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31A-022 (2) 26 FRANKLIN ST BP-2017-0366 GIS#: COMMONWEALTH OF MASSACHUSETTS Ma-p.8�,a-k:31A-022 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:REMODEL BUILDING PERMIT Permit# BP-2017-0366 Project# JS-2017-000609 Est.Cost:$211650.00 Fee:$1375.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: THOMAS DADMUN 107919 Lot Size(s4.ft.): 8363.52 Owner: GORRA MICHAEI,E&BRIGITTE BUETTNER Zoning: URB(100V Applicant: THOMAS DADMUN AT: 26 FRANKLIN ST Applicant Address: Phone: Insurance: 60 SCHOOL ST (413) 387-7381 HATF I ELDMA01038 ISSUED ON:9/26/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:REMOVE CHIMNEY, ENLARGE DORMER, ENCLOSE PORCH, REMODEL KITCHEN &3 BATHS 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 9/26/2016 0:00:00 $1375.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0366 ^ 80 t Nr. ( OK, / APPLICANT/CONTACT PERSON THOMAS DADMUN 'C/Y Jp,� 16 L ADDRESS/PHONE 60 SCHOOL ST HATFIELD (413)387-7381 ri (1...ni n-� lL I�J PROPERTY LOCATION 26 FRANKLIN ST {��C1' 9.C2/- PROPERTY 31A PARCEL 022 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ce ENCLOSED REQUIRED DATE FeeZONPlaid NG FORM FILL�,DOU _Inc J 3 75- Building Permit Filled ou9, Fee Paid Typeof Construction: REMOVE CHIMNEY,ENLARGE DORMER, ENCLOSE PORCH, REMODEL KITCHEN &3 BATHS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 107919 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFpRMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR _Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition lay // Signature of B it gOffipfdl Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. F • City of Northampton Status of Permit iDepartmeit VS."MI S& ( 6 2016 Euilding Department Curb dam 212 Main Street Sew,NlSepuc Mailability DEPT OFRIJJ ih3 INSFFm10NS Room 100 WaterANefftvaiatay NORTHA'IPT0N.MA 01060 Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 rAddress This section to be completed by office ./Property 6 12.t-tio S-t-. Map Lot Unit 140f-j}kybAUID/0 MA of obo Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Pahl tt Otani i 1(a FM14A/t5 SL, / JORifMwlProtJ, Name(Print) Current aling Address Telephone Oki - 0470 Sigilare 2.2 Authorized Agent: "Thoorr5 E DAwrvty, J (co ScSti- Sr., k*t&A o, MA 01038 Name(Pn I) Current Mailing Address'. e13- 3$7-738 ( Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS nc Item Estimated Cost(Dollars)to be Official Use Only completed by permitapplicant n - 1. Building (� p i5r� w (a)Building Permit Fee 2. Electrical 17001 ea (b)Estimated Total Cost of Construction from (6) 3. Plumbing 3O 00 Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection ,Jl I/40 [ 6. Total=(1 +2+3+4+5) U �tt tQ50 �7,30 Check Number 96- / 375: 00) This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING Alt Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be tilled in by Building Department Lot Size _... Frontage Setbacks Front Side L: R: L:.. R Rear Building Height Bldg.Square Footage Open Space Footage (Lot area minus bldg&paved parking) k of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW ® YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO ® DON'T KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained ® , Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding[96] Other[Q] Brief Desg[iption of Proposed Work: gi.Meit• Ott I tAlJEi] WA/R.6E Dortmi R , EPtusa . Pogzu, ret-tAoDEA, Itircittp f 7NriEf. (5m-4.5 Alteration of existing bedroom Yes )L No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes k No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building:One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? L Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ff. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT tigttGiflt b.)binifrR. as Owner of the subject property �n L hereby authorize IV'�o MNfir5 y• P/iVMUI) to act on my behalf, in all matters relative to work authorized by this building permit application. e auc ritr 1M/2o16 Signature of Owner Date 114%9MA-5 I bRoMdri . as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. 1 mks k- PADM& Print NamJ e' ( / �A w — `dql oI6 Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ 1� Name of License Holder: I ryll(VUk`j AVM QP C5 - 1019 i i License Number AO 5T, Eli n(tto PM m1o38 1/24 IZQ(7 Addres r Expiration Date Utszwca. Yi a. 413 " 367-'1361 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ rlk tit elf1 tooP, LLC . 