HomeMy WebLinkAboutBuilding Permit #577-2017 - 296 BERRY STREET 11/29/2016 o vp .y^i ✓ � s, Y
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� BUILDING PERMIT ,rte 4..::a._ • . .6 0� �
7 / TOWN OF NORTH ANDOVER I t o
APPLICATION FOR PLAN EXAMINATI0
Permit NO: Date Received
Date Issued: ( ^ — ���
�9SSACHUS
IMPORTANT:A licant must complete all items on this page
LOCATION 296 Berry Street, North Andover, MA 01845 j
Print
PROPERTY OWNER Daniel McGrath
Print �
MAP NO: PARCEL/�VZONING DISTRICT: Historic District yesno
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ErOne family
❑Addition ❑ Two or more family ❑ Industrial
VAlteration -solar panels No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
,24
install an 8.25 kW DC solar electric system consisting of 30 solar panels onto existing roof structure
Identification Please Type or Print Clearly)
OWNER: Name. Daniel McGrath Phone: (617) 778 - 3904
Address: 296 Berry Street, North Andover, MA 01845
CONTRACTOR Name: Phone: (855) 786-1776
United Solar Associates LLC/Daniel McGrath
Address:
376 Washington Street, Suite 104, Malden, MA 02148
Supervisor's Construction License: 104876 Exp. Date: 9/15/2018
Home Improvement License: Exp. Date: j
184392 1/512018
ARCHITECT/ENGINEER Phone:
Address: Reg. No. ,
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 20,000 FEE: $ 240
Check No.: 11 S_;1 5__ Receipt No.: /
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Daniel McGrath Signature of contractor
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Location 0�9�0r�2 Er S
No. o17 Date
. - TOWN OF NORTH ANDOVER
M " Certificate of Occupancy $
Building/Frame Permit Fee $ aYp
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ �
Check#
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Building Inspector
r. . s
Plar-;s Susimitted ❑ Plans Waived El Certified Piot Plein ❑ Stamped Plans ❑
-TyPF bF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art I❑ Swimming Pools ❑
Well ❑ Tobacco Sales r ❑ Food Packaging/Sales ❑
Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑
i
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
i
CONSERVATION Reviewed on Signature
i
COMMENTS
r
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 Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124.Main Street
Fire Department signature/date
COMMENT;) �r u
T
F
limension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.: -
ELECTRICAL: Movement of Meter location mast or service dro .;req,Yuir s approval 1 of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$10041000 fine
NOTES and DATA— (For department use)
1
i
1
❑ Notified for pickup Call Email
ate Time Contact Name
Doc.Building Permit Revised 2014
t
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
' NOTE: All dumpster permits require sign offrom Fire Department prior to issuance of Bldg
Permit
Addition Or Decks
o Building 1'N Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
o Copy Of Contract
o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o 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) !
o Building Permit Application
o Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable) f
o Copy of Contract
j ❑ Mass check Energy Compliance Report
o Engineering Affidavits for Engineered products
40TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
i
Doc:Building Permit Revised 2014
� NORT►.�
Town of ndover
h ver, Mass, // a 0110
coc HICHIWIcw 1'
Pay
x.95 R^TED
U BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT .URA.Mb...S.0 0A......OrUe4.......�0pi......KrAeorA BUILDING INSPECTOR
... ....
has permission to erect buildings onJA ..r Foundation
Rough
to be occupied as .......:3.#......, ...../.� �.�. r.k� Chimney
............................... � JP;' 4 l���1�� � ,tv
provided that the person accepting this permit shall in every respect conform to the terms of the application Final 0
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 CONSTRUCTIO STA Rough
6ervice
.......... .. .. ... ............. .............. a
BUILDING INSPECTOR
GAS INSPE&OR
Occupancy Permit Required to Occupy Building 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.
Town of
F N N
Andover
0 .
C% h ver, Mass,
COCNIC N�WKN �'
A�RATEO
S U
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT UM.T' b...S.0�0/.t...... rs�.t�.......�O �!�.K 00AA BUILDING INSPECTOR
.... ........... . ... .. ....... .... .. ....... .
.. Foundation
has permission to erect .......................... buildings on .....�.9. k......�.�..........�.......�J....r....
Rough
to be occupied as .......3.40....... ..... ��. ................ .�. .k 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 CONSTRUCTIO STA Rough
Service
.......... .. ..&... ............. .............. Final
j BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
John Karavolas
Gardner Park Associates
29 Abington Ave.,
Peabody, MA 01960
11/15/2016
Dan McGrath
President, United Solar Associates, LLC
376 Washington St.,
Malden, MA 02148
To whom this may concern
I have inspected the existing roof framing of 296 Berry Street, North Andover, MA 01845 and found that the roof
can support the installation of proposed roof mounted PV array subject to the requirements of this letter.
The roof connection to the existing roof joists shall be attached with 5/16"x 4%Z" long stainless steel lag bolts with
washer to accomplish embedment into the top 2" into the cord of the roof joist.The roof connection brackets shall be
spaced no more than 48"on center.The roof connection brackets shall be spaced no more than 48" on center. Rafters
measure at 2" x 8"with spacing of 16".
The top face of the PV panels will be no more than 5"of the existing roof structure and flush mounted with the roof.
The panels shall not be blocked at their perimeter and air shall be allowed to flow under the panels.
The total weight of the PV panels including all attachments and hardware will be under 3lbs/sf.
The PV panel rail shall span 48" between supports.The PV panel rail rows shall be staggered such that the support of
each panel row shall be bearing on alternating roof joist such that each PV panel row is offset 24"from the row below
it.
John Karavolas PE, has reviewed the Snap N Rack recommended installation methods ad "Roof Mount Assembly
Drawing" in combination with 780 CMR, Eighth Edition of the Massachusetts State Building Code—Residential, and
concluded that the Snap N Rack system and its proposed installation methods are in compliance.
John Karavolas
Engineer,Gardner Park Associates
Joh L Karavolas, P.E.
John Karavolas
Gardner Park Associates
29 Abington Ave.,
Peabody, MA 01960
11/15/2016
Dan McGrath
President, United Solar Associates, LLC
376 Washington St.,
Malden, MA 02148
To whom this may concern
I have inspected the existing roof framing of 296 Berry Street, North Andover, MA 01845 and found that the roof
can support the installation of proposed roof mounted PV array subject to the requirements of this letter.
The roof connection to the existing roof joists shall be attached with 5/16"x 4%" long stainless steel lag bolts with
washer to accomplish embedment into the top 2" into the cord of the roof joist.The roof connection brackets shall be
spaced no more than 48" on center.The roof connection brackets shall be spaced no more than 48"on center. Rafters
measure at 2" x 8"with spacing of 16".
The top face of the PV panels will be no more than 5"of the existing roof structure and flush mounted with the roof.
The panels shall not be blocked at their perimeter and air shall be allowed to flow under the panels.
The total weight of the PV panels including all attachments and hardware will be under 3lbs/sf.
The PV panel rail shall span 48" between supports.The PV panel rail rows shall be staggered such that the support of
each panel row shall be bearing on alternating roof joist such that each PV panel row is offset 24"from the row below
it.
John Karavolas PE, has reviewed the Snap N Rack recommended installation methods ad "Roof Mount Assembly
Drawing" in combination with 780 CMR, Eighth Edition of the Massachusetts State Building Code—Residential, and
concluded that the Snap N Rack system and its proposed installation methods are in compliance.
John Karavolas
Engineer,Gardner Park Associates
Uohnaravolas, P.E. 16
F^S! to
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SITE DIAGRAM
Type or Array Panel Orientation True Roof Pitch (deg)
Rooftop 260 degrees 30
PV Array
DC System Size: 8.25 KW LO
AC System Size: 7.60 KW 5-
0
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Modules: Solarworld 4
SW 275 MONO Black
Total # of Panels: 30 �, 0
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Inverter: SolarEdge
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SE 760OA-US 3 E Z
ll # of Inverters: 1 o N z (0
M a
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2 m
N '0
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39.41"
Q
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Main Distribution Panel Utility Meter
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Customer Signature: Date: �� "`
5 KW
ELECTRICAL DESIGN: ONE LINE DIAGRAM PV ROOFTOP SYSTEM DC SYSTEM SIZE:8.2
AC SYSTEM SIZE:7.60 KW +�
PV MODULE RATING at STC OPTIMIZER RATINGS INVERTER RATINGS SERVICE PANEL RATINGS MEP ARRAY DETAILS INVERTER"SE7600A-US-S"-TRIP LIMITS AND TIME �J
BRAND: ANSI Facto Default
MODULE MANUFACTURER:SOWrWorld MANUFACTURER:SoIarEdge INVERTER Voltage Device Voltage Limit Trip Time
MODULEMODEL#SW275Mom Blad( MANUFACTURER:SolarEdge MODEL:SE 760OA-US(24OV) BUSAMP RATING(A):200 STRING No.1: Trip settings Number of Nominal
FRAME DOLOR:Black MODEL:P300 MAX DC VOLT RATING(V):500 SERVICE VOLTAGE IV):240 MODULES PER STRING:15 Undervoltage fast 27 50% 0.16 �/1''''
OPEN-CIRCUIT VOLTAGE(Voc):39.4V MAXIMUM OUTPUT CURRENT:15 A AC NOMINAL POWER(W):7600 BREAKER RATING(A):200 STRING Na.2: Undervoltage(slow) 27 88% 2 tV,t{ KI,
OPERATING VOLTAGE(VmP):31.OV MAXIMUM OUTPUT VOLTAGE:60V NOMINAL AC VOLTAGE(ut:240 MODULES PER STRING:15 Overvoltage(fast) 59 110% 1
OPERATING CURRENT(Imp):8.94 A SAFETY OUTPUT VOLTAGE PER OPTIMIZER(DURING MAX CONT.AC CURRENT(A):32 Overvoltage(slow) 59 120% 0.16
SHORT-CIRCUR CURRENT(Isc):9.58 A STANDBY):1 V MAX OCPD RATING(A):40 ,c1� V
MAXIMUM POWER:275 W QUANTITY:1 RED IS POSITIVE TM)!"
