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Building Permit # 10/26/2016
%AORrH BUILDING IT TOWN OF NORTH ANDOVERti APPLICATION FOR PLAIN EXAMINATION wv' Date Received 6 �Y� "tnrea Permit NOS': ,� ��`SacHu$�� Date Issued: T1WIP Ot2TAlT Applicant must complete all items on this page ..i� P-0,0".,". /iJ, / / / r / / / // ✓ / .r ��,, / / ,, / / ar S�rLtlC�Ur r/� r '•ai%, % ���AfSwU Ei... ,/r ,/� i/r,,/� 1,�1.. / :. .,.- e„s; :Y// //i / /,/J/ / %/ // TYPE OF IMPROVEMENT PROPOSED_ USE Residential --___ Non- Residential ❑ New Building ftDne family ❑ Addition ❑ Two or more family ❑ Industrial AlfieratiOn _ _ No. of units: C 7 Commercial___ ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other f c ❑„Well /, �r„�%'❑ food Iain ;, �Vl/etlands r, '; ❑ Watershed District r r , �� � � . " `�� Www cls' IdentificationIdentificationP� ease Type or Print Clearly ;; , 7._w.__ / I �D OWNER: Name: � ' .. � �� `��ti ,".�� t�;.r�' Phone: Address: yr �� 'Contractor Flame F/ %� r / / ✓ i, ///o ,%/ // a///:, / �m rr, /,, ,,, � e,, ; „ / r l ;� %r„�/ �..,.” ✓/�.o,.�., ,r , ///i� // ,/i., �/,r ,. 1 ;i ,,,r ,,; �;i/, rc/ / ��� �, / //, Sd eru soris�Construoflon,, ,ii��,///i/ r /,,�,,,� �Ex Date ani, �� , < r rr , r r ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING RMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$`125.00 PER S.F. Total Project Cost: $_ a FEE: Check No.: a Receipt No.: / D 9/2 � NOTE: Persons contracting with acnreg stered contractors do not have access,to he rera a nd Signature of Agent/Own %% Signature of contracto u t%ORTH own of At-: b n over 0 ~� sae �, h ver, Mass, T�+Q C OC . ' lwK�a 4 5 A�RgTED 9S U BOARD OF HEALTH Food/Kitchen ERMIT T LD Septic System _ BUILDING INSPECTOR IS CERTIFIES THAT ........ ^ �. ................................................. ....... Foundation s permission to erect .......................... buildings an ...: . ...,.,. / & ..,.............. c Ugh , ... ..........s ..... ........I. ............�........ Chimney be occupied as .... ' Dvided that the person accepting this permit shall in every respect conform to the terms of the application Final file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and PLUMBING INSPECTOR )nstruction of Buildings in the Town of North Andover. Rough OLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS... ELECTRICAL INSPECTOR UNLESS CONSTRUCTI 1 Rough Service ....... ................................I......................... Final BUILDING INSPECTOR GAS INSPECTOR Occu anc e�mit Ide uired to Occupy Bujj!Aff9 Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final FIRE DEPARTMENT No Lathing or Dry Wall To Be Done Burner Until Inspected and Approved by the Building Inspector. Street No. Smoke Det. S A L E S O R D E R PAGE:1 PHONE#: (978)771-1027 DATE: 10/8/2016 THE STOVE SHOPPE CELL#: ORDER fl: 32744 25 INDIAN ROCK ROAD, ROUTE 11 ALT,9: CUSTOMER 4: 136957 WINDHAM, NH 03087 ROA: LOCATION: 1 Phone#: (603)537-0555 TERMS: cash STATUS: Pending Fax#: (603)537-0556 SALES TYPE: Work Order TAG#: CP: Stephen T TECH: Mario B SALES REP: Stephen T BILL TO 136957 SHIP TO Dave Johnson Dave Johnson 152 Abbott St 152 Abbott St N. Andover, MA 01845 N. Andover, MA 01845 YEAR MFR MODEL NUMBER DESCRIPTION VIN/SERIAL# MILEAGE/METER 1: INSTALL 521 Tech: Stephen T [ ] MFR PRODUCT NUMBER DESCRIPTION ORD SOLD B/O PRICE NET TOTAL HAIR 1-90-574220-14 Accentra 52i Insert-22"- 1 1 $4,899.00 $4,899.00 $4,899.00 Majolica bro **** LAB22 Install of Pellet Insert w/Full 1 0 $0.00 $0,00 $0.00 4" Liner LAB note 1 0 $0.00 $0.00 $0.00 ********NOTE********** LAB NOTE 1 These parts represent a 1 0 $0.00 $0.00 $0.00 typical install LAB NOTE 2 However other parts may be 1 0 $0.00 $0.00 $0.00 require. LAB LABOR COST 3 Labor Cost For Install 1 0 $650.00 $650.00 $650.00 LAB 22Note Install of Pellet insert w/ful 4" 1 0 $0.00 $0.00 $0.00 liner NEC L4251K-R6 4"X 25' Liner Insert Kit 316 1 0 $423.00 $380.70 $380.70 SS,-wl A Type Connecter ROC 4DP Damper Plate 4" 1 0 $44.95 $44.95 $44.95 RUT 76C Silicone CLEAR High 1 0 $14.00 $14.00 $14.00 Heat10.3oz Cartridge* PER Permit Permit&Processing Fee 1 0 $125.00 $125.00 $125.00 SIM PVP-4AD 4" PV Pro-Appliance 1 0 $21.78 $21.78 $21.78 Adapter* MID SALE Tent SALE 1 0 $0,00 ($300.00) ($300.00) **** COUPON GFP61X1495i 1 0 $0.00 $0.00 $0.00 Parts Job 1: $5,835.43 Subtotal Job 1: $5,835.43 Thank you for your business! All material must be paid in full at time of pick up or delivery Please note that if you are using our installation services all materials and labor must be paid in full at time of installation. If the installation takes more than 1 visit$250 may be withheld until the job is complete. TOTAL PARTS: $5,835.43 TOTAL LABOR: $0.00 TOTAL EXTRAS: $0,00 SuBToTAL: $5,835.43 TAX: $316.28 ORDER TOTAL: $6,151.71 10/8/2016 PLAIT MASTERCARD:039272 $2,500.00 BALANCE REMAINING: $3,651.71 S A L E S O R D E R PAGE:2 PHONE#: (978)771-1027 DATE: 1016!2016 THE STOVE SHOPPE CELL 9: ORDER#: 32744 25 INDIAN ROCK ROAD, ROUTE 11 ALT.4: CUSTOMER#: 136957 WINDHAM, NH 03087 P.O.#: LOCATION: 1 Phone#: (603)537-0555 TERMS: cash STATUS: Pending Fax#: (603)537-0556 SALES TYPE: Work Order TACT#: CP: Stephen T TECH: Maria B SALES REP: Stephen T Pmt MasterCard RUTH#:03927Z $2,500.00 XXXX-XXXX-XXXX-2040 Credit SIGN X BUYER AGREES TO PAY TOTAL AMOUNT ABOVE ACCORDING TO CARDHOLDER'S AGREEMENT WITH ISSUER 0 3 9 Picked Up By: W."".A ftl Installation Manualpad .4w 1,0.US by NI N101- '01". $P.W's installation and Appliance Setup INSTALLER: Leave this manual with party responsible for use and operation. OWNER: Retain this manual for future reference. NOTICE: SAVE THESE INSTRUCTIONS A& WARNING Please read this entire manual before installation and use of this pellet fuel- burning room heater. Failure to follow these instructions could ME=NSA I Iffil l : -11'ilffi '';I ! 