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23D-134 (13) BP-2023-1490 57 HINCKLEY ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23D-134-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-1490 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: Est. Cost: 18000 WINDOW NATION LLC 116396 Const.Class: Exp.Date: 05/20/2025 Use Group: Owner: H SCHUMANN THOMAS K&PATRICIA Lot Size (sq.ft.) Zoning: URB Applicant: WINDOW NATION LLC Applicant Address Phone: Insurance: 575 UNIVERSITY AVE (866)217-9582 45WEAAX5VN6 NORWOOD, MA ISSUED ON: 10/23/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 15 REPLACEMENT WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I.; • Ir . 3-1* I , Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner The Commonwealth of Massa usett• c VI . Board of Building Regulations a Sta i.r�c}�§,,,, ///� FOR Massachusetts State Building C de, 77.1 CNI T UNICIPALITY SE Building Permit Application To Construct,Rep ' ' 19 •.to Or Dc. er>�h a Revi d Mar 2011 One- or Two-Family Dwellin ✓°`lTy% This Section For Official Use On gbh'04;�i iv,,,, Building Building P rmit Number: j � / q =v,0C/, Date Applied: �� N0s'On�tiB J'D Z3 ZOZ3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Ate, ess ,j1Jc ,?J y T 1.2 Assessors Map&Parcel Numbers 1.1 a Is this an accepted street?yes f C no / Map Number Parcel Number p 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: -r�)r�► ;set,timiYAuti f2it) Ap- ei L2- Name(Print) City,State,ZIP /7iJ4 / 7 - oI 2 ) --- - / No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of nit Other 0 Specify: Brief Description��o``f Proposed�ro� �� W,rk2: _ — .6tir ' ,I y" Zr ✓U) ;: .r rfrtasl!' . n! 7.. ..-__)-1)/Prit,g >, V Adr SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ /.�177D ,,<, 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: ' (F Check No. vkuVCheck Amount: "�,V Cash Amount: 6. Total Project Cost: $/ ff2/2-) +172 0 Paid in Full 0 Outstanding Balance Due: • SECTION 5: CONSTRUCTION SERVICES 5.1 Construction,Super�visrr License(CSL) e 1/6 . 9 le)-2 2. 19 „s�31 S� '�` 7LZ_. License Number Expiration Date Name of CSL Hol er j,/2 DX 2 J) ,v4 List CSL Type(see below) 0 No.and Street / T e Description C UM �l ET- .D2 �} �(U1 Unrestricted(Buildings up to 35,000 cu.ft.) // `'� Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding 113) 5 f-�2, SF Solid Fuel Burning Appliances C� ) -2---2__ I Insulation Telephone Email address D Demolition • 5.2 Re 'stered Home I ntContractor(HIC)�/�p�'UfiVib-_� L. f-7,4 2-/2-2eegistration Number Expiration Date HIC Com [J e,oF7 jte str�nt ac 1 V/' nd Street (/Af b2.4 // 2. 2. Email address "tt City/Town,State'ZI Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes V No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize 1 x/1" JL)O,,V tto aact on my behalf,in all matters relative to work authorized by this building permit appliyA . ion. 1P11 CA0132,/i/vill--- e6-7-7 *7-- 927-21)23 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is and, e best ledge understanding. &,/ b -_ 929zo�3 Print Owner's or Authorized A ent's Name( ectronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" • City of Northampton SHA- ?'