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Building Permit # 8/16/2016
BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ti Permit NO' Y— Date Received M — '$`SACH Date Issued IMPORTANT: Applicant must complete all items on this page Chi4g�4*0 N "Y 6-0(a ni TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family �'l Industrial Alteration No. of units: Commercial -,j Repair, replacement Assessory Bldg Others: Demolition Other 'WaterghW,Df Pop/ L ------- Identification Please Type or Print Clearly) OWNER: Name: 441,12,1 e&1118-7-d Phone: r" Address: N,/T//RA R/:",/Nz�M/ve'. pm x; 1�fl ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ Check No.: Receipt No.: �2199c� NOTE: Persons contrading with unregistered contractors do not have access to the guaranty fund Signature of AgQnY2Y Signature of contractor rer/&, Itor 41" FORTH Town of - fr. 6 ndover 0 ..v• `w 0 e fE No. f 1 Y h ver, Mass, 'Q CO[MfCNEwKK ti' S V BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System 1.-a _ ra. ' vii THIS CERTIFIES THAT BUILDING INSPECTOR has permission to erect .............e...... ....buildings,o....;.Y�+ ......... .....,..........,,., .,............... Foundation ... . ......,. .. . ..� .�. ,.. Rough to be occupied as .. • ...... Chimney provided that the person accepting this permit s all 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 ® ® MONTHS Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR- UNLESS NSPECTORU LESS CONST Rough owgFvice .... .......... ........ ' Final BUILD] ECTO GAS INSPECTOR ®ccUancV Permit Required to OccupV BuRough - 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. alert Town of North Andover Building Department— Inspectional Services 120 Main Street North Andover, MA 01845 RE: Oliveto Residence Solar Panel Installation 470 Stevens Street 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 470 Stevens Street, 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: 35 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 071335 978-794-1724 1 www.invaleorisolar.coni ^'iaMN� w valeon 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 5116" 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. 8111 Invaleon Technologies Corporation 26 Parkridge Rd, Suite 1 B, Haverhill, MA 01835 978-794-1724 1 www.invaleonsolar.com i�munrr�r(��kd valeon 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 :polar 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 toads 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 Tech logics Cor ' 5 mw " tir v��r rrrr�a � u � b�a Invaleon 'fechnologies Corporation 26 Parkridge ted, uite 113, Haverhill, ISA 01835 978.794-1724 1 www,invaloon olar.corri ......... ......... TYPICAL 1 THRU 15 (1) LG 315NiC-G4 (2) SOLAREDGE PROPOSED EQUIPMENT SPECIFICATIONS 315 WATT P320OPTOMIZER (i}SOLAR MODULES-LG 315N1C-04315 WATT MONO ]max 15A DC-STC Vmax 35V A Imp:9.50A Vmp:33.2V 19c:10.02A Voc 40.6V (3)SOLAREDGE SE10000A-US STRINGS OF 15 MODULES INVERTER (2)SOLAREOGE POWER OPTIMIZER STRINGS TYPICAL 1 THRU 15 OF 13.Imox:15A,Vmax:35V.UDIEEE LISTED 4 POWER EQUIPMENT (1) LG DC AC B (3)SOLAREDGE SE7600A-US INVERTER 315N1C-G4 (2) SOLAREDGE ]max:42 @240V 1 PHASE 60HZ 315 WATT P320 OPTOM[ZER INTEGRA'T'ED REVENUE GRADE METER (4)BOA 600V NEMA 3R OUTDOOR UN-FUSED MONO [max 15A UTILITY DISCONNECT Vmax 35V A RP3 (5)60A 600V NEMA 31NDOOR FUSED UTIUTY DISCONNECT WITH 60A FUSES (6)PONT OF INTERCONNECTION LINE-SIDE TAP INSIDE EXISTING 200A MAIN BREAKER B) SERVICEPANEL 5 (7)EXISTING 200A MAIN ELECTRIC SERVICE UM PANEL WITH 20DA MAIN BREAKER 240V SINGLE (7) PHASE (6} WIRE AND CONDUIT S0NG TO UTILITY ALL WIRES EXPOSED TO AIR SHALL BE PV-WIRE AWG#72!10.ALL OTHER CONDUCTORS SHALL BE COPPER THWN-2!THHN. (A)2 AWG#10 PV WIRES W1 AUG#0 GEC EXPOSED (B)3AWG#6 WIAVVG#6 GEC IN 314"EMT GENERAL NOTES 1. BOND THE COMBINED INVERTER DC 1 AC GROUND TERMINAL DIRECTLY TO THE MAIN SERVICE GROUND. 2. INVERTERS SHALL BE LISTED TO UL 1]EEE STANDARDS 3. ALL WORT(SHALL CONFORM TO NEC 690 LOCAL AUTHORITIES HAVING JURISDICTION AND CUSTOMER REQUIREMENTS 4. DISCONNECT SWITCHES SHALL HAVE NUMBER OF POLES REQUIRE TO DISCONNECT ALL CONDUCTORS PER NEC 690. 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 S. 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 10. INSULATION WILL MEET 2014 NEC MINIMUM REQUIREMENTS AND LOCAL CODE SPECIFICATIONS. 11. DC GROUND ELECTRODE BONDED TO AC GROUNDED ELECTRODE AS PER NEC 690-47. 7,AR�rN1� A. )j 1'OLKfh' t no.22282 0 1S7 EAG !3 7pIVAL E /T �� ergectnemr: NDTS `"' By:Tam Wu Cemmrms: 4dr�an lecnnai en rs:lr.� rm.s:einctric¢I ttm¢ l n4rok.�e9r dead.sura.to ailvelo a¢sido�r oeoerio6on:Ekclricnitline _ aleon fdrrrtlil,MA 07655 Onwing:1 + V Sme Add— Awl") rxwJmahonseisrwm 17054e¢¢neh Rrvkien:6 SG1d�TfChf7010C1�w^ 976t09A576 b[ Inrr17¢o01e¢Rmm¢FOM Arxlavel,MA 47645 hco:o7R Single Phase Inverters far North America Soa r sE300OA-US/SE380OA-US/SE500OA-US/SE600OA-US/ SE760OA-US/SE10000A-US/SF1140OA-US _._ SE3000A-US] SE380GA-US J,-'SE5000A-US I SE6000A-US j SE760OA-US I SE10000A-US SE11400A-US OUTPUT Nominal AC Power Output 3000 3800 5000 6000 7600 938U @ 208V 11460 VA Max.AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA s,45o024gv AC Output Voltage Min.-Nom.Max.i'r ✓ ✓ 183-208-229 Vac ... ................. ................ AC Output Voltage Min.-Nom,-Max.u) ✓ ✓ ✓ ✓ ✓ ✓ ✓ 211-246-264 vac .......... .................. ........... AC Frequency Min,-Nom.Max,(tl S9.3-60-60.5 -H'z ,., Max.Continuous Output Current 12.5 16 24 @ 2U8V 25 3? 4?C�46V 47.5 A GFDI Threshold 1............................................................. ....A'. Utility Monitarng,lslarndIng Protection,Country Configurable Thresholds Yes Yes INPUT _ „M rxururnn DC Power(STC} 4dad ( 5160 l 6750 C 8100 I 10250 13500 Transfcrrmerless Un(„rounded Yes............................ .......... ........ .. � ... Max.Input Voltage S00 Vdc Norn.DC Inplrt Valta e325(«?208V/350 @ 240V Vdc Max.Input Currentiz) 9.5 13 1.6.5 C 2U8V 18 23 33 C 208V 34.5 Adc 1;5,5, .24,OV., 3C).5 2}dV..I.................. p Adc ..Max:InPL Current............... ...........................................................��..,,,,,.,,.....,,,....... ..........,,,,,.,.......,.,....... ....,....,, Reverse-Polarity Protection Ye s Ground-Fault Isolation Detection 600ko Sensitivity Mawmum Inverter Efficiency 77 7 -918.?- 97 8 2 98.3 98.3 98 „ $„ 98 „ /,..., urnI ........ . 97 @ 208V 97 @ 208V CEC Weighted Efficiency 98 9 97.a p 37.5 97.S C 97.S r III �.. 8�?1,2�QV... ... .,{......... ......... ...... ..y7.;,Cr�24�V.. Nighttime Power Consumption <2.5 <4 G ADDITIONAL FEATURES Supported Comrxtunicatian Interfaces RS485,RS232,Ethernet,2igt3ee(optional} ,. Revenue Grade Data,ANSI C12.1 Opticrnalral Ra lid Shutdown-,NEC 2014 690,12 Yes STANDARD COMPLIANCE Safety UL1741,UL1699B,UL1998,CSA 22.2 God Connection Standards IEEE1547 Emissions _ FCC partlS class D INSTALLATION SPECIFICATIONS / 6 AWG 3/4"rrtirnirnurn/8 3 AWG AC output ccJndulk size/AWG range 3/4" DC input conduit size/#of strings/ 16-6 AWG.... 3/4minimum/1.3 string s trings/ FlWG range .- ...3/4 minimum/1 2 strings/16 6 . 14,6 AWG ... . Dimensions with Safety Switch 30.5 x 12,5 x 10.5/ in/ HxWxD ,...,.,.,, 36.Sx12.ax... ... I...-1-1.111-- 1 x1,H4 ..(. ..,. )......... ........ ... ......... . ........ .....,, ..., .....-1-11--- '. ..... .,775,x31;Sx260 ..., .. rnm.... WeightwithSafety Swiitch............. ..........5.1:2 2332,.......,..,,,..............,54.7/24.7. .... ..., ... 88:4/40.1., ,..,. lb/.kg... Natural convection Cooling Natural Convection and Internal Fans(user replaceable) fan(user repl,pceatal4s). Noise <2S Min.-Max.Operating Temperature 13 to+140/-25 to+60(-40 to+60 version available(4)} °F/"C ..Range.. ...... ...... .. ..,....... .. , .......... .. ,.. .. � ,......... Protection RatingNEMA 3R For other regional settings please can.... .... . s . .... ....... ...., .... ..... ,. ,. . 0r � tart Solarrdge support. rzr A higher current source may be used;the inverter will limit its input current to the values stated. rxi Revenue grade inverfer P/N:SExxxxA-1JS000NNR2(for 7600W inverter:SEY600A-US002NNR2). (1)-40 verslon P/N:SExxxxA-US000NNU4(for 760r)W invertevSE7600A-1IS002NNU4). is Mail µ� 5Ur7SK>�C' 4 I�I s o- I a r SolarEdge Power Optimizer Module Add-On For Forth America P300 P320 / P400 P405 t . f � I f i i r 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 FALY FRANCE-JAPAN-C:HINA AUS"lRAHA rHENE:IHLRLANDS UK ISRAEL www.so]ara'C"ge.t,s solar=@ " SoiarEdge Power Optimizer Module Add-On for North America P300 / P320 / P400 / P405 P300 P320.. P400 P405 (for 6p-cell modules) (for high-power (for 72&96-cell (for thin film 60-cell modules) modules), modules) __.. INPUT Rated.Input DC Powerhl.. .... ......... ... .... .30.0...... .....�.. .. .....320....,.. . .. . .. . ....400.... .,,.. .. 405 ...... Absolute Maximum Input Voltage 48 80 125 Vdc (Vocat to.... pwesttemperature) rFT erating Range...., 8-48 8-80 12,5-105 Vdc Maximum Short Circuit Current(isc) 10 11 10.1 Adc Maxl,mum DC Input Current.. .... 1?5 13.75 12 63 . Adc Maximum Efficiency .... . .. ......... ...,.99.5 ........ ... ,..,., ..... ... �4...... .... ... . „Weighted Efficiency 9$:8 „ ... ... .. Overvoltage Category II OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER) MaximumOutput Current ,.. 1�................ ......... .............. .. ....... ....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 1 Vdc Optimizer 111 STANDARD COMPLIANCE EMOFCC Part15 Class B,IEC61000 6 2 IEC61000-6-3 Safety ................... ......... IF.C62109 1(class II safety),UL1741 ,,. .. ..... RoHS Yes ... ... INSTALLATION SPECIFICATIONS _ Maximum Allowed System Voltage... 1000........ .... ......... ...... .... Vdc..... Compatible Inverters All SolarEdge Single Phase and Three Phase inverters 128x1512x27.5/ 128x152x35/ ti2.......,.. ......................... .......x5.9 x ,......... ,....55.97x1.8/ .. Dimensions(W x L x H) mm/in .......... ... ...............5x5.97x1.08..,..,.,..,......... .....5x5.97x1,37...... ,.,..5x597x 1.89 ..,. .., ....,..... Weight,(including cables),,,.,.,,. . ................. 760(1:7 830/1.8 1064/2.3 input Connector MC4 Compatible „ Output Wire Type/Connector Double insulated MC4 Compatible Output Wlre Length.. . .... .. ........ .. ... ... 0;95/3.0.. . ... ... ..., .... ,,.... ..... ...1.2/.3.9. ......... .., .....,..',...m/ft.... UperatingTempec.atureftang?....,,.., :40-+85/ 40;+185.. .... C.�aF.... Protection Ratir.�.g...,... ... IP68/NEMA6P Relative Humidity, ............ ............................ ............... . 0-100 %,...., )Rated STC power of the module.Module of up to r5%power tolerance allowed. PV SYSTEM DESIGN USING A SOLAREDGE INVERTER(2) SINGLE PHASE THREE PHASE 208V THREE PHASE 480V Minimum String Length 8 10 18 Power O timizer-s Maximum String Length 25 25 50 ( owor Qptjplizers) .............. . Malxi.rnu.m,Powerper String 5250 6000 .._...........12750................ .....W Parallel Strings of Different lengths Yes or Orientations izl It is not allowed to mix P405 with P300/P400/P600/P700 in one stiln0, rr LG Life's Good r L.G's riew module,NeONT"'2,adopts Cello technology.Cello technology replaces 3 busbars with 12 thin wires to enhance " APPROVED PRODUCT 60 cellpower output and reliability.NeONIm 2 demonstrates LG's p�� CE Y_ r,s ;, efforts to increase cust€arner's values beyond efficiency.It Intertek _ features enhanced warranty,durability,performance under YM 564573 GSEN 6121 real environment,and aesthetic design suitable for roofs. Pho ,r "Wd"i" Enhanced Performance Warranty High Power Output LG NeONT''2 has an enhanced performance warranty. Compared with previous models,the LG WONT"'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%1) Fit efficiency,thereby making it efficient even in limited space. more output than the previous NeON'"'modules. 11 .. Aesthetic Roof Outstanding Durability �� LG NeONTr"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 NeONTr"2 for an additional 2 years. product may increase the value of a property with its Additionally,LG NeONTr„2 can endure a front load up to modern design. 6000 Pa,and a rear load up to 5400 Pa. Better Performance on a Sunny Day trouble-Sided Cell Structure % LG NeONTr"'2 now performs better on sunny days thanks The rear of the cell used in LG NeONT"'2 will contribute to to its improved temperature coefficiency, generation,just like the front;the light beam reflected frorn 6-1the 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 c5rrimitted to expanding its capacity,based our%alar energy business as its future growth engine.WE,embarked on a solar energy source research program in 1985,supported by LG Group's rich experience in semi-conductor,LCD,chernistry,and materials industry.We Successfully released the first Mono X"I series to the market in 2010,which were exported to 32 countries in the following 2 years,thereafter In 2013,Ne0N' (previously known as Mono X'r'NeON)won"Intersolar Award';which proved LG is the leader of lnnovatlon In the industry. LG NeON"2 ME= Mechanical Properties, Electrical Properties (STC Cells 5x10 320 W ........... Cell Vendor LG MPP Voltage(Vmpp) 33.6 Cell Type Monocrystalline/N-type MPP Current(Impp) 953 Cell Dimensions 156.75 x 156.75 film/6 x 6 inch Open Circuit Voltage(Vac) 40.9 11 Of Busbar 12(Multi Wire Busbar)0 Short Circuit Current(Isc) 10 05 ........... ............ - - - - ------------ Dimensions(L x W K H) .1640 x 1000 x 40 film Module Efficiency 19.5 64.57 x 39.37 x 1.57 inch Operating Temperature(IC) -40-+90 Front Load 6000 Pa/125 psf Maximum System Voltage(V) 1000 --------- Rear Load 5400 Per/'113 psf Maximum Series Fuse Rating(A) 20 ................. ......... ............ .................. Weight 17.0 t 0.5 kg 3748±1.1 lbs Power Tolerance 0-13 Connector Type MC4,MC4 Cornpatibte,11167 STC(Standefd rttConditmn)Ir radoncr,1000w/ ModueTior,puet—,2S'C'AMIs Type Tjla11aPjatoP1l 1111tPill I'�1-a-red arid dr,to,,r,,nvd byLG EtectronicsatIts so[eand at)scslt,tcdiscretioti Junction Box IP67 with 3 Bypass Diodes Me typkirl'hang",In mod.le efficiency at 200W/rn'in ve[at i(lo to 1000W/rnli�-2,0%, Len I 9it i of Cables 2 x 1000 Tom/2 x 39.37inch Glass Ffigh'hans nissiofefflj.)�'re lass G � n'� I I --r1- Electrical Properties(NOCT*) Frame Anodized Aluminum 320 W --------------- Certifications and Warranty Maximum Power(Pmpp) 234 MPP Voltage(Viripp) 30.7 Certifications(In Progress) .IEC 61215,IEC 61730-1/-2,UL 1703, MPP Current(Impp) 7.60 ISO 0001,TC 62716(Arrdnonia'TrisL), 6penCFrcuiitVoItaqe(Vice) 37.9 6s IEC 61"701(Salt Mist Corrosion lest) Short Circuit Current(Isc) 8.1 Module Fire Performance Type,2(UL 1703)............ NOCT(N-iinatOpeiating Cell l—per,,ru-):1,redi,—o 6010W/a,2,.rn[,r-r,to pe,,,wre 20'C,wind speed 1 rnls Product Warranty 12 years Output warranty of Pmax Luneed r warranty* Dimensions(mm/in) (measurement Tolerance±3%) 1)1 st yc,,ir 98%,2)After 2nd year 0 6'/,p mmual degradiuon,3)33 5�,&for? yru- Temperature Coefficients NOCT 46±3'C .......... propp -038%/°C. 0 . '—" I .. . .. . Voc -0.28%/'C aat=nx d,1— I'll 1 1-11 Ise 0.0.3%/,C Characteristic Curves 10N)w low NOW 0 011 00 --------------- OOW — 00 490W L 200 '00W 2 4..W 'On. vi,ft',(V) 000 500 low t$'X) 20'M 2"w 3000 1500 400R1 aW) 110 go P"K 40 20 110 -25 0 6 50 75 90 The dr,ta,-p bet,eo,,the center of the o.L11lthg/q1o111d11q 1111411 North America Solar Business Team Product specification S are SUbJKt to Challite W41101't notice. LG LG Electronics U.S.A.Inc; DS-N2-60-C-G-F-EN-S0427 Life's Good 1000 Sylvan Ave,Englewood Cliffs,NJ 07632 Copyright 0( 2015 .G Electronics.All rights reserved. Innovation for a Better Life Contact Ig.solir@lge.com 01/04/2015 w .lgsalartjsa corn �;% ,;r `i �� /i�%��f ,��� ��� �f it i% f � � , , f �� �l f%' Jf �, � ,!�i! , %i„ i I ifli �% i I i ii I TYPICAL 1 THRU 15 (1) LG 315N1C-G4 (2) SOLAREDGE PROPOSED EQUIPMENT SPECIFICATIONS 315 WATT P321 OPTOMIZER MONO P32 OP (1)SOLAR MODULES-LG 315N1C-64315 WATT 15ADC-STC VmaX 35V A Imp:9.50A Vmp:33.2V Isc10.02A Voc 40.6V (3)SOLAREDGE SE1000OA-US STRINGS OF 15 MODULES INVERTER 42)SOLAREDGE POWER OPTIMIZER STRINGS TYPICAL i THRU 15 OF 13.Imax:15A,Vmax:35V.ULnEEE LISTED 24POWER EQUIPMENT (1) LG OC AO B (3)SOLAREDGE SE750OA-US INVERTER 315N1C-G4 (2) SOLAREDGE Imax:42@240V1PHASE 60HZ 315 WATT P320 OPTOMIZER INTEGRATED REVENUE GRADE METER MONO Irnax 15A (4)60A 6WV NEMA 3R OUTDOOR UN-FUSED Imax 35V UTILITY DISCONNECT p RM (5)6OA60OV NEMA a INDOOR FUSED UTILITY DISCONNECT WITH 60A FUSES (6)POINT OF INTERCONNECTION LINE-SIDE TAP INSIDE EXISTING 200A MAIN BREAKER 5 B) SERVICEPANEL UM (7)EXISTING 200.4 MAIN ELECTRIC SERVICE PANEL WITH 2OOA MAIN BREAKER 240V SINGLE (7) PHASE (6) WIRE AND CONDUIT SIZING � 70UTILI7Y r ALL WIRES EXPOSED TO AIR SHALL BE PV-WIRE AWG 412110.ALL OTHER CONDUCTORS SHALL BE COPPER THWN-21 THHN. (A)2 AWG#1 O PV WIRES W/AWG#3 GEC EXPOSED (B)3 AWG#5 Wl AWG#e GEC IN 314-EMI' GENERAL NOTES 1. BOND THE COMBINED INVERTER DC I AC GROUND TERMINAL DIRECTLY TO THE MAIN SERVICE GROUND. 2. INVERTERS SHALL BE LISTED TO UL/IEEE STANDARDS 3, ALL WORK SHALL CONFORM TO NEC 690 LOCAL AUTHORITIES HAVING.IURISDICTEON AND CUSTOMER REQUIREMENTS 4, DISCONNECT SWITCHES SHALL HAVE NUMBER OF POLES REQUIRE TO DISCONNECT ALL CONDUCTORS PER NEC 690. 5, PV MODULES SHALL BE LISTED TO UL STANDARD 1703. I 6. SECURE BUILDING PENETRATIONS WATERTIGHT ROOF AND WALLS 7, WIRING TO BE IN ACCORDANCE WITH MANUFACTURE RECOMMENDATIONS AND NEC 690 $, 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. r 10. INSULATION WILL MEET 2014 NEC MINIMUM REQUIREMENTS AND LOCAL CODE SPECIFICATIONS.~ 5"�- 11. DC GROUND ELECTRODE BONDED TO AC GROUNDED ELECTRODE AS PER NEC 69D-47, CHARD h A. \' YOLKfN rI p Na.222S2 Q/" 4 SND P6 STFa4�� Ss1QNAL E Im.rw�l.cnnotogwicarporauaPraleeeNa id NDTS rar..: «r lx-ur,r Sy,Tom Wu Comrnm[r. �7 mraaaag.reo.a.smrexa or oa rz��a.�« �+eseaarwn:Et«n��i 1-une InvalEon . °MA01S 4TO5 rosz: 9:x .. SI Add s wwwJnralronwmrwm NnM Anaov...RIA 6,Ha5 Aavtron:e Safar7eehnolacl,_5 9.2.631617n n seo:immwm he 2.n DocuSign Envelope ID:FC811557-BO91-4651-9218-8BAFOFC104FCmovg1t, "G l" v , TURNKEY CONTRACT This 'TURNKEY CONTRACT is made this I"day of September, 2016 (the "EFFECTIVE DATE") by and between: GG I 1 C 19 Invaleon Technologies Corporation ATTN: Tom Kangkui Wu 26 Parkridge Rd, Suite 1R Haverhill,MA 01835 P: (978)-794-1724 AND "SYSTEM OWNER" (Name) I.,aura & Frank Oliveto (Address)470 Stevens Street,north Andover, MA 01845 (Phone)978-681-981.0 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: 470 Stevens Street,North Andover, MA 01845 i 3. CONTRACT PRICE: $33,888.00 4. SOLAR SYSTEM SPECIFICATIONS. ITC will install an electricity grid-connected photovoltaic, solar power system with a total generating capacity rated at approximately 9.6 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"; specifically with major equipment listed in Attachment 1. i i Page 1 of 9 'nvaleon m"M q DocuSign Envelope ID:FC811557-6091-4661-9218-8BAFOFC104FC " ,v /F 5. MANUFACTURER WARRANTY. The material provided by ITC is warranted by the manufacturers and each has different terms and conditions. Irl"C provides no additional warranty on the materials. Warranty claims may be submitted to ITC, who will act as agent for SYSTEM OWNER. SolarEdge extended Warranty (25 years) is included in this TURNKEY CON'T'RACT. 6. INSTALLER WARRANTY. Invaleon provides a 10-year warranty against defective workmanship by Invaleon and its employees to the SYSTEM OWNER. 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 SYS"T"EM OWNER. ITC will promptly return all such materials to the SYS'T'EM OWNER upon completion of the WORD. 8. REQUIRED PERMITS. The following building permits are required and will be secured by 11C as the SYSTEM O WNER'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 SYS'T'EM OWNER shall remain the sole proprietor of all permits, licenses, drawings, schematics, I-line & 3-line diagrams, or any other pertinent documents and communications pertaining to the abovementioned permits and approvals. 9. PROPOSED START AND COMPLETION SCHEDULE. The following schedule will be adhered to unless circumstances beyond ITC's control arise 1. Start of Construction: No later than 9/15/2016 2. Significant Completion: No later than I week after Start of Construction Payments will be made according to the following schedule: 1. (35%) $11,860.80 upon execution ofthis TURNKEY CONTRACT and closing of the Mass Solar Loan. 2. (65"/x) $22,027.20 at Commissioning of the SYSTEM as defined by National Grid's Permission to Operate (PTO) Page 2 of 9 DocuSlgn Envelope MD: FC811557-8091-4681-9218-8BAFOFC104FC om®r,!, rf ale 10. SUBCONTRACTORS. ITC will not subcontract any and all portions of this TURNKEY CONTRACT. 11. 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 WORT{ 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 estimated 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. 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 ]seep 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. 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 Page 3 of 9 DocuSign Envelops 6D:FC811557-BO91-4661-9218-8BAFOFCIO4FC Vim:""° 0um J� � cf,rr I 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 clone 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 I 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 SYS'FEM 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. 1.8. 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 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 ("F"ORCE 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 tern FORCE MAJEURE shall include, without limitation, acts of God, fire, explosion, vandalism, Page 4 of 9 MMW pi DocuSign Envelope IIS.FC811557-13091-4661-9218-813AF(7FC104FCFnvalicon 'mw 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. DoauSlgned by: SYSTEM OWNER Signature: ADS2g20B34044A3... DacuSigned by: ITC's PROJECT MANAGER's Signature:ED72000B0493801 ... 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 not separately signed by the parties. 