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Building Permit # 9/29/2016
O0 nT ash~O BUILDING PERMIT 3= g`:' 0 TOWN OF NORTH ANDOVER ° z p APPLICATION FOR PLAN EXAMINATION d Date Received- g, ' � Permit NO: "` `2744DW^rep gyp¢'qty CH Date Issued: 91 IMPORTANT: A licant must com fete all items on this a e TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition [9 Other Solar Array u Installation of Solar Array and connect to existing utility. Identification Please Type or Print Clearly) OWNER: Name: Joanna Woodworth Phone: 617.824.0814 Address: 80 Campion Road, North Andover,MA 01845 r lq� mg 1 y ARCHITECTIENGINEER Roger Acworth phone_ 801-990-1775 Address: 9138 South State Street, Sandy, UT 84070 _Reg. No. 47740 FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $69737.23 FEE: $ Check No.: t Receipt No.: e,7-)ol�-j _ NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund .v m tkORTH own of = .� _ 6Andover . p �" 0 CY y Ch ver, Mass . • ap� T Q Lha[! .� p/l CtlC NIC Ml WI[K q lb �S OAT6D U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT :... . 44.0.& ED.......... . I BUILDING INSPECTOR has permission to erect.......................... buildings on ..�Vog . ps _.... Foundation .�o....P14"a(.s..............� 761 '4' . . M►. V1�,�s Rough to be occupied as .... .. . ......................................... 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES 16 MONTHS ELECTRICAL INSPECTOR UNLESS CON4PMfkTIOK6& T Rough Service UILDING INSPE OR, Final GAS INSPECTOR • d arld�l�t� Rough Occupancy.�'e���t Required to Occupy By e ..,..,_ 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. REV(.'.A-.0 %iiOUN THIS HOME IMPROVEMENT SOLAR ENERGY CONTRACT(this"Contract!')IS BETWEEN:Joanna Woodworth("Client")located at 80 Campion Rd North Andover,MA 01845("Client's Property") -AND- Northeast AND-Northeast Solar Services,Inc.@("Contractor")of I North Ave Suite A Burlington,MA 01803,with Home Improvement Contractor Reg,No.178137,which expires on March 17,2018,and Federal Employer ID 46 0569853.Contractors sales person for this contract Is Brian Sadler. The parties to this Agreement agree as follows: I.SCOPE OF WORK A. The above Client(s)has engaged Contractor to perform the following residential contracting work(the"Work")in connection vjith-th6 rhitallation of the foli—ow"ih`gphotcLyoItaIc solar energy system(the"PV System"): K-11 28 SunPower-SunPower 327 DC watNodules(or equivalent) with 1 Solar Edge-Solar Edge SE 7600A inverters(or equivalent)and all mounting, disconnects,and all other PY,Syster6i'components necessary for a National Electric Code compliant PV System,totaling 9.156kW,located at Client's Property.`T1mb6rLih6'H'b Roofing installation includes stripping of 1 layer of existing roofing, new Ice and water shield along edges, new dripedge,new 15 lb.tar paper,starter stip along edges,all hip and cap shingles,and removal and replacement of ridge vent. -1 0. B.Other Inclusions The Work shall further include: 3 4-,V •Installation of the PV System in accordance with all State of Massachusetts Interconnection standards. •All reasonable engineering and permitting costs. •The following building permits are required and will be secured by Contractor as Client's agent:Building and Electrical Permit. •Following the Installation,Client will receive a PV System orientation and a PV System Client's manua Notice: It shall be the obligation of the Contractor to obtain all permits related to the Work. Clients who secure their own permits will be excluded from the guaranty fund provisions of Chapter 142A of the Massachusetts General Laws. 11.COMPENSATION AND SCHEDULE Lu C� 73, S I A.QAak&d�-`—F&b6oaVctor's performance of the Work under this Contract,Client will pay Contractor a total of: b;A&kAf"7 $66,561,89(Sl SIX THOUSAND FIVE HUNDRED SIXTY ONE AND 891100)DOLLARS USD(the"Contract Price"). B. The Contract Price will be payable In accordance with the following payment schedule: Date Paid: $33,280,94 Initial Payment-60% (Due upon Contract signing,which Is an amount less than the cost of the materials and equipment which must be specialty ordered in advance of commencement of PV System Installation) 29.95285 Progress Payment-45% (Due upon Substantial Completion) $3,328.10 Final Payment-5% (Due upon Final Completion) C.Schedule The"Start Date"of this Contract Is the date Contractor receives the full amount of Client's Initial payment of 50%of the Contract Price. Subject to adjustment for any Force Majoure reason stated in Section IV.J.,the Work is estimated to begin within 12-16 weeks from the Start Date of this Contract.The parties agree that this date shall be automatically extended to the date of delivery of all materials and equipment which mut be specially ordered, is estimated to occur within 16-20 weeks from the Start Date of this Contract,but the parties agree that this date shall be automatically shortened or extended to the date on which all racking and electrical work are complete and the PV System Is capable of generating power and ready and available for use subject to final government and utility approval. Final Completion is defined as the date on which all punch list items are complete,all permits are closed,all other government and utility approvals are obtained and the Work is complete to the satisfaction of Contractor and Client. Client acknowledges and agrees that the Work involves permits,inspections and approvals from various government agencies and utilities,and therefore the timing of the Work may vary and Is not within Contractors control. Client further agrees that Contractor shall not be liable for any losses, costs or damages related to any delays for reasons beyond Contractor's control,including all causes noted In the Force Majeure section of this Contract below. t4ohho,,W SOW NorU�Ay�,S�fi�&A SuMngton,MA 0 W)3 w — A891,240 P,555 00, "1 v R- EVOLU(6' UN 1HL,IJKP-Q-RTAN!R0-T-LC-E,a A.Qonicactt:ll:'5 RegisLr-gLr—iorr. All home improvement contractors and Subcontractors engaged in home improvement contracting,unless specifically exempt from registration by provisions of Chapter 142A of the Massachusetts General Laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be Iflacle to the Director of the following state agency: Office of Consumer Affairs and Business Regulation Home Improvement Contractor Registration Ten Park Plaza,Room 5170 Boston,MA 02116 (617)973-8700 B.Client's Cancellation Rigg: Client may cancel this Contract,without penalty or obligation,within three business days following the date on which Client signs this Contract. A Notice of Cancellation Is attached hereto for Client's convenience. C.W .. arca-n-fieA:For a period of ten(10)years from Substantial Completion,Contractor warrants that the PV System has been designed and installed in a good,workmanlike and substantial manner in accordance with all applicable building codes. In the event Contractor is required to penetrate the roof of the Client's property in the course of installation,and causes damage to the roof within a three (3)Inch radius of a penetration,Contractor will repair such roof damage for a period of twenty(20)years from Substantial Completion or the remaining term of the roofs existing installation warranty,whichever is shorter,to prevent any water,rain or other Moisture leak,seepage or entry directly caused by Such penetration.These warranties are for normal use and conditions only.All warranty coverage to equipment and workmanship installed by Contractor will be VOID if any alterations or repairs are performed by any person or persons not expressly authorized,in writing,by Contractor.THIS WARRANTY DOES NOT COVER:(a)Damage caused by external forces such as,but not limited to,vandalism,theft,terrorism,fire or act of God;(b) Damage caused by weather effects exceeding manufacturer tolerances;(c)Normal wear and tear or aging of a PV System;(d)Any implied warranties: (e)Electric bills,water damages or any other consequential damages:or(0 Damage to the PV System or its efficiency due to adjustment,moving,or tampering with the PV System or any of its components by individuals not approved by Contractor, D,Qn[LqLOrders; Any alteration or deviation from above specifications involving extra costs Must be subject to a written change order signed by both parties,which shall be incorporated Into this Contract,and Client shall be liable for any additional costs resulting from each change order. By initialing the space below,Client hereby specifically agrees to execute a change order,and pay the additional costs,if it becomes necessary for Contractor to repair or replace un-approved or non-code compliant electrical work in order to complete the PV System installation and satisfy code requirements. Client's Initials: Client's Initials: ARBITRATION: CONTRACTOR AND CLIENT HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT CONTRACTOR HAS A DISPUTE CONCERNING THIS CONTRACT,THE CONTRACTOR MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE DIRECTOR OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND CLIENT SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVlDED IN M.G.L.c. 142A, Client: '1U;(4KV4-- Date: 9') Client: �J per Date: Contractor: Date: A2 C114 A NOTICE: The signatures of the partles above apply only to the agreement of the parties to alternate dispute resolution initiated by Contractor. Client may initiate alternate dispute resolution even where this section is not separately signed by the parties. E.Lricentive Guar nee: By Client's initials below,Client acknowledges and agrees that Contractor has not and does not guarantee Client's qualification for,receipt of or amount of any tax credit,rebate,solar renewable energy credit(SREC)or other Incentive amount in connection with the PV System,and any estimates of incentives(wither In a PV System proposal or otherwise)are not guaranteed to be accurate or available. Client is responsible for determining Client's arid/or the PV System's eligibility for any Incentives and should consult with tax,legal and other advisors regarding availability and possible tax consequences of claiming the same. Client's Initials: Client's Initials: OOFMft* 2 Northeast Solar ftt* I North Ave Suite A )I t.� Ll I� M� BLn liflgt011,MA 01803 781,240.6555 011 16 AV A V,g'W q ir" , I R E VO L, S U Pid K. Legal Compliance and Severability: Contractor and Client acknowledge that the form, substance, content and notices contained in this Contract are intended to comply with Chapter 142A of the Massachusetts General Laws, and regulations promulgated thereunder. In the event of any Instance of non-compliance, only such portion shall be invalid and the remainder of this Contract shall be in full force and effect. In addition, any such portion not in compliance shall be read and Interpreted so as to have its Intended meaning to the maximum extent allowed under such law and applicable regulations, L. Entire Contract; No Waiver Unless In Writing This Contract constitutes the entire contract between the parties; there is no representation, warranty, collateral contract or condition affecting this Contract except as expressed in it. No provisions of this Contract shall be changed or modified, nor shall this Contract be discharged or waived, in whole or part, except In writing signed by both parties. This Contract shall not be effective until fully executed by Client and an Authorized Representative of Contractor. M. Client's Representation of Authority: If this Contract Is signed by less than all of the persons or entities who own the subject property, then Client who signs this Contract (or any of the provisions hereof} represents to Contractor that he, she or it has full legal authority to bind the other persons and/or entities, N. Governing Law: The laws of the Commonwealth of Massachusetts shall govern any proceeding or dispute related to this Contract. 0: Production Gar) Guarantee: This production guarantee covers 90% of estimated production in year I and decreases at .5% each year for a total term often (10) years. This guarantee is determined on an accrual basis and payments are made when the aggregate system production falls below total production estimated on the schedule above. Payments will be made at the end of each anniversary of the system's in service date of interconnection. Production Gap Guarantee Is void if site conditions and solar access change after the date of interconnection. Client's Initials: Client's Initials: P. 3rd party Financing: Should the client obtain financing from a 3rd party which is approved by the Contractor, the payment terms of the lender will apply, Client:, Vt PA' W wolx_. Date: Contractor: Name: Title: Date:✓ NorthowA War I Notth Aoe Suke A Bw Hngton, MA 01603 78 V240,6M5 REVOLUOiUN N, LV_QMF.