Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
121 Camp St #122 Building Permits
: - Commonwealth of Massachusetts Qu=al use only Permit No. R Department of Fire Services _ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS . 11/991 veblank ~ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All workto be performed in ==dawe with the Massachusetts Electrical Code QI EC), 527 CMR 1200 f7S (PLEASE PRINTININKORTYPE ALL INFORM1 MA9 Date: O 0(' y City or Town of. YARMOUIH To the Inspector of Wir By this application the undersigned gives notice of his or ber intendon to perform the electrical work descnb below. Location (Street & Number) MILL POND VILLAGE, Camp Street LpT4$4- Owneror Tenant Gatewood Homes/ Jeff Sollows Telephone No. 5 0 8-77 8 9 6 6 9 Owner's Address 1600 Falmouth Rd., Suite 25, Centerville, Ma. 02632 Is this permit in conjunction with a building permit? yes x❑ No ❑ (Check Appropriate Box) Purpose of Building single family residence Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ Na of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ Na of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Fire Alarm System (l(Yw voltage control panel) with ba .kiM'battery, centrahy monitored. rrmnlr" afthe iallawinv table may be ivaive91 v the In_ueet r nfli7br_r- Na of Recessed Fixtures No. of Cell.-Susp. (Paddle) Fans Or T Transformers KVA Na of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Ab,Lightin Swimming Pool grud e d. ❑ Ba0.ttery Unitgsency g No. of Receptacle Outlets No. of Oil Burners FIRE. ALAR41S No. of Zones —1- Na of Switches No. of Gas Burners o. 01 Metecuon -and 7 Initiating Devices Na of Ranges Na of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers t p Totals: , um er. Tons o. o m onta Detection/Alerting Devices 7 No. of Dishwashers SpacdAreaHeating KW Local 0 al Connection ® Other No. of Dryers .. Heating Appliances Key Security No. of ystems: Devices or Equivalent No. of Water KW o. o o. o Data Wiring: Heaters Signs Ballasts No. of Devices or uivalent 9. Na Hydromassage Bathtubs No. of Motors Total BP Telecommunicationsung No. of Devices or ivalent OTHF,ii: - rmi INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical twork may issue unless the licensee provides proof of liability insurance including "completed operation" .coverage or its substantial equivalent The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTEER ❑ (specify:) Estimated Value of Electrical Woda $750.00 (FxpuahonDate required by municipal policy.) Work to Start: Inspections to be requested 11 accordance with MEC Rule 10, and upon completion. Ica*, under the pains and penalties of perjury, that th a inf rmadon on this application it true and complete FIRMNAME: Baltic Security, Inc ;, LIC.NO.• -1178C — Licensm Jonas R Bielkevicius Signature LIC. NO.: 499D (Ifapplicvbk, over "exempt" in theLfcauenwnbe.lme)) Bus. Tel. 508-833-0996 Address: PO Box .�609. Saridw�c ,Ira. 02563 Alt. Tel Na: 508-7 —3 7 OWNER'S INSURANCE WAIVER .I am aware that the Licensee does not have the liabilityinsurance coverage normally required by law. By my signature below, I hereby waive this requirement I am the (check one) ❑ owner ❑ owner's agent OwnedAgent PERMIT FEE: $ 40.'00 Signature. Telephone No. TOWN j�. ,FFY MAY 0 5 APPLICATION FOR PERMIT TO DO GASFITTING (OFFICE USE ONLY) By �q Fee: $ PERMIT NO. —05 Date Building / 2 , hi % AT: Location —o-rzz New IX Plans Submitted Renovation ❑ Yes ❑ No �k Replacement ❑ Namerk,Aza .47 e?" Type of Occupancy 2EFol2 ! / l If 5 y� Y cc W a en y Q ��0 yr ¢ O m~ t¢- ¢ y 0 -j rn W F z Q ^ U LiJ Z m IXF. Q a: z IL O Z w 1 W a= z ►O- N CC w to P Q W y —� Z Q S W W O > rL W J y W \\ 1 W J Q¢ H H �. 0 m Z O Z W UJ ¢ O O t¢7 = LL M O 0 -j CO.0 cc > O 00. tW- O SU - sM . BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) '�'� Installing Company Name -� � Lc �/�/�1 r^► iTE1� Address 19 C. 14AS E S 7 f4)e�Al IS mA a2&al Business Telephone S D F-7 3% 2�3 6 9 4 Check One: ❑ Corp. ❑/Partnership — Lf Firm/Company Name of Licensed Plumber ort' r :S:0 �A N 1---^ N INSURANCE COVERAGE: Check One I have a current liability insurance policy or its substantial equivalent. Yes El -"No ❑ If you have checked yes, please indicate Pe type of 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 required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check One: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Signature o Licensed Plumber or Gasfitter Z►S Ems License Number Tvoc r 1rcrjQF:- OF yq y4' 9,b 11 MCHEESE 4gpns �@ ll�ltle�flj TOWN OF YARMOUTH VV/7 1ZZ APPLICATION FOR PERMIT TO DO PLUMBING (OFFICE USE ONLY) By Q Fee: $ /�.-j PERMIT NO. ' Date 71LL20Q� Building Owner's ��// AT. Location Name Type of Occupancy!/ New ovation ❑ Replacement ❑ Plans Submitted Yes ZNo ❑ z ? O rn Z Z WW W Ne Z M m M M Cn Z rn H W = I.Q., N O LL Z Z Z IL V Z W M CO = y W �.' Q N Z G Q W UJ 0 2 L¢ Occ LL W= W O Q 2 W Q W 0 2 Z= Q W Y N Q < F Q Z Y C Q W O U. J Y W Q F Q Q S y Q a 0 Q. Q 0 0 H Q M R 2 0 M 0 �C J m W C O J 2 F W LL (9 O G Q m SUB-BSMT. BASEMENT 1ST FLOOR 01 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Installing Company Name Check One: ❑ Corp. Address �j 1V l �-� ❑ Partn / Fir Company Business Telephone — —, V 7 /G� ame of Licensed Plumber. t/uN INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes No ❑ If you have checked YES, please indicate the type of coverage by cking the appropriate box. � A liability insurance policy Other type of indemnity ❑ Bond ❑ �; (rj OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required Waiter 142 of III the Mass. General Laws, and that my signature on this permit application waives this requirement. , C; 7 2004 ILL11 Check on Ownw ❑ Signature of Owner or Owner's Agent M I hereby certify that all of the details and Information I have submitted LISrigna ure n eck (or entered) in above application are true and accurate to the best of Pluber my knowledge and that all plumbing work and installations performed ��/ �� under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Licertse Numl3er Chapter 142 of the General Laws. Type: Master❑ Journeyman ' Al � TOWN OF YARMOUTH t3uilding Department BUILDING (508) 398- .261 PERMIT NO B-05-247 _ PERMIT ISSUE DATE ; _ 8/17/2004 _ ; PROPOSED SE APPLICANT ----C Frankapra -------------- JOB WEATHER CARD ----------------------------- PERMIT TO ; New Construction ' AT (LOCATION) 100121CAMP ST # 122 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK I044.21 A.C122 BUILDING IS TO BE: LOT SIZE CONST TYPEI 5-B I USE GROUP R-4 new construction: 2 baths, 3 bedrooms, 1 greatroom, 1 kitchen as per plans dated 08/09/04. REMARKS AREA (SO FT) EST COST ($ $108,570.00 I PERMIT FEE ($) 1$516.00 OWNER lVillages at Camp St., LLC UILDING DEPT BY ADDRESS 1600 Falmouth Road, # 25 CONTRACTOR LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville I MA 102632 Certificate Issue Date U CERTIFICATE of OCCUPANCY Depart ental Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number Ap ed Ry Remarks BUILDING r PLUMBING/GAS S'Z6 05 ELECTRICAL 0 ENGINEERING OTHER qpjqW (� 6LLO Sfe Fi/ 1121 ,hlr � 9444-1z� D To be filled in by each division indicated hereon upon completion of its final inspection. L toil • YA IfAOtjTlfi 1K AMA eulidirig flsper'M,ent LDI NG j . _ . _ .. (608) 398.2231 ext.261 g PERMIT NO • A- *947 ... PERMIT a �... • ISSUE DATE : - af17/M004 .: PROPOSED USE - - JOB WEATHER CARD APPLICANT .Frank Capra PERMIT TO ; New ConsVuoilon: AT (LOCATION) 0p121CAMP ST N 122 ZONING DISTRI R-25 Bldg. Type: IResklarrtlal SUBDIVISION MAP LOT BLOCK 04421.1.C122 BUILDING IS TO BE: CONST 1 LOT SIZE new construoWn: 2 baths, 3 bedrooms, 1 gre bmn, 1 kitchen as per plans dated 0801104. REMARKS RREA (SO FT) EST COST (S 5108,b70.00 PERMIT FEE (S) E518.00 OWNER Villages at Camp SL, LLC BUILDING DEPT BY USE GROUP R4 V CONTRACTOR LICENSE 012430 1800 Falmouth Road M Centerville MA 77_] 5087789889 ADDRESS 1600 Falmouth Road, M 25 ComeMNe I MA 10202 1 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWAUC OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE APPROVED BY THE JURISDICTION. MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLUC WORKS - THE ISSUANCE OF THIS PERMIT DOES NOTELEASE TES AS WELL AS DEPTH AND HE APPLICANT FROM TTION OF PUBLIC THHEERS CONDITIONS OF ANY APPLJCASLE SUBDIVISION RESTMCTIONS' MINIMUM INSPECTIONS REQUIRED FOR ALL APPROVED PLANS MUST BE RETAINED ON WHERE APPLICABLE SEPARATE PERMITS ARE CONSTRUCTION WORK: 1) FOUNDATIONS OR JOB AND THIS CARD KEPT POSTED UNTIL BEEN MADE. REOUIREDFOR E.ECTRICAL FIN&MPECTIONHASB FOOTINGS. 2 PRIOR TO COVERING STRUCTURAL PLUMBINGIGAS AND WHERE A CERTIFICATE OF OCCUPANCY IS MECHANICAL INSTALLATIONS. MEMBERS (READY FOR LATH OR FINISH REQUIRED. SUCH BU1DING SHALL NOT BE COVERING) 3) FINAL INSPECTION BEFORE OOCCUPIIEDMADE NMFI►�ALINSPECTIONHAS OCCUPANCY 4) REFER TO DETAILED INSPECTION SCHEDULE POST THIS CARD _SO IT IS VISIBLE FROM STREET �&51c — 2 2 ,, V . - — OTH WORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF INSPECTIONS INDICATED ON THIS CARD UNTIL THE INSPECTOR HAS CONSTRUCTION WORK IS NOT STARTED WRMN SIX CAN BE ARRANGED FOR BY TELEPHONE APPROVED THE VARIOUS MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED OR WRITTEN NOTIFICATION. STAGES OF CONSTRUCTION ABOVE y J OF TOWN OF YARMOUTH Building Department BUILDING 9 (508) 398-2231 ext.261 F PERMIT NO _6-05-247 _ PERMIT .� ISSUE DATE ; _ 8/17/2004 _ ; PROPOSED USE _ _ _ _ _ _ APPLICANT Frank Capra ------------ JOB WEATHER CARD ------------------- _ _ _ PERMIT TO 'New Construction ' AT (LOCATION) 00121CAMP ST # 122 ZONING DISYRICTFi5 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 1044.21A.C122 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-4 LOT SIZE I CONTRACTOR new construction: 2 baths, 3 bedrooms, 1 greatroom, 1 kitchen as per plans dated 08/09/04. REMARKS AREA (SO FT) EST COST ($ $108,570.00 PERMIT FEE ($) $516.00 OWNER lVillages at Camp St., LLC BUILDING DEPT BY ADDRESS 11600 Falmouth Road, # 25 Centerville MA 102632 INSPECTION RECORD LICENSE 012430 Capra, Frank 1600 Falmouth Road #25 Centerville MA 02632 5087789669 FIELD COPY Date Note Progress - Corrections and Remarks Inspector z 3C) a Cf ^ao -oy o— F YqR� H MwTTwCn[[s �e�' ,b v� ONE & TWO FAMILY ONLY - BUILDING PERMIT APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Town of Yarmouth Building Department 1146 Route 28 • Yarmouth, MA 02664-4492 Tel: (508) 398-223.1 x261 • Fax: (508) 398-0836 x; Office tise Onty 'y t.� s�-.R ttYy PermrtNtil�ate Planrnng Board Irafonrrahon T d�4 y, F.roi a, Ian7Yp� Assessots Department Information 5 x.y .-.✓ 'v` r t{ i ut°f' t `a .y xis •y:x P1. s tMap 3f„z y �aL %or h i� sd , `l rtF �i lY�� f4 xp �1lY �5 .aJ^Si 5d!d WN h1 Sr t+t'G 5 i/..• l `C i � ! � i Y �7 #s�-'4 � . n{1p) �,p� CK 1 ; ;Ngt,DIiert 4. 'i } � f^'� iG ✓ ,fjf ' i i R A `�' i c,., s.. - rr - . , el , "` .. ' tbit�rea jsfL• �;, wr Frontage jH).Rr,',` tot Covetager: � e �. _ 1 *"L 5... C a-..� �, t r.T's ✓. 3'S,-'�. �� -u S r.-f ..4r r_ ,:.,err. !...k� ys u., .< »..ue .. a4..s .v-�.,,,t t z-.x_:e. :� s...,�5 ..:. �...r,:•:@ ,� 1'. f. ! i 41C1 fiY'.' 3 ] tf � Y 1`2 ,? i � k Y i. 3^x` :M tM-+ l i •it19' '•1 .. 'r A Certificate of Occupancy ref > SlgrntUre, ,,x _, In•r+v,. 4;."� !" s'..Yp wn .ry 141' ; s ate '� s"r i(v�-n f h} F! v. ts; is not required Al"(u. .. M R g,-KOl x,. w SectioWfi ,,ISite fnforniafioii Use Group: R-4 Type: 5-B 1.1 Property Address: 1.2 Zoning Information: a 1CA NQ ;LS D�s� Aga 1, P Zoning District Proposed Use 1.3 Building Setbacks. (it) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.4 Water Supply (M.G.L c. 40. S 54) S Flood Zon@ tniomraG3rt ., r v w =U <, _ f : ,Comments f.. L1 f } p.M b ta't�i (, ] i� V t R i.et �' ( ( '•rx Public Private Zone t 'r $ecUo,Zr ProRerty30wnershlp/Authonzeii`Agent, 2.1 Own,�o Record: a ld,�. 110v N me4print� 0 Mailing Address CQ,t, V( Ike-- �� J2 Al Ilc — Signature Telephone 2.2 Ze uthorlAgent: n o Name (print) r. a ignature Telephone Fax I� i Section 31 Jb fr`uctron' §egi; es? 3.1 Licensed Construction Supervisor. B l Not Applicable ❑ License Number O J, `V vl JJJ111`^ lSl I�ZVV O dd gs O .-► �—' Expiration Date Si nature Telep one 2 Regstered�i�pmeT�r'prou�ment� � ntracfor• ', `� �'� �`�� Company Name !j 0 2004 v Not Applicable ❑ Address ` License Number G1JiL:.',r1,-PT. �" i Expiration Date Signature �3et /aA I- 6e;mf 9-15-99 1 of 2 OVER ectii3 t ".Workers' ampei sa (s?n Ins rarlceAf#idai+it jM'G tw z152 fiSG.(6} ; i Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial f the issuance bf the building permit. Signed Affidavit Attached Yes ........., No .......... 5ecticnflb t3escriptiort:-of Proposed Wttk lcheelc,atE appCcafle; New Construction No. of Bedrooms No. of Bathrooms Existing Bldg. ❑ I Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: c ` I✓� W` (ln " V1koi aCo"sts Section,,6, t[mated onstritid6i Item Estimated Cost (Dollars) to be completed by permit applicant Check Below ❑ Conservation -Commission Filing (if applicable) ❑ Old IGngs Highway& Historical Commission approval (if applicable) 1. Building 2. Electrical 3. Plumbing / Gas 4. Mechanical (HVAC) 5. Fire Protection o G 6. Total = (1 + 2 + 3 + 4 + 5) o S J 7. Total Square Ft. (new houses b adclilions) 1 s% To he§`Compteied V11her l3uildtng perm Sectip s 7aaia vO nerAufho'nzati6n' Qyurier's A' ent or GdritractorAp' ties_for, I, hereby authorize (M&lit�?od YM-e s i"1 as owner of the subject property 6-P (�A, to act on m beh . , in all matters elative to work authorized by this building permit ppl'oation. - Signature of Owner Date Sdbtii %7b,'01Nt'ldr/l�tl#hbnZ6d"Abdnt;D'6Cl3Tat QR', Vy` (I t'Q,." xrAA as Qwner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. d tc-p,,, . cr- Print name � Signature of Owner/Agent Date U 9-15-99 2 of 2 a ux PLEASE PRINT: Job Location: _ Owner of Construct Address: TOWN_ OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM Licensed Designee: (If other than Supervisor) Name 2.15 Responsibility of each license holder: a-f-"'M'o �- License No. 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licenseewho shall willfullyviolate subsections 2.15.1, 2.15.2 or 2.15.3 or any other section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes E( No ❑ If you have checked yam, please indicate the type coverage by checking the appropriate box. A liability insurance policy 30-� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Ch 15? Mass. I s, and that my signature on this permit application waives this requirement. k ne: gnature of Owner or Owner's Agent Ownent Signature: Building Official Approval: )63-- The Commonwealth of Massachusetts Department of Industrial Accidents OIAceofiffrO MlISMS 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit cits At.��F�J U Q /✓ l 77 �C7 J� nhon 7 I am a homeowner performing all work myself. lam a sole proprietor and ha%e no one working in any capacity lam an employer pro% idino workers' compensation for my employees working on this job. company name: address: city: phone e insurance co. _policy H 03/1 am a sole proprietor. general contractor. or homeowner (circle one) and have hired the contractors listed below %%ho hase city: phone fly insurance co.. 2olicv # rauure to secure coverage as required under Section 25A of MGL I52 ears lead to the imposition of criminal penalties of a fine ap.to Si m.00 andfor one years' Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Oat of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Ortiee of investigations of the DU for coverage verineadon. / do hrreby cr } under t e p nand penalties ojperjury that the information provided about is true and carte k signature- ?4Ft �t ��AZ psue X oL{ Print name "41 PAP _NO official use only do not %rite in this area to be completed by city or town oflleial city or town: YAoIITii _ permitAleense 0 n8uilding Department O �Llcensing Board cheek if immediate response is required 261 QSclectmen's Office E31-lealtb Departmeat contact person: phone M: _ (508) 398-2231 eat. r-101her TOWN OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT BUILDING ELECTRICAL GAS PLUMBING SIGNS Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 1 ` - Work AA4ress T��<< is to be disposed of at the following location: � O�+'�►'� N Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature o Applicant Date Permit No. t' Y .•-•.� ✓ira TOonvirto�tuea� o��.G�awaciu�neaa { BOARD OF BUILDING REGULATIONS 'I License: CONSTRUCTION SUPERVISOR Number: CS 012430 X4r7' Birthdate: 0611611M - Expires: 06116t2004 Tr. no: 25823 Restricted: 00 FRANK G CAPRA 40 COPPER LN a., CENTERVILLE, MA 02632 Administrator 00 - 35.000 d enclosed space (MGL C.112 S.601.) to - Masonry only 1 G -1 & 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DIG SAFE CALL CENTER: (888) 344-7233 '.•--•` •"• ' .-CL.1h4..t717 1 5LH 564 7272 P•01/01 RIDER.RISS SPECIALISTS INSURANCE AGENCY, INC. P.0.80% 115 CATAUMET, MA 02534-0115 ED UuR MONUMENT INSULATION, INC. 223 COUNTY ROAD BOURNE, MA 02532 TH6 IS TO CERTIFY THAT THE POUCTANDWO ANY IEB OF INSURANCE LISTED BE REQUCERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THTERM SUPANCE EXCLUSIONS AND CONDITIONS OF SUCH FOLICIE& LIMITS soh TYPOOFWSIIRAHCE PoLmy NUMBER A R..+xwcrcanL aEH6igL LIAOLITY CLAIM$ MADE ®OCCUR oWNERBaCONTAACTOFt'9PROT CLI135745 ANYAVM ALLOWNEnAUID9 S7•IEMXWAUrbi HRRMAU�iC$• — AU= ACE Ummy ANY-AGIp- UMBRE1A FCRM OTHER THAN uMBRE LA FORM WORKEM COMPEBSATION AMo EmpWyeTa•UABARY R TROPI PIffiPwT nw Q WC 782 61 72 GATEWOOD HOMES,INC 1600 FALMOUTH ROAD 025 CENTERVILLE, MA 02632 508 778-5603 COMPANY US LIABILITY INSURANCE CoMpAXy COlAPANY 6 AMERICAN HOME INSURANCE COMPjgvY COMPA W 0 COWAW D HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PsW6 3N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS IRCED BY THE PI DESCRIBED' HEREIN IS SUBJECT TO ALL THE TERMS. HAVE BEEN REDUCED BY PAID CLAIMa rouer¢rFBeTnrt rouCy El Illj lHM1 DATE (III rtr1 DATE Neweiw, • Ulmm PERSONAL a ACV 6/23/03 8/23/04 FAa_a PPRN CoMBWED SINGLE UMIr s _ s PROParrrawucc• .. I s s 9/5/03 19/5/04. 00,000 ULD AW Of THE ABOVE DescmED PoupE6 BE CANCELLPD aftoRE TTIf W,4PAr" DATE TNEAEoF, THEMO MPAW WBL ERDEAYW TO MAX 1 0 DAYS WW= Mon." TO THE ClIUMMATE HOLDER MAMESTaTWwrr BUT FAIUIRE 7D MALL ai J`ROTiCE S11:LL MD oeuwiwll an LMsam TOTAL P,01 CERTIFICATE O'F INLi1ZAvC Passaro Leverone & Buckley Insurance Agency Inc P 0 Box 160 Dennisport, MA 02639 INSURED Patrick K Orcutt Aa P & S Concrete 37 Ladys Slipper Lane Mashpee, MA 02649 LeLzo U()MPANIES AFFORDING COVERAGE A A.I.M. Mutual Insurance Co THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED pq B17 HgVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY pER10D INDICATED, NOTWITHSTANDING ANY MQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. RESPECTTO WHICH THIS THE INSURANCE AFFORDED BY THE POLICIES DESCRD3ED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co L TYPE Or INSURANCE POLICY NUMBER POLICY E=C1TvE POLICY E1.TiRAT10 DATE(MM/DDIM DATE(MM/DDrM Lr4rn GENERALLIABILITY - OMMERCIAL GENERAL LIABILITY ENERAL AGGREGATE S IMS MADE�C PRODUCTS-COMP/OP ACC- S WNER'S 4 CONTRACTOR'S PROT. PERSONAL & ADV. INJURY S ` EACH OCCURRENCE S RE DAMAGE (Mry one fim) S UTOMOBII.E LJABIISTY ED. EXPENSE (Any one person) S NY AUTO COMBINED SINGLE ALL OWNED AUTOS IT S EDULED AUTOS BODILY INJURY IRED AUTOS person) S - NON.OWNEErAUTOS BODILY INJURY GARAGE LIABILITY - S amidm) PROPERTY DAMAGE S XCESS LIABILITY MBRELLA FORM CH OCCURRENCE S THAN UMBRELLA FORM GGREGATE S WORKER'S COMPENSATION AND EMPLOYERS' LIABILITYX � WC STATU-OTH- `� THE PROPRIETOR/ 6006181012003 10/Zl/2003 1021/2004 S PARTNERS/EXECUTIVE INCI. .000 OFFICERS ARE- EX L EL DtSEASF—tQLT=CY LIMIT S 1 000 OTHER EL DISEASE —EA EMPLOYEE S 1 Mn MA OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DF WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FURE TO MAII SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR GatewoodS Homes LIABILITY 1Ty ANY 87ND UPON THE COMPANY, ITS AGENTS OR 1600 Falmouth Road REPRESENTATIVES. Centerville, MA 02632 AUTHORIZED REPRESENTATIVE /l ., „ _ ACQRD CERTIFICATE OF LIABILITY INSURANCE PRODUCER 5(18 672 2997 THIS CERTIFICATE IS ISSU JOAO-M-0IAS. ONLY AND CONFERS NO DIAS INSURANCE ALNQTEER: T- COVERAGE A 535 BRAYTON AVE FALL RIVER. MA 02721 INSURERS AFFnanlNr, rnva MSVREo JOEL FERREIRA DEALMEIDA DBA EJJA COkSTRUCTION 50 PICXERING ST. APT 17 FALL RIVER, MA 02720 COVERAGES THE POLICIES OF INSURANCELISTED BELOW HAVE BEEN ISSUED TO THE AITY..REpSLREMENY. TmRm OR CONDITION OF ANY CCNTRACT OR OTWG MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED POLICIe9. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID NSq oo I( 'r2fQe=I2RAMCffP.OU!�'NVMBER GENERAL LIA6RITY X COMMERCIALOtNXRALuA8P-iTY NC27580E . CLAIMSMADG OCCUR PER:I ANY AUTO ALL OWNEDAUTOS SCHEBULeDAVTOS HIRED AUTOS NONXIMSDAUTOS ANY AUTO J OCCUR L_J CWMSUAOE I —�{ GEDUCTSLe i I RETENTION S Wk1gIiERE.I:OYRfQiBATN7NAIVD EMPLOYGRS'LWBILTK I WC" 494''48-$5' ANY DROPNIETOR SOCIUSE07 EECUTIVE OIPICGRA+EMBt:R GxCLU0E07 OAT! pump yyYY) 0=812003 N/17CClr ABOVE FOR THE POLICY PERIOD INDICATE 7. NOTWITHSTANDING ITH RESPECT TO WHICH THIS CERTIFICATE WAY BE ISSUED OR :CT TG ALL THIETERMS. EXCLUSIONS.ANO. CQMITK2NS OF SUCH 06/2W103 OW6/2004 a ::�f: 1 MEOE.TP(.1ayaftpsm a) I S1 S —�-- PERSONAL E AUv INIuNY 13 I GEN[RACAGGREGATL� Fr Z,0 Tt/08/03- i 1410SM4• COMewm E+NCLG LIMIT I s Me ac*dml) ;U,&ROD ILWU '• YI—--� Rcn) BOYIWURY 1I S a<F'aanH PRO PMACE atc4m+ mw l) S I AurovmwE,rncetoel.r t OITIER THAN J%CC S. AUTOONLY: T I S SHOULD ANY OFTHE ABOVE Oa3CR. IBm FOLsacS S! CANCE.L'EQB[FORTM! EX}p♦A-A91r_ DATE THEREOF. THE tSSUMG INSURER WXL ENDEAVOR TO MAIL 10 DAYS WwTTEN GATEWOOD HOMES HDIICSTOTNE'CERTstGTlHOLDEIFIUMEDTO THE LEFT, lN=f.ALAMLTM 0O =n �.. 1SW FALMOUTH RD. RIPo]E No OBLIGATION OR LIABILITY OF ANY KM UPON I'lle INSURER, IT3 ACENTS ON CENTER VILLE. MA 02632 NEP+eCseNTASR Fs. AUTHOR6LDR EE[NTA ACORD 25 (2001/06) ` L ACORD CORPORAnON fnr ...-..�. Lu.11 rAS 3067900249 GOLDMAN ASSOC ®-c-ORD CERTIFICATE OF LIABILITY gNS�lQ.A�?CE C ��� GbLCTw s A88CCIATSS nwapv;cm T xipEiCA7ERs.iS3t MIXICIAL SERVICES INC. ONLY AND CONFM NO F 933 I2� RD. A HOLDER. THIS cERTwm HYANNIS HA 02601 ALTO THEDOYE&AGE AF Phana:508-775-6020 Fax' 508-790-02a9 61 MU AFFontal R3 C&41 wsuW-Rti CG62 ERCE INS RDDNEY TAVANO 13 DA biECHAMCAL SSSTZRES. ?1 sTEkg ZLJ ICF.IN 7g TR?SARNOS yTARLE Mite ,1q G 02668 Ao COVERAGESANY E RECLaMIEW. TOW OR CaM(nWoF/iMt CONTRACT OROflffjt ,d=LI7fiD P1AlHD DcCLAaWrDOVE FOR TM6 Po(Y^I PERtOO KTI'aTLO. M17 PZRIAN.Ttt, MOWOM AFFORDED BY TFR pCii ,�$ $ RESPVJLwcrToWTTD UtPfFOU:Ek A0MRE0AT9 U M r S a aXNW1YNAN gM ttmUCEESOC W T}E�TmTELNY ALL�.E ANDOd PADCLAWM L:R T►VBCS p6(�AdC§ PmlDf t=t,�! aoQaALLs A X r+aGum"LLIii'm T W.8172 CAWWACE ® ocam E 11/21J03 11/91/04 p it �+t-A�r+Ta L,rrAF+�a PER P, nL� ALLOWNWAliCS 6At!!O, ANYA TO. oaAASKIM OEM& ME �� AM OFFKmUmMoDRC_ �J7279A3a903 GATEWO0D HCW8 jHc PAX 500-778-5603 1600 F7Il4W=.ROAD.. CENTERVnJZ MA 02632 GATEWW .8WXtDnWa OATET}EREOF. arowpoom OFMCH s s a 001 WTOWAL 10 UATS LEF.t' WNFALLMMTOWi09MLL CO TM CERTIFICATE OF LIABILITY INSURANCE PRODUCER DATE (MM/DD/YYy DoVvling & O' Neil Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF DAM Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 222 West Main St. PO Box 1990 ALTER THE COVERAGE AFTH FORDED BY THEHOLDER. THIS CERTIFICATE DOES EPOLIC�S BELOW. Hyannis, MA 02601 Gutter Pro Enterprises, Inc. P.O. Box .1197 Plymouth, MA 02362 INSURERS AFFORDING COVERAGE UVERAGES INSURER E THE POLICIES OF INSURANCE LISTED RFI Guard Insurance NAIC # N. r m=wUIHtMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER INS U INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIC , MAY PERTAIN, THE INSURANCE AFFORDED By TH p ENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEps oR DING POLICIES. AGGREGATE LIMITS SHOWN MAY E POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EX HAVE BEEN REDUCED BY PAID CLAIMS. CLUSIONS AND CONDITIONS OF SUCH R NSR TYPE neiuene.....� A GENERALLABILRy 1680459H3118TCT03 G COMMERCIAL GENERAL LIABILITY CLAIMS.MADE O OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-LOC AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS MON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESSAJMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION S . B WORKERS COMPENSATION AND GUWC44068$ EMPLOYERS' LIABILrry ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? OTHER DATE MM/)D/Y �c -uucy RATE EXPIRATION TION uMrr 11/07/03 11/07/04 EACH OCCURRENCE DAMAGE TO RENTED R I MED EXP (,arty one person) PERSONAL d ACV INJURY GENERALAGGREGATE PRODUCTS - COMP/OP AGO (Ea aCcidentSINGLE OMIT S BODILY INJURY (Pwperson) S BODILY INJURY (Pera=derd) $ PROPERTY DAMAGE (Per accident) S AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC S AUTO ONLY: AGG S EACH OCCURRENCE S AGGREGATE S t t 11/07/03 11/07/04 wcsTAru OTH- t DESCRIPTION OF OP Operations pee-'— ONS / LOCATIONS L VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECUIL PROVISIONS rformed by the named insured subject to policy and exclusions. conditions Gatewood Homes 1600 Falmouth Road, Suite 25 Centerville, MA 02632 ACORD 25 (2001108) 1 of 2 #32273 aMUULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURREE To DO SO SHALL IMPOSE NO OBLIGATION OR LL4BIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESFurAT,2 © ACORD CORPORATION 1988 AGUNUCERTIFICATE OF LIABILITY INSURANCELDATE'm M/DD/YY)PRODUCER (508)994-9688 7/22/2003 FAX (SO8) 991- 5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION v' RUTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 414 COUNTY STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR NEW BEDFORD, MA 02740 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE PO Box 664 INSURER"[ Providence 7Cas al. West"Hyannisport, MA 02672 INSURER OneBeacon INSURER Continentalualty_Co_:...' ._ .. .... �_ INSURERD:_.._ COVERAGES INSURtl2 E 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 OR CERTIFICATE MAY BE ISSUED D MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT HIS CE POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TO ALL THE TERMS, WHICH THISSfONS AND CONDITIONS OF SUCH NSR LT TYPE OF INSURANCE POLICY NUMBER POLICYM EXPIRATION FECTIVE POLICY GENERAL LIABILITY PP0053131 00 LIMITS 12/13/2002 12/13/2003 EACHoccuRRErxE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR FIRE DAMAGE (Any one fire) S 50,000 A _ MED EXP (My one person) $ 5,000 PERSONAL IL AOV INJURY $ 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2, 000., QOO POLICY - PRO- LOC PRODUCTS-COMP/OP AGG S 2.000.000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS B X SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AGE LIABILITY ANY AUTO . EXCESS LIABIUTY. _ (CUR CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND $� EMPLOYERS LIABILITY C OTHER OF CERTIFICATE HOLDER ADDmoNAI Gatewood Homes Inc 1600 Falmouth Road Ste 25 Centerville, MA 02632 COMBINED SINGLE LIMIT S (Ea aecidenq BODILYINJURY S (Par person) 250, 00( BODILY INJURY (Per accident) $ . 500,00( .. _`. PROPERTY DAMAGE ..S - _ _. .. .. .... _(?rsrecddenq .. ._. .... 100.00( .AUTO.ONLY..EAACCIDENT. S 'OTHER THAN EA ACC S AUTO ONLY: AGG. S . - .. EACH OCCURRENCE $. AGGREGATE S s s X751603 03/22/200 s /22/2004 �^ TORY LIMITS - ER —� EL EAc* ACCIDENT S 500,00 . _ EL DISEASE. EA EMPLO S 500,000 EL DISEASE-POUc—yUMfY S I;nn--YTrrn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ACORD CERTIFICATE OF LIABILITY INSURANCE Op ID A, DATE (MM/D PRODUCERCROWCSO 07 25 03 et Sul];ivan, Garrity s Donnelly THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 508-754-1767 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 10 Institute Rd - PO Box 15010 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Worcester MA 01615-0010 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone:508-754-1767 Fax:508-754-1885 INSURED INSURERS AFFORDING COVERAGE NAIC # INSURER A. Hanover Insurance Co INSURER B.-222 92 Crowell Construction, Don, .Inc. � INSURERC: Arch Insurance I an PO SoBennis MA 02660 INSURER D: COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ANY REQUIREMENT, TERM OR CONDITION OF ANY INDICATED. NOTWITHSTANDING 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, POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND CONDITIONS OF SUCH LTR NSR TYPE --INSURANCE POLICYNUMBER GENERAL LIABILITY DATE MM/DD DATE III LIMITS A X COMMERCIAL GENERAL LIABILITY ZHN7007141 EACH OCCURRENCE 05/01/03 $1000001 'CLAIMS MADE OCCUR 05/01/04 PREMISES Ea ocarence $ 100000 MED EXP(Any one person) $5000 ' PERSONAL d ADV INJURY S I 0 - - ( GEI AGGREGATE LIMAPAPP.LIES PER: GENERAL AGGREGATE $201 POLICY .'JET LOC PRODUCTS - COMP/OP AGG S2000O0( AUTOMOBILE LIABILITY A ANY q�O '• ABN7001142 ALL OWNED AUTOS COMBINED SINGLE LIMIT 05/Ol/03 05/01/04 (Ea accident) S X SCHEDULED AUTOS BODILY INJURY X HIRED AUTOS (Per person) $1000000 X NON -OWNED AUTOS BODILY INJURY (Per accident) $1000000 GARAGE UABIUTY PROPERTY DAMAGE (Par accident) $SOOOOO ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EAACC $ EXCESSIUMBRELLA UABILITY AUTO ONLY. AGG S OCCUR F-ICLAIMS MADE EACH OCCURRENCE S AGGREGATE S DEDUCTIBLE $ RETENTION S - S WORKERS COMPENSATION AND B EMPLOYERS• LIABILITY S ANY PROPRIETOR/PARTNER/EXECUTNE IRWCIOOIOO OFFICER/MEMBER EXCLUDED? - TORY LIMBS ER 03/22/03r 03/22 O4 E.L. EACHAC61DENT - Ityyeeedeavw be eer - SPECIAL PROVISIONS bebw E.L.DISEASE-Eh S 500000 OTHER EMPIO_YE SSOOOOO EL DISEASE. POLICY LIMIT SSOOOOO -•- ' ` "c"A"ONS / LOCATIONS / Fax #508-778-5603 CANCELLATION GATEWDO I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC Gatewood Homes DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .10 DAYS WRITTEN 1600 Falmouth Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL Suite 25 IMPOSE NO OBUGATION OR LIABILITY OF ANY KIN -UPON THE INSUR 32 D ER ITS AGENTS OR Centerville MA 02 6 RFPRFCC..rtwTn.r.. rwvnu CERTIFICATE QF,LIABILITY INSURANCE =bATWD'ONy'yy)PRODUCE R 5089FAX SOS-760-1667 1 Allied -American Insurance A enc LLC =ALTER MATTER OF INFORMATION 9 Y CONFERS NO RIGHTS UPON THE CERTIFICATE 1 Atlantic Ave IS CERTIFICATE DOES NOT AMEND EXTEND OR So Yarmouth MA 02664 COVERAGE AFFnancn ev vu, _ A tUNISURERS AFFORDING COVERAGE NAIC # ape o —Cu stoB► Floors 762 Falmouth Road Arbella Protection Ins Company Hyannis MA 02601 Hartford THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWI7HSNDIN TATA ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, R DD TYPE OF INSURANCE ' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION GENERAL LIABILITY 7500000371 12/13/2002 12/13/2003 FACHOCCURRF,NCE LIMn= X CO AL GENERAL LIABILm 1 000,04 CLAIMS MADE D OCCUR AMAGE TO RENTED s Cm AGGREGATEpLIMMIITAPPLIE9 PER; X POLICY JECT n.LOC AUTOMOBn.E uAeturY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS knEDAUTOS NON-0WNEDAUTOS GARAGE LUkaRJrY 7 ANY AUTO EJ(CESamMDItELLA LIABILITY OccUR O CLAIMS MADE DEDUCTIBLE RETENTION y WORKERS COMPENSATION AND EMI'LOYGRS' LIABILITY B ANY FROPRITOR/PARTNGReXECVM a OFFE:ERIMEMSER EXCLUDED, or 0 MGD EXP (Ay one Pmon) S PERSONAL R ADV INJURY i 1 GENERAL AGGREGATE S 2 PRODUCTS -COMPIOP AGG S 7 (r-EO MEWED SINGLE LIMB s I ROOKY INJURY (Per PPIeIH)JACC BODILY INJURY EDMIdPROPERTY DAMAG(PeDd Zj)AUTO ONLY -EA ACOTHER THAN AUTOONLY: EACH OCCURRENCE i s s s a+. n MAHEVeNT EL DISEASGMii -POUMELDISEASE Evidence of Insurance for work performed within the Insured's scope of normal operations C C CIELLATioN SHOULD ANY OF THE ABOVE OESCRISED POLITIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOP, THE ISSUING ENSURER WILL ENDEAVOR 70 MAIL 110 DAYS wRmEN NOTR:r TO THEE RTIPICAT19 HOLDER NAMED TO THE LEFT, GateWOod NomeS" Bu7 FAILURE 70 MAIL SUCHNOTICESNIMPOSENo OBLIGATION OR LIABILIry 1600 Falmo.Nth Road P25 OF ANT aND"PON TNBINSURER, nS ATS OR REPRESENTATIVES. Centerville, NIA 02632 AUTHOFUZW RESENTA 4CORD25(2001l08) FAX: (508)778-5603 ®ACORO CORPORATION 1986 C ERT 2 F 2 C A TE O F 2 N S UR A NC E Producer: SOUTHEASTERN INS AGCY 641 MAIN ST HYANNIS MA 02601 Code: ----------------------- Insured: RJ BEVILACOUA P 0 BOX 628 FORESTDALE MA 02644 Sub —code: Issue date: 7122/03 This certificate is issued as a matter of information only and confers no ri hts upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies below. ----- -----------------______--- —COMPANIES AFFORDING COVERAGE — — — Cc Ltr A: ARBELLA PROTECTION ------------------------------- Co Ltr B; ARBELLA PROTECTION Cc Ltr C: _------------------------------ Co Ltr D: ARBELLA PROTECTION Lo Ltr E: COVERAGES This is to certifyp that policies of insurance listed below have been issued to the insured named above for the policyr pperiod certificatenweribesissuedgornmmay ertaionRttheeinsurancedafforded byythenPolicies other document subject to allcthehterms exclusions, and conditions of such policies. Limits shown may have been reduced by paid claims. ---------------------------------- ' Cc I --------------------------------------------------------- ------ Ltrl Type of Insurance Policyy I - ----------- _-------------- ---------- I --Policy number leffectivedate lexpiration date) All limits in thousands r A ►GENERAL LIABILITY �— — date Commercial general liability l MOOIBI47 l 7/15/03 l 7/15/04 I6eneral aggregate: — 2,000 l� �( fJ Claims made ( 1 Occur I I I Products—comp/oes aggrey: l` )) rner's 8 contractor's Prot (Personal/advertising inl: l l l Each occurrence: 11000 Fire damage: !00 ---- ------------------------- ----- ----------------------- Medical expense: 5 B ►AUTOMOBILE LIABILITY ------------------------------------------------------------------- lAn auto 1 86052400001 I 2/21/03 i 2/21/04 ICombIt l Ali owned autos l lSingle limit: 250/500 I l Scheduled autos Bodily injury Hired autos l l Per person): l Non —owned autos I l l l>�odily injury Garage liability (Per accident): l •---------------------- --- ---- 1 — lProPerty damage: 500 (EXCESS LIABILITY """"""'—"—"--'------------ 111.1 Other than umbrella form I i Each I________— t--� __—_"Occnrreace Aggregate -------------------- _ D i NORKER'SA(COMPENSATION I 9008680403 4/27/03�1_q/27/Oq S atntar 1------- I l -------------------- EMPLOYERS' LIABILITY I I Each accident) _ I Disease -policy limit) — IOTHER--------- . . Disease —each emp_l.aYee).. --------- ----- -------------- ----------- l I I ---------- —------ ------------------ ------------ ------- ------ I ------------------- f Descrfptfon of operations/locations/vehicles/restrictions/special items: — —_ CERTIFICATE HOLDER 1600UFALMOUTHSRD STE 35 CENTERVILLE MA 02632 4/89 CANCELLATION Sheald aay of the above described policies be cancelled before the exeiration date thereof, the issaing comPant will endeavor to mail 10 days written notice to the certificate holder named to the left, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. -------- ---------- __ --------------------------- Authorized representative: -------"""""' JOAN M MARTIN JA --rTLfvrV1JTM LtKTIFICATE OF LIABILITY INSURANCE DATE("Mf°DNYYY) 10/17/03 PRODUCER THIS CERTIFICATE IS ISSUED AS —A MATTER OF INFORMATION �. DowIlig & O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 West Main St. PO BOX 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 Bayside Electrical Contractors, Inc. 372 Yarmouth Road Hyannis, MA 02601 T:TIVFRAP_Cc INSURERS AFFORDING COVERAGE INSURERA: Travelers Insurance Co INSURER a: Guard Insurance Group INSURER C: INSURER D, INSURER E: NAIC # 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR A INSRI TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR POLICY NUMBER 16801484A82ACOF03 POLICY EFFECTIVE DATE MIDO 10/05/03 POLICY EXPIRATION DATE IWDD 10/05/04 LIMOS EACH OCCURRENCE 00 1. S1.000.000 000i .0 0 DAMAGE TO RENTED S0 0' LIED EXP (Any one person) f5 000 PERSONAL d ADV INJURY f 1 000 000 X OCP GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jEa LOC GENERAL AGGREGATE 12 000 000 PRODUCTS •COMP/OP AGO $Z_ OOO A AUTOMOBILE LIABILITY ANY AUTO 18102601W5611ND03 10/05/03 10/05/04 (EaaBcINdwt)INGLE LIMB $1,000,000 ALL OWNED AUTOS X SCHEDULED AUTOS BODILY )URY S X HIRED AUTOS X NON NON-OWNEDAUTOS ' BODILY INJURY (Peraccident) S X Drive Other Car PROPERTY DAMAGE (Peracciden0 $ GARAGE LIABILITY ANY AUTO AUTO ONLY • EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG $ f EXCESSAJMBRELLA LL4BIIM OCCUR CLAIMS MADE EACH OCCURRENCE f AGGREGATE $ $ 'DEDUCTIBLE RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILnYinns BAWC436910 08/18/03 08/18/04�__ WC STATU• OTH- FR S E.L. EACH ACCIDENT $100 000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE- EAEMPLOYE $100,000 If es, describeunder L PROVISIONS bel Eay OER E.L. DISEASE - POLICY LIMIT 1$500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDEO BY ENDORSEMENT SPECIAL PROVISIONS Operations performed by the named Insured subject to policy conditions and exclusions. CERTIFICATE HOLnFR Gatewood Homes 1600 Falmouth Road Suite 25 Centerville, MA 02632 25 (2001/08) 1 of 2 #M31942 Qn UW AHT OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO Do So SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORMED 0 ACORD CORPORATION 1988 ACORM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/OD/YYM 07/18/03 ODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ` Dowling & 0' Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 West Main St..PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Hanover Ins. Company Busy Bee, Inc. INSURERS: Safety Insurance Company East Sandwich, ich, MA 02537 P.O. Box . INSURERc: Associated Employers Insurance Compa INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - LTR INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE tuumnW, LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 'CLAIMS MADE a OCCUR PD Ded:250 OHN643998501 06/14/03 06/14/04 EACH OCCURRENCE $1 000 000 X DAMAGE TO RENTED $300 OOO $15 000 MED EXP (Any one person) X PERSONAL a ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000000 GENT AGGREGATE LIMB APPLIES PER POLICY JETO. LOC PRODUCTS - COMPIOP AGG $2 00O 000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON AUTOS 3175394 01/14/03 �� - - 01/14/04 � ... COMBINED SINGLE LIMB (Ea accident) $ BODILY (PuperIN (Per person)) $100,000 X X BODILY INJURY. (Per accident) .- i300,0NON-OWNED X PROPERTY DAMAGE (Pa BCCidwt) $100,000 GARAGE LIABILITY ANY AUTO .- - AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ S EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE i AGGREGATE S . S S S. C WORKERS COMPENSATION AND EMPLOYERS' LIABIIJTY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes• dwcdbe under SPECIAL PROVISIONS below OTHER WCC5002932012003 06/27/03 ,-�� 06�2�Qd t �!ER WC STATU-OTH- E.L. EACH ACCIDENT $100000 E.L. DISEASE -EA EMPLOYE a100,000 E.L DISEASE - POLICY LIMIT 5500,000 DESCRIPTION OF OPERATIONS T LOCATIONS I VEHICLES T EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. I Gatewood Homes 1600 Falmouth Road Suite 25 Centerville, MA 02632 ACORD 25 (2001108) 1 of 2 #30822 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ' DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ 10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD CORPORATION 1988 O1 ACO-RD,. CERTIFICATE OF LIABILITY INSURANCE P. GATE IMMIODIYY) PRODUCER YvC$i3�.7 insurance AgeriCy, Inc. THIS CERTIFICATE IS 133vED A3 A MATTER OF tNFORtdlATION ONLYERS NO 749 train Street, suite H RIGHTS UPON THE CERTIFICATE. IFI HOLDER.RTIFICATE DOES NOT AMEND, Ostervills� Data. 02655 E)I OR ALTERAGE AFFORDED BY THE POLICIES BELOW. �Tp-A.� P+sunep spe=oon. URERS AFFORDING COVERAGE CO OverheadDoorsINSUREBOX .piEastFalmouth 517INSLAER :E]► 02536EUaCOVERAGE'StM suaER. THE POLICIES Of INSURANCE LSTED BELOtY HAVti BEEN IS1 1 , I) TO THE INSURED NAMED ABOVE fOq THE POLICY PERIOD INDIGATEQ. NOTWITHSFANDING_ MAY PER IN, THE INSURANCE ACOFFORDED 6Y THE POLICES DESCRI3ED HERHER EIN SENT WITHRE PEALL T TO E TWHIC• THIS CERTIFICATE IICAAND ECONDITIONSMi BE IUED OR POLICIES. . AEGA TE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID INT R TYPE Of INSURANCE CLAIMS. ONS SUCH POLICY NUMBER GENERAL LIABILITY POLICY EFFECTNE POLICY EX►IR ION OAT .. . COMMERCIALOENERALLIABIUIY CLAaAS MADE LX] OCCUR LDRTB EACNOCCUIIAENCEQB8- FIRE OAMAGF. A ( ons Mel f C A /1 n n w ►/ED 1LYlI P$8352 cxP(AAYP P!,s.�) s 05/28/03 05/28/0G rtasoNALa.AQV04 RY f O OFN'L AGGREGATE LIMD'APPUtS PEA: f GENERAL AGGREGATEPOLICY POO.- ie LOG AUTGMGBa.e PRODUCTS. COMP/DP AGG f . 09Q �Q_. UASXM ANY AUTO ALL OWNEDAVTO$ lEMsocwSINGLE LIMIT f ) SCHEOUI FO AUTOS WRCO AUTOS WOLY INJURY (Per ovs.n) f NON4WNCD AUIDrGODICY (P.�� ypIINJURY f cARAoetuBam PRO, ftRTY OAMAGC f JOCCUR CLAIMS MADE OLDUCTa1LC tl€TFstnOUL f__ WORKERS COMPENSATION AND EMPLOYERS LIABILITY A Gat®way Homes 1600 Fa�-1oLat.T Road-: S'utte zsjr Centerville, KA 02632 776 5603 ACORD sss n197) UTOO NLv _ E=ACCIDENT f FHER THAN_ _ EA ACC f TTOOrar. AGO f wr51 02/2110$ 02/22/Qt EL EACH�ACCDEni a EL DISEASE EL. DISEASE • POLICY DATE THEREOF. T - -- -- ^•�RmuoaFVRCTHEEXRWA72p NE jCAT6 INSURER WILL ENDEAVOR TO MAIL NgTK'.E-TO..FNE-GERi1FK:AY6i1pLDE .LO_ DAYS WRITTEN IMPOSE NO OBLIGATION OR LIABILITY Of W SHALL REARESE....�. ES- ` ANY KIND UPON TNC INSURER, ITS AGENTS OR of .r TOWN OF YARMOUTH _ Building Department = Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-083 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST # 122 —' Owner's Name: Villages at Camp St., LLC Owner's Addres 1600 Falmouth Road, # 25 Centerville MA 02632 Owner's Telephone: (508) 778-9669 (OFFICE USE ONLY Recorded By: IC Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 702 Net Owed: ($50.00) Application Date: 7/20/2004 Issue Date: Expiration Date Comments: new construction: A^;'ROVED Map/Lot: 044.21.1.0 /0?? , PREVIEWED BY: ✓1. WATER DEPARTMENT: DATE: N/A: i/. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: HEALTH DEPARTMENT: DATE: N/A: �P�/4, .BUILDING DEPARTMENT: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: l N1WA�c 0 d t.Cl�tA . DATE: Date Printed: 7/30/2004 ADDRESS. :ALCULAT10N FOR PERIwIT COST •-�Ld�•�.L 4 16 Id - gs6 297,0 aS" ,IF. 7C OF ENO. t ROOM PORCH OPEN REROOFING SHED LY BAYS n o®ri, TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-05-083 Applicant Name: Frank Capra Applicant Phone: 5087789669 Building Location: 00121 CAMP ST # 122 Owner's Name: Villages at Camp St., LLC Owner's Addres 1600 Falmouth Road, # 25 Centerville MA 02632 (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 702 Net Owed: ($50.00) Application Date: 7/20/2004 Issue Date: Expiration Date Comments: new construction: Map/Lot: 044.21.1.2 N Owner's Telephone: (508) 778-9669 G3 0; @ q 0 M CS DD AUG 0 Z 2004 REVIEWED BY: HEALTH DEPT. 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: 3. CONSERVATION: DATE: N/A: 4. HEALTH DEPARTMENT: DATE: GY N/A: 5. BUILDING DEPARTMENT: DATE: N/A: 6. FIRE DEPARTMENT: DATE: N/A: PLEASE NOTE COMMENTS: RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: Date Printed: 7/30/2004 TOWN OF YARMOUTH WATER DEPARTMENT 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771-7921 • Fax: (508) 771-7998 Date of Issue : Aug 4, 2004 Letter of Water Availability 1. Single Family Dwelling x 2. Duplex Family Dwelling 3. Condominium Dwelling 4. Commercial / Industrial 5. Other (Specify) Reference; Massachusetts General Laws Chapter 40, Section 54 To : Town of Yarmouth Building Inspector Please be advised that the Town of Yarmouth Public water supply is available to service lot/parcel(s) 21.1C122 Street 121 Camp St., #122 as shown on Assessors sheet/map # 44 Issuance of this Letter of Availability is subject to the following provisions/restrictions. (1) The property owner agrees to comply with all Federal, State, and Local Laws, Rules and Regulations as they pertain to the use of the Public water Supply. (2) The Yarmouth Water Department shall have exclusive rights as to the size, number, type and location of all water service lines, fire service lines or appurtenant items connected to the water distribution system. (3) The Yarmouth Water Department reserves the right to require, at the property owners expense, the installation of water mains and appurtenant items to meet water demand requisites within any structure relevant to this Letter of Availability. (4) This Letter of Availability will expire 180 days from the date of issue. I have read and understand the provisions/restrictions of this Letter of Water Availability. Owner (Sign) Reference Villages at Camp St., LL : 1600 Falmouth Rd. Centerville, MA 02632 Temp Permit No.: Applicant Name: Applicant Phone: Building Location: Owner's Name: Owner's Addres TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 BUILDING PERMIT TRANSMITTAL T-05-083 Frank Capra 5087789669 00121 CAMP ST # 122 Villages at Camp St., LLC 1600 Falmouth Road, # 25 Centerville MA 02632 Owner's Telephone: (508) 778-9669 REVIEWED BY: "1'NVATER DEPARTME T 2. ENGINEERING DEPARTMENT: 3. CONSERVATION: 4. HEALTH DEPARTMENT: 5. BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: COMMENTS: RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: (OFFICE USE ONLY Recorded By: Ic Permit Fee: $0.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 702 Net Owed: ($50.00) Application Date: 7/20/2004 Issue Date: Expiration Date Comments: new construction: DATE: < �x /A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: N/A: DATE: 044.21.1.0 Date Printed: 7/30/2004 O • 46�6_81 GRAPHIC SCALE ( IN FEET ) I inch = 20 ft. PLOT PLAN OF LOT 122 PREPARED FOR. MILL POND VILLAGE IN YARMOUTH, MA SCALE: 1 "=20' DATE: 5-1-03 PROPOSED HOUSE (MALLARD) Ft = 33.0 GW=15 I 0M 0 N rn :P INa 'o m 4 BLE I N80 7 �� 75.76' W . 5 LOT 122 L Fa 49862 f S.F. ?o Min N I 2 ll ll i•y ^ y 0 O' 63 0I PROPOSED WATER SERVICE/VZI z N \ \ Ito O J a�P�}H CF 04 NOTE: o� MICHAEL �ti \ R e• �® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN 1OFT. OF WATER MAIN. �''►,�QA( LAN ` NOTICE Unless and until such time as the original (red) stamp of the responsible Professional Engineer. Engineer, Professional Land Surveyor appears on this plan: (A) no person or persons. Including any municipal or other public officials, may rely upon the information contained herein; and REVISED' 3-8-04 (11) this plan remains the property of Holmes & McGrath, Inc. REVISED: 2-19-04 holmes and mcgrath, inc. }„ OF civil engineers and land surveyors � . 362 g• afford street rlS; N1 r.I. G M 0 S;$t`iJ � falmouth, ma. 02540 ' h'O zsma r CIViL r JOB NO: 201197 DRAWN: LMC DWG. NO.: A2526 CHECKEDc"1t Nal 1 ILj J rn 50 Wm W IW tW O \Xj GRAPHIC SCALE ( IN FEET ) 1 inch = 20 ft. PLOT PLAN OF LOT 122 PREPARED FOR MILL POND VILLAGE IN YARMOUTH, MA SCALE: 1"=20' DATE: 5-1-03 0 P HOUSE (MALLARD) FF = 33.0 GW=15 IN jO co N t l� ;P N N a tO m 4 BILE >� N8 58�2 76. W LOT 122 ILI W � �* 4,862 f S.F. )Q 2 11 Il rn 00 Z:ZZ��%o �� _ � O I WATER SERVICE I \ N�,2 99 SSW OF MAsq NOTE: rrtctuFL `y1 ® SEWER LATERAL SHALL BE SLEEVED IN ACCORDANCE WITH TITLE V IF WITHIN �o��s/gE�IS y S`��a� LOFT. OF WATER MAIN. ( L6tD�.�'` NOTICE Unless and until such time as the original (red) stomp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: (A) no person or persons. Including any municipal or other public officials, may rely upon the information contained herein; and REVISED: 3-8-04 (8) this plan remains the property of Holmes x McGrath. Inc. REVISED: 2-19-04 holmes and mcgrath, Inc. �, PSI" OF Afgsr civil engineers and land surveyors TOM yb1: G^ 362 gifford street a o SANros falmouth, ma. 02540 No. aso�a N 4 _ clwL JOB NO: 201197 DRAWN: LMC DWG. NO.: A2526 CHECKM-f* 08/09/2004 09:17 877-379-5774 JOHN CROWLEY PAGE 01/01 •FC RD,. CERTIFICATE OF LIABILITY INSURANCE g7$•394-2253 DIRECT THIS CERTIFICATE IS ISSUED AS A ONLY AND CONFERS NO RIGHTS NTIC INSURANCE GROUP. INC. HOLDER. THIS CERTIFICATE DOES ALTER-THE£OVERk AFFORDED DATE WA0101 174-... 08/0812004 INFOR` MATION AIP.LL 365 BOSTON POST ROAD PMB 203 INSURERS AFFORDING COVERAGE SUDBURY. MA 01776 NATIONAL FIR — _...... ..—._. _.. E S MARINE •._.. .. _ , INSURED I...�. __—_..___—« —_ ..... .. INSURER B: MA WORKERS COMP. RESEARCH.B - GATEWOOD HOMES INC. INSURERc: -- —' 1600 FALOMOUTH ROAD -- —' INSURER D: ' I CENTERVILLE MA 02632 bra a. ;OVERAGES )R THE POLICY PERIOD INDICATeD. ANY EQUIR OF INSURANCE LISTED BELOW HAVE ITION OF ANYBCO NTRAOTT OROOTNER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BETSSUEO OR MAY PER-FAW. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAI _va:icr EFYECTIVET►OUCY EAPA/1Yg11T' IAIITc •TYPE. OF INSURANCE f POLICY NUMBER EACN O_ _ — �O I I _ GENERAL LIAWLITY I 4/29/04 4129I05 FIRE DACCURRENCE f MAGE IAAY o!!. 6!e: t.•__ ~.-50000„ A i.x GCMMERCAL GENERAL LIABILITY72 LPE 891943 LIABILITY I MEO EX (ARY a�i P! W) • f - 100.00 —.- !A I .., •._ .I CLAIMS MADE X.IOCCUR PERSONAL t ADV MJURY S 1000000 1 .......^ '..._». GENERALAGGREGATE 6' _2000OO- _. LPRODUCTS-COMPAPA&T i .__..1 .... ....... GE eCGiCY'G_ArEPtROT.APPLIE6 PER: ;L_OC A_ BI IV[OM7LE LIABILITY r I ANY AUyO AL, OWNED AUTOS I SCNEOULEDAOYO6 HIRED AUTOS I-_-- NC N.QWNED AUTOS I OARAG: LUABR.OY ANY AUTO 1 ...i EXCEst LABILITY OCGuR I I CLAIMS MADE I DEDUCTIBLE r_ I RETENTION f WORKERS COMPENSATION ANO B EMPLOYERS' LIABILITY POLICY UPDATE NUMBER PROJECT: MILL POND VILLAGE (VILLAGES AT CAMP ST. LLC - DBA) TOWN OF YARMOUTH BUILDING DEPARTMENT 8/4ro4 ►ROVIBIoNs COMBINEDSINGLE UMR If I(Par 8001LY INJURY r pers") f HOOIHA)RY 6 ac lPm aeoEmO PROPERTY DAMAGE y (Pa/aad0aa7 AUTO ONLY. EA ACCIOEN'- f -,_-- DTHER THAN EA ACC f •..--.•.,__ AUTO ONLY: AG3 6 EACH OCCURRENC! AOGREGATE __, 6 ...._.. ... s ITORY LIMI[S EN- ___,__ - eI _ _ a I E.L. EACH A_CCIDEHT 5�_ •^500000 . •__- ^l3-... E.I. DISEA6E•EA EMPIpYS t SHOULD ANY OF THEABOVE ULSCRAREO POLICE[ BE CANCELLEO BEFORE THE EXPIRATION DATE THEREOF, THE 1BEURIG INSURER WILL ENDEAVOR TO NA:L. 60 DAYS WRITTEN NOTICE TO THE CERTIFICATE NOL MILD TO THE LILFT. BUY FAILURE TC DO 20 SHALL BDOSE NO OBLIGATION OR TY fif ANY KIND UPON THE RISVREA, ITS AGENTS OR AUTHORIZED A.008D. CERTIFICATE OF LIABILITY INSURANCE DATE(MMnIADD,YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BlardA. Q- 11 1II4Tr:arn ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Pzx 337 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Mi.7.1S, MA 02648 INSURERS AFFORDING COVERAGE INSURED - INSURER A: ffe PyTyiclerm Mihial Fim Tm. Cb. AIi2doan R Lxxbti i QJ., Inc. INSURERS: Salx ^ PFLL�t7 & C3 Hlt]T . .. _. .. ._ _ _ 43 Ehin -CIS iam INSURER C: " 1�Y1�V111CL Q I INSURER D: - L.INSURER.E_ COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' -- I-- - --_ --- - POLICY EFFECTIVE POLICY EXPIRATION OMITS LTH I TYPE OF INSURANCE POLICY NUMBER DATE N1M/DD/YV DATE MM/DD/ Y GENERAL LIABILITY I I EACH OCCURRENCE S �, 0, 000 - ___... ... .. COMMERCIAL GENERAL LIABILITY ._..._... FIRE DAMAGE (Any one fire) ' S 50f - CLAIMS MADE OCCUR 1 MED EXP (Any one person) S 5, wo PERSONALS ADV INJURY I $ 1 FD001 000 GENERAL AGGREGATE i S A I GEN'L AGGREGATE UNLIT APPLIES PER: CEO 0005933 04 10-05-03 10-05-04 r PRODUCTS-COMP/OP AGG Is 2i000,OW i POLICY j PF a I ! LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT , $ ANY AUTO I (Ea accident) (Ea accitlenl) — - ALL OWNED AUTOS BODILY INJURY I SCHEDULED AUTOS (Per Person) $ HIRED AUTOS i BODILY INJURY $ i NON -OWNED AUTOS - (Per accident)_.__ r .. .. .._ ..._. _ PROPERTY DAMAGE $ I (Per accident) I ' GARAGE LIABILITY .i 1 - AUTO ONLY - EA ACCIDENT $ ANY AUTO 1 - OTHER THAN AUTO ONLY: AGG $ I $ j EXCESS LIABILITY I EACH OCCURRENCE ! $ I OCCUR 1. CLAIMS MADE AGGREGATE _IDS .� DEDUCTIBLE _ I $ RETENTION $ WORKERS COMPENSATION AT�'M WC STATU- OTH-! TORY LIMITS I) ER EMPLOYERS' LIABILITY EL EACH ACCIDENT - . _____.1_ $ OOT .—... 04-01-04 04-01-05 100,000 E.L DISEASE - EA EMPLOYE $ B i OM6� E.L. DISEASE. POLICY LIMIT —ro,0w iOTHER ' 1 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS L.Grf I IrK.A I r- MULLIM" I I ADDITIONAL IN5UREU; IN51JHEK LEI ILK: I.AIVUGLLA I IVIV H3MS, 13=. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1600 Falmouth Rxid DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN aa NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 03hmvIlle, M IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTIaES. Me -CM.-M.560 ArOPn 99-S 171Q71 an, ACORO CORPORATION 1988 Client#: 1 R434 2ASSURANCECO ACORQM CERTIFICATE OF LIABILITY INSURANCE 08102r 4°"""' PDOWIGG R' Dowling & O'Neil Insurance Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St. PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Nautilus Insurance Company Assurance Construction, Inc. A/O Assurance Excavation, Inc. 550 Willow Street West Yarmouth, MA 02673 INSURER B: INSURERC: INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY NC289301 09/08/03 09/08/04 EACH OCCURRENCE $1 00O 000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea DAMAGE TO RENTED Occurrence) $100 OOO 7 CLAIMS MADE O OCCUR MED EXP (Anyone person) $S 000 PERSONAL &ADV INJURY $1 000 000 X BI/PD Ded:1,000 GENERALAGGREGATE 52 DOD OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2000O00 PRI7 LOC POLICY 7JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY (Perperson) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO S AUTO ONLY: - AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE $ S $ DEDUCTIBLE - $ RETENTION $ WORKERS COMPENSATION AND TWOTATU SLIMIT OTH- Es- EMPLOYERS' LIAS L1TY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S OFFICERIMEMBER EXCLUDED? If yes. describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. Gatewood Homes, Inc. Attn Paula 1600 Falmouth Road, Suite 25 Centerville, MA 02632 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL I.0_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED ACORD 25 (20011081 1 . f li fezeioe -iv © ACORD CORPORATION 1988 Rightfax Norcross 8/5/2004 8:04 PAGE 004/004 Fax Server 'Fzift r=9nFf NS PRODUCER EMPLOYERS INS GROUP INC 281 MAIN ST CE.": q'Y4� . N ATE (MM\D . ....... 08-04-04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE- CEfMFjCATE--- HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. STE FIT9 CHBURG MA 01420 COMPANIES AFFORDING COVERAGE COMPANY 76HCK A ROYAL INSURANCE COMPANY OF AMERICA INSURE COMPANY SOURCE MANAGEMENT INC B 2 1 MAIN STREET SUITE 5 ST.CHBURG MA 01420 FI COMPANY c A55Urd_41C;e. EX-CA-V4-40rj COMPANY D THIS CS.TO.CERTli�i THAT THE POLICIES OF INSURANCE LISTED BELOW 1(AVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE -PO=. PERML.. INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT on 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. CO LT S TYPE OF INSURANCE POLICY NUMBER POUCYEFFECTIVE DATEIMMDMYY) POUCYEXPIRA710N DATE(MMDD%YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS-CONIP/CP AGG. COMMERCIAL GENERAL LIABILITY CLAIMS MADE = OCCUR. PERSONAL I ADV. INJURY EACH OCCURRENCE OWNERS & CONTRACTOR'S PROT. FIRE DAMAGE (Any one fire) MED. EXPENSE (Any one person) I AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT ALLOWNEDAUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per Accident) PROPERTY DAMAGE $ GARAGE UA131UTY AUTO ONLY - FA ACCIDENT I ANY AUTO O714ER TKANAU70CNLY. EACH ACCIDENT AGGREGATE EXMSUAB3UTY EACH OCCURRENCE UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION AND EMPLOYERS LIABILITY (UB-96 -9-03) 7X499 11-20-03 11-20-04 STATUTORY LIMITS EACH ACCIDENT $ 100,000 THE PROPRIETCRI PARTNERSi'EXECUTIVE X INCL OFFICERS ARE EXCL OTHER DISEASE -POLICY LIMIT S 500,000 DISEASE EACH EMPLOYEE S 300 000 DESCRIPTION OF OPERATIONSILOCATIONSVEHCLESRESTRiCTION&SPECIAL i COVERS EMPLYS LEASED TO ASZUAA9C6-BXCAVA. > A TORS 550 WILLOW ST W YARMOUTH MA 02673 Zen S u THIS REPLACE - S ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CANCE G SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE GATEWOOD HOMES, INC. ATT:PAULA 1600 FALMOUTH ROAD -SUITE# 25 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDERWAMEU110-rMt, LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR CENTERVILLE MA 02632 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES: AUTHORIZED REPRESENTATIVE . . . .......... AC CERTIFICATE OF LIABILITY INSURANCE 08/02/20o -RDM .(S08)997-6061 PRODUCER FAX (508)991-3283 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 662 State Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 79398 N. Dartmouth, MA 02747 INSURERS AFFORDING COVERAGE NAIC # INSURED R J Bevilacqua Construction INSURERA: Arbella Protection Insurance PO Box 628 INSURER B: Forestdale, MA 02644 INSURER C: INSURER D: INSURER E: V THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN, 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR IkDO'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX OCCUR ?( Special Form 9500018147 07/15/2004 07/1S/2005 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED S SO, QO MED EXP (Any one person) $ S , QQ PERSONAL &ADV INJURY $ 11000,00 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: rl POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG S 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 86852400001 02/21/2004 02/21/2005 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) S 250,00 X X BODILY INJURY (Per accident) $ S00,00 X PROPERTY DAMAGE (Per ace dent) $ S00,000 GARAGE LIABILITY ANY AUTO - - AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ S EXCESSNMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE $ AGGREGATE $ f $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? H yes, describe under SPECIAL PROVISIONS below 9088680402 04/27/2004 04/27/200S - X WCSTATU- OTH- ' E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE- EA EMPLOYEE $ 100,000 E.L. DISEASE- POLICY LIMIT S S00, 00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS For any and all operations performed during the policy period. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Gatewood Homes Inc. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY 1600 Falmouth Rd Ste 2 S OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Centerville, MA 02632 Pauline Desrosiers ACORD 25 (2001108) ©ACORD CORPORATION laud DATE (MMIDDNY) ACORD,y CERTIFICATE OF LIABILITY INSURANCE. 03/09/2004 ODUCE (508)994-9688 - FAX (508)991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PR RODUCR (5 & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 414 COUNTY STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NEW BEDFORD, MA 02740 INSURERS AFFORDING COVERAGE INSURED rranK Lapra INSURER A: rrovTaence muivai PO Box 664 INSURERS: OneBeacon West Hyannisport, MA 02672 INSURERC: Continental Casualty Co INSURER D. INSURER 13 COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR Im TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM D POLICY EXPIRATION M LIMITS GENERALLIABILIY CPPOO53131 01 12/13/2003 12/13/2004 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) 5 50,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR MED EXP (Any one person) 5 5 , OOO PERSONAL & ADV INJURY $ 1, 0OO 000 A GENERAL AGGREGATE 5 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMPIOP AGG $ 2,000,000 POLICY JECTT LOC AUTOMOBILE LIABILITY CBXE49125 02/14/2004 02/14/2005 COMBINED SINGLE LIMIT ANY AUTO - (Ea accident' f BODILY INJURY $ ALL OWNED AUTOS X SCHEDULED AUTOS (Per person) 250,000 B BODILY INJURY $ HIRED AUTOS - NON -OWNED AUTOS - - (Peraccident) 500,00 PROPERTY DAMAGE $ ......._ ...... .. _ .... _ (Per axident) 100,000 GARAGE LIABILITY AUTO ONLY- EA ACCIDENT 5 OTHER THAN EA ACC $ ANY AUTO - -.. .. $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ OCCUR O CLAIMS MADE AGGREGATE $ 5 5 DEDUC'BLE s RETENTION $ WORKERS COMPENSATION AND SS59UB86IX751604 03/22/2004 03/22/2005 1 TORYLIMITS I I ER EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 500,000 C EL DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ SOO 00 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES!EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS v��urrvnr�nv�.u�n q Ul I IUN/ INSUKCU; INSUKrK LC I I tK: vevw��r..n uvn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Gatewood Homes Inc BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600 Falmouth Rd Ste 25 OF ANY COMPANY, ITS MTS R ENTA ES Centerville, MA 02601 AUTHORIZED REPRES NEfI C� ceY• fSnR177R-srnz AD -OW,. CERTIFICATE OF LIABILITY INSURANCE osio%20 a FROMXER 509-398-6033 FAX 508-760-1667 Eastern Insurance Group LLC 1 Atlantic Ave So Yarmouth MA 02664 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC 0 wsuAra Cape Cod Custom Floors 762 Falmouth Road Hyannis MA OZ601 INSURERA: Arbella Protection Ins Company INSURERS: Hartford INBURERC: INSURER 0: INSURER E: COVERAGFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POL Y EXPIRATION LIMITS GENERALLASILITY 7500000373 22/13/2003 12/13/2004 EACHOCCLRRENcE f I,OIIO,ffa X COMMERCU.LGENERALLIABILRY DAMAGETORENTED f 50,000 CLAIMS MADE O OCCUR MED EXP (My we penes) f S-sum A PERSONAL A AOV INJURY $ 1,000,00 GENERAL AGGREGATE f 2,000,000 OEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG f 2,000 000 X1 POLICY PRO, LOC JECT AUTOMOBILE LIABILITY ANYAUTO COMBM O SINGLE LIMIT (Ea accident) f ' BODILY INJURY (pe, pie„) f ALL OWNED AUTOS SCHEDULED AUTOS - MIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per a=d9m) f PROPERTY DAMAGE (Pef e[GdaM) f _ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT f OTHER THAN EA ACC S ANY AUTO 3 AUTO ONLY: AGO EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE f OCCUR CLAIMS MADE AGGREGATE f S S DEDVMSLE S RETENTION S WORKERS COMPENSATION AND 08WECKLI007 05/ZS/Z004 OS/25/200S X wcsTATU• OTH- 8 EMPLOYERS' LIABILITY ANY PROPRE:TOWPARTNEWEXECUTIVE OFFICEWMEMBEREXCLUDED? Ors deecnbe under SPECIAL PROVISIONS belP E.L. EACM ACCIDENT f 500,00 ELDISEASE.EAEMPLOYE S SOD,000 E.L DISEASE • POLICY LIMIT f 500, 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHCLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Evidence of Insurance for work performed within the Insured's scope -of normal operations 6atewood Homes 1600 Falmouth Road *ZS Centerville, MA OZ632 ACORD25(2001108) FAX: (508)778-5603 SHOULD ANY OF THE ABOVB oasCRIBED POLICIES BE CANCELCED'BEFDRETNff-- EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRnTEN NOTICE TO THE CERTIFICATE HOLDER NAMEDTOTHE-tEPT-' BUT FAILURE TO MAUL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY MACORD CORPORATION 1988 ACORQ.. CERTIFICATE OF LIABILITY INSURANCE 8/2/22004 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McShea Insurance . Agency, Inc. 749 Main Street, Suite#H ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655 508-420-9011 INSURERS AFFORDING COVERAGE NAIC# INSURED Casperson Overhead Doors INSURERA: Worcester Insurance Company INSURERB: National Grange Mutual Box 517 INSURER C: East Falmouth, MA 02536 INSURERD: 508-563-5633 INSURER E: COVERAGES 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 RESPECTTOWHICH 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR D'L INSRO TYPE F INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMSMADE F`x] OCCUR CB 2J1973 05/28/04 05/28/OS EACH OCCURRENCE $ 10`0000,000 PREMISES Ea ocLvrence $ 100,000 MEDEXP(Anyoneperson) $ 10,000 PERSONAL& ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2 OOO 000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY 7 PE�0. LOC PRODUCTS-COMP/OP AGG S 2,000,000 AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS - COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) f BODILYINJURY (Peraccident) $ PROPERTY DAMAGE (Peraccident) S GARAGE LIABILITY ANYAUTO AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC AUTOONLY: AGG $ S EXCESS/UMBRELLA LIABILITY OCCUR CLAIMSMADE DEDUCTIBLE RETENTION S EACH OCCURRENCE S AGGREGATE $ f S S B WORKERS COMPENSATIONAND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNERlEXECIlTNE OFFICEPMEMBER FXCLUDED7 Ifyes,describeunder SPECIAL PROVISIONS below CP48352 02/22/04 02/22/05 X W STA ITS ER E.L. EACH ACCIDENT S_500 ODO E.L. DISEASE - EA EMPLOYE $500 000 E.L. DISEASE -POLICY LIMIT S 500 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Gatewood Homes, Inc. 1600 Falmouth Rd., Ste. 25 Centerville, MA 02632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT101 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR ACORD25(2001/08) r ArnonrnoonoArrnkr 4000 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYY`) 11/06/2003 PRODUCER (508) 790-1919 _ - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Sandpiper Ins. Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE A4 Y HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 12 Enterprise Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 02601- INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERAZurich Small Construction CENTURY PAINTING AND DRYWALL,INC CENTURY PAINTI INSURERB PO BOX 2903 --r1-1 �t r Q/ INSURER C: CnVFRAnPq 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE(MMIDDIYY) POLICY EXPIRATION DATE(MMIDDIYY) LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [--]OCCUR - SCP034309873 / / 12/18/2002 / / 12/18/2003 EACH OCCURRENCE $ 1,000,003 DAMAGE TO RENTED PREMISES Ea occurrence $ 300 000 MED EXP(Anyoneperson) f. 10,000 PERSONAL 8 ADV INJURY S 1,000,000 I GENERAL AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY JECLl LOC PRODUCTS-COMP/OPAGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS / / / / / / / / / / / / COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY (Per person) $ BODILY INJURY (Per aocidenq $ PROPERTY DAMAGE (Per aaidenQ $ GARAGELIABILITY ANY AUTO ' / / / / AUTO ONLY -EA ACCIDENT' S OTHER THAN EA ACC AUTO ONLY: AGG S $ EXCESSIUMSRELLA LIABILITY OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION S / / / / EACH OCCURRENCE $ AGGREGATE $ $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below / / / / / / / / TORV LIMITS ER E.L. EACH ACCIDENT S E.L. DISEASE- EA EMPLOYEE S E.L. DISEASE- POLICY LIMIT Is OTHER DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLESIEXCLUSIONSADOED BY ENDORSEMENTISPECIAL PROVISIONS PAINTING & DRYWALL (508) 778-5603 GATEWOOD HOMES 1660 FALMOUTH RD SUITE 25 CENTERVILLE MA 02632- ACORD 25 (2001/08) fkT,;. INS025 (010B).05 ELECTRONIC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE !SURER, ITS AGENTS ORf5E' NTATIVES. (800)327-0545 © A ORD CORPORATION 1981 } Page 1 of: AC08 a CERTIFICATE OF L1AB LfTY-fly St RAT[i�E- PROD4CER THIS CERTIFICATE IS ISSUE! ' 3ulli G i an, arr ty & Donnelly ONLY AND CONFE IS NO RIGHTS UPON THE 508-759-1767 HOLDER. THIS CEI. TWICATE DOES NOT AME 10 Institute Rd PO Box 15010 ALTER THE COVEF AGI1 AFFORDED BY THE I Worcester NA 01615-0010 Phone:508-754-1767 Fax:508-754-1885 INSURERS AFFORDIIIGCOVERAGE INSURED NAICX.... INSURER A: Hanov or Insurance Co I 22292 INSURER B: Arch inauranee cemmnmu•� L-- Crowell Construction, Inc. INSURER C; - - PO Box 309 INsuRFRD: So. Dennis MA 02660 INSURER E' I - (-MVFDAf_CC — ..l_.. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR'THE POLICY PER$ D RI(XCATED. NOTW ITHSTAUd0:1 ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEF' tl":ATE MAY BE ISSUED ORI�� ' MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLU., ON3 AND CONDITIONS OF SidH POLICIES. AGGRGGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �"" EFFECTIVECY UCY E:-- lTR NSR TYPE OFINSVRANCE POLICY NUMBER DA E MMIDINYY DATE E: PIRA UNITS GENERAL LIABILITY EACH OCCURRENCE Isl000000 A X CONMERCtALGENGaaLLIABIuty 2FIDT700?141 05/01/04 OS/ 11,�05 _FR777' pgEMiS 9 EAwxorlsCF�l f 100000 CLAIMS MADE a OCCUR MEDEXP(A.yc�gbd-K") S 5000 PERSONAL A Aru INAIILY $1000000 GENERAL AGOIL_lfATB~ S 2MMO-V GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COIKdXX AOG _1--- $2000000 POUCY "' LOC JECT AUTOMOBILE LIABILITY 1.._ COMBMED SMAIA LP7T f A ANY AUTO ABN7001142 05/01/04 05/ 1/05 (EaFCddanq I ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY ( Be (Per noA) -y- $1000000 X HIRED AUTOS X NON.OWNEDAUTOS - (POD'mINNRY I $1000000 PROPERTY DAMJ.Gk (Par emldem) f 500000 GARAGE LIABILITY AUTO ONLY• EAAL11LIIK3JT S ANY AUTO -� OTHER THAN ' L•^_ACC S L AUTO ONLY: I l30 EXCESSNMBRELLA LIABLITY EACH OCCURRENCE f OCCUR CLAIMS MADE _ AGGREGATE _ f DEDUCTIBLE - - 3 RETENTION S WORKERS COMPENSATION AND B EMPLOYANY ANY PROPRIE701T/PARTNEFLEXECIRNE IRWCI00100 03/22/04 03/:'2/05 TORY LIMITS L`.l ER• G.LEACIIACCR?(:NT 9500000 OFFICERAIEMBER EXCLUDED? _ _ E.L. DISEASE EA EMPI.(r(E $500000 Ryrees aeseAlx ��aer ._.._� E.L. DISEASEPOLICY LIMIT S 500000 SPECIALPROVIStONSbelow OTHER — �--'- DESCRIPTION OF OPERATIONS I LOCATIONS VEMK:LFS /EXCLUSIONS ADDED BY ENDORSEMENT f SPEC4L PROVISIONS As per policy forma, conditions and exclusions. • V,YYMLLLXIIV I', GATZWOO SHOULDANYOFTHEABOY?DFS(:RIBEDPOLR:MSSECANCL:LLL'DBEFORETNE DATE THEREOF. THE ISSUIP f MAURER WILL ENDEAVGR TO I.UA. 1O DAYS WRITTEN Gatewood Homes, Inc. NOTICE TO THE CERTIFICA• 1WI LDER NAMED TOTHEL*FT.Ihlrr FAILUR 1600 Falmouth Road Suite 25 IMPOSE NO OBLIGATION OF: LIABILITY OF ANY KIND UPON TN-E INSURER. ITS AGENTS OR Centerville PLA 02632 REPRESENTATIVES ACORD 25 (2001108) 0 ACCIRD r ACORDm CERTIFICATE OF LIABILITY INSURANCE DATE (MM o0 PRODUCER 508-428-0440 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARK SYLVIA INSURANCE AGENCY 969 MAIN STREET ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE MA 02655 INSURERS AFFORDING COVERAGE NAIC # INSURED PETER J. GOVONI DBA P. GOVONI LAND SERVICES OPEN TRAIL RD. SANDWICH, MA 02563 I INSURERA: FARM FAMILY CASUALTY INSURANCE INSURER B: INSURER C.,20 INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR hDD'U POLICYNUMBER POLICYEFFECTIVE DATE (MMlDDfYY) POUCYEXPIRATON DATE (MMlDDfYYI LIMITS GENERALLUIBILITY EACHOCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR 20011-6202 05/31/2004 05/31/2005 PREMISES Eaoxurence $ MEDEXP(Anyonepenon) S 5000 PERSONAL SADV INJURY S GENERALAGGREGATE $ 2.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS, COMPAP AGG S 1,000.000 POLICY PRO' LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Parperacn) S ALLOWNEOAUTOS SCHEDULED AUTOS BOOILYINJURY .. (Peraccident).s-- _ HIREDAUTOS NON,OWNEDAUTOS PROPERTYDAMAGE (Par amident) $ .._. _.__... . ' - ... - - GAR LIABILITY. - AUTO ONLY, EA ACCIDENTS" -' OTHERTHAN EAACC S IGE YAUTO - - - S -' .. AUTOONLY. AGG EXCESSIUMBRELLA LIABILITY - EACHOCCURRENCE - S ' OCCUR CLAIMS MADE AGGREGATE S S $ DEDUCTIBLE $ RETENTION S A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE TO BE ISSUED 07/04/2004 07/04/2005 I T CY IMIT,S X O R E.LEACHACCIDENr s 1,000,000 E.L. DISEASE, EA EMPLOYEE I S 1,000,000 OFFICERIMEMBER EXCLUDED? a ea, describe under SPECIAL PROVISIONS below E.L DISEASE>POLICYLIMIT S 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS LOGGING AND LUMBERING, TREE PRUNING, STREET CLEANING CFRTIFICATF HOI nFR - CANCFI 1 ATIAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION - DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN GATEWOOD HOMES, INC. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1600 FALMOUTH ROAD #25 IMPOSE NO OBLIGATION OR LIABILITY QF71NY'9UR� E3A' BENTS OR CENTERVILLE, MA 02632 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I I I AGURD25(2001/03) ( 'ACORDCOF%PRATION1988 I.. .r.,?::.:. :..:...... .: ... ..,:: :....:;: t� :"' w � ....... ... J:i:DATE.(..A M/D D/YY) ...�FrA 08 03 04ACDRD ::.:,.. n::: v«<.:v:rv.:::.::,,.:...:..........:........ .. PRODUCER HAROLD H WILLIAMS INSURANCE AGENCY 81 BASSETT LANE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A MERCHANTS INS CO OF MA HYANNIS MA 02601- (508) 775=3366 ( ) - INSURED STEPHEN M CHILDS COMPANY B 145 CAMMETT ROAD COMPANY C COMPANY D MARSTONS MILLS MA 02648- 508) - G S.. <: COttERA THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, BEEN REDUCED BY PAID CLAIMS. CO LTR TYPEOFINSURANCE POUCYEFFECTIVE POLICY NUMBER DATE(MM/DDAM POLICY EXPIRATION DATE(MM/DDIYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALUA131UTY CLAIMS MADE OCCUR OWNER'S 8 CONTRACTOR'S CURPROT CCP8567749 04/28/04 04/28/05 GENERAL AGGREGAT s 6 0 0 0 0 0 PRODUCTS. COMP/OPAGG s600000 PERSONAL & ADV INJURY s 3 0 0 0 0 0 EACH OCCURRENCE s 3 0 0 0 0 0 FIRE DAMAGE (Any one fire) S MED EXP (Any one person) s5 0 0 0 AUTOMOBILE LIABILITY , ANYAUTO / - / / / COMBINED SINGLE UMIT S ALL OWNED AUTOS _ - BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO - AUTO ONLY -EA ACCIDENT S OTHER THAN AUTO ONLY: r .. �:: :': '. EACH ACCIDENT $ AGGREGATE S EXCESS LIABILITY UMBREUA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' UABIUTY / / / / EACH OCCURRENCE - $ AGGREGATE $ TNRY LIMITS - ER S - EL EACH ACCIDENT S EL DISEASE - POLICY UMIT S THE PROPRIETOR/ INCL PARTNERSIDECUiIVE - OFFICERS ARE: EXCL - EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ELECTRICAL WIRING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 2 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Gatewood Homes Inc. 1600 Falmouth Road Ste 25 Centerville MA 02632 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES - AUTHORIZED REPRESENTATIVE ' .......... I» ......:........:;:::.;.;::.:s.:.;..;:.:.:..:;:;..;: ;:.. ACQRD S:a0 ..:;: . .. 11{'S7RI ;C4RE+q) IITIQN 1. 8 : _1 , CERTIFICATE OF.'INSURANCE ISSUE DATE(MM/°°'Y;" 09/03/2004 PRODUCER - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Harold H Williams Ins Agcy Inc DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 81 Bassett Lane Hyannis, MA 02601 COMPANIES AFFORDING COVERAGE INSURED Stephen M. Childs 145 Cammett Road COMPANY A.I.M. Mutual Insurance Co LETTER A Marstons Mills, MA 02648 COVERAGES ', 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 CONTRACTOR OTHER DOCUMENT WITH RESPECPTO 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. Co L TYPE OF INSURINCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YY) POLICY EXPIRATIO DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE S PRODUCTS-COMP/OP AGG. $ COMMERCIAL GENERAL LIABILITY MS MADE=IDCCUR PERSONAL & ADV. INJURY S OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE (Any o fire) $ MED. EXPENSE (Any one person) S AUTOMOBILE LIABH.ITY ANY AUTO COMBINED SINGLE LIMIT S BODILY INJURY (Per Pen" $ ALL OWNED AUTOS SCHEDULED AUTOS - BODILY INJURY (Per=ident) $ HIRED AUTOS ON -OWNED AUTOS PROPERTY DAMAGE S GARAGE LIABILITY SS LLIBIIITY EACH OCCURRENCE S AGGREGATE $ BRELLA FORM r ` -• HER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: X E% 7015793012003 12/13/2003 12/13/2004 XOTH- WLIMITS CYL MTi .E& FT, EACH ACCIDENT $ wo,ow EL DISEASE —POLICY LIMIT S 500.000 EL DISEASE —EA EMPLOYEE S l00 O00 OTHER DESCRIPTION OF OPERATEONS/LOCATIONS/VEmcLES/sPEcuL ITEMS CERTIFICATE HOLDER ; CANCELLATION „ .�.._ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE GATEWOOD HOMES INC. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 1600 FALMOUTH ROAD, SUITE 25 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. %- AUTHORIZED REPRESENTATIVE CENTERVILLE, MA 02632 ACDRD.. CERTIFICATE OF LIABILITY INSURANCE e%z%20o RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McShea Insurance Agency, Inca ONLY AND CONFERS NO RIGHTS UPON .THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655 508-420-9011 INSURERS AFFORDING COVERAGE NAIC# INSURED Casperson Overhead Doors - INSURERA: Worcester Insurance Company INSURERS: National Grange Mutual BOX 517 INSURER C: East Falmouth, MA 02536 INSURER D: 508-563-5633 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADDIL INSRO TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTiVE DATE MM/DD POLICY EXPIRATION DATE MWOO LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 PREMISES Ea occurence $ 100,000 X COMMERCIAL GENERAL LIABILITY CLAIMSMADE ❑X OCCUR MEDEXP(Any weperson) S 10,000 A CB 2J1973 05/28/04 05/28/05 PERSONAL &ADV INJURY E 1 000 000 GENERAL AGGREGATE E 21000 000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG S 2,000 OOO POLICY PRO. LOC AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS - SCHEDULED AUTOS BODILYINJURY (Perperson) E BODILY INJURY (Peraccident) S HIRED AUTOS NON-OWNEDAUTOS PROPERTY DAMAGE (Peraccident) $ - GAR AGE LIABILITY AUTO ONLY-EAACCIDENT E ANYAUTO OTHER THAN EAACC E - S AUTOONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMSMADE - EACH OCCURRENCE E AGGREGATE $ E DEDUCTIBLE E RETENTION E E WORKERS COMPENSATIONAND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE CP48352 02/22/04 02/22/05 X A - - TORYLIMITS ER E.L.EACH ACCIDENT E 500 OOO B OFFICER/MEMBER EXCLUDED? Ifcn E.L. DISEASE- EA EMPLOYE $ 5OO 000 E.L. DISEASE -POLICY LIMIT E 500 000 PE LAL PReundefVISIO SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Gatewood Homes, Inc. 1600 Falmouth Rd., Ste. 25 Centerville, MA 02632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR ©ACORDCORPORA ti AD-ORD. CERTIFICATE OF LIABILITY INSURANCE p ODUCER '(781)431-9800 FAX (781)431-0222 THIS CERTIFICATE IS ISSUED AS A MATTER OF ONLY AND CONFERS NO RIGHTS UPON THE CE Cochrane & Porter Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEN[ C/o Renaissance Alliance Ins. ALTER THE COVERAGE AFFORDED BY THE PO 981 Worcester Street INSURERSAFFORDING COVERAGE Wellesley, MA 02482 INSURERA: One0eacon American, Ins. Co. INSURED Cape Cod Ready Mix, Inc. C n 300 Cranberry Highway Orleans, MA 02635 INSURERB: Commerce Insurance Ompa y INSURERC: Zimmerman Specialty Insurance INSURER D: INSURER E DATE (MMIDDIYYYY) OR NAIC # VERAGES THE POLICY PERIOD INDICATED. TO THE INSURED NAMED ABOVE ANYREQUIREMENTS TERM OR CONDITION F ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT CE LISTED BELOW HAVE BEEN ISSUEDOTO WHICH THIS CERTIFICATE MAY BE ISSU D OR DIN( MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ ....., ___ __ .............� POLICY NUMBER PnnTP le iArnfi YYIVIE PDAT Y EXPIRATION LIMBS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE aX OCCUR A GENT. AGGREGATE LIMIT APPLIES PER: POLICY EC LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS B X HIRED AUTOS X NON -OWNED AUTOS [4 GARAGE LIABILITY I ANY AUTO EXCESSIUMBRELLA LIABILITY X] OCCUR CLAIMS MADE DEDUCTIBLE RETENTION f WORKERS COMPENSATION AND EMPLOYERS' LIABILITY � IC4ERIMEMBER EXCLUDED? OF I VEHICLES( Gatewood Homes, Inc. 1600 Falmouth Rd. Suite 2S Centerville, MA 02632 25 (2001108) XY90 ADDED BY 0 EACH OCCURRENCE f 1,000 DAMAGE TO RENTED f 100 MED EXP (Any one person) f 5 PERSONAL & ADV INJURY f 1,00 GENERAL AGGREGATE f 2,000 PRODUCTS -COMPIOP AGG f 2,000 COMBINED SINGLE LIMIT (Ea accident) f 1 BODILY INJURY (Par person) f BODILY INJURY (Per accident) f PROPERTY DAMAGE (Per accident) f AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG f f S EACH OCCURRENCE $ 1 AGGREGATE f 1 IR s s f E.L. EACH ACCIDENT E.L. DISEASE - EA EM E.L. DISEASE - POLIC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRTREN NOTICE TO THE CERTIFICATE HOLDER NA.10 TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OSLIGA OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR R RESENT IVES. AUTHORIZED REPRESENTATIVE _L- CORPORATION 1988 t Aripi ,. CERTIFICATE OF LIABILITY INSURANCE 08102104°'"Y' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Fel elberg Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 Milliken Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 3220 Fall River, MA 02722 INSURERS AFFORDING COVERAGE INSURED INSURER A. Construction Industries Compensation Cape Cod Ready Mix Inc. INSURER B: PO Box 399 - INSURER C: Orleans, MA 02653 INSURER D: f INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE -PDATE EXPIRATION LIMITS GENERALUABILITY COM M ERCIAL GENERAL LNB ILITY CLAIMS MADE OCCUR - EACH OCCURRENCE E FIRE DAMAGE (Any one fire) E MED EXP (Any one person) E PERSONAL 6 ADV INJURY E GENERAL AGGREGATE E GEN'L AGGREGATE LIM IT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGO E AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS - NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) E BODILY INJURY (Per person) E BODILY INJURY (Per accident) E PROPERTY DAMAGE (Per accident) E Ij GARAGE LIABILITY N ANY AUTO AUTO ONLY - EA ACCIDENT E OTHER THAN EA ACC AUTO ONLY: AGG E E EXCESS UABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION E EACH OCCURRENCE E AGGREGATE E E E E A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC0009254 01/01/04 01/01/05 WC STATU• GTH- )( TORY LIMITS E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500000 E.L. DISEASE - POLICY LIMIT $500:000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENOORSEMENT/SPECIAL PROVISIONS Gatewood Homes Inc. 1600 Falmouth Road Suite 25 Centerville, MA 02632 SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TO DO SOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR ACORD 25-S (7/97)1 of 2 #S61300/M55627 CL3 0 ACURU GURPVHAIIUN Itd1A3 Au>r-03-04 02:42pm From-AIG 273-316-6803 T-2T0 P.002/002 F-481 ---I;- ._I!y '.'f(1 "Mn o-i n. r� .� r -. 'iy•..JIY •�. I. Yi''. .YI'}'• :�'■.. _../F y�T. :•.' �:J '�frLn`I I�yYs�r`: • nr'. F,I,'.:f n.r1.R-' :I.:1M �'. N.' .nli �' r:Y; :: .w� �• .��[' ..w '.r _i .. ti • Y: 1... `.. .. < ',f '.d �,. '4�J' I. .LLfYrI.. ?`k a:; ;rp,.. •..,tti''!' f��'C1=R'1 JFI ATEI.OI?;I; I,..,' ,.. .09/03704t-: .. ..r. ..i'A .-. r,ai,. 'h% .: ' �y.: �:''�'..}>. ai�': r•:. ,''}. P:.1 .�•�,,'. ,'•r. 1. ..:I T '<.Ir" ':�F•''�.. .u..,l�,• ��•'•r ,..:f y;�:' � .i VA: ::�l.F'ili PRODUCER THIS CERTII ICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND ( ONFERS NO RIGHTS UPON THE CERTIFICATE Dias Ins Agency Inc HOLDER. TF IS CERTIFICATE DOES NOT AMEND, EXTEND OR 535 Brayton Avenue ALTER THE ;OVERAGE AFFORDED BY THE POLICIES BELOW - Fall Fall River, MA 02721 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED Ejja Carpentry Inc 100 West Main Street, St 10 Hyannis, MA 02601 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED :ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT WITHSTANDING ANY REOL REMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY B : ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED THE_.. POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E 2LUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co LTR TYPE OF mst"N -E POLICY NummER rGLICY EFfEcrNE DATE POL,CY EXPIRATRIN DATE - A ORNERS ENSATCON kND EMPLOYERS' LABILITY E PROPRIETOR! LIMITS IC�F_�RS RXECUTIVE)FF::3:. "•ii I' , y T •'• • -:d4• NCLOEXCL❑ CGroup 7/24/2004 7l24/2005 TATUroRYLAATs +•{I,:. •.:.1 .r.::•i';'r.;;;,»'�'. 0085615 APFGm b MA opa o A6 Dmy. CHACCIDENT $ 1,008,00 SEASE POLICY LMR S 1.000,00 SE -EACH EM S 1,000.0 DESCRIPTION OF OPERATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION GATEW OOD HOMES SHOULD ANY OF THE AM /E DESCRIBED POLICIES BE CANCELLED BEFORE THE 1600 GALMOUTH ROAD. SUITE 25 EXPIRATION DATE THERE W.THE ISSUING COMPANY WILL ENDEAVOR TD MAIL!D CENTERVILLE. MA 02632 DAYS WRrrrEN NOTICE T ITHECERTIFIGTERDLDERNMNEOTOTHELEFT.RUT FALURE TO MAIL SUCH N MCE SHALL IMPOSE NO OBLIGATION OR LABILrrYOF ANY KIND UPON THE COL -ANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REP`RI SENTAMVE 08/24/04 10:36 FAX 5087900249 GOLDMAN ASSOC Q01 AOD CERTIFICATE OF LIABILITY INSURANCE CSR AB DATE(IBR9dYYYTF GOODR50 I OS 23 04 PRODUCER THIS.CERT)F)CATB IS-ISSUEDAShMhFFER-OP iNFORmATK)m - GOLDMAN & ASSOCIATES INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE RINANCIAL SERVICES INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND,.EXTEND OR g33 PALMODTB- RD. ALTER-TI* C0YERA6&AFFORf3ED-0*THE4KWXIES-BEiON. HYAN IS MA 02501 Phones 508-775-6010 FOE:508-790-0249 )NSURERSAFFORDING COVERAGE NAiGI. INSURED INSURERA: ESSEX INSURANCE CO INSURERS! AIM ZU=AL INSURANCE CO. GOODWIN RENOVATIONS INC PO BOY 116 SAGAMRE BEACH MA 02562 C: v THE POLrEs OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITMSTANOING ANY REOUII'Ir—MEM, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE WSURANCEAEEOROED SYTHE POLICIES 06=18ED HERE BI IB SUBJECT TO ALL THE TEWAS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LRIRS SHOWN MAY HAVE BEEN REDUCED Sy PAID CLAIMS LTR TYPE OF MISUPANCE POLICY Numem PDONTIZMW DA LIMB! A GENERAL LUIJULRY X commERcLALGEHERALuABww —. CLAIMS IMAM OCCIII 3CH2718 12/12/03 I 12/12/04 EACH OCCURRENCE 31000000 PREMISES(Eaaananw) s50000 MED EXP(Any "pw ) S5000 PERSONAL a ADV IUUFIv S1000000_ f 20W(T=' GENERALAGG%GATE GEWL AGGREGATE LIMIT APPLIES PER POLICY jECT71 LOC PRODUCTS-COMPIOPAGG S1000000 AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULEOAUTOS HIiEDAUT03 NON2)WNED AUTOS COMBINED BINDLE LIMIT (FA a¢IdeN) S BODILY IUURY Mm Fwaaa) S BOOZY INJURY (Pw awdwa) S PROPERTY DAMAGE (Per awdeM) f GAEAGE LIABILITY ANY AUTO AUTO ONLY -GI ACCIDENT f OTHERTHAN EA ACC AUTOONLY•. AGO s S IXQE�SN EUJ1 IUA_N.RY OCCUR Q CLAIMS MADE DEDUCTIBLE RETENTION s EACH OCCURRENCE S AGGREGATE_ S s s S BEMPLOYEW WOFJ(M COe�QLTATION AND ,EroRIrnRrneRe�tUrlve Any OFFICERIMEMBEREXCLUDEOT 5�[t�'NALPibe wderSbNSedow MASFC7016018012004 01/03/04 01/03/05 TORY LTAIIMITS ER EL-EACHACCIDENT s100000 E.LOISEASE•EAELPI_ _ f 100000' ELaSEASE-POLCYtILLtT S 500000 GTHER— DESCRip7XH1OFOpERATRM LOCATIONS)VF1iCLESIEXCLUSIONSAODcMBYENBORSEMENT/SPECIAL PRF)Y73iONS GATEWOOD HONES INC FAX 508-778-5603 1600 FA=uTB ROAD CH24TERVILLE MA 02632 �a1.E 0 SHOULD ANY OETHE ABOVE 01 -POLK= BE CANCELLED BEFOM TY.E zxmATIm DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TQ THE CTR T*VATE HOLDER NAMES TO THE LfFr, BUT FALURE TO 00 SO SHALL UPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE MLjVRER, IT I A4ErnS OB 8/4/04 2:30:35 PM 4154 ® 02/03 r A,CORP. CERTIFICATE OF LIABILITY INSURANCEDATE (M s/o 1 08/0MI4/2oo4D004, PRODUCER (508)S40-2400 FAX (508)760-1988 Murray & MacDonald Insurance Services Falmouth, MA 02540 Douglas MacDonald THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE - HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# NsuRED TRACY HOWERTON PO BOX 1SS1 MASHPEE, MA 02649 INSURER A: Hartford Fire Ins co 19682-- INSURERB: Liberty Mutual Ins Corp INSURER C: INSURER 0. INSURER E: AGES THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTAND046 ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR ADD TYPE OFNSURANCE POLICYNUMBER POLICYEFFECTNE POLICY EXPIRATION LIMITS GENERAL LIABILITY 08SBAIQZ794S 10/02/2003 10/02/2004 EACH occuRRENcE E 504 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PRFUMPq IF, E 300 CLAIMS MADE ❑ OCCUR MED EXP (Any we Pia) $ 10,. A PERSONAL SADVINJURY $ S00 GENERAL AGGREGATE § 1'OOO'OOC GENLAGGREGAlE LMITAPPLIESPER: PRODUCTS-COMP/OP AGG § 1000 POLICY JC� LOC AUTOMOBLE LUIBIIITY ANY AUTO COMBINED SINGLE LIMIT (Ea wadmQ $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Pw pv a ) § HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Px W[a ) § PROPERTY DAMAGE (Pa accidwi) $ GARAGE LIABIRY AUTO ONLY-EAACCIOENT S ANY AUTO OTHER THAN EA ACC S S AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY - EACH OCCURRENCE § OCCUR ❑ CLAIMS MADE AGGREGATE- DEDUCTIBLE- E § RETENTION S - WORKERS COMPENSATIONAND WC131S317310021 10/05/2003 10/05/2004 WCSTATU- OTH• ER B EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUFNE . EL EACH ACCIDENT § 1OO r E.L. DISEASE -EA EMPLOYEE $ 100 OFFICER/MEMBER EXCLUDED? If yac des a antler E.L. DISEASE -POLICY LIMIT E SOD SPECIAL PROVISIONS Daly OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Gatewood Homes Jeffrey Sollows 16 Falmouth Road Suite 25 Centerville, MA 02632 ACORD 25 (2001108) rwL: f0wa)iia-was SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ZQ- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL NPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPONTHE INSI AUTHORIZED REPRESENTATIVE 1515 OACORD CORPORATION 1988 AUG-03-2004 09'-25 RIDER RISK SPECIALISTS 1 508 564 7272 P.01i02 ACORD .ERlE�CTE1' PRODUCER !laltCE u ""' „1 07 28/04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE' HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR RIDER RISK SPECIALISTS ALUR.-THE.CIEVERAGF AFFORDED BY THE POLICIES BELOW. COMPANI,E$ AFFORDING COVERAGE INSURANCE AGENCY, INC. CoA.P.NY- P . O . BOX 115 CATAUMET MA 02534-0115 A SCOTTSDALE INSURANCE COMPANY cOMFA .. .' .... INSURED ---^..... MONUMENT INSULATION, INC. B AMERICAN HOME INSURANCE COMPANY COMPANY 223 COUNTY ROAD BOURNE, MA 02532 C. _ _. __• COMPANY D ,CIY%YERIEI� r' < ,.., w{.,..<',:.>.'.,...a ,.., •>«..r.� �.. .,. w,'r. ,l�rn,.«.""a" «iiw ,�,a«. e,., w,t '..,.,�,,,.. -,.., ,r.a ..e,...„„C'�,....:,:. a, ,. .xor, .,..': 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-HEREW-IS-SUBIECT TO-ALLTHf-TEaMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co LTR TYPE OF INSURANCE POLICY NUMBER PDUDATE pA EFFECTIVE - ORATE IRA INFULDYI - GENERAL UABIUTF GENERAL AGGREGATE 61, 000, 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FOCCUR PRODUCTS - CO_MPIOP AGO PERSONAL T. AOV INJURY $5 0 O O O O E500, 000 2 OWNEWSA CONTRACTORS PROT CLS1001705 - 3/30/04 3/30/05 EACH OCCURRENCE e50O1000 CwE DAMAGE IAAV IIwIe Rn1 650,000 NIED EXF UDY OM wwAI T5 000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT i- , BODILY INJURY IPA OM{aY F ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY Ma Acnrfmal HIRED AUTOS NON -OWNED AUTOS E PROPERTY DAMAGE L., GARAGE UAIPUTY AUTO_ONLV . EA ACCIDENT 5 OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT E ` AGGREGATE F - EXCESS LIABILITY - EACH OCCURRENCE E 9 UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM F WORKERS COMPENSATION AND CMPLOVDW LIABILITY X W 6TATU• OTn-::::.::L •.�� EL EACH ACCIDENT 0100,000 B THEPROPRIETOAJ X mct PARTNERSIEXECUTIVE OFFICERS ARE: EXCL WC 768 29 54 3/5/04--- 3/5/05 _ _ EL DISEASE- POLICY LIMIT _ F500- GGG- --• • EL DISEASE - EA EMPLOYEE 3100000 OTHER DESCRIPTION OF OPCAATIONSILOCATIONS;iC CLCSXPCNBAL ITEMS G.1Ri1FlCATE HOLOEI# w .. NA140iRidflR .. « a. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEUED BEFORE THE GATEWOOD HOMES EXPIRATION DATE THEREOF, THE ISSUING COMPANY. WILL. ENDEAVOR TO MAIL �L 1600 FALMOUTH ROAD #25 .1-E DAYS WRITTEN NOTICE TO THE CEATIFICATE HOLDER NAMED TO THE LEFT. CENTERVILLE, MA 02632 BUT FMLURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE COMPANY. ITS AGEi OR REFRpO7TATIVES. AUTHORIZED rrATI 4 f 08/03/04 09:22 FAX 5087900249 GOLDW ASSOC [a02 ACORE I:ERTIFICATE OF LIABILITY INSURANCE TACVAN50 08/�02/04 PRODUCER - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GOLDMAN & ASSO .IATES 3 NSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FINANCIAL SERV .CPS INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 933 FALMOLTH W ).. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HYANNIS MA. 02611 Phone) 508--775-6010 FaxL508-790-0249 INSURERS AFFORDING COVERAGE RODNEY TAVANO DBI of NA ICAL SYSTEMS 110 T4 BARNI ,TABLE MA 02668 INSURER B: INSURER C: INSURER O NAIL 0 lU7-AA THE POLICIES OF INBURM = LISTED BELOW HAVE BEEN ISSUED TO THE INSURED HAMM ABOVE FOR THE POLICY PERIOD NDICATEEL NOTWITHSTANDING ANY REDUNEMEFfr. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE NSUW NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN NI SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LP ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR WATYPE 0 ' INSURANCE POIJLI! NUMBER DATE AIIIIO DATE MMFD LMBTS A GENEWLLLJABN TT Y CCMMERCU LGENEFALLWBLITY aAiw MADE ® OCCLBL WL8172 11/21/03 11/21/04 EACH OCCURRENCE s1000O00 PREMISEern u S s 50000 MED D(P WN nnit pmsne) S 50 00-. PERSONAL QADV INJURY $1000000 -- GENERALAGGREGATE s 2000000 GEN'L AGGREGA TE LIMIT APPLIES IM FoLcYE JEFcT tDC PRODUCTS• COMPIOP AGG 42000000 AUTON)BLE LB BBJTY AN/AUTO AU.OWNEC AUTOS SC+EDULEI AUTOS HIED AUTLS NCM OWNS t AUTOS . - COMBINED SINGLE LIMIT (EA eladwO s - BODILY INJURY (' P« ) S BODILY IUURY (PM eCCIdMN) S PROPERTY DAMAGE (Pere dtrt) $ -- GARAG EUABEfY ANT AUTO AUTO ONLY. EA ACCIDENT s-... OTHER THAN FA ACC AUTO ONLY: AGG s L-- EXCESIAJMBREI LA UIBILITY OCCUR ❑ CLAIMS MADE DE XICTIBL REIENnON s EACH OCCURRENCE s AGGREGATE i... s s B WORIEILTCCMIPENSA TONAND EATPLOYER A4UM ANY PROPRIE TOR/PAR NF.RIEJECUTIVE OFFICERNE4 BER EXC AIDED? ur4W I .lav *7278A84903 05/03/04 05/03/05 TORY LLLITS FR EL EACH ACCIDENT $100000 El DISEASE - EA EMPLOYEE5100000 EIDISEASE-POLICY LIMIT s 500000ASIONS r tERAT0 St LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMEM)SPECIAL PROVISIONS GATmot o HOMES INC FAx 501:-778-5603 1600 Z SIMODTH ROAD CENTER"ILLS MA 02632 25(200I=) GATENOO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10- DAYSWRnm NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FMLURETO DO E0 SHALL MO-13M NO OBLIGATION OR LJABUM OF ANY IOND UPON THE INSURER; RS=ERTSOit REPRESENTATMEB. y MAScheck COMPLIANCE REPORT i I I I Massachusetts Energy Code I Permit # MAScheck Software version 2.01 Release 2 I I Checked by/Date i CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 4-21-2004 DATE OF PLANS: 04/21/04 TITLE: The Sandpiper PROJECT INFORMATION: Mill Pond village 1600 Falmouth Road Unit #25 Centerville, MA. 02632 COMPANY INFORMATION: Northside Design Assoc. 141 Main Street Yarmouth Port, MA. 02675 COMPLIANCE: PASSES Required UA = 223 Your Home = 138 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 845 30.0 30.0 14 WALLS: Wood Frame, 16" O.C. 1415 15.0 15.0 62 GLAZING: windows or Doors 93 0.340 32'_ GLAZING: windows or Doors 80 0.340 2Z " DOORS 40 0.086 3 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations' submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and 34.4. Builder/Designer Date Massachusetts Energy Code MAscheck Software version 2.01 Release 2 4 The sandpiper DATE: 4-21-2004 Bldg Dept use [] [7 I I [7 I [] [] CEILINGS: 1. R-30 + R-30 Comments/Location WALLS: 1. Wood Frame, 16" O.C., R-15 + R-15 Comments/Location WINDOWS AND GLASS DOORS: 1. U-value: 0.34 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location 2. U-value: 0.34 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: 1. u-value: 0.086 comments/Location AIR LEAKAGE: joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. when installed in the building envelope, recessed lighting fixtures shall.meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture, shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. I I [] [7 I DUCT INSULATION: Ducts shall be insulated per Table 34.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return' ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: - Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and 74.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): HEATING SYSTEMS: Low pressure/temp. Low temperature steam condensate COOLING SYSTEMS: Chilled water or refrigerant PIPE SIZES (in.) TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 201-250 1.0 1.5 1.5 2.0. 120-200 0.5 1.0 1.0 1.5 any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only) N EFFICIENCY . • • • RATING CERnFM L / aura C C � Air Conditioning &Heating Gc�srek < < $TEo 0 92.6% AFUE MULTI -POSITION CONDENSING GASFURNACE GMNT SERIES Li HcirrxcR. tivAlYhANYY°rv,"�+: $0'psHF.fRntS.TY�IRM]lE1t Description / Application • All models design certified by ITS to be in compliance with ANSI Z21.47 and CAN/CGA 2.3 (Canada) safety standards • Completely assembled, factory run -tested furnace, for heating or combination heating/ cooling application • For utility room, closet, alcove, basement or attic application • Vertical or horizontal venting with 2" PVC for 40k, 60k, and 3" PVC for 80k, 100k and 120k • Capable of multi -position installation — upflow, downflow or horizontal • For direct vent (2 pipe) or non -direct vent (1 pipe) installations Construction • Heavy gauge, reinforced, wrap -around insulated steel cabinet with durable baked enamel finish • Tubular heat exchanger (Primary) • Bottom or side air inlet • Aluminized steel inshot burners • Convenient left or right hand connection for gas, electric service, combustion air and vent • Removable solid bottom block -off Standard Equipment • Energy saving PSC, multi -speed, direct drive blower motors • Quiet operating, sound isolated blower assembly • 40VA transformer for heating and air conditioning control service • Combination redundant gas valve and regulator • Integrated furnace control with diagnostics • Blower door safety switch • Energy saving Hot Surface Ignition system • Multiple flame roll -out switches • Outlet air limit switch • Pressure switch for proof of air • Complies with California NOX Standards • Completely insulated cabinet • Corrosion resistant 294C secondary heat exchanger that extracts energy from the gas and converts it to usable heat • Quiet, corrosion resistant plastic induced blower assembly • Drain kit contains vent screens, drain trap, hoses & clamps Optional Equipment • L. P. Conversion Kit (LPT-01) • Concentric Vent Kit (CVK-00) As an Energy Star Partner, Goodman Mfg. Co., L.P., has determined that this product meets the Energy Star guidelines for energy efficiency Information contained herein is subject to change without notice. Made in the USA by: Goodman Manufacturing Company, L.P. SS-312D 2550 North Loop West, Suite 400 - Houston, Texas 77092 GMNT Series 10/01 www.goodmamnfg.com. PERFORMANCE RATINGS Model Number GMNT Natural Gas Input BTUH Natural Gas Output BTUH Propane Gas Input BTUH Propane Gas Output BTUH DOE AFUE Temp. Rise 0403 40,000 37,000 .37,000 34,000 92.6 25-55 0603 60,000 55,000 55,000 51,000 926 35-65 080-4 80,000 73,500 73,000 73,000 92.6 35-65 1004 100,000 92,000 92,000 85,000 92.6 40-70 1205 120,000 110,000 111,000 1 102,000 1 92.6 1 40-70 BEFORE PURCHASING THIS APPLIANCE, READ IMPORTANT ENERGY COST AND EFFICIENCY DATA AVAILABLE FROM YOUR RETAILER. SPECIFICATION DATA clModel u1ala Number Motor 11� 11w Blower Vent* Dia Combustion* Air Filter Size In Perm. / Disp. Electrical Ship Weight HP Spd. Dia. Width FLA Max Fuse 0403 113 3 10 6 2' 2' 290 / 580 52 15 170 0603 1/3 3 10 6 2' 2' 2901580 52 15 180 0804 1/2 3 10 8 3' 3' 3851770 7.8 15 205 100� 1/2 3 10 10 3' 3' 385 / 770 7.8 15 225 120-5 314 3 11 __ 1 10 _ 3' 3' •. _ 1480 / 960 _ _ _ 1L I'.L 92 1 LL 15 �w.J�..wLiwwe. 265 •.J�iwM "Note: Vent ano comousuon wi UIMICLU10 Mar ralr aacrcl lullly ..�...,....... .....;�,........._.. ..._. ...-_---------•-------- ac company the furnace. 28" A 55" 3" 195,, 6" 471, „ I` 4 � 8 4$—B� 6 4"r 4 J,1" COMB. AIR INLET i 128"COMB. AIR INLET GAS INLET 51 •, 4 VENT • n 4 O 27.. LOW VOLTAGE 4„ ELEC. 1 104 4 13$" Model GMNT A B Combustible Floor Base 040-3 & 060-3 14' 12 W SBM14 0804 17 % 16' SBM17 100-4 21' 19 Y; SBM21 1205 24 % 23' SBM24 SS-312D GASINLET `LOW VOLTAGE i ELEC. CLEARANCES FROM COMBUSTIBLE MATERIALS Sides Rear Front Vent To 1' 0' 3' 0' Ill Approved for line contact in the horizontal position. *36' clearance for serviceability recommended. 2 " CASED (U) COIL. APPLICATION OPTIONS Fumace Model Number GMNT040-3 & GMNT060-3 GMNT080-4 GMNT100-4 GMNT120-5 Furnace Width 14' 17'/2' 21' 24'/=' Coil Model Number Coil Width U-18 14' x U-29 14' x U-30 17'i' x (1) x (2) U-31 14' X U-32 17'% X (1) X (2) U-35 14' X U-36 171/V X(1) X(2) U-42 17'/' X (1) X (2) U-47 17'/-' X U-49 21' X(1) X(2) U-59 21' X(1) X(2) U-60 24'/i X(1) X(2) U-61 24'/i X(1) X(2) U-62 21' X(1) X(2) (1) Using the factory installed bottom cabinet filler plates (2) Discard bottom cabinet filler plates Due to the rating mix/match of various coils with outdoor units it is important to match the furnace air flow for the total system capacity. Refer to furnace, heat pump and/or condensing unit specification sheets. AIRFLOW DATA CFM - NO FILTERS MODEL STATIC .1 .2 .3 .4 .5 .6 .7 .8 HI 1370 1315 1260 1200 1140 1070 1000 925 GMNT MED 1210 1170 1130 1085 1040 980 920 860 040-3 LOW 895 880 870 840 825 780 725 680 HI 1360 1300 1250 1190 1135 1065 1000 930 GMNT MED 1200 1170 1130 1080 1035 975 925 880 060-3 LOW 910 895 865 855 835 790 750 700 HI 1865 1800 1735 1660 1590 1510 1415 1320 GMNT MED 1690 1645 1600 1545 1485 1410 1345 1245 080-4 LOW 1450 1400 1390 1360 1325 1270 1200 1125 HI 2010 1945 1875 1800 1 1715 1620 1510 1400 GMNT 100-4 MED 1725 1700 1670 1615 1550 1475 1375 1275 LOW 1430 1390 1350 1315 1285 1245 1160 1070 HI 2360 2325 2300 2170 2125 2045 1945 1850 GMNT MED 1815 1750 1710 1660 1600 1545 1480 1415 120-5 LOW 1275 1215 1190 1145 1110 1055 985 925 Values indicated by shaded areas represent airflows tnat are too iow Tor heating Temperature nse. SS-312D 3 1 •r 7 NOTE: SPECIFICATIONS AND PERFORMANCE DATA LISTED HEREIN ARE SUBJECT TO CHANGE WITHOUT NOTICE Quality Makes the Difference! All of our systems are designed and manufactured with the same high quality standards regardless of size or efficiency. Our designs virtually eliminate the most frequent causes of product failure. They are simple to service and forgiving to operate. We use the highest quality materials and components available because if a part fails then the unit fails. Finally, every unit is run tested before it leaves the factory. Thats why we know... There's No Better Qualify. Visit our web site at www.goodmamnfg.com for information on: • Goodman products • Warranties • Customer Services • Parts • Contractor Programs and Training • Financing Options SS-312D 4. CCIN N fr — 21.3' 01 30.3= — I LOT 123 75.76 � 26. 0 a fry � V. O �' 03 Ito /I W 1.0 EXISTING LOT 122 FOUNDATION N o as h ,� Q2?' 4' 6.1' 27.0' zo I N C 6.1 `t M O CP 00 � N "a n N \ O • U1 INs o• . N\22, m y 28 99. g 41 W I LOT 121 I CERTIFY THAT THE FOUNDATION IS LOCATED IN FLOOD PLAIN ZONE C AS SHOWN ON FLOOD INSURANCE RATE MAP COMMUNITY PANEL NO. 250015 0005D AND THAT FLOOD PLAIN ZONE C IS NOT A SPECIAL FLOOD HAZARD AREA. 8 2G DATE RE TERED P OFESSIONAL LAND SURVEYOR GRAPHIC SCALE 20 10 0 20 ( IN FEET ) 1 inch = 20 M I CERTIFY THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN, AND THAT ITS LOCATION CONFORMS TO THE MINIMUM SETBACK REQUIREMENTS OF THE 40B SPECIAL PERMIT. fz6D DATE REGI RED PROFESSIONAL LAND SURVEYOR 60 Unless and until such time as the E original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears an this plan: (A) no person or persons. Including any municipal or other public officials, may rely upon the Information contained herein; and (B) this plan remains the property of Holmes d: McGrath, Inc. �:----tea AN holmes and mcgrath, inc. OF 1,44S � OF LOT 122 ✓�� civil engineers and land surveyors � f.1ARY PREPARED FOR 362 gifford street ELLEN�+ MILL POND VILLAGE STFEETEH N falmouth, ma. 02540 � o.29291 a 9a�� 9F lSTZ. ,tea YARMOUTH, MA JOB NO: 201197 DRAWN: LMC SCALE: 1 "=20' DATE: 8-26-04 DWG. NO.: A2526A CHECKED' //