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B-19-1229 - 0017A BARSTOW STREET - Building Permit The Commonwealth of Massachusetts4 y° Board of Building Regulations and St Zi OPIONAL S&R' ?,� : CITY OF •�Massachusetts State Building Code, 780 CMR. SALEM Revised Mar 2011 Building Permit Application To Construct, Repair, RJD�v Vr-tJer*isBal 1. One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date Applied: f 1 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION _ 1.1 Property, jddrAes • 1.2 Assessors Map&Parcel Numbers L la is this an.accepted street?yes x nn Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Liz Brazil Salem MA 01970 Name(Print) City,State,ZIP 77 A Barstow Street 781-309-7540 ops@neeeco.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION'OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) P9 Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed.Work': insulation work as part of the Mass save program SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1.Building $ 7,000 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee Total"Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (ffVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ 7,000 ❑Paid in Full ❑Outstanding Balance Due: $7 per$1000; minimum $25 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License,(CSL) CS-096385 10/08/2020 Romain Strecker License Number Expiration Date Name of CSL Holder t , 10 Churchill Place List CSL Type(see below) U No.and Street Type Description r U Unrestricted Buildings up to 35,000 cu.ft.) Lynn- MA 01902 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering - WS Window and Siding SF Solid Fuel Burning Appliances 781-309-7540 x 3 ops(cD_neeeco.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 185222 5/11/2020 Neeeco, LLC HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 10 Churchill Place ops@neeeco.com No.and Street Email address Lynn, MA 01902 781-309-7540 x 3 City/Town, State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... 12 No ........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property,hereby authorize Neeeco, LLC to act on my behalf,in all matters relative to work authorized by this building permit application. (signed contract attached) Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and,understanding. Print Owner's or Authorized Agent's Name(Electronic Signature) Romain Strecker Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A.Other important information on the HIC Program can be found at www.masL og v/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"maybe substituted for"Total Project Cost" ,f CITY OF S.,UX. I, INL-�SSACHUSEM BL;ILDIING DEP kRTNIENT ° 120 WASHNGTON STREET,3*0 FLOOR TEL (978) 745-9595 FAX(978) 740-9846 KL1iBERLEY DRISCOLL MAYOR Tkomm ST.PIERRB DIRECTOR OF PUBLIC PROPERTY/BUILDLNG CONMSSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit# is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111, S 150A. The debris will be transported by: Neeeco truck (name of hauler) The debris will be disposed of in Republic dumpster at Neeeco warehouse (name of facility) 113 Fayette St, Lynn MA 01902 (address of facility) r signature of permit applicant 10/29/2019 date debriwff doc I_ Office of Consumer Affairs and Business Regulation 100.0 Washington Street- Suite 71`0 .Boston, MassaChusetts; 02118 Horne Irriprovemeir t-Contractor Registration Type: Supplement Card NEEECO,LLC: = „ y Registration:` 185222 Expiration:. 05/11/2020' 10 CHURCHILL PL. LYNN,IVIA 01902 tlpdate.Address and;Return,Card. "SCH i 201,1 t6�;t17 Otfimof Consumer Mairs&Business:Regulation HOME IMPROVEMENT CONTRACTOR Registration Valid for individual use only TYPE:,SuDolement Card before the expiration date. If found return to: Registration Expiration Office.of'Consumer Affairs and Business Regulation T85222. 05i11/2020 1000 Washington.,Street-Suite 710 NEEECO,LLC Boston,MA 02118 1 i ROMAIN STRECKER - �,2 i 10 CHURCHILL PL � „ C\ i LYNN,'MA 01902 Undersecretary Not valid vhthout signature k{R Commonwealth of Massachusetts Divisionof Professional-'Licensure, t Board of Building Regulations and Standards f ConstWct n lSiSpervisor �F GS-09..6385 �pires; 10/08/2020 ROMAIN.D STRECKER w F: 16 CHGF2GHIL` PLAC�E, LYNN-Mi4 01902%f ay i � �HIM. 1 t-ommissiOner ",A� ® DATE(MM/DD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCEF`..i 04/02/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 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 Commercial Lines NAME: Ambrose Insurance Agency,Inc. PHONE FAX A/C No Ext: A/C No): 963 Eastern Ave E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Malden MA 02148 INSURERA: Lloyds INSURED INSURER B: Merchants Mutual Insurance Company 23329 Neeeco,LLC INSURER c: Falls Lake National Ins Co 10 Churchill Place INSURER D: INSURER E: Lynn MA 01902 INSURER F: COVERAGES CERTIFICATE NUMBER: 2018 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 AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR PREMISES 0 RE TED 100,000 PREMISES Ea occurrence $ MED EXP(Any one person) $ 10,000 A Y Y ENC000227602 04/04/2019 04/04/2020 PERSONAL&ADV INJURY $ 1,000,000 M'OTHER: LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B OWNED �/ SCHEDULED Y Y MCA0000239 04/06/2019 04/06/2020 BODILY INJURY(Per accident) $ AUTOS ONLY /� AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE Y Y ENX000012902 04/04/2019 04/04/2020 AGGREGATE $ 1,000,000 DIED I X1 RETENTION$ 10,000 $ WORKERS COMPENSATION X TER STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? ❑ NIA Y WC500-0072762-2018A 05/03/2018 05/03/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below - - E.L.DISEASE-POLICY LIMIT $ Each Occurence $1,000,000 Profes A sional Liability ENC000227602 04/04/2019 04/04/2020 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Abode Energy Management,LLC and National Grid USA is included as Additional Insured on a primary and non contributory basis. No reduction, cancellation or expiration of the policy shall be effective until thirty(30)days from the date written notice thereof is actually received by the insured named hereunder.Upon receipf of any notice of reduction,cancellation or expiration,HPC shall immediately notify Abode and Utility.HPC and its insurers shall waive all rights of recovery again Abode,the Utility,and any of their affiliates for any loss or damage coveraged by the policies. PLEASE SEE THE WORKERS COMP ON THE FOLLOWING PAGE !, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Abode Energy Management LLC National Grid USA ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Rd. AUTHORIZED REPRESENTATIVE Waltham MA 02351 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD L A� DATE(MM/DD/YYYY)® CERTIFICATE OF LIABILITY INSURANCE 5/16/2019 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 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). CONTACT PRODUCER AMBROSE INSURANCE AGENCY INC NAME: 963 EASTERN AVE PHONE FAX MALDEN, MA 02148E-MAIL Ext: (A/C,No: ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Liberty Mutual Fire Insurance 23035 INSURED INSURER B: NEEECO LLC 10 CHURCHILL PLACE INSURERC: LYNN MA 01902 INSURERD: INSURER E: INSURER F: - "- M, - - COVERAGES CERTIFICATE NUMBER: 48698650 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 AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLTYPE OF INSURANCE INSO SUER POLICY NUMBER MOLDY EFF MMI DY/YYYY LIMITS LTRWVD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ OCCUR DAMAGES( RENTED CLAIMS-MADE PREMISES Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JECTPRO ❑ LOC PRODUCTS-COMP/OP AGG $ PRO- OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WC2-31 S-621639-019 5/3/2019 5/3/2020 �/ SPER TATUTE ERH AND EMPLOYERS'LIABILITY Y/N OFF CER/ME TO REXCLUDED?ECUTIVE I N/A E.L.EACH ACCIDENT $10l)0000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1000000 If yes,describe-under " DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $1000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION ADOBE ENERGY MANAGEMENT LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NATIONAL GRID USA ACCORDANCE WITH THE POLICY PROVISIONS. 40 SYLVAN RD WALTHAM MA 02351 AUTHORIZED REPRESENTATIVE Jon Smith ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 48698650 1 1-621639 1 19-20 WC 1 n0254981 1 5/16/2019 6:35:36 AM (EDT) I Page 1 of 1 The Commonwealth of Massachusetts Property Address Department of Industrial Accidents a 1 Congress Street, Suite 100 Boston,MA 02114-2017 - M www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Neeeco LLC Address: 10 Churchill PI City/State/Zip:Lynn MA 01902 Phone #:781-309-7540 x3 Are you an employer?Check the appropriate box: . Type of project(required): l.❑✓ I am a employer with 35 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8, ❑ Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.M I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 [:] Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I LEJ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.r7 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. 14. Other Insulation Work 6.n We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 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. :Contractors 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: Liberty Mutual Fife Insurance Policy#or Self ins.Lic.#: WC2-31 S-621639 Expiration Date: 05/03/2020 Job Site Address: 77 A Barstow Street Salem, MA 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the_`ains andpenalties ofperjury that the information provided above is true and correct. Signature: _- Date: Phone#:781-303-7540 x 3 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): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 1 • DocuSign Envelope ID:FF111 BAF-0338-4C3C-B6FD-71 FB836C2B3A Permit authorization mass save Form Site ID: 3892311 Customer: Liz Brazil I, Liz Brazil ,owner of the property located at: (Owner's Name,printed) 77A Barstow St Salem, MA 01970 (Property Street Address) (city) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. DocuSigned by: Owner's Signature: Date: 10/17/2019 FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor Date Name: Neeeco Phone: 781-309-7540 Email: info@neeeco.com Page 1 of 1 Far Office Use Only Rev.102015 DocuSign Envelope ID:FF111 BAF-03384C3C-13617D-71 FB836C2B3A Page 1 of 2 ZZC0mass save This agreement is made by and among PARTNER 1. DESCRIPTION 0=WORK TO BE PERFORMED f\EEEDD,LLC will perform or cause to be performed the following work on the customers address above,in a professional manner and in accordance with the terms of this Contract,including the attached rccommendalionsAvor<order tlescr long thevrk in detail(Ihe"NorK)which are incorporated herein by reference- , Customer Name:Liz Brazil Email:Not provided Phone:617-462-1784 Premise Address:77A Barstow St,Salem,MA 01970 Mailing Address:77A Barstow St,Salem,MA 01970 Project ID:3904511 Date:Oct.4,2019 Job Description IVI'eaSUCE? De C I IlOilf"r ,. xµ 3 r� �, u e - ��., ; p . ; - m, Location ` Quantity, Unit,,. To#al Cosf„ ;Customer�Cost Air Sealing at Estimated 62.5 CFM50 Per Hour Other 10 hr $925.80 $0.00 Hatch -2"Thermal Barrier Polyiso Other 1 each $46.28 $11.57 Damming . Other 40 each $95.60 $23.90 Attic Floor-6"Open Blow Cellulose Other 941 SF $1,524.42 $381.10 Bath Fan Hose Other 1 each $26.20 $6.55 Roof Vent-8" Other 2 each $218.60 $54.65 Sheathing Access Other 1 each $40.02 $10.00 Rim Joist-6" Fiberglass Batting Other 66 SF $178.20 $44.55 Door-2"Thermal Barrier Polyiso Other 1 each $90.44 $22.61 Blower Door Test Other 1 each $72.75 $18.19 2. PAYMIENT:.Customer agrees to pay NEEECO for the work as follows: Pricing reflected below inay be subject to adjustments in program pricing and offerings and is guaranteed for EA days from the date Die contract is pnnled. Payment#1(Deposit):$ A 3?%deposit by check is due upon contract signature.Deposit is not to exceed 113 of the total contact cost. Additional Payments and Final Invoice:$ Additional payments for Ihe Work shall be due upon corrplelion of the Work.Please wale a check to'NEEECU and hand it to the crewchief. Customer Signature Date Customer Printed Name NEEECO Representative Signature Date NEEECO Representative PrintedName NEEECO, LLC o 10 Churchill Place Lynn,MA 01902 0 781-309-7540 o info@neeeco.com-neeeco.com DocuSign Envelope ID:FF111BAF-0338-4C3C-B6FD-71FB836C2B3A Page 2 of 2 - eze c. o mass save This agreement is made by and among PARTNER 1. DESCRIPTION OF WORK TO BE PERFORMED . NEEECO,LLC will perform or cause to be performed the following work on the customers address above,in a professional manner and in accordance with the terms of this Contract,including the attached recommendalionstwod:order describing the wrrk in detail(the'Worr)which are incorporated herein by reference. Customer Name:Liz Brazil Email:Not provided Phone:617-462-1784 Premise Address:77A Barstow St,Salem,MA 01970 Mailing Address:77A Barstow St,Salem,MA 01970 Project ID:3904511 Date:Oct.4,2019 Exterior Door Weather Stripping (with AS hrs) Other 2 each $60.14 $0.00 Door Sweep (with AS hrs) Other 2 each $50.62 $0.00 Crawlspace Ceiling -2"Thermal Barrier Polyiso Other 182 SF $869.96 $217.49 Walls- Interior-4" Dense Pack Cellulose Other 784 SF $1,991.36 $497.85 Project Total $6,190.39 Weatherization incentive ($3,865.37) Air sealing incentive ($1,036.56) Total Program Incentive -$4,901.93 Customer Total $1,288.46 2. PAYMENT:Customer agrees to pay NEEECO for the work as follows: Prying rrflecled below may be subject to adjustments in program pricing and offerings and is guaranteed forE0 days from 11p date the contract is printed. Payment#1(Deposit):$ 400 A 33%deposit bycheck is due upon contract signature.Deposit is not to exreed 1n.of the total contract cost. Additional Payments and Final Invoice:$ 888.46 Additional payments for the Work shall be due upon completion of the Work.Please write a check to'NEEECO'and hand it to the crewchief. DocuSigned by: 10/17/2019 Liz Brazil Customs figned Date Customer Printed Name F GEE OF Ca 99... 10/17/2019 ia+ti Kim otti nger N E E E C Re dp2Alpp re Date NEEECO Representative PrintedName NEEECO, LLC 10 Churchill Place Lynn,MA 01902 a 781-309-7540-info@neeeco.corn o neeeco.com