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HomeMy WebLinkAbout0500 OCEAN STREET (32) p p ()ceczr) S f 3a �l d yo - oc C, G 1 i i j I i n III S M E A D No. 10339 6mead.com Made on USA o\�V(CL&D m„ Town of Barnstable Building �`'�,3i '�,5 �3r 1:: " a'� �s'�°" ` `M.a'Z�',,:'. �;?� �` :�r �e"7�s+�u a.'�5 e��•, '-�,�� '�,_;.: �""�� , * g � Post This'Card�SoThat it,;s UisibleFrom�;theStree`t�` A , royed,Plansr�Must be>Reta�ned onaJ'ob�and"thisrCartl Must be-Kept z , AS& te osd�Until nal ln's ection Has,Been Made . �p '{ y z i63W P ~ zR ...#;, .'�r...�.,,.:;. �"?•�� ,,,�S��,s :"'.�..,.�Es. ,_.,.,.u� .::. „�.,.., .;:; , o-;.�,;�" ✓,`i ...�. .< ...... .w.E. d er t W Permit No. B-18-898 Applicant Name: Scott Murdock Approvals Date Issued: 04/24/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 10/24/2018 Foundation: Commercial Map/Lot 324 040 OCC Zoning District: RB Sheathing: Location: 500 UNIT 74 OCEAN STREET, HYANNIS k �' Contractor Name D.SCOTT MURDOCK Framing: 1 n `'" f� . Owner on Record: PAUL,JAMES&HICKS,CINDY L �Contctor License CS-080395 2 .: Address: 2315 BRYANT AVENUE Est Pro ect Cost: $30,000.00 Chimney: EVANSTON, IL 60201 r, * x Permit Fee: $373.00 Description: Replace insulation and drywall in kitchen, Liviri room, Dinin , Al Insulation: p p rY g g room Fee Paid. $373.00 Master Bedroom. Replace kitchen cabs t Date" 4/24/2018 Final: Project Review Req: KITCHEN REMODEL 7r pi, � Plumbing/Gas Rough Plumbing: - •a "- BuildingOfficial "~ Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authoi�j¢ed;by this permit is commenced within six�months afterissuance, Rough Gas: All work authorized by this permit shall conform to the approved apple ation arld the"approved construction documents•for which this permit has been granted. .• , . Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonigby streetlawsar codes. This permit shall be displayed in a location clearly visible from access or road and shall be maintained open fo r public mspecti n for the entire duration of the work until the completion of the same. Electrical > �F Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and4F1re Officials are provlaem.661,is permit. Minimum of Five Call Inspections Required for All Construction Work I•. Rough: x:. 1.Foundation or Footinglit 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i�M PrSL 5 Town of Barnstable iillClln , 'x°as' ..sa ,..n aa4.a ,ww;aw�� -•w wr _,.�. '+ a}.� • .. , r x w , Post This Ca d Soa rt.is U�siblerom the,Street,.A roved Plans Must be.Retalned on,Job an.d tfi�s Card,M,ust.be..Ke t. :r'dA1iTI3CABLB, s y, ., ,s•;:r p _.. , it � �.. 3 t"1 t K . : :.:... . . : ;Posted,. ra, , in to as=Been Made;,, � . .,, G.... �•x .� .:. ' .,.. ;". �.. f R her.,e a:Certificat a Re urreds B it K. Occu a until=a F�nalans ect�on fias beenumade°\. �i. 1 - W e of Occu an y is ucfi u ding shall Not be d Permit'No. B-17-997 Applicant Name: Daniel G Becotte Approvals Date Issued: 04/19/2017 Current Use:. Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 10/19/2017 Foundation: Residential Map/Lot: 324 040-OCC Zoning District: RB Sheathing: Location: SOO UNIT 74 OCEAN STREET, HYANNIS " fContractorNarne: Daniel G Becotte Framing: 1 Owner on Record: PAUL,JAMES& HICKS,CINDY L ' Contractor License: CSFA-086372 2 Address: 2315 BRYANT AVENUE Est Project Cost: $8,000.00 Chimney: EVANSTON' IL 60201 £ ' Permit Fee: $90.80 �x Insulation: Description: Bathroom Remodel. Replace shower(2)vanity(2)and toilets. new the Fee Paidi $90.80 r floor Date 4/19/2017 Final: Project Review Req: Bathroom Remodel. Replace shower(2)vanity(-)and toilets new tile floor Plumbing/Gas Rough Plumbing: ``T ,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterlissuance. f Rough Gas: All work authorized by this permit shall conform to the approved application and���yV,ty��he approved construction documents for which AN permit has been granted. All construction,alterations and changes of use of any building and structuresshal6be incompliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public�msp1 bon for the entire duration of the work until the completion of the same. 8. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Builtlmg antl Fine Offcials afire provided on,this`permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing � r1,M Rough: 2.Sheathing Inspection '' 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall.not proceed until the Inspector has approved the various stages of.construction. . Final: ui ';Persons:contractin` ..wl nre is::tered contraotors.do>not have access to.the uarant .fund. as setforth in:MGL c.142A ,. th u, , g . _ g Y-: . . _.,.� ) .` re rtmeht g Fi : Depa Building plans:are to be available on site p Final: All Permit Cards are the property of the APPLICANT ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma l� 7 Parcel V�I D V C C A lication # 3-171q� P Pp Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee V Date Definitive Plan Approved by Planning Board . Historic - OKH Preservation/Hyannis Project Street Address 500 OCeO A A L kC� MA Village ``� cokv�(- . Owner �� CFyL Address Telephone Permit equ st A ,1 0 M e-VA 10 • t. Q Le Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District �{ Flood Plain Groundwater Overlay Project Valuation . ;O Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ANo On Old King' Highw y ❑Yes ❑ No �sBasement Type: ❑ Full ❑ Crawl ❑Walkout 'Other a Se 4��t. 3� Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 12, new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood oal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ cistiW ❑g'ew size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ® 6 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Z o rn Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use m --- — — _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name qA co �r.• •W• Telephone Number Address T`C"[ �1adtvfca License# R Y`eo 4ed, W. Z 6 Home Improvement Contractor# 6 Email `e LV I IUlQ CCU = Worker's Compensation # ALL CONSTRUCTIO DE I R SULTING FROM THIS PROJECT WILL BETAKEN TO �'C SIGNATURE DATE �d FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ?'hm Commomveah*qfM ssrf&use&s Deparhme mt cx}'hukv1md AccidmT& 'Ge 0fIMTM69afi0M. 600 Washf Won sS'z: t Boston,MA 02111 k4'!Vt'i�717FLT*�11Y�dflt Wcwkers' Cumpensa nit LnuranceAffidavit B>tiersdC,untractursl Edna ns4nu3mbers AmUcant Informathu Please Fxinf F Nea]e a- to Address: city/sit Are an employer?Check a app 4ropriate btu L Type of project(required): I am a employer� . ❑I am a getietal conissctor and I • employees(fall au&or p timed. * Nave hired Me sub-contactors 6- ❑New oonsfrur iosx �.❑ I am a sale prRpzietor orpartaw- listed on.the attached sheet. �- J Reaiode g sip and have no employees Them sub--canfmctors have g- ❑Demolition woddng far me ia'any capacity. employees and have WO&eM' Wo wodmrs'camp.ir=ance comp.Msumace, 9_ El Building addition required-] 5. ❑ We are a corporation and its ld-❑Electrical repairs or ad4hons 3-❑ I mn a homeownw doing all work ohs have exercised their 1 L Q Plumbing repairs or adehtions myself o workers'oamp. sight of aKempfiou per MQ. c.152,§I(4�andwehaveno L.❑IZoafrepaits insurance ret�SllLEt�-]i • employees.(No wodoe& 13.E Other comp-insntance requ rAl 'Atlyapp6c>astthatcbeclabosf1mastdsafMouttheswioabdawshavdagthei vm&eWemmpeasa5oo:paHcyinffmnxtimL �F�omeoaraxerswho submit rhis�dara in�rafmg�aredo-iag a1l�radc a�dthenbae aatsiele�emirs.�*+tsmns#submit anema�daest iadie�snrs, ICaohac' lff ZC r bwk this boa==attached M addit—al sheaf showlag the r—cf the sub--caaftxctm-and state whether ar nm thase ba� employees.Ifihesnh-cantosbaceempigpea%tfieymnstpmt•1&duffr ssurken,immp.policynm+bm I am art errig er Heat is prauFdirtg workers'cattrperesrditxrt iriszuar>ce f br ircy enrp�ny�ex $et019 is fTte;paaIicy a d job rye informathm If>surance CampauyName: P4ficy 4'ar Self-ins.Iic aa FxpssationDate: `. rTO Job Site Addf Ciiy/Statel�p: 4KKt`5 , Attach a copy of the workers'compensationp. icy decIara4ion Me(showing the poTicy numbbr and�piration date}. Far-l=to secure coverage as required under So 25A of MGL e- 1:572 can lead to the imposition of criminal penalties of a fine up to$LM OQ a&tor one-year impr isonmeut,as well as civil penalties in the farm of a STOP WORK ORDER and a tine of up to$25100 a day against file violator. Be advised that a copy of this stahment may be forwarded to the;Office of Imvestigadi of the DIA for i insane coverage vedfication- I•da keretiy eear�fy as the pamrs £her s a per�ur}'fJratiJte irffotwcafuitt pret tied i ns h; acid correct Signature- Date, Phone ik triad use airily. Do nat trite in 96 arear,.trr be cmnp&e+d by C4 artbirm a,T'rcret Ufy or Town: PermitUcense 9 Issuing=purity(tide one): L Board of H e�eahk 3.BluTalmg Department 3.City1rov a Qerk 4.Electrical hnpector 5.Phmabing Inspector 6.Other Contact Person: Phow#: i ormation and Instructions M car3lnce{�Gebeaal Laws chapter M mq=m all emP1Oye rS.to pray &Wull ss°camPeQsatlOn fuc�ieIr eolploirl Pm this ,an ea�rlayee is defined ss'-eveaypeasanM die sedvice of�otber�de��y cordxact ofba , C:Xpr=or ih3p]ieC%Oral ar ." An err pryer is dCf lc d as-aa mdiyidnal,parfnersbip,associsir on,cDrpord iOn Or oilier legal e�y,or M.Y Iwo or more of the:foregoing is a Joint ,and including the legal re�se�fives of a decease employes,or the receiM Or trustee of an mdividnal,pa t=Mbip,association or ot3=Iegal Mfity,CIDPIOY1119 euzplOyees- However fir, owner of a.dwelling hone having not mare than fbiee apartments and who resides iherem,or the octet of the- dw sing house of another who employs Persons to do mai f m ce,construction or repair work.On such dweM19 hoIIse or an-the grounds or building app d1M-e in SbMU not becanse of snc h employment be deemed to be an®.plover." MGL chapter Iti2,§25C(6)also states at"every state or local��agency shall hold ffie issuance ar renewal of a license or permit to operate a business or to contract bufldings k the commonwealth for any, applicant-who has notprodnced acceptable evidence of-cumPM[nceW1ntine an hlsm ce.coveragerequa'ed. AddbionaIIy,MGL chapter I52,§ZSC(7)staffs=Neff m flie ca=®.wealth rior aayofits political subdivisions shall e+ni�r into any contract for the perform Mw 0fpubhr'wak Butt[acceptable eYideace of compliance with file insoi�moE. r-eg =ts of this dlz ptmr have Been p=e ted.to tiie contm-cting anfh ozity_" Applicants Please fill out t$e wodsras'compensation affidavit completely,by chmking i`h-e boxes that apply to your situation and,if ` ary►amply s nam s , e s and a Tnnn s along wifh their cea�cate(s)of necess svb-contractor() a{) address( ) P� �) in e:es other fhan the insurance. Limit-ad.LiabMty Compaznes(LLC)orL=tedUab�ifyPararslups.Q=)Wlano ednploy meltb.s or parta�are not d to carry workers' eompensaiian insormce- If an LLC or LLP does have crop Y policy �� to$le Department of Ind�al-• Io ees a oIi is Be advised a$davitmaybe submitted Accidents for confirmation of insurance coverage Also be sure to sign and datethe at_udavit The affidavit should be retu mcd to 1he city or town that the application for the permit or license is being requested,not the Department of Indzis�ixial Accidents. Shouldyou have any ques tans regardmg the Iaw or ifyou are required to obtain a workers' co ensaiion olicy,pleasecalltheDepartmentatthenumbealistedbelow: Self-insmedeongsanie�shouldem`ertheir mp P . self-;n crTran ce license number on thi appropriate lim City or Town Of Edals Please be sore that the affidavit is complete and printed legibly. 'Ihe Depa tnaatbas provided a space at.ffie bottom of the affidavit for you to fill out in the event the Office of Inves-tigatioIIs has to coact you regarding the applicant_ Please be sure to Ell in the pen�itllicease ntrlober which will be used as a ma mce nvmbcr la addition,an applicant at must submit multiple peunWHce:ose appliba ions in.ananygive°-yex°need only submit One affidavit indicaizng CMT Mt th p olicy fi forroation(if necessary)and under"Job Sit-14_ddrese the appiicx ahorld wine�aII locations n (cfiy or. town) A copy of the-affidavit that has been._' n officially stamped marked by the city or town may be provided to the applicant as ' ofthat a valid affidavit is on file for fotm-e permits or licenses Anew affidavitmust be fined.oil each pro _ aPP business or commexeial vein year.Where a home owner Or citizen is obtaining a license or permit not related to any (i.e. a dog licenses or permit to bum leaves a .)said person is NOT rerluirrd to complete this affidaYit: the Office OfInyPstigafions would lflmto iiiankyoum abmce for your cooperation and should-you have any questions, please do not heshatD to give us a caIL The Departmenf's address,telephone and fax mmiber. f�a 1d1 of Massa-chnsdt; , Depazimmt of li&sftial Accident% - - Stan� lam lA Uil 11 Tf,-L 41'617'1 -4 cxt 4-€6 car 14771JA&CAM Fag 617` 27'74-9 IZevism d 4-24-07 � -VA • Mar 31 2017 9:16PM Weber Shandwick 3129882111 page 1 Town of Barnstable Regulatory • a � ; gu story Services ¢A Richard V.Scab,DbvcWr Building Division. Psai Roma,Bonding Commzaafaoer 20+0 Mam Street,Hyamtis,MA 02601 WWW-tows.bsrustsbl&mais Office: 508-862-4038 Fax 508-79"230 ProPerty Owner Must Complete and Sigh This Section . - If Bing A Bwiider �. QA—j L as Owner of the subject Atop" hereby authorize G L L L to act on my behalf in all matters relative to 7ork authorized by this building pem*app"tiom for 500 Oct �, S�• 'I q (Addresa of job) **Pool fences and alas are the responsibility of the applicant Pools ase not to be filled or utilized before fence is installed and all firW inspections axe pe�rfomacd and accepted. t} tore o€Owner of Appiicaat C04 e4e. LLC- Print Name Print Name Da Q:I.OlttblS:OR'htPRPFRMLSgimTPQgt� I Yachtsman Condominium:Trust Board of Trustees 500 Ocean Street .r Hyannis,ALL 02601 DATE RE: Unit_-� , Yachtsman Condominium Trust, 50.0 Ocean Street, Hyannis To the Town of Barnstable Building Commissioner, The Board of Trustees for the Yachtsman Condominium Trust voted.and approved the attached proposal to be performed as is delineated in the request we received from the Unit - Owners. Contractor,aEcw has been contracted by the Unit Owner to perform the work as defined in the proposal: t This letter serves as notice of the Board's vote to approve the proposal,which has been noted in the Minutes of the Board Meeting. Signed Under-the Pains and Penalties of Perjury this day of 20 _q ` I J , YCT Trustee Boar of Trustees Yac sman Condominium Trust 500 Ocean.Street(c/o Manager's Office) -- Hyannis, MA 02601 r Enc./File I i I i - I i winor • I 2n� !Fwo� CH O � 7q flo 14/10/2017 10 : 43 AM PDT TO : 15088966498 FROM : 6179779533 Page: 2 ,d► ® " CERTIFICATE OF LIABILITY INSURANCE 774/10/17 I ) 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(es) 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 endorsemen4s). PRODUCER CONTACT NAME:...._ . ._Janice M. Skinner _ Pike Insurance Agency, Inc. PHONE - Fax (508) 255-7880 A/ N ; (508) 240-2908 8 Main Street ADDRESS:PO Box 2743 SS: ]skinner@pikeinsurance.com INSURER(S).AFFORD_I_NG COVERAGE Orleans, MA 02653 241 INSURER A:Western World INSURED INSMRER_8_:_Map_fre/_Comltl_er'c_e_._.__In.sun_nanc e F.E.W. LLC INSURER C_:Travelers_._Ins._ Co P.O. Box 293 INSURER D ...... .. - ........- . .............. .....__... ._-........_ .. Brewster, MA 02631 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 ANDCONDITIONS OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .. ... ................... INSR AOOLSUBR:, POLICYEFF POLJCYEXP LTR. TYPE OF INSURANCE .INSR WVD! POLICY NUMBER MIDDIY MMOD/YYYY LIMITS A GENERAL LIABILITY 9/21/161 9/21/17 N N NPP1404540 EACH OCCURRENCE s.._. 1.,,00.0,_,_000_..__. X COMMERCIAL GENERAL LIABILITY 1 DAMAGE TO RENTED PREMISES,(Ea occurren ce)-.- S , . . 100,_000__ CLAIMS-MADE X OCCUR ._ .........._. : % ME E>(P(Any,one person).,. S r7...c_000._..... ._.....: - .. ........ -..._....- ....... PERSONALS ADV INJURY c GENERAL AGGREGATE s _2,000.,,_000. GEN'L AGGREGATE LIMIT APPLIES PER - ! PRODUCTS-COMP(OP_AGG S _2,000,_000_...._ .. ,_......., PRO- ......__. .. ........ X POLICY JECT LOC c B AUTOMOBILE LIABILITY BBPM87 9/17/16 9/17/17: COMBINED SINGLE LIMIT (Eaaccidera) -- _ s 1,000,000 _ ANY AUTO BODILY INJURY(Per person) S 111. ........ . . ALLOWNED SCHEDULED . ......BODILYINJURY(Peraccident 5 AUTOS AUTOS )' NON-OWNED PROPERTY DAMAGE :S HIRED AUTOS gUTOS ! ! ! (Peraccident) . ,....__..............._. ....__._....__....... .........___..............__..........._............._.._... S UMBRELLALIAB OCCUR . EACH OCCURRENCE S EXCESSLIAB- CLAIMS-MADE ; AGGREGATE $ ._......_....._. ...................._ ...........__.........._................_._......_......._.......... :........._.___._..__...._._...._.....__._................. DED RETENTION$ S C WORKERS ORKER COMPAND 'N COMPENSATION 7PJUB4261P61-8-16 6/14/16, 6/14/17 ]Y _ WCSTATUi _.:OTH Y/N i .. .__._... ANY PROPRIETOR/PARTNER/EXECUTIVE E EACH ACCIDENT N!A $ - 100,000 EXCLUDED? N (Mandatory in NH) If es,describe under E.L.DISEASE EMPLOYEES 1 O O.1900 yy _ .. DESCRIPTIONOF OPERATIONS below . E.L.DIS EASE-POLICY LIMIT $ 500,000 i i DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is regui red) JOB: 30 Governor Prence Rd Eastham MA 02642 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Robert Lamboischino ACCORDANCE WITH THE POLICY PROVISIONS. 3 Govenor Prence Road Eastham, MA 02642 AUTHORIZED REPRESENTATIVE Janice M. Skinner ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: