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Building Permit # 7/25/2016
TOWN OF NORTH ANDOVER µp�YK APPLICATION FOR PLAN EXAMINATION # i Permit NO: 'rOP0 Date Received .. ....... ' ys rn• t� SSC HU Date Issued IMPORTANT:A licant must com lete all items on this page LOCATION lfi al 's Print PROPERTY OWNER Print MAP NO.:-- Q�LPARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT Y TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential , D New Building COne family D Addition L7 Two or more family ❑Industrial AAlteration No. of units: D Repair,replacement C_€Assessory Bldg D Commercial 171 Demolition D Moving relocation D Other IJ Others: D Foundation onl DESCRIPTION OF WORK TO BE PREFORMED Cs Go (� Identification Please Type or Print Clearly) OWNER: Name: r a Va n bz Phone: o Address: `4-(n t %i o f 0 o t s Lt CONTRACTOR Name: r Phone: d u Address: -In ► K ? Supervisor's Construction License: C s -0� g 0 Exp. Date: 2 1 e Home Improvement License: 1 cp 3o!Ej l _ Exp. Date: s` it I i a: ARCHITECT/ENGINEER l +rye r4 Name: Phone:_ !, 4j7 • cd o Ly• t cr a 1 _ Address: ii (9arls4lnrvngc ((iru ukinc nn,t-r _Reg. No. '-t � u1 FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST B ED N$125.00 PER S.F. Total Project Cost :$ L4 i .,n)o x12.00=FEE:$ r Check No.: Receipt No.: Page lof4 Town of Andover 0 _W1 O LAME h ver, Mass, 04 2 � COC HIC M[W.[.[ U BOARD OF HEALTH Food/Kitchen LD Septic System THIS CERTIFIES THAT ...... .�.. �PERMIT.1 ................. . ...................... ..,., . BUILDING INSPECTOR .. .... ... . '..� ....._. Foundation has permission to erect .......................... buildings on ....... .. .... .. ........ .�toGi.. .. Rough 4a to be occupied as .... .... .. ..... ....................................... ..t .../ 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 IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST ON Rough Service . ...... ...... Final BUILDING INSPECTOR GAS INSPECTOR Qccu ani Permit Required t® Occupy Ruildin Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. t%oRY# _.Town of : _ n. over No. + _ 6-74- 26ij _ Mass, ver, ass, z„K. `Q coc"Knewsc. 1 AQ ��ti Rama U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ....., BUILDING INSPECTOR has permission to erect ......................... buildings on ...., ...�...�, Q.� /," ,�,4 Foundation �. � Rough to be occupied as ... .. .. ........................................ . .t 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 Noah Andover, PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES I 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST ON Rough Service .. . .... . ....... ....... """' Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildine Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. E AH Structural COnsulting 11 ponvbi,00k Lane i� Lexirigton, HA 02421 FA4-1 Oc,)Nr'rrri_'riwc Elaine �u"EAH hhuCtL11 al,COM July 15, 2016 To: Sunbug Solar 411A Highland Ave Somerville, MA 02144 Subject: Structural Certification for Installation of Solar Panels Dube Residence 76 Boston Hill Road North Andover,MA.01845 To Whom It May Concern, A design check for the subject residence was done on the existing roofing and framing systems for the installation of solar panels over the roof. From a field inspection of the property,the existing roof support structures were observed by the client's auditors as follows: The roof structure of(MP1and MP2)consists of composition shingle on roof plywood that is supported by nominal 2x8 rafters @ 16"o.c.,paired with nominal 2x8 ceiling joists @ 16"o.c..The rafters have a max projected horizontal span of 12'-0",with a slope of 20 degrees.The rafters are connected at the ridge to a continuous 2x10 ridge board and are supported at the eave by a load bearing wall The existing roof framing system of(MP1and MP2)is judged to be adequate to withstand the loading imposed by the installation of the solar panels. No reinforcement is necessary. The spacing of the solar standoffs should be kept at 48"o.c.. I further certify that all applicable loads required by the codes and design criteria listed below were applied to the AEE SnapNRack solar rail system and analyzed. Furthermore,the installation crews have been thoroughly trained to install the solar panels based on the specific roof installation instructions developed by AEE SnapNRack for the racking system and AEE for the roof connections. Finally,I accept the certifications indicated by the solar panel manufacturer for the ability of the panels to withstand high wind and snow loads. Design Criteria: • Applicable Codes=Massachusetts Residential Code,8th Edition,ASCE 7-05,and 2005 NDS • Roof Dead Load=9 psf(MP1and MP2) • Roof Live Load=20 psf • Wind Speed=100 mph,Exposure B • Ground Snow Load=50 psf - Roof Snow Load=35 psf Please contact me with any further questions or concerns regarding this project. Sincerely, �k��ttl or 4 LLAINC A. � IMANG (.IVIG. Elaine Huang,P.E. ref" 40021) Project Engineer C .` wS''NA,G�tc> _ -.7q Dube Residence, North Andover 1 ETH Structural Consulting !1, Pow ibrook Lane 1fff PH(ME 1,978,406,8921 rAt-4 Cc:� .rfmi,"wiwi CB �irFkI��Lat.�dl�ao l.r,. we�r Gravity Loading Roof Snow Load Calculations p9=Ground Snow Load= 50 psf pf=0.7 C,Cf I p9 (ASCE7-Eq 7-1) CQ=Exposure Factor= 1 (ASCE7-Table 7-2) Ct=Thermal Factor= 1 (ASCE7-Table 7-3) 1=Importance Factor= 1 pf=Flat Roof Snow Load= 35.0 psf ps=CSpf (ASCE7-Eq 7-2) Cs=Slope Factor= 1 p,=Sloped Roof Snow Load= 35.0 psf PV Dead Load=4 psf(Per Sunbug Solar) Roof Dead Load(MP1and MP21 Composition Shingle 4.00 Roof Plywood 2.00 2x8 Rafters @ 16"o.c. 2.27 Vaulted Ceiling 0.00 (Ceiling Not Vaulted) Miscellaneous 0.73 Total Roof DL(MP1and MP2) 9.0 psf DL Adjusted to 20 Degree Slope 9.6 psf Dube Residence, North Andover 2 EAH Structural ConsUlting r a�� currasna�..K.irri4 ElaineFa HStRid-U ai,rorn Wind Calulations Per ASCE 7-45 Components and Cladding Input Variables Wina Speea 100 mph Exposure Category B Roof Shape Gable/Hip Roof Slope 20 degrees Mean Roof Height 20 ft Building Least Width 40 ft Effective Wind Area 17.5 ft Design Wind Pressure Calculations Wind Pressure P=qh*(G*Cp) qh=0,00256*Kz*Kzt*Kd*V^2*I (Eq_6-15) Kz(Exposure Coefficient)= 0,7 (Table 6-3) Kzt(topographic factor)= 1 (Fig.6-4) Kd(Wind Directionality Factor)= 0,85 (Table 6-4) V(Design Wind Speed)= 100 mph I Importance Factor= 1 (Table 6-1) qh= 15.23 Standoff Uplift Calculations Zone 1 Zone 2 Zone 3 Positive GCp= -0,85 -1.45 -2.30 0.40 (Fig.6-11) Uplift Pressure= -12.95 psf -22,09 psf -35.03 psf 10,0 psf (Minimum) X Standoff Spacing= 4,00 4.00 4.00 Y Standoff Spacing= 2.75 2.75 2,75 Tributary Area= 11.00 11.00 11.00 Footing Uplift= -142 Ib -243 Ib -385 Ib Standoff Uplift Check Maximum Design Uplift=-385 lb Standoff Uplift Capacity =400 Vb 400 lb capacity>385 Ib demand"T'heref'ore,OK Fastener Capacity Check Fastener= 1 -5/16"[iia Lag Number of Fasteners= 1 Embedment Depth= 2.5 Pullout Capacity Per Inch= 250 Ib Fastener Capacity= 625 Ib w/F,S.of 1.5= 417 Ib 417 Ib capacity>385 Ib demand 'Therefore,GK Dube Residence, Borth Andover 3 EAH Struictural Censuiting 11 Pon bcc'ok Lane �i Lexington, HA 02421 P H 0 N E 1 u;'' 106,892)1 CAH r:'cCBt"Jfim.T"INS F&��iia :�, h1 lnu"9u�P��l•.�:c�n�7 Framing Check (MP1and MP2) PASS w=65 plf Dead Load 9.6 psf N .�.a.,............_ ... -"`. w.,. ... PV Load 4.0 psf Snow Load 35.0 psf 2x8 Rafters @ 16"o,c. .....,,.._..._-__.__ ._._.....---------_....._.._._w...._....._.. Governing Load Combo=DL+SL Member Span=12'-0" Total Load 48.6 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)= f'b 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 = 1165.86 ft# = 13990.3 in# Actual Bending Stress=(Maximum Moment)/S = 1064.7 psi Allowed>Actual—763%Stressed -- Therefore,CK Check Deflection Allowed Deflection(Total Load) = L/180 (E=1400000 psi Per NDS) = 0.8 in Deflection Criteria Based on _ Slrpl e Span Actual Deflection(Total Load) _ (5*w*L^4)/(384*E*I) = 0.454 in = 1-/318 > L1180 Therefore OK Allowed Deflection(Live Load) = L1240 0.6 in Actual Deflection(Live Load) _ (5*w*L^4)/(384*E*I) 0.327 in 1-/441 > U240 Therefore GK 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 = 389 lb Allowed>Actual.M 26.5%Stressed -- 'Therefore,C Dube Residence, North Andover 4 DocuSign Envelope ID:36E6B30A-DO60.4CB3-9023-lAB5FE58EAE3 TURNKEY INSTALLATION AGREEMENT."No,u In S;c) ��,r` ----------- THIS AGREEMENT,dated 6/2/2016 (the"Effective Date")is entered into between Kevin Dube C'(7lyik ')and SunBug Solar,LLC("Installer")whose physical address is 11658 Mass Ave.Arlington MA 02476 and HIC License number is 163091, for the installation and/or improvement of a solar system at the Owner's premises located at 76 Boston Hill Rd North Andover,MA 01845(the"Premises"),all as more specifically described below(the"Project"). I THE WORK. Installer has previously submitted and Owner has approved the Proposal for the Project(the"PtVosjal"). By way of summary only,Installer's Scope of Work consists of the following elements as indicated: Materials Procurement Permitting Completion of Incentive Paperwork Turnkey Installation Electrical Interconnection Support Owner Operation Training Caslomer is responsibleforproviding hilemeleolmerlimfir online monilmhlg selvires 2. CONTRACT DOCUMENTS. This Turnkey Installation Agreement together with the Terins & Conditions set forth below(the"Terms and—C-onditions"),any change orders executed by the parties("Change Carders")and the Proposal(cacti of which are incorporated herein by reference and may be referred to as the"Contract Documents") comprise the entire agreement of the parties and may be referred to as"this Agreement." 3. CONTRACT SUM,RAYMKN� T�S,REBATES. � __---------- a. The cost of the Project,including all materials,labor and Installer's fees (described as the gross price in the Proposal) is $41,500 dollars('Guaranteed Maximurn Price"). The Guaranteed Maximum Price is a fixed price,not an estimate,and can only be changed by the parties executing and delivering a Change Order(see Section 10 of the Terms&Conditions for more information on Change Orders), However, the cost of the Project may be affected by unanticipated regulatory requirements(a_such as wetlands studies)and unforeseen conditions occasionally discovered after Installer's engineering analysis Ceig., structural reinforcement or roof repair). If this is the case, a Change Order reflecting a new Guarantee(] Maximurn Price will be required in order for the Project to continue. b.Owner will make payments to Installer in accordance with the following,schedule: Payment Terms Breakdown Amounts Down payment $1,0()0 $1,000.00 50%clue on order of materials 50% $20,750,00 40%due on construction completion 40% $16,600.00 Balance due on Utility interconnnection Balance $3,150.00 rotal $41,500,00 c. During construction,Installer may bill Owner partial progress payments for construction work when some work is scheduled to be done before or after our primary construction mobilization we may bill a portion of the construction payment for that work;rough-in electrical work,critter guard,etc.) d.Installer shall apply,on behalf of Owner,for applicable rebates including any rebates as offered by Owner's utility service. Unless otherwise noted below,any rebates shall be payable directly to Owner subject to utility or other third-party approval. Owner acknowledges that rebates payable to Installer have reduced the contract sum payable to Installer by Owner. 0 Rebates will be paid directly to Installer(Cherk-oiUl if rebates to installer). c.If requested by Owner, Installer shall submit a Massachusetts Department of Energy Resources (DOER) and Massachusetts Clear)Energy Center(MassCEC)Mass Solar Loan Technical Application.In that case,this Agreement and subsequent work is contingent on Program Loan approval(the"CEC Loan Approvals"). f. Installer shall secure all necessary construction related permits,other permits and/or governmental licenses and inspections necessary for the completion of the Project. Unless otherwise noted,fees associated with acquiring such permits,licenses and inspections will be borne by Installer; owners who secure their own construction-related permits or deal with unregistered contractors shall be exclude(]from access to the Guarantee Fund. 4. NOTICE-_QF RIGHT TO CANCEL. Owner may cancel this Agreement and the transactions contemplated hereby with no liability at any time prior to midnight on the third business day following the Effective Date. 5. CONFLICTS. In the event of a conflict bmveen this Turnkey Installation Agreement and any Conti-act Document or bctwccn�hc'ferms.and Conditions and any other Contract Document,this Turnkey Installation Agreement and the Terms and Conditions,respectively,shall govern. DO NOT SK'11N THIS CONTRACT'IFTHERE ARE ANY BLANK SPACES Page 1 of 6— SUNBUG SOLAR,LLC C)2015 INSTALLATION AGREEMENT DocuSign Envelope ID:36E6B30A-DO60.4CB3-9023-IAB5FE58EAE3 Entered into as of the Effective Date: NAMigned by: Duftned by: SUNBUG SOLAR,LLC �signaturcj �--FDDB139413CE7432 E40C Kevin Dube Jennifer L Dube By:-__ By:Ben Mayer,Residential Sales Manager Date: 6/2/2016 Solar Consultant Chris Miller Page 2 of 6— SUNBUG SOLAR,LLC C)2015 INSTALLATION AGREEMENT DocuSign Envelope ID:36E6B30A-D060-4CB3-9023-1ABSFE58EAE3 a. Unless otherwise specified in this Agreement, Installer shall secure all necessary permits, any applicable rebate applications, other governmental licenses and inspections necessary for the completion of the Project. Unless otherwise specified in this Agreement,fees associated with acquiring such permits,licenses and inspections will be borne by Installer. b. Owner shall furnish at Owner's expense,all of the following as deemed necessary by the Installer: (i) Legal descriptions (including legal limitations such as easements, rights of way, codes, covenants, conditions,restrictions,design guidelines),surveys and utility locations for the Premises;and (ii) Any required engineering plans,drawings,calculations,or specifications (the"Additional flans") (i)in order to obtain any required non-ministerial permits or inspections,or(ii)in order to adequately secure the Premises and provide reasonable safety precautions. Owner acknowledges that some municipalities, utilities or other necessary permitting parties may require specific engineering studies or inspections in addition to those customary required or already obtained by Owner c. Installer shall give all notices and comply with all laws,ordinances,rules,regulations,and lawful orders of any public authority applicable to the performance of the Work,and shall promptly notify Owner if it has a reasonable hasis to conclude that the designs,plans or Additional Plans are at variance therewith. d. Installer shall be responsible for all safety precautions in connection with the Work. Installer shall take all legally required and commercially reasonable safety precautions at the Premises. C. Installer and all subcontractors shall be registered as home improvement contractors and any inquiries relating to a registration should be directed to:Office of Consumer Affairs and Business Regulation Ten Park Plaza,Suite 5170 Boston,MA 02116 Phone:(617)973-8700 4. INSURANCE. Installers liability insurance shall be purchased and maintained by the Installer to cover claims under workers'compensation acts and other employee benefit acts,claims for damage because of bodily injury,including death,and from claims for property damage to the Premises which may arise out of or result from Installers operations under this Agreement,whether such operations he by itself or by any subcontractor or anyone directly or indirectly employed by any of them.This insurance shall he written for not less than the minimums required by the state where the Project is located under applicable law and state rebate programs.Certificates of such insurance shall be filed with Owner prior to the commencement of the Work at Owner(s)' request. Owner shall maintain liability insurance (either as separate policy or included in a homeowners or excess liability policy)sufficient to meet to Owner indemnity obligations under Section 8 below. 5. SUBCONTRACTORS. Owner acknowledges that portions of the Work may be allocated to Subcontractors. Installer shall not employ any subcontractor to whom the Owner may have a reasonable objection. Installer shall not be required to contract with anyone to whom it has a reasonable objection.The Guaranteed Maximum Price includes the cost of a qualified electrician for electrical interconnection to the utility. Unless specifically noted in the Proposal, additional costs for any required electrical upgrades or improvements to the site's electrical service and components shall be the responsibility of Owner and are not included in the Guaranteed Maximum Price, 6. SITE CONDITIONS. Owner has no knowledge of any pre-existing toxic materials,hazardous substances,or defective or dangerous conditions,structural or otherwise which may pose a health or injury risk to Installer or Installer's employees or agents. In the event that Installer observes hazardous site conditions,Installer will notify Owner promptly and Owner and Installer will, if feasible, execute a Change Order for the remediation of such conditions. Such hazardous conditions will postpone the Completion Date by the amount of days required to complete rcmediation.The Guaranteed Maximum Price includes the cost of basic site preparation,but does not include the cost of any remedial site preparation as contemplated in this Section.The cost of such remedial site prepatation shall be the responsibility of Owner. 7. INCENTIVE APPLICATIONS. Unless otherwise set forth in this Agreement,Installer shall apply for available incentives on behalf of Owner.Owner will assist Installer in such application process and warrants that all Owner information provided therein (including financial information,home value information and other personal information) shall be true,correct and complete as of the date of the application,Owner agrees that Installer will be listed as the primary installer/contractor on any application and be credited as the installer of record on all public documents and correspondence concerning the Project. Owner hereby acknowledges that Installer makes no warranty or guarantee of the availability of all,or any part of,any federal, state,local or utility incentives,tax credits or deductions. Owner is ewomaged to emuelt with a tax advisor as to the availability of tax credits mitli rasped to the Plvject. $. INDEMNITY. a. To the fullest extent permitted by law,Owner shall indemnity,hold harmless and reimburse Installer,its agents and employees from and against all claims, damages, losses and expenses (including, but not limited to reasonable attorney's fees) arising out of or resulting from any death, bodily injury or illness or destruction to property, including any resulting loss of use thereof(i)due to a breach of Owner's warranty contained in the first sentence of Page 4 of 6-- SUNBUG SOLAR,LLC©2015 INSTALLATION AGREEMENT DocuSign Envelope ID:36E6B30A-D060-4CB3-9023-1AB5FE56EAE3 Section 6 above or(ii)to the extent resulting from the negligence or misconduct of Owner or its invitees or agents (other than Installer and its subcontractors).Owner's indemnification obligations herein are conditioned upon the following:(a)it is promptly notified in writing;provided,that the indemnified party's failure to promptly notify shall not relieve the indemnifying party of its obligations hereunder to the extent the indemnifying party is not actually prejudiced,(b) Owner is allowed to exercise sole control over the defense of any claim and all related settlement negotiations(with counsel reasonably acceptable to the indemnified patty);and (c) the indemnified party provides Owner,at Owner's expense,all reasonably necessary assistance,information,and authority to perform the above. The indemnified party shall have the right to participate in its defense with counsel of its own choosing at the indemnified party's sole cost and expense. b. The foregoing notwithstanding, Owner will not make any offers of settlement nor enter into any settlement agreements without the written consent of the indemnified party,which consent will not be unreasonably withheld or delayed. 9. LIMITATIONS ON DAMAGES AND LIABILITY. Except in connection with Owner's obligations under Section 8, neither Owner nor Installer shall be liable to the other for any indirect,punitive,special,incidental or consequential damages, regardless of the form of action,whether in contract, tort,strict liability or otherwise,even if such party could have been aware of the possibility of such damages.Installer's aggregate liability for all claims arising under this Agreement or otherwise shall not exceed the gross amount paid or owed to Installer hereunder. This waiver shall survive any termination of this Agreement. 10. CHANGE IN THE WORK. Owner,without invalidating this Agreement,may seek changes in the Project consisting of additions, deletions, or modifications. In addition, changes in the Project may be necessitated by permitting or regulatory requirements.All such changes in the Project shall be authorized by a written Change Order signed by Owner and Installer. Installer will advise Owner of the cost of a proposed Change Order,and,if executed,the Guaranteed Maximum Price or price per watt will be adjusted accordingly.All Change Orders will include revision of the Completion Date. 11. TERMINATION. a. If a Change Order is necessary to complete the work,either party has the option to terminate the agreement. b. Either party may terminate this Agreement by a written notice(a"Default Notice")if the other party commits any material breach of this Agreement;provided,that if such breach is capable of cure,such party shall have seven(7) days following its receipt of a Default Notice(the"Cure Period")to cure such breach to the non-breaching party's reasonable satisfaction.If such breach is not cured prior to the expiration of the Cure Period,the non-breaching party may terminate this Agreement immediately by written notice. By way of example only,material breaches include the following: (a)Owner fails to make a payment when due(in which event Installer may,in its discretion, also suspend work until payment is made);(b)Owner fails to promptly execute a Change Order necessitated by a revision in the Minimum Technical Requirements of a permitting body or regulator; (c) Installer persistently or repeatedly refuses or fails to supply enough properly skilled workers or proper materials;(d) Installer fails to make payment to subcontractors for materials or labor in accordance with the respective agreements between the Installer and subcontractors; and (c) Installer persistently disregards laws, ordinances, or rules, regulations or orders of a public authority having jurisdiction. C. If the CEC Loan Approvals are not obtained,this Agreement shall automatically terminate unless Owner provides Installer with prompt written notice that it wishes to proceed with the Project. d. Either Owner or Installer may terminate this Agreement upon fifteen(15)days prior written notice,if the parties are unable to promptly agree on the terms of a Change Order reasonably necessary for the completion of the Project(ep.,changes due to regulatory requirements or hazardous conditions). C. If this Agreement is terminated for any reason,Owner shall pay Installer for all work completed and materials used through the date of termination. f. Notwithstanding anything to the contrary set forth herein,Sections 2,the first sentence of Section 6, 8, 9,11(4), 11(e),12,13 and 14 of this Agreement and any remedies for the bteach thereof,shall survive the termination of this Agreement under the terms hereof. 'Termination of this Agreement shall not relieve or release either party from any rights,liabilities or obligations which it or she has accrued prior the effective date of such termination. 12. CHOICE OF LAW. This Agreement shall be governed by the internal laws of the Commonwealth of Massachusetts without regard to principles of conflicts of laws. Disputes arising hereunder shall be adjudicated solely and exclusively in Boston, Massachusetts. 13. PROMOTIONAL USE OF PROJECT. Installer may use the description and images of the Project along with any supplied recommendations or testimony of Owner for promotional purposes. (Ifproruatioun/couieut uotgrnuted,or if om mer requires individual prior written comew,ebeck bete:©) Page 5 of 6— SUNBUG SOLAR,LLC 0 2015 INSTALLATION AGREHMI;NT DocuSign Envelope ID:36E6B30A-D060-4CB3-3023-1AB5FE58EAE3 14. GENRRAL PROVISIONS. This Agreement set forth the entire agreement and understanding between Owner and installer relating to the subject matter hereof, and merges all prior discussions between them. If any one or more of the provisions in this Agreement are deemed void by law,then the remaining provisions will continuc in full force and effect. No waiver by either party of any term or condition of this Agreement,whether by conduct or otherwise,in any one or more instance,shall be deemed a continuing waiver of any such term or condition,or a waiver of any other term or condition of this Agreement. Headings set forth in this Agreement are solely for the convenience of the parties and have no legal effect. The singular shall include the plural,and the masculine gender shall include the feminine and neuter,and vice versa,unless the context otherwise requires.This Agreement may be executed and delivered either originally or by facsimile transmission,and in one or more counterparts,each of which shall be deemed an original and all of which taken together shall constitute one and the same instrument. This Agreement shall be(i) binding upon,and will inure to the benefit of, the parties and their permitted respective successors and assigns and (ii)construed without presumption of any rule requiring construction to be made against the party causing it to be drafted. Page 6 of 6— SUNBUG SOLAR,LLC 0 2015 INSTALLATION AGREEMENT PVWire in exposed locations 1 N -�J r �N `a U)a Q ti 12 DC Wires in EMT E inside building U) v Solar array composed of 40 LG NeON Mono 300 waft panels �° Wired in 2 series string of 12 panels and 1 string of 16 panels >'u o Panels installed with SolarEdge P320 OptimizersY=< Module frames grounded to main panel ground or ground rod. �;_ —700 0o0 To utility grid o o m Zo< SolarEdge SE10000A-US I Output 10000 Watt,240V,42 Amps " UL#1741 ungrounded °;i With Revenue Grade Metering L1 V51 Lockable 3R 2-pole E Utility NET o <1 s DC Disconnecti -Black Inverter ! 60A Fused =, Meter 1 ail I Ungrounded i UHII AC Disconnect i ;j ' F Inverter Integrated '= Suitable for use as Pos Disconnected {3}AWG#6 THWN-2 Service Equipment ' Neg Disconnected (1)AWG#8 GND In Open position +Redin 3/4" EMT N Notes: Service Panel (D 1)All equipment to be listed or Solar 2QQA 240V AC labeled for its application Production f I 200A Rated 2}installation to be compliant with Meter I ,tune 2,2016 National Electric Code Panel Not to scale 3}Equipment labels to comply Utility Lockable II with NEC 690 3R 2-pole 4}Point of connection to existing power External I distributions stem shall be coordinated Y AC Disconnect V 1 with local utility company i ,�. �� �� z�� 3 ���. ��h# `'' ,;�,>. ��._ �� ����_ �.��.� ,��,� �. `� {; ., �_ � . LG Life's Good Iii LG Ne( ck NEE= LG's new module,NeON Tm 2 Black,adopts Cello technology. Cello technology replaces 3 busbars with 12 thin wires APPROVED PRODUCT to enhance power output and reliability.NeCN111 2 Black '%\ 60 cell demonstrates LG's efforts to increase customer's values C Go s w beyond efficiency.It features enhanced warranty,durability, Intertek 57BSEN61215 performance under real environment,and aesthetic design KM 564PhM3_IWc M.W. suitable for roofs. kL Enhanced Performance Warranty High Power Output LG NeCN11 2 has an enhanced performance warranty. Compared with previous models,the LG NeON T'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 NeCIN114 modules, Aesthetic Roof Outstanding Durability LG NeONIm 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 the warranty of the NeONIm 2 for an additional 2 years. product may increase the value of a property with its Additionally,LG NeON'm 2 can endure a front load up to modern design. 6000 Pa,and a rear toad up to 5400 Pa. atop Better Performance on a Sunny Day Double-Sided Ceti Structure LG NeONIm 2 now performs better on sunny days thanks The rear of the cell used in LG NeON T"2 will contribute to to its improved temperature coefficiericy. 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 LG Electronics Is a global player who has been committed to expanding its capacity,based on solar energy business as its future growth engine.We embarked on a solar energy source research program in 1985,supported by W Group's rich experience in semi-conductor,LCD,chemistry,and materials industry.We successfully released the first Mono XO series to the market in 2010,which Were,exported to 32 countries in the following 2 years,thereafter.In 2013,NeON"(previously known as Mono XO NeON)won"Intersolar Award",which proved LG is the leader of innovation in the industry. LG NeON'2 Black ME= Mechanical Properties Electrical Properties(STIC Cells 6x10 300 W ............. —------ Cell Vendor MPP Voltage(Vmpp) 32,5 ........... CeU Type Monocrystalline N-type MPP Current(Impp) 9.26 Cell Dimensions 156.75 x 156.75 mm/6 x 6 inch Open Circuit Voltage(Voc) 39.7 #of Busbar 12(Multi Wire Busbar) Short Circuit Current(Isc) 9.70 Dimensions(L x W x H) 1640 x 1000 x 40 mm Modute Efficiency 18.3 64.57 x 39.37 x 11,57 inch Operating Temperature(*C) -40-+90 ---- ------- Front Load6000 Pa/125 psf Maximum System Voltage(V-- 1000 ............ —- ---- RearLoad 5400 Pa/113 psf Maximum Series Fuse Rating(A) 20 ............... —----- Weight 17.0-.t 0.5 kg/37.48±1.1 lbs Power Tolerance(%) 0-+3 Connector Type MC4,MC4 Compatible,IP67 STC(StandardTiest Condjtmn):Irradjamce I000W/m',Module Temperature 25*C.,AM 1.5 Junction Box IP67 with 3 Bypass Diodes :The romeplateposseroutia"t is measured and determined by LG Electronics at its sole and absolute dl—etbri. The typlml change In module efficiency at 200 Winn'in relation to 1000 W/ml Is-3,0%, Length of Cable's-—------- 2 x 1000 mm/2 x 39.37 inch Glass Hi hTransmissionTernperedGlass Frame Anodized Aluminum Electricai Properties(NOCT*) 300 W Certifications and Warranty Maximum Power(Pmpp) 218 .......... MPP Voltage(Vmpp) 295 Certifications(in Progress) IEC 61215,IEC 61730-11-Z UL 1703, ........... —--------- MPP Current(Impp) 7.38 ISO 910.0 1,IEC 62716(Ammonia Test), Open Circuit Vottage(Voc) 36.5 IEC 61701(Salt Mist Corrosion Test) ..........-- .-- Short Circuit Current(Isc) 7.83 Module Fire Performance Type 2(UL 1703) NOCT(Nominal Operathig(r.IITempe mtum)Amadbnrc 800 W/m2,ambient temperature 20"C,wind speed I /s ............. 'Product Warranty 12 years Output warranty of Pmax Linear warranty* Dimensions(ritirri/in) (measurement Tolerance±3%) 1 1)1 st year.98%,2)After 2nd year.0.6%p annual degradation,3)03.6%for 25 years Temperature Coefficients — NO----------- Pmpp -o3B%/'C CT 46±3 IC Voc -0.28 YWC 'aY ---------- Isc 0L02%/C Characteristic Curves .. ........ YIRxYW am ................................ .......... 800 600------------- aW 40OW 2,00 20OW —........... W-s-01) a Do son 1000 1500 20.00 2500 30,00 3500 40M 4500 W 60 40 20 OT, o —1 40 -25 a 25 50 75 so -Thu,di,ta—berweemthe onter.fthemo-Ong/groundfinghles. North America Solar Business Team Product specifications are subject to change without notice, LG I.G Electronics USA Inc DS-N2-60-K-G-F-EN-504 27 Life's Good 1000 Sylvan Ave,Englewood Cliffs,NJ 07632 Copyright Q 2015 LG Electronics.All rights reserved. lfromwation I'm a Better Lift Contact:Ig,solar@lge.corn 01/04/2015 www.gsolarusa.com [oil a,, tl The SnapNrack line of solar mounting systems is designed to reduce total installation costs. The system features technical innovations proven on more than 100 W of solar projects to simplify installation and reduce costs. Itched Roof Arrays Simplified The SnapNrack Series 100 Roof Mount System is an efficient,visually appealing, photovoltaic (PV) module Y installation system. Series 100 was developed in the field by a team of veteran solar engineers and installers. Their goal was to ensure a quick, efficient installation. Series 100 has been tested on megawatts of real-world Roof System In 4 SimpleSteps:' residential and commercial installations. Industry leading installation times are achieved with unique 1) Identify Site Conditions (Array Tilt, Building Snap-in fasteners and fully adjustable components that Height, Roof Type, Wind and Snow Loads) make installation of roof mounted solar arrays easy 2) Determine Footing Span frorxr Engineering while achieving lower installation costs. Tables(download at www.snapnrack.com) • Up to 3" of height adjustability at roof connection 3) Choose color(Clear or Black)and roof • Waterproof full-metal flashing at each roof penetration attachment type 4) Place Order with your distributor. Purchase • Warks on virtually all composition and file roofs material for a single project or order in bulk • Single wrench size for all system hardware for additional savings - Rail &Module Clamps • Configures easily as low profile or tilt(0-60 Degrees) - Roof Attachments • Rail channels provide excellent wire management -Array Accessories Patent Pending Snap rack- oil lilllilz it w ylkl I Simple ItlV l i,l I �'�il�l�r5 Il�iipll�i'I�Ihllrrd u(li r Quick assembly and clean aesthetic finish • One wrench fits every bolt in the system Low profile installation on any roof Adaptable • Compatible with virtually all 60 and 72 cell modules • Unique"snap-in" channel nuts can be installed anywhere on the rail • Rail channels provide improved wire management Strong � • Excellent seismic, wind,and snow-loading protection r • Vertical and horizontal adjustments ensure superior fit � � • i '� • Rain-tight metal flashing ensures waterproofing Innovative Universal End Clamps • One size fits any standard L frame module • Clean look- nothing extends beyond module frames • Less waste- rail lengths match most modules ...........'o Materials • 6000 Series aluminum • Stainless steel • Galvanized steel Material Finish •Clear and black anodized aluminum Installation •Quick and efficient mounting •adjustable hardware to ensure clean and level finish •Worry-free waterproof flashing Calcs. &Certifications • Wind speeds up to 150 MPH and snow loads to 120 PSF Grounding • Washer, Electrical Equipment Bond (WEEK) or lay-In lugs Warranty • 10 Year material and worksmanship (download full details at snapnrack.com) Snap rack (877) 732-2860 www.SnapNrack.com 0 Printed on recycled paper using soy based inks. ()2012 by SnapNrack PV Mounting System.All rights reserved. s,oft I a r SolarEdge SingleInverters For Forth America SE3OOOA-US/ SE38OOA-US/ SE5OOOA-US/ SE6OODA-US / SE76OOA-US/ SE1OOOOA-US/ SE114OOA-US /;;/ ori r ,i� �;1r/%/��, ����%/i//G,✓///i�,ii�i/Oii�/i%�!! //���ii //i/ r ///ii//�/ / /�iir�%i; r✓ r/ii ov /ii/i%/��� �/ w �j riii�///rid/rill%i//'///ii/i/i,� 111/1011// j �;,ri/ G r lyr / i 0 The best choice for SolarEdge enabled systems Integrated arc fault protection(Type 1)for NEC 2011590,11 compliance 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-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS ISRAEL wwws laced ge US I solar Single Phase Inverters far North America SE3000A-US SE380OA-US/SE500OA-US/SE6000A-US SE760OA-US SE1 OOOOA-US/SE1140OA-US --- ------------- --- SE _760 RA-US SE10000A-US SE1140OA-UST ---------- E OUTPUT Nominal AC Power Output 3000 3800 5000 6000 7600 9980 @ 208V 11400 VA ..... ..... ..... 100 0 .................... ................ . ........... ........... .......... ..... . .......I ..1.1 q �49Y P . .................. ......... Max.AC Power Output 3300 4150 5400 @ 209V 6000 8350 10800 @ 208V 12000 VA ......... ....... ......... ........ . ............... .... ..10WOMY. .................. ......... AC Output Voltage Min:Nom,-Max.ti) 183 208-229 Vac AC OutputVoltage ........ ✓ ✓ -.24.0.-.2.6.4.Va c................ ............. ... ..... ........... ......... ....... ....... .......... ......... AC Frequency Min.-Nom.-Max.0) 59.3-60-60.5(with HI countr -60-60.9. H, ................... .... .. 24 @ 208V Y setting 57 ... ......... Max,Continuous Output Current 12'.5...... i.6 .......25....... 47.5 A 21 42 ............. .......- ........ ............. .. e.?Apy.. ............. . ..... . ......Q.240V... ....., ........ .......... ...... ............... ........ ...................... ............ .... Utility LMonitoring,lslanding Protection,CqLuat Configurable Thresholds Yes Yes INPUT------------------- -- -------- ------------------ .... Maximum DC PowerSSTC) ........... ..... ....... ...... ......... .....10250 T 13500 15350..... .... Transformer-less,UngroundedYes ..................... ........—...... ......................... ................................. .................... Max,Input Vcalttlge Vdc .......................I......S90...... ...... ........... ........................... ... Nom.DC InputVolt� ... 325 @ 208V/350 @ 240V Vdc ...1.� *** .................. ......... Max.Input Current(') 9.5 1 3 1 18 23 ] X 34.5 .,.Adc..,. Max,Input.5..h.o.r.t Circuit uit C unren t 45 Adc .. ........ . ............. ...............11 .............. ...... .......... ........... Reverse-Polarity Protection .................... ............Y?s..�... ...... ......... ...... ............................ ......... u1!.Isolation DRtection....I. ....... 600kta Sensitivity MC .......Weighted EfficiencyencY9758920897.597. _j �)7@208v�- .......97.5 %1.....-.............................. 1.1-1......... ... P.MM.1.......... ..... .... .. ..... ............ ........... Nighttime Power Consumption L <2.5 ADDITIONALFEATURESSupported Communication Interfaces ------------ —-------- .......... .............RS485,,.RS.2,32.,.Ethernet,.ZigB.ee.(.op.t.io.nal)............ ....................... ..... Revenue Grade Data,ANSI 012.1 Optionalt', . ......... ......1...I.... ......... ............. ......................................... ........ ........_........... ......... Rapid Shutdown-NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed", ........ .. ....... . STANDARD COMPLIANCE Safety ., . .. .. . . ............I....... ...................... .......... Y�1741,UL16993,U.1998,CSA 22.2 ........ .. ..................... .................. ............ .... ..11,......I.. . ...... .............I...... ...... ..... �!idConnectonSt�pqkrqs ......... .......... ..............._........ ...... ........ ........... Emissions FCC part15 class B INSTALLATION SPECIFICATIONS AC output conduit size/AWG range 3/4"minimum/16-6 AWG 3/4"rninimurn/8-3 AWG.... ......... DC input conduit ... ........ ...... 3/4",'-minimum-/1-2 s-t-rin-g,s../,1 6-6 AWG G..................... . �3-/.4..".,minimum----�'..-/-1.2 strings lffq,l:qvaq...I....................... ............................... ..._.1.......... ........ ......... ....... . ....... ...M_6/iM........... . ..... 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/ 775 x 315 x 260 mm I.... .......... ....I.... .. ........... 51.2/23. 54.7/24.7 88.4/40.1 ....... .2 ...... ........... ...... ...... .. ............ . ... ... ................. . Natural convection Cooling Natural Convection and internal Fans(user replaceable) fan(user .. .................... ....... ....... ......... ........ ..................... .rm*VAb!O. ................. ..... Noise deA <25 ... ..........<.501........................ ... min'.-Max.Operating TemperatureRan ...............I,3*t,o,+14,0 *-2*5,t,o,+60,(-4,0to,+,60,version,, availableM) F PC 5. ........... ... .................................. ................................................ ................ .. Protection Rating NEMA 3R ...................... ........................................... ........... ........... ....... ......................... . ..... For other regional settings please contact SoarEdge support. A higher current source may be used;the inverter will limit its input current to the values stated. tsl Revenue grade inverter P/N:SExmxA-lL5000NNR2(for 760OW inverter:SE7600A-0SO021,11,110). Iq Rapid shutdown kit P/N:SE10DO-ASD-SI, Isl-40 version P/N:SEuxxA-1.6000NN1,14(for 76DOW lnverter:SE76D0AA1So02NN114). IN;: „�� OI`Oi(.c 1�1t"cla1si11nc1 Ali Y41 and11u�a1ttcw Ific: all�Itiirll SLIkO 170 Boston, M,assac:It1.lselts 021 16 I Itt177e IMI)r11w°cr171ott 011111,10M. f''�.c1,,Jstr.ation Iic�rlasfraMipn. 1 f,�44C7�h 1 1`Vpr L.V..C,. tnlar„irliem. 5/111201'7 Tr11 t0iaz',i32 SUN BUG S(:71..AP' L.L_C; CHENEY BRAND 41 1A HIGHLAND AVE. J 312 SOML..RVIL..LF— MA 02144 l-plate•Addre✓.w alld rrfurn i mtl.Mark rezoon I'm elmnf;r. Xddrrv* Iicar^+rn6 P;nrlti' mernl Cast Card 4Mir,,d(lsawrrnver'hair,�llakinu+ Hr{,uYsrlialn Llrfu,tiC rer re°tgielraffurr�aliel frrr'{uelididrel a*t,unlW '�,}4C9NIF'.IfvOi'ki(JVFMrPJ't”CONTRACTORImfol tilt,t,�prf of olv data, If I'nrrnd rellot lu: iIt1litc of(nnvnrtrr'Mflair :and I31lWines irputlatiun raf41'arkILrrrerile 5170 xrllxrllaf21 P..L6s Iinslr�n,Al w 021 It, %t4�J Gd a,.lEi`"�Y)1 S+fk V.tl,k,:J t fih NEIW MMM) 1t 4la l RIGHt ANID AVE S'f 312 _ jj�/P° 01,01 SOME f,V t I MP+r7z1144 I rtJrr+re.ee�rarw (f� �. t 1{iKl we illierul wign„rrur`a #i4.a 4, a5tw`7� 1a7k n H N Y C BRAN � 11 l"+ MRISO rM PLACE � 2 SOMEF(VILIF MA 02144 i The Commonwealth of.Massachusetts Department of Industrial Accidents _ 0 Office of Investigations 600 Washington Street Boston, MA 02111 jviviv.inass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Busitiess/Organization/individual): SunBua Solar Address: 41 1 A Highland Avenue, Suite 312 .......... City/State/Zip, Somerville, MA Phone #: 617-500-3936 Are on an employer? Check the appropriate-box: Type of project(required): I ♦ I am a employer with 10..... 1 _ .L_j 1 am a general contractor and 1 6. —New construction �j ... .... employees(full and/or part-time).* have hired the sub-contractors 2F11 am a sole proprietor or partner- listed on the attached sheet. f 7. Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. workers' comp. insurance. 9. Building addition [No workers' comp. insurance 5.[—]We are a corporation and its 10 Electrical repairs or additions required.] officers have exercised their 31_ II am a homeowner doing all work right of exemption per MGL 11 Plumbing repairs or additions myself. [No workers' comp, c. 152, §1(4),and we have no 12 Roof repairs insurance required.] employees. [No workers' 13 ther Solar Installation comp. insurance required.] *Any applicant that checks box 41 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an errrployer that is pr•oviditrl>workers'compensation insurance far my employees. Below is the policy acrd job site information. I- Insurance Company Name:.Liberty Mutual Insurance Group ........__............. Policy#or Self-ins.Lie.#: WC231 S381595-016 Expiration Date: 4.30.17 Job Site Address: 76 Boston Hill Rd City/State/Zip:_i- 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofl)etjuiy that the information provided above is true and correct Signature;--- Date:� j Is f 1 w Phone M 6 00-3936 Qjfrcial use only. Do not write iii this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ,yy DATE IMMM&YYYYI '► Y +� CERTIFICATE OF LIABILITY INSURANCE 0511=010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLIER. 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policyf 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). PROOUCER CONTACT NAME: ennie IUkas T. EDMUND GARRITY& CO., INC- P4CDNE (017)354-413415 No E-MAIL annie @gardty4nsurance.com 545 CONCORD AVENUE [NO URER S AFFORDING COVENWBE NAICI CAMBRIDGE GLIA 02135 INSURER A: LIBERTY MUTUAL FIRE INS CO 23435 INSURED INSURER B: SUNBUG SOLAR LLC INIURER c: INSURER 0: 411 A HIGHLAND AVE STE 312 INAURER E: SOMERVILLE MA 032144 INSURER IF: COVERAGES CERTIFICATE NUMBER: 51H3 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW RAVE 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. Nan ARPOLr�CY EFF poLN:Y EXP LIMITS ILTR TYPEOFUiSURANCE 60LAU D POLICY NUMBER MMICDfYYYY MMMWYYYY COMMERCaLOEtiERALLLABA.IFY EACH OCC-URRENICE S DLA,W—MACE ❑COCUR PRzUaE.1U1.M urmm0b' IAEO ExF f,Any ane pei5cn] S NPA PERaONAL S ADI'INJURY d BENL AGGREGATE LIMIY APFUEa PER: GENERAL AGBRFOATE a PDLIGY❑PRC- -1 LOC PROD4 rrS-COMPiOP A430 S JECT 5 OTHER: AUTOMOBILE LIABILITY Ebffi ident .8jNGLEif61IT S. ANY AUTO BODILY INJURY IFer ptistan) S ALR OWNED BCHEOLI-EGNPA pEy}.4iVNED BODILY NJURY fPer accident) 4 PROPEY DAMAGE HIRED IRED PeTRTS HAUTOS AUTO:: ACCIStnt, S UMEIRELLALIAS or-DUR EACH00C,01IRENCE S EXCESS LIAR HCLAIMOW.ADE NfA AGGREGATE b DED I I RETENTION ¢ WORKERS COMPENSATION PD,iE,hTU F17H- AND EMPLOYERS'LMLBILrTY iUVYPRC3'rLETORPh4TNERF.IC=C1iTlde YiN E.L.EAC:Hi4GCICENT b '�.4Q4.4(a'I A DFFICERWEraEREXCLOM? N?A N.iR N)A WC231S381695016 GQ3t3 019 114372417 tMendalaryEnNN) el.CASASE-EAEMPLOYEF S f.4Q4,0[5:f N)Yr,des.T.te Under DESDA,'P1I04OFOPERATi:ONabe'a+R E.L.0IEEAaE-POLICY LIMIT S '1,0Q0,4 MPA DESCRIPT®DN OF OPERAT10N&;LOCATIONS r VEHICLES IACORO 1 Dt.Addflional RanrarA.s ao"dum,may be attached N IL"oTD*Itaoe Ia renulmdl 'NoTkers'Compensation benefits vAll be paid to Massachusetts emWoyees only.Pursuant to Endorsement WC 20 43 IIB B,no authorization is given to pay CIa4ms for benefits to Employees In states other than Massachusetts If the Insured hires,Or has tired 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 an the above policy precedes the issue data of this o tfhoate Of insurance). The status of this coverage can be monitored daily by accessing ft Proof of Coverage-Coverage Verification Search teal at www.mass.gov;Iwdlworkers-CDmpensatiaMnvestigationsr. CERTIFICATE HOLDER CANCELLATION - - —'- -— _- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Commonwealth Of Massachusetts ACCORI}ANGEWITFiTHE POLICYPROVISiONS- BSO Washington Street AUTHUFLILED REPRESENTATIVE Boston MA 021t 1 Daniel M.Crawley,CPC LI,Vice Presiddent—Residual Market—WCRI13MA CD 1888-20`14 ACORD CORPORATION. All rights reserved. 3DRD 25 01} The ACORD name and logo are registered marks of ACORD 3 1 3