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25C-257 (13) 15 FAIR ST BP-2019-0022 GIS#, COMMONWEALTH OF MASSACHUSETTS Mao.Block:25C-257 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A) Category: ROOF BUILDING PERMIT Permit s BP-2019-0022 Project k JS-2018-002418 Est Cost:$150000 Fee-$40.00 PERMISSION IS HEREBY GRANTED TO: Const Class: Contractor: License: Use Group SUNRUN INC 080034 Lot Size(su. ft.): 8450.64 Owner: NERY JENNIFER zonmLSC 1001/ Applicant: SUNRUN INC AP 15 FAIR ST Applicant Address: Phone: Insurance: 734 FOREST ST STE 400 (978) 793-8584 WC MARLBOROMA01752 ISSUED ON:7/3/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.•STRIP EXISTING ROOFING MATERIALS, INSTALL 6 FT OF ICE &WATER SHIELD FROM THE EAVE TO THE RIDGE, FINISH WITH NEW ASPHALT COMP SHINGLES 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 N 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: FeeTvpe: Date Paid: Amount: Building 7/3/2018 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner r , RECEIVED Department use only City of Northampton Status of Permit: Building Department Cum Cut/Driveway Permit JUL - 2 2018 212 Main Street SeserfSeptic Availability Room 100 WaterM'eff AvWWXU y EPT or nuapwc iusaFC_Ttgp�r+s orthampton, MA 01080 Tv Sets of Structural Plans NORTHAMPTON.MA o1Wirone 413-587-1240 Fax413-587-1272 PkVSits Plana Other Spa* APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE WFOREIATION 1.1 Presawly Address: This section to be completed by office VAp Lot Unit 15 Fair Street Zone Overlay District Elm St District ca District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owrerof-Record: Jennifer Nery 15 Fair Street Northampton MA 01060 Name(P"iQ Cumse Mmka AdM1sr: (413) 387-9276 Talepimro sae+�ae L2 Audsortzed ABPnc C ra ig 0rr1 Forest Street, Unit 400, Marlborough, MA 01752 Nrro(Pnno -7 Osmnt Ms"AdbeY: �[• (978) 793-8584 SlpmNe Tebphone Item Estimated Cost(Dollars)to be Official the Only Window by Permit applicant 1. Bulking $ 1,500.00 1500 00 (a)Building Permit Fee 2. Eleddcal (b)Estimated Total Cost of Construction from 8 3 Plumbing Building Permit Fee 4. Mechanical(NAC) J� 5.Fire Protection e. Total=(1 +2+3+4+5) 1 5010 00 1Check Number 3 This Section For Official Use Only Building Permit Number.Number: hermQ Signature: '! donxSmpedd of Buildings Dare Section 4. ZONING All Information Must se Completed-Fenn Can be Denko Due To Incomplete I fonanon Existing Proposed Required by Zoning This Wunn m In,final in by Building DepWnnR Lot Size Frontage Setbacks From Side L;—R:— L:—R: Rea Building Heigh Bldg.Squire Footage % Open Span Footage % (car.nine bWge pavd #ofParkinX Spaces Ft11: vobnn s Imdur A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DON'T KNOW i YES IF YES,date issued:i IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW © YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands.? NO ® DONT KNOW ® YES IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained ® , Date Issued: C. Do any signs exist on the property? YES ® 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. VAI the consWction activity dsturb(deanng,grading, cavaton.or filling)over 1 acre or is it pan of a common pan Net vdll disturb over 1 sore? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION S-DESCRIPTION OF PROPOSEO WORK tchack all applicable New Nouse ❑ Addition ❑ 1 Replacemerd Windows Albration(s) ❑ Roofing Nf Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Slgm [I7] Decks [p Siding o) Other[IA Brief Description of Proposed Strip existing roofing materials and install six feet of ice and water shield Work: from the a=ve m the rape F'n'sh w'th new asphalt composition shingles. Alteration of existing badroom,Yes_V No Adding new bedroom_Yes V No Attached Nanelive Renovating unfinished basement --_ Yes _V--No Plans Atledled Roll -Sheet ea. If New house and or addition to existing homing,complete the following a. Use of building:One Famiy Tyro Family Ot er b. Number of rooms in each hardly unit: Number of Bathrooms a Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stones? t Method of healing? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form atedoed? h. Type of cpnstruction I. Is wnsWclion whhin 100 R of wetianda?_Yes —No. b coneWclion within 700 yr. f oodplain Yee_No I. Depth of basement orceNer floor below finished grade k. Will Wilding coMam to the BUNgng and Zcrokg regulations? _Yea_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 I, as Owner of the subject prop" hereby authorize Sunrun I Craig Orn to act on my behalf in all matters relabw to work authorized by this Wilding permit applic8tion. Of 0wrr Drs 1. Craig Orn as OwnedAWwrized Agent hereoy declare that the atatemenls and infarnetion on the foregoing application are true and accurate.to the teat of my knowledge and belief. Signed under the pains and penalties of perjury. Craig Orn Print Name y Si�asae etOrwied Data SECTION 8-CONSTRUCTION SERVICES &1 Licensed Conalradim Supervisor. Not Applicable U Name ofUnrest Holder Craiq Orn CS-080034 Cleans Nu w 734 Forest Street, Unit 400, Marlborough, MAO 1752 01/22/2019 MQeu Emlnslon Dde g,7. � 978 793-8584 59: TesepMe 9.Registered Home bereavement Contractor. NO A 0leable ❑ Sunrun 180120 Comm"Name Registration Number 734 Forest Street. Unit 400, Marlborough MA 01752 10/14/2018 Address Expiration Date Telephone (978) 549-9438 SECTION 10.WORMERS'COMPENSATION INSURANCE AFFIDAVIT(Y.G.L.c.192,f 246)) Workers Compensation Insurance attldi vol must be completed and submitted with this application.Failure to provide this allldsvit will result In the denied of the bntencs of the building permit SOW AflWavtt Attached Yes....... 91' No...... ❑ 11. - Home Owner Exemption The current coemption for"homeowners"was extended to include Owner-marled Dwalliao ofone(1) or two(2)families and to allow such haneowner m engage an individual for him who does not posses a license,mrsyMed that the owner acts; s supervisor.CMR IN, Sixth Edition Section DeMWw of Homaewmr.Person(s)who own a parcel of lend on which helshe resides or intends to reside,on which them is,or is intended m be,a one or two family dwelling,arched or detached structures accessory to such use and/or farm strum .A person who eoostrucb more than am home is a two-vear marled shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a fare acceptable to the Building OfficialJoilklikkUkAnk responsible for all web work performed under the buildi"e permit As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion ofthe work fa which this permit is issued. Alm be advised thin with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers o Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,van may be liable for person(s) you hire to perform work for you under this permit The undersigned"homeowner"certifier and assumes;responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Tuning Laws and Soh 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: 15 Fair Street The debris will be transported by: *" Onsite dumpster provided by: Graham Waste Services, Inc. The debris will be received by: 215 Chief Justice Cushing Highway Cohasset, MA 02025 Building permit number: Name of Permit Applicant Sunrun / Craig Orn 06/28/2018 //?' Date Sign lure of Permit Applicant The Commonwealth of Massachusetts Department oflndastrialAccidents I Congress Street,Suite 100 Boston,MA 02114-2017 U9wavapenass.govoldia {Yorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbem. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant t f ti Please Print Le¢ibly Name(Business/OrganimtioNlndividual):SunNn Address:775 Fiero Lane, Suite 200 City/State/Zip:San Luis Obispo,CA 93401 Phone#:978-549-9438 Are you an employee Check the appropriate box: Type of project(required): l.[! I an a employer with 35 employees(full and/or part-time).• 7. ❑New construction z.❑lamasole proprietor or partnership and have no employeeswoAing fortneln g, ❑Remodeling any capacity.IN.workers'camp-insurance required.] 3.❑I on a brourwner Ming all work myself [No workers'cainsurance np.insurae regwred.l• 9. ❑Demolition 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑Building addition artmor that all conturmrs color have vmkos'compansmommiamanee or arc sole I1.❑Electrical repairs or additions proprietors with no employees. 12,E]Plumbing repairs or additions 5 1 am a gerund contractor end 1 have hired the subcontractors listed on the attached sheet 13.[Z]Roof repairs These subcavractors have employees and have workers'wmp mor ancet 6.❑We area corpommonand in officers haveexercisedtheiroght of exemption per MGL v 14.❑Other 152,§I(4),and we haven employees[No workerscomp.monam,requimd l Any applicant that checks box#1 must also fill out the section below,showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating rhry me doing all work and then hire outside contractors must submit a new affidavit indicating such. tCootractors that check this box must attaclN an additional shat showing dere name of the sub-commuctors and state whether or not More armies have employees. Ifthe sub-cintractars have employees,they and provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andlob site information. Insurance Company Name:Zurich American Insurance Company Policy N or Self-ins.Lic.N:WC013696003&WCOI3696103 Expiration Date:10101/2018 Job Site Address:15 Fair Street City/State/Zip:Northampton MA 0106 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 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 of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify undo Neludah,and'71 n/' jr rl Mat the information provided above is true and correct. Signature �• lS."—�---- Date: Phone#.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# 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#: Craig Orn 1734 Forest Street, Unit 400, Marlborough, MA 01752 (978)793-8584 craig.orn@sunrun.com mapermits@sunrun.com Massachusetts Department of Public Safety Construction Supervisor Board of Building Regulations and Standards Restricted to: Unrestricted-Buildings of any usegroup which contain License: CS480034 less than 35,000 cubic feet(991 cubic meters)of Construction Supervisor enclosed space. CRMO M ORS 73 WALNUT ST OXFORD MA 01510 Failure to possess a current edition of the Massachusetts Expiration: Sum Building Code Is cause for revocation of this license. Commissioner 01122!2019 DPS Licensing information visit:WWW.MASS.GOYIDPS --f4'lnuvHmumr//Q�c/(. �,rp OtE Mm+rMrYsaev.aeme an.. ROYEMPROVEYEYf I.bMTgACTOR fM TyA SUIyMna:A c.a +00120 tn'ty2a18 canal IiuYlletlon $Wwrm ft. Drug Om 776 FI..L.i 11MZ00 �RGJb a�-- SaI LUIS Ob4po.CA 93401 U UndeseowYY 0� u wea.ew �.nnnewn .