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. Page 5 of 9 DocuSign Envelope ID:FC811557-8091-4661-9218-8BAFOFC104FC E*1111"11lml rnvalicon 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 thisTURNKEY 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. 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 6 of 9 DocuSign Envelope ID: FC811557-BO91-4661-91218-8BNFOFC104FC valicon 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 worn shall begin prior to the signing of the TURNKEY CONTRACT" and transmittal to the SYSTEM OWNER of a copy of such contract. ITC Tom Wu Name: Title: CEO ©ocuSigned by: Signature: Date: 9/1/2016 SYSTEM OWNER Name: Laura Oliveto Docuftnod by: (,auv'a nvd6 Signature: Date: 9/1/2016 Page 7 of 9 DocuSign Envelope ICD: FC811557-BO91-4661-9218-8BAFOFC144FCN ^ nvaleon NO'T'ICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR OBLIGATION, WITHIN THREE; BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL, ANY PROPER'T'Y TRADED IN, ANY PAYMENTS MADE BY YOU UNDER TT IE CONTRACTOR SAI_,E, AND ANY NEGOTIABLE INSTRUMEN'T'S EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY "fI-IE SELLER OF YOU CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCEI..,LED 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 CONTRACTOR SALE; OR YOU MAY, IF YOU WISII, COMPLY WITH THE INS'T'RUC'T'IONS OF THE SELLER REGARDING THE RE'T'URN SHIPMENT OF THE GOODS ATTHE SELLER'S EXPENSE AND RISK. IF YOU MAKETHE GOODS AVAILABLE TO TTIE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF 'I`TTE DATE; OF CANCELLATION, YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER, OR IF YOU AGREETO R:ETURN THE GOODS TO THE SELLER AND FAIL TO DO SO, THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALI, OBLIGATIONS UNDER TT IE CONTRACT. TO CANCEL THIS TRANSAC'T'ION, MAIL OR DELIVER A SIGNED AND DATED COPY OFTHIS CANCEI_,LA'T'ION NOTICE OR ANY OTHER WRITTEN NOTICE, OR. SEND AN EMAIL TO INVAI..,EON 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 8 of 9 DocuSi,gn Envelope ID: FC811557-BO91-4661-9216-8BAFOFC1O4FC Attachment 1 Major Equipment Schedule (30) LG 320 Watt Neon2—LG320NIC.-G4 (l) SolarEdge 10000 Watt inverters— SE10000KA-US (30) SolarEdge 320 Watt optimizers-- SE P320 Optimizer SnapNrack black matching color rails and racking system Page 9 of 9 ADDITIONAL COVERAGES Ref# Description Coverage Code Form No. Edition Date Primary Non Contributory Blanket Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Addl Insured Completed bps Blanket Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Per Project Aggregate Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Farm No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium [Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Cade Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Editian Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium LOFADTLCV Copyright 2001,AMS Services,Inc. The Common wealth aMassachusetts Department ofIndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.niass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Invaleon Technologies Corporation imine (Busitiess/Oi�gaiiizatioii/Iiidividual): E Address: 26 Parkridge Road,Suite 1 B City/State/Zip: [Haverhill, MA 01835 Phone #: 978,809,8316 Are you an employer? Check the appropriate box: Type of project(required): 1.JE I am a employer with 10 4. [11 an) a general contractor and 1 6. New construction employees (full and/or part-tirne).* have hired the sub-contractors 7 Remodeling 2,10 1 am a sole proprietor or partner- listed on the attached sheet. 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. Ej We are a corporation and its 10. Electrical repairs or additions required.] officers have exercised their 3.Irl I am a homeowner doing all work right of exemption per MGL I L EJ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 110 Roof repairs insurance required.] t employees. [No workers' 13.00ther Solar comp. insurance required.] I *Any applicant that checks box 41 must also fill out the section below showing their workers'cornpensation 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 their workers'comp.policy information. I ant tin employer•that is providing ivor•1(ers'compensation ibtsur°(ince far•niy employees. Beloivisthe policy and job site information. Insurance Company Name: I Traveler Property Cas.Co.of America Policy#or Self-ins. Lic. tt. Expiration Date:103/06/2017 470 Stevens Job Site Address: Street City/State/Zip: 11 North Andover,MA Q 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 LIP 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 tip 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. tZ I do hereby certy 1 '0 ut��Iepains penaltie o,petj tat the infbrination provided above is true and correct. =9/15/2016 Signature: Date: Phone#: j978.809,83160'__ Of,ficial 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(MMlDDlYYYY) ACOO " 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(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: Laurin Kibildis MTM INSURANCE ASSOCIATES LLC PHONE Ext): (978)681-5700 FAX No: E-MAILD ADDRESS: laurink@mtminsure.com 1320 OSGOOD ST INSURERS AFFORDING COVERAGE NAJC# NORTH ANDOVER MA 01845 INSURERA: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED [INSURER B: INVALEON TECHNOLOGIES CORP URERC:URER D: 26 PARKRIDGE RD SUITE 1B URER E: HAVERHILL MA 0'1835 URER 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 POLICYNUMBER MMIDDNYYY MMIDDIYYYY COMMERCIALGENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES„(9a occurrence) MED EXP(Any one person) $ NIA PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICYPRO ❑ LOC PRODUCTS-COMPIOP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ tEa accident}_, ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED NIA BODILY INJURY(Per accident) $ NON-OWNED AUTOS AUTOS PROPERTY t DAMAGE Per a HIRED AUTOS AUTOS $ cciden UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE NIA AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATIONv AND EMPLOYERS'LIABILITY YIN X STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICERIMEMBEREXCLUDED? I NIA NIA NIA 7PSUB2E76800816 03/06/2016 03/06/2017 — -- (MandatoryinNH} E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 NIA DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACO RD 101,Additional Remarks Schedule,may be 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.Cro4v)'ey,CPCU,Vice President—Residual Market—WGRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD �r��'r�AnrrEsnuaw�✓![ any'""�p r�..Errr�✓+a,r v�✓, C Consumer Affairs t Business Re ulntio�� C.,icense or registration valid for individual use only �����of C „ �- HOME IMPROVEMENT CONTRACTOR before the expirationdate. If found return to, Registratlon: 182825 Type. Office ofGonsurner Affairs and Business Regulation Expiration: 7129/2017 Corporation 10 Park Plaza Suite 5170 Boston.NIA 02116 INVALEON TECHNOLOGIES CORP. KANGKUI WU 25 PARK RIDGE RD SUITE 1 B HAVERHILL,MA 01895 Undersecretary of vet id_ _ N � rou �,,F t signature i Massachusetts Department of public Safety Regard of Building Regulations and Standards License: CS-104792 Construction Supervisor DAVID S PICAZIO 9 GROVE ST PLACE ,' ARLINGTON MA 02441, /�Y/ , ter, , Expiration: Commissioner 0911012019