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Building Permit #259-15 - 25 HERRICK ROAD 9/15/2014
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: I , Date Received Date Issued: . IMPORTANT:Applicant must complete all items on this page LOCATION- Print. PROPERTY OWNERS )� -F Print 100 Year 01d Structure yes o MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes o TYPE OF IMPROVEMENT, PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: 0 Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: ��S�a�la�ir� ��-�ao� �o�►n�� �ahr��o��c Solar ,�'r���� . �I��ic�tion�Pleasg Type or Print Clearly) OWNER: Name: m RuuL Phone:q `-j(0L[-311G) Address: C �y ( rc� - CONTRACTOR Name:_ QTyV—S '�;\Y YWA Y-) Phone: Address: IF C70J) ds-A 0 Supervisor's Construction License: 04'� 5Ll —Exp. Date: Home Improvement License: \IO ` Exp. Date: f tl « _ ARCHITECT/ENGINEER Phone: /address. -— ------ _....- - - - - - - - Reg. No. FEE SC EDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. L •- OO&E% Total Pro�ec`f Cost: $ wo ass-00 FEE: $ Check No.: 1 ko Receipt No.: �- U �Z cess to the uaran and NOTE: Persons contracting with unregistered contractors do not have ac g ty f Signature of�Agent/Qwner " Sig*nature of contra t Plans Submitted L.j Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans " - Plans Submifted ❑ __PlansWaived-❑., _-,_.Certified Plot Plan ❑ Stamped Plans ❑ .TYP? OR;SEW-ERA-EDISPOSAL" Public Sewer ❑ Tanning/MassageBody Art ❑.. . Swimming Pools ❑ Well ❑ . Tobacco.Sales -Food Packaging/Sales ❑ Private{septic tank,etc:_ ❑.-:.: Permanent Diunpster.on-.Site El THEFO.LLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE:APPROVED PLANNING'& DEVELOPMENT` ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes . Planning Board Decision: Comments Conservation Decision: :Comments Water & Sewer Connection/Signature� Date Driveway Permit DPW Tow,2 Engineer: Signature: Located 384 Osgood Street FIRE OIEPAI RTMf idT Temp Dumps#er on site yes no Located at-J24iMeiir1" treet : :� {oy �« :. Fire Departme itsigi�ature/date COMMENTS % .` t`='i , r . •.�: .Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. --.Total land area; sq. ft.; -ELECTRICAL: Movement of Meter location, midst-or service drop requires approval of Electrical Inspector Yes No DANGERZONE LITERATURE: Yes No MGL.Chapter166.Section 21A=F and G min.$100=$1000.fine NOTES and DATA— For department use L1 Notified for pickup - Date Doc.Building Permit Revised 2010 i Building Department `rhe fd,'3winglss"aHist of-the.required.forms to be.filled outJor:the appropriate.permit tabe obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Gr G.S.-L. -Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster.permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks i• ❑ Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance o B1�dgeP rmit In all cases if a variance or special permit was required the Town Clerks office must stamp theedecision from the Board of Appeals that the apn•,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Buil,ding Permit Revised 2012 I Location 1l /L/e- '0? - No. r �5� Date /S I h C( • - TOWN OF NORTH ANDOVER • �,���d res Certificate of Occupancy $ Building/Frame Permit Fee $*r Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ^ i Check# v GU �J ,i G Building Inspector NORTH own of t E 1, Andover O - .;'. 0 No. 0 I h ver, Mass, T1 (cl COC LAKI MICMl WI[/f y1' ��S R�TEO ►•PP�.(5 11 BOARD OF HEALTH Food/Kitchen PI E R IT LD Septic System u THIS CERTIFIES THAT ......... .. � .............. BUILDING INSPECTOR . , has permission to erect .......................... buildings on ..Qr....... ... ..�.�/.. ......L001*40...... Foundation .I. RA. L.S.t..... . .fFl\. .... .. W6 VA 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONRL Rough Service ...................... .. .... ........................... ............ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. l__ Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 170848 Type. Supplement Card VIVANT SOLAR DEVELOPER LLC. Expiration: 1!5/2016 JAMES SHERMAN 4931 ,NORTH 300 WEST PROVO, UT 84604 Update address and return card.Mark reason for change. F� address F-] Renewal 7 (Employment ;Lost Card I assachjusetts -Department of Pub13c Safety Board of 3u ?ding Regulatiolns and Standards Construction Supenisor License:CS-045254 IA- S R SHS $ Q 6 Fox Hollolr ➢Brs�€e p SadJG S 0th r V Expiration C rx�missirsr er =2812016 tl 7� f I L-J M0M0 4931 North 300 West Structural Group Provo,UT 84604 P: (801)2:34-7050 Scott E. Wyssling, PE Head of Structural Engineering scott.wyssling@vivintsolar.com August 25,2014 Mr. Dan Rock, Project Manager Vivint Solar 24 Normac Road Woburn MA 01801 Re: Structural Engineering Services { Rule Residence 25 Herrick Road, North Andover, MA AR#3193549 3.25 kW System Dear Mr. Rock: Pursuant to your request, we have reviewed the following information regarding solar panel installation on the roof of the above referenced home: 1. Site Visit/Verification Form prepared by a Vivint Solar representative identifying specific site information i including size and spacing of rafters for the existing roof structure. 2. Design drawings of the proposed system including a site plan, roof plan and connection details for the solar panels. This information was prepared by the Design Group and will be utilized for approval and construction { of the proposed system. I 3, Photovoltaic Rooftop Solar System Permit Submittal identifying design parameters for the solar system. 4. Photographs of the interior and exterior of the roof system identifying existing structural members and their conditions. Based on the above information we have evaluated the structural capacity of the existing roof system to support the additional loads imposed by the solar panels and have the following comments related to our review and evaluation: { Description of Residence: The existing residence is typical wood framing construction with the roof system consisting of 2 x 6 dimensional lumber at 24" on center. Collar ties were not present during the inspection. The attic space is unfinished and photos indicate that there was free access to visually inspect the size and condition of the roof rafters. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir #2 or better with standard construction components. Our review of the photos of the exterior roof does not indicate any signs of settlement or misalignment caused by overstressed underlying members. Stability Evaluation: A. Wind Uplift Loading 1. Refer to attached Ecolibrium Solar calculations sheet for ASCE/SEI 7-10 Minimum Design Loads for Buildings and other Structures, wind speed of 100 mph based on Exposure Category"B"and 31 degree roof slopes on the dwelling areas. Ground snow load is 50 PSF for Exposure"B",Zone 2 per(ASCE/SEI 7-10). 2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the dwelling. 0 0 I' r Page 2 of 2 B. Loading Criteria 10 PSF=Dead Load roofing/framing 50 PSF=Live Load(ground snow load) 5 PSF=Dead Load solar panels/mounting hardware Total Dead Load=15 PSF The above values are within acceptable limits of recognized industry standards for similar structures. Analysis performed of the existing roof structure utilizing the above loading criteria indicates that the existing rafters will support the additional panel loading without damage, if installed correctly. C. Roof Structure Capacity 1. The photographs provided of the attic space and roof rafters show that the framing is in good condition with no visible signs of damage caused by prior overstressing. D. Solar Panel Anchorage 1. The solar panels shall be mounted in accordance with the most recent "Ecolibrium Solar Installation Manual', which can be found on the Ecolibrium Solar website (ecolibriumsolar.com). If during solar panel installation, the roof framing members appear unstable, deteriorated, structurally compromised or deflect non-uniformly, our office should be notified before proceeding with the installation. 2. Maximum allowable pullout per lag screw is 235 lbs/inch of penetration as identified in the National Design Standards (NDS) of timber construction specifications for Hem-Fir (North Lumber) assumed. Based on our evaluation,the pullout value, utilizing a penetration depth of 2 '/2", is less than what is allowable per connection and therefore is adequate. Based on the variable factors for the existing roof framing and installation tolerances, using a thread depth of 2 1/2'with a minimum size of 5/16"lag screw per attachment point for panel anchor mounts should be adequate with a sufficient factor of safety. 