The URL can be used to link to this page

Home My WebLink AboutZP-22-042 - 0011 Bower Street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ark Van Norden The Home Depot The Home Depot (774) 275-2139 customercancellationnortheast@hom edepot.com #N/A 11 Bower Street South Burlington VT 05403 (802) 233-0442 ginny@vtsmallbiz.com customercancellationnortheast@homedepot.com 908 Boston Turnpike Unit 1 Shrewsbury MA 01545 02/18/2022 02/18/2022 1-1Y849CVR O'REILLEY GINNY New England North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ew England North 1-1Y849CVR 1-1Y849CVR 1-1Y849CVR 15350.10 0.00 15350.10 Simonton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o):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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 THISCERTIFICATE 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION$ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 01/27/2021 MARSH USA, INC.TWO ALLIANCE CENTER3560 LENOX ROAD, SUITE 2400ATLANTA, GA 30326 CN101642069-HomeD-GAW.-21-22 . Old Republic Insurance Co AIU Insurance Co HomeRisk Captive Insurance Company N/A 19399 24147 THE HOME DEPOT, INC.HOME DEPOT U.S.A., INC.2455 PACES FERRY ROADBUILDING C-20ATLANTA, GA 30339 ATL-005072225-04 2 X X SIR: $1,000,000 X X MWZY 314574 03/01/2019 03/01/2022 1,000,000 EXCLUDED 1,000,000 1,000,000 A X SELF INSURED AUTO PHY DMG MWTB314573 03/01/2019 03/01/2022 1,000,000 B B N Continued on Additional Page WLR C67818258 (NC, VA) WC 58240269 (WI) 03/01/2021 03/01/2021 02/01/2022 03/01/2022 5,000,000 5,000,000 5,000,000 A C Excess General Liability Excess Auto MWZX 314580 297110011002021 03/01/2019 03/01/2021 03/01/2022 03/01/2022 Limit: Limit: 8,000,000 4,000,000 EVIDENCE OF INSURANCE 2,000,000 2,000,000 X A HOME DEPOT USA, INC Manashi Mukherjee of Marsh USA Inc. 2455 PACES FERRY ROADBUILDING C-20ATLANTA, GA 30339 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: MARSH USA, INC. 2 3 THE HOME DEPOT, INC.HOME DEPOT U.S.A., INC.2455 PACES FERRY ROADBUILDING C-20ATLANTA,GA 30339 25 Certificate of Liability Insurance CN101642069 Atlanta Workers Compensation Continued: Carrier: Indemnity Insurance Company of North America Policy Number: WLR C67825287 (AL,AR,FL,ID,IA,KS,KY,LA,MS,MO,NE,NM,ND,OK,SC,SD,TN,WV,WY ) Effective Date: 03/01/2021 Expiration Date: 03/01/2022 (EL) Limit: $5,000,000 Carrier: AIU Insurance Co. Policy Number: WC 023096003 (AK, DC,DE,HI,IN,MD,MN,MT,NY,NJ,NY,RI,VT) Effective Date: 03/01/2021 Expiration Date: 03/01/2022 (EL) Limit: $5,000,000 Carrier: ACE American Insurance Company Policy Number: WCU C67805331 (QSI) (CA, IL,OR,WA) Effective Date: 03/01/2021 Expiration Date: 03/01/2022 (EL) Limit: $5,000,000 SIR: $1,000,000 Carrier: National Union Fire Insurance Company Policy Number: XWC 1647258 (QSI) (CO,CT,GA,ME,MI,NV,OH,PA,UT) Effective Date: 03/01/2021 Expiration Date: 03/01/2022 (EL) Limit: $4,000,000 SIR:$1,000,000 Carrier: ACE American Insurance Company Policy Number: WLR C67818210 (AZ) Effective Date: 03/01/2021 Expiration Date: 03/01/2022 (EL) Limit: $5,000,000 Carrier: National Union Fire Insurance Company Policy Number: XWC 1647259(QSI) (MA) Effective Date: 03/01/2021 Expiration Date: 03/01/2022 (EL) Limit: $4,500,000 SIR: $500,000 TX Employers XS Indemnity: Carrier:Illinios Union Insurance Company Policy Number: TNS C66949072 (TX) Effective Date: 03/01/2021 Expiration Date: 03/01/2022 (EL) Limit: $10,000,000 SIR: $1,000,000 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: MARSH USA, INC. 3 3 THE HOME DEPOT, INC.HOME DEPOT U.S.A., INC.2455 PACES FERRY ROADBUILDING C-20ATLANTA,GA 30339 25 Certificate of Liability Insurance CN101642069 Atlanta *** HOME DEPOT INSUREDS*** The Home Depot, Inc. Home Depot U.S.A., Inc. Home Depot USA, Inc. dba The Home Depot Home Depot of Puerto Rico, Inc. Home Depot Product Authority, LLC Home Depot Store Support, Inc. Red Beacon, LLC Home Depot U.S.A., Inc. dba The Home Depot Pro Interline Brands Barnett Hardware Express Leran Maintenance USA Renovations Plus Supplyworks US Lock Wilmar Zip Technologies H.D.V.I. Holding Company, Inc. Askuity, Inc. WINDOW SPECIFICATION SHEET -Spec. Sheet #:Sheet:of Customer:Job #:Consultant:Date: New Window Existing Window Measurements Grids Product Options Labor Options Hinge Locations From outside, Left to Right Location Color Rough Opening # of bars # of bars Bays, Bows Csmnts, 1 Pnl, use L, R or S ITEM #Room Floor Style Code Wraps (Y/N)Style Code Series Code InteriorExteriorWidthHeightUIType (F,S, GBG)ColorPatternLocationVerticalHorizontalLocationVerticalHorizontalGlass Hardware Screens Mull Misc Items Code For doors use "S" = stationary or "X" = operating SPECIAL CONSIDERATIONS: Wrap Color Interior Casing Type Bay or Bow window: Seatboard material (vinyl only-Birch or Oak) Bay Project Angle (30 or 45) Bay Flanker Type (DH, SH, or Csmnt) Top of window to soffit (inches) If tied to soffit, color of soffit material I have reviewed and agree with all the job specifications above and the Construct Roof (Yes or No) *Special Terms and Conditions on the following page Garden Window: Seatboard Material (vinyl only-White Pionite, Birch or Oak) 1-1Y849CVR 1 1 GINNY O'REILLEY 1-1Y849CVR Mark Van Norden 02/18/2022 1 BED1 2nd SH-HPS N Double Hung SPR - Simonton BM6 White White 10.00 10.00 20 2V0H / 0V0H DISPOSAL 2 N Colonial casement SPR - Simonton BM6 White White 10.00 10.00 20 2V0H / 0V0H F, DISPOSAL 3 N Colonial Casement SPR - Simonton BM6 White White 10.00 10.00 20 2V0H / 0V0H F, DISPOSAL 4 N Double Hung SPR - Simonton BM6 White White 10.00 10.00 20 2V0H / 0V0H F, DISPOSAL Line Level Notes: 1. SPR - (1) - Reason : Matching prior BM600 installation , Add. Info. : Brickmould new construction, Handing : Low-E w/ argon 2. SPR - (2) - Reason : Matching prior BM600 installation , Add. Info. : Brickmould new install; Low-W w/ argon, Handing : L-R egress 3. SPR - (3) - Reason : Matching prior BM600 installation , Add. Info. : Brickmould new install; Low-E w/ argon, Handing : L-R egress4. SPR - (4) - Reason : Matching prior BM600 installation , Add. Info. : Brickmould new construction, Handing : Low-E w/ argonMiscellaneous Labor. Hours - 4.00. Notes - Install Twin Egress Twin Wh Wh Wh Wh2ndBed2 Bed1 Egress SH-HPS SH-HPS SH-HPS TDH LR2nd 132 132 132 132 2nd Bed2 Low-E Glass White Hdwre Full Screen Low-E Glass White Hdwre Full Screen Low-E Glass White Hdwre Full Screen Low-E Glass White Hdwre Full Screen Wh Wh Wh Wh TDH BM600 New Construction Windows, SPR 72x60 72x60 72x60 72x60 xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxx NOMINAL SIZES Top 2 0 Bot 0 0 Top 2 0 Bot 0 0 Top 2 0 Bot 0 0 Top 2 0 Bot 0 0 LR Wall Thickness (inches)Customer Signature Additional Shelf (Yes or No) * There is no guarantee that new shingles will match existing color.