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12C-052 (18)
BP-2024-0503 20 CLOVERDALE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 12C-052-001 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-2024-0503 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: Est. Cost: 2748 HOME DEPOT USA INC 106106 Const.Class: Exp.Date: 09/29/2024 GRIFFIN ANNETTE &SUSAN D REARDON Use Group: Owner: TRUSTEE Lot Size (sq.ft.) Zoning: RI/WSP Applicant: HOME DEPOT USA INC Applicant Address Phone: Insurance: 2455 PACES FERRY RD NW 860-952-4112 WLRC50668058 ATLANTA, GA 30339 ISSUED ON: 04/24/2024 TO PERFORM THE FOLLOWING WORK: 2 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: 72- Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner I1poWiitkrbail a copy of the issued permit to permits@gopermits.org. Thank you. The Commonwealth of Massachusetts APR 2 4 2024 ) oard`of Building Regulations and Standards FOR MUNICIPALITY Massahusetts State Building Code, 780 CMR USE fti�PT OF 6UI *IN , FilaPPlication To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 N0RTHa,ir:c ,MA 01060 ;One-or Two-Family Dwelling n This Section For Official Use Only Building Permit Number N' - 6%03 Date , �Applied: A u» 14 G_!_ Li-214-ZOzy Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 20 Clows,'c Lt $4 Pbre4ce A4/4 1.1a Is this an accepted street?yes ✓no 01 Z 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) 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 El Municipal Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: S akycn Qe a rolo n %wear /N4Q o id 6 2.- Name(Print) City,State,ZIP ?.. CIS old,kt. S'� 4(3- 9/3.8393 suedr'eaf( a.0Leo" No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. Cl Number of Units Other ( pecify:i/jt .f j'md.w i Brief Description of Proposed Work': Rc'Alert a..I Riff race 2- 60A 404o bit 7- /.kc poi ha, el Sh,e4ted al", , 46,4,... ...c , A9 SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ Z 4..q g, ea 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees,:,$ �{ Check No. c=�W Check Amount: Cash Amount: 6.Total Project Cost: $ Z ..Y b ,pi 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) AO 4/04 �+ L- Qf L¢ ?iY E.1 n:ok 1..1.E h 0 T+0-e" License Number Expiration Date Name orCSL Holder Z3 �jCn ham 5' G f List CSL Type(see below) W s No. and Street Type Description C' _; �u A Oa U Unrestricted(Buildings up to 35,000 Cu.ft.) cam / ! R Restricted 1&2 Family Dwelling City/T6lin,S<itc./IP M Masonry RC Roofmg Covering Window and Siding SF Solid Fuel Burning Appliances Oo"vgz- NAZ e!M%>J& dxr,a �Or) I Insulation Telephone 'nnirail address D Demolition 5.2 Registered Home Improvement Contractor(HIC) MM'C D 't SA HIC Registration Number Expiration Date HIC Company Name or MC Registrant Name 2Y Paes GlM (�/� r/wi4-$ . a No.and Street -E i1 address a 6A- 30339 $bo 95 t-- �tl l 2 Ctty/Town, State,ZIP 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 DV No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1. as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. 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 true and accurate to th st of m owledge and understanding. r4'41 t-. elm r 7/t. Y Print Owner's or Authorized Agent's Name(Electronic Sign e) 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.aov/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 Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building O ca Northampton, MA 01060 'rS'p , 30 NA 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: - —Z sh44,er • b6oSL The debris will be transported by: Name of Hauler: a 5/9 f a,%rs Mtge Dee/ ‘/S/f- J- Signature of Applicant: Date: 03 - Zy �.\ The Commonwealth of Massachusetts Department of Industrial Accidents = Office of Investigations jo= Lafayette City Center 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 Name(Business/Organization/Individual): HOME DEPOT USA, INC Address: 2455 PACES FERRY ROAD City/State/Zip:ATLANTA, GA 30339 Phone #: 860-952-4112 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 1 ® I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers 9. El Building addition [No workers' comp. insurance comp. insurance.: required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 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 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.1N Other Window/Door Replacement comp.insurance required.] *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 they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Indemnity Insurance Company of North America Policy#or Self-ins. Lic. #:WLRC50670284 Expiration Date:3/1/2025 Job Site Address: 20 CI*oercl.aa. S*CGf City/State/Zip: r‘ienc ink 6/062 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. /410 Signature: 7� Date: Z S- Z Phone#: 860-952-4112 .1 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): 10Board of Health 20 Building Department 3DCity/Town Clerk 4.0 Electrical Inspector 50Plumbin„; Inspector 6.171Other Contact Person: Phone#: Go Permits, LLC GO' 105 Buttonball Lane Glastonbury, CT 06033 Scott Doughman Phone: 860-952-4112 Fax: 860-430-6719 scottdoughman@gopermits.org To Whom It May Concern, If you have any questions or require any further information for this building permit application, feel free to call me at your convenience and I would be happy to assist you. Once the permit is ready: 1. You can call me at (860-402-3293) to process the credit card payment. 