'III result in property damage, bodily injury or even death. Model(s): . Do not store or use gasoline or otherflammable vapors Accentra 521 Pellet Insert and liquids in the vicinity of this or any other appliance. . Do not overfire- if any external part starts to glow, you are overfiring. Reduce feed rate. Overfiring will void your warranty. . Comply with all minimum clearances to combustibles as specified. Failure to comply may cause house fire. WARNING HOT SURFACES! Glass and othersurfaces are hot during operation and cool down. Hot glass will cause burns. ® Do not touch glass until it is cooled . NEVER allow children to touch glass . Keep children away . CAREFULLY SUPERVISE children in same room as CAUTION stove. . Alert children and adults to hazards of high temperatures. Tested and approved for wood pellets and or a mixture of High temperatures may ignite clothing or other up to 50%shelled field corn mixed with a minimum of 50% flammable materials. wood pellets, burning of any other type of fuel voids your warranty.When burning pellet/corn blends more frequent . Keep clothing,furniture,draperies and otherflammable cleanings may be required, materials away. CAUTION NOTE Check building codes prior to installation. To obtain a French translation of this manual, please . Installation MUST comply with local,regional,state and contact your dealer or visit www.harmanstoves.com national codes and regulations. Pour obtenir une traduction frangaise de ce manuel, s'il - Contact local building or fire officials about restrictions vous plait contacter votre revendeur ou visitez www. and installation inspection requirements in your area. harman stoves,co m Harman@ - Accentra 521 Installation ManualR22 - 2013 02116 3-90-00574i Installation Standard Work Checklist ATTENTION INSTALLER: Follow this Standard Work Checklist This standard work checklist is to be used by the installer in conjunction with, not instead of, the instructions contained in this installation manual. Customer: Date Installed: Lot/Address: Location of Fireplace: Installer: Dealer/Distributer Ph # Serial Number: WARNING!Risk of Fire or Explosion!Failure to install appliance to these instructions can lead to a fire or explosion. Appliance Install YES IF NO, WHY? Required non-combustible board is installed. (Pg. 4) C� Verified clearances to combustible. (Pg. 10-14) D Unit is Leveled and secured. Venting/Chimney Section 4(Pg. 10.19) Venting Configuration complies to vent diagrams. D Venting installed, sealed and secured in place with proper clearances. Q Exterior wall/roof flashing installed and sealed. D Terminations installed and sealed. 0 Electrical Section 1 (Pg. 4) 120 VAC unswitched power provided to the appliance. D Finishing Sections 3 &4 (Pg. 8-14) Combustible materials not installed in non-combustible areas. D Verified all clearances meet installation manual requirements. Q &212liance Setu13 Section 5 (Pg. 20-21) All packaging and protective materials are removed. D Accessories installed properly. l� Manual bag and all its contents are removed from inside the appliance and given to party responsible for use and operation. D Started appliance and verified that all motors and blowers operate as they should. 0 Hearth and Home Technologies recommends the following: Photographing the installation and copying this checklist for your file. This checklist remains visible at all times on the appliance until the installation is complete. Comments: Further description of the issues, who is responsible (Installer/Builder/Other Trades, etc.)and corrective action needed Comments communicated to party responsible by on (Builder/ Gen Contractor) (Installer) (Date) 3 Harman® • Accentra 52i installation Manual R22 • 2013- • 02/16 3-90-005741 E. Non-Combustible Materials Specification NOTE: Hearth & Home Technologies, manufacturer of Material which will not ignite and burn. Such materials are this appliance,reserves the right to alter its products,their those consisting entirely of steel, iron, brick, tile, concrete, specifications and/or price without notice. slate, glass or plasters, or any combination thereof. Materials that are reported as passing ASTM E 136, HarmanO is a registered trademark of Hearth & Home Standard Test Method for Behavior of Materials in Technologies. a Vertical Tube Furnace at 75011 C and UL763 shall be considered non-combustible materials. F. Combustible Materials Specification Materials made of or surfaced with wood, compressed paper, plant fibers, plastics, or other material that can ignite and burn, whether flame proofed or not, or plastered or unplastered shall be considered combustible materials. G. Electrical Codes 120 VAC, 60 Hz, Start 5.0 Amps, Run 4.0 Amps NOTE.Some generator or battery back-up systems may not be compatible with the micro-processor electronics on this appliance. Please consult the power supply manufacturer for compatible systems. WARNING! Risk of Fire! Hearth & Home Technologies disclaims any responsibility for, and the warranty and agency listing will be voided by the below actions. DO NOT.• • Install or operate damaged appliance • Modify appliance • Install other than as instructed by Hearth & Home Technologies • Operate the appliance without fully assembling all components • Overfire • Install any component not approved by Hearth & Home Technologies • Install parts or components not Listed or approved. • Disable safety switches Improper installation, adjustment, alteration, service or maintenance can cause injury or property damage. For assistance or additional information, consult a qualified installer, service agency or your dealer. 5 Harman® • Accentra 52i Installation Manual R22 2013- 02116 3-90-00574i B. Tools And Supplies Needed Tools and building supplies normally required Hearth&Home Technologies disclaims any responsibility for installation, unless installing into an existing for, and the warranty will be voided by, the following masonry fireplace: actions: Reciprocating Saw Gloves • Installation and use of any damaged appliance or vent Hammer Safety Glasses system component. Phillips Screw driver Electric Drill & Bits • Modification of the appliance or vent system. Tape Measure Level May also need: 4Installation other than as instructed by Hearth&Home Non-Combustible Sealant Vent Support Straps Technologies. Material Venting Paint Installation and/or use of any component part not approved by Hearth & Home Technologies. C. Inspect Appliance and Components Any such action may cause a fire hazard. • Carefully remove the appliance and components from the packaging. WARNING! Risk of Fire, Explosion or Electric Shock! • The vent system components and decorative doors and DO NOT use this appliance if any part has been under fronts may be shipped in separate packages. water. Call a qualified service technician to inspect the • if optional log set is purchased, the log bracket must be appliance and to replace any part of the control system installed prior to installing the log set. that has been under water. • Report to your dealer any parts damaged in shipment, particularly the condition of the glass. • Read all of the instructions before starting the installation.Follow these instructions carefully during the installation to ensure maximum safety and benefit. WARNING! Risk of Fire or Explosion! Damaged parts could impair safe operation. DO NOT install damaged, incomplete or substitute components. Keep appliance dry. 7 Harman® • Accentra 52i Installation Manual R22 2013- 02116 3-90-00574i B. Clearances to Combustibles&Floor Protection When selecting a location for the appliance it is important to NOTICE.Illustrations reflect typical installations and are FOR consider the required clearances to walls (see Figure 3.2). DESIGN PURPOSES ONLY. Illustrations/diagrams are not WARNING! Risk of Fire or Burns! Provide adequate drawn to scale.Actual installation may vary due to individual clearance around air openings and for service access. Due design preference. to high temperatures, the appliance should be located out of traffic and away from furniture and draperies. * Floor protection must be used from hearth opening to 6" (152mm) in front of door glass and 6" (152mm) to each side of the stove body to protect combustibles from hot ashes. A minimum size will be 16.5" deep by 30" wide and be made of a noncombustible material or meet UL approval. A = to sidewall B = to 12" mantel C = to 314" trim D = to 3/4" trim E = floor protection B D C �1 illif 111111111' D A D E E CLEARANCES: A *C *D E (From Glass) From Insert Body: 12" (305mm) 12" (305 mm) 0" 0" 6" (152 mm) *3/4"trim, zero clearance to cast surround Figure 3.2 9 Harman0 • Accentra 52i Installation Manual—R22 • 2013- 02116 3-90-00574i The chimney top must be capped #3 Installing into an existing chimney 4� to prevent rain and/or snow from entering the chimney. This method provides excellent venting for normal operation. This method also provides natural draft in the event of a power failure. If the chimney condition is questionable you may want to install a liner as in method#2. This is the minimum allowed vent pipe using 4" stainless The damper area must be steel flex pipe, sealed with a steel plate and it is recommended that Kaowool, The vent pipe must extend past the damper sealing area by Mineral wool or an equivalent at least 12 inches. non combustible insulation is Note:The insulation material must not be allowed to expand used on top of the plate to reduce the possibility of condensation, to the point that it covers the end of the flex pipe. Insulation alone should not be The chimney should be capped with any style cap that will used to seal the damper opening. not allow rain or snow to enter. In some places in the US and Canada, it is required that the vent pipe extend all the way to the top of the chimney.Check your local codes. WARNING CHIMNEY CONNECTOR PIPE MAY NOT PASS THROUGH CONCEALED SPACES INCLUDING AN ATTIC, ROOF SPACE, CLOSET, FLOOR OR CEILING. Figure 4.3 WARNING DO NOT REMOVE BRICKS OR MORTAR FROM THE EXISTING FIREPLACES. Chimney top #4 Preferred method MUSTBESEAL.ED This method provides excellent venting for normal operation and in a fireplace with inadequate flue space, or a height of over 30 feet.A 3"or 4" PL vent pipe should be used with the needed swivel flue stub. Fiberglass insulation NOTE: With a 100% outside air kit the outside air can be packed above the installed in the same manner as the flue pipe. damper opening and sealed plate. (Not a Stainless Steel Outside Air Inlet Cover Harman®product.) part## 1-10-09542 -T _ 12" min. 36" CAUTION KEEP COMBUSTIBLES (SUCH AS GRASS, LEAVES, 32"min. ETC.) AT LEAST 3 FEET AWAY FROM THE FLUE OUTLET ON THE OUTSIDE OF THE BUILDING. Figure 4.4 11 Harman@ Accentra 52i Installation Manual—R22 • 2013-- • 02116 3-90-005741 Installing the Accentra 52i Pellet Insert into a Harman Zero Clearance Cabinet If you don't have a factory built fireplace or masonry fireplace, the Accentra 52i Pellet Insert can also be installed into the Harman,Zero Clearance Cabinet, Part#1-00-574323.This is the only permissible way to install the Accentra 52i Pellet Insert without a suitable fireplace.After the Harman Zeno Clearance Cabinet is installed,type PL vent pipe,wall pass-throughs and terminations are used(Note: Flex pipe is not approved these types of installation).Detailed installation instructions are included with the Zero Clearance Cabinet.These same installation instructions can also be found on-line at www.harmanstoves.com. Below are two sample installations using the Harman Zero Clearance Cabinet. 0 o a 0 / / 'fit{grNy�Yq Harman Zero Clearance Cabinet Requirements for Terminating the Venting through an Exterior Wall. The clearance to a window or door that may be opened mast be a minimum of 48"to the side and 48" below the window/ door, and 12" above the window/door. (with outside air installed, 12"to the side or below) �l11fV11llUlT 611t kP y_. e• PL Vent Pipe installed through a ceiling. PL Vent Pipe installed through an exterior wall 13 Harman@ • Accentra 52i Installation Manual R22 • 2013- 02/16 3-90-005741 I 3 Minimizing Smoke During Loss of Power Using Battery Back-up Harman®strongly recommends installing battery back- Your appliance will recognize when power is restored. What up to minimize entry of smoke into the room in the happens depends on ESP temperature and whether it is event of power loss. equipped with automatic ignition: Your pellet/biomass burning appliance relies on a • In "Automatic" setting, units equipped with automatic combustion blower to remove exhaust. A power failure will ignition will respond to the set point and ESP temperature cause the combustion blower to stop. This may lead to and resume normal operation. exhaust seeping into the room. Vertical rise in the venting . In "Manual" setting or for units without automatic may provide natural draft. It is, however, no guarantee ignition: against leakage. There are two Harman® approved battery back-up • If the ESP is cool, the appliance will remain shut down. options for your appliance: • If the fire is out and the ESP is still warm,the feeder may restart. Since the fire is out, the ESP temperature will not Uninterruptible Power Supply (UPS) UPS battery back-ups are available online or at computer and office rise. The unit will then shut-down, and may flash asix- equipment stores. Your Harman® appliance with Rev E or blink status error. (See ESP error codes) later software available beginning in [November 2010 may • If the fire is still burning, it will resume normal operation. be plugged directly into a Harman®approved UPS: Contact your dealer if you have questions about UPS • The APC(American Power Conversion)model#BE750G compatibility with your appliance. and the TrippLite model IfNTERNET75OU are tested Harman® Surefire 512H Batte Back-u The 512H and approved. Other brands or models may not be connects to a 12 volt deep cycle battery that will run your compatible. appliance for up to eight (8) hours. It includes a trickle When power is lost, a fully charged UPS will power a safe, charge feature that keeps your battery charged when power combustion blower only shut-down. Your appliance will is available. NOTE: If the power is out for longer than pulse the blower every few seconds to clear exhaust until battery life, smoke leakage may still occur unless your the fire is out. stove has been safely shut down. NOTE: The UPS provides safe shut-down only. It is not intended for continued operation. & CAUTION Always keep appliance doors and hopper lid closed and latched during operation and during power failures to minimize risk of smoke or burn-back. CAUTION Use only Harman®approved battery back-up devices. Other products may not operate properly, can create unsafe conditions or damage your appliance. 15 Harman® • Accentra 52i installation Manual—R22 2013-_ 02116 3-90-00579i V: G. Negative Pressure H. Avoiding Smoke and Odors u WARNING!Risk of Asphyxiation! Negative pressure can Avoiding Smoke and Odors 0 cause spillage of combustion fumes and soot. Negative Pressure, Shut-down, and Power Failure: Negative pressure results from the imbalance of air available To reduce the probability of back-drafting or burn-back in for the appliance to operate properly. It can be strongest in the pellet burning appliance during power failure or shut- lower levels of the house. down conditions,the stove must be able to draft naturally Causes include: without exhaust blower operation. Negative pressure in the house will resist this natural draft if not accounted for in the • Exhaust fans (kitchen, bath, etc.) pellet appliance installation. • Range hoods Heat rises in the house and leaks out at upper levels. This • Combustion air requirements for furnaces, water heaters air must be replaced with cold airfrom outdoors,which flows and other combustion appliances into lower levels of the house. Vents and chimneys into • Clothes dryers basements and lower levels of the house can become the • Location of return-air vents to furnace or air conditioning conduit for air supply, and reverse under these conditions. Outside Air; • Imbalances of the HVAC air handling system Hearth & Home Technologies recommend attaching • Upper level air leaks such as: outside air in all installations,especially lower level and - Recessed lighting main floor locations. - Attic hatch Per national building codes, consideration must be given to combustion air supply to all combustion appliances. Failure - Duct leaks to supply adequate combustion air for all appliance demands, To minimize the effects of negative air pressure: may lead to back-drafting of those and other appliances. • Install the outside air kit with the intake facing prevailing When the appliance is side-wall vented:The air intake is best winds during the heating season located on the same exterior wall as the exhaust vent outlet and located lower on the wall than the exhaust vent outlet. • Ensure adequate outdoor airforail combustion appliances and exhaust equipment When the appliance is roof vented: The air intake is best located on the exterior wall oriented towards the prevailing • Ensure furnace and air conditioning return vents are not wind direction during the heating season. located in the immediate vicinity of the appliance The outside air connection will supply the demands of the • Avoid installing the appliance near doors, walkways or pellet appliance, but consideration must be given to the small isolated spaces total house demand. House demand may consume some • Recessed lighting should be a "sealed can" design air needed for the stove, especially during a power failure. It • Attic hatches weather stripped or sealed may be necessary to add additional ventilation to the space in which the pellet appliance is located. Consult with your local • Attic mounted duct work and air handlerjoints and seams HVAC professional to determine the ventilation demands for taped or sealed your pause. NOTICE; Hearth & Home Technologies assumes no responsibility for the improper performance of the chimney system caused by: • Inadequate draft due to environmental conditions • Down drafts • Tight sealing construction of the structure • Mechanical exhausting devices 17 Harman& Accentra 52i Installation Manual—R22 2013- 02!96 3-90-00574i I. Mobile Home Installation CAUTION You must use a Harman® Outside Air Kit for installation in a mobile home. THE STRUCTURAL INTEGRITY OF THE MOBILE 1. An outside air inlet must be provided for the combustion HOME FLOOR, WALL AND CEILING/ROOF MUST BE air and must remain clear of leaves, debris, ice and/or MAINTAINED. snow. It must be unrestricted while the appliance is in Do NOT cut through: use to prevent room air starvation which causes smoke spillage. Smoke spillage can also set off smoke alarms. Floor joist, wall, studs ceiling trusses. 2. The combustion air duct system must be made of metal. • Any supporting material that would affect the structural It must permit zero clearance to combustible construction integrity. and prevent material from dropping into the inlet or into the area beneath the dwelling and contain a rodent screen. CAUTION 3. The appliance must be secured to the mobile home structure by bolting it to the floor(using lag bolts). Use the Never draw outside combustion air from: same holes that secured the appliance to the shipping pallet. Wall, floor or ceiling cavity. 4. The appliance must be grounded with #8 solid copper • Enclosed space such as an attic or garage. grounding wire or equivalent, terminated at each end with an NEC approved grounding device. 5. Refer to "Clearances to Combustibles and Floor Spark Arrestor Cap Protection" section of this manual for listings to combustibles. 6. Use silicone to create an effective vapor barrier at the location where the chimney or other component penetrates to the exterior of the structure. 7. Fallow the chimney manufacturer's instructions when Storm Collar installing the vent system for use in a mobile home. 8. Installation shall be in accordance with the Manufacturers Roof Flashing Home & Safety Standard (HUD) CFR 3280, Part 24. WARNING Asphyxiation Risk: NEVER INSTALL INTO A SLEEPING ROOM Joist Shield/Firestop Approved Class"L" or Consumes oxygen in the room "PL" Pellet Vent WARNING Installation must comply with Manufactured Home and Safety Standard (HUD), CFR 3280, Part 24 19 Harman® • Accentra 521 Installation Manual R22 • 2013- 02116 3-90-00574i i 3 i d I Appliance Set-Up A. Reducing Weight for Installation 1. Remove the front viewing door by swinging it open approximately 900 and lift it upward until it clears the hinge ,,rte °oma° pins. See Figure 5.1. 2. Remove the ash pan 3. Remove the (4) internal pieces of cast iron Figure 5.2. See Figure 5.3 and Figure 5.4 for removal instructions. 6 � o Center Medallion 'a • ------------------ - Neat Exchanger Cover i Flame Guide Figure 5.1 Figure 5.2 B B i 1 ° O O •� °9Oo�0 Q O O o EBBBB° . I B�BBB ----------------- Q o 0 0 0 0 Mounting Frame (2)Spring Latches Ash Pan (One on each side) The drawing above shows the major sub components of the Accentra 52i. Take notice as to where the spring latches are located. 21 Harman® • Accentra 52i Installation Manual R22 2013- 02116 3-90-005741 o: i Next, locate the center top surround section and install four Installing Power Cord '/"-20 x 3/" socket threaded studs into the holes shown The power cord can be installed exiting the left (standard) or below using a 1/8"alien wrench. Figure 5.7. right side of the surround. If a right side cord is desired, follow u the instructions below. The cord is located on the left side,standard from Harman& To route the cord to the right side: 1. Cut the wire-ties looping the cord to the left. Figure 5.11. 2. Re-route the cord along the top of the steel angle and down the right side. 3. Re-tie(not supplied by Harman®)the wire through the notches provided in the mounting frame.Then down the right side rail. Install '/"-20 x 3/"studs 4. Do not remove the cord retainer,it is made to reach both the Figure 5.7 right and left sides. NOTE:The cord retainer MUST BE installed prior to installing a Slide the center surround section onto the mounting frame wing extension. and install a '/"washer and then a '/" nut onto each of the four studs. These nuts should remain loose until the entire surround has been installed and adjusted. Figure 5.8. O Install 1/4"washer O and Nut (5132"alien wrench) Figure 5.$ Figure 5.11 Figure 5.12 Align the top center surround section between the right and With the three wing pieces installed,the cord retainer must be left panels and tighten the four '/" nuts to lock it in place. bolted to the bottom rear of the wing. Either left exit(shown in Now tighten the 3 bolts and nuts on the left and right side Figure 5.12)or right exit. panels. At the bottom rear edge of the right and left wing there is a small radius indent for the cord to exit between the wing and Unbolt the mounting frame from the shipping pallet using a the fireplace face. 1/a" socket on the three lag screws; the lag screws and the NOTE: If installing the optional wing extension it must be pallet will not be reused and can be discarded, installed before completing the following steps. Install the outside air pipe stub [if used), to the mounting With the surround attached and the power cord installed,install frame. Figure 5.9. the coupler nut weldments to the frame in the hole location There are two different flue pipe stubs available. The unit that suits your needs with the (4) 114-20 x 518 flange screws comes standard with the largest pipe stub. and nuts and 112"jack bolts. Install the (4) 5/16"- 18 leveling bolts into the threaded holes in the bottom pan of the mounting 1. Part#1-00-574034 is for use with 4" PL vent starter pipe frame, install the mounting frame into the opening and adjust and 4"stainless steel flex pipe (Part#1-00-574034). these bolts to insure the frame is level. (NOTE: Use of all 4 2. Part#1-00-674039 is for use with 3" PL vent starter pipe leveling bolts may not be necessary.)Tighten the 1/2"jack halts and also for use with 3"aluminum flex duct for outside air against the lintel using a wrench on the 112" nuts supplied on connections. the jack bolts. See Figure 5.13. The flue stub assembly base is a round plate which allows it 112° threaded jack bolts with to swivel to allow the flue pipe to exit the mounting frame in nuts & coupler weldment and o other positions rather than straight up. Figure 5.10. 114-26 x 518"Flange bolts Leveling bolt holes °U ° are outer, threaded �� o holes. co). p U Anchor bolt holes are �. °� ❑ inner non-threaded o ° holes Q Figure 5.13 ;• Figure 5.9 Figure 5.10 23 Harman® • Accentra 52i Installation Manual R22 2013= 62116 3-90-005741 On top of the combustion air inlet box there are 2 male Slide the unit into the mounting frame making sure wires are terminal grounds. Figure 5.18. clear of the frame and stove body. Snap the left and right If service is performed on this stove, this ground spring latches to secure the stove and remove the service connection must be the first one on and the last one off. rail kit. Re-install the heat exchanger covers and medallion. Install and adjust the side panel magnets onto the cast iron ash lip. In the hardware pack are (2) magnets and (2) 8-32 x 314" bolts and nuts. NOTE:Bolt head should be on the upperside of the ash lip. Bolt the magnets through the holes provided in the cast ash lip. Figure 5.20. Check the fit of the cast ash lip to make sure that it can be slid in and out easily. The cast ash lip can remain in place at this time. o. . o Magnet Figure 5.18 Connecting the power cord The white from the mounting frame connects to the white of the insert body.The black from the mounting frame connects to the brown of the insert body. Figure 5.19. ^ Figure 5.20 A small clearance of about 1116" is an ideal space between the legs of the ash lip and the hearth. This cast ash lip is a decorative part that does not and should not support any weight. NOTE:There are 2 Tek screws located in the ash lip rail that can be loosened for adjustment. Figure 5.21. Adjustment Tek screws Make sure door gap is even on both sides Figure 5.19 Figure 5.21 WARNING ROUTE POWER CORDAWAY FROM THE APPLIANCE. DO NOT RUN CORD UNDER OR IN FRONT OF THE APPLIANCE. 25 HarmanO • Accentra 52i Installation Manua[ R22 • 2013 02/16 3-90-00574i After the installation is completed, but before the first fire is lit, check and record the high and low draft readings. �� Combustion Motor Speed Contra! Low PMQ u : pOWR O S draft only set point. STATVS0 4. g s The small straight ;•!