111(432- CompanyName Registration Number DM Vnbmtni V'V>(6 eopt itt a 9shv12.0) Address Expiration Date 6 Su-n-Sr, , t4rnittD) MA O(o3$ Telephone 413.387-738( SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes [)[ No ❑ 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,von may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: 1(4 f{r p 3k1so `at, The debris will be transported by: /t uwn wtt Pat...,hot, The debris will be received by: Building permit number: Name of Permit Applicant PA-Oltuti DiJrt6J d 6:,N5PYLULno� 1612-0( Date Signature of Permit Applicant The Commonwealth of Massachusetts — Department of Industrial Accidents I e ,,=• t sll_ Office of Investigations _•� 1 Congress Street, Suite 100 =f= Boston, MA 02114-2017 � � www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatio&tndividual): 17flD A M7 )b6(td 7 F Co .mft01/GIVn3 Address: 40 Sakti, S1`t City/State/Zip: thorn96-44, 1Y14 of n 3 S Phone #: 413- 357- 73 8 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees (full and/or part-time). have hired the sub-contractors 6. ❑ New construction listed on the attached sheet. 7. Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I1.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.M Roof repairs insurance required.] ' c. 152, §1(4).and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box kl must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees.they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lie. #: Expiration Date: I Job Site Address: .20 t14WMla 5r. City/State/Zip: ]ao111A* KIWI MR oleo Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif nder the pains and penalties of perjury that the information provided above is true and correct. Signature: F. f/ #461G^4''^-- Date: q/i/k fc Phone#: 413 ' 387 . 7351 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ftMassachusetts-Department of Public Safety Board of Building Regulations and Standards C Finn rucunn SL pc rt nor License: CS-10791E THOMAS DADML/N 60 SCHOOL STREET VI HatMM MA 010 452••••..G_J. Expiration Commissioner 0924/2017 /I,� Quiliyl �ts�f /� /irwlJQrw�tt� 4 f g Office of Consumer Affairs and Bi�emess Regulation A 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement a -Suctor Registration Registration- 179882 Type: LLC FJmlre[i00: 8/28/2018 TO 419291 THE TUCKER GROUP LLC. THOMAS DADMUN 60 SCHOOL ST HATFIELD, MA 01038 r Update Address and return card.Mark reason for change. Address _', Renewal _'. Employment Lost Card a r ,,„,.,,.„,,,,,N,, 17 ,Gama, L'uens or tntioo valid for individual me only Office IMPROVEMENTConsumtr CAffairs& Regulation expw �. HOME CONTRACTOR before the expiration date. 1f found return to: Registration 179682 Type:I0 of Consumer Affairs and Business Regulation +y ”` Expiration: 8/28/2018 LLC /0 Park Pian-Sake 5170 Boston,MA 02116 THE TUCKER GROUP LLC. THOMAS DADMUN 6CSCHOOLST HATFIELD.MA01038 Undersecretary —_. Not valid without signature oarro ACCIRO® CERTIFICATE OF LIABILITY INSURANCE DATj6jzo 6 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 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 CONTACF Susan Fleury, CSC, CTSR King L Cushman Inc. S ex11. 4413)594-5610 _sec Noe MEMPlia-9322 - P.O. Bos 497 -MAK SFleury@KingCushman.com 176 King Street _ INSURERIs)AFFORDING COVERAGE NAICX Northampton MA 01061 INSURER AMain Street America Assurance Co. 39939 INSURED _�. /USURERS: •_ DADNUN DESIGN & CONSTRUCTION INSORERC: 60 SCHOOL ST NSuRERD: • _INSURER E: v __ HATFIELD MA 01038-9447 INSURER Fz COVERAGES CERTIFICATE NUMBER:CL1516O1268 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, 3RARttPE INSURANCE �aaSC:fSUeR PGunT TPP PO4CY EXP LER Biba)iwn POLICY NUMBER IMMYHINT TI stwoor ni wars 'X COMMERCIAL Gaz-BAAI LIABILITY EACH OCCURRENCE 5 1,000,000 A ' CLAIMS-MADE LX'GOCUR , - SOD,000 I >RT4694Q 11/13/201.5 1 11/13/201.6 MED EXP(Any me mrscc) $ 10,000 PPRSONAI E.An INJURY S 1,000,000 GEVL AGGREGATE LIMIT APPLES PER' •GENERAL AGGREGATE S 2:000,006 X POa1CY r JECI I_.J LOC I PRODUCTS-COMP/OP AUG ,B 2,000,000 OTHERlady Rewer 16 -- AUTOMOBILE LIABILITY OMBINED SINGLE LIMIT $ (Ea Accent) ANY ALTO BODILY INJURY(Pm person; (S — ALL OWNED SCHEDULED AUTOS ,AUTOS -HOPLY SHEBAT DN(Pa Remelt S HIRED AUTOS AUT ' ONME PROPERTY DAMAGE $ AUTOS (Pe'arWm3 E UMBRELLA DAB '_ OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MACE AGGREGATE 5 ANDWARMERS PENSAiION PER ERH ANY EMpMPLOYETY STATER -. IANY OHCERMEMI3ER RIELORcBARTNCED?FOUYIVE YIN NIA. EL EACH ACCIDENT 5 (Mandatory IA NH/ E.L.DISEASE-EA EMPLOYE- S pyes memMeatmem ESCRIPTIQN Or OPER&TIONS TAXA e DISEASE-POUCT LIST I S DESCNPTION OF OPcRATIDNS/LOCATIONS/YE/HOLES(ACORD 101.AEEIMnaI Remarks S[Mtlu10,may beat-ached itmom space Is requeN} CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Sample THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POI _ V • AUTHORIZED REPRESENTATIVE ¢1199&24 .-.'-11il' j A,/.