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BP-90966
Permit No. BP-90966 Project Location: 30 SUNDANCE RD Commonwe - r•�- sachusetts *-��.�s®roe` TO if< de' et wa r ? ' ` 4 UTH .�4051� � ' � i 'i Asp , * i Kliticink . iii. r $2114 jr, . Contra( e.• t. ' one" #: r ram.. _ BART 3[, G � _.,.. n.4 :" 3 8 808 3523 err J Architect ,� Phone#: Applicant. '3. 4� Phone#: EGAMA ROO ±` OP (508)808-3523 OWNER: ��4.� DEMERS JAMES A& ' / /+ DATE ISSUED: j ;=,I �' `- J TO PERFORM THE FOLLOWING WORK: Strip/re-roof residence DATE TIME 1 - - TYPE OF INSPECTION&REMARKS INITIAL 4 Permit No. BP-90966 BUILDING PERMIT GIS#: 4267.00 Commonwealth of Massachusetts Map: 0079 TOWN OFDARTMOUTH '* Lot: 0048 400 Slocum Road;-Dartmouth,MA Sql4i . Sub-Lot: 0030 Phone (508)910 1820 • ail (508)910 1838 i „':, Category: RE-ROOFr, , Project# JS-2019-001564 PERMISSION IS HEREBY GRANTED TO: , n Phone . Fee: $75.00 BARTLEY E KING CS-05797 (508y 808- 3 A Const.Class: y ' ▪ 18849 ; i Use Group: R3 Engineer: --44 ▪ License Phoni,# 1 Lot Size(sq.ft.) k I 1 .l---'tom . y / Zoning: SRB Applicant.' ` ` P/ioug#: Aquifer Zone: N/A EGAMA ROOFING CORP *, (508)-808,-573 Flood Zone: ZONE X OWNER: t YS 1 New Const.: N/A , ,.�, DEMERS JAMES A& Alt.Const: N/A - • Date Typed: 12-12-2018 DATE ISSUED: TO PERFORM THE FOLLOWG WORK: Strip/re-roof residence Pr '�� etc ao • r• O S �'' DANCE RI) Approved/Issued By: �"Atik 'AUL M MURPHY,DIRECTO' t INSPE• ONAL SERVICES All work shall comply with 780 CMR 9TH Ed.(MGL Chap.143)and any other ap. v ,ss.L ws or Codes and plans on file. Schedule appropriate inspections as required.Upon completion of work,final inspection is required. I hereby certify,that the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as his agent and to receive this permit, I further understan other agencies may have reason to STOP WORK if items under their jurisdiction are not met; not withstanding the issuance of this Building/Zoning a ii. Signature of Owner/Agent: - _l "Persons contracting with unregistered contractors do not have access to the guaranty fund(as set forth in MGL c.142A)" ; Inspector of Inspector of D.P.W.Inspector, Building Inspector Inspector of Gas Fire Department _ Plumbing - Wiring Water Service#: Footings: . Underground: Oil: Underground: Service: Foundation,:.- Rough: Smoke: Rough: Rough: Sewer Service#: Rough Frame: Insulation: Final: Final: Final: ,Cross Cot}nection Final: Final:. Board of Health E-911 Additional Comments: Planning Board Prior to issuance of Certificate of Occupancy/Completion,this card must be returned to the Building Department with all necessary inspections signed off. Department phone numbers are listed on the white"Required Inspections"document provided with the issuance of the building permit. POST CARD-SO IT IS VISIBLE FROM THE STREET RESIDENTIAL ❑ Phased ppratal(F?166.3.3) $25,00 APPLICATION FEE IS NON RE-FUNDABLE & NON-TRANSFERABLE y A:. DARTMOUTH BUILDING DEPARTMENT DATE RECEIVED 1€' ar 400 Slocum Road, P.O. Box 79399 Dartmouth, MA�, �:) 02747 �-.. '"r Phone: 548-314-1824 Fax: 548 914 1838 www.town.dartmouth.ma.us I APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING S SEA TION FOR OFFICIAL USE ONLY RECEIVED BY: BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: - - DATE: Building Commissi e In ecto of Buildings Zoning District: Proposed Use: Zone: El X 0 B E A ❑V Aquifer Zone: THE FOLLOWING AGENCIES SHOULD BE NOTIFIED: ❑Board of 0 Board of ❑Cons. ❑Demo E?DPVV 0 Elec. 0 Energy Report Appeals Health Commission Affidavit Card Sent: Cut Off Follow-up* ❑Fire 0 Gas 0 Planning ❑Sewer Card 0 Water Card Chief Cut Off Board O Zoning 0 Other Cut Off Cut Off *REQUIRES INSPECTOR'S REVIEW BEFORE THE ISSUANCE OF A PERMIT. DEPARTMENTAL APPROVAL , Board of Health: Signature: Date: Conservation Commission: Signature: Date: Other: Signature: Date: Signature: Date: Signature: Date: Brief description of work being performed: SECTION 1 -SITE INFORMATION 1.1 Property Address c- �UY�f l 1 ' ' 1.2 Assessors Map& Lot Number: Lot Area(sf.) Frontage I g Map Lot - . Required Provided Front Yard 1.3 Historical District 0 Yes No Side Yard Rear Yard Year Built C7 Altering more than 25%per side of building 1.4 Water Supply(MGL c40 s54): 1.5 Sewage Disposal System: Has application been submitted to the Historic:Commission?! 0 Municipal 0 Private Well ❑Municipal 0 On Site Disposal System © Yes 0 No Date: i E Revised 10/11 ® CONSTRUCTION PLANS El SITE PLAN 0 ENERGY REPORT r RESIDENTIAL SECTION 2•PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner R ord: Name(print} '�- -� , � (�P�- lb Contact Address Phone Number 2. - y tthhorize Ag tyt: • Name(print) - L �l( Contact Address Phone Number SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor/Specialty License: 5 3�y 4/ j License Number: 0��--�� 1 Company Name/Contractor Name: t Address: Y irobumQ W{l � \ o ]� Expiration Date: Si nature: / � /� Telephone r, � got iq 3.2 Homeowner Exemption-One&Two Family Only Section 110.R5.1.3.1 Exception: tt FOR HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT Exception: Any Homeowner performing work for which a Building Permit is required shall be exempt from the provisions of this section;provides that if a Homeowner engages a person(s)for hire to do such work,that such Homeowner snail act as supervisor. For the purposes of this section only,a"Homeowner"is defined as follows: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is.or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shalt not be considered a Homeowner. If you are applying under this section sign below: Signature: SECTION 4-WORKER'S COMPENSATION INSURANCE AFFIDAVIT(MGL c 152§25) Worker's Compensation Insurance Affidavit must be completed and submitted with this application. "lure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached: Yes 0 No SECTION 5-DESCRIPTION OF PROPOSED WORK(Check all applicable) ❑ Deck 0 Pool 0 Repairs ❑ Alteration 0 Chimney/Fireplace ❑ Woodstove/Pellet Stove ❑ New Construction* 0 Accessory Bldg. 0 Rooting/Siding 0 Other (Energy report required) (Shed/Garage) (Specify below) ❑Addition 0 Replacement window/door 0 Demolition (Energy report required) No. of windows Doors pacify below) *If new construction,please complete the following: Single Family: No.of Bedrooms_ No. of Baths Two Family: No of Bedrooms Unit 1 No. of Baths Unit 1 No of Bedrooms Unit 2 No. of Baths Unit 2 ❑Furnace(hot air)-fuel gas(natural or propane),fuel oil,electricity,other(specify): ❑Boiler(heating)-fuel gas(natural or propane),fuel oil,electricity,other(specify). 0 HVAC(combined unit)-primary fuel.natural gas,propane,electricity,other(specify): _ 0 Air conditioning-(separate unit) ❑ None of the above to be provided I ❑Hot Water: Gas Electric Fuel Oil Other SECTION 6-ESTIMATED CONSTRUCTION COST Item Estimated Cost($)to be completed 1. Building by permit applicant 2. Electrical • 3. Plumbing 4. Mechanical(HVAC) 5. Total=(1 +2+3+4) 1-1 'g . C.)Q, SECTION 7A-OWNER AUTHORIZATION (to be completed when owner's agent or contractor applies for building permit)(Plea - int) I' - � , as Owner of the subject property hereby authoriz0.,q)/ t• .ct o my behalf, in all matte relative �to work authorized by this building permit application. t last ignature of Owner -�-� ( Date SECTION 7B-OWNER/AUTHORIZED AGENT DECLARATION I " 5` o 1 n , as Owner/Authorized Agent hereby on the foregoing application are true and accurate, to the best of my knowledge and belief. that the statements and information Signed under the ains and penalties of perjury. gSignature of Owner/Authorized Agent DI Date SECTION 8-OFFICE/INSPECTOR'S NOTES Less Application Fee: $25.00 Remaining Balance: $ Total Permit Fee: $ Other$Amount$ • Gross Area-New Construction total sq.ft. Gross Area-Alteration total sq.ft. Permit Issued to: SECTION 9-ADDITIONAL COMMENTS/SKETCHES I' • • *01) P-Wie intirt0/1/e4Veak4 ?P./gad"' r , J• Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Type: Supplement Card EGAMA ROOFING CORP Registration: 188496 1118 OLD CONNECTICUT PATH Expiration: 08/02/2019 FRAMINGHAM,MA 01701 • • SC 1 0 20M-081i1 Update Address and return card. Mark reason for change. ffl .r J 0 Address ❑Renewal ❑Employment_C I Lost Card r' (rnutbirii'iaryll/A r/r'4 aseedredel i ._-«- Office of Consumer Affairs&Business Regulation 240, c!r HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only t;,, $ TYPE:Supplement Card before the expiration date. If found return to: - riftha on Office of Consumer Affairs and Business Regulation S .: 188496 08/02/2019 10 Park Plaza-Sults 5170 cAMA ROOFING CORP Boston,MA 02116 • BARTLEY ICING c .x w} 1116 OLD CONNECTICUT PATH � FRAMINGHAM,MA 01701 •'A 'ot valid without signature Undersecretary • • • r �.} i fr',' ram, u: • ax �v aProfessionall, enslave sg R�Riattons and Standards • • - { ; Pli"es 11/20/2019 ART14EY KING $," ' E. NTHAM MA 02093 • i el - � "IS'Itallr / row (1 - 4 The Commonwealth of Massachusetts Department of Industrial Accidents _ � f. Office of Investigations «*s„ �!,"' 600 Washington Street 'l i'l Boston,MA 02111 i•is _...� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organi7ation/Individual): ai-,,,,?her 1- rridk Add 11 vA( n&e tC. , City/State : 1i/43 Phone#: 779 q ) — Are you an employer?Check the appr 1 . 'ate box: Type of project(required): 1.❑ I am a employer, .- 4. 0 I am a general contractor and I 6. ❑New construction F. ' 1 have hired the sub-contractors 2.❑ I am a •t"M 1 a i.•'--,to ''". r- .' listed on the attached sheet. t 7• ❑Remodeling ship an. have no emp c .-s These sub-contractors have 8. ❑Demolition working for me in,.3 ca•.city. workers'comp.insurance. 9. ► Building addition [No workers' co Rip.insuran•- 5. ❑ We area corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.1,r1 I am a :s eowner doing all wor right of exemption per MGL 11.❑Plumbing repairs or additions i ysel£ [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' 13Other +r comp.insurance required.] `Any applicant that checks box#1 must also fill out the sectio below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doi all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: /q V7t...n CLAil c-{_ RA A City/State/Zip: _ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce nd t e p ' s and a ' of per' ry that the information provided abov is tru and correct Signature: �Ci Date: .23 *d� - Phone#: 77V f3c -j/010 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: S The Commonwealth of Massachusetts =*� Department of Industrial Accidents +7_ j=fi Office of Investigations G. --:,; 600 Washington Street Boston,MA 02111 1 v www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ( Please Print Legibly Name (Business/Organization/Individual). �j • Address l i6Q 0 . eOnn City/State/Z. ' l� tit)Phone � a'—35)3 `,Arreeyou an employer?Check the appropriate box: 1. 1 I am a employer with 4. ElI am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors 6 El New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. .` 7. 0 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its 9. ❑ Building addition 1 eq uired. I0.❑ Electrical repairs or additions ] officers have exercised their p am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions r yself. [No workers' comp. c. 152, §I(4),and we have no 12.0 Roof r;pairs insurance required.] t employees. [No workers' • comp. insurance required.] 13.0 Oth b‘ '� 1ti'i *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ItIV(615 MS Policy#or Self-ins. Lic.#q )E. 54% 9 O'S Expiration Date: DB/ 9 Job Site Addres00L City/State/Zi : S M\31 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un r t Gins and penalties of perjury that the information provided above is true and correct. Signature: Date: I t�1 J&J l' Phone#: g Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# — Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DATE(MM/DD/YYYY) ACCORD CERTIFICATE OF LIABILITY INSURANCE k 12/10/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Susan LaFleur THOMAS J WOODS INSURANCE AGENCY INC A/cC.No,Ext): (508)755-5944 (A/C,No): E-MAIL ADDRESS: slafleur@woodslnsurance.com 20 PARK AVENUE INSURER(S)AFFORDING COVERAGE _ NAIC# WORCESTER MA 01613 INSURERA: TRAVELERS PROPERTY CAS CO OF AM 25674 _ INSURED INSURER B: _ EGAMA ROOFING CORP INSURERC: INSURER D: 1116 OLD CONNECTICUT PATH INSURER E: FRAMINGHAM MA 01701 INSURERF: _ COVERAGES CERTIFICATE NUMBER: 346387 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER EOTH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED? N/A N/A N/A 7PJUB1K56098118 08/22/2018 08/22/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Dartmouth ACCORDANCE WITH THE POLICY PROVISIONS. 400 Slocum Road AUTHORIZED REPRESENTATIVE Dartmouth MA 02747 ( Daniel M.Cro ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD EGAMROO-01 SLAFLEUR ACG?RL7° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `-� 12/10/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Thomas J.Woods Insurance Agency Inc. PHONE FAx 20 Park Ave (A/C,No,Ext):(508)755-5944 (A/C,No): Worcester,MA 01605 E-MAIL SS:info@woodsinsurance.com ADDRE INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Western World Insurance Co. INSURED INSURER B:Commerce Insurance Company 34754 EGAMA Roofing Corp INSURER C: 1116 Old Connecticut Path INSURER D: Framingham,MA 01701 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR NPP8383475 8/5/2018 8/5/2019 DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ BINED B AUTOMOBILE LIABILITY (EOa accc dentSINGLE LIMIT $ ANY AUTO BCTB87 11/13/2018 11/13/2019 BODILY INJURY(Per person) $ 20,000 OWNED X SCHEDULED 40 000 AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ ' AUTOS ONLY NON-OWNED (Peer accidentDAMAGE $ 100,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) WORKERS COMPENSATION COVERAGE WILL BE PROVIDED BY THE ASSIGNED RISK CARRIER UNDER SEPARATE COVER. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Dartmouth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 400 Slocum Road Dartmouth,MA 02747 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A A RO Cory. MMaster Elite Roofer. Massachusetts Home Improvement Contractor license #188496 Fax: (508) 875-1226 Phone:508-808-3523 Fully Licensed and Insured Jim Demers December 1, 2018 30 Sundance Road Dartmouth, MA (508) 642-3216 Roof Restoration Contract: • Protect the house all around, windows, siding, fences,patio, etc. with heavy duty tarps. • Remove up to two layers of roofing installation on this property. • Re-nail any loose board or plywood, fix and replace any rotten or broken boards before any new material installation. • Install Grace Select ice and water shield 9 feet, applied at all protrusions, valleys, roof-to-wall areas, roof vents, chimneys ETC.... • Roof line's entire perimeter protected with 8" WHITE aluminum drip edge. • Install GAF Synthetic underlayment for proper roof warranty. • Install GAF ridge vent for proper roof ventilation. • Install GAF starter shingles at all roof edge installation. • Install GAF Timberline HD lifetime architectural asphalt composite shingles (130 mph wind rated) installed in a hurricane nailing pattern is executed upon installation(6 nails per 1 meter 39.5 inches] length of shingle). • Install GAF shingle hip & ridge Caps. • Replace any existing pipe boots with new GAF approved aluminum roof flanges. • Complete a full inspection on chimney flashing. • Replace all step flashing and lead flashing around chimney to complete roof installation. • Complete inspection for any rotten fascia boards or rake boars. • We are including two sheets of plywood and 50 feet of ledger board as needed. • Dumpster and Dump Fees are included in this proposal. • Roof permit fees is also including on this proposal. Estimated Roof Cost 5800.00 Skylight Replacement at not cost, owner will purchase and deliver Skylight. A total payment will be due as follow, ($00.00) down payment, and (total amount due) upon completion of all the specifications stated above and agreement made between all parties. Our Company will provide your family with a full 25-year craftsmanship warranty and 50 years o Warranty on all materials. (excluding Acts of God, War, or Fire damage) ACCEPTANCE OF PROPOSAL: The above prices, specifications, and conditions are satisfactory and are hereby accepted. Authorization to complete the work as specified is granted. Egama Roofing has the right to cancel this and any roof installation if necessary, under any circumstances. Payment terms will be made as outlined above. Signature of Owner: Date: December 1, 2018 Signature of Egama Representative: Date �— — December 1, 2018 Respectfully submitted by Elmer Solano and Egama Roofing Corp. Thank You again for the opportunity to serve you. WWW.BBB.ORG W W W.EGAMAROOFING.NET C? O ' OLU oC C) z _ y w Lu _ y � o 2jE, z W rJr� CO 0 U-i co cz a �r V LU iL U ` - rjs9 —UD w 0 Q m� LLJ • ((� Q Z Z w CL >sLf� CC) O in N p to W z (�� Q � = w Oco �- _ Q o uLr) 117f*s 0 Q 6 C(� z m s M 11f i ,-71 °zLL- s s U y L o �U O co +1< Zo --� - Nola o VC) � JNIUSIX9 - `- rii._. LL zW�ZD (f) O (n W w lL1 D O. 1 ; <<r`'1 1' u..j flC zp EITS C) LlC\j < c�QO 0l v1 �� Z �z�p �o pz�►� N � in w _ i✓��/Yln�da JNIISIX� Q Q _j Q N z Q. o Ln Q z z�OS°ZS N o 0 `� 0 o Z o� c� j z N z Q m LL- W +- U :� O'YW00 Q� �� O 0"9z Q w o Q LU = Lu L Ln N