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HomeMy WebLinkAboutBld-20-001114 _�Og;YRR ice Use Only 1 AO-p/ y .a0�y� S o - *'1 ► 1-3 Amount r _N �„n �,e, 4', a ;'Permit expires -180 days from 3 l issue date EXPRESS BUILDING PERMIT APPLICAT C" E 1 V E :, TOWN OF YARMOUTH i' Y i Yarmouth Building Department 1 � AUG 2'7 2019 1146 Route 28 j South Yarmouth, MA 02664 BUT `- n �,_` (508) 398-2231 Ext. 1261 '— _.-_. CONSTRUCTION ADDRESS: 17 /-1 e.,l 0 d n ASSESSOR'S INFORMATION: Map: Parcel:OWNER: ✓`-02.` 0r-e-..S l.Jk S,YYI.A 5-60 3 L I q to gy NAME PRESENT ADDDRRESSS TEL. # CONTRACTORp:, c c^A U i ) '3 (� JeS V 0 NAME MAIL G D SS 14,4 TEL.# t-u/ �l.�� Db esidential ❑Commercial Est.Cost of Construction$ �.'1 0 Home Improvement Contractor Lic.# r 1 9 8 T d Construction Supervisor Lic.# g' q 3 Workman's Compensation Insurance: (check one) ❑ I am the homeowner ❑ I am the sole proprietor I have Worker's Compensation Insurance (Di __ ,�,/ Insurance Company Name: S' t(k '�.A.142 ‘ Skip )4- Worker's Comp.Policy# S 14 Wi / d I V WORK TO BE PERFORMED Tent Duration (Fire Retardant Certificate attached?) Wood Stove Siding: #of Squares Replacement windows:# ! Replacement doors: # Roof g: #of Squares ( )Remove existing* (max.2 layers) Insulation r� q�, ' `ld Kings Highway/Historic Dist. ( )Replacing like for like Pool fencing *The debris will be disposed of at: 3 IC- ,n J far 61 i c, 4,,,`1 T2! _ __.�... fi Location of Facility Il I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief. I understand that any false answer(s) will be just cause for denial vocatio f my license and for pr secution under M.G.L.Ch.268,Section I. Applicant's Signature: Date: A"--) 1 9 Owners Signature(or attachment) l _ Date: Approved By: ✓ Date: — 0�7 Building Official(or designee) EMAIL ADDRESS: Zoning District: Historical District: 0 Yes 0 No Flood Plain Zone: 0 Yes 0 No Water Resource Protection District: Within 100 ft.of Wetlands: ❑ Yes ❑ No ❑ Yes ❑ No . ..3. Av ' Poiz1 -a GdPc(-LA . cool The Commonwealth of Massachusetts =t • N •=W fil= L Department of Industrial Accidents _Lei_ 1 Congress Street, Suite 100 • =d `-�t Boston, MA 02114-2017 _ •,. .,... www.mass.gov/dia iim \Yorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly • Name (Business/Organization/Individual): PF A �� s,.�-i ' (st--C Address: i-> a--S A vu.f>d k 12.44, City/State/Zip: €,..,I I mA o' 1 e0 Phone #: ,mod (4,7 o 6' 3.6 Are you a employer?Check theappropriate box: Type of project(required): l.❑ am a employer with �//J>> employees(full and/or part-time).* 7. ❑New constructi0n 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. emodeling � any capacity. [No workers'comp.insurance required.] 3. I am a homeowner doing all work myself 9. ❑ Demolition ❑ y [No workers'comp.insurance required.] 10 ❑ Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.[II I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.Ei Roof repairs These sub-contractors have employees and have workers'comp.insurance.* 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.1]Other 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:S-r—a-r -µ,�J2. 1� 4 S -1A—kf i".... Policy#or Self-ins.Lic. #: 5 N L`7 ' U e/ s Expiration Date: ,-///c,LC) Job Site Address: ` 7 N a,rfer>n tcA ri.Q City/State/Zip: ern 6' 'f j Attach a copy of the workers' compensation policy declaration page(showing the policy number and ea iration 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 certi under tl pains a d permit' of perjury that the information provided above is ue and correct. Signatur Date: 0 r)---) 1 9 Phone#: j Q� Li-7(P Co C''.).- 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#: g.1,4e (670429///2042Weald 0-10///414/JeleAti/Jet6 Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home lmprovemef'tontractor Registration Type Supplement Card _: Registration: 149840 PFR ACQUISITION,LLC Expiration: 02/12/2020 1325 AIRPORT ROAD t� FALL RIVER,MA 02720 # r Update Address and Return Card. SCA 1 0 20M-05/17 fie rPomwzo4ausea,74 olCoacAuaelte Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration . Expiration Office of Consumer Affairs and Business Regulation 14B8140 02/12/2020 10 Park Plaza-Suite 5170 PFR ACQUISITION* Boston,MA 02116 v i �kCG�y STEPHEN T.DICKI +1 7 1325 AIRPORT ROAD , FALL RIVER,MA 02720 Undersecretary Not valid withoutw signature Corrrnonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constar ' d rvisor <1 CS-081843 yF. *spir 02/06/2020 STEPHEN T[NCK!I it, C 5 A7Ai FA LA PLYMOUTH M 4,2 = w' Commissioner r Client#:73461 PELLAWINI ACORDn, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/26/2019 THIS CERTIFICATE IS ISSUED AS A MATTER QF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Melissa Tanguay Starkweather&Shepley PHONE 401 435-3600 FAX 401 431-9658 (A/C,No,Ext): (NC,No): PO Box 549 E-MAIL ua ADDRESS: mtan 9 y©starshep.com Providence,RI 02901-0549 INSURER(S)AFFORDING COVERAGE NAIC# 401 435-3600 INSURER A:Employers Mutual Ina 21415 INSURED INSURER B: PFR Acquisition LLC INSURER C DBA:Pella Windows&Doors INSURER D: 1325 Airport Rd INSURER E: Fall River,MA 02720 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. LTRR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP INSR,WVD_ POLICY NUMBER (MM!DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 5D67408 05/01/2019 05/01/2020 EACH�� �� OCCURRENCE $1,000,000 CLAIMS-MADE n Ep OCCUR PAEMISES(EaEoacurrencel $500,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY D JECPRO- T II LOC PRODUCTS-COMP/OP AGO $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 5Z67408 05/01/2019 05/01/2020 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) X Drive Oth Car $ A x UMBRELLA LIAB X OCCUR 5J6740818 05/01/2019 05/01/2020 EACH OCCURRENCE S10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$10000 $ A WORKERS COMPENSATION 5H6740818 05/01/2019 05/01/2020 X NAtTUTE 0RH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION PFR Acquisition LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN DBA:Pella Windows&Doors ACCORDANCE WITH THE POLICY PROVISIONS, 1325 Airport Road Fall River, MA 02720 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2114/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1305339/M1305328 PRMBT Contract - Detailed � Sales Rep Name: Harrison, Gene T°40 Sales Rep Phone: 508-962-2021 Sales Rep Fax: Phone: Fax: Sales Rep E-Mail: gharrison@gopella.com Customer Information Project/Delivery Address Order Information Dolores Whitehead Whitehead,Dolores,2362092 Quote Name: Window 17 Harpoon Ln 17 Harpoon Ln Order Number: 738XK3GD3 YARMOUTH PORT,MA 02675-2409 Lot# Quote Number: 11702034 Primary Phone:(508)3629684 YARMOUTH PORT,MA 02675-2409 Order Type: Installed Sales Mobile Phone: County: BARNSTABLE Wall Depth: Fax Number: Owner Name: Payment Terms: E-Mail: grump68@aol.com Dolores Whitehead Tax Code: MASS Contact Name: Owner Phone: (508)3629684 Cust Delivery Date: None Quoted Date: 8/12/2019 Great Plains#: WHIDOL Contracted Date: 8/12/2019 Customer Number: 1008249698 Booked Date: Customer Account: 1004180943 Customer PO#: Customer Notes: Stain Interior trim Pella Early Amercan For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 8/13/2019 Contract-Detailed Page 1 of 5 Customer: Dolores Whitehead Project Name: Whitehead,Dolores,2362092 Order Number: 738XK3GD3 Quote Number: 11702034 Line# Location: Attributes to Kitchen Pella 250 Series, 3-Wide Casement, 62.5 X 37.5,White Item Price Qty Ext'd Price $2,804.86 1 $2,804.86 3 1: Non-Standard SizeNon-Standard Size Left Casement Frame Size: 20 1/2 X 37 1/2 PK# General Information: Standard,Vinyl,Nail Fin,No Foam Insulated,3 1/4",1 1/8",2 1/8" Exterior Color/Finish: White 2042 Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options: Standard,Wash Hinge Hardware,Fold-Away Crank,White,No Window Opening Control Device,No Limited Opening Hardware Screen: Full Screen,Conventional Fiberglass Performance Information: U-Factor 0.26,SHGC 0.25,VLT 0.46,CPD PEL-N-239-00005-00001,Performance Class LC,PG 35,Calculated Positive DP 4//,J•�� Rating 35,Calculated Negative DP Rating 35,Year Rated 08111,Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Vertical Mull 1: FactoryMull, 1/2"Integral Mullion ) 2 Non-StandardFrameSize: 20 SizeNon-Standard Size Fixed Direct Set n X 37 1/2 General Information: Standard,Vinyl,Nail Fin,No Foam Insulated,3 1/4",1 1/8",2 1/8" Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Performance Information: U-Factor 0.27,SHGC 0.30,VLT 0.57,CPD PEL-N-240-00005-00001,Performance Class LC,PG 35,Calculated Positive DP Rating 35,Calculated Negative DP Rating 35,Year Rated 08111 Grille: No Grille, Vertical Mull 2: FactoryMull,1/2"Integral Mullion 3: Non-Standard SizeNon-Standard Size Right Casement Frame Size: 20 1/2 X 37 1/2 General Information: Standard,Vinyl,Nail Fin,No Foam Insulated,3 1/4", 1 1/8",2 1/8" Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: Standard,Wash Hinge Hardware,Fold-Away Crank,White,No Window Opening Control Device,No Limited Opening Hardware Screen: Full Screen,Conventional Fiberglass Performance Information: U-Factor 0.26,SHGC 0.25,VLT 0.46,CPD PEL-N-239-00005-00001,Performance Class LC,PG 35,Calculated Positive DP Rating 35,Calculated Negative DP Rating 35,Year Rated 08111,Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Factory Applied,Pella Recommended Clearance,Perimeter Length=200". Rough Opening: 63"X 38" 1802-Prefinish Interior Trim per Unit Qty 1 1000001 -Full Frame 48-96 Wide Installation Qty 1 1000041 -Exterior Trim PVC Qty 1 For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 8/13/2019 Contract-Detailed Page 2 of 5 Customer: Dolores Whitehead Project Name: Whitehead,Dolores,2362092 Order Number: 738XK3GD3 Quote Number: 11702034 Thank You For Purchasing Pella® Products PELLA WARRANTY: Pella products are covered by Pella's limited warranties in effect at the time of sale.All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor the Seller will be bound by any other warranty unless specifically set out in this contract. However,Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening(egress)information does not take into consideration the addition of a Rolscreen[or any other accessory]to the product.You should consult your local building code to ensure your Pella products meet local egress requirements. Per the manufacturer's limited warranty,unfinished mahogany exterior windows and doors must be finished upon receipt prior to installing and refinished annually,thereafter. Variations in wood grain,color,texture or natural characteristics are not covered under the limited warranty. INSYNCTIVE PRODUCTS:In addition,Pella Insynctive Products are covered by the Pella Insynctive Products Software License Agreement and Pella Insynctive Products Privacy Policy in effect at the time of sale,which can be found at Insynctive.pella.com. By installing or using Your Insynctive Products you are acknowledging the Insynctive Software Agreement and Privacy Policy are part of the terms of sale. ARBITRATION AND CLASS ACTION WAIVER("ARBITRATION AGREEMENT") YOU and Pella and its subsidiaries and the Pella Branded Distributor AGREE TO ARBITRATE DISPUTES ARISING OUT OF OR RELATING TO YOUR PELLA PRODUCTS(INCLUDES PELLA GOODS AND PELLA SERVICES)AND WAIVE THE RIGHT TO HAVE A COURT OR JURY DECIDE DISPUTES.YOU WAIVE ALL RIGHTS TO PROCEED AS A MEMBER OR REPRESENTATIVE OF A CLASS ACTION,INCLUDING CLASS ARBITRATION,REGARDING DISPUTES ARISING OUT OF OR RELATING TO YOUR PELLA PRODUCTS.You may opt out of this Arbitration Agreement by providing notice to Pella no later than ninety(90)calendar days from the date You purchased or otherwise took ownership of Your Pella Goods.To opt out,You must send notice by e-mail to pellawebsupport@pella.com,with the subject line:"Arbitration Opt Out"or by calling(877)473-5527.Opting out of the Arbitration Agreement will not affect the coverage provided by any applicable limited warranty pertaining to Your Pella Products.For complete information,including the full terms and conditions of this Arbitration Agreement, which are incorporated herein by reference,please visit www.pella.com/arbitration or e-mail to pellawebsupport@pella.com,with the subject line:"Arbitration Details"or call (877)473-5527.D'ARBITRAGE ET RENONCIATION AU RECOURS COLLECTIF("convention d'arbitrage")EN FRANcAIS SEE PELLA.COM/ARBITRATION. DE ARBITRAJE Y RENUNCIA COLECTIVA("acuerdo de arbitraje")EN ESPANOL VER PELLA.COM/ARBITRATION. Product Performance Information: U-Factor,Solar Heat Gain Coefficient(SHGC),and Visible Light Transmittance(VLT)are certified by the National Fenestration Rating Council(NFRC).Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance.NFRC ratings are determined for a fixed set of environmental conditions and a specific product size.NFRC does not recommend any products and does not warrant the suitability of any product for any specific use. Design Pressure(DP),Performance Class,and Performance Grade(PG)are certified by a third party organization,in many cases the Window and Door Manufacturers Association (WDMA).The certification requires the performance of at least one product of the product line to be tested in accordance with the applicable performance standards and verified by an independent party.The certification indicates that the product(s)of the product line passed the applicable tests.The certification does not apply to mulled and/or product combinations unless noted.Actual product results will vary and change over the products life. For more performance information along with information on Florida Product Approval System(FPAS)Number and Texas Dept.of Insurance(TDI)number go to www.pella.com/perfonnance. For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 8/13/2019 Contract-Detailed Page 3 of 5 Customer: Dolores Whitehead Project Name: Whitehead,Dolores,2362092 Order Number: 738XK3GD3 Quote Number: 11702034 Notice:You may cancel this agreement if it has been signed by a party thereto at a place other than the address of the seller,which may be his main office or branch thereof,provided you notify the seller in writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of the agreement. »FOR REPLACEMENT PART ORDERS PAYMENT IS REQUIRED IN FULL AT TIME OF ORDER« Federal ID#71-0986135 Rhode Island HIC Registration#21210 Massachusetts HIC Registration#149840 Massachusetts CS License#CS81843 1.Work to be performed and materials used: Pella agrees to perform the following work for the homeowner: a.Remove existing window(s)/door(s) b.Install new window(s)/door(s) c.Dispose of old window(s)/door(s) d.Clean up work area The materials to be used in completing the work described above are a part of this contract and are listed on this contract. 2.Warranty and Limitations Seller warrants the installation services only as set forth in the Seller's Installation Limited Warranty and Service Agreement,which is made part of this Contract.The Seller's Installation Limited Warranty and Service Agreement,is available from Seller upon request and may(but need not)be attached hereto or enclosed herewith.All product warranties for products manufactured by Pella or others are direct from Pella or others,respectively.Seller also agrees to service the Pella Products purchased by the Buyer for an 8 year period starting from the date of the expiration of the Installation Limited Warranty pursuant to the conditions and limitations set forth in the Service Agreement,which is made part of this contract.Pella warrants its products only as set forth in Pella's separate product limited warranties,which are made part of this Contract.The product limited warranties for Pella products are available from Pella upon request and at pella.com/warranty,and may(but need not)be attached hereto or enclosed herewith.Other manufacturer warranties can be obtained directly from such manufacturer.Certain Pella Products contain a factory finish.If the products purchased by the Buyer(s)contain a factory finish,this finishing will be warranted as part of Pella's Product Warranties.These warranties are available at pella.com/warranty.If the Buyer(s)elects finishing by the Seller,Seller warrants the finishing only as set forth in the separate 2-Year Finishing Warranty.The 2-Year Finishing Warranty is available from Seller upon request and may(but need not)be attached hereto or enclosed herewith.Where applicable,all terms and limitations of the 2-Year Finishing Warranty are made part of this Contract as if expressly set forth herein.If finishing is not selected from the Seller or from the factory,Buyer(s)is responsible for finishing.THERE ARE NO OTHER WARRANTIES,EXPRESS OR IMPLIED,INCLUDING BUT NOT LIMITED TO WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.IN NO EVENT SHALL SELLER OR PELLA OR ITS SUBSIDIARIES BE LIABLE FOR ANY INDIRECT,SPECIAL,CONSEQUENTIAL,OR INCIDENTAL DAMAGES ARISING OUT OF OR RELATED TO THE PRODUCT OR WORK. 3.Insurance Pella certifies that it maintains adequate liability insurance. 4.Arbitration Any controversy or claim arising out of or relating to this contract or breach thereof,shall be settled by mediation under the Contruction Industry Mediation Procedures of the American Arbitration Association.If within 30 days after service of written demand for mediation,the mediation does not result in settlement of the dispute,then the unresolved controversy or claim arising from or relating to this Contract or breach thereof shall be finally settled by arbitration administered by the American Arbitration Association in accordance with its Construction Industry Arbitration Rules and judgement on the award rendered by the arbitrator(s)may be entered in any court having jurisdiction thereof.The costs of such proceedings shall be borne equally by both parties. 5.Incorporation of Other Documents The following documents are incorporated and made part of this contract:Pella Limited Warranty and Pre-Installation Checklist. 6.Other Provisions a.Pella is not responsible for any existing security systems. b.Please remove all shades,blinds,curtains,drapes or window mounted air-conditioners,prior to the installation of your new windows or doors.The installers are not responsible for the removal or installation of these types of items. c.Structural damage(eg.rotting or damaged wood or frame of rough opening)may not be determined until the old window or door has been removed.If the installer determines that structural repairs are required there will be additional charges.The additional work will require a separate contract or change order and the additional charges shall be payable upon completion of work. d.Pella will use reasonable efforts to return the areas affected by the work,performed under this contract,to a state approximating its original condition:however,Homeowner understands For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 8/13/2019 Contract-Detailed Page 4 of 5 Customer: Dolores Whitehead Project Name: Whitehead,Dolores,2362092 Order Number: 738XK3GD3 Quote Number: 11702034 and agrees that this may not result in the affected areas being restored to their original condition. e.This contract shall be governed by the State of Rhode Island or Massachusetts depending on the location of the work to be performed. Order Totals Customer Name (Please print) Pella Sales Rep Name (Please print) Taxable Subtotal $1,629.86 Sales Tax @ 6.25% $101.87 Customer Signature Pella Sales Rep Signature Non-taxable Subtotal $1,175.00 Total $2,906.73 Date Date Deposit Received $0.00 Amount Due $2,906.73 Credit Card Approval Signature For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 8/13/2019 Contract-Detailed Page 5 of 5 i � A 1 � fit c. . . 1 Q � t g S I I k\ 14, if E S,- s i 11 i. Ii q I 1 il 1 a v I : N 1 ;' i Sa i it li l' ' w I