&URMa_A&Q_"O DMONS A. Access: To enable Contractor to perform its Work hereunder, Client shall grant during daylight hours adequate space on Client's property, as mUtU811y designated by Contractor and Client, for the complete and proper installation, operation, maintenance and repair of the PV System as well as rights of ingress and egress to, through and from such property and the space designated for the PV System. B. Scarcity of Materials: Rights of Termination: The PV System components to be obtained Linder this Contract are scarce commodities. in order to meet the performance requirements of the PV System described in this Contract, Contractor may substitute the specified brand of solar module or inverter for a similar brand of module or inverter that allows for more timely completion of the installation. Such substitution, if necessary, shall be of UL approved devices, with aggregate performance criteria the same as equipment specified. The governing body for determining performance criteria shall be the CEC (California Energy Commission) that rates all UL approved modules. The key module statistic used for performance criteria will be the DC STC rating of the sum of the modules, The key inverter statistic used for performance criteria will be the AC Output of the device. If, due to code requirements, equipment substitution, final engineering, space availability, etc., the size of a PV System decreases, Contractor shall re - Calculate the Contract Price using its standard pricing method and the Contract Price shall be automatically reduced. Client shall be credited by the reduced amount. If due to Substitution the DC STC size of the PV System Increases slightly, then Client shall not have to pay Contractor similarly, Contractor shall make every reasonable effort to ensure that PV System size does not decrease from the specifications. If the DC STC size of the PV System decreases more than '15% from the Contract's specification amount for any of the reasons stated in this paragraph, Client shall have the right to terminate this Contract within ten (10) days of Contractor's written notification to Client of such decrease, and Contractor shall then refund in full all funds paid to date Linder this Contract, but shall have no other liability to Ctient. Contractor reserves the right to unilaterally terminate this Contract within 45 days of its approval without any liability to Client if any of the PV System components required for the completion of Contractor's Work in a timely manner are not available. In the event of such termination, Contractor shall refund all monies paid by Client to Contractor as of the date of termination. C. : In no event shall Contractor be liable in an amount exceeding the compensation paid by Client to Contractor under this Contract. Contractor shall not be liable for any incidental, consequential or special damages or for economic loss or expense of for loss or profits or income of Client, or Client's consultants or agents or emptoyees, or any of them, including but not limited to any electricity costs incurred should installation of the PV System be delayed beyond the commencement or completion schedule set forth above. D, 7jorij.ag: Client shall pay for all variances, special permits, or other costs related to zoning, including without limitation any fees or costs related to attorneys or engineers, E. Cl wit's Property,: Client agrees to remove or to protect any of Client's personal property, inside or Out, Which may interfere with or obstruct the Work, including but not limited to landscaping, and Contractor shall not be held responsible for damage to such property. Client understands and acknowledges that proper operation of the PV Systern purchased hereunder is dependent on Client's existing roof and equipment and Contractor shall have no obligation or liability for the condition thereof, or any other part of Client's Improvements or equipment not purchased hereunder. Client expressly represents that the roof of the property Upon which the PV System will be installed is in good condition, with no known water infiltration problems or other structural defects. F Client must carry all fire, casualty, hurricane, earthquake, theft, and other insurance related to Client's real and personal property G. Cancellation of Contract,: if Client cancels or breaches this Contract after the opportunity to execute three (3) day rescission has passed but before commencement of construction, Client shall pay Contractor the amount of expenses incurred to that date plus 20% of the Contract Price, If Client fails to pay said amounts within thirty (30) days of Contractor's demand for payment and Contractor files suit, Contractor shall be entitled to recover all of its damages including its loss of net profits and attorneys' fees and costs if Contractor Is the prevailing party. H. If Client fails to pay any amounts owed to Contractor when due, Client shall be liable for all costs of collection, including reasonable attorneys' fees, plus 18% interest per annum on the unpaid balance. Conti -actor also shall have option of removing all or part of the PV System from Client's premises in addition to receiving payment equal to the value of the unpaid balance to cover all or a portion of Contractor's consequential damages. I. Liens; Contractor, any Subcontractor(s) and any other persons or entities supplying labor and materials to Client under this Contract, have the right under applicable law to irnpose a lien on Clienrs real property for the value of the labor or materials provided. Upon Client's payment of all amounts due under this Contract, Contractor will provide, upon Client's request, a release and waiver of any liens. J. Force Majeure: Contractor shall not be liable for any delay in material and/or equipment delivery or for failure to deliver or failure to perform the Work which results from any cause beyond the Contractor's control. Such causes include but shalt not be firnited to: an act of God or of the public enemy: an act (or failure to act) of any government or utility; a fire, flood or epidemic; quarantine, restriction, strike, freight embargo, terrorism, theft or unusually severe weather; Contractors inability to obtain necessary materials, labor or transportation; Custom permitting caused by Client's site conditions; homeowner association review or approval; building or other code requirements relating to Client's existing electrical system or building characteristics; and any other impediments to the installation of the PV System arising from Client's acts or omissions and/or the condition of Client's property. Northeast Solar I Noith Ave Suite A Burlington, MA 0'1803 781 240,6555 f,MV4 "NI :, Mq " I int; REVOLLJ(�UN S, &Q-W--e.-QEjQ-A-NqILLATION If you decide that you do not want the goods or services described above, you may cancel this Contract by mailing or delivering a signed and dated copy of the cancellation notice, or any other similar written notice, to Contractor at the address set forth above no later than midnight of the third business day following the date on which you signed this Contract. If you cancel by the date and time indicated, any payment made by You Linder this Contract will be returned within ten (10) business days following receipt of your cancellation by Contractor, and any security interest arising out of the transaction will be released, If you cancel, you must make available to Contractor, at Your residence, in Substantially as good condition as when you received, any goods delivered to you under this Contract; or You may, if you wish, comply with Contractor's written instructions regarding the return shipment of the goods at Contractor's risk and expense. If you fall to make the goods available to Contractor, or if you agree to return the goods to Contractor and fall to do so, then you remain