�uw'�yn.. npywaon wad ter WdMdel un way oaatssaeaprMtva sae. a mod wumm: olein atcereuma athbs erp wr4mr R'u e. +o n.st ter msno nos+oa,W m++e #at validvd8+out eigtnbee latpsJanalgmys.ownhto A�d CERTIFICATE OF LIABILITY INSURANCE ^a. Im'YI 9111120`170`17 on 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 CeMOcate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,subject to Ne terms and conditions of Ne policy,certain policies may require an endorsement A statement on this cartiBczte does not confer ri hts to the certificate holder In Ileu as hendorsements. PRODUCER TT E: Arthurce Brokered A. vxoxE giF�$46-9300 FEE ,gigF S499 Insurance Brokers of CA. Inc. License 40726293 EMAR 1255 Battery Street 4450 San Francisco CA 94111 Ixs AFFORurvG cnvERAaE NMcx INSURER A:Zurich American Insurance Com an 16535 INSURED SUNRING-01 INSURERN:Navi ators SpecialbLinsuranCe Com n 36056 Sunrun Installation Services, Inc. INSURER c: 775 Fiero Lane,Suite 200 San Luis Obispo, CA 93401 IxsueER D: WSVRER E: INSURER F: 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. ILNSNJm TYPE OF INSURANCE Usoon RPOP EFF HMI. LT0. $p PIXJCY NUMBER MMD M B X COMMERCIAL GENERAL LIABOUTY Y LA17CGL2303211C 10/1/2017 1011@018 EACH OCCURRENCE 51,000 CLAIMS MADE ❑X OCCUR PflEMI5E5 Ee occurenu 5300,000 X 50 0 Refttien 55,000 PEfl50NALSAWINJURV STOOD,000 GEN'L AGGnH3ATE UNIT APPLIES PER'. GENERAL AGGREGATE E2,000,000 X Nia]PRI []LOC PRODUCTS-COMPMPAGG $2,000,000 OTHER'. Total Poliq Limit Ii own 000 A AUTOMOBILE Wa1LITY Y BAP915562506 101112017 10/112018 ED... 42,000,000 X ANY AUTO ODDITY INJURY(ENr Pinion) E A O60NLY ATOSV� BWILY INJURY(FE SAASC 4 ALTOS ONLY AUTOS ONLY N.v P) A 4 6 VNBRELLA DpB WCVR EALH LCLURRENCE 4 E%CE65 LIAR CLAIM$-MADE AGGREGATE 6 DED RETENTIONS 4 A WER MSCOMPENSATIX WON3696003 10/112017 101112018 X PER TH- A AND FMPLOYE0.4'WBILJTY YIN WC013896103 10111201] 101112016 STATUTE ER ANY PROPRIETOWPARTNERIEXECLTIVE ❑RIA EL EACH ACEI DENT $1,000,000 NI (MmUtlwy OFFICEIEMIIn NH)E%CLVDEOi EL DISEASE-EA EMPLOYEI 81,000 U00 1MT aMcle un DE SCRIPTIONOFOPERATIONSEBbw EL NSEASE-POUCYLIMIT SL000,000 DESCRIPMNOWERATOXSILGCATONSIVERICLESIACORDIOI,"EMH lRMMOSCMduM,ImyWMYCMENmma ceftpuhdl Vi 3696O03-$25,000 Deductible,WC013696103-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 SE DELIVERED IN 212 Main St ACCORDANCE WITH THE POLICY PROVISIONS. Northampton MA BIND M///lrxoRMF.D REPRESERTATIVE ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD ACCIR CERTIFICATE OF LIABILITY INSURANCE 2017 - THE CERTIFICATE-15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON T14E 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. NAPMTANT-. N Be sr wIl hotdsr N an ADDITIONAL NSURED.the polley(Ns)mug M{ndom" N SUBROGATION E WAIVED,suk/ed to the 1irrlle end wndRlonf of Be policy,pMin pokes may ra0utn an andonvo n wL A statement on thA coMkge does not confer right to the ce Mieb h~In EW of such endreeme •. PRGBreA Rersell Risk Beath Restem Insursnw Group LLC 77 Accord Perk Drive unit Bl XNCe Norwell ]M 02061 A Cosnum Znsur +iso a Crux c rorster Indesni Grahae 11"" Services Inc cXmdurww lrs renes Ccapany 215 Chief Justiw Clashing Hwy oppoRD, Cobasset MR. 02025 COVERAGES TMICATENUMB 44-17 Matter REVE'ON NUMBER: TMS E M CEITNF/TMT TIE POLICES W BEURAICS LETED BELOW HAVE SEEN EBIED TO THE BSREED N W ABOVE FOR TH7s12000000 D eBRCATED. NOTWITHSTANDING ANY PEOUPtO T.TERN OR CONDITION OF ANY CONTRACT OR OTHER DOVJMff WITH RESPES CERTIFICATE MAY M"M OR MAY