- 4.f JAC" ACORD 2542014101) The ACORD name and logo ars registered narks of ACORD IN5025(201411) DADMUN Design + Construction Project Address: SubContractor List 26 Franklin St. Sept. 16,2016 Northampton, MA 01060 Subcontractor: Has Employees: Yes No SMG Plumbing and Heating x Elkins Electric x All Seasons Heating x VMD Building Paul Ayotte SDL Home Improvement x Right Way Drywall x Dion Flooring New England Granite Cortina Tile Executive Painting x • Accmo CERTIFICATE OF LIABILITY INSURANCE DATE TlMUfl0 6Y) 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 policyges)must 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 CCMTACT Elizabeth Carballo NAME: Finck & Parses Inav=anca Agency Inc. uc Nxc Fes; (413)529-5520 I no,(4131521-5970 6 Campus Lane E GAIL b arba11G8£inckandperras.con : _LIMPE INSURER(S)AFFORDING COVERAGE _ NAIC# Easthampton RA 01027 IxsuRERAA=bella Insurance Group 17000 INSURED INSURER B: _ S M G Plumbing & Heating INSURER C: _ 133 Wyben Road INSURERD: INSURER E: Westfield NA 01085 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1591602490 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 ALI,THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE op INSURANCEADDLSUBR POLICY EFF POLICY RIM LIMITS IMVO, POLICY NUMBER (aNOONMYYI IMMNDTYYM) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 • LD A CLAIMS- DE I X OCCUR PPRREMIISSES IOEa WW NIIenael $ 50,000 9520042004 9/4/2016 9/4/2017 MED EXP May one caculi I$ 5,000 I PERSONAL 8ADV IN.URY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 XJI'policy IEC- '0E PRODUCTS-COMPPGPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 6 E. Y ANY AUTO SUDSYINJURY(Per Person) $ I ALL OWNED SCHEDULED BODILY INJURY(Per accident) E AUTOS AUTOS ED HIRED ALTOS • (Per DAMAGE UMBRELLA LIAO OCCUR EACH OCCURRENOE _ _$ EXCESS UAB CLAMS-MADE AGGREGATE DED RETENTIONS • WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y,N STATUTE ER --_ ANY PROP?ETORPARTNEWEYECUTIVE EL EACH ACCIDENT CFFICEMMEMETER EXCLLDED? NIA - -- (Mandatory in red) E L DISEASE-EA EMPLOYEE $ It yes,Semite under DESORPTION OF OPERATIONS below I I• EL.DISEASE-POLICY LIMT $ • DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space Is required) Proof of Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOM Dadmun / DEC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 60 School St. ACCORDANCE WITH THE POLICY PROVISIONS. Hatfield, MA 01038 AUTHORIZED REPRESENTATIVE E Carballo/BETH EKG .immaelo @)1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(zll4ol) D CERTIFICATE OF LIABILITY INSURANCE �'£'""Si '16 TNS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY MD CONFERS NO RIGHTS UPON THE CERTIRCATE HOLDER 118 CERTIFICATE DOES NOT AFFIRAATVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE HSIANG INSURER{S), AUTHORIZED REPRESENTATIVE OR PRODUCER,NLD THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITONAL INSURED,the policy(es)must 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 endorsenen(s). PRon)CER NAAMMEEICT Bresnahan Insurance Agency, In jP�HLONE Rsx -- -"""'- 100 Whiting Farms Road EMAHa IL FAR (413) 536-0535 PIG xd: (TIT) 534-4291 Holyoke, MA 01040 ADDRESS: I INSURE FPS)APPORopG COVERAGE , NAIL P, IrsuRERA:Mapire/Commerce Insurance Co INSURED INSURERS: James Elkins IxwRERC: _ --.._.__ ....._ 2 Williams Street INSURER ID. Holyoke, MA 01040 INSURERS: INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE USTED BELON HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTEICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY TEE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LBAITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTR'I TYPE OF INBV0.011Cf ADSODI N POLICY PFR PC4. _. MR.MD POUCV TURNER MMrW/TNYI lMIND I'55 UNITS A GENERALUANUU I YM0150 5/5/16 5/5/17 ffmmoccuEnscr x_2,000,000 X CORMERGIALOEERRu.VBnITY omwcEro RENTED $ 300.000 CLAIMS-MADE X OCA MED ON Any Re'sm) s 5,000 PERSONAL __,_ PERSON .ADV INJURY $ 000 000 ^-)_ ,... GENERAL ADORED/DE 3 '},Goo OQ4 I GENLACIGREGATELMTAPPLESPER ( i I PRODUCTS-COINDOPAGG 11 2, 000,.000 AXI Fait,/Fait,/ £cO I IncI ` - - $ .. AUtOMOBIL..f LARDER GOWNED SNCL E LIMIT nD $ M'vA VTO BODILY ORN!Per ce5T $ ALLOWiED SCMPoUL£D BDOLY LWURY STA modem):$ AUTOS AUTOS , NON OWNED I PROPERTY DAMAGE MREDATT65 I i� $ w.bel'il UMBRELLA um OCCUR Fos OCCURRENCE $ EXCESS LIAR RAIMS-MADE` - . 'AGGREGATE IS OTU RETENTION -- S RV:RP SCOMPENSATIOR TATU WCS4TH AND EMP.OVER6LIABILItt YIN Y TTY- FR ANY PRCPNIfIURNARTNERIENECUTArc I xlA hE LEACH ROOMS' $ OFFICERMEA1BER on oar IMaNaND In NH) Ei DISEASE FA PIM LOYEEI$ MgTder I CESORIPaON uCF OPFR&TION$tlubw 1E.L DISEASE-POLICY LM1F S 1 CPSCRIPTION Or OPERATIONS I LOCAIWNS I VEHICLES IAfl t ACOR0101 A*IEana RerrntS&Mille,X mote Spew isra wIS) Electrician CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF INE ABOVE MSc RIBED POLICES BE CANC ELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED N Dadmun Design & Construction ACCORDANCE WITH THE POLICY PROVISIONS. 60 School St. ' Hatfield, MA 01038 AurN. -TArnEI - I mJ 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(201010$) The AC ORD name and logo are registered marks of ACORD Mane: Fax: E-Mail: tomd@dadmundc.cola A o e CERTIFICATE OF LIABILITY INSURANCE °A�'""D""" 8/1/2016 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 pollcyges)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain polities may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER _NMLTEA� Christina Barrett _ Aquadro a Associates PMaNE (433)586-7373 jAX NM;(113{5114-01359 355 Bridge St. , P. 0. Box 357 AMEBB: - INSURER(S)AFFORDING COVERAGE NAIL Northampton MA 01061 INSURER A:Travalere Insurance Company INSURED INSURER e National Grange Mutual Insurance 14788 ____ All Seasons Heating S Air Conditioning Inc. INSURERc: 93 Elm St INSURERO: _ _. 1 F_ INSURER E: _.._. Hatfield MA 01038 INSURERF. COVERAGES CERTIFICATE NUMBER:CL1652607678 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. NOTWTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF MY 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 --1050CSUIME I POLICY EPP POLICY EYP LIMITSTR TYPE OF INSURANCE INED SAMPOLICY NUMBER J IMMNDfNYn'IMWTMMYYI X COMMERCIAL GENERAL WPoLJTY I EACH OCCURRENCE S 1,000,000 - J DAMAGE TO RENTED 1 MPR A J..CLAMSADE X OCCUR I EMWES(Ea Cu ) ,$.___ I 6E1010505644 7/10/2016 1/10/2017 MED up(Any ap 300,000 On.pew) 1 5,000 . PERSONAL a ADV INJURY 1 1,000,000 GENL AGGREGATE UNIT APPLIES PER I GENERAL AGGREGATE 3 2,000,000 X :POLICY I1 I.PEO ^ LOC _PRODUCTS.COMP/OP AGO $ 2,000,000 OTHER. A101 '., $ AUTOMOBILE LIAMLITY ' COMBINED SINGLE LIMIT EaLYGeM I,. S 1,000000 _ B ANY AUTO BODILY INJURY(Par PorsoM $ ALLONNED --..v SCHEDULED AUTOS ' 'AUTOS VAT65295 7/10/2016 7/10/2017 BODILY INJURY(Par acWw) 1 X MIRED AUTOS 'X_I AUTOS IPS'� PROPERTY DAMAGE S X IPV moRm11 __.. EPLUS S UMBRELLA LAB '., OCCUR '. EACH OCCURRENCE $ 1-. EXCESS WB OIAMS MADE: LAGGREGATE _ 4 _ DEO RETENTION 66 I S WORKERS COMPENSAIONI PER 0TH AND EMPLOYERS'LIABILITY YJNi - L 5-TAWS . EB—{ _ ANY PROPRIETOR/ARTNERIEXEWTIVENIA B EL EACH ACCIDENT 1 100010000 OFfICHUM MBER IXQL:,EU'+ (MyyanGamrym NH) `—'I it1CT65295 7/10/2010 . 7,10/201. et OMEYSE.E:A EMPtOYEA$ _ 1,000000 I DESCRIPTION OF OPERATIONS bow EL DISEASE-POLICY LIMIT 1 1,000,000 I DESCRIPTION OF OPERAT10Na/LOCATIONS I VEHICLES(ACORD 101,AaNUwuI bma,ka Schedule.may b libeled N mon pace a n rcimic CERTIFICATE HOLDER CANCELLATION TOt @DADMUtDC.CCM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE DADMUN DESIGN S CONSTRUCTION THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN 60 SCHOOL 8T ACCORDANCE WITH THE POLICY PROVISIONS. HATFIELD, MA 01038 AUTHORIZED REPRESENTATIVE //))�q . �� //''�� C Sullivan/CMS (-„4yiarama- H.C,? "`K- 0 1888-2014 ACORD CORPORATION. All rights reserved. ACORD 25(1014!01) The ACORD name and logo are registered marks of ACORD INS025(201401) Aco�zo® CERTIFICATEOF LIABILITY INSURANCE DATE(MMIDDflT) `i 09/09/2016 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 Jeffrey Brochu Brochu Insurance Agency Inc we No FA). 4135363311 lac x0,: (413)536-0900 725 Grattan Street Ao0A 85 Leff@brochuinsurance.com INSURER(S)AFFORDING COVERAGE _ NAION Chicopee MA 01020 INSURER A: Liberty Mutual Ins Co 0033 INSURED INSURERS: Travelers Indemnity Co _ 00000 Viktor Davidenko dba VMD Builder Construction INSURER C 756 North Rd INSURER O: INSURER E'. • Westfield MA 01085 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 L TYPE OF INSURANCE ADDL SUBR- POLICY EFF POLICY EXP X wen POLICY NUMBER IMMYY DDIYVj IMMIDDMYY) UMITS COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE 5500,000 CLAIMS MADE I/AI OCCUR DAMAGE TO RENTED $ 50,000 PREMISES(Ea occurrence) MED EXP)Any one person) S 5,000 A N N CCP8098086 12/18/2015 12/18/2016 PERSONAL a ADV INJURY $ 500.000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE�I$ 1 000,000 X POLICYni jE�T LOG PRODUCTS COMPIOP AGG i$ 1,000,000 ' I OTHER. 5 _ 'AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ I r A ODILYI JURY NY gUTO (Ea Kaden") (Per pelvo) 15 OWNED SCHEDULED BODILY INJURY accident/ 5 AUTOS ONLY AUTOS )Per I HIRED NON OWNED PROPERTY DAMAGE _-_ 5 AUTOS ONLY hAUTOSONLY (Per accident) I S UMBRELLA LIAB OCCUR .EACH OCCURRENCE .$ EXCESS LIAB CLAIMS MADE AGGREGATE _ 'S OED RETENTION5 '�/ $ i WORKERS COMPENSATION X PTATVTE EOTH AND EMPLOYERS'LIABILITY YIN ' APROPRIErORIPARTNERIExECUTIVE Es L EACH ACCIDENT 100,000 B OFFICERMEMBER EXCLUDED, Y INIAL N '16KUB-4266P64-A-16 05/17/2016.06/17/2017 — IManEatory in NH) E L.DISEASE FA EMPLOYEE 5 100.000 Ioscelanon of OPERATIONS below EL.DISEASE POLICY LIMIT S 500,000 • • DESCRIPTION OF OPERATIONS)LOCATIONS I VEHICLES ucORD lot Additional Remarks Schedule,may be attached If more space is required) carpentry residential,home builder remodelar CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Dadmun Design 8 ConstructionACCORDANCE WITH THE POLICY PROVISIONS. 60 School Street AUTHORIZED REPRESENTATIVE I Hatfield MA 01038 Fax: Email: ©1988 2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A� ao D CERTIFICATE OF LIABILITY INSURANCE �' 2/11/16 THS 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. THS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIRCATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(es) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and condifions 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). PRDWCEB CONTACT NAME: Dale Frank Insurance Agency put' NE (413) 665-8324 FAX Na: (413) 665-1280 2 Amherst Road EMAIL P.O. Box 455 ADa955: weedy@dalefrankinsurance.com INSUREFTS)AFFORDIFG COVERAGE NAICl/ Sunderland, MA 01375 NSURERA:COnnecticut Underwriters 'name) INSURER 0: Paul Ayotte INSURER C: 92 Laurel Park INSURER D: _ PO Box 1063 INSURER E: Northampton, MA 01061-0331 _- 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. NOTWTHSTANDING 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. ILTR0. TYPE OF INSURANCE AWL SUER MMO• POLICY NUn.6ER POLICY EFF - Vm1CYIXP IIMOLICYEFF I POUCYEXP LINTS A l GENERAL LIABILITY I,.NN432953 2/8/16 2/5/17 EACH OCCURRENCE $ 500.000 iia(::.COMMERCIAL GENERAL LIABILITY ;1 _PREMISES TO RENTED 5 100,000 REMISES F8 occunenwl _ _ CLAIMS-MADE OCCUR ' MED EXP(Any one person $ 5 000 I PERSONAL&ADV rUURY $ 500,000 .. GENERAL AGGREGATE 3 1,000 000 GENT AGGREGATE.LIMIT APPLIES PER PRODUCTS-OOMPIDP AGG 5 500,000 POLICY Fri I — LOC 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IEe accCerII 5 _ ANY AUTO BODILY INJURY IPer person) 5 ALL OWAED SCHEDULED • BODILY INJURY IPer 5 AUTOS AUTOS _ ' HIRED AUTOS _ S NON-OWNED deer actley2AMAGE _ .5 s _ UMBRELLA LIABI EACH OCCURRENCE 5 EXCESS JAB pLAIMSMADE'I S AGGREGATE 5 —.. DED RETENTIONS AND EMFS PLOYFR£LI A90N • WRSLFTTS.. OTR AND EMPLOYERS'LNTNER/ YIH EACH LWOTS. E[l_ ANY HiOPRIETORNARTNERIEXECUINE EL.EACH CODE NI 5 OFFICER/MEMBER FI R EMBER FXCL WED? NIA • --_— p'in NR) • E L.DISEASE-EA EMPLOYEE S ID9 aer.,oe lender --_-. tSCRIPnoN CP OPERATIONS OeIow EL DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS IVEHCLES IAeach ACORD ml,Ammons Renab Schedule,if more soca is Fenn M) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN Tom Dadmun ACCORDANCE WITH THE POLICY PROVISIONS. 60 School Street Hatfield, MA 01038 AUTHORIZED REPRESENTATIVE Wendy Leahy 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The AC ORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: Ac Rd CERTIFICATE OF LIABILITY INSURANCE Le.+" 1/15/2026 THIS CERTIFICATE IB ISSUED AS A MATTER OF INFOMMTION ONLY M®CONFERS NO OUGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMID, EXTEND OR ALTER THE COVERAGE AFFORDED BY TME POUCHES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE MOUND IIMUREMSI AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: R me tWnRMM AMdsr Nap ADDITIONAL INS REO,the polish }mast be enaonad. N SUBROGATION IS WANED.MAMA to the torso and condldoM Of the policy,CArnaM polkMa pNy tusks an endorsement. A Meson on Sda organ doss not confer HEMI to the coverless holder In Stu M ash endnseremes). aamcex I CT Cynrson,_,.thia Sandean Webber _. ._� ._..yam. fi Grinnell mac fa25)SBe-0121 . 4w...t inn 604.161n R North Ring Street Chandsradnfwebberaadgriansll.Coe _ 19,0+1101(0)AiYJIP0N2eaAOE —,. MAC 01 Northampton HA 01060 'INSURERS 19259 MIRE._ EMIR. . _.. _... MIRED (INSURER y:.. ..... SOL Bop Isprovwnt Contractors Inc, weite- 24 Chestnut Street feetEllE Hattield la 01038 ISOWNRF; COVERAGES CERTIFICATE NUMBERSatar 2018 REVISIONINNEER: TINS 15 TD CERTIFY THAT THE POLICIES OF INSURANCE IISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITtON OF ANY CONTRACT OR OTHER DOCUMENT PATH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTNN.THE INSURANCE AFFORDED BY THE ROUGES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CORRODES OF SUCH POLICIES LIARS SHOWN MAY HAVE BEEN REnDCED BY PAID CLAIMSEdit Emat . yN6MA... roe OF IXWMNde Wamm POLICY Rums* 1 _... umrts A COaaeemi Sedan uAMUT9 EACH C& RCEIS 1,000,000 A CiAtMSvaDE X elite ...2 5 100,000 82204065 3/1/2016 2/1/2411 MED EXP 0Thseea'nrI S 10,000 —_EMIR. PERSONALS AnSOURS y HIV M 1,000,000 ..w__ _._ GE .FGCVEW*E Ee�T Ape 4's NEPx MS.� S OEa GEZWTE 5 2.0000,000 ._.._. ... EMIR ..__00 S oGG; ' 0 TOE N+OaICT3 tilSM�CPAW s 2.00D,000 ,wr _. ... C! R +viOaOMtE UAMuni'{aMMFO&ATLE LWn Au S . 1,000,000. ) A UTOSWINED :.A g'�(tMEL A9100021 2/1/3016 2/1/201'1 0009I aunt En sent& S fXTVA'MNDeteite E6W2iE- A AnilA1T04 AWYYb _PE - EMenaeMMASa sm IES 100,000 A VYM&uA Lee A Ey;.-.re : EACH OCr5Msu"E 5 1.pha e A _. . .MIME CAS i W M4MADE ',. ^AOHREM'E _. . ,y _. ___ ..... MIRE_ AP I RETENTIONS 10,000 42304065 2/1/2016 , 2/1/2e91 f acal CNM .. _pADRl=_ itAm EYLOyEM Leanne YtX iXM&sof enienerKnied,Cy`yE El£ACHK!gSN5 S 5001000 cenitaN6MER etteio e S NIAA ryWayapye Min-002451S6 2/23/ E1..045EME EA Renseniors Rename i senio oESCRWTIONc*cPERMIONSOHwn E .GREASE-POVOYLe':'S S0o,000 MfnWMN OF OMAATMa1 OCAMMt V NCLE6 IAC0003 1q.Mame amiaylm*aa.IOW Me Seal N aemgwn a,S*f q The Workers Compensation policy does not include coverage for Paul SebmidtKenrick Dempsey and Douglas Scheidt. CLBASesult, lversouree and National Grid, NMTAR, Boston Gas Co. . Colonial Gas Co., lien Gas Co. , and Western MA aalectric an name! as Additional Insured per srittea contract with respects to General Liability for work performed and per the taro and conditions of the policy. CERTIFICATE HOLDER CANCELLATION I &MOULDANY OF THIS ABOVE MBCAIUD SOUCMERS emirs.Igo mason THE IAMAnow DATE ninEoF, NOME WILL SE IXHAMRFD & ACCORDANCE WRM THE POLICY PROVISIONS. AUY1Na10DYePMWTATW � ,(� T. .ender50E, CXSSIC:N `j^�–y–^ -wis'mei `mss Tag62m4ACORD CORPORATION. All rlphM tesalnad. ACORD 26(2014/01) The ACORD rams and logo are reg4tersdmWks of ACORD 009025 omm:. ,acRd CERTIFICATE OF LIABILITY INSURANCE DATE(1111/00YYYY) ✓ 1/20/16 THS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS IRON ME CERORCATE HOLDER INS CERTIFICATE DOES NOT AFFIFRIATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER TIE COVERAGE AFFORDED BY THE POLICES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSIJNG INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIRCATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy0m) oust be endorsed. If SUBROGATION IS WAIVED,subject to the terns and cognitions of the policy,certain policies may respire an endorsement. A statement on this certificate does not cons,righb to the certificate holder in lieu of such enilorsemenl$. mOwcsI CONTACT Dale Frank Insurance Agency PHONE MIC EM(. (413) 665-8324 wo.Na 1413) 665-1280 2 Amherst Road EJNML P.O. Box 455 ADDRESS: woody@dalefranklnsuranoe.con _ Sunderland, MA 01375 ---- URERBAFFORVIG COVERAGE NUC& INSURER A:Providence Mutual Fire Insuran Me VIED _AAAA INSURER B Brian Johnson INSURERC[ --_ _-- RaL Rightway Drywall INSURER o: • 206 Colas Neadow Rd INSURER E: _ Northampton, MA 01060 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHCH THIS CERTFICATE MAY BE ISSUED OR MAY PERTAN, THE INSURANCE AFFORDED BY THE POLCIES DESCRIBED HEREN IS SUBJECT TO ALL THE TERMS, EXCLUSONS AND CONOTIONS OF SUCH POLICIES.LIFTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS. MRTYPEAEOLISUBl POLICY EFF PRJCY Fd LTRINSR WD POLY MUwW MYXaJYYYI i(NINnYYYYI MOS A DEHaRALunuw : BOP 0093210 00 1/15/161 1/15/17 EACH OCCURRENCE s 1,000,000 cceAERCMRA L GENERAL I IMS HY PORA m�mREaTED H s 50 000 -WA j CL IMSOE LHOCCUR1 MED DP(Aeon Pam") b 5Lo00 I PERSONAL&ADV INJURY b 1,000,000 GENERAL AGGREGATE S 2 000,000 Galt ELMITAPrPUESL£R [ PRODUCTS WMPOP AUG S 2,000,000 7 POLICY EmGT Lac $ AUTOMOBILE WNUTY COWS MDJINGLE-LING C [ S AN YAUTO I BCOLY INJURY(Per person) S - ALL OWE O SCHEDULED AUTOS AUTOS BODILY INJURY[Pet accident),S NON-OWNED PROPERTY s HIRED AUTOS AUTOS (Per>iRMOMUI_.. _. .. _.. _ t UEBRELIA we I OCCUR EACH OCCURRENCE _b_ jMESS WB CUIMSaMpE AGGREGATE b OEO RETENTION& y. HUSKERS COMPENSATOR • I WCS1ATU- I OTH MD EMPLOYERS'Wmlfy YIN ITCRV1MIII I ERI _ AMY FROPRIETtRPARTNFRI XFCUTNF OFFICERS/EMBER EXCLUDED'? ft NIA Et.EACH ACCIDENT _ 3 'Mondays In NH) 'EL.DISEASE-EA ENPLOY_f & DESCRIPTOR OF OPERATIONS GM I EL DISEASE-POLICYLMn Ib I IFSCRPngI OF OPERATIONS I LOCATORS EYEHOLES (AIWA AWED)101.AOatiwry Wmrla Schedule,move apace bmmireal CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE OE SCRIBED POuC ES BE CANCELLED BEFORE TIE EXPIRATION DATE THEREOF, NOTICE WILL BE OEUVERED a Tom Daddun ACCORDANCE WITH NE POLICY PROVISONS. 60 School Street Hatfield, MA 01038 AUTHORIZED REPRESENTATIVE I Wendy Leahy • 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The AC ORO name and logo are registered marks of ACORD Phone: Fax: E-Mail: ACOREA CERTIFICATE OF LIABILITY INSURANCE DATE IMM6drYYY) ted..------ 1/14/2016 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 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 Barbara Grynkiewicz Webber & Grinnell PHONE (913)586-0111 FAX (413)586-6481 WCa9.Elt1: _ (AIC NOL 8 North King Street E-MAIL SS:bgrynkiewicz@webberandgrinnall.com ADDRE INSURER(S)AFFORDING COVERAGE _ NAIC4 Northampton MA 01060 _ INSURER A-Patrons Mutual Ins. Co. of CT _ _ INSURED INSURERBState Auto Property & Casualty Ins A. Dion & Son Floor Contractors, LLC INSURER C: Attn: Donald & Daren Dion INSURER D' 74 Russell Street INSURER E: Hadley MA 01035 INSURER F: COVERAGES CERTIFICATE NUMBER:Xxp 2016 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 WTH 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. ILTTR TYPE OF INSURANCE �NSO wv0 POUCY NUMBER I PMIDDYEFF POUCYMM/DDI EXP VVY II POL1CIYEFF (MM'DWWXP) UNITS I X COMMERGAL GENERAL LIABILITY __ ' EACH OCCURRENCE 5 2,000,000 A CMS-MADE MS-MADE R OCCUR DAMAGE TO RENTED . S 300,000 PREMISES(Ea occurrence) WP2806463 7/1/2015 7/1/2016 MEG DP(Any one person) 5 5,000 • PERSONAL&ADM INJURY 5 2,000,000 GENL AGGREGATE LIMIT APPLIES PER I. GENERAL AGGREGATE $ 4,000,000 —'POLICY X 'PEcr LOC PRoxCTS-COMPIOPAGG s 4,000,000 1 OTHER. $ AUTOMOBILE LIABILITY COMBINED �NGLE LIMIT s 1,000,000 ( __... A ANY AUTO ! BODILY INJURY(Per person) S • ALLOY EDSCHEDULED — _AUTOS ' X AUTOS NON-OWNED i BAP2406132 7/1/2015 7/1/2016 BODILY INJURY(Per accident'S X HIRED AUTOS X '. PROPERTY DAMAGE S AUTOS I pip-Bacdent)_ X 19 i S 8,000 PIP-Basic X UMBRELLA LAB _OCCUR li EACH OCCURRENCE _ 5 2,000,000 EXCESS UAB :A AGGREGATE _ S I DED RETENTION3 0132125771 7/1/2015 7/1/2016 S :WORKERS COMPENSATION I x PER OTH- XDEMPLOYERS'LIABILITY PINI I -STAR AC _. ANY PROPRIETOREXCLUDEDWUTLVE : E L EACH ACOGENT ER $ 1,000,000 B DFFIOERNEM PPR EXCLUDED, INIAL _ —. (Mandatory in NRI I wCP2227683 7/1/2015 7/1/2016 E L DISEASE.EA EMPLOYEE S 1,000,000 If yes desmOunder DESCRIPTION OF OPERATIONS below • EL DISEASE-POLICY LIMIT s 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS(VEHICLES (ACORD 101,Additional Reworks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION tomd@dadmundo.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Tom Dadmun THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 60 School Street ACCORDANCE WITH THE POLICY PROVISIONS. Hatfield, MA 01038 AUTHORIZED REPRESENTATIVE M Horan, CISR/BARB6 -- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014)01) The ACORD name and logo are registered marks of ACORD INSO251201401) • ,4cO® CERTIFICATE OF LIABILITY INSURANCE DATE`MWDD"YYY) kka. .i 1/20/2016 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 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 LynneMethot, Extension 102 NAME' Foley Insurance Group Inc. IuONrn ea (413)219-]474 NC Nal.14131214-7447 37 Elm Street IADDRlESS.lmethot@foleyinsurancegroup.con INSURER(S)AFFORDING COVERAGE _ NAIC It West Springfield MA 01089-2703 INsuRER A;Patron Mutual Insurance Co of CT 20028 INSURED INsuRER a Travelers Indemnity Co of CT 25682 _ New England Granite LLC INSURER C: ATTN: Andrey RomhevskiY INSURER O: 75 West School Street INSURER E: West Springfield MA 01089 INSURER F: COVERAGES CERTIFICATE NUMBER:CL15102608707 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 15 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSSR TYPE OF INSURANCE ADDL SUM' - POULV EFF POLICY EXP -- - -- INSD WVD POLICY NUMBER 1 MWDDIYYVYI'1 MWODtlYYY) LIMITS I X`'COMMERCIAL GENERAL LIABILITY _ EACH OCCURRENCE 5 1,000,000 A CLAIMS-MADE 8 ( 5 i PREMISESEe ENTER aal ADE OCCUR i PREMISES aETcED 300,000 J _._. - _ BOP2741752 5/23/2015 5/23/2016 I M ED EXP(Any one person) 5 5,000 • PERSONAL6ADV INJURY 5 1,000,000 GENL AGGREGATE LIMIT APPLIES PER I GENERAL AGGREGATE $ 2,000,000 X POLICY Ji JECT LOC PRODUCTS•COMPIOPAGG $ 2,000,000 :OTHER. _-. . 5 I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 (Ea act ,_ ANY AUTO I BODILY INJURY:Per person) 5 ALL owNEo SCHEDULED _ _. -... AUTOS �..AUTOS BODILY INJURY(Per accident,' s - NON-OWNED PROPERTY DAMAGE - - ,.. AUTOS (Perer accident) _ S HIRED AUTOS UMBRELLA LIAB j OCCUR EACH OCCURRENCE 5 EXCESS LIAB CLAIMS-MADE - AGGREGATE S - - 'DED RETENTIONS S !WORKERSCOMPENSAPONPER :OTH- NDEMPLOYERS'LIABILITY YIN '4 STATUTE LER 'A ANY PROPRIETORTARTNWEXECUTIVEEL EACH ACCIDENT 5 100,000 OFFICERAIEMBER EXCLUDED? ' Y II!NI Ai E Mandatory In NH) I IEDB219M976715 10/22/2015 i 10/22/2016 EL DISEASE-EA EMPLOYEE S 100,000 If OESSCRPncnooeNwdef PERATIONGeeiow I 1 i I I E.L.DISEASE-POLICY LIMIT S 500,000 • DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space Is required) Proprietor/Partner/Executive Officer/Member exclusion applies on Workers Compensation. CERTIFICATE HOLDER CANCELLATION tomd@dadmundo.con SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THOMAS DADMUN THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 60 SCHOOL STREET ACCORDANCE WITH THE POLICY PROVISIONS. HATFIELD, MA 01038-9747 AUTHORIZED REPRESENTATIVE Brian Foley/JOANN r----- z_ C"..a� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025:2014011 Client#:41601 CORTII ACORD-. CERTIFICATE OF LIABILITY INSURANCE DATE)MMIDDNYYY) 3/24/2016 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 be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME! Dinah Jacobsen PHDnE People's United Ins.Agency MA 413781-6871 - - - 1391 Main Street,3rd Floor E-MAIL mary.hoth©peoples.com PO Box 4950 - - E V - — • IXSVRER(ferredDINGLOVEMGE NNti Springfield, MA 01101 -- INSURER A:Merchants Preferred Ins.Co. INSURED L INSURER B: Cortina Tile of West Springfield -- - -- - 1645 Riverdale ST INSURER C: W.Springfield, MA 01089 INSURER D: INSURER E: I 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 LTR _ INSR WVD POLICY NUMBER (MMIDDNYYY) IMMDDryWYI IL MITS -- A g COMMERCIAL GENERALLIABILITY I BOPI071849 03/30/2016 03/30/2017 EACH OCCURRENCE $1,000,000 EMIS CLAIMS.MADE Xi OCCUR I I PPRREESSOEMilgoncel _s500,000 Blanket Al Per Prior • MED EXP(Any one person) s5,000 Written Contract Y • PERSONAL&ADV INJURY $ GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY C JERc I LOC • I PRODUCTS.COMP/OP AGG ,s2,000,000 OTHER: $ AUTOMOBILE LIABILITY I I) - `EOeBICeED SINGLE LIMIT s - I ANY AUTO BODILY INJURY(Per person) 5 ALL OWNED '�SCHEDULED AUTOS AUTOS INJURY(Per acvJen:) 5 NON-OWNED PROPERTY DAMAGE.. S HIRED AUTOS AUTOS (Per _ - s A x UMBRELLA LIAB X OCCUR "'. CUP9146566 03/30/201603130/2017 EACH OCCURRENCE •_s1,000,000 EXCESS LIAB ' CLAIMS-MADE I I I AGGREGATE $1,000,000 • DED ; XI RETENTION 510,000 I I I 5 -- A WORKERS COMPENSATION WCAI033448 03/30/2016103/30/2017 X ER ern AND EMPLOYERS'LIABILITYN EACH 'FR ANY PROPRIETO,RR/EXECUTIVEYI EL_EACH ACCIDENT 5500,000 mandatory EXCLUDED' N NIA mandato y m NH) E.L.DISEASE-EA EMPLOYEE s500,000 D yes,RDESCRIPTIONIPT ONoN OOF I EL.DISEASE-POLICY LIMIT I s500,000 F OPERATIONS below • • • DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) Blanket Additional Insured per Merchants form MU8277(1111); Blanket Additional Insured-Completed Operations per Merchants form MU8530(1111) Proof of Insurance CERTIFICATE HOLDER CANCELLATION DADMUN Design+Construction SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Atm : Tom Dadmun ACCORDANCE WITH THE POLICY PROVISIONS, 60 School Street Hatfield, MA 01038 AUTHORIZED REPRESENTATIVE I Pkt,ofra ck Baur& Mkk. ©1988.2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) 1 of I The ACORD name and logo are registered marks of ACORD #S674601/M674571 DLJ ice INGRAM4O01 MMILLS ACORO CERTIFICATE OF LIABILITY INSURANCE DATe lMWDDn Yp 1/18/2016 1 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(les)must 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 I 2211,0CT Melissa L Mills _ The Jarrett Agency PHONE" g60 7454222 PAX 69 Enfield Street (AJC No,Ertl:( ) lac xol:(860)741-6901 Enfield,CT 06082 WASS,nick@thejarrettagency.com I NSURER(S)AFFORDING COVERAGE NAICN INSURER A:Main Street America Assurance Company 29939 INSURED INSURER I - B: _ Executive Painting and Wall Covering LLC ' INSURER c: _ _ --- 10 South Road INSURER D _ Enfield,CT 06082 INSURER E. • INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: I 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. INR -- ADDLSUB0. : POLICY EXP -- - TYPE OF INSURANCE INSO my) POLICY NUMBER POLICY -- AR IMMIppryYYYI' MMIDDAM'Y) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE IS 1,000,000 CLAIMS-MADE X 'OCCUR MPT7I37P 108/22/2015 08/22/2016 PAMACETONEweu s 500,000 X I BOP PREMISESLa ocwlrenrel MED EXP(Any one Person '3 10,000 ' PERSONAL 8ADV INJURY $ - 1,000,00 GENAL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 15 2,000,000 X POLICY L_ 7relE LOC PRODUCTS-COMPIOPAGG 5 2,000,000 'OTHER' _ S - .. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ - I IES accident! ANY AUTO BODILY INJURY(Per person) s ALL OWNED —'SCHEDULED BODILY INJURY(Per accident) $ AUTOS —_'AUTOS O — N PROPERTY DAMAGE 15 HIRED AUTOS _._'AUTOS JPeramaent) _. UMBRELLA LIAS I OCCUR EACH OCCURRENCE 5 EXCESS LIAB CLAIMS-MADE AGGREGATE S _ _ i DOM RETENTION$ 'S WORKERS COMPENSATION -- : r ANDEMPLOYERSRABILITY YIN '. ACH ACE : i�RH __- ANYPROPRIETORIPARTNERIEXECUTIVE Mandatory In NH) EL.DISEASE-EA EMPLOYEE 5 If describe under — .DESCRIPTIONOFOPERATIONSWIo_ E L DISEASE.POLICY LIMIT S DESCRIPTION OF OPEMTONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if mere space is required/ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Dadmun DC THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 60 School St ACCORDANCE WITH THE POLICY PROVISIONS. Hatfield,MA 01038 AUTIIOORIRIZED REPRESENTATIVE I / ' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD - 1l2'ZIPSHFATIIINC 2%12 11 V1 I l RS c Ili"0.( 12 2.eN TILS it OC i— V pgIOdNMI)OR(o)2J8' 110 SSI.OK ZS(REVA:S 111 IINI), PYP. iii [ _. \ IJ\ �\, '� _.. 1 1. — � f -. ._ _ - IT-J�" _ _ _ _ t111111 s OFFICE BATII . ROOF FRAMING DETAILS 26 FRANKLIN ST. NORTHAMPTON, MA DADMIEN Design + Construction - - - - _ - = - _ _ - 9/15/2016 T r I _1 �1N.W + c �t DAVID A. 'sa i VREELAND Yy CIVIL No.1831] ,i \-,......„_,;9001s/0 �C' �. 4Imo- — 9/15/16 i PANTRY MEM INN