Voc TEMP COEFF%/°C:-0.31 BLACK IS NEGATIVE ANSI Facto Default a 1)-�o
( ) Frequency Device Firm"I_c) Trip Time LI L N
Isc TEMP COEFF(%/°C):0.044 Trip settings Number Limit(Hz) (cycles) 1t
Underfre uenc 81U f<59.3 0.16 SJ a
Overfre uency 810 f>60.5 0.16 S
0
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`••TH IS SYSTEM R EQU IRES 30 SOLAREDGE P300 OPTI MIZERS(ONE CON NECTED TO EACH MODULE)*
lnIUry METER H
0
fanduit Type:EMT/IFMf
Cnntluit6ite:1" M w
Cnntlu¢«Tpe:TH WN3 �
Nmxr orm°a on.3.1a6 Vl
MD
EMi/IrMCTintonType:EMmro0 Sue:V
e:tHwN z mroem«Twe:THwN-z Exterior FuselessACz Posllhe(Tee) :p OAWGDisconnect
2 Nes—mutl4 rola PVw.e: du¢ar::a.tro6Nromner°r�N —:5.1X6 Revenue-Grade1M6cCu EGL c. 24OV 4OAmp
Monitoring NEMA3RFused Junction BINVERTER1System
NEMA3RSoWrEdgeSE7600A-U5240VACwith lntegated DC 15A FuseDisconnect MEP
DC. DC. t
I STRING 1 tz
I #OF MODUELS INSERIES:15 iNrExrecE non
I tC M
I �
I H
' STRING ------------- ___
#OF MO DUELS IN SERI ES:15 " -_--'-- -_--
Qx
n
� I Ez u
I
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GND/x <
--———————————————————— I I I Y g
I m
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L C M
Growtln8 I a ~ Q L W
Ele¢rode C
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EGC will be bonded to existing Grounding electrode conductor(GEC) E `v r 'm
system and to the EGC Lug on each Inverter V0 L' (o a w
Licensed Electrician Assumes All Responsibility for u N
Determining Onsite Conditions and Executing Installation in ^
v
Accordance with NEC 2014 Codes. v
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PV-3
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solar=ee •
SolarEdge Single Phase Inverters
For North America
SE3OOOA-US / SE38OOA-US/ SE5OOOA-US / SE6OOOA-US/
SE76OOA-US/ SE1O000A-US/ SE114OOA-US
�rverte".
25
Warta�
3
I
'.- � 11111A,.
L
W 4
The best choice for SolarEdge enabled systems
Integrated arc fault protection(Type 1)for NEC 2011690.11 compliance
Superior efficiency(98%)
Small,lightweight and easy to install on provided bracket
Built-in module-level monitoring
Internet connection through Ethernet or Wireless
Outdoor and indoor installation
Fixed voltage inverter,DC/AC conversion only
Pre-assembled Safety Switch for faster installation
Optional—revenue grade data,ANSI C12.1
USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us
solar=@@Single Phase Inverters for North America
SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/
SE760OA-US/SE1000OA-US/SE1140OA-US
SE3000A-US I SE380OA-US I SE5000A US SE6000A US SE7600A US SE10000A US SE11400A-US
OUTPUT
Nominal AC Power Output 3000 3800 5000 6000 7600 9980 @ 208V 11400 VA
........................................... ................ ............... ................. ................ ................ .10000,9240y. .....
Max.AC Power Output 3300 4150 5400 @ 208V 6000 8350 10800 @ 208V 12000 VA
........ ................ ............... .5450,@240y.. .....I.......... .....-.......... .................. ...........
AC Output Voltage Min:Nom:Max.(u
183-208-229 Vac
........................................... ................ ............... ................. ................ ................ .................. .................. ...........
AC Output Voltage Min.-Nom.-Max.(')
211-240-264 Vac
. ......................................... ................ ............... ................. ................ ................ .................. .................. ...........
AC Frequency Min.,Nom:Max.(u 59.3-60-60.5(with HI country setting 57-60-60.5) Hz
..Max.Continuous Output Current...... .....12........ ......16......1..7?.@.240V...�......25.......1...............1...42 @ 240V...1.......47.5....... ....A.....
GFDI Threshold 1 A
Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes
INPUT
Maximum DC Power(STC) 4050 5100 6750 8100 10250 13500 15350 W
........................................... ................ ............... ................. ................ ................ .................. .................. ...........
Transformer-less,Ungrounded Yes
........................................... —....................................................................-................................................... ...........
Max.Input Voltage 500 Vdc
........................................... .......................................................................................................................... ...........
Nom.DC Input Voltage 325 @ 208V/350 @ 240V Vdc
16.5 @ 208V 33 @ 208V
Max-Input Current(') 9.5 13 18 23 34.5 Adc
15;5,@ 240V.. ................ ................ ..305 @-240V .................. ...........
Max.Input Short Circuit Current 45 Adc
........................................... .......................................................................................................................... ...........
Reverse:Polarity Protection Yes
Ground-Fault Isolation Detection 600k.Q Sensitivity
........................................... ................ ............... ................. ................ ...................................
..Maximum Inverter Efficiency.......... .....97:7...... .....9.8..2.....`......98:3...... .....98:3......{......98...... .......98........�........98........ ...........
CEC Weighted Efficiency............... .....97........1......98......1.998 @.2 OVV..l..................1.....97.5..... 97 @ 208V 9...
97.5 @ 240V
Nighttime Power Consumption <2.5 <4 W
ADDITIONAL FEATURES
Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional)
........................................... .................................................................(.............................................I........... ...........
Revenue Grade Data,ANSI C12.1 Optional
Rapid Shutdown—NEC 2014 690.12 Functionality enabled when SolarEdge rapid shutdown kit is installed
STANDARD COMPLIANCE
SafetyUL1741,UL1699B,UL1998,CSA 22.2
........................................... .......................................................................................................................... ...........
Grid Connection Standards IEEE1547
Emissions FCC part15 class B
INSTALLATION SPECIFICATIONS
AC output conduit
size/AWG range 3/4"minimum/16-6 AWG 3/4"minimum/8-3 AWG
...Crop.t con........................... .................................................................................... .....................•--•••-......... ...........
DC input conduit size/ri of strings/ 3/4"minimum/1-2 strings/
AWG ran aP3/4"minimum/1-2 strings/16-6 AWG.............................. .................................................................................... .............14;6 AWG
............. ...........
Dimensions with Safety Switch 30.5 x 12.5 x 7.2/775 x 315 x 184 30.5 x 12.5 x 10.5/ in/
(HxWxD)................................ ................................ ...............................................I... ..........T75.x 315 x 260.......... ...
mm....
Weight with Safety Switch 51 2/23.2 54,7/24.7 88.4/40.1 Ib%kg.
.. ........
Natural
convection
Cooling Natural Convection and internal Fans(user replaceable)
fan(user
........................................... ................................................................... .replaceable). .
.................................... ...........
Noise <25 <50 dBA
.............................
Min.-Max.Operating Temperature -13 to+140/ 25 to+60(40 to+60 version available(')) 'F/'C
Range.......
............................ .......................................................................................................................... ...........
Protection Rating....................... .......................................................NEMA 3R
. ..................
........................................................ ...........
Ir)For other regional settings please contact SolarEdge support.
I=)A higher current source may be used;the inverter will limit its input current to the values stated.
(;(Revenue grade inverter P/N:SExxxxA-USOOON NR2(for 7600W inverter:SE7600A-US002NN R2).
I4)Rapid shutdown kit P/N:SE1000-11SD-51.
-40 version P/N:SExxx A-USOOONNU4(for 7600W invertenSE7600A-US002NNU4).
SUf15PEC ROHS
��
Sunmodule;,.,/ Plus
SW 275 MONO BLACK
TUV Power controlled:
TUVRheinlend Lowest measuring tolerance in industry
��0.000002p,�1�
Every component is tested to meet
3 times IEC requirements
J
� I Designed to withstand heavy
accumulations of snow and ice
J
OSunmodule Plus:
Positive performance tolerance
`ar5�I 25-year linear performance warranty
and 10-year product warranty
J
�V' j Glass with anti-reflective coating
J
World-class quality ^'"
S'f'ty tl,IEO 61]15 t °� Ammonia reslatence
•Saferyte¢ted,IEC 61]30 : tested
Fully-automated production lines and seamless monitoringofthe process and mate- ��e Pedodlc"'Pec¢n =.wa.,;,..a •P.dadlc 1-p¢ctlun
•Bbwing—dro it = a•Power OonvoOad
ria I ensu re the quality that the conn pany sets as its bench mark for its sites worldwide.
SolarWorld Plus-Sorting _PERFORMANCE ES ED s A®
SALT MIST RESISTAM
Plus-Sorting guarantees highest system efficiency.SolarWorld only delivers modules ` ,POTOOLTAIDPflODUCT C us
that have greater than or equal to the nameplate rated power. v UL 1703
25-year linear performance guarantee and extension of product warranty to 10 years
SolarWorld guarantees a maximum performance digression of 0.7%p.a.in the course
of 2S years, a significant added value compared to the two-phase warranties com-
mon in the industry.In addition,SolarWorld is offering a product warranty,which has
been extended to 10 years.`
`in accordance with the applicable SolarWorld Limited Warranty at purchase.
www.solarworld.com/warranty
solarworld.com ANDDIIMPORTED
I
Sunmodule;-/ Plus 1 SOLARWORLD,
SW 275 MONO BLACK REALVALUE
PERFORMANCE UNDER STANDARD TEST CONDITIONS(STC)* PERFORMANCE AT 800 W/m=,NOCT,AM 1.5
Maximum power Pm„ 275 Wp Maximum power p— 203.1 Wp
Open circuit voltage Vac 39.4 V Open circuit voltage Vo, 35.7 V
Maximum power point voltage VmPP 31.0 V Maximum power point voltage VmPP 28.1 V
Short circuit current I,, 9.58 A Short circuit current I,c 7.75 A
Maximum power point current Impp 8.94 A Maximum power point current Impp 7.22 A
Module efficiency nm 16.40% Minor reduction inefficiency under partial load conditions at 25`C:at 200 W/ml,100%
(+/-2%)of the STC efficiency(1000 W/m�)is achieved.
*STC:1000 W/m',25°C,AM 1.5
1)Measuring tolerance(P,,,)traceable to TUV Rheinland:+/-2%(TUV Power Controlled). COMPONENT MATERIALS
THERMAL CHARACTERISTICS Cells per module 60
NOCT 48 Cell type Mono crystalline
°C
TC 1, 0.044%/°C Cell dimensions 6.14 in x 6.14 in(156 mm x 156 mm)
TCvo -0.31%/°C Front Tempered glass(EN 12150)
Frame Black anodized aluminum
TC PmPP -0.43%/°C Weight 39.5 lbs(17.9 kg)
Operating temperature -40°C to 85°C
SYSTEM INTEGRATION PARAMETERS
1000 W/mz Maximum system voltage SC 11/NEC 1000 V
sc
Maximum reverse current 16 A
800 w/m= Number of bypass diodes 3
Design Loads' Two rail system 113 psf downward
a 600 W/m• 64 psf upward
' 400 W/m• Design Loads' Three rail system 170 psf
downward
1psf upward
Design Loads" Edge mounting 30 psf downward
Z00 W/m2 30 psf upward
100 W/mz •Please refer to the Su nmodule installation instructions for the details associated with
these load cases.
Module voltage IV] V« ADDITIONAL DATA
Powersorting' -0 Wp/+5 Wp
�x4 37.44(951) J-Box IP65
Module leads PV wire per UL4703 with H4 connectors
Module type(UL 1703) 1
11.33(288) Glass Low iron tempered with ARC
0.6 15.3
39.37(1000)
VERSION 2.5 FRAME
Version Compatible with both"Top-Down"
2.5 frame and"Bottom"mounting methods
65.94(1675) bottom N �GroundingLocations:
mounting 4 corners of the frame
holes 4locations along the length of the
module in the extended flanget
1.34 34
1 x4
4.20(107)"
1.22(31) 39.41(1001)—tel
All units provided are imperial.SI units provided in parentheses.
SolarWorld AG reserves the right to make specification changes without notice. SW-01-6025U5 08-2014
solar - . .
SolarEdge Power Optimizer
Module Add-On
P300 / P350 / P404 / P405 / P500 •
i
war
a 2Sea*
PV power optimization at the module-level
— Up to 25%more energy
— Superior efficiency(99.5%)
— Mitigates all types of modules mismatch-loss,from manufacturing tolerance to partial shading
— Flexible system design for maximum space utilization
— Fast installation with a single bolt
— Next generation maintenance with module level monitoring
— Module-level voltage shutdown for installer and firefighter safety
USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-UK-ISRAEL www.solaredge.com
so I a r - • . SolarEdge Power Optimizer Module Add-On
P300 / P350 / P404 / P405 / P500
P300 P350 P500 P404 P405
(for 60-cell (for high-power; (for 96-cell (for 60-cell (for thin film
modules) 60-cell and for I modules) and 72-cell, modules)
1 72-cell modules) I short strings)
INPUT
Rated Input DC Powerttl 300 350 500 ' 405 405 W
. ...... . ................ .... ...................
Absolute Maximum Input Voltage
(Voc at lowest temperature) 48 60 80 60 125 Vdc
MPPT Operating Range 8-48 8-60 8-80 12.5-60 12.5 105..., ,.,.Vdc..,.
..................... .................... .................... .................... .................... ....................{............
Maximum Continuous Input Current(Isc) 10 11 10 Adc
Y............................ .................... .................... .............................................................. ............
Maximum Efficient 99.5
......................... ............................................... ........................................................ ............
Weighted Efficiency 98.8
.................... ........................................................................................................ ............
Overvoltage Category II
OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER)
Maximum Output Current 15 Adc
.............................. . ................ 5 ....... ...
............ .........
Maximum Output Voltage 60 I 85 Vdc
OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF)
Safety Output Voltage per Power Optimizer 1 Vdc
STANDARD COMPLIANCE
EMC FCC Part15 Class B,IEC61000-6-2,IEC61000-6-3
................................................... .................. .................................,.................................
i............
Safety IEC62109.1(class II safety),UL1741
.. ....... . .... ......... .. . .. . .. ...... .. . .... . .... .. . .. .. ....... ...... .... ..
RoHS Yes
...... .... .... .. .... ........ .. .. . . ...... ................................................I....... ..................................
Fire Safety VDE-AR-E 2100-712:2013-05
INSTALLATION SPECIFICATIONS
Maximum Allowed System Voltage 1000 I Vdc
Dimensions(WxLxH) 128x152x27.5/5x5.97x1.08 128x152x35/ 128x152x48/Sx5.97x1.89 mm/in
5x5.97x1.37
........................................... ......................................... .................... ......................................... ............
Weight(including cables) 770/1.7.............................. 930/2.05 gr/lb
/Ib
Input Connector
MC41'i...................................... ..... ..
....................... ......................................................I I... ......
Output Connector MC4
Output Wire Length 0:95/3.0 1,2/3.9 m/ft
.............. ..........
Operating Temperature Range -40-+85/-40-+185 'C/'F
............. ................. ....... .............. ............................................................. . ............
Protection Rating IP68/NEMA6P
.. .. ...................... .... .... .... ....... ..................................................... . ............
Relative Humidity 0-100
UI Rated STC power of the module.Module of up to+5%power tolerance allowed.
ai For other connector types please contact SolarEdge.
PV SYSTEM DESIGN USING A SINGLE PHASE THREE PHASE
SOLAREDGEINVERTERO)
Minimum String Length P300,P3S0,PS00 8 16
(Power Optimizers)
P404,P405 6 13
.... ............................................... .........................................
...... ............
Maximum String Length(Power Optimizers) 25 50
................. ............................................... ............................................... ............
Maximum Power per String 5250 11250 W
.................I.............
Parallel Strings of Different Lengths or Orientations Yes
t'I It is not allowed to mix P404/P405 with P300/P350/P500/P600/P700 in one string.
UNITED S LAR
A S S O C I A T E S L L C
Installation Contract for:
Dan McGrath
296 Berry St.,
North Andover, MA 01845
System Size of:
8.250 KW
Installation to be Performed by:
United Solar Associates LLC
Sun 1776.com
1-855-SUN-1776
I
Solar Installation Contract
This agreement is made by United Solar Associates, LLC (Contractor)and Dan McGrath(Owner)on
the date written beside our signatures. j
Contractor
United Solar Associates, LLC.
452 Pleasant Street,
Malden, MA 02148
Phone Number: t-855-786-1776
Fax Number: 1-781-321-1202
Email Address: Info@tJnitedSolarAssociates.net
Federal Employer ID: 27 - 3543248
Massachusetts Home Improvement Contractor Registration Number: 168524 EXP 3/7/2017
United Solar Associates, LLC is operating as a limited liability company in the state of
Massachusetts.
United Solar Associates, LLC will be referred to as U.S.A throughout this document.
Salesperson who solicited this contract: Lucas McLaughlin
Owner
Name: Dan McGrath
Address: 296 Berry St.,
North Andover, MA 01845
Phone: (617) 778-3904
Email: Dan(ciJ,Sun1776.com
Name Dan McGrath will be referred to as Owner throughout this agreement.
The Construction Site
Address of installation
I
296 Berry St.,
North Andover, MA 01845
, I
i,
Page 2 of 22
I. Project Description
A. For a price identified below, U.S.A. agrees to complete for Owner the Work identified in this
agreement as the Solar Project.
B. The Solar Project is described as follows:
Installation of 30 Solar Panels of the brand SolarWorld-SW275 Mono Black to be used with
SolarEdge - 7600A- US inverters and Snap N'Rack brand Racking.
II. Contract Price
A. In addition to any other charges specified in this agreement,Owner agrees to pay U.S.A.
$20,000.00 for completing the Work described as the Solar Project.