PMRANL THE WNMANCE AFFORDED BY THE POLICIES DESCRIBED IEREE E SUBJECT TOTHEM, EOCLUEOM ATA CONDITIONS OF SUCH POLICES.UNITS SHAWN MAY HAVE BEEN REOUCED by PACQ . TYMOeBII11Ald 0000A �A,� � pi/201{ x/]1/x01) 00000n 000 OeMtMWlWTE AFRY1BL 'CpI,M i Incl El x 11rt 3 A1110110ana WaAIR ,000,00 A tlOLY WIIRYpV NMI l xZWM 2/]1/201{ 2/]3/201) IAUr0x ® x OCCUR e00LYi1AlY(rirAnsleri +f 2 000,00 A 0 7330 + 2,000,00 X I u, i/31/2018 2/]1/201) B RaouegwrAxN X x AweI1r1eRrSrRR8TtwIruAsurr ) Cemwo•ww01l al•our 081205254 /27/2019 /27/2011 LL -N500,000 x 1L 0n6V2./OIICY aM!I i 500,000 C X.S. Oabrella =3000023MOO apt/xOvB :101/foal rsioma,eM 3,000,00 Am,As 3,000,000 0,ideroo of IngaTernonOxBrIENCN9 McMAenDtr.AAN.wIAAiW amnaen.RMnnare Y,ygval svide2Nae of Ineuranw CERTIFICATE HOLDER CANCELLATION !NOUN?ANY OF WEAEOVE DBKAEBD POLIGBB BE cANOBuw BVOIE THE IX TM DATE THEIIEOr, NOTICE WILL BE DELIVERED IN B11l1LDn Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 734 rorest street, Suite 400 Aunlon®amAme Marlborough, NA 01752 John x0egel/J1G. ACORD 28(2010108) O 19842010 ACORD CORPORATION. All rights;rseermi (3025(anoc+).aH The ACORD Mme and logo are,M9Istred marks of ACORD ACOR& CERTIFICATE OF LIABILITY INSURANCE "A' 04/302018 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 have ADDITIONAL INSURED proNslons or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the Policy,certain policies may require an endorsemerd. A statement on this cart8icale does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MI5; ISABELE CORDEIRO Bruway Insurance PHONE .978155-5991 ",;978-455-9934 345 Main St Unit B1 ..L into�frazwaylnsuranceagency.com Douas. Tewksbury MA 01876 OISURE a AFFORwxGCOVERAGE xwcr IINSURERA:ATLANTIC CASUALTY ALL INSURED INSURER B,COMMERCE INSURANCE TECHNOLOGY ROOFING DESIGNS INC NSURER C.NAUTILUS INSURANCE 969 WESTFORD STINauRER o AIM MUTUAL LOW ELL 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. PIXILYEFF POLICY EXP UNIrS FGENLA�GREGATELIMITA�LIESPER YPE" Pa"NCE pOLKYNUMBER YMI MwDD/YYW RCIALGEXERALLMBILRYL_j E4CH OCCURRENCE $1,000,800 IMSMADE ©OCCUR PREMISES Ea rcu P 4100,000 MED E%P lAny one pamn) $5,000 L117002782 ONOW2018 031OW2019 PERSONALSAWgUURY 5 110001000 EGATELIMITAPPLIESPER'. GENERALAGGREWTE s2,000,000 jECT LOC PRODUCTSmCOMP.PAGG $2,000,000 . $ ELIal CO BBINEOSINGLE LI IT $70000-00 IraagentTO BODILY HJURY Win AIun) $ SCHEDULED GRM759 0411112018 0411112019 BDDILY INJD11 IP.,nmaenD $ ONLY AUTOe HIRED N.-OWNED PROPERTYOAMAGE $ AUTOS ONLY AUTOS ONLY Pw,uRhnt S UMBREllALIAB OCCUR EACHOCCURRENCE $3,000,000 C EXCESS LMB CL .s-.DE AN037249 0310612018 0310612019 AGGREGATE g 3,000,000 O$D I I PC ENTIox s WORNENSLOMPENBATIONRI OT� AND EMPLOYERS WBIUIY STATUTE ER OµEEreioioPRPRIET WPAmNlOENEXCLUDa,iECUUVB O NIA E EACH ACCIDENT $ 1,000,000 D (MenWtpyN U AWC40070345642017A 06/2212017 061222018 E.L.DISEASE-EA EMPLOYEE $1,000,000 ff :11,1gn UM DE$CRIPTIONC£OPEMTWNSMb E L.DISEASE POLICY LINT 51,0001000 0 DESCRI lMOr OPERATIONSILOLATX)NSIVEHMC $(ACORD 101,AtlJitlonal RamaAs 4[MEUIs.may Ee aXaNaGX morespea is,pulreEl PAINTING,CARPENTRY,SIDING AND ROOFING SERVICES 2002 DODGE RAM 1500 WN:3D7HA1BN82G149590 CERTIFICATE HOLDER CANCELLATION SUNRUN INSTALLATION SERVICE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 734 FOREST ST SUITE 400 THE EXPIRATCON DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MARLBOROUGH,MA,01752 AUMOR"EDREPRESENTATWE O 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD P,MUmd using Fams Boss W,b SORxare.v'w ROMBew..cum(r)lmpnulm Publishing Inge-N84777