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56 PALMER STREET - BUILDING INSPECTION
� �� �y„ e r �S7r-� -- . _--�. a STREET PERMIT g Citp of *alem Office of 3n#►ector of Jluilbiugg 20 �i �ermrssion;s�iere6y9;uen to/I/r'//-/hJtld r✓ ( ' 1J�� looccupyfor purposes ;n front ofestate A�A G'VL ✓4 T Z7)d ofs;demagofslree/.. `✓6;sperm;l is rrm;ledly 1n% '!/ 20J5 . su6'ecllo lse prou;s;ons ofl6e ww(inances andslalules;n r-al;on to cSlmels andlFie 9nspecl;on andCionslruct;on ofZuildi.Y.S n!/ie Gily of cSa/em. 7).mr gmsfro c$aruibar 9iupedo�g!.`•BullJinye c$i9naluro°!.SPP/manl��l�.l I� A . . r NORTH49 OPID:AE 4Cosr[71° CERTIFICATE OF LIABILITY INSURANCE DA0612212015n-- � o612zrzt116 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(les)must be endorsed. If SUBROGATION IS'WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Chase&Lunt LLC NAME: Mark D.Bailey _ 65 Parker Street IAJC.I EN;978.462-4434 arc No)-978465-6204 Newburypart,MA 01950E-MAIL Mark D.Baltey noDREss: INSURERS AFFOROINO COVERAGE NAICP _^__ _ _ INSURER A:Tokio Marine Specialty INSURED North Shore CDC INSURERS: 102 Lafayette Street -- Salem,MA 01970 INSURER C u INSURER D INSURER E R!$URERF- _1 COVERAGES CERTIFICATE NUMBER.: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE Ll@'.TED 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. CY ILm TYPEOFINSURANCESR FOUCV NUMBER MMU EYYYFF MMU YlYEXP LIMITS A X COMMERCIALrENERALUAmurry EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE TOCCUR I PPK13159110 04/0112016 04(0112016 PREMISES EaEa o� `ce 300,08 MEOEXP(Any one person) $ 5,00 _ PERSONAL&ADV INJURY T $ 1,000,00 _GENT.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 _ POLICY❑PRO O. CI LOG PRODUCTS-COMPXJP AGG $ 2,000,000 OTHER; S AUTOMOBILE LIABILITY CO NED INGLE.IM#T S Ee ccitlaM __ ANY AUTO BODILY INJURY(Par person) $ ^� ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY IPara¢tlenlI $ _ MIRED AUTOS NON-OWNED PRO ER AMA S AUTOS Per aecietem 5 X �x-ESSLIAa ELLAUABOCCUP. EACHOCCURRENCE 5,000,00 A CLAIMS-MAGE PUB495183 04101(201$ 04/01/2016 gGGREGATE 5 5,000,000 RETERTGNS WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY YrN STATUTE ER — ANYPROPFLETORiPARTNERIEXECUTiVE OFFICERIMEMBER EXCLUDED' �NtA E.L.EACH ACCIDENT 5 (Mantlatory in NH) El DISEASE-EA EMPLOYE S I'M F yySdRIPTLOscrbUn o N OFF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ DESCRIO E DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Sol adula,maybe aeacKetl H mon space Is raqulreE) Evidence Of liability coverage for dumpster to be placed at 61 Congress St./ 4 Lynch Street, Salem, NA from 6/29115 through 7/3/15. CERTIFICATE HOLDER CANCELLATIONI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL Be DELIVERED IN City of Salem ACCORDANCE WITH THE POLICY PROVISIONS. 120 Washington Street Salem,MA 01970 AUTI _ TRCLIRIIZEE�,DREPRESENTATIVE _ V ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD " r a.