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24D-191 2 WARFIELD PL BP-2018-1212 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24D- 191 CITY OF NORTHAMPTON Lot-001 PERSONS CONTRACTBVG WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A) Category, ROOF BUILDING PERMIT Permit# BP-2018-1212 Project JS-2018-002164 Est Cost: $4900.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: SUNRUNINC 080034 Lot Size(so. ft.), 5706.36 Owner. LOUNSBURY RUTH Zoning' URC(100)/ Applicant. SUNRUN INC AT: 2 WARFIELD PL Applicant Address: Phone: Insurance: 734 FOREST ST STE 400 (978)793-8584 WC MARLBOROMA01752 ISSUED ON:5/17/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF 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 5/17/2018 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner - Department use only m City of Northampton Status of Permit R Building Department Curb Cul/Dnveway Permit m 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability a Northampton, MA 01060 Two Sets of Structural Plans 9r phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Mi Other Speciry APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE��ORnTWOFAMILY DWELLING SECTION 1 -SITE INFORMATION &P' 19 -1 a la- 1.1 a- 1.1 Properly Address' This section to be completed by office Map 24D Lot 191 unit 001 2 War-field Place Zone Overlay District Elm SL District CS Disblol SECTION 2-PROPERTY OWNERSHIPIAUTHORIZEDAGEitT 2.1 Owner of Record. Ruth Lounsbury 2 Warfield Place Northampton MA 01060 Nam(P" Currant 14affing Adpfess' (917) 743-0143 TOWN. Signature 2.2 Aidillartuad A116; Craig Orn 734 Forest Street, Unit 400 Marlborough MA 01752 Name(PMD Current Madng Adwne: (978) 793-8584 swunurs Tebplwle SECTION 3-ESTIMATED CONSTRUCTION COSTS Nem Estimated Cost(Dollars)to be Official Use Only completed b rmit applicant 1. Building 4,900.00 (a)Building Permit Fee 2. Electrical (b)Estlmated Total Cost of Construction from 3. Plumbing Building Permit Fee J/ 4. Mechanical(HVAC) F� S 5. Fire Protection 6. Total=(1 +2+3+4+5) 1 4 qd0.00 Check Number This Section For Official Use OnIv Building Permit Number. Date Issues: Signatu BwwpCamMssionwnnspectur of Buildings Dam Section 4. ZONING Ag Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This<mumn to M eIIM in by Building Dspartmmi Lot Size Frontage Setbacks Front Side L: R: L R: Rear Building Height Bldg.Square Footage % Open Spa"Footage % (Lot am minus bWg@ paved padaw #of Pasking Spaces Fill: vdwaaw ton A. Has a Special Permit/Variance/Finding ever been issued for/on the site? No ® DONT KNOW ® YES 0 IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW ® YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW ® YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained © , Date Issued: C. Do any signs exist on the property? YES 0 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 acBWly disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a Common plan that will disturb over l erre? YES NO ® (No ground disturbance, rooftop mounted) IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicablel New House ❑ Addition ❑ Replacement Windows Alterationts) Roofing Or Doom E3 Accessory Bldg. ❑ Demolition ❑ New Signs IDj Decks Ip Siding IO] Other llgi Brief Description of ProposerStrip existing roofing materials and install six feet of ice and water Work. sh Ad s..... thg ,...ve %9 the ridge Finish with new asphalt rnm osition shingle Alteration of existing beciroan_Yes V No Adding new bedroom Yes V No Attached Narrative Renovating unfinished basement Yes VNo Plans Attached Roll -Sheet ea. If New house and or addition to existing housing, complete the following: a. Use of Wilding:One Family Two Family Other b. Number of rooms in each family unit: Number of Bathroom; c Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of atones? I Method of hoofing? Fireplaces or Woodstm ea Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction I. Is construction within 1 W ft of wetlands?_Yes No. Is consbuctim within 100 yr. floodplain_Ves_No j. Depth of basement or cellar floor below fink hod grade k. Will Wl ft conform to the Building and Zoning regulations? Yes No. I. Septic Tank_ CltySevver Private well_ City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Ruth Lounsbury as Owmer of the subject Property herebyautorire Sunrun I Craig Orn to act on my behalf,in all matters retail"to work authorized try this W lding permit application. Signature ol Owaer Data I, Craig Orn ,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. Craig Orn Priya Name SlgnNure of CvnedAffDate SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Nobler: Craig Orn CS-080034 License Numaer 734 Forest Street Unit 400, Marlborough, MA 01752 01/22/2019 Address Expiration Date � . 978 793-8584 Signal Telephone S.Registered Home Impm,vemerd Contractor Not Applicable ❑ Sunrun 178937 Company Name Registration Number 734 Forest Street Unit 400 Marlborough MA 01752 06/02/2018 Address Expiration Date Telephone (978) 549-9438 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(WO.L.c.152,§2SC(6)) Workers Compensation Insurance affidavit most be completed and submitted with this application.Failure to provide this affidavit will result in Its,denial of the issuance of the building permit Signed Affidavit Atieched Yea....... Ur No...... ❑ 11. - Home Owner Exemption The currant exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not pos us a license,provided that the owner ash as supervisor.CMR 780, Sixth Edition Section 109.35.1. Definition of Homeowner:Person(s)who own a pmcel 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,in such use and/or farm structures.A beirson whoconstructs mom than home in a two-year period shall notb id red a h Such"homeowner'shall submit to the Building Official,on a form acceptable to the Building Official.that he/she shall be reapomWle for aB such work performed under the buildims Permit. As wing Construction Supervisor your presence on thejob site will be required from time to time,during and upon completion ofthe 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 injuria not resulting in Death)ofthe Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies said assmnes responsibility for compliance with the State Building Cade,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: 2 Warfield Place The debris will be transported by: Graham Waste Services, Inc. 215 Chief Justice Cushing Highway The debris will be received by: Cohasset. MA 02025 Building permit number: Name of Permit Applicant �t cx F/-Y7. �u Date Signature of Permit Applicant ` The Commonwealth of Massachusetts I Department of Industrial Accidents I Congress Street,Suite 100 G Boston, MA 01114-20777 www.mass.gov/dia R orkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. 'f0 RE FHYD WITI1'1'HE PERMIT EHNC AVfHORITi'. Applicant Information Please Print Legibly Name(RusimWOrganizatioNlndividual):Sunrun Address:775 Fiero Lane, Suite 200 City/State/Zip:San Luis Obispo, CA 93401 Phone N:978-549-9438 Are you m emvloycr+en«k me apprapriam box. Type of project(required): I. lam seaplore,with 35 cre'emcrs(fulludlorpart ram).' Z ❑New construction 2Igmasole propnemr or paencouraged have ao employ«s working fnr mein g, ❑Remodeling any capacity.[No workers compinsurance required.] J.❑lam ahomeowner doing all work myself Noworkers'comp.mannu earcgmayall' 9. El Demolition 4.❑1 am a homeowner and will he hiring contractors to conduct all work on my property. I will 10 E]Building addition w urethat an contractors either have workers'compensation insurance or are sole II.❑Electrical repairs or additions pensure oprlemrs with nn empmyccs. 12.❑Plumbing repairs or additions 5.❑lam a general contractor and l have hiradthcsnh-contractors listed onthe attached sheer I3.ORoof repairs 9fcca mbcontractors have employees and have workers comp.insurer ee 6 E We are a corporation and its officers haveexerowl their right of exemption per MGL c 14.❑Other _ 152,§unp and we have no employees.[No workers'comp insurance required I •Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. l I lannowmen who submit this affidavit indicating they are doing all work and then hire outside eantreetoa must submit anew affidavit indicating such. ttzmaramom that check this box must attached an additional shard showing the name of the sub contractors and state whether or not theseentiors have employees Ifthc subsonlmcmrs have employees,they moat provide their waders earn, pulley number I am an employer that is providing workers'compensation insurance fnr my employees. Below is the policy and job site information. Insurance Company Name:Zurich American Insurance Company Policy 8 or Self-ins. Lic.H:WC013696003&WC013696103 Expiration Date:10/01/2018 Job Site Address:2 Warlield Place City/State/Zip:Northampton MA 0106 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration dale). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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. A copy ofthis statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penaltiess ffie/J' ry that the information provided above is true and correct. Si nature: Date: Phone q:978-793-8584 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License H_ Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector S.Plumbing Inspector b.Other Contact Person: _ Phone 4:__ Magi Jeparmenl n1-4MkSa4ot _ ' 1= I- Board of Building Regi.laticns and Etandxas "- L c rse:eS-Oe90aa I �� •-,fir CRAW M ORM r' Si C%FORDFORA M MA 91540 FnIn. opan aenl editMn of @e Mnneachuaetta I ,'=>'r - + Expiration. Stay baking Codeia rause for re.acmlan of lAin fkenR. "t Commlgilodar OWW2919 0951 mnndng b+=.amn m1 vis¢YANO.MASS GOVIDOS or a[Comaaua Artaar f SaYey BKaYPoa E IMPROVEMENT I14"a"m"Ba"lion'WW far iminidi d nae only CONnUCTOR before lheapiri,ii.Axle ,,..a rnuro to g> nd Banda 2H YtraLb¢ f28aar b: oRice afcaaani A(faira ag RepeYtian Exfbatl- e+&Nt! SuOPla+nentGN le Park Pluri-Suit SI SUNRUN INC. Bealan.MA 83Ilti CRSIG ORN 595111 ST 29TN Fl, SAN Rivaii 3CO.CA 9at05 UNnavertYry Ner y(IM wuhnW a gnHun - Contact Info: Sunrun Inc 734 Forest ST STE 400 Marlborough MA 01757 Tel:978-793-8584 Email: mapermits@sunrun.com A`�ROeDATE(MMmOmrrl CERTIFICATE OF LIABILITY INSURANCE 9/1112017 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 pollcy(les) 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 debts to the certificate holder in lieu of such endorsements U.I. PRODUCEROg u ME Arthur J. Gallagher Co. PHONE1,No .415-546-9300 Fall -- __ F"X .475-536-8499 _ Insurance Brokers off GA. Inc. License#0726293 E-MAIL -- - 1255 Battery Street#450 ADDRESS-.