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W lftAktna ivsuual sgt aM►sa p �ai Baas- 4' s P R A cas asj '4' �p P IM JD NW LO.aw ov*+,w aR(9)DO YsI mom' �o sannq a!1/1a4��' M=caldms a sq a[pump ogwxa&[dma PUP o 0.Mary ola�»m*mm >ImPL�410 O GI °�P ao osaoglaplsarp por sa�eoe►sl�u aoa00 m op a mm"594"a4"►��°ssss4lmps+sP otnoglanla"�P sj° . ;ii14;.10�°°�ao�alao'a pPlm o f"►P°s�ImaAa�a°'�a�o�om>oa 1a1�►s4 �P��a,� A► Hkw iompAl�[ Iv. �'m! 0s fo}oh�f agsP saoV AD so o,wyUJOW6Waa, Pal mpO io a°pepd�°o tiopepsae'dFRso°4"d'leapuyPm aw a pssl;aP s[ !� ■wam 2°Two Vpgdml so smwft ` j0 gasp Aa mp=jppM'*OoIAO!OWR f Dow III A»N�wsm�IIaft LSI=Wimp we'I Pet ') suommisul puC UOIIIC IJOJUl � r RENEWAL CERTIFICATE STOCK COMPANY WESTERN WORLD Renewing Polic,'`Nu'mber NPP971442-1 INSURANCE COMPANY, INC. KEENE, NEW HAMPSHIRE RENEWAL DECLARATIONS Named Insured and Mailing Address (No., Street, City, State, Zip Code) JAY LEVY & NEIL LEVY dba BEDROCK BUILDING CONSULTANTS P.O. BOX 3001 BEVERLY, MA 01915 Policy Period: (Mo. Day Yr.) From 04/13/06 to 04/13/07 12:01 A.M. standard time at your mailing address shown above. IN RETURN FOR THE PAYMENT OF THE PREMIUM, THE ABOVE NUMBERED POLICY IS RENEWED FOR THE POLICY PERIOD STATED ABOVE. SUBJECT TO ALL THE TERMS AND CONDITIONS OF THE EXPIRING POLICY, EXCEPT AS STATED BELOW. THE FOLLOWING CHANGES ARE APPLICABLE TO THIS RENEWAL: (If no entry, then only the rates or premium basis changed - as shown below.) Attached Endorsement #1 denotes changes to and does not replace the original Forms and Endorsements List Forms Added: CG2149; CG2167; CG2186; WW247 Forms Updated: WW104C; WW204A Forms Deleted: WW392 LIABILITY RENEWAL CHANGES Rate Advance Premium Classification Code No. Premium Basis Pr/Co All Other Pr/Co All Other EXECUTIVE SUPERVISOR 91580 28,6000) INCL 85.00 INCLUDED 5,000.MP CARPENTRY 91340 IF ANY 13.22 27.32 INCLUDED INCLUDED SUBCONTRACTED WORK-RESIDENTIAL 91583 150,000.(C) INCL 7.50 INCLUDED INCLUDED OFFICE 61226 300(A) INCL 408.10 INCLUDED INCLUDED Commercial Liability Advance Premium $0.00 $5,000.00 PROPERTY TERMS AND CONDITIONS NOT APPLICABLE Property Premium $0.00 Commercial Liability - Total Premium from above $5,000.00 Commercial Property - Total Premium from above $0.00 Terrorism Risk Insurance Act Premium $0.00 Other Charges $0.00 Total Advance Premium $5,000.00 State Taxes (4%) $200.00 Grand Total $5,200.00 wt Countersigned: 217A APRIL 18, 2006 Authorized Representative""� QUINCY, MA 02169-7477 THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS,IF APPLICABLE,TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S)AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF,COMPLETE THE ABOVE NUMBERED POLICY. HTB-WW243 (Ed.07/031 t ENDORSEMENT O1 LISTING OF ENDORSEMENTS FORMING THE POLICY AT ISSUE Policy No. NPP971442-1 Issued to JAY LEVY & NEIL LEVY dba BEDROCK BUILDING CONSULTANTS by WESTERN WORLD INSURANCE COMPANY FORM DESCRIPTION FORM NUMBER TOTAL POLLUTION EXCLUSION CG2149(09/99) FUNGI OR BACTERIA EXCLUSION CG2167(12/O4) EXCL.- EXTERIOR INSULATION AND FINISH CG2186(12/O4) FORMS & ENDORSEMENTS ENDORSEMENT 01 RENEWAL CERTIFICATE HTB-WW243(7/O3) COMBINED PROVISIONS ENDORSEMENT WW104C(O7/04) STANDARD PROVISIONS ENDORSEMENT WW204A(11/04) BLASTING OPERATIONS EXCLUSION WW247(O1/97) HTB Account No.: DLW-200600 AUtnOrIZOd mepresentative r POLICY NUMBER: NPP971442-1 COMMERCIAL GENERAL LIABILITY CIS 21 49 09 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TOTAL POLLUTION EXCLUSION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion f. under Paragraph 2., Exclusions of Sec- (2) Any loss, cost or expense arising out of any: tion I - Coverage A - Bodily Injury And Property Damage Liability is replaced by the following: (a) Request, demand, order or statutory or regulatory requirement that any insured or This insurance does not apply to: others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in f. Pollution any way respond to, or assess the effects of "pollutants"; or (1) "Bodily injury" or "property damage" which would not have occurred in whole or part but (b) Claim or suit by or on behalf of a govern- for the actual, alleged or threatened mental authority for damages because of discharge, dispersal, seepage, migration, testing for, monitoring, cleaning up, release or escape of "pollutants" at any time. removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, "pollutants". HTB Account No.: DLW-200600 Copyright, Insurance Services Office, Inc., 1998 CG 21 49 09 99 POLICY NUMBER: NPP971442-1 COMMERCIAL GENERAL LIABILITY CG 21 67 12 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. B. The following exclusion is added to Paragraph 2. Exclusions of Section I - Coverage A - Bodily Exclusions of Section I - Coverage B - Personal Injury And Property Damage Liability: And Advertising Injury Liability: 2. Exclusions 2. Exclusions This insurance does not apply to: This insurance does not apply to: Fungi Or Bacteria Fungi Or Bacteria a. "Bodily injury" or "property damage" a. "Personal and advertising injury" which would not have occurred, in which would not have taken place, in whole or in part, but for the actual, whole or in part, but for the actual, alleged or threatened inhalation of, alleged or threatened inhalation of, ingestion of, contact with, exposure ingestion of, contact with, exposure to, existence of, or presence of, any to, existence of, or presence of any "fungi" or bacteria on or within a "fungi" or bacteria on or within a building or structure, including its building or structure, including its contents, regardless of whether any contents, regardless of whether any other cause, event, material or other cause, event, material or product contributed concurrently or in product contributed concurrently or in any sequence to such injury or any sequence to such injury. damage. b. Any loss, cost or expense arising out b. Any loss, cost or expense arising out of the abating, testing for, monitoring, of the abating, testing for, monitoring, cleaning up, removing, containing, cleaning up, removing, containing, treating, detoxifying, neutralizing, treating, detoxifying, neutralizing, remediating or disposing of, or in any remediating or disposing of, or in any way responding to, or assessing the way responding to, or assessing the effects of, "fungi" or bacteria, by any effects of, "fungi" or bacteria, by any insured or by any other person or insured or by any other person or entity. entity. C. The following definition is added to the This exclusion does not apply to any Definitions Section: "fungi" or bacteria that are, are on, or are contained in, a good or product intended "Fungi" means any type or form of fungus, for bodily consumption. including mold or mildew and any mycotoxins, spores, scents or byproducts produced or released by fungi. HTB Account No.: DLW-200600 (c) ISO Properties, Inc., 2003 CG 21 67 12 04 Page 1 of 1 iLMIS1111S1'iE fKA0440 APPROVED 6Y THE ,mfLP�P4W MDwPZaMa fl gM GRANTED CITY OF_SALEM NO. /Z ad lots& Dow B Or"ft o Q~ YaL_No,� aofui a PS WA QorrNMa"Ma1 YM_No✓ YWLWA PERWT APPLICATION F'OR: Mnat im Ado Mlrwom apply) Roof. RWOA low" $Wing, Construct Dock. Shod. Pod, i�LapaldRaplaOa �wP R�-Move iNrE2ie/Z Os,erirran/ Go.v,s7,1�u6 r NEW WA '-[- PLEA"PA-L.OUT LiOLLLLY k COYPLUBLY TO AVOID DELAYS W PROCESW4 TO THE 446PWFOR OF WILDING& The homw appal" for a panmit to build according to tha Idlowup OWwr'a Name /3==L_r p 13-vvl< Address& Phonw ?s 1--A Fes^yt rrE sr sic 14?781 9aA ' c 757 ArolNlaat'a Now _oolyly A 3 u N E 99l - 63 /- 41106 Addraaa i Phone L ) Mociwnia Nanw Address A Phone f 1 1AlIWfsbPiadOuYtlMgp__ O pp'cE M W d kddoo sgjc/c- I a Waft for how■say Umd"? IMI aull�q aodo�a q I�rfr y�5 ? ni 0 Emma"ad le, o>od pq lmw o N 04 altlo LJOMw• 030630 ago slw n of t 111ONED WIDER TILLS TY DESCRI n0N OF WORK TO BE DONE Oar PEfiWRY 25�avAt of iNrtlZio/Z pA2rlr/ pAlsINON st�u�ru2�� I N� W pAn, rl rio-V 1415f'114,LE a ,�d cR EAfE CoA1FF1zffdc Roont, 5£lF PI-A,v Ply OV/,0ZEO yAILPi3iMITTO: i � i3v�0�/2s 45 cA or sr > V y IM o19ir i wmvom Old VOd NOLLVOrkWV ?7n;77 .ON r This Endorsement Modifies Your Policy (Effective At Inception Unless Another Date Shown Below) COMBINED PROVISIONS ENDORSEMENT - GENERAL Each endorsement marked is made a part of your policy. X 1. CLASSIFICATION LIMITATION- WW 13 (07/04) This insurance applies only to operations that are described on the Declarations page, the Extension of Declarations or an endorsement of this policy. If any operations are not described, they are not insured hereunder. X 2. DEDUCTIBLE OPTION ENDORSEMENT-WW 1-A(01/97) The Deductible Amount is $ 500.00 per Claim. The deductible applies to the total cost of investigation, adjustment, legal expense and indemnification. It applies separately to each claim arising from any one occurrence. [New Jersey - Deductible applies to indemnity cost only.] The Company is liable for only those costs above the deductible amount. We may pay all or part of the deductible amount to settle a claim. If we do, you will be called upon to promptly repay to us the deductible amount advanced. This deductible does not apply to Medical Expense payments (Coverage Q. This endorsement replaces the Deductible Endorsement-WW 1. _3. FULLY-EARNED PREMIUM ENDORSEMENT- WW 4 (01/97) (Except New Hampshire) The Total Advance Premium on the Declarations page is the Minimum Premium and is fully-earned at the inception of the policy. The premium shall not be reduced if cancellation is requested by the insured on or after the inception date. This endorsement takes precedence over any policy provisions which may disagree. This endorsement modifies the first paragraph of the Minimum and Deposit Endorsement- WW 168. X 4. MINIMUM-EARNED PREMIUM -WW 183 (01/97) (Except New Hampshire) If the insured requests cancellation of this policy, the Minimum-Earned Premium shall be the greater of: Twenty-Five Percent(25%)of the Total Advance Premium; OR $ Minimum-Earned Premium This endorsement amends the Minimum and Deposit Premium Endorsement- WW 168. (Complete this section if endorsement is added after policy is issued.) NPP971442-1 04/13/06 Po tcy No. - Endorsement No. Endorsement Effective Date (�� )45�_ - Signatdreldf Authorized Representative Producer No. HTB Account No.: DLW-200600 WW 104C (07/04) WESTERN WORLD This Endorsement Modifies Your Policy (Effective At Inception Unless Another Date Shown Below) STANDARD PROVISIONS ENDORSEMENT 1. DEDUCTIBLE ENDORSEMENT - WW 1(01/97) The Deductible Amount is $250.00 per Claim (unless changed by Endorsement WW 1-A). The deductible applies to the total cost of investigation, adjustment, legal expenses and indemnification. It applies separately to each claim arising from an occurrence. [New Jersey - Deductible applies to indemnity cost only]. The Company is liable for only those costs above the deductible amount. We may advance all or part of the deductible amount to settle a claim. If we do, you shall promptly repay the deductible amount advanced. This deductible does not apply to Medical Payments claims (Coverage Q. 2. EXCLUSION-NEW ENTITIES-CG2136 Paragraph 4 of WHO IS AN INSURED (Section II) does not apply. 3. PUNITIVE OR EXEMPLARY DAMAGES EXCLUSION - WW 88(01/97) This insurance does not apply to any claim for punitive or exemplary damages. 4. SERVICE OF SUIT - (Except in Georgia, Illinois, Oklahoma and Washington) WW22A 01/04) Service of process may be made upon the Company: Morrison Cohen, LLP 909 Third Avenue New York, NY 10022 Attention: Dept.65 or upon the Commissioner of Insurance or other official specified for that purpose in your state, commonwealth or district. 5. MINIMUM AND DEPOSIT PREMIUM ENDORSEMENT - (Except New Hampshire) WW168(11/03) Paragraph b. of Condition 5. Premium Audit is replaced with the following: The Total Advance premium is a deposit premium and the Minimum Premium for the Policy Period. If the Policy Period is revised, the Minimum Premium will be revised by the appropriate prorate or short-rate factor. The Policy Period is also the Audit Period. Premium Adjustment at Audit - If the policy is rated on an adjustable basis, it is subject to a premium audit at the end of the Audit Period to determine the actual earned premium. The actual earned premium shall not be less than the Minimum Premium or, if the policy period is revised, the revised Minimum Premium. Any Premium adjustment due will be made upon completion of the premium audit. 6. TEMPORARY WORKER BODILY INJURY EXCLUSION - WW244(01/97) This insurance does not apply to any claim arising from: 1. "Bodily injury" to any "temporary worker" or; 2. Loss sustained by the spouse, child, parent, brother, or sister of that "temporary worker" as a consequence of Item 1.above. HTB Account No.: OLW-200600 WW 204A(11/04) Y This Endorsement Modifies Your Policy (Effective At Inception Unless Another Date Shown Below) BLASTING OPERATIONS EXCLUSION This insurance does not apply to any claim arising from blasting operations performed by you or by others on your behalf. Blasting operations means the use, storage and transport of explosives for demolition, construction, or earth and rock movement. (Complete this section if endorsement is added after policy is issued.) NPP971442-1 04/13/06 Policy N . Endorsemmeent�No. / Endorsement Effective Date. Signature of Authorized Representative Producer No. HTB Account No.: DLW-200600 WW 247 (01/97) COMMERCIAL GENERAL LIABILITY CG 21 86 12 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - EXTERIOR INSULATION AND FINISH SYSTEMS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. .This insurance does not apply to "bodily injury", B. The following definition is added to the Definitions 'property damage" or 'personal and advertising Section: injury" arising out of, caused by, or attributable to, 'Exterior insulation and finish system" means a whether in whole or in part,the following: non-load bearing exterior cladding or finish system, 1. The design; manufacture, construction, and all component parts therein, used on any part fabrication, preparation, distribution and sale, of any structure, and consisting of: installation, application, maintenance or repair, 1. A rigid or semi-rigid insulation board made of including remodeling, service, correction or expanded polystyrene and other materials; replacement, of any "exterior insulation and finish system" or any part thereof, or any 2. .The adhesive and/or mechanical fasteners used substantially similar system or any part thereof, to attach the insulation board to the substrate; including the application or use of conditioners, a. A reinforced or unreinforced base coat; primers, accessories, flashings, coatings, 4. A finish coat providing surface texture to which caulking or sealants in connection with such a color may be added; and system; or 2 5. Any flashing, caulking or sealant used with the . "Your product" or "your work" with respect to any exterior component,fixture or feature of any system for any purpose. structure 'rf an "exterior Insulation and finish system", or any substantially similar system, is used on the part of that structure containing that component,fixture or feature. Inc. 2 Pa of CG 2186 12 04 ISO Properties, 003 A CITY OR SALX149 MASSACMUSMMs PUIBUG PMOPC W OttARTUMT Ile%Vm mluemo *man* Sad /Lase "SON M"ammusam Gino TULSM & 97*716-MM aaT. 3" /AM 978.740"" Is acoordasce with the proVWM Of Aft$,c40 S A a ooadidos of your Hoildtel Famb is that the debda ' S fta dhb work d"be&posed of is a pwpedy licensed rOild waattdbPwd hwft as dofiW by MM Chapter IM S ISO A. TM debda will be&pond of Ex �/S�Dd5.4L. BY ER/G Z ^"'N^�'of Facility) tY,�N 3isnatare f A pll at Date Legend C-=y Existing partitions to be removed 101M Existing partitions to remain New partitions to match existing 1� Room As ` Demolition Notes:IV ( �I bpp" O'f 1. Remove all existing partitions as indicated on plan#1 1 ,1� I114 115 2. Protect existing areas not affected by demolition. 