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HomeMy WebLinkAboutBLD-19-629 • r ONE & TWO FAMILY ONLY-BUILDING PERMIT 6 �/ /�/�FA J Town of Yarmouth Building Department a " v 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 Massachusetts State Building Code,780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish _ - a One-or Two-Family Dwelling . • ' This Section For Official Use Only Building PermitNumber. $tti—/9-00--a 6! 'Date Applied: a • Building Official(Prig Name) rgaaiura. . . . . .. a. . Date , .- • SECTION 1:sin.INFORMATION. • 1.1 Property Address: 1.2 Assessors,Diap &Parcel Nun/tiers 1i 2t, Z 529 (• - c : LVED 1.1a Is this an accepted street?yes ✓no Map Number Parcel N Aber 1.3 Zoning Information: 1.4 PropertyDimensions: AUG I S 2E118� Zoning District Proposed Use Lot Area(sq fc) Frontage(ft) a .L1' 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L e.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Onside Flood Zone? Municipal❑ On site disposal system ❑ • Check if yes❑ . ' . • SECTION 21 PROPERTY OWNERSHIP' • . . 2.1 Owner'of Record: e I L3�` cs e \t 12-44—flirt-512-44—flirt-5l.lc p, a c. ck U, \\oreo ON n- b ' ame(Print) / Cay,State,ZIP a l n . Grcl.tt- Sr 72 X?-9261— -gA\@Ielawtve �T0•esr*A_ t No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s)_? Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other ❑ Specify: . Brief Description of Proposed Work'-: 1 tett/9a.- So-ni, l a r4L L_..,..„, c a %$ jL f\e-,.wZaC - 5' i ?a " 6.— rfLias — y7" SAccL,-f rector S ,1.,, ,. -I`hi9) Alec. /A " on (*earn-, • D• • ESCRIPT4i ESTIMATED CONSTRUCTION COSTS. . . Item Est mated Costs: (Labor and Materials) . . Official�,se Only,' 1.Building ; : .:• • . $ 1.Bmlding Peintit Fee:$:1�� Indicate how fen is determined 2.Electrical •❑Standard CityPT9wnApphcarionFee•`.' : ' •.:...:'*:•••• 0.TotalProjeatCost3 tem6)xsnlfitlier... : : ' • - 3.Plumbing $ 2: Other:Fees: S • . 5 "V . . 4.Mechanical (HVAC) $ List ' 5.Mechanical (Fire $ Suppression) CheckN6;_Check Ant CashAmouht /- 6.Total Project Cost $ •/S0'3p P -m' aidFull .•. .. D OimstandingB . _..aladcente L , E' ECri :7t: 1.i JUL 31 2018 • By J c PAftl(i 1-� SECTION 5:.CONSTRUCTION SERVICES ,, 5.1 Construction Supervisor License(Ca) / C - o Tr//fin j/l aaw 7a vl VU4'1, vt u . License l j Number Expiration Date Name nof CSL Holder ' , i2 lt C h IA/Cot OD S,F - LIsc CSL Type(see below) No.and Street ,^ ! ' T . .. Description �.t,yi,(,i tv t-t4 V✓`a, o do a , Unrestricted(Buildings up m 35,000 cu.R) City/IOState,ZIP R Restricted I c 22 Family Dwelling . M Masonry RC Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances I Insulation • Telephone Email address D Demolition 5. Registered Home Improvement Contractor(HIC) MariKl GouS}-trvaa... /VJ / f > D • lfJ/o7G�CAs BIC Company Name or HIC Registrant Name HICRegistrazicnNumbtt pirazi nDaze ASRishtmovo) sr- u2vwm0114._. davtimavi(4t'6aysfyuehet.iP?I.uoC2.Cac Np',and Street ,t (. e4vuouft1 At. eG),IW (47''777- j( Email address City own,State,ZIP Telephone L SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(IYLG.L,c.152.§ 25C(6)) Workers Compensation Insurance affidavit mustbe 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 0 •• SECTION 7a:OWNER AU'1'IiORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT . I,as Owner of the subject property,hereby atnhorize to act on my beha/l� ,in all matters relative to •o . a . . ' ed by this building pecan application. r int owner's Name(Electronic Sigoanae Date • SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. -peon t .41 vtt So/G? Print Owner's or Authorized Agent's Name(Electronic Simature) 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(BIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the BIC Program can be found at wwwmass.gov/oca Information on the Construction Supervisor License can be found at www.mass.eov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.R) (including garage,finished basement/attics,decks or porch) Gross living area(sq.R) 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" , V 1-- Department oflndustrialAccidents ?'-air tram • 1 Congress Street,Suite 100 • rla=0,-- Boston, MA 02114-2017 V' • www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. • TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information 7� Please Print Legibly Name (Business/Organization/Individual): DAv\ lAkt`fl(kl (,ll.