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69 North Maple Street Permit Application The Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Two-Family Dwelling FOR MUNICIPALITY USE Revised Mar 2011 This Section For Official Use Only Building Permit Number: _____________________ Date Applied: ______________________________ ___________________________________ ____________________________________________ ___________ Building Official (Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: ____________________________________________ 1.1a Is this an accepted street? yes_____ no_____ 1.2 Assessors Map & Parcel Numbers _____________________ ____________________ Map Number Parcel Number 1.3 Zoning Information: _______________ ___________________ Zoning District Proposed Use 1.4 Property Dimensions: _____________________ ____________________ 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) Public  Private  1.7 Flood Zone Information: Zone: ___ Outside Flood Zone? Check if yes 1.8 Sewage Disposal System: Municipal  On site disposal system  SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner1 of Record: ________________________________________ _________________________________________________ Name (Print) City, State, ZIP _____________________________________________ _________________ ___________________________________ No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction  Existing Building  Owner-Occupied  Repairs(s)  Alteration(s)  Addition  Demolition  Accessory Bldg.  Number of Units_____ Other  Specify:________________________ Brief Description of Proposed Work2:_________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ 1. Building Permit Fee: $_______ Indicate how fee is determined:  Standard City/Town Application Fee  Total Project Cost3 (Item 6) x multiplier _______ x _______ 2. Other Fees: $_________ List:_________________________________________________ ____________________________________________________ Total All Fees: $_______________ Check No. ______Check Amount: _______Cash Amount:______  Paid in Full  Outstanding Balance Due:__________ 2. Electrical $ 3. Plumbing $ 4. Mechanical (HVAC) $ 5. Mechanical (Fire Suppression) $ 6. Total Project Cost: $ SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) ________________________________________________________ Name of CSL Holder _________________________________________________________ No. and Street _________________________________________________________ City/Town, State, ZIP _________________________________________________________ __________________ ______________________________________ Telephone Email address _____________________ ______________ License Number Expiration Date List CSL Type (see below) _______________ Type Description U Unrestricted (Buildings up to 35,000 cu. ft.) R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation D Demolition 5.2 Registered Home Improvement Contractor (HIC) ______________________________________________________________ HIC Company Name or HIC Registrant Name ______________________________________________________________ No. and Street ________________________________________ ____________________ City/Town, State, ZIP Telephone _____________________ ______________ HIC Registration Number Expiration Date _______________________________________ Email address 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 ……….  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_____________________________________________________ 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: OWNER1 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. _____________________________________________________________ ______________________ Print Owner’s or Authorized Agent’s Name (Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work, or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor (HIC) Program), will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned, provide the information below: Total floor area (sq. ft.) _________________________ (including garage, finished basement/attics, decks or porch) Gross living area (sq. ft.) __________________ Habitable room count ______________________ Number of fireplaces______________________ Number of bedrooms _____________________ Number of bathrooms ____________________ Number of half/baths ______________________ Type of heating system ___________________ Number of decks/ porches __________________ Type of cooling system_____________________ Enclosed ______________Open _____________ 3.“Total Project Square Footage” may be substituted for “Total Project Cost” CITY OF NORTHAMPTON SETBACK PLAN MAP:_______ LOT:________ LOT SIZE:____________ REAR LOT DIMENSION:_____________________________ FRONTAGE_____________________ REAR YARD _____________ SIDE YARD______________ SIDE YARD______________ FRONT SETBACK_______________ City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ● Municipal Building Northampton, MA 01060 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: ___________________________________________________ The debris will be transported by: Name of Hauler: ______________________________________________________ Signature of Applicant: __________________________________Date: ___________ City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ● Municipal Building Northampton, MA 01060 HOMEOWNERS’ EXEMPTION ELIGIBILITY AFFIDAVIT I, ________________________________________________________ (insert full legal name), born ___ (insert month, day, year), hereby depose and state the following: 1.I am seeking a building permit pursuant to the homeowners’ exemption to the permi t requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2.I am not engaged in, and the project or work for which I am seeking the aforem entioned homeowners’ exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3.I qualify under the State Building Code’s definition of “homeowner” as defined at 780 CMR 110.R5.1.2: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one-or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a home owner. 4.I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code’s requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5.If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this _____ day of _______________, 20___. ___________________________________________ (Signature) The Commonwealth of Massachusetts Department of Industrial Accidents 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):_________________________________________________ _ Address:__________________________________________________________________________ City/State/Zip:_____________________________ Phone #:________________________________ *Any applicant that checks box #1 must also fill out the section below showing their workers’ compensation policy information. † 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:______________________________________________________________________________ Policy # or Self-ins. Lic. #:__________________________________________ Expiration Date:______________________ Job Site Address: City/State/Zip:______________________ 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. Signature: Date: Phone #: 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): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other ______________________________ Contact Person:_________________________________________ Phone #:_________________________________ Type of project (required): 6. New construction 7. Remodeling 8. Demolition 9. Building addition 10. Electrical repairs or additions 11. Plumbing repairs or additions 12. Roof repairs 13. Other____________________ 1. I am a employer with _________ employees (full and/or part-time).* 2. I am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers’ comp. insurance required.] 3. I am a homeowner doing all work myself. [No workers’ comp. insurance required.] † Are you an employer? Check the appropriate box: 4. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers’ comp. insurance.‡ 5. We are a corporation and its officers have exercised their right of exemption per MGL c. 152, §1(4), and we have no employees. [No workers’ comp. insurance required.] Renewal By Andersen 30 Forbes Rd Northborough, MA 01532 508-351-2277 ■30 ■Window/Door Replacement 508-351-2277 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers’ compensation for their employees. Pursuant to this statute, an employee is defined as “...every person in the service of another under any contract of hire, express or implied, oral or written.” An employer is defined as “an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.” MGL chapter 152, §25C(6) also states that “every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required.” Additionally, MGL chapter 152, §25C(7) states “Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.” Applicants Please fill out the workers’ compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers’ compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers’ compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under “Job Site Address” the applicant should write “all locations in ______(city or town).” A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department’s address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Lafayette City Center, 2 Avenue de Lafayette Boston, MA 02111-1750 Tel. (617) 727-4900 or 1-877-MASSAFE Fax (617) 727-7749 www.mass.gov/dia Revised 7-2019 Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 Installation Package 69 North Maple Street Florence , MA 01062-1322 PRODUCTS: 4 WINDOWS: 3 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 1Updated 11/27/24 BUYER Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 Year Built: 1951 jessrmartin13@gmail.com kimbahoff@gmail.com Est. Duration: REPRESENTATIVE Timothy Ayers (413)427-6895 timothy.ayers@andersencorp.com TECH MEASURE Andrew Pigott (508)801-5768 andrew.pigott@andersencorp.com dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 11/27/24 Page 1 / 22 Order Summary Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 ID#ROOM SIZE DETAILS JOB Window: Acclaim™ Gliding Double, 1:1, Active / Passive, Base Frame, Exterior White, Interior White Performance Calculator: PG Rating: 30 | DP Rating: + 30 / - 30 Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: Standard, Replacement of window frame and sash, includes casing from standard options. Construction: Full Frame Window Application (1), LSWP Windows (1), Mullion Removal (1), Ladder and Plank - setup (1) Material: Clear 5/4x4 - 8' (2), 2x4 KD - 8 (2), Primed Colonial Baseboard - 16' (2), Primed 1x5 - 8' (2), Foam Can (0.15), Ice & Water 4" (0.2), Ice & Water 9" (0.2), Standard Wind Finn (2), RBA White Caulk (1.5), White paintable DAP (0.1), RBA Canvas Caulk (1), Coil - Canvas 10' (2), Primed 5/4x6 - 8' (2), 2x6 KD - 8 (1) 201 bedroom 54" 54-3/4" 37" 39-5/8" Window: Acclaim™ Gliding Double, 1:1, Active / Passive, Base Frame, Exterior White, Interior White Performance Calculator: PG Rating: 30 | DP Rating: + 30 / - 30 Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: Standard, Replacement of window frame and sash, includes casing from standard options. Construction: Full Frame Window Application (1), LSWP Windows (1), Mullion Removal (1), Ladder and Plank - setup (1) Material: 2x4 KD - 8 (2), Clear 5/4x4 - 8' (2), Primed Colonial Baseboard - 16' (1), Primed 1x5 - 8' (2), Foam Can (0.15), Ice & Water 4" (0.2), Ice & Water 9" (0.2), Standard Wind Finn (2), RBA White Caulk (1.5), White paintable DAP (0.1), RBA Canvas Caulk (1), Coil - Canvas 10' (1), Primed 5/4x6 - 8' (2), 2x6 KD - 8 202 bedroom 54" 54-3/4" 37" 39-5/8" 11/27/24 Page 2 / 22 Order Summary Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 ID#ROOM SIZE DETAILS (1) Misc: Misc, ProVia, Entry Door System, Quantity 1, LH Inswing, jamb 5-9/16 , make size: 30-3/4 x 74-11/16 Construction: HOURLY LABOR 2+ PERSON CREW (2), Entry Door (1), LSWP Hinged Door (1) Material: Primed 1x4 - 8' (1), Primed 4 1/4" Belly Casing - 12' (1), Primed 4 1/4" Belly Casing - 8' (1), Primed Plinth Block - GSL - WPB334 (1), Foam Can (0.15), Ice & Water 4" (0.2), Ice & Water 9" (1), RBA White Caulk (1.5), White paintable DAP (0.1), Coil - Canvas 10' (1), Primed 5/4x6 - 8' (4), 2x6 PT - 8 (2), Primed 1x5 - 8' (3) 101 Foyer 0"0" Window: Acclaim™ Double-Hung (DG), 1:1, Flat Sill, Base Frame, Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 | DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: Standard, Replacement of window frame and sash, includes casing from standard options., Remove and Reinstall Exterior Shutters, Removal of existing window shutters and reinstall. Renewal by Andersen is not responsible for damage to shutters, or if existing shutters no longer fi t opening upon completion of installation. Construction: Full Frame Window Application (1), LSWP Windows (1) Material: Clear 5/4x4 - 8' (2), 2x4 KD - 8 (2), Primed Colonial Baseboard - 16' (1), Primed 1x5 - 8' (1), Foam Can (0.15), Ice & Water 4" (0.2), Ice & Water 9" (0.2), Standard Wind Finn (2), RBA White Caulk (1.5), White paintable DAP (0.1), RBA Canvas Caulk (1), Coil - Canvas 10' (1), Primed 5/4x6 - 8' (2), 2x6 KD - 8 (1) 203 music room 28" 29" 45" 47-1/2" PRODUCTS: 4 WINDOWS: 3 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 1 Updated 11/27/24 JOB NOTES H/O fine with interior belly casing not matching rest of room LSWP: YES INSTALLING: 1 - Custom Sized Single ProVia Entry Door 2 - FF GL w/mullion removal and weight pockets 11/27/24 Page 3 / 22 Order Summary Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 JOB NOTES 1 - FF DG w/ weight pockets REMOVAL: Weight pocket DH windows, Mullion removal, INTERIOR: ED: PAYING EXTRA HOUR LABOR FOR EXTRA WORK FOR INTERIOR SURROUND *** CUSTOMER AWARE NEW Primed Belly Casing will not match the rest in the room and is ok with that. *Need to remove baseboard to access right side door trim, sending Primed 1x4 to rip down to Match Existing *Rip down belly casing on right side to fill space between wall and door frame *Either notch belly casing around stool or Match Existing and apply to separate pieces. NOTCH IS PREFERRABLE *replacing whole head casing above door and window, Match Existing, notch if necessary. GL & DG: ** Pad in opening w/ 2x4 & 5/4 each side *Match Existing, Rip down Primed Colonial Baseboard for side casing, and use Primed 1 x 5 for Head Casing, Stool & Apron *Primed Colonial Stops if needed. EXTERIOR: ED: PAYING EXTRA HOUR LABOR FOR EXTRA WORK FOR EXTERIOR SURROUND *NEED TO PAD UP THRESHOLD, sending 2x6 PT, flash and apply 5/4x6 Primed as kick plate. May need to remove ramp. *Sending 5/4 x6 Primed to Match Existing, H/O is painting after *CUT BACK ALUMINUM SIDING AND ADD NEW J-CHANNEL FROM CANVAS COIL. *Match Existing notch around sill as necessary GL & DG: *Cutting back siding and filling with Primed 5/4 x 5 wrapping in canvas coil. *2x6 KD for sill nose. *New h-channel with Canvas Coil SPECIALTY SETUP/TOOLS: Roof Brackets on Units 201 & 202 PARKING/ACCESS LIMITATIONS: Use driveway located off Sheffield. Estimated Duration: 11/27/24 Page 4 / 22 Order Summary Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 FLOORPLAN - 1ST FLOOR UNIT NOTES 101 LH Inswing, jamb 5-9/16 , make size: 30-3/4 x 74-11/16 202 Pad in opening w/ 2x4 & 5/4 each side FLOORPLAN - 2ND FLOOR UNIT NOTES 11/27/24 Page 5 / 22 Order Summary Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 JOB PHOTOS Image 1 Image 2 Image 4 Image 5 Image 6 Image 7 Image 8 Image 8 Image 9 Image 10 11/27/24 Page 6 / 22 201 Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 201 bedroom 54-3/4" W 39-5/8" H Window, Gliding - Double Window: Acclaim™ Gliding Double, 1:1, Active / Passive, Base Frame, Exterior White, Interior White Performance Calculator: PG Rating: 30 | DP Rating: + 30 / - 30 Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: Standard, Replacement of window frame and sash, includes casing from standard options. Construction: Full Frame Window Application (1), LSWP Windows (1), Mullion Removal (1), Ladder and Plank - setup (1) Material: Clear 5/4x4 - 8' (2), 2x4 KD - 8 (2), Primed Colonial Baseboard - 16' (2), Primed 1x5 - 8' (2), Foam Can (0.15), Ice & Water 4" (0.2), Ice & Water 9" (0.2), Standard Wind Finn (2), RBA White Caulk (1.5), White paintable DAP (0.1), RBA Canvas Caulk (1), Coil - Canvas 10' (2), Primed 5/4x6 - 8' (2), 2x6 KD - 8 (1) UNIT NOTESUNIT NOTES UNIT CONSTRUCTION Full Frame Window Application 1 LSWP Windows 1 Mullion Removal 1 Ladder and Plank - setup 1 UNIT MATERIALSUNIT MATERIALS TRIM- CLEAR PINE Clear 5/4x4 - 8'2 units LUMBER- FRAMING 2x4 KD - 8 2 units TRIM- PRIME PINE Primed Colonial Baseboard - 16'2 x 16ft TRIM- PRIME PINE Primed 1x5 - 8'2 units ACCESSORIE S Foam Can 0.15 cans ACCESSORIE S Ice & Water 4"0.2 units 11/27/24 Page 7 / 22 201 Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 ACCESSORIE S Ice & Water 9"0.2 units ACCESSORIE S Standard Wind Finn 2 units MATERIAL- CAULK RBA White Caulk 1.5 tubes MATERIAL- CAULK White paintable DAP 0.1 tubes MATERIAL- CAULK RBA Canvas Caulk 1 tube MATERIAL- COIL Coil - Canvas 10'2 units TRIM- PRIME PINE Primed 5/4x6 - 8'2 units LUMBER- FRAMING 2x6 KD - 8 1 unit UNIT PHOTOS Image 1 Image 2 11/27/24 Page 8 / 22 202 Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 202 bedroom 54-3/4" W 39-5/8" H Window, Gliding - Double Window: Acclaim™ Gliding Double, 1:1, Active / Passive, Base Frame, Exterior White, Interior White Performance Calculator: PG Rating: 30 | DP Rating: + 30 / - 30 Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: Standard, Replacement of window frame and sash, includes casing from standard options. Construction: Full Frame Window Application (1), LSWP Windows (1), Mullion Removal (1), Ladder and Plank - setup (1) Material: 2x4 KD - 8 (2), Clear 5/4x4 - 8' (2), Primed Colonial Baseboard - 16' (1), Primed 1x5 - 8' (2), Foam Can (0.15), Ice & Water 4" (0.2), Ice & Water 9" (0.2), Standard Wind Finn (2), RBA White Caulk (1.5), White paintable DAP (0.1), RBA Canvas Caulk (1), Coil - Canvas 10' (1), Primed 5/4x6 - 8' (2), 2x6 KD - 8 (1) UNIT NOTES Pad in opening w/ 2x4 & 5/4 each side UNIT CONSTRUCTION Full Frame Window Application 1 LSWP Windows 1 Mullion Removal 1 Ladder and Plank - setup 1 UNIT MATERIALSUNIT MATERIALS LUMBER- FRAMING 2x4 KD - 8 2 units TRIM- CLEAR PINE Clear 5/4x4 - 8'2 units TRIM- PRIME PINE Primed Colonial Baseboard - 16'1 x 16ft TRIM- PRIME PINE Primed 1x5 - 8'2 units ACCESSORIE S Foam Can 0.15 cans ACCESSORIE S Ice & Water 4"0.2 units 11/27/24 Page 9 / 22 202 Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 ACCESSORIE S Ice & Water 9"0.2 units ACCESSORIE S Standard Wind Finn 2 units MATERIAL- CAULK RBA White Caulk 1.5 tubes MATERIAL- CAULK White paintable DAP 0.1 tubes MATERIAL- CAULK RBA Canvas Caulk 1 tube MATERIAL- COIL Coil - Canvas 10'1 unit TRIM- PRIME PINE Primed 5/4x6 - 8'2 units LUMBER- FRAMING 2x6 KD - 8 1 unit UNIT PHOTOS Image 1 Image 2 Image 3 11/27/24 Page 10 / 22 101 Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 101 Foyer Misc Misc: Misc, ProVia, Entry Door System, Quantity 1, LH Inswing, jamb 5-9/16 , make size: 30-3/4 x 74-11/16 Construction: HOURLY LABOR 2+ PERSON CREW (2), Entry Door (1), LSWP Hinged Door (1) Material: Primed 1x4 - 8' (1), Primed 4 1/4" Belly Casing - 12' (1), Primed 4 1/4" Belly Casing - 8' (1), Primed Plinth Block - GSL - WPB334 (1), Foam Can (0.15), Ice & Water 4" (0.2), Ice & Water 9" (1), RBA White Caulk (1.5), White paintable DAP (0.1), Coil - Canvas 10' (1), Primed 5/4x6 - 8' (4), 2x6 PT - 8 (2), Primed 1x5 - 8' (3) UNIT NOTES LH Inswing, jamb 5-9/16 , make size: 30-3/4 x 74-11/16 UNIT CONSTRUCTION HOURLY LABOR 2+ PERSON CREW 2 Entry Door 1 LSWP Hinged Door 1 UNIT MATERIALSUNIT MATERIALS TRIM- PRIME PINE Primed 1x4 - 8'1 unit TRIM- PRIME PINE Primed 4 1/4" Belly Casing - 12'1 x 12ft TRIM- PRIME PINE Primed 4 1/4" Belly Casing - 8'1 x 8ft CUSTOM Primed Plinth Block - GSL - WPB334 1 PER UNIT ACCESSORIE S Foam Can 0.15 cans ACCESSORIE S Ice & Water 4"0.2 units ACCESSORIE S Ice & Water 9"1 unit 11/27/24 Page 11 / 22 101 Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 MATERIAL- CAULK RBA White Caulk 1.5 tubes MATERIAL- CAULK White paintable DAP 0.1 tubes MATERIAL- COIL Coil - Canvas 10'1 unit TRIM- PRIME PINE Primed 5/4x6 - 8'4 units LUMBER- FRAMING 2x6 PT - 8 2 units TRIM- PRIME PINE Primed 1x5 - 8'3 units UNIT PHOTOS Image 1 Image 2 Image 3 11/27/24 Page 12 / 22 203 Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 203 music room 29" W 47-1/2" H Window, Double-Hung (DG) Window: Acclaim™ Double-Hung (DG), 1:1, Flat Sill, Base Frame, Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 | DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: Standard, Replacement of window frame and sash, includes casing from standard options., Remove and Reinstall Exterior Shutters, Removal of existing window shutters and reinstall. Renewal by Andersen is not responsible for damage to shutters, or if existing shutters no longer fi t opening upon completion of installation. Construction: Full Frame Window Application (1), LSWP Windows (1) Material: Clear 5/4x4 - 8' (2), 2x4 KD - 8 (2), Primed Colonial Baseboard - 16' (1), Primed 1x5 - 8' (1), Foam Can (0.15), Ice & Water 4" (0.2), Ice & Water 9" (0.2), Standard Wind Finn (2), RBA White Caulk (1.5), White paintable DAP (0.1), RBA Canvas Caulk (1), Coil - Canvas 10' (1), Primed 5/4x6 - 8' (2), 2x6 KD - 8 (1) UNIT NOTESUNIT NOTES UNIT CONSTRUCTION Full Frame Window Application 1 LSWP Windows 1 UNIT MATERIALSUNIT MATERIALS TRIM- CLEAR PINE Clear 5/4x4 - 8'2 units LUMBER- FRAMING 2x4 KD - 8 2 units TRIM- PRIME PINE Primed Colonial Baseboard - 16'1 x 16ft TRIM- PRIME PINE Primed 1x5 - 8'1 unit ACCESSORIE S Foam Can 0.15 cans ACCESSORIE S Ice & Water 4"0.2 units 11/27/24 Page 13 / 22 203 Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 ACCESSORIE S Ice & Water 9"0.2 units ACCESSORIE S Standard Wind Finn 2 units MATERIAL- CAULK RBA White Caulk 1.5 tubes MATERIAL- CAULK White paintable DAP 0.1 tubes MATERIAL- CAULK RBA Canvas Caulk 1 tube MATERIAL- COIL Coil - Canvas 10'1 unit TRIM- PRIME PINE Primed 5/4x6 - 8'2 units LUMBER- FRAMING 2x6 KD - 8 1 unit UNIT PHOTOS Image 1 Image 2 Image 3 11/27/24 Page 14 / 22 Buyer Signature Name Jess Martin Date 11/27/24 e homeowner reviewed and signed this order during the measure appointment. A representative for the homeowner reviewed and signed this order during the measure appointment. e order was not signed during the measure appointment. Buyer Acknowledgement Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 I acknowledge that by signing this as the homeowner or on behalf of the homeowner, I hereby confirm that all product details, features and options have been reviewed with the Measure Technician. e features and options include, but not limited to: • Window/Door Color • Hardware Color & Style • Grill Configurations • Interior Trim Details • Exterior Trim Details • Painting/Staining, Blinds • Product Handing I acknowledge that I have reviewed this order summary and that the order summary is accurate. 11/27/24 Renewal Confidential Page 15 / 22 Materials Checklist Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 CATEGORY DESCRIPTION QUANTITY This list includes the sum total all of the materials for the entire job. LSWP MaterialsACCESSORIES ..1 unit Foam CanACCESSORIES ..1 cans Ice & Water 4"ACCESSORIES ..1 units Ice & Water 9"ACCESSORIES ..2 units Standard Wind FinnACCESSORIES ..6 units 2x4 KD - 8LUMBER- FRAMING ..6 units 2x6 KD - 8LUMBER- FRAMING ..3 unit 2x6 PT - 8LUMBER- FRAMING ..2 units RBA White CaulkMATERIAL- CAULK ..6 tubes White paintable DAPMATERIAL- CAULK ..1 tubes RBA Canvas CaulkMATERIAL- CAULK ..3 tube Coil - Canvas 10'MATERIAL- COIL ..5 units Clear 5/4x4 - 8'TRIM- CLEAR PINE ..6 units Materials Checklist | 69 North Maple Street , Florence , MA 01062-1322 Page 16 / 22 Materials Checklist Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 Primed 1x4 - 8'TRIM- PRIME PINE ..1 unit Primed 4 1/4" Belly Casing - 12'TRIM- PRIME PINE ..1 x 12ft Primed 4 1/4" Belly Casing - 8'TRIM- PRIME PINE ..1 x 8ft Primed Colonial Baseboard - 16'TRIM- PRIME PINE ..4 x 16ft Primed 1x5 - 8'TRIM- PRIME PINE ..8 units Primed 5/4x6 - 8'TRIM- PRIME PINE ..10 units Primed colonial stop - 12TRIM- PRIME PINE ..4 x 12ft Primed Plinth Block - GSL - WPB334CUSTOM ..1 PER UNIT Can - Spray PrimerCUSTOM ..2 PER UNIT Roof BracketsCUSTOM ..1 PER UNIT Tube BlackjackCUSTOM ..1 PER UNIT 4” Cutting WheelCUSTOM ..1 PER UNIT Materials Checklist | 69 North Maple Street , Florence , MA 01062-1322 Page 17 / 22 Installation Invoice Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 DESCRIPTION QUANTITY UNIT PRICE TOTAL Base Unit Installation Charges, Full Frame & EJ Frame Base Unit Installation Charges, Insert Frame & Base Frame Install Gliding/Gliding-Stat/Gliding-Fract Window (Base Frame), 90-99.99 UI 2 $112.00 $224.00 Install Double-Hung Window-DG (Base Frame), 70-79.99 UI 1 $112.00 $112.00 Base Unit Installation Charges, Patio Doors Base Unit Installation Charges, Entry Doors Construction Charges Entry Door, 101 1 $450.00 $450.00 Mullion Removal , 201, 202 2 $10.00 $20.00 Ladder and Plank - setup, 202, 201 2 $50.00 $100.00 LSWP Windows, 201, 202, 203 3 $35.00 $105.00 LSWP Hinged Door, 101 1 $45.00 $45.00 HOURLY LABOR 2+ PERSON CREW , 101 2 $155.00 $310.00 Full Frame Window Application , 201, 202, 203 3 $168.00 $504.00 1,870.00SUBTOTAL Installation Invoice | 69 North Maple Street , Florence , MA 01062-1322 Page 18 / 22 Installation Invoice Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 Additional Items ADDITIONAL TOTAL Installation Invoice | 69 North Maple Street , Florence , MA 01062-1322 Page 19 / 22 Lead Safe Work Practice Work Order Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 DESCRIPTION QUANTITY UNIT PRICE TOTAL Construction Charges LSWP Windows, 201, 202, 203 3 $35.00 $105.00 LSWP Hinged Door, 101 1 $45.00 $45.00 150.00SUBTOTAL Additional Items ADDITIONAL TOTAL 11/27/24 Page 20 / 22 Product Order Form dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 Sales Timothy Ayers Tech Andrew Pigott Windows 3 Specialty 0 Patio Doors 0 Entry Doors 0 Misc.1 Floor Plan ID# Product Insert Frame Ext. Jamb Ext. Trim Checkrail Style Perf. Upgrade Exact Order Width Exact Order Height Sill Angle Sash Ratio Ext. Color Int. Color Glazing S1 Glazing S2 Glazing S3 Lifts Locks Sash Oper.Hardware Hardware Style Grill Pattern Grille Type Lites S1/S3 Lites S2 Screen Type 201 GL 54 3/4" 39 5/8"NO NO 1:1 WH WH X3T X3T 1 AP Standard White S Additional Options: NORMAL OPENING Misc: Standard, Replacement of window frame and sash, includes casing from standard options.Order Notes: Floor Plan ID# Product Insert Frame Ext. Jamb Ext. Trim Checkrail Style Perf. Upgrade Exact Order Width Exact Order Height Sill Angle Sash Ratio Ext. Color Int. Color Glazing S1 Glazing S2 Glazing S3 Lifts Locks Sash Oper.Hardware Hardware Style Grill Pattern Grille Type Lites S1/S3 Lites S2 Screen Type 202 GL 54 3/4" 39 5/8"NO NO 1:1 WH WH X3T X3T 1 AP Standard White S Additional Options: NORMAL OPENING Misc: Standard, Replacement of window frame and sash, includes casing from standard options.Order Notes: Floor Plan ID# Product Insert Frame Ext. Jamb Ext. Trim Checkrail Style Perf. Upgrade Exact Order Width Exact Order Height Sill Angle Sash Ratio Ext. Color Int. Color Glazing S1 Glazing S2 Glazing S3 Lifts Locks Sash Oper.Hardware Hardware Style Grill Pattern Grille Type Lites S1/S3 Lites S2 Screen Type 101 11/27/24 Page 21 / 22 Product Order Form dba: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC | License # HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | RbABostonOrdering@andersencorp.com Measure Tech: Andrew Pigott, (508)801-5768 Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 Year Built: 1951 C: (413)588-1688 Floor Plan ID# Product Insert Frame Ext. Jamb Ext. Trim Checkrail Style Perf. Upgrade Exact Order Width Exact Order Height Sill Angle Sash Ratio Ext. Color Int. Color Glazing S1 Glazing S2 Glazing S3 Lifts Locks Sash Oper.Hardware Hardware Style Grill Pattern Grille Type Lites S1/S3 Lites S2 Screen Type 203 DG,I 29"47 1/2"NO NO Traditional NO FS DG 1:1 WH WH X3 X3 1 Standard White S Additional Options: NORMAL OPENING Misc: Standard, Replacement of window frame and sash, includes casing from standard options., Remove and Reinstall Exterior Shutters, Removal of existing window shutters and reinstall. Renewal by Andersen is not responsible for damage to shutters, or if existing shutters no longer fit opening upon completion of installation. Order Notes: 11/27/24 Page 22 / 22 DBA: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | rbabostonbooking@andersencorp.com Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 C: (413)588-1688 Thank you for your order Please nd, enclosed for your convenience, the contents of your agreement with Renewal by Andersen LLC d/b/ a Renewal By Andersen of Boston Table of Contents Agreement Document and Payment Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Itemized Order Receipt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Payment Authorization Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Notice of Cancellation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 RbA 20-5-10 Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 MA Addendum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 RbA Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Ensemble Warranty CORO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Terms and Conditions of Sale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Lead-Safe Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 If Using a Builder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Electronic Consent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Project Preparation Expectation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Release Agreement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Price Presentation Discounts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 11/16/24 Page 1 / 27 Agreement Document and Payment Terms DBA: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | rbabostonbooking@andersencorp.com Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 C: (413)588-1688 BUYER(S) NAME Jess Martin & Kim Hoff CONTRACT DATE 11/16/24 BUYER(S) STREET ADDRESS 69 North Maple Street , Florence , MA 01062-1322 PRIMARY NUMBER SECONDARY NUMBER (413)588-1688 PRIMARY EMAIL jessrmartin13@gmail.com SECONDARY EMAIL kimbahoff@gmail.com NOTES: Buyer(s) hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen LLC d/b/a Renewal By Andersen of Boston("Contractor"), in accordance with the terms and conditions described in this Agreement Document and Payment Terms, any documents listed in the Table of Contents, and any other document attached to this Agreement Document, the terms of which are all agreed to by the parties and incorporated herein by reference (collectively, this "Agreement"). Buyer(s) hereby agrees to sign a completion certi cate after Contractor has completed all work under this Agreement. TOTAL JOB AMOUNT:$14,056 DEPOSIT RECEIVED:$0 BALANCE DUE:$14,056 AMOUNT FINANCED:$14,056 METHOD OF PAYMENT:Financing By signing this Agreement, you acknowledge that the Balance Due, and the Amount Financed must be made by personal check, bank check, credit card, or cash. Estimated Start: 8 to 12 weeks Estimated Completion: 1 to 2 days We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements. The installation date that we are providing at this time is only an estimate. We will communicate an of cial date and time at a later date. Rain and extreme weather are the most common causes for delay. NOTES: Buyer(s) agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement. No alterations to or deviations from this Agreement will be valid without the signed, written consent of both the Buyer(s) and Contractor. Buyer(s) hereby acknowledges that Buyer(s) 1) has read this Agreement, understands the terms of this Agreement, and has received a completed, signed, and dated copy of this Agreement, including the two attached Notices of Cancellation, on the date rst written above and 2) was orally informed of Buyer’s right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank. You are entitled to a copy of the contract at the time you sign. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 11/20/2024 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. SIGNATURE OF SALES PERSON PRINT NAME OF SALES PERSON Timothy Ayers SIGNATURE PRINT NAME Jess Martin SIGNATURE PRINT NAME Kim Hoff 11/16/24 Page 2 / 27 Itemized Order Receipt DBA: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | rbabostonbooking@andersencorp.com Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 C: (413)588-1688 ID#:ROOM:SIZE:DETAILS:PRICE: Misc: Misc, ProVia, Entry Door System, Quantity 1, See attachment for details. 101 Foyer Window: Acclaim™ Gliding Double 1:1 Active / Passive, Base Frame, Exterior White, Interior White, Performance Calculator: PG Rating: 30 | DP Rating: + 30 / - 30 Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: No Grille, Misc: Standard, Replacement of window frame and sash, includes casing from standard options. 201 bedroom Window: Acclaim™ Gliding Double 1:1 Active / Passive, Base Frame, Exterior White, Interior White, Performance Calculator: PG Rating: 30 | DP Rating: + 30 / - 30 Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: No Grille, Misc: Standard, Replacement of window frame and sash, includes casing from standard options. 202 bedroom Window: Acclaim™ Double-Hung (DG) 1:1 Flat Sill, Base Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator: PG Rating: 40 | DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: No Grille, Misc: Standard, Replacement of window frame and sash, includes casing from standard options., Remove and Reinstall Exterior Shutters, Removal of existing window shutters and reinstall. Renewal by Andersen is not responsible for damage to shutters, or if existing shutters no longer t opening upon completion of installation. 203 music room 11/16/24 Page 3 / 27 Itemized Order Receipt DBA: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | rbabostonbooking@andersencorp.com Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 C: (413)588-1688 ID#:ROOM:SIZE:DETAILS:PRICE: WINDOWS: 3 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 1 PROJECT TOTAL $14,056 11/16/24 Page 4 / 27 Transferable Limited Warranty on Glass The glass in Renewal by Andersen® AcclaimTM factory glazed replacement windows including High-Performance Low-E4® glass, High-Performance Low-E4® Sun glass, High-Performance Low-E4® SmartSun™ glass, High-Performance HeatLock® glass, High-Performance Low-E4 PassiveSun® glass patterned glass (including obscure, fern, reed, and cascade designs), Finelight™ grilles, divided light grilles, and tempered versions of these glass options, is warranted to be free from defects in manufacturing, materials, and workmanship for a period of twenty (20) years from the original installation date. It is also warranted not to develop, under normal conditions, any material obstruction of vision or broken glass resulting from manufacturing defects or as a result of premature failure of the glass or organic seal for a period of twenty (20) years from the original installation date. This limited warranty on glass does not apply to special order glazings, discontinued glass, art glass, insulated art glass, impact-resistant glass, or glass that is not factory installed by Renewal by Andersen. In the event a glass failure occurs as a result of a defect in manufacturing, materials, or workmanship within the limited warranty period, Renewal by Andersen, at its option, will: (1) provide and install the appropriate replacement glass product or (2) provide a factory- authorized repair to the existing glass. Such replacement or repair is warranted for the remainder of the original limited warranty period. Transferable Limited Warranty on Fibrex® Material Components The Fibrex® material components of your Renewal by Andersen Acclaim replacement windows (including frame, sash, and exterior grilles) are warranted not to ake, rust, blister, peel, crack, pit, or corrode and to be free from defects in manufacturing, materials, and workmanship for a period of twenty (20) years from the original installation date. In the event a Fibrex material component fails as a result of a defect in manufacturing, materials or workmanship within the limited warranty period, Renewal by Andersen, at its option, will: (1) provide and install the appropriate replacement components or (2) provide a factory-authorized repair to the existing product. Such replacement or repair is warranted for the remainder of the original limited warranty period. Transferable Limited Warranty on Components Other Than Glass and Fibrex® Material The non-glass components of your Renewal by Andersen Acclaim replacement windows, including non-electric operators, locks, lifts, balance systems, hinges, handles, insect screens, weatherstripping, sash, and frame members, are warranted to be free from defects in manufacturing, materials, and workmanship for a period of ten (10) years from the original installation date. In the event a component other than glass or Fibrex material fails as a result of a defect in manufacturing, materials, or workmanship within the limited warranty period, Renewal by Andersen, at its option, will: (1) provide and install the appropriate replacement parts or (2) provide a factory-authorized repair to the existing product. Such replacement or repair is warranted for the remainder of the original limited warranty period. Transferable Limited Warranty on Exterior Color Finish The color nish on Fibrex® material exterior components (frame, sash, window sills, and grilles) on Renewal by Andersen Acclaim replacement windows is warranted to be free from manufacturing defects resulting in color fade greater than 5 delta-E^ (Hunter) when measured in accordance with ASTM D2244-16el, for a period of ten (10) years from the original installation date. Weatherstripping, accessories, and hardware, including insect screen frames, handles, trim sets, and lock components, exterior trim pro les, and exterior aluminum coil stock are not covered by this exterior color nish warranty. In the event there is a defect covered by this limited warranty for exterior color nish within the limited warranty period, Renewal by Andersen, at its option, will: (1) re nish the product – labor is included (the nish will be applied with standard commercial re nishing techniques and may not be the same nish as originally applied to the product) or (2) repair or replace the affected product or component. Such replacement parts, re nishing, or repairs are warranted for the remainder of the original limited warranty period. Transferable Limited Warranty on Installation Installation of your Renewal by Andersen® Acclaim replacement windows or other Andersen® window and/or door products by Renewal by Andersen is warranted for a period of ve (5) years from the date of original installation. During this period, should your Renewal by Andersen window or door fail to perform according to our speci cations due to improper original installation, we will bring the workmanship up to our professional standards, at no cost to you. See the Andersen product warranties for additional warranty details. This limited warranty on installation does not extend to labor/services performed by anyone other than the original Renewal by Andersen installer or