-� boa ��4, S,5 .._ s,, •' c Massachusetts A�� --- 'C. • y� * G !i 1' .4 .) N11 It.. 1. ( ,� DEPARTMENT •OF BUILDING INSPECTIONS s e w , � 47 212 Main Str..t • Municipal Building ff' o° ,.,. :,, r.' Northampton, MA 01060 sSfrW 3,�‘^�` 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: , 213bJ m-) :/9- The debris will be transported by: Name of Hauler: j),—p u/ ,7 / €i - v, -L ,_ Signature of Applican . Date: q -9 1070 North Farms Road Date of Agreement: Wallingford, CT 06492 September 21, 2023 WINDOW NATION Sales: 866-446-2846 License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582 PRODUCT SPECIFICATIONS Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (413) 320-5351 Primary Mobile patschumann44@gmail.com Patricia Schumann (413)270-4025 Secondary Mobile Tom Schumann 57 Hinckley St Florence, MA 01062 Buyer(s) listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications (collectively, this "Agreement"). Windows - Ultravision inclusions: Beveled exterior frame with slimline look, Fusion welded frame and sashes, Limit lock on double hung windows, dual-fin wool pile weather stripping, cam-action lock, special formula uPVC, block and tackle balance system on double hung window, Integral lift rail, Intercept spacer system, reinforced meeting rail and bottom sash rail, , Dura-Sill engineered sloped sill, Soft-Seal straddle gasket, exterior custom capping,installation by factory certified crew,clean up and haul away of all job related debris. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. It is agreed and understood by and between parties that the Product Specifications, along with the Custom Remodeling and Improvement Agreement, constitutes the entire understanding between the parties, and replaces any and all prior negotiations, representations, or agreements, either written or oral. The Product Specifications may not be changed, modified, or varied in any way (with exception that installation materials may be substituted with similar products when inventory shortages exist) unless such changes are in writing and signed by both Buyer(s) and Window Nation, LLC. Buyer(s) hereby acknowledge that Buyer(s)has read the Product Specifications. I have read and received each page of this 4 page Product Specification. Wind w Nation Buyers)4,-,_ 62'..,EL Signature of Exterior Design Consultant Signature Paul Cangialosi- License#On File YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. September 21, 2023 www.windownation.com Page 1 of 4 1070 North Farms Road Date of Agreement: Wallingford, CT 06492 September 21, 2023 WIN DOW NATION Sales: 866-446-2846 License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582 PRODUCT SPECIFICATIONS Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (413) 320-5351 Primary Mobile patschumann44@gmail.com Patricia Schumann (413) 270-4025 Secondary Mobile Tom Schumann 57 Hinckley St Florence, MA 01062 Work Order Details: Model:ULTRAVISION W:32" H:60"Location:Level 2,Bedroom(master) 1. 1 Quantity: 2 • Style:Double Hung • Configuration:Equal Sashes • Grids:None • Glass:Extreme 2 Pane/Low-E&Argon • Screen:Half Screen • Color:Interior White/Exterior White A + Model: ULTRAVISION W:32" H:60"Location:Level 2,Bedroom(master). 2 Quantity: 1 • Style:Double Hung • Configuration:Equal Sashes i • Grids:None • Glass:Extreme 2 Pane/Low-E&Argon • Screen:Half Screen • Color:Interior White/Exterior White Model:ULTRAVISION W:32" H:60"Location:Level 2,Landing 3 Quantity: 1 • Style:Double Hung • Configuration:Equal Sashes " • Grids:None • Glass:Extreme 2 Pane/Low-E&Argon • Screen:Half Screen • Color:Interior White/Exterior White Model:ULTRAVISION W:32" H:45"Location:Level 3,Hall 4 Quantity: 1 • Style:Double Hung • Configuration:Equal Sashes • Grids:None • Glass:Extreme 2 Pane/Low-E& • Screen:Half Screen Argon/Tempered Bottom Sash • Color:Interior White/Exterior White • September 21, 2023 www.windownation.com Page 2 of 4 • 1070 North Farms RoadItOAR/V Date of Agreement: Wallingford, CT 06492 September 21, 2023 WINDOW NATION Sales: 