2. Please mail the original permit to the owner. 3. Also, please email or fax a copy of the permit and receipt to: Email: permits@gopermits.org Fax: 860-430-6719 (Attention: Scott Doughman) If fax or e-mail is not an option, please mail a copy of the permit and receipt to: Go Permits, LLC 105 Buttonball Lane Glastonbury, CT 06033 Thank you! David Anderson, Permit Expediter Go Permits, LLC Phone: 860-402-3293 davidanderson@gopermits.org Go Permits, LLC 105 Buttonball Lane Glastonbury, CT 06033 www.gopermits.org Go Permits, LLC 105 Buttonball Lane GO II Glastonbury, CT 06033 PERMITS Scott Doughman Phone: 860-952-4112 Fax: 860-430-6719 scottdoughman@gopermits.org Re: Massachusetts Solid Waste Affidavit Good day, Please find attached locations where the installers can bring their debris from the jobs. These are all Home Depot USA, Inc. locations. • 72 Shaker Road, Unit 2 Enfield, CT 06082 • 32 Scotland Boulevard Bridgewater, MA 02324 Gallant Moving & Storage • 375 Airport Drive Worcester, MA 01602 Euro-American Worldwide Logistics • 12 Linscott Road Woburn, MA 01801 Silvas Transport Inc • 50 Maria Ave Johnston, RI 02919 Vito's Express Thank you. Go Permits - e -ome •epo - erma T a ue o •ro. uc s Y anu acture. s y imonton Dated: 5/30/2018 i 30•I30 40- ... .r 25125, Without Grids With Grids Style Glass Package Glazing Spacer lG (1 SHGC a SHGC Y •1$ a S (all with Argon) Fact Fact C'C 6500 kwning 6500 Base ProSolar Supercept 7/8" 0.26 0.23 • • • 0.26 0.21 • • • .:asement 6500 Base ProSolar Supercept 7/8" 0.26 0.24 • • • • 0.26 0.22 • • • • (ransom 6500 Base ProSolar Supercept 1' 0.27 0.32 • • 0.27 0.29 • • It, Inn ".5-o-ublej-lu 6500 Base ProSolar Supercept 7/8" MEM 0.26 • 0.29 0.24 • • • 'acture Casement (NH) 6500 Base ProSolar Supercept 7/8" 0.26 0.28 • • 0.26 0.25 • • • • 'icture 6500 Base ProSolar Supercept 7/8" 0.27 0.29 • • 0.27 0.26 • • >_Panel Slider 6500 Base ProSolar Supercept 7/8" 0.29 0.26 • 0.29 0.23 0 • • 3 Panel Sliders 6500 Base(s 2i Sgtt) Pro Solar Supercept 7/8" 0.29 0.26 0 0.28 0.23 • • • •- 0 DOORS 3arden Door(CH) 6500 Energy Star ProSolar SUN Super Spacer 1" 0.30 0.24I •1 •I •10' 0.30 0.21 1•I •f •1 • 'atio Door INOVO 6500 Base Pro Solar Super Spacer 1" 0.28 0.26 • • 0.31 0.23 • • • • • 1 00 Homes located everywhere EXCEPT:Arizona,California,Idaho,Nevada,New Mexico,Oregon,Utah,and Washington. \wning(Inc Hopper) 6100 Base Pro Solar Intercept 7/8" 0.27 0.24 • • • • 0.28 0.21 • • • • Casement • 6100 Base Pro Solar Intercept 7/8" 0.27 0.24 • • • • 0.27 0.22 • • • • )ouble-Hung 6100 Energy Star Pro Solar Supercept 3/4" 0.30 0.30 • 0.30 0.27 • • • 'acture Casement(No Hinge) 6100 Base Pro Solar Intercept 7/8" 0.27 0.28 • • 0.27 0.25 • • • • 'icture 6100 Base Pro Solar Intercept 3/4" 0.27 0.31 • e 0.27 0.28 • • ?Panel Slider 6100 Base Pro Solar Intercept 3/4" 0.30 0.28 • 0.30 0.27 • 3 Panel Slider 6100 Base Pro Solar Intercept 3/4" 0.30 0.29 • 0.30 0.27 • •100 Doors Homes located everywhere EXCEPT:Arizona,California,Idaho,Nevada,New Mexico,Oregon,Utah,and Washington. 'atio Door INOVO 6100 Energy Star Pro Solar Super Spacer 1" I 0.28 0.26 • • 0.28 0.23 •`• • e 'atio Door NARROW FRAME 6100(PD05)Base Pro Solar Intercept 3/4" 0.28 0.30 • • 0.28 0.26 • • 6200 Homes located only in following markets:Dallas,Denver,Detroit Mile,Northern NJ,Long Island,NY. Wining 6200 Base Pro Solar SHADE Supercept 3/4" 0.27 0.25 I• • • • 0.26 0.23 • • •r• easement 6200 Base Pro Solar SHADE Supercept 3/4" 0.26 0.18 • •_• • 0.29 , 0.17 .. • • •! • 'icture Casement-NH 6200 Base Pro Solar SHADE Supercept 3/4" 0.25 0.21 • • • • 0.25 0.19 • • • • 'acture Window 6200 Base Pro Solar SHADE Supercept 3/4" 0.26 0.24 • • • • 0.26 0.22 • • • • Single Hung 6200 Base Pro Solar SHADE Supercept 3/4" 0.28 0.23 • • • • 0.28 0.21 • • • Single Slider 6200 Base Pro Solar SHADE Supercept 3/4" 0.28 0.23 • • • 0.28 0.21 • o • 3 Panel Slider 6200 Base Pro Solar SHADE Supercept 3/4" 0.28 0.23 • • • 0.28 0.21 • • • ►tormBreaker Plus 300VL Homes located in coastal areas. \mning SB+300VL Energy Star PS SUN/Lami Supercept 1' 0.26 0.23 • o • • 0.26 0.21 • • • • easement SB+300VL Base PS/Lami Super Spacer 1" 0.25 0.23 • • • • 0.25 0.21 • • • • )ouble Hung SB+300VL Base PS/Lami Super Spacer 1" 0.29 0.25 •_ • • • 0.29 0.23 • • • • Slider SB+300VL Base PS I Lami Intercept 1" 0.29 0.25 •• •• •• • 0.29 0.23 0 0 • 0 'atio Door SB+300VL ETC 366 PS Shade/Lami Super Spacer 1" 0.30 0.19 0 • • No Grids Allowed 3arden Door(CH) SB+300VL Base _. PS/Lami Super Spacer 1" 0.30 0.28 ci • 0.30 0.25 • •_ •• • _ Dots indicate Energy Star certified for that zone Please Note: Simonton Windows may substitute East&West windows given the requirements of each order. WINDOW SPECIFICATION SHEET - Spec.Sheet#: F42234420 Sheet: 1 of 1 Customer: Susan Reardon ,Job#: F42234420 Consultant: Ronald Engelbrecht Date: 04/16/2024 New Window Hinge Locations Existing Window Measurements Grids Product Options Labor Options From outside, Left to Right Bays,Bows Location Color Rough Opening #of bars #of bars Csmnts,1 Pnl, use L,A or S Glass Misc Items Hardware Code Screens For doors use c c Mull "S"=stationary or it p Q t L LL('} N N U N W U N "X"=operating w Style Wraps d -� o.C7 o m 8 d `o 8 d o Room Floor Code (Y/N) Style Code _ Series Code -E w 3 x 5 ri U a > x > x STD,White, GlassPack: WRAP,LSR 1 FAM 1st SH- Y DH 6500 WH WH 34 54 88 F, WH,W C ALL 2 1 ALL 2 1 Standard PV GBG H STD,White,TMP:Full, METAL, 2 BATH 1st SH- Y DH 6500 WH WH 28 38 66 F, WH,W C ALL 2 1 ALL 2 1 GlassPack:Standard WRAP,LSR PV GBG H SPECIAL CONSIDERATIONS: 1:White,2:White Wrap Color Interior Casing Type Bay or Bow window: Seatboard material(vinyl only-Birch or Oak) Bay Project Angle(30 or 45) Bay Flanker Type(DH,SH,or Csmnt) Top of window to soffit(inches) If tied to soffit,color of soffit material I have reviewed and agree with all the job specifications above and the Construct Roof(Yes or No)' Special Terms and Conditions on the following page Garden Window: Seatboard Material(vinyl only-White Pionite,Birch or Oak) 07.44 Home Improvement Agreement: Page 1 Home Depot License#'s -For the most current listing visit www.Homedepot.com/LicenseNumbers MA: 107774, 112785 Ronald Engelbrecht Salesperson Name Registration#(Req. in CA,CT,ME,MD,MI,NJ,DC) Home Depot U.S.A.,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this form. 1. Service Provider Contact Information !The Home Depot 1 The Home Depot j Service Provider Contact Name Service Provider Company Name (203) 265-7037 customercancellationnortheast@hom MA: 107774, 112785 Phone# Rg °cee$r vider Email Address Service Provider License#(s) 2. Customer Information Reardon J 1Susan J New England West F42234420 Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO# 20 Cloverdale Street Florence MA —1 01062 Customer Address City State Zip (413) 923-8393 suedrear@aol.com Home Phone# Work Phone# Cell Phone# Customer Email Address 3. NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT: customercancellationnortheast@homedepot.com OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 200 Elm Street Unit 3 NORTH HAVEN CT 06473 Address City State Zip BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. Acknowledged by: 04/16/2024 Customer's Signature Date 460 Standard FamHIA(21JuL21)(E) Generated Date 01/16/202A i.`'`,dP" Fa223aa20 v 0.1.12 Home Improvement Agreement: Page 2 4. Description of Work to be Performed A detailed description of the work to be performed is included in the paragraph entitled Scope of Work, Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this Agreement. 5. Anticipated Delivery Date/Installation Schedule Approximate Start Date: 08/14/2024 Approximate Finish Date: 09/13/2024 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. 6. Electronic Records Authorization You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting your Service Provider,you may update your email address,withdraw your consent,or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to a computer that can receive and open emails and PDF documents. 7. Contract Price and Payment Schedule Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: $ 2748.72 Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ 0.00 (If applicable, total amount of taxes included in Contract Price) *Maximum deposit ONLY applicable in MD, MA,ME(33%), NJ, WI(99%) Deposit % 25.0 Deposit Amount $ 687.18 Remaining Balance $ 12061.54 8. Finance Charges Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments made payable to Home Depot. 9.Acceptance and Authorization By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to be provided to You later.)By signing,you acknowledge that: (i)You have read,understand, and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You are receiving a complete copy of this Agreement; (iii)all rights and interests under this Agreement are solely vested in the person listed as"Customer" above; and (iv)Electronic signatures will be deemed originals for all purposes. X l 04/16/2024 Customer's Signature Date X /s/The Home Depot 04/16/2024 The Home Depot Digital Signature Date For questions related to your installation, contact Service Provider at (203) For any other concerns, contact The Home Depot at 1-800-466-3337 1v5 'v3i 460 Standard Form HIA(21 Jul.21)(E) Generated Date 0a/16/7094 Lead/PO# Fd7'21Qa20 V 0.1.12 .11 Scope of Work Reardon Susan New England West F42234420 Customer Last Name Customer First Name Store #/Branch Name Lead # Job #: (Internal Reference) Products: Spec Sheet(s) #: Project Amount F42234420 Windows Entry Doors F42234420 2748.72 Windows Entry Doors Windows Entry Doors Windows Entry Doors Windows Entry Doors Sales Tax 0.00 Total Contract Amount 2748'72 Notes: Warranty: The warranty on the work identified above is listed in the General Terms and Conditions, or if applicable, specified in the following documents: Simonton 6500 Warranty Name(s): 460 Standard Form HIA(21 Jul.21)(E) Generated Date 04/16/707a Lead/PO# F4 2234 4-20 v 0.1.12 1 • The Home Depot General Terms & Conditions 1. DEFINITIONS: "Agreement" means (I) the Home Improvement Agreement between You and Home Depot, (II) the following listed documents, and (III) any documents referenced in or attached to any of the following listed documents: (a) any Change Orders; (b) the State Supplement, if any; (c) these General Terms and Conditions ("General Conditions"); (d) extended installation warranty documents, if any; and (e) the Scope of Work. "Defect" means any Services that are found to be non-compliant with manufacturer's installation instructions. "Home" means the real property, fixtures and any physical improvements where the Services are performed. "Services" means(i)the delivery and furnishing of goods, equipment, materials, and hardware; and (ii)any related labor and services, including without limitation, construction, consultation, fabrication, erection, installation, inspection, maintenance, repair, and testing. "Scope of Work" means a detailed description of work or Services to be performed, including, but not limited to, any quotes, schedules, invoices, specification sheets, proposals, confirmation emails or otherwise. "Service Provider" means an independent contractor, authorized by Home Depot, and its employees, agents, and subcontractors. "Work Area" means any property, buildings, or structures necessary for the staging, temporary storing and performance of the Services. "You"/"Your" means the customer identified in the Agreement 2. HOME DEPOT'S RESPONSIBILITIES: Home Depot or Service Provider will complete the Services in a workmanlike manner and in accordance with applicable law without causing damage to Your Home,provided, however, that Home Depot or Service Provider will not start or continue with any Services upon discovery of any condition at Your Home that Home Depot or Service Provider deems in its sole discretion to be hazardous, unsafe or, materially changes the Scope of Work. Unless specifically contracted to do so, neither Home Depot nor Service Provider is obligated to repair such pre-existing hazardous or unsafe conditions. 3. AS Home Depot and Service Provider may assign this Agreement, or any right herein, or any monies due or to become due hereunder, and may delegate or subcontract any obligations or Services hereunder without Your consent. This Agreement will not be assigned by You without first receiving Home Depot's written consent, which may be denied in Home Depot's sole discretion. 4. YOUR RESPONSIBILITIES: (a)Payment:You agree to pay Home Depot in full for the Services pursuant to the terms of this Agreement. (b) Safe Access: You agree to provide Home Depot and Service Provider Safe Access to Your Home. Safe Access means safe and complete access to the Work Area, including,without limitation: (1) obtaining in advance of the Services consent,permission,or relief from any covenants,easements,restrictions,or other legal encumbrances affecting the Work Area; (2) providing the location of utilities, whether underground, concealed, overhead or visible, to Home Depot or Service Provider; (3) removing from the Work Area physical impediments, hazards, and building code or zoning violations that affect directly or indirectly the Work Area; (4) removing unsafe working conditions and hazardous materials, including environmental hazards, from the Work Area; (5)providing sanitary facilities to Home Depot or Service Provider convenient to the Work Area(or, alternatively,paying for the rental costs of such facilities);(6)providing all utilities,including without limitation, power,water,ventilation and climate control,in and for the Work Area; (7)removing from and protecting against minors, pets, guests and visitors in the Work Area; (8) keeping permits, if required, visible at all times; (9) disengaging, suspending or terminating any security systems protecting the Work Area; (10)providing adequate temporary storage space as needed for Home Depot's or Service Provider's performance of the Services;and(11) not interfering, impeding, impacting or otherwise disrupting the Work Area at any time during Home Depot's or Service Provider's performance of the Services. (c)No Performance: Services are to be performed by Home Depot or Service Provider. If You attempt to perform or assist with the Services in any way, You assume all risk for property damage and for injury to Yourself and others. 460 Standard Form H1A(21 Jul.21)(E) Generated Date nat16/702a Lead/PO# Fa223aa20 v 0.1.12 A ��~ The Home Depot General Terms & Conditions 5. MODIFICATIONS AND CHANGE ORDERS: Without invalidating this Agreement, You may authorize Home Depot or Service Provider to perform Services beyond the scope of the Agreement("Change Order"). A Change Order will be issued by Home Depot or Service Provider on behalf of Home Depot, which You may accept by signing. Upon Your signing of the Change Order,it will become part of this Agreement, subject to all of the terms of the Agreement. Change Order may also result from Home Depot or Service Provider encountering conditions at the Work Area that impact, impede or otherwise interfere with the performance of the Services, requiring an increase in cost,time, or both. Following the discovery of any conditions that impact,impede or otherwise cause the Work Area not to have Safe Access, Home Depot may immediately ask for a Change Order or discontinue the Services without further obligation to You.Home Depot may also ask for a change order in the event of errors or omissions in measurements or quantities used to determine the Contract Price. If You decline a Change Order request, You or Home Depot may terminate this Agreement. 