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HomeMy WebLinkAbout10-10162 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 10162 ANNUAL FIRE PROTECTION MAINTENANCE Permit Number: 10162 • Address: 38225 14TH AVE Permit Type: FIRE PROTECTION MAINTENANCE ZEPHYRHILLS, FL. Class of Work: FIRE - PROTECTION MAINTENANCE Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: ;07 7,8777$7 Date Issued: 2/24/2010 Name: BRIGHT BEGINNINGS TOO Total Fees: 50.00 Address: 38225 14TH AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/24/2010 Phone: Work Desc: FPM- FIRE ALARM ANNUAL- BRIGHT BEGINNINGS TOO (2X DONE - WITHOUT PERMIT) ANL 1_ eLI I. N I' PERMT E 50.00 c(ostd r / ,, 1` -CL f v� 4 FI A P AN inal Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire prevention and protection related activities such as inspections, plan review, administrative fees, and other costs related to the aforementioned. Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." �r Jr. Aar P �. IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041 813- 780 -0020 City of.ZephyrhillsFire Fax- 813 - 780 -0021 Permit Application Date Received ;1 y7 J / « Phone Contact for Permit l Owner's Name eak-k "&j t fl n 1 ! c Owner's Phone Number y ► 3 '7 /J 0 �)/ Owner's Address 51 L i 3 C Ctr Zep h y r ti 1 I k FL , - Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address Lot# Sub Division Parcel # .; ••, . _,.„ ?":: ,. r .«a.:w:4=- 4%m,w riAriW .' ,:w4:>' ,",.,,u3m.. "r ; ". ;iram,'" a't'maamm�".,"r rw;: ....�..; z . rgtr ga ',,sol i , ,, .:E , ,g , „ :,;.,- : ..Ez ; I Bio-Hazard Waste Storage - ANNUAL ( I Fumigation Tent Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier 11 or RQ Facility) ANNUAL Controlled Bum I I Hood Installation I Emergency Generator < 30 kw I I LP /Natural Gas - Installation 1 Emergency Generator > 30 kw I I LP /Natural Gas - ANNUAL Sale I- Fire Protection Maintenance - ANNUAL I Places of Assembly- ANNUAL lUtrly1 1Semil I""' 1 Uther Sprinkler 7 ❑ 10 n Recreational Bum Fire Alarm ✓ ❑ ❑ 1 I Sparklers Hood Cleaning I ❑ ❑ ❑ I 1 I Sprinkler System Installations Hood Suppression C ❑ ❑ ❑ I I I Standpipes (Sprinkler Sys) I Fire Alarm Installation I Torch Roofing/Tar Kettle Fire Pumps I I Waste Tire Storage ANNUAL I Fire Works n Flammable Application- ANNUAL I Valuation of Project Fuel Tanks F1 Other: I >...,. :.2 ,..4_ ^`K•':".:.t, '"'AmiteMmm`,m,2 g .,,. -mi fay s ermat a• w,ig..: " ,;w:. '. ...° .. . , *a'. 3_=' ;,: «° ..,wt.: _ . ._...: .x.m 5i1 .•.:Z . =.....u'` .: a.. ,•.. :.sue N,.,. 22ZEi MUECt=2..,, Contractor — Company yi v y GS S I Signature Registered Y/ N ( Fee Current I Y/ N I Address 14 1 9 3 D 4.J W P.- fl z L 1v'4 3 i '3 4 License # I ELECTRICIAN Company Signature Registered Y / N j Fee Current I Y/ N I Address I 1 License* PLUMBER Company Signature Registered Y/ N Fee Current I Y/ N Address I I License # MECHANICAL Company Signature Registered Y / N Fee Current I Y / N Address I License # OTHER Company Signature Registered Y/ N J Fee Current I Y / N Address j License It I Directions: Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com) NOTICE OF 'DEED RESTRICTIONS: The undersigned understands that this permit maybe subject.to "restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for:compliarrce'with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has - hired :a or contractors to undertake work, they may be required to be licensed in accordance with state and local If the contractor is not licensed as required by law, both the owner and contractor may be cited - for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing - requirements may :apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 7.27 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTION. LIEN LAW (Chapter713, Florida Statutes,as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by by Who is /are personally known to me or has /have produced Who is /are personally known to me or has /have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped 813-780 -0020 City of Zephyrhills Fire Fax- 813-780 -0021 Permit Application Date Received J P K) Phone Contact for Permit Owner's Name � j( , 3 1-1i Be-q tvvnihK /or, Owner's Phone Number y) 3 115 a 2-4 q- Owner's Address 39dac Yr ' Arc h +I IA Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address Lot# Sub Division Parcel # n Bio-Hazard Waste Storage - ANNUAL pi Fumigation Tent I Comm Exhaust Kitchen Hood /Duct I I Hazardous Material (Tier II or RQ Facility) ANNUAL r -- 1 Controlled Bum n Hood Installation Emergency Generator < 30 kw I I LP /Natural Gas - Installation 1 Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Sale Fire Protection Maintenance - ANNUAL I I Places of Assembly- ANNUAL JUtriy1 1Semil I""' Uther Sprinkler n ❑ ❑ ❑ n Recreational Bum Fire Alarm 1 ❑ ❑ Sparklers Hood Cleaning I ❑ ❑ ❑ I I I Sprinkler System Installations Hood Suppression ❑ ❑ ❑ I Standpipes (Sprinkler Sys) Fire Alarm Installation I I Torch Roofing/Tar Kettle Fire Pumps I Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL I Valuation of Project 71 Fuel Tanks I Other: I ns".....•. ' ":a ::,,..e ;: ;>.:'" .. - ;""ra'6'�c "., .uxi" ,::6', `�.°�u... 'r ,"- "e',s%'u�.-wi: .. a.;>:+ wa ;.. c.�a 0: ` itatZwx;.x,. latiwr. wlitV c . rat" k.';- ,:...c�.MAgear. '., :gliL.,,:E:a. ':: .' ;i- ,,...:,.e ^.Zat:M;iaLM....._.,.. Contrac •r Company Gl >1 Signature 115 Registered Y / N , ee Current I Y / N Address 1 4 ql Inl J -fl 12R 'Try 33,3 I License # ELECTRICIAN Company Signature Registered Y / N . 1 Fee Current I Y / N Address I I License # PLUMBER Company Signature Registered Y / N � Fee Current Y / N I Address I I License # MECHANICAL Company Signature Registered Y/ N 1 Fee Current I Y / N j Address I License # I OTHER Company Signature Registered Y/ N J Fee Current 1 Y / N Address I License # Directions: Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe subject'to "dead "restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for:compliance+with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has - hired - :a - contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner .and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may :apply for the intended work, they are advised to contact the-Pasco County Building Inspection Division — Licensing Section at 7.27 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled - to permitting privileges in Pasco County. CONSTRUCTION_ LIEN. LAW (Chapter713, Florida Statutes,_as: amended): If valuation of work is $2,500.00 or more, I certify that I, - the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE 'OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by by Who is /are personally known to me or has /have produced Who is /are personally known to me or has /have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Feb.24. 2010 12:58PM Stanley Security Solutions No. 8232 P. 1/6 • , • Security Solutions. Tampa Office 4693 - D West Waters Ave Tampa, FL 33634 813- 241 -3500 (phone) 813-241-3600 (fax) To: 3 t p y✓L , 1 1 F ax #: 4 g I3 710 GG z Company: PU i Itit& p From: }1,K J fihSG' Z�Z 9-(�O Cate: Subject: S{u.iL.y 10010 # Pages: Including coversheet Privileged /Confidential Information may be contained in this facsimile and is intended only for the use of the addressee. If you are not the addressee, or person responsible for delivering it to the person addressed, you may not copy or deliver this to anyone else. If you receive this • facsimile by mistake, please notify us immediately by telephone. Thank you. Message • ..Feb. 24. 2010, Stanley Security Solutions. 18 2009 12:11 /ST.12: 8 232 ;crQ 3/60 , HILLSBOROUGH COUNTY BUSINESS TAX RENEWAL INSTRUCTIONS Chapter 205.0535 (5) Florida Statutes requires one of the following: FEDERAL EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER 1. SIGN and return entlre form In enclosed envelope, Your validated Buslnese Tax receipt will be returned to you. 2. Business Tax receipts expire midnight, September 30th. Failure to display a valid Business Tax receipt after September 30th is a violation of Hillsborough County Ordinance 95-4, as amended by 02 -5. MAKE CHECK PAYABLE TO: DOUG BELDEN, TAX COLLECTOR P O Box 172920 TAMPA, FL 33672-0920 2009 -2010 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9 -30 -2010 Fouo No. 0 0 0 10 87093 H. vmsTE TAX OCC. CODE BUSINESS TYPE SURCMIMGE 090.000 ALARM SYSTEMS REPAIR OR INSTALL (OVER 5,000 SO FT RES) 18.00 POSINESS "601: C& Q y, 4 L LOCATION ., •ri' 4 i l i i NAME 1" uR UgiO C MAILING N0 6 THAN N STE ADDRESS PLYMOUTH MN 55442 BUSINESS TAX DOUG BELDEN, TAX COLLECTOR MAC HEREBY PNOA PRIMERS TAX TO ENGAGE 113-6354200 ,N WOES& PROFES2.04. co OCCUPATION SPICIPED MUM THIS BECOMES A TAX RECEIPT WHEN VALIDATED. * ** PAID * ** 2009 -2010 HILLSBOROUGH COUNTY BUSINESS TAX NOTICE FOLIO NO. • I mamas oa" a/ores o roe o f ISETR of I EIPLOTIEVS 101 1 l l 87093 H. WASTE TM OCC. CEDE BUSINESS TYPE S RCHA OE 090.000 ALARM SYSTEMS REPAIR OR INSTALL (OVER 5,000 SO 16.00 MAKE CHECK PAYABLE TO DOUG BELDEN, TAX COLLECTOR P O Dos 172920 TAMPA, FL &s972.O$2O JULY ISEPT 30 111H 41444689 TM 1a.00I BUSINESS _ VE C % _ = DELINQUENT OCT 31 2009 ► I PENALTr ACIaJNr 19.801 LOCATION # AN R r�� .. DELINQUENT NOV 30 2009 i�1P�'""� "" 20.701 NAME L °'1 LLO GE SO INC DELINQUENT DEC 31 2009 r . IpB " -TT A1 "" 0r 21.601 MAILING 6000 NATHAN LANE N STE 300 ADDRESS PLYMOUTH MN 55442 DELINQUENT JAN 31 2010 bor MO11f 22.501 PAY AMOUNT IN PROPER BOX SIGN X 1 _ , mow • MIeuEBB T . FOR MOM * ** PATO * ** Feb. 24. 2010 12:58PM Stanley Security Solutions No. 8232 P. 2/6 STATE OF FLORIDA + 3 - , ,1} DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION "r 'r ELECTRICAL, CONTRACTORS LICENSING HOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 MEILNICK, TIMOTHY W STANLEY CONVERGENT SECURITY SOLUTIONS INC 1806 33RD STREET SUITE 200 ORLANDO FL 32839 -'• STATE O FLORIDA AC# 4 2 33885 Congratulations! With this license you become one of the nearly one million its ., Floridians licensed by the Department of Business and Professional Regulation. i ;.. ?: ' �'c pk t `I T T' �0L;- EU3 /NESS ; 7�ND . : Our professionals and businesses range from architects to yacht brokers, from , '' 9 t:� • C3JE5 I L` boxers to barbeque restaurants, and they keep Florida's economy strong. =S a :.1 " ;2-F20b;11o3.80 01/26/09.1Y/0342603 0` Every day we work to improve the way we do business in order to serve you better • For information about our services, please log onto www.myflorldalicense.com. regulations CER ' ALARM SYSTEM CONTRACTOR /, There you can find more information about our divisions and the r ,',i .� •Y::: e9 that : ' '. MELN2�$ TIMOTHY t1 a' impact you subscribe to department newsletters and learn more about the ST EY CONVERGENT SE • Department's initiatives. S dL U i: Our mission at the Department Is: License Efficiently, Regulate Fairly. We h y' ''' -' ' c: ri:• constantly strive to serve you better so that you can serve your customers. js 'CERTIFIED under the praaiaiona os Cb.4B 9 Be Thank you for doing business in Florida, and congratulations on your new license) ,.._ DETACH MERE AC# ,,4. 3 8 8.5 STATE. OF FLORIDA =�'y' :':DEPAItillEATT .DE ` - AND PROF' , •`� � : ;;. ' �" �,:. ESSZ•ONAL '. REGIIT,ATION ; a ;, . r < -` ;" .v: , :, • iE�'ECTNI C�yDi ?Q ATO . .RS " LICE SIN H SEQ� Ia09012bp1 2 4 8 . GATE BATCH NUMBER LICENSE NB.. - ;,:.: 0:!/''26 : 12:009 : : EF,2'0000380 The A•t,A = �':SYST M:.', ONT ;;?. O IiAGT'OI�� :Z 2 altte beto'ra•_IS `' . =: .c :r ?Under' p'tovj.;$ions c Chap 489 FS. Expiration date: AUG 31, 2010 MtLN;X' K `. T i ti'fI t0, IIY .: W S ' „ ` EY ' ; COI VE GENT :: SECURITY•.. S OLUTIONS INC . 1• '33 R'EET — SUITE 200 ORLANDO ...FL 32839.. • CHARI;I•E CRIS:T ' ,;•,;:•:: : ")nl:• DRAG() GQUERNQR - " SECRETARY • DISPLAY;AS`REQUIREO.`BY LAW . Feb. 24. 2010 12:58PM Stanley Security Solutions No, 8232 P. 4/6 MMIOONYYY) ACORD -- DATE ( CERTIF OF LIABILITY INSURANCE 07/17/2009 1 .. .. �._ PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ONE STATE STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HARTFORD. CT 06103 - 3187 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Attn: FAX (212) 948 -0183 STANLEY.CERTREQUEST@MARSH.COM 72800 - ALL - 09 - 10 DL INSURERS AFFORDING COVERAGE NAIC 0 PIEURED INSURER A' Hartford Fire Insurance Co 19682 THE STANLEY WORKS --- AND AFFILIATED COMPANIES INSURER e: Hartford Underwriters Insurance Company 30104 SHOWN ON SECOND PAGE 1000 STANLEY DRIVE INSURER C: Twin City Fire Insurance Co 29459 NEW BRITAIN, CT 06053 INSURER 0: Hartford Casualty Ins Co 29424 INSURER E: COVERAGES - • A THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH 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. AGGREGATE LIMITS SMOwN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN6 ADDT. TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION LIMITS LTRI INSRC DATE IMNIpor'WV) DATE IMWDDHYYY) GENERAL LIABirm 02 CSE J77005 07/01/2009 07/01/2010 EACH OCCURRENCE $ 2,000.000 A 2,000,000 X COMMERCIAL GENERAL u :iUTY DAMAGE 10 RENTED $ DN PREMISES(Ea o NTED el 7 CLAIMS MADE © OCCUR MED EXP (Any one Doreen) $ 10.000 PERSONAL & ADV INJURY $ 2,000.000 GENERAL AGGREGATE $ 2,000.000 GENERAL AGGREGATE LIMIT APPLIES PER PROOUCTS - COMP/OP AGE $ _ )( 1 POLICY n JE n LoC A AUTOMOBILE LIABILITY 02 CSE J77003 (US) 07/01/2009 07/01/2010 COMBINED SINGLE LIMIT $ 2,000,000 A X ANY AUTO 21 CSE J77008 (PR) 07/01/2009 07/01/2010 (E° °ccid°nn B — ALLONMEDAUTOS 02 CSE J 77016 (HI) 07/01/2009 07/01/2010 Boo INJURY $ SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Peraodgenl) -- PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ H ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGO $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ — DEDUCTIBLE $ - RETENTION S S D WORKERS COMPENSATION AND 02 XWE J77002 (NY, OH, RI) 07/01/2009 07/01/2010 X WC ST TIJ J 1°Z- EMPLOYERS' UABILITV 02WBRP47700(ND) 07/01/2009 07/01/2010 A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N ° 0 2 WBR P47700 - (WI) 07/01/2009 07!01/2010 .L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? I E.L DISEASE - EA EMPLOYEE $ 1,000,000 C I NJ CONTINUED ON ATTACHED PECIAL be under • E.L DISEASE - POLICYLIMrT $ 1,000,000 A OTHER 02 JSE J77014 (PRIMARY) 07/01/2009 07/01/2010 EACH OCCURRENCE 500,000 PRODUCTS LIABILITY/ A COMPLETED OPERATIONS 02 JSE 277015 (EXCESS) 07/01/2009 07/01 /2010 EACH OCCURRENCE 2,000.000 GENERAL AGGREGATE 2,000,000 DESCRIPTION OF OPERATIONSn- OCATIONSNENICLES/EXCLUSION9 ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER NYC - 003706549 - 04 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE STANLEY WORKS AND AFFILIATED COMPANIES EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1000 STANLEY DRIVE 0 DAYS WRITTEN NOTK:E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, NEW BRITAIN, CT 06053 BUT FAILURE TO DO SO SHALL IMPOSE NO OBUOATON OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Au oRl7E0 REPREEENIATWE R. Donald R, £d big ACORD 26 (2009/01) © 1998-2009 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD Feb. 24. 2010 12:59PM Stanley Security Solutions No, 8232 P. 5/6 • ADDITIONAL INFORMATION NYC- 003706549 -04 DATE RAW l s • PRODUCER MARSH USA INC, ONE STATE STREET HARTFORD, CT 06103 -3187 Ann: FAX (212) 948 -0183 STANLEY.CERTREQUEST@MARSH.COM 72800 - ALL GAW - 09 - 10 DL INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER F. THE STANLEY WORKS INSURER G AND AFFILIATED COMPANIES SHOWN ON SECOND PAGE INSURER n: 1000 STANLEY DRIVE NEW BRITAIN, CT 06053 INSURER TEXT PARENT COMPANY; THE STANLEY WORKS, 1000 STANLEY DRIVE, NEW BRITAIN, CT 06053 PRODUCT GROUPS: INTEGRATOR.COM MAC TOOLS, 505 NORTH CLEVELAND AVENUE. WESTVILLE, OH 43082 STANLEY ASSEMBLY TECHNOLOGIES, 5535 AVION PARK, HIGHLAND HEIGHTS, OH 44143 --- STANLEY CONVERGENT SECURITY SOLUTIONS. STANLEY FASTENING SYSTEMS, ROUTE 2, BRIGGS DRIVE. EAST GREENWICH, RI 02808. STANLEY HYDRAULIC TOOLS, 3810 S.E. NAEF ROAD, MILWAUKEE, OR 97267. STANLEY MANUFACTURING COMPANY LLC, 1000 STANLEY DRIVE, NEW BRITAIN, CT 06053. STANLEY MECHANICS TOOLS, 12827 VALLEY BRANCH LANE, DALLAS, TX 75234. STANLEY PROTO. 2195 EAST VIEW PARKWAY, SUITE 103, CONYERS, GA 30013 STANLEY TOOLS, HARDWARE AND STANLEY ENGINEERED COMPONENTS, 480 MYRTLE STREET, NEW BRITAIN, CT 06052. STANLEY VIDMAR, 11 GRAMMES ROAD, ALLENTOWN, PA 18101 STANLEY WORKS, LATIN AMERICAN DIVISION, 9850 PREMIER PARKWAY, MIRAMAR, FL 33025. SUBSIDIARIES: 733664 ALBERTA LTD. A -1 SECURITY LTD. AA ALARMS, INC, AUTO MAGIC ENTRANCE SYSTEMS LTD. AUTOMATED ENTRANCES, INC. INDIANA. BAI INC. (INDIANA) BED-CHECK CORPORATION BEST ACCESS SYSTEMS CO. (NOVA SCOTIA UNLIMITED LIABILITY COMPANY) BEST ACCESS SYSTEMS LIMITED (HONG KONG) BEST SYSTEMS CORPORATION PTE LTD (SINGAPORE) BLICK PLC CRAIN ENTERPRISES, INC. CYBERSHIFT.COM INC, EASTERN VAULT AND SECURITY, LIMITED FACOM SA FARMINGTON RIVER POWER COMPANY (THE) FRISCO BAY INDUSTRIES, LTD FRISCO FINANCE GP INC. FRISCO FINANCE LP HARDWARE CITY ASSOCIATES HSM ELECTRONIC PROTECTION SERVICES. INC. INNERSPACE CORPORATION JENNCO1, INC: JENNCO2, INC. MAC TOOLS CANADA INC. MID -SOUTH AUTOMATIC DOOR MONT -HARD (CANADA) INC. MONT -HARD CORPORATION NATIONAL MANUFACTURING, CO. NATIONAL MANUFACTURING CO. OF CANADA, LTD. NATIONAL MANUFACTURING OF CANADA, INC. NATIONAL MANUFACTURING MEXICO NATIONAL MANUFACTURING MEXICO A, LLC CERTIFICATE HOLDER STANLEY WORKS AND AFFILIATED COMPANIES 1000 STANLEY DRIVE NEW BRITAIN, CT 06053 Agar Donald R. Eckberg 111E,•pq Page' 2 Feb. 24. 2010 12:59PM Stanley Security Solutions No. 8232 P. 6/6 ADDITIONAL INFORMATION NYC- 003706549 -04 Da YE (rlMIOOJW) 07/17/2009 PRODUCER —...._ MARSH USA INC. ONE STATE STREET HARTFORD. CT 08103 -3187 Attn: FAX (212) 948 -0183 STAN LEY. CERTREQUEST©MARSH.COM 72800 - ALL- GAVV -09 -10 DL INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER F: �^ THE STANLEY WORKS INSURER G AND AFFILIATED COMPANIES SHOWN ON SECOND PAGE INSURER n: 1000 STANLEY DRIVE NEW BRITAIN, CT 06053 INSURER I: TEXT POWERLOCK, PROTO, ALINE, ROLATAPE CO., SAFEMASTERS, SARGENT AND GREENLEAF, SENIOR TECHNOLOGIES, SPACE TRAX, SPENEX, STANLEY, STANLEY - ACMETRACK, STANLEY ACCESS TECHNOLOGIES, STANLEY HARDWARE, STANVISION, TABS, VIDMAR, WANDERGUARD AND ZAG, ADDITIONAL WORKER'S COMPENSATION POLICIES: 02 WN J77000 HARTFORD INSURANCE COMPANY OF THE MIDWEST- AK,AR,AZ,DC, DE,ID, IL,IN.KS,LA,MA,MD,ME,M I, NH ,NJ,NM,NY,OK,SC,SD,TN,TX,UT,VT 02 WN J77000 HARTFORD CASUALTY INSURANCE COMPANY - AL, MN, NC, VA --- 02 WN J77000 HARTFORD FIRE INSURANCE COMPANY - CO, FL, GA, IA, NE, NV) (PR, ND, WA - STOP GAP EMPLOYER LIABILITY COVERAGE ONLY) 02 WN J77000 - HARTFORD ACCIDENT & INDEMNITY COMPANY - CA,CT,KY,MS,MO,MT,OR,PA, AND WV. 02 WNJ77000 - HARTFORD UNDERWRITERS INSURANCE COMPANY - HI • CERTIFICATE HOLDER STANLEY WORKS AND AFFILIATED COMPANIES 1000 STANLEY DRIVE NEW BRITAIN, CT 06053 a olrlarsh USA Inc. arnE n _ n Donald R. Edcberg All ,p4 R. Page