Chicopee, MA 01020 MA 01020 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 SUER POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (NM/DD/YYYY) (MM/DD/YYYYt X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000_,000 �/ DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 300 U00 BUSINESS OWNER'S MED EXP(Any one person) $ 25,000 A x x 2001X2810 2/25/2023 2/25/2024 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY PET LOC PRODUCTS-COMP/OP AGG S 3,000,000 OTHER. $ AUTOMOBILE LIABILITY CO aBBINED SINGLE LIMIT $(Ea 1,000,000 ANY AUTO BODILY INJURY(Per person) S — OWNED A - AUTOS ONLY X AUTOSULED X 2001C7139 2/25/2023 2/25/2024 BODILY INJURY(Per accident) $ XHIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY X AUTOS ONLY (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A - EXCESS LIAB CLAIMS-MADE 2001E1738 2/25/2023 2/25/2024 AGGREGATE $ 3,000,000 DED X RETENTIONS 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY ,,I N STATUTE ER ANY PROPRIETOR PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT S OFFICERMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe 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 IVE ©1 -2 CORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD PHILBEA-01 NICOLES A`ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ Dr v ) 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,Ext):(413)594-5984 (ac,No):(413)592-8499 Chicopee,MA 01013 ADDRESS:nicole@phillipsinsurance.com INSURERIS)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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYY1 IMM/DDIYYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY j OT 1 LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTEO�S ONLY _ AUTOS BODILY INJURY(Per accident) $ AUR TOS ONLY _ AUNAWNEp TOS ONLY f OPERdT D AMAGE _ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A AND EMPLOYOERS COMPENSATION Y/N X STATUTE ERR H WMZ-800-6205-2023A 2/25/2023 2/25/2024 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE EXCLUD ED? E.L.EACH ACCIDENT (Ma $ ndatory In NH)EXCLUDED? N N/A 1'000'000 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,AddltIonal Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards Const�t �O�nT tS\ervisor CS-062638 : $,pires: 06/13/2025 ALAIN M BEAULIEU 217 GRATTAN STREET CHICOPEE M1j 01020 1+7 4��lJ.Y3i1� • Commissioner dia8(2a /. 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: 6 217 GRATTAN STREET Expiration: 073 6/0 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 Registration Expiration 1003 Washington Street -Suite 710 100073 06/07/2024 Boston,MA 02118 'HIL BEAULIEU&SONS HOME IMPROVEMENT, INC, LAIN M.BEAULIEU I17 GRATTAN STREET gei4/0,,yy (e/fn. ;HICOPEE, MA 01020 Undersecretary Not valid without signature • ___ :if .iuogtl :uos.tact lataluo:) .ta1110 '9 .tolaadstiI litt!(Inn1ld 'S Jolaa(is1r1 ittal.rlaai;,j •1., )j.taj:) u,tto,l.hfl!:) 'f luauti.tti(ta(I NulplluI! 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