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Egener, DanielFOR INTERNAL USE ONLY Received by: Joseph P. Paoloni I i Gracp Robinson 1.1 Lo " I M c -C -ONO 105kt- Date Received: f2A / I Li Serial #: 2010-Ot-15 JCM Town of Wappinger Application for Hawkers §�Peddler's 0- 1 � vl� The undersigned does hereby apply to the Town of Wapplignown Clerk for a Lisense W RENEWAL TEMPORARY (I weekend only) license for Hawking and Peddling pursuant to Town of Wappinger Local Law No. 10 of 1992, regulating Hawkers and Peddlers in the Town of Wappinger, and in connection with such application, does state the following: 1) Applicant: NAME AGE: .0 CURRENT ADDRESS: (St #) (Street) (City) (State) (ZIP) PHONE# PERMANENT ADDRESS (if different): -7 (St #) (Street) (city) (State) (ZIP) If Applicant is an Agent or Employer: Applicant's Employer ower Home Remodeling Group Address of Employer 60 CqrriMerce Dr Trumbull CT 06611 (St. #) (trees� .... . .... .... -(6-y)----' (§t-a't'-e)--'j Proof of Employment V(attach to am3lication) Tape a 2"X 2" color photo (less than 60 days Old) 2) Nature of Business: 11111111111111110, 111111111 SrJ;-),j , W " X Motor Vehicle (circle one): car truck van 11 On Foot &/or with vehicle drawn ly hr animal Vehicle Info: Vehicle Make i Vehicle Model License r Li cense Number t> I C>77 Sistration Operatos" , " L Weights, & Measures Certificate Certificate 4 11 t F Dutchess County Health Dept Permit Permit # 2010-01-15 JCM 3) Veteran Status LI Veteran Applicant - Exempt from license fee (attach certificate from Dutchess County) Names of all other municipalities in which the applicant has been a vendor in the preceding 6 months: 4) Compliance That the applicant, if the License requested hereby is granted, consents and agrees to conduct the aforesaid business or activity pursuant to all of the terms and regulations of the Local Law above specified, and all other rules, regulations and Laws governing ones activities in the Town of Wappinger as a Peddler or Hawker. Dated: Wappingers Falls, N, Y, Sworn to before me this j�2_ day of 20 C ugWo �o�tary Pu lei c;IT NOf,lry PubNc- EOate Of My Cornmission r Signature of Applicant Application must be accompanied by a fee of Two Hundred Dollars ($200.00), payable to the Town of Wappinger. This is a non-refundable fee. Applicants possessing a valid Dutchess County Veterans Vendors License are exempt from the $200.00 fee, provided that a copy of said license is attached to the application. Y' STATE OF CONNECTICUT U91 ml -603 DEPARTMENT OF REVENUE SERVICES Rev. 08/21 Tax Permit CT Tax Registration No.: 048915557-001 Letter I D: L0006704230 Date Issued: January 30, 2024 POWER HOME REMODELING GROUP LLC Y POWER HOME REMODELING GROUP INC 2501 SEAPORT DR STE 6110 CHESTER PA 19013-2249 ml -603 Dear Taxpayer, Attached is your Sales & Use tax permit. Please display it conspicuously for your customers to see. Any permit previously issued by the Connecticut Department of Revenue Services (DRS) for the specific location noted on this permit is now void and should be destroyed, Any change in ownership or form of organization requires a new permit. If your business is sold, transferred, or discontinued, return this permit at once to: Department of Revenue Services 450 Columbus Blvd. Suite 1 Hartford, CT 06103 Enter the last day of business and the name of the successor, if applicable, on the back of the permit. Sign the permit as indicated. Business and individual taxpayers can use myconneCT to file a variety of tax returns, update account information, and make payments online. This Tax Permit is valid for two years. You may not assign or transfer this permit. Display this permit conspicuously for your customers to see. Department of Revenue Services State of Connecticut Sales & Use 450 Columbus Blvd. Tax Permit Suite 1 Hartford, CT 06103 Ou! S,,ntNeh The person named beiow is licensed under the Sales & Use Tax Act. rBANSr(!r p Use only at this location; This permit is good only for the named permittee and at the location shown. POWER HOME REMODELING GROUP LLC If there is any change in ownership, the permit is null and void. POWER HOME REMODELING GROUP INC Date Issued Expiration Date Business Start Connecticut Tax 60 COMMERCE DR Date Registration Number # 150 01/30/2024 03/31/2026 04/01/2010 048995557-001 TRUMBULL CT 06611-5403 POWER HOME REMODELING GROUP LLC POWER HOME REMODELING GROUP INC 2501 SEAPORT DR STE B110 CHESTER PA 19013-2249 This license may not be transferred or assigned. Mark D. Boughton Commissioner of Revenue Services 0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYIYY) 312112024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCER Lacher & Associates Insurance Agency Lacher Insurance Group 632 East Broad Street CONTACT NAME: NAME: FAX c • 215-723-4378 Arc No): 215-723-5757 aI o1I certificate lacherinsurance.com INSURERS AFFORDING COVERAGE NAIC# Souderton PA 18964 INSURER A: Harleysville Insurance Cc of New York 10674 $2,000,000 INSURED POWERCL-01 Power Home Remodeling Group, LLC 2501 Seaport Drive, 4th Floor 2501 INSURER B: Markel American Ins Co 28932 IN Arch Insurance Company 11150 INSURER D: Arch Indemnity Insurance Company 30830 Chester PA 19013 INSURER E : $ 4,000,000 PRODUCTS .COMP/OP AGG INSURER F: Policy Gen Aggregate $10,000,000 COVERAGES CERTIFICATE NUMBER: 1005957011 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD1YYYY POLICY EXP MM1DDIYYYY LIMITS C X COMMERCIAL GENERAL LIABILITY _7CLAIMS-MADE FTI OCCUR 11GPP108130C 111/2024 111/2025 EACH OCCURRENCE $2,000,000 DAMAGE PREMISES Eaoccurence $2,000,000 MED EXP Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE� E LOC OTHER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS .COMP/OP AGG $4,000,000 Policy Gen Aggregate $10,000,000 C C AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 11CAB1081300 11 CA1310814DO MA ONLY 111/2024 111/2024 111/2025 111/2025 COMBINED SINGLE LIMIT 1,.;",1 a accldent $2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Par occident) $ PROPERTY DAMAGE Per accldent $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR - - CLAIMS -MADE CRA0000027 111/2024 111/2025 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 9,000,000 BED X I RETENTION $ - GL&Products Aggregate $ 3,000,000 C D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNEFUEXECUTIVE F7Y OFFICERlMEMBEREXCLUDED? (Mandatory in NH) Ifyes, describe under DESCRIPTION OF OPERATIONS belcw N!A 11WC11081300 FLONLY 14WCI1081400 1/1/2024 1/1/2024 111/2025 111/2025 X PER EORH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 B EXCESS LIABILITY MKLM7EUE101220 4!112024 11'[12025 EACH OCCURRENCE AGGREGATE Excess of 5,000,000 5,090,000 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Town of Wappinger 20 Middlebush Road Wappingers Falls NY 12590 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD