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17A-125 (6) BP-2024-1451 277 BRIDGE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-125-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-1451 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: Est. Cost: 5634 BRUIN REMODELING GROUP LLC 118068 Const.Class: Exp.Date: 11/12/2026 Use Group: Owner: F BOULEY LAWRENCE Lot Size(sq.ft.) Zoning: URA Applicant: BRUIN REMODELING GROUP LLC Applicant Address PJanga insurance: 208 POND ST (508)881-8200 6S62UB-6R36105-9-24 ASHLAND, MA 01721 ISSUED ON:10/.31/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Lnderground: Service: Meter: Footings: Rough: Rough: House # Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway 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: /77 Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner REceivE . , i-----_,,,,, ,,,-, , t, The Commonwealth of Massachusetts Cua 7 , W Board of Building Regulations an Standar 1 OR MUNICIPALITY Massachusetts State Building Cod 86 CIyIR nun n,,,;, USE Building Permit Application To Construct,Repair,Renovate 0113eittelisised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: S P--A c14197 Date Applied: 9 f//%/C7/2 4� -� /O-2/-2t- Building Official(Print Name) Si lure Date SECTION 1:SITE INFORMATION 1 operIvAddress: R 1 1.2 Assessors Map&Parcel Numbers 77 toGi 1.1 a Is this an accepted street?yes X. no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) 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: Zone: _ Outside Flood Zone? Public 0 Private 4, Municipal On site disposal system 0 Check if yeslil SECTION 2: PROPERTY OWNERSHIP' 2.4 Owner'of Record: !ALA)ki_fne_..e, N utickilet_414 rt-tvilriOvev4t4 A 6 l Ca,Z. Name(Print' City,State,ZIP �-ri 6,1c'sz. Cc! L c I No.and Street elephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building cii. Owner-Occupied I( Repairs(s) 0 c Alteration(s)-0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other XI Specify: �,Q \LU k J 7 p(/1 Brief Description of Proposed Work2:A Q(),-QA irl l (�Q C4 j9 Q/5 t 1-i pe l l i C .�'V1 Ant to i b n ( _GlikAl I Vl '� L....r SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I. Building $ 5`3(..[,/�� 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ J`* 0 Standard City/Town Application Fee 0 Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 0 2. Other Fees: $ 4.Mechanical (HVAC) $ 0 List: 5.Mechanical (Fire $ Suppression) 0 Total All F fCheck No.ftUi' theck Amount: Cash Amount: 6.Total Project Cost: $ 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5 1 Con truction Su ervisor License(CSL) Cc _1 It 1 n Q I l (I o f y.l f n JO( I I I COY) 60 License Number ,F 0 Expiration Date` Name of C L Hqlder (5 .t L.L ' I 7 List CSL Type(see below) v( No� d t Type Description mil_) )I I fiV-) /Q 6 I'] i t- A U Unrestricted(Buildings up to 35,000 cu.ft.) Restricted 1&2 Family Dwelling City/Town,State,ZIP V 1 y R M Masonry RC Roofing Covering WS Window and Siding i Solid Fuel Burning Appliances Insulation Te ephon Email address D Demolition 5.2 Registered ome Improvement Contractor(HIC) -)()<6 Lill Of jt c N HIC Registration N ber Expiration Date IC any-klame o HIC Registrant ame �y N� d et Oc r `U u,�,!.vino►fO'le' it. .fncl Al 14 6(�1 c'l co Email address City/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? YesPt 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 Wf t+ ( (LOA '1)&1 ( V\ to act on my behalf,in all matters relative to work authorized by this building permit application. Lau . �.�� Bij� i n x �( Print Owner's Name(Electronic Signature) D e 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 the best of my knowledge and understanding. led i�nnt Owner s or Au onzed Agent's Name(Electronic Signature) D e 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.Rov/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 HAMi. Massachusetts ( c�-A d` 4.( '• DEPARTMENT OF BUILDING INSPECTIONS �t , 212 Main Street • Municipal Building yv . cb Northampton, MA 01060 s'4 3;ONA 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: Y `b d'eJo 1i1 S The debris will be transported by: Name of Hauler: Signature of Applicant: 14,i/0i�'(�� (/ L/N Date: ) i% )C/� _ \ The Commonwealth of Massachusetts ►"_—° �l Department of Industrial Accidents �1= p 1 Congress Street,Suite 100 _5�= Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/organization/Ind►vidual):Bruin Remodeling Group Address:208 Pond Street City/State/Zip:Ashland MA 01721 Phone#:508-881-8200 Are you an employer?Check the appropriate box: Type of project(required): I.11 lam a employer with 10 employees(full and/or part-time).* 7, ew construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.) 9. Demolition 3.Ell am a homeowner doing all work myself.[No workers'comp.insurance required.] I0 Q Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5C1 I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance. 1-i Q Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.['Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box NI 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. :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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Ace American Insurance Co Policy#or Self-ins.Lic.#:6S62UB-__6R39105-9-24 Expiration Date:4/29/2025 �/� Job Site Address: �� ci3LiU 1 d City/State/Zip: rj C t'1CQ �i 1 6 Ib112 - Attach a copy of the workers'compensAtion policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert' under,,the pains and allies of perjury that the information provided above is true d orrect. Signature: ?1.1( % '' Date: l (, 1� Phone#: ' J(J I . (62&) Official use only. Do not write in this area,to he completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �.....41 BRUINRE-01 JTIERNEY ACORo CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) �� a/22/222/zoza 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 NAME: Jewell Insurance Agency,Inc. PHONE FAX 1101 Worcester Rd (A/c,No,Est):(508)879-1310 I(A/C,Nol:(508)872-2764 Framingham,MA 01701 ADDRESS:jtierney@newenglandins.com INSURERS)AFFORDING COVERAGE NAIC N INSURER A:Norfolk&Dedham Group 23965 INSURED INSURER B:Ace American Insurance Company 22667 Bruin Remodeling Group,LLC INSURER C: 208 Pond Street INSURER D: Ashland,MA 01721 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POUCY EFF POLICY EXP UANTS LTR 1NSD WVD ,.LMM/DD/YYYYI (MMIDDIYYYYI A X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR P012212513 4/29/2024 4/29/2025 DAMAGE TO RENTED 50,000 PREMISES(Ea occurrence) $ - MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE $ 2,000,000 X POLICY Tel' LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER. $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO 92282328A 5/4/2024 5/4/2025 BODILY INJURY(Per person) $ — OWNED SCHEDULED AUTOS— IRE� ONLY X AUTOS WN BODILY INJURY(Per acadent) $ X AUTOS ONLY X ANUOTOS ONLDY (F eO accidentDAMAGE S $ A X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 —^ EXCESS LIAR CLAIMS-MADE U2207879A 4/29/2024 4/29/2025 AGGREGATE $ 1,000,000 DED X RETENTIONS 10,000 $ B WORKERS COMPENSATION PER A AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y!N 6S62UB-6R39105-9-24 4/29/2024 4/29/2025 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 100,000 If yes,descnbe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H more space la required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, City of Northampton ACCORDANCE WITH THE POLICY PROVIS ONSCE WILL BE DELIVERED IN 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE U 'qr 1 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affair,ar d Business Regulation 1000 Washingrt t`- Suite 710 Bostori,=Massackrusetts=02118 Home im ro e. ent ee tractor-!a istration • vs. i.....) _ ,�� w Type: Supplement Card BRUIN REMODELING GROUP,LLC TI �.t� t, lion: 0411 12 208 POND ST \ '`� •.......� E p��ation: 04/10/2026 ASHLAND,MA 01721 -- w / l/ E = Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs.&Business Regulation Registration valid for Individual use only before the HOME IMPROVEMENT•CONTRACTOR expiration date. If found return to: TYP.E:_S i,t2mentSerd Office of Consumer Affairs and Business Regulation Realstratlail -j=xolratieq 1000 Washington Street -Suite 710 205f11.3_ 41—ig4f.1U/2026 Boston,MA 02118 BRUIN REMODELING Gfi.O_ I LLB-_ -i WILLIAM DORION •"' 1c t :_; 11r • • ' �_� 065-2-0- ASHLAND.208 POND ST ,.• '::_i.4. =. f„i .r f/.i,e'-1 ••MA 01721 ;` Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards ConstLtliruto''1in IS ervisor . CS-118068 i, rcpires: 11/12/2026 WILLIAM FRANCIS DORION �• , 77 HOLLY Ltd%. _ /" HOLLISTON M.A 01746 k t ti >:* a,.,s Commissioner 2 ti,�sue` WEATHERIZATION CONTRACT EVERSeURCE CUSTOMER: PHONE DATE CUENTE. WORK ORDER Lawrence Bouley11 (413)244-7851n 10/15/202411 579232E 10303E SERVICE STREET BILLING STREET PROPOSED BY: 277 Bridge Road : . 277 Bridge Road: Seth Main[I SERVICE CITY,STATE,LP BILUNO CITY,STATE,DP Program Florence, MA 01062i.i Florence, MA 01062 EGMA-HES; i Page. I 1: DESCRIPTION: QTY:: COST:.,INCENTIVE, TOTAL... INCENTIVE 75%: For eligible weatherization measures,Eversource is offering an incentive of 75%for insulation measures and 100%for the air sealing measures,both with no limit. You are eligible to apply for the 0%Heat _.: Loan to finance your co-pay,applications must be submitted before :: the weatherization work begins.Apply at MassSaveHeatLoan.com HOME AIR SEALING:• 14 . $1,492.26:: $1,492.26 Seal areas of your home against wasteful,excessive air leakage. : Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to : attics, basements,attached garages and other unheated areas (windows are not generally addressed.)::. WEATHERSTRIP DOOR. 3:. $108.96:: $108.96:, Provide labor and materials to install Q-Ion weatherstripping to door(s)to restrict air leakage.: DOOR SWEEP:..: 3:. $88.98: $88.98. Provide labor and materials to install a doorsweep to restrict air leakage.:: ATTIC DAMMING:.: 98: $272.44.: $204.33:: S68.111: Provide labor and materials to install an approved damming material in the attici_: ATTIC FLAT-3"OPEN R-11 CELLULOSE: 1,524._. $2,499.36.: $1,874.52: $624.84: Provide labor and materials to install a 3"layer of R-11 Class I :_ Cellulose to an open attic space.:. HATCH-INSULATE RIGID BOARD:: 2:.: $107.92`_: $80.94:_ $26.98:. Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board at R-10.: BASEMENT SILLS-RIGID BOARD INSULATION:.: 142,: $783.84I_: $587.88._. $195.96.. Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill.::: VENTILATION CHUTES:• 60: $280.80. $210.60: $70.201 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow from the soffit ventilation.', WEATHERIZATION CONTRACT EVERS;URCE CUSTOMER PHONE DATE CLIENT$ WORK ORDER Lawrence Bouley (413)244-7851 10/15/2024 579232 10303 SERVICE STREET BILLING STREET PROPOSED BY: 277 Bridge Road 277 Bridge Road Seth Main SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Program Florence, MA 01062 Florence, MA 01062 EGMA-HES Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL STORAGE-BASEMENT Homeowner is responsible for the removal of the stored items G.B. (initials) blocking the installation of weatherization work in the basement. Removal must occur prior to the scheduled work start. Total: $5,634.56 Program Incentive: $4,648.47 Client Total: $986.09 I.DESCRIPTION OF WORK TO BE PERFORMED Contractor will perform or cause to be performed the above work at the Client's Address in a professional manner and in accordance with the terms of this Contract: II.PAYMENT Client agrees to pay the Contractor for the Work,the Client Share of the Contract Cost is payable to the Independent Installation Contractor(IIC)upon satisfactory completion of the Work.Client understands that they will not be required to pay the Program Incentive Share of the Contract cost.Changes to the individual line items and/or previous incentives may increa or decreas.the size of the Program Incentive Share. sehf beak Lawvr ce Bolr(ty RISE Representative Client Signature Seth Main ____ to-16-2024 Printed Name Date of Acceptance Document Ref:CM7RR-F4QOS-8ZETN-NHYNQ Page 2 of 4 .4014t mass save Savings through energy efficiency PERMIT AUTHORIZATION FORM I, Lawrence Bouley owner of the property located at: (Owner's Name) 277 Bridge Road Florence (Property Street Address) (City) hereby authorize the Mass Save® Home Energy Services Program assigned Participating Contractor to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. This form is only valid with a signed contract. The permit will be secured by the subcontractor, at no additional cost. laic-race Boulez! Owner's Signature 10-16-2024 Date FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: L6IAA tvlivia_tt6 6-vb-vp Participating Contractor Date p g Document Ref:CM7RR-F4QOS-SZETN-NHYNQ Page 4 of 4 'iiiii�'i>4'� Pitti ';;iiiii::ii.. i iiitii:i ii••� iiiiii'•i..ii :ii•iii••iii'i:ii• •iiiii4ii i i iiii iii•• l•••�•..•..•.•.•.toNT444-..••.t..•��A��..�-t-•...1..�•��i�. •i i i i4.�.i� .—tt..i i i i i ter.:!tt• .i�•.t.:%i ttet-T.V�.*:!:��y.t�'.tttveet:��.1t.tet •••t�� '�.•'�•_ �- �•_._.. � f t.A1. 1. �.•-_ _ _� . � _ •�.�. _ 1:�.1 At ;:..; N V � : ♦ •.• :. Signature Certificate �s` i❖:' Reference number:CM7RR-F4QOS-8ZETN-NHYNQ ..,.. .❖i ;,..• *44. Signer Tim..tamp Signature t,-��: Seth Main :•:•: Email:smain@riseengineering.com •••;; .v, Sent: 15 Oct 2024 17:13:20 UTC r�i�lh Ha& '........ Viewed: 15 Oct 2024 17:13:30 UTCv Off; �•: Signed: 15 Oct 2024 17:13:45 UTC ❖: k::: :::: *: Recipient Verification: -.. .❖ • .�.�.� Email verified 15 Oct 2024 17:13:30 UTC IP address:107.115.17.77 ••• ••Os :.v: ;.�•;. Lawrence Bouley I ;;.; .4 Email.Ifbouley�@comcast.net •0. 1 '• •: Sent: 15 Oct 2024 17:13:20 UTC /oo-I- ��►/) R/}/, ..:.. �� Viewed: 16 Oct 2024 11:18:33 UTC [�T V CN[(iC/ tJ1/L1 '••••V We Signed: 16 Oct 2024 11:19:39 UTC I 'MA.'... 1 �••.. ••••. Recipient Verification: IP address:73.159.30.102 V*. mot /Email verified 16 Oct 2024 11:18:33 UTC Location:Florence,United States :::* ';•: Document completed by all parties on: y.; :;:0: 16 Oct 2024 11:19:39 UTC ;:„: . Page 1 of 1 :' : '•••j•i :$s '•'� i•• • ii ••i . .w•WI w. .❖:• ' i❖i ••i i' ..•••� V.•. WV 'WI NIV. •••, We: S 3 :0 •:••:• .• :❖.• Met ;o• ,. 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