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HomeMy WebLinkAboutBLD-19-002303 . . O�.Y�R :Office Use Only M1` `�O i Pamlts e o' l -ti "Amomd SD- Fa"^:::3";� �, s ;Permit expires 180 days from :issue date ab— -ODaltP) EXPRESS BUILDING PERMIT APPLICATION- --, TOWN OF YARMOUTH U E C E I V E D { Yarmouth Building Department 1146 Route 28 OCT 18 2018 South Yarmouth,MA 02664 (508) 398-2231 Ext. 1261 Sur. , ie - t ,ito • 1 CONSTRUCTION ADDRESS: 14 Elisha Pond Drive, Yarmouth Port, MA 02675 ASSESSOR'S INFORMATION: __ Map: 106 Parcel:35 OWNER: Steve & Laurel Wilson -same as above- 508.362.2270 sbwils@comcast.net NAME ['RESENT ADDRESS TEL a Email Address: CONTRACTOR PECSG 125 Wianno RD, Yarmouth Port, MA 02675 508.737.6303 josh@pecsg.com NAME MAILING ADDRESS TEL# Email Address: Residential Commercial Est.Cost of Construction$4,970.00 Home Improvement Contractor Lia it 180569 Construction Supervisor Lic.it CS-075828 Workman's Compensation Insurance: (check one) I am the homeowner I am the sole proprietor I have Worker's Compensation Insurance Insurance Company Name: AEIC Worker's Comp.Pohcy#WCC5005014027201BA WORK TO BE PERFORMED Tent _ Duration (Fire Retardant Certificate attached?) Wood Stove Siding: #of Squares Replacement windows:# Replacement doors: #1 (Sala) Roofmg:��#of Squares ( )Remove existing*(max.2 layers) Insulation x 6°41l� Highway/Historic KingsHighway/Historic Dist. ( X)Replacing like for like fl'hedebrlswillbedlsposed of atContacted container trough Robert Childs, Inc. Location of Facility I declare under penalties of perjury that the statements herein contained are tree and correct to the best of my knowledge and belief. Iunderstand that any false answer(s) will be just cause for denial or revocation of m ' ...se and f.. • .sution under M.G.L.Ch.268,Section 1. Applicant's Signature: � \•�`,sr4` Date: Lc k8aI.l8 Owners Signature(or attachment) 'CC Pr111t1-44 Zcp Co -r Date: Approved By ./mac.- Date /a- / 9.-15- Building Official(or designee) • Zoning District R-40 Historical District Yes No Flood Plain Zone: Yes No Water Resource Protection District Within 100 R of Wetlands: Yes No Yes No __ The Commonwealth of Massachusetts -- �'r_�/ Department oflndustrialAccidents ='1,111_ • • =ijAl_ 1 Congress Street,Suite 100 = G�_5� Boston,MA 02114-2017 ::�;, www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Philbrook Engineering and Construction Services Group (PECSG) Address:125 Wianno RD City/State/Zip: Yarmouth Port, MA 02675 Phone#: 508. 737.6303 • Are you an employer?fleck the appropriate box: Type of project(required): LE I am a employer with 3 employees(full and/or part-time).' 7. 0 New construction 2.0I am a sole proprietor or partnership and have no employees working for me in 8. ®Remodeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. ❑Demolition 10 Q Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole MEI Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 14.®Other REAR slider replacement 6.0 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] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :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.AE IC Policy#or Self-ins.Lie.#:WCC5005014O27201 SA Expiration Date:20191030 Job Site Address:14 Elishia's Pond Drive City/State/Zip:Yarmouth Port, MA qi Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: vDate: kc, ‘Es Phone#: Ste.?3 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 Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: T 'Ty, Massachusetts Department of Public Safety - Board of Building Regulations and Standards License: CS-075828 Construction Supervisor 47,0Ib KELLEY C PHILBROOK 36 WRIGHTS LANE '1, E GLASTONBURY CT 06033 #'^!"' .14• ./y? -. . ,lrof4.27;.tr2.-- Expiration: =Commissioner 05107/2019 i Office of Consumer Main#Business Regulation ,.c.?, . HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only �gpige /�'p�yPE:Supplement Card before the expiration date. if found return to: `t: y'7_\. ..on Ogles of Consumer Affairs and Business Regulation 5<raa 11/30/2018 Emairallat 10 Park Plaza-Suite 5170 Boston,MA 02118 • • T.Vamum PhiYfpo DB/A Philbrook {Construction Andrew Phm fir ' ��c 107 Beach Streetr �^ L1 r Dennis,MA 0263W-4" Undersecretary Not vattl without s re \ PHILBROOK ENGINEERING &CONSTRUCTION Building • Alterations • Renovations • Homeowner Services 107 Beach Street, Dennis, MA 02638 ` -' :m1 • PIIILBROOK 508-385-8682�� PECSGr NyyyyGINFFRING&CONSTRUCTION .PECSG.COM design dib maintain Contract Philbrook Engineering and Construction takes pleasure in submitting the following contract. 11 October 2018 Submitted to: Steve and Laurel Wilson Address: 14 Elisha's Pond Drive, Yarmouthport, MA 02675 Project Cost: $4,970 This agreement made the 11th of October, 2018, between Philbrook Engineering & Construction Services Group, LLC,a limited liability company existing under the laws of the Commonwealth of Massachusetts and hereinafter called "PECSG" and Steve and Laurel Wilson hereinafter called the "Owners"for the consideration stated herein mutually agree as follows: Description: Replace existing deck slider with new Andersen A Series slider. Scope of Work: 1. Permit and receive approval for the project with the Town of Yarmouth: Historic and Building Departments. 2. Prepare site and interior for construction process: ensure all customer furniture and valuables are stored and clear of work areas (by owner). Add floor protection (where necessary), furniture covering, and zip walls to limit the wear of current floor finishes and mitigate excess dust (as needed). 3. Frame: a. Strip interior trim to expose rough opening. b. Strip exterior trim to expose rough opening. Removal of exterior trim may require the removal or work-around of existing deck railing posts against trim. c. Remove decking in front of slider(as need — planned 2-3 courses). d. Remove existing sliders and inspect sill/jamb area for rot or insect damage. e. Properly flash and spline sill and jamb areas to receive new door. f. Install new Andersen A Series Slider. Slider will be assembled in place (not delivered assembled). g. Install pressure treated decking to replace removed decking in front of slider. 4. Trim/Finishes: a. Install new interior trim to match existing. b. Install new exterior trim; proposed to be composite (Azek or equivalent). An additional exterior light block" (composite material) will be added to the left of the slider to support installation of a new electrical fixture (by owner). Terms and Conditions: PECSG and associated sub-contractors will be responsible for obtaining all required permits through the local Town (Yarmouth) to conduct and complete the project. If the Owners desire to obtain the building permit, please reference Owner's Rights below. All products to be new and all work to be done in a good workman like manner, according to best standard practices. To the extent required by law all work shall be performed by individuals duly licensed and authorized "^r PHILBROOK ENGINEERING &CONSTRUCTION 4,: Building • Alterations • Renovations • Homeowner Services r �wc ;,,.,z - J 107 Beach Street, Dennis, MA 02638 PHILBROOK 508-385-8682 PECSG • ENGINEERING♦CONSTRUCTION WWW.PECSG.COM design build maintain by law to perform such work. Any deviations or alterations from above specifications will require approval in writing from all parties. Contractor agrees to remove all debris and leave the property in broom clean condition upon completion of the work (see attached Terms and Conditions Rider). Insurance: The Contractor will provide liability insurance and workmen's compensation insurance in full until project completion, such liability insurance to cover claims for bodily injury and death that may arise out of work under this contract, whether directly or indirectly by Contractor, or directly or indirectly by a Subcontractor to Contractor. Contractor will provide Owners with an insurance certificate as evidence of satisfying this requirement (see Insurance Cert attachment). Owner Rights: Please reference the Massachusetts Home Improvement Contractor Law (MGL chapter 142A)which identifies all un-waivable Owner rights. Owners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. Information on the Home Improvement Contractor Arbitration and Guaranty Fund can be referenced in: MA Regulation 201 CMR 14.00. Prescriptive and Non-Prescriptive Work and Updating: PECSG, and associated subcontractors, will construct and install all rough and final finishes in accordance with the current building and energy codes. When conducting remodeling and repair work all areas opened to bare framing will be required to meet current building and energy codes, and pass Town required inspections. Owners are advised that PECSG is providing, to the best of its ability, an accurate estimate for proposed work with the current supplied/visible structural and mechanical conditions. In the event PECSG identifies unsatisfactory building conditions (previously completed), PECSG will identify to the owners corrective construction measures and associated costs in order comply with current building and energy code standards. Owner Advisement's: 1. Budget: Owners are advised to have on hand 5%-8% of the overall budget to account for unforeseen repairs and to update structural and mechanical layouts to meet building and energy code requirements in existing structures. 2. Owners are advised to secure and protect all personal belongings and furniture in the direct and adjacent work areas. PECSG will not be responsible for broken or misplaced items left in or near (adjacent rooms)the area of work. 3. Driveway: PECSG is not responsible for damage or repair to the asphalt driveway during the construction process. PECSG will take best actions to avoid oversized loads, point loads, and excavation activities on or around the driveway. PECSGs' Right to Photograph the Project and Signage: The Owners shall permit PECSG and/or person(s) employed or engaged by PECSG, without compensation or consideration to Owner, to take photographs and videos of the project site for construction documentation and PECSG marketing purposes. Photographs and videos, and any accompanying descriptions, shall not identify the Owner or the property address of the project without the express written consent of Owner.. At any time, the Owner(s) may request duplicate digital copies of photographs for their personal record. PECSG also will emplace a company sign at the project site to help coordinate material deliveries. 2 • PHILBROOK ENGINEERING &CONSTRUCTION t: Building • Alterations • Renovations • Homeowner Services n 107 Beach Street, Dennis, MA 02638 1 :. .s' ? • PHILBROOK 508-385-8682 PECSg ENGINEERING&CONSTRUCTION WWW.PECSG.COM design ovE0 .no:n'Nn Payment Terms and Schedule: An initial payment of$2,755 will be required to order material and schedule the project, check(s) made payable to Philbrook Engineering and Construction Services Group. Any deviations or alterations from above specifications will require approval in writing from all parties (in the form of Change Order). Additional work to be billed with progress payments as incurred. Additional labor to be billed at$55.00/hour. Additional work/credits will include the following mark-up/mark-down. 1. Mark-up: Additional Work: Cost+ 20% 2. Mark-down: Credit Work: Cost + 12% • Payment 1: $2,755 o 55% Start-up fee. Contract signed and permit applied for. Slider door ordered. • Payment 2: $2,215 o 45% Final Payment. Final completion: work and owner review complete to confirm all services completed in accordance with the provided scope of work. Project Commencement and Completion Date: The work to be performed under this contract shall be commenced upon all parties' signatures of this document. Project start date is anticipated on/around 3 DEC 2018 based on Town Permit Approval and slider delivery. Project substantially complete by 7 DEC 2018. Acceptance: The above terms, conditions, and descriptions are hereby accepted. In witness whereof, the parties hereto have caused this instrument to be executed of the day and year first written above. In the presence of(Owner's Signature Required): Mr. Steve Wilson Phil�k Engineering and Construction Mrs. Laurel Wilson (Owner) IJ Attachment 1; Owner and Contract Cost, Selections, and Allowances Attachment 2; Cost Breakout Attachment 3; Terms and Conditions Rider Attachment 4; Certificate of Liability and Workmen's Compensation Insurance T. Vamum Philbrook Andrew Philbrook Principle Operations Manager Varnapecsq.com Andrewhpecsq.com Mass. C.S.L. -006083 Mass. H.I.C. — 180569 3 • PHILBROOK ENGINEERING & CONSTRUCTION '4 Building • Alterations • Renovations • Homeowner Services 107 Beach Street, Dennis, MA 02638 w, :: • PHILBROOK �� 508-385-86828PECSG yy LNCINfflING&CONSTRUCTION WW.PEcSG.COM design build maintain Material Selections: 1. Trim: a. Exterior: Trim will be replaced with composite (Azek or equivalent), using stainless steel nails. b. Interior: Trim will be replaced to match existing: natural 2. Slider: Andersen A Series. See attachment—spec sheet. Contract Allowances: None. Potential Change Order Cost: None Planned. Out of Contract Owner Costs: The following costs are agreed to remain out of contract and the owner's direct responsibility: 1. Paint: (Interior/Exterior). 2. Electrical Fixture (next to slider): provided and installed by owner 3. Carpet: PECSG plans to keep the existing carpet in place. There may be a break or visible joint upon new slider installation. PECSG will secure the existing carpeting in/around the new slider jamb to best match the existing conditions. Additional carpet work, repair, and/or replacement will be coordinated by owner. Project Cost Breakout: General Conditions: Permit $165 Demolition: Dispose of Slider $165 Framing & Trim: Labor $900 Framing and Trim Materials $160 Slider $2,754 Subtotal: $4,144 Overhead, QA/QC, Supervision, and Profit $829 Total: $4,973 4 • Andersen Andersen Windows-Abbreviated Quote Report Project Name: Philbrook-Slider-918 IQ Version: 18.1 &NrI:Y Dealer. Shepley Customer. Andrew Philbrook 216 Thornton Drive Billing Hyannis, MA 02601 Address: 508-862-6200 Phone: Fax: Sales Rep: Administrator-DO NOT REMOVE Contact Created By: Trade ID: 000000 Promotion Code: Item Qty Item Size(Operation) Location Unit Price Ext.Price 0001 1 $ 0.00 $ 0.00 RO Size= N/A Unit Size=N/A Not Applicable Andersen A-series Slider White Exterior - - Stained Pine Interior-Mocha- Insulated Glass -Low E w/Argon No Grilles Anvers Oil Rubbed Brinze Hardware • White Surround Screen. All sizes,specifications and handings will need to be confirmed prior to ordering. Interor stain not recommended to match existing 0002 1 FWGD6068(SR) $ 2592.11 ROSize=6'0"Wx6'8"H Unit Size=5'11114"Wx6'71/2"H ~ A Series Unit,4 9/16"Frame Depth, Gray Sill,SR Handing,White/Pine, Mocha-Factory Stained, High Performance Low-E4 Tempered Top Hung Gliding Insect Screen Track, SR,White Viewed from Exterior Top Hung Gliding Insect Screen, SR,White Hardware Trim Set, FWGD,Anvers-Oil Rubbed Bronze Threshold, Maple w/Screws Page 10f 2 iQ Version: 18.1 Item Qty Item Size(Operation) Location Unit Price Ext.Price U-Factor.0.30, SHGC:0.27 • Subtotal $ 2,592.11 Total Load Factor Tax(6.250%) $ 162.01 Customer Signature 0.757 Grand Total $ 2,754.12 Dealer Signature "All graphics viewed from the exterior "Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or other Items. Ask to see If all of the products you purchase can be upgraded to be ENERGY STAR®certified. ASK ABOUT ENERGY STAR FAThis Image indicates that the product selected Is certified In the US ENERGY STAR®climate zone that you have selected. Data is current as of April 2018.This data may change over time due to ongoing product changes or updated test results or requirements. Ratings for all sizes are specified by NFRC for testing and certification.Ratings may vary depending on the use of tempered glass or different grille options or glass for high altitudes etc. Nada Is a registered trademark of Ingersdl Rand Inc. Project Comments: Page 2Of 2 iQ Version: 18.1 • PHILBROOK ENGINEERING &CONSTRUCTION nyeAIL Building • Alterations • Renovations • Homeowner Services • _ 107 Beach Street, Dennis, MA 02638 • PHILBROOK 508-385-8682/- + PECSg ENGINEERING•CONSTRICTION TRW .PEcSG.cOM ae+ipn oWa maintain Terms and Conditions Rider Liens: Under Chapter 254 of the Massachusetts General Laws, Contractor, and any subcontractor that Contractor has a written contract with, may obtain a lien, commonly known as a "mechanic's lien", against the property where the work is being performed. Contractor will provide Owners with the names of the subcontractors subject to a written contract. Any person who performs work on your property may also obtain a lien upon your property under Chapter 254 without a written contract. Contractor shall furnish Owners appropriate releases or waiver of lien statement for services rendered for all work performed or materials provided at each time periodic payment is made hereunder. Limited Warranty: Contractor shall correct any work that fails to conform to the requirements of the Agreement and shall remedy any defect due to faulty materials, equipment or workmanship, other than a minor or cosmetic defect, which appears within a period of ONE (1) YEAR from the date of completion. The provisions of this paragraph apply to work done by Subcontractors as well as work done by direct employees of Contractor but specifically exclude work done by Owners or any other contractor. Defects in any appliance or equipment covered by any manufacturer's warranty and defects which are the result of characteristics common to materials, such as, but not limited to, warping or deflection of wood, minor non-structural cracks in concrete, plaster, brick or masonry are excluded from this Limited Warranty. Damage due to ordinary wear and tear, abusive use, misuse or lack of proper maintenance are excluded from this Limited Warranty. Upon receipt of Owner's written report of a defect, if the defective items are covered by this Limited Warranty, Contractor will repair or replace it at no additional charge to Owner within sixty (60) days (longer if weather conditions, labor problems or materials shortages cause delays). The work will be done by Contractor or subcontractors selected by Contractor. The choice between repair and replacement belongs to Contractor in their reasonable judgement plus that of owner. Manufacturers' Warranties: Contractor hereby passes through and assigns directly to Owners any and all manufacturers' warranties on all appliances and equipment supplied under this Contract. Such warranties may include, for example, the following appliances and equipment, although not every project includes all of these items and your project may include appliances or equipment not on this list: refrigerator, range, space heater, washing machine, dishwasher, garbage disposal, ventilating fan and air conditioner. Information provided by the manufacturers' on how to comply with their warranty programs will be left in the individual appliances or equipment. Indemnity: To the fullest extent permitted by law, Contractor shall indemnify, defend and hold harmless Owner and its members, partners and employees from and against all claims, damages, losses and expenses, including but not limited to attorneys' fees, arising out of or resulting from the performance of the work on the Project, provided that any such claim, damage, loss or expense (i) is attributable to bodily injury, sickness, disease or death, or to injury to or destruction of tangible property (other than work on the Project itself) including the loss of use resulting therefrom, and (ii) is caused in whole or in part by any negligent act or omission of Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, regardless of whether or not it is caused in part by a party indemnified hereunder. 7 '"%tPHILBROOK ENGINEERING &CONSTRUCTION ., ' Building • Alterations • Renovations • Homeowner Services " ' ,.) 107 Beach Street, Dennis, MA 0263 _1 PHILBROOK 508-385-8682 PECSG • ENGINEERING t CONSTRUCTION WWW.PECSG.COM design build maintain Termination: 1. Default. If either Contractor or Owner defaults in the performance of any term, provision or condition hereof and the same is not corrected within 45 days after notice of such default is given to such defaulting party by the other then such defaulting party shall be considered in "Default" under this Agreement. 2. Remedies of Owner Default. If Owner is in Default then at any time thereafter, with written notice to Owner, Contractor may terminate this Agreement and bring a legal action to recover damages it has suffered or incurred as a result of Owner's Default. The term "Damages" shall include the costs of obtaining the services of professional counsel in the assistance to collect any unpaid debts or material costs associated with the work completed. 3. Remedies for Contractor Default. If Contractor is in Default then at any time thereafter, with written notice to Contractor, (i) Owner may terminate this Agreement and bring a legal action to recover its Damages and/or(ii) Owner may by written notice to Contractor correct the Default using another contractor or its own forces in which case Contractor shall be liable to Owner for Owner's costs of such correction including all design services and costs made necessary by such Default. Owner may deduct the costs of such correction and Damages from amounts due Contractor and to the extent such amounts are insufficient, Contractor shall pay Owner the difference upon demand. The term "Damages" shall include the costs of obtaining the services of another contractor or an employee or staff person to complete the Project and any costs of such completion (including reasonable costs and expenses relating to rebidding the work and attorneys'fees if advice or assistance of counsel is obtained by Owner, including to enforce Owner's legal rights under this Agreement) in excess of the Contract Price. Substantial Completion: The term "Substantial Completion" means when the work is sufficiently complete in accordance with this Agreement and the Plans and Specifications so that Owner can occupy or use the Project for its intended purposes and: 1. Only minor items of work that can be completed within 45 days remain to be completed. 2. . The minor items of work remaining to be completed will not significantly interfere with Owner's use of the Project. 3. A certificate of occupancy and all other permits and licenses for all portions of the Work to allow the lawful use and occupancy thereof have been issued by all applicable governmental authorities. The minor items of work remaining to be completed or corrected as of the date of Substantial Completion are sometimes referred to herein as "punchlist items." Final Completion: The term "Final Completion" means the date when all work on the Project (including all punchlist items) has been fully and finally completed in complete accordance with the plans and specifications (if any) and the contract and all permits needed for the full use and occupancy of the Project have been issued in final unconditional form and the Contractor, all subcontractors and all material suppliers have issued lien waivers or releases satisfactory to the Owner with respect to the Work or materials supplied for the Project. 8 PHILBROOK ENGINEERING &CONSTRUCTION ` Building • Alterations • Renovations • Homeowner Services te, ; 107 Beach Street, Dennis, MA 02638 r ea ,r7 • PHILBROOK 508-385-8682 PECSG` ENCINEEIIING&CONSTNUCTWN WWW PE SG COM demon build maintain Protection of the Work: Contractor shall take all appropriate steps to secure, cover and protect all work in place, all work in progress and all materials and supplies for the Project from adverse weather conditions, vandalism and theft. Aesthetic Appearance: Contractor acknowledges that the work involves renovation and alteration of existing improvements and, therefore, culling and patching of the work is essential for the Project to be successfully completed. Contractor shall perform any culling, altering, patching, and fitting of the work necessary so that the existing improvements will be fully integrated and present the visual appearance of an entire, completed, and unified Project. Contractor shall use its best efforts to protect and preserve the visual appearance and aesthetics of the Project to the reasonable satisfaction of Owner. 9 ACo oR ® CERTIFICATE OF LIABILITY INSURANCE DATE(MhVDDNYrY) _ 4.../ - 10/10/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS P 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 be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Karen Bernier ' NAME: Eastern Insurance Group LLC _.(A/CNo.Elttic 774-2137704 (AA/ G No):781-586-7704 233 West Central St E-MAIL ADDRESS:kbernier@easterninaurance.coon INSURER'S)AFFORDING COVERAGE NAIL 6 Natick MA 01760 - resume AArbella Protection Ins. Co. - - 41360 INSURED INSURERS Associated Employers Insurance Co. T Varnum 6 Kelley C Philbrook INSURER C: DBA: Philbrook Construction INSURER D: 107 Beach Street - INSURER E: Dennis 'MA - 02638 INSURER F: • COVERAGES CERTIFICATE NUMBERCL18101038469 • REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBIT POLICY EFF POLICY EXP UNITSLTR INSD WVD POLICY NUMBER IMMIDDIYYYYI (MMIDD/YYYY) XCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE n OCCUR PREMISES occurrence) 500,000 PREMISES IEa aarrerwel $ 9520045068 04 8/23/2018 8/23/2019 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ included GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ECT I ILOC PRODUCTS-COMP/OP AGG $ 2,000,000_ OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS HIRED AUTOSe pTOS eOWNED PROPERTY DAMAGE $ _ AUTOS (Per accident) • $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE _ $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ _ DED RETENTIONS $ WORKERS COMPENSATION WCC50050140272018A X PER X OTH- AND EMPLOYERS'LIABILITY __STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE 'IN NIA Excluded Officers: E.L.EACH ACCIDENT $ 1,000,000 B (Mandatory n ERH)EXCLUDED? nY E.L.DISEASE-EA EMPLOYEE $ 1,000,000 ( toM In NN) T Ventura f 14110 C 10/30/2018 10/30/2019 Ifdescribe OFOPERATIONS belowReaN Philbrook E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached W more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Steve and Laurel Wilson THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 14 Elisha Pond Road ACCORDANCE WITH THE POLICY PROVISIONS. Yarmouth Port, MA 02675 AUTHORIZED REPRESENTATIVE John Koegel/KBERNI �'c ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025/7ntann a` _at �r -� m .....7—...,. ..,—__:..c...„ - �, . View of REAR slider (to be replaced) tit 1 r�T�+'*� .w .•<ro ro+ *we.�.«�n�rwr.�wvwy*•.,•� �'� 4i i:I Y ..- 4 _SRT etw wt,'kI ice- 41 I r :40, to � r `' dP � �. FIa. w .. Q ✓ C ,I <r 4 C ter •Z4. Y_ Yin .6 .. '.r, ,,,,,,M weir x Y w xuvay➢ a .�. . m 4 7 M., ton ! 1' yrvyy+3aJry . +oY -�;...c n ",!1.61v �y'ry�,.r { 4 .J 2R_& '.W 1% r 31f .w"' _IrinJ Q-% 9%400, 99, -111Ocn ON I9iN tito � x r :7; __y, 1 �v `:i 1: f'd.'' .` ,:M• 1il 41, 0 •.,. _ .t-_if e e: a.. .-. ,' ;- +r€, ~•.-- '. i e-Ri4;�'.a sp.: ".