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23A-168 (3) BP-2023-1609 57 PINE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-168-001 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-2023-1609 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: ALLIANCE HOME IMPROVEMENT Est. Cost: 20215 INC 104327 Const.Class: Exp.Date: 11/29/2023 Use Group: Owner: RACHEL WOLK Lot Size (sq.ft.) Zoning: URB Applicant: ALLIANCE HOME IMPROVEMENT INC Applicant Address Phone: Insurance: 375 CHICOPEE ST (413)883-3802 6562UB-4N622734 CHICOPEE,MA 01013 ISSUED ON: 11/20/2023 TO PERFORM THE FOLLOWING WORK: REPLACEMENT WINDOWS • 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: e 2T 'I I II • Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner Q-yq 4` -11:1r i JL cY N O The Commonwealth of Massachusetts , Board of Building Regulations and Standards FOR - VUI//3t Massachusetts State Building Code, 780 CMR MUNICIIPALITY cpUSE z 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:aft 2 Z O 3 lag?' Date Applied: KCti►� G,�n z 1l-Zo Zoz3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Pr ertyAddress: 1.2 Assessors Map&Parcel Numbers -I- PI P 54- z3A-l6,7- 00r 1.la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: �3 36;7a 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:I,v alk ft reti C E On O ( O6 .t�Rch p l Name(Print) City,State,ZIP P�vle 911( 8Lru - 9 rQu)0� bU. e�lu No.and Street Telephone U ma Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. ❑ Number of Units Other if Specify: C.L)2 i d COS Brief Description of Proposed Work': RephOl,c2i t t firt. )4/S SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building a© 6-- 1. Building Permit Fee: $ Indicate how fee is determined: $ - _, ❑ 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: $ H nn Check No.'/gc Check Amount:Li Cash Amount: 6.Total Project Cost: $ 'oC� l S ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Cs-10�3a 7 i(/a 9 a 3 �e✓ l.0 C j License Number Expiration Date Name of CSL H e(� n 3�S ^ ' i Si(-0 e-CC List CSL Type(see below) -1 No.and Street (_jam Type Description n 1 U Unrestricted(Buildings up to 35,000 Cu.ft.) l ,e t\ 0(O R Restricted 1&2 Family Dwelling City/Town,Sta ,ZIP M Masonry RC Roofing Covering WS Window and Siding 1 ��3 !20� n J SF Solid Fuel Burning Appliances 0l� `� �;� �� korktet sie Ca,., I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) /I /]� r,, +'Dom,/, /- j,,� is�P� I g �2 i�l �s Ll(` `a ma AHr O Ue m�b� HIC Registration Number Ex io Date HI Company Name or HIC Registrant Nam t ,, ' ad 0 t ,n�G Q 17GP 1.0/1'.P Ill= COGcy and Stre t U Email address r o , MP o(o13 1f 13 823 vo a 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 f 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 "fr I,as Owner of the subject property,hereby authorize eh 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 i is a ' n is true and accurate to the best of my knowledge and understanding. CS12? Print n ' or uth d 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" DocuSlgn Envelope IL):65385779-3277-4396-8615-FU75FU299GBI V; ((�� 11 O(ti All home improvement contractors and subcontractors engaged in vv home improvement contracting, unless specifically exempt from i registration by Provisions of Chapter 142A of the general laws, 11 , L O o� Y must be registered with the Commonwealth of Massachusetts. p�{ Inquiries about registration and status should be made to the s"`" �'` r Director. Home Improvement Contract Registration, One r we ar r ,; „awriewilla Ashburton Place,Room 1301,Boston,MA 02108(617)727-8598 375 Chicopee St. ����P i�//r A/ Chicopee,MA 01013 • = • Phones:(413)883-3802 (413)331-4357 Fax:(413)331-4358 �oU Can Pay more, but you can't buy bettet� MA uc#1sa21s CT Lic#0635847 www.AllianceHomelnc.com SUBMITTED TO: Rachel Wolk Phone: 914-844-7279 Cell: 57 Pine St Florence MA 01062 Email: rgw241@bu.edu We hereby submit specifications and estimates for work to be performed and materials to be used: Replace 18 old double hung windows with Alside Mezzo triple pane Double hung windows Windows in White inside and out,one tradition grid vertical through middle of glass Trim outside of windows in white PVC coated aluminum Lead safe removal and clean up ❑x Aluminum Trim ❑Alliance Trim ❑Flat Coil 0 PVC Coil ❑G8 Coil Color: White ['Corners Color: n/a 0 WINDOWS Grids:0 YES NO ❑Flat ❑Contour ❑Colonial ❑Diamond 0 Other:traditional 0 How many? 18 .®D/H 18 1]PIC1 '❑2LS ❑3LS ❑Csmt ❑2Lt/Csmt ❑3Lt/Csmt ❑AWN ❑HOP ❑BOW(4 or 5 lines) ❑Bay Full Screen:❑YES ❑NO 1/2 screen only ❑Wood grain Interior: Color: Exterior Color:❑YES ❑x NO Color: Mull:❑YES ❑x NO ❑How many? ❑Glass Option: Type: ❑ClimaTech ❑ClimaTech TK2 ❑ClimaTech TG2 ❑ENTRY DOOR:❑YES x❑NO ❑Type: ❑Style: ❑STORM DOOR:❑YES x❑NO ❑Type: ❑Style: ❑Material Location: ❑Waste Disposal: WORK SCHEDULE Proposed Start and Completion Schedule-The following schedule will be adhered to unless circumstances beyond the contractor's control arise: 17 / 1 / 2R Date when contractor will begin contracted work. 3 / 1 / 74 Date when contracted work will be substantially completed. Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired.The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor including,but not limited to strikes,Acts of God,shortages of materials,accidents,and all other delays beyond its control,shall not be considered as violations of this Agreement. WARRANTY Lifetime All materials have Lifetime Warranty or as otherwise specified by manufacturer.Labor and workmanship have a warranty of onosioiey.ser from the date of installation. All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. PAYMENTS We propose hereby to furnish material and labor-complete in accordance with Payments to be made as follows: above specification for the sum of: 10 %($ 1819.00 )upon signing contract; eighteen thousand onehundred ninety five dollars 40 %IS 7278.00 J upon delivery of materials; ($ 18195.00 ). 40 %($ 7278.00 )upon job completion; Name of Salesman Keith 10 %($ 1820.00 )shall be made forthwith upon completion work under this contract. Authorized Signature_ o � The customer hereby understands and agrees to pay finance charge of 1.5%per month(or annual percentage rate of 18%)on the outstanding balance not paid within 30 days after completion of work.All payments received after 30 days after completion of work shall be applied first to unpaid finance charges and then to outstanding balances.In the event of default,customer hereby understands and agrees to pay,in addition to the outstanding indebtedness,all costs associated with collection including reasonable attomey's fees. Acceptance of Proposal:I have read both sides of this document and accept the prices,specification and conditions stated.I understand that upon signing,this proposal becomes a binding contract.You are authorized to do work as specified.Pa ent will b ode as outlined above.You,the Buyer,may cancel this transaction at any time prior to midnight of the 3rd business day after the date of this transaction.Cancellation must be done in writing. DO NIrSI CT IF THERE ARE ANY BLANK SPACES. ' 0,1111E 10/20/2023 Signature,915EE400$08Fe83... Date Signature Date NOTICE OF CANCELLATION:YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE.IF YOU CANCEL ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED.TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM TO:ALLIANCE HOME IMPROVEMENT,INC.,375 CHICOPEE ST.,CHICOPEE,MA 01013 (Date.Sunday and holidays excluded) I HEREBY CANCEL THIS TRANSACTION (Buyers Signature) Docusign Envelope ID:I-C;1C;71-DB-39D3-4EAO-1361-5-F797478E8862 • •�i 1 vk= All home improvement contractors and subcontractors engaged in v home improvement contracting, unless specifically exempt from i registration by Provisions of Chapter 142A of the general laws, 411 rV P Vp at must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the r Director. Home Improvement Contract Registration, One �,r,�r,,, d ///// Ashburton Place,Room 1301,Boston,MA 02108(617)727-8598 375 Chicopee St. i//// etifp8Chicopee,MA 01013 e • Phones:(413)883-3802 444% ,� Fax:(413)331-4358(413)331-4357YOU Can pay more, but you can't buy betteC`, MA Lic#154218 CT Lic#0635847 www.AllianceHomelnc.com SUBMITTED TO: Rachel Wolk Phone: 914-844-7279 Cell: 57 Pine St Florence MA 01062 Email: rgw241@bu.edu We hereby submit specifications and estimates for work to be performed and materials to be used: ADDENDUM Add 2 Mezzo Double hung windows to previous job Windows in White inside and out,one tradition grid vertical through middle of glass Trim outside of windows in white PVC coated aluminum Lead safe removal and clean up ❑x Aluminum Trim ❑Alliance Trim ❑Flat Coil ❑x PVC Coil ❑G8 Coil Color: White ❑Corners Color: n/a E WINDOWS Grids:]YES d NO ❑Flat ❑Contour ❑Colonial ❑Diamond 2 Other:traditional ❑x How many? 2 ,®D/H ❑PIC1 '❑2LS ❑3LS ❑Csmt ❑2Lt/Csmt ❑3Lt/Csmt ❑AWN ❑HOP ❑BOW(4 or 5 lines) ❑Bay Full Screen:❑YES ❑NO 1/2 screen only ❑Wood grain Interior: Color: Exterior Color:❑YES ❑x NO Color: Mull:❑YES ❑x NO ❑How many? ❑Glass Option: Type: ❑ClimaTech ❑ClimaTech TK2 ❑ClimaTech TG2 ❑ENTRY DOOR:❑YES x❑NO ❑Type: ❑Style: ❑STORM DOOR:❑YES x❑NO ❑Type: ❑Style: ❑Material Location: ❑Waste Disposal: WORK SCHEDULE Proposed Start and Completion Schedule-The following schedule will be adhered to unless circumstances beyond the contractor's control arise: 12 /_1__J 23 Date when contractor will begin contracted work. 4 / 1 / 24 Date when contracted work will be substantially completed. Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired.The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor including,but not limited to strikes,Acts of God,shortages of materials,accidents,and all other delays beyond its control,shall not be considered as violations of this Agreement. WARRANTY Lifetime All materials have Lifetime Warranty or as otherwise specified by manufacturer.Labor and workmanship have a warranty of oRorwweser from the date of installation. All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. PAYMENTS We propose hereby to furnish material and labor-complete in accordance with Payments to be made as follows: above specification for the sum of: %($ )upon signing Contract; two thousand twenty dollars %l$ I upon delivery of materials; ($ 2020.00 ). %1$ I upon job completion; Name of Salesman Keith %($ 2020.00 )shall be made forthwith upon completion work under this contract. Authorized Signature o � The customer hereby understands and agrees to pay finance charge of 1.5%per month(or annual percentage rate of 18%)on the outstanding balance not paid within 30 days after completion of work.All payments received after 30 days after completion of work shall be applied first to unpaid finance charges and then to outstanding balances.In the event of default,customer hereby understands and agrees to pay,in addition to the outstanding indebtedness,all costs associated with collection including reasonable attorney's fees. Acceptance of Proposal:I have read both sides of this document and accept the prices,specification and conditions stated.I understand that upon signing,this proposal becomes a binding contract.You are authorized to do work as specified.Pa ments will be made as outlined above.You,the Buyer,may cancel this transaction at any time prior to midnight of the 3rd business day after the date of this transaction.Cancellation must be done in writing. DO NOTSIItACT IF THERE ARE ANY BLANK SPACES. ' r ._'A' (. oLLC 10/26/2023� Signature Date Signature Date 91,e E4bcA0w-4CJ... NOTICE OF CANCELLATION:YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE.IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED.TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM TO:ALLIANCE HOME IMPROVEMENT,INC.,375 CHICOPEE ST.,CHICOPEE,MA 01013 (Date.Sunday and holidays excluded) I HEREBY CANCEL THIS TRANSACTION (Buyers Signature) City of Northampton ''lH M°r. ? S _!� *' Massachusetts ( .�d'•=�I, DEPARTMENT OF BUILDING INSPECTIONS M z 212 Main Street I Municipal Building Jti a Northampton, MA 01060 '�s'bw 3+7‘�' 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: eg6 /"( a.A 0 S7 t 'WO( 6 k4Q_ / I�/9 The debris will be transported by: Name of Hauler: a ,s,((„ 6)a,s 1e_, Signature of Applicant: Date: Vt06 ?3 The Common wealth of.Massachusetts ill'i=_:"'? a Department of Industrial Accidents • ei—=" 1 Congress Street,Suite 100 -':. Boston.,MA 02114-2019 .yvss w ww:m ass.go /dia %% oken"Compeasatioa Insurance Affidavit: Builderw('ontractur lectricinr►s.'Plumberx. 10 BE FILED WiiH"IDE:PUtMI l l Pt;:i1 IHORl il. Aoolicant lnfortnado. �y p� Please Print Leribls Niaine 4Hurtness Otgaaixtuon Individual): A � i Ch .t-fo�e 6.t,,.t DYO✓e ia-ve.vv :1Jdress: '. .RCC�., t e.�J�_-k 34- J city'StateZip: C'A.,.1CC) , ►t--(f o (CI 3 Phone#: Lf)3 3 -? 9 err, an enyilo}rr". Cheek the apprupriatr IMit gt: I am a vosplot u,ih c"nl Yews I tool ant!or part ti el Type of project(required): . a New construction 20 I ant a.uk propnctue tat partner htp ate!have the csnplo:,cc,working for roc m S. 0 Remodeling any'apsiaty i.No wtrtuTa'.:uerrp.mammy mmtn ti.I 9. 0 Demolition 10 I ant a honxKswrser Juiag all wart my'as:lt. No wttrkcas'comp.assurance rvpaaed.j` 4.0 I ant a Irnrx,rtwurr and well be � conduct to nductt all work us,ay poverty I will 10 Building addition mart that AI cwmrst."tura e der biome Weaken'ciepemalne*l issamat to arc sole l 1 a Electrical repairs or additions pruprrcwry with no rmpioyterr. 12.0 Plumbing repairs or additions 50 I am s,getur-al c.,ntnict r W I Wellandtlit sle.ctaufectore lined as the eBechcd sheet These sub-contradonb how have w i.tirm s*anther,' p. wr-ua�t 130 Revel repairs nee st 14.Q0thti )6.0 we are a onrocantet and its offwen hare exen bed then net*�fexenpttun pet AKA.c (�t,(?,3 t:-t.i to 41.and or hay.cnu erraphryet..iNn worker,'o0rnp.msx ance,eyu,rrd.j `Any apphvaat that rh je la box a1 must atau fill out the sconeehekee slauw,ni then 4urkt,T$',:unapcnsatnna radn..!, tnf raurtua ' tlnanteuw,scr,4 ha,ubrn,l due a ttntat a tativ atin#they tee Dais,all work and dim tare uutawk co,ttra.lur+prat.ubnut a txe.v of,Jav it statiratmg,tw'h :Contra:tan that cheek that but.roust mulched an atlehtioanl Shad showing the satire of the oit►,antractur.and state w twiner or not those rastte%has onplovev . It the'tlat,u,ntratcr,.,a have etoployora..city nod pWYitft their endues*comp.puit‘,11u1`1,...I I um an employer that is providing workers'compensation Itwtrtp ce for My employees. Below is the policy and job silt' information. Insurance Company Name: ci)e e API e✓'ia-�cl ra vast-c v a n e-Q_". C-O i 1 (4.-h Policy x or Self-ins.Lie.#: e 5 c a U - L( /v 6 e2 d Expiration Date: �_-_- � P I 2105- 1 a Job Site Address: 5 - Q; n e Si , 1 O r-e,y,c city'staterzip: 1-4Pt _Q1_C) 6 Attach a copy of the worker's'compensation polka declaration page(showing the policy number and expiration date). Failun.to secure coverage as required under MGL c. 152,§25A is a criminal violation punislwble by a Sint:tip to SI,5(X).00 and or one-year imprisonnamt.as well as civil penalties in the form of a STOP WORK ORDER and a line of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance t:ovrra tt:s en ie:1110n. I do herebl a erri/i et- re poi end pen 'ass ref perjury that the information provided above is true and e•orre,c t -.:-..11:11� ,, Date: �E a_3 rl//it ial use will. Du nut write in this area.to be completed by city or town official City or town: PermielLicense b Issuing:'tuthorits Icircle one): I. Board of health 2. Building Department 3.C'itytt ll`owa Clerk 4.Ekttrkal Invpector 5. Plumbing; Inspector (v. Other ( ttttri,l Person: Phone#: A ® CERTIFICATE OF LIABILITY INSURANCE DATE 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 David Jarry Neill&Neill Insurance Agency Inc P"ONE FAX 662 Riverdale Street (A/c.No.Eat): 413 732�137 (A/C,Nor 413-731-6629 West Springfield,MA 01089 A-MAIL dj@neillandneill.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: State Auto Insurance Companies STA INSURED Alliance Home Improvement, Inc. INSURERS: Safety Insurance Company 39454 Sergiy Suprunchuk Ace American Insurance Company 12165 375 Chicopee Street INSURERC: p y Chicopee,MA 01013 INSURER D: 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 AWL AL SUBR POLICY EFF POLICY EXP TYPE OF LTR INSD WVD POLICY NUMBER ,(MM/DD/YYYY) (MM/DDIYYYY) UNITS A J COMMERCIAL GENERAL LIABILITY PBP2689283 03/12/2023 03/12/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE OCCUR PREMISES(EaENTED occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000. 000 Y POLICY f—1 JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 6226463 12/04/2022 12/04/2023 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY V AUTOS PROPERTY DAMAGE JHIRED _ / NON-OWNED $ AUTOS ONLY V AUTOS ONLY (Per accident) S UMBRELLA LIAR — OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION$ $ PER C WORKERS COMPENSATION 6S62UB-4N62273-4 12/05/2022 12/05/2023 STATUTE ERH AND EMPLOYERS'LIABILITY Y/N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE nE.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/A E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below - _ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Home Improvement Contractor CERTIFICATE HOLDER CANCELLATION Sergiy Suprunchuk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 375 Chicopee Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Chicopee, MA 01013 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE aciluaaRAimr.,:, ©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 Affair`s alld Business Regulation 1000 Washingtgrggt - Suite 710 Boston,-Massachusetts-02118 Home Impro rYEractor'Registration ^"! Type: Corporation ALLIANCE HOME IMPROVEMENT, INC B-* Registration: 154218 375 CHICOPEE ST `-�+ Expiration: 02/19/2025 CHICOPEE, MA 01013 + ' !':\ �`�� . _ ' f Update Address and Return Card. -E COMMONWEALTH OF MASSACHUSETTS :. . :e 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 1000 Washington Street -Suite 710 154218 02/19/2025 Boston,MA 02118 LLIANOE HOME IMPROVEMENT, INC ,ERGIY SUPRUNCHUK . 75 CHICOPEE ST -• ,. � ,,,,s{C.,,,,(4"o4. :HICOPEE,MA 01013 Undersecretary Not lid ithout signature • - Convnonweal h of hisssacitusatts lir Division of Professional Licensure • Board of Building Re dons and Standards Consul 1 ttpirvisrsr CS-104327 I irss:11/29/2023 i , SERGIY SUPSU 6 x At, 60 LEWIS RD' WESTFIELD Ny1 + .�, / U Commissioner 40,iilK. toilita. i Cert Agency: AAMA T c !\=', :'',_d: AAMA/WDMAICSA 10-,/I - :440-08 and CSA A440S1-09 — Wi• ndow Size: 35.625x54.75 414-654555 PG35 I IIIIIlIlII I III II II II liii lilt • . ALSIDE 7,:-;* WINDOW COMPANY NFRC -- �` ::EL 3001 �DU�LE .\G National Fenestration CPO# ASO—A-89-106473-00001 Rating Council® SOLID U I NYL — MELDED — TRIPLE GLZD CERTIFIED B3/84� JIG. DS PRIME TG2—S6, OBL ARGON. THERMO ENERGY PERFORMANCE RATINGS U-Factor Solar Heat Gain Coefficient 0 . 201 . 14 0 . 21 (U.S.1I-P) (Metric/SI) ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Air Leakage 1 0 . 30 . 40 < 1 . 5< 1 . 5 (U.S.I1-P) (Metric/SI) Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of en iionmental conditions and a specific product size. NFRC does not recommend any product and does not warrant the suitability of any product for any specific use Consult manufacturer's literature for other product performance info'n)3tion. WWW,nfrc.orQ