- -- - -- - San Francisco CA94111 HoUREVSI AFFORDING COVERAGE _— Becx INSURER A:Zurich American Insurance Company_ 16535 - INSURED SUNRINC-01 INSURER B,Navigators Specialty Insurance Company- 36056 Sunrun Installation Services, Inc. INSURERC: 775 Fiero Lane, Suite 200 INSURERD: San Luis Obispo,CA 93401 - - — INSURERE: INSURERF' COVERAGES CERTIFICATE NUMBER:926932864 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 INSUMNCE POLICY EFFPOCJCYLIMITS LTR N C PGLICY NUMBER MMICCM1YYY NWOO'YYYY B g COMMERCIAL GENERAL LIABILITY Y VWD fA1]CGL230321C 1011/201] 10/V2018 EACH OCCURRENCE s1,000,000 DAMAGE TO RENTED 7 CIAIMS MAGE a OCCUR PREMISES CEO ttcu r lw 5300,000 % ET_ Retention_ MED EXP(Any one.remuo) $5.000 PERSONAL B ACV INJURY SI,000ODO GENT AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE 52,000.000 X POLICY jEED LOc PRODUCTS-COMPIOPAGG 5$000,000 OTHER: Total Polity Limit $10,000,000 A AUTOMOBILE LwmHTY Y BgP915542500 10I1I201I iW1/2018 Ed_mq $ eam2,000,000 % ANY AUTO 60mLY INJURY(I.,Person) 5 DINNED scHEDULEo DDILJINJuav lPereaieenp a AUTOS ONLY AUTOS - AVTOSONLY ANEED UTOS Omy NTOPANED PREFER DAMAGE $ — UMBRELLA LIFE OCCUR EACH OCCURRENCE �$ _ EXCESS TUN CLAIMS-MADE AGGREGATE y$ - _ OED RETENTION$ $ q WgtXERSCOMPENSATION WC013696003 10/1/201] 10IV2018 X $TAiOTE EERH q AND EMPLOYERS'UNHLEY YIN WCO1S696103 10/1/2017 10/12018 ANY PROPRETOWPARTNER/EXECUTIVE ❑.,A E.L.EACH ACCIDENT $1,000,000 CE OFFIRMEMBEREXOLUDED1 (Mani In Nn EL.DISEASE-EA EMPLOYE $1000,000 a,, fesulCeundw DESCRIPTION OF OPERATI ONS Tom EL.DISEASEPOLICYLIMIT $1.000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Admonal Pori SeMdub,mry le Method M mm noem Ie mule WC013696003-$25,000 Deductible;WCO13696103-FL, HI, MA, NJ,NY,OR,VA,WI only.Named Insureds:Sunrun Inc.,Sunrun Installation Services Inc.,Sunrun South LLC,AEE Solar, Inc., Clean Energy Experts LLC,Sunrun Solar Electrical Corporation Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 212 Main Sl ACCORDANCE WITH THE POLICY PROVISIONS. Northampton MA 01060 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 12016109) The ACORD name and logo are registered marks of ACORD /1 s '`v LICERTIFICATE OF LIABILITY INSURANCE1 1/4/2017 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), AUTHORGED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: U Me onnUficab hoMsr Is an ADDITIONAL INSURED,the policy(Ms)mud M endorsed. S SUBROGATION M WAIVED,subjed w Has Mme and conditions of LM policy,certain po5cka may rseuka an endusannu t. A sbfemad on We udMlub doss na conser rlghb 3o IM adIlk as hdder b Maud soon ondmaemen •. PInNAYA Norwell Riak South Eastern Insurance Group TSC 77 Accord Park Drive Unit Bl NFpllpap CpYERApE INLE NOxMell MA 02061 iwlRs:RA:Co rca Insurance sm"® tlaOINR•Crus L Forster Indeanit Gran" waste Services Inc IgORRC ZndOrinCe Inaura110e Cosmpaunv 215 Chid Justice Cushing Hey usNasRo: EMIR E: Colusset 21A 02025 F: COVERAGES CERTIFICATE NUMBEWIS-17 Master REVISION NUMBER: THIS B TO Cm"THAT THE POLICIES OF MURANCE LISTED BELOW HAVE BEEN BSIJED TO TIE eBUREO NALBD ABOVE FOR TINE POULY PEmco BX]MAT®, NOINTINSTNAING ANY REOUPEkEM.TEIMI OR CONOf1a0N OF ANY CONTMCT OR OTIER DOGAIEM WfIH REIPEGT TO N111CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCISIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED WPM ClASAB. lYFE 01MNNAMfE IYNS xleanLLa3erJrr FAa oca2mEMa 2 100000 X corewvA OF1B1/Y WBNnMeenend E 100,00 A CWI{Y1oE ©OCCM WWSY 2/31/E01e 2/31/2017 eacen,wguepeueo a 500 FEFaonElaAw NaNv 6 100000 OBFW ApBRE0A7E E 200000 XTLAaaENITE uur APnES FEN rwMloTe-cavuPAm a Incl XT=roucY 1oc T AuraNMsruAMun 1,000.00 A NIYAUrO sooAv rumDw rsesY 2 OX ,ynpN D 2/31/20162/31/2017Anne ppr IVORY(Pa EptleY) E X H EY Dnus X �0 a 0MM&QeMMnm 6 11000 X IIWEISAYNOccuA EACHOCCONERCE s 2,000,00 A eaw uEa �M3ee 1273so AOOIEOATE E 2,000,000 Oso 1XIMEnsonmens 10.00 2/31/2012 2/31/2017 a B AFa�BMM�9tlIA�raNB�rYX A X YIM OFFCARAE�EAf1IgEOf � MIA EL FAOI ACCOOFf4 500100 SFn4M2FAp 06720W54 /27/2036 /27/2017 EL mEFAEE-FA UWLUMd E 500.000 a EeMw B EL DEAN-An.I.1 s 500,000 C ESCeae Owdrella 30000235000 2/31/201112/31/2017 FA2,Ow,mee 3,000,00 AIS22Ne 3,000,00 Evidence of Insurance 10XeIKNGLEs NmeM1 AeOM IM.A4yNevIR�YaeMeM.Ymve YeubnPeeN Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES ISE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED N Sunrun Inc. ACCORDANCE WITH THE POLICY PROVISIONS, 734 Forest Street, Suite 400 Marlborough, MA 01752 R3RESENFA" John XceOel/IML ACORD 25(2010005) O 1OW2010 ACORD CORPORATION. All righb maned. 14024 Dmm mH The ACORD name end logo ere mglsfered marks of ACORD Ary ACO® CERTIFICATE OF LIABILITY INSURANCE D0413012018 k i 04/3012078 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 certHlcats 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 andomement. A statement on this certificate does not writer rights to the Certificate holder in lieu Of such endomemengs). PRODUCER NrMe: ISABELE CORDEIRO Brazway Insurance Nx Ea1:978-055-599'1 uc.No, 978-055-11 345 Main St Unit BT ROUSEss:info@brazwayinsuranceagency.com Tewksbury MA 01876 INSURERLs)APPoawdG cavERACE IN I A _ INSURER A:ATLANTIC CASUALTY A.LI. INSUREDmsuREx B.COMMERCE INSURANCE TECHNOLOGY ROOFING DESIGNS INC PUSUEE.0:NAUTILUS INSURANCE 969 WESTFORD ST IxametysuaER o:AIM MUTUAL LOWELL MA 01851 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. r�NIU EE OF INSURANCE POLICY NUMBER MMID&XI MWwPOO LIMITS INS, sysm CIAL GENERAL LIABILITY EACH OCCURRENCE b 1,000,000 MS-MAGEOCGVR PREMISE$ Ea rccunen® E 100,000MED EXP(MY one pem-) a 5,000 L117002782 0310612018 0310612019 PEBSCRALSADVINJURY $1,000,000 GATE LIMIT APPLIES PER'. GENERALAGGREGATE $2,000,000 :]I C ❑LOP PRODUCTS-COMPIOPAGG $2,000,000 $,UBIDTY e°a.NiSILO SINGLE LIMIT pv) $ 1000,000 O SMILE NJURY(Pa,parson) s N,r n HFOUEEO GRM759 0411112018 04111/2019 BODILY INJURY(Per ecdbem) s HIRED NON-0WNED PROPERTY DAMAGE 5 AUTOS ONLY AUTOS ONLY m -. — f u98RELLA,IAa OCCUR E. OCCURRENCE $3,000,000 C Excess VAR CIAIME MADE AN037249 031OW2018 0WOW2019 AGGREGATE $3,000,000 OED ENTIOu$ $ WCRRERS COMPENSATION PER OUT AND EMPLOYERSLUBIBUTY STATUTE ER_ PRIETORIPARTNERi"COO➢VE YIN EL EACH ACCIDENT 41,000,000 M OFFIGEREMBER E%O W OED1 O NIA D (Mxnae"MNHI AWC40070345642017A 0612212017 0612212018 E.L.DISEASE.EA EMPmVj11,000,000 N Yea e.amb.'"S" RL DISEASEPOLICY umD 51,000,000 OEscRIPTION OF OPERATIONS Lel 00 DESCRIPTION OF OPEMTIONSI LOLATONSIVEHICLES ACORDIOD AMS...lms--SSS,immmi ,mayteabgleEumoreapace I,emmood) PAINTING,CARPENTRY,SIDING AND ROOFING SERVICES 2002 DODGE FROM 1500 VIN:3D7HA1 SN82GI 49590 CERTIFICATE HOLDER CANCELLATION SUNRUN INSTALLATION SERVICE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 734 FOREST ST SUITE 400 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MARLBOROUGH,MA,01752 AUTHORQEDREPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(201610 3) The ACORD name and logo are registered marks of ACORD Protlueed Usirm Forms Bose Web Software,ORMYrormsBaas.Sony IS)Impreaal.e Publism,SODHB-DO