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32A-166-014 BP-2023-0628 14 BIXBY CT COMMONWEALTH OF M SSACHUSETTS Map:Block:Lot: 32A-166-014 CITY OF NORTHA PTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGI TERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARA TY FUND (MGL c.142A) BUILDING P RMIT Permit# BP-2023-0628 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2023 Contractor: License: Est. Cost: 13800 SEXTON ROOFING 0 99689 Const.Class: Exp.Date: 10/05/202 Use Group: Owner: HARPE' ELKINS NIRA Lot Size (sq.ft.) Zoning: URC Applicant: SEXTO ROOFING CO Applicant Address Phone: Insurance: P O BOX 6327 (413)534-1234 7pjubog07898222 HOLYOKE, MA 01041 ISSUED ON: 05/16/2023 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: f ►� #, Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: :413)587-1272 Office of the Building Commissioner ................_... The Commonwealth of Massachusetts . ' Board of BuildingRegulations and Standards :..F..OR tf. TY Massachusetts State Building Code,-780 CMR,76 edition G USE c —< . Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised/am/my 1:. r••• One-or Two-Family Dwelling 1,2008 J7. N _ • This Sects n For Official Use Only o m N Building Permit Number: to P a 3^0,1•O Date Applied: ''.-1,1;) . .\ _..§ibmatureR . '///tZ • . S— Ii, ZUz3 • e 0 Building Commissioner/Inspector of Buildings • Date u ....�._.._�...__._ _ • SECTION 1:SITE INFORMATION 1.1 r pe 4ddr s• 1,2 Assessors Map&Parcel Numbers 1.1a Is this an accepted street?yes no Map Number Parcel Number • 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use ____ Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) • • FrontYard • Side Yards . . , Rear Yard Required • Provided Required Provided Required Provided . • 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private U . Zone: _ Outside Flood Zone? Municipal❑ on site disposal system ❑ Check if yes❑ • • SECTION 2: PROPERTY OWNERSHIP' / • O`4p�ter�I��of fiord: eA4.re,40,77 p2 /�C��//lc� .-4, Ap� s'' .7_ 0 )4,7A.e,_ , A,I, • apc(Print) / Ad ress for Service: • • Signature Telephone • SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) .New Construction❑ Existing Building Wpwner-Occupied ❑ Repairs(s) 0, Alteration(s)1C3 Addition ❑ • Demolition ❑ Accessory Bldg.0 NumberofUnits ( Other ❑ Specify: Brief Description card Work: . SECTION 4:ESTIMATE')CONSTRUCTION COSTS • • Estimated Costs: Item , • ' Official Use Only. (Labor and Materials) • 1.Building $ 1, Building Permit Fee:$Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $' ❑Total Project Costs(Item 6)x multiplier . x x 3.Plumbing : . S ' 2. Other Fees: $• 4.Mechanical (HVAC) $ List: - . ' 5.Mechanical (Fire Total All Fees:$ Suppression) _ Check No._•_�Cheek Amount: Cash Amount 6. Total Project Cost: $ •:/� (1 _ 0 Paid in Full CI Outstanding Balance Due: t .- - SECTION 5: CONSTRUCTION SERVICES 5.I Coustru n_SuperviserLicense(CSL) f 1 ismNumber mar_Name o£CSL Holder 0 BOX 0, List CSI.Type(sxbe#avP) 6e/113 Na_and StreetTypc qjoAreli ,?' I4- 010 4// U `Unrestricted nsstm to 35,11o0 en.It)_ R -Restricted.1.1k2 Fes•Dwrrmg RC WS Window and Mtfln•g SF Solid Foci Burning Apes I Insulation --- Tel phone Email address D De rn ht on_ _ � Registered Horne imp ruvemeat Contractor(IRIC) 15� rjrjc3 plc Comisany Nye orE[icigrName.693.27 .1 _ Na. nd Sacet. -1 add kitrAfe I e,177A d/03Q 413 534-4 3 cay ,State,1.1±' Telephone SECTION&_WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.GT-c.IS2-§25C(6)) _ Workers Compensation IIsnrx+rr affidavit must be rnmpleted and submitted this application_ Failure to provide this affidavit will result in the denial of the Issuance of the building permit Signed AffidavitAn2ritrd? Yes_____:_:& ' No 0 SECTION 7a OWNER.AT)THORIZATION TO BE COMPLETED WIDEN • OWNER'S AGENT OR CONTRACTOR APPT.WS FOR SIIILDING PERMIT Q L as Owner of the subject property,.hereby authorize C (1f} Gf /I (.JI I176r'_L e, to act on my behalf;in all matters relative to work anthor�td by-this•, ••Jo ••••; application-1 aDnirok Print Owner's Name(Elertmnic S c) SECTION7in OWNER'ORAUiHORIZED AGENT DECLARATION By entering myyname below,I hitteby attest under the pairs and penalties ofperjmythat ail of the information contained in this licarlon is tree and accurate to the best of my knowledge anti nndexstandiu Ai 3 1F t$5 SIGNEd Ownerer Authori ed ent S US Date NOTES: I_ An Owner who obtains a buil'rmer permit to do bistherown wow m an awnerwho 1 s an inuegiAmmd aantractor (not registered in the Home Improvement Caamactor aril )Pr again),zeal=have access to the anl•:taeiiu., kmugiaut orgaaranty fiord under M.G L.c.142A_Other Ott information on the MC Program can be found at Www_r„ gorn foci hriommtion art the Construction Stipe visor i. iertse=be found a€www s-fdps 2 When substantial wads planned,provide the information below; Total floor area(sq.f.) _ Cmrtn ii ggarage, basententlattics,.desksorporch) dross Truing area(sq.$) Habitable roam matt Numberoffireplaces_ Numbero'fbedroams. Number ofbathrooms Number ofkalfbalits Type aflteatiug systau. Number of&cksi pots Type of tooling systeeu - Enclosed Open • 3_ "Total Project Square Footage"May bed for"Total 1'a ujert Core' City of Northampton 'a.rl Mf. •,i% � -,>/` " Massachusettsy . '` , eG ,•• l�sf d DEPARTMENT OF BUILDING INSPECTIONS ` 212 Main Street • Municipal Building %." C1• Northampton, MA 01060 'r %1g CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: ? Agm The debris will be transported by: Name of Hauler: 4Scc___/,0-71--e- Gei7P(�� Signature of Applicant: Date: S c'l /23 fropocial SEXTON ROOFING AND SIDING INC www.sextouroofing.com lIMO kult- P.O. Box 6327 Z Setting the Standard Holyoke, MA 01041 AIM Jaw aloft aimiiikill1111.1rek p. 413.534.1234 f. 413.539.9906 MA HIC# 118239 se.ACtonroo1ing hotma Jtcorn Kendrick Property Management PHONE 253-0825 DATE 9/7/22 STREET 2 Ba Rd. P.U.Box 3220 Amherst Ma. EMAIL • 14 Bixby SEXTON ROOFING HEREBY SUBMITS SPECIFICATIONS AND ESTIMATES FOR: irr � (. [ t`,+t_ 1) Strip and remove existing shingles and dispose of in proper landfill. 2) Inspect roofing deck and replace as needed($105.00 per sheet. 3) Install new metal edging to rakes and eaves of roof. (white/brown) 4) Install ice and water shield on eaves(b'),vent stacks, in valleys,chimney,at intersecting roofs. 5) Install synthetic roofing underlayment on remainder of roof. b) Install new flanges over existing vent stacks. 7) Install starter shingles on eaves and rakes of roof. 8) Install IKO Architectural style roofing shingles as per manufacturers'specifications. 9) Supply manufactures Lifetime warranty and SRC 5 yr.workmanship warranty. ATTENTION HOMEOWNERS:PI.EASE COVER ALL PERSONAL BELONGINGS IN THE ATTIC,GARAGE,OR STORAGE AREAS DUE TO POSSIBLE ROOFING DEBRIS OR DUST COMING THROUGH CRACKS OF WOOD DECKING, SEXTON ROOFING SHALL APPLY FOR ALL PERMITS PA,Prom's,hgrebr tP hails*iffstorlitipw' `c.nwScte is accortlancv with thi above w clf'clatiffm_foEr the SIMI of 7birtar t Mow,nd,tl?IO'ht NGvefdr®d DOLL Cisfig.LBlOI-Oe.I PEN IT PAa'MFNTS TO DE MAOE AS FOLOWSs due in full upon completion All Material is guaranteed to be as specified. All work to be completed in a Authorized workmanlike manner according to standard practices. Any alteration or Signature • deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.DAMAGfSIO tscsHHE$AND O1llEtt vEGEtAtrose MARkse»not+t MAv Note:This proposal may be withdrawn by us if not accepted within HE urrAvourna.r:ANn WE ARE NF t.n HARMLESS. Not responsible for water (14)days. damage during construction. Owner to pay responsible legal fees for non- payment,and applicable interest. C Sltttgftttlttt of iltellegi 1 The above prices,specifications and conditions are satisfactory and are hereby accepted. You Signature — - • ),r7 are authorized to the work as specified. Payment will be ' `` ` '` i made as outlined above. Date of Acceptance. %' ' -= 4'irl dirt1 in in/2 IropoMi SEXTON ROOFING AND SIDING INC www.sextonroofing.com VO P.O. Box 6327 Holyoke MA 01041 Setting the Standard fit .•�.+11 t p. 413.534.1234 f. 413.539.9906 MA MC# 118239 xtonrgofin(g hotmail.fom -.- Kendrick Property Management PHONE 253-41112s 1ATF 9/7i22 —— STREET 2 Bay RI.Haley P.O.Boa 3220 Amherst,Ma. >w LL rr4ionanagement.com SEXTON ROOFING HEREBY SUBMITS SPECIFICATIONS AND ESTIMATES FOR: ( 1 I f" ��t.` 5,fit- C,k',f't`i 1) Strip and remove existing shingles and dispose of in proper landfill. 2) Inspect roofing deck and replace as needed Or$105.00 per sheet. 3) Install new metal edging to rakes and eaves of roof.(white/brown) 4) Install ice and water shield on eaves(6'),vent stacks,in valleys,chimney,at intersecting roofs. 5) Install synthetic roofing underlayment on remainder of roof. 6) Install new flanges over existing vent stacks. 7) Install starter shingles on eaves and rakes of roof. 8) Install IKO Architectural style roofing shingles as per manufacturers'specifications. 9) Supply manufactures Lifetime warranty and SRC 5 yr. workmanship warranty. ATTENTION HOMEOWNE*S:PLLASE COVER ALL PERSONAL$ELONOIVO5IN THE ATTIC,GARAGE,OR STORAGE AREAS DUE TO POSSIBLE ROOFING DEWS OR OUST COMMNO TRIOS KM CRACKS OF%OOD DEMI NG. StAllYt ROOTING SHALL APPLY Fol Alt PERMITS We Propose hereby to tvrntah matertel allt/1eINN-6tIffioNF I_M accent icl IS1 mil a ca'. IVIn t aumea„_Mc S* f4NN Of TkMeew TbwNnd Vett Nwadretd OO S,A AIMFPER UNIT PAYMENT*TO m<NAME AS PQ due In full upon completion AR Matenal is Fturantced to be as specified'. All work to be completed in a Sri/Cd wortntnnflke mtener ac ors rig to standard practices Nay alteration or c • Signatur deviation from above specifications involving extra costs will be executed only s �_ upon written oatcrs,and will become an extra charge over and above the estimate ttAMA01%to RI tints'A\110nnta l'tt:it. wta oar:+fir r.-x'.r ua+ Note:This proposal tray be withdrawn by us if not accepted within Pt LVAtt311)4Plt AWN t AKt Nutt'IRAKMttXS. Not responsible rot Nam f14'days. damage during construction. Own n()wiser to pay responsible legal tees for no payment,and applicable Odom Santana of)ropotial The above prig.specifications anti conditions WCsalisfaLtury and WC hereby accepted. You Signature err arc authorized to the work as specified, Payment will be tr.; !fit c:g made as outlined above. # S�14. _.•j L ram- c= t- �' r'.r-�t t Date of Acceptance .,j-/- :Z ) j "(,\ 1 ne Lommunweuun uJ I►l WJ4{,rsssucsa.a Department of Industrial Accidents Office of Investigations y ,t 'n Lafayette City Center ~r 2 Avenue de Lafayette,Boston,MA 02111-1750 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers applicant Information Please Print Legibly qame(Business/organization/Individual):Sexton Roofing&Siding Inc address:P.O.Box 6327 "ity/State/Zip:Holyoke,Ma.01041 Phone#:413-53#1234 ire you an employer?Check the appropriate box: Type of project(required): ❑ 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 ❑ I am a sole proprietor or partner- These on the attached sheet. 7. ❑Remodeling shipand have no employees These sub-contractors have g ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.t 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 0 I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself, [No workers'comp. right of exemption per MGL 12 WRoof repairs insurance required.]I. c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] ay applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. omeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such_ retractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have ployees. If the sub-contractors have employees,they must provide their workers'comp_policy number_ 'm an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site rormation. iurance Company Name:Travelers Property Cas Co Of Am they#or Self-ins.Lie.#::7PJ/UB0G07898227 Expiration Date:06/4/23 /'/,b Site Address: t /7/5/../.6 t, City/State/Zip: /t erj'1 '1--jr s'-' 7 tach a copy of the workers'Compensation policy declaration page(showing the policy number and expiration date). ilure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ;e 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 up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of vestigations of the DIA for insurance coverage verification_ to hereby certify under the ' ins and penalties ofperjury that the information provided above is true and correct Mature: Date: 377 7/j ?>/ � / ;one#: S y � � � z � Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(check one): r-� 1❑Board of Health 20 Building Department laity/Town Clerk 4.0 Electrical Inspector s❑Plumbing Inspector 6.ClOther Contact Person: Phone#: • ��-1 SEXTO-2 OP ID:KH ACC)R® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) L....------ 06/30/2022 THIS CERTIFICATE 1S 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 413-737-030000NTACT Eric Dembinske OrmsbyInsurance Agency Inc. N__AME 698 Wetfield St PO Box 718 (a°No,Ext):493-737-0300 1 FAx No):4a3-a37-06aT West Springfield,MA 01090 EE IDS:edembinske@ormsbyins.com ADDREric Dembinske INSURER(S)AFFORDING COVERAGE NAIC ii INSURER A:Northfield Insurance Company NSURED INSURER B_Progressive 24260 Slexton Roofing&Siding,Inc. I - PO Box 6327 INSURERC: Holyoke,MA 01041 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS I Ell 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 AADDDL UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IINSD WVD, POLICY NUMBER , .Q LN 1DrYYYY1 (MM/DYYYYI UNITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,QOO CLAIMS-MADE X OCCUR WS45073 06/25/2022 06/25/2023 DRMAEMISES(EAGE TO RENTEDao4cunencel S 100,000 P MED ED.(Any one person) S 5,000 PERSONAL&ADV INJURY S l,000.000 _GEN'L AGGREGATE LIM/I-APPLIES PER GENERAL AGGREGATE S 2,000,000 X POLICY PRO- JECT I LOC PRODUCTS-COMPIOP AGG J 2,000,000 OTHER: B 'COMBINED SINGLE LIMIT S AUTOMOBILE LIABILITY I 1,000,000 IEa accident) S ANY AUTO 04434955-0 05/15/2022 05/15/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSEE�� ONLY X AUTTOpSyy BODILY INJURY(Per accident) S X AUTOS ONLY X AUTOS ONLY (PeOO accPERident) $ I S UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB I CLAIMS-MADE AGGREGATE S DED I I RETENTIONS S WORKERS COMPENSATION I PERTUTE I I E OTH- AND EMPLOYERS'LIABILITY �,i N I STAR ANY PROPRIETOR/PARTNER/ ECUTIVE TO BE ISSUED SEPARATELY IX E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) if yes,describe under EL DISEASE-EA EMPLOYEE S DESCRIPTION OF OPERATIONS below EL_DISEASE-POLICY LIMIT I$ 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) roofing&siding contractor CERTIFICATE HOLDER CANCELLATION NONE-01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS_ (`:' ` -`3`)� 1���J../ AtrrxDRRED REPREESE TAITVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. A CERTIFICATE OF LIABILITY INSURANCE DATE(FaWDD1YYYY) 06/07/2022 THIS CERTIFICATE IS ISSUE?AS A KAI test OF INFORMAT€ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE 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 poi'cy(ls)must be en d. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endolsceuent. A statement on this certificate does riot confer rights to the certificate holder in lieu of such endorsernent(s)_ PRODUCER timeCONTACT Kathi Hutchinson time ORMSBY INSURANCE AGENCY RAYNE CAID.No.Exk (413)737-0300 I PAX WC,riot; ADORFss: khutchinson@otmsbyins.COIJI P D BOX 718 AFFORDING CGWERPiEE L NArc# WEST SPRINGFIELD MA 01090 ersi A: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER s SE CTON ROOFING&SIDING INC INSURER c: ROMER 4: . PO BOX&127 INSURERS: HOLYOKE MA 01041 INSURER E: 1 r COVERAGES L ei<ttrsCATE NUMBEit 782111 REVISION NU THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED ID THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDiCA I ED. 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 I tHMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEN REDUCED BY PAID CLAIMS_ I I FOL�YYF E POLICY JEEP LTB T7PEOF ��fl }RSO. POLICY NUMBER I[ HDEN6YYY)fNIMIDOy7Y4 t LIMITS 1 COMMERCIAL GENBRAL LIABa rY1 — EACH OCCURRENCE S DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea ocaarenm) S L 1 NIED Sid.(Any ME prism) I$ I N/A EtsaivAL&ADV INJURY (S GEN'L AGGREGATE UNIT APPLIES PER - IP GENERAL AGGREGATE t S I POLICY JEGri t[AC 1PR067DCi5-COPPIOPAGG,S !OTHER: AUTOMOBILE LIABILITY _ S ANY AUTO I COMBINED SINGLE S (Ea accident) i_ NI i . I BODILY INJURY(Peg-person) S ( Eu i SO t UlEl A (1 Y INJURY(Per accident) S UTOS PROPERTY HIRED AUTOS g,AUTOS AWNED (Peraraderd}AE $ S UMBRE LA:SAE OCCUR - 1 f I EACH OCCURRENCE 1 S EXCESS LIAR CLAM -MADEi If NIA 'AGGREGATE S DET j RETENTIONS ! ! S WORKERS CIO ( fff I x I STATUTE 1 ER AND EMPLOYERS UABaJr Y t ANYPROPRETORRARTN aITNE Y!H j EL EACHACCIDENT S 1,0 0,000 A OFFICER/ ERE(CLUDeDa WA PeA NIA 7PJUBOG0789$rrl 3 (Mandatory in NH) FL PLSF.ICF_EA EMPLOYEE S 1,000,000 If yes.desabe under DESCRIPTION OF OPORATIONS We'oa EL-'a.