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TOWN OF SOUTHOLD e BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY PP t :<s BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 48150 Date: 8/4/2022 Permission is hereby granted to: Berrin er, John .w _.__. ww_.�................ �. B 360 Clinton Ave Apt 5F ..... Y --- .........._._..._._. . ... _ Brookl n,_NY 11238....._..........maa_............... .... ..........-.........._ To: install window replacements to existing single-family dwelling as applied for. At premises located at: 720 E Legion Ave SCTM # 473889 Sec/Block/Lot# 143.4-13 Pursuant to application dated __. 6/28/2022 w and approved by the Building Inspector. To expire on 2/3/2024. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax{631) 765-9502 �tt � N"V. oatholdto xnn y, , Date Received APPLICATION FOR BUILDING PERMIT n.� i is N o ffice Use Only �•�� r ��� �y �� ��.0 PERMIT NO. Building dnecl�crr; JUN 2 r � I� , Date:6/22/22 Name: SUM #1000- �JO�n erririer Project Address " `4,,Ea-$ .,Leg 0 "' entre.,,,M tt t c , . .11952 Phone#mm(6 6µ ?84-4 501 _ Email �berrriwr ,c, er@reet . `i.[r ith QQ_ Mailing Address:720...East. Legion Avenue, �rlatt�tu0k.,,. Name:Scott Doug mcn Coca Permits Mailing Address: 10.5.Buttonbell Ln Glast0n,.bur .O'T.05.033_. . Phone#: Email " Io 303-946-86851 . errr-it$wer ts.,.c org ,__. l i Name: Mailing Address: Phone#: Email: wY:�a, ,rX wr,�,�q�,7W +1 sir 1�� Grt¢�kia7e��luaY ; / Jr�i4 '� , Y"Jal. nr J' I t7 r 114 r, Name: HoMe De Ot, IDSA,,. 1,K __ Mailing Address:24,55 Falces Ferry Rd. .,#a 'ite....... A..803.39. Phone#.303-946. .8685_ Email rermlts@gQPerMits.Orcg.. . �� 2''' , w., r,Y`,ul��G,>ai "� �-�rYrc�'ti✓fr/,: �r� r ✓�Ir��j��j�ll�lr r iil��. a f s� uy,��m'�/96Cylf r"0''ri'✓� �� � �Y' � " C n � M� i r n / r r/ i r if a �W x�, ❑New Str cture ❑Addition ❑Alteration *Repair ❑Demolition Estimat�ed Cost of Project: OtherQcl`/� Will the lot be re-graded? ❑Yes ®No Will excess fill be removed frorr premises? ❑Yes igNo I 1 i DocuSign Envelope ID:857E6A58-7D27-48DA-B3DC-BA14D7685C2D 7wrr % r r D�rx/rrI /r/ PRo / �f „ / P"", , r Existing use of property:single family Intended use of property:single family Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Dyes RNo IF YES, PROVIDE A COPY. 9 r Yrl T r ! / / „r/�u m r//r���✓ ( y„o,,ry r /r � � i/ /�� (r;(,p �r„N ,,;' r r u�,; / J J J`�(� �i r i v,c, !O ✓ ri r Application Submitted By(print name):Jennifer Winke RAuthorized Agent ❑+Owner Signature of Applicant: _ Date: 6122/22 STATE OF NEW YORK) SS COUNTY OF � .. Jennifer Winke _.__ww ...... ..._ being duly sworn, deposes and says that(s)he is the applicant � er _....�.. (Name of individual signing contract) above named, (S)he is the ..,,, .. , ent ........:.... _.:�._:. .-,,_....................... ..�_.-...a��..... (Contractor, Agent, Corporate Officer, etc.)-.�_.....� :..�..-�___....:. ...-__..:.:.�....:._:-.-..., .�.�.,... of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this ."I i 'day of 2013 L;L _. ...o. Notary Public SUZANNE S BENTON NOTARY PUBLIC GULFORD COUNTY,NC PROPERTY OWNIER ( ” My Commission Expires 2-21-2024 (Where the applicant is not the owner) � at �... John errin res�din r .. .... , ...___.....� 720 East.Legion Avenue... .._.ww....---. .�._.. .. �..._.... �. �....�.. mm do hereby authorize Jennifer Winke .....�..�to apply on my behalf to the Town of.Southold Building Department for approval as described herein. DocuSigned by: 6/22/2022 _�.._ _. ._ ..._ 9E7942 p�f''s 5i nature Date John Berringer �...._..:.._:....... Print Owner's Name .mm..�.,....�._... .....�:.. __.: 2 RECEIPT SUFFOLK COUNTY GOVERNMENT DEPARTMENT OF LABOR, LICENSING, AND CONSUMER AFFAIRS COMMISSIONER ROSALIE DRAGO, P.O. BOX 6100,HAUPPAUGE, NY 11788 (631)853-4600 Today Date- 10/22/2020 Application: H-53429 Application Type: Home improvement License ReoelPt NO. 414174 D Comments Payment Method Ref. Number Amount Paid Payment Date Cashier IRenewal + 14 Additional Check 0003181507 10/22/2020 GAB Locations Contact Info: HOME DEPOT USA INC (14 SUPPS) RiCi-iARD T0U3Ey PO BOX 106451 ATLANTA,GA,,,t0348 Work Description', Suffolk COUMY 00131,Of Labor,Licensing&Consumer Affairs HOMF jMppoVEMENT LiCENSE Name RICHARD TOUSEY Business Name This Certifies that the HOME DEPOT USA INC(14 SUPPS) bearer is duty ii sed by the county of suffok License Number. H-53429 Rofialisorago issued: 05/1 5120 1 4 Expires: 11!0112022 �:C � CERTIFICATE OF LIABILITY INSURANCE DATE,MWODnY,Y; _ 02J24f2fl22 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE�HOLDER.mmTHIS 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 ri hts to the certificate holder In lieu of such endorsement's).. aRcaoucER NAMc " MARSH USA,INC. PPIC}I� ., .... ...... ..,..,..w__ FAX TWO ALLIANCE CENTER ttv Ex11 IAIF,Nq1 .. . .... 3560 LENOX ROAD,SUITE 2400 SAIL ` ATLANTA,GA 30326 ARf� trw INSURER(SI AFFORDING COVERAGE NAIL# CN101642069 Hon%D-GAWW 22-25 _ _ "_ INSURER A._ e 1119I t1�3iC.ICSuranr S4. 24147 INSURED _.µ ......_ .... . MSU THE HOME DEPOT,INC. R e 111a"_uu�llrlLV III; ,II1.1 .�, _ 23841 6r HOME DEPOT U.S.A.,INC. VNaLIRIDR L° Al�!L111�IITiA4�au�Ir�eVi1��Uu7fel2ial"" .._.. _ .., ,..�_. x'2667 ... .. 2455 PACES FERRY ROAD INSURER o BUILDING C-20 ATLANTA,GA 30339 INSURER F� " COVERAGES CERTIFICATE NUMBER: ATL,006314714 2 REVISION NUMBER. I 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 PER FAIN, 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. ACOMMERCIAL I 316648 LeC d NUI IIFIt .w ®3/01, aY2Y2 0M L, _.... „........... .. INERCIAL GENERAL LIABILITY A'C11'�L C�4reRp �. I'CILICY"E.Ftn' PR9t,.tC'Y LIItIITS 3701!21125 EAC(OCCURRENCE t 1,00{1,000 _,. CLAWS-MADE. X csr.,cUra F'I rfw. 0.E� Wa1:ab ,j 1,0010"OPXI.. SIR $1,000,0001. k9EDExP Acelarae airsanrep b " EXCWDF.D S ' APPLIES I i � tlTM xt„fNAL&ADV 3 NJURY ,EN � w�rArr r R�saf �+eU�re tPt 21,O11G00,,00000 r c � Ir�R1DcY� cDPPCF ASG t 2,00fl,000I 0 ONN6I R _ _ . A AUTOMOBILELIA81LYFY MWT8316649 03101/2021 03101f2025 � 0,000 X 'Ir AU rO� SELF INSURED AUTO WHY DMG ¢BODILY INJURY(iter person) $ tIIO e:; AtJro97lJt LC) 80DILY INJURY(P7,ra ccidaaryP . $ A&V'IL"Y�u"N�➢L.W Alll"C7"i 4 _ ) HIRED � PdC V C WPdF G � � �PROPERTY DAMAGE � AUT06 OW AUTU ONLY I"'Fr�F4I�FreP _ S I �I MBRELLA LIAR X Uccura MWZX 316B47 03101022 0 03,10112025 FACH OCCURRENCE ' s 10.000000 X EXCESS LIA£I G�.ASP4hti;-P�IAd) ( Y - AGGREGATEi� 1Q01t0,0O0 DEC 4RRCpOVERS'LIABILITY R"r eFtgTeCSei _ Wt'..0Pwa96EfilIkk � g1Vlk1� ". J I _ ." Y 1 N 0310112023 X � p, f STAtlIJvP` .,, Mwm�IaLHf L4et E"" F uL I WLR(669161409(A 3L) 0.10112022 0310112023 ND 4,Npr4K«Ei4'�'L AM PM"NY"BS;PR>II'e"wR`1 iN��di1:� C N � N f A � � � b,F:L. Pi A�"'r flUSFeI"I � � 5,00©,011Q IMa ndat wY in NH Cant€need Dn Additional Pae E , a _. 9 � r E L DISEASE 6".AEMPI.a.>Y &: t 5,000,000 es _.w.. � _. _.. .. �. _..L ._ ._ " " a,1laa,aatl.. �a PTI €3F OPE 1'esl`JN Rf�II� _._ r L Orsi"A,L r rp IC u � k"Ph+ll"I , d I I e i DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES IACORO 1D1,Additional marks Schedulea � Re ,mybe attacha...., ..""....�..,..,..a.�,..d ii more space Is r."._"�.�ulred.�."..,µ..}.,. ..�,,..,..�...""......._.................�...�,....,,........�,,.."_... .._. _.�, CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED IF REQUIRED BY WRITTEN CONTRACT ON THE ABOVE GENERAL LIABILITY POLICY,BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. iI I FICATE CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 53095 ROUTE 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 1179 ACCORDANCE WITH THE POLICY PROVISIONS, SOUTHOLD,NY 11971 AUTw�i�Iii�n aEPIxEs;>ExrarlvE . ���"'�`� "�""mm" of Marsh USA Inc. 7 �r �y 0ry�lt lyr77Z �6tCa ",�",,,..��..�,��...�_�..�,µ .....�.�...�.__.. ...�.....__.._."�.�.�.._......."..., .,......� 1fl08w2018 ACORD CORPORATION. All rights reserared. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: --N_Q 10", LOC#: Atlanta ADDITIONAL REMARKS SCHEDULE Page 2 Of 3 AGENCY NAMEO IN$URED MARSH USA,INC THE HOME DEPOT INC. .11�Y ij-W HOME DEPOT U S A,INC, �illi BER 2456 PACES FERRY ROAD BUILDING,C-20 ATLANTA,GA 30339 CARRIER NAIL CODE "7'—EC 71 V"E"-0"A"'T-E—:...... .................... ............... ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUM13ER: 25 FORM TITLE: Certificate of Liabili Insurance ............ ...... .................. Wwkprs GoynlbepsMion Crwtinued: ramet:Indemnily hswafv:vCompany of Noirh Afroica, Ddicy Numhpr:WLR C6831W3(AOS) (Ai..,AR.FLj0jA KS,KY,LA,MS,MC.NC,NE,NM.ND,OK,SC,SD,-R,,VA,WV,WY) Effedive 1[1.31e:03101,,,2022 Expir,,.Alon Date:03101023 (EQ Lml�:$5,000,000 Cam'er A03 hmjr<mce Co 0aw 0,301,022 Expiraton Date:031010,23 (1:1)Lirp.W$5,000,0010 1 Carrier,ACE Arnariran Insurance Cornpaq Policy Number:WGLJ 06891606(031)jCA,0I1,VVA) EF adva Date:0310112022 Expiration Date.03/0112023 (EI-)Urnit:54,000,1300 SIR:51000 000 Carner':NatvP al[Jnbp Fire b�ourance(�.airipany Policy Number XWC 1647323(083i) (CT,GA,MUNV 0H,UTi Eff edve Datp 0310I12022 Expraon We!ON0112C23 (EL. 11 irrnt$4,000,000) SIR11,000,000 SIR(CT)135000 SIR(GA)V50,000 TX(�.:mphypis XS Iridernn1y. Carriecffimlm Un6n Pnwanoe Company F16CyNumbei:TNSC68149I0% Efifide.Daw 0311)1'2022 Expiration I.Wp:031011202,3 (EQ 1..iu'nft$6,000,000 SIR $5,000 000 ACORD 101 (2008/01) 0 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID., LOC#: Atlanta ACC>R" ADDITIONAL REMARKS SCHEDULE Pags 3 Of 3 AGENCY NAMEDINSURED MARSH LASA,WC, I HE HOM IDEPO r�WC, HOME DE"JoDT USA,,WC. LECY NUMBER 2455 PACE a FERRY ROAD SUA.UNG C-20 ATLANT&GA 30339 CARRIER NAJC CODE EFFECIIVE DAM ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Lia Insurance —'HOME DEPOTWUREDS The Hme C.)qW,ft, Kom IDepot US A,W.. Home Depot US k Im &a The Home DepA Home Dept of Puerw Rwo,km. d°bmp Depot FlrrAud Aufhodty,U-0 flofne Depot Skim Suppod,Uoc Rad Beacon,IL LC KUM 'Henq comparly"Vatic, Askity,hc Hv-urs Depot Marwagemewip Owf�pwy,LLC ACORD 101 (2008101) Q 2008 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD NEW Workere YORK CERTIFICATE OF ornpensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE oafd ............... ........... ------- la, Legal Name&Address of Insured (use street address only) 1 b, Buqiric.,ss Telephone Number of lnsured Home Depot USA, Inc. 770-433.8211 2455 Paces FerT y Rd.,G-20 Ad arta. GA 30339 1r., NYS Unemployment Insurance Employer Registration Number of Insured 76011130 Work Location of insured(Onl'y required if coverage Ps specificafly hmaerj to id, Federal Employer Identification Number of Insured or Social Security certain locations in New York State, i.e- a Wrap-Ury Poticy) Number 58-1853319 .......... ............ 2, Name and Address of Entity Requesting Prnof of Coverage 3a Name of Insurance Carrier (Entity Being Listed as the Gertificato Hoider) New Hampshire Insurance Company Town Of Southold 3b. Policy Number of Entity Listed in Box'la' 53095 Route 25 Southold,NY 11971 WC 065886028 3c, Policy effective period 03101/2022 to 03101.12023 3d.The Proprietor, Partners or Executive Officers are [3 Included (only ct-,ec.k hox if ail parmersloffir-ars,included) all exciuded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box'3"insures the business referenced above in box"la"for workers' ry compensation under the New York State Workers'Compensation Law. (To use this form, New York(NY) must be listed under!LqqL30� on the INFORMATION PAGE of the workers'compensation insurance policy).The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box "2". The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate, (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the Insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers' Compensation contract of insurance only while the underlying policy is in effect Please Note: Upon cancellation of the workers' compensation policy indicated on this form, if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business Is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: Michael Price 0210712022 Approved by: 'Title: CEO North Anieric-.a Telephone Number of authorized representative or licensed agent of insurance carrier'. 212-770-7000 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to Issue it. C-105,2 (9-17) www-wcb,ny gov Workers' Compensation Law Section 57. Restriction on Issue of permits and the entering into contracts unless compensation is secured. 1 The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2, The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. C-105.2 (9-17) REVERSE CERTIFICATE OF INSURANCE COVERAGE C=ansanon DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disabty and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number Of Insured HOME DEPOT U.S.A., INC. 2455 PACES FERRY ROAD NW 446-807-7093 ATLANTA, GA 30339 1c,Federal Employer Identification Numbarof Insured or Social Security Number Work Location of insured(Only required if coverage is specifically limited to certain locations in Now York State,i.e., Wrap-Up Policy) 581853319 ....Name_''.......... ..... .............................. 2.Name and Address of Entity Requesting Proof of 3a Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) TOWN OF SOUTHOLD HARTFORD LIFE AND ACCIDENT 53095 ROUTE 25 3b Policy Number of Entity Listed in Box"is" SOUTHOLD, NY 11971 LNY713657 Policy effective period 01-01-2022 to 12-31-2022 ...... l . ...... 1 4.Policy provides the following benefits: 2]A.Both disability and paid family leave benefits. E]B.Disability benefits only. [:]C.Paid family leave benefits only. 5.Poliovers: c9A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law, B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the Insurance carrier referenced above and that the named insured has NYS Disability andlor Paid Family Leave Benefits insurance coverage as described above. Date Signed 12-29-2021 E&Sa�� 7a&e, (Signature of insuranaa cartiiws authorized representative or NYS Ucansed Insurance Agent of that insurance caffier) Telephone Number (212)553-8074 Name and Title.Elizabeth Tello-Assistant Director,Statutory Services IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate Is COMPLETE. Mail It directly to the certificate holder. If Box 48,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law.it must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200,Binghamton, NY 13902-5200, PART 2.To be completed by the NYS Workers' Compensation Board (Only if Box 4C or 513 of Part I has been the State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of hisiher employees. Date Sioned , (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note,,Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed Insurance agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. 1313-120.1 (10-17) P 1111110 IH Additional Instructions for Form fl13-120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in box "l a" for disability and/or paid family leave benefits under the New York State Disability and Paid Family Leave Benefits Law. The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in Box 2. The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is cancelled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from coverage indicated on this Certificate. (These notices my be sent by regular mail.) Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in Box 3c, whichever is earlier This certificate is issued as a matter of information only and confe~-s no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a disability and/or Paid Family Leave Benefits contract of insurance only while the underlying policy is in effect, Please Note: Upon the cancellation of the disability and/or paid family leave benefits policy indicated on this form, if the business continues to be named an a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of NYS disability and/or Paid Family Leave Benefits Coverage or other authorized proof that the business is complying with the mandatary coverage requirements of the New"York State Disability and Paid Family Leave Benefits Law. DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand and twenty-one, the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b) The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand eighteen, the payment of family leave benefits for all employees has been secured as provided by this article. [36-12.0.1(10-17)Reverse I A- Home Improvement Agreement: Page I Home Depot License #'s - For the most current listing visit www.1jomedep.pt... ,qtjjJ, rs Adam Friedman _�d m a�n Salesperson Name Registration# (Req. in CA,CTME,MD,M1,NJ,DC) Home Depot U.S.A.,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this form. 1. Service Provider Contact Information The Home Depot The Home Depot Service Provider Contact Name Service Provider Company Name customercancellationno�theast@=hom 1(631) 478-6101 customercancellationnortheast@ho Phone# glt�,ice" eider�Email Address Service Provider License#(s) 2. Customer Information Eer=ringe=r === L-1ohn j Long island =-202W200K Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO# 720 East Legion Avenue Ea�tt�i�tuck E= 1195= Customer Address city State Zip ------------- Pe- I 1646) 284-4507 1 lb rringer@reedsmith.com Home Phone# Work Phone# Cell Phone# Customer Email Address 3.NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EM. AILING SERVICE PROVIDER AT: customercancellationnortheast@homedepot.com OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 40 Oser Avenue Hauppauge NY 11788 Address city State zip BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLEFOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES TIL4,T THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. Acknowledged by: E/2�1/2022 Customer's Signature Date 460 Standard Fonn HIA(21 Jul 211(E) Ckiwrawd Date nc,r?i 19c)?? — L—d"'P09 .1 V 0 1,12 Home Improvement Agreement: Page 2 4. Description of Work to be Performed A detailed description of the work tobe performed is included in the paragraph entitled Scope of Work, Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this Agreement. 5. Anticipated Delivery Date/Installation Schedule Approximate Start Date: E18/2022 Approximate Finish Date: All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays 113 0 t:7 confirminc,insurance coverage of Your claim for any repair, if applicable. 6. Electronic Records Authorization You are entitled to a, paper copy of this Agreement if you choose. If You consent to an e-mailed copy, your consent applies to thou and all subsequent documents and written corrununications related to this Agreement. By contacting your Service Provider,yu went your ernail address,withdraw your consent,or obtain a paper copy of the Agreement or related documents at no charge, By providing your consent and verifying your email address above, you confirm that you have access to a computer that can receive and open email and PDF documents, 7. Contract Price and Payment Schedule payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: $ Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ [wo 0- (If applicable, total amount of taxes included in Contract Price) 'Waximum deposit ONLY applicable in ;LID, AIA, 111E (33,10), AU, W1(Wlo) 968.8 Remaining Balance $ Deposit /o ,F16 -.o Deposit Amount $ 8. Finance Charges Any interest payments or other finance cllarges will be determined by Cum stoer's separate cardbolder or loan agreement, to which Horne Depot is NoT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions cal"tlie cardholder or loan agreement, as applicable. No 11inds, should be made payable to Service Provider; however, Service Provider may collect Customer's payments made payable to Home Depot. 9. Acceptance and Authorization By signing below, you aut'horize flome Depot to: (a) arrange for Sentice Provider to perform, any Services or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement, Do not sign if blank or incomplete. (Set-vice Provider's or permitting m6ormation may need to be provided to You later.) By signing,you acknowledge that: (i)You have read,understand, and accept this Agreement in its entirety, including the Gteneral Conditions and State Supplement, if any; (ii) Y are rce tvtsa complete copy of this Agreement; (iii)all rights and interests under this Agreement are solely vested in the person listed as"C'ustorner" above; and(iv) Electronic signatures will be deemed originals for all.purposes. X 06/21/2022 Customer's Sinature Date XJ/s1/The Home Depot 22 The Home Depot Digital Signature Date For questions related to your installation, contact Service Provider at (631) 478-6101 For any other concerns, contact The Home Depot at 1-800-466-3337 Lcad!PO�' V 0.1 12 -160 St.�dd Fon.HIA(21 JuL 21)(E) GicneraiLd Wrc DBP_42D2_2_ _2_02��K_ Andersen Wood SPEC SHEET SC: Adam.Frri—an Measure Tech: INSTALLER: Branch Name: Long Island ,cb=; 1-202VW20OK Prepared By: ISM: SPEC SPR Ship To Location: Customer Name: .;.,..n 3err _ Dale 0612112022 Pagel of I SHEET4 REF N NEW WINDOW UNIT... FU,1 DH :-• -sii}GYt.fit, :.Acldac _;;.""' ..... v...���r r.r. A......... Ar yAsyyA� y... A.AA \ �� '('Tv arP . :c „sr, cstz�s7LOCt4 axlr3.. nLAsuRelECRSIZE ONLY ONLY casena 3tsttL .Oona _ I, ,.Gee sP SSA .8 - 9 �a� TOTAL I 1, 'SM1S ' zu TV S U4 S ndad ( x Sa+s s Sars liars KBars Fat'ar-• M+.SC t L.aid Series - E€'. FI s a S r (WlDT S':ze I G ExCaier r 'vert Hcrz \ rt her< V d Laecr L^. Type Style Coler Gale` L'^ar Sia fi4°t I + 4CCE 4°+3'_l SILK ash Hing! Ter:.p Scree^ Type mid Cie at a'., (per (pe• �ccat o: (Per (Per vocal o7 scnr E•nish Eri sh =°n S R 'E Width height `. ` � Split Vcrt^c%H-nai O+'ons COD Cc ler Ccl,.r CODs sash, _ash) CODE Sasn� Sash? CODE C..GEI GORE Tye - � r e CODE Le" Code CODE CODE CODE Com'Gain Coca W-d€, -_'gni _ ng ,St} CODE p.. z p T p ---E€€V..tat SH-A 400 DH WHH MA 1111 12 ?0 � STD RI WH WH COLO 2 - TO.= \"dH STD .. WRAF 3 ! I s 3 = x s t 2--'IV�lst SI--A 400 o t7 WH WH .4":..- 28._--.C2 7, ---. ---.. `;T'D R= �WH rO 2 1 - "CP WH STG JWH STO WH WRAP NIA! + D-M1 SH-A 400-. ,,H --'v4'FI 'PINE +'tt== 28--.42 170 E -. [ --..- - -,---. -_ .STD R: WH CO'_O _ - TCP-- - `;' STD ... ST JWRAP (E [ [ I VIAL + s 3 ° s I i P al'ci N:Eay:30`.'=5"i T 1W�:C t SO to t'.^.hes: a"v:". F r,4ers(7n Ca--) 1.:;".o'71, v 'Cc:•.str�„Fccl i(Ye=_:N.1. t oC eo' -, ....": ....—. ...... -:, ...�. ti...--. \ ,-�\ \moi! .�\\�`-� ' �\r.�\ �` � �.�r��.. �. � Mq MEASUR JL ,� CR f TECH SIZE f - { PC ( n, I Assemhl Es'r TOTAL :200 5 L.:ca'-o I.l 'a UI RO t ra FD PO Gl 1mg Hingad 440 d 1 E Isl':r e' �Ezterc' P' h t car (WIDTH TIP Ext E to 'c: .,.':d e' ;ere= 8E E r Dcdr Dco• ASer Loc'rc Locrc Opicra ry caa .7 G c :ype Style Calor r S'ze AW Io ,lamb Jamb Type Grid Gnat Patau c.'. izl- SCA IN or < 4e b^g Ven'rg e1'crnc HRDVVJHRDW' Royco t.1'a11ed' Special a 1 c' Fcc• flop. �caa COD'GOD GCD= CODE Cede Width Heigh -mom 4Y de Heigr TIF Slze �ocatlo^COD.GOlpf Colcr CODE Sa_•Sash CODE CODE OUT Panel HanC'no Hsh, only' ipe rinish �odk Stacked Notes 4^ISC'abor.I.em CODE S t seorN No ! = i 4uidt7 I = _ .ar € boxes N I Ccicr Joht`82,..,Ger----...- __ --- File Hage 0,,— '.% ria' stk -�wru qua � - NoGrilles '.AND-N-74-00571-00001 0:30 1.70 0.31 0.53 20 10.2 p - Simulated Divided Lite or Installed Interior Removable .....,...._�.,.W� �AND-N-74-00571-00002'��0,30 1.70 1128 0.47 18 <0.2 - FInellghtTM(grilles-between-bre-glass) --AND-X-74-00577-00001 0.30 1.70 028 0.47 18 <0.2 Full Divided Lite AND-N-74-00589-00001 0.31 1.76 0.28 OA7 17 <0.2 No Grilles AND-W74-00572-00001 0.30 1.70 0.19 0.30 13 <0.2 W c Simulated Divided Llte or Installed Interior Removable AND•N-74.00572-00002 0.30 . 1.70 0.17 026 12 <0.2 ^ ^ ,.......,ul -w-w........,.......�.�.,...,.....,. ........... y FIneIIgMTM(grilles-between-the-glass) AND-N-7d-0057B-00001 0.30 1.70 0.17 026 12 02 Full Divided Lite „„„„„......., ...... ...........„ .._........AN0.N-74-00590-00001., 0.31 1.76- ..-,.-._ w,........... . _D-N-- w 0.17 026 10 <0.2 No Grilles AND-hF74.00573-0DOOt 029 1.rS 021 OAS 15 <0.2 c Simulated Divided Lite or Installed Interior Removable AND-N-74-00573-00002 X0.29 1.65 0.19 0.43 14 E FLnelight"'(grilles-between-Meglass) w m AND-14-74-00579-00001 0.29 1.65 0.19 -0.43 WW14 <02 y .............................. ................««, ., ..,.,..,, ...........�,..,,,,,... .....,..,,,...... ..,.,....... .. ........,.., ^ Full Divided Lite .....,ANG'WN 7400591.00001 mm 0.30 1.70 0.19 0.43 13 <O.2 No Grilles AND-N-74-00570-00001 0.30 1.700.51 0.59 31 a 0.2 c •a u Simulated Divided Lite or Installed Interior Removable ....._ AND-4-74-00570-00-002 030 1 7D-- ���--- ...- .-. ww- .. ...,............ ..... ,M,..»..W.w. ---- 052 29 0.2 oN FineIIgMTM(grilles-between-theglass) v----- -µN- � 'AN0.N-74-00576-00001 0.30 1.70 OA6 0-52 20 <02 a ..,,,_,,,,,,,,,,,,,,...,.. ....,..._.............,,.�,,,.._,,,._...,.,.._„....,, ..._. .. Full Divided Lite AND-N-74-00588.00001 0.31 1.76 046 OM 27 <0.2 T No Grilles WWWWw '..AND-N 4 µe80001 026 1A8 0.30 0.52 24 <0.2 v o '84miutatori*Mdod Lilo orlmutdkd infador Ralroovable AND-N-74-0067500002 026 1.46 027 OAB 22 <0.2 n i FinelightTM(grilles-between-theglass) ANDN-74-0067840001 026 1.45 027 046 22 c 02 3 „ ,,...................... .,........_._._.__.........,.,..,,^..., .................,..,..... ... .... �., ' ._.,.,..W. j. Full Divided u -N . .^„'.m.. .... te AND -74-00.26 O1 1.59 0.27 0.46 20 <0.2 wis'a No Grilles AND-N-74-00676-00001 025 1.42 020 0.47 20 <0.2 o Simulated Divided Lite or Installed Interior Removable - ANDN-74-00676-00002 0.25 1.42 0.18 OA2 -19.,,.<0.2 400 Series ;r A w..w.._,,,,,,,,,,,, ,,,,w,.........._,,,,�.�.� .... .,_.�_.....»w ..... ....._. w_ Woodwright• .90 E= FlnelightTM(grillas-. ) ... A2 19 <0.2 aµ. o between-ihaglass AND-0474-0067900001 0211 5 1.d2 .18 0 Double-Hung 3 Full Divided Lite AND-N.7 01 0.27 1.53 0.18 0.42 16 <0.2 Insert No Grilles AND-N-74-00674-00001 026 IAB OX 0.67 34 <02 e c •uvr Simulated Divided Lite or Installed Interior Removable 'AND-N-744067440002 0.26 IAO 0W42 OM 31 <0.2 N r FirreligMTM(grilles-between-thaglass) +^� -� AND^N-74-00677-00001 026 1.48 W 0.42 0S1 31 <0.2 Full Divided Lite AND-lL74-0o6a400001 OM 1.59 0.42 0.51 29 40.2 !?,a Argn pr,. .'%'T'ur Gtaa -ed Grilles'I-of Granted, add Divided Use of iniubrhod bdeAor Ra rsos W4 AND-N-7400571-00003 0.30 1.70 025 0.42 16 'a.. 3 FinaBghtTM(grilles-between-the-glass) AND-N-74-00583-00001 0.31 176 0.28. 047 17 <0.2 - Full Orwded lite ANDN-74-00595-00001 0.30 1.70 025 0A2 16 <02 Simulated Divided Lite or Installed Interior Removable ANDN-74-00572-00003 0.30 1.70 0.16 0.23 11 e 0.2 J Finel MTM(grilles-between-the-glass) <a2 .. ., ., 3 y lass AND-I�F74-00584-00001 0.32 1.82 0.17 026 J Full Divided Lite AND-N-74005%00001'.. 0.31 1.76 0.16 1 023 10 <0.2 •a c ... X X .ided..,LiteD-N-74-0057100003 029 1.65 0.17 038 13 <0.2 ^ Simulated Divided ite or Installed InteriRemovable AN 3 t FureligM"'(gnll, wamnthe-glass) ................_..._.._,..,..... .....,.,,.„.� AND-N-74-00$040001 0.31 1.76 0.19 . 043. 12 (1.2 <02 Full Divided Lite AND�7"0597-00001 0.30 1.70 0.17 0.38 12 <0.2 Simulated Divided Lite or Installed Interior Removable AND-4-74-00570-0ODD3 0.30 1.70 0.61 0.46 26 -0.2 °v 01 FineligMTM(grilles-between � )-th lass AND-N-74-00582-00001 0.32 1.82.W UAbm0.52 26 02 .... .. .M $ ' ..�......�.. ,..�.............-,.. ,.............. _.. a '..Full Divided Lite AND-N-74-0059"00(11 0.31 1.76 OA1 m0.46 24 <0.2 s Simulated Divided lite or Installed Interior Removable AND-N-74-00675-011003 0.26 1.46 025 0.41 21 <0.2 • " .....,.....� Flnallght"(grilles-between-the-glass) ..._ ANINN-74-011681-000010.27 1.53 027 OA6 21 <0.2 J = .,.,,�,...,..,�.,....m .. ....,..,, mit 3 Full Divided Lite AND-N.74-00"740001 028 1.59 025 0.41 19 <0.2 F Y 'Simulated Divided Lite or Installed Interior Removable AND4J-74-006764WO3 0.25 1.- 0.17 0.37 18 <0.2 Wo .,-...,..,.,...,.....,..... ............ __.,..._,....___,,,-._..,.,,....... ,_...,.,..,,._......, ..�...,., .,..,,.,,....,. .�... -, 3 F'pnerdglra'v(gdlles-betweeo-theglass) AND-X•74 2^d0001 027 153 0.16 0.42 16 <02 M 3 Full Divided lite w...'AN0.1L74-0O688-00001 027 1.53 0.17 0.37 16 <02 m; This information is for reference only. IJala is rvrrrnt as of rn6u 15,zOta siva is svtraat to change Performance varies by unit size and options selected. Page 78 of 155 See pa9el form«e maomia0on. For specific unit performance information,please contact your dealer or Andersen Sales Representative. Home Improvement Agreement: Page I Home Depot License #'s - For the most current listing visit.wAPw.�Lj.qjjrqdgpcat cca11ILLicenkNunibers Adam Friedman I Salesperson Name Registration # (Req. in CA,CTME,MD,M1,NJ,DC) Home Depot U.S.A.,1ric.("Honie Depot") or Authorized Set-vice Provider named below will famish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this 'orris® 1. Service Provider Contact Information The Home Depot �_ Hom�eDepot ....____j Service Provider Contact Name Service Provider Company Name (631) 478-6161 customercancellationnortheast@hom Phone# §9,FVick PR)v i der Email Address Service Provider License#(s) 2. Customer InfoFmation berringer John .......j ILOng Island =-20214XQ8 Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO# 720 East Leg—ion Avenue_ Eatt—ituck —] (NY E952 Customer Address City State Zip E:::= F_ (646) 284-4507 )berringer@reedsmith.com Home Phone# Work Phone# Cell Phone# Customer Email Address 3.NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT: OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: -.. _ 40 Oser Avenue Hauppauge NY 1788 Zip BY M I IDNI( HT ON THE THIRD BUSINESS DikY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLNI'lON PERIOD. THE ST/VI'E SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STNI'E. YOUR PAYMENT(S) WRA,, BE RVIA 4 IRNED WI161N TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOOR NoTiCE. YOU MUSTMAKE AVAILABLE FOR, PICKUP BY HOME DEPOT OR SERVICE PROVIDER, ATYOUR SERVICE ADDRESS, AND IN SU BS'rAN'rI ALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED To YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. Acknowledged by: Customer's Signature Date 460 Standard Fonn HIA(21 Jul 21)(E) (Ieneraled Date Lcacb"POW 3-90914=8 - x, O�1.12 Home Improvement Agreement: Page 2 4. Description of Work to be Performed A detailed description of the work to be performed is included in the paragraph entitled Scope of Work, Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this Agreement. 5. Anticipated Delivery Date/Installation Schedule Approximate Start Date: 12/18/2022 Approximate Finish Date: 01/17/2023 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. 6. Electronic Records Authorization You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subsequent cloeurrrerrts and written communications related to this Agreement. By contacting your Service Provider,you may update your email address, withdraw your consent,or obtain a paper copy of the Agreement or related document,, at no charge. By providing your consent and verifying your email address above, you confirm that,you have access to a computer that can receive and open ernails and PDI documents. 7. Contract Price and Payment Schedule Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: $ 3145.60 Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ o.00 � (If applicable, total amount of taxes included in Contract Price) *Maximulm de osit NGYa ii7ss 41n AID, iV1A, A1E (33%), AU, FYI 99%2s5s.19 I P PP � � � ) Deposit /o Deposit Amount$ Remaining Balance $ 0 2 5 0 w . S. Finance Charges a�eenrent to Horne Depot is NOT p party, and illrbenin�addition�� �. , payment )n An interest payments or other finance charges rmer s separate cardholder or o� g j� the terns y s of cardholder to tin agreement as'rapplicable.t o arrler is s .'ternis arrcl condrtror„r, er or loan collect No g iiia Agreement,eemc nt. C�rWrstc� ulr act to funds should be made payable, to Service Provider-, however, Service Provider may Customers payments made payable to Home Depot. 9By. sign Acceptance below, you authorize Home Depot to: (a) arrange for "� m an S (b) p ance and Authorization order and arrange �f"Or they ' penal order merchandise, including; special orderrmerchandiser rmay be Services c�rr %t � made as specified n delivery s Agreement. Der not sign if blank or: incomplete. (S rp g cus Dili p g g (Service Provider's or permitting " . � ) You b �� understand, rnf��r�rrnatiorr�may need to be provided to�"<�ru later",)By signing,you acknowledge that: i. ave read, and accept this Agreement in its entirety, including the general Conditions and State Supplement„ if any; (ii) You are receiving a complete copy of this Agreement; (iii)all rights and interests under this Agreement are solely vested in the person listed as "Customer" above; and (iv) Electronic signatures will be deemed originals for all purposes. X 06/21/2022 Customers' Signature _ Date X I/s/The Home-Depot 06/21/2022 The Home Depot Digital Signature Date For questions related to your installation, contact Service Provider at (631) 478-6101 For any other concerns, contact The Home Depot at 1-800-466-3337 C.;r�xcr2eed Date Lead-T0 1–��� v 0.1.12 460 St—lard Form H1A( 1 Jul.21)(E) (1Fi��7'f„/2_(,22 �Q-�_ WINDOW SPECIFICATION SHEET - Spec.Sheet#: 1-20214XQB Sheet: 1 of 1 Customer: John berringer Job#: 1-20214XQB Consultant: Adam Friedman Date: 06/21(2022 t New Window Hinge Locations } Existing Window Measurements Grids Product Options (Labor Options[ From outside, Left to Right - ows Location ( t Color Rough Opening [ d of bars 1f of bars Cs ntsgt Pnl, - ( - t ( j use L,R or S Glass € € ( Misc Items € F t ( ( Hardware f ( Code # t [ 1 rr � voN ( Screens j #- For doors use Mull —mS =stationary o r co X' operating Wraps .S7 Y [ U r t Lu 3 I Room Floor Code 3 (Y/N) Style Code Series Code c w _ F- v} [ O a > t x J > I z I 'FULL SCR,STD,White, .EXT C, r j 11 `ATTIC ,Attic tSH-A Y 'DH 8100 �WH jWH €28 '37 165 lS, WH,W 11 C TOP i2 f1 i GlassPack:Standard ;WRAP,LSR i € 1 [ ( GBG €H - t=-- �; T i FULL SCR,STD,White; ;WRAP,LSR ' € I f (2 58ED2 1=_€ SH-A Y 1i DH EWH ?WH f40 142 ,82 S. IWH,'v�� C TOP (3 (1 (GlassPack:Standard { ; GBG H !FULL SCR STD,White, -WRAP,LSR } 1 3 BED2 11st iSH A _Y DH (6100 =tNH -W'H 24 r34 .SB (WH,W C TOP 32 -1 Glass Pack:Standard ', € -GBG tH i I I e � £ a t t € t t t t SPECIAL CONSIDERATIONS: 1:White,2:White,3:White E Wrap Color i I t ( f Pnterior Casing Type f Bay or Bow window: .E iSeatboard material(vinyl only-Birch or oak) t ' !Bay Project Angle(30 or 45) I ay Flanker Type(DH,SH,or Csmnt) ( ' 'Top of window to soffit(inches) f tied to soffit,color of soffit material j _ I have reviewed and agree with all the job specifications above and the [ Construct Roof(Yes or No)` Special Terms and Conditions on the following page [�-- Garden Window: beatboard Material(vinyl only-White Pionite,Birch or Oak} � � 3 pThe Home Depot ofProducts Manufactured • Simonton � �ryi y� Y "�➢ ar rrUp iq n�ya f I y 9 r➢ �Mb r rsy ,, °/Wil /fNIn�Nfcp" lq 1 �� y�5��c ra jr qq��� � N. • . With GrldS S a g Glass Packs (air with argon) Fact Spacer IG F SHG,C " V SHGC Glazing t s r t ln 6500 Base ProSolar 9 Supercept .., 7/8, 0.26 ...0.23 0 0.26 0.21H Awn Casement 6500 Base ProSolar Supercept 718" 026 0.24 0 0 0 0 0.26 0.22 0 0 0 Transom " 6500 Base ProSolar Supers 1" 027 0.32 0 0.27 0.29 Double-Hu ng 6500 Base ProSolar Supercept 718" 0.29 0.26 0 0.29 0.24 0 0 Picture_Casement (NH) 6500 Base ProSolar supercept 7/8" 0.26 0.28 0.26 0.25 0 0 0 Picture 6500 Base ProSolar Supercept 718" 0.27 0.29 0 0 0.27 0.26 2....�...�. ..._.__.�...,�...�.�.._ .�.w,_..�. .,...__....._ ..� ..._....�....._,__ ..__....... ......._w....,. . Panel Slider 6500 Base ProSolar Supercept 718" 0.29_ 0.26 0.29 0.23 0 0 0 3 Panel Sliders 6500 Base(.121 8gft) Pro Solar Supercept 718" 0.29 0.26 o 1 10.28 0.23 0 0 of r •� - Garden Door(DH) 6500 Energy Star ProSolar SUN Super 0 Patio Door INtOVOb 6500 Base Pro Solar Super Spacef 1" 0.28 0.26 101 .1 0.31 023 0 0 0 . a + ' homes located everywhere EXCEPT:Arizona,California,Idaho,Nevada,NewMexlco,Oregon,Utah,and ringtom Awning(Inc Hopper) 6100 Base Pro Solar " Intercept 718" 0.27 0.24 0 0 0 . 0.28 0.21 0 0 0 0 C am0ft 6100 Base Pro Solar Intercept 7lB'" 0,27 0.24 0 0 0 0 0.27 0.22 + 0 0 ( Do�aiaie flan 6100 Erter afar° Pro Salar W Srrperr0 apapt 314 0.30 .30 0 0,30 0.27 0 0 0 `"PotOi tsa errtant IraOt ) 6i00 Base Pro Solar lav ept 7/s'" 0.27 0.28 0 0 0.27 0.26 Picture 6100 Base Pro Solar Intercept 314" 0.27 0.31 0 0 0.27 0.28 � sr 2 Panel Slider 6100 Base Pro Solar Intercept 3/4" 0.30 028 0 0.30 027 0 3 Panel Slider 6100 Base Pro Solar In pt 314" 0.30 929 0 0.30 0.27 e o i i r • • lloates located everywhere EXCEPT.Arizona,California,Idaho,Nevada,New Mexico,Oregon,Utah,and GVashington. Patio Door INOVO..a.... _ . .,,.... 6100 Ener Star . .. , w, Pro Solar.. �.... p _,......_...,,. TJ,-- ._ _Su r S a0o 1 0.28 02S as 0 0.28 023 . .. 0 0 . Patio Door NARROW FRAME 6100(PD05)Base Pro Solar. Interrzpt 314" 0.28 0.3D 0 . 0.28 0.26 0 0 6200 lHomes located only In following markets:Dallas,Denver,Detroi4 Phlla,Northern NJ,Long island,NY. Awe ning �fr 6200 BasPro Solar SHADE SUPerceepatt 314" D27 025 0 0 0 0 0.26 0.23 0 0 0 rr Casement 6200 Base Pro Solar SHADE Superoept 3/4 0.26 0.18 o ka 0 0 0,29 0.17 0 0 0- 0 Picture Casement-NH 6200 Base Pro Solar SHADE Sup(-uoept 314" 0.25 0.21 0 0 0 0 0.25 0.19 0 0 e 0 _Picture Window 6200 Base Pro Solar SHADE Supercept 314" 0.26 0.24 0 0 . 0 0.26 0.22 0 0 0 0 S-in�le Hung 6200 Base Pro Solar SHADE Sou:percept," 3/4" 0.28 0.23 . 0 m 0 0.28 0.21 0 e 0 i�ISlider 6200 Base Pro Solar SHADE Sueroept 3I4" 0.28 0.23 0 . 0 0.28 0.21 3 Panel Slider 6200 Base Pro Solar SHADE Supercept" 3/4" 0.28 023 . 0 . 0.28 021 0 0 0 • : - ' 1 1 Homes located in coastal areas. Awning SB+300VL Enerr3 Star PSSUN/Lami Supercept 1° 026 023 0 0 r0.29G.23 0 0 0 0 "Casement SB+300VL Base PSILami Super Spxaoo' 1" 025 023 0 0 0 Double Hung SB+300VL Base PS&ami Super Spacer 1 0.29 0.25 0 e 0 Sl VL Bas t 'SliderSB+300VL Base PS/Lami Irrr�rpt 1 0.29 0 25 0 Patio Door SB+300VL ETC 366 PS Shade/Lami Supers r 1" 0.30 0.19 0 0 e o __.,_,... _,.. __......_.._w__,. _. _.. _. _ �.�......,, w. 0 Garden Door(CH) SB+300VL Base PS/Lami super r..e 1 0 30 028 0 .0 0 30 025 0 0 0 •Dots indicate Energy Star cerfified for that zone s . a # Oman= . • -- •. (L43 - q- 1 3 Home Improvement Agreement: Page 1 Home Depot License#'s - For the most current listing visit www.Homedepot.com/LicenseNumbers 1 Adam Friedman Salesperson Name Registration#(Req. in CA,CT,ME,MD,MI,NJ,DC) Hoene Depot U.S.A.,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or service the equipment listed below at the price, terns and conditions as outlined on this form. r' _ :Yf.Y �- =�P _vi r. Co ac o Service ro de The Home Depot The Home Depot Service Provider Contact Name Service Provider Company Name (631) 478-6101 customercancellationnortheast@hom Phone# 99R10 NYmovider Email Address Service Provider License#(s) r f'.• r, n'£ o In o r r.Irif _mafitD _ .2'Cust erringer John Long island Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO# 720 East Legion Avenue Mattituck NY 11952 Customer Address City State Zip (646) 284-4507 bberringer@reedsmith.com Home Phone# Work Phone# Cell Phone# Customer Email Address '3N�0�T4 ICE=OF°I2I v ,177171�111 't w GHT?TO�CACI�, ; .. YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT: icustomercancellationnortheast@homedepot.com OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 40 Oser Avenue Hauppauge NY 11788 Address City State Zip BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW :IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. Acknowledged by: 06/21/2022 Customer's Signature Date 460S1andardFonnHlA(21Jul.21)(E) Generated Date !1R/71/2Q22 L-d/P014 1_209NA1700K v 0.1.12 1 Home Improvement Agreement: Page 2 r. - •.Ji -.�` 'it; +:f;'i r`"' :,.5+';•:;y l -_YiT',\^3,'.' 4�'.De"scri 't o V1 o k-to•b rf A detailed description of the work to be performed is included in the paragraph entitled Scope of Work,Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this Agreement. 1'`ti ii.Sc d 4. n:) /i 've` to/.In"`tal a o i tedDeh ;yDa s 1`;),-,A"tic a Approximate Start Date: 12/18/2022 Approximate Finish Date: 01/17/2023 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim_for any repair, if applicable. _ -l l 6° El ,.IC'• 'eC o rds'L�Ut ectron .R You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy,your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting your Service Provider,you may update your email address,withdraw your consent,or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to a computer_ that can receive and open emails and PDF documents. 4:ti "n' `h' Jule% r - 'n`�'Pa::'me t'Sc e - tr - ,.• ,., _,. : .,....... Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: $ 14968.80 Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ 0.00 (If applicable, total amount of taxes included in Contract Price) Waximum deposit ONL Y applicable in :I✓1D, jVA, 111E (33%), AJ, WI(99%} Deposit% 1100.0 Deposit Amount 14968.8 Remaining Balance $ �har`es; Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments made payable to Home Depot. 1 :91, :�f'�.f thOr a ance,a d u 'Acca t By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to be provided to You later.)By signing,you acknowledge that: (i)You have read,understand; and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You are receiving a complete copy of this Agreement; (iii)all rights and interests under this Agreement are solely vested in the person listed as "Customer" above; and(iv) Electronic signatures will be deemed originals for all purposes. 06/2.1 J'2022 Customer's Signature Date X /s/The Home Depot 06/21/2022. The Home Depot Digital Signature Date For questions related to your installation, contact Service Provider at (631) 478-6101 For any other concerns, contact The Home Depot at 1-800-466-3337 460 StandardFonnHIA(21Jul.21)(E) GcnmatcdDatc orpJ12022 L-&'POO 1_909NA190nk v 0.1.12 Andersen Wood SPEC SHEET SC: Adam Friedman Measure Tech: INSTALLER: Branch Name: Long Island Job#: 1-202W200K Prepared By: ISM: Ship To Location: Customer Name: John Berringer Date: 0612112022 Page' of t SPEC SPRSHEET# REF# WEW WINO OW UNIT, '1<6io" 4' —7 "A - - —, - ,��j 9-�-R q �,wTtatfiwml, Z� "A F, xi 1 tsndA J r6i fr• Z_' 4 in GAVE 4r�- An.cluli -q DH iiF t.nd-, !FULL sdn•'tEtdFR Siii;h MI INISEW ........ "(Mai& in BatlQ Z emn, 11 71� 1 " -,- -."' - —z��- --I -: �i I �1'11 I I i A "Wh��k TYj;j ONLi:bNLY opd..1 no ot- 0"IoNe SO St2i L E awnent tirwitting. P61olkh'),t :00tlohi� TOTAL MT/ISM Interio 7W SC UI Standard #Bars #Bars #Bars #Bars Pattern MISC Location ExistinE Series Wndov Extenoi Finis Jamb Standar c (WIDT Size Grid Exterior Interior Vert H.dz Vert Horiz & Labor Windo, Typo Style Color Color Liner Size AW CODE WAL ILL Sash in. Temp Screen Type Grid Grid Pattern (per (per Locatior(Per (Per Location Obscure Finish Find Type Finish ite. Roo Floo DEPT S E Code CODE CODE CODE CODE Color Code Wldtl� Height EIGHT Width Height ANGLE Split Venting Handing CODE Options CODE Color Color CODE sash) sash) CODE Sash) Sash) CODE CODE Type COD CODE CODES 1 LIV 1st SH-A 400 DH WH WH Whit 28 42 70 STD RI WH WH COLO 2 1 TOP WH STD WH �STD WH WRAP a NIAL Option so trip tarrw] on un IF 7 2 Lly 1st SH-A 400 DH WH WH Whit 28 42 70 STD RI WH WH COLO 2 1 TOP WH STI) WH ISTD WH WRAP e NIAL 3 DIN 1st ISH-A 400 DH WH PINE Whit 28 �42 70 STD RI WH WH COLO 2 1 TOP ST STD ST STD ST WRAP E 0 NIAL 'llh11=1* pm;actloa Angle:(say: Too of Window to Soffit(males) Bay Window Flankets 7c...... I Constme Reel'I(Yes I No) n ue4 to sofrn, I There lanogmtrartme mat new shirgles me match exismig color. lNewbooR 4� ITEM j,:— MEAS•URE-,-3� �EULti L IlFRAMEi,V. derl6i�dpikiih option i'a NW nl,� �,TgOifl§IZE i�. ONLYit�,� GriteQptociffs(PER SASH FFIICfl4q--� PD Non m Assembl ES? TOTAL (200, Note: Statute Interim UI RO/ Inswing PD PD Gliding Hinged 400,& at. &t Ex ExistingE I lot Finish Standen: (WIDTH TIP Extenslor Grid Exterio Interlo #BaN 1Ba Door Door A-Ser Lock Lock Options all other capillary Jamb gln.1 .be? Type + Fomml. Door So"' Stylej Col., Color Size AW to Jamth Jamb Type Grid Grid Patter art( P bscu Scree IN or # Venting i Venting, gliding HRDWF HRDWF Keyed Mulled I Special Code CODE COD CODE CODE Code Width t!1!gLh1 HEIGHT WfidIT Heigh TIP Size Location CODE Color Color COD ash Sash CODE CODE OUT Panel.� Handing Handing only) Type Finish Lock Stacked Notes MISC Labor Item CODES Yes.,N. P.M. j: yty No Width 51 1 — 770—cow.- boxes No No Color Appmad Prim Name John Berringer Time Home Owner O N S N O N 03 3 M n p3j O - O O CD m gore Xv N 7 m Z 8 N � I t 7. O cT O Zo 3 a m m Low-E4° ° Low-E4• Low-E4• Low-E4° Low•E4• Low-E4° low-E4• _ n Low-E4• Low-E41 Low-E4• Law-E4 >,�s•.?; "�••• TD w SmartSun'" w/HeatLock•' PasslveSun• SmartSun- Sun Low-E4• p�y`� PasslveSun• SmartSun"' .N p w/HeatLock'• :n': w/HeatLock•' PasslveSun• SmartSun"' Sun O fD t.T w/HeatLock'" w/HeatLock^' N T N T ?I a) T A + 0 0 c e m c c c c 3 As 3 z T 11 3 = T 3 = T �_ 7 p 3 3 3 3 3 00 E: 'm o 5 a o c__ o c Q- O ° o c o c o c O c c v — = e .0 c G7 a t1 c L1 e — 1° c — • L7 Ty �< m �o c m 3' m 6 t7 a y c — y . C: d r o p C (° 3: r.. '° 3: [' ta' �• `° S °(" S. S r�. 6 r- Si m ' 6 [ ui m g ,n L ;� � �. m z �. [[ y CC �. �. S• �. � C o. 3, [ �. S o. 5. y S. [ y 5. O 4 4 Er p i « A ma gA �v A •C�r. A (o m A A A t:�i: CD p" 3 'g�9- 8 0o 3 3 3 05 S a \ a • o`d o d o �~ — — a• CL (DR :3a d m Mcp - r w En CD b � $ e e p p u o '3:.,�r'S• P e e e P P p O O p p >3 Yo' k •Yo' �3 � a � o o m 81 m PJ o m o "•� "d S $ � � N � 12 $ � � m o 0 0 Yn' &' •Pa m o 0 o m o � e '"�t e 1� o e o p o 0 0 0 0 0 N ;a�':e(, o 0 0 0 o e o 0 `0' {0� 0 1 n o e e (o� 0 0 0 V m V (n + + V /O V UI V O, N Ob �y�'q 9 9 N V m m m' 0 V A & b b b 3 V V VF pp V N V + + N W W 6l 73 •�1 N V N �M,'J� + V N N N V N OI N N b W W m N •HI V V V (J ��• 3 e+� N y NN �Nu N N �Ny uN n� NN �' T OI 00 fD + + P Oi � N NW '• V Ol' :i�`� ,O + + P N b b O D N N A, J W to A A H N N O �=dxC "0 n n n n n n n n n n n n n A n n n n ,�yj n n n n A n n n n n A n n n n n n n n n n n n n n A n n !Jy4 o e o o e e p oI,1 p 0 0 •y.,ro N IJ Al N Iv N NN H ti N IJ iv N N N TJ T.l �f�, N to N N I.t N F.1 N F.1 IJ FJ IJ fJ IJ N fl FJ N Mks to es E •s8kK � ci� �.,. ID R Hl" Home Improvement Agreement: Page I Home Depot License#'s - For the most current listing visit www.Homedepot.com/LicenseNumbers Adam Friedman Salesperson Name Registration#(Req. in CA,CT,ME,MD,MI,NJ,DC) Home Depot U.S.A.,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this form. �Iaiforma ontact' b :1.-,Service Prov dei�-C -'- The Home Depot The Home Depot Service Provider Contact Name Service Provider Company Name (631) 478-6101 customercancellationnortheast@hom Phone# °oc'iTrovider Email Address Service Provider License#(s) JI •f' n: _ _ 2: Custom r a berringer � I John M r Long Island 1-20214XQ8 Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO# 720 East Legion Avenue Mattituck NY 11952 Customer Address City State Zip (646) 284-4507 jberringer@reedsmith.com Home Phone# Work Phone# Cell Phone# Customer Email Address _ z . HT TO�C�iNC I;` E�OFRIG 3 �,NOTIC _ YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT: customercancellationnortheast@homedepot.com OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 40 Oser Avenue Hauppauge - I NY 11788 Address City State Zip BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP .BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITIOiN AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. Acknowledged by: 06%2I/2022 Customer's Signature Date 460 Standard Fonn HIA(21 Jul.21)(E) Gemrated Date 08.121./2022 Lead-IT04 1-202L4.XQg v 0.1.12 Home Improvement Agreement: Page 2 C"^^ ;."i: :.f.� :t.. yf.v'—'.'..i:�" Sy..�.'Yr ^j.a •;�: .4 , ii �k fo°'`ti`e erf A detailed description of the work to be performed is includedtin the paragraphjentitled Scope of Work,Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this Agreement. ....,..,•.,....,„._••-„.,_...,>•«<-...-.-,. .•-,",,.,..,•.'•»r.;�. ..,w....,;,•-....,,,rgm-:--.-^^.."-^^^.,.,,P.s�- r.>:�^a,� .;..-rr.,.,,.,.'."Ki•.��",;">*”: ,":T-,>.y'-"'^y;"'s"'r",;;' ^r.,s`� '�,;3':'' - {�µ Approximate Start Date: 12/18/2022 Approximate Finish Date: 01/17/2023 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. ,�^ci-�r-'---;^...., .,-;+-•. ��-s----°_c,:'<.'"-':�:r:n,.' :'T"�.,° �^"., '..scr=st.s': ....-„..f,,«.,.., w�-> ::s+;;ov x.—”rtyr?;a ,.,,;e-?^-`,r...•-'ter F• ,.x; ..'�,"""'° :i„z i:` ::x_ "yi. -:x.:. 'r6wElectronic.Reeo ds, a your You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy,yo . ...,,..U.-,<..__.,,«.. consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting your Service Provider,you may update your email address,withdraw your consent,or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to a coMputer that can receive and open emails and PDF documents. .mon ac a .:v;�' �:z���� .F��`v .�-;,���...�_ ,.•, .. Payment of the Contract Price is due upon signing unless a different paymenthschedule is required by law, specified below or in a payment addendum. Contract Price: $ 13145.60 Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ 10.00 (If applicable,total amount of taxes included-in Contract Price) *iMaximum deposit ONLY applicable in MD, 11 A, IVE(33%),1' U, WI(99 9,6) Deposit% 25.0 Dweposit Amount$ 786.41 Remaining Balance $ 2359.19 iy .i� 8: Fm`auce:Char 'es ��:�'� �.�. .;:.� ,. , .: __., .,_ ......,_ _, '•, . ` ' `' .y .. An interest a mems or other finance c :..'t' tin.,...„ i” y ' p y harges will be determined by Customer's separate cardholder or loan agreement, to which Home Depat is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments made pa to Home Dpe ot. .:',:"r.t "•s.:^ _ +FrV'.� `'nom' <s" -f".`:'''3:.... G. '•.iti':`':::;^:'s` z;, s,v: �.. .x71';-.... ,>>;� •:' By signing below, you authorize Home YDepot to:^(a) arrange for Service Provider to perform any Services or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do nat sign if blank or incomplete. (Service Provider's or permitting information may need to be provided to You later.)By signing,you acknowledge that: (i)You have read,understand, and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any;.(ii) You are receiving a complete copy of this Agreement; (iii)all rights and interests under this Agreement are solely vested in the person listed as "Customer"above; and(iv) Electronic signatures will be deemed originals for all purposes. X Customer's Signature Date X• /s/The Home Depot osj21%2o22 The Home Depot Digital Signature Date For questions related to your installation, contact Service Provider at (631) 478-6101 For any other concerns, contact The Home Depot at 1-800-466-3337 460 Standard FonnHI,A(21Jul.21)(E) C3aieratedDate 06/21/2022 LeadTllt 1-90214XQR— ° 0.1.12 WINDOW SPECIFICATION SHEET - Spec.Sheet#: 1-20214x46 Sheet: 1 of 1 Customer: John berringer Job#: 1-20214XQ8 Consultant: Adam Friedman Date: 06/21/2022 New Window Existing Window Hinge Locations Measurements Grids Product Options Labor Options From outside, Left to Right Bays,Bows Location Color Rough Opening #of bars #of bars Csmnts,1 Pnl, use L,R or S Glass Misc Items Hardware Code Screens For doors use V Mull "S"=stationary or LL o t t m E e v e "X"=operating Style Wraps .1 ar 5 rn a C7 o r N r c P 9 Lu Room Floor Code (Y/N) Style Code Series Code S u� S r 3 r ai c i EL °� > _ > i FULL SCR,STD,White, EXT C, 1 ATTIC Attic SH-A Y DH 6100 WH WH 28 37 65 S, WH,W C TOP 2 1 GlassPack:Standard WRAP,LSR GBG H FULL SCR,STD,White, WRAP,LSR 2 BED2 1st SH-A Y DH 6100 WH WH 40 42 82 S, WH,W C TOP 3 1 GlassPack:Standard GBG H FULL SCR,STD,White, WRAP,LSR 3 BED2 1st SH-A Y DH 6100 WH WH 24 34 58 S, WH,W C TOP 2 1 GlassPack:Standard GBG H SPECIAL CONSIDERATIONS: 1:White,2:White,3:White Wrap Color Interior Casing Type Bay or Bow window: Seatboard material(vinyl only-Birch or Oak) Bay Project Angle(30 or 45) Bay Flanker Type(DH,SH,or Csmnt) Top of window to soffit(inches) If tied to soffit,color of soffit material I have reviewed and agree with all the job specifications above and the Construct Roof(Yes or No) Special Terms and Conditions on the following page Garden Window: Seatboard Material(vinyl only-White Pionite,Birch or Oak) �:t+ _:�..r - �?';.. r..t°� _ -.»-�"_,'.;e. -...s�r^rx�.: �..t:;^- T.*s,••t3a�- c:,g.m-.- w-•'"z•;C '�?:�-s<`; 1� x:r +w7s �f In # T' The Home Depot - Thermal Value of Products Manufactured by Simonton n"v Gls xrF«'i i,p.. a.�'s:"C�^"-,-.T° ii..� .,r.:-4,::F�°i°.;.:•: :E'^ ss :�. �+I` ..,,. ...k _ ..`.C...-.z.^.=r,'. Awning 6500 Base ProSolar Supercept 71W 0.26 ! 0.23 0 0 ol 0.26 j 021 ' o 0 0 Casement '6500 Base ProSolar Supercept 718" 026 0.2-4 0 o 0 0 0.26 1 0.22.. 0 0 o c Transom 6500 Base ProSotar Suuercept T 027 0.32 0 0 0.27 i 029 c o Double-Hung 6500 Base ProSolar, Superoept 718" 029 1 0.26 Q 0.29 j,0.24 a ® o Picture'Casement (NH) 6500 Base ProSolar Supercept 7/8", 0.26 ; 0.28 ® 0. 026 L 0.25 0 "0 0 0 Picture6500 Base Pr6Solar Supercept 718" 0.27 r 0.29 0 0 0.27 i 026 e o 2'Patlel Slider 6500 Base ProSolar Supercept. 70 0.290.26 0 029 j 0.23 0 0 0 3 Panel Sliders 6500 Base{s 21 Sqn) Pro Solar Supercept 718" 0.29 0.26 0 0.28 i 0.23 0 0 0 .Garden Door(GH) 6506-Energy Star ProSolar SUN Super Spacer- .1" 0.30 1 024 c ® 0 01,0.30.j 0.21 1,01010ja Patio.Door]NOVO, 650,0.83se Pro Solar Super Spacer 1" 0.28 I 0.26 0 0 0.31 j 0.23 • o v 0 0 r 11 Nomes tocated cvwywi tere EXCEPT:Arizona,California,Idaho,Nevada,Nety Mexlcq Oregon,Mh,and lKashirrgtan. Awning(Inc Hopper) 6100_Base Pro Solar Intercept 718" 0-27 4 0.24 00 o 0 0-28 0.21 010 0 �+ Ca erne 6100 Base Pro Solar Intercept 718". 027 0.24 of® o a 1 0.27. 0.22 0 o n• Double-Huns 6100 Energy Star ProSolarSupercept 3/ 0.30 i 30 a 0.30 0.27 © 0 0 _tc ure Casement,p4a t"mge) 6100 Base Pro Solar Intercept 718" .0.27 i 0.28 w o 1 0.27 j 0.25 0 0 ¢ 6 Picture 6100 Base Pro Solar Intercept . 314' 0.27 0.31 o o 0.27 0.28 . 0 0 2 Panel Slider_ 6100 Base Pro Solar _ Intercept 3/4" 0.30 j 028 © 0.30 0.27 b 3 Panel Slider 61.00 Base Pro Solar Intercept 314 0.30 j 029 0 00 { 027 0 ® 1 1 • • homes located everywhere EXCEPT:Arizona,California,Idaho,Nevada,New Mexico,Oregon,Utah,and Washington. Patio Door INOVO 6100 Energy Star Pro Solar Super Spacer 1" 0.28 1 026 0 ® 0.28 Patio,Door NARROW FRAME ,6100(PD05);Base Pro Solar Intercept 3/4" 0.28 ' 0.30 ® 01 0.28 0.26 e 0 • 1 1 Homes located only In fvUowing markets:Dallas,Denver,Detroit Phlia,Northern NJ,Long lsland,Ny. Awning 6200 Base Pro Solar SHADE Supercept 314" 027 ; 0.25 0 0 0 61 0.26, 1 0.23 0 0 0 0 Casement 6200 Base Pro Solar SHADE Supercept 314 0.26 ' 0.18 0 0 0 a 0,29 1 0.17 .0 o o' 0 Picture.Casement-NH 6200.Base Pro Solar SHADE Supercept 314 0.25 ; 0.21 o '® o 0 0.25 0.19 :0. 0 0. 6- Picture Window 6200 Base Pro Solar SHADE Superoept 3/4" 0.26 0.24 o o o o 0,26.1 0.22' o o •0 s Single Hung 6200 Base Pro Solar SHADE Supercept 314" 0.28 t 0.23 0 0 0 .0 0.28 ; 0.21 0 0 0 Single Slider 6200 Base Pro 8olarSHADE Supercept 314" 0.28 ! 0.23 0 0 .0 0.28' , 0,21 0 0 3 PaneLSdder 6206 Rase Pro Solar SHADE Supercept 3/4' p.28 z 023 0 0 0 0.28 i 021 w o 1410911-1112.1 - . 20MRS 1 ti mes located In coastal areas. Awning SB+300Vi. Energy Star PS SUN/Lami Supercept V 0.26 023 0 a 0.26 ! 0.2.1 o a o 0 Casement SB+300VL Base PS/Lami Super Spacer 1" `0.25 0.23 0. o a' o 025 1 0.21 0 0 0 0 Double Hung SB+360VL Base PS/Lami Super Spacer 1" 0.29 ; 0.25, a 0 0 0 0.29 1 023 0 0 0 0 Slider SB+300VL Base P8/Lami Intercept 1` 0,29 i 0.25 o o Q o .0.29 ; ,.023 '© o © a Patio Door SB+300VL ETC 366 PS Shade I Lami Super Spacer V . 0,30 i 0.19 0 0 0 0 Garden Door(CH) SB+300VL Base PSl_Lami Super Spacer 1' 0.30. 1 '028 0 0 0.30 i 025 0 ;o 0 0 Dots indicate Energy Star.certified for that zone