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BLD-23-005552
BLD-23-005552 - Community Energy Services, Inc 2- Help File Date: 04/06/2023 Application Status: Application Submitted Description of Work: Application Detail: Detail Application Type: Commercial Express Permit Address: j} '[}t,( ,Mikleat Owner Name: YARMOUTH HOUSING AUTHORITY Owner Address: 1146 ROUTE 28,SOUTH YARMOUTH.MA 02664-4463 Application Name: Community Energy Services,Inc Parcel No: 059.44 Contact Info: Name Organization Name Contact Type Relationship Address Contact Primary Dennis Andrew DeGrazia Community Energ_ Applicant 92 Faunce Come... Business,92 Faut Licensed Professionals Info: Primary License Number License Type Name Business Name Business License# Job Value: $25 622.20 Total Fee Assessed: $50.00 Total Fee Invoiced: $50.00 Balance: 50.00 Custom Fields: ADDITIONAL INFORMATION Total Job Cost Type 25622,20 USE GROUP AND CONSTRUCTION TYP Construction Type Use Classification WORKERS COMPENSATION INSURANCE Workers Compensation Insurance I'm a General Contractor&have hired sub-contractors.They have employe es and Workers Comp TENT /J Tent WOODSTOVE-.... _. L Wood Stove No CHIMNEY REPAIR Chimney Repair Detailed description of work No SHED Shed No SIDING Re-Side No WINDOWS AND DOORS Replace Windows and/or Doors No FENCE Fence Fence for Pool Enclosure Fence over 6 Fe No Linear Feet Fence Height g ROOF Re-Roof No INSULATION Installing Insulation yes SOLAR SYSTEM INFORMATION Solar Service ID Meter ID Type of Use Job Cost Total Inverter P+ N-umber of PV Modules Number of Inverters Total Roof Area Roof Coverage Type of Roof Roof Material R-oof Layers DEMO Demolition Detailed description of work No OTHER Other Detailed description of work GENERAL DETAILS Construction Debris will be taken to(Name of Disposal Facility) Electrical Drop within Area of Work? No Gas Meter or Regulator within Area of Work? No ZONING INFORMATION Zoning District Historic District Historic District Historic Building Endangered Species No Zone Description Supplier Wetland Description Total Land Area INSPECTION RESULTS Inspection ID Inspection Type Inspection Result Inspection Date Result Comment Inspector Record ID Record Type Workflow Status: Task Assigned To Status Status Date Action By Application Acceptance Linda Cipro - Initial Review Linda Cipro Building Review Tim Sears Issuance Linda Cipro Inspection Tim Sears Close Out Linda Cipro Condition Status: Name Short Comments Status Apply Date Severity Action By Application Comments: View ID Comment Date Initiated by Product: ACA Scheduled/Pending Inspections: Inspection Type Scheduled Date Inspector Status Comments Resulted Inspections: Inspection Type Inspection Date Inspector Status Comments Aco D® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 03/06/2023 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(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). PRODUCER CONTACT Kathleen Fuller ALERA GROUP INC PHONE FAX (A/c.No.Extl: (508)742-9216 (A/c,No): E-MAIL kathleen.fuller aera rou com l ADDRESS: @ g p. 500 Faunce Corner Rd Bldg 100 Suite 120 INSURER(S)AFFORDING COVERAGE NAIC# Dartmouth MA 02747 INSURERA: AIM MUTUAL INS CO 33758 INSURED INSURER B: COMMUNITY ENERGY SERVICES INC INSURERC: INSURER D 92 FAUNCE CORNER ROAD UNIT 160 INSURER E: DARTMOUTH MA 02747 INSURER F: COVERAGES CERTIFICATE NUMBER: 867723 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 ADDL SUBR LTR TYPE OF INSURANCE INSD,WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS N/A BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N X STATUTE OTANH- ER A OFFICER/MEMBER EXCLUDED?ECUTIVE N/A N/A N/A VWC10060153032023A 03/09/2023 03/09/2024 E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if 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.gov/Iwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.Community Energy Services Inc 92 Faunce Corner Rd Ste 160 AUTHORIZED REPRESENTATIVE Dartmouth MA 02747 Daniel M.CroVvjey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD yz: y, '"`!fy�yr,.• .,„.. ter,• . commonwealth of Massachusetts y" ``•:. of ;. L •,,, ,'; Divisionli Occupational licensure , ,.,4'; Board Building R •,r of 8ui fatds t. pDENNIS •Icy 'F,:4 .i t -"• • •°s ,; 92 FAUN�CE .4. ,rg ' rz,. ;y..., SUITE , YCommissioner 1 : a / 7, !' / /�.N :fix:$` , a'•e:. • #' y: q ^<;�., :' £` •es. max;, jy ,fir,C 5/,-,:,.,"� - ' f... '•'.�%' s �� :�.r:.; �,fir, y ' r 5 fir a "N ter #`rep;. . f7,. 5,•s'.'n zrnDD 2rz c g 0800 z S n0 2.� ZocNo rri x :: .: co Z a -�Zc _co 'Pigo m 0 Z I,I. 0 g< 0 co a cc t A x m a pEn V z rn 0 t a 2 m C) O coo = 3o0 (n M [Jill �a ";'s 'Mid V,/O Z D 7 2. -�'r i rr , Ol: DO wog o •�'��.. 'oullic L'j jilt;} , ;I„ { Ca D 3 ` M a vain c t .N oovv9i = CA ��sc o c o5 o e o co m o 0 i 3 73 yq o p daap O O� ED co c M i3 N o 70 S C 3 A m a DaceSign Envelope ID:12F62C57-E588-4660-133FD-E4FABC9C8518 Community Enemy Services,Inc 92 Faunce Corner Road,STE 160 900078494 N.Dartmouth,MA 02747 Project: Long,Pond Plaza I Winslow Gray 4(8/2023 534 Winslow Gray Road South Yarmouth,MA The following number must appear OR an invoices,bills '4.) N/A or lading,and adurowledements relating to this PO: 900078494 Purchase Order: '(otPP.!,,,,,-r, N/A Customer ID: Issued Tor Deliver Tof)ob Site): Palos Insulation Long Pond Plaza/Winslow Gray 46 Forge Road 534 Winslow Gray Road Assonel,MA 02702 South Yarmouth,MA I I Price installed QUANTITY UNIT PRICE scope DESCRIPTION 1 parts&labor 10640 SF $1.48 4-38 unrestricted open blow cellulose @ attic $15,747.20 ' 840 EA $2.50 Props vents(Add Extensions if needed)Accuvents only $2,100.00 43 Hrs. $85.00 Air sealing dig out existing cellulose(Two Part Foam) $3,655.00 32 Hrs. $83,00 Labor to reset existing batt insulation @ attic $2,720.00 20 EA $140.00 Large Roof Vents(submit cutsheet on roof vent to gain approval frIst) $2,800.00 SUB-TOTAL $27,022.20 1 --- SUB-TOTAL J $0.00 Note * Actual Quantities to be verified and reported * Al work must be inspected and approved before final payment * Building Permit must be in place before work can commence * Price includes removal,disposal of rubbish caused by the work * Hours of work are from 8-4 each day.Monday through Friday * Coordinate the schedule with Sal Estado and HA $27,022.20 Inc. NE SUBCONTRACTOR A0040WIEDGES 1HE RECOPT OF THIS MERANO HERESY ACCEPTS THE TERMS ONO CONDITIONS HEREIN ATTANED,MD OR FILED WIIII OUR FIRM.MINE BENEFIT OF PROW=CEIFTAIN MATERINS Only TO CZMMUNITY ENERGY SERVX:ES,INC. -----,.--- -"''--'''."-Ciii,iiiiiIi - Baynes Insulation ,--DoeuSitined by: I : e".:Irtt4A *13.4"-.444. •--023AF2505848418 Community Energy Sc[Dennis iz