Evaluation In-Sessions for Administrators ~ (Ashland, MA) (Ribas and Associates) All Building and Central Office Administrators attended. b) August 14 and 15, 2012 - Teachpoint Training All Building and Central Office Administrators attended. c) August 28, 2012 Ed Eval training (Modules 5,6 and Google Evidence training) for all staff (district level) and at additional curriculum and faculty meetings. 87 West Union Street, Ashland Massachusetts 01721

Address: 17 Metropolitan Ave Ashland, MA Signeture: 32 Not Applicable Todd Ouellet License Number 01721 CS-105695 Expiration Date__PENDING Telephone Registered Home Improvement Contractor: Not Applicable Company Name: Registration Number Address: Expiration Date Signature: Telephone W710 blOC-da 0 SECTION 4 - WORKERS COMPENSATION INSURANCE AFEIDAVIT {(MGL c. 152. 25C (6) Workers Compensation Insurance affidavit must be completed and submitted with

Telephone Number Lisa Uglialoro 508-881-0100 Address (street and No., city/town, state, and ZIP code) 508-881-0114 101 Main Street Ashland MA 01721 7. Employee Organization United Auto Workers, Local 1596 9. 6. Fax Number 8. Representative to contact 10. Telephone Number C.J. Barber 781-821-8100 Address (street and No., city/town, state, and ZIP code) 11. Fax Number 960 Turnpike Street, Suite 2C Canton MA 02021 12.

-r E Supp/ementRepot (Continuation) Incident Number 908 97 - 2 Dateffime of Report 11 23 2019 20:34 6 Name: Role: pLL OTHER Driver's License: MARTINS, ADRIANA k;~`320 CORDIVILLE RD ASHLAND MA 01721 Empbyer Name: BRAZA B R RILL Type of VIcUm: Address Empbyer Addrass: 672 WAVERLY ST Date of Birih: Inc Age: Sup Age: 36 36 He{ght Weight Race: W Phone: Work Phone: 508 370-3133 Sex: Resident: F e Name: Role: ALL OTHER Driver's license: VICENTE~ ALESSANDRO

Amesbury Amesbury, MA 01913 Amesbury, MA 01913 25-Nov-19 30-Oct-19 23-Dec-19 18-Oct-19 24-Oct-19 Amherst 23-Dec-19 Amherst, MA 01002 29-Oct-19 Amherst, MA 01002 07-Oct-19 Amherst, MA 01002 08-Nov-19 Amherst, MA 01002 18-Nov-19 Andover Andover Ma01810 13-Dec-19 18-Nov-19 Ashland MA, 01721 20-Nov-19 Athol 10-Dec-19 ATTLEBORO Auburn, MA 01501 Barre, MA 01005 Becket Becket, MA 24-Dec-19 10-Oct-19 08-Oct-19 06-Dec-19 09-Oct-19 Becket, MA 01223 17-Oct-19

Laurel, NJ 08054 Ashland, MA Framingham MA, 01701 Framingham, MA 01701 Franklin MA, 02038 Ashland, MA 01721 Ashland, MA 01721 Framingham MA, 01701 North Grafton, MA 01536 Framingham MA, 01701 Dedham, MA 02026 Framingham, MA 01701 Franklin, MA 02038 Ashland, MA 01721 Ashland MA, 01721 Manchester CT Natick, MA 01760 Brooklyn, NY 11222 Framingham, MA 01702 Greencovesprings, FL 32043 Ashland, MA 01721 Wayland, MA Nashua, NH 03063 Framingham, MA 01701

Ashland, MA West Roxbury, MA 02132 Franklin, MA 02038 W.

Ashland, MA West Roxbury, MA 02132 Franklin, MA 02038 W.

Herbert, Street, lst Floor, Ashland, MA Ashland Clerical Workers, UAW Local 5. Fax Number 01721 | Employee Organization (if any): 4. Telephone Number 508-881-0114 7. Representative to contact 9. Telephone Number C.J. 781-821-8100 1596 Barber 8. Address (street and No., city/town, state, and ZIP code) 10. Fax Number 960 Turnpike 781-821-8111 11. This charge is filed against (check one) 12.

Krisztina Bukur-Doczy pelham community pharmacy Waltham: Hannaford 61 Main Street, Hopkinton, MA 01748 34 WEST MAIN ST,WESTBORO,MA,01581 77 R WEST MAIN ST,HOPKINTON,MA,01748 77 West Main Street,Hopkinton,MA,01748 73 Main Street,HOPKINTON,MA,01748-0000 78 Turnpike Rd., Southborough, MA 01772 9 CORDAVILLE RD,SOUTHBORO,MA,01772 399 Union Street, Ashland, MA 01721 101 MAIN ST,ASHLAND,MA,01721-0000 321 FORTUNE BLVD,MILFORD,MA,01757-0000 345 FORTUNE BLVD

Laurie Tosti Chair, Ashland School Committee MAY 0 2 2014 UPERINTENDENT OF SCHOOLS 87 West Union Street Ashland, MA 01721 Dear Ms.

Brookline, Massachusetts 02467 BONES INVOLVED: No Emergency Contact/ Person at Scene EMERGENCY CONTACT: ADDRESS: CONTACT NUMBER: EMERGENCY CONTACT RELATIONSHIP: OTHER, SPECIFY: Next of Kin NEXT OF KIN: Evan Root ADDRESS: 80 Concord St., Ashland, MA CONTACT NUMBER: (508) 881-6657 RELATIONSHIP: Parent NOTIFIED: Yes NOTIFIED BY: PD Medical Examiner Notified MEDICAL EXAMINER NOTIFIED: Christina Stanley, MD DATE/TIME NOTIFIED: 02/07/2020, 3:35pm NOTIFIED

Warren School 73 Fruit Street Ashland, MA 01721 (508} 881-0188 Educational Support Personnel Evaluation Kindergarten ESP School: Date: Name of Educational Support Personnel: Name of Principal/Supervisor: Please record E (exceeds), M (meets), A (approaching), or N (does not meet) for each responsibility. __.