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Building Permit # 6/14/2016
tAORTH BUILDING PERMIT ®�44�V v /6�'�0 TOWN OF NORTH ANDOVER - APPLICATION FOR PLAN EXAMINATIG . A. .._ ._ h 1> Date Received_ Permit N®#: Ss�cwus`` Date Issued: a L IMPORTANT: Applicant must complete all item&' on th spage LOCATION Print PROPERTY OWNER ;I Print 100 Year Structure yes no MAP PARCEL:ZONING DISTRICT:_ Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family -gAddition El Two or more family El Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other r �fp`%Se' tic'„ ❑Ul/ell � r '❑ Floodplain ❑Wetlantls ❑,Watershed District , r11,',,, t �,.?�' rr + i ✓ q��.0 jS�x4,,'�f �r t Fa�!�.:, r t ,1 : > 6 i - r ✓�. /37'�/z.rura e ,iN�+/ u/� ��`fn.a✓i DESCRIPTIO QF WORK TO BE PERFORMED: (� <0L v Identification- Please Type or Print Clearly OWNER: Name: L g IC � "62 Phone: Address: V Contractor Name: IAJV)QLR)AJ -7l CkllUDe0(T/APhone: q74P Email: T6 Address: Supervisor's Construction License: �S �/Q � Exp.-. Date: 0?116120(� Home Improvement License: Z Exp.-..-.Dates`- - =>Z Z2-6110 ARCHITECT/ENGINEER t! �' (/ A [ JA) Phone: T 04 Address: i � � ��' ' tC Reg...f�lo,. C Z 2 �. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAf� MATED C S`€ASH)ra .$125.00 PER S.F. Total Project Cost: $ TQC) FEE: $ Check No.: Receipt No.-, DOTE: Persons contracting with unregistered contractors do not havd-ccceess�to;the guaranty fund .; TH1 ®CR Town of �.II, �� L ndover ® ® ® - �® LAKQ \ ♦ VY® ass, coc"IC"@WICK / JZ. \V ATE 1) ll BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT ........rX1. .........J4.... ................................................................. BUILDING INSPECTOR has permission to erect ......... buildings on Foundation ................. ..... .. .... . .. . ...... . . Rough to be occupied as ..... ...... ..... ...... ... . ......................... .....�.!. f... Chimney provided that the person accepting this permit shall in every respe conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST ON S Rough Service .. .. . .. .. ........ ..... ...... .. .......... ...... Final BUILDING INSPE OR GAS INSPECTOR Occupancy Permit Required to Occupy BuRough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathingr Dry Wall To Be one FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. valeon Town of North Andover Building Department — Inspectional Services 120 Main Street North Andover, MA 01845 RE: Loth Residence Solar Panel Installation 12 Lavender Circle North Andover, MA 01845 Dear Sirs, Invaleon Technologies Corp., has performed a limited structural evaluation of the roof framing at the above referenced site to determine if the roof has adequate capacity to support proposed solar PV panels. This analysis has been based on field measurements, framing information and configurations observed at the proposed site. The existing residence is located at 12 Lavender Circle, North Andover, MA 01845. Structural Data and Code Information Our analysis has been performed in accordance with the requirements of the MA Residential Building Code 780 CMR — Eighth Edition. The main roof of this residence is framed with conventional roof rafters in a gable configuration. The existing roof structure is in good condition and currently has one layer of asphalt shingles as roof covering. The pertinent data is listed below: Main Roof Rafters: 2" x 8" (#2 Spruce Pine Fir, Hem Fir, D Fir Assumed) Rafter Spacing: 16" on center Roof Slope: 33 Degrees Horizontal Projected Length of Rafter: 14 feet Ceiling Joist: Present Collar Ties: Absent Roof Sheathing: Plywood sheathing Condition of Framing: Excellent Ground Snow Load, Pg: 50 PSF from Table R301.2(5) Importance Factor, I: 1.0 Exposure Factor, Ce: 1.0 (Partially Exposed) Thermal Factor, Ct: 1.0 Existing condition (Warm Roof) 1.1 With panels (Cold Roof) Invaleon Technologies Corporation 26 Parkridge Rd, Suite 1 B, Haverhill, MA 01835 978-794-1724 1 www.invaleonsolar.com vakon Design Snow Loads: 32 PSF (Existing — Unobstructed Warm Roof) 29.53 PSF (New Condition — Slippery Surface on Cold Roof) Basic Wind Speed: 100 MPH from Table R301.2(4) Importance Factor: 1.0 Exposure: B Analysis Results General The proposed solar panels impose a total weight of approximately 3 pounds per square foot (PSF) on the roof surface. Based upon the configuration of the rafters as described in the previous section, the framing of the structure will allow the addition of the proposed solar system along with the current existing shingles (one layer) with an imposed dead weight of 3.0 psf. Further calculations and analysis can be found in the appendix of this letter. The existing structural configuration (as described in the previous section), will allow the imposed dead load of the solar system, along with a single layer of shingles, and design snow loads to be adequately supported. Gravity Loading: Given the size, spacing, and configuration of the existing roof framing, we have determined that the existing framing for the residence is adequate to support the additional loading from the weight of the solar electric system, including the panels, racking system, and all connections without any need for additional bracing or framing members. The panels will be installed using Snap N' Rack rails with L-brackets in portrait configuration with a rail towards the top and bottom of each panel edge. The L-brackets will be fastened directly to the roof rafters with 5/16" diameter lag screws. The fastener layout shall start near each corner and for portrait orientation shall have a maximum spacing of 32" on center parallel to the roof slope and 48" on center perpendicular to the slope (e.g. every third rafter), except the maximum spacing shall be 32" on center perpendicular to the slope (e.g. every other rafter) for the areas of the array which lay in Zones 2 & 3, or if the rail and roof attachment are within six (6) feet of the edge of the roof. Invaleon Technologies Corporation 26 Parkridge Rd, Suite 1 B, Haverhill, MA 01835 978-794-1724 1 www,invaleonsolar.com -,0 nvakon Solar Technologles Each 5/16" diameter lag screw shall have a minimum of 2.5" thread penetration into the existing rafter. It is also important that the L-bracket attachment locations be staggered between adjacent rails so that no single rafter supports more load than under existing conditions. Wind Loading: Provided that the L-bracket attachments to the roof are made in a typical staggered pattern, the overall wind loading imposed on the structure will not be impacted to any great extent.The net wind loads on the roof framing with attachment spacing as described above will be less than the current loading on the rafters. Conclusion: Our evaluation of the proposed solar-electric installation has established that the roof framing IS adequate to support the addition of the solar panels to the existing roof as indicated on the Solar PV plans. We have only reviewed the adequacy of the connection to the existing rafters and the capacity of the existing rafters to support the vertical and lateral loads from the solar electric system. We do not take responsibility for any other portion of the solar panel array support system, the existing roof framing construction, or the integrity of the structure as a whole. The entire roof structure as existing is capable of supporting the new loads imposed by the installed panels and snow. Do not hesitate to contact my office at 978-809-8316 should you have any questions or if you require any additional information. Respectfully, Invaleon Technologies Corporation 11 OFA-41C H yv> 0 VOLKIN � o o.22282 O NAL 'wF4 Invaleon Technologies Corporation 26 Parkridge Rd, Suite 113, Haverhill, MA 01835 978-794-1724 1 www.invaleonsolar.com TYPICAL OF 2 TYPICAL 1 THRU 13 (1) LG 315N1C-G4 (2) SOLAREDGE 315 WATTP300 OPTOMIZER PROPOSED EQUIPMENT SPECIFICATIONS MONO [max 15A 3 SOLAREDGE SE7600A-US Vmax 35V A (1)SOLAR MODULES-LG 315N1C-G4 315 WATT DC-STC B 5 Imp:9.50A Vmp:33.2V DC AC Isc:10.02A Voc:40.6V TYPICAL 1 THRU 10 40A STRINGS OF 18 MODULES (2)SOLAREDGE POWER OPTIMIZER STRINGS (1) LG 30A OF 12.Imax:15A,Vmax:35V.UUIEEE LISTED POWER EQUIPMENT 315N1C-G4 2 SOLAREDGE ( ) (3)SOLAREDGE SE7600A-US INVERTER 315 WATT P300 OPTOMIZER Imax:35 @ 240V 1 PHASE 60HZ MONO ImaX 15A (4)SOLAREDGE SE6000A-US INVERTER Vmax 35V A Imax:22 @ 240V 1 PHASE 60HZ DC AC B (5)100A RATED MLO 240V 1 PHASE 60HZ,WITH QTY 1 40A 2 POLE BREAKER,AND QTY 1 30A 2 C) POLE BREAKER (6)CUSTOMER OWNED REVENUE GRADE (4)SOLAREDGE SE6000A-US 6 (7)100A 600V NEMA 3 INDOOR FUSED DISCONNECT WITH 70A FUSES UM RM (8)100A 600V NEMA 3R OUTDOOR UNFUSED (10) UTILITY DISCONNECT (9)POINT OF INTERCONNECTION LINE-SIDE 8 7 TAP INSIDE EXISTING 200A MAIN BREAKER 9 C SERVICE PANEL (10)EXISTING 200A MAIN ELECTRIC SERVICE PANEL WITH 2O0A MAIN BREAKER 240V SINGLE $ C C PHASE TO UTILITY GENERAL NOTES WIRE AND CONDUIT SIZING ALL WIRES EXPOSED TO AIR SHALL BE PV-WIRE 1. BOND THE COMBINED INVERTER DC/AC GROUND TERMINAL DIRECTLY TO THE MAIN SERVICE GROUND. AWG#12110.ALL OTHER CONDUCTORS SHALL BE 2. INVERTERS SHALL BE LISTED TO UL/IEEE STANDARDS COPPER THWN-2/THHN. 3. ALL WORK SHALL CONFORM TO NEC 690 LOCAL AUTHORITIES HAVING JURISDICTION AND CUSTOMER REQUIREMENTS (A)2 AWG#10 PV WIRES W/AWG#8 GEC EXPOSED 4. DISCONNECT SWITCHES SHALL HAVE NUMBER OF POLES REQUIRE TO DISCONNECT ALL CONDUCTORS (B)3 AWG#8 W/AWG#8 GEC IN 3/4"EMT PER NEC 690. (C)3 AWG#6 W/AWG#8 GEC IN 3/4"EMT 5. PV MODULES SHALL BE LISTED TO UL STANDARD 1703. 6. SECURE BUILDING PENETRATIONS WATERTIGHT ROOF AND WALLS 7. WIRING TO BE IN ACCORDANCE WITH MANUFACTURE RECOMMENDATIONS AND NEC 690 8. INTERIOR EQUIPMENT SHALL BE NEMA 1(MIN)AND EXTERIOR EQUIPMENT SHALL BE NEMA 3R(MIN). 9. PROVIDE ALL GROUNDING AND BONDING AS REQUIRED PER NEC 690 AND 250. E y 10. INSULATION WILL MEET 2014 NEC MINIMUM REQUIREMENTS AND LOCAL CODE SPECIFICATIONS. RARO 11. DC GROUND ELECTRODE BONDED TO AC GROUNDED ELECTRODE AS PER NEC 690-47. VOLKIy S 0 P.Jad Name. ta: 192016 a Tomlawa Co Ioa,leonTarnnolooloacomomnan NDTS s� •F P �. 26Pa ga Rut',sultelB Loth Rosid,me TIVes:Elactrkal l-Lina Op. C'15YE G\� ..1.1.Mmkto 9n tic,n.420v0.Pnfl Havath0l, 6% D—A. DescdPVon:Elotldal f-Line ESS E� 0 MA 01Slto Addmaa: g:t JOIvAL vavw.Itrvaleons0lacmm 12 Lavender$1 978.609,83161info®inwleonlachmm Nodh Andover,MA01846 Shoat1o12 Ravision:0 valeon TURNKEY CONTRACT This TURNKEY CONTRACT is made this 13t" day of May,2016 (the "EFFECTIVE DATE") by and between: "ITC" Invaleon Technologies Corporation ATTN: Tom Kangkui Wu 26 Parkridge St, Suite 113 Haverhill,MA 01835 P: (978)-794-1724 AND "SYSTEM OWNERS" (Name) Eric Loth (Address) 12 Lavender Circle, North Andover, MA 01845 (Phone) ITC desires to provide Solar Installation services to the SYSTEM OWNER and the SYSTEM OWNER desires to obtain such services from the ITC, THEREFORE, in consideration of the mutual promises set forth below, the parties agree as follows: 1. PROJECT MANAGER. Christopher Melville is an employee of Invaleon Technologies Corporation, and will act as the PROJECT MANAGER and representative for ITC. 2. PROJECT LOCATION: 12 Lavender Circle, North Andover, MA 01845 3. CONTRACT PRICE: $47,092 4. SOLAR SYSTEM SPECIFICATIONS. ITC will install an electricity grid-connected photovoltaic, solar power system with a total generating capacity rated at approximately 14.49 kW-DC (referred to as the "ENTIRE SYSTEM") located at the PROJECT LOCATION (the "SITE"). The installation of the "ENTIRE SYSTEM" shall hereinafter be referred to as the "WORK". 5. MANUFACTURER WARRANTY. Omitted. Page 1 of 9 6. INSTALLER WARRANT'. The ENTIRE SYSTEM will have a minimum 10-year labor warranty provided by the ITC to protect the SYSTEM OWNER against defective workmanship, PV project or component breakdown (exceptions noted in Section 3), or degradation in electrical output of more than fifteen percent from their originally rated electrical output during the warranty period. The warranty will cover the ENTIRE SYSTEM, including PV modules (panels) and inverters, and provide for no-cost repair or replacement of the PV project or system components, including any associated labor during the warranty period. 7. PLANS, SPECIFICATIONS AND CONSTRUCTION DOCUMENTS. The SYSTEM OWNER will make available to ITC all plans, specifications, drawings, blueprints, and similar construction documents necessary for ITC to provide the Services described herein. Any such materials shall remain the property of the SYSTEM OWNER. ITC will promptly return all such materials to the SYSTEM OWNER upon completion of the WORK. 8. REQUIRED PERMITS. The following building permits are required and will be secured by ITC as the SYSTEM OWNER's agent: ® Building Permit from The Town of North Andover • Permit to Perform Electrical Work from The Town of North Andover • Interconnection Approval from National Grid SYSTEM OWNER shall remain the sole proprietor of all permits, licenses, drawings, schematics, 1-line & 3-line diagrams, or any other pertinent documents and communications pertaining to the above mentioned permits and approvals. 9. PROPOSED START AND COMPLETION SCHEDULE. The following schedule will be adhered to unless circumstances beyond ITC's control arise Payments will be made according to the following schedule: 1. (35%) $16,482 upon execution of this TURNKEY CONTRACT and closing of the Mass Solar I_,oan. 2. (65%) $30,61.0 at Commissioning of the SYSTEM as defined by National Grid's Permission to Operate (PTO) 10. SUBCONTRACTORS. ITC will not subcontract any and all portions of this TURNKEY CONTRACT. Page 2 of 9 „ va eon 1.1. CHANGE ORDER. The SYSTEM OWNER and ITC may make changes to the scope of the work from time to time during the term of this TURNKEY CONTRACT. However, any such change or modification shall only be made in a written "CHANGE ORDER” which is signed and dated by both parties. Such CHANGE ORDER's shall become part of this TURNKEY CONTRACT. The SYSTEM OWNER agrees to pay any increase in the cost of the WORK as a result of any written, dated and signed CHANGE ORDER. In the event the cost of a CHANGE ORDER is not known at the time a CHANGE ORDER is executed, ITC shall estimate the cost thereof and the SYSTEM OWNER shall pay the actual cost whether or not this cost is in excess of"the esti rnated cost. 12. CONFIDENTIALITY. ITC and its employees, agents, or representatives will not at any time or in any manner, either directly or indirectly, use for the personal benefit of ITC, or divulge, disclose, or communicate in any manner, any information that is proprietary to the SYSTEM OWNER. ITC and its employees, agents, and representatives will protect such information and treat it as strictly confidential. This provision will continue to be effective after the termination of this TURNKEY CONTRACT. Upon termination of this TURNKEY CONTRACT, ITC will return to the SYSTEM OWNER all records, notes, documentation and other items that were used, created, or controlled by ITC during the term of this TURNKEY CONTRACT. 13.INSTALLATION WARRANTY. ITC shall provide its services and meet its obligations under this TURNKEY CONTRACT in a timely and workmanlike manner, using knowledge and recommendations for performing the services which meet generally acceptable standards in ITC's community and region, and will provide a standard of care equal to, or superior to, care used by service providers similar to ITC on similar projects. ITC, shall perform the WORK in conformance with the plans, and specifications signed by ITC and the SYSTEM OWNER. In addition to any additional warranties agreed to by the parties, the ITC warrants that the work will be free from faulty materials; constructed according to the standards of the building code applicable for this location; constructed in a skillful manner and fit for habitation or appropriate use. The warranty rights and remedies set forth in the Massachusetts Uniform Commercial Code apply to this contract. 