128 DERBY STREET - BUILDING INSPECTION JACKET " 128 DERBY STREET
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J1LP� �P'!JT/11ZO9LLlRP,O�LG1L �e�iLOg46CfL-CLdP itd� Thomas G.Commissioner P.E.
Ulf
,,// o Commissioner
949eG�GCG c7� Alexander MacLeod,R.A. .
� Chairman
Gary iP.E.
Deval L.Patrick Vicea Chairman man
Governor /� n// i> �L`o/L /7l/ 'A.o�L 'c��'
C/ JQGJ� al�LILI,'Pi Robert Anderson
Timothy P.Murray / 1� /1J Administrator
Lieutenant Governor �Pd O'I/ G 1 � O2/ U-x%
Thomas St. Pierre
120 Washington St. 3rd Flr Wednesday,December 01,2010
Salem MA 01970
Contractor's name: Nathan Langford
100639
Property Address: 127 Derby Street,#3 Salem MA
Complainant: Louise Spohr
Complaint Number: 2010-345
Greetings:
The Board of Building Regulations and Standards has received a complaint against the above-listed CSL License
holder("CSL")To assist the Board forward any documentation about the above-fisted property and/or complaint.
Please reference the complaint number in your reply.
Thank you in advance for your invaluable assistance.
Very truly yours,
BOARD OF BUILDING REGULATIONS AND STANDARDS
T
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WW4Y,aVi yj.beV� i L_ DEPARTMENT OF PUBLIC SAFETY
Construction Supervisor License (CSL) Complaint Application
• TO FILE A COMPLAINT AGAINST A CONSTRUCTION SUPERVISOR LICENSE HOLDER(CSL),THIS FORM MUST
BE COMPLETED IN ITS ENTIRETY.
• INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE APPLICANT.
• ALL COMPLAINTS MUST CONTAIN AN ALLEGATION THAT A CSL HOLDER HAS VIOLATED AT LEAST ONE
PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE(780 CMR).
• APPLICANTS WILL BE NOTIFIED IN WRITING IF A HEARING IS SCHEDULED ON THE MERITS OF THE
COMPLAINT. ._
1. Construction Supervisor License (CS ) holder's information:
A. Name:
B. Construction Supervisor License (CSL) number: 4�6 �39
(maybe looked up on www.mass.gov/dps
C. Business address: I l N "if(Bi-
�-
D. Telephone number/email address:
2. Your information:
A. Name: fig
B. Are you a building official? yes �❑ no Im
C. Address: 77,5
D. Address of property at issue:
(if different from your address)
E. Tel hone: a
eP � � I V Fax: (� ' "��" mail:
f,
3. Narrative. In order for this complaint to be processed, you must provide a detailed description of the
situation that led you to file this complaint. The description should identify the specific section(s) of the
Building Code that you allege have been violated. (For example: "The CSL holder began construction of an
addition to a single family dwelling at 10 Main Street prior to applying for a permit, in violation of 780 CMR
5110.1. Inspector Jones issued a stop work order pursuant to 780 CMR 5119.1, but discovered the next day
that work was continuing."). The Building Code can be found at www.mass.gov/dps. Additionally, please
provide a letter or report from the building inspector, an engineer, or architect explaining the Code violations.
In the Board's experience, the vast majority of all viable complaints against CSL holders are accompanied by
such a report. Additional pages may be attached as needed.
Code sections violated: 780 CMR 4— 780 CMR 780 CMR 780 CMR
4. Exhibits. Please attach any documents that you want to have considered as part of this complaint. For
example:
- A copy of the building permit application,building permit, inspection reports, documentation on file with the
building official,plans, affidavits, and other permits that applied to the project under the supervision of the same
contractor.
- Photographs
- Engineering reports
- Contract between homeowner and contractor
S. Verification. I hereby affirm under the pains and penalties ofperjury that all the information contained in
this complaint package is true and accurate to the best of my knowledge and belief.
Signature of applicant Date
Printed name of applicant
6. Filing. Please forward the complaint package to:
Board of Building Regulations and Standards
CSL Complaint Program
One Ashburton Place, Room 1301
Boston, MA 02108
2
127 DERBY STREET 547-10
` ,asszr�4 COMMONWEALTH OF MASSACHUSETTS
Bork CITY OF SALEM
Category REPA REPZACE,"
er�t# 5471D BUILDING PERMIT
I'foJect# ;� JS 201>Q OD08J4�
Est Cost $500.00
F',eeCharged:'z $25',00;;
PERMISSION IS HEREBY GRANTED TO:
Const Glass:; Contractor: License: Expires
Use Group ,;; Nathan Langford
Lot St e(cq.;ft) 0
Zpn in Owtaer: YOL'RELL KAREN M
Units Gained: „ Applicant: Nathan Langford
Uhrts Lost",,': AT: 127 DERBY STREET
Dig Safe#"= y'
ISSUED ON: 22-Feb-2010 AMENDED ON. EXPIRES ON. 22-Jul-2010
TO PERFORM THE FOLLOWING WORK:
REPAIR THIRD FLOOR WINDOW TRIM AND SURROUNDWG ROTTED WOOD jbh
POST THIS CARD SO IT IS VISIBLE FROM THE STREET "
Electric Gas Plumbing Building
Undergraund:" Underground: Underground: Excavation:
Se0vice: Meter: Footings:
Rough: Rough: Rough: Foundation:-
Final: Final: Final: Rough Frame:
Fireplace/Chimney:
D.P.W. Fire Health
Insulation:
Meter: Oil:
Final
House# Smoke:
Treasury:
Water: Alarm: Assessor
Sewer: Sprinklers: Final
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLAT� OF NY OF ITS
RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: ...... D Paid: Check No: Amount:
�BUI'LDING REC-2010-001018 22-Feb-10 cash - 825.00
Alf
ietri{ni�i`O['] 1�fk1; I� stfrBtil
GeoTMS®2010 Des Lauriers Municipal Solutions,Inc.
127 DERBY STREET 49840
COMMONWEALTH OF MASSACHUSETTS
$jock CITY OF SALEM
I gt 0315-8Q2 `
category r f REPAIlt/REPLACE ,
Permit#'
BUILDING PERMIT
4
P.zaJect# „ u�`x 7S 201`0 000799, `,
Est Cost 8,41 0 0
0
Fee Chazged 'e
Balance Duerk $oo0
V PERMISSION IS HEREBY GRANTED TO:
Const Class:> Contractor: License: Expires
Use vrottp .'j Awardseal LLC/Toni Pav1
L'otSlze(sq f3) 0
Owner: YOURELL KAREN M
Zomng
Un is Galned; Applicant: Awardseal LLC/Toni Pavl
AT: 127 DERBY STREET
Dig Safe#eN'`
ISSUED ON.- 26-Jan-2010 AMENDED ON. EXPIRES ON: 26-Jun-2010
TO PERFORM THE FOLLOWING WORK:
STRIP EXISTING ASPHAULT ROOF APPLY NEW 1/2 PLYWOOD AND ARCHITECTURAL ASPHALT SHINGLES jbh
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Buildin
Underground: Underground: Underground: Excavation:
Service: Meter: Fobtings:• -
Rough: Rough: Rough: Foundation:
Final: Final: Final: Rough Frame:
Fireplace/Chimney:
D.P.W. Fire Health
Insulation:
Meter: - Oil:
Final:
House# Smoke:
Treasury:
Water: Alarm: Assessor
Sewer: Sprinklers: Final: _
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLA I O ANY OF ITS
RULES AND REGULATIONS.
Signature:
Fee Type: - Receipt No: Da*Paid: Check No: Amount:
REC-2010-000927 26- -10 4812 $93.00
� : An insm.cfon 18 S�EQ_i
upon completion �.)f wofk- pease call
GeoTMS®2010 Des Lauriers Municipal Solutions,Inc.
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HOW PAIDBV
„ CITY OF SALEM, MASSACHUSETTS
BUILDING DEPARTMENT _
Ji
120 WASHINGTON STREET,3RD FLOOR
TEL. (978) 745-9595
FAX(978) 740-9846
IQMBERLEY DRISCOLL
MAYOR THOMAS ST.PIERRE
DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER
May 24,2010
Ms.Karen Yourell
127 Derby Street#2
Salem Ma. 01970
Dear Owner,
The roofing work,recently completed by Award Seal L.L.0 permit 3 498-10, has a number of
problems identified during my recent inspection.
#1 The roof has leaked since the time it was installed.
#2 A third floor deck was constructed without a permit
#3 The rubber roof beneath the third floor deck was not terminated correctly against the sidewall
and under the door.
#4 The flashing on the chimneys was not replaced and in one case,Aluminum flashing was slid
under(Galvanic reactions will occur)
#5 The dripedge on the Main Roof does not cover the leading edge of the fascia in some spots
and is an obvious location for leaking.
#6 The new Fascia boards are attached at the framing members by one nail ,placed along the
bottom edge ,and the nails are the gun variety,non-galvanised. This improper nailing will allow
the fascia to warp and move around combined with the rusting of the gun nails will lead to an
early failure of the assembly.
#7The flashing caps,or boots, around the plumbing vents are not installed properly and are open
to water infiltration.
#8 The dryer vent or bathroom exhaust on the East side is not installed properly and also
appears to be source of water infiltration
The State Building Code 789 C.M.R section 117.1 titled Workmanship- General states "All work
shall be conducted,installed and completed in a workmanlike and acceptable manner so as to
secure the results intended by 780 C.M.R”
Additionally 780 C.M.R section 1503 —Weather Protection staes the following"Roof decks shall
be covered with approved roof coverings secured to the building or structure in accordance with
780 C.M.R and the approved manufacture,s instructions such that the roof covering shall serve to
protect the Building or structure"
Section 1503.2—Flashings states the following "Flashing shall be installed in such a manner so
as to prevent moisture entering the wall and roof joints in coping,through moisture permeable
CITY OF SALEM, MASSACHUSETTS
BUILDING DEPARTMENT _
120 WASHINGTON STREET,3m FLOOR
�oymg TEL. (978)745-9595
FAX(978) 740-9846
KIMBERLEY DRISCOLL
MAYOR - THOMAS ST.PIERRE
DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER
May 24,2010
materials and at the intersections with parapet walls and other penetrations through the roof
plane.
These items constitute a violation of State Building Code and need to addressed as soon as
possible. If you feel you are aggrieved by my interpretation of the Building Code, your Appeal is
to the Board of Buildings,Regulations and Standards in Boston.
Tho St Pierre
Building Commissioner/Director of Inspectional Services
Advantage Home Inspection,Inc. 1 YourelYRoof covering application
DONALD E. L®VERING
Advantage Home Inspection Inc,
275 Grove Street
Suite 2-400
Auburndale, MA 02466-2273
www,advantagehomeinspectionous
Tel, (617) 928-1942 FAX (617) 698-3803
July 9, 2010
Ms. Karen M. Yourell
127 Derby Street
Salem, MA 01970
RE: Roof covering application at 127 Derby Street, Salem, MA 01970
Dear Ms. Yourell:
You retained this firm to examine the condition of the two newly installed roof
coverings. The first is the "Main house`-roof the second is a EPDM rubber
covering positioned under the thin)`floor units wood deck. This examination tools
place the morning of June 24,.201 D.
The application for roof coverings tools place within the past 7 months. Almost
immediately the roof.coverings were leaking.
Photo #I
View frorn.the ground at the driveway
Photo #2
View from right side of dwelling at ground level.
Advantage Home Inspection,Inc. 2 Yourell/Roof covering application
Photo #3
Rear of building at grade view.
Photo #4 & 5
View from a ladder on the driveway side. The aluminum sheets are tacked over the
gutters.
SEVENTH EDITI®NMASSACHUSETTS BUILDING C®DE.gOR ONE-
AND TWO-FAMILY DWELLINGS (980 CMR)
5903.1 General. Roof decks shall be covered with approved roof coverings
secured to the building or structure in accordance with the,provisions of this
chapter. Roof assemblies shall be designed and installed:in accordance with this
code and the approved manufacturer's installation instructions such that the roof
assembly shall serve to protect the building or s acture.
5903.2 Flashing. Flashings shall be.instalJedin such a manner so as to prevent
moisture entering the wall and roof thrqugh joints in copings, through moisture
permeable materials, and at intersects ns with parapet walls and other penetrations
through the roof plane.
5903.2,1 Locations. Flashings shall be installed at wall and roof
intersections; wherever there is a change in roof slope or direction; and
around roof openings. Where flashing is of metal, the metal shall be
corrosion resistant with a thickness of not less than 0.019 inch (No. 26
galvanizedsheet).
5903.4 RqqFdrainage. Unless roofs are sloped to drain over roof edges, roof
drains ah.K�be installed at each low point of the roof. Where required for roof
drainage, scuppers shall be placed level with the roof surface in a wall or parapet.
T& scupper shall be located as determined by the roof slope and contributing roof
area.
5903.4.1 Overflow strains and scuppers. Where roof drains are required,
overflow drains having the same size as the roof drains shall be installed
with the inlet flow line located 2 inches (51 mm) above the low point of the
roof, or overflow scuppers having three times the size of the roof drains and
having a minimum opening height of 4 inches (102 mm) shall be installed in
Advantage Home Inspection,Inc. 3 Yourell/Roof covering application
the adjacent parapet walls with the inlet flow located 2 inches (51 mm)
above the low point of the roof served. The installation and sizing of
overflow drains, leaders and conductors shall comply with the
Massachusetts State Plumbing (Coale 248 CMR),
Overflow drains shall discharge to an approved location and shall not be
connected to roof drain lines.
Photo #6
Unsealed face nailed flashing.
Photo #7
Tar covered new sewer vents. _.
Photo #8,9,10
Tar covered chimneys with new aluminum, hashing (incorrect)
Photo #11,12,13, 14
Missing bituthane along the raises. New plywood installed without a structural
permit,
Photo #15
Rear deck third floor
Photo##16
Unsecured drip edge
Photo #17
Unsecured floor frame and railings.
Advantage Home Inspection,Inc. 4 YourelYRoof covering application
Photo #]18
Unsecured edges with partial bathroom caulk application.
Photo #19
Unsecured threshold.
Photo #20, 21,22
Bathroom caulking at unglued joints. Improperly secured siding post roof
application.
®PST ON:
Based on our observations there was not ev*eritry level workmanship exhibited
in these new roof coverings or deck. All, tree require complete removal and
proper/industry standard installation::. -
Advantage Home Inspection,Inc. 5 Yourell/Roof covering application
Costa
Wood deck.-
Demolition and disposal $700.00
Rebuilding with all PT stock $3200.00
Permits $60.00
Subtotal .. $3960.60,-
Rubber
3960.6®.Ruubber roof:
Demolition and disposal $490.00":,
Correct replacement
$13.00/sq. ft x approximately 120 sq. ft ;. $1560.00
Permit $45.00
Subtotal: $2095.00
Main house roof.
Strip and dispose of same .� '- $3000.00
Bituthane covering $680.00
New flashings $140.00
Provide and insfalTarchitectural shingles
Approximately 22 sq. ft $6000.00
Permit- $100.00
Subtotal: $9920.00
Advantage Home Inspection,Inc. 6 Yourell/Roof covering application
Interior paint )repairs:
Labor
2 painters x 5 days @ $400.00 /man day $4000.00
California problem solving primer
4 gallons @ $50.00 each $200.00
Ceiling paint
2 gallons @ $45.00 each $90.00
Wall paint
2 gallons @ $45.00 each $90.00 .
Misc. supplies
Rags, brushes, etc. $1000
Subtotals ppgg
$4948®.®®
®Tt9 $209455.®®
MAX ENGELHARDT
ROOF REPLACEMENT ESTIMATE
127 DERBY STREET, SALEM, MA
SCOPE OF WORK:
STRIP OFF ALL LAYERS OF EXISTING ROOF AND DISPOSE
RE-ROOF WITH 30YEAR BLACK ARCHITECTURAL SHINGLES
APPLY ICE AND WATER SHIELD ON UPPER ROOF EDGES
15 LB. FELT PAPER APPLIED TO BALANCE OF ROOF
DUMPSTER INCLUDED FOR FULL CLEANUP OF ALL DEBRIS
REPLACE ALL TRIM AT EDGE OF UPPER ROOF, APPROX. 90'
REPLACE ALL VISIBLE TRIM WHICH IS DETERIORATED
ADD RIDGE VENT APPROX. 70 FEET
INCLUDES ALL NEW GALVANIZED DRIP EDGE
INCLUDES RE-LEADING OF ALL THREE CHIMNEYS
TOTAL LABOR AND MATERIALS: $ 9,450.
(includes cost of plywood)
BUILDING PERMIT $ 93.
TOTAL $ 9,543.
LESS: DEPOSIT TO START: PAID 12/4/09 $ 4,050.
LESS: ADDITIONAL DEPOSIT PAID 1/22/10 $ 1,500.
BALANCE DUE . $ 3,993.
EXCEPTIONS TO CONTRACT: ANY BUILDING PERMIT COST, IF ANY,
NOTIFICATION OF NEIGHBORS, ANY REPLACEMENT OF ROTTED
PLYWOOD OR TRIM NOT READILY VISIBLE.
THE ENTIRE ROOF REQUIRES NEW PLYWOOD. IT WILL TAKE
45 SHEETS OF '/z' CDX: COST INSTALLED $1,350. (INCLUDED ABOVE)
SUBMITTED BY: DAVID P WA-RDSEAL LLC
ACCEPTED
Ai iDSE •NewHomes/Design
CONSTRUCTION -Build/Remodel
*Mold Removal
KAREN YOURELL
QUOTATION
We are pleased to provide you with a quotation for mold remediatioh and ]�L
the necessary work required to get your room back to a livable condition. t,�
SCOPE OF WORK: REAR ROOM (BEDROOM)
All of the following work to be done after leak from deck above 's fixed.
Cover entire floor with a tarp and secure to baseboards.
Remove all drywall and insulation from ceiling and closet wall,
disposing of all materials properly.
Remove visible mold and treat surface with mold killing solution.
After drying,paint surface with anti-fungal paint.
Install ridged insulation(or equivalent)in ceiling,minimum R-19.
Install plastic vapor barrier on ceiling.
Install ''/x"moisture resistant drywall on ceiling and closet.
Tape and finish drywall surface,prime and paint(2) coats.
TOTAL MATERIALS AND LABOR $ 2,440.00
DEPOSIT TO START $ 1,220.00
BALANCE DUE UPON COMPLETION
THANK YOU!
SUBMITTED BY: AWARDSEAL LLC
DAVID N. PAUL
AUTHORIZED BY: �"<�C uai�� DATE
312 Baboosic Lake Road 603-620-1907 Merrimack, NH 03054
raifiratr of 3nonranrp
A Stock Company. . . Incorporated in 1944
CANADIAN UNIVERSAL
INSURANCE : p
C04PANY
UNITED STATES Date .October. .4, .1966. . . . . . . . .
UNDERWRITING AND CLAIMS OFFICE
PROVIDENCE. RHODE ISLAND
040 is In rerlify that this Company has issued policies indicated below to —
Name of Insured . . . . . . . . . . . . . . . . . . FIQQI%N.BU LDING.WRECKING. INC... . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operations of Insured . . . . . . . . . . . . . . .Building..Wrecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Operations or Premises Demolition .of a. . . . . . . story.fra;Re, ,$wgJJJng Att. , • , , , ,
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128.Derby .Street,. Selem, .Massachusetts . . . . . . . . . . .
POLICY NUMBERS LIMITS OF LIABILITY EFFECTIVE EXPIRES
ma1p.463BODILY INJURY LIABILITY
$ ?MjAQQ.,OQ.... each person
$ .30.0400..00.... each accident
$ ................................ aggregate products
Insert "X" in box applicable. PROPERTY DAMAGE LIABILITY
❑ Comprehensive $ ....520.,.000 .00.... each accident
® Manufacturers and Contractors $ ... aggregate operations lo/4/66 7/27/67
❑ Owners, Landlords and Tenants $ ................................ aggregate protective
❑ Elevator $ ................................ aggregate products
❑ Independent Contractors $ ................................ aggregate contractual
(Let or Sublet Work) COMBINED SINGLE LIMIT
p Products (including Completed (Bodily Injury and Property Damage)
Operations)
❑ Contractual $ ••-••••'•••••••-"•••••••'••'• each accident
❑ Medical Payments $ ................................ aggregate
p Automobile MEDICAL PAYMENTS
❑ $ ..
Automobile Medical Payments "••"••"••••"""""•"". each person
$ ................................ each accident
AUTOMOBILE MEDICAL PAYMENTS
$ ................................ each person
\, $ ................................ each accident
Certificate issued to . . . . . . . . . . . C1ty.OP. $Alem.r. BAUding.InsgeCtQr. ... . .. .. . ........ . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .City.tlell . ... . . . . . . .. . . . . . . . .. . .. . . . . ... . .. .. . . .........
of . . .. . . . . . . . .. . . . Salem,.Maasachusetta . . . . . .A.ttn: .D..0.1. .Bxien. . .. .... . .
In the event of any material change in or cancellation of the policy(ies), the Company will endeavor to give to the
party to whom this certificate is issued ............ten.............. days written notice prior to such change or cancellation,
but undertakes no responsibility for failure so to do.
THIS CERTIFICATE SHALL NOT BE VALID UNLESS COUNTERSICNSD LY AUTHORIZED REPRSBENTATIVS OR
THE COMPANY.
g Octobe , 4 C AN UNIVERSAL INSURANCE COMPANY, LIMITED
Countersigned:: ...........................r.....a........................... 196.6..
At .providence Rhode Island s RR :. ._. Tia...
........................ ...........
OOIN
TrO firatr of Jninrttnrr
C rrtifirair of 3nouram
A Stock Company. . . Incorporated in 1944
CANADIAN UNIVERSALINSURANCE
CO*PANY
UNITED STATES Date .Qctobg ,b,, 19.6.6 . . . . . . . .
UNDERWRITING AND CLAIMS OFFICE
PROVIDENCE. RHODE ISLAND
04W W to rertifg that this Company has issued policies indicated below to —
Name of Insured . . . . . . . . . . . . . . . . . .IRQQPN. AJI?PING. XPAC) MG. . INC. . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operations of Insured . . . . . . . . . . . . . 1 4141iig wre0;LAg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Operations or Premises . .Demolition.of.a. I .story_building. In. .Collins. Cone .
Park, Salem, Massachusetts
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
POLICY NUMBF118 LIMITS OF LIABILITY EFFECTIVE EXPIRES
Mj BODILY INJURY LIABILITY
$ .100a. PO.r.QQ... each person
$ ..300,.000.A0... each accident
$ ................................ aggregate products
Insert "X"in box applicable. PROPERTY
r�(�DAMAGE LIABILITY
E] Comprehensive $ ••••.5Qo.Q.QQA.QQ... each accident
QI Manufacturers and Contractors $ ••aAQ.,.4Q4'• ••• aggregate operations 10/4/66 7/27/67
❑ Owners, Landlords and Tenants $ ................................ aggregate protective
(] Elevator $ •............................••• aggregate products
Q Independent Contractors $ ................................ aggregate contractual
(Let or Sublet Work) COMBINED SINGLE LIMIT
❑ Products (including Completed (Bodily Injury and Property Damage)
Operations)
❑ Contractual $ •'••••••'•••••••-'••••••••••••• each accident
[3 Medical Payments $ ................................ aggregate
❑ Automobile MEDICAL PAYMENTS
❑ Automobile Medical Payments $ •"'•"'."'••'•" •'"••'• each person
$ ...................................... each accident
AUTOMOBILE MEDICAL PAYMENTS
$ ................................ each person
$ ................................ each accident
Certificate issued to . . . . . . . . . . .City.of. Salem,. Huilding. 1AARggtr4T.. . . .. . .. .. . . . . ..... . .
. . . . . . . .. . . . . . . . . . . . . . . . . . . . . .City:11fk.0 .. ... . . . . . . . . . . . . . . . .. . .. . . . . .. . . .. . . . ...... ....
of . . . . . . . . . . . . . . . . . . . . . . .. . . .Salem,.MPAQ4aPAetts. . . . . . Attu. .D. A.'. Brigz'. . . . . .. . ....
In the event of any material change in or cancellation of the policy(ies), the Company will endeavor to give to the
party to whom this certificate is issued ..........411............... days written notice prior to such change or cancellation,
but undertakes no responsibility for failure so to do.
THIS CERTIFICATE SHALL NOT BE VALID UNLESS COUNTERSIGNED BY A DULY AUTHORIZED REPRESENTATIVE OF
THE COMPANY,
Countersigned: ......Qlr.'krRber...�F."............................... 19....66 UNIVERSAL SURANCE COMPANY, LIMITED
Providence Rhode Island ---
At ....IOOIN...........................f.............�...................................................... Y .......fRIR ... UAW.......
C+IS/
TPrlifir a#r of Jnsnranre
I t
` THE TRAVELER
THE TRAVELERS INSURANCE COMPANY THE TRAVELERS INDEMNITY COMPANY
•��_ LYNN CLAIM OFFICE
CLAIM DEPARTMENT a MacDuff Building
WY g BSAny,AS@WANT MANAG= � ,. 138 Market Street
LvNN, MASSACHUSETTS 01901
Telephone:Lynn 2.3813
May 26, 1966
452-F-10651
City of Salem
re : Fire
Daniel J. O'Brien, Jr.
Superintendent
Room #7
City Hall
Salem, Mass .
Dear Mr. O'Brien:
d a scheAuls Of
I have enclosed ppropertyfdoamaLedsbynfire located at 1 28
property
3t. 9
pertaining
Salemo Mass- plie ropertyratothe2time•therlosscoccurredetusl Cash
ue
f the
If you have any questions please feel free to contact me at
my office.
S cerely,
DLIa M oe
ADJUST
DM:an
40V F. UFlllt F .,R'I'FOR[), ONKEL T:CLr
?� �• FILE NO. _
PR' F OF LOSS 4521, 10651
TO
THE TRAVELERS.INDEMNITY COMPANY
POLICY NUMBER AGENCY AT AMOUNT OF POLICY ISSVEO EXPIRES
35931129 Salem Maaa s 11 19
- By the above numbered Policy of Insurance you insured
CITY OF SALEM .1•POLISH LEGION AMERICAN VETS
against Loss by FIRE A upon the property described under Schedule 'A,' according to the terms and
conditions of the said Policy"atd all forms, endorsements, transfers and assignments-attoched thereto.
1. TIME AND ORIGIN: A Loss occurred on the 13th day of FEBRUARY 19-66 about the hour
of--o'clock-M. The origin of said Loss was: Fire nisi ginitwA in w7wntniCal unit
beneath the bar
t i
2. OCCUPANCY: The building described, or containing the property described, was occupied at the time of the Loss as follows, and for no
other purpose whatever:
3. TITLE-AND INTEREST: The interest of your insured in the property described in this policy at the time of the Loss was sole and uncon-
di#ianal`oJrtie►ship and is other persons had any interest, lien or encumbrance thereon, except' --
i yr
=rJA •
4. CHANGES: Since the said Policy was issued there has been rwarsaigintentthereof, or charge of ownership, use, occupancy, possession,
location or exposure of the real or personal property described, or of your Insured's interest therein, except:
I None
i
5. TOTAL INSURANCE: The total amount of insurance upon the property described by the said Policy is$ i
as more particularly specified in the apportionment attached under Schedule "C,' besides which there was no Policy or other contract of
insurance, written or oral, valid or invalid. I
I i
6. THE REPLACEMENT COST at the time of the loss was 1 $
t
7. THF ACTUAL-CASH VALUE of said property at die-timw of the Loss was. __ $
8. TOTAL LOSS AND DAMAGE as,stafed under•Sd edule'Be was •, ''� *, $2-+675 8S
9.--.V.' -_-v - _. _ LESS DEDUCTIBLE CLAUSE$ nil
10. THE AMOUNT t=-Q&Dundw the above numbered policy is $ 29675-85
TjtArjy, Thy sof+: eE�did M arleMpte by qy 699, 4stI Be procure- the said ewyany, as to the extent of said less, has in any manner
Ment on the pore of your Insured, m this Affiant; nothing has been been made. Any other information that may be requMd will be
time by or with the privity or consent of your Insured or this furnished on toll, and considered a part of these proofs.
irt,pAAtfiant, to violate the conditions of the Policy, or render it void;
no articles art,mentioned herein or in anrtesed schedules but web It is-eipressly understood and agreed that the famishing of this
as were in the building damaged or destroyed, and belonging to, and blank to the Insured or the preparing of proofs by an adjuster, or
bna ='In PAS"I Oe if.t6a said Insured at Bane of 96WLoss; no property _ any agent of the above company is not a waiver of any rights of
saved has in my manner been concealed, and no attempt to deceive said company. _ -
l' ALEM
POLI LEGION OF AMERICAN VETS
i, In
Q n sex
red
�pBY
� �kl,q MST '. .-.
•.-,: --- - IF Date
F.466 REV. 10.64 MINTED IR U.S.A. ♦<! st1 i
=-•
(Continued)
SCHEDULE 'A"—POLICY FORM
Amount Description of Property Ce•oed
S
b
S
LOSS, IF ANY, PAYABLE TO
SCHEDULE 'B"—STATEMENT OF LOSS AND DAMAGE
Duontit
Property Dome ed Cost Depreciation Loss
2 6 .8
TOTAL 2,675,85
LESS DEDUCTIBLE CLAUSE
AMOUNT PAYABLE t.675-85
SCHEDULE 'C'—APPORTIONMENT
1st Item (Loss: $ ) 2nd Item (Loss: b ) 3rd Item (Loss: $ )
Nome of Company
INSURES AMOUNT CLAIMED INSURES AMOUNT CLAIMED INSURES AMOUNT CLAIMED
The Travelers Indemnity Co.
The receipt below is to be used ONLY when Loss is paid to Insured by Agent
19
$ Received of THE TRAVELERS INDEMNITY COMPANY,
by the hand of Agent,
Dollars, in full settlement of all claims for loss and
damage by occurring on the day of 19
to the property described by Policy No. _. issued at the
Agency of said Company.
Mortgagee Insured
F-4604 (BACK)
452-F-10651
city of sale:
( Polish Legion American Veto )
128 Derby 5t. , Salem, Mass.
Policy #3593429
AREA OF LOSS REP' L COST ACTUAL CASH VALDE
Front room - downstairs: 26'x22'x10'
Wire lath & plaster ceiling $396.90 $315.00
63 yards @ $6.30
5-2 x 12 floor joists 22' L -220FBM 44. 00 44-00
at .20
300 ft. sub flooring ? .20 60.00 45.00
300 ft. maple flooring
.20 120.00 120.00
Patch sidewall plaster 15 yda @ $6.30 94.50 75.00
Wash & paint sidewells 960 ft. ', .20 192.00 144.00
Renew 4 liter of glees @ $3.00 12.00 12.00
Rear hallway & washrooms 160.00 120..00
Wash & paint 800 sq. ft. of surface
area @ .20
Carpenters Labor 300x00
Second floor - function hall 26' x22'xll'
Sidewalls-wash& paint 1056 sq. ft. 325.60 243.20
Ceilings -wash & paint 572 sq. ft.
Total 1628 sq. ft. @ .20
Sand & refinish wood floor
171.60 171.60
572 sq. ft. ,@ .30
Renew 6 liter of glass 3 $3.00 18.00 18.00
Storeroom - 10' x 6' x 11' -212 @ .20 41-40 31.80
Wash& paint ceilings & sidewalls
Hallway -patch plaster 25.00 20.00
Wash & paint ceiling & sidwalls 70.60 52.85
353 sq• ft.
o.00
Ladies washroom - wash & paint 40.00 3
Page 2
452-F-10651
REPIL COST ACTUAL CASH VALUE
Balance brought forward $2071. 60 $1,742.45
10% contractors overhead 207.16 207. 16
Sub total 2276.76 1,949.61
10% Profit 227.88 227.88
Sub Total 2506.64 2, 177.49
Carting & Removal 3CC. 00 300. 00
Electrical 198.36 198 .36
-MT-- M 2, 675-87
4
�
IDle M roe duster
DM: sn
� �ixblit �ro�Er#� �BE�J2ir#mEnt
S�c+Mu+E .�LZ[�1}TIT$ �E�,tfCr#ItTEII#
3C�ttniel�. QB'�rien, Jr_, up:. February 21, 1966•
PC= 7, Qlitg pall
The following is a summary of the estimated cost to repair fire-
damge to the Polish Legion of American Veterans building located
at 126 Derby Street, Salem, Mass.
FRONT ROOM - DOWNSTAIRS: 261 x 221 x 101 Tile Floor.
Wire lath and plaster ceiling 63 Yds 0 $10 $630.00
Renew 2nd floor - -
5 2 x 12 floor joist 22' L 220' @ ,20 44.00
300 ft Sub-flooring @ ,20 . 60.00
300 ft Maple floor Q .40, 120.00.
5721 Floor tile @ .43 , , 246.00
(Includes 15¢ to remove
10¢ to lay new tile
16¢ cost each. tile)
Patch side wall plaster 15 Yds @ $100 150,00
Wash and paint sidewalls 960' @ .40. . 364.00
Renew 4' lights of glass @ $10, 40,00
*Downstairs & toilet, wash & paint 600' 9 ,40 320.,00
r 6 .
Carpenters labor 300.00
f $20294.00
SECOND FLOOR - HALL: 261 x 221 x 11':
Sidewalls Wash& paint 10561
Ceilings Wash & paint _5721
J 271 " @ ,40 $651.20
Sand & refinish wood floor 5721 @ .30 171,60
1 4-ft, odd size window 30,00
Renew 6 lights of glass C $10, 60.00
Storeroom, 109 x 6 , x 111 :
ME & paint ceiling, sidewalls 212' .40 64.80
ME
#i 1 - Patch plaster 25.00
Vash and paint ceiling & sidewalls 3530 @ +40 141.20
Ladies' Toilet - Wash and paint 50.00
$1,213.60
FIRST FLOOR - $ 2,294,00
SECOND FLOOR - 1.214.00 $3506.00
10% . 0,00 $3656,00
ELECTRICAL WORK 565.00 $4,443+00
2
This estimate does not include any probable repairs to plumbing
and heating systems. Water in .the building was turned off as.
of today.
This estimate 'made on the premises, and submitted by
Adt, up't. a liC Property
-?-�-� -/ -= - -- - 7i- --- -
- -- --------- -- -
-- -- -- --- ---w
t
4
February 12, 1952 •.
Mr. Tomes J : Bradley, City Solicitor
221 Essex Street . '
Salons mass.
Dear 'Pir: "
its a result°of bids that were publicly
opened and read thin morning for the installation '
of a new boiler and oil burner in the building at "
' . `the oorner of Derby und, Bentley. Streets, please
be informed George W. Shea, 30 Winter Island Load,
}
Salem; is the low bidder in..,the amount of $837060.
Will you,kindly„ arrange "to draw up the
neoessary contract incorporating therein the
` attached speoifications that are to- be made . part
of:'the contract. .
Thanking you for your oopporation in '
`thin matter, ,
'Very truly yours,
Superintendent of Public Property ,
4 X JO'R:LD
Copy• to Mayor Francis X. Collins
^ ^
S i
q.
• �p..o q
d
� �" �ttblix �xn�er#g �epttx#men#
N MIN OOd'q~
Ctv of
�ttil�in$ �epxx#mets#
104n `J. (®x=ke, Supt. NOTICE
PWM 7, (gag Pau
CITE OF SALEM
Bids will be received in .the office of Superintendent of Public
r
Property Room 7, City Tull, Salem, Mass. until 10 A.M. on Tuesday,
' February 12, 19520 at which time and place they will be publicly
Opened and read for the installation of a new Heating Boiler and
x
Oil Burner in the basement of the building formerli. used as a fire
station at the corner of Derby and Bentley Streets, Salem, Mass.
Specifications may be obtained in the office of Superintendent of
Public Property, City Hall, Salem, Mass.
Bidders* attention is called to the schedule of minii4n wages to, be
,a
paid in accordance with Chapter 461, mets of 1935.
The right is reserved to refect any or all bids.
john . O'Rourke
Superintendent of Public .Property
Salem Evening Mews Saturday February 2, 1952
Monday February 4, 1955
w
rob;ruary 12, 1952.
Ltr. Goor6a B. Shea �` a
30 Winter Island Road .
. - :3sLaYtt,'"'Met;st . •. -. -� . . ,
Dear, :air
. As a result' of bids that were
publiol:y,opened. and read this saorning,'.
_ please be inforned that you rare the low
bidder, in the ak6unt of Q837.60 ,for the .
installation of o new boiler and oil burner
In the, buil ding looated,, at the corner of
Derby and Bentley Streots, Salem. Has i.
Contraot is hereby awarded to -you ,
in aesordEnbe with terms of specifications
which are being fortivarded"to City Solicitor
Fames J.- Bradley to be inoorpor.ated 'in the
oontraot. This office will notify you when r
contraot, is-ready for signature
In the meantime; kindly arrange 'to
" hwre the necessary bond filed 1n this office.'
Irery .truly yours,
Superintendent of Pubiio. Property
41
3JWR:J.D
Copy to Miyor Francis X. Collins- "
' ;' ._ , < , . • , • • . ` ham : , I '.
CRANE n KOHLERcc'77 /p AM. STD.
a ✓elePaminohoneea. SL
�y< 74f
PLUMBING & HEATING CONTRACTOR
KITCHENS — APPLIANCES 30 WINTER ISLAND RD.
SALEM, MASS.
Feb. 11,1952
City of Salem
The undersigned propose to furnish all the labor and materials
to do the heating work in the building located at the corner of
Derby and Bentley Streets, Salem, Mass. , in accordance with the
specifications dated February 4th, 1952, governing this work.
1. Boiler: Remove the present steam boiler and replace with one
S-33 OBT. Severn oil boiler with flush jacket, manufactured by
American Radiator Corp. with Boiler capacity of 690 Square feet
standing radiator load of steam radiation. Boiler installation
to include the following:
2. 1 - #89 Watts Low Water Cutout.
3. 1 - Control for summer hot water, (not specified) .
4. 1 - Arcoflame oil burner model C97 as manufactured by American
Radiator Co. with capacity of 2� gals.. #2 fuel oil;Burner to in-
clude all new controls as manufactured by Detroit Control Co. (Or
l4inneapolis Honeywell and installed in accordance ti:,ith State and
Local ordinances.
5. i - #590 Taco Flanged Type Tankless beater, Capacity of 3- G.r.B:.
6. 1 - #3 Dole Flo Valve.
7. 1 - " Watts Thermostatic domestic hot water control, #73.
8. New fluepipe and pipe covering.
9. New radiator air valves throughout to be Vent Rite #1 Air Valves.
]a Two:'new Quick Vents in basement to be of make specified above.
fM
melee to V&I;)
etnazolam bas zpdaC eda tda ttetnz d ad eaogdKzq benglaotebm 'SAT. p.
to °tanzo'O ,OfW1a balaoot gatbsInd ad$ fit Y'YOw gal*sed ed1 .Ob' pit'
ad1 d1ta�"eonsbzoobs at t.aaSm q+me.tad 4a.198,08 tallneH bns -td'iefi
4�ftow aldl Raltmevog escaei td1� visu�tdei be ab anotf amdega
ono dltw aoAJ#.1 ,bas iteltbd Mede Ineaszq, ea* evomef�
,td be7tr1ostunsa cjgAosL deull 0111 -xellod Ito 1,rteve2 .100' EE-2
join s-taupa We 'to tltosgao zaltod dltw .gzo4 oxolatbaR nsotzemA
Aotfsllzlent ne;[toS [totlstbsz maeta 'to bsol 101atbs't �ntbnsla 11
tgntwo[to ed1 abul00 .0$
.svo1uJ .,zWzW woJ a110 @B i
'(h0l1loege ton) l,xesaw lot! %emm a zol lo+tjno1P - 4
aaatzemA Xd bezulo �4unad as reg tebog Isimud Ito emsl3oozA
.•at of ned^tuH ItC-Y:au'3 3t .alsg s to tiltoagso dltw .00 zolatbsH "
.off io'xlrto Jtaz3stf ,vd belulos'tunam ae slozfnoo won Its ebgto„
brie 61af'u dllvr sonABa000s at bellalant has lle"enoH, aJIogaannlJt,,,
�69onsntb't0 lsbo�, .
sm"149 Je 3o yltbsg49 #xalseH aael* eT egXT begaall o0aT om 44:: .•,,b
.evtsv ot'q as a a, a
.ESS tloetsaoo zelsw lod otdbomob otdafaomotedT WSW T
,gatotevoo agtq has egtgeudri, ,wel .8
.asvlsV zlA A 'WR AW Aad o3 luoftuold* aavlav Ila 7olatbsz wa'# 6.e
.evods bellloega 0Aam to ed o* lriemoasd at aJneV 2101UP wen owl. 41
v r Y
CRANE KOHLER AM. STD.
ea. L
// a JelePhone 2485-M
PLUMBING & HEATING CONTRACTOR
KITCHENS — APPLIANCES 30 WINTER ISLAND RD.
SALEM, MASS.
_2_
The price submitted below to include all specifications
as set forth in paragraph "Guarantee" as, specified on
page 4 of' 8pecificat on copy. union wage-scale to be
maintained.
t
The contractor agrees to furnish and- install the
heating. Apparatus herein specified together with all
labor and materials for the sum of $837.60.
itespectfully submitted
G. B. .Shea
1950
Glass 6.00
1951
Clancy- plumbing 22.10
Mocarriston " 68.20
Trask Roofing- skylight 17.45
1952 107.7
Trask Roofing -roof repairs 46.41
Necv Boiler 880.60
MoCarriston-plumbing repairs 63.08
Salem Lumber Co.- FID boards, poi#ts,nails 63.02
Dec, 90 2948.
Polish Legion of Jaerican Veterans
128 Derby Street
Salem, Ma48.
Gentlemen: ;
Mr. Henry Pszenny aeklled at my
off 1ce, ivitWg bill dated December 2d. .This
r bill in the "amount of $27.38 was submitted
to your organizatiob by Beaulieu .& Linsky
for additional painting iiatf;rial 'purchased
by .you.
xn' view of the fact that no
regiiisit`.on vias fasued by this office the
City would ordinarilly be unable to_ pay this
bill. However, A have taken the matter up
with Mayor 4oseph B. Herringtonwho is
anxious to have an except ion ,nade in this
particular. case. ' T'heref'ore , Z will arrange,
for payment of the hill by the city.
Very truly`yours,
Superintendent of Public Property
gin. ♦♦ 9
f �
3
., A
Dee: 9, 1948.
Beaulieu & ,Rinsky
3 Front Street
Saleru, Burse,
' C.entler•�rs3ir ,
(Attached is a; bill -that,iaas
submitted 1 o t}ie'Polish`Le ,ioi of �mcriaan
Veteran>•in the amount of 487.38 for
piirchase of materia: for work perforrwd ' -F
oil.cit'v, oiniedcproperty. '"• tk
Will you kiiiclly arrange to eaneel-
this bill against the Polish Legion of
Anerican Veterans and resubmit it to. the
Public ProDettv;Depart-nent;, , city of. Salem,
and I will arrange for priyrlent. ,
. . - - Very trul« yours� -
Superintendent` of Public Property.
JJp'R:LD
t
Octoher 13, 1048.
Mr. Henry Pszennv, Adjutant'
Polish Lenon of American veterans
128 herby Street
Saler, Biass.
Dear Oir;
Attached is a City Order for
1118.te1 _al US requested in -your letter to
Mayor Joceph B. Harriiiti;ton, recently.
In order to facilitate this
matter, you may submit this order to
Beaulieu E Linsky,and pick up the lutterial
direct.
Very truly. yours, ,
Superintendent of Public Property
Form of Bond for
-`Cityy,wd Town Contracts
N
n
D
GAn-Old New Gngln.ntl Co�nny
FF�r KEENE, NEW HAMPSHIRE
No.- _ ---- $AidA -------
Know all Men by these presents, That we, 00" B.. trht ,
wfntor Wsztli 1 .1 i I ttot
as Principal, and the Peerless Casualty Company, a corporation duly organized and ex-
isting under the laws of the State of New Hampshire and having a usual. place of business in Boston,'
Massachusetts, as Surety, are held and stand firmly bound and obliged unto 00Y o'f 0440
as Obligee, in the full and just sum of - .*AA* kftiO,04. of tq 904 tyle« + *• w ±g
,.Dollars ($41 0 )
lawful money of the United States of America, well and truly"to be paid and for the payment of which
we jointly and severally bind ourselves, our successors and assigns, firmly by these presents.
SIGNED AND SEALED this at $WUft
THE CONDITION OF THE ABOVE OBLIGATION is that Whereas the said Principal entered into
a certain contract with the said Obligee bearing date the X4ft day of 1 19 $2,.
for 144* .it,Al1$G'tt 00 10 616W 0U ft o 120 D00 '!mtj' 04400;
which contract is by reference
made a part hereof as fully and to the same extent as if copied at length herein.
NOW, THEREFORE, If the said Principal shall faithfully perform the contract on h14 part and
shall fully idemnify and save harmless the Obligee from all cost and damage which it may suffer by
reason of failure so to do and shall fully reimburse and repay the Obligee all outlay and expense which
the Obligee may incur in making good any such default,
AND, If the said Principal and Surety shall make payment to all persons who may become entitled
to the benefits of the provisions of Section 29 of Chapter 149 of the General Laws of Massachusetts and
Acts in amendment thereof, for labor performed or furnished and for materials used or employed in the
construction to be done under and by virtue of said contract,this agreement to make such payment being
a compliance with the requirements of the Statutes to furnish security thereunder,and being an fact such-
security, then this obligation shall be null and void; otherwise it shall remain in full force and effect.
Signed, Sealed and Delivered
in the presence of:
:... ... .. ....
.............................. ............ ..............
........ ' . ............ ............................. ..................................... . .............. .......................... .......
PEERLESS CASUALTY COMPANY
........ .. / :� ......... _ ............
+ � ... ...... ............................
13 wAttorney-In-Fact
3-428
r .1
✓ Form of Bond for
City and Town Contracts
D
o¢ .
..g '
Iin an
a ComVnnY.
An C)Itl New I
KEENE. NEW HAMPSHIRE
No—S-120268
Know all Men by these presents, That we, George S. Shea
30 Winter Island 11d.,Salem.14assackiusetts
as Principal, and the Peerless Casualty Company, a corporation duly organized and a—
isting under the laws of the State of New Hampshire and having a usual place of business in Boston,'
Massachusetts, as Surety, are held and stand firmly bound and obliged unto City of Salem
as Obligee, in the full and just sum of - -htgvfi huilred 'e eliteen and 60/100. ..
.Dollars ($418.80 I )
lawful money of the United States of America, well and truly to be paid and for the payment of which
we jointly and severally bind ourselves, our successors and assigns, firmly by these presents.)
SIGNED AND SEALED this 15th dray of February, 1952
THE CONDITION OF THE ABOVE OBLIGATION is that Whereas the said Principal entered into
a certain contract with the said
for installation 'of complete a
heating unibliges bearing t at 128 Derby Strte the 14th eaf
t , Salem. Massaeh' 19 52-
usette
which contract is by reference
made a part hereof as fully and to the same extent as if copied at length herein.
NOW, THEREFORE, If the said Principal shall faithfully perform the contract onhis part and
shall fully idemnify and save harmless the Obligee from all cost and damage which it may' suffer by
reason of failure so to do and shall fully reimburse and repay the Obligee all outlay and expense which
the Obligee may incur in making good any such default,
AND, If the said Principal and Surety shall make payment to all persons who may become entitled
to the benefits of the provisions of Section 29 of Chapter 149 of the General Laws of Massachusetts and
Acts in amendment thereof, for labor performed or furnished and for materials used or employed in the
construction to be done under and by virtue of said contract,this agreement to make such payment being
a compliance with the requirements of the Statutes to furnish security thereunder,and being 5nfact such-
security, then this obligation shall be null and void; otherwise it shall remain in full force and effect.
I
Signed, Sealed and Delivered
in the presence of:
........................................
It
.. . ... .... .. .............. ... ......................... ............................................................................................
PEERLESS CASUALTY COMPANY
/ George C.Wile s Attorney-In-Fact
i.
S-428