Milian, JaredFOR INTERNAL USE ONLY
Received by; Joseph P. Paoloni Ll
Grace Robinson 0
M L-cp n-0) 05%&
Date Received: / /
Serial #:
The
2010-01-15 JCM
1. L
e� & Peddler's Lisense
10-1
V�
d does hereby apply to the Town of WAppinger Town Clerk for a
ffimm.
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: Jared Milian AGE.- 28
CURRENT ADDRESS:
15 Glen Ridge Rd Mahopac, NY 10541
(St #) (Street) (City) (State) (ZIP)
PHONE # 9,149606331
NIA
PERMANENT ADDRESS (if different):
NIA
(St #) (Street) (City) (State) (ZIP)
If Applicant is an Agent or Ernglqyer:
Applicant
ower Home Remodel
ing Group
's Employer
Address of Employer 60 Commerce Dr Trumbull CT 06611
(Street) (State)
Fst
Proof of Employment Attach to application)
2) Nature of Business:
,mateS '. Wrk)Jdwi' 5dl-rle4 0 Coor A'dors
W
X Motor Vehicle (circle one): car truck van
0 On Foot &/or with vehicle drawn by hand or animal
Vehicle Info: Vehicle Make BMW Vehicle Model Legacy
License Plate 4 JKF8796 State of Registration NY
Operator's License Number 972396797
11 Weights & Measures Certificate Certificate # nl!a
F] Dutchess County Health Dept Permit Permit 4
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STATE OF CONNECTICUT ' ml -603
DEPARTMENT OF REVENUE SERVICES Rev. 08/21
Tax Permit
CT Tax Registration No.: 048915557-001
Letter ID: L0006704230
Date Issued: January 30, 2024
POWER HOME" REMODELING GROUP LLC v
POWER HOME REMODELING GROUP INC
2501 SEAPORT DR STE B110
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
I=nter 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
aur S�st�Kst
The person named below is licensed under the Sales & Use Tax Act, rR""fT�ur
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 048915557-001 TRUMBULL CT 06611-5403
POWER HOME REMODELING GROUP LLC
POWER HOME REMODELING GROUP INC
2501 SE=APORT DR STE B110
CHESTER PA 19013-2249
This license may not be transferred or assigned.
7-f�-Z
e_ -
Mark D. Boughton
Commissioner of Revenue Services
Ac"R oP CERTIFICATE OF LIABILITY INSURANCE
DATE jMMlDOlYYYY)
3/21/2024
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 INSUREll 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 Fast Broad Street
CONTACT
NAME:
PHONE215.723-4378 uc No :215-723-5757
E-MAIL
ADDRESS: cerEficate@lacherinsurance.com
INSURERS AFFORDING COVERAGE MAIC#
Souderton PA 18964
IN5URiERA: Harle sville Insurance Co of New York 10674
11GPP1081a00
INSURED POWERCL-01
Power Home Remodeling Group, LLC
2501 Seaport Drive, 4th Floor
Chester PA 19013
INSURERS: MarkelAmerican Ins Co 28932
INSURER C: Arch Insurance Company 11150
INSURERD: Arch Indemnity Insurance Company 30830
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1005957011 REVISION NUMBER:
THIS 1S 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
POLICYEFF
MMIDDIYYYY
POLICY EXP
MM1DDlYYYY
LIMITS
C
X COMMERCIALGBNERALLIABILITY
11GPP1081a00
1/112024
111/2025
EACH OCCURRENCE $2,000,000
CLAIMS -MADE � OCCUR
PREM SESDAMAGEOEa occuREEr ante $ 2,000,000
MED EXP (Any one person) $10,000
PERSONAL &ACV INJURY $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERALAGGREGATE $4,000,000
POLICY � PEo 1-1 LOC
PRODUCTS - COMPIOPAGG $4,000,000
Policy Gen Aggregate $10,000,000
OTHER:
C
C
AUTOMOBILE
X
LIABILITY
ANY AUTO
11 CAB 1081300
11 CAB1081400 MA ONLY
1/112024
1/1/2024
1/1/2025
1/1/2025
COMBINEDSINGLELIMIT $2,000,000
Ea accident
BODILY INJURY (Per person) $
OWNED F SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
Per accident
HIREDNON-OWNED
AUTOS ONLY AUTOS ONLY
$
A
X_
UMBRELLALIAB
I
OCCUR
GRA0000027
1/112024
1/1/2025
HACHOCCURRENCE $3,000,000
AGGREGATE $ 9,000,000
EXCESS LABXCLAIMS-MADE
_
DED I X RHTHNTION rin,
GL&Products A ro ate $ 3,000,000
C
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNERIEXECUTIVE
11 WC11081300 FL ONLY
14WC11081400
'[1112024
1/112024
1/1/2025
1/1/2025
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT $1,000,000
OFF [CERIMEMBEREXCLllDED7
NIA
(Mandatary In NH)
E.L. DISEASE - EA EMPLOYEE $ 1,000,004
If yes, describe under
DESCRIPTION OF OPERATIONS below
I E.L. DISEASE- POLICY LIMIT $ 1,000,000
B
EXCESS LIABILITY
MKLM7EUE101220
411!2024
1/1/2025
EACH OCCURRENCE 6,000,000
AGGREGATE 5,600,000
Excess of 3,060,000
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER
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
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD