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HomeMy WebLinkAboutBuilding Permit # 2/1/2016 I BUILDING PERMIT .11ORTa 6��o f TOWN OF NORTH ANDOVER O APPLICATION FOR PLAN EXAMINATION J1 _ " m" Permit Noj*__X� Date Received �Ss�4CHUS Date lssu�641//� IMPORTANT: Applicant must complete all items on this page x"'�r,.r�dr� � `r 'rr/r i>5': ds� ., �y fi�.� 'r ]"jJ; r rr "/ ✓r r fs / r .rFr& d r r s'r/Jt n'�i / r cr.tr S Y ,�,;/.rrs'fF��.t q�� f-w f!� rr fi r r r r✓. � £ i f:rr:ri" . tar" -. +,'�,��l'T .,u. rr�d f+ :k�, ,nY, :r l /,;z .,t.%- ,, r r r:- l r:f �/y?'.?✓i �,r,'rf sr�w' t ...- .r:;-.w,l r�, I � o`�'.;� ` . ,mP M,tE,h'' � ..L^r r� F',���,� �Y 1.-.s"r.h -J :�s'/v.,,: 3 ei gt,,g e,ti ,+"�M ,%+., ,.,..,; r r,:!., �l f;✓, X�F/%'.r:{,,o `�9i�'l.-M �.���'�'`h f� :7� /�. s w S/ - fr%' ✓=ri''r r; /// ''.,i. �. li. r fi k✓,/ f rs- '0111,1,1- P, t( 1�e: ll'/�. r%'"�".�,vi f; „n`,l,i� �, ;`^�J. r:.: / 6 ,•,• r r/ ro . '�, .,., r . .r r,,,.c rm, - f ..,, .,r a ..r r ......f.,frr ,P✓z'l ��'� � ,, r n (. _f.,... ,- ,✓,, r , .. / l Irl ,/w„ . ,T. k. �S -rr ,,. ✓ .r r ;�,. ,.;r yi✓frr,.:> J. i...wr' � o s1w ,r > gg...�rf� �r .:1 s.f7- �`✓�"6s. � '�` ... rcfur. .'.Sw, �.,k mow, �,..r r�s� ,./ kr >� � ✓,....�k ::r.� ,�r ,5.-."',%+ k ',�. ,wry; es';,,r �, ,� fir �. �/r d��,�r i��.c' ���;..:/,✓s f,. -zr`r+�'r4fn --r��-.rry� r,� ,�.�,%r`.n s.r�r „7t uY -�in �..1 ar ..�rnJ" >✓,. :.,. � ��� r �?`,.s.,�/ r n.�dr r `�`,r �_, ,- ' �: ,_' � e. eSl .Jr�nO �.. ,. x �r� f , �' � r���t �r. ..r rr w ,� �✓�nr-Ararat �:,_ / r��100 Year Structure .� � /' �, r :::-rr n ,?.,, ✓d: ':r' 4..+>�' .r" �,.� + s/✓'..rY r �. .r r-. a,,.'/,rd�Y rr ��Ca rn, s'r,* '�5,.., U,ss„I',J,F:�=- -,t..-,.n--�l,f ,�a:�i,��rac«r.�f�,+��F�f,�:»;n r ,✓!���/" r,r,,.. .r( �r .r w ..r.r,...:�C �M`:.r„�., .,EFr l'�+.. .�'o�rr, .r�,f. -,� rr,-fir.;' r TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building Z'One family ❑Addition ❑Two or more family ❑ Industrial U ❑Alteration No. of units: F1 Commercial t ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition Other o_rper! �❑ Septic ❑We�lr + ❑ Floodplain 0 etlands ❑ Watershed Distract p Wafer/Sewer' r - „ DESCRIPTION OF WORK TO BE�PERFORMED: InS .Fa iI s oI a, Y- -C? If' cM_i on—n.ff i S, on raaf o E -ex i S fW Ck hfwYr C. fib be k nic r con r)ec LC tm� h in o rn C-S, dentification- Please Tybe or Print Cleary OWNER: Name: Dorf)ic_'n I`C , Phone: (vI Address: UA-V) ks C L CSSF C� , Contractor. NameGf1 t .rL ,,. b,,, 2=i, Phone I -Wt s/Sri r,r ,,rr r:%�/Irr rdrr v r r- r z w rt€,J r- a s e/��,�'",rvr;�:c✓llrf�� F r rr J r 3 / r � f�.�F.r i✓ r=�✓'f�,f:! /�rf�r,`� i' r :c / �,,,, ..r~'r`',r /`.. ;� , r „�,.f:r Y 1 !✓-: .�hA r; r 'r°rir' Supervisor's Construcfionf'License � �, .°�- Exp � Datehn�j �+, �� ! �1��'� °,_rlr P.,flrnqn m ti P /rats: f ,jr I✓, ��' -.r'r n / - /',wr"r/�/ s� ��`�r�r, , rJ'tf���� sy4 Home Improvement License ,:..� 1, Exp Datef max, ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ 2,'�> QUO FEE: $ Check No.: bo 1 Receipt No.: 2--01 1-7 DOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund - off AAcient/Ovvner _ con Signature of tract ;Signature Version#53.6-TBD PIL SolarCity January 18, 2016 RE: CERTIFICATION LETTER Project/Job#0183351 JASON WIL 1AM Project Address: Kalil Residence TOMAN 103 Lancaster Rd STRUCTURAL en North Andover, MA 01845 X10.jj � AH] North Andover ' 0/';T SC Office Wilmington p€-NAL. 18/2016 Design Criteria: / -Applicable Codes = MA Res. Code, 8th Edition,ASCE 7-05,and 2005 NDS -Risk Category = II -Wind Speed = 100 mph, Exposure Category C -Ground Snow Load = 50 psf -MP1: Roof DL= 10.5 psf, Roof LL/SL= 35 psf(Non-PV Areas), Roof LL/SL= 19.5 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.33365 < 0.4g and Seismic Design Category(SDC) = C < D To Whom It May Concern, A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from SolarCity. Structural evaluation was based on site observations and the design criteria listed above. Based on this evaluationI certify that the existing structure directly supporting the PV system is adequate to withstand all loading indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions adopted/referenced above. Additionally,I certify that the PV module assembly including all standoffs supporting it have been reviewed to be in accordance with the manufacturer's specifications and to meet and/or exceed all requirements set forth by the ASCE 7 standards for loading. The PV assembly hardware specifications are contained in the plans submitted for approval. Additionally a summary of the structural review is provided in the results summary tables on the following page. Digitally signed by Jason Toman Date: 2016.01.18 20:38:45 -07'00' 3055 Clearview Way San Mateo,GA 94402 r i650j 638-1028 (88E3)SOL-CITY F(650)638-1029 solarcity.com Version#53.6-TBD ® PIL HARDWARE DESIGN AND STRUCTURAL ANALYSIS RESULTS SUMMARY TABLES Landscape Hardware-Landscape Modules'Standoff Specifications Hardware X-X Spacing ' X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPi 64" 24" 39" NA Staggered 62.9% Portrait Hardware-Portrait Modules'Standoff Specifications Hardware X-X Spacing X-X Cantilever Y-Y Spacing Y-Y Cantilever Configuration Uplift DCR MPI 48" 19" 65" NA Staggered 78.5% Structure Mounting Plane Framing Qualification Results Type Spacing Pitch Member Evaluation Results MPI Stick Frame @ 16 in.O.C. 370 Member Impact Check OK Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation is based on framing information gathered on site.The existing gravity and lateral load carrying members were evaluated in accordance with the IBC and the IESC. 3055 Glearview Nay San Mateo, CA 94402 1,(656)638-1028 (888)SOL-GITY F(650)6038-1029 solarcity.com STRUCTURE ANALYSIS LOADING SUMMARY AND MEMBER CHECK- MPI Member Properties Summary MPI 11orl�otatal Member Spans „ Rafter Ptoperties . Overhang 0.99 ft Actual W 1.50" Roof SystQm Properties San 1 14.61 ft + Actual D 7.25" Number of Spans w/o Overhang) 1 Span 2 Nominal Yes Roofing Material Comp Roof Span 3 A 10.88 In.^2 Re-Roof No Span 4 SX 13.14 in.^3 PlVwood Sheathing Yes San 5 I 47.63 in.^4 Board Sheathing None Total Rake Span 19.53 ft TL Defl'n Limit 120 Vaulted Ceiling No PV 1 Start 1.33 ft Wood Species SPF Ceiling Finish 1/2"Gypsum Board PV 1 End 14.00 ft Wood Grade #2 Rafter Slope 370 PV 2 Start Fb 875 psi Rafter Spacing 16"O.C. PV 2 End F„ 135 psi To` Lat Bracing Full PV 3 Start E 1400000 psi Bot Lat Bracing At Supports PV 3 End Emin 510000 psi Member Loading mary Roof Pitch 9/12 Initial Pitch Adjust Non-PV Areas PV Areas Roof Dead Load DL 10.5 psf x 1.25 13.1 psf 13.1 psf PV Dead Load PV-DL 3.0 psf x 1.25 3.8 psf Roof Live Load RLL 20.0 psf x 0.75 15.0 psf Live/Snow Load LL/SL1,2 50.0 psf x 0.7 1 x 0.39 35.0 psf 19.5 psf Total Load(Governing LC TL 1 48.1 psf 36.4 psf Notes: 1. ps=Cs*pf; Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Ce)(Ct)(IS)pg; Ce=0.9,Ct=1.1,I5=1.0 --Member Desi n Summary(p(perNDS) Governing Load CombCD CL + CL = CF Cr D+S 1.15 1.00 0.34 1 1.2 1.15 Member Analysis Results Summary GoiMrnfing Analysis Pre-PU Demand Post-PV Demand Net Im act Result Gravity Loading Check 1553 psi 1169 psi 0.75 Pass CALCULATION OF DESIGN WIND LOADS- MPI MountingPlane Information Roofing Material Comp Roof PV System Type SolarCity SleekMountTm Spanning Vents No Standoff Attachment Hardware Comp Mount Type C Roof Slope 370 Rafter Spacing 16"O.C. Framing Type/Direction Y-Y Rafters Purlin Spacing X-X Purlins Only NA Tile Reveal Tile Roofs Only NA Tile Attachment System Tile Roofs Only NA Standing Seam/Trap Spacing SM Seam Only NA Wind Design Criteria Wind Design Code ASCE 7-05 Wind Design Method Partially/Fully Enclosed Method Basic Wind Speed V 100 mph Fig.6-1 Exposure Category C Section 6.5.6.3 Roof Style Gable Roof Fig.6-11B/C/D-14A/B Mean Roof Height h 25 ft Section 6.2 Wind Pressure Calculation Coefficients Wind Pressure Exposure KZ 0.95 Table 6-3 Topographic Factor KA 1.00 Section 6.5.7 Wind Directionality Factor Kd 0.85 Table 6-4 Importance Factor I 1.0 Table 6-1 Velocity Pressure qh qh 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15 20.6 psf Wind Pressure Ext. Pressure Coefficient U GC u -0.95 Fig.6-11B/C/D-14A/B Ext.Pressure Coefficient Down GC D„,,, 0.88 Fig.6-11B/C/D-14A/B Design Wind Pressure p p = qh(GC ) Equation 6-22 Wind Pressure U -19.6 psf 4 Wind Pressure Down 18.0 psf ALLOWABLE STANDOFF SPACINGS X-Direction Y-Direction Max Allowable Standoff Spacing Landscape 64" 39" Max Allowable Cantilever Landscape 24" NA Standoff Configuration Landscape Staggered Max Standoff Tributary Area Trib 17 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T actual -315 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 62.9% X-Direction Y-Direction Max Allowable Standoff Spacing Portrait 48" 65" Max Allowable Cantilever Portrait 191, NA Standoff Configuration Portrait Staggered Max Standoff Tributary Area Trib 22 sf PV Assembly Dead Load W-PV 3.0 psf Net Wind Uplift at Standoff T-actual -392 lbs Uplift Capacity of Standoff T-allow 500 lbs Standoff Demand/Capacity DCR 78.5% DocuSign Envelope ID:2B9F10B7-ABE3-41F5-8B9C-D2528A72C8FE SolarCity Customer Name and Address Installation Location Date Domenic Kalil 103 Lancaster Rd 1/7/2016 103 Lancaster Rd North Andover,MA 01845 North Andover,MA 01845 Here are the key terms of your Power Purchase Agreement $0 13 . 70c 20yrs System installation cost Electricity rate g kCWIi Agreement Tgjm Initial here r A ' ` LJ, Initial here E//� DS The SolarCity Promise r •We guarantee that if you sell your Home,the buyer will qualify to assume your Agreement .. .. ....... .. .. ...... Initial hre //e1- •We warrant all of our roofing work. DS •We restore your roof at the end of the Agreement. •We warrant,insure, maintain and repair the System. ........... ........... ..... - _ ......... .. Initial here •We fix or pay for any damage we may cause to your property. •We provide 24/7 web-enabled monitoring at no additional cost. •The rate you pay us will never increase by more than 2.90%per year. •The pricing in this Agreement is valid for 30 days after 1/7/2016. Your SolarCity Power Purchase Agreement Details Your Choices at the End of the Initial Options for System Purchase: Amount due at contract signing Term: •At certain times,as specified in $0 •SolarCity will remove the System at no the Agreement,you may Est.amount due at installation cost to you. purchase the System. $0 •You can upgrade to a new System with •These options apply during the 20 the latest solar technology under a new year term of our Agreement and Est.amount due at building inspection $0 contract. not beyond that term. •You may purchase the System from Est.first year production SolarCity for its fair market value as 14,420 kWh specified in the Agreement. •You may renew this Agreement for up to ten(10)years in two(2)five(5)year increments. 3055 Clearview Way,San Mateo, CA 94402 1 888.765.2489 1 solarcity.com 1465580 Power Purchase Agreement,version 9.1.0,November 11,2015 SAPC/SEFA Compliant Contractors License MA NIC 168572/EL-1136MR Document generated on 1/7/2016 Copyright 2008-2015 SolarCity Corporation,All Rights Reserved DocuSign Envelope ID:2B9F10B7-ABE3-41F5-8B9C-D2528A72C8FE 23. NOTICE OF RIGHT TO CANCEL. I have read this Power Purchase Agreement and the Exhibits in YOU MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR their entirety and I acknowledge that I have received a TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE complete copy of this Power Purchase Agreement. DATE YOU SIGN THIS CONTRACT. SEE EXHIBIT 1,THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN Customer's Name: Domenic Kalil EXPLANATION OF THIS RIGHT. Docuslgned by: 24. ADDITIONAL RIGHTS TO CANCEL. Signature: F IN ADDITION TO ANY RIGHTS YOU MAY HAVE TO CANCEL THIS PPA UNDER SECTION 23,YOU MAY ALSO CANCEL Date: 1/7/2016 THIS PPA AT NO COST AT ANY TIME PRIOR TO COMMENCEMENT OF CONSTRUCTION ON YOUR HOME. 25. Pricing The pricing in this PPA is valid for 30 days after 1/7/2016. Customer's Name: If you don't sign this PPA and return it to us on or prior to 30 days after 1/7/2016,SolarCity reserves the right to Signature: reject this PPA unless you agree to our then current pricing. Date: Power Purchase Agreement SolarCity approved Signature: Lyndon Rive, CEO Date: 1/7/2016 Power Purchase Agreement,version 9.1.0,November 11,2015 1465580 } �? Tile Cainmotrtuealtir ofllfiussucliusetts Department oflndustrialAceUents Dice of In pesdgatlons X Congress Street, Suite 100 Boston,MA 112114.20.17 wwrvmgss.,fau/ilia Workers'Compensatio-o Insurance Affidavit;Builim/Coutr4cionMlectrieians/1''lumbers AlgpLigant Information Please Print Le i 1 Name{f3usinessl(?rgariizatioFtltndividuat): Sola City Corp. Address: 3055 Clearview Way Chy/StatrrlZi : San Mateo CA. 94402 Mae#: 888-765_-2489 Are you an employer?Check the appropriate box: Type of project{required): 1.E1 am a employer with 5,000 4. (l I atn a general contractor and l employees(full and/or part-time).* have hired the sub-contractors New construction 2.0 1 am it sate proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These:sub-enntractors have R. Q Demolition working for me in any capacity. employees and have workers' 9. �13uiiding addition [l�lovsrorkers'comp, insurance camp. iitsurimGe. 10.0 Electrical repairs or additions required.] 5-. [ We are a corporation and its 3.❑ 1 am a homeowner doing all work officers have exercised their l I.EI-Plumbing repairs or additions myself: [No workers' camp. j4p)-ttrt wcoartinn trot'lyAGL 12Q Roof repairs insurance required.]t c. 152,§1(4),and we have no 13 ✓ t7ttter Solar/PV employees. [No workers' comp.insurance required.] *Any applicscr that cheeks box Nt mustalso till out the section belowshowistg their workcts'mmpcosatien policy inibtmation. I Homeowners who submit this affidavit indicating May ars doing ell work and than hireoutsidc contractors must submit a new afildavit indiea:[rlgsueh. Itantmotors that check this box must attached an audditioani sheet showing the name of the sub•contracton and state whether or not those entities have employees. lfthesub•contrActorshitycemployees,they most provide their workers'comp policynumltcr. I ata air emploper that is prorldbig workers'cox:peresatio►r irtsrrrant¢for my etuplaydes. Below is the policy curd job site iirfvrnratiatr. lnsurance.Company Name. Zurich American Insurance Company Policy#or Self--ins.Liu.#: WC0182015-00 Expiration Date;9/1/2016 Job Site Address: W� La_V)GGLSAe.f 2-6 city/state/"Gip: Nuth NDO\Jer Attach a copy of the workers'camipensation policy ducluration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGI.c. 152 can lead to the imposition of crminal penalties of a Pint;up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00-a clay against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage verification. f do hereby cert 6 ar rhe pains and petrrttties acrd eorrect flMno Qf,'icial use only. Do not wr iia hi this area,to rbe corttpleted by city or town official. City or Town: Permit/License# Issuing Authority(circle one). I.Board ofHealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector fi.other Contact Person; Phone M a F RATE(MMIDDIYYYY) AC V CERTIFICATE 4F LIABILITY INSURANCE 0811712015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not Confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH RISK& INSURANCE$ERVICES NA ._...._.._ FAXPHONE ...._._.._._ ....__._....------- 345 CALIFORNIA STREET,SUITE 1300 lAcE?ttl:.... ..._.... .... ... ........... .. ...... . .I!t/C.Nil:........_.. ._......_................._. CALIFORNIA LICENSE NO,0437153 E•MAtt SAN FRANCISCO,CA 94104 ---- Aft Shannon Scott 415-743.0334 INSURERS A ( ) FFOi2DING COVERAGE MAIC� 996301-STND•GAWUE-15.16 INSURER A:Zurich American Insurance Company 216535 6535 INSURED INSURER B:NIA ;NIA SolarCity Corporation f.. 3055 Clearview Way INSURER C.:.NIA VIA Mateo,CA 94402 _ . ........._...-- ......_.._......--'-.._ ...._.._.._.-. INSURER D.-American Zurich Insurance Company 40142 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER, SEA•002713836.08 REVISION NUMBER:4 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'T _ -TYPE OF INSURANCE _-- _ TADpL!St16R """'_...__... ...... ...... . .•• 'POL{CY EFF POLICY EXP LTR I P UCY NU BER IMWDUIMYI'fMMIDDIYYYYI! LIMITS A X CDMMERCIALGENERAL LIABILITY ; 6LG0162011r00 09/01/2015 •09/0112016 E4CHOCCURRENCE $ 3,000,000 X F DAMAGE TO RENTED CLAIMS-MADE OCCUR PRIEMISESLEA accurrence�._.-g._._ ._... _.3,000,040 - - XSIR;$250,000 MED EXP(Any one person) S .-_ . 5.000 _.............._ .....__.. ........... r...._........ I PERSONAL&ADV INJURY :S 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER I r GENERAL AGGREGATE $ ,....t r ...; PRO• I _ ' X POLICY :JECT i ;LOC F PRODUCTS•COMP/OP AGG :$ 6,000,000 ,.. ; I a .. .. - OTHER $ A AUTOMOBILE LIABILITY BAP0162017.40 10910112015 :0910112016 COMBINED SIN= MIT $ 5.000.000 X ANY AUTO _ :BODILY INJURY(Per person) ;$ .....t ALL OWNED SCHEDULED }... X X ,BODILY INJURY(Per accident); r...,�AUTOS AUTO5 [ t-----.............."...._. . . + ......... ._... __..__ i XX ,NON-OWNED PROPERTY DAMAGE '$ I....1 HIRED AUTOS AUTOS Ltperaccdentj- •_.._.. _._.�.. .. : 1 I :COMPICOLL DED: $ $5,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE 3 ! EXCESS LIAR CLAIMS-MADE! i AGGREGATE ... .5.. .. .... . ._____..---. DED RETENTION$ I S D WORKERS COMPENSATION WC0182014.00(AOS} 0910112015 091002016 X 'STATUTE :DTH• I ANDE MPLOYERS'LIABILITY I L....t.._.. . _ _.......cER......f._. . .. ._._. .._.......__ ._ A YI N I 1MCOt82015.00 MA 0910i12015 0910112016 ANY PROPRIETORIPARTNERIEXECUTIVE3;N/Al ( ) I £L EACH ACCIDENT I$ 1,000,000 OFFtCER/MEMBER EXCLU0E09 ® F_'..__._._... . _.._..... ...�... . (Mandatory In NH) WC DEDUCTIBLE;$500,000 ( E.L DISEASE.•EA EMPLOYE 5 1 A00,000 D yes,descnbe under 1,000,000 DESCRIPTION OF OPERATIONS below I E L DISEASE•POLICY LIMIT;$ '.. I I I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD.1o1,Additional Remarks Schedule,may be attached If more space Is required) '... Evidence of insurance. CERTIFICATE HOLDER CANCELLATION SolarCily Corporation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3055 CleaNiew Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN San Mateo,CA 99402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk&insurance Services Charles Marmolejo - ,•G'�——"— ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5 170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 168572 Type: Supplement Card SOLAR CITY CORPORATION Expiration: 3/812017 DAN FONZI 24 ST MARTIN STREET BLD 2UNIT 11 MARLBOROUGH, MA 01752 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card -Office of Consumer Affairs&Business Regulation License or registration valid for individul use only iOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 168572 Type: 10 Park Plaza-Suite 5170 Expiration: 3/812017 Supplement Card Boston,MA 02116 SOLAR CITY CORPORATION DAN FONZI 3055 CLEARVIEW WAY SAN MATEO,CA 94402 Undersecretary Not valid without signature CS-1 D1687 DANIEL D 1K0NZj- 15 KELLEY RD WILMINGTON MA 01897,, 0911312016