3. Dispose of all materials in accordance with all applicable regulations. 4. Remove and Save: I' a. as much existing 2x2 ceiling tiles as possible. Gop?• �� i l Y b. all 2x4 fluorescent light fixtures with in demo area(refer to RCP 3) 11 I i I I I I I c. all eight recessed incandescent light fixtures in demo area d. all four existing office doors, frames,hinges and hardware. i 5. One of the doors will be reused for the new conference room# 107 6. Save as much wood baseboard for use as possible. ni 7. Remove and discard all existing carpet. 8. All ceramic tile flooring to remain. i Construction Notes: Ib8 I I _ I I h 1. Construct new GWB partitions to match existing wall types in construction, width and type. 2. Finish end walls in Room#114 where demolition has occurred and S i I continue wood base. _p_ GOB 3. Prepare and level all floors where carpet has been removed to IOtn TIC receive new carpet. ►04 4. Contractor to pull all necessary permits. 5. Update and reconfigure air conditioning and heating returns to 1 E17 accommodate the new open area and new conference room.(by others) 6. For plans showing A/C equipment, ducts, supply and return diffusers, CoN fz MAIzC4,& thermostats, sprinkler head layouts, fire safety, exit signs, emergency lighting, 101 �03r 1012 197 and fire extinguisher locations refer to plans by others. 7. Existing exit signs, emergency lighting, fire extinguishers are to remain. Any new ones required or relocation of existing ones will be in accordance _ with fire codes. 8. Existing Handicapped Assessable Men's and Women's rooms are to remain as is. N D l Nc. � II6E b o/C �-• r u Tr pN Legend e f���a,Nlr� rtls'��4t.t- 2 4LAPA51 2-pFioµEl 'L Gor�P uE� �qa �ou� prsks. Duplex outlet i Quadraplex outlet i I3 5t' FJpre t=;15= Separate Circuit outlet Telephone outlet I2 � I Computer outlet J 0 GYP © Ceiling mounted electrical junction box III I fRx r Electrical notes: � 1. Install all new electrical, telephone and computer outlets at p 18"AFF unless other wise noted 2. Keep all existing outlets(electrical, telephone and data) where 1 1 q- no demolition has occurred. 09 3. All new outlet covers or switch plate covers to match existing. 4. For telephone and computer system specifications, tenant to _ n coordinate with the electrical contractor for installation. U 5. Tenant will provide electrician all specifications for the requirements 105 6of their data/telephone systems. (0(j 0� ) . All work stations shall have one telephone outlet, one computer outlet and one quadraplex outlet. W7. Install pendent style hanging light fixture in room#107(fixture by owner 8. Pendant to have separate switch. (01 f 1�2 01 1'I'•IN'('EK - �103 loo NDT, INc . / rUORALZ SCALIV- ' ,11401 85 L AFA-T5T-M s-T, SUM , to ice : 5,4•0& n Legend: Existing 2x4 Fluorescent Fixture to remain 112 k L Existing 2x4 Fluorescent Fixture to be relocated "R"indicates relocation II Existing 2x2 Acoustical Ceiling tile and grid(New to match existing) i 110 Q Existing recessed incandescent light fixture"R" indicates relocation p el x 9 L Wall Light switch"3"indicates three way functions i lo°I Install at 4'-0"AFF Ion -77 p II I'1 Reflected Ceiling Notes: 0. 1. All existing lighting layouts to remain as is in area where no demolition f R R p` or construction has occurred. I o(p 2. New ceiling grid in open area#114 and 107 shall be installed at the I t�lcwf� , ❑ XI��C� add same height as existing. ao, i f0 Md,10 lµ 3. Provide new ceiling grid in areas only where demolition or construction f 4M,WH - __ IC, has occurred. f) IN p. I O 104 I� 4. Existing light fixtures in soffits area in rooms# 107, 103, 102, and 101 O� C to remain. O O l03 l02 0I� Io O o, N DT, INS . �L�TVL c �uu 3