liable for performance of all obligations tinder this Contract. If we do not pick LIP, or attempt to pick up, the goods within 20 days of the date of your notice of cancellation, you may retain or dispose of them without further obligation. I HEREBY CANCEL THIS TRANSACTION: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Client's Signature (sign here m[y if you wish to Date cancel this transaction) Clien.signa ure signF—ere—g-o1—T— — — — yl you WisTTo— cancel this transaction) (Client Initials)::-- nitials)- -`�A (7 -- Northeast Solar I North Ave Suite A Buriington, MA 01803 781240.6555 VM�a VVI 6 01,1 C, 1; 1 � 2 2 0 1 11 Docusign 'cnvelupo|o:rsmp 131ox0F40106 [������0� � ��� ���� ��x+������ ����"����, Joanna Woodworth 80Campion gd North Andover, MA 01845 Re: Changes hoContract Agreement dated U8/28/2O18(TV Contrmct") Dear Joanna Woodworth Date: 09/10/2016 Project No: MA02 10-0271 C/O No: 7159 This letter isb»summarize the changes h/your PVContract. The work done inaccordance withdhiochenQoovderia necessary hosupport the installation ofyour PVaymtum(a). Please review, sign, and return bmconfirm the changes are acceptable to you: would like too add 2 panels. Panels changed from 28 ' SunPovver327 DC to 30 - 8unPovver 327 DC; |nv8dB[S changed from 1 - Solar Edge 8E 76OOAbn1-Solar Edge SE1UOUO; System size changed from 9.18kVVho 9.81 kW; Finance option changed from GUD8GgetOSuD(S8gg; Old Contract Value: $86,501.89 Total Change: $3.175.34 New Contract Value: $8973723 All other necessary design, supervision and installation requirements remain as specified. Noother changes toyour PV Contract are required orauthorized. Once approved by RevoluSun, this document will become a supplement to your PV Contract and all provisions will apply hereto. Accepted By: rDocuSigned by: Customer rDocuSigned by: Northeast Solar Services, Inc. (a ppploved by) Northeast Sdor 1North Ave Sui(,�A Budington.MAo1Vo3 To1,24M553 REVOLIJ, SUN THIS HOME IMPROVEMENT SOLAR ENERGY CONTRACT (this "Contract") IS BETWEEN: Joanna Woodworth ("Client") located at 80 Campion Rd North Andover, MA 01845 ("Client's Property') -AND- Northeast Solar Services, Inc,0 ("Contractor") of 1 North Ave Suite A Burlington, MA 01803, with Home Improvement Contractor Reg. No. 178137, which expires on March 17, 2018, and Federal Employer iD 46 0569853. Contractor's sates person for this contract Is Brian Sadler. The parties to this Agreement agree as follows: A. Installation of PV System. The above Client(s) has engaged Contractor to perform the following residential contracting work (the "Work") In connection with the installation of the following photovoltaic solar energy system (the "PV System"): 28 SunPower - SunPower 327 DC watt modules (or equivalent) with 1 Solar Edge - Solar Edge SE 7600A Inverters (or equivalent) and all mounting, disconnects, and all other PV System components necessary for a National Electric Code compliant PV System, totaling 9.166kW, located at Client's Property. TlmberLine HD Rooting installation Includes stripping of 1 layer of existing roofing, new Ice and water shield along edges, new dripedge,new 15 lb. ter paper, starter slip along edges, all hip and cap shingles, and removal and replacement of ridge vent. B. Other Inplusions The Work shall further Include: • Installation of the PV System In accordance with all State of Massachusetts Interconnection standards. • All reasonable engineering and permitting costs. • The following building permits are required and will be secured by Contractor as Cllent"s agent: Building and Electrical Permit. • Following the Installation, Client will receive a PV System orientation and a PV System Clients manua Notice: It shall be the obligation of the Contractor to obtain all permits related to the Work. Clients who secure their own permits will be excluded from the guaranty fund provisions of Chapter 142A of the Massachusetts General Laws. II. COMPENSATION AND SCHEDULE A. CgUttact_er e For Contractor's performance of the Work under this Contract, Client will pay Contractor a total of: $ 66,561.89 (SIXTY SiX THOUSAND FiVE HUNDRED SIXTY ONE AND 89/100) DOLLARS USD (the "Contract Price"). B. Eay�tta0t ghQduLa The Contract Price will be payable in accordance with the following payment schedule: Date Paid: $ 33.260.94 Initial Payment - 50% (Due upon Contract signing, which Is an amount less than the cost of the materials and equipment which must be specially ordered in advance of commencement of PV System installation) Progress Payment - 45% (Due upon Substantial Completion) $ 3, 328.10 Final Payment - 5% (Due upon Final Completion) C. ache.dula The "Start Date" of this Contract is the date Contractor receives the full amount of Client's Initial payment of 50% of the Contract Price. Subject to adjustment for any Force Majeure reason stated In Section IV.J., the Work is estimated to begin within 12-16 weeks from the Start Date of this Contract. The parties agree that this date shall be automatically extended to the date of delivery of all materials and equipment which mut be specially ordered. bsfantlal Completion is estimated to occur within 16.20 weeks from the Start Date of this Contract, but the parties agree that this date shall be automatically shortened or extended to the date on which all racking and electrical work are complete and the PV System Is capable of generating power and ready and available for use subject to final government and utility approval. FinalCompfetion is defined as the date on which all punch list Items are complete, all permits aro closed, all other government and utility approvals are obtained and the Work is complete to the satisfaction of Contractor and Client. Client acknowledges and agrees that the Work involves permits, inspections and approvals from various government agencies and utilities, and therefore the timing of the Work may vary and is not within Contractor's control. Client further agrees that Contractor shall not be liable for any losses, costs or damages related to any delays for reasons beyond Contractor's control, including all causes noted In the Force Majeure section of this Contract below. Northeast Solar 1 North Ave Suite A Burlington, MA 01803 781.2, 4'9.6555 A. Contractor's Registration: All home Improvement contractors and subcontractors engaged In home improvement contracting, unless specifically exempt from registration by provisions of Chapter 142A of the Massachusetts. General Laws, must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director of the following stale agency: Office of Consumer Affairs and Business Regulation Home Improvement Contractor Registration Ten Park Plaza, Room 5170 Boston, MA 02116 (617) 973-8700 B, Client's Cancellation Rights: Client may cancel this Contract, without penally or obligation, within three business days following the date on which Client signs this Contract. A Notice of Cancellation is attached hereto for Client's convenience, C, ate: For a period of ten (10) years from Substantial Completion, Contractor warrants that the PV System has been designed and installed in a good, workmanlike and substantial manner in accordance with all applicable building codes, in the event Contractor is required to penetrate the roof of the Client's property in the course of installation, and causes damage to the roof within a three (3) inch radius of a penetration, Contractor will repair such roof damage for a period of twenty (20) years from Substantial Completion or the remaining term of the roots existing installation warranty, whichever is shorter, to prevent any water, rain or other moisture leak, seepage or entry directly caused by such penetration. These warranties are for normal use and conditions only. All warranty coverage to equipment and workmanship installed by Contractor will be VOID if any alterations or repairs are performed by any person or persons not expressly authorized, In writing, by Contractor. THiS WARRANTY DOES NOT COVER: (a) Damage caused by external forces such as, but not limited to, vandalism, theft, terrorism, fire or act of God; (b) Damage caused by weather effects exceeding manufacturer tolerances; (c) Normal wear and tear or aging of a PV System; (d) Any implied warranties; (e) Electric bills, water damages or any other consequential damages; or (f) Damage to the PV System or Its efficiency due to adjustment, moving, or tampering with the PV System or any of its components by individuals not approved by Contractor. D. Change Orders: Any alteration or deviation from above specifications involving extra costs must be subject to a written change order signed by both parties, which shall be Incorporated into this Contract, and Client shall be liable for any additional costs resulting from each change order. By initialing the space below, Client hereby specifically agrees to execute a change order, and pay the additional costs, if it becomes necessary for Contractor to repair or replace un -approved or non -code compliant electrical work in order to complete the PV System installation and satisfy code requirements, Client's Initials: Client's Initials: ARBITRATION: CONTRACTOR AND CLIENT HEREBY MUTUALLY AGREE iN ADVANCE THAT IN THE EVENT CONTRACTOR HAS A DISPUTE CONCERNING THIS CONTRACT, THE CONTRACTOR MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE DIRECTOR OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND CLIENT SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN M.G.L. c. 142A. Client: Date:' Client:, _ Date; Contractor: Date: A .y NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by Contractor. Client may Initiate alternate dispute resolution even where this section is not separately signed by the parties. E. locentive Guarantee: By Client's initials below, Client acknowledges and agrees that Contractor has not and does not guarantee Client's qualification for, receipt of or amount of any tax credit, rebate, solar renewable energy credit (SREC) or other incentive amount in connection with the PV System, and any estimates of Incentives (wither In a PV System proposal or otherwise) are not guaranteed to be accurate or available. Client is responsible for determining Client's and/or the PV System's eligibility for any incentives and should consult with tax, legal and other advisors regarding availability and possible tax consequences of claiming the same. Client's Initials: � ! Uut.--~~- Client's Initials: Northeast Solar 1 North Ave Suite A Burlington, MA 01803 781.240.6555 109378'M 5 O 061124015 A. Agoaa; To enable Contractor to perform its Work hereunder, Client shall grant during daylight hours adequate space on Client's property, as mutually designated by Contractor and Client, for the complete and proper Installation, operation, maintenance and repair of the PV System as well as rights of ingress and egress to, thfOLIgh and from such property and the space designated for the PV Systern. B, $pgrelly. ofMaterials: Rights of Termination: The PV System components to be obtained under this Contract are scarce commodities. |order to meet the performance requirements of the PV System described In this Contract, Contractor may substitute the specified brand of solar module or inverter for a similar brand of module or Inverter that allows for more timely completion of the installation. Such substitution, If necessary, shall be of UL approved devices, with aggregate performance criteria the same as equipment specified. The governing body for determining performance criteria shall be the CEC (California Energy Commission) that rates all UL approved modules. The key module statistic used for performance criteria will be the DC STC rating of the sum of the modules. The key inverter statistic used for performance criteria will be the AC output of the device. If, due to code requirements, equipment substitution, final engineering, space availability, etc., the size of a PV System decreases, Contractor shall calculate the Contract Price using Its standard pdclng method and the Contract Price shall be automatically reduced. Client shall be credited by the reduced amount. If due to substitution the DC STC size of the PV System increases slightly, then Client shall not have to pay Contractor similarly. Contractor shall make every reasonable effort to ensure that PV System size does not decrease from the specifications. If the DC STC size of the PV System decreases more than 15% from the Contract's specification amount for any of the reasons stated in this paragraph, Client shall have the right to terminate this Contract within ten (10) days of Contractor's written notification to Client of such decrease, and Contractor shall then refund In full all funds paid to date Linder this Contract, but shall have no other liability to Client. Contractor reserves the right to unilaterally terminate this Contract within 45 days of its approval without any liability to Client If any of the PV System components required for the completion of Contractor's Work in a timely manner are not available. In the event of such termination, Contractor shall refund all monies paid by Client to Contractor as of the date of termination. C. Limit On of.1-lability: In no event shall Contractor be liable in an amount exceeding the compensation paid by Client to Contractor under this Contract. Contractor shall not be liable for any incidental, consequential or special damages or for economic loss or expense of for loss or profits or Income of Client, or Clienfs consultants or agents or employees, or any of them, including but not limited to any electricity costs Incurred should Installation of the PV System be delayed beyond the commencement Or completion schedule set forth above. D, Zoning: Client shall pay for all variances, special permits, or other mmm related to zoning, including without limitation any fees or costs related to attorneys urengineers. E.!a��: Client agrees to remove or to protect any fClient's personal properly, inside utwhich may interfere with or obstruct the Work including but not limited to landscaping, and Contractor shall not be held responsible for damage to such property. Client understands and acknowledges that proper operation of the PV System purchased hereunder Is dependent on Client's existing roof and equipment and Contractor shall have no obligation or liability for the condition thereof, or any other part of Client's improvements Of equipment not purchased hereunder. Client expressly represents that the roof of the property upon which the PV System will be Installed Is in good condition, with no known water Infiltration problems or other structural defects. r.Insurance: Client Must carry all fire, casualty, hurricane, earthquake, theft, and other insurance related to Client's real and personal property. G. angellation of Con=: If Client cancels or breaches this Contract after the opportunity to execute three (3) day rescission has passed but before commencement of construction, Client shall pay Contractor the amount of expenses Incurred to that date plus 20% of the Contract Price, If Client falls to pay said amounts within thirty (30) days of Contractor's demand for payment and Contractor files suit, Contractor shall be entitled to recover all ofits damages Including Its loss of net profits and attorneys' fees and costs If Contractor is the prevailing party. H. If Client falls iopay any amounts owed toContractor when due, Client shall baliable for all costs nfcollection, Including reasonable attorneys' fees, plus 18% Interest per annum on the unpaid balance, Contractor also shall have option ofremoving all orpart nfthe pV System from Client's premises in addition to receiving payment equal to the value of the unpaid balance to cover all or a portion of Contractor's consequential damages. |.Uem:Contractor, any oubcmntmctor(s)and any other persons mentities Supplying materials inClient Linder this Contract, have the right under applicable law to Impose a lien on Client's real property for the value of the labor or materials provided. Upon Client's payment nfall amounts due under this Contract, Contractor will provide, upon Client's request, a release and waiver of any liens. J Contractor shall not be liable or any delay In te|and/or equipment delivery for failure todeliver failure to performthe Work which results from any cause beyond the Contractor's control. Such causes Include but shall not be limited to: an act of God or of the public enemy; an act (or failure to act) of any government or utility� a fire, flood or epidemic; quarantine, restriction, strike, freight embargo, terrorism, theft or unusually severe weather; Contractor's Inability to obtain necessary materials, labor or transportation; Custom permitting caused by ClienVs site conditions; homeowner association review or approval; building or other code requirements relating to Client's existing electrical system or building characteristics; and any other Impediments to the Installation of the PV System arising from ClienVs acts or emissions and/or the condition of ClienVs property. Northeast Solar North Ave Suite A K. Legal Compliance and Severability: Contractor and Client acknowledge that the form, substance, content and notices contained in this Contract are intended to comply with Chapter 142A of the Massachusetts General Laws, and regulations promulgated thereunder. in the event of any Instance of non-compliance, only such portion shalt be invalid and the remainder of this Contract shall be in full force and effect. In addition, any such portion not in compliance shall be read and Interpreted so as to have Its intended meaning to the maximum extent allowed under such law and applicable regulations. L, Entire Contract; No Waiver Unless in Writing: This Contract constitutes the entire contract between the parties; there is no representation, warranty, collateral contract or condition affecting this Contract except as expressed in it. No provisions of this Contract shall be changed or modified, nor shall this Contract be discharged or waived, in whole or part, except in writing signed by both parties. This Contract shall not be effective until fully executed by Client and an Authorized Representative of Contractor. M. Client's Representation of Authority: If this Contract Is signed by less than all of the persons or entities who own the subject property, then Client who signs this Contract (or any of the provisions hereof) represents to Contractor that he, she or it has full legal authority to bind the other persons and/or entities. N. Governing Law: The laws of the Commonwealth of Massachusetts shall govern any proceeding or dispute related to this Contract, O: Production Gap Guarantea: This production guarantee covers 90% of estimated production in year 1 and decreases at .5% each year for a total term often (10) years. This guarantee is determined on an accrual basis and payments are made when the aggregate system production falls below total production estimated on the schedule above, Payments will be made at the end of each anniversary of the system's In service date of interconnection. Production Gap Guarantee is void if site conditions and solar access change after the date of Interconnection. Client'sInitials: Client's Initials: P. 3rd party Financing: Should the client obtain financing from a 3rd party which is approved by the Contractor, the payment terms of the lender will apply. Client:. (� 0d) i.IJoik- Date: Contractor: r Name: I�''� �` r ,✓ I �'�•'�i -� Title: Date: Northeast Solar 1 Forth Av( Suite A Burlington, MA 01803 781140.65155 1051YU V,1 501q OnirMIS NOI199-0E CANCELLATION If you decide that you do not want the goods or services described above, you may cancel this Contract by mailing or delivering a signed and dated copy of the cancellation notice, or any other similar written notice, to Contractor at the address set forth above no later than midnight of the third business day following the date on which you signed this Contract. If you cancel by the date and time indicated, any payment made by you under this Contract will be returned within ten (10) business days following receipt of your cancellation by Contractor, and any security Interest arising Out of the transaction will be released. If you cancel, you must make available to Contractor, at your residence, in substantially as good condition as when you received, any goods delivered to You under this Contract; or you may, if you wish, comply with Contractor's written instructions regarding the return shipment of the goods at Contractor's risk and expense. If you fail to make the goods available to Contractor, or if You agree to return the goods to Contractor and fall to do so, then you remain liable for performance of all obligations under this Contract. If we do not pick up, or attempt to pick up, the goods within 20 days of the date of your notice of cancellation, you may retain or dispose of them without further obligation. I HEREBY CANCEL THIS TRANSACTION: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES, Client's Signature (sign here only if you wish to cancel this transaction) Client's Signature (sign here _QW If you wish to cancel this transaction) Date (Client Initials) Northeast Solar I North Ave Suite A Burlington, MA 01803 781.2Ab.6555 7- 149778 W15,019 99I1212015 Project Number: U1883-0220-161 September 13, 2016 RevoluSun I North Avenue Burlington, MA 01803 ATTENTION: Ian Clifford REFERENCE: Joanna Woodworth Residence: 80 Campion Road, North Andover, MA 01845 Solar Panel Installation Dear Mr. Clifford: Per your request, we have reviewed the layout and photos relating to the installation of solar panels at the above - referenced site. The following materials and components are proposed in the installation of the solar panels. Roof Structure: 2x10 Rafters at 16" O.C. Roof Material: Composite Shingles Based upon our review, it is our conclusion that the installation of solar panels on this existing roof will not adversely affect the structure of this house. The design of solar panel supporting members and connections is by the manufacturer and/or installer. The adopted building code in this jurisdiction is the 2009 International Building Code and ASCE 7-05. Appropriate design parameters wbicli must be used in the design of the supporting members and connections are listed below: (;round snow load: 55 psf per Massachusetts amendments to the IRC (verity with local building department) Design wind speed for risk category 11 structures: 105 mph (3 -sec gust) Wind exposure: Category C Our conclusion regarding the adequacy of the existing roof is based on the fact that the additional weight related to the solar panels is less than 3 pounds per square foot. In the area of the solar panels, no 20 psf live loads will be present. Regarding snow loads, it is our conclusion that since the panels are slippery and dark, effective snow loads will likely be reduced in the areas of the panels, Solar panels will be flush -mounted, parallel to and no more than 6" above the roof surface. Regarding wind loads, we conclude that any additional forces will be negligible due to the low profile of the flush -mounted panel system. It is our conclusion that any additional seismic loadings related to the addition of these solar panels is negligible. During design and installation, particular attention must be paid to the maximum allowable spacing of attachments and the location of solar panels relative to roof edges. The use of solar panel support span tables provided by the manufacturer is allowed only where the building type, site conditions, and solar panel configuration match the description of the span tables. Attachments to existing roof joist or rafters must be staggered so as not to over load any existing structural member. Waterproofing around the roof penetration is the responsibility of others. All work performed must be in accordance with accepted industry -wide methods and applicable safety standards. Vector Structural Engineering assumes no responsibility for improper installation of the solar panels. Please note a representative of Vector Stnictural Engineering has not physically observed the roof framing. Out - conclusions are based upon the site assessment and information provided by Revolusun and the understanding that all structural roof components and other supporting elements are in good condition, fi-ee of damage and deterioration, and are sized and spaced as outlined in the site assessment performed by Revolusun. Very truly yours, VECTOR STRUCTURAL ENGINEERING, LLC Roger T. Alworth, P.E. Principal RTA/dgd 1/13/2016 9138 S. State St., Suite 101 / Sandy, UT 840701 T (801) 990-1775 / F (801) 990-1776 / www.vectorse.com Project Number: U1883-0220-161 September 13, 2016 RevoluSun I North Avenue Burlington, MA 01803 ATTENTION: Ian Clifford REFERENCE: Joanna Woodworth Residence: 80 Campion Road, North Andover, MA 01845 Solar Panel Installation Dear Mr. Clifford: Per your request, we have reviewed the layout and photos relating to the installation of solar panels at the above - referenced site. The following materials and components are proposed in the installation of tile solar panels. Roof Structure: 2x 10 Rafters at t 6" O.C. Roof Material: Composite Shingles Based upon our review, it is our conclusion that the installation of solar panels on this existing roof will not adversely affect the structure of this house. The design of solar panel supporting members and connections is by the manufacturer and/or installer. The adopted building code in this jurisdiction is the 2009 International Building Code and ASCE 7-05. Appropriate design parameters which must be used in the design of the supporting members and connections are listed below: Ground snow load: 55 psf per Massachusetts amendments to the IRC (verify with local building department) Design wind speed for risk category II structures: t05 mph (3 -sec gust) Wind exposure: Category C Our conclusion regarding the adequacy of the existing roof is based oil the fact that the additional weight related to the solar panels is less than 3 pounds per square foot. In the area of the solar panels, no 20 psf live loads will be present. Regarding snow loads, it is Our conclusion that since the panels are slippery and dark, effective snow loads will likely be reduced in the areas of the panels. Solar panels will be flush -mounted, parallel to and no more than 6" above the roof surface. Regarding wind loads, we conclude that any additional forces will be negligible due to the low profile of the flush -mounted panel system. It is our conclusion that any additional seismic loadings related to the addition of these solar panels is negligible. During design and installation, particular attention must be paid to the maximum allowable spacing of attachments and the location of solar panels relative to roof edges, The use of solar panel support span tables provided by the manufacturer is allowed only where the building type, site conditions, and solar panel configuration match the description of the span tables. Attachments to existing roof joist or rafters most be staggered so as not to over load any existing structural member. Waterproofing around the roof penetration is the responsibility of others, All work performed must be in accordance with accepted industry -wide methods and applicable safety standards. Vector Structural Engineering assumes no responsibility for improper installation of the solar panels. Please note a representative of Vector Structural Engineering has not physically observed tile roof fiaming. Out - conclusions are based upon the site assessment and information provided by Revolusun and the understanding that all structural roof components and other supporting elements are in good condition, free of damage and deterioration, and are sized and spaced as outlined in the site assessment performed by Revolusun. Very truly yours, VECTOR STRUCTURAL ENGINEERING, LLC Roger T. Alworth, P.E. Principal RTA/dgd )/13/2016 9138 S. State St., Suite 101 / Sandy, UT 84070 1 T'(801) 990-1775 / F (801) 990-1776 / www.vectorse.com U) --i m z 0 0 z z z 13 1. OM o< T, _0 0 G) m z 00-4 > a 0 rn m > I' > ;u zzj Mc L ......... 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M W� G) M? 0 4 c 90 z z Tl . . ............ ........... — — — — - - ---- -- m m > > Z �2 G) > C) P b Y' 2 {"� � r/A f7 O n © 0 ... ................... ....... lu � x < m ca mz ;_, m > 0 0 z 0 z m 0 to cn - ------------ V— W > z 'oSI Y1 i 'o o > > z Z c, -OZ, H Au > Cl) • • • lu � x < m ca mz ;_, m > 0 0 z 0 z m 0 to cn - ------------ V— W > z 'oSI Y1 i 'o o > > z Z c, -OZ, H Au > Cl) . ..... .... Z 4 9 Z 0 P W r7 r -9 >< > 0 ............. 91 iU SBF" - EL 2-2 Year I Eo,,qjYAJs,,g./Wm BS Y., t."'W 1-1.1— WO m z w q 4f 4. '.t ci �� j/ lg g I be gy �j �71 , >1 v c M a R', . . . ........ T M ow m Mg > 2 M > - 1>: 0 10 3 2 z X U) �00 M IE 10 M 00 > 44 K :� p C: F > Q 5m 6cn Yi CD Q /i o Cl) tY / /� o a r / j ri /// j / // /p/J m +C z 3, rn CD CD co 7 `Z t e} v N ct mr xxa ue: `.fig ' Hli�Em S.� 6. $ �` n :tic! ' i i$ R �i ?'d- •`¢' �'' ^i ° V/ sigg; fes' Milt!am x - •`' +� W CA mii°7 a tU CA u tea: ; b N � N 5 3 ..... ..... .,_..., .. _..._._.. .,U .. JJ"Iti __... ..... ............ .......... U) Q am mZm m rW 7J f7 ,�nAmy C 22mf a 3o: x o z <i h w C7 r� v ooIN r1 sem. Ctz 4k z l*> m Gi 0 I < :81 1C -9 0 c 9 t, 21 CV > M Gr fD Im < O p WO t'l N ;20 10 Oz < r -pi 047 cu 6 ----- ------ w__ . ............................. ...... ....... ... 1000 00 osS g: o L4 r.4 I z A cyT x co,w(A I " E4 win N 0 GS y P. :; 0 03 a CD ZF C/) z Fil0 T, o' m� > T -n m 'Y o a > 5o 0 0 -)Ff 0' "Z,), 'nc o Adm c F, ZzT 2 0 F ED 0 c . .. ..................... Z 19 Cny I > p , zv m 0 > x 3 > > 00, z z cs z u .0 I'D M m 0� c The Commonwealth of Massachusetts Department of Industrial Accidents Office q Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 iviviv.mass.;vov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Btisiness/Orgatiization/Individtial): Northeast Solar Services Inc. Address: 1 North Avenue, Suite A : Burlington, MA 01803 Phone #: (781) 270-6555 Are you an employer? Check the appropriate box: i. X❑ I am a employer with 25 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2,E] I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity, ernployces and have workers' [No workers' comp. insurance comp. insuranceJ required.] 5, ❑ We are a corporation and its 3. ❑ i am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c, 152, §1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition I 0.F_1 Electrical repairs or additions I LE] Plumbing repairs or additions 12.❑ Roof repairs 13N Other Solar PV *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 stich, lContractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy nomber. Iam an employer that is providing workers' compensation insurance for my employees. Below ivthe policy aitdjob site 111Jm'lnation. Insurance Company Name: Federated Mutual Insurance Company Policy # or Self -ins. Lic. 9884086 Job Site Address: 80 Campion Road Expiration Date: 12/31/2016 City/State/Zip: North Andover, MA 01845 — - - ------------ I 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 arid/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. I do hereby certify under the pahis andpenallies q fpeijury that the information provided above is true and correct. Joseph Vaccaro (781) 270-6555 09/26/2016 QJJ1cial use only. Do not write in this area, to be completed by city or town offlcia/. 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 collo CERTIFICATE OF LIABILITY INSURANCE DATE pNMMOlYM 11118ld015 I 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, EATEND OR ALTER THE COVERAGE AFFOR09D BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AIJTHOR12ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certifioate holder Is an ADDITIONAL INSURED, the pollcy(les) must he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditlens of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certlficata holder In lieu of suth andorsernerittaL PRODUCER CONTAIr HAME�HONE° FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX $28 } Noit 50.7-44.0-4664 •M IL OWATONNA, MN 55060 9689084 INSURIR a AFFORDINOCOVIRAOE NAI00 INBURERA; FEDERATED MUTUAL INSURANCE COMPANY 13935 EACH OCCURRENCE $1,000,OOC INsuAID 297-873.8 INSURER D: INBURERCi NORTHEAST ELECTRICAL INC 1 NORTH AVE BURLINGTON, MA 01803 INSURER D: INSURER E1 OEN'L X INSURER Fs COVERAOES CERTIFICATE NUMBER: 0 KtVl3FUn MUMUCK: U THIS 19 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 nCnTA... TUM WMLO Acne Aecn°nvn aV TUG Dni .rnea pEQCfk!FLFq 11FAMN I..4 RI MAAW TOM 1. THE TERl.18. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I SR TYPE OPINSURANCB ME POLICY HUMBER L(CY EFF Y LIMITS A OENERAL LIABILITY X COMMERcmoKNeRALLIABRIEY CLAIMSMADI ❑X OCCUR N N 9689084 1213112016 12/31/2016 EACH OCCURRENCE $1,000,OOC AO RHtITEO 5100100( MEDEXA{NUtANFW") EXCLUDEC PERSONAL l ADV INJURY $1,OD0X MINERALAOOREOATE $2,001),000 PRODUCTS=COM.PIOA AAO $2,000,00C OEN'L X AOOREOATE LIMFT APPLIES PER: poLICY P c LOC A AUTOMOSILS X LIABILITY ANYAVTO ALL YAT OWNED AUTOS Lev HIRE ,AUTOS { TON�YiNEO N N 9884085 12131!2015 12MI12016 MBF ED 6INGLE LIMIT $1,ODO,OOC RODILYINJURY(Perpsrsen) BODILY INJURY (Peruddeet 0 E TY A41PA8 AIKCESSLIAe JUMORELLAI.IAII X OCCUR CLAMS -MME N N 9884087 12/31/2015 1213112018 EACH OCCURRENCE $2,00O,OOC AOOREoma $2,000,OOC 010 1 lRaTs"TION A WORKSRSCOMPENBATION AND EMPLOYERS'LIABILITY YLIS,LEACHACCIDENT ANYPROPAIITORIPARTNERIIII,CUTIVE I I omcERIMEmemexCLVDE07 (M iMstaryin KH) Etyyss,desulbewder DElORIPTIOH OFOPERATION8 bebw NIA N 9684086 12/31/2015 12131/2018 X 7ORYLiMIT9 O� ' $111000100CE—f ELDISEASE•P.AIMPLOYIE 111,0001000 E,L DISEAMI-FOLFCYUMIT $1,000,000 09SCRIPTION OPOPERATIONB I LOCATIONS I VEHICLES IAradi ACORD 10t, Addlr°nsl Rsmerlcs adudule, It more space Is nq*44 THIS COPY I$ NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES. 00 9HO1JiD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED OEFORI THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED It Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESINTATIVE 0 1988.2010 ACORD CORPORATION. All ACORD 2S (2010106) The ACORD name and logo are registered marks of ACORD U 0 M co co 0 Wo ' � Z o >W9 ocW0� z°Zm W d g >z w a Nom bm ,- j tJ \§ °° L.o of &� Q E � §� 049 ) § kt & § ƒ ]� §/ E22) /2 �o k■■ ©�)