III. Scheduled Start of Construction
A. Project start date will be determined
B. Work will be considered started when U.S.A. or a Subcontractor retained by U.S.A. begins
final engineering work for the Solar Project.
IV. Scheduled Completion of Construction
A. Work under this agreement will be Substantially Complete within 90 calendar days after the
date construction begins.
V. Documents Incorporated
A. This agreement incorporates by reference certain disclosures and notices required by federal
and state law. The following documents are incorporated as though included in full as part of this
agreement.
Notice of Right to Cancel under Regulation Z (in duplicate)
VI. Scope of Work
A. The Solar Project is a solar energy system installed with all wiring and connections required
for operation and with the following specifications:
The number of panels installed will be 30
B. The panel manufacturer and model number will be SolarWorld-SW275 Mono Black.
Tilt of the panel array will be Flush with roof.
Azimuth of panel orientation will be 230 Degrees.
Standoff above the surface will be 3-5 inches.
Shading percentage will be 5 %.
The inverter manufacturer and model number will be SolarEdge- 7600A- US.
Manufacturer of the mounting system is Snap N' Rack.
C. U.S.A. will design, engineer and construct the Solar Project as required by the Contract
Documents and all applicable laws regulations and ordinances. U.S.A. will
PP � g be responsible for all
means, methods,techniques, sequences and procedures used to complete the Solar Project.
Page 3 of 22
D. When,the Solar Project is ready for performance testing, U.S.A. will notify Owner at least two
business days before conducting a test of the system. U.S.A. will conduct performance tests using
procedures generally followed by U.S.A. and industry standards. When U.S.A. has determined that the
Solar Project has been designed, engineered, and constructed in compliance with this agreement and
when the Solar Project has passed final Inspection by the building authority, U.S.A. will notify Owner
of completion. Owner will, within two business days of receipt of this notice, review the Solar Project
to verify that Work is Substantially Complete. On completion of this review, Owner will either identify
reasons why the Solar Project is not complete or acknowledge that: (1)The Solar Project is complete,
and(2)Owner has assumed responsibility for the Solar Project, including security, insurance coverage,
and utility charges.
E. When Owner has assumed responsibility for the Solar Project, U.S.A. will provide Owner with
originals of any of the following in possession of U.S.A.: (1)Permit sign-offs or other approvals of any
governmental agency, utility company or department having authority over the Solar Project. (2)
Operating instructions and maintenance recommendations for all equipment and systems installed. (3)
Original warranties, guarantees. (4)Documents describing project for tax purposes. (5)Full copy of
U.S.A. Warranty.
These documents will be provided in a binder provided to owner during final commissioning walk
through with owner. The Final Commissioning walk through will be performed at total completion
of project.
F. On request, Owner will provide to U.S.A. all information and documentation in possession of
Owner which may affect design, construction or utility rebates available on the Solar Project,
including: (1)Plans and Surveys that describe the physical characteristics, legal limitations or existing
utility locations on site, (2) known conditions, including subsurface conditions and Hazardous
Materials, (3)As-built Drawings and photographs of prior construction, (4)charges for electric service
during the year before this contract is signed. When such documents are in possession of others, Owner
will, on request of U.S.A.,authorize release of such documents to U.S.A.. Owner makes no
representation or warranty to U.S.A. with respect to the accuracy of any documents provided or
released to U.S.A.. However, if reliance by U.S.A. on documents or information provided by Owner
increases the cost or extends the project duration, U.S.A. will be entitled to a Change Order for any
additional costs or time required.
G. Owner grants to U.S.A. and consultants and Subcontractors of U.S.A., a non-exclusive right of
entry to the job site during normal work hours. Normal work hours will range between 7 A.M. and 5
P.M. Owner will identify preferred points of access and parking areas for construction personnel.
U.S.A. agrees to comply with reasonable access and security rules and procedures recommended by
H. Owner will provide access to the Internet through a network maintained by Owner to support
monitoring of the solar energy system installed by U.S.A.. Access can be through either an Ethernet
line with RJ45 connector near the panel array or an electrical outlet close to a router or switch which
supports an Ethernet over Power device.
Page 4 of 22
I. Owner grants to U.S.A. the rights to take pictures of the Solar Project and use those pictures for
advertising, promotion or publicity purposes in any electronic, online, or print format. Owner grants to
U.S.A. permission to give prospective clients of U.S.A.the name of Owner and a contact number when
soliciting future business. These rights expire 18 months after completion of the Solar Project unless
terminated sooner by Owner.
J. When Owner has acknowledged that Work on the
g Solar Project is complete, U.S.A.J p is not
responsible for improper modification or alteration of installed equipment, faulty repair attempts,
deliberate abuse, insufficient ventilation of electrical components, failure to comply with applicable
safety standards or regulations, flood, lightning,over-voltage, storm or fire.
K. U.S.A. acknowledges and agrees that all rebates, incentives,environmental attributes,
reporting rights, Solar Renewable Energy Credits(SRECs) and tax credits payable or available under
any law or program as a result of the Solar Project are the property of Owner unless Owner has
contracted with a leasing or Power Purchasing Agreement Facility or Company. U.S.A. makes no
guarantee on the availability of solar incentives other than as specifically provided in this agreement.
L. Owner is advised to consult legal and accounting professionals on the availability of solar
incentives. Incentives can change. U.S.A. is not responsible g p e for changes in incentives after a building
permit is issued for the Solar ProjJect.
M. Owner grants to U.S.A. the right to prepare and submit applications in the name and on behalf
of Owner for any and all solar incentives,rebates and credits for which the Solar Project may qualify.
These documents include but are not limited to:
• Massachusetts Clean Energy Center Rebate Application(if applicable)
• Massachusetts Clean Energy Center Rebate Application (if applicable)
• Net Metering Agreements
• Permission Construct Applications
• Municipal Applications including Electric, Building, and Affidavit of Project
Responsibility
N. This contract is subject to cancellation by Owner at any time prior to issuance of the
building permit if performance-based incentives (PBI),up-front incentives (UFI), attributes,
reporting rights or grants approved by Owner and incorporated into this contract will not be
available. Upon cancellation, Owner will have no further obligation under this agreement.
However,the portion of the initial payment intended to cover the cost of applying for solar
incentives will be non-refundable.
I
O. This contract is subject to cancellation by process of application and can be revoked by
others including:
• Failure of roof supporting structure by Licensed Professional Engineer
• Denial of interconnection by Power Company(NStar,National Grid, Municipal
Light Plant)
P. U.S.A. guarantees that any application for solar incentives or rebates will be submitted for
approval within 30 Working Days after this contract is signed. Any change in solar incentives by
government or a utility company after the building permit is issued will be the responsibility of Owner.
Page 5 of 22
Q. U.S.A. advises Owner that utility companies routinely require a grant of an easement which
guarantees full-time access to the Job Site of any solar energy equipment for which a performance-
based incentive or an up-front incentive has been approved.
R. The best choice for materials may change when the construction manager conducts a site audit
or when the solar engineer prepares working Plans. If the solar modules or other equipment planned for
the Solar Project are not available or are on long back order when needed, U.S.A. will recommend
another panel currently available and appropriate for the Solar Project. Owner will have the option to
substitute the equipment recommended by U.S.A..
S. Sizing of system components in this agreement is based on the best information available at the
time this contract was prepared and is subject to change. Changes may be required when the
construction manager conducts a site audit or when the solar engineer prepares working Plans. Plans
may require changes when there is a change in: (1)the rated capacity of existing or proposed electrical
service switchgear. (2)The roof space or open land available for mounting solar modules. (3)The
history of energy costs at the construction site. (4)The availability of solar incentives, credits and
rebates.
T. It is the belief of U.S.A.that existing electrical switchgear/main electrical panel on site is
adequate for the Solar Project without significant upgrade. If existing electrical service switchgear has
to be replaced as part of the Solar Project, U.S.A. will provide a quote to upgrade the electrical service
switchgear at additional cost to Owner unless otherwise agreed upon. This guarantee does not extend to
trenching for underground placement of electrical cable or conduit. Subsurface conditions or other
obstructions that prevent use of ordinary trenching equipment may increase the cost of connecting
underground electrical cable and will require a Change Order.
U. Except for materials expressly designated otherwise in the Contract Documents, U.S.A.
warrants that all materials and equipment furnished under this contract shall be of good quality and
new.
V. U.S.A. is responsible for coordination of the various trades and deliveries of equipment,
materials and supplies to minimize interference which could delay the Work or pose a hazard to life or
property. U.S.A. shall be responsible for allocation of tasks between trades and will be the final
authority on location and routing of equipment and storage of materials on the Job Site.
W. U.S.A. shall do no Work on the Solar Project and furnish no materials to the Job Site except
as required by the Contract Documents. Any Work done or materials furnished by U.S.A. which do not
comply with the Contract Documents, will be at the risk and expense of U.S.A. who covenants and
agrees that no Claim for compensation shall be made for any non-complying Work done or non-
complying materials furnished.
X. U.S.A. shall not be relieved of obligations to perform the Work in accord with the Contract
Documents either by actions of or inaction by Owner or agents of Owner, or by tests, Inspections,or
approvals required or performed by persons other than U.S.A.
{
i
a
Page 6 of 22
i
VII. Cutting and Patching
A. U.S.A. will ensure that cutting and patching required to make building parts fit together
properly is done by those skilled in the trade. Work completed by U.S.A. will have the neatly finished
appearance characteristic of professional grade construction.
B. U.S.A. will ensure that alteration Work done on existing building components does no damage
either to the property of Owner or to Work done by others.
C. Except as illustrated on building Plans or described in Contract Documents, U.S.A. will not
alter existing building components without consent of Owner. U.S.A. will not alter or interfere with the
Work of any Separate Contractor without prior consent of the Separate Contractor involved.
VIII. Compliance with Law
A. U.S.A. and Owner mutually commit to use reasonable care to meet the Requirements of state,
federal and local Law when discharging their responsibilities under this agreement.
B. U.S.A. is licensed to do the Work described in the Contract Documents. U.S.A. will notify
Owner of any change in that license status. Every Subcontractor working for U.S.A. will hold a license
appropriate for the Work performed.
IX. Permits and Fees
A. In compliance with Massachusetts General Laws 142A, Section 2(a) (10), U.S.A. has:
(1) Provided Owner with a list of building permits required to complete this Work,
(2)Advised Owner that it's normally the obligation of a Contractor or Subcontractor to
obtain the required permits for their Work,and
(3) Advised Owner that homeowners who secure permits for Work on their own homes are
excluded from the guaranty fund provisions which appear in Massachusetts General Laws
142A, Section 5
e
Page 7 of 22
U.S.A. accepts responsibility for securing building permits for the Solar Project.
Description of the permit: Building Permit
Name of the permit issuing authority: Inspectional Services of
North Andover
Description of the permit: Electric Permit
Name of the permit issuing authority: Inspectional Services of
North Andover
Description of the permit: Permission to interconnect
Name of the permit issuing authority:
National Grid
A. U.S.A. will pay the building permit fee, Plan check fee, business license fees for U.S.A. and
Subcontractors,and charges levied by government for testing, Inspection and Re-Inspection of the Solar
Project.
B. Except as provided elsewhere in this agreement, Owner will pay all fees and application
charges imposed by government authority, including,but not limited to, grading permit fees,drainage
permit fees,traffic control charges,thoroughfare charges, impact fees, special district fees, sewer fees,
water fees, planning fees, school fees,elevator permit fees, charges for temporary access or use of the
public right of way, and charges for document processing, hearings,and certifications. Owner will also
pay all fees and application charges imposed by any association of property owners having authority
over the Job Site.
C. Except as provided elsewhere in this agreement, Owner will pay all application fees and
connection charges imposed by utility companies or government agencies for bringing service to the
Job Site, and for connecting gas, water, electricity, phone, cable, sewer, and drainage lines.
II. Taxes
A. Uwner asserts that the Solar Protect is exempt from sales and use tax and that none should be
charged to U.S.A. or Subcontractors for building materials, supplies, fixtures, equipment,and
Installation labor which actually become part of the structure. Supplies,tools and equipment used in the
construction process(such as perimeter fencing) will be subject to sales and use tax and payable by
U.S.A.,even if used exclusively on the Solar Project. On request of U.S.A. or any Subcontractor,
Owner shall cause a certificate of exemption to be issued as evidence of the tax status of the Solar
Project. Should sales or use tax be imposed other than as described in this paragraph, Owner agrees that
the Contract Price shall be increased by the full amount of all such sales or use tax (including fines and
nPnaltiec) antnally nnid by i 1 C A nr grnhnnntrartnrc
B. U.S.A. shall remit when due all federal, state and local withholding tax and payroll tax on
employee wages,premiums for unemployment and workers' compensation insurance, and retirement
contributions.
Page 8 of 22
III. Employee Relations
A. U.S.A. is responsible for performance of all construction crews, including employees of
Subcontractors, and shall enforce strict discipline and good order on the Job Site.
rs. u.aH. win enrorce ine roiiowmg rules on the joo site: 1i) Anyone rouna to possession or a
firearm will be directed to leave immediately and will not be allowed to return, (2) Possession, sale, or
distribution of alcohol or illicit drugs is prohibited. Anyone under the influence of alcohol or illicit
drugs will be directed to leave immediately, (3) U.S.A. will certify that personnel on the Job Site have
consented to submit to drug and alcohol screening and testing including pre-employment, for cause,
periodic or random tests,and(4) Entry on the Job Site shall constitute consent to Inspection of an
employee's person, vehicle, and personal effects by U.S.A., Owner,or other authority. Any employee
who is found in violation of these Job Site rules or who refuses to permit Inspection shall be barred
from tha Inh Cita at tha dicaratinn of 1 t C A nr nixinar
C. U.S.A. will ensure that personnel will be furnished and required to use safety equipment
complying with OSHA standards, including hard hats, safety glasses with permanently attached side
hi
s elds body harnesses with shock cord lanyard, steel toe work boots and appropriate e protective
equipment and clothing. Any employee who refuses to comply with OSHA standards shall be barred
from the Job Site at the discretion of U.S.A. or Owner.
D. U.S.A. will allow only qualified, careful and skilled personnel to do the Work. Each worker
shall have the appropriate license, certification or experience necessary to complete the tasks assigned.
E. U.S.A. shall discharge from employment on the Solar Project any worker who cannot or will
not meet standards for acceptable performance or who fails to comply with reasonable expectations for
personal conduct.
F. U.S.A. agrees to Indemnify and hold harmless Owner from any and all causes of action,
demands, Claims, damages,awards and attorney's fees, based on decisions made by Owner concerning
discharge of construction personnel.
IV. Owner's e s Resp onsibilities
A. Owner will respond in writing and with reasonable promptness to written requests from
U.S.A. for information relevant to completion of the Work. Owner will identify a Representative
qualified to respond to questions from U.S.A. when Owner is not available. U.S.A. is authorized to rely
on written responses from Owner and the identified Representative,
B. Owner shall have sole responsibility to secure financing for the Solar Project and shall pay all
fees, charges,or other costs of such financing, including Inspection fees charged by any lender. The
nonperformance of any lender shall not affect the obligation of Owner to U.S.A.. Owner hereby
authorizes and directs any lender on the Solar Project to furnish U.S.A. with full information on
undisbursed loan proceeds when requested by U.S.A..
C. Owner will not interfere with or permit others to interfere with, stop, hinder, or delay
completion of the Work by U.S.A. or Subcontractors except as provided under this agreement.
D. During the Contract Time, Owner shall,at the expense of Owner, provide and maintain a
surfaced roadway connecting the Job Site with a public highway.
Page 9 of 22
V. Representations by Contractor
A. The Contract Price is based on U.S.A.'s careful evaluation of Plans, Specifications, Contract
i
Documents, local conditions,including availability of labor, material, equipment,and transportation,
the kind and character of soil and terrain,all available reports and tests on soil conditions, Work to be
performed by Owner or Separate Contractors, environmental and historic preservation considerations,
applicable Code Requirements, climatic conditions, and other local conditions that may affect cost to
U.S.A. or duration of construction.
B. U.S.A. shall use skill and attention to complete the Work in a timely manner consistent with
the Contract Documents.
C. Based on a thorough evaluation of the Contract Documents,the Job Site, and all conditions
that may affect construction cost and duration,U.S.A. affirms that the Contract Price and Contract
Time are fair and reasonable for completion of the Solar Project.
VI. Disclaimer by Owner,Reliance by Contractor
A. Owner has provided U.S.A. with information on subsurface or concealed conditions at the Job
Site. Except to the extent that U.S.A. knows this information to be false, U.S.A. is entitled to rely on
the accuracy of this information.
VII. Discrepancy Between Plans and Fields Conditions
A. U.S.A. shall compare conditions at the Job Site with representations and Requirements in the
Contract Documents. If U.S.A. discovers a discrepancy between Job Site conditions and representations
or Requirements in the Contract Documents, U.S.A. shall promptly report the discrepancy to Owner,
and provide a detailed explanation.
B. If any concealed structure, water,power, waste,drain or gas line is uncovered or revealed
during construction which is not as indicated in the Contract Documents or is inconsistent with
information provided by Owner, U.S.A. shall promptly, and before any such structure or line is
disturbed or damaged (except in an Emergency),notify Owner. U.S.A. shall submit a Claim for a
Change Order which covers the additional cost incurred as a result of such structure, water,power,
waste, drain, or gas line uncovered or revealed during construction.
VIII. Differing Site Conditions
A. U.S.A. shall promptly,and before the conditions are disturbed, give a written notice to Owner
on encountering unforeseeable conditions adversely affecting the Work. Owner shall investigate the site
conditions promptly after receiving notice. If the conditions cause an increase in cost to U.S.A. or the
time required for performing any part of the Work and were not reasonably foreseeable by an
experienced Contractor, an equitable adjustment shall be made under this clause and the contract
modified in writing accordingly.
B. If, as a result of differing site conditions, some portion of the Work is abandoned and Owner
receives little or no benefit from the abandoned portion of the Work,an equitable adjustment shall be
made under this clause, relieving Owner of any obligation to pay for the portion of the Work
C. Anything in this contract notwithstanding, U.S.A. is entitled to rely on express or implied
representations concerning site conditions made by Owner and those employed by Owner regardless of
whether those representations are made in Contract Documents or otherwise.
D. Nothing in this contract shall require U.S.A. to undertake Work on(1) Subsurface or latent
physical conditions at or near the Job Site which differ materially from those indicated in the Contract
Page 10 of 22
Documents, or(2) Unknown physical conditions at or near the Job Site, of an unusual nature, which
differ materially from those ordinarily encountered and generally recognized as inhering in Work of the
character called for in the Contract Documents.
IX. Payments
Owner will pay to U.S.A. the Contract Price in installments consisting of progress payments and a final
payment on completion of the Work unless other financing arrangements have been made instead of
self-financing. I.E. Lease, Power Purchase Agreement Equipment Leasing or other option.
A. Schedule of Progress Payments
1. Progress payments are due as each phase of the Work is completed.
a) Amount due upon signing contract: $ 2,000.00
b) Amount due when Job Phase 1 is complete: $10,800.00
Job Phase 1 is complete when Arrival of Material to Job Site and work has commenced
C) Amount due when Job Phase 2 has been substantially completed: $5,400.00
Job Phase 2 is complete on the last day of Installation.
d) Amount due when Job Phase 3 is complete: $1,800.00
Job Phase 3 is complete when Net metering agreement has been executed and array has been
given permission to interconnect(Permission to Operate) granted bUtility.
Initial Here n
2. Project to be financed through 3rd party.
Initial Here
B. Processing of Progress Payments
I. Before each progress payment is due under the terms of this contract, U.S.A. shall provide
Owner with an application for payment (invoice) in a form which complies with generally accepted
trade practice.
X. Payment for Materials Stored Off-Site
A. Except as otherwise provided in the Contract Documents, cost of materials and equipment to
be incorporated into the Work which are stored off the Job Site may be included in an application for
payment.
B. U.S.A. shall not be relieved of responsibility for loss or damage to materials stored off the Job
Site or while being transported to the Job Site. Any such loss or damage shall be remedied at the
expense of U.S.A... Transportation of materials or equipment stored off the Job Site is at the expense of
U.S.A..
C. The value of materials stored off-site shall not exceed $10,000.00.
Page 11 of 22
i
XI. Grounds for Withholding Payment
i
A. Owner may withhold payment due U.S.A. for Defective Work which has not been corrected in
compliance with terms of this agreement.
B. Owner may withhold from payments due U.S.A. a sum adequate to reimburse Owner for any
damage suffered by Owner or for which Owner may be liable and which was caused by an act or
neglect of U.S.A. or by anyone for whom U.S.A. may be liable. Damage to Owner shall not constitute
grounds to withhold payment if U.S.A. has insurance coverage which would prevent loss to Owner
from the damage claimed.
XII. Final Payment
A. U.S.A. will submit an application for final payment to Owner when the Work has been
completed in compliance with the Contract Documents. If Owner agrees that Work has been completed,
payment is due U.S.A. for the entire unpaid balance of the contract amount.
B. The acceptance of final payment by U.S.A. constitutes a complete and unconditional waiver
and release of any and all Claims by U.S.A. of whatever nature, and regardless of whether they are then
known or unknown,and a complete and unconditional release of Owner, and every person for whom
Owner is responsible, for any and all matters related to the contract or otherwise, except those Claims
which have been made in writing and identified by U.S.A. as not having been settled at that time.
L. Uwner has no obligation to make final payment until all Punch List items have been
satisfactorily completed unless Owner agrees to accept a certified check equal to the value of any
uncomnleted Work_
XIII. Changes in the Work
A. Except as provided elsewhere in this agreement,no change to this contract(including
modification, clarification, interpretation or correction of the Plans or Specifications) shall be made
without mutual agreement and a written Change Order signed by U.S.A. and Owner identifying the
change,the cost of the change, and the effect on Project schedule, if any.
B. Any change in Plans, Specifications or Contract Documents necessary to conform to existing
or future Laws, codes, ordinances or regulations shall be considered Extra Work.
C. If any Change Order increases or decreases the time required for completion, Owner and
U.S.A. shall make an appropriate adjustment in the Contract Completionletio
n Date.
D. On receipt of any instruction or information which U.S.A. interprets as requiring Extra Work,
U.S.A. shall prepare and submit to Owner a proposal describing the change in the Work using (where
appropriate)Drawings, Specifications,narrative,the cost to Owner for making the change,and the
proposed revision in the Contract Completion Date,if any.
Page 12 of 22
E. U.S.A. is authorized to make minor changes in the Work which are in the interest of Owner, do
not materially alter the quality or performance of the Work, and do not affect the cost or time of
performance, and comply with applicable Laws, codes,ordinances and regulations. U.S.A. will inform
Owner of each minor change made in the Work.
F. Owner is authorized to make minor changes in the Work which are in the interest of Owner, do
not materially alter the quality or performance of the Work,do not affect the cost or time of
performance, and comply with applicable Laws, codes,ordinances and regulations.
G. When a change in the Work has been proposed by Owner, U.S.A. shall halt Work in the area
of the proposed change and take steps to minimize any loss or waste which might result from
implementing the proposed change.
H. When signed by U.S.A. and Owner,each Change Order becomes a Contract Document.
XIV. Cooperation of the Parties
A. Both U.S.A. and Owner pledge that their relations will be conducted with courtesy and
consideration in an environment characterized by mutual respect. Owner pledges to respond promptly
to requests by U.S.A. for guidance, assistance and payments when due and agrees to extend to U.S.A.
the deference and latitude a dedicated professional deserves. U.S.A. pledges to commit the skill and
resources required to complete the Solar Project in a manner that complies with both the letter and
spirit of the Contract Documents and enhances the reputation of U.S.A. for dependability and
professionalism.
XV. Defective Work
A. General Requirements
1. On written notice from Owner, U.S.A. shall promptly remove from the Job Site all Work or
materials found to be either unsatisfactory or not in compliance with the Contract Documents, whether
or not such rejected Work or materials are incorporated in the Solar Project. U.S.A. shall promptly
repair or replace such rejected Work or materials at no cost to Owner.
B. Rejected Work-Contractor's Obligations
1. U.S.A. shall bear all expenses related to the correction of rejected Work and replacing rejected
materials, including the expense of making good all Work of U.S.A., Owner and Separate Contractors
destroyed or damaged by the corrections and replacements.
2. U.S.A. shall bear the cost of any additional testing,Inspections, fees of consultants and design
professionals necessary after correcting rejected Work or replacing rejected materials.
3. No correction of rejected Work or replacement of rejected materials shall be complete until
testing and Inspection is approved by Owner.
4. At the request of Owner, U.S.A. shall search for the cause of a construction Defect.
Page 13 of 22
C. Rejected Work-Contractor's Rights
1. If U.S.A. disagrees with a decision on rejection of Work or rejection of materials, U.S.A. may
proceed with corrections under protest and invoke the provisions of this agreement which cover dispute
resolution. If such rejection of Work or materials is found to be without merit or with no adequate
foundation, U.S.A. shall be entitled to a Change Order for Extra Work and Owner shall pay all costs
associated with corrections completed under protest.
2. If U.S.A. disagrees with a decision on rejection of Work or materials, U.S.A. is entitled to an
expedited resolution of the issue under the provisions of this agreement which cover dispute resolution. j
Pending resolution of this dispute,the obligation of U.S.A. to make correction is suspended. The
Contract Time, if any, is extended for the period the dispute remains unresolved.
3. U.S.A. has the right to inspect rejected Work or materials and collect relevant evidence before
the Work or materials are disturbed or altered in any way.
4. Owner acknowledges and agrees that it may be inappropriate or unreasonably expensive to
replace, refabricate or refinish building components with minor Defects or which are damaged slightly
due to wear and tear commonly associated with the construction process. U.S.A. may, at the sole
discretion of U.S.A., (1) Correct minor Defects using procedures commonly accepted as good
construction practice, or(2)Conclude that a cosmetic Defect is acceptable under good construction
practice and take no corrective action.
XVI. Call-Backs
A. The call back period for repair of defective material or workmanship is 120 months
B. U.S.A. has the right to test and inspect any Claimed Defect during the call-back period and
may seek the opinion of independent experts on the Claimed Defect before beginning repairs.
XVII. Warranty
Except as otherwise provided in this agreement, U.S.A. warrants that Work performed under this
contract shall conform to the Contract Documents and be free of Defects in material, or design
furnished, or workmanship performed by U.S.A. or any Subcontractor or Material Supplier for the
period of 10 years. See Addendum.No. 1 for more details.
A. General Requirements
1. Except as otherwise provided in this agreement,the warranty period shall begin from the date
of the Interconnection Agreement approval form Nstar,National Grid or Municipal Light Plant.
Il. Contractor Claims
A. If U.S.A. claims that any instruction, Drawing, act or omission of Owner or any representative
of Owner, or any agency of government, increases costs to U.S.A.,requires extra time or changes the
Scope of Work, U.S.A. shall have the right to assert a Claim for such costs or time.
t3. unresolvea lutalms or aisputes shall not cause U.J.A. to delay or suspend work or for Uwner
to delay or suspend payments as provided by this agreement. Continued performance by U.S.A. shall
not be deemed a waiver of any Claim for additional compensation or an extension of Time for
Completion. U.S.A. shall cooperate with Owner and representatives of Owner to mitigate potential
damages,delay and other adverse consequences arising out of the condition which is the subject of the
Claim
Page 14 of 22
C. U.S.A. and Owner agree to make a good faith effort to resolve all Claims that arise under this
agreement and shall seek the opinion of expert disinterested parties on the validity of Claims, when
appropriate. Claims not resolved to the mutual satisfaction of U.S.A. and Owner shall be resolved
under the provisions of this agreement covering dispute resolution.
III. Notice of Claims
A. No Claim by U.S.A. shall be considered unless U.S.A. provides Owner with a notice that there
will be a Claim for additional compensation or an extension of time. This notice of Claim shall be made
no less than 5 calendar days after U.S.A. recognizes or should have recognized that circumstances exist
which support such a Claim. The notice of Claim shall include: (1)The date of the notice, (2) The date
the basis for the Claim was discovered,(3)The circumstances that support the Claim, and(4)The
estimated additional cost to Owner or additional time required to complete the Solar Project.
B. U.S.A. agrees and understands that no oral approval, either express or implied,of any Claim
shall be binding upon Owner unless and until such approval is ratified by execution of a written Change
Order.
IV. Insurance
A. General Requirements
1. U.S.A. shall carry workers' compensation insurance and public liability insurance as required
by Law and regulation for the protection of U.S.A. and Owner during progress of the Work.
V. Interpretation of the Contract
A. The omission of words or phrases in the Contract Documents or obvious typographical errors
in the Contract Documents shall not defeat interpretation of the Contract Documents so long as the
meaning is reasonably inferable from the Contract Documents taken as a whole.
B. Words and abbreviations defined in this contract are capitalized and should be understood as
defined. Words commonly used in the construction industry are to be understood in their recognized
technical or construction industry context. Any word not defined in this contract and which does not
have a well-known technical or construction industry meaning is to be understood as defined in the
most recent edition of the Merriam-Webster Collegiate Dictionary.
C. Nothing in the Contract Documents shall be interpreted as requiring U.S.A. to violate any Law
or regulation imposed by government.
D. The terms "agreement" and "contract"have the same meaning and are interchangeable.
E. Except as otherwise provided in this contract,Owner and U.S.A. intend that this contract be
interpreted in accord with the Restatement of Law, Contracts, published by the American Law Institute.
Specifically: All parts of the Contract Documents should be interpreted together,and conduct of the
Parties should be interpreted as a manifestation of intention,and specific provisions should be
interpreted as qualifying the meaning of the general provisions.
Page 15 of 22
VI. Rights of Third Parties
A. Except as expressly provided elsewhere in this agreement, Contract Documents shall not be
construed to create a contractual relationship of any kind: (1)Between Owner's Representative and
U.S.A., (2)Between Owner and any Subcontractor or Sub-subcontractor, (3) Between Owner and any
consultant to Owner, or(4) Between any persons or entities other than Owner and U.S.A..
VII. Dealing With Plan Defects
A. Unless U.S.A. has asked for and received a written clarification from Owner in time to prevent
delay in the Work, any omission or ambiguity in the Contract Documents shall be interpreted as
requiring the material or construction technique necessary to produce the greater quantity and better
quality of Work.
B. If inconsistent, approved changes to the Contract Documents take precedence over the original
Contract Documents. Subsequent changes to the Contract Documents take precedence over prior
changes to the Contract Documents.
VIII. Choice of Law
A. The contract shall be governed by the Law of the State of Massachusetts.
IX. Entire Agreement
A. The Contract Documents are the entire agreement and constitute a complete integration of all
understandings between U.S.A. and Owner on the subject of the Solar Project. The Contract
Documents supersede all prior negotiations, representations and agreements,whether written or oral.
No subsequent notation,renewal, addition,deletion, change or amendment to this contract shall have
any force or effect unless in the form of a written Change Order or amendment to this contract.
X. Independent Contractor
A. U.S.A. shall perform all obligations required by this agreement as an independent contractor
and not as an employee of Owner. No agent, employee or Subcontractor of U.S.A. shall accrue leave,
pension, insurance, or any other benefit provided to employees of Owner.
B. United Solar Associates will act as owner representation for applications necessary for Solar
installation completion for SREC production, monitoring(if necessary)and net metering agreements,
Municipal Permits, Interconnection agreements and in no other way.
XI. Inspections
A. U.S.A. shall schedule and coordinate all Inspections required by the Contract Documents and
by public authority so as not to delay the progress of the Work or the Work of Owner or Separate
Contractors. If the Contract Documents require that an Inspection be witnessed or attended by Owner,
U.S.A. shall give advance notice of the time and place of the Inspection. U.S.A. shall schedule
Inspections during regular Work Days and normal business hours, unless mutually agreed by U.S.A.,
Owner,and Inspector.
Page 16 of 22
B. Owner and Inspectors from the public authority having jurisdiction shall have access to all
construction, materials and equipment on the Job Site for the purpose of making Inspections. U.S.A.
shall provide the facilities and safety equipment reasonably necessary to make Inspections. On request
of Owner, U.S.A. shall provide an employee of U.S.A. to accompany the Inspector.
C. Neither an Inspection nor a failure to make an Inspection shall relieve U.S.A. of responsibility
for compliance with the Contract Documents. Inspections shall not be interpreted as(1) A substitute for
adequate quality control by U.S.A., (2) A discharge of liability of U.S.A.,(3) Acceptance by Owner of
any Work which passes Inspection, or(4) Waiver of any Requirement of the Contract Documents.
D. Except as provided otherwise by the Contract Documents, all materials,workmanship,
processes of manufacture and methods of construction shall be subject to Inspection where construction
and assembly are being performed. Such Inspections shall not unreasonably interfere with or delay the
operations of U.S.A.
E. Insofar as applicable and except where superseded by other provisions of the Contract
Documents or(1)Electrical Work following Installation and prior to being covered or enclosed,(2)
Above-ceiling Work when complete but before the finish ceiling material is installed,and(3)Final
Inspections prior to occupancy.
F. If an Inspection reveals Work of U.S.A. is not in compliance with the Contract Documents or
not in compliance with any code or statute, U.S.A. shall bear the costs of correction,the cost of
repeating the Inspection,and any related costs, including reasonable charges by Owner for additional
services.
XII. Performance Testing
A. Nothing in the Contract Documents shall be interpreted as preventing U.S.A. from performing
tests voluntarily on any material or assembly so long as Owner is not charged for the cost of such test or
required to rely on the results of such voluntary test.
B. When, in the opinion of Owner, an additional performance test is required, U.S.A. shall: (1)
Schedule the test, (2) Give notice to Owner of the time and date of the test,and (3)Prepare Samples, as
required. Owner will pay for each additional test unless test results reveal failure to comply with the
Contract Documents, in which case all costs that result from the failure shall be charged to U.S.A..
C. Should any performance test disclose that materials or Work of U.S.A. are not in compliance
with Code or Requirements the Contract q e o tract Documents, U.S.A. shall bear the cost of replacing the
P g
materials or Work and shall pay for additional testing.
XIII. Uncovering the Work for Inspections
A. So long as tests and Inspections are not complete, U.S.A. shall not enclose or cover any Work
which the Contract Documents or the public authority requires be inspected or tested. U.S.A. shall give
Owner 48-hour notice before covering any portion of the Work which Owner has asked to Inspect or
test before covering.
Page 17 of 22
XIV. Delivery of Notes
A. Any written notice required by this contract can be: (1) Delivered by hand to the last known
address of the addressee, or(2) Delivered by hand to the addressee or representative of the addressee,
wherever found.Notice is effective upon delivery.
B. Any written notice required by this contract can be: (1)Delivered by enclosing in a stamped
envelope addressed to the last known address of the intended recipient and either deposited in a United
States Postal Service mailbox or given to a USPS employee,or(2)Consigned to a commercial courier
service and addressed to the last known address of the intended recipient.Notice is effective upon
delivery if proof of delivery is provided. Where no proof of delivery is available, notice is effective 5
calendar days after mailing or consignment to a courier service.
Page 18 of 22
Massachusetts Home Improvement Disclosures
Massachusetts General Laws 142A, Section 2(a) (8)requires that home improvement contractors and
subcontractors register with the Director of Home Improvement Contractor Registration. You may
inquire about contractor registration by writing to The Office of Consumer Affairs and Business
Regulation,Home Improvement Contractor Registration, 10 Park Plaza, Room 5170, and Boston,MA
02116. (617)973-8700.
You may cancel this agreement if it has been signed at a place other than the contractor's normal place
of business, provided you notify the contractor in writing at his/her main office or branch office by
ordinary mail posted, by telegram sent or by delivery,not later than midnight of the third business day
following the signing of this agreement. See the attached Federal Right of Rescission form for an
explanation of this right.
Massachusetts law grants lien rights to builders. Any construction contractor, subcontractor, tradesman
or material supplier who is not paid can record a lien on the property being improved. If not discharged
by payment, this mechanics' lien will become a security like a mortgage on the property.
Massachusetts General Laws 142A, Section 2(a) (8) provides that, "No contract shall contain an
acceleration clause under which any part or all of the balance not yet due may be declared due and
payable because the holder deems himself to be insecure. However, where the contractor deems himself
to be insecure he may require as a prerequisite to continuing said work that the balance of funds due
under the contract,which are in the possession of the owner, shall be placed in a joint escrow account
requiring the signature of the contractor and owner for withdrawal."
Massachusetts General Laws 142A, Section 2(a) (8)requires that the property owner receive, at the
time of signing, a copy of the contract signed by both the contractor and the owner. No work shall
begin prior to the signing of the contract and transmittal to the owner of a copy of such contract.
Massachusetts General Laws 142A, Section 2(a) (8)requires that this contract include a notice
disclosing all warranties and the rights of Owner under this agreement. Except as provided elsewhere in
this agreement, U.S.A. makes no express warranty. Owner waives,renounces and disclaims all implied
warranties of fitness for purpose, merchantability, habitability and good construction.
Page 19 of 22
Signatures
The signatures that follow constitute confirmation by those signing that they have examined and
understand the Contract Documents and agree to be bound by the terms of these documents.
By signing this agreement, U.S.A. confirms Inspection of the Job Site and signifies familiarity with all
local conditions, Laws, and regulations under which the Work is to be performed.
If this contract is not signed by U.S.A. at the time it is signed by Owner, U.S.A. shall, within l 5 days
thereafter, either give Owner written notice of rejection of the contract or sign the contract and supply
owner with copy of the signed contract. The notice of rejection or signed contract will be delivered to
Owner either personally or by certified or registered mail. In case of rejection, any payment made by
Owner will be returned with the notice of rejection.
This agreement is entered into as of the date written below.
(Signature) (Date)
Dan McGrath
(Printed Name)
(Signature) (Date)
(Printed Name)
United S lar ssoc' tes, C. , Contractor
(Signa'ure) (Date)
Lucas McLaughlin, Project Developer
(Printed Name and Title)
Page 20 of 22
NOTICE OF RIGHT TO CANCEL UNDER REGULATION Z
(12 CFR 226.15(b) requires that each owner receive two copies of this notice.)
To: Owner
Re: Your right to cancel Solar Project
You are entering into a transaction that will result in a security interest being placed on your home. You
have a legal right under federal law to cancel this transaction, without cost, within three business days
from whichever of the following events occurs last:
(1)The date of the transaction, which is ,or
(2)The date you receive your Truth in Lending disclosures, or
(3)The date you receive this notice of your right to cancel.
If you cancel this transaction,the security interest is also cancelled. Within 20 calendar days after we
receive your notice, we must take the steps necessary to reflect the fact that the security interest on your
home has been cancelled, and we must return to you any money or property you have given us or to
anyone else in connection with this transaction.
You may keep any money or property we have given you until we have done the things mentioned
above,but you must then offer to return the money or property. If it is impractical or unfair for you to
return the property, you must offer its reasonable value. You may offer to return the property at your
home or at the location of the property. Money must be returned to the address below. If we do not take
possession of the money or property within 20 calendar days of your offer,you may keep it without
further obligation.
How to cancel:
If you decide to cancel this transaction,you may do so by notifying us in writing at:
United Solar Associates, LLC
P.O. Box 498
Malden, Massachusetts 02148
617 778 3904
You may use any written statement that is signed and dated by you and states your intention to cancel,
or you may use this notice by dating and signing below. Keep one copy of this notice because it
contains important information about your rights.
If you cancel by mail or telegram,you must send the notice no later than midnight of
(midnight of the third business day following the latest of the three events
listed above). If you send or deliver your written notice to cancel some other way, it must be delivered
to the above address no later than that time.
(Signature) (Date)
See the next page for important information about what happens if this agreement is cancelled.
Page 21 of 22
i
Notice Required by 12 Code of Federal Regulation Section 226.15(d),Effects of Rescission
(1) When a consumer rescinds a transaction, the security interest giving rise to the right of rescission
becomes void, and the consumer shall not be liable for any amount, including any finance charge.
(2) Within 20 calendar days after receipt of a notice of rescission, the creditor shall return any money or
property that has been given to anyone in connection with the transaction and shall take any action
necessary to reflect the termination of the security interest.
(3) If the creditor has delivered any money or property, the consumer may retain possession until the
creditor has met its obligation under paragraph(d)(2)of this section. When the creditor has complied
with that paragraph, the consumer shall tender the money or property to the creditor or,where the latter
would be impracticable or inequitable,tender its reasonable value. At the consumer's option,tender of
property may be made at the location of the property or at the consumer's residence. Tender of money
must be made at the creditor's designated place of business. If the creditor does not take possession of
the money or property within 20 calendar days after the consumer's tender, the consumer may keep it
without further obligation.
{
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Page 22 of 22
The Commonwealth of Massachusetts
Department of Industrial Accidents
u d Office of Investigations
w
d I Congress Street, Suite 100
Boston,MA 02114-2017
www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): United Solar Associates, LLC.
Address: 376 Washington Street, Suite 104
City/State/Zip: Malden, MA 02148 Phone #: (855) 786 - 1776
Are you an employer? Check the appropriate box:
Type of project(required):
1.R I am a employer with 5 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.1
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] t c. 152, §1(4),and we have no 13.0 Other solar
employees. [No workers'
comp. insurance required.]
Any applicant that checks box#1 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: TRAVELERS
Policy#or Self-ins. Lic. #: 7PJUB-5B50763-8-15 Expiration Date: 7/23/2017
Job Site Address: 296 Berry Street City/State/Zip: North Andover, MA 01845
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pain enalties ofperjury that the information provided above is true and correct.
i < 11/15/2016
Si ature: Date:
Phone#: (855) 786 - 1776
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
ACo® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
11/15/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
NAME:
Asset One Insurance PHONE
c,No,Ext): 714625 8204 FAX
ruNo): 714-625-8290
575 Anton Blvd.,3rd FL ADDRESS: ara@solarinsure.com
INSURER(S)AFFORDING COVERAGE NAIC#
Costa Mesa CA 92626 INSURER A: Westchester Surplus Lines Insurance Company 10172
INSURED INSURER B: TRAVELERS CASUALTY INSURANCE COMPANY OF AMER
United Solar Associates,LLC DBA:Align Electrical Construction INSURER C:
376 Washington Street,Suite 104 INSURER D:
INSURER E:
Malden MA 02148 INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR AUUL 5UIJK POLICY EFF POLICY EXP
TYPE OF INSURANCE LIMITS
LTR INSD WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE F_X]OCCUR PREMISES(Ea occurrence) $ 50,000
MED EXP(Any one person) $ 10,000
A G27527966001 11/10/2016 11/10/2017 PERSONAL&ADV INJURY $ 11000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
RPOLICY FX JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
X OTHER: Contractual Llab $
AUTOMOBILE LIABILITY (Ea accident) $
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
HIRED AUTOS NON-OWNED $
AUTOS (Per accident)
UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
A X EXCESS LIAB CLAIMS-MADE G27527966001 11/10/2016 11/10/2017 AGGREGATE $ 5,000,000
DED RETENTION$ $
WORKERS COMPENSATION X
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
B OFFICER/MEMBER EXCLUDED? ❑Y NIA 7PJUB-5850763-8-15. 7/23/2016 7/23/2017
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEEF$ 1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Town Of North Andover ACCORDANCE WITH THE POLICY PROVISIONS.
120 Main Street
AUTHORIZED REPRESENTATIVE
North Andover MA 01845 5'2.17 9`7`6 -
(!!@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD
c-COMMONWEALTH OF MASSACHUSETTS STATE OF NEW HAMPSHIRE
ELECTRICIANS BOARD
BOARD OF
e.EcrRrclANs NAME: DANIEL J MCGRATH
ISSUES THE FOLLOWING LICENSE AS A 12906 M
REGISTER90 MASTER ELECTRICIAN cc
DANIEL J MCGRATH
UNITED SOLAR ASSOCIATES LLC
376 WASHINGTON ST . N:- = EXPIRES: 09/30/2017 yr
MALDEN,MA 02148-137'1 -
�ra
20616 07/3112019.- 116110
STATE OF CONNECTICUT 1
STATE OF MAINE OF
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION ELECTRICAL UNLIMITED CONTRACTOR
l OFFICE OF PROFESSIONAL AND OCCUPATIONAL REGULATION DANIEL j MCGRATH
ELECTRICIANS'EXAMINING 80AR0
376 WASHINGTON ST
' ALALLDEN,MA 02148-1300
License Number MS60020703
' DANIEL MCGRATH
I I
I MASTER ELECTRICIAN LIC./REG NO. EFFECTIVE-EXPIRES
I
ELC.0201855-E1 10/01/2016 09/30/2017
ISSUED 03/14/2016 EXPIRES 08/31/2017 ' _SIGNE_,,/-
Massachusetts
_Massachusetts Department of Public Safety , CONNECTICUT
Board of Building Regulations and Standards STATE
License: CSFA-104876 ELECTRICAL UNLIMITED JOURNEY"PERSON
Construction Supervisor 1 & 2
Family DANIEL J MCGRATH
DANIEL J MCGRATH 376 WASHINGTON ST
376 WASHINGTON ST g MALDEN,MA 02148-1300
MALDEN MA 02148
LIC.t REG NO. E UIIVE EXPIRES
ELC.0199933-E2 10/01/2016 09/30/2017
�^ Expiratian:
Commissioner 09/15/2018
SIGNED-
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IGNED
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J�JIC' 5,JJflff flXll'C ,
. Office of Consumer Affairs&Business Regulation STATE
wF CONNECTICUT
' 11:4iOME IMPIROVEMENT CONTRACTOR
t ' Registration: 184392 Type: HOME IMPROVEMENT CONTRACTOR
,r Expiration: 1/5/2018 Corporation DANIEL j MCGRATH
UNITED SOLAR ASSOCIATES LLC 376 WASHINGTON ST
I MALDEN,MA 02148-1300
DANIEL MCGRATH
376 WASHINGTON ST SUITE 104 � �..x? LIC./R G NO. EFFECTIVE EXPIRE
MALDEN,MA 02148 Undersecretare HIC.0643912 10/21/2015 11/30/2016
SIGNED