HomeMy WebLinkAboutBld-20-003522 (2) AR D CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDWYYY))
07/02/2019
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 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 endorsetnent(s).
pnooucER CONTACT
NName Linda Sullivan
DOWLING&O'NEIL INSURANCE AGENCY PHONE Eon: (508)775-1620 Fax
(A/C,Nob
ADDRESS: Isuilivan@doins.com
973 IYANNOUGH RD INSURER(S)AFFORDING COVERAGE NAIC s
HYANNIS MA 02601 INSURER A: ACE AMERICAN INSURANCE CO 22667
INSURED
INSURER B:
KELLY ROOFING INC INSURER C:
INSURER D:
8 RHINE RD INSURER E:
YARMOUTHPORT MA 02675 INSURER F:
COVERAGES CERTIFICATE NUMBER: 420827 REVISION NUMBER:
THIS(S 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.
OMR CY EFF POUCY
LTR TYPE OF9iSLRiANCE ie W D 4I
POLICY NUMBER I QD/YYYTY) (WWdttIDMYYYI LENTS
COMMERCIAL GENERAL LAMM
EACH OCCURRENCE $
CLAIMS-MADE OCCUR DAMAGETO RENTED
PREMISES(Ea occurrence) $
MED EXP(Any one person) $
N/A PERSONAL&ADV INJURY $
GEN'L AGGREGATEj LIMIT APPLIES PER: GENERAL AGGREGATE $
AT
POLICY I I.P cC:Py- LOC PRODUCTS-COMP/OP AGG $
OTHER: $
AUTO .ELIABIUIY (EaCO SINfa1ELIrM1 $
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS N/A BODILY INJURY(Per accident) $
HIRED AUTOS NONAWPIED PROPERTY DAMAGE $
_ AUTOS (Per accident)
$
UMBRELLA UAB OCCUR
EACH OCCURRENCE $
EXCESSLIAO CLASISMADE N/A
_ AGGREGATE $
DED I RETENTIONS $
WORICERS COMM-UPON
AND EMPLOYERS'LIABILITY Y/N X STATUTE _ER
ANYPROPRIETOMPARTNER/EXECUTIVE EL EACH ACCIDENT $ 500,000
A OFFICEROAEMBEREXCUOED? WA WA WA 6g62UB8H08580919 05/10/2019 05/10/2020
p yyeess in EL DISEASE-EA EMPLOYEE`$ 500,000
D SIc cRPT)ON OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 500,000
N/A
DESCRIPTION OF OPERATIONS/LOCATIONS/VEIICLES(ACORD 101,Additional Remarks Schedule,may be attached I more space Is required)
Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay
claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts.
This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the
issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification
Search tool at www.mass.govAvailworkers-compensationfinvestigadons/.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THEPouCYPROVISIONS.
The Barnstable Insurance Company
108 Route 6A
AUTHORIZED REPR ESENTATNE
Yarmouthport MA 02675 ie i' C
) Daniel M.Croi�r�y,CPCU,Vice President—Residual Market—WCRIBMA
®1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 26(2014191) The ACORD name and logo are registered marks of ACORD
KELLY ROOFING PH. 508 509 4640
8 Rhine Road MA C.S.L. #099167
Yarmouthport MA H.I.C.R. #128957
MA 02675
December 5'2019 v1c.X��-"‘r\.
Proposal submitted to Sue Otdmatr of 37 Cleveland Way, West Yarmouth MA.
We propose to supply all materials and labor required to remove and replace the
existing asphalt roof on the front side roof at the address above.
Protect all walls, Windows, shrubs, plants etc. during roof strip.
All debris to be removed to town transfer.
White Aluminum Drip Edge to be installed on all eaves.
Ice and Water damage protection membrane to be installed on first Six feet of all eaves and
around all protrusions.
Remainder of roof deck to be covered with synthetic underlayment.
Install limited lifetime warranty Architect style Shingles, color to be specified,
All shingles to be storm nailed (6)We Generally Use Certainteed Products with All Accessories
to maximize available warranties.This quote is Based on The Regular"Architect"Style
Landmark Series Shingle
Replace plumbing vent pipe boot with new, Replace damaged Plywood around same.
Repair/Replace all flashings as necessary.
Complete Clean up off all areas including all gutters and all nails after project complete
At a total cost of$2,850
Payment Schedule; Balance upon Completion
Proposal Submitted by: Oliver Kelly
If Acceptable please sign and return a copy o the address above.
Proposal accepted by: 3.30-\C-LiN(6(-' Date. /a / f (U /2019
This proposal is valid for 45 days from date above, please
call to verify thereafter.
Best Contact Info: C.o. 0/3( (0--3 �
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