866-446-2846 License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582 PRODUCT SPECIFICATIONS Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (413) 320-5351 Primary Mobile patschumann44@gmail.com Patricia Schumann (413) 270-4025 Secondary Mobile Tom Schumann 57 Hinckley St Florence, MA 01062 Work Order Details (cont.) Model:ULTRAVISION W:32"H:45"Location:Level 3,Bedroom 5 Quantity: 2 • Style:Double Hung • Configuration:Equal Sashes • Grids:None • Glass:Extreme 2 Pane/Low-E&Argon • Screen:Half Screen • Color:Interior White/Exterior White Model: ULTRAVISION W:32" H:57"Location:Level 2,Bedroom 6 Quantity: I La_j, • Style:Double Hung • Configuration:Equal Sashes • Grids:None • Glass:Extreme 2 Pane/Low-E& • Screen:Half Screen Argon/Tempered Bottom Sash • Color:Interior White/Exterior White • Model:ULTRAVISION W:32"H:47"Location:Level 3,Hall 7 Quantity: 1 • Style:Double Hung • Configuration:Equal Sashes • Grids:None • Glass:Extreme 2 Pane/Low-E&Argon • Screen:Half Screen • Color:Interior White/Exterior White . Model:ULTRAVISION W:32"H:55"Location:Level 2,Living Room 8 Quantity:3 • Style:Double Hung • Configuration:Equal Sashes • Grids:None • Glass:Extreme 2 Pane/Low-E&Argon 1 • Screen:Half Screen • Color:Interior White/Exterior White I September 21, 2023 www.windownation.com Page 3 of 4 • 'NfAnt 1070 North Farms Road Date of Agreement: Wallingford, CT 06492 September 21, 2023 \WINDOW NATION Sales: 866-446-2846 License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582 PRODUCT SPECIFICATIONS Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (413) 320-5351 Primary Mobile patschumann44@gmail.com Patricia Schumann (413)270-4025 Secondary Mobile Tom Schumann 57 Hinckley St Florence, MA 01062 Work Order Details (cont.) Model:ULTRAVISION W:32" H:57"Location:Level 2,Kitchen 9 Quantity: 2 • Style:Double Hung • Configuration:Equal Sashes L. • Grids:None • Glass:Extreme 2 Pane/Low-E& • Screen:Half Screen Argon/Tempered Bottom Sash • Color:Interior White/Exterior White Model:ULTRAVISION W:32" H:54"Location:Level 2,Bathroom 10 QuantDy: l • Style:Double Hung • Configuration:Equal Sashes • Grids:None • Glass:Extreme 2 Pane/Low-E& • Screen:Half Screen Argon/Tempered Full • Color:Interior White/Exterior White Additional Items 4-3rd Floor Window Install 15-EPA Lead Containment Install-Window(Per Opening) 1 -Replace Wood Sill Interior or Exterior Special instructions: Told to remove blinds Installation Details: Window Removal Type: Wood Additional products needed in the future:No Exterior Trim: G8 Exterior Trim Color:White Customer agrees to allow Window Nation to post a yard Sealant: OSI Quad Max sign until 30 days after install:Yes Insulation Around Window:OSI Quad Foam Year house was built: 1850 Clean Up and Haul Away:Yes EPA Lead Containment Required:Yes EPA Lead Testing Required:No HOA Approval Required:No September 21, 2023 www.windownation.com Page 4 of 4 ' 1070 North Farms RoadVtiV Date of Agreement: Wallingford, CT 06492 September 21, 2023 WINDOW NATION Sales: 866-446-2846 License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (413) 320-5351 Primary Mobile patschumann44@gmail.com Patricia Schumann (413) 270-4025 Secondary Mobile Tom Schumann 57 Hinckley St Florence, MA 01062 All home improvement contractors and subcontractors shall be registered. Inquiries about a registered home improvement contractor should be directed to the Office of Consumer Affairs and Business Regulation Home Improvement Contractor Program, 1000 Washington Street, Suite 710, Boston, MA, 02118, 617-973-8787 Buyer(s)listed above hereby jointly and severally agrees to purchase the goods and/or services of Window Nation, LLC. ("Contractor")in accordance with the prices and terms described in this 6 page document and the Product Specifications,which are incorporated as part of the Agreement(collectively,this"Agreement"). This Agreement represents a cash sale of goods and services. Buyer(s)agrees to pay the cost of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyer(s)may seek for their purchase. Sale Total $17,342.00 Setup&Disposal Fee $249.00 Estimate Project Start: 10-12 weeks Permit Fee r $0.00 Total Sale Price (4 $1gip— Estimate Project Finish: 1 to 3 days after start Sales Tax(0%) 1 $0.00 Total Amount Due $17,591.00 Buyer(s)acknowledge that definite start and completion Down payment-Charge $1,000.00 dates are NOT of the essence. Delays beyond Contractor's Balance Due $16,591.00 control not included in calculating timeframes. See COD(Payable at time of install) $0.00 Section 6 of the Terms and Conditions. Amount Financed $16,591.00 This Agreement constitutes the entire agreement and understanding between the parties,and this Agreement replaces any and all prior negotiations,representations,or agreements,either written or oral. No amendment,modification or waiver of this Agreement shall be valid or effective unless in writing and signed by both parties. Buyer(s)hereby acknowledge that Buyer(s) 1)has read the entire Agreement and has received a completed,signed,and dated copy of this Agreement,including the two accompanying Notice of Cancellation forms,on the date first written above and 2)was orally informed of his/her right to cancel this transaction. Buyer(s)also agrees and understands that if Buyer(s)finance the work with a third-party,the terms of that financing will be contained on separate documents,including any finance charge. Price includes all discounts and promotions. I have read and received each page of this 5 page Agreement. Wind w Nation Buyer(s) *0— 61.ii, Signature of Exterior Design Consultant Signature Paul Cangialosi-License#On File YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. September 21, 2023 www.windownation.com Page 1 of 5 1070 North Farms RoadAAA/. Date of Agreement: Wallingford, CT 06492 September 21, 2023 1WVI N DOVV NATION Sales: 866-446-2846 License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582 PRODUCT SPECIFICATIONS Buyer's Information and Buyer Contact Information: Buyer Email Information: Description of Property: (413) 320-5351 Primary Mobile patschumann44@gmail.com Patricia Schumann (413) 270-4025 Secondary Mobile Tom Schumann 57 Hinckley St Florence, MA 01062 Order Summary: ULTRAVISION ULTRAVISION 10 Double Hung 4 Double Hung Configuration: Equal Sashes Configuration: Equal Sashes Grids:None Grids:None Glass:Extreme 2 Pane/Low-E&Argon Glass: Extreme 2 Pane/Low-E&Argon/Tempered Bottom Sash Screen: Half Screen Screen:Half Screen Color: Interior White/Exterior White Color: Interior White/Exterior White ULTRAVISION 1 Double Hung Configuration: Equal Sashes Grids:None Glass: Extreme 2 Pane/Low-E&Argon/Tempered Full Screen: Half Screen Color: Interior White/Exterior White Total Order Summary of Units 15 Additional Items 4-3rd Floor Window Install 15-EPA Lead Containment Install-Window(Per Opening) 1 -Replace Wood Sill Interior or Exterior Special instructions: Told to remove blinds September 21, 2023 www.windownation.com Page 1 of 2 • •,,•• , • •--,The Commonn'twith of ilassachusetts _.,.. Department of industrial.1ceMents -. Office t/i 1ill'ettigUlit1/1% tv, r r 600 ilashington Strew liostons .1i1 el I I trwir,tnass.knivitia 1%orkers' Compensation Insurance Affidavit: littildersTontractorsllectrieiansiPlumbers Applicant Information Please Print 1.1"eiblv IA) NA--77i A/ "...L. e... Adiircs : /5)i/O Me*PiE 2/).WN ,15" Oh L'Sialc lip: 64T2'iv m J Are I an ettiplo er?Check the uppropriate ion: I i .1)pc of project(required) I 0 law , :eit•-:.al ..,-rit'or. .t:I 1 - I am a emPloYer N"111 2'1) 6 0 \,,v, cosrm,n) • cluploces t full anti tit pal( 1111)(:) ' it..I! Cd 11:1: v.,i' 1:' 11 ./..:101., in 2,El , t,11:proicit or ..; ,k,,i°7)' /1.. .-1 .1.1).'1' '11..1.1. ; ,, D liemoticling 1 a , , pt ti partner- .,.„;• ,,,,,114.,.t,ns haw ship and have no croplotetts vt titling for me lit any c,tracits.. c:111,!,,,i.v.,.inti has's!. wOrters' l' 11'illtlitil :"*"" 4. n Building 844.11110t1 t( , r mr.01..-.,(,„, I No WI trick'N'comp oistsrancc 5. D ‘1,,.,. ,.„,.,a 0 t; 1,1:,11.t.ta and its II)0 Viectrical rvpitiN or addition, wooled,j 71 i am a homeowner titling all work I 4ifiCt"ba‘'''' ''''' ''''''NCil thctr I I 0 Plornhine repairs or additions right o e.seni it per 11/411C1 self No workers'comp. f I 2.71 IZ l'repitirs c. 152, -‘1;,-;1. .11111 we base ito Ir.-manes:required. enlpfli:si.k.',. 'No wpii,,..r...• ' 13.i, tulle, Ic/JAAD comp. )).!•tir.•,..,.c; ickl.ai.A! — .----- ',..kti) am I'. ,,;,,,.. .t.f,t.. I, s. itt 1 t 1 ' ' 1 .,t1.•,,,,,,.',,, i.., ., •‘ - I.,tl..: • t,., ••.•• :', ' 1.1i,tota:.1•11 itorNota,••,, :,,•,,i,l-Itt i. .!'..' .,,' t.a, ir,• •1'., ,.1 ,,., . r -.r, 1 ,‘ I! 1 C I 1,1'.1111 4 ri1,4 mr,4011 indicitli 1, ,,,-, (ollt:itlift•'I,1I., 1,1..flu,1 ,''.l''IA,I -i',.'1i,1 ii,'I• k.;. k„,, ,.•1 I,' '', :. 1 I, I 1 ' ,! ..'1." .1,",,l'si•::1',1;)AlICItiO lq 1114 iiiO4:114i1(10.i, ,.' .1•111' '.,., I,.' ,111,01 I'.t".•'•1 ,,, .cilli,',.'t . t!'. , :+ 1.1 1,1, 01: I i,! .,1,1L,,' .'i 10 ',' k,1 noviller am an employer that it providing n•orAerNi eampemation invitranee pr my employees. Bellow ik the polity unit job site infatittation. Millrace Comouiv \:111)0 I./AA:76R P zi/ver di , _ Polio'e it Self.ins.i. , ' . zicvvEhimcvy6 ,:,pir,,,,,,,,,,,a,,,.. 5 Joh sit,::wilco,: iiAraify ‘7--- . (,„, si., Lir: l4f92- An4uh a copy or the outliers compensation policy declaration page(Owning the policy MI mho*and espiration data Failure it)seem,: t•tv•ci;I:e .,, ,card untie) ‘,,edion 25A*II\I(if k. I-4'2 4.:an lead to the imposition orisrlittinal penalties of a ..'ilit•up to 1!..q)0.00 and si' ‘11.. yi.I r ,wpri Trent,as Wks;i.IN 4.1\11 PenalliCS in iI1C Inili)of a S1011 WORK OR I)ER and a Inc ol.lir it)!‘•23, 00;14,upittst OK \a,:.11,,t Ile ads iseti that a,ia)We olthis NUCIIIttit Ma‘ Ile t.,11,.:at kled tit the office or hi‘..,111,11, 1),of!K. illA for ittillan,v ,0,.vr wt.vritioii, .1------- . , --. /do hereby err ' .nude *poi, ..and penalties al perjury that the httaratation provided ohm's,A true and tlirrett i ENite' -/-74zi Page 4 c utvtston of occupattona! Ltcensure Board of Butldtng Rel4u$ations and Standards t t . onst on St{vtsor CS-116396 &pires:05120/2025 BRANOON LOYLE 142 RHODE ALANO AXE ; CUMBERLA, RI 02104`:k i • *kit LvA:13- Commissioner elail! 1i aFmd.ta. Vv THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingtt Street-Suite 710 Boston,Massachusetts 02118 Home kn rovement s: ,.4.rReaistration r z ,4-4,„- ', Types Supplement Card 1 , 4 Rerdistration. 197968 WINDOW NATION LLC . Ei�iietioa: 0211212024 8110 MAPLE LAWN BLVD.#335 ` Melt M-- ^ FULTON.MD 20759 . 1 ` . _ Update Address and Return Card_ THE COMMONWEALTH OF MASSACHUSETTS Registration valid for individual use only before the °Mes of Consumer ANates&Business Regulation egistrexptrau ti Wee.MI tonne HOME ti-vp s il7trt ent CONTRACTOR Office of Consumer Alfalfa and Business Regulation TYPE:S�aobianent Card 1000 Washington Street -Suite 710 + 02/12/024 Boston,MA 02118 S ;97988 02J12t2024 WINDOW NATION LLC BRANDON BOYLE �lG� r I 575 UNIVERSITY AVE 1,6•*� NORWOOD.MA 02062 Underseaetary Not valid without signature ,,,.•......14 WINDO-1 OP ID:PAF1 ACCORD' CERTIFICATE OF LIABILITY INSURANCE _ D 08/0Z/2ro 23) 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 rights to the certificate holder In lieu of such endorsement(s). PRODUCER 440-461-1101 huger Cindy Verhagen Todd Assoc,an ALTRA Group Co. PHON 440.481.1101 PqX 440-448-0192 A/c 23825 Commerce Park,Suite A , ,raw. IA/C,NO: Beachwood,OH 44122 Ias:cverhagen©toddassoclates.com Timothy P.Fitzpatrick JNBUREa(SI AFFORDING COVERAGE NAIL N MIXURE)ip, Union Insurance Company 25844 __ INSURED _INSURER B:Hartford Insurance Co. 22357 v11'1t10 Mapip Lon LI.,n Blvd INSURRRC Fulton,AHD 20769 INSURER D: INSURER S: • INSURER F; COVERAGES CERTIFICATE NUMBER: REVI5I N 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. pJgR ADOL eU8R POLICY P P ICY gEXP I TYPE OF INSURANCE Wap VIY11 POLICY NUMBER 1MM t 1MM[ OlYYYY1 Ts A X COMMERCIAL GENERAL LIABILITY EACHpqMq OCCURRENCE _ i 1,000,000 CLAIMS-MADE X OCCUR CPA4547388 08/04/2023 08/04/2024 PRFMII4FS�FR ErrOimney $ 500,000 MEQ EXPloDv antLQlLt9:n1 _, i 16,000 --_ PERSONAL&ADVJ JURY , i 1,000,000 r.AGGRE AM ES AES PER: GENERAL AGGREGATE , $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGO, i 2,000,000 A A OUTOMOBII a LABILITY M191Nflentl SINGLE LIMIT $ 1,000,000 XANY NyYNAUpTO g HEpU CM 4549781 I MAA4550253 08/04/2023 08/04/2024,EQOLY INJURY IPw oersonl a _ AUTOS ONLY —AUUT�OSSyy EDp BODILY IN,)JRY(Per ecoldoril I X AIMS ONLY ,.X AUTOS ONLY I POAPERTY FAMAGE a Q9rri i A X UMBRELLA LIRE OCCUR EACH OCCURRENCE i 5,000,000 EXCESS LIAB ~ CLAIMS-MADE CPA4647388 08/04/2023 08/04/2024 AGGREGAIj i 6,000,000 DED RNNE��TppE��NTT►NI�ON$ _ pp�� I p I B ANDEMPLOCYERS LIABILITY Y/N I STATUTF 1 I PR ._ -- ANY PROPRIETORlPARTNER/EXECUTNE I N I A 46WEAAXSVNB 08/04/2023 08/04/2024 EL.EACH Ar�CIPENT $ 1,000,000 (Mandatory In NH)EXCLUDED? EL DISEASE-EA EMPLQyj;E I 1,000,000 Ir yyea descilbe under 1,000,000 DESG�RIPTION OF QPERATIONS below EL.DISEASE•POLICY LIMIL I I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addltionsl Remarks Schedule,may be attached if more space Is required) CERTIFICATE_HOLDER _CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE / Z—J ? ;4- #017E'--7 ACORD 26(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • ' :' tf..„-,,,,,„ • -- • No . _ . . . .., , .. ,..,..,,, • • ., .." • ,i ••;•"'' e•,, ' ' "• -; . .- •''••''''' '' •• ' '- 214.1ellaii6 .' . ''-I'41"-tid .7 ' • M a,/ 4X';'1.4,'" ..." 4.•''` ' • -• -•••' - .." • '''' .•: • - . ., . 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'kii s.‘'"4-'('.,.1.:,,,.,0,117,r:t:7,,s1,,•4,.N-.-:,i4-b,spr,;,....41,14„-6•.,,„:.,,m,•,,,„.,„,:,,.!'..,,,4',.'„..:z",„',.1.,:A..,.,.•,--•• ,„•,, ,...v.. , ,, ,... .„., ......,,,,..., . .. , , , , .... . ..,... • , . „...,,, ,...s...,, , • , ......„......................................... .. ....... . . ..........., ,....„. ... .........„ .. . , ,, . ... . , . .*...,,,,....„....,,, lanuracturer stipulates that these ratings conform:to appktloie NFRC procedures for determining whole • ,,, .,,,,...,,,,74„., -i parformance, NFRC ratings are determined bra flied;REIN environmental conditions and a ,,,,„.':;,,. „,",4,er.i ei,le% AlCDO rlAtw, rtni reutrovireicrat ,sikt4.eira.titu 1 ,Loal_144:-.,:-..z. t 1 r,t emorrorit tixa el litahilihi rif onu .,...,,C;.... Z.'..it