6. TITLE AND RISK OF LOSS: The title to and risk of loss for any materials or goods provided to You that originate from Home Depot will pass to You when paid in full by(1)You or(2)the Service Provider as part of the Services. Title to any other materials or goods provided by Service Provider will pass to You upon completion of the Services. 7. WARRANTY LIMITATION ON WARRANTIES AND DAMAGES: (a) Warranty: Unless otherwise stated in the Agreement, Home Depot warrants for 1 year from the completion date (the "Warranty Period") that all Services will: (i) be performed with good workmanship and (ii) conform to the requirements of the Agreement. During the Warranty Period and within a reasonable time after receiving notice from You of a warranty claim, Home Depot may, at its sole discretion (I) correct or replace each Defect, (II) authorize the correction or replacement of each Defect; or (III) remove each Defect and refund all or a proportional amount of the Contract Price thereof to You;provided, however, that all warranties are voided if(1) anyone other than Home Depot or Service Provider performs work upon or otherwise modifies any materials or Services provided under this Agreement; or (2) You fail to pay Home Depot in full as provided in this Agreement. Any warrantable corrections, replacements or repairs made in accordance with this Agreement will not extend the Warranty Period. (b) Limitation on Warranties: THE WARRANTIES PROVIDED IN THIS AGREEMENT ARE STRICTLY LIMITED TO THE FOREGOING EXPRESS WARRANTIES CONTAINED IN THIS PARAGRAPH IN THE WARRANTY SECTION OF THE AGREEMENT, IF ANY. YOU ACKNOWLEDGE AND AGREE THAT NO OTHER WARRANTIES ARE MADE OR GIVEN BY HOME DEPOT OR SERVICE PROVIDER,INCLUDING ANY WARRANTY FOR FITNESS OF PURPOSE, WARRANTY OF MERCHANTABILITY,OR ANY OTHER ORAL,EXPRESS OR IMPLIED WARRANTIES. HOME DEPOT'S EXPRESS WARRANTIES ARE VOIDED FOR ANY DEFECT CAUSED BY ABUSE, MISUSE, NEGLECT, ACTS OF GOD, LACK OF PRESCRIBED OR STANDARD MAINTENANCE, OR IMPROPER CARE/CLEANING. ANY MANUFACTURER'S WARRANTIES PROVIDED FOR GOODS, MATERIALS, OR EQUIPMENT WILL BE PASSED THROUGH BY HOME DEPOT TO YOU, AND YOU AGREE TO LOOK SOLELY TO SUCH MANUFACTURER FOR REMEDY OF ANY DEFECT IN SUCH GOODS, MATERIALS, AND EQUIPMENT. HOME DEPOT MAY ASSIST YOU WITH WARRANTY CLAIMS AGAINST MANUFACTURERS. (c)Limitation on Damages.Home Depot will not be liable to YOU for indirect, incidental, special, punitive or consequential damages RESULTING FROM PERFORMANCE OF THE SERVICES, including, BUT NOT LIMITED TO, damages for lost opportunities, OR lost profits. 8. TERMINATION: This Agreement may be terminated by Home Depot for its convenience, and by either party for cause if the other party fails to correct a material breach within ten (10) days after receiving notice from the non-breaching party identifying the breach. In the event Home Depot terminates this Agreement because You fail to provide Safe Access to perform the Services, or if either party terminates the Agreement because You decline a Change Order request resulting from unforeseen, hazardous, or unsafe conditions or conditions that materially changes the Scope of Work,then You will pay Home Depot for Services provided through the date of termination plus any costs or expenses incurred by Home Depot or Service Provider as a result of the termination. 460 Standard Form H1A(21 Jul.21)(E) Generated Date 0A/16/202A I'"dI" Fa2230420 v 0.1.12 N ��,� The Home Depot General Terms & Conditions 9. CHOICE OF LAW; SEVERABILITY: This Agreement will be governed by and interpreted in accordance with the laws of the State where the Project is physically located. The parties intend for the terms and conditions in the Agreement to be complementary, consistent, and enforceable under applicable laws. In the event any term or condition in the Agreement violates applicable law, such term or condition will be severed from the Agreement, but only to the extent necessary to avoid such violation, without invalidating any other terms and conditions of the Agreement. 10. ENTIRE AGREEMENT: This Agreement is the final, integrated, and exclusive expression of the parties' understanding, which supersedes all prior offers, orders, understandings, representations, proposals, confirmations, and negotiations between the parties, whether oral or written. No course of dealing, usage of trade, course of performance, course of conduct, or any other evidence of additional or different terms will be admissible to contradict or vary any term in the Agreement. 11. SECURITY INTERESTS: LIENS: If You make all payments as required under this Agreement, no security interest will be placed against Your property by Home Depot. If a security interest is placed on Your property, it creates a lien, mortgage, or other claim against Your property to secure payment and may cause a loss of Your property if You fail to pay as requested. After paying on any completed phase of the Services and before making any further payments, You should request from Home Depot or Service Provider a signed, unconditional release from, or waiver of, any right to place any claim against Your property applicable to the work then completed. You may ask an attorney about Your rights to discharge security interests. 12. RETURNS: Custom order merchandise (i.e., goods that are custom made, uniquely altered, colormatched, shaped,sized,or otherwise uniquely designed or fitted to the requirements of a particular space)is non-returnable, and its Contract Price cannot be refunded unless Home Depot or Service Provider(1) incorrectly ordered item, or (2) damaged item beyond repair. Special or custom order merchandise may be returned, and a refund for all or part of the Contract Price provided, in the discretion of Home Depot. Please contact The Home Depot for additional details concerning returns. 13. AGREEMENT/SERVICE ORDER COMMUNICATION PREFERENCES: You can visit www.homedepot.com > In-Store Special Orders at any time to access Your account for the following: (1) Update Your Agreement/ Service Order Communication Preferences(email,text,Auto Call); (2)Contact Home Depot for order assistance; (3) View latest order status; or (4) Take action to schedule pickup for Your Service Orders. To stop any of the following communications You may visit www.homedepot.com > In-Store Special Orders to access Your account to update Your Agreement/Service Order Communication Preferences, contact The Home Depot, and take action on orders. If You signed up to receive updates about Your Agreement/Service Order(s) via: (a) Text Message Communications, You may receive multiple messages per order (including current and future orders) via automated technology to the mobile phone number You provided. The total number of messages received depends on the number of orders placed and order activity. Standard message and data rates apply. Not all carriers covered. You can text STOP to 97710 to stop (You will be sent a confirmation message). Call 1-877-467-2581 or 1-800-466-3337 for help; (b) Electronic voice communications (Auto Call), You may receive multiple pre-recorded phone calls per order (including current and future orders) via automated technology to the phone number You provided. The total number of calls received depends on the number of orders placed and order activity. You can press 9 during a call to opt out or call 800-HOME-DEPOT for help; or (c) Email Communications, You may receive multiple Emails per order (including current and future orders) via automated technology to the Email address You provided. The total number of Emails received depends on the number of orders placed and order activity. 14. LEAD PAINT:Homes built prior to 1978 may require additional testing to determine if lead paint is present,and additional precautions if lead paint is present. You will be informed by Your Service Provider of any additional costs resulting from lead paint requirements prior to performing the Work. For additional information, visit www.epa.gov/lead/renovation-repair-and-painting-program. 4)S¢ndard Form HIA(21JuL21)(E) Generated Date _Oa/16/209d Lead/PO# Fa223aa20 v 0.1.12 Go Permits, LLC 4131413 105 Buttonball Lane III Glastonbury, CT 06033 PERMITS Scott Doughman Phone: 860-952-4112 Fax: 860-430-6719 `j" scottdoughman@gopermits.org Re: Building Permit Application - Licenses Good day, Please find attached permit application, licenses and supporting documents. Home Depot USA, Inc. sold the job and is the G.C. HIC: 112785 Expires: 4/22/2025 Workers' Comp: Indemnity Insurance Company of North America Policy: WLRC50670284 Expires: 3/1/2025 Eugeniu Ciubotaru of Exterior Remodeling is the sub-contractor. CSSL-106106 Exp. 9/29/2024 / HIC 187666 Exp. 5/9/2025 Workers Comp: AIM Mutual Insurance Co. Policy: WCC-500-5028443-2024A Expires: 1/25/2025 All licenses and insurances are attached. Once the permit is ready: • Please fax or e-mail a copy of the permit and receipt to the below address and mail the original to the homeowner: Fax: 860-430-6719 Email: permitsa_gopermits.orq • If you unable to mail the permit to the homeowner please send to the below address and we will ensure the permit is at the home posted at the time of installation: Go Permits, LLC 105 Buttonball Lane Glastonbury, CT 06033 If we are required to pick up the permit in at the building department, please call 860-952- 4112 once it's ready and we will come to get it. Thank you, Go Permits A`nRIY CERTIFICATE OF LIABILITY INSURANCE DATEITIMACD>YYYY, 2.2 210.: - I 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 I COME MARSH USA,LLC: PHONE TAX TWO ALLIANCE CENTER: yuc,No,Eat: LAIC,.No): 3560 LENOX ROAD,SUITE 2400: •MAIL ATLANTA.GA 30326 ADDRESS: INSURERS)AFFORDING COVERAGE NAICe CN101642069-HaneD-GAN-22-25 INSURER A:OS ReplE,c h UBACe Co 424147 INSURED INSURER B:11IdGrnXy Ins CoOt Nort Ameica 4 7b THE HOME DEPOT.NC: 1 HCI',IE DEPOT U.SA..NC: INSURERC: 2455 PACES FERRY ROW: AwitER 0; j BUILDING C-20: ATLANTA.GA 30339 INSURER E:, INSURER F: f COVERAGES CERTIFICATE NUMBER: ATL-0350ur4-21 REVISION NUMBER: 14 THIS IS 10 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE TOR THE POLICY PERM 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. udss T —_. .'