other contractor authorized by Renewal by Andersen nor to the installation or repair of any nishing or other materials that have been applied to or adjacent to the product after the initial installation. Non Renewal by Andersen Products For products that are not speci cally branded Renewal by Andersen, see the speci c product warranties for those Andersen products available at andersenwindows.com. No Other Warranties or Representations THIS LIMITED WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. ALL WARRANTIES ARE LIMITED TO THE APPLICABLE STATUTE OF LIMITATIONS, BUT IN NO CASE WILL EXTEND BEYOND THE LIMITED WARRANTY PERIODS SPECIFIED ABOVE. RENEWAL BY ANDERSEN EXCLUDES AND WILL NOT BE LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES, WHETHER ARISING OUT OF CONTRACT, TORT, OR OTHERWISE. THE REMEDY OF REPAIR OR REPLACEMENT OF THE PRODUCT PROVIDED BY THIS LIMITED WARRANTY IS THE EXCLUSIVE REMEDY WITH RESPECT TO ANY AND ALL LOSS OR DAMAGE. Applicable Law This Limited Warranty is only applicable in the U.S.A. (i.e., the fty states and the District of Columbia) and Canada. This Limited Warranty gives you speci c legal rights, and you may have other rights which vary from state to state or province. Some states do not allow the exclusion or limitation of incidental or consequential damages or limitation of the duration of an implied warranty, so the above limitations or exclusions may not apply to you. If any speci c term of this Limited Warranty is prohibited by any applicable law, it shall be null and void, but the remainder of this Limited Warranty shall remain in full force and effect. Non-Warranty Repair or Replacement You will be responsible for all costs related to any repair or replacement that is not covered by this Limited Warranty or which is outside of the limited warranty period. When warranty coverage is unclear, Renewal by Andersen may charge an inspection fee for any on-site product inspection. If the service provider determines the Renewal by Andersen product has a defect covered by this Limited Warranty, the inspection fee will be waived. ^Technical measurement of color fade Acclaim TM Replacement Windows Products and Installation Transferable Limited Warranty IMPORTANT: Please carefully read the Dispute Resolution Process that appears in this document after the Limited Warranty. The Dispute Resolution Process includes class-action and jury trial waivers that affect your legal rights. To opt out of these waivers, you must visit our website at www.renewalbyandersen.com/optout and complete the opt-out form within one year from the original installation date of your Renewal by Andersen® products. The opt-out only applies to the terms of the Dispute Resolution Process. Renewal by Andersen® Limited Warranty and Dispute Resolution Process Units Installed After June 1, 2024 RENEWALBYANDERSEN.COM What Is Not Covered by This Limited Warranty Speci c Additional Exclusions In addition to any other limitations or exclusions in this Limited Warranty, Renewal by Andersen shall have no obligation for product failure, damage, or costs due to or related to the following: • Product modi cations or glass shading devices (e.g., glass tinting, security systems, painting or staining, insulated coverings, etc.) • Failure due to the application of non Renewal by Andersen hardware (e.g., locksets, trim sets, hinges, panic hardware, closers, etc.) • Water in ltration other than as a result of a defect in manufacturing, materials, or workmanship • Failure as a result of settling or structural failure of the structure in which the products are installed • Condensation • Improper maintenance, such as use of brick wash, razor blades, sealants, sanding, or improper washing • Failure to properly seal and maintain the exposed wood portions and veneer of a product in accordance with Renewal by Andersen painting or staining guidelines • Obtaining safe and reasonable access to the product for service • Fading of furniture, ooring, window coverings, or other surrounding materials • Chemicals or airborne pollutants, such as salt or acid rain • Accidents • Acts of God • Normal wear and tear Additional Items Excluded from This Limited Warranty: • Products not manufactured by Renewal by Andersen • Products not purchased through Renewal by Andersen and installed by an authorized Renewal by Andersen installer • Installation services other than by authorized Renewal by Andersen installers • Removal of Renewal by Andersen Acclaim replacement windows from the structure in which it was originally installed by anyone other than an authorized Renewal by Andersen installer • Labor, service, and materials to paint or stain any repaired or replaced product, component, trim, nish, or other materials applied to or adjacent to products or other carpentry work that may be required • The performance of the low-maintenance exterior glass coating on products with High- Performance Low-E4® glass (performance will vary depending on environmental conditions) • Slight glass curvature, minor scratches, or other imperfections in the glass that do not impair structural integrity or signi cantly obscure normal vision • Rattling of grille bars within an air space • Insects passing through or around the insect screen • Tarnish or corrosion to hardware nishes • Special glazings – contact us concerning the limited warranty on special glazings • Broken glass • Art glass and decorative insulated art glass, impact-resistant glass • Fading of furniture, ooring, window coverings, or other surrounding materials • Other product series: Some products, product options, and accessories have their own limited warranties and are not covered by this Limited Warranty. For information on warranty coverage, please refer to the speci c limited warranties for these products available at andersenwindows.com Warranty Claim Procedure To make a claim under this Limited Warranty, contact the nearest Renewal by Andersen location, our Warranty Service Line at 800-441-1109, or visit our website at renewalbyandersen.com. We will contact you to investigate your claim within approximately two weeks after noti cation and arrange for appropriate action. Warranty services may be provided by Renewal by Andersen and/or an authorized Renewal by Andersen service provider. You can help us serve you faster by providing the following important information: • The serial number of the affected product (located on a label af xed to the top or side of the window frame) • Description of the product concerns • Documentation of the purchase date, if available • Your name, address (with zip code) where product is installed, and telephone numbers Dispute Resolution Process General If you are dissatis ed with the remedy provided to you under the Limited Warranty set forth above or have any other claim against Renewal by Andersen related to your Renewal by Andersen® products, you and Renewal by Andersen agree to resolve the claim using the following process (“Dispute Resolution Process”). This Dispute Resolution Process will apply to claims of any nature relating to your Renewal by Andersen product (“Dispute(s)”). Disputes include, but are not limited to: claims for breach of contract or breach of warranty; claims for violation of state or federal laws or regulations; claims based in tort, negligence, or product liability; claims based in fraud or fraud in the inducement, marketing, or advertising claims; and claims related to the enforceability or effect of any term of the Limited Warranty or the Dispute Resolution Process, including, but not limited to, the waivers of class action and jury trials. Notice Required To assert a Dispute, you must rst provide Renewal by Andersen with written notice. A Notice of Dispute form is available for your use on Renewal by Andersen’s website at www.renewalbyandersen.com/noticeofdispute. Renewal by Andersen Response Renewal by Andersen will have 60 days from receipt of your Notice of Dispute to respond to you in writing. In that response or at any later time, Andersen may make one or more written offers to you to resolve your Dispute. No Class-Action or Jury Trials YOU AGREE THAT YOU MAY ASSERT DISPUTES AGAINST RENEWAL BY ANDERSEN ONLY ON AN INDIVIDUAL BASIS AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY CLASS OR REPRESENTATIVE ACTION OR PROCEEDING. AS PART OF THIS DISPUTE RESOLUTION PROCESS, YOU AND ANDERSEN ALSO AGREE TO WAIVE ANY RIGHT TO A JURY AND AGREE TO HAVE ALL DISPUTES HEARD AND DECIDED SOLELY BY THE FEDERAL OR STATE COURT JUDGE. Opt-Out Procedure You may opt out of this Dispute Resolution Process by completing and submitting a written Opt-Out Notice. The Opt-Out Notice is located on Renewal by Andersen’s website at www.renewalbyandersen.com/optout. Whether or not you opt out of the Dispute Resolution Process, all terms of the Limited Warranty set forth above remain in force and effect. Applicable Law and Severability This Dispute Resolution Process, including, but not limited to, issues related to its enforceability and effect, will be governed by the laws of the State of Minnesota without regard to con ict of law principles. If any term of this Dispute Resolution Process is found to be invalid or unenforceable in any particular jurisdiction, that term will not apply to that issue in that jurisdiction. Instead, that term will be severed with the remaining terms continuing in full force and effect. Questions If you have questions about the Dispute Resolution Process or Opt-Out Procedure, contact us at 1-800-441-1109. “ Renewal by Andersen” and other marks where denoted are marks of Andersen Corporation. © 2024 Andersen Corporation. All rights reserved. Revised February 29, 2024. RBA13751 MASSACHUSETTS ADDENDUM This Addendum is a supplement to your Agreement Document and Payment Terms and all documents incorporated therein (the “Agreement”) with Renewal by Andersen LLC (“Contractor”). All provisions of this supplement are incorporated into the Agreement as if such provisions were fully and completely set forth in the Agreement. Any conflict between the terms of the Agreement and this Addendum will be resolved in favor of this Addendum. 1) The following language is added to the Agreement: MINIMUM DOWNPAYMENT Any deposit required under the contract to be paid in advance of the commencement of work under said contract shall not exceed the greater of one-third of the total contract price or the actual cost of any materials or equipment of a special order or custom made nature, which must be ordered in advance of the commencement of work, in order to assure that the project will proceed on schedule. 2) The following language is added to the Agreement: ADDITIONAL INFORMATION If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights, or if you wish to obtain a free copy of “A Massachusetts Consumer Guide to Home Improvement” contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website at http://www.mass.gov/ocabr/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at http://www.mass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor’s Registration: http://db.state.ma.us/homeimprovement/licenseelist.asp Page 2 of 3 For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800, 508-755-2548 or 413-734-3114 3) The following language is added to the Agreement: NOTICE DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. 4) The following language is added to the Agreement: Renewal by Andersen LLC’s registration number is: 170810. Renewal by Andersen LLC’s employer identification number is: 41-1918413. 5) The following language is added to the Agreement: Please refer to Section 142A of the Massachusetts General Law ("Regulation of Home Improvement Contractors") to understand your right under such law. Page 3 of 3 MASSACHUSETTS PERMITS This Massachusetts Permits document is a supplement to your Agreement Document and Payment Terms and all documents incorporated therein (the “Agreement”) with Renewal by Andersen LLC (“Contractor”). All provisions of this supplement are incorporated into the Agreement as if such provisions were fully and completely set forth in the Agreement. Any conflict between the terms of the Agreement and this Addendum will be resolved in favor of this Addendum. PERMIT NOTICE: All Home Improvement Contractors shall obtain any and all necessary construction- related permits and it shall be the obligation of the Contractor to obtain such permits. Owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund provisions of MGL chapter 142A. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Willis Towers Watson Midwest, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA Renewal by Andersen LLC 30 Forbes Road Northborough, MA 01532 Evidence of Insurance 09/20/2024 1-877-945-7378 1-888-467-2378 certificates@wtwco.com Old Republic Insurance Company 24147 W34730012 A 10,000,000 500,000 10,000 10,000,000 10,000,000 10,000,000 MWZY 314161 24 10/01/2024 10/01/2025 A 5,000,000 10/01/202510/01/2024MWTB 314159 24 MWC 314158 24A 1,000,000No10/01/2024 10/01/2025 1,000,000 1,000,000 362819526458576SR ID:BATCH: WTW Certificate Center Page 1 of 1 Electronic Consent DBA: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | rbabostonbooking@andersencorp.com Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 C: (413)588-1688 SIGNATURE OF SALES PERSON PRINT NAME OF SALES PERSON Timothy Ayers SIGNATURE PRINT NAME Jess Martin SIGNATURE PRINT NAME Kim Hoff 11/16/24 Page 21 / 27 Welcome to Renewal by Andersen LLC d/b/a Renewal by Andersen of Boston, which may be referred to as “we” or “us” in this document. “You” or “I” refers to the Buyer(s) (who may also be referred to herein as the "Customer(s)".) You are receiving this Electronic Consent Notice as part of your eGreement packet. You previously agreed to enter into eGreement contract(s) electronically and use electronic signatures. You also agreed to exchange information with us electronically and allow us to electronically provide records, notices and legal disclosures. Your Rights You understand that: (i) you have the right to have the contract(s) provided in paper or electronic form and (ii) your consent applies to this transaction and any notices, agreements, legal disclosures, reports, documents, communications, and/or other records relating to this transaction or any of our services and/or products. You may at no cost to you: (a) withdraw your consent to contract electronically or use electronic signatures, exchange information with us electronically, or have the records, notices and legal disclosures provided in electronic form as described in this paragraph at no cost to you; and/or (b) you may obtain a paper copy at no charge if you request a copy from the sales representative or at the email noted above. Please note that withdrawing your consent may delay the receipt of documents and information. Our Right to Send You Paper Documents We may sometimes give or send you paper documents even if you have consented to receive documents electronically. Hardware and Software Requirements You will need to meet the following hardware and software requirements to access the contract: access to any device modern web browser, an Internet connection, and the ability to view a PDF. Privacy Notice We will collect certain personal information from you. In order to help you understand how we use information collected in connection with this or other transactions, please refer to our privacy policy at: http://www.renewalbyandersen.com/about/legal-privacy.aspx Electronic Consent DBA: RENEWAL BY ANDERSEN OF BOSTON Legal Name: Renewal by Andersen LLC HIC# 170810 30 Forbes Road | Northborough, MA 01532 Phone: (508) 351-2200 | Fax: (508) 986-7072 | rbabostonbooking@andersencorp.com Jess Martin & Kim Hoff 69 North Maple Street Florence , MA 01062-1322 C: (413)588-1688 SIGNATURE OF SALES PERSON PRINT NAME OF SALES PERSON Timothy Ayers SIGNATURE PRINT NAME Jess Martin SIGNATURE PRINT NAME Kim Hoff 11/16/24 Page 22 / 27 Data Retention The information and documents we send you electronically are available unless and until you delete the information and documents on your electronic device. You may want to download and save any materials that we send to you electronically since you are responsible for keeping them for your records. Contact Us If you have any trouble printing, downloading or accessing any documents, please contact your sales representative or call us at 508-351-2200 to request a paper copy at no cost to you. If you have any questions about your Renewal by Andersen® products, please contact your sales representative or call us at 508-351-2200. Changing Your Contact Information You can change your contact information, at no cost to you, by calling us at 508-351-2200. Your Agreement and Consent I acknowledge by receipt of this Electronic Consent Notice that: 1. I have read this notice about the use of electronic documents. 2. I agree to the use of electronic documents instead of printed documents and understand this satis es any legal requirement. 3. I am able to download and review les in PDF format. 4. I have access to any device modern web browser, Internet access, and can send and receive emails with links to websites. 5. My consent applies to documents we will send you electronically. Thank you again for working with Renewal by Andersen LLC d/b/a Renewal by Andersen of Boston! DE T AI L SDETAILS L e g a c y S i n g l e E n t r y Do o r i n F ra m eS a ver F ra m eLegacy S i n g l e E n t r y Do o r i n F ra m eS a ver F ra m e 28" Nominal Width 72" Custom Unit Height Unit Size: 29 9/16" x 72" Frame Depth: 4 9/16" No Brickmold Left Hand Inswing - Inside Looking Out Flush 460 Style 20-Gauge Smooth Steel Door ComforTech DLA Cafe Cream Inside and Outside H a r d w a r eHardware All Hardware in Satin Nickel Finish Georgian Lockset (2 3/8" Backset) Thumbturn Deadbolt (2 3/8" Backset) F r a m eFrame Textured Cafe Cream Aluminum Frame Cladding - In Separate Box Cafe Cream Inside Frame Mill Finish ZAC Auto-Adjusting Threshold (5 5/8" Depth) Satin Nickel Ball Bearing Hinges Security Plate S e l l P r i c e : $7,071.00Sell P r i c e : $7,071.00 T o t a l : $7,071.00Total: $7,071.00 I N F OR M AT I ON AN D WAR N I N GSINFORMATION AN D WAR N I N GS Because of unit height glass/trim height will be reduced to 48". The entry door will use stock 48" tall glass centered on slab unless custom glass configuration is requested (potential aesthetic concern). YOUR P R O FE S S I O N AL-CLAS SPROFESSIONAL-CLAS S PRODUCT Legacy 20-Gauge Smooth Steel Entry Door with Clear Gla ss OUTSIDE VIEW INS IDE VIEW S IZ IN GSIZING H A N D IN GHANDING E N E R G YENERGY I n st allat io n I n st ru ct io n sInstallation I n st ru ct io n s E N E R G Y P E R F O R M A N C E R A T I N G SENERGY P E R F O R M A N C E R A T I N G S U-Factor (U.S/I-P )So lar Heat Gain Co efficien t 0.29 0.16 A D D I T I O N A L P E R F O R M A N C E R A T I N G SADDITIONAL P E R F O R M A N C E R A T I N G S Visible Transmittan ce 0.28 - Air Infiltration (cf m/f t2) <= 0.04 877.389.0835 2150 State Route 39 Sugarcreek, OH 44681 QUOT E I N F OR M AT I ONQUOTE I N F OR M AT I ON Job : Jess And Kim Ta g: Ba ck Door Ord er #12562211 Qty : 1 32 1/4" 28 1/16" 29 9/16" 30"72 3/8" 72" 71 1/4" 73 3/8" Saturday, November 16, 2024 | Product availability may vary based on size, design constraints, and building codes for your area. Due to variances in color and manufacturing process, imag es shown may vary from final product. | Timayers PPM:18647 Pricing effective 12/12/22 DE T AI L SDETAILS L e g a c y S i n g l e E n t r y Do o r i n F ra m eS a ver F ra m eLegacy S i n g l e E n t r y Do o r i n F ra m eS a ver F ra m e 28" Nominal Width 72" Custom Unit Height Unit Size: 29 9/16" x 72" Frame Depth: 4 9/16" No Brickmold Left Hand Inswing - Inside Looking Out Flush 460 Style 20-Gauge Smooth Steel Door ComforTech DLA Cafe Cream Inside and Outside H a r d w a r eHardware All Hardware in Satin Nickel Finish Georgian Lockset (2 3/8" Backset) Thumbturn Deadbolt (2 3/8" Backset) F r a m eFrame Textured Cafe Cream Aluminum Frame Cladding - In Separate Box Cafe Cream Inside Frame Mill Finish ZAC Auto-Adjusting Threshold (5 5/8" Depth) Satin Nickel Ball Bearing Hinges Security Plate S e l l P r i c e : $7,071.00Sell P r i c e : $7,071.00 T o t a l : $7,071.00Total: $7,071.00 I N F OR M AT I ON AN D WAR N I N GSINFORMATION AN D WAR N I N GS Because of unit height glass/trim height will be reduced to 48". The entry door will use stock 48" tall glass centered on slab unless custom glass configuration is requested (potential aesthetic concern). YOUR P R O FE S S I O N AL-CLAS SPROFESSIONAL-CLAS S PRODUCT Legacy 20-Gauge Smooth Steel Entry Door with Clear Gla ss OUTSIDE VIEW INS IDE VIEW S IZ IN GSIZING H A N D IN GHANDING E N E R G YENERGY I n st allat io n I n st ru ct io n sInstallation I n st ru ct io n s E N E R G Y P E R F O R M A N C E R A T I N G SENERGY P E R F O R M A N C E R A T I N G S U-Factor (U.S/I-P )So lar Heat Gain Co efficien t 0.29 0.16 A D D I T I O N A L P E R F O R M A N C E R A T I N G SADDITIONAL P E R F O R M A N C E R A T I N G S Visible Transmittan ce 0.28 - Air Infiltration (cf m/f t2) <= 0.04 877.389.0835 2150 State Route 39 Sugarcreek, OH 44681 QUOT E I N F OR M AT I ONQUOTE I N F OR M AT I ON Job : Jess And Kim Ta g: Ba ck Door Qty : 1 32 1/4" 28 1/16" 29 9/16" 30"72 3/8" 72" 71 1/4" 73 3/8" Saturday, November 16, 2024 | Product availability may vary based on size, design constraints, and building codes for your area. Due to variances in color and manufacturing process, imag es shown may vary from final product. | Timayers PPM:18647 Pricing effective 12/12/22 Go Permits, LLC 105 Buttonball Lane Glastonbury, CT 06033 Scott Doughman Phone: 860-952-4112 Fax: 860-430-6719 scottdoughman@gopermits.org Re: Building Permit Application - Licenses Good day, Please find attached permit application, licenses and supporting documents. Renewal by Andersen sold the job and is the G.C. and CSL - CSL #CS-090125 -- Exp. 10/06/26 - HIC #170810 -- Exp 12/22/2025 - Workers Comp - #MWC 314158 23 – Exp. 10/01/25 Old Republic Insurance Co 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: renewalbyandersen@gopermits.org ●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 a t 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 Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards Construction Supervisor CS-090125 Expires: 10/06/2026 JAIME L MORIN 54 NOTTINGHAM RD RAYMOND NH 03077 Commissioner Construction Supervisor Unrestricted - Buildings of any use group which contain less than 35,000 cubic feet (991 cubic meters) of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Contact OPSI: (617) 727-3200 or visit www.mass.gov/dpl/opsi SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Willis Towers Watson Midwest, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA Renewal by Andersen LLC 30 Forbes Road Northborough, MA 01532 Evidence of Insurance 09/17/2024 1-877-945-7378 1-888-467-2378 certificates@wtwco.com Old Republic Insurance Company 24147 W34713245 A 10,000,000 500,000 10,000 10,000,000 10,000,000 10,000,000 MWZY 314161 24 10/01/2024 10/01/2025 A 5,000,000 10/01/202510/01/2024MWTB 314159 24 MWC 314158 24A 1,000,000No10/01/2024 10/01/2025 1,000,000 1,000,000 362368126438395SR ID:BATCH: WTW Certificate Center Page 1 of 1 Re: Massachusetts Solid Waste Affidavit Good day, Please find attached location where the installers will bring their debris from the jobs. These are all Renewal by Andersen location. • WASTE MANAGEMENT – 30 FORBES RD, NORTHBOROUGH, MA 01532 When filling out any solid waste affidavit, it’s the installer whom will be removing the garbage and dumping the trash at the Renewal by Andersen dumpster locations closest to that job. Thank you, Go Permits