3. Considering the roof slopes, the size, spacing, condition of roof, the panel supports shall be placed at and attached to no greater than every other roof rafter as panels are installed perpendicular across rafters and no greater than the panel length when installed parallel to the rafters (portrait). No panel supports spacing shall be greater than two (2) rafter spaces or 48"o/c,whichever is less. 4. Panel supports connections shall be staggered to distribute load to adjacent rafters. Based on the above evaluation, it is the opinion of this office that with appropriate panel anchors being utilized the roof system will adequately support the additional loading imposed by the solar panels. This evaluation is based on information supplied to us at the time of this report and current industry standards and practices. Should you have any questions regarding the above or if you require further information do not hesitate to contact me. ery truly yours, OF SgcyG 4. E o Scott E.Wy ling, P VI o CIVI MA License No. 9p� FGISTEP� FSSIONA1. 0 0 R t 25 Herrick Rd , North Andover MA 01845 0 W O U � C OF _ _ _ _ V/ LLI N E N>0 Z I I �m cZ C Z N Q� I I C _ oU Q � I I 5 PV SYSTEM SIZE: 3.25 kW DC I PV INTERCONNECTION POINT, LOCKABLE DISCONNECT SWITCH, ANSI METER LOCATION, &UTILITY METER LOCATION I �- w i 60,OF 1"PVC CONDUIT I I v FROM JUNCTION BOX TO ELEC PANEL 10-'D! m I I o J I N JUNCTION BOX ATTACHED TO a rn ARRAY USING ECO HARDWARE TO I u� KEEP JUNCTION BOX OFF ROOF m rn m I S C9 o 0 a I I K U � w = zv Z w .. w w z m I J J U zQ I UN Q 2 Z Z M SHEET NAME: II w (13)Trina Solar TSM-250 PA05.18 MODULES WITH AJ Enphase M215-60-2LL-S2x-ZC MICRO-INVERTER I U a MOUNTED ON THE BACK OF EACH MODULE SHEET NUMBER: PV SYSTEM SITE PLAN o o SCALE: 3/32"= V-0" > �( n C W 2 !7 m p z 1 0 v w x z G) C m x z z O O O O OO M W C CD f SA r O co VI D < W � r (/) w m m M w so m p) m i II O_ O O w< 90 On r C: --4 D m� Z C mEPLAN D m INSTALLER:VIVINT SOLAR Rule Residence 3 m m m INSTALLER NUMBER:1.877.404.4129 P\/ �] O W 25 Herrick Rd V L A m MA LICENSE:MAHIC 170848 North Andover,MA 01845 DRAWN BY:CRS JAR3193549 Last Modified:8/22/2014 UTILITY ACCOUNT NUMBER:91006.27020 CLAMP MOUNTING SEALING N N WASHER PV3.0 DETAIL o N p A\ W p LOWER 'Q�¢w SUPPORT �m /�� Wm>>Z =oOF- PV MODULES, TYP. MOUNT -� "~ "°'.'. ''."'`"`'"...' N Zo OF COMP SHINGLE ROOF, FLASHING j � PARALLEL TO ROOF PLANE / 3„ S 5/16"0 x 4 1/2" ; PV ARRAY TYP. ELEVATION MINIMUM STAINLESSSTEEL LAG SCREW NOT TO SCALE TORQUE= 13±2 ft-lbs CLAMP ATTACHMENT NOT TO SCALE a N N d© p CLAMP+ ATTACHMENT CANTELEVER L/4 OR LESS OO E COUPLING y L=PERMITTED CLAMP ECO SPACING SEE CODE COMPLIANT COMPATIBLE LETTER FOR MAX ALLOWABLE MODULE CLAMP SPACING. o PERMITTED COUPLING m CLAMP+ CLAMP CLAMP a ATTACHMENT SPACING z m COUPLING PHOTOVOLTAIC MODULE < U z w .. Lu Lu m > Lu w z m J J V j Q J > Z Z SHEET NAME: L=PORTRAIT I,.:CLAMP SPACING Zo Q ECO p COMPATIBLE SHEET L=LANDSCAPE MODULE PV SYSTEM MOUNTING DETAIL NUMBER: CLAMP SPACING MODULES IN PORTRAIT/LANDSCAPE NOT TO SCALE o M NOT TO SCALE Inverter Ratings(Guide Section 4) Inverter Make/Model Enphase M215-60-2LL-S2x-ZC - Conduit and Conductor Schedule MODULE DETAIL Max DC Volt Rating 45 Volts Tag Description Wire Gauge #of Contluctors Conduit Type Conduit Size Max Power @ 40°C 215 Watts 12 AWG N/A-Free Air N 1 Enphase engage cable-THWN-2 4 Cord Nominal AC Voltage 240 Volts Trina Solar TSM-250 PA05.18 Max AC Current 0.9 Amps i Bare Copper Ground(EGC/GEC) 6 AWG 1 N/A-Free Air N/A-Free Air /W N SOLAR MODULE Max OCPD Rating 20 Amps 2 THWN-2 10 AWG 6 PVC 0'-1" �/ o Max Number of Paneis/Circuit 17 2 THWN-2-Ground 8AWG 1 PVC 3 THWN-2 8AWG 3 PVC 0'-1" of NOTES FOR INVERTER CIRCUITS(Guide Section 8 and 91: WN2Samund 8AWG PVC 0'-1" m 1.)IF UTILITY REQUIRES A VISIBLE-BREAK SWITCH,DOES THIS °N PV Module Ratings @ STC(Guide Section 5) E d Enphase M215-60-2LL-S2x-ZC SWITCH MEET THE REQUIREMENTS? Q)y>Z MICRO-INVERTER AT YES NO X NA Model MakelModel Trina Solar TSM-250 PA05.18 =a r EACH MODULE,ATTACHED Max Power-Point Current(Imp) 8,27 Amps N Q 0 2.)IF GENERATION METER REQUIRED,DOES THIS METER Max Power-Point Voltage(Vmp) 30.3 Volts AA�� t O ) WITH ECO HARDWARE SOCKET MEET THE REQUIREMENTS? Open-Circuit Voltage(Voc) 37.6 Volts (D o U YES NO X NA Short-Circuit Current(Ise) 8.85 Amps Z Q 3.)SIZE PHOTOVOLTAIC POWER SOURCE(DC)CONDUCTORS Max Series Fuse(OCPD) 15 Amps BASED ON MAX CURRENT ON NEC 690.53 SIGN OR OCPD Nominal Maximum Power at STC(Pmax) 250 Watts MICROINVERTER CONNECTION _ RATING AT DISCONNECT. Maximum System Voltage 1000(IEC)/600(UL) j TO ENGAGE TRUNK CABLE 4.)SIZE INVERTER OUTPUT(AC)CONDUCTORS ACCORDING lVoc Temperature Coefficient -0,32 %PC TO INVERTER OCPD AMPERE RATING(See Guide Section 9). ` 5.)TOTAL OF 1 INVERTER OCPD(s).ONE FOR EACH NOTES FOR ARRAY CIRCUIT WIRING(Guide Section 6 and B and Appendix D): PV CIRCUIT.DOES TOTAL SUPPLY BREAKERS COMPLY WITH 120%BUSBAR EXCEPTION IN 1.)Lowest expected ambient temperature based on ASHRAE minimum mean extreme #6 BARE CU GROUND NEC 690.64(B)(2)(a)? X YES NO dry bulb temperature for ASHRAE location most similar to installation location: -19°C 1 --- -- ' (GROUNDING ARRAY) t Signs(See Guide Section 7) 2.)Highest continuous ambient temperature based on ASHRAE highest month 2%dry bulb temperature for ASHRAE location most similar to installation location: 39°C Sign for inverter OCPD and AC Disconnect: 3.)2005 ASHRAE fundamentals 2%design temperatures do not exceed 47°C in the United States(Palm Springs,CA is 44.1°C).For less than 9 current-carrying conductors ,,' Solar PV System AC Point of Connection in roof-mounted sunlit conduit at least 0.5"above roof and using the outdoor design AC Output Current 11.700000 r Amps temperature of 47°C or less(all of United States). Nominal AC Voltage 240 Volts a.)12 AWG,90°C conductors are generally acceptable for modules with Ise of 7.68 Amps v THIS PANEL FED BY MULTIPLE SOURCES or less when protected by a 12-Amp or smaller fuse. N (UTILITY AND SOLAR) b.)10 AWG,90°C conductors are generally acceptable for modules with Ise of 9.6 Amps iy or less when protected by a 15-Amp or smaller fuse. Old NOTE: NEUTRAL CONDUCTOR(S)OMITTED FOR CLARITY c:;"- ALL INVERTER OUTPUT CIRCUITS WILL HAVE A NEUTRAL CONDUCTOR os 0 " � N J N C � ENVOY BOX pp M g c? o W WP C/) & U Q Zcr Q rn POINT OF DELIVERY z w AND INTERCONNECTION W w z m DO'PO SIEMENS Q Q v 3 \Gs G 60A/240V I— t— �O\P20 MURRAY UNFUSED NEMA3 M z z < O�F COMBINER LNF222R OR PV CIRCUIT 1: 13 MODULES/PARALLEL �����L PANEL 125A/240V SREC/ANSI EQUIVALENT SHEET LWO04NR METER NAME: EXISTING 13 • • • O O p OR EQUIVALENT J15A 240V/125A W 1 LOAD-CENTER Z �, OF E 1.0 �� 15A C7 _Q J' • • • J' J' SHEET --- -- --- — ----------�-- ----- ----- NUMBER: MILBANK VISIBLE/LOCKABLE JUNCTION BOX 2 �� 3 100A OR 3 'KNIFE'A/C 3 O Compliant NEC 014 WITH IRREVERSIBLE E 1.0/ EQUIVALENT DISCONNECT � t2GROUND SPLICE E 1.0 U5934-XL-BLG E 1.0 E 1.0 W V, • 31 North 300 West,Provo,UT 84604 V'�� one:(877)404-4129 Fax:(801)765-5758 Employer Identification No.: 80-0756438 C. • solar"E Mail support@vivintsolar.com Massachusetts HIC License No.: 170848 www.vivintsolar.com QS AR No.: This RESIDENTIAL POWER PURCHASE RESIDENTIAL POWE"AgreR PURCHASE AGREEMENT Delaware limited liability company("We","Us","Our")and the underrsigned Custome t sr�Ynu"to bYYour'and between as of the Transaction SOLAR DEVELOPER, ELOh below.LC,a Full Name(F,rsr.M1,tarq �)(,,you,,, ) Custotner(s): P"©ertyOKmr. Yrs❑No Full Name(Fru,M/,rose Property Owa ❑yes O Ar Telephone No.: E-Mail: d r Property Street Address: Address: City,County,State,Zip: O It 14 A. 1.SERVICES DESIGN AND INSTALLATION. We will design install,service and maintain a solar photovoltaic system on Your Prope which will include all solar panels,inverters,meters,and other components(collectively,the"System,,, will provide to You hereafter. All material portions of the System will be insta led by Our employed technicians and electrician ITIc" or rs Y Y � as further described in the Customer Packet and�e Work Order that We With Your coopeation,We will(i)design, install and connect the System in material compliance with all applicable laws;(u)aa complete all requi d inspections;and(iii)obtain all required certifications and permits. In order to design a System that meets Your needs,You agree that We may obtain Your electrical usage history from your electric utility(the"Utility")and You shall Provide Us with copies of Your Utility bills as We may reasonably request. Other than the activation fee described in Section 1.B, will esi and i B. ACTIVATION. You agree to pay Us a one-time activation fee,n the amount of$ cause the System to pennate energyy measured in kilowatt hours("kWh" (the"Ener We will interconnect the System with the Utility,and anticipated to begin and be substantially complete between two(2)and six(6�weeks freta eI' nstallation of the System generally takes one day and is C. OWNERSHIP OF SYSTEM. We shall own the System as Our sole personal property. You will have noproperty D. OPERATIONS AND MAINTENANCE. We will operate and maintain the System(i)a ur sole cost and expense;(ii)in good condition;and(iii)in material compliance with all applicable laws andUtility interest in the System. E. INSURANCE. We c permits and the Utility's requirements. information concerning Our carry e,andtoobtain eral laawpy of Olity ur certifi atc of insu ance workers' nte please nsation insurance, s,�www. p intsolar.cos�rannsuancc.e System. For more 2.TER�i,PRICE,PAYMENTS,AND FINANCIAL DISCLOSURES The A. ENERGPrice shall Y PRICE. For all Energy produced by the System,you sh Us$0g. ($y p A S be Energy ro ENE to You in Customncrease each er Packet oTH S AGREEMENT IS F �/HE SALE OF ENERrateGY Of 11S Istem OutAND measured THE SALE OF p per kWh the"Energy Price"),plus a plicable taxes. A SOLAR ENERGY DEVICE. � B. TERM. This Agreement shashall ll be effective as of the Transaction Date and continue until the twentieth 20'n annivetsa of the In-Service Date(the "Term'). The �)a�� Permits necessary to operateday tfieSystem havebeen obtained,tied ( )the System has been msterconnected withthe Utility.and and(vl)ajj generating Energy, of the inspections and certificates required under applicable law or by the Utility have been completed or received. C. PAYMENTS. Beginning with the first month following the In-Service Date and throughout the Term,We will send You an invoice reflecting the designs for Energy produced r the System in the previous month. You shall make monthly payments to Us by automatic ayment deduction from Your designated checking account or credit card. It is Your responsibility to ensure that there are adequate funds or adequate credit limit. There i no omen n charge associated with this Agreement. For all e�tta y and interest at an annual rate often percent(em d plus cap licable taxes. If You continue to fail to make any payment within ten en0 -Fys after We give o yments more than ten((0)da s past due,We may impose a late charge equal to Twen Five Dollars($25� You written notice,then We may exercise all remedies available to Us pursuant to Section a to f D. RENEWAL. At the end of the Term,You may elect to(i�continue with this Agreement on a year-to-year bass; a enter into a new Agreement with Us and cancel this AgrBement (iii)purchase the System at a end of the Term and cancel this Agreemen ggt(the"loser into a n or griv)cancel this o£Ihe Term. Ifayou elect tthe�PurchaseOvcd aOption,the cost to"Purchase Op[ionill need o roti welkin in the then current fair Your elmarkettion sixty the System bato sed a an independent it be bin valuation of similarly sized photovoltaic s stems in Your cographic rep,'on. The cap aiser's valuation will be provided to you tin writing and will be binding. If We_receive Your a owing and unpaid hereunder, ov will transfer ownership p the System to You at the end of the Term on an"APs Is,Where Is"basis. If You elect to have the p ship o of the urchase Option Price,Coss ohe appraisal,applicable taxes,and all other amounts[hen System removed,We will remove the Syystem from Your Pro within nine 90)days after the end of the Term. IF YOU DO NOT NOTIFY US OF I YOUR ELECTION TO CANCEL BY SENDING A p -,"" NOTI T,T`O US THEN THIS AGREEMENT WILL AUTOMATICALLY RENEW ON A YEAR-TO-YEAR BASIS UNTH YOU NOTIFY US IN WRITING O'F YOUR ELECTION TO CANCEL AT LEAST SIXTY(60) DAYS PRIOR TO THE END OF THF.RENEWAL TERM. E. CREDIT CHECK In connection with the execution of this Agreement and at any time during the Term,You hereby authorize Us to(i)obtain Your credit rating and report from credit reporting agencies;00 to report Your payment performance under this Agreement to credit reporting agencies;and (iii)disclose this and other information to Our atliliates and actual or prospective lenders,financing parties,investors,insurers,and acquirers. WE MAY HAVE PRESCREENED YOUR CREDIT. PRESCREENING OF CREDIT DOES NOT IMPACT YOUR CREDIT SCORE. YOU CAN CHOOSE TO STOP RECEIVING"PRESCREENED"OFFERS OF CREDIT FROM -FREE (888 US AND OTHER COMPANIES BY CALLING TOLL ) 567-8688. SEE PRESCREEN& OPT-OUT NOTICE(SECTION 29)BELOW FOR MORE INFORMATION ABOUT PRESCREENED OFFERS. 3.LIMITED WARRANTY A. LIMITED der INSTALLATION WARRANTY. We rovide a 1wb � tv�Lh,p warranty that the System shall be free from material defects in es, and insta)cation. We do not prolvide any waoty tosYoutweth respect to any cotnponent ant o tt to ro sft m. Any manufacturer's wa y s m addition to,not in lieu Of,this limited installation warranty. This warranty does not cover �g We Insall shall be wane i ht as t t e ate of earthquake,or other acts of god,vandalism,alteration of system by anyone not authorized byyUs,or any other cause beyond Our control. problems resultin from exposure to harmful materials and chemicals,fire,flood, B. MANUFACTURERS'WARRANTIES. The System's solar modules carry a minimum manufacturer's a)during the first ten(10) ears of use,the modules'a ectricaI output will not degrade by more than ten percent(l fromaLLw the ori Inst rated ou tit,and b)duringg the first twenty 20)years of use,the modules'electrical output will not degade by more than twenty o) g y a as follows: outptit. T7ie System's inverters carry a minimum manufacturer's warrant often 10 8 P perent(20% from the originally will enforce these warranties to the fullest extent possible. Y ( )Yarn against defects or component breakdowns. During thTerm,We EXCEPT AS SET YOU OR ANC. Y OTHER PER OF RSON WHETHER EXPRESS, IMP ORTH IN THIS STAT 10 RY WE AShTO THE OTHER MERCHANTABILITY OR FITNESS FOR ANY PURPOSE OF THE EQUIPMENT, INSTALLATION, DESIGN, OPERATION, OR MAINTENANCE OF THE SYSTEM, THE PRODUCTION OR DELIVERY OF ENERGY, OR ANY OTHER ASSOCIATED SERVICE OR MATTER HEREUNDER, ALL OF WHICH WE HEREBY EXPRESSLY DISCLAIM. OUR LIABILITY FOR ANY BREACH OF ANY AGREEMENT. YOU ACKNOWLEDGEITHAT WE ARG THE E ELLYINGM OR OON THIS SECTION 3 CR PROPERTY TO EEXTENT AS A CONDITION AND UNDER THIS INDUCEMENT F ENTER INTO THIS AGREEMENT. THERE ARE NO WARRANTIES WHICH EXTEND BEYOND THE DESCRIPTION OF THE FACE HEREOF. 4'.REMOVAL OF THE SYSTEM You shall not make any Alterations(as defined in Section 9 c))to the System. [f You want to make repairs or impmvements to Your Property the temporary removal of the System or that could interfere with its performance or operation,You must ve or at least thirty(30 da (a"Customer-Requested Shutdown"). You agree that any repair Cr improvement to Your Pro a gtY P rtY fat require installed p rty shall ) Ys'prior written notice nsation for Our removal,stooge,and reinstallation of the System You agree to ay to Us maI da terially to Four Hoof where ed d Neth System is Dollars 499 tore We remove the System. You shall be required to pa the Shutdown Pa ((pp def wIt hin Ihi 30)days of removal. In the event of an emergency atFect o the System,You shallacontame ct Uts Smme sate Y f t fe Sys uis nablerto timely respond,You may(at Your own expense)contact with a licensed and quali ed solar installer to remove the System as necessary to C are make repairs required timely the emergency. You shall be rcsponsIN.for any damage to the System that results from actions taken a Your contractor. S.ARBITRATION OF DISPUTES Most customer concerts can be resolved quickly and amicably by calling Our customer service department at(877)4044129. If Our customer service department is unable to resolve Your concern,You and We agree to resolve any Dispute(as defined below throuRlt binding aTHAT rbitration YOU or sinal!claims court instead of courts ofVING THE Bunts)1'urisdictinn. BY SIGNING BELOW YOU ACKNOWb I E AN AGREE ONLY IN YOUR INDIVIDUAL DUA CAIPACITY,AND NOT AS A PLAINT FF OR'CLASSIMYOb MAY BRING EMBER IN ANY PURPORTED CLASS OR REPRESENTATIVE PROCEEDING. You and We agree to arbitrate all disputes,claims and controversies arising out of or relating to Cop;riehi d,.20R Yi,.,,5olm rkmu,prr,LhC.All Rl01,Rcrr& - _ 1 111TTy PTA ra.`! ¢ f+ Vivint Solar - PV Solar Rooftop System Permit Submittal 1. Project Information Project Name: David Rule Project Address: 25 Herrick Rd,North Andover MA A.System Description: The array consists of a 3.25 kW DC roof-mounted Photovoltaic power system operating in parallel with the utility grid.There are(13) 250-watt modules and(13)215-watt micro-inverters,mounted on the back of each PV module.The array includes(1)PV circuit(s).The array is mounted to the roof using the engineered racking solution from Ecolibrium Solar. B.Site Design Temperature: (From Lawrence MUNI weather station) Average low temperature: -24.3°C (41.74°F) Average high temperature: 37.6°C (99.68°F) C.Minimum Design Loads: Ground Snow Load: 50 psf (State Board BR&S) Design Wind Speed: 100 mph (State Board BR&S) 2. Structural Review of PV Array Mounting System: A.System Description: 1.Roof type: Comp.Shingle 2.Method and type of weatherproofing roof penetrations: Flashing B. Mounting System Information: 1.Mounting system is an engineered product designed to mount PV modules 2.For manufactured mounting systems,following information applies: a.Mounting System Manufacturer: Ecolibrium Solar b.Product Name: Ecorail c.Total Weight of PV Modules and mounting hardware: 559 lbs d.Total number of attachment points: 31 e.Weight per attachment point: 18.03 lbs f.Maximum spacing between attachment points: *See attached engineering talcs g.Total surface area of PV array: 228.93 square feet h.Array pounds per square foot: 2.44 lbs/square foot i.Distributed weight of PV array on roof sections: -Roof section 1: (13)modules,(31)attachments 18.03 pounds mnt solar r 3. Electrical Components: A. Module (UL 1703 Listed) Qty Trina TSM 250-PA05.18 13 modules Module Specs Pmax-nominal maximum power at STC - 250 watts Vmp-rated voltage at maximum power - 30.3 volts Voc-rated open-circuit voltage - 37.6 volts Imp-rated current at maximum power - 8.27 amps Isc-rate short circuit current - 8.85 amps B. Inverter (UL 1741 listed) Qty Enphase M215-60-2LL-S22 13 inverters Inverter Specs 1. Input Data (DC in) Recommended input power(DC) - 260 watts Max.input DC Voltage - 45 volts Peak power tracking voltage - 22V-36V Min./Max.start voltage - 22V/45V Max.DC short circuit current - 15 amps Max.input current - 10.5 amps 2. Output Data (AC Out) Max.output power - 215 watts Nominal output current - 0.9 amps Nominal voltage - 240 volts Max.units per PV circuit - 17 micro-inverters Max.OCPD rating - 20 amp circuit breaker C.System Configuration Number of PV circuits 1 PV circuit 1 - 13 modules/inverters (15)amp breaker 2011 NEC Article 705.60(8) eAvh . sola r , j I D. Electrical Calculations 1.PV Circuit current PV circuit nominal current 11.7 amps Continuous current adjustment factor 125% 2011 NEC Article 705.60(B) PV circuit continuous current rating 14.625 amps 2.Overcurrent protection device rating PV circuit continuous current rating 14.625 amps Next standard size fuse/breaker to protect conductors 15 amp breaker Use 15 amp AC rated fuse or breaker 3.Conductor conditions of use adjustment(conductor aci am d P tYerate) a.Temperature adder Average high temperature 37.6°C (99.68°F) Conduit is installed 1"above the roof surface Add 22°C to ambient 2011 NEC Article 705.60(B) Adjusted maximum ambient temperature 59.6°C (139.28°F) b.PV Circuit current adjustment for new ambient temperature Derate factor for 59.6°C (139.28°F) 71% 2011 NEC Article 705.60(B) Adjusted PV circuit continuous current 20.5 amps c.PV Circuit current adjustment for conduit fill Number of current-carrying conductors 3 conductors Conduit fill derate factor 100% 2011 NEC Article 705.60(B) Final Adjusted PV circuit continuous current 20.5 amps Total derated ampacity for PV circuit 20.5 amps Conductors(tag2 on Z-line)must be rated for a minimum of 20.5 amps THWN-2(90°C) #14AWG conductor is rated for 25 amps (Use#14AWG or larger) 2011 NEC Article 705.60(B) 4.Voltage drop(keep below 3%total) 2 arts: 1.Voltage drop across longest PV circuit micro-inverters(from modules to j-box) 2.Voltage drop across AC conductors(from j-box to point of interconnection) 1.1Vlirco-inverter voltage drop: 0.24% The largest number of micro-inverters in a row in the entire array is 7 inCircuit 1.According to manufacturer's specifications this equals a voltage drop of 0.24%. 2.AC conductor voltage drop: =I x R x D (-240 x 100 to convert to percent) _ (Nominal current of largest circuit)x(Resistance of#14AWG copper)x(Total wire run) _(Circuit 1 nominal current is 11.7 amps)x(0.0031952)x(120 _(240 volts)x(100) 1.86% Total system voltage drop: 2.1% why . sour W EcolibriumSolar Customer Info Name: Email: Phone: Project Info Identifier: 9203 Street Address Line 1: 25 Herrick Rd Street Address Line 2: City: North Andover State: MA Zip: 01845 Country: United States System Info Module Manufacturer: Trina Solar Module Model: TSM-250 PA05.18 Module Quantity: 13 Array Size (DC wafts): 3250.0 Mounting System Manufacturer: Ecolibrium Solar Mounting System Product: EcoX Inverter Manufacturer: Enphase Energy Inverter Model: M215 Project Design Variables Module Weight: 41.0 lbs Module Length: 64.95 in Module Width: 39.05 in Basic Wind Speed: 100.0 mph Ground Snow Load: 50.0 psf Seismic: 0.0 Exposure Category: B Importance Factor: II Exposure on Roof: Partially Exposed Topographic Factor: 1.0 Thermal Factor for Snow Load: 1.2 Lag Bolt Design Load-Upward:820 IV Lag Bolt Design Load- Lateral: 300 Ibf EcoX Design Load-Downward:493 IV EcoX Design Load-Upward: 568 Ibf EcoX Design Load- Downslope: 353 IV EcoX Design Load- Lateral: 233 lbf Module Design Moment—Upward: 3655 in-Ib Module Design Moment—Downward: 3655 in-lb Effective Wind Area: 20 ft2 Min Nominal Framing Depth:2.5 in Min Top Chord Specific Gravity: 0.42 Plane Calculations (ASCE 7-05): 1 Roof Type: Composition Shingle Average Roof Height: 30.0 ft Least Horizontal Dimension: 30.0 ft Roof Slope: 31.0 deg Truss Spacing:24.0 in Edge and Corner Dimension: 3.0 ft Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 42.0 42.0 42.0 psf Slope Factor 0.71 0.71 0.71 Roof Snow Load 29.8 29.8 29.8 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -17.1 -20.1 -20.1 psf Net Design Wind Pressure Downforce 16.0 16.0 16.0 psf Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0 Design Wind Pressure Uplift -17.1 -20.1 -20.1 psf Design Wind Pressure Downforce 16.0 16.0. 16.0 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.3 2.3 2.3P sf Snow Load 29.8 29.8 29.8 psf Downslope: Load Combination 3 14.4 14.4 14.4 psf Down:Load Combination 3 23.9 23.9 23.9 psf Down:Load Combination 5 18.0 18.0 18.0 psf Down: Load Combination 6a 30.4 30.4 30.4 psf Up: Load Combination 7 -15.9 -18.9 -18.9 psf Down Max 30.4 30.4 30.4 psf Spacing Results(Landscape) Description Interior Edge Corner Unit I Max Allowable Spacing Between Attachments 59.5 59.5 59.5 in Max Spacing Between Attachments With Rafter/Truss Spacing of 24.0 in 48.0 48.0 48.0 in Max Cantilever from Attachment to Perimeter of PV Array 19.8 19.8 19.8 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 35.9 35.9 35.9 in Max Spacing Between Attachments With Rafter/Truss Spacing of 24.0 in 24.0 24.0 24.0 in Max Cantilever from Attachment to Perimeter of PV Array 12.0 12.0 12.0 in 1 Layout Skirt rm Coupling Warning: PV Modules may need to be shifted with respect to roof trusses to comply with Clamp maximum allowable overhang. bistributed Weight (All Planes) In Conformance with Solar ABC's Expedited Permit Process for PV System (EPP) Weight of Modules: 533 lbs Weight of Mounting System: 62 lbs Total System Weight: 595 lbs Total Array Area: 229 ft2 Distributed Weight: 2.6 psf Number of Attachments: 31 Weight per Attachment Point: 19 lbs Bill .Of Materials Part Name Quantity ESEG01CLASA EcoX Clamp Assembly 31 ESEG01 COASA EcoX Coupling Assembly 17 ESEG01SKKTA EcoX Landscape Skirt Kit, 1 ESEG01 SKKTA EcoX Portrait Skirt Kit 5 ESEG01 CPKTA EcoX Composition Attachment Kit 31 ESEG01 ELASA EcoX Electrical Assembly 1 OF OUR AFFILIATES. DIRECTORS, EMPLOYEES. AGENTS, modified by an instrument in—iting,igncd by both You and Us. OR CONTRACTORS FOR ANY SPECIAL, F,XEMPLARY, CbnaLi`jons.the Cufdmc,Packet,he`Woiik Order.and ancennent. the y otherlagrcenedsnor INDIRECT, INCIDENTAL, CONSEQUENTIAL OR PUNITIVE docent nts ntco )rated herewith,constitute the entire agicern6in bcoccen You and Us DAMAGES(WHI THE.R OR NOT TPIE CLAM"FHERF.FORE.IS anJfeaphmde nep Aam �lto the subjand ect nKuerthereofommunicatiuns,discussions and BASED ON CONTRACT,TORT,DITTY IMPOSED BY LAW OR 22.BI\DING EFFF,GP. flits Agrcemem sh;dl be binding upon and inure n the OTHERW'ISE),IN CONNECTION WITH.ARISING OUT OK OR benefit of You and Us and 0111 and Yoopur respectia.e heirs. kcal representatives. IN ANY WAY RELATED TO THE TRANSACTIONS successor, cr n ni.orcbwrnhicrdttai ornlaw:Foeitn[his hcr thisrhAgreente»emise t�nor an, I'lltcrovided r ghis. C'.ONTEMPL.ATED BY THIS :1GREEMFNT OR ANY ACT OR imcasts,or oFhgaiions hereunder may be a>sigi?d by.You without Our rior written OMISSION OR EVENT OCCURRING IN CONNL•CT'ION cumeul. Anvassr,nmentry•You ithou(lurpriorw•nneucnncentshallitca�oid THEREWITI1. YOU HEREBY WAIVE.RELEASE,AVD AGREE 23.GOCI:RIYINC LAW'. this ig amen), and ntv mstnnnent or agreement NOT TO SUE UPON ANY SUCH CLAIM FOR ANY SUCH siitnwdlwic nder`hallns 1610v�tedb7,and ctnrsnvudu)der.theintcmallawv-1 the DAMAGES. WHETHER OR NOT ACCRUED AND WHETHER 24 ♦OTIC): 41f»oboes.ague ts,demands,and other connnumcanons rtt tired or OR NOT KNOWN OR SUSPECTED TO EXIST IN YOUR permitted to b rvcn undo Thi tenement shall be in writing dehaerett m the FAVOR. YOU FURTHER AGREE THAT NO CLAM, applicablepvniavdesiguateGoo little to mebywri$cunotic totheotherparty. .sa< LAWSUIT, OR ANY OTHER LEGAL OR ARBITRATION ZIr SLIRYIYAL. After temtination or expiration of this Agrcament,any provisions a CONNECTION WITH ARISING OIJl'OF,OR w,iich b y their nahue are intend,,[io survive such termination or cancellation shall I KOCEEDING IN CON. LC 1 y IN ANY WAY" .RELATED TO THIS AGREEMENT MAY BE ui�iae.mcludin,PcaJ out lunuahou)Secur»s 1,i,11 It 14,1".I8,and 19. BROUGHT, COMMENCED OR FILED MORE THAN ONE (1) 26.SEVFP--%BIr.ilTV`setrarv, pceabloo of an n iSMra or rrr rtsc i lit of cnmpetbe eii YEAR AFTER THE INCIDENT GIVING RISE TO SUCH CLAIM. jurisdiction,this Agreement shall be cousi&,ed dniabl tnd ucb provision shall he YOU ACKNOWLEDGE THAT WE ARE RELYING ON THIS. deemed intpemtive w the extent it l5 Jc:med rmahJ.prntotcc a,a unenforceable. SECTION 1? AS A CONDITION AND MATERUIL lmrr rc that ifciiy s chrpmv�isionnent mavtall rernain in be ma&enforcledblelby)lir itationtherc f. INCTi ffMF, TO ENTER INTO THIS AGREEMENT. then such provision shall he deemed tube so limited and shall he enlorceahle to the 18ANDEMNIFICATION. Tb the fullest extent perinitled by maxialamextent 7.COUNFERIeenmuedhcapplicablelaw. applicable law.You hereby agree to indemnify,advance expenses, counterparts.and aif s ch counterparts shall be d em d executed constitute one insinun nt and hold harmless Us and Our affiliates, directors, employees. .A fac,tlnilc or portable document limn) ("pol")shall constitute an original liar agents, contractors, and Om' successors and assigns (each, a ,ulposes beiixd. "Covered Person") from any and all third party claims, actions, 4s.P(iRIAC11 Y. You hereby ainborue.Us to use Your and Your PTupert)s aoice. Costs. expenses(including reasonable ationlcys fees alld exp ellseS), phMogatcri video,and liudio o v-peon moria.radio,tckd that c-mue steal media p wch matecials,and arry audio or video recnniin3;nrnr=idrd that We agree that We will damages,liaE)tl11te5,penalties,losses,OlfltgattMlS,injulieS,demands tint disclose au;of Your personally idcntiiyin_infuriation(except as prrwideJ in and hens of any kind or nature in counectton with;arising out of,or Se tion 2gJ). 1 t tt waive:rad lorecer release l)s for ant Dispute relating to or arising in any way related to((t)Your breach of this Agreement,Or(ii)Your gut ni d ti Sea nOgligenee or wilful misconduct. provided that Your 29•PRESCRFFN :IND OPT-OUT NOTICE. THIS indemnification obligations under this Section 18 shall not apply if "PRL.. > O C' > a I,. ASED ON the harm or danhtge that is the basis for such third party claim INFORMATION IN YOUR CREDIT REPORT INDICATING occurred while one of Our employees or agents was at Your Property THAT YOU MEET CERTAIN CRITERIA THIS OFFER IS NOT and such harm or)tallage was sorely caused by the active negligence OU DO NO D NF1N(I)1 O REC LIVE PRESCREENED O NOT MEET OUR (OFFERS or willful misconduct of such employee re agent. 19.SUBROGATION. You agree to release all Covered Persons OF CREDIT FROM US AND OTHEORTING R COMPANIES.ES .CALL THE: from any claims of any parties suing through Your authority,or in 638;ORIWR TER L EXPERIAN OPT OU'f,P.O.BOX 919 ALLEN, Your name. such as Your insurance company, and You atee to defend Us against any such claim. YOU AGREE TO NOTIFY BOX 5 51`;TRANYDL IPr1 l9O 4 EQUIFAXLOPTit)NS, P.O. YOUR INSURANCE COMPANY OF THIS RELEASE. 33 20.AMENDMENTS AND WAIVERS. 'This Agro nheat may only he amended or BOX 740123 ATI-ANTA,GA 30374-012 . (i)any as of the relationship between You and Us,whether based in contract tort,statute or any other legal theory (ii)this Agreement or any other ageement concerning the sub'ect matter hereof (iii) any breach, default, or termination of this Agreement; and (iv)the interpretation validity,or enforceability of this Agreement,including the determination of the scope or applicability of"this Section 5(each,a +- A Dispute"). );rior to commencing arbitration a dtten p patty:Notice of Dispute must describe the nature and basis for the Dispute and the relief sought ce of Dlf You and Wear unabletolreso resolve theDisputewithin thirty (30) days, then either party may commence arbitration. The arbitration shall be administered by JAMS pursuant to its Streamlined Arbitration Rules and Procedures available at: http://www.J"amsadr.com/rules-streamlined-arbitration,the"JAMS Rules")and arbitrator shall not under the rules set forth in this Agreement. The arbitrator shall be bound by the terms of this Agreement. No matter the circumstances,the hall be responsible torpayp$250.e Al special, traveleexpenses,aor nd other uential costs of the as to rtherbitration trafII oo shall be borne by YouandUs in accordance with the JAMS Rules and applicable law. The arbitration shall be conducted at a mutually agreeable location near Your Propertrtyy Judgment on an arbitration award may be entered in any court of comppetent jurisdiction. Nothing in this Section 5 shall preclude You or We from seeking provisional remedies in aid of arbitration from a court of competent jurisdiction. NOTICE:BY INITIALING IN THE SPACE BELOW YOU ARE AGREEING TO HAVE ANY DISPUTE ARISING OUT OF THE MATTERS INCLUDED IN THE"ARBITRATION OF DISPUTES"PROVISION DECIDED BY NEUTRAL ARBITRATION AS I; PDISPUTE ROVIDED BY APPLICABLE LAW AND YOU ARE GIVING UP ANY RIGHTS YOU MIGHT POSSESS TO HAVE THE hYOUR JUDICIAL ED IN A RIGHTS IGHTS TO COURT DISCOVERY AND APPEAL.Y TRIAL. BY IF YOU REFUSE TOLING IN THE PACES SUBMIT TO ARBITRATION CGIVING Up AFTER AGREEING TO THIS PROVISION, YOU MAY BE COMPELLED TO ARBITRATE. YOUR AGREEMENT TO THIS I; ARBITRATION PROVISION IS VOLUNTARY. YOU HAVE READ AND UNDERSTAND THE FOREGOING AND AGREE TO �1 SUBMIT DISPUTES ARISING OUT OF THE MATTERS INCLUDED IN THE"ARBITRATION OF DISPUTES"PROVISION TO NEUTRAL ARBITRATION. I� I/WE AGREE TO ARBITRATION AND WAIVE THE RIGHT TO A JURY TRIAL: C atume(s lnitia�s: �' 6.NOTICE TO CUSTOMERS / A. LIST OF DOCUMENTS TO BE INCORPORATED INTO THE CONTRACT: (i)this Agreement, a the Additional Terms and Conditions,(iii)the Customer Packet,and(iv)the Work Order. These documents are expressly incorporated into this Agreement and apply to the relationship between You and Us. B. IT S NOT LEGAL FOR US TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO REMOVE GOODS INSTALLED UNDER THIS AGREEMENT. C. DO NOT SIGN THIS AGREEMENT BEFORE YOU HAVE READ ALL OF ITS PAGES. You acknowledge that You have read and received a legible cop of this Agreement,that We have signed the Agreement,and that You have read and received a legible copy of every document that We have signed during the negotiation. D. DO NOT SIGN THIS AGREEMENT 1F THIS AGREEMENT CONTAINS ANY BLANK SPACES. You are entitled to a completely filled in copy of this Agreement,signed by both You and Us,before any work may be started. (3RD)E. YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO THE LATER OF: (T)MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE TRANSACTION DATE,OR(I THE START OF INSTALLATION HE NOTICE OF CANCELLATION OV OF THE N BELOW F SYSTEM. OR AN qq SEE I EXPLANA"CION OF THIS RIGHT. VIVINT SOLAR DEVELOPER,GLC CUSTOMER(S): By. By: Printed Name: Printed Name: Title: By. - Printed Name: Transaction Date: 1 -17- J 4 FOR INFORMATION ABOUT CONTRACTOR REGISTRATION REQUIREMENTS, CONTACT THE MASSACHUSETTS OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION:TEN PARK PLAZA,SUITE 5170,BOSTON,MA 02116, (617)973-8700 OR 888-283-3757. ---------------------------------------------- ---------------- NOTICE OF CANCELLATION Transaction Date: AR No.: YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE 3)BUSINESS DAYS OF THE ABOVE DATE, OR(IF LATER) UNTIL THE START OF INSTALLATION OF THE SYSTEM. IF YOU CANCEL,ANY PROPERTY TRADED IN ANY PAYMENTS MADE BY YOU UNDER NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURD THE THI CONTRACT C(0) BUSINEAND SS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE, AND ANY SECURITY INTEREST AISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE,IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE, OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY(20)DAYS OF THE DATE OF YOUR NOTICE OF CANCELLATION,YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER,OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO,THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM,TO VIVINT SOLM DEVELOPER,LLC AT 4931 N 300 W,PROVO,UT 84604 PRIOR TO THE LATER OF: (I)MIDNIGHT OF THE THIRD 3 )BUSINESS DAY AFTER THE TRANSACTION DATE,OR(Il)THE START OF INSTALI ATION OF THE SYSTEM. I H REBY CANCEL THIS TRANSACTION: Date: Customer's Signature: G I•.>Tiyhl f::l)I:i V nll S.1Isrt),`.ri�hl-,I.I.I AIt Right, 11.14ei11t:e1 tri IIIA f,7.1: - ADDITIONAL TERMS AND CONDITIONS ; a- 7. REPRESEN'T'ATIONS .AND WARILANT'IES. You represent, Warrant and may tenninato this Agreement on written notice to You and You will he obligated to i fi agree that each of the following is tree and correct:(i)all inf)m?ation concerning You pa•«+Us in amount coital u?Four Dollars($4)per watt installed.subjea:to a , herein is true,correct,and com?leue(i ON 00 are the nilly fee simpple owner(s)of the reduction of live percent 15'%b)per year(e.g.in year_0,the"fmnsfer Paxncnt vvdt be ' Property ii.e..You have full nn�cxclusive ownership ri grits u,the Property);(iii)You 5156 per watt Insialle$.plus upppliGnble t , the"Transfer Payment). Afler You ' are al least eighteen(18)years of age:iiv)You currently have and agree to maintain pay to Us the Transfer Payment,We- trans cr ownership of the Sysfen In You On i customary nmpcny and liability.insumncc with respect h?Your Proper>;and(v)You an"As Is,Where Is'basis. Notwithstanding any other luovision m this Agreement,if ' have hid'I rppportrmity m)review and discuss this Agreement with Our sales agent the proposed transfer of Your Property'to Property•ransferee is a lean or other mW any other a lynx(tr You may desire to insult. Ynu understand that aiv mi.fake, transfer that is not a fee simple sale.You will remain responsible f'or performance of misrcpprcsenhdron,w'omission m this:Aerecnlau made by You is a material breach of Your obligations under this Agreement. You agree.that the death of all Customers ' this Agreement and emiitles Us to the remedies provided for in Sxtion 13"b. We hereunder shall Iu deemed a transfer of Your Property.and We will work with Your I make no reppresentations or wmranties vscept as expressly sot ti+rah m t us:1�rcrmen[. -uccessor,and heirs to it slir this.Agreement pursuant to the terms and conditions of 8. OUR.ERVICES. (a)Nletcrrng. We vvdl o'tall performance melerjs)as needed Section 12(b], ' to menalm the telery pro ud c" ;v the System. We will collect performance data lll�'$VE\fS OF DEFAULT. (a) Customer Dcintdt. A"C'uaamer[hfarJP'shall remotely or use Otar-personnel to collect the data. We will provide this dater to)'oil mean the occurrence of any of the to oWmg:(t-j our failure to make any paynnent P. }'bur reasonable requi L You agree to allow•Our persouuet reasonable access to under this aercerntnt within ten(1»)days_of when due and such hilum is not cured i 1 our Property to colt(Stich Jam. AI(Air discretion.We may test the accuracy of the withm ten 11Ti)drivs after W`e give Yon r'ntien notice of such failure:(ii)Your failure p rli?rnuurce meter from time to rime. bf testing indicates that the meter is inaceumte to pu7brttt guy obligation under this Agreement and such failure is not cured within by more than-=i-Sall.We will(i)repair and recalibrate the meter.al no cost to You; thirty(311)days alley We give You writen notice of such failure'(iii)You den}•Us, , and(ri)make ret ri?actice adjustments to Your payments based nn corrected rooter data Our cnntremrs or agents,govcrnment.•rl authorities,or the l;tijityy access to Your for the tiered of such inaccuracy. 11'the meter is inoperable for any reason,including Property and such access is not given within thirty(30)day's alter We give You , Your failure to maintain wvurkaig broadband intertet or electrical contractions•We written notice of the failure to provide such access:rrev)'Your amkmptc•,insolvency , may charge'You tie the Shuldovvn Pavment. (b)CasualtLosses. If the System is or admission of Your inability to pay Your debts as that"cure:or(v')1).aur Pro)eriv ' damaged or destroyed by fire,storm,flond,eaithquaT c,or other disaster or accident becoming submJt to a foreclosure proccox in_a(h)Remedies Ter Customer Defau�I. ff � (each.a"Caswah)-Bveni')covered by Our insurmce,We will promptly repair and a.C'uslomer Oe f. occurs. We may •xrrcrse •3nv of the lolli+vv iiT remedies: , replace the damii•ed portions of the System as necessary to restore a to good working ti)terminate this Agrement and demand You pay the Defauh Pavment:Oil leave,trc i condition. If the System is damaeai or desu'oyed by a('a>ualty Event not covered by System n place nn Your Property,but d vv You access to and rise or the Ellerey it Our insurance•,We may;at DoT option(i)repair and restore the System[o goal produces,which may be redirected and sold at Our election;(iii)disconnect or`take , working condition;Or'(ii)teaninate,this AL_red;mcnt and,n Your election,rather hack the System its permitted by applicable law;(iv)place a hen on Yom'Property; ' convey the Svstcm in its then-exisling coalition,"As Is.Where Is',to You for no (v)engage a collection agency to collect payments front Your,Ivri report Your default additional consideration or remove the Sy;,iem from Your Property-. (c)Disconnection to credit reporting ageucaes;andror(vii)exercise env other reinet�)•available tn'Us in , IS S�'stcm_.We nlay cause file Svstcm to be(11SCOolleeled from the la'rhi7 ace ares I this.Agreement or under applicable law'. (c)S>_iler'Defmrlt. A"Seller Dejaalf shall r I rel y require such disconnection rn We arc required to Jo sn tinder applicilble laws mean the Occurrence of am'of the following: (r) ui-litihu'e to perform any of Our 9. YOUR DUTIES. (a)Use orf the S):stem: You shalt use the Energy for residential material obligations under lhis Agreement and the effect of such failure Is not cured , purposes only and not Ion hutting a svvrnnnmgp ant. At all limes,S'ou shall ensure within thirty(30)days aller YOU give Us Written notice Of such failure:or(ii)Our , that the Property rcmnains "rid-connceted w the Utility. (b)Broadband Internet bankruptcy,insolvency or admission of Oar inability to pay Our debts as they mature. ' Connection. You mu.t provide the tiystem w illi continuous iec.ess iii a tuncuoning td) Remedies for Seller Def uch. It a Seller Uciault milers and is continuing,You � imenn i connection with one,wired Etftcmet port and standard electrical(toilet at Your mage (ti temm�att lTiis A_ercerricnt and request removal of the System from Your , cost. If You fail to maintain broadband interact or electrical connection fora period of Property,and'or.(if)except as provided below,exercise env other remedy available to ' time We nuty charge You the Shutdown Payment. lc)S•s�temr.Alter I Is. You shall You mtlus Agmenrent or under applicable taw. Noroifhs'tanding thc•foregoing,YOU not?i)alter,repair.or othemse modify any componen(o tf he S}•sienn i,cnllectively will have no m+lu in claim datnaees as a result of the termination of this Agreemem, r "Aberations'i:and(if)take any action that could void or vutkrir any Warmuty relating except for(x)Ific actual costs to rmmve the System,if We fail to reprove the Systcnt to the Svstcm.You will be responsible for any damage to the System that is caused it front Your Propery pursuant to Section la:and(y•)any damages to Your Property al time by You or Your guests, invitees,conmictom- or mems. (d)Pru erll resulting from the removal of the System by Us or Our contractor (cl pefnu(t i �Alterations. You shall(i)"trine all macs nn Your Proper N not install structures on Paymenu. If this Agreement is wrmirtated far any ros.m,other than pursuant(;tfic r Four root,and take other reasonthlc seeps to ensure chat shading of the System is no Nonce otof Cancellation.Section 16,or a Seller Default,You will pay to Us the Delimit worse than on the Transaction Date;and(if)maintain,in good`cvmdilion and repay, Payment. The"Default ar mei strait be an amouru equal ie?Seven Dollars(S7)per , the roof and all electrical systems of Your Property. (e)Nothori-ti1m You shall o til.installed.subject to a reduction of ftvc percent(Sarni ler year(e.g.in year 20.the ' obtain from Your mortgagee,home owners'association.or any off,,,j?enwn With an Default Payment will be sl 69 per'watt installed),plus applicable hues. You agree inters,,.in Your Properly,all authorizations necessary fx Us to install,operate.and that the Default Payment rorty reflects the value o the System,and.in the case of a maintain the System. Y our failure to obtain these aithorizalions in a timely manner Customer Default,is a fair represcnta[ion of f is damages and losses that We expect to e may result in termination of this Agreement. (f)Taxes. You will pay all taxes incur. After You pay'It i Us the Dei Payment,We will transfer ownership of the assessed on or arising from installation or operation of the System-including any System to You oil an'As K.Where s"basis. , general excise Or sales lax on the Energy produced by the System. We shall bt 14.TERMINATION. (x)I if n nation�b Seller. We may,in Char sole discretion, responsible Ica'income tax and property tax assessed m relation In Our ownership of terminate this Aerecmcnt(i)d pr'or to the lu-Service Date,upon delivery of written the Svstcm. (y+)Chan . If Ynu.the Utlhty,or any governmental agency requires notice to You:or(ii)upon the occurrence of a Customer Default, Within ninety(90) , (i guy thanae to'the.ystcm atter iia installation,You shall pay Our standm'd parts and days nf[ei termination of this'Agreement,other than under the circumstances in which- III hich , labor charges;or(ii)that We psy any tax,lee,nr other charge m relationto,the Svstcm the System iop{re is transferred to You under Section 2,Section_12,or Section 13.We will Or this 4mement atter the hi-Service Date. then Yoir shalt he responsible to remove thre a e System and restore nadnerations ilii e free Fi tiroteaks. If We reimburse ITS for such tax,fee:.in otter change(except for income and property taxes elect to terminate this Agreement. We vvlll have no further liability to You. ,),at am Our responsibility under Section 9 (h)Further Assurances. Upon Our (bI Tem,inatiom.I?y Clrshymcr. You may terminale this Agreement(i)pursuaulto the; request,You shall promptly sLm anti—rchrm(r)any,,ppGcatron a(_n'ecntc it or other tern§tai`tTi�Tx4nTce offranac option,or(nil upon a Seller Default r doemment necessary for is 1t obtain an}•crcih[c,rebates.mwmves,allowances,or I5.SYSTEM SHUTUOYV�S.(a)Rafety n tdowa In addition to Ourrighl to shut cert iticxtes that are mtnbtrted,allocate(,or related to the System,the Ener v,or down the System far maintenance, a maYvrr— v shut down the System of We imair ably environmental attributes thereof(collectively, the "System Interests"); (it Tiny believe that Protx:it%conditions or aciiyitws of persons on the Property,which are not P mals:interconnection,net metering aereehncnts,and other documents required bb under Our control,whether or not under Your control,may interfere with the sate the Uti(hty;and(iii)any document nc.cssary to verify,Our ownership onemst in the ?pemtion of the Svstcm(a`:Sajert�Shnrdawn"1 Dtmng the pendency of n Safety System and System Inlerests. (i)Du tm Norf6. You shall promptlyy notify•Us if(i) S urtdowm.Yar will puv s the Shutdown Payment (6 Pm(?cp•V,ca cd. In thi You notice any person or thing suer gang w'I- the operalitn o(the 5•vstem;(ii)Your event that You vacate Your I'n?pe--rhttey ti+r any pperiod of time as a,esu t o an event that P,)perty has any Ordinance or yermk violations or encumbmncr that?nay prevent' is no'[a Force Ma ear Event or SelleldefauiI,You Wiil wntinpe reppay Us fin all the- proper System permitting:or(rir)Y'ou I•ake any eau•,^envy action with rcspvxa to rile Energy produced"w the System. (c)Interc(tni«•clion Deoctivauo, It"Interamnection 's I. Your failure to promptly notify Us of such conifers shall be a Customer w•ifh the Utility becomes deactivid or reasons at are not U)a Force Mujcure Default under�'ec ion l_3(a. Event,or(if)cau,Sed by or related to Our unexcusedl action or inaeiion,such that the 10.SALE OF`S07 AR EYERGY. (a)_Sate oh Electricity. Beginning with the hr- Salem is no larger able to I?rtdutx:eledricih•or transfer electricity to You or to the Service Date, We will soil m You and ue vvrll Suv TFmn Lis sli of the F•ncrg}y• l.�tility,Y'ou will pale Us the 3hntolown Payment. Id)Shu[dowo Payment. 'The produced by the System. 'Title to and risk of loss wiih respect to the Enenry shall "S1rrrMawn PapnfenY shall cdtual the sum ni p)payments ebbe Eiv rgg rice that transfer from Us to You at the point where the System is interconnected wiih Your You would have made in Us as descnt?eJ in Sec;l)on 2.A.fir the Energy that would Propertv's•el•carica]wiring. Energy from the System Will be delivered to You in have been prrxiucerl by rile System Juriug the peri TtWie shutdovv'n:tiff the value to comphince with all mquircmenls of the Utility. (b)Payments. You acne that the t!s tf the System Inecntivcz that 4Ve would liege received with respect to the Energy obligation to pay, all anumnI due under this Agrccmeia_hill he absolute and than the Svstcm w'cndd knee produced ibllowinv such shutdown;and(iii)applicable unconditional,and shall not he subjttt to any abalcmcnt.defense,counteclaim,setoff; rases. feicnnination of the anx?mrt of Energgy tXat would have been produce during recoupment or reduction. You and We age,that all amounts payable by You the period of the shutdown shall is tensed(AI during the first year after the la-Service hereunder shall Ix payable in all events including by%'our heirs and estate. F•x&tpt as Date.on esumated]evils of producuon;and(B)atter the first veer after the In-Service permitted by the Notice of Cmlccllation,]'on hereby waive all rights You may have to llate,based rot actual opetahon of the S'stem dnnng the same Period in the previous relect or cancel this A"rcemhent,m revoke acrepplance of the System,or to pant a year. If a shutdown 1111111 ZZ to Section�or this.'croon 1.5 continues for one hundred Security interest in the System. (c'Limits on 0 ligation to_Dchver. WE DB NOT and eighty(180)days or Ioniger��e—may in ur sive discretion,terminate this WARRANT OR(RiARF.F ANTrF[P.AI�Oi,\'[ OF E`NFRGY-PRODU(£D BY Aereemerilanl inqeire Youto pavthc Default Payment. THE sY STEM FOR.ANY PERIOD OR ANY COST SAVINGS. Wear not a utility 16.FORCE MA.IEURE. If Yoir or We are unable to perform any of the Obligations tr public service company and do not assume any obligations of a utility or public under this Agreement because of a Force h1a)eme Evcnt,such atkeled party will be service company to supply Yoru energy mcluirenncnts. We are not subject to rate excused from whatever perfonmtnce is alkeled by the Farce Majeure Event,provider! review-by govcrumental authormes. During the Tern.You unders[nnd that You may that the suspension of such obligations rs oI'no�a'cater scope and of no Tenger duration rrquiho mora electricity} than the System may generate It'You need any such than is required h}'the Force Majeure Event. "Force d1a/cure F-vrnP'Sha71 r duo tion 2diuonal energy,then)'or shall be solely responsible to obtain.Such energy front the event,condition or eu'cumsteince"beyond the control of the affected party which,by the Utility at Your cost. exercise of tine fomsrght such party could not nssonably,have been expected to avoid, 11.OWNERSHIP OF SYSTENI. (a)Our Oxvnershi of"thus<tem. We shall oWnl and which by the exercise of due diligence such pang without fault attributable to it is arta hold all proem•rights in the System and a ystera ntcrests. Y oil shall have no unable to overcome,including,but not limited to,action by a governmental authority. property interest in ilia System or the System Intcrosts except fon'(i the F,ncr�ry that the failure u)act on the part oT any governmental authority or the Utility(prtn•ided thai the Svstcm generates.and(ii)any credits or payments available under Your Utility's such action has been tamely requested and diligently,pursued),failure to obtain or "net metering"progrnn for the Energy that the System generates. You agree to keep maintain a permit,license,Consent or approval(provided that such party has made the Svstem and Svstcm Interests Cree from all ficns and'encumbrances. (b)Personal timely and.masamhie commercial efloris to obtain and maintain the same) labor Prth.�rzriv'.Nature of the System. Notwnthstandina the manner in Which the System is disputa,stoke work-senppage,slow-down,tock-ou4 flood,earthquake,tire.lightnrng, attachZV(t Yiiui'ii'operty.nniany fixture filing Gy-lis.You and We hereby agree that w'i»d,et?idemic,war,rertonsm,not.uononic sanction or embmeo,civil disturbance. the Svstem and the Systeni.interests strait refrain Our sole axonal property and shall act of god. unavailability oC electricity from the Utility. equipment, supplies or not be deemed or charaeter¢rd as a"tixtum"or any partaI are"really as[host tents t�??rxlocts`.po?ver or volta¢e surgge caused by snmeorc other than the affected party,or maybe defined by applicable law, »is further agreed that the Installation of the i,ilnre Of cyuipmem not ihtilizeil by or under the cronmf of the atii,ted party, Svstcm shall not be a repair.remodel.alteration,conversion,modernization of nr 17.LIAi1TAT1ON OF LLVIILfI'Y. You and Tsurnd(hat:(al We arc not an insurer addition to.Your Property. (e)(rrant��o�f:Access. You hereby grant to Us and Our of Year Property,p«:rsnnsl property,or persemal safety of persons in or or Your employees agents,and convaclon�rigg it to access and ucc Y'bur Property so that Property;(hl Yen ave Sc hely responsrblc for prefiling any utsumnce With respect in We may(ii instill,operate,and maintain ate System throu qua the Tenn,(ui euf me Your Pnpartyy and its cd ntemts;ic)the amount Y'ou pay ur lis is based only on the Dur ri^lits us to this Agreement and the SvSlem,and nr)take env other action value of the Cn r v pwduced by rte System and not on the value of Your Pmp rty or reasonihly necessary m connection With the •onstnn-ticu Installation,operation, lis cnntcm (d)theS S}•stcm may nut always opeaatc property for various reasons;(e)t maintenance repair,.or ranovnl of the Svstem. T'h'li+regorngg ri,llos of access to Your is ddticult lu deienruue m advance the vahue of the components of[6e System that Properly shall consu«rte a license coupled with an onlgrctit and shall be irrevocable five might.be Inst or destroyeal if the Svstem fails to operate properly:(D it is aiffrcuht to up to ninety,(90)drys cher this Agreement expires to provide lis with time to remove determine in advance what potion.if any,of any property loss.Pirsonal injury or the System of the end of the Term. (Jt Nojlcec_qf bsimi Ownership. You authorize death would be proximately coil,d by nlrr ltlilnl't to perfonn.(hu negligence,or o Us to make Clings and recordings d•i(h m evant,.ovem TWat'al all critics as may be failure of the System.or the System installation. necessary In prowde notice ofOin ownership in triic System and the System Interests, NOTWITHSTANDING ANY BREACH OF THIS AGREEMENT, and Our ri;_=ht to access Your Property. Upnn that the rm of this Aar ,meat.each ANY FAILURE OF T.HE SYSTEM.OR ANY NEGLIGENT ACT such tiling will he tcnninated. You umdcrstand that the System shall he market and idcnufied is Quipprop+em•" THAT CAUSED ANY INJURY OR LOSS (WHETHER 12.ASSIGNMENT`&"I'RANSIFR (at Asti mime t W'c may assian sell or pROP-RIY DAMAGE, PERSONAL INJURY OR DEATH) TO ranste'(in whole or in pit rtl this Am•eemem,t? ystem,or the S)st m Interests ,ANYONE, WF. AND YOU AGREE THAT, UNLESS SUCH without Y our consent and wit nut notice. If Sade assignee agrees m writing r?assume Our rights under this Agreement We tilt have no fuuher liability or obli almn under INJURY OR LOSS WAS CAUSED BY A PARTY`S GROSS this Acrecment upon the cffecfncncss ol'such assignment. (1),Trr,0 r of—Pg em NEGLTGENCE, FRAUD, OR WILLFUL INJURY, SUCH You halt pntyidc Us With thuny,f30)days'prioh written notice ora prtP"v fee PARTY'S LIABILITY 'ARISTNCi OUT OF OR RELATING TO simple safe of Your Propw PIs vvrtten notice shah include the-name of the THIS AGREEMENT SHALL [N NO EVEN]' EXCEED THE Pao purchaser or trtinsfetve("Property Trnnsfiree'")and the pmpnsrd dente of sale or transfer. You will also provide any addiii,,ad information ren,ardm Property DEFAULT PAYMENT. YOU AND WE AGREE THAT' T141S Trmsferce that We reasonthiv request. }'nu will request that Property i'ransteme AMOUNT I.S A.FAIR REPRESENTATION OF THE DAMAGES gree in writing with Us that Prupeny Tromsfcree Will assume Your obligations under T•14AT YOU OR AVE EXPECT TO INCUR iN THE CASE OF ANY (?hi.c Abroentcm. 1'Inperty Transferee,shall enter into ouch a moment on or before the date Y our Property is Sold. Altemalkely,if We determine tat Properfy 7"ransieree.s INJURY OR LOSS HEREUNDER. not adequately Creditworthy to assume Your obligations undo hits Agreement,or NOCLAIM SHALL BE MADE BY YOU AGAINST US OR ANY m Properly Trsferce rerIISes 10 assum e Y'nur obligations undo this Agreement.We + ` The Commonwealth of Massachusetts Department of IndustrialAccidents ®face of'Investigations - I Congress Street,Suite 100 r Boston AM 02114-2017 www mass.gov/dere Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibly Name (Business/Organization/Individual): Viyint Solar Developer LLC Address: 4931 North 300 West (_'4tv'41a6e;f ,: Provo. UT 84604 Phone#: 801-704-9389 _ { Are you an employer?Check the appropriate box: _ Type of project(required): 1.® I am a employer with 10 4. ❑ I am a general contractor and I employees (full and/or part-time).* have i,ii-Qd the Y ib utttractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- 1'11-1-d on the altach*i eheet. i 7. ❑ Remodeling j ship and have no employees have g_ ❑ Demolition I working for me in any capacity. empl:tytcs awl have %workers' [No workers' comp. insurance comp. insurance.# : 9. ❑ Building addition I required.] 5. ❑ We are a corporation and its i ! t0.❑ Electrical repairs or additions j 3.❑ I am a homeowner doing all work officers have exercised their ' 11.❑ Plumbing repairs or additions tt 1 right of exemption per MGL 'myself. [No workers' comp. � p p { � 12.❑ Roof repairs { insurance required.] t c. 152, §1(4),and we have no i employees. [No workers' i 13.❑ Other L __ comp. insurance required.]_ *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:__New tiempshire Insurance Company`_ Policy#or Self-ins. Lic- #: 029342228 /14 Expiration Date: 11/01 Job Site �Address:_._V` �\1-�-�----�.:/, I:cA-_.�__ ____City/State/Zip:_ .Ck a �(2�� Attach a copy of the workers' compensation policy declaration page pa a (showing the policy numder and expirationirati on date).to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under prcirl t r.trl/rerrralPir'cv '(rc ri!! v t r the information provided above Is true and correct r 1^l04-:`,t'J tj� Official use only. Ido not write in this area,to be completed by city or town official. City or Town: � Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector ector ( 6.Other � ! Contact Person: - Phone#. I AcC>R"® CERTIFICAT OF LIABILITY DATE(MM/DDIYYYY) �- Y INSURANCE 11/0112013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEG TIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOE NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIF ATE HOLDER. IMPORTANT: If the certificate holder is an ADDITION kL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns 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 MARSH USA INC. NAME: 122517TH STREET,SUITE 1300 PHONE FAX DENVER,CO 80202-5534 MAP Ext), ac No: E-MAIL Attn:Denver.cerb quest@marsh.com,Fax:212.948.4381 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# 462738-STND-GAWUE-13-14 INSURER A:Evanston Insurance Company 35378 INSURED Vivint Solar,Inc. INSURER B:National Union Fire Insurance Co of PA 4931 N 300 W INSURER C:New Hampshire Insurance Company 23841 Provo,UT 84604 INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUM ER: SEA-002368004-06 REVISION NUMBER:1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE 'rBE HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TE M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IN URANCE 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 AMM:SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE WVD POLICY NUMBER MM/DD MM/DD/YYYY LIMITS A GENERAL LIABILITY 13PKGV IE00274 11/01/2013 11101/2014 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DA A N 50,000 PREMISES Ea occurrence $ CLAIMS-MADE 71OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: XPRODUCTS-COMP/OP AGG $ 2,000,0070 POLICY PRO LOC $ B AUTOMOBILE LIABILITY 9701 G87 11101/2013 11/0112014 E aBBIINED SINGLE LIMIT $ 1,000,000 B X ANY AUTO 970108 11/0112013 11/0112014 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIREDAUTOS X NON-OWNED PROPERTY DAMAGE $ Per accident A UMBRELLA LIAB X OCCUR 13EF 00088 11101/2013 11/01/2014 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTION$ $ C WORKERS COMPENSATION 0293423 342335 11/01/2013 11101/2014 X I UVC STATU- OTH- C AND EMPLOYERS'LIABILITY 029342 6; 0TS1 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 29342337 11/01/2013 11101/2014 1,000,000 C OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) 029342338 11/01/2013 11101/2014 E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,descibe under JE RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 &Omissions& 13PKG 00029 11101/2013 11/0112014 LIMIT 1,000,000 ctors Pollution DEDUCTIBLE 5,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD I D1,Additional Remarks Schedule,if more space is required) The Certificate Holder and others as defined in the written agreement are included 3s additional insured where required by written contract with respect to General Liability.This insurance is primary and non- ontdbutory over any existing insurance and limited to liability arising out of the ope rations of the named insured and where required by written contract.Waiver of subrogation is applicable where required by written ontract with respect to General Liability and Workers Compensation. CERTIFICATE HOLDER CANCELLATION Town of Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 36 Bartlett Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Andover,MA 01810 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kathleen M.Parsloe {�r,(�,,�Jh. 46d4ti @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD iame and logo are registered marks of ACORD