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HomeMy WebLinkAbout0028 GENERAL PATTON DRIVE r 03 Application Ll ........... ....... HARNSTABM Date Issued......... L M.S& 1639. Building Inspectors Initials..............�............ 06 ......... TOWNiop Map/Parcel. ........ . ....................... . BARDS TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROO'F/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATBERIZATION PROPERTY INFORMATION Address of Project: -2,F 71::)r NUMBER STREET VILLAGE Owner's Name: e Phone Number Email Address: Cell Phone Number Project cost$ )�(Z ql(a _ Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CZAR Owner Signature: See A4ad,,,e Date: TYPE OF WORK Windows (no header change)#L-rsiding F Insulation/Weatherization 0 Doors (no header change)# Commercial Doors require an inspector's review CD Roof(not applying more than I layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Ao,&, i _''a, _ee,� — L1r, Home Improvement Contractors Registration(if applicable)4 112-7?S —(attach copy) Construction Supervisor's License# (attach copy) Email of Contractor c i Phone number -Z/o/- 7 IV- 6 3 3 9 ALL PROPERTIES THAT HAVE STRUCTURE OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY 15 IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. r APPLICATIONNUMBER............................................................ *For Vents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a:for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4:30pm. Commercial events may require Fire Department aapprovad *WOOD/C®ALJPELLET STOVES Y Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXENTTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CM8 the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 cCMR and the Town of Barnstable. Signature Date �.PPLIC 'S SIGNATURE Signature Date All permit applicatio are subject to a building official's approval prior to issuance. r'K� Home Improvement Agreement: Pagel Home Depot License#'s - For the most current listing www.Homedepot.com/LicenseNumbers MA: 107774, 112785 Christopher Read Salesperson Name: Registration No. (if applicable): Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will furnish, install and/ or service the equipment listed below at the price, terms and conditions as outlined on this form. Pena Margaret I New England South I 1-ATRLUHR Customer Last Name Customer First Name Store #/ Branch Name Customer Lead P # 28 Generall Patton Drive 11 jHyannis I IMA 02601 Customer Address City State Zip (774) 810-6989 margaret_pena@hotmail.com Home Phone# Work Phone# Cell Phone# Customer Email Address NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 908 Boston Turnpike Unit 1 1 IShrewsbury I IMA 01545 Address City State Zip Or Email: I customercancellationnortheast@homedepot.com Service Provider Email Address BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACK WLED THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF y,0W RI T 1p Acknowledged by: 11/29/2018 Cu omer's SWMture Date Contract Price and Payment Schedule : Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: $ 120916.00 Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ . 0.00 (If applicable) *Maximum deposit ONLY applicable in MD, MA, ME(33%), NJ, Wl(9996) Dep. 125.0 % Deposit Amount $ 1 5229 1Remaining Balance $ 15687.00 The Home Depot-2455 Paces Ferry Road,N.W.Bldg.B-3,Atlanta,Georgia 30339-Customer Care:1-800-466-3337 460 HDE Customer Agreement(24 Jul.18) v 0.1.7 h,t Home Improvement Agreement: Page2 Finance Charges: *Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which The Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or .loan agreement, as applicable. No unds should be made payable to Service Provider; however, Service Provider may collect Customer's nt(s) made payable to The Home Depot. Insurance proceeds will will not The used to pay some or all of the total amount of sale. Description of Work to be Performed: Installation of ISiding A more detailed description of the work to be performed is included in the section entitle cope o Work which appears on page 0 of this Agreement. Anticipated Delivery Date/Installation Schedule Approximate Start Date: 61/24/2019 Approximate Finish Date: 02/21/2019 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. Electronic Records Authorization: You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and written communications related to this agreement. By contacting your Service Provider, you may update your email address, withdraw your consent, or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to a computer that can receive and open emails and PDF documents. B ini i ling this paragraph, I consent to receive only electronic records related to this transaction. Initial Acceptance and Authorization: By signing below, you authorize Home Depot to (a) arrange for Service Provider to perform Installation and/or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's/permitting information may need to be provided to You later.) By signing, you acknowledge that you have read, understand, and accept this Agreement in its entirety, including the General Terms and Conditions and State Supplement, if any. You further acknowledge receiving a complete copy of thi ree it to protect your legal rights. 11/29/2018 The Home Depot ustOM419SignaturEv Date Service Provider Name X 11/29/2018 908 Boston Turnpike Unit 1 - 1g (if applica le Date Service Provider Address X 11/29/2018 Shrewsbury MA 01545 Si nature On Behalf bf Horne Depot Date City State Zip R-1-073-13-00024 Service Provider Phone Number Service Provider License Number The Home Depot-2455 Paces Ferry Road, N.W.Bldg.B-3,Atlanta,Georgia 30339-Customer Care: 1-800-466-3337 460 HDE Customer Agreement(24 Jul.18) v 0.1.7 Commonwealth of Massachusetts Division of Professional Licensure " Board of Building Regulations and Standards Construction. Supervisor Spe-ia!t CSSIL-501315 Expires: i0i'29!2019 WALDEMAR PARAFINOWICZ 246 MILLBURY STREET AUBURN MA 01501 J° I, Commissioner g;4f'f'afM&8usiness Regulation ROMU- : tit )EiJt CONTRACTOR Registrati:d t.vaiid far:;i**,'d Ua#`s LLC before the`®xpisra#;arslafefq#rsd het Ito> �cY... ...:. iration Office of Corts.rmrBffa�rs4and..> itst... o ._. ram;fgrs4 `icia .' 'f 0001Nasriirigfaef, Si '7ffr` - Jt`tJ Boston MIS--." _.F H .dui,` f R,¢ a' 3 r ' ` . .1 ' �� - t+.0 i� ZZ���� YK( .iY' a�"�/:7 j AA k i" f. n- - n, t 6. c�: L4?7d3: - .V . I!1! 1_L/"'� ':•,`•,`.:,�'i`:•}. �T�PI;.;. .c`rtE.. � :a:r:'s" l '':h - r 1AM .c_. ff> `. .3 .1 �+r`' yo��Est .... . . .. .. . ..:.... ersecrefary - I 1 The Commonwealth of Massachusetts Department of IndustrialAccidents 0 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PER HTTWG AUTHORITY. Applicant Information Please Print Lealy ' Name (Business/OrganizatiorAndividual): L n(d p JA ear J1 n O GJ I CZ Address: 2 110 City/State/Zip: A tcb(ArAi CIA oldb 9 Phone#: Are you an employer?Check the appropriate box: Type Of project(required): l.�I anjAleniployer with employees(full and/or part-time).* 7. ❑New construction 2, am a sole proprietor or partnership and have no employees working 7property. 8. ❑Remodeling any capacity.[No workers'comp:insurance required.] 3.�I am a homeowner doingall work myself 9• ❑Demolition y [No workers'comp.insuran 4.01 am a homeowner and will be hiring contractors to conduct all work o10 El Building addition ❑ g Iwillensure that all contractors either have workers'compensation insuranc I I.[]Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.x 13:E]Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14,❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 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. 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 MGL c. 152,§25A is a criminal violation punishable by 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.Acopy of this stateutient maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cefty:Vte pains and pen perju that the information provided above,is true and correct Si ature: ate: Phone#: 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: :. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations s 1 Congress Street,Suite 100 ,-y Boston,AL4 02114-2017 nww.mass gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers licant Information `�'� Please Print Le 'blv Name r]3us:nessKl baztizationiTndividual): Ho �/�i D _ -Address: / yg!me KEG.. Citv'State/Zi : sXroA;cb NA__. olryr Phone#: 7 / -1— o�-7r " o2 Are you an employer?Check the nropriate b i Type of project(required): ]- I am a employer with , 4• LVI am a general contractor and I j 6. ❑New construction i mployees(full and/or part-time).* have hired the sub-contractors i 2. 1 am a sole proprietor or partner- listed on the attached sheet. 7. ]Remodeling ship and have no employees These sub-contractors have i g, E Dcmolition wo imo g for me in any caps employees and have workers' 9. J Building addition [tio workers' comp.msurance comp.hn ra*+ce.* required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 1 ;.r I am a homeowner doing all wort: oficers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per�IGL 1:❑ of repass insurance required.]+ C. 152,§1(4),and we have no ! 1 I todee�, o workers' i 11iVi Other G�In emp - (N comp.insurance required.] •.;ry apoEcant Lai--h--dc box it must also fill out the section below showing their workers'compensation policy mfocmation. Homeowners who submitihis affidavit indicating they are doing aU work and they hue outside comacrms must submit a new affidavit indicating suck. :Corm-tors that check this box must attacked an additional sheet showing the name of the sub-cofactors cad state whether or not those entities have =pioyees. s the sub-ccntracton have employees,they mast provide their workers'camp.policy amber. I a?n an employer chat is providing workers'compensation insurance for my employees. Below is the policy and job sire infuriation. Lns1L*ance Company dame: T/fir Q. oslcL� (/N�an/ �l/`t ,�i✓S . t,e. _ PohcL#or Self-ins.Lic- Expiration Date: Job Site address: -Z d /),e� G' 6�koA City/Siateizip:� �ti S114 Attach a copy of the workers' compensation policy declaration page(showing the policy nun&r and expiration date). Failure to secure coverage as required under Section 25-k of MGL c. 152 can lead to the imposition of criminal penalties of a fine uo to S1,500.00 and/or one-y imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S^50.00 a day st a lator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA ce coverage verification. I do hereby certify un the information provided above is true and correct S ature: Date: Z - - Phone T: r ficial use only. Do not write fn this area,to be completed by city or town offusat ity or Town: Permit/License# suing Authority(circle one): I.Board of Health :.Building Department 3.CityiTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone : 1 4 Lr. =_ Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Type: Supplement Card 2785 HOME DEPOT USA INC Registration: !Expiration: 0 2455 PACES FERRY RD C-11 HSC Expiration: 04/22f ATL.ANTA,GA 30339 Update Address and return card. Mark reason for change. 0 Address ❑ Renevm! ❑Employment ❑ Lost Card Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE Suor?lement Card Before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation i 12785 0412212019 10 Park Plaza-Suite 5170 HOME DEPO 7 USA INC Boston,MA 02116 r ANDREW SWEET 2455 PACES FERRY RD C-11 HSC ATLANTA,GA 30339 Undersecretary d ithou signature I DATE IMWDDMMI ACo CERTIFICATE OF LIABILITY INSURANCE 021220U. 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 WANED,subject to the terns 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 endorsemert(s)- cONTACT PRODUCER NAIN1= MARSH USA,INC- PHONE I LAIC TWO ALLIANCE CENTER nIt Nu 3560 LENOX ROAD,SUITE 2400 ADDRESS: ATLANTA.GA 30326 NAIC A INSURERS AFFORDING COVERAGE CN 101642069-HaneD-GAINA&19 INSURER A:Old Reputllic Insurance Co 24147 INSURED THE HOME DEPOT.INC. INSURER B:New Hampshire Ins Co 23841 HOME DEPOT U.S.A.,INC. INSURER C:HonteRisk Captive Insurance Company 2455 PACES FERRY ROAD INSURER D: BUILDING C-20 ATLANTA.GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-004353439-16 REVISION NUMBER: 3 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 ADOL SUBR POLICY NUMBER P EFf P E7(P LIMITS LTR A X COMMERCIAL GENERAL LIABILITY MWZY 312717 Q31Q72018 03/012019 EACH OCCURRENCE S 9,000,000 AMA R Ni 1.000.000 CLAIMS-MADE 7 OCCUR PREMISES Ea occurrence i S LIMITS OF POLICY XS MED EXP(Any one person) S EXCLUDED OF SIR:S1 M PER OCC PERSONAL&ADV INJURY I S 9.000.000 VG,EIWILGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 9.000.100 X POLICY PRO LOC PRODUCTS-COMPrOP AGG S 9,OQC.000 JECT S OTHER: A AUTOMOBILE LIABILITY MWT8312718 031012018 03/0112019 Ea 13IINNED SINGLE LIMIT S t.000,000 X ANY AUTO BODILY INJURY(Par person) S OWNED ^,SCHEDULED SELF INSURED AUTO PHY DMG BODILY INJURY(Per accdenl) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY i Per aeadent S UMSRELLALWB OCCUR EACH OCCURRENCE S 17CCFS5 LIAR CLAIAASMADE AGGREGATE is DED RETENTION s s g WORKERS COMPENSATION WC 014122577 (AK,NH,NJ,VT) 03/012018 03r012019 X PER ER- AND EMPLOYERS tw6aITY WC 014122578 WI 03101/2018 03/012019 5,000.000 YIN B ANYPROPRIETORIPARTNERID(ECLrrNE a ( ) E.L.EACH ACCIDENT S OFFICERIMEMBEREXCLUDED1 N NIA 5 000 ODO (Mandatory in NH) E.L.DISEASE-F1�EMPLOY S 0 yes,describe under Continued On AddtiOnal Pale EL DISEASE-POLICY LIMIT S 5,000.000 DESCRIPTION OF OPERATIONS below C Excess Auto 297-1-10011-00-2018 03101/2018 031012019 Unlit: 4,000.000 DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION HOME DEPOT USA,INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2455 PACES FERRY ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING C-20 ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTA.GA 30339 AUTHORIZED REPRESENTATIVE of Marsh USA Im. ManashiMukherjee �Lauco►-� I ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101642069 LOC#: Atlanta ADDITIONAL REMARKS SCHEDULE E Page 2 of 3 MARSH USA,INC. NAMED INSURED THE HOME DEPOT,INC POLICY NUMBER HOME DEPOT U.S.A.,II.1C, 2455 PACES FERRY ROAD BUILDING C-20 CARRIER NAIC CODE LAN ATTA.GA 30339 ADDITIONAL REMARKS EFFECTIVE DATE THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liabili Insurance Workers Compensation Continued Carrier.tndamnity,Insurance Company of North America Pdicy,Number WLR C64783151(AL AR.FL.ID.IA,!S.KY,LA,;�iS.MO NEr1F:ND,OK,SC,SD.TrJ,WV!N'f j Effective Date:0302018 Expiration Date:03/01/2019 (EL)Limit:S 1,000,000 Camer Nev.•Hampshire Insurance Comparry Pdicy Number.WC 014122576(DC.DE HI.IN.MD,MN.MT,NY,R() Effective Date:03/012018 Expiration Date:0310112019 (EL)Limit:S1.000.000 Carrier ACE Amencan Insurance Company Policy Number.WCU C64783221(OSI)(AZ,CA,IL,NC.OR,VA.WA) Effective Dale:03/012018 Expiration Date:03/012019 (EL)Limit S1,000,000 SIR S1,000,000 SIR for the states of AZ.CA,IL.NC.OR,VA,WA Can'ier.National Union Fire Insurance Company Pdicy Number XWC 4595580(OSI)(CO,CT.GA ME,MI,NV,OH,PA,UT) Effective Date 03I012018 Expiration Date:031012019 (EL)Urnil:S1.000.000 S1.000,000 SIR for the states of CONEENV.Ml,OH.PA,UT 5750.000 SIR for the stale of GA S350.000 SIR for the state of CT Camer.National Union Fire Insurance Company Policy IJumber.X WC 4595581(OSI)(,IAA) Effective Dale:031012018 A p Expiation Date:03/012019 MIA— SIR: Limit:S1,000,00D SIR:S500,000 TX Emfioyers XS Indemnity. CamerAlinios Union Insurance Company Policy Number.TNS C4916693A(TX) Effective Dale:03101r2018 Expiration Date.03101,7019 (EL)Limit St0.0D0.oD0 SIR St D00,C00 ACORD 101 (2008101) The ACORD name and logo are registered marks off A 2008 CORD CORPORATION: All rights reserved_ CORD