(f L t t,( 000,5i -ve amu, Address:As- fLj 611 vuo-t ST' / City/State/Zip:G(W .vI.C00%sct1 Ma)oil,aisv Phone#: 6,V7 •- 777- SSG1 Are you an employer?Check the appropriate box: n/� Type of project(required): 1. I am a employer with a. employees(full and/or part-time)." 7. ❑New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] 8. Q Remodeling 3 0 lam a homeowner doing all work myself[No workers'comp.insurance required]t 9. ❑Demolition 4.0 1 an a homeowner and will be hiring contractors to conduct all work on my property. I will1 El Building addition ensure that all contractors either have workers'compensation insurance or arc sole 11.0 Electrical repairs or additions proprietors with no employees. 5.0[am a general contractor and I have hired the sub-contractors listed on the attached sheet 12.0 Plumbing repairs or additions' These sub-contractors have employees and have workers'comp.insurance.[ 13.0 Roof repairs 6.0 We aa corporation and its officers have exercised their right of exemption per MGL a 14.0 Other are 152,§1(4),and we have no employees. [No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing theirworkers'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 aY the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'camp.policy number. I am are employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. _ Insurance Company Name:l l SS(261 �Q r t top 16 p,f 5. IR said rite. /'D I fiez Policy#or Self-ins.Lic.#: r,()CG r 3"O 5'O l.7 ObL c Q/ Xpiration Date: f sJ?/-3/7/201- litr.� Job Site Address: 39 /(L),4 ]f or City/state/zip:y4(,r(l{i 6- (,t 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. .1 do hereby ca fy under the pains and penalties of perjury that the information provided above is true and correct Signature: . _ S. Date: 'G� 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(circle one): 1.Board of Health 2.Building Departatent 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: 91:•YiR lUVVlN UI! YA-KIYIUU111 o ". y� • BUILDING DEPARTMENT 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: • DATE: JOB LOCATION: NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS • CITY OR TOWN STATE ZIP CODE The current exemption for'Homeowner' was extended to include owner—occupied dwellings of one or two units and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1) Definition of Homeowner: Pers on(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 attached or detached structure assessory 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 homeowner,such"homeowner"shall submit to the building official,on a form acceptable to the building official,that he/she shall be responsible for all such work performed under the building permit.(Section 110 R5.1.3.1) The undersigned 'homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes,by-laws,rules and regulations. The undersigned 'homeowner' certifies that he/ she understands the Town of Yarmouth Building Department minimum inspection procedures and requirements and that he / she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING O1-r1CIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. Yes No If you have checked ves• please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage requiredby Chapter 142 of the Mass. Gene,dl Laws and that my signature on this permit applicatiod waives this requirement. Check one: Siguature of Owner or Owner's Agent Owner Agent h:homeowniiieexemp • ,• • •, • 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, §250(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 contacting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contactors)name(s), address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are hot 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 Accident. 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"lob 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 doe license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. m 617-727-4900 ext. 7406 or 1-377-NLASS AFE Fax 4 617-727-7749 Revised 02-23-15 www.mass.gov/dia. BUILDING DEPARTMENT O '�_ .�£ y 1146 Route 28,South Yarmouth,MA 02664 'FS,r efi 508-398-2231 ext. 1261 Fax 508-398-0836 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter I, Section 111.5, I hereby certify that then debris resulting from the proposed work/demolition to be conducted at 3'1 1`ial a PV e Work Address Is to be disposed of at the following location: (1 ew -co1L. Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Ls .QLWRi 7—do— fr Signature of Application Date Permit No. ' '.`ztyre, ;1/4 •CAlia • j 4 Fx '�r' yr-i4 A'ri ! �:Pii #r (teas * > n ,'tFYat? r �` _.-...e, $ i . r + 44 .v ` ,� 'i � tZri - . tYT--m,! .y ." it u �.+ C 'ekt, + ,cu �5` t ,Lr•45 , 'cl,t�ktteeC�e �ei.1pfl � i 44 ,r't'.}`.' ' w7+ uY "+ } •esr rssu>vSs� f3` Cy `' C ,frj� 7S1lf „`” ^�'ik4 ? e. es ' Z4 .ti'*i.- 'Lz*.ic•Vttrei t�{� y {- r oto ,izpitew � V ,rs- „ C tt • .etilo•drid I„ a`'�,c"'` a-,e.;4 „u'.-vat 4�g,.-is tiz *,yµfAraz--ettatre -4,Cecsrs•t,,` itz4 .44---Pti 1 e- .E tekd•- (ro-��" "�'r We �r1rFA'F!A44.. •i`+ Yr 44'4'1• . `-. S�',,,5`•�y'-i •q,`h+'•t'i` ?', .�F - li .�-y ...,„. v»rfw4,1- `. '1`.1`l ,*.� `4�j�.Y+.+YN.`wi „eitr.Lf 4.S w.. ..0P`',�rr�,y1''i'T ti. -i. aw �C.e444.0"'. 'v�'-1'` (.•1"4,1(441;4941144.0 may..'` "13:,Snao7M,)::14}�v r4tt },[`fw`r 1;t$.;`at' `�•,.C......- i C71,,,,,h.11,1„.7-4.'€+. 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Expires 15,04 2020 � ? 1�a rW w}0}rfrtV:fi �' ''" "`".7 CS-095199 rY WWY+r�Nyy!>9'i}}r�Y}ryWN W�"::Orat},t11-1'A.!}Y`+Y - 1 if 4 C Ar'yS�Yb�rir}!Fyy'".lN9 fI' S q}ylp+W irivi !ti r4-0 ?iW}}�iSY�Srf W-' > }r}t t. rt F7r , """yy'}} �""'*` DANIEL P MARINI e}` + )4,-1.444-0-4fYf V W f!, - sw}rwt!i+tf1°:>fX':i> 25 RICHMOND STREET j j 7 t "y l�YrlYi wV yF�lyiY>ff iS a°` _ !i ;FY, 7A}t}tl4lry!� fLr ter WEYMOUTH MA 02188 .; •• by th is}+.twvr� l 14.-5.- rt 14 -:An f I t Y-41.-0—P t S 1 - YA :;*}sii}} ryr l Commissioner s t }f-rr� t .,dtd >}> `YY'r'+yiiF` €`!`� 'rYr4.rr „,,„.v.,-,,..„. n+r G'` N$ s,, ' y/00-ti't's * �Vita, r'T` 2 - ''T+3` f•r+,,.41.4- r of *ftr1•*.� ,--,,,>r r. r,, .tkr v',fi`, r 4Ru-4r r}'�' Thr S ,Ftt:�fi > {s -v- . 1.4 ,es i'! tt�}tt-?urt t +-r`rtr'wt rr + �'4V'+ <t w tstt � to+r Y Ftwty r�r1w'�-w ''ytt�C� tiv� ir} v' _r>alril -r-e i'17 ik41; gtrki r ti•w�w ,4s T rst sy �<` -I czar€Xi € } r f v -rYs�i#>�>M i vF ti'' l! w, tY'7 i Y ?- 1-^ { t aAn .•�in41* St We'l ! ,f.r i<r-i� �r } ro' y 4P 0/1 -, z,. 1'y`` ,? 1010 . 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'figir).4 kill i -r,:fr*Crwa Registration valid-for-individual use only vitt hii -rd - ' before_the_expiration-daterlf found return to:titte.,3Office of Consumer-Affairs-and Business Regulation cs.-.2k,tav A y 10 Park Plaza - Suite 5170 ,t4.4irtis. titit.te-tztz ...,„ -,.. - , ,r, -,......-4, „... ,......„-A, fr ertr-,11'.\•.... Boston, MA 02116 -tn-...-.-.. oft.,,A'`•' `.‘-.Prat,t • • • , ...... .., I., ..” ..." AA atilt C / `• • :: 1 im' I ,- Not valid without signature - _ • ,-----1..." e DATE IMMIDD/YYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 07/25/2018 .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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). CONTACTNAME: Ryan W Parker PRODUCER Charles G Jordan Insurance Agency PHONEFAX 17 Front Street - (NC No EMI' (781)337-0427 INC,Nor(781)335-6897 Weymouth,MA 02188 E-MAILDESS: ryparker@cgjordaninsurance.com INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A: Evanston Insurance Company 35378 INSURED Daniel MariniINsuRERS: Associated Employers Insurance Company A0234 25 Richmond St INSURER C: Weymouth,MA 02188 INSURER D: 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. INSRADDL SUER POLICY EFF POLICY EXP LIMITS - LTR TYPE OF INSURANCE— ______ INSD WVD- —_-POLICY NUMBER (MMIp01YYYY) (MMIDOIYYYY) - - A ✓ COMMERCIAL GENERAL LIABILITY 3EN6587 04/06/2018 04/06/2019 EACH OCCURRENCE 5 1,000,000 _ __ _ DAMAGE TO RENTED - 100,000 CLAIMS-MADE OCCUR PREMISES(Ea occurrence) ' S--- MED EXP(Any one person) 5 5,000 - PERSONAL S ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE f 2,000,000 R POLICY PRO- ❑ ECT LOC PRODUCTS•COMP/OP AGG 5 1,000,000 OTHER 5 COMBINED SINGLE LIMIT 5 AUTOMOBILE LIABILITY (Ea accident) • ANY AUTOBODILY INJURY(Per person) 5 OWNED SCHEDULED BODILY INJURY(PeraWtlenq E _ AUTOS ONLY _ AUTOS - HIRED NON-OWNEDPROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAR _ OCCUR EACH OCCURRENCE 5 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WCC-500-5017012-2018A 03/09/2018 03/09/2019 PER 0TH• B AND EMPLOYERS'LIABILITYSTATUTE ER YIN E L.EACH ACCIDENT f 100,000 OFFICER/MEMBER D?ANY ECUTIVE a NIA 100,000 (Mandatory In NH) EL.DISEASE-EA EMPLOYEE f If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS IVEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If mon space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Home Ventures LLC ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 2 Middleboro,MA 02346 AUTHORIZED REPRESENTATIVE I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD