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Building Permit # 6/27/2016
f a 06./COA)iC 01 NU 6'g+ BUILDUNG PERMIT ia� gt�. °L TOWN OF NORTH ANDOVER ° o APPLICATION FOR PLAN EXAMINATION - y Permit NO: Date Received �9SSACNU5���5 Date Issued: I ORTANT:Applicant must complete all items on this page LOCATION 67 Colgate,Dr Print PROPERTY OWNER i Richard Conrad Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village ye;/no LIZ TYPE OF IMPROVEMENT PROPOSED USE Re�'dential Non- Residential 11 New Building One family ❑ ddition El or more family 11 Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ ssessory Bldg ElOthers: ElDemolition Other -Solar Installation El Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed'District 1 11 Water/Sewer Installation of an interconnected rooftop PV system-38 panels(9.1kW) Identification Please Type or Print Clearly) OWNER: Name: J Richard Conrad Phone: 978-609-2532 Address: 67 Colgate Dr,North Andover MA 01845 ,CONTRACTOR ,Name: Stephen A olly!Sunrun Installation Services I'nc Phone. 978-79377227 Address: 200 Research Dr;Wilmington MA 01887 Supervisor's Construction License:�OS-04'0622 Exp. Date: '81I17 Home ImprovementLicense: 180120 Exp: Date: lo/14/16 ARCHITECT/ENGINEER Paul KZacher Phone: 916-961-3960 Address: 8150 Sierra College Boulevard,Ste 150,Roseville CA 95661 Reg. No. 50100 FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 21046.30 FEE: $ '74 Check No.: ` `fi r�5 i—i Receipt No.: 56 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner CT. - Signature of contractor `AORTH Town of ndover ® ® -_ - - IL ih LAK. ver, `ass, COC NICN WICK 1' S U BOARD OF HEALTH Food/Kitchen PERMIT T t LD Septic System THIS CERTIFIES THAT ........71 .. .... .... BUILDING INSPECTOR has permission to erect .......................... buildi s on ....... .. ........C#.A4*.. .... .. ........ Foundation ® Rough to be occupied as .. ...... .. ...... .. .......... ... ....... ..f................ ..�. ... .. 03D Chimney provided that the person accepting this permit shall in every respect 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES I 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS CTI Ain Rough If N API Service .. .. Final 4BUILD61i�N y NSPE OR GAS INSPECTOR Occupancy Permit Required t® Oceupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathingor Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. OWNER'S AUTHORIZATION FORM For Permit Application(s) The sole purpose of this form is to provide Sun Run Inc with the Necessary permission from the Owner to file Permit Application(s) for such Project work as agreed upon between the Owner and the Owner's Authorized Company and its designated subcontractors. Owner's Name: lune A Carey Solar Project Address: Signature: �-A" k c-av!�J Owner's Authorized Company: Sun Run Inc. Company's Address: 595 Market St 29th Floor, San Francisco, CA 94105 Affiliation: Contractor Applicable License: State: MA STRUGURALGIGMEERS March 28, 2016 Sunrun Inc. 133 Technology Dr, Suite 100 Irvine, CA 92618 Attn.: To Whom It May Concern re: Job 2016-04332 : June Corey-222R-02000RE The following calculations are for the structural engineering design of the photovoltaic panels located at 20 Foss Road, North Andover, MA 01845.After review, PZSE, Inc. certifies that the roof structure has sufficient structural capacity for the applied PV loads. If you have any questions on the above, do not hesitate to call. py�NOFA4,q 9 PA U c� Prepared By: ZACwER u PZSE, Inc. -Structural Engineers ° STRUCTURAL No.50100 Roseville, CA � NAl.��'4 1 of 5 1 Y")Si'f ouzo IIS �. I�: �I�,�n�m,1 61(,: I SO Ro,�,tviijfle,(""A 95661 916961.39601,1 9 16,961. 965 vtv,.lol Gravity Loading Roof Snow Load Calculations p9=Ground Snow Load= 50 psf Ce=Exposure Factor= 0.9 (ASCE7-Table 7-2) C,=Thermal Factor= 1.1 (ASCE7-Table 7-3) 1=Importance Factor= 1 pf=0.7 Ce C,I pg 35 psf (ASCE7-Eq 7-1) where pg:;20 psf,Pf min=I x pg= N/A min snow load(oolslope<15o) where pg>20 psf,Pf min=20 x I= N/A min snow load(,00f slope t 15°) Therefore,R=Flat Roof Snow Load= 35 psf P.=Cspf (ASCE7-Eq 7-2) Cs=Slope Factor= 0.667 ARRAY 1 Ps=Sloped Roof Snow Load= 23.1 psf ARRAY 1 PV Dead Load=3 psf(Per Sunrun Inc.) Roof Live Load= 17.!07 psf ARRAY 1 Note:Roof live load is removed in area's covered by PV array. Roof Dead Load ARRAY 1 Composition Shingle 4.00 Roof Plywood 1.50 2x8 Rafters @ 16"o.c. 1.49 Vaulted Ceiling 0.00 (Ceiling Not Vaulted) Miscellaneous 0.01 Total Roof DL ARRAY 1 7.0 psf DL Adjusted to 30 Degree Slope 8.1 psf 2of5 Wind Calculations Per ASCE 7-05 Components and Cladding Input Variables Wind Speed 100 mph Exposure Category C Roof Shape Gable/Hip Roof Slope 30 degrees Mean Roof Height 20 ft Building Least Width 32 ft Effective Wind Area 10.8 sf Design Wind Pressure Calculations Wind Pressure P=qh*(G*Cp) qh=0.00256*Kz*Kzt*Kd*V"2*1 (Eq_6-15) Kz(Exposure Coefficient)= 0.9 (Table 6-3) Kzt(topographic factor)= 1 (Fig.6-4) Kd(Wind Directionality Factor)= 0.85 (Table 64) V(Design Wind Speed)= 100 mph Importance Factor= 1 (Table 6-1) qh= 19.58 Standoff Uplift Calculations Zone 1 Zone 2 Zone 3 Positive GCp= -1.00 -1.20 -1.20 0.90 Uplift Pressure= -19.55 psf -23.47 psf -23.47 psf 17.61 psf Max Rail Span Length= 4.0 ft 4.0 ft 4.0 ft Longitudinal Length= 2.7 ft 2.7 ft 2.7 ft Attachment Tributary Area= 10.8 sf 10.8 sf 10.8 sf Footing Uplift= •210 Ib •252 Ib -252 Ib Standoff Uplift Check Maximum Design Uplift= -252 lb Standoff Uplift Capacity = 700 ib 700 Ib capacity>252 Ib demand 'Therefore,C Fastener Capacity Check, Fastener= 1-5/16"dia Lag Number of Fasteners= 1 Minimum Threaded Embedment Depth= 2.5 Pullout Capacity Per Inch= 205 Ib Fastener Capacity= 820 Ib 820 Ib capacity>252 Ib demand Therefore,DK 3of5 Framing Check ARRAY 1 PASS w=46 plf Dead Load 8,1 psi n PV Load 3.0 psf Snow Load 231 psf 2x8 Rafters @ 16"o,c, Member Span 13 -11 Governing Load Comb. DL+SL Note:Attachments shall be Staggered. Total Load 34.2 psf Member Properties Member Size S(in"3) 1(in"4) Lumber Sp/Gr Member Spacing 2x8 13.14 47.63 SPF#2 @ 16"o.c. Check Bending Stress Fb(psi)= fb x Cd x Cf x Cr (NDS Table 4.3,1) 875 x 1.15 x 1.2 x 1,15 Allowed Bending Stress=1388.6 psi Maximum Moment = (wL"2)/8 = 1103.94 ft# = 13247.3 in# Actual Bending Stress=(Maximum Moment)/S =1008,2 psi Allowed>Actual-72,7%Stressed - Therefore,CK Check Deflection Allowed Deflection(Total Load) = U120 (E=1400000 psi Per NDS) = 1,391 in Deflection Criteria Based on = Simple Span Actual Deflection(Total Load) _ (5*w*L^4)/(384*E*1) = 0.188 in = U889 < U120 Therefore DK Allowed Deflection(Live Load) = L/180 0.927 in Actual Deflection(Live Load) _ (5*w*L114)/(384*E*1) 0.390 in 0429 < U180 Therefore DK Check Shear Member Area 10.9 in"2 Fv(psi)= 135 psi (NDS Table 4A) Allowed Shear = Fv*A = 1468 Ib Max Shear(V)=w*L/2 = 317 Ib Allowed>Actual-21.7%Stressed - Therefore, 1K 4of5 Lateral 2009 IBC CH34 Existing Weight of Effected Building Level Area Weight sf Weight Ib Roof 1216 sf 8.1 psf 9850 Ib Ceiling 1216 sf 6.0 psf 7296 Ib Vinyl Siding 140 it 2.0 psf 5600 Ib (20'Wall Height) Int.Walls 140 ft 6.4 psL___j 17920 Ib Existing Weight of Effected Building 40666 Ib Proposed Weight of PV,System Weight of PV System(Per Sunrun Inc.) 3.0 psf Approx.Area of Proposed PV System 503 sf Approximate Total Weight of PV System 1509 Ib 10%Comparison 10%of Existing Building Weight(Allowed) 4067 Ib Approximate Weight of PV System(Actual) 1509 Ib Percentlncrease 3.7% 4067 Ib>1509 Ib,Therefore OK 5 of 5 ., / �IE ommii R�ieM March 28, 2016 f'lllf TURA,ENGINEER Sunrun Inc. 133 Technology Dr, Suite 100 Irvine, CA 92618 Subject: Structural Certification for Installation of Solar Panels Job Number:2016-04332 Client:June Corey-222R-02000RE Address:20 Foss Road, North Andover, MA 01845 Attn.:To Whom It May Concern A field observation of the condition of the existing framing system was performed by an audit team from Sunrun Inc.. From the field observation of the property,the existing roof structures was observed as follows: The existing roof structure consists of: Composition Shingle over Roof Plywood is supported by 2x8 Rafters @ 16"o.c.at ARRAY 1. The rafters are sloped at approximately 30 degree and have a maximum projected horizontal span of 13 ft 11 in between load bearing walls. Design Criteria: o Applicable Codes=2009 IBC,ASCE 7-05, and NDS-05 ® Ground Snow Load=50 psf ® Roof Dead Load=8.1 psf ARRAY 1 s Basic Wind Speed= 100 mph Exposure Category C • Solar modules=as indicated in attached drawings As a result of the completed field observation and design checks: o ARRAY 1 is adequate to support the loading imposed by the installation of solar panels and modules.Therefore, no structural upgrades are required. I certify that the capacity of the structural roof framing that directly supports the additional gravity loading due to the solar panel supports and modules had been reviewed and determined to meet or exceed the requirements without structural u rade in accordance with the 2009 IBC. 4e4(N OF A4,18.y If you have any questions on the above, do not hesitate to call. PAULK. Prepared By: ZACHER a PZSE, Inc. -Structural Engineers 50U00� Q Roseville, CA a 6, ol, ' ``is�c�rIAILL 1 of 1 81 110 sk"Ifi;a(010a a"Je oul -'rmd,, �Oe �X30 Roiseville, CA 95661 a1, 6,96 t 39160 P 9 16196 1 396 wbvi corn - ; ............. The Commonwealth of Massachusetts re ....._..... . . ._. --=...- � Department of IndustrialAccidents I Cougr•ess Street, Suite 100 Bostotr, MA 02114-2017 www.mass.govAlia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE TILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Irndividual):Sunrun Installation Services, Inc. Address:775 Fiero Lane, Suite 200 City/State/Zip:San Luis Obispo, CA 93401 Phone #:978-549-9438 Are you an employer?Checkthe appropriate box: Type of project(required): 1.[D I am a employer with 35 employees('full and/or part-time).* 7. ❑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.] ). El Demolition 3.[:]I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10®Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on nay 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.❑Plumbing repair's or additions 5.®1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.� p Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 14.[Z]Other Rooftop Solar 6.[:]We are a corporation and its officers have exercised their right of exemption per MGL c. — 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also till 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, tContractors that check this box most 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 enployer that is providing worlrer°s'compensation insurance for my employees. Below is ill epolicy all d job site information. Insurance Company Name:Zurich American Insurance Company Policy#or Self-ins.Lic.#:WC013696001 &WC013696101 Expiration Date:10/01/2016 Job Site Address:20 Foss Road City/State/Zip: N Andover, MA 01845 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. Z do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si nature: � � �� �� Date: �.-. 2.,'- Phone#:978-549-9 38 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DATE(MMIDDIYYYY) AC ®® CERTIFICATE OF LIABILITY INSURANCE 10/01/2015 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 MARSH RISK&INSURANCE SERVICES NAME: PHONE FAX 345 CALIFORNIA STREET,SUITE 1300 (A/C.No Ext): AIC' IC No): CALIFORNIA LICENSE NO.0437153 E-MAIL SAN FRANCISCO,CA 94104 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# 104960339-STND-GAX-15-16 INSURER A:James River Insurance Company 12203 INSURED INSURER B:N/A NIA Sunrun Installation Services,Inc. and REC Solar,Inc. INSURER C:Houston Casualty Company 42374 775 Fiero Lane,Suite 200 INSURER D: San Luis Obispo,CA 93401 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002994222-03 REVISION NUMBER:5 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 POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY 000641241 10/01/2015 10/01/2016 EACH OCCURRENCE $ 1,000,000 IMAGE TO CLAIMS-MADE a OCCUR PREMISES (E.occurrence) ccuence $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO- ❑LOC JECT PRODUCTS-COMP/OP AGG $ 2,000,000 NFX OTHER: Host Liquor Liability TOTAL POLICY LIMIT $ 10,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOOr AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident '.. C UMBRELLA LIABX OCCUR H15XC5023203 10/01/2015 10/01/2016 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEF-1E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:Permitting within jurisdiction. CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 120 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN North Andover,MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services Stefan Szulc ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD �� � 0 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE F,0/8/2015 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 NAME: Arthur J. Gallagher&Co. Insurance Brokers of CA. PHONE 415-546-9300 FA C,No):415-536-8499 1255 Battery Street#450 E-MAIL San Francisco CA 94111 INSURERS AFFORDING COVERAGE NAIC# INSURERA:Zurich American Insurance Company 16535 INSURED SUNRINC-01 INSURER B: Sunrun Installation Services Inc. INSURERC: 775 Fiero Lane, Suite 200 San Luis Obispo, CA 93401 INSURERD: INSURER E INSURERF: COVERAGES CERTIFICATE NUMBER:944362624 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 ADDLSUBR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ]JECT PRO- F—]LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY UOMBINEU SINGLE LIMIT Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ '.. EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION Y WC013696001 0/1/2015 10/1/2016 X PER OTH- A AND EMPLOYERS'LIABILITY y/N WC013696101 0/1/2015 10/1/2016 STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA E:M:P:L:O::Y:Ed$1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) WC013696001 -$25,000 Deductible;WC013696101 -FL, HI, MA, NJ, NY, OR,VA,WI only. Evidence of Insurance 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. 120 Main St North Andover MA 01845 USA AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CiffiC6 of Consumer Affairs and Business Regulation r10 Parklazy - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 180120 Type: Supplement Card Expiration: 10/14/2018 SUNRUN INSTALLATIONSERVICES INC. STEPHEN KELLY 775 FIERO LANE SUITE 200 SAN LUIS OBISPO, CA 93401 Update Address and return card. Marls reason for change. SCA 1 G 20M-05/11 Address Renewal Employment Lost Card , ice of Consumer Affairs& Bossiness Regulation License or registration valid for iodividul use only E IMPROVEMENT EME#Vi CONT CTCR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation cgistration. IS0120 Type: 10 Park Plaza-Suite 5170 �r Expiration j,0114/2-M Supplement Care Boston.MA 02116 SUNRUN INSTALLATION- SERVICES INC. STEPHEN FELLY 775 FIERQ LANE SUITE 20£x. - SAN LUIS QBISPO, CA 93401 Undersecretary Aotvalid without si ture F W S "O"E Aim - \,\ zj Of16 pARKWAY RE) STONERAW MA02IM 20 t , _ -Rr €di._g tions and , -�,Jams .Cense' 622 STEPHEN A KELLY 16 PARKWAY ROAD STONIEHAM MA 02180