14. FREE ACCESS TO WORKSITE. The SYSTEM OWNER will allow free access to work areas for workers and vehicles and will allow areas for the storage of materials and debris. Driveways will be kept clear for the movement of vehicles during work hours. ITC will make reasonable efforts to protect driveways, lawns, shrubs, and other vegetation. ITC also agrees to keep the SITE clean and orderly and to remove all debris as needed during the hours of work in order to maintain work conditions which do not cause health or safety hazards. Page 3 of 9 n valeon 15. UTILITIES. The SYSTEM OWNER shall provide and maintain water and electrical service, connect permanent electrical service, gas service or oil service,whichever is applicable, and tanks and lines to the building constructed under this TURNKEY CONTRACT after an acceptable cover inspection has been completed, and prior to the installation of any inside wall. cover. The SYSTEM OWNER shall permit ITC to use, at no cost, any electrical power and water use necessary to carry out and complete the work. 16. INSPECTION. The SYSTEM OWNER shall have the right to inspect all work performed under this TURNKEY CONTRACT. All work that needs to be inspected or tested and certified by an engineer as a condition of any government departments or other state agency, or inspected and certified by the local health officer, shall be done at each necessary stage of construction and before further construction can continue. All inspection and certification will be done at the SYSTEM OWNER's expense. 17. DEFAULT. The occurrence of any of the following shall constitute a material default under this TURNKEY CONTRACT: a.The failure of the SYSTEM OWNER to make a required payment when due. b.The insolvency of either party or if either party shall, either voluntarily or involuntarily, become a debtor of or seek protection under Title 1 I of the United States Bankruptcy Code, c.A lawsuit is brought on any claim, seizure, lien or levy for labor performed or materials used on or furnished to the project by either party, or there is a general assignment for the benefit of creditors, application or sale for or by any creditor or government agency brought against either party. d.The failure of the SYSTEM OWNER to make the building site available or the failure of ITC to deliver the Services in the time and manner provided for in this Contract. 18. REMEDIES. In addition to any and all other rights a party may have available according to law of the State of Massachusetts, if a party defaults by failing to substantially perform any provision, term or condition of this TURNKEY CONTRACT (including without limitation the failure to make a monetary payment when due), the other party may terminate the TURNKEY CONTRACT by providing written notice to the defaulting party. This notice shall describe with sufficient detail the nature of the default. The party receiving said notice shall have 45 days from Page 4 of 9 valeon the effective date of said notice to cure the default(s). Unless waived by a party providing notice, the failure to cure the default(s) within such time period shall result in the automatic termination of this TURNKEY CONTRACT. 19. FORCE MAJEURE. If performance of this TURNKEY CONTRACT or any obligation under this TURNKEY CONTRACT is prevented, restricted, or interfered with by causes beyond either party's reasonable control ("FORCE MAJEURE"), and if the party unable to carry out its obligations gives the other party prompt written notice of such event, then the obligations of the party invoking this provision shall be suspended to the extent necessary by such event. The term FORCE MAJEURE shall include, without limitation, acts of God, fire, explosion, vandalism, storm, casualty, illness, injury, general unavailability of materials or other similar occurrence, orders or acts of military or civil authority, or by national emergencies, insurrections, riots, or wars, or strikes, lock-outs, work stoppages, or other labor disputes, or supplier failures. The excused party shall use reasonable efforts under the circumstances to avoid or remove such causes of non-performance and shall proceed to perform with reasonable dispatch whenever such causes are removed or ceased. An act or omission shall be deemed within the reasonable control of a party if committed, omitted, or caused by such party, or its employees, officers, agents, or affiliates. 20. CONTRACT ARBITRATION. ITC and the SYSTEM OWNER hereby mutually agree in advance that in the event the ITC or SYSTEM OWNER has a dispute concerning this contract, ITC or SYSTEM OWNER may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the SYSTEM OWNER shall be required to submit to such arbitration as provided in Massachusetts General Laws. SYSTEM OWNER Signature: ITC's PROJECT MANAGER's Signature: NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by ITC. The SYSTEM OWNER may initiate alternative dispute resolution even where this section is no separately signed by the parties. 21. Indemnification and Limitation of Liability To the fullest extent permitted by law ITC will indernnify and hold harmless the SYSTEM OWNER and its employees from and against claims, damages, losses and expenses, including Page 5 of 9 vleonbut not limited to reasonable attorneys' fees arising out of or resulting from performance of the WORK, provided that such claim, damage, loss or expense is attributable to bodily injury, sickness, disease or death, or to injury to or destruction of tangible property, but only to the extent caused by the negligent acts ofornissions of ITC or its subcontractor or anyone directly or indirectly employed by them. Nothing contained in this TURNKEY CONTRACT shall be construed as creating any personal liability on the part of any officer, director, owner, employee, manager, member or agent of ITC. Notwithstanding any other provision to the contrary in this TURNKEY CONTRACT, and to the fullest extent permitted by law, ITC's liability under this TURNKEY CONTRACT, shall be limited to the sums recovered by ITC under insurance policies taken out by ITC or ITC's subcontractors in respect to the WORK. Notwithstanding any other provision in this Agreement, under no circumstances shall ITC be responsible for or be under an obligation to compensate the SYSTEM OWNER for lost energy sales, regardless of the reasons for such lost sales. 22. Taxes The CONTRACT PRICE includes all sales, consumer, use, and other similar taxes on materials provided by ITC, which are legally enacted by the governing authority in the area where the installation is located. 23. Miscellaneous This TURNKEY CONTRACT represents the entire and integrated agreement between the SYSTEM OWNER and ITC with respect to the WORK and supersedes all prior negotiations, representations or agreements, either written or oral. This TURNKEY CONTRACT may be amended only by written instruments signed by both the SYSTEM OWNER and ITC. Any oral representation of modification concerning this TURNKEY CONTRACT shall be of no force or effect. This TURNKEY CONTRACT shall be executed in two counterparts, both of which taken together shall constitute one and the same instrument. The undersigned individual(s) represent that they are fully authorized to bind their respective entities. The SYSTEM OWNER acknowledges that it has carefully read this TURNKEY CONTRACT and understands the contents thereof, that it has had the opportunity to consult with its own attorney(s) in respect to the terms and conditions set out herein and it has agreed to the provisions hereof without reliance on any representation or promise by ITC or anyone acting on behalf of ITC. The invalidity or unenforceability of any particular provision of this TURNKEY CONTRACT shall not affect the other provisions, and this TURNKEY CONTRACT shall be construed in all respects as if any invalid or unenforceable provision were omitted. Page 6 of 9 valeon Nothing in this TURNKEY CONTRACT shall be construed or deemed to create a contractual relationship between ITC and any third party; a cause of action in favor of a third party against ITC; or create any third party beneficiary rights of any kind. ITC and the SYSTEM OWNER waive all claims against each other for consequential damages arising out of or relating to this TURNKEY CONTRACT. This mutual waiver applies, without limitation to all consequential damages which arise as a result of either party's termination of this TURNKEY CONTRACT. 24. GOVERNING LAW. This TURNKEY CONTRACT shall be construed in accordance with, and governed by the laws of the State of Massachusetts, regardless of the choice of law provisions of Massachusetts or any other jurisdiction. 25. ASSIGNMENT. Neither party may assign or transfer this TURKNEY CONTRACT without the prior written consent of the non-assigning party, which approval shall not be unreasonably withheld. 26. CONTRACT ACCEPTANCE. Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this document, the contract shall not imply that any lien or other security interest has been placed on the property. Review the following cautions and notices carefully before signing this contract. Page 7 of 9 hvaleon IN WITNESS WHEREOF, the undersigned have duly executed and delivered this TURNKEY CONTRACT as of the day and year first above written. DO NOT SIGN THIS TURNKEY CONTRACT IF THERE ARE ANY BLANK SPACES. No work shall begin prior to the signing of the TURNKEY CONTRACT and transmittal to the SYSTEM OWNER of a copy of such contract. ITC Name: Title: Signature: Date: SYSTEM OWNER Name: Signature: Date: Page 8 of 9 vakon NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOU CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, THE SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION, YOU MAY RETAIN OR DESPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE T14E GOODS AVAILABLE TO THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO, THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT, TO CANCEL THIS TRANSACTION, MAIL OR DELIVER SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND AN EMAIL TO INVALEON TECHNOLOGIES CORPORATION, AT 26 PARKRIDGE RD, SUITE IB, HAVERHILL, MA 01835 NOT LATER THAN MIDNIGHT OF I HEREBY CANCEL THIS TRANSACTION. DATE: BUYER'S SIGNATURE: Page 9 of 9 fy ti) i sow& a r Irge Single Phase Inverter For North America SE300OA-US / SE300OA-US/ SE5000A-US/ SE6000A-US/ SE760OA-US / SE10000A-US / SE1140OA-US �pverte, . 25 'c,Warran�ll �a �y r. �C x; f The best choice for SolarEdge enabled systems Integrated arc fault protection for NEC 2011 690.11 compliance Rapid shutdown for NEC 2014 690.12 ® Superior efficiency(98%) Small,lightweight and easy to install on provided bracket Built-in module-level monitoring Internet connection through Ethernet or Wireless Outdoor and indoor installation Fixed voltage inverter, DC/AC conversion only Pre-assembled Safety Switch for faster installation Optional—revenue grade data,ANSI C12.1 USA (-dPMAIVY ifALY-HkAN( I� IAI'AN (HINil, .AH5,€!,AtiA gill 1'dCClUK rMiAI www.solaredge.us Single haye Invertersfor North America solar SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE7600A-US/SE10000A-US/SE1140OA-US SE3000A-US SE3800A-US SE5000A-US ISE6000A-US SE760OA-US SE10000A-US SE11400A-US OUTPUT 9980 @ 208V Nominal AC Power Output 3000 3800 5000 6000 7600 ! 10000 @240V I 11400 VA 5400 @ 208V 10800 @ 208V 12000 VA Max.AC Power Output 3300 4150 5450 @240V 6000 8350 10950 @240V AC Output Voltage Min.-Nom.-Max.ltl 183-208-229 Vac AC Output Voltage Min:Nom:Max.l" 211-240-264 Vac i AC Frequency Min.-Nom.-Max.(" 59.3-60-60.5 i Hz 24 @ 208V 48 @ 208V Max.Continuous Output Current 12.5 16 47.5 A 21 @ 240V 2S 32 42 @ 240V GFDI Threshold 1 A Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes INPUT -- Maximum DC Power(STC) 4050 5100 6750 8100 10250 13500 15350 W Transformer-less,Ungrounded Yes Max.Input Voltage 500 Vdc Nom.DC Input Voltage 325 @ 208V/350 @ 240V Vdc Max.Input Current(') 9.5 13 16.5 @ 208V 18 23 33 @ 208V 34.5 Adc 15.5 @ 240V 30.5 @ 240V Max.Input Short Circuit Current 45 Adc Reverse-Polarity Protection Yes Ground-Fault Isolation Detection 600ko Sensitivity Maximum Inverter Efficiency 97.7 98.2 98.3 1 98.3 98 98 98 % CEC Weighted Efficiency 97.5 98 97 @ 20IIV 97.5 97.5 97 @ 208V 97.5 98 @ 240V ! ' 97.5 @ 240V '' Nighttime Power Consumption <2.5 <4 W ADDITIONAL FEATURES - Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) Revenue Grade Data,ANSI C12.1 Optionalial Rapid Shutdown-NEC 2014 690.12 Yes STANDARD COMPLIANCE _ Safety UL1741,UL1699B,UL1998,CSA 22.2 Grid Connection Standards IEEE1547 Emissions FCC partly class B INSTALLATION SPECIFICATIONS AC output conduit size/AWG range 3/4"minimum/16-6 AWG 3/4"minimum/8-3 AWG DC input conduit size/#of strings/ 3/4"minimum/1-2 strings/16-6 AWG 3/4"minimum/1-3 strings/ AWG range 14-6 AWG Dimensions with Safety Switch 30.5 x 12.5 x 7.2/775 x 315 x 184 30.5 x 12.5 x 10.5/ in/ (HxWxD) 775 x 315 x 260 mm Weight with Safety Switch 51.2/23.2 54.7/24.7 88.4/40.1 Ib/kg Natural convection Cooling Natural Convection i and internal Fans(user replaceable) fan(user replaceable) Noise <25 <50 i dBA Min.Max.Operating Temperature -13 to+140/-25 to+60(40 to+60 version available)"I) 'F/'C Range Protection Rating NEMA 311 For other regional settings please contact SolarEdge support. irl A higher current source may be used;the inverter will limit its input current to the values stated. Revenue grade inverter P/N:SExxxxA-USOOONNR2(for 760OW inverter:SE7600A-US002NNR2). -40 version P/N:SExxxxA-USOOONNU4(for 760OW nverter.SE7600A-US002NNU4). - 0 6 8• 9 C Y 1 1 111 r y ' d r� s o I a r��,'d SolarEdge Power r. r 1 Optimizer Module Add-On For North America 00 / P320 P400 / P405 I power p U ,� 25CS Vea c aRanry o ' � W x.. d�JaZNfO PV power optimization at the module-level Up to 25%more energy Superior efficiency(99,5%) Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading — Flexible system design for maximum space utilization Fast installation with a single bolt — Next generation maintenance with module-level monitoring — Module-level voltage shutdown for installer and firefighter safety USA-CANADA GERMANY-ITALY-FRANCE IAPAN-CHINA AUS'TRAI_IA THt NE7HFRLANI S UK ISRAVL www.solaredge.us lar s o aPower Optimizer Module Add-On for North America P300 / P320 / P400 / P405 P300 P320 P400 — P405 (for 60-cell modules) (for high-power (for 72&96-cell (for thin film 60-cell modules) modules) modules) INPUT Rated Input DC Powerl'l 300 320 400 405 W Absolute Maximum Input Voltage (Voc at lowest temperature) 48 80 125 Vdc MPPT Operating Range 8-48 8-80 12.5-10S Vdc _ . Maximum Short Circuit Current(Isc) 10 11 10.1 Adc Maximum DC Input Current 12.S 13.75 12":IS' _.. _._ Maximum Efficiency 99.5 _ /° Weighted Efficiency 98.8. _ 'a/ Overvoltage Category II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER) Maximum Output Current 15 Adc Maximum Output Voltage 60 85 Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF) Safety Output Voltage per Power Optimizer 1 Vdc STANDARD COMPLIANCE EMC FCC Part15 Class B,IEC61000-6-2,IEC61000-6-3 Safety IEC62109-1(class 11 safety),UL1741 ROHS Yes INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage 1000 Vdc Compatible inverters All SolarEdge Single Phase and Three Phase inverters Dimensions(W x L x H) 128 x 152 x 27.5/ 128 x 152 x 35/ 128 x 152 x 48/ 5x5.97x1.08 5x5.97x1.37 5x5.97x1,89 mm/in Weight(including cables) 760/1.730/1.8 8 1064/2.3 gr/lb Input Connector MC4 Compatible Output Wire Type/Connector Double Insulated;MC4 Compatible Output Wire Length 0..95/3.01 1.2/3.9 m/ft Operating Temperature Range -40 +85/-40-+185 C/°F _. Protection Rating IP68/NEMA6P Relative Humidity 0-100 /o "t Rated STC power of the module.Module of up to+5-/.power tolerance allowed. PV SYSTEM DESIGN USING A SOLAREDGE INVERTEV) SINGLE PHASE THREE PHASE 208V THREE PHASE 480V Minimum String Length (Power Optimizers) 8 10 18 Maximum String Length (Power Optimizers) 25 25 50 Maximum Power per String 5250 6000 12750 W Parallel Strings of Different Lengths or Orientations Yes uI It is not allowed to mix P405 with P300/1`400/1`600/1'700 in one string. r M� IIIUIII�0981I�II��III�81D@� r' tmolmmu �, Life's Good LG N 2 EMM LG's new module,LG NeON"'2,adopts Cella technology. Cello technology replaces 3 busbars with 12 thin wires APPROVED PRODUCT to enhance power output and reliability.LG NeON"2tl® 60 demonstrates LG's efforts to increase customer's values D E ` @� °" beyond efficiency.It features enhanced warranty,durability, C E Intertek _--_.._ vvv Ing 64573 55 EN 57215 performance under real environment,and aesthetic �,>Ir, �soauiP� design suitable for roofs. Enhanced Performance War°r inty High Power Output LG NeON111 2 has,an enhanced performance warranty, Compared with previous models,the LG NeONTI 2 The-annual degradation has fallen from-0.7%/yr to has been designed to significantly enhance its output -0,6%/yr.Even after 25 years,the cell guarantees 2.4%p efficiency,thereby making it efficient even in limited space. more output than the previous LG Ne0NTM11 modules. Aesthetic oo � Outstanding Durability bility LG NeON'11 2 has been designed with aesthetics in mind; With its newly reinforced frame design,LG has extended thinner wires that appear all black at a distance, the warranty of the LG NeON'"'2 for an additional The product rimy help increase the value of 2 years.Additionally,LG Ni 2 can endure a front a property with its modern design. load up to 6000 Pa,and a rear load up to 5400 Pa, i Better Performance on a Sunny DayDw.6ie- id d CA Structure a LG NeON"2 now performs better on sunny days thanks The rear of the cell used in LG NeONTM19 2 will contribute to to its improved temperature coefficiency. generation,just like the front;the light beam reflected from the rear of the module is reabsorbed to generate a great amount of additional power. About LG Electronics L1 Electronics is a global player who has been cornnntted to expanding its capacity,based on solar energy business as it,fuwre growth engine.We embarked ori a solar energy source research prograrnin 1985,supported by LG Group's rich experience in semi-conductor,Li chemistry,and roa'tenals industry.We successhllly released the.first Mono X"''series to tree market in 2010,which were exported to:32 countries in the following 2 years,thereafter.In 20'13,LG NOON-(previously known as Mono X`WON)won"Intersolar Award';which proved LG is Che leader of innovation un the industry. Lir G NeOr'�,,I''2 REMM Mechanical PropertieS Electrical Properties(S�"C Cells 6X10 -Module Type 31 S W Cell Vendor LG MPP Voltage(Vml)p) 33.22 Cell Type Monocrystalline f N-type MPP Current(Impp) .......9.50 Cell Dimensions 156.75 x 156.75 mm/6 inches Open Circuit Voltage(Voc) 40.6 u of Busbar 12(Multi Wire BUsbar) Short Circuit Current(Isc) 10.02 Dimensions(L x W x 11) 1640 x 1000 x 40 him Module Efficiency 19,2........... 64.57 x 39.37 x 1.57 inch Operating Temperature('C) _40-90 Front Load 6000 Pa 125 psf 0 Maximum System Voltage(V) 1000 .. ...... Rear Load 5400 Pal 113 psf 0 Maximum Series Fuse Rating(A) 20 Weight 1 TO 0.5 kc;/37.48+1.1 1hs Power Tolerance 1 0-+3 Connector Type MC4,MC/I Compatible,IP6 7 S7C(Scond-(Tv,,(.,d,rr,)Ir...Ji—e 1000 VV/,,,'M.&le To a.-cre 25*C,AM 1 5 if.........Plate ps—r oi.�trnrt by LG EllItI1111111 sl Itl 1111-111d lbl.k�leci Junction Be)( IP67 with 3 Bypass Diodes Length of Cables 2 x'1000 nine 2 x 39.37 inch Glass High Iransmission Tempered Glass ............ Frame Anodized Aluminum Electirica(Properties(NOC'T'*) Module Type 375__W - Certifications and\Afarranty Maximum Power(Pmax) 230 Certifications IEC 61215,IEC 61730-1/-2 MPP Voltage(Vilipp) 30.4 IEC 62716(Ammonia Test) MPP Current(Impp) 7.58 . ..... IEC 61701(Salt Mist Corrosion Test) Open Circuit Voltage(Voc) 37.6 ISO 9001 Short Circuit Current(Isc) 8.08 Ld_1703 NOCT(N--1 Op—t tJCv.[ITs,per,,ujre)Irradi-ce SOD Whry ambjecttelTip—tare 2VC,wind spe-1 I co/s Module Fire Performance(USA) Type 2(UL 1703) Fire Rating(for CANADA) Class C(ULC/ORD Cl 703) -l) -. .............. Dimensions(awn/h Product Warranty '12 years Output Warranty of P ax Linear vvarianty* Temperature Characteristics NOCT 116 3 IC Pmpp -0.38%/'C Voc -0.28%/T ISO 0.03%/'C Characteristic Curves ----------- HOW 50M 1�vo ...... 400W 200W oe" 11100 1500 2.. [S 1v }0 00 1100 1110 so c0 o he ofistar-between the center of the moLinting/grounding holen. North America Solar Business Tean) Product specific star is are subject to change without notice LG LG Electronics U.S.A.Inc. DS-N2-60-C-G-F-EN-50427 Life"6-d 1000 Sylvan Ave,Englewood Cliffs,NJ 0763 2 Copyright 0 2015 LG Electronics.All rights reserved. Innovation for a Betiler Life Contact:lg.solarC4Xge.coni 01/04/-201 Si wvv,orIqooiarusa.conn \\ A- \, \ \ AM kO - \ - 4WE K-4 \ \ \ _.. invaicon Toch of Project Name: tVDTS Date:6IZIZO16 By.Tom K Wu comments: ootid,Corporation Loth Residence Titles:Site Layout 2b Parlcndge Road,Suite 13 ..\_i.1DesktoPlinvalaon.420x0.R"3 H—Kit,MA 01835 Dmwin 1 Description:Site Layout Site Address: 9= invalaan-,Wa*.com 12 Lavender St North Andovar,MA 01845 Revision:0 97$.809.$3'0'(in�iinvaleortech.cam cot 7 of 2 \\ - \, \\ �\ �\ �. VAS D. W2 2016 Comments: Invaleon Techno;og.es Corporation Project Name: NDTS Titles:Site Layout BY To K Wu Loth Residence 26 Parkridge Road,Suite 1 B Description:Site Layout ..\..\..\Desktopiinvaleon.420x0.png Haverhill,MA01835 Site Address: Drawing:1 wwrv.invaleonsolar.com 12 Lavender St Revision:0 978.809.8316 in`o@alinvaleontech.com North Andover,MA 01845 Sheet t a#2 The Commonwealth ofMassachusetts Department of IndustrialAccidents I Congress Street,Suite 100 Boston,MAA 02114-2017 r� www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AU I'HORITY. Avolicant Information Please Print Le ibl Name(Business/Organization/Individual): X)o Address;,,,,41) City/State/Zip: 'i-�'h' Ir/ 6 f Phone#:!af ® Are you an employer?Check:the appropriate box: Type of project(required): 1.V I am a employer with (�' employees(full and/or part-time).« 7, F�New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. []Remodeling any capacity,[No workers'comp.insurance required.] 9. r-1 Demolition 3.Q I am a homeowner doing all work myself,[No workers'comp,insurance required.)t 10 E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other�� 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: 1-A U-e le 1,5 yt`- �b Expiration Policy#or Self-ins.Lic.#: G E iration Date: Job Site Address: La- City/State/Zip:/)6, /' P6V t✓/ I M dl F3 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c.152,§25A is a criminal violation punishable by a fine 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify der t ins agdpen4kies operjury that the information provided above is t e and correct Si nate ll Phone#: Official use only. Do not write in this area,to be completed by city or town official ^ City or Town: Permit(Ucense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M DATE(MM/DD/YYYY) , C40REX CERTIFICATE OF LIABILITY INSURANCE 6/14/2016 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 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 CONTACT Michael Laorenza NAME: MTM Insurance Associates PHCN o Ext: (978)681-5700 FAX No:(978)681-5777 1320 Osgood Street ADDRESS:certificates@mtminsure.com INSURERS AFFORDING COVERAGE NAIC# North Andover MA 01845 INSURER AAtain S ecialt Ins Co INSURED INSURER B: Invaleon Technologies, Corp. INSURER C: 26 Parkridge Rd. INSURER D: Suite 1B INSURER E: Haverhill MA 01835 INSURER F: COVERAGES CERTIFICATE NUMBER:16-17 Master 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR WVD POLICY NUMBER MMIDDIYYYY MM1Db/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 A CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ CIP299020 6/8/2016 6/8/2017 MED EXP(Any one person) $ 5,000 PERSONAL R ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY F7JECT PRO- Ej LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ '.. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED ( PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED ( RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE 1 1 ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN issued by carrier E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ i DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) This certificate of insurance represents coverage currently in effect and may or may not be in compliance with any written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover Mass THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. No Andover, MA 01845 AUTHORIZED REPRESENTATIVE M Laorenza/LAURIN ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 ronlann q C00R" DATE(MMIDD/YYYY) /"'1� �` CERTIFICATE OF LIABILITY INSURANCE 06/14/2016 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(les) must 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 CONTACT NAME: Laurin Kibildis FAX MTM INSURANCE ASSOCIATES LLC a/cNo Ext: (978)681-5700 No: ADDRESS: laurink@mtminsure.com 1320 OSGOOD ST INSURERS AFFORDING COVERAGE NAIC# NORTH ANDOVER MA 01845 INSURERA: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B INVALEON TECHNOLOGIES CORP INSURERC: INSURER D: 26 PARKRIDGE RD SUITE 1B INSURER E: HAVERHILL MA 01835 INSURER F: COVERAGES CERTIFICATE NUMBER: 61283 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR NSD WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE17� OCCUR PREMISES Ea occurrence $ '.. MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ '... ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ i $ WORKERS COMPENSATION XSTATUTE OERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? N/A N/A N/A 7PJUB2E76800816 03/06/2016 03/06/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEI$ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 i N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood St AUTHORIZED REPRESENTATIVE N Andover MA 01845 Daniel M Cro"j y,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD