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25C-003 (3) BP-2024-1309 19 WOODMONT RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-003-0O1 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-2024-1309 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2024 Contractor: License: Est.Cost: 23000 LOWES HOME CENTERS INC 111478 Const.Class: Exp.Date:01/21/2025 Use Group: Owner: BALDARELLI JOHN&DANIEL K HARRISON Lot Size(sq.ft.) Zoning: URB Applicant: LOWES HOME CENTERS INC Applicant Address Phone: Insurance: 1000 LOWES BLVD 860-505-9314 WA565D294595014 MOORESVILLE, NC 28117 ISSUED ON: 10/15/2024 TO PERFORM THE FOLLOWING WORK: STRIP AND REROOF 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: Fire Department Dricenay Final: Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner cA, tia jii),i,to ro /,► / k n-eY-E WO , C40-tb e /if)12 es_ 1.0-)t__ nwealth of Massachusetts _.. ,:- 1 v f 3narti of - ding Regulations and Standards - kg). M chus State Building Code,780 CMR MUNI IPALITY SE._. __ agtpdittePt20211lice on To Construct,Repair,Renovate Or Demolish a Revise Mar 2011 c o e-or Two-Family Dwelling :� i I .v. CJ «"a This Section For Official Use OW " -L 'FetUniAitrgqff; N Date Applied: j - e/r Ad O» `a Building Official(Print Name) Signature tit! Straf c x o SECTION 1:SITE INFORMATION [ ___j Z a 1.1 Property Ad ess• A1.2 Assessors Map&Parcel Numbers 1.1a Is this an accepted street?yes no Map Number Parcel Number 13 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of R n /1 a idfivia;1a /Ill)4-At,x406.K.),_,I,fP O!D(,O Name(Print) City,State,ZIP I Q 001404, 44. (I3J 10Q� �osJ Ci Iri )23 vahiv. csr��v No.and Street Te ep one Email Address SECTION 3:DESCRIPTION OF PROPOSED WORD(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied 0 Repairs(s)'' Alteration(s) 0 Addition 0 Demolition ❑ Accessory Bldg.❑ Number of Units Other 0 Specify Brief Description of Proposed Work2: h o SECTION 4:ESTIMATED CONS UCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building 23 000164Fr 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All F.- -1 Suppression) /, Check No. ''' Check Amount: OP Cash Amount: 6.Total Project Cost: $ **Iv,- ❑Paid in Full 0 Outstanding Balance Due: 23 000 9toe errlt` r SECTION 5: CONSTRUCTION SERVICES 5.1 Construe n Supervisor use(CSL) 1//617,4 �/ ,b' ar) jLli ' License NumberExp- tion to Name of C.L Holder 47 ,el/.C�/�s 1 iLde_QI List CSL Type(sec below) No.wAStreet Type Description LLAar /ifird'6fal, �/ Cie) U Unrestricted(Buildings up to 35,000 cu.ft.) �"7 G/� R Restricted 1&2 Family Dwelling City/Town,State, M Masonry RC Roofing Covering WS Window and Siding C1T41-3) 3^2�/J�_(L j ed vJ �,,,,A SF Solid Fuel Burning Appliances •/ �/ A,/�t�. i htsulation elephone Email address • Demolition 5.2 R ' tered Home 1 provemen Contractor(HIC) C� 11/W nYu � ‘ Hlc Registration t, V�CJ mber EUJ�7/ HIC yN orHl 'R t c xpiration Date No.and t ,/! / ��5-,gilit Email address er? City/Town,State,ZIP Telep 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 (-Fe No .❑ 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 G�fl4 to act on y behalf,in all matters relative to work authorized by this building permit application. h al ti iiii Io f�� Print s Name ectronic 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 thi••application is true and accurate to the best of my knowledge and understanding. 1 Wig an 0 A Print Owner's or Authorized Agent's Name(Electronic Signature) c NOTES: I. 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 I tome Improvement Contractor(I 11C)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 w•ww.mass.govidps 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 hall7baths 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" Lowe's Home Centers, LLC INSTALLATION CONTRACT Work Order# 36586417 Lowe's Store 1916 282 RUSSELL STREET Total Contract Amount $ 76,727.00 HADLEY, MA 01035 PLEASE READ THIS Deposit $ 0.00 877-477-1115 Due Upon Completion $ 76,727.00 ap@vhimail.com Visit https:ilwww.lowes.com/licensenurnbers for license information Customer Name & Project Address Customer Address (if different) Primary Phone (413)695-5081 John Baldarelli Alternate Phone 19 woodmont rd Email dan123@yahoo.com Northampton, MA 01060 This installation contract (the "Contract") between the customer identified above ("You") and Lowe's provides for the Goods and Installation Services specified in Estimate # 36586417-1 to be performed at the Project Address above and includes (a) any applicable State Addendum, (b) the Notices, (c) the Terms and Conditions, and (d) Change Orders, if applicable. If there is any inconsistency between the State Addendum and the Notices or Terms and Conditions, the State Addendum shall take precedence. This Contract defines what You can expect in Your installation experience with Lowe's, what I owe's expects in return, and how You and Lowe's will resolve any differences. It is a legal agreement. By signing this Contract, clicking "I agree," or by accepting Goods or Installation Services You are agreeing to be bound by this Contract. IF YOU DO NOT AGREE TO ALL OF THE TERMS OF THIS CONTRACT, YOU MUST NOT SIGN THIS CONTRACT, CLICK "I AGREE", OR ACCEPT THE GOODS OR INSTALLATION SERVICES. PAYMENT OPTIONS (Subject to fund verification and/or credit approval). You may pay the Total Contract Amount by authorizing an electronic checking account withdrawal or utilizing an accepted credit card or financing. Upon electronic execution of the Contract, You authorize the processing of the Deposit payment, if applicable, from the designated checking, credit card or finance account. If there is a balance due upon completion of the Installation Services, You agree to pay the balance due upon completion. You are subject to the terms and conditions of the cardholder or financing agreement, as applicable, to which Lowe's is not a party. Any interest payments or other finance charges will be determined by such cardholder or financing agreement and will be in addition to Your payments under this Contract. LIEN WAIVER: If You make all payments as required under this Contract, Lowe's hereby waives its right to file a mechanics and/or materialmen's lien and will protect Customer's property from any such lien filed by any person, including Installer, in connection with the Installation Services. NOTICES TIME OF SERVICE. The Installation Services are estimated to start ninety days from the transaction date, based on the reasonable availability of the Installer and any special order or custom materials, if applicable. The Installation Services are estimated to be completed one hundred and twenty days from the transaction date. PRICE CALCULATIONS. If this Contract includes Goods and related Installation Services sold by unit of measurement, such as per square foot, the Price may include more Goods than the actual measurements of Your project area. The Price includes the total amount of Goods required by Lowe's to fulfill the Contract (including surplus materials and overages) (together the "Estimated Product")and the Installation Services required based upon this total amount of Goods. For instance, a 120 square foot room may require 140 square feet of carpet, and the Price would include Installation Services based upon the 140 square feet of carpet. The total amount of Estimated Product is based upon the total Goods recommended by the Installer, based on the Installer's assessment of unique characteristics of Your project. If any usable Goods are left over, Lowe's may, at its discretion, initiate a Price adjustment. Lowe's will not adjust the Total Contract Amount for the related Installation Services. By signing this Contract You acknowledge You are aware of Your project area measurements and the amount of Estimated Product, and that the Estimated Product may exceed Your actual project area. LEAD SAFE INFORMATION. Federal and applicable state laws require that You be provided with a lead ha7ard information pamphlet such as The Lead Safe Certified Guide to Renovate Right: Important Lead Hazard Information for Families, Child Care Providers and Schools. By signing this Contract, You acknowledge having received a copy of this information pamphlet before work began informing You of the potential risk of the lead ha7ard exposure from renovation activity performed in Your dwelling unit Doc ID:20e16642a657fe911c4464238821a24ba67973b8 or facility. A copy of the pamphlet is available at the following website: www.lowes.com/EPARRP. For more information see: https://www.epa.gov/lead/lead-renovation-repair-and-paintinq-program. ARBITRATION AGREEMENT. This Contract provides that You and Lowe's will resolve all claims by BINDING ARBITRATION. You and Lowe's GIVE UP THE RIGHT TO GO TO COURT to enforce this Contract(EXCEPT for matters that may be taken to SMALL CLAIMS COURT). A NEUTRAL ARBITRATOR will determine Lowe's and Your rights and NOT a judge or jury. You and Lowe's are entitled to a FAIR HEARING. BUT the arbitration procedures are SIMPLER AND MORE LIMITED THAN RULES APPLICABLE IN COURT. Arbitrator decisions are as enforceable as any court order and are subject to VERY LIMITED REVIEW BY A COURT. FOR MORE DETAILS: Review the sections titled ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS ACTION ADJUDICATION found in the Terms and Conditions of this Contract. NOTICE REGARDING ARBITRATION AGREEMENT FOR CLAIMS COVERED BY M.G.L. c. 142A. LOWE'S AND OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT LOWE'S HAS A DISPUTE CONCERNING THIS CONTRACT. THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE OWNER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN M.G.L. c.142A. THE SIGNATURES OF THE PARTIES BELOW APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INITIATED BY LOWES, PURSUANT TO M.G.L. c. 142A. THE OWNER MAY BE PERMITTED TO INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. If customer has a complaint which cannot be resolved informally, the home Improvement Contractor Law (M.G.L. c. 142A) may provide Customer with the right to request arbitration through a private arbitration program approved by the Director of the Office of Consumer Affairs and Business Regulation, as an alternative to court action. The same right is not afforded to Lowe's unless this Notice is signed and dated by Lowe's and Customer. All claims by Customer or Lowe's concerning this Contract which cannot be resolved informally, and which are not covered by M.G.L. c142A or subject to the jurisdiction of a small claims court, shall be resolved by binding arbitration as set forth in the Terms and Conditions. By: / —f Date: 09/23/2024 Lowe's Authorized Representative 19/1/Z. C6/lsi ' By: Date: 09/23/2024 Customer PHOTO RELEASE. By signing this Contract, You grant to Lowe's, its representatives, and Installer the right to take and use photographs, videos, or other representations of the Project Address before and after the Installation Services and all work performed at the Project Address related to this Contract(the "Content"). Lowe's irrevocably keeps all rights (including the copyright), title, and interest in the Content for use in all markets and media, worldwide, in perpetuity. Lowe's can use the Content, in any form or medium, internally for any purpose (e.g., customer service, planning, and claims). TERMS AND CONDITIONS 1. COMMON DEFINITIONS. Capitalized terms used in this Contract will either have the following stated meanings or will be defined throughout the Contract. a. "You", "Your(s)", and "Customer" all mean the person executing this Contract to purchase Installation Services. b. "Goods" means the physical items You are purchasing in connection with the Installation Services. A list of the Goods appears on the Estimate. c. "Installation Services" means the work, labor, and other services necessary to install the Goods. Some examples of Installation Services include delivery, handling, return, and selection and placement of Goods. d. "Installer" means the independent contractor Lowe's arranges to perform the Installation Services. Installer will be licensed when legally required, and will direct, control, and perform the Installation Services directly or through its employees, agents, and subcontractors using tools and equipment Installer provides. Lowe's does not employ Installer, its employees, or its agents or subcontractors. e. "Lowe's" means Lowe's Home Centers, LLC, a North Carolina Limited Liability Company located at 1000 Lowe's Boulevard, Mooresville, NC 28117. Lowe's Employer Identification Number is 56-0748358. Doc ID:20016642a65710911c4464238821a24ba67973b8 2. SCOPE. This Contract is between You and Lowe's for the purchase of Goods and Installation Services. Lowe's does not perform Installation Services, but arranges for Installer to do so directly or through Installer's employees, agents, or subcontractors. Installer is an independent contractor and is not under the supervision or control of Lowe's. Installation Services do not include architectural or engineering services. Installer will complete Installation Services, subject to any changes, in substantial conformance with the Merchandise and Installation Summary. Lowe's reserves the right to terminate or rescind this Contract if Lowe's decides that any portion of the job is beyond the scope of the Installation Services that Lowe's originally contemplated. 3. CHANGE ORDERS. Any changes to the Goods and/or Installation Services, including but not limited to changes necessitated by undisclosed, unidentified or unforeseen conditions on the site("Undisclosed Conditions"), are subject to a written Change Order signed by both parties, which shall specify the change in scope and any adjustment to the Total Contract Amount, which will be reflected in the balance due upon completion. Neither Lowe's nor Installer shall have any obligation to remediate any such conditions and, at its discretion, Lowe's may immediately discontinue the installation or ask for a Change Order. Neither Lowe's nor Installer will remediate any mold, asbestos or lead-based paint and are not responsible for any delays caused by events beyond either party's control, including but not limited to acts of nature, governmental actions, delivery delays, or delays caused by third parties, labor strikes, project financing, incorrect information provided by You or Your non-compliance with this Contract. 4. GOODS. Title to Goods does not pass to You and remains the property of Lowe's until Goods are installed in Your home, building, or on Your property. You agree that the Contract is being offered for the Total Contract Amount and that any surplus materials upon completion of the Installation Services are not Your property and, if instructed by Lowe's, such surplus materials shall be returned to Lowe's by the Installer. Upon request from You at the time of job completion, Lowe's, in its discretion, may allow all or part of the unused, receipted surplus materials to be retained by You. 5. LICENSES, PERMITS, AND OTHER REGULATORY REQUIREMENTS. Installer will obtain any and all licenses, registrations, certifications, and permits ("Local Requirements") necessary to perform the Installation Services at the Project Address, unless otherwise required by law or where Lowe's elects to use a third-party service. You agree to pay any fees associated with the Local Requirements and to cooperate in any required inspection or permitting process. The Installer, and not Lowe's, is responsible for performing the Installation Services in compliance with applicable safety rules, building codes, zoning ordinances, and other regulations ("Local Regulations"). You are responsible for any violations of the Local Regulations that exist at the time You sign this Contract. This Contract creates no obligation to correct these pre-existing violations. Any change in the Local Regulations may require a Change Order and may result in an increase in the Total Contract Amount. Neither I owe's nor Installer will perform any additional work after completion of the Installation Services due to changes in the Local Regulations. 6. TERMINATION. If You breach this Contract or decline a reasonable Change Order request, Lowe's may immediately terminate this Contract without further obligation. In the event of such termination, You agree to pay Lowe's the costs of materials, labor, expenses, and services provided by Lowe's in connection with the Installation Services through the date of termination, plus any other amounts set forth in this Contract or allowed under applicable law. If terminated or rescinded, Lowe's has no obligation to return the Project Address to the original condition. If Lowe's terminates or rescinds the contract before delivering Goods or beginning the Installation Services, then Lowe's will return the portion of the Total Contract Amount paid by You without further costs or obligation to You or Lowe's. If Lowe's terminates or rescinds the contract after delivering Goods or beginning the Installation Services, title of the Goods passes to You upon termination and Lowe's has no obligation to return any portion of the Total Contract Amount to You except in exchange for Goods You validly return. You will have thirty(30)days from any termination or rescission to return any standard Goods in the original, unopened condition for refund or credit. Returns may be subject to a twenty percent (20%) restocking fee. Custom and special-order Goods are not returnable. Custom Goods include Goods altered, color-matched, shaped, sized, cut, or otherwise designed or fitted to accommodate the requirements of a particular space or environment. Some examples of custom Goods are cabinets, countertops, floor and wall coverings, and window treatments. 7. YOUR WARRANTY TO LOWE'S AGAINST VIOLATIONS OF EASEMENTS, COVENANTS, AND THIRD PARTY RIGHTS. You warrant that performance of the Installation Services will not violate any existing real property easement, covenant, historic district regulations, homeowner's association rule or rights of third parties holding an interest in the Project Address or otherwise, and that You have the rights and authority to enter into this Contract. 8. CUSTOMER RESPONSIBILITIES. You agree: a. To Pay only Lowe's. You agree to pay Lowe's and only Lowe's for any Goods and Installation Services, even if Installer provides a new Contract or Change Order for Your review and signature. Installation Made Easy, Inc. is Doc ID:20016642a657fc911c4464238821a24ba67973b8 the only party authorized to collect payment on behalf of Lowe's. You agree not to pay the Installer separately or directly. This Contract is solely between You and Lowe's. b. To Locate Lines and Hazards. Before Installer begins Installation Services, You will identify and mark the location of utility lines, for example electrical, plumbing, and gas lines, and property lines that could impact the Installation Services. Prior to the installation, You will identify any pre-existing physical or environmental hazards, building code violations or other legal encumbrances that could affect the Installation Services. You are responsible for any delays or interference to the installation caused by You or any third party under Your direction or control. c. To Ensure Compliance with Smoke Alarm and Carbon Monoxide Detector Requirements. Prior to the start of the Installation Services, You will ensure the Project Address has all necessary carbon monoxide detectors and smoke alarms ("Detectors") needed for the Installer to obtain the necessary permits and complete the Installation Services. You are solely responsible for the proper number, placement, type, functioning, operation, installation, testing, as per the manufacturers' specifications, and maintenance of any Detectors required by Local Regulations. Failure to meet Federal, state or local Detector requirements, if any, will be considered an Undisclosed Condition. d. To Provide a Safe and Proper Working Environment. Before and during the Installation Services, You will ensure that work areas are free of vermin, pre-existing physical or environmental hazards, and violations of Local Regulations. You will allow the Installer to have access to work areas and restrooms. You will provide climate control, where applicable, and electricity to the work areas. You agree not to allow unattended minors at the Project Address during the Installation Services. You agree to control and keep pets away from work areas. You agree to keep posted permits on display at all times. If You or someone You control interferes with the Installation Services, Lowe's may charge You for storage, transportation, or other resulting charges. e. To Sign the Certificate of Completion. You will sign a Completion Certificate upon satisfactory completion of the Installation Services. f. Not to Assign or Transfer this Contract. You cannot give Your rights under this Contract to anyone else. g. To Promptly Notify Lowe's of a Claim. If you have a claim that is in any way related to this Contract, You must make that claim to Lowe's within thirty(30) calendar days of when you knew or should have known of a problem. Lowe's will attempt resolution of any claim(s)within sixty(60)calendar days of receiving Your notice. h. That You Are Responsible If You Choose to Help. IF YOU CHOOSE TO HELP, YOU ASSUME THE RISK AND THE FULL LIABILITY OF PHYSICALLY ASSISTING WITH DELIVERY OF THE GOODS OR WITH PERFORMANCE OF THE INSTALLATION SERVICES. 9. LIMITED WARRANTY. TO THE EXTENT PERMISSIBLE UNDER APPLICABLE LAW, LOWE'S WARRANTS THE WORKMANSHIP OF THE INSTALLATION SERVICES FOR ONE (1)YEAR (TWO (2)YEARS FOR ROOF REPLACEMENT) FROM THE COMPLETION DATE (THE"WARRANTY PERIOD"). THIS WARRANTY DOES NOT COVER DAMAGE CAUSED BY ACTS OF GOD, INSTALLATION OR REPAIRS MADE BY PERSONS OTHER THAN INSTALLER, OR ABUSE, MISUSE, NEGLECT OR NORMAL WEAR AND TEAR. GOODS ARE COVERED EXCLUSIVELY BY THE MANUFACTURER'S WARRANTY, IF ANY. THIS LIMITED WARRANTY GIVES YOU SPECIFIC LEGAL RIGHTS. YOU MAY HAVE OTHER RIGHTS THAT VARY FROM STATE TO STATE. LOWE'S WARRANTY FOR INSTALLATION SERVICES IS IN LIEU OF ANY OTHER WARRANTY, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. 10. LIMITATION OF LIABILITY. For any claim related to this Contract, You can only seek recourse from Lowe's or the Installer; no parent or affiliate of Lowe's shall have any liability under this Contract. You must give Lowe's written notice within the Warranty Period of any warranty claim. Your only remedy for a warranty claim is either(i)for Lowe's to have the Installation Services performed again, including any necessary repair and replacement of Goods, to correct the defective Installation Services, or(ii) a refund of all or part of the Total Contract Amount. Lowe's has absolute discretion to choose between these two options. YOU SHALL HAVE NO OTHER REMEDY FOR A WARRANTY CLAIM, INCLUDING WITHOUT LIMITATION REMEDY FOR LOSS OR DAMAGE CAUSED BY NORMAL WEAR AND TEAR, LOSS OR DAMAGE WHICH HAS NOT BEEN REASONABLY MITIGATED, OR LOSS OR DAMAGE CAUSED BY ACTS OF GOD. IN NO EVENT SHALL LOWE'S BE LIABLE FOR INDIRECT, PUNITIVE, CONSEQUENTIAL OR INCIDENTAL DAMAGES (SUCH AS, WITHOUT LIMITATION, LOST PROFITS, LOST SALES, COSTS ASSOCIATED WITH PROJECT DELAYS, AND INJURIES TO PERSONS OR PROPERTY), EVEN WHERE LOWE'S HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. WHERE, DUE TO OPERATION OF LAW, SUCH DAMAGES CANNOT BE EXCLUDED, THEY ARE EXPRESSLY LIMITED IN AMOUNT TO THE TOTAL CONTRACT AMOUNT. For warranty claims, You agree to prepare Doc ID:20e16642a657fe911c4464238821a24ba67973b8 the work area at the Project Address in the manner described in the section titled"Customer Responsibilities." 11. ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL,AND WAIVER OF CLASS ACTION RIGHTS. Lowe's wants to keep You as a customer, and Lowe's resolves most questions and complaints informally. To initiate informal dispute resolution, You must provide Lowe's Your full name and contact information; a description of the claim; information about the specific transaction at issue; Your counsel's name and contact information, if applicable; and a description of the relief sought. You and Lowe's will personally meet and confer,whether in-person, via teleconference or video conference, in a good faith effort to informally resolve any claim. If You are represented by counsel, that counsel may, but is not required, to participate in the informal dispute resolution conference. Either party may request an arbitration or a proceeding in small claims court, as applicable, if the dispute cannot be resolved within sixty(60)days, unless an extension is mutually agreed upon by the parties. The statute of limitations will be tolled while Customer and Lowe's engage in the informal dispute resolution process. All claims related to this Contract by Lowe's or by You, Your agents, insureds or assigns, which You and Lowe's cannot resolve informally (and which are not subject to the jurisdiction of a small claims court) shall proceed to binding arbitration conducted by a single arbitrator under the current applicable rules, procedures, and protocols of JAMS, Inc. ("JAMS")(www.iamsadr.com)or the American Arbitration Association ("AAA") (www.adr.org). You agree that if either JAMS or AAA is unable or unwilling to arbitrate the matter, You and Lowe's will agree upon a single arbitrator with a nationally recognized arbitration firm to arbitrate the matter. Claims subject to binding arbitration include: a. all claims in any way related to the signing of this arbitration agreement, the validity or scope of this arbitration agreement, or any attempt to set aside this arbitration agreement; b. all federal or state law claims relating in any way to this Contract(including this arbitration agreement), the information You gave Lowe's before entering into this Contract, and any past agreement or agreements between You and Lowe's; c. all counterclaims, cross-claims, and third-party claims; d. all common law claims of any kind including claims based upon alleged product defect, contract, tort, fraud, or other intentional torts; e. all claims based upon a violation of any state or federal constitution, statute, or regulation; f. all claims asserted by Lowe's against You, including claims for money damages to collect any sum Lowe's claims You owe; g. all claims asserted by You individually against Lowe's or any of Lowe's employees, agents, directors, officers, shareholders, managers, members, parent company, or affiliated entities (collectively the"related third parties") or the Installer, including claims for money damages and/or equitable or injunctive relief; h. all claims asserted on Your behalf by another person; i. all claims asserted by or on behalf of You as a private attorney general against Lowe's, related third parties or the Installer; j. all claims arising from or relating directly or indirectly to the disclosure by Lowe's, related third parties or the Installer of any non-public personal information about You; and k. all other claims related to this Contract whether or not set forth above. If the dispute falls within the jurisdiction of a small claims court the claimant may, at its option, choose to arbitrate or file a small claims action. Any appeal of a judgment from a small claims court shall be resolved by arbitration as provided by this Contract. Binding arbitration means that You waive: (1) any right to a jury trial; (2)any right to bring a lawsuit in a court (other than a small claims court as described above); and (3) any right to seek relief in any other way. An arbitrator will decide any claim not decided by a small claims court. You agree that binding arbitration provides a simple, cost effective method to resolve disputes quickly. You agree that (1) You cannot pursue a class action lawsuit or class action arbitration of any type, (2) no one can pursue a class action lawsuit or class action arbitration of any type on Your behalf, and (3) a Court or arbitrator(s) cannot order class action proceedings under this Contract. You further agree that there shall be no joinder of parties, except for joinder of parties to the transaction covered by this Contract. By agreeing to binding arbitration You and Lowe's waive any right to bring or participate in a class action lawsuit or class action arbitration regarding any claim. How Arbitration Works: Lowe's may demand arbitration by sending written notice to You at the address listed in this Contract. You may demand arbitration by sending written notice to Lowe's at the following address: Mail code NB6LG, P.O. Box 1000, Mooresville, NC 28115. The arbitration shall occur in the city or county of the Project Address. Unless otherwise prohibited by law, each Party shall be responsible for its own filing fees and will share the fees and expenses of the arbitrator equally. Where fee and expense sharing is prohibited by law, Lowe's shall pay the filing, administrative, hearing, and arbitrator's Doc ID: 20e16642a657fe911c4464238821a24ba67973b8 fees associated with the arbitration. You are not required to reimburse Lowe's for these expenses even if Lowe's wins the arbitration. Unless the arbitrator's award or controlling law specifically provides otherwise, You and Lowe's are each responsible for their own attorneys'fees and other expenses, such as witness and expert witness fees. However, in the event the claim brought is frivolous, unreasonable or without foundation, or claimant continues to prosecute a claim after the claim becomes frivolous, unreasonable, or without foundation, claimant will be required to reimburse respondent for its costs, expenses, and reasonable attorneys' fees amounts paid in the investigation, defense, and/or settlement of such claims, and all other amounts allowed by law. Either party may request that the arbitrator provide a written explanation of the award, consistent with the then current rules, procedures, and protocols of the arbitration entity selected by the parties. Any court having jurisdiction may receive and enforce the arbitrator's award. If You fail to pay Lowe's in accordance with this Contract, You agree that Lowe's can recover its reasonable attorneys'fees as provided by N.C. Gen. Stat. Section 6-21.2 or other controlling law. The parties agree that this arbitration agreement is made in connection with a transaction involving interstate commerce and that the Federal Arbitration Act, 9 U.S.C. Sections 1-16 (as amended) ("FAA"), governs. If for any reason the Federal Arbitration Act does not apply, then the laws of the State of North Carolina shall govern this arbitration agreement. 12. GOVERNING LAW AND SEVERABILITY. North Carolina law shall govern and guide the interpretation of this Contract, without regard to the choice of law rules of any state, except that the FAA governs the ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS ACTION RIGHTS. Should an arbitrator, court, or other interpreting entity determine that a provision of this Contract is contrary to an applicable law, such unlawful provision shall be ineffective without invalidating the other provisions, which shall remain in full force and effect. MASSACHUSETTS ADDENDUM 1. MASSACHUSETTS LICENSES AND CERTIFICATIONS: Contractor license number(s)and certifications held by or on behalf of Lowe's Home Centers, LLC: #148688 (home improvement contractor)and LR000477 (lead-safe renovation contractor). License number(s)and certifications may be subject to change in accordance with local or state government processes. For the most current listing of license numbers and certifications held by or on behalf of Lowe's Home Centers, LLC, please visit http://www.lowes.com/licensenumbers. 2. FEDERAL TAX IDENTIFICATION NUMBER: Lowe's Federal Identification Number(FEIN) is 56-0748358. 3. OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION: All home improvement contractors and subcontractors must be registered by the Office of Consumer Affairs and Business Regulation ("OCABR"). Inquiries about a contractor or subcontractor relating to a registration should be directed to the OCABR Director of Home Improvement Contractor Registration at 1000 Washington Street, Suite 710, Boston, MA ; (617)973-8787; (888) 283-3757: or http://www.mass.gov/ocabr/. 4. REQUIRED PERMITS: Lowe's or the Installer is obligated to inform You of any and all permits necessary to complete the Installation Services contemplated in this Contract, and it is the obligation of Lowe's or the Installer to obtain said permits. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law (M.G.L. c. 142A). 5. PAYMENT SCHEDULE: Customer agrees to pay Lowe's according to the payment schedule set forth in this Contract, and in accordance with M.G.L.c. 142A§2(a), any deposit collected at the time this Contract is signed will not exceed one-third (1/3) of the Total Contract Amount. Final payment will not be due until the completion of the Installation Services to both parties' satisfaction. By executing this Contract, Customer authorizes Lowe's to charge Customer's credit card, or deposit Customer's check, as set forth in this Contract's payment schedule. Payment for a new replacement contract is payable according to these Terms and Conditions. If a Change Order is requested, the Total Contract Amount will be adjusted and will be reflected in the Due Upon Completion payment. 6. WARRANTIES: Massachusetts General Laws 142A, Section 2(a)(8)requires that this Contract include a notice disclosing all warranties and rights of Customer under this Contract. Except as provided elsewhere in this Contract, Contractor makes no express warranty. Customer waives, renounces, and disclaims all implied warranties of fitness for purpose, merchantability, habitability and good construction. NOTICE OF RIGHT TO CANCEL. If this is a "door-to-door sale" or if this Contract is signed by Customer at a place other than the address of the seller as set forth in M.G.L. c. 93 §48, You, the Customer, may cancel this Contract at any time prior to midnight of the seventh business day after the date of this transaction. See the notice of cancellation form sent as an attachment to this Contract for an explanation of this right. By executing this Contract, Customer acknowledges receipt of two (2) completed copies of the Notice of Right to Cancel form and certifies Lowe's has informed Customer Doc ID:20e16642a6571e911c4464238821a24ba67973b8 orally of his or her right to cancel. ELECTRONIC SIGNATURE AND ACCEPTANCE: By electronically signing below, Customer acknowledges and agrees that (1) Customer has read, understands and voluntarily accepts the terms of this Contract; (2)this is the entire Contract between Customer and Lowe's regarding the Installation Services; and (3)this Contract supersedes all prior discussions and agreements, either oral or written, relating to the Installation Services. This Contract cannot be assigned except by a writing signed by Customer and Lowe's. Customer will receive an electronic copy of this Contract upon acceptance. I/We electronically consent to the terms and conditions of this Contract. NOTICE TO CUSTOMER. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Lowe's Authorized Representative 09/23/2024 Signature Date Customer 19/11z. 09/23/2024 Signature Date Doc ID:20o16642a657fo911c4464238821a24ba67973b8 • PROJECT ESTIMATE LOWE'S (877) 477-1115 Powered by Installation Made Easy,Inc ROOF / 36586417-1 Customer Info Installation Info Customer John Baldarelli Installer Vista Home Improvement Phone (413) 695-5081 Phone (413) 382-0249 Email dan123gYahoo.com Email sambricovictahomeimprovement.ccn Address 19 Woodmont Rd Estimator Stefan Dean WO# 36586417-1 City ST Northampton MA 01060 Store# 1916 Purchase Date 09/23/2024 Postal Code Project Total $76,727.00 Location Product ; Description Qty Whole House Owens Corning Asphalt Shingles 25.00 Square(s) Items Product / Description Price Owens Corning Asphalt Shingles: E- ROOF Material & Labor-Asphalt Shingles Project Totals Subtotal $ 76,727.00 Project Total $ 76,727.00 Balance $ 76,727.00 Page 1 of 2 • PROJECT ESTIMATE LOWE'S (877) 477-1115 Powered by Installation Made Easy,Inc Estimate Summary MyLowe's Rewards Card: Take advantage of Lowe's financing on your purchase. To open a MyLowe's Rewards Card, return to the My Projects home page and click on APPLY NOW in the finance section. Applications are subject to credit approval. Next Steps for Your Project: When you are ready to move forward with your project, sign in to My Projects, click on MAKE PAYMENT to process your deposit and follow the instructions to sign your Sale Contract and Notice of Right to Cancel. You can review the Sale Contract prior to making payment by clicking on the Review Sale Contract button in My Projects. If you need assistance, call 877-477-1115. Payment Instructions: The Deposit is due prior to scheduling the installation. Final payment is due upon satisfactory completion of the project. Payments can be made online via My Projects at lowes.myhomeprojectcenter.com or by calling 877-477-1115. Cancellation Policy: I may cancel this transaction without penalty or obligation within the Right to Cancel period, as set forth in the Notice of Right to Cancel. Any changes made after the expiration of the Right to Cancel will require a signed Change Order. All products are special ordered. Consequently, there will be charges if the order is canceled after the expiration of the Right to Cancel. Page 2 of 2 AC °"'�`MM(DDYlr' CERTIFICATE OF LIABILITY INSURANCE 5/28/2024 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 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 LUN IAL,T NAME: Certificate Department FAX A Costa Insurance Agency re HONEA- 877-257-8586 oic.No), 5084375-9388 1 FRANKLIN COMMONS ADDRESS: col@a-coetalns.com INSURER(S)AFFORDING COVERAGE NAIC# _ FRAMINGHAM MA 01702 INSURER A: Hartford Underwriters Ins.Co. 30104 INSURED --- ---_-------- INSURER B: Pilgrim Insurance Company GOLDEN CREW CONSTRUCTION CORP INSURER C: 14 Bedford Ave apt 1 INSURER D: INSURER E: Worcester MA 01603-1246 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR' ADDLSUBR _. -- POLICY EFF -POUCY EXP ---- - LTR; TYPE OF INSURANCE INSR WfVD POLICY NUMBER (MM!DD/YYYY) (MWDD/YYYY) LETS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 •CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea oaaYrence) S 1.000,000 MED EXP(Any one person) f 10,000 A 08 SBM BA7FAX 10/10/2023 10/10/2024 PERSONAL 8 ADV INJURY S 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 1 POLICY X IECT LOC PRODUCTS-COMP/OP AGG $ Z000,000 S OTHER: AUTOMOBILE UABNJTY t UMBINEU SINGLE UMI I $ (Ea accident) ANY AUTO BODILY INJURY(Per person) S 100,000 B — All UT OWNED X ASur LED C5000001013291 4/26/2024 4/26/2025 BODILY INJURY(Per accident) $ 300000 HIRED AUTOS NON-OWNED PROPER IYDAMAGE S AUTOS (Per accident) 250,000 S UMBRELLAI.IAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE S DED RETENTION S S WORKERS COMPENSATION X PEN U I H- AND EMPLOYERS'UABIUTY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT I$ 1,000,000 A OFFICER/MEMBEREXCLUDED? NIA 08'NEC BA7FCF 10/10/2023 10/10/2024 — (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ 1,000,000 If Yes.describe under -----._----- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional 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 VISTA HOME IMPROVEMENT ACCORDANCE WITH THE POLICY PROVISIONS. 2097 Riverdale St AUTHORIZED REPRESENTATIVE West Springfield MA 01089-1025 Re/CQ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents y 11 v Office of Investigations 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): Lowe's Companies, Inc. Address: 1000 Lowes Blvd City/State/Zip: Mooresville, NC 28117 Phone #:860-505-9314 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ 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 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in anycapacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.1=1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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' 13.0 Other comp. insurance required.] 'Any applicant that cheeks box#1 must also till 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. :contractors 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: LM INSURANCE CORPORATION Policy#or Self-ins. Lic. #:WA565D294595014(AOS)Q ,� Expiration Date:4//�1/20025 / Job Site Address: jq Wood /�-v�� City/State/Zip: !/ ri /�ll�i�'tp-hn✓�-/A biota)Attach a copyof the workers' compensation policydeclaration 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. Signature: /1/2�tc .d �Bi Date: I v/7j2`1,/ Phone#: Official use only. Do not write in this area,to he completed by city or town official. City or Town: Permit/License# Issuing Authority(check one): I❑Board of Health 20 Building Department 3❑City/Town Clerk 4.0 Electrical Inspector 51EIPlumbing Inspector 6.0Other Contact Person: Phone#: THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type Supplement Card LOWE'S HOME CENTERS.LLC r — t' . E*ratloonn: 10/1868872025 1000 LOWES BLVD SERVICES COMPLIANCE MOORESVILLE.NC 28117 1.44 Update Address and Return Card THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs d Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. N found return to TYPE.Supplement Caro Office of Consumer Affairs and Business Regulation Biala/km. Exoirabon 1000 Washington Street •Suite 710 148488 t0i1712025 Boston.MA 02118 LOWE'S HOPE CENTERS.LLC ¶0CC LOWES NEXEDES SOTO • 1` 1� (�� t000 BLVD SERVICES COMPLIANCE MOORESVILLE.NC 28117 Undersecretary Not valid without signature ACC CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/1'VYV) 0307(2074 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 MARSH USA LLC. NAME. Lisa Beam ONE FAY 100 North Tryon Street,Suite 3600 _Ac,No,Eld): 1-704-374-8365 WC.Not Charlotte,NC 28202 EMAIL ADDRESS: Usa•b .= INSURER(S)AFFORDING COVERAGE NUM/ CN1027765194.Owes- rant-24-25 _ INSURER A: lib Mutual Firo Insurance Camoany 23036 MIMED INSURER B_Fiireman's Fund Indemnity CQtp 11380 Lowes Companies,Inc and subsidiaries INSURER C: LM Insurance Corporation 33600 1000 Lowe's Boulevard Mooresville,NC 28117 INSURER 0 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-005147621-21 REVISION NUMBER: 2 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. NSR DES& - POL)CY EFF POLICY EXP LTR TYPE OF INSURANCE MD VIM POLICY RUNNER (rIDD/YYYY1 (II•M00/YYYY) UNITS A x CONERCAAL GENERAL UAEIUTY TB2651294595074 04/01/2024 04105/2025 EACHoccuRRENCE $ 3,000,000 DAMAGE TMAMAS-MADE X OCCUR PREMISES( RENTED LL Ea occurrence) $ 3,000.000 MEDEXP(Any one I ) S PERSONAL&ADV NJURY S 3,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X PoucY n Jri-- LOC PRODUCTS-COMP/OP AGO S 3,000,000 OTHER' $ A AUTOMOBILE LIABIUTY AS2651294595104 04/01/2024 04/01/2025 COMBINED SINGLE OMIT $(Ea 5,000,000 X ANY AUTO BODILY INJURY(Per person) S OWNED I SCHEDULED BODILY INJURY(Per aOddsnf) S AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY _ AUTOS ONLY (Per accident) X UMBRELLA LIAB X 'OCCUR USZ00094624 04/01/2024 04/01/2025 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE S 10,000,000 DED I RETENTION$ I $ C WORKERS COMPENSATION WA5650294595014(AOS) 04/01/2024 04/01/2025 x PE TH- AND EMPLOYERS'LUBIUTY STAR ) I ER C ANY PROPRIETOR/PARTNERIEXECUTNE Y/N WC5651294595024(WI,MN) 04/C1/2C24 04IC1/2025 EL EACH ACCIDENT S 2.000.000 OFFICER/MEMBER EXCLUDED? n N/A ---- (Mandatory In NH) EL DISEASE-EA EMPLOYEE S 2000,000 0ys6 desrnbe under 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIAR S C Excess Workers'Compensation EW565N294595064(FL) 04/01/2024 04/01/2025 (WC per statute) 3,000,000 A Excess Workers'Compensation FW265N294595034(AOS) 04/01/2024 04/01/2025 (WC per statute) 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Ronrarks Schedule,may be attached if more space Is required) EVIDENCE DE INSURANCE CERTIFICATE HOLDER CANCELLATION Love's Home Center,LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1000 Loves Blvd THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mooresville,NC 28117 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE "2XaaosF ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102776519 Loc#: Charlotte ACC ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA LLC. Lowe's Companies.Inc and subsidiaries POLICY NUMBER 1000 Lowe's Boulevard Mooresville.NC 28117 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 EXCESS WORKERS COMPENSATION(MO) Cartier.Liberty Mutual Fire Insurance Co. Poky Number.EW265N294595054 Effective/Expiration dates 04101/2024•04I01/2025 Limit(Per Statute):$3,000,000 EXCESS WORKERS COMPENSATION(MA) Carrier Liberty Mutual Fee Insurance Co Policy Number EW265N294595044 Effective/Expiration dales:00010024-04101/2025 Lind(Per Statute):$3,000,000 Workers'Compensation and Excess Workers'Compensation policies include a sed-insured retention of$2,030,000. The Automobile Liability policy evidenced above is subject to additional seft.insured retentions excess of limits shown for various perils covered. ACORD 101 (2008/01) 0)2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD City of Northampton 009,-4x.ri�L.• SAS SRO • Massachusetts � '<G N 1- - I F• I DEPARTMENT OF BUILDING INSPECTIONS Z �'..'• r'. 212 Main Str••t • Municipal Building J` OD ` Northampton, Mh 01060 SJVW ION^, 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: i cy / f /it1k Ntiex___ oieora_. The debris will be transported by: Name of Hauler: Signature of Applicant: Date: / 0/7/" I Commonwealth of Massachusetts Division of Occupational Licensure Board of Building R ulations and Standards C o nataChi irSv i s or 'v --- s CS-111478 L 111pires:01/2112025 BRIAN RUDDY `•' m 2097 RIVERDALE S WEST SPRIN4fl" f Commissionere)fizerGfirtnat.i.. 4' 9 /. City O �R Kevin Ross <kross@northamptonma.gov> 19 Woodmont Road ROOFING 1 message Chalone, Richard <richard.chalone@lowes.com> Mon, Oct 14, 2024 at 9:21 AM To: "building@northamptonma.gov" <building@northamptonma.gov> Cc: "Soto, Nexedes"<nexedes.soto@lowes.com> Hello, I'm covering for Nexi concerning the roofing permit she applied for located at 19 Woodmont Road, and the install cost is $23,000. The remainder amount of$53,720 should be for the job that Vista Home Improvement will be applying for at the same location. Windows and siding if memory serves. If there is anything else, I can do please let me know.Thank you. Best, Richard NOTICE:All information in and attached to the e-mails below may be proprietary, confidential, privileged and otherwise protected from improper or erroneous disclosure. If you are not the sender's intended recipient, you are not authorized to intercept, read, print, retain, copy,forward, or disseminate this message. If you have erroneously received this communication, please notify the sender immediately by phone(704-758-1000)or by e-mail and destroy all copies of this message electronic, paper, or otherwise. By transmitting documents via this email: Users, Customers, Suppliers and Vendors collectively acknowledge and agree the transmittal of information via email is voluntary, is offered as a convenience, and is not a secured method of communication; Not to transmit any payment information E.G. credit card, debit card, checking account,wire transfer information, passwords, or sensitive and personal information E.G. Driver's license, DOB, social security, or any other information the user wishes to remain confidential; To transmit only non- confidential information such as plans, pictures and drawings and to assume all risk and liability for and indemnify Lowe's from any claims, losses or damages that may arise from the transmittal of documents or including non-confidential information in the body of an email transmittal.Thank you.