-POUCY UMTV s 1,000,000 I I I I f NIA I DESCRIPTION OFFOPrZi ATSONS!iocAT7ONS4vereaLES(srnitn1OS,Attdras ally Schedcfni,uayPe aZasiosId sUlm=sPssisTrod) Workers'Compensation f1erze{rls will be pawl Il Mass chute is employes only_Foment m Er ie-wstrlrra it WC 20 03 06 B,no authori�on is given to pay claims for benefits to employees in s other than Massachusetts if the insured hires,or has hired those employees outside of Massachus . This certificate of insurance shows the policy in forte on the date that this certificate was issued(unles-s the expiration date on the above polity precedes the issue date of this certificate of insurance). The sled n of this coverage can be it;al Raked da1y by at.x.eig the Proof of Coverage-Coverage Verification Search tool at wwer_rrmass_ . CtfiIIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL RE DELIVERED IN AlintaffeDtgralalaaiNint ACCORDANCE WITH THE POLICY PROV S. AUTHORIZED REPRESENTATIVE MA 01040 l Darrset M. y,CP .I,Vice President—Residual Market WCRIBMA ®19-88-2SI4ACORD CORPORATION. All rights reserved. A e-nnrs'E 1Or►9@in91 rem Af_F5 n ra,,rr+n.1:eu+s...e..ran'.•- ,—L.esF of 13e?f `4c D® CERTIFICATE OF LIABILITY INSURANCE DATE(NM/DO/YYYTI kb....---- 02127!2023 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 BRUNO ROZEMBARQUE POINT INSURANCE INC PHONE ; 017)783.1160 ADnrEss: DTUROOa poindnsure.com 1103 COMMONWEALTH AVE INSURER(S►AFFORDINGCOVERAGE NAIC It BOSTON MA 022151111 INSURER A: AIM MUTUAL INS CO 33758 IIIISURED INSURER 8 _ E C A GENERAL CONSTRUCTION INC INSURER c_� _ _ ,^�T_._. ._ __._,_.._____,__._ INSURER D: 8 OTIS ST APT 1 INSURER E_ �_ _-- • —.r.t___•__ i . MILFORD MA 01757 INSURERF --— — ._ _.._- COVERAGES CERTIFICATE NUMBER: 866002 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 POUCIES.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Van I TYPE OF INSURANCE M—'IIOi1L5UBR- _.-_._.—_.._..._ POLICY EFF 'POLICY EiP — -'---' ---_ LTR, i iNSD:WVD'- POLICY NUMBER i(MMIDONYYYY1+IIIINIDOSYYYY)' LIMITS 1 COMMERCIAL GENERAL UAMJTY ) j - ` {EACH OCCURRENCE i S 1-7 i t ..._..�_._CLAIMS-SIADE L_OCCUR ii "DMNTIC5 Xs j_._�...--_..- ( iPREMI_SES Xs wL.__ S _.._ t ( { l_MED EXPIAtry one personL. i S.,..{....._...___._,._._.___.___._—— ..._._..._� 1 i MIA ' � LouPERSNAL_a ADV INJRY (s •-�.___._._.._ I—I! i t IGEN'LAGGREGATE LImrr ASTMS PER: I I 1 GENERAL AGGREGATE I s i PRO- } -�__ _ .. !POLO 1:jrEG ,..._LOC J I. 'PRODUCTS-COMP'OPAGG,S 'OTHER, y I ? ROOU TS--^---.__,�3 AUTONOBILELIABILITY .. f COMBINEDSINGLE L(MIT 1 i ! LiE acci rt,. ANY AUTO i { ) t i BODILY INJURY(Pon person) S ~:OWNED SCHEDULED j( I .---. --_. _-.._.____._ -_AUTOS ONLY f AUTOS # f NIA I BODILY INJURY(Par cctdelrt} E i HIRED NON_OW�NED r i —PRPERTY MAGE UMBRELLA LAB ; i e i - OCCUR -•EACH OCCURRENCE I S EXCESS 1JAB _CLAM tS-IJA�E NIA .; 1 AGGREGATE I S — i CEO :RETENTIONS }1 ! I s WORKERS COMPENSATION 1 1 Ne PER I OTH- AND EMPLOYERS ABILITY YIN I 1 {• )• ('`�-aSTaT `� L ._._._._.� ANYPROPRIETOWPARTNER ekEcunv£ j I i �Et.EACH ACCIDENT`_ •$ 1,000 000 A °mut/Aviv/BER£XCLUDED' NR 4 NIA I,SA: VWC10060260282023A 02!1 1 i2023 Q2J1 l{2024 - •~---• (Mandalory in NH) ! EL0(SEASE-EA EMPLOYEE $ 1.000 000 !II yes,dexribeunder I _.�..�_.. ;DESCRIPTION OF OPERATIONS blew f EL DISEASE-POLICYtJMfT j$ 1.000,000 1 I NIA i I DESCRIPTION OF OPERATIONS/LOCATIONS i VEHICLES(ACORD101,Additional Remarks Schodulo,may bo attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B.no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate at insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govfwdfworkers-compensatiortlinvestigationsl. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SEXTON ROOFING AND SIDING ACCORDANCE WITH THE POLICYPROVISfONs. 102 PINE ST-PO BOX 6327 AUTHORED REPRESENTATIVE HOLYOKE MA 01040 Daniel M.Crowley,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AC RD CERTIFICATE OF LIABILITY INSURANCE DATE `2"` ' 03/27/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORJAAT1ON 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 INSUREtt(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 belt of such endorsement(s). CONTCT PRODUCER g' valdir horba I-INSURANCE GROUP INC rw (fie) _ FAX► , rfnsuran re net ADOR€ss: vtlorba�' � Up, _. 799 GORHAM ST ieSURERMr:trn nwsCOVERAGE NA1a0 LOWER MA 01852 INSURER*: TRAVELERS INDEMNITY GO OF AMERICA 25666 INSURED INSURER II: , LOG HOME IMPROVEMENT INC INSURER C: INSURER D: 18 SPRING ST 1ST FL INSURER E: MILFORD MA 01757 INSURER F: COVERAGES CERTIFICATE NUMBER 875092 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 CONDRION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 71-3is CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DFSrRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i.Tp I TYPE dF7lIGE wpm wvO. POLICY WIllBER i fAIiiv (iv'/YYI, LW/TS 4t f GYAL GENERAL.LW6lUrY EACH fCE� (1 i 1 1 CLA tS.MADE I I OCCUR ]] PAB,&4ES tE. ema'€nt'e) 1$ '---_ 1 I MED EXP tAny are pavan) I$ N/A ( PERSONAL&ADV INJURY ,S�ffGII.rL AGGREGATE LJ eT APPLIES PER I GENERAL AGGREGATE ,S _ PooCY! 1 JC-CT III LOC 111� PRODUCTS-C�OMP,OPAGG j$ { f { { doU&irvt�SINGLE OW iT I$ Atrlr11v160 F]„(q$1ifrY , ) ,., 1 ..--1 ANY AUTO }SOD0.Y ANJDR'J(Per Person) 1$ (C1WN ��"-!SCUMMEDNIA BODILY INJURY(Per acadeng $ I 1 HAIL®ONLY OEN-OWNS - F�X YP'Ft(SP .D .sE • .. Auras OY I,__,Auras ONLY ,-tom i 6.�NL i I 1 s . ( i UMBRELLA LIAR I t occuR... T _ .__.` -_ _-_. .. EACH OCCU OCCURRENCE $ EXCESS USS I I IH ctaMs+vnoE ( N/A i AGGREGATE - - S I DEB i i RETENTIONS - IC ( S AND EMPLOYERS'LUABIlfTY Y/H I t I�I 'nyR i FIRu' /ANYPR'OPR)ETORPARINERIEXECUTIVE - iEL.EACH ACCIDENT 0 100,000 A , wA1 N/A 1 NIA; 6H11130186974323 03/26/2023,03/26/2024 I(Mandatory in wi) i E1 DISEASE_EA EMPLOYEE S 100,000 H yes,Ne a under - `` DESCRIPTION OF OPERATIONStaeiow I i I EA_DISEASE-PoLIcYlMrT!s 500,000 N/A 1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES WORD 101,AddSo U Remarks Sdaeduk,ma7 4e attached if more space is regt d) Workers'Compensation benefits will be paid to Massachusetts employe only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiation date on the above policy precedes the issue date of this certificate of insurance)_ The status of this coverage can be monitored daily by a.ce ing the Proof of Coverage-Coverage Verification Search tool at www.mass.govll _ investigations!. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TIIEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T e EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN SWCTON ROOFING AND SIDINg INC ACCORDANCE WHIM POLICY PROVISIONS, POST OFFICE BOX6327 m . __ , ._ rutORt�nREP 1'rAAI I Cr HOLYOKE MA 01041 Daniel Daniel M.Croy,CPCU,Moe President—Residual Market--WCRIBMA 0 1988-2015 AGORD CORPORATION_ All rights reserved, �. ..,..,e ,,.. . . , STATE OF CONNECTICUT DEPARTMENT OF CO:VSZ.TIER PROTECTION � � HOME IMpRpp ,CpmTRACFOR re tick Aft L of and 5randa ES I 'J SEXTON SR. 3 Board of Bing t r r gpecu--, L PmeSt`; Const _ ; 1�g5(2023 HOEYA_ M& 01Q40-2411 cites" - ti ' G5t1-499 '" I SEXTON gOOFINGB�SIDI1tZ0 CO err J �n HIC.0605383 12 � �� i;r ��y t01f2021 03/31/2023 li• w-----� SIGNED -L{h4S=cVL SE:.si:Siics tiq time RESPL:NSt.iB ;" R :�:,S i "i c'3Z A I—IRE S EX:1R_iS{ON STATUS SEXTON ROOFING �y;Nrs-rr�iTMA33 T� ..ttom �:3 .ems D�1 �yl' �1vf.1C.r.... Current iLYV& S�`yN.E E E1 1 118239 RO"BOX 6r1Gf 21120c3 Current Inc HOLYOKE.MA 01041