__'^ABBE SUER LTR I TYPE OF INSURANCE OWWYO POUCY NUMBER Yyre UII• WYYYYYYI --- LIMITS A x COMNIERCIAL GENERAL LIABILITY MINZY 31664° 0301,2022 03,01,2025 EACH OCCURRENCE s 1.000,000 DAMAE TO RENTED CLAIMS-MADE. X OCCUR I PREMISES(Ea occurrence) ,S 1,000,000 v_ X SIR:$1,000,000 MED EXP(My one person) S EXCLUDED -' t PERSONAL A ADV INJURY S 1' '� GEN'L AGGREAT G L.LIMI I APPLIES PER j GENERAL AGGREGATE .S 2,000000 X POLICYzier 'LOC PRODUCTS COMPWAGG S 2,000,000 _..._ OTHER S I A AUTOMOBILE LIABILITY MIkT6316649 03,0112022 0301,2025 ;COMBINEb SINGLE LIMN I S 1,000,000 (Ea ticWert) X j ANY AU 1 O I BODILY INJURY(Per person) S OWNED SCHEDULED 1SELF INSURED AUTO PHY DMG AUTOS ONLY _ AUTOS BODILY INJURY 1PH eccMenA) S HIRED NON OWNED I PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY I Wet accideel I $ A ' ! IB t1rALW . OC:CUR '�I � �316647 03!012022 03A1tlOZS EACH OCCURRENCE S /OAOO,OOD X EXCE$SSUPAI CLAIMS-MADEI I AGGREGATE S 10,000,00D OEO , 1 RE1EN11ONS , MID B WORMERS COMPENSATION SCFCSO6705333W1I �301l20Z4 0301,R325 X PER 0Tt4 EMPLOYERS'UABILITY STATUTE ER Y!N S,000,C0v ANYPROPEU TORPARTNERet XECUTIVE F-- , ! E L.EACH ACCIDENT S OFFICER,'MEMBERE.XCL UDE 67 N I NIAI in NH) E.L.DISEASE•EA EMPLOYEE.S 5,000,000 Byes,descIXN under Continued coAddecndi Page 5,000,000 DESCRIPTION OF OPE RATIONS below `' E L.DISEASE POLICY LIMIT S DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES IACORD 101,Additional Remarks Schedule,may be attached N more space is reguiredl EVDENfz OF FdSURANCE CERTIFICATE HOLDER CANCELLATION HOME DEPOT USA,NC: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2455 PACES FERRY ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING C-20: ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTA GA 30339 AUTHORIZED REPRESENTATIVE 7x!=e sear uS:s4r...e-Cne c 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101642069_ LOC R: Atlanta ACORN" ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY NAMED INSURED k1ARSN THE HOME DEPOT,iNC: HOME DEPOT U.S A_NC: POLICY UMBER 2455 PACES FERRY ROAD: RUE-DING C-20: ATAN TA.GA 30339 CARRIER NAIL CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensaon Continued: Carver:Safety Naton3 CasuJty Ca!paafal Pdicy Number:LDS1068089{AL ARAZ,FL,D AAAA'S KY LAMS A.10}VC NE,NM jrO,OKSC.SD,TN;VA,WV.WY): Einem Date:03'01.2024: Er/natal Date:03'01,2025: {Eli Lunt:35,010.000 Career:Safety Nanny Casual),Capaatai: Pdicy Number:SP4068090(QS1)ICA,OR.WAI: Elfeckm We:03/01,2024: Expratran Dale:03'01,2025: (ELI Lint:95,000,030: SR:95A000O0: Caller:ACE Amman YelvanoeCompany: Pdicy Number WCUC50670375(QS1) (GA,LB,NV,OH,UT): Eieotre Dale:034312024: E,Pialon Date 03/0112025: IEL Lrnt:55,000,000: SR:95,000A03: SR(GA)3750,000 (RAW 94250,00D MOM Si A00000: (EL)ON(:$4,000,O00: Career:hderr n y hsuralae Canpany of tbMl Arlerim: Paracy Nutter:W.RC50670284(0K,CO,CTOCDEkf1,N).4AA,MDME,M14,MT.N1!!'LI,NY,PA,R{,VTj: Effacer,Date:03n01,2024: Ejratm Date:03'01,2025: IEL)Lind:95,000,000: IX Employes XS hdenv1y: CanierZuidu American insurance Company: Pdicy Number:NSL 1138319-01(TX I: Eiecire Dare:03,01/2024: Expiration Dale:03/01,2025: (EL)Unit 56,000,000: SR:95,003,003: • • • • • ACORD 101(2008101) 0 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN1 01 64 2069 LOC 4: Atlanta_ ACORD� ADDITIONAL REMARKS SCHEDULE Page 3 of 3 AGENCY NAMED INSURED MARSH USA.LLC: THE HCME DEPOT.INC: HOME DEPOTU.SA..NC: POLICY NUMBER 2455 PACES FERRY ROAD: BULDI NG C-20: ATLANTA.GA 33339 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER. 25 FORM TITLE: Certificate of Liability Insurance • "'HOVE DEPOT NSUREDS".: The Home Depot,hc: Home Depot U.S A.,Inc.: Horne Depot USA.No.ma The Home Depot: Home Depot of Puerb Rien,etc: Home Depot Protrjot Pt±mrty,LLC Home Depot Sloe Support.Inc.: Red Beacon.LLC: H.D.V.I.Hoeing Company,hc: Askuty,Inc: Home Depot Manageme r Company.LLC Home Depot Solutions,LLC ACORD 101 (2008/01) 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affait'3 anq Business Regulation 1000 Waslhingt6rob4-Suite 710 Bosco ,_Msssacbusetls. 118 Home Ime o thBCla._e9istration z >blg 1 A e' �:w J t III, Type: Corporation ;,,if w 1�ttR� otinn• 4412/2 HOME DEPOT USA INC §` eGOn 1177821725 P 0 BOX 105451 A p= ATTN: LICENSE MGMT TEAM ATLANTA,GA 30349 < zxr r,'4AY' 1.Y", A/ Update Addrevs and Return Cord. 114E COMMONWEALTH OF MASSACHUSETTS Otf:c.of Conse11414 ASpfea&Bualr.ae Regutlaon R1giearallon valid toe IMlivitkoa:use only before the HOME IMPROVEMENT TOR expiretron defe.If found return to. TYPE:CdioSratiatl Orbca of Consumer Asalre and Evenness Regulelwn Rnitltiat149 c..trainmen 1000 Washlnaton Street•Suite 110 1$2,115-:_;k6e4aif,1 Rocion.MA 521I8 WWI-UI:P01 USA tt - iP I ''p COURINEstA HOW*; f.' t-..V5i,1L 2455 PACES FERRY Mt 41 R8c.'• 1�,,,.✓(rear..f ATIANIA.GA 2093e trndweecretary Not valid without signature .^""'1 EXTEREM-01 AC`C oRC DATE 1111WDO.TYYY, �. CERTIFICATE OF LIABILITY INSURANCE 1/25r2024 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 CEACT Deborah Marina Canary Blomstrom insurance Agency PHONE FAX 413 786-7004 s,ts Springfield street a r. .EMI, (413)750-9022I IA,+c,N,o.{ Feeding Hills.MA 01030 itak13,dmarino. canaryblomstrom.com , INSIIRER(SI AFPOINING COVERAGE AMC X , BaSURERA.NGM Insurance Co. 14788 POURED INSURER B Atbans Protection Insurance Compi,Iny 41380 Exterior Remodeling Group Inc ,MSURERC AIM MtWtI* Ifgtlrillall Co. 23 Benham St ASURER D Springfield,MA 01109 !rk3URER E +,'.SURER 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 REOUIREMENT, 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 LTR R ADTYPE OF INSURANCE SD W POLICY NUMBER Iy POLICYn i ,, LIMITS LT A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 CLAIMS-MADE Q ccctR MPP3376W 7/27/2023 7/27/2024 aEtYAil R ,a04,1 1 I!.QED EXP,Acrr Dr*per i } 10,000 II PERSONAL a ADV INJURY •S 1,000,000 GEN'L AGGREGATE UNIT APPLIE.S PER GENERAL AGGREGATE S 2,000,000 © POLICY❑,FLr ! I LO: PRODUCTS.COMPOP AGG S 2,000,000 OTHER S 'COMB=aINED SOLE LIMIT $ 1,000,00D B AUTOMOBLELIABLITY -. III ANY AUTO 1020110392 8/17r2023 11,11712024 aC°OLY ANPdFIY IPR a4ry R1 S OWNED OONLYX PULED II :4:::LY AI RYJPR.a:FA4QL S � uJTOa , PROPIRTY DAMAGE X K)1,3ra Crii'L.. J - FI !NNW O , S 1 , E I UMBRELLA LIAR --IOCCUR EAr,11 OCCURRENCE $ EXCESS LIAR _CLAMS.►,AADE AGGREGATE y k 1 DEL} RE TN,'•DN I $ C AND WORKERS YEAS'L,LA POCONIPENSA ULT X STATUTE 1 1 EEFL - AM P`OPRETOS,PARTNER,EAECRIT E Y N ACC-�Q-502B4L3-2024A 1i25i2Q2` 1!2512025 500.000 EL.EACHAft•,%"ENT $ G=r c1tM Vl NNI EXCU:G£O? Y hi A S I. O SEASE-EA EAPLOYEIi$ 500.000 II von,OrsCIDe uran 500.000 ,CLS';:R3+T'R,DNOF OPERATIONS WIC0 _L _-,EASE•POLICY_tIf , 1 DESORPTION OF OPERATIONS:LOCATIONS:VEHICLES IACORO101,AddElebal Remarks SdNdiM,nayrMattlatMd Ewes space INAquMQ) Home Depot U.S.A.Inc and the parents,affiliates and subsidiaries se added as Additional Insured. Eupeniu Clubotaru is excluded from the Workers' Compensation Policy CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Home Depot U.SA Inc ACCORDANCE WITH THE POLICY PROVISIONS. 2455 Paces Ferry Rd C-11 Atlanta.GA 30339 AUTHORIZED REPRESENTATIVE I ACORD 25(2016/03) 0 1988-2015 ACORD CORPORATION. All rights reserved. i_ e f tU act11,66),, up, _. autnori- iro rermits Li.i; to pull permits using my i. License a 106106 ___ ana my 111C Registration# 183 666 _..__ --. .,..cctions please call me at: t(q 13) 3 3 5-3 7 Oa instiller aim:.. __ t✓ompany Naha,_____ EX{'� Ri.o_.R ___ RedYte rif.1 6 ROup , r Commonwealth of Massachusetts Construction Supervisor Specialty " Division of Occupational Licensure - Board of Building Ree'gula�ti1ons and Standards Restricted to: ConstruCti u MI Vs CSSL.•WS -Windows and Siding N� pr Specialty CSSL-106106 ..i1 .r Opires: 09/29/2024 o EUGENIU CIk 8Of ,,. ,k i �' 23 BENHAM $T-$• ail 1 l 1 SPRINGFIEL MA` I' f f • ?a„ •t q,. ,/t . �� M{�tJ,�'di1>> Failure to possess a current edition of the Massachusetts ^ State 8uiidirttl Code is cause for revocation of this license. r•.......;,.gi,,;,,.r• — ,. i/ 1' i ri;,.,i,,,, For information about this license viw r I. Call (617) 727-3200 or visit www.rnass.govrdpl Onice of Consumer Affairs and Business Regulation i000 Washington Street-Suite 710 Boston,MitsSaci usetts 0 118 Home Improvement Contractor Registration ?ype Oatvoritiow F'XrEfilKNI REIACCEONOLUMP, awl hogireatier, y i p?�1 41 sii SPR+ F*11),Wi C1 i67 *A woraree rbrum Card. triddid M GMruMwr MMN i tiwnaa aaduratim $OiiE NIONOWIYilNT CONTR+4C7C01 Ploodato ohm rid ter Inslvtriwi into oat, TVlE;Carter Orford Ow•parr ion 6014. N fated mum!u alighlinden taklaila 00%410 cinauwr en„/s ea auw•,i q ipWltApn /Perri arosta;:rJ Ma Wasmadiw+Sind Sulw 710 tXTE>rtpta rEl4MC i s 44:74,413i, 04C' 1100t11 i M i 01'41 Et320404CAiBGTnpat •• �•u 7 8D410M ST , "'""„, .±�r+r" _ SPoli pl t hilt Ili g o i;ilak+ wimri µ M04 Valid arillhOu A t ura PROJECT SPECIFICATION Date: 04/16/2024 Branch: New England West Sales Consultant : Ronald Engelbrecht CSC Phone: HOME DEPOT PHONE: (877)-903-3768 , Ronald Engelbrecht : HIS 0554523, R- Sales Consultant (413) 334-7124 License(s): 1 073 13 00004 Phone# INSTALLATION ADDRESS: 20 Cloverdale Street Florence MA 01062 Job#: F42234420 PURCHASER(S): Work Phone Home Phone Cell Phone Susan Reardon (413) 923-8393 mr PROJECT NAME: Windows Quote Customer /� Signature: Date: 04/16/2024 Date: PROJECT SPECIFICATIONS 1 1st/FAM/Windows Simonton 6500, Double Hung, White Int. Finish, White Ext. Finish, Width 34, Height 54, Width + Height 88, Flat - Grids Between Glass Grid, COLONIAL Pattern, White Int. Grid Color, White Ext. Grid Color, ALL Grid Position, 1 Bar(s) Horizontal, 2 Bar(s) Vertical, ALL Grid Position, 1 Bar(s) Horizontal, 2 Bar(s) Vertical, Glass - Standard, Window/Door Wraps— F&I Up To 120 UI (Per Each), Wrap Color White Limited Time Manufacturer Promotion 2 1st/BATH/Windows Simonton 6500, Double Hung, White Int. Finish, White Ext. Finish, Width 28, Height 38, Width + Height 66, Flat - Grids Between Glass Grid, COLONIAL Pattern, White Int. Grid Color, White Ext. Grid Color, ALL Grid Position, 1 Bar(s) Horizontal, 2 Bar(s) Vertical, ALL Grid Position, 1 Bar(s) Horizontal, 2 Bar(s) Vertical, Glass - Standard Tempered Glass Full, Flange Window Removal W/ Siding Repair (Per Opening), Window/ Door Wraps — F&I Up To 120 UI (Per Each), Wrap Color White Liiiiitud Time Maliufc',tuiel Piuniuliun Job Level and Labor Options 2-Window/ Door Wraps — F&I Up To 120 UI (Per Each); 1-Flange Window Removal W/Siding Repair (Per Opening) Project Name: Windows Quote Sheet 1 of 1