••_ ° 3. screwdriverslot is plastic; Y i therefore, the unit can ° ®� aMBLIMN O BOWER u he adjusted while In NfrfR operation. FEED O 1150MX AM IGNRER O m DISABLED W or _ f 7SS 7C 4- d� 0 3N � 55 WARNINNGNVOITA6E DhmrYHcl pmwb km mmft xL Figure 5.23 MCHE4 OF WATER N 36 E. Low Draft Voltage Adjustment These units are pretested at the factory with exactly 120 VAC, _ MAGxEH ,C 60 Hz.They are checked and adjusted for firebox tightness, o gasket leakage, motor operation and igniter operation. The stove is then factory set at a high adjustment. NOTE: Low draft adjustment may be required. The factory low draft setting may not be correct for the unit's permanent Open control panel door to gain access to draft tube.Replace plug installation conditions, cover after draft test. The control board on the Accentra 521 Pellet Insert is f=igure 5.24 equipped with a low draft adjustment port. Located on the control face just to the right of the igniter light. Figure 5.23. A simple draft test should be performed after completing This voltage adjustment is provided to allow the unit to be the flue pipe installation. Figure 5.24. Record the results for adjusted for the household voltage where the unit is going future reference: to be in permanent operation. NOTE:The line voltage varies from area to area and often home to home. 1. Plug unit into a 120 VAC, 60 Hz outlet. The low draft voltage should be adjusted to achieve the most 2. Close the hopper lid and front view door. Neither pellets efficient burn on low burn or "maintenance". This voltage or a fire are required for this test. (Cold Stove) adjustment allows the installer to change the low voltage set 3. With the mode selector in the"OFF"position,turn the feed point approximately 15 volts.This adjustment should be done adjuster to "TEST". by the installer during set up because a draft meter reading is required to insure proper set up. 4. Record the high draft in. W.C. (Normal is -.30 to -.40)The control will be on the High Draft for a total of 1 If the unit is not adjusted properly, it does not cause a safety minute. concern. If the unit is adjusted too high,only efficiency is lost. , After 1 minute,the combustion motor will go down to low If the unit is adjusted too low, the low draft pressure switch will not allow the feeder motor or the igniter to operate. draft and the distribution blower will go on high. Allow approximately 15 seconds to pass for the combustion motor to slow before checking the low draft. 6. If the low draft is between-.25 and-.35,record the reading in. W.C. If the reading is higher, slowly turn the set screw counter-clockwise until the draft lowers. If the reading is lower, very slowly turn the set screw clockwise until the draft increases. NOTE:In some cases,the draft may not go as low as-.35 even with the set screw completely counter-clockwise. 27 Harman@ Accentra 52i Installation Manual R22 • 2013-_ • 02116 3-90-005741 N CO ROOM SENSOR Wire HARMAN -ACCENTRA 521 PELLET STOVE# 1-90-574000 _v for external location MALE/FEMALE CONNfC110N5 BLAC ROOM SENSOR Wires 181310Amp POWERCORb GREEN WHITE twisted pair wire = w GREEN WIRE IS GROUND LLOW �q HARNES57HROUGHBODY RONDEDTOSTOVEWING I� G4EENl+'� f+� Q� CONNECTION NOT COLOR SPEC€FIC �/�/T /1. ES P SAMP GLASS FUSE GREEN V GREENWIREISGROUNo F L oo WHITE GREEN BONDEDT057OVE BODY BOARD n SKY BLUE BLUE @ SPRED LITTER ESP PROBE Crl v N O 0 u 57 uj LZ Y m Lu m m O TWISTED WERE LLJI-- J -1 J O T 00 L' uj u- ff1 C !v I� BLACK LOW PRESSURE SWITCH BLACK N,O.CONTACTS No SKY BLUE BROWN 1 Lu IW v_ o PLUGGED 2 WHITE 3 p Y � l7 rdv �Q� DOo z �Q� p�0 z "' °° WHITE 4 Q O a o WHITE 5 r cl; OQQ aQ�� 0 ® WHITE 6 z BLACK EMPTY 7 �- YELLOW 8 IGNITER ELEMENT BLUE 9 Lu COMBUSTION MOTOR _ FEEDER MOTOR RED 10 Z BLACK 11 MAX.WATTS 624 --5.2 A.-- 120 VOLTS A.C. 60 HZ. t^' PART NO.3-90-574136 cc 0 CD CD cs1 V A •om:Patricia Maker Fax: To: 97B6889542@rcfax.con Fax: +19786889542 Page 4 of 4 10/27/2016 9:56 AM ACO CERTIFICATE OF LIABILITY INSURANCE DATE D/227/20167/2016 1 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 pDIICy(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). ME PRODUCER NACT Judith George CIC,CPIA,CPIW FIAI/Cross Insurance aHCON o E t: (603)669-3219 FAXAIC No;(503)695-4331 1100 Elm Street E-MILeor a@crossa enC Com ADDRESS:J g g g y' INSURER(S)AFFORDING COVERAGE NAIC# Manchester NH 03101 INSURERAContinental Western Ins Co INSURED INSURERB:Union Ins Cc dba Berkley Property & Mis-Sec of NH, Inc. dba The Stove Shoppe INSURERC:Safety National Casualty Corp. The Commons at Windham INSURER D: 25 Indian Rock Road, Suite 19 INSURER E: Windham NIT 03087 INSURERF: COVERAGES CERTIFICATE NUMBER:16-17 All w/MA & CT WC 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 OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE [i]OCCUR PREMISES Ea occurrence S 250,000 CPA0311123-15 1/1/2016 1/1/2017 _MED EXP(Any one poison) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIM#T APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY �ECT�LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY Ea accidentj,_ 1,000,000 T3 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED CAA0311124-1b 1/1/2015 1/1/2017 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S X HIRED AUTOS `Y AUTOS Per accident Uninsured motorist property $ 25,000 X UMBRELLA LIAS X OCCUR EACH OCCURRENCE S 10,000,000 A EXCESS LEASI CLAIMS-MADE AGGREGATE $ 1.0,00o,000 DED RETENTION$ CUA0311125-16 1/1/2016 1/1/2017 $ OTH- WORKERS COMPENSATION FPP4050457 AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE ❑C N/A (3a.) MA & CT E.L.EACH ACCIDENT $OFFICERIMEMBEREXCLUDED7 To be issued direct! 1/1/2015 1/1/2017 E,L_DISEASE-EA EMPLOYE $ (Mandatory In NH) X It yes.describe under b cattier DESCRIPTION OF OPERATIONS below Y E.L.DISEASE-POLTCY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACO RD 101,Additional Remarks Schedule,may be attached If mores pace Is required) Town of North Andover, MA is included as additional insured with respects to the CGL as per written contract_ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover, MA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 120 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. N. Andover, MA 01845 AUTHORIZED REPRESENTATIVE J George CSC,CPIA,CPI ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS1195 onfdnai The Commonwealth o,f.,Massachu►sefts .Department of�XRdustrzrcl Accicler2fs Offlee o,fXfavestrgaf Offs 640 Washington Street Boston,MA 02111 -Wwt.mass go-P1d1a .4 fa Worcker$9 Coampensagon.Ynsu7rance Affidavit: BTdIders/Confrcacf•or Al J Please U Print Sebe � Meant XDXoxmatlon NaMID( uslness/0zganizat ontindzviduai): )101100: 10( ,Are you an employer?Cb.eck the approj�xiate boy: Type orpxoject(required): y1.�x axa a oriplayer with _ 4. x am.a general.contractor and 1 6. []Naw construction employees(fali and/ox part-time).* Wed. n the attached she . 7, 1A Remo deft p } ;listed an the attached.sbeet.:�= 2. 1 am a sole proprietor orpartner ship and'havo no employees These sub-contxactars have S. � n, xromolitia workers'comp.insurance. q. [(Building addition working f'or mo in arty'capacity. insurance 5� a�e are a corp Oration and its 10-E]�leotrical repairs or additions (No woxl<ers' comp. xegrdred.j officers have exexcisedtheir xightaf?oxemptianpexiVZCiL ll��p'lb�gxepairsoracicU.tians 3.E] arc a homeowner doing a 11 work and we have no 12,Q Roof repairs ro G. 152,§1(x•7, yse'.Ll;;��`a workercomp. insurance O w rkemployees.Lao workers' 13. (Other comp.insurance xequixed,] ny applicantthat checks box#l,mustalso fill outthe section belaw showingtheirworkere cornpensationpollcy infarmation. tA -H'om.eowners who submit•this affidavit indleatingthey Rdoing allwork and then biro outsido contractors znustsubmit anew aff"rdavit indloating such, Teoatractors that cheokthis box must attached an additional sheet sbowing the name of tho sub-contractors and thclr workeis'comp.policy infounatlon. X am an ernpl'ayev filet is'pxavlrling rva�Xrers'court e z�s�'aflon zrzszaranea for my employees; Berox?is theyoltay aritK joh isi(e Information. �"�' ""�` . Insurance Cam. any Name . �� `�IILV- Policy � ��it or'sel--I .S.ic.0: ___ _ ----- - 6 t�, CityfState/2ip� 2V A f ! fob Site Address:_L . ' .Attacix a copy of;the workers'cozo•pensation p obey declaration page(showing tb,e policy number and expiratlon date). Fazluro to secure coverageas xegaked:under Section 25A.of:MGL o,enalties inthe foono rem a STOPO ORDpSi and dna of a Fmo up to$1,500.00 andlor one�year imprisonment,as weal ax cxvil p of:up to$25o.00 a day against the: 1.01ato "'R6-46,�s that a copy`of'this statement may be for wardedto the O;ftico-'0 vestigations Of for insuxan coverage v Jrfzoation, ^ a e rhes o er"zcr flzcat tXze irzforrnatiorzr ovirletl al�oY is tr zze azrl carred Y � . X da 1'ie��e�i e�x zzr2rl N t7i ,.� Si afar®, Jute: fez fzZe only. Do not write zr2 trzfs area,to lie carazletecl i;y cffy a tawlz ofciar f City orTowxr: pox mitlLicertse# IssuingAuthority(circle 6110): ,.)Board of 1-fealih 2.Bui-idingDepar'txnen� S.City/Town Clerk 4.electrical Tnspectar 5.T'itrrubing hspect.r 6.Other � Pl on.e 3. t Ac�® CERTIFICATE OF LIABILITY INS DATE(M€Vt1°omvY, URANCE 12/11/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME; Judith George CIC,CPIA,CPIW FIAT/Cross Insurance PHONE (603)669-3218 Fax fAIQ No t• AIC No:(603)fi45-4331 1100 Elm Street E-MAIL ADDRESS: george@orossagency.com AFFORDING COVERAGE _ NA€C#_ Manchester NH 013101 INSURER(S)AFFO INSURERA;Continental Western Ins Co [25 URED Fences Unlimited, Inc, €NSURERB:Union -Ins Co dba BerkleyPro ert s-Bec of NH, Inc. dba The Stove Shoppe INSURERc:Granite State WC Manuf'acturer's e Commons at Windham INSURER 0: Indian Rock Road, Suite 19 INSURER E: Windham NH 03087 INSURER F: COVERAGES CERTIFICATE NUMBER:16-17 All-- NH WC 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 CERTIAGATE MAY 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 ADDL SUER LTR TYPE OFINSURANCE VD POLICY NUMBER MtOJ€1DCYIYEYYY MMlDDIYYXYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE OCCUR DAMAGE Tp RENTED PREMISES Ea occurrence $ 250,000 CPA0311123-15 1/1/2016 1/1/2017 MED EXP(Any one person) $ 5,000 --- PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE C LOC ! PRODUCTS-COMPlOPAGG S 2,000,000 OTHER' AI-Owner/Lessee/Coniractor-A $ AUTOMOWLE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED CAA0311124-16 1/1/2016 1/1/2017 BODILY INJURY Per accident $ AUTOS AUTOS { } HIRED AUTOS FX NON-OWNED PROPERTY DAMAGE AUTOS Per accident) _ $ Uninsured motorist ro eri $ 25,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000 000 ESS LIAB A EXCESS_ CLAIMS-MADE AGGREGATE $ 10 OOD 000 DED RETENTION$ CUA0311125-16 1/1/2016 1/1/2017 $ WORKERS COMPENSATION WC012011000032 AND EMPLOYERS'LIABILITY YIN X STATUTE jH R - ANY PROPWETORIPARTNEMEWCUTIVE (3a.) N}3 E.L.EACH ACCIDENT $ 1,DDO 000 OFFJCER1MEMBER EXCLUDED? NIA (MandatoryinNH) All officers included 1/1/2016 1/1/2017 E,L,DISEASE-EAEMPLOYI $ 1 000 OD d yes,describe under _ _ 00 DESCRIPTION OF OPERATIONS beiuw E.L.DISEASE-POLICY LIMIT $ 1-000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION p SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Informational Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE J George CIC,CPTA,CPI ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD