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Building Permit #844-16 - 34 SAW MILL ROAD 1/28/2016
ZZI r-03YH/es vl BUILDING PERMIT 3���:`,�`✓ '`16�� TOWN OF NORTH ANDOVER ° t AP + PLICATION FOR PLAN EXAMINATION * -y Permit NO: Date ReceivedTeo �I �9SSA Date Issued: CHUS IMPORTANT: Applicant must complete all items on this Daae LOCATION 34 Sawmill Rd Print PROPERTY OWNER Yasmin M Hirii & Boutros M Ghassibi Print MAP NO:�OARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village ves TYPE OF IMPROVEMENT PROPOSED USE Res' ential Non- Residential ❑ New Building YOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ssessory Bldg [IOthers: ElDemolition VOther Solar Installation ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer Installation of an interconnected rooftop PV system - 30 panels (7.6KW) Identification Please Type or Print Clearly) /L(iia IAL 5,t7� OWNER: Name: Yasmin M Hirii & Boutros M Ghassibi Phone: 978-689-0304 Address: 34 Sawmill Rd, North Andover MA 01845 CONTRACTOR Name: Stephen A Kelly/Sunrun Installation Services Inc Phone 978-549-9438 Address: 734 Forest St, Ste 400, Marlborough MA 01752 Supervisor's Construction License: cS-040622 Exp. Date: 8/1117 Home Improvement License: 180120 Exp. Date: 1014/16 ARCHITECT/ENGINEER JamesAAdams Phone: 805-215-8665 Address:_ 146 San Jose Court, San Luis Obsioo CA 93405 Reg. No. 49748 FEE SCHEDULE: BULDING PERMIT. • $12.00 PER $1000.00 OF THE TOTAL ESTIMATEDf COST BASED ON $125.00 PER . � Total Project Cost: $ 16302 FEE: $ I� � T Check No.: �;\ 1 y Receipt No.: C, """{ NOTE: Persons contracting with unregistered contractors do not have acc s to t e guaranty fund Signature of Agent/Owner Signature of contractorv�,� � r t""' t ,j BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION LL NoRTh1 Q`�,� -1D Jg�ti 0 ti �O . ^" Permit No#: Date Received�q ADRATEC'W✓y SSACH Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other a [ :Septic ❑ 1Nell ❑Floodplain ❑ Wetlantls ❑Watershed Qjstriot DESCRIPTION OF WORK TO BE PERI -OF -MED: Identification - Please Type or Print Clearly OWNER: Name: A f1 r] race - Contractor Name: Phone: Email: Address: � Supervisor's Construction License: Home Improvement License: Phone: Exp. Date: ARCHITECT/ENGINEER Phon Date: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund I Plans %bn)if�,ed [I Plans Waived r] Certified Plot Plan 11' Siarhnped Plans El TYPE OF SEWERAGE DISPOSAL So Public Sewer ❑ _we 'r F Tanning/Massage/Body Art ❑ Swimming Pools 11 Well ❑ Tobacco Sales ❑ Food Packaging/Sales 0 Private (septic tank etc. ❑ Permanent Dumpster on Site El THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature, COMMENTS CONSERVATION Reviewed on Signature COMMENTS i H 1EE A L T H 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 Driveway Permit `j)PW Town Engineer: Signature: I — —..— I — Located 384 Osgood Street FRORME)EPA j-1 R E p, P� u rh p s e r o n; s KMEN�T,,�, Q -"ff- tW L?o ►Qaifi -a6t. �4- .,F re idnti-§ighAture/dat q 4 o, COMM Dimension 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 drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: lies No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA -- (For department use) ® Notified for pickup Call Email 3 Date Time Contact Name Doc.Bnilding Permit Revised 2014 _1 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 4. Building Permit Application 4. Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work 4. Engineering Affidavits for Engineered products All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application Certified Surveyed Plot Plan ,4. Workers Comp Affidavit � Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/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 . OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products TOTE: 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 Doc: Building Permit Revised 2014 Location No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee $ TOTAL $ Check o �4 t I q—+l L Building Inspector _v U• C 5 vi 0 O CD D O Q o� r•h S ��•N > cc O < vCD C = c 2 CD CD O �D C N. O' O U) C• C � v O 0 Z CD 0 0r-O O CD a CD °W. _ ° CD N N O 0.-F Q' c, 3 M Z O ? a •a y -i °� (n ,�f gyp' 0• '17 ° ° •-• CL 0 m CD cn oo 0 Cl) c 2 O .r c� o �• C.) C 00 m m °� �i Z 'p —i c i M ° < CO cm CD 0 coo V+ / cm c - Cl) = o°�t . : . CCD ')CL T N Z y N = � CLI) < CL° N —� 2. Q < CD O CL �. tom CL CD C V) v Q CD ° N Oo CD 3 CD r � n ''_AA co > 0_ V+ ° . ► i r e� r' ° x� CD C=D CD ,► 9'C N rQCDN I �► 0 3 G7 . n CD C ca CD - m o rA 3 7 0 m (D rD Z O O _ 3 T O Dl C ( m ZI O � _T O W O0 DQ T O () =' N -G 70 O m S T O � d r*, 3 Vl (D �. to T O Q T m Z Z M m rr c y Z y i c z 6) Z y WrD c v Z Z (A 0 3 (D 00 v p T m 2 :0 �` April 8, 2016 STRU(TURAL ENGINEERS Sunrun Inc. 133 Technology Dr, Suite 100 Irvine, CA 92618 Subject: Structural Certification for Installation of Solar Panels Job Number: 2016-05171 Client: Yasmin Hirji - 221 R-034HIRJ Address: 34 Sawmill Rd., North Andover, MA 01845 Attn.: To Whom It May Concern A field observation of the condition of the existing framing system was performed by an audit team from Sunrun Inc.. From the field observation of the property, the existing roof structures was observed as follows: The existing roof structure consists of: • Composition Shingle over Roof Plywood is supported by 2x8 Rafters @ 16"o.c. at ARRAY 1 / 2. The rafters are sloped at approximately 15 degree and have a maximum projected horizontal span of 9 ft 9 in between load bearing walls. Design Criteria: • Applicable Codes = 2009 IBC, ASCE 7-05, and NDS -05 • Ground Snow Load = 50 psf • Roof Dead Load = 7.2 psf ARRAY 1 / 2 • Basic Wind Speed = 100 mph Exposure Category C • Solar modules = as indicated in attached drawings As a result of the completed field observation and design checks: • ARRAY 1 / 2 is adequate to support the loading imposed by the installation of solar panels and modules. Therefore, no structural upgrades are required. I certify that the capacity of the structural roof framing that directly supports the additional gravity loading due to the solar panel supports and modules had been reviewed and determined to meet or exceed the requirements without structural upgrade in accordance with the 2009 IBC. If you have any questions on the above, do not hesitate to call. Prepared By: PZSE, Inc. - Structural Engineers Roseville, CA Oy ��N OF A44 9 PAULK. ctiG ZACHER RUCTURAL co No_50100 1 of 1 815,0 Sim Ul'ege BWevaid, bite 150 * R'osevi0et (i 95661 * 916.961.960 IP * 91-6.961.3965 * www.pm.com STRU(TURAL ENGINEERS April 8, 2016 Sunrun Inc. 133 Technology Dr, Suite 100 Irvine, CA 92618 Attn.: To Whom It May Concern re: Job 2016-05171 : Yasmin Hirji - 221 R-034HIRJ The following calculations are for the structural engineering design of the photovoltaic panels located at '34 Sawmill Rd., North Andover, MA 01845. After review, PZSE, Inc. certifies that the roof structure has sufficient structural capacity for the applied PV loads. If you have any questions on the above, do not hesitate to call. IN OFM, 6 PAULK �'SG Prepared By: ZACHER PZSE, Inc. - Structural Engineers o0 STRUCTURAL CO Roseville, CA No_50100 1 of 5 8150 Sim U14 d'i, She 150 0 Ronde, CA 95661 • 9116.961.39+60 IP & '916.961.3965 . www.pnecom Gravity Loading Roof Snow Load Calculations pg = Ground Snow Load = 50 psf Ce = Exposure Factor = 0.9 (ASCE7 - Table 7-2) C(= Thermal Factor = 1.1 (ASCE7 - Table 7-3) 1= Importance Factor = 1 1.50 pf = 0.7 Ce C, I p9 35 psf (ASCE7 - Eq 7-1) where pg <_ 20 psf, Pf min = I x pg = NIA min snow load (,.f slope <15) where pg > 20 psf, Pf min = 20 x I = NIA min snow load (roof slope < fs) Therefore, p, = Flat Roof Snow Load = 35 psf ps = Cspf (ASCE7 - Eq 7-2) Cs = Slope Factor = 1.000 ARRAY 1 / 2 Ps = Sloped Roof Snow Load = 34.7 psf ARRAY 1 / 2 PV Dead Load = 3 psf (Per Sunrun Inc.) I Roof Live Load = 20.00 psf ARRAY 1 / 2 Note: Roof live load is removed in area's covered by PV array. Roof Dead Load ARRAY 112 Composition Shingle 4.00 Roof Plywood 1.50 2x8 Rafters @ 16"o.c. 1.49 Vaulted Ceiling 0.00 (Ceiling Not Vaulted) Miscellaneous 0.01 Total Roof DL ARRAY 112 7.0 psf DL Adjusted to 15 Degree Slope 7.2 psf 2 of 5 Wind Calculations Per ASCE 7-05 Components and Cladding Input Variables Wind Speed 100 mph Exposure Category C Roof Shape Gable/Hip Roof Slope 15 degrees Mean Roof Height 14 ft Building Least Width 25 ft Effective Wind Area 11.0 sf besign Wind Pressure Calculations Wind Pressure P = qh*(G*Cp) qh = 0.00256 * Kz * Kzt * Kd * V^2 * I (Eq_6-15) Kz (Exposure Coefficient) = 0.85 (Table 6-3) Kzt (topographic factor) = 1 (Fig. 6-4) Kd (Wind Directionality Factor) = 0.85 (Table 6-4) V (Design Wind Speed) = 100 mph Importance Factor = 1 (Table 6-1) qh = 18.50 Standoff Uplift Check Maximum Design Uplift = -528 Ib Standoff Uplift Capacity = 700 Ib 700 Ib capacity > 528 Ib demand Therefore, OK Fastener Capacity Check Fastener = 1 - 5/16" dia Lag Number of Fasteners= 1 Minimum Threaded Embedment Depth = 2.5 Pullout Capacity Per Inch = 205 Ib Fastener Capacity = 820 Ib 820 Ib capacity > 528 Ib demand Therefore, OK 3 of 5 Zone 1 Zone 2 Zone 3 Positive GCp = -0.90 -1.69 -2.59 0.50 Uplift Pressure = -16.63 psf -31.34 psf -47.97 psf 9.21 psf Max Rail Span Length = 4.0 ft 4.0 ft 4.0 ft Longitudinal Length = 2.8 ft 2.8 ft 2.8 ft Attachment Tributary Area = 11.0 sf 11.0 sf 11.0 sf Footing Uplift = -183 Ib -345 Ib -528 Ib Standoff Uplift Check Maximum Design Uplift = -528 Ib Standoff Uplift Capacity = 700 Ib 700 Ib capacity > 528 Ib demand Therefore, OK Fastener Capacity Check Fastener = 1 - 5/16" dia Lag Number of Fasteners= 1 Minimum Threaded Embedment Depth = 2.5 Pullout Capacity Per Inch = 205 Ib Fastener Capacity = 820 Ib 820 Ib capacity > 528 Ib demand Therefore, OK 3 of 5 Framing Check ARRAY 112 PASS w = 60 plf Dead Load 7.2 psf PV Load 3.0 psf Snow Load 34.7 psf 2x8 Rafters @ 16"o.c. Member Span = 9'- 9" Governing Load Comb. DL + SL Total Load 44.9 psf 2x8 Note: Attachments shall be Staggered. Member Properties S (in "3) 1(in ^4) Lumber Sp/Gr Member Spa( 13.14 47.63 SPF#2 @ 16"o.c. Check Bending Stress Fb (psi) = fb x Cd x Cf x Cr (NDS Table 4.3. 1) 875 x 1.15 x 1.2 x 1.15 Allowed Bending Stress =1388.6 psi Maximum Moment = (wL"2)/8 = 710.592 ft# = 8527.11 in# Actual Bending Stress = (Maximum Moment) / S = 649 psi Allowed > Actual -- 46.8% Stressed -- Therefore, OK Check Deflection Allowed Deflection (Total Load) _ Deflection Criteria Based on = Actual Deflection (Total Load) _ Allowed Deflection (Live Load) _ Actual Deflection (Live Load) _ (E =1400000 psi = 0.975 in Simple Span (5*w*L"4) / (384*E*I) = 0.123 in = U952 < U120 Therefore OK U180 0.65 in (5*w*L^4) / (384*E*I) 0.141 in U830 < U180 Therefore OK Check Shear Member Area= 10.9 in"2 Fv (psi) = 135 psi (NDS Table 4A) Allowed Shear = Fv * A = 1468 Ib Max Shear (V) = w * L / 2 = 292 Ib Allowed > Actual --19.9% Stressed -- Therefore, OK 4of5 Lateral 2009 IBC CH34 Existing Weight of Effected Building Level Area Weight (psq Weight (lb) Roof 1000 sf 7.2 psf 7200 Ib Ceiling 1000 sf 6.0 psf 6000 Ib Vinyl Siding 130 ft 2.0 psf 3640 Ib Int. Walls 130 ft 6.4 psf 11648 Ib Existina Weiaht of Effected Building 28488 Ib Proposed Weight of PV System Weight of PV System (Per Sunrun Inc.) 3.0 psf Approx. Area of Proposed PV System 533 sf Approximate Total Weight of PV System 1599 Ib 10% Comparison 10% of Existing Building Weight (Allowed) 2849 Ib Approximate Weight of PV System (Actual) 1599 Ib Percent Increase 5.6% 2849 Ib > 1599 Ib, Therefore OK 5 of 5 (14' Wall Height) DocuSign Envelope ID: 9F9584EE-18F7-4F41-9EF8-1A9514591DC6 sunrun Sunrun BrightSave Solar Power Service Agreement Summary yasmin Hidi 34 Sawmill Rd, North Andover, MA, 01845 ESTIMATED SOLAR ENERGY OUTPUT TO BE DELIVERED YEAR 1: 6,576 kilowatt-hours (kWhs) INITIAL TERM: 125,456 kWhs CONTRACT PRICE t Monthly payments shown include a $15.00 discount for paying through ACH withdrawal from your checking or savings account. If you do not elect automatic payment through ACH withdrawal from your checking or savings account you will not receive this discount and each monthly payment will be $15.00 greater. Your initials indicate that you have read, understand and accept the explanation of estimated energy output, energy sources and payment terms. You understand that Sunrun has the right to check your credit and you agree that Sunrun will make final determination of customer eligibility. a< Accepted by (InitialS), e THE SOLAR FACILITY IS OWNED BY SUNRUN INC. AND/OR ITS AFFILIATES. SUNRUN INC. i 595 Market Street, 29th Floor, San Francisco, CA 94105 1 1-855-478-6786 1 MA HIC Registration No. 168515 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 1 of 18 Non-refundable Electricity Deposit (due today) $0 Initial Electricity Payment (due at start of installation) $0 Monthly billt Year 1 Annual increase $71.24 (plus taxes, if applicable) 2,9% Cost per kWh, Year 1 $0.130, excluding Upfront Payment (if any) t Monthly payments shown include a $15.00 discount for paying through ACH withdrawal from your checking or savings account. If you do not elect automatic payment through ACH withdrawal from your checking or savings account you will not receive this discount and each monthly payment will be $15.00 greater. Your initials indicate that you have read, understand and accept the explanation of estimated energy output, energy sources and payment terms. You understand that Sunrun has the right to check your credit and you agree that Sunrun will make final determination of customer eligibility. a< Accepted by (InitialS), e THE SOLAR FACILITY IS OWNED BY SUNRUN INC. AND/OR ITS AFFILIATES. SUNRUN INC. i 595 Market Street, 29th Floor, San Francisco, CA 94105 1 1-855-478-6786 1 MA HIC Registration No. 168515 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 1 of 18 DocuSign Envelope ID: 9F9584EE-1 8F7-4F41-9EF8-1 A9514591 DC6 Agreement Overview Sunrun Is Serious About Providing you Quality Service for the Life of your Contract. SOLAR PEACE OF MIND 4f Sunrun offers a Performance Guarantee. If your system does not produce the power output guaranteed in this agreement, we'll refund you for lost power. If your system overperforms you keep the excess power free of charge. t/ Sunrun's customer care team is available by phone and email to respond promptly to any questions or concerns you may have. When we arrange for installation of a system, Sunrun owns the panels, and we monitor them constantly. Sunrun will insure, maintain, and repair the Solar Facility at no additional cost to you including inverter replacement. Sunrun only works with insured partners who have all required licenses to perform the work necessary to install and maintain your system. AGREEMENT OVERVIEW Sunrun wants you to be confident in choosing us as your solar power service provider for the next 20 years. While its still necessary to read your entire Agreement, there are a few important points to be aware of: ■ After going solar you will continue to receive a bill from your Utility. Based on the information you provided Sunrun about your previous year's power consumption of 6,844 kWhs, your system is sized to offset 96% of the power you currently purchase from your Utility. . This Agreement becomes effective when both you and Sunrun have signed the Agreement and continues in effect for 20 years following the date your Utility grants permission to operate the Solar Facility. ■ Your first year monthly payment amount is $71.24. This amount will increase by 2.9% annually for the term of the Agreement. This amount includes a $15.00 discount per month for automatic payment through ACH withdrawal from your checking or savings account. ■ Sunrun offers a 100% Performance Guarantee. If your system underperforms, Sunrun will refund you for lost power at the rates shown in Exhibit A. If your system overperforms, you keep the excess power at no extra charge. Sunrun warrants that roof penetrations will be weather -tight for a 10 -year period after installation. ■ You are responsible for payments during the full term of this Agreement. If you sell your house, you have two options: 1) Transfer the Agreement to the new homeowner, 2) Purchase the system. You may prepay the remainder of the payments due under the Agreement to make the transfer even more attractive to the new homeowner. Whichever option you choose, Sunrun will guide you through the process. . Your request for a pricing plan change must be submitted within 21 days of signing this Agreement, but before installation has begun. If installation begins within 21 days of signing this Agreement, the start of installation will mark the date after which you can no longer change your pricing plan. ■ You may only purchase the Solar System at certain specific times during the term of this Agreement. Those times are listed in section 10. . At the end of this Agreement's 20 year Initial Term: 1) Sunrun will remove the Solar Facility at no cost to you, unless you 2) Purchase the Solar Facility at its then fair market value, or unless 3) This Agreement is automatically renewed per the terms specified in Sect' p12 and Exhibit A. Your initials indicate that you have read, understand and accept the information listed above. 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 2 of 18 DocuSign Envelope ID: 9F9584EE-1 8F7-4F41-9EF8-1 A9514591 DC6 SUNRUN SOLAR POWER SERVICE AGREEMENT THIS DOCUMENT DESCRIBES THE TERMS AND CONDITIONS OF YOUR RECEIPT OF AND PAYMENT FOR ELECTRIC ENERGY TO BE SUPPLIED BY A SOLAR PHOTOVOLTAIC SYSTEM THAT WILL BE INSTALLED AT YOUR PROPERTY AND OWNED AND MAINTAINED BY SUNRUN INC. 1. Introduction (a) You are entering into this Sunrun Solar Power Service Agreement ("Agreement') with Sunrun Inc., together with its successors and Assignees, ("Sunrun'). You represent that you are at least eighteen (18) years of age, that you are the owner of the property located at 34 Sawmill Rd, North Andover, Massachusetts, 01845 ("Properly'), and that your current utility is National Grid. You further represent that every person or entity with an ownership DS interest in the Property hs agrped to be bound by this Agreement. jAccepted by (Initials): U` ((�� (b) Sunrun is a Delaware Corporation. You may contact Sunrun by mail at 595 Market Street, 29th Floor, San Francisco, CA 94105, by telephone at 1-855-478-6786, or over the Internet at www.sunrun.com. Sunrun will arrange for the design, permitting, construction, installation, testing, and activation of a solar photovoltaic system ("Solar Facility') to be located on the roof of your house and/or grounds of the Property. (c) You agree to allow Sunrun to install and maintain the Solar Facility on the grounds and/or roof of the Property at a specific location to be approved by Sunrun. You further agree to purchase all electric energy generated by the Solar Facility at the price specified in this Agreement. 2. Solar Facility (a) Sunrun will arrange for the design, permitting, construction, installation and testing of the Solar Facility on the roof or grounds, as applicable, of the Property in material accordance with a system design that you will have approved. Thereafter, Sunrun will operate and maintain the Solar Facility so as to generate electric energy for use at the Property. Sunrun will perform these obligations ("Sunruns Obligation.') during the Initial Term of this Agreement. During any Renewal Terms Sunrun will perform Sunrun's Obligations for as long as the Solar Facility remains economically viable, and will make a good faith effort to notify you if this is not the case per Section 12(f). (b) You acknowledge and agree that: (i) The Solar Facility will be removable equipment and will not be a fixture or otherwise part of the Property. (ii) Sunrun will own the Solar Facility and you will have no ownership interest in the Solar Facility. (iii) The Solar Facility will not be subject to any lien, security interest, claim, mortgage or deed of trust that may be imposed on or assessed against your interest in the Property, or any other property belonging to you. You will have no right to sell, give away, transfer, pledge, remove, relocate, alter or tamper with the Solar Facility at any time. As such, Sunrun will not apply a lien to your title for the Property. (iv) The Solar Facility will be used primarily for household purposes but not to heat a swimming pool. (v) You agree that Sunrun or a Sunrun affiliate may file any UCC -1 financing statement that confirms our or our affiliate's ownership of the Solar Facility. (c) Sunrun will be responsible for all costs and expenses related to performing Sunrun's Obligations. You agree that Sunrun has the authority and discretion to use contractors or agents to perform or assist Sunrun in performing Sunrun's Obligations. (d) Sunrun estimates that the Solar Facility will be capable of generating 6,576 kilowatt-hours ("Initial Year One Production Estimate") of electric energy during its first year of operation, but due to several reasons, including natural variation in weather, actual production will vary. Due to expected panel degradation, Sunrun estimates that the Solar Facility will be capable of generating 19.0779 times this amount of kilowatt-hours (" kWh") during the Initial Term ("Estimated Output'). As set forth in Section 8, Sunrun will issue a refund to you if your system does not perform as expected. Sunrun makes no other representation, warranty or guarantee of any kind regarding the Solar Facility's actual or expected output or performance. (e) You agree that Sunrun, at its own expense, will install, maintain, and periodically test a meter at the Property that will measure all electric energy delivered to you from the Solar Facility. If the meter breaks or is found to be inaccurate, Sunrun will adjust the bill as applicable in the next billing cycle by applying a credit for any overcharges or applying an additional charge for any under -charges. You agree not to tamper with, damage or modify the meter in any way. You will be responsible for any damage or inaccuracies in the meter that are caused by you or any other person unrelated to Sunrun who may come onto the Property with your knowledge or permission. 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 3 of 18 DocuSign Envelope ID: 9F9584EE-18F7-4F41-9EF8-1A9514591DC6 3. Design and Installation (a) The design for the Solar Facility will be presented to you prior to installation. You will have five (5) business days following this presentation to request a change or cancel this Agreement pursuant to Section 12(e). Otherwise, you will be deemed to have approved the Solar Facility design. With your written, deemed, or verbal approval, Solar Facility installation may begin at any time. (b) If you wish to change the design or installation process, Sunrun will use commercially reasonable efforts to accommodate your request. (c) If an obligation excluded from this Agreement in Section 20 must be performed in order to properly effect the installation of the Solar Facility, you agree to contract separately, and at your own expense, with a contractor who has been designated by or approved by Sunrun to perform such obligation. In this instance, Sunrun will not unreasonably withhold such approval. (d) You agree to cooperate with Sunrun and assist Sunrun in obtaining any permits needed, including the NEM Service application in Section 5(a). You agree to complete and return to Sunrun and/or its representatives, as appropriate, all applicable rebate documentation and, where applicable, Renewable Energy Credit documentation, upon request and following the In -Service Date. If you do not return the rebate or Renewable Energy Credit documentation, Sunrun may invoice you for the Final Rebate amount (as defined in Section 4(a)(iii)). (e) For the Initial Term and any Renewal Terms you agree to maintain the Property, at your expense, such that the Solar Facility retains shading conditions present at the time of Installation. (f) Sunrun requires its contractors to employ licensed personnel whenever required by applicable law, regulation or code. (g) Sunrun, its contractors and agents shall at the end of each business day keep the Property reasonably free from waste materials or rubbish caused by their operations. Prior to the In -Service Date, Sunrun and its agents shall remove all of their tools, construction/installation equipment, machinery, waste materials and rubbish from and around the Property. (h) Subject to the exclusions set forth in Section 20, Sunrun will return your Property to a condition similar to its original condition, provided that you notify Sunrun in writing or by e-mail of any deficiencies in restoration within five (5) business days of the municipal building inspector approval of the Solar Facility. 4. Chances to the Aereement (a) Prior to installation, the following conditions may change the expected costs and benefits of the Solar Facility to both you and Sunrun: (i) Change to the design of your Solar Facility. (ii) Change in the system's annual energy production estimate, expressed in kWh, provided by the National Renewable Energy Laboratory PVWatts Calculator ("PVWatts calculator') ("Fina/ Year One Production Estimate'). (iii) Change in the final rebate amount associated with installing the Solar Facility ("Fina/Rebate'). (iv) The availability of cellular service at the Property. If any of these conditions occur, Sunrun may choose to modify the terms of this Agreement or cancel the Agreement. If Sunrun chooses to modify the terms, Sunrun will notify you in writing and you will have five (5) business days to accept the modified terms or cancel this Agreement pursuant to Section 12(e). If you do not respond to Sunrun within five (5) business days, Sunrun may deem you to have cancelled the Agreement. (b) You may choose to accept changes under this Section 4 in writing or by electronic mail. If a change pursuant to this Section 4 increases the Upfront Payment after you have already paid it to Sunrun, you agree to immediately pay Sunrun the increase in the Upfront Payment. Sunrun may suspend installation until this payment is received. (c) If for a period of one hundred eighty (180) days Sunrun fails to perform its obligations required to commence installation of the Solar Facility and you have fulfilled all of your obligations under this Agreement, you may cancel this Agreement, in which case Sunrun will refund to you the Upfront Payment set forth in Exhibit A, provided that your Property was accessible and in a state fully ready to permit the installation of the Solar Facility. It is your obligation to exercise reasonable efforts to respond to Sunrun in a timely manner on questions and requests for approvals and/or appointments. If you cause Solar Facility to be delayed in excess of thirty (30) days due to your unresponsiveness, Sunrun may cancel this Agreement. (d) Your request for a pricing plan change must be submitted within 21 days of signing the Agreement, but before installation has begun. Once installation has begun, you can no longer change your pricing plan. If installation begins within 21 days of signing the Agreement, the start of installation will mark the date after which you can no longer change your pricing plan. 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 4 of 18 DocuSign Envelope ID: 9F9584EE-1 8F7-4F41-9EF8-1 A9514591 DC6 5. Purchase and Sale of Electricity (a) As of the In -Service Date, you must be taking service from the Standard Net Metering Service ("NEMService") from your local utility(" Utility'). You agree that you will continue to take NEM Service for as long as this Agreement is in effect. You agree to use the NEM Service currently in effect for this Utility or, in the event that the NEM Service is no longer in effect, you agree to use a substitute metering program as chosen by Sunrun. You agree to execute all documentation associated with NEM Service, or any substitute metering service, and any refund, credit, or rebate program promptly at the request of Sunrun, its affiliates, and/or the Utility. (b) Sunrun agrees to sell to you, and you agree to purchase from Sunrun, all electric energy produced by the Solar Facility. All electric energy produced by the Solar Facility will be made available to you for use at the Property. (c) If at any time you need more electric energy than is being produced by the Solar Facility ("Supplemental Energy'), you will be solely responsible for purchasing that electric energy from another supplier, such as your Utility. During the term of this Agreement you should expect to purchase Supplemental Energy from your Utility. Depending on the terms of your NEM Services, the Utility will bill you either annually or monthly. Sunrun will not be in default of this Agreement and will not be responsible for any Supplemental Energy you purchase to complement the electric energy produced by the Solar Facility. (d) You agree that for all electric energy you purchase from Sunrun under this Agreement you will pay Sunrun the prices set forth in Exhibit A. (e) The price specified in subpart (d) above does not include taxes. If any taxes are assessed on the sale of electric energy, the Property, or on your purchase of the Solar Facility from Sunrun under this Agreement, and such taxes are paid by Sunrun rather than you, you agree to pay or reimburse Sunrun for all such taxes, except to the extent that you are prohibited from doing so by applicable laws. (f) You agree that title to and risk of loss for the electric energy purchased under this Agreement shall pass from Sunrun to you at the time when the electric energy reaches the point of interconnection, i.e., at the point where the Solar Facility connects to the Property's connection to your Utility. (g) You agree that Sunrun alone will receive any credit, rebate, environmental attribute, or other payment or offset that may be attributable to the Solar Facility and all incentives will be sole property of and transferable by Sunrun. Notwithstanding the foregoing, if you purchase the Solar Facility from Sunrun, you will own, and be entitled to proceeds from the sales of, solar renewable energy credit and renewable energy credit earned after the date you purchase the solar facility from Sunrun. 6. Billing and Payment (a) For each billing cycle, Sunrun will prepare a written or electronic invoice and charge your account for the Monthly Payment as set forth in Exhibit A. Your billing cycle begins on the In -Service Date, and subsequent billing cycles will begin on the same date each month (the "Billing Cycle Day'). You will be billed on a monthly basis. You will receive this invoice within 10 days of the conclusion of the billing cycle and your payment will be due the day before the next Billing Cycle Day. Sunrun reserves the right to update its billing systems from time to time and will notify you if your payment due date changes. In no event will Sunrun decrease the amount of time you have to pay your invoices. (b) Sunrun will mail or e-mail you an invoice no later than ten (10) days after the end of each billing cycle. You agree to pay the amount specified in each invoice by the due date specified in such invoice. If Sunrun does not receive your payment by the due date on the invoice, Sunrun may charge you the lesser of an administrative late fee of (i) one and a half (1.5%) percent per month on the portion of your balance that is more than thirty (30) days past due, or (ii) the maximum amount permitted under and subject to applicable law. This late fee is not an interest charge, finance charge, time price differential or other such charge or payment of a similar nature. (c) Monthly payments shown include a $15.00 discount for paying through Automated Clearing House (ACH) withdrawal. If you do not elect automatic payment through ACH withdrawal from your checking or savings account you will not receive this discount and each monthly payment will be $15.00 greater. (d) Deposit and Initial Payment payable with credit card, money order or a check drawn on a United States bank account. Monthly payments are payable with a check drawn on a United States bank account or you may agree to authorize Sunrun to deduct the invoice amount directly from your bank account each month (subject to subsection (c) above). 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 5 of 18 DocuSign Envelope ID: 9F9584EE-18F7-4F41-9EF8-1A9514591DC6 7. Prepayments for I ctri Energy (a) At any time, you may prepay all of the expected amounts you will owe Sunrun during the remaining portion of the Initial Term (" Prepayment') by contacting Sunrun. (b) The Prepayment shall equal the remaining monthly payments for the current year, plus the discounted value of each successive year's expected annual payment. Future year's expected payments will be calculated by multiplying the Estimated Output for that year by the price per kWh rate as set forth in Exhibit A. The future years' payments will be discounted at the lesser of (x) the prime rate (as published by the Wall Street Journal) plus 100 basis points or (y) 5.0%. (c) If you make a Prepayment, Sunrun will continue to guarantee the output of your Solar Facility and will issue refunds as described in Section 8. (d) If you decide to make a Prepayment, the Solar Facility will remain at your Property and Sunrun will maintain it for the remainder of the Initial Term. 8. Guaranteed Output and Refunds (a) Sunrun guarantees that the Solar Facility will generate one -hundred percent (100%) of the Estimated Output during the Initial Term of this Agreement (the "Guaranteed Output') or Sunrun will issue you a refund as described below. For the purposes of this Agreement, "Actual Output' shall mean the amount of electric energy created by the Solar Facility to date plus any kWh for which you have previously received a refund. (b) If you purchase the Solar Facility from Sunrun pursuant to Section 10, and at the time of purchase the Actual Output is less than the Guaranteed Output, Sunrun will apply a credit towards the purchase price for the Solar Facility. This credit will be calculated by subtracting the Actual Output from the Guaranteed Output and then multiplying the result by the refund per kWh set forth on Exhibit A for the anniversary date that precedes the date of purchase. (c) On the anniversary of the In -Service Date and on every anniversary thereafter, Sunrun will issue you a credit if the Actual Output is less than the Guaranteed Output for that anniversary date set forth on Exhibit A. This credit will be calculated by subtracting the Actual Output for that anniversary date from the Guaranteed Output for that anniversary date, and multiplying the result by the refund per kWh for that anniversary date set forth in Exhibit A. (d) If Actual Output is greater than Guaranteed Output per Exhibit A, you will not be charged any additional amount for this overproduction. Sunrun may use this overproduction amount (kWhs) to offset future underproduction should Actual Output be less than Guaranteed Output. (e) For the purposes of the prior calculations, Actual Output shall include any kWh of electricity that would have likely been produced during any day that a grid failure disabled the Solar Facility or any day that you caused or requested the system to be shut down or to generate significantly less electric energy. For the avoidance of doubt, Guaranteed Output will be reduced if Sunrun notifies you that a tree or other obstruction is reducing electric energy production and you do not remedy, or cause to be remedied, such reduced energy production within 30 days. 9. Substitute Payments (a) You agree that if, through no fault of Sunrun, you cause or request the Solar Facility to be shut down, or if you cause an event that significantly reduces the production of electric energy by the Solar Facility, you will pay Sunrun a fee during each month that the Solar Facility is shut down or experiencing reduced production ("Substitute Payments"). However, Sunrun will not charge you Substitute Payments for the first seven (7) days during the Initial Term that the Solar Facility has been shut down or is experiencing reduced output. (b) For each billing cycle during the first year that this Agreement is in effect, the Substitute Payment will equal (i) the current price per kWh established in Exhibit A, multiplied by (ii) the estimated daily generation implied in Section 2(d), as well as the number of days for which Substitute Payments are due, minus (iii) any payment due for any kWh that are produced by the Solar Facility during the current billing cycle. Substitute Payments shall be in addition to other payments otherwise due under this Agreement. (c) For each billing cycle after the first year that this Agreement is in effect, the Substitute Payment will equal (i) the current price per kWh established in Exhibit A, multiplied by (ii) the kWh produced by the Solar Facility during the corresponding billing cycle in the previous year, minus (iii) any payment due for any kWh that are produced by the Solar Facility during the current billing cycle. Substitute Payments shall be in addition to other payments otherwise due under this Agreement. (d) You will not be charged Substitute Payments for times when a grid failure results in the Solar Facility being deactivated. 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 6 of 18 DocuSign Envelope ID: 9F9584EE-1 8F7-4F41-9EF8-1 A9514591 DC6 10. Options to Purchase (a) You have the option to purchase the Solar Facility at the following times during the Initial Term: (i) Upon the fifth anniversary of the In -Service Date (ii) At the end of the Initial Term of this Agreement (iii) Should you sell your Property during the Initial Term (iv) Should Sunrun fail to perform Sunrun's Obligations (in accordance with Section 18) (b) To purchase the Solar Facility pursuant to Section 10(a), you must deliver a written notice to Sunrun of your intent to purchase within sixty (60) days of the applicable date and deliver payment to Sunrun within thirty (30) days of receiving an invoice from Sunrun for the purchase price. (c) The purchase price will be the greater of (i) fair market value, as determined at the time ("FMV") and (ii) the minimum price set forth in Exhibit A. Annually, Sunrun will determine the FMV of the Solar Facility by hiring an independent appraiser to estimate the value of a comparable in-service solar facility in your state and utility service area. This valuation will take into account the Solar Facility s age; location; size; and other market characteristics such as equipment type and equipment operating, maintenance and service costs, value of electricity in your area, and any applicable solar incentives. (d) Sunrun will credit the purchase price by any refund due to you pursuant to Section 8(b), provided however, that in no case shall such a credit result in a net purchase price that is less than the minimum purchase price set forth on Exhibit A. (e) At other times, please contact Sunrun at (855) 478-6786 to discuss the possibility of purchasing the Solar Facility. (f) If you purchase the Solar Facility, Sunrun will continue to monitor the Solar Facility for as long as the meter continues to function, or until the twentieth anniversary of this Agreement, whichever is sooner. However, Sunrun will not provide any maintenance or repair unless you enter into a separate agreement with Sunrun, at your expense, to perform these services. If possible, Sunrun will assign to you any product and/or workmanship warranties still in effect for the Solar Facility. (a) If you sell the Property you may assign this Agreement to the new owner, provided that the new owner meets Sunrun's reasonable credit requirements and first agrees in writing to be bound by all of the terms and conditions set forth herein. Please contact Sunrun or visit www.sunrun.com to obtain an assignment agreement. (b) During the Initial Term, within sixty (60) days of entering into a contract to sell the Property you will have the option to purchase the Solar Facility in accordance with Section 10. (c) If you sell or otherwise transfer your interest in the Property without either purchasing the Solar Facility or assigning this Agreement to the new owner in accordance with the terms of this Agreement, or if the new owner refuses to take assignment, then you will be deemed to have terminated this Agreement, and Sunrun may exercise its rights under Section 19(a). (d) Sunrun may assign, lease, sublease, or transfer the Solar Facility and this Agreement along with all rights and obligations hereunder to any third party (each, an "Assignee"), without first giving notice to you or obtaining your consent, for any purpose, including, without limitation, collection of unpaid amounts, financing of the Solar Facility's installation, or in the event of an acquisition, corporate reorganization, merger or sale of substantially all of its assets to another entity. If Sunrun or its Assignee chooses to transfer the Solar Facility or this Agreement to another party, you agree to treat this other party as your counterparty under this Agreement. Otherwise, the terms of this Agreement will not change if this Agreement or the Solar Facility is assigned, leased, or transferred by Sunrun or its Assignee, and the Assignee will not be able to interfere with your rights to the Solar Facility as long as you are fulfilling your obligations under this Agreement. If Sunrun transfers the Solar Facility or this Agreement to an Assignee, Sunrun will continue to operate and maintain the Solar Facility until you receive written notice otherwise. 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 7 of 18 DocuSign Envelope ID: 9F9584EE-18F7-4F41-9EF8-lA9514591DC6 12. Term and Termination (a) You agree that this Agreement will become effective only when both you and Sunrun have signed the Agreement. (b) This Agreement will continue in effect for twenty (20) years following the date Sunrun receives notice from the Utility that the Solar Facility is approved for operation ("In -Service Date"). This period shall be called the "Initial Term." (c) At the end of the Initial Term, this Agreement will be automatically renewed for an additional one-year term ("Renewal Term"), unless you have purchased the Solar Facility or unless either you or Sunrun gives the other party to this Agreement a termination notice at least thirty (30) days prior to the expiration of the Initial Term. At the end of any Renewal Term, this Agreement shall be automatically renewed for an additional Renewal Term, unless either you or Sunrun gives the other party to this Agreement a termination notice at least thirty (30) days prior to the expiration of the Renewal Term then in effect. (d) At the end of the term of this Agreement, if either you or Sunrun do not wish to renew it, Sunrun will remove the Solar Facility at no cost to you (unless you purchase the Solar Facility at the end of the Initial Term, or unless the term of this Agreement is automatically renewed). Sunrun agrees to leave your Property in the same general condition that existed immediately prior to removal of the Solar Facility. (e) If you cancel this Agreement pursuant to Section 3, you will not be refunded your Deposit, and you will not owe Sunrun any further payments. If Sunrun modifies your Agreement pursuant to any of the factors listed in Section 4(a) such that there is a decrease in the annual energy production estimate, or if the payment terms increase, or if it is determined that you must pay for any site improvements to accommodate a solar system, then you may cancel this Agreement and your Deposit will be refunded. (f) Sunrun will make a good faith effort to notify you between 30 and 60 days before the end of the Initial Term about (i) your end of term options and (ii) the rate for electric energy in the first Renewal Term (if applicable). Sunrun will make a good faith effort to notify you between 30 and 60 days before the end of any Renewal Term about (i) your end of term options and (ii) the rate for electric energy in the next scheduled Renewal Term (if applicable). 13. Access_ Maintenance an (a) You agree to grant Sunrun or its contractors access to your Property for the purpose of designing, installing, operating, maintaining and testing the Solar Facility and performing Sunrun's Obligations. Sunrun agrees to give you reasonable notice when Sunrun needs to access your Property for any of the foregoing purposes and will endeavor to restrict such access to normal business hours. (b) When possible you agree to allow Sunrun and construction professionals (an engineer, architect, or licensed contractor or their representative) hired by Sunrun to access your Property to inspect any buildings and, if applicable, roofs prior to the installation of the Solar Facility to ensure that your Property can accommodate the Solar Facility. (c) If parts fail during the term of this Agreement, Sunrun will use commercially reasonable efforts to replace them with like equipment; however, you acknowledge that due to parts availability and other factors, this may not be possible. Sunrun agrees that any change in equipment will not reduce the Guaranteed Output set forth in Section 8. (d) If you plan to move or temporarily disconnect the Solar Facility to allow for maintenance of and/or repair to the Property, you agree, at your expense, either (i) to hire Sunrun to perform this work or (ii) to obtain Sunrun's approval of your contractor, who you agree must carry commercial general liability policy in an amount not less than one million ($1,000,000) dollars per occurrence and name Sunrun, and its successor or assigns, as additional insured. (e) Sunrun warrants that roof penetrations will be weather -tight for a 10 -year period after installation (f) You agree to make best efforts to provide a safe and secure work environment at your Property during the course of the Solar Facility installation and maintenance. 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 8 of 18 DocuSign Envelope ID: 9F9584EE-18F7-4F41-9EF8-1A9514591DC6 14. Insurance (a) Sunrun agrees to carry insurance that covers all damage to and theft of Sunrun's Solar Facility. You will not be responsible for insuring the Solar Facility. Sunrun agrees to provide you evidence of Sunrun's insurance policy for the Solar Facility upon request. If Sunrun does not maintain insurance that covers damage to Sunrun's Solar Facility, it will be responsible for the consequences of not maintaining such insurance. (b) You agree to carry insurance that covers all damage to your Property during the term of this Agreement, including damage resulting from the Solar Facility, provided such damage was not caused by the gross negligence of Sunrun. It is your responsibility to determine if the installation of the Solar Facility will impact your existing coverage. If additional insurance is required to maintain your existing coverage, you will be responsible for either (i) procuring and maintaining such insurance or (ii) the consequences of not procuring and maintaining such insurance. (c) Sunrun requires its contractors performing the Solar Facility installation to maintain insurance coverage as follows: workers compensation, subject to statutory limits; Employers liability, with a minimum of one million ($1,000,000) dollars each occurrence; commercial general liability, in an amount not less than one million ($1,000,000) dollars per occurrence and two million ($2,000,000) dollars annual aggregate; commercial automobile liability, in an amount not less than a combined bodily injury and property damage limit of one million ($1,000,000) dollars per accident; excess liability insurance with a limit of one million ($1,000,000) dollars per occurrence and in the annual aggregate in excess of the limits of insurance provided above; and any other insurance required by applicable laws or regulations. Your initials indicate thatou�°�V ) e read, and understand and accept the limitations and obligations set forth in this Section 14. Accepted by (Initials): {{�� 15. Limitations of Liability (a) SUNRUN WILL BE LIABLE TO YOU AND ANY OTHER PERSON FOR DAMAGES OR LOSSES DIRECTLY ATTRIBUTABLE TO ITS NEGLIGENCE OR WILLFUL MISCONDUCT. TOTAL LIABILITY FOR SUCH DIRECT DAMAGES OR LOSSES WILL IN NO EVENT EXCEED ONE MILLION DOLLARS. THIS WILL BE YOUR SOLE AND EXCLUSIVE REMEDY AND ALL OTHER REMEDIES OR DAMAGES AT LAW OR EQUITY ARE WAIVED, EVEN IF YOU HAVE GREATER RIGHTS UNDER MASSACHUSETTS'S LAWS, WHICH YOU SHOULD CONSULT. SUNRUN IS NOT RESPONSIBLE FOR ANY CONSEQUENTIAL, INCIDENTAL, PUNITIVE, EXEMPLARY OR INDIRECT DAMAGES, LOST PROFITS OR LOSSES RELATING TO THIS AGREEMENT, IN TORT OR CONTRACT, INCLUDING ANY NEGLIGENCE OR OTHERWISE. (b) EXCEPT AS EXPRESSLY PROVIDED HEREIN, SUNRUN MAKES NO WARRANTY OR REPRESENTATION, EITHER EXPRESS OR IMPLIED, REGARDING ITS OBLIGATIONS OR THE SOLAR FACILITY. THERE IS NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND ANY AND ALL IMPLIED WARRANTIES ARE DISCLAIMED. 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 9 of 18 DocuSign Envelope ID: 9F9584EE-18F7-4F41-9EF8-1A9514591DC6 16. Resolution of Disputes (a) You agree that to expedite the resolution of and to control the costs of disputes, resolution of any dispute relating to this Agreement (" Dispute'), will be resolved according to the procedure set forth in this Section 16. (b) Unless otherwise agreed in writing, Sunrun and you agree to continue to perform each party's respective obligations under this Agreement during the course of the resolution of the Dispute. (c) You and Sunrun agree to first try to resolve informally and in good faith any Dispute. Accordingly, you agree to send a written notice of Dispute to the address on the first page of this Agreement, and Sunrun will send a written notice of Dispute to your billing address. If you and Sunrun do not reach an informal agreement to resolve the Dispute within 45 days after the notice of Dispute is received, you or Sunrun may commence a formal proceeding as detailed below. All applicable statutes of limitation and defenses based upon the passage of time shall be tolled for the 45 days during which the parties try to informally resolve any Dispute. (d) If Sunrun and you cannot resolve the Dispute informally, the Dispute will be resolved by binding arbitration. ARBITRATION MEANS YOU WAIVE YOUR RIGHT TO A JURY TRIAL AND ALL DISPUTES SHALL BE DECIDED BY AN ARBITRATOR. This agreement to arbitrate Disputes is governed by the Federal Arbitration Act ("FAA'I. The arbitration will be conducted under the rules of JAMS that are in effect at the time the arbitration is initiated ("JAMS Ru/eS') and under the rules set forth in this Agreement. If there is a conflict between the JAMS Rules and this Agreement, this Agreement will govern. (e) CLASS ACTION WAIVER. ARBITRATION MUST BE ON AN INDIVIDUAL BASIS. AS A RESULT, NEITHER YOU NOR SUNRUN MAY JOIN OR CONSOLIDATE CLAIMS IN ARBITRATION BY OR AGAINST OTHER CUSTOMERS, OR LITIGATE IN COURT OR ARBITRATE ANY CLAIMS AS A REPRESENTATIVE OR MEMBER OF A CLASS OR IN A PRIVATE ATTORNEY GENERAL CAPACITY. (f) You may, in arbitration, seek all remedies available to you under this Agreement as interpreted under California law. If you decide to initiate arbitration against Sunrun, Sunrun will pay the costs for initiating the arbitration proceedings. If Sunrun decides to initiate arbitration, Sunrun will be required to pay the costs associated with initiating the arbitration proceeding. Sunrun also agrees to pay the costs of initiating the arbitration proceeding if the arbitrator finds in your favor. Other fees, such as attorneys' fees and expenses of travel to the arbitration, will be paid in accordance with JAMS Rules. If the arbitrator finds in your favor, Sunrun will pay your attorney's fees and expenses of travel to the arbitration. The arbitration hearing will take place in the federal judicial district of your residence, unless you and Sunrun agree to another location in writing. In order to initiate arbitration proceedings, you or Sunrun must take the following actions: (i) Write a demand for arbitration. The demand must include a description of the Dispute and the amount of damages you are seeking. The form of Demand for Arbitration can be found under ADR Forms at www.jamsadr.com. (ii) Send three copies of the demand for arbitration to the current JAMSlocation in San Francisco, California. (iii) Send one copy of the demand for arbitration to the other party. (g) In accordance with the FAA and the JAMS Rules, the arbitrator's decision will be final and binding. Any right to appeal is likewise governed by the FAA and JAMS Rules. Any arbitration award may be enforced in any court with jurisdiction. (h) You and Sunrun agree to receive service of process of the arbitration demand by registered or certified mail, return receipt requested, at your billing address and Sunrun's principal executive office, as applicable. 17. Force Majeure (a) Neither you nor Sunrun will be in default of this Agreement for any delay or failure in the performance under this Agreement (including any obligation to deliver or accept the electric energy output of the Solar Facility) if the delay or failure is due to Force Majeure. Force Majeure includes acts of God such as storms, fires, floods, lightning and earthquakes, sabotage or destruction by a third party of the Solar Facilities, war, riot, acts of a public enemy or other civil disturbance, or a strike, walkout, lockout or other significant labor dispute. Force Majeure does not include economic hardship of either you or Sunrun, a power grid failure (except if caused directly by a Force Majeure event), a failure or delay in the granting of permits, or insufficiency, unavailability, failure, or diminishment of solar resources, except as a result of an event that would otherwise qualify as a Force Majeure. (b) Force Majeure cannot be attributable to fault or negligence on the part of the party claiming Force Majeure and must be caused by things beyond that party's reasonable control. Additionally, you or Sunrun must have taken all reasonable technical and commercial precautions to prevent the event. (c) In order to claim Force Majeure as a reason for non-performance, you or Sunrun must give notice to the other party of the Force Majeure within fourteen (14) days of the occurrence of the Force Majeure and estimate how long it will last and what the potential impact is on the Agreement. The party claiming Force Majeure must (i) make reasonable attempts to continue to perform under the Agreement, (ii) quickly take action to correct the problem caused by the Force Majeure, and (iii) make reasonable efforts to limit damage to the other party. Finally, the party claiming Force Majeure must notify the other party when the Force Majeure event ends and performance will resume as contemplated in this Agreement. (d) If you or Sunrun is prevented from performing under this Agreement for a period of either (i) three hundred sixty-five (365) consecutive days or more, or (ii) seven hundred thirty (730) non-consecutive days or more (whether full or partial days), the other party may terminate this Agreement, without liability of either party to the other, upon thirty (30) days written notice at any time during the Force Majeure. 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 10 of 18 DocuSign Envelope ID: 9F9584EE-18F74F41-9EF8-lA9514591DC6 18. Your Remedies (a) In addition to any other remedies you have under this Agreement, if Sunrun (i) makes a general assignment for the benefit of creditors, files a petition in bankruptcy, appoints a trustee or receiver, or has all or substantially all of its assets subject to attachment, execution or other judicial seizure, or (ii) fails to perform an obligation under the Agreement and such failure continues beyond a period of ninety (90) days (provided, in each case, this Agreement is otherwise in full force and effect prior to such event), you will have the option to purchase the Solar Facility as set forth in Section 10(a)(iv). 19. Sunrun's Remedies (a) If you terminate this Agreement under Section 11(c), you will be required within thirty (30) days either (i) to pay Sunrun a termination payment equal to the Pre -payment of all future estimated energy to be produced during the Initial Term ("Make Whole'), as calculated in Section 7(b) or (ii) to purchase the Solar Facility pursuant to Section 10(b). (b) If you fail to perform a material obligation under the Agreement, and you do not correct the failure within one hundred twenty (120) days, if such failure continues beyond a period of one hundred twenty (120) days, then Sunrun can require you to pay Sunrun a Make Whole payment. (c) If you make a general assignment for the benefit of creditors, file a petition in bankruptcy, appoint a trustee or receiver, or have all or substantially all of your assets subject to attachment, execution or other judicial seizure, or, you become insolvent or unable to pay your debts, or vacate or abandon the Property, then Sunrun can require you to pay Sunrun a Make Whole payment. (d) If you (i) are required to make a Make Whole payment and do not make the payment, (ii) terminate this Agreement without also purchasing the Solar Facility, or (iii) do not make any other payment or payments as contemplated and required under this Agreement, Sunrun shall, subject to any cure rights provided herein, have the right to disconnect your Solar Facility and/or enter your Property and remove the Solar Facility. (e) If as a result of your default Sunrun removes the Solar Facility, then in addition to the Make Whole payment, you will be obligated to pay Sunrun an amount equal to the value of any federal, state and local incentives that Sunrun must return as a result of such removal. 20. Exclusions (a) This Agreement does not include an obligation by Sunrun to: remove or dispose of any hazardous substances that currently exist on the Property; improve the construction of the roof or the Property to support the Solar Facility; remove or replace existing rot, rust, or insect infested structures; provide structural framing for any part of the Property; pay for or correct construction errors, omissions and deficiencies by you or your contractors; pay for, remove or remediate mold, fungus, mildew, or organic pathogens; upgrade your existing electrical service; install any smoke detectors, sprinklers or life safety equipment required by municipal code or inspectors as a result of the Solar Facility installation; pay for the removal or re -location of equipment, obstacles or vegetation in the vicinity of the Solar Facility; pay for any costs associated with municipal design or architectural review, or other specialty permits (this includes cost to attend any public hearings, notification of neighbors, or additional drawings required); paint electrical boxes or conduit at the Property; and move items unassociated with the Solar Facility around the Property. 21. Miscellaneous (a) You agree that this Agreement constitutes the entire agreement between you and Sunrun. If any provision is declared to be invalid, that provision will be deleted or modified, and the rest of the Agreement will remain enforceable. The terms of this Agreement that expressly or by their nature survive termination shall continue thereafter until fully performed, which shall include, without limitation, the obligation to make payments hereunder. (b) This Agreement shall be interpreted in accordance with and governed by the laws of the State of New York, without regard to the conflict of laws principles thereof. (c) You agree that Sunrun has the right to periodically check your consumer credit report (d) You agree that Sunrun has the right to obtain photographic images of the Solar Facility and the Property, and to use such photographic images for internal and quality control purposes. Sunrun will not use photographic images of the Solar Facility or the Property in its marketing and promotional materials without first obtaining your express written approval. (e) This Agreement supersedes any prior understandings, agreements, or representations by or between the parties, written or oral, to the extent they related in any way to the subject matter hereof. (f) Any notice or other communication to be made hereunder, even if otherwise required to be in writing under other provisions of this Consent or any other documents or agreements that have been provided to you in connection with this Consent, may alternatively be made in an electronic record transmitted electronically to the electronic addresses provided by you. Any notice or other communication made in electronic form will have the same legal effect and enforceability as if made in non -electronic form. (g) This Agreement is binding upon, and inures to the benefit of, the parties and their respective heirs, executors, administrators, legal representatives, successors and assigns. [Remainder of Page Intentionally Left Bank] 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 11 of 18 DocuSign Envelope ID: 9F9584EE-18F7-4F41-9EF8-lA9514591DC6 22. NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS TRANSACTION AT ANYTIME PRIOR TO MIDNIGHT OF THE 10TH CALENDAR DAY AFTER YOU SIGN THIS AGREEMENT AND ANY DEPOSIT PAID WILL BE REFUNDED. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. By initialing below, you expressly acknowledge that you have been advised on your right to cancel this Agreement and have received duplicate copies of the Notice of Cancellation. AcDS cepted by (Initials): SUNRUN INC. Date: 6/16/201 DocuSigned by: Signature- !�/s.Aot 18D4456A9E904Eg... Print Name: Eva Kl entos Title: Order Management SALES CONSULTANT By signing below I acknow/edge that I am Sunrun accredited, that I presented this agreement according to "The Right Stuff" and the Sunrun Code of Conduct, and that I obtained the homeowner's signature on this agreement. Name. -Pedro Jimenez cp DoouSigned'b�/ntName) Signaturt'`"" 6 �Kif'W,1! 64F68102D,7A4,A... Sunrun ID #. 111925g&73 [10 -digit number you received from Sunrun] CUSTOMER [Date:1' 6/8/2015 DocuSigned by: Signature: (�aSwtivu �i jt' 71C608C3 478... asmin 1rp Account email addreR ss -71 yass341@bst-maaa ,4Am *This email address will be used by Sunrun for official correspondence, such as sending monthly bills or other invoices. Sunrun will never share or sell your emait address to any third parties. Account phone number: X97"-9—,Wg4 SecondarvAccount HolderWtlonall Signature: Print Name: 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 12 of 18 DocuSign Envelope ID: 9F9584EE-18F74F41-9EF8-1A9514591DC6 EXHIBIT A: SUNRUN ELECTRICITY PRICING At the signing of this Agreement, you will pay Sunrun a non-refundable Deposit ("Deposit') of $0. At the start of installation of the Solar Facility, you will pay Sunrun an Initial Payment ("Initia/Payment') of $0. Together, these payments comprise the Upfront Payment ("Upfront Payment'). Electricity Payments: In addition to the Upfront Payment, you agree that for all electric energy you purchase from Sunrun during the Initial Term of this Agreement, you will pay a price per kWh in the form of monthly payments ("Monthly Payments") as shown below. The Monthly Payments shall increase by 2.9% annually during the Initial Term of this Agreement, effective as of the Monthly Payment that covers any calendar month that includes an anniversary of the In -Service Date (and such increase would not apply to any part of a Monthly Payment that covers the days in a calendar month leading up to an anniversary of the In -Service Date). The payments shown below are before any applicable taxes and include a $15.00 discount for paying through Automated Clearing House (ACH) withdrawal. If you do not elect automatic payment through ACH withdrawal from your checking or savings account, you will not receive this discount and each monthly payment will be $15.00 greater. (As described in Section 6(a), the table below also is based on the assumption, for convenience purposes, that the In -Service Date will be the 1 st day of the month.) After the Initial Term, Sun Run shall on each anniversary of the In -Service Date establish anew price per kWh that is equal to ten percent (10%) less than the "Average cost of electric energy" as established by your Utility or its successor. "Average cost of electric energy" shall be the price you would otherwise pay for electric energy to your Utility or its successor for the 12 months preceding the start of each Renewal Term. Notwithstanding the foregoing, in no event shall this price per kWh be less than $0.140 per kWh. Pursuant to Section 10, if you purchase the Solar Facility before the Guaranteed Output has been achieved, Sunrun will issue you a refund. The estimates in this column assume the Solar Facility achieves its Estimated Output and that you make the final Initial Payment upon the first anniversary. 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 13 of 18 Performance Guarantee Prepay Option - Purchase Option End of Yearly Price Monthly Guaranteed kWh Refund / kWh If Guaranteed Estimated Price to Prepay Balance of Minimum Cash Year Per kWh Payment Output to Date Output Not Met Initial Term* Purchase Price f- - — _ _ - --- + _ - .._ _--- N/A N/A N/A N/A $14,531 N/A 1 $0.130 $71.24 6,576 $0.130 $14,294 N/A .2 $0.134 T $73.31 13,119 $0.134 $14,022 $24,324 3 $0.139 $75.43 19,630 $0.139 $13,713 $20,580 4 $0.144 $77.62 •26,107 x$0.144 {$13,364 x$16,798 _ -+ . -... 5 $0.149 $79.87 32,553 $0.149 $12,974 $12,974 6 $0.154 $82.19 38,966 $0.154 $12,539 $12,539 7 $0.159 $84.57 45,347 $0.159 $12,057 $12,057 t 8 $0.164 $87.02 51,697 $0.165 $11,525 $11,525 9 $0.170 - $89.55 x 58,014 $0.170 $10,940 $10,940 ; 10 $0.176 $92.14 64,300 {$0.176 $10,299 x$10,299 11 $0.182 $94.82 70,554 $0.182 $9,599 $9,599 x$97.56 i 12 $0.188 76,778 $0.188 $8,837 $8,837 13 $0.195 $100.39 82,970 $0.195 $8,007 $8,007 j 14 $0.201 $103.31 F$106.30 89,131 $0.201 $7,108 $7,108 15 $0.208 95,261 $0.208 $6,135 $6,135 16 $0.215 $109.38 101,361 $0.215 - -- -- --------- $5,083 $5,083 17 17 $0.223 $112.56 107,430 $0.223 $3,948 $3,948 18 $0.230 $115.82 113,469 $0.230 $2,726 $2,726 19 $0.238 $119.18 119,478 $0.238 $1,412 $1,412 x$0.246 * r - 20 $122.64 1125,456 $0.246 $0 $0 * Pursuant to Section 7, you may prepay the balance of your estimated obligations under this Agreement. Any prepayments you make to Sunrun will increase the refunds for which you are eligible. After the Initial Term, Sun Run shall on each anniversary of the In -Service Date establish anew price per kWh that is equal to ten percent (10%) less than the "Average cost of electric energy" as established by your Utility or its successor. "Average cost of electric energy" shall be the price you would otherwise pay for electric energy to your Utility or its successor for the 12 months preceding the start of each Renewal Term. Notwithstanding the foregoing, in no event shall this price per kWh be less than $0.140 per kWh. Pursuant to Section 10, if you purchase the Solar Facility before the Guaranteed Output has been achieved, Sunrun will issue you a refund. The estimates in this column assume the Solar Facility achieves its Estimated Output and that you make the final Initial Payment upon the first anniversary. 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 13 of 18 DocuSign Envelope ID: 9F9584EE-18F74F41-9EF8-1A9514591DC6 SUNRUN MONTHLY AUTOMATIC ELECTRONIC PAYMENTS As a Sunrun customer, you agree to pay your monthly bill with automatic electronic payments. If you do not choose to select automatic payment as a form of payment, then you will lose the discount in Section 6 and be expected to pay your monthly Sunrun bill by -check payments. Regardless, you will receive all Sunrun bills via email unless you contact Sunrun directly to request invoices to be sent through the US mail. Terms and Conditions for Recurring Payments: BY ACCEPTING THE TERMS AND CONDITIONS AND ENROLLING IN THE AUTOMATIC ELECTRONIC PAYMENT OPTION, YOU ARE AUTHORIZING SUNRUN TO AUTOMATICALLY DEDUCT YOUR MONTHLY INVOICE AMOUNT FROM THE BANK ACCOUNT YOU HAVE DESIGNATED. SUNRUN WILL ADVISE YOU BY MONTHLY INVOICE OF THE AMOUNT AND DATE OF THE PAYMENT THAT WILL BE AUTOMATICALLY DEBITED. 1. Sunrun will provide you with a monthly electronic statement of your account. You agree to review each invoice you receive for any errors. Under federal law, you have the right to hold up or stop an electronic funds transfer provided you give your financial institution or credit card issuer notice of at least three business days before the scheduled transfer date. If you inform Sunrun that an error exists on your statement, Sunrun will attempt to correct that error prior to your next statement to the extent permitted by law. Sunrun shall bear no liability or responsibility for any losses of any kind that you may incur as a result of an erroneous statement or due to any delay in the actual date on which your account is debited. 2. If any changes occur in the information on your application, you must immediately notify Sunrun in writing of such changes. If Sunrun incurs charge - back fees as a result of inaccurate information you provide, then Sunrun shall bill you for those fees. 3. If you either do not notify Sunrun in writing of such changes or do so in an untimely fashion, Sunrun shall bear no liability or responsibility for any losses incurred to the extent permitted by law. Sunrun's sole liability to you shall be Sunrun's obligation to make any appropriate changes once in receipt of your written notification. The actual settlement date (or date the ACH transaction occurs against your checking or savings account or is charged to your check or credit card) will be no earlier than three (3) days before the invoice due date. 4. You agree to ensure that there are sufficient funds in your designated account on the settlement date to pay the amount of the debit. If Sunrun incurs charge -back fees as a result of insufficient funds in your designated account, then Sunrun shall bill you for those fees. 5. Sunrun reserves the right to change these conditions at any time. Notice may be given on or with your bill or by other methods. Either party may terminate this arrangement at any time by giving the other party written notice reasonably in advance of the date of termination or any scheduled settlement date. You may also terminate this arrangement by calling Sunrun Customer Care at 1-855-478-6786 or by changing your billing preference the Sunrun Customer Portal. Termination shall not prevent a debit transaction authorized before any notice of termination. 6. You agree to be bound by any rules your financial institution requires for pre -authorized electronic funds transfer or credit card issuer requires for pre - authorized credit card charges. 7. Check with your financial institution to see if there are any fees associated with the pre -authorized payment option. You will be responsible for all such fees. I authorize automatic electronic payments and accept these Terms and Conditions. You will receive a separate electronic request to securely enter your bank account information. CUSTOMER Date:' 6/8/2015 DocuSigned by: (�aSwtibt, (�iy�i Signature: 715 C60B4O9 47.6 dSmn Hirp 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 14 of 18 DocuSign Envelope ID: 9F9584EE-18F74F41-9EFB-1A9514591DC6 EXHIBIT C [Intentionally left blank] 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 15 of 18 DocuSign Envelope ID: 9F9584EE-18F74F41-9EF8-1A9514591DC6 NOTICE OF CANCELLATION 6/8/2015 DATE: (Enter date of transaction) YOU MAY CANCEL THIS TRANSACTION, WITHOUT ANY PENALTY OR OBLIGATION, WITHIN TEN CALENDAR DAYS FROM THE ABOVE DATE. IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENT MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN 10 CALENDAR DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE AND ANY SECURITY INTEREST ARISING 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 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 TO SUNRUN INC., 595 MARKET STREET, 29TH FLOOR, SAN FRANCISCO, CA 94105 NOT LATER THAN MIDNIGHT OF I HEREBY CANCEL THIS TRANSACTION. DATE: CUSTOMER SIGNATU (DATE) NOTICE OF CANCELLATION MAY BE SENT TO SUNRUN AT THE ADDRESS NOTED ON THE FIRST PAGE OF THIS CONTRACT. 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 16 of 18 DocuSign Envelope ID: 9F9584EE-1 8F7-4F41-9EF8-1 A9514591 DC6 NOTICE OF CANCELLATION DUPLICATE COPY DATE: (Enter date of transaction) YOU MAY CANCEL THIS TRANSACTION, WITHOUT ANY PENALTY OR OBLIGATION, WITHIN TEN CALENDAR DAYS FROM THE ABOVE DATE. IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENT MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN 10 CALENDAR DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE AND ANY SECURITY INTEREST ARISING 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 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 TO SUNRUN INC., 595 MARKET STREET, 29TH FLOOR, SAN FRANCISCO, CA 94105 NOT LATER THAN MIDNIGHT OF (DATE) I HEREBY CANCEL THIS TRANSACTION. DATE: CUSTOMER SIGNATURE: NOTICE OF CANCELLATION MAY BE SENT TO SUNRUN AT THE ADDRESS NOTED ON THE FIRST PAGE OF THIS CONTRACT. 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 17 of 18 DocuSign Envelope ID: 9F9584EE-18F7-4F41-9EF8-1A9514591DC6 EXHIBIT E: SUNRUN DEPOSIT FORM If you are paying your deposit by check, please enclose this document with your payment and include your Sunrun Proposal ID reference in the memo line of your check. Name: Yasmin Hirji Address: 34 Sawmill Rd, North Andover, MA 01845 Proposal ID: PK1414A4N3NV Deposit Amount: $0 Please send payments to: Sunrun Inc. P.O. Box 511612 Los Angeles, CA 90051-8167 Thank you for choosing Sunrun! 06/08/2015 PK1414A4N3NV-H (Custom PPA Fixed) Page 18 of 18 LT� 14 V C r- O O 'O V a Q) +C C O O V O O C v ra O t5 V) O CU L O Q O b0 Oj C > a O L n ro o -0 tA CU -p 4= c ro c a c -Q O N. a, _ c � n QC L ca UA O C N L L- a O a t-+ C C a C E a a c O �U (U LA r6 oro �. O >, L ro Q E c a N m E o C a V v w `) Q) a Q � a � ro v O O (U 'B Ln O_ C E L m O rL N vi v ° C c T r0 a +>'CL + tC6 w O - O Cid '> L 00 °L' v C a> E =3a :3 -G Q C. Ln O N r6 00 00 a L T O O N O \ O co O Y w N \to J O Ln lzr m LLI N a Vl rj - C Ln O O O O_ Ln O Q a C Q +� V ULJ O Cd O O = h C� Oa p O wC a_ a 0-- t OU co w_c � C ,C Q O O L jL w ` m V�1 Y Ln _ N %D N CO r Q > N O -d Ln L O m Z 00 r !n N in N In X N X N C Q a LT� 14 V C r- O O 'O V a Q) +C C O O V O O C v ra O t5 V) O CU L O Q O b0 Oj C > a O L n ro o -0 tA CU -p 4= c ro c a c -Q O N. a, _ c � n QC L ca UA O C N L L- a O a t-+ C C a C E a a c O �U (U LA r6 oro �. O >, L ro Q E c a N m E o C a V v w `) Q) a Q � a � ro v O O (U 'B Ln O_ C E L m O rL N vi v ° C c T r0 a +>'CL + tC6 w O - O Cid '> L 00 °L' v C a> E =3a :3 -G Q C. Ln O N r6 00 00 a L (! _ " Lit1� ii U � �{J 11 : , A RIGOROUS LOAt1,ANALYSIS 14G San ,lose Coon, San Luis Obsipo, CA 93405 0 Ph: 805-215.8665 0. Fx. 905.544.0663 DATE: 08-25-2015/Rev C FOR: Sunrun 775 Fiero Lane Suite #200 San Luis Obispo, CA 93401 To Whom It May Concern JOB: Hirji, Yasmin Residence 34 Sawmill Rd North Andover, MA 01845 This letter is to certify that we have performed a structural analysis of the existing roof members that are to support photovoltaic panels, as shown on the attached report. The calculations were performed in accordance with the latest editions of IBC, NDS, ASCE/SEI, CBC, and IRC, and the 8th edition 2009 Massachusetts building code. Our analysis was based on the following design criteria: Ground Snow (psf) 50 psf Sloped Snow (psf), reduced per ASCE, Sect. 7.4 50 psf Basic Wind Speed (mph): 100 mph ASCE Code: 7-05 The PV module orientation: Portrait The maximum horizontal roof mount spacing: 4 ft. The maximum vertical roof mount spacing: 2.75 ft. Staggered roof mounts required? Yes Based on this analysis, we can certify to the best of our knowledge; that the individual existing roof framing members that support the PV panels; along with strengthening of those roof members if indicated; and the individual roof members as described in the attached report; are adequate to support the design loads as required by the various codes. This includes Dead Loads (including the weight of the PV panels), Live Loads, Snow Loads, and Wind Loads, on the roof members that support the PV panels, combined as required in the codes. If you have any questions on this or need further clarification, please contact us at your convenience. Sincerely James A. Adams, S.E. OF 4f.4 © JAMES A.�,,, ACA( S STRUCTURAL Nn. A97A8 Expir.. Digitally Signed by James A. Adams, S.E. Date: 2015.08.2513:09:50 -0700 ROOF STRUCTURAL ASSESSMENT REPORT Date of Report: 08-25-2015/Rev C Job Name: Hirji, Yasmin Residence Data Input by: Michael Paradis Job Number: 221 R-034HIRJ Contact E-mail: michael.paradis@sunrunhome.com Job Address: 34 Sawmill Rd Contact Phone: 877-764-5019 North Andover, MA 01845 Prepared for Sunrun 775 Fiero Lane Suite #200 San Luis Obispo, CA 93401 Phone: 805-528-9705 Fax: ASCE Code: 7-05 Version: 2015-08-16 Background Calculations Platform created by James A. Adams, S.E. OUTPUT SUMMARY Date of Report: 08-25-2015/Rev C Job Name: Hirji, Yasmin Residence Data Input by: Michael Paradis Job Number: 221R-034HIRJ Contact E-mail: michael.paradis@sunrunhome.com Job Address: 34 Sawmill Rd Contact Phone: 877-764-5019 North Andover, MA 01845 CALCULATIONS COMPLIANCY TEST RESULTS - Loading Combination #1: (% of Code Compliancy=282.9 %) PASS Wind Uplift on standoff- 0.6 DL Solar - Loading Combination #2: (% of Code Compliancy=640.9 %) PASS DL Rf + DL Solar + Roof Live Load Loading Combination #3: (% of Code Compliancy=581.2 %) PASS DL Rf + DL Solar + Wind Down Loading Combination #4: (% of Code Compliancy=137.4 %) PASS DL Rf + DL Solar + Snow Loading Combination #5: (% of Code Compliancy=207.9 %) PASS DL Rf + DL Solar + .75 Wind + .75 Snow: Loading Combination #6: (% Increase of Seismic Load=3.6 %) PASS Check Additional Seismic Load Loading Combination #7: % of Code Compliancy=774.2 PASS Wind Up - 0.6(DL Rf + DL Solar) This Report is based on Code required Engineering Calculations using the data which has been input by the User. This Report indicates the Code compliance or Code non-compliance of the Solar Panels proposed for the Selected Roof Type. Note: For ASCE 7-10, wind includes (0.6) factor, in loading combinations. Date of Report: 08-25-2015/Rev C Job Name: Hirji, Yasmin Residence Data Input by: Michael Paradis Job Number: 221 R-034HIRJ Contact E-mail: michael.paradis@sunrunhome.com Job Address: 34 Sawmill Rd Contact Phone: 877-764-5019 North Andover, MA 01845 ABSTRACT This Report is based on Engineering calculations using the input data supplied by the User, listed above. The User's input has not been independently reviewed by a licensed Professional Engineer for appropriateness or accuracy. This Report indicates Compliance/Non- Compliance with the reference Codes listed below. The following items have been checked for Code Compliance: - Load Combination #1: Wind Uplift on the Standoff attachment to the Roof Framing members: Wind Uplift - 0.6DL Solar - Load Combination #2: Supporting Rafter Strength with: DL Rf + DL Solar + Roof Live Load - Load Combination #3: Supporting Rafter Strength with: DL Rf + DL Solar + Wind Down - Load Combination #4: Supporting Rafter Strength with: DL Rf + DL Solar + Snow - Load Combination #5: Supporting Rafter Strength with: DL Rf + DL Solar + .75Wind + .75Snow - Load Combination #6: Check Additional Seismic Load - Load Combination #7: Supporting Rafter Strength with: Wind Up - 0.6(DL Rf + DL Solar) Job Information Data Input By: Michael Paradis Job Number: 221R-034HIRJ Job Name: Hirji, Yasmin Residence Job Address: 34 Sawmill Rd City, State: North Andover, MA 01845 Current Input Data Payment Method Invoice Roof Type CollarTies Ceiling Type 1/2 gyp. Bd. Collar Tie Space 32 Coverage % 23 Frame Size 3-2x8@16 Ground Snow (psf) 50 Sloped Roof Snow Load (psf) 50 Lag Screw Diam. (in) 5/16 Lag Screw Embed. (in) 2.5 Overall Span (ft) 34 PV Weight (psf) 3 PV Module Orientation Portrait Rafter Span (ft) 15.167 Rail System 2Rail Roof Mean Height (ft) 15 Roof Slope (degrees) 15 Roofing Type Comp. Shingle Sloped Ceiling No Max. Horizontal Roof Mount(ft) 4 Max. Vertical Roof Mounts (ft) 2.75 Standoff Staggered Yes Wind Exposure C Wind Speed (mph) 100 Reference Codes International Building Code (IBC latest edition) American Society of Civil Engineers (ASCE/SEI 7-05, 7-10) National Design Spec. for Wood Constr. (NDS latest edition) CBC and NJ Edition Note: For ASCE 7-10, wind includes (0.6) factor, in loading combinations. STRUCTURAL CALCULATIONS for PV INSTALLATION Sunrun 775 Fiero Lane, Suite #200 San Luis Obispo CA, 93401 805-528-9705 USER: COMPANY NAME: SRC JOB ID: JOB REPORT DATE: JOB NUMBER: JOB NAME: JOB ADDRESS: i� OF 144 off' JAMES A. ADAMS STRUCTURAL Expir. 06/301201' 6 Digitally Signed by James A. Adams, S.E. Date: 2015.08.2513:06:43 -0700 Michael Paradis Sunrun 7401 2015-08-25/Rev C 221 R-034HIRJ Hirji, Yasmin Residence 34 Sawmill Rd North Andover, MA 01845 Program Version: 2015-08-16:7 Contact: jadams@solar-roof-check,com Phone: 805.215.8665 Page 2 of 9 LOAD COMBINATIONS: ASCE 7-05, TBC 2009 (NOT APPLICABLE IN CA) • LOADING COMB. #1: WIND UPLIFT - 0.6DL SOLAR AT STANDOFF (CD=1.6) ZONE 2 • LOADING COMB. #2: DL RF + DL SOLAR +IRF LL (CD=1.25 ). • LOADING COMB. #3: DL RF + DL SOLAR + WIND DOWN (CD=1.6). ZONE 1 • LOADING COMB. #4: DL RF + DL SOLAR + SNOW (CD=1.15). • LOADING COMB. #5: DL RF + DL SOLAR +.75WIND +.75SNOw (CD=1.6) ZONE 1 • LOADING COMB. #6: CHECK SEISMIC FOR SECT. 3404.4 ALTERATIONS. • LOADING COMB. #7: (0.6)(DL RF + DL SOLAR) + WIND UP (CD=1.6). ,ZONE 1 LOAD COMBINATIONS: ASCE 7-10, IBC 2012 CALIFORNIA, CBC 2013 • LOADING COMB. #1: (0.6)WIND UPLIFT - 0.6DL SOLAR AT STANDOFF (CD=1.6) ZONE 2 + LOADING COMB. #2: DL RF + DL SOLAR +RF LL (CD=1.25 ). • LOADING COMB. #3: DL RF + DL SOLAR + (0'.6)WIND DOWN (CD=1.6) ZONE 1 r LOADING COMB. #4: DL 'RF + DL SOLAR + SNOW (CD=1.15) 0 LOADING COMB. #5: DL RF + DL SOLAR +.75(0'.6)WIND +.75SNOW (CD=1.6) ZONE 1 • LOADING COMB. #6: CHECK SEISMIC FOR SECT. 3404.4 ALTERATIONS ! LOADING COMB. #7: (0'.6)WIND 'UP-0.6(DL RF + DL SOLAR) (CD=1.6) ZONE 1 REFERENCES: NJ, NDS LATEST EDITION Duration Factors Section Modules Size Form Factor Cdwina := 1.6 SM := 0.563 S4x4 := 7.150 C#2.2 = 1.5 Cf4x4 := 1.5 Cdsnow := 1.15 S2x4 := 3.063 Saxe := 17.650 Cf2x4 := 1.5 C#4x6 := 1.3 CdDL .= 0.9 52X6 := 7.563 Sus := 30.660 Cf2x6 := 1.3 Cf4x8 := 1.3 Cd LL .= 1.25 S2x8 := 13.14 S4xio:= 49.900 Cf2x8 := 1.2 Cf4xio := 1.2 S2xLo:= 21.39 S4Xl2:= 73.800 Cf2x o :_ 1.1 Cf4x12 := 1.1 Fb :=1000.00 psi S2xi2:= 31.64 Cf2xl2 := 1.0 Page 3 of B USER INPUT: 1. Ceiling Type: 1/2 gyp. Bd. 2. Collar Tie Space: 32 3. Coverage %: 23 4. Frame Size: 3-2x8@16 5. Ground Snow (psf): 50 6. Sloped Roof Snow Load (psf): 50 7. Lag Screw Diameter (in): 5/16 8. Lag Screw Embedment (in): 2.5 9. Overall Span (ft): 34 10. PV Weight (psf): 3 11. Rafter Sloped Span (ft): 15.167 12. Rail System: 2Rail 13. Roofing Type: Comp. Shingle 14. Roof Mean Height (ft): 15 15. Roof Slope (degrees): 15 16. Roof Type: CollarTies 17. Sloped Ceiling?: No 18. Standoff Max. Horz. Space (ft): 4 19. Standoff Max. Vert. Space (ft): 2.75 20. Standoff Staggered?: Yes 21. Wind Exposure: C 22. Wind Speed (mph): 100 23. wr = Weight of RoofType (psf): 2.20 24. wra = Weight of Rafter (psf): 5.85 25. we = Weight of CeilingType: 2.20 26. wcj = Weight of Ceiling Joists (psf): 0.65 27. s = Rafter spacing (ft.): 1.33 28. PV Orientation: Portrait Page 4 of 8 SLOPED/VAULTED CEILING - CARRIED BY THE TOP Ci4oRD/f RAFTER: DLtc := Deadload Top Chord (Rafter) DLbc := Deadload Bottom Chord (Ceiling) FLAT CEILING - CARRIED BY THE CEIILING 3orsTs: DLtc := Deadload Top Chord (Rafter) DLbc := Deadload Bottom Chord (Ceiling) «-DLte DLtc x 5 (pIf 14.07 NvDLbc := DLbc x s (pio 4.47 TA = Horizontal spacing x Vertical spacing (sf) 11.00 Topographic Factor Assume Roof is not on top of a hill, bluff, or mountain ridge, 1.0 Sect. 6.5.7.2, pg'. 26 Cis 1.00 COMPONENTS AND CLADDING: ASCE 7-05: Zone 1: Net Wind Pressure - See Figure 6-3, pg. 42 16.00 Zone 2: Net Wind Pressure - See Figure 6-3, pg 42 26.40 Adjustment Factor for Height and Exposure See Figure 6-3, pg. 44 1.21 ASCE 7-10: Zone 1: Net Wind Pressure -See Figure 30.5-1. NA Zone 2: Net Wind Pressure - See Figure 30.5-1, NA Adjustment Factor for Height and Exposure - See Figure 30.5-1, NA pZone 1 up = Net Wind Pressure x Adj. Factor (psf) = 19.36 pZone2up = Net Wind Pressure x Adj. Factor (psf) = 31.94 P Zone 1 do =Net Wind Pressure x Adj. Factor (psf) = 10.00 PaSe 5 of a Note: For ASCI; 7-10 the wind forces have been multiplied by 0.6 LowoxNG COMBINATION *1: WIND UPLIFT CONNECTION To RAFTER - ZONE 2 Pj ;= TA x (Pup - 6 x DI -Solar x cos(8) uplift 332.26 d= Diam.lag screws User Input 5/16 t= lb/inch Withdrawal NDS 2012 - Tab. 11.2A, pg 75 235.00 e= Threaded embedment Into wood User Input 2.50 W= Total withdrawal capacity «' := Cd,,T,;ind x t x e 940.00 % " x 100 282.91 P, << If equal to or more than 100% Code Compliant, OKI Table 3 represents the maximum Moment (M = PL/a) resulting from point loads (standoffs), for any spans (L) listed. a= 2.51 Table 3 [The Moment Factor "a" fora 2 Rail system) Table 3 (The Moment Factor'a' for Zeg) or similar systern) Staggered U nstagge re d Staggered U nstagge re d Length Portrait Landscape Portrait Landscape Length Portrait Landscape Portrait Landscape L = 4' 4.00 4.00 4.00 2.91 L = 4" 5.00 5.00 5.00 5.00 L = S' 4.00 3.50 3.72 2.50 L = 5' 5.00 5.00 5.00 5.00 L = 6' 4.00 3.00 3.43 2.09 L = 6' 5.00 5.00 5.00 5.00 L = 7' 3.60 2.84 2.95 1.83 L = 7' 4.50 4.50 4.50 4.19 L = 8' 3.20 2.67 2.46 1..56 L = 8' 4.00 4.00 4.00 3.37 L = 9' 3.03 2.59 2.34 1.44 L = 9' 4.00 4.00 4.00 3.12 L = 10' 2.86 2.50 222 1.31 L =10' 4.00 4.00 4.00 2.86 L = 11' 2.77 2.25 2.04 1.19 L = 11' 4.00 4.00 3.70 2.48 L = 12' 2.67 2.00 1.85 1.07 L =12' 4.00 4.00 3.39 2.09 L = 13' 2.61 1.88 1.74 0.90 L = 13' 4.00 3.87 3.35 1.98 L =14' 2.55 1.75 1.62 0.92 L =14' 4.00 3.73 3.30 1.87 L= IS' 2.51 1.68 1.50 0.86 L =1S' 4.00 3.32 2.88 1.78 L =16' 2.46 1.60 1.38 0.81 L =16' 4.00 2.90 246 1.68 L = 17' 2.43 1.45 1.31 0.76 L =17' 4.00 2.74 2.36 1.57 L = 18' 2.40 1.29 1.23 0.72 L =18' 4.00 2.57 2.25 1.45 L = 19' 2.38 1.24 1.17 0.68 L = 19' 4.00 2.46 2.18 1.38 L = 20' 2.35 1.18 1.11 0.65 L = 20' 4.00 2.35 211 1.30 L = 21' 2.22 1.14 1.06 0.62 L = 21' 4.00 2.28 2.06 1.25 L=22' 2.09 1.10 1.00 0.59 L = 22' 4.00 2.20 2.00 1.20 Page 6 of a Note: For ASCE 7-10 the wind fomes have been multiplied by 0.6 COMBINATION #2: DL RF + DL SOLAR + RF LL (CD=1.25 ) with LL= 20.00 psf w := LL x s plf (plf) _= 26.67 P = TA x DLSolar 33.00 (L - 5-5) 2 (ft) := 4.83 ADL = ( L2 L wDLtc x — + Psp x — x cos(8) 583.31 S a For Spans < 10.0 ft �,_ Ll - !"� =~ . 2 x x (2. x L — 3)1 x cos(e) - MLL 2xL J NA 2 x w LL LL 1 "' 2 For Spans = -10.0 ft` .. _-• ~ " [1w,xcx(2xL—c)+wxc2]1 2 x L J x cos(0) -ILL — 300.89 2xw M:= MDL + MLL Ib -ft) := 884.20 S, := N1 x 12 FbxCdLLxCf. xCfx CLS 6.15 S v/o — x x 100 « IF EQUAL TO OR MORE THAN 1000/0 CODE COMPLIANT,, OKI 640.87 Sr COMBINATION #3: ZONE 1 DL RF + DL SOLAR + WIND DOWN (CD=1.6) P3:= TA x (pdn + DLSolar x cos(0 141.88 N1 - wDL x LL x cos(9 x dei �c L 3 tc ( _) — P .3 � a 1248.00 Sr:= M;x 12 6.78 Fb x CdWind x Cf-, x Cr x CLS SX x 100 <G IF EQUAL TO OR MORE THAN 10'0% 'CODE COMPLIANT,, Q'K1 581.19 Sr COMBINATION #4: DL RF + DL SOLAR + SNOW (CD S = Sloped Roof Snow Load (psf) 50.00 P =TA x(S + DLSoiar,I1583.00 2 ` N7, wDLtc x S+ P4 x L x cos(s) 3793.52 a, Sr.= � x 12 '%"4'%"4 FU x Cd$Iia28.68 ��. x Cfx x CI_ x CLS S,L x 100 oe « IF EQUAL TO OR MORE THAN 1000/0 CODE COMPLIANT, OKI 137.43 Sr Page 7 of @ Note: For ASCE 7-10 the wind farces have been multiplied by 0.6 LOADING OoMBI;N'ATioN #5: ZONE 1 DL RF + DL SOLAR +.75WIND +.75SNow (Ca=1.6) S = Sloped Roof Snow Load (psf) 50.00 P5 = TA x ( _75 x S + DLSolar` x cos(e) + ( T.4 x .7-5 x pd. I 512.82 -NI5_ ��vDLtc x 3 + Pg x � I x cos (8) 3489.48 a, Sr x 12 18.96 Fb x Celtic; isid Cf l x Cr x CLS Sx x 100 �.o Sr -< IF EQUAL TO OR MORE THAN 100% CODE COMPLIANT, OKI207.86 LOADING COMBINATION #6: CHECK SEISMIC LOADING: Existin-gDL := DLP + `Falls Walls :_ Psf 19.40 Propos.edDL := Existin_gDL + DLSolar x C 20.09 ProposedDL SeisrnicIncrease := 140 x. — 100 3.56 ExistingDl .) << IF EQUAL TO OR CESS THAN 10% CODE 'COMPLIANT, OKI SEISMIC SUMMARY Sect. 3404.3 Alterations (See Exception): The addition of the Solar Panels, meets the following: The design strength of existing elements required to resist seismic forces is not reduced. The seismic force to required existing structural elements is not substantially increased.. No new structural' elements are being added. New nonstructural elements are 'being connected to existing structure per chapter 16. Alterations do not create structural irregularities. Pago a of a Note: For ASCE 7--1.0 the wind forces have been multiplled by 0.6 LOADIR6 COMBIi -noN #7, ZONE, I (0.6)(DL RF + DL SOLAR) # WIND UP (CD=1.6) P7 = TA x (P"P — 0.6 DLSoyar x eos(0)) 193.83 '%.i, . P — -,vDL x COS(B) =, 7 x L) a tc () 936.85 Sr 2 5.09 . i�r. F s x Cd 12 x Cf, x 'Ci- x 'CLS SX x 100o ,a « IF 'EQUAL TO OR MORE THAN 100% CODE C014PUANT, OKI 774.22 Sr LI:MITs OF 'SCOPE OF WORK AND LXASrLrIY Existing deficiencies which are unknown and not observable due to their being concealed inside walls, or sandwiched behind gypsum board ceilings at the time of Inspection are not Included in this scope of work. These calculations are for the roof framing which supports the new PV modules. These calculations do not include a complete lateral analysis of the building, nor a prediction of the life expectancy of the existing building. The Commonwealth of Massachusetts _ Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia lVorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Sunrun Installation Services, Inc. Address: 775 Fiero Lane, Suite 200 City/State/Zip: San Luis Obispo, CA 93401 Are you an employer? Check the appropriate box: Phone #: 978-549-9438 1.[D I am a employer with 35 employees (full and/or part-time).* 2.❑ I am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3.❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t 4. ❑ I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers' compensation insurance or are sole proprietors with no employees. 5.❑ I am a general contractor and I have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.: 6. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 7. ❑ New construction 8. ❑ Remodeling 9. ❑ Demolition 10 ❑ Building addition 11.❑ Electrical repairs or additions 12. ❑ Plumbing repairs or additions 13.❑Roof repairs 14. 0 Other Rooftop Solar -any applicant that checks box # t must also till out the section below showing their workers' compensation policy information. i 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: Zurich American Insurance Company Policy # or Self -ins. Lic. #: WC013696001 & WC013696101 Expiration Date: 10/0 1 /2016 Job Site Address: 34 Sawmill Rd City/State/Zip: North Andover, MA Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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. 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 pains and penalties of perjury that the information provided above is true and correct. Si nature: �/ Date: I h -;-/14 #: 9 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 #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 02-23-15 www.mass.gov/dia ACC> br CERTIFICATE OF LIABILITY INSURANCE ATE(MM/DDNYYY) 10/01/2015 r THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH RISK & INSURANCE SERVICES 345 CALIFORNIA STREET, SUITE 1300 CALIFORNIA LICENSE NO. 0437153 SAN FRANCISCO, CA 94104 CONTACT NAME: a/cN o ac No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE MOCCUR INSURER A: James River Insurance Company 12203 104960339-STND-GAX-15-16 INSURED Sunnln Installation Services, Inc. INSURER B : N/A NIA INSURER C : Houston Casualty Company 42374 and REC Solar, Inc. 775 Fiero Lane, Suite 200 San Luis Obispo, CA 93401 INSURER D INSURER E: INSURER F: coVERAGES CERTIFICATE NUMBER: SEA -002994222-03 REVISION NUMBER•5 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE MOCCUR 000641241 10/01/2015 10/01/2016 EACH OCCURRENCE $ 1,000,000 PAMAGE REM SESOEaEoccu ante $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JEC JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 X I OTHER: Host Liquor Liability TOTAL POLICY LIMIT $ 10,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident $ ( ) NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE H15XC5023203 10/01/2015 10/01/2016 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Pennitting within jurisdiction. Town of North Andover 120 Main Street North Andover, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Stefan Szulc k&-1 vati-Lul 4 -1vaa-Lul4 AI:VKU L;UKPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ACORO0 `� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/8/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of CA. 1255 Battery Street #450 San Francisco CA 94111 CONTACT NAME: PHONE 415-546-9300 FAX 415-536-8499 E-MAIL INSURERS AFFORDING COVERAGE NAIC # INSURERA:Zurich American Insurance Company 16535 EACH OCCURRENCE $ INSURED SU N RI NC -01 INSURER B: INSURER C: Sunrun Installation Services Inc. 775 Fiero Lane, Suite 200 San Luis Obispo, CA 93401 INSURER D: PRODUCTS - COMP/OP AGG $ $ INSURER E INSURER F: LIABILITY ANY AUTO OWNED SCHEDULED ALL UTOS HIRED AUTOS NON -OWNED AUTOS CnVFRAnFR CFRTIFIrOTP NIIMRFR• 944362624 RFVICInKI NI IMRFR• 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. ICY LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER EFF MMIDDfYYYY POLICY EXP MM DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F] OCCUR EACH OCCURRENCE $ DAMAGE T O TTE—NTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED ALL UTOS HIRED AUTOS NON -OWNED AUTOS 7917— $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per acc dent $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ElN/A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y WC013696001 WC013696101 0/1/2015 10/1/2015 10/1/2016. 10/1/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) WC013696001 - $25,000 Deductible; WC013696101 - FL, HI, MA, NJ, NY, OR, VA, WI only. Evidence of Insurance GtK I IFIGA I E HOLDER rANrPl I eTInN v 198s-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main St North Andover MA 01845 USA AUTHORIZED REPRESENTATIVE v 198s-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: _ LOC #: AC40 � ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMEDINSURED POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: AUL01I IUr1JJ%L KtIYIAKR.Z) THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: Named Insureds: Sunrun, Inc.; Sunrun Installation Services, Inc.; Sunrun South LLC; REC Solar, Inc.; Mainstream Energy, Inc.; AEE Solar, Inc. AGUKU 9U9 tZUUS1U1) © 2008 ACORD CORPORATION. All rights reserved. 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LL r W az N O r w D M C J g J m CL ~ a o W C W 0¢ Wp N TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: L9/7- ,20// Date Received Date Issued: % / /0 IMPORTANT: Applicant must complete all items on this page LOCATION 4 SA- W m i t t R13 Print PROPERTY OWNER A5" Print MAP NO: / PARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village yes CiSo3 TYPE OF IMPROVEMENT PROPOSED USE Resi Non- Residential New Building One family Addition -Two or more family Industrial Alteration No. of units: Commercial Repair, replacemen Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Y4�sMt,-4 GL-**ssrtiz Phonecj7:?-2L5--74-5-- Address: 34 SAu&4,1( (0 CONTRACTOR Name: Phone: q 7V - 2.65 ^7d5�- Address: _Lf5^ Supervisor's Construction License: Exp. Daae: /6-Z4-10 Home Improvement License: a 1 7 Y Exp. Date: ARCHITECT/ENGINEER Address: Phone: 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: $ *Z6 D t> FEE: $ 96s Check No.: _6 ( 3 Receipt No.: 0�5� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund i nature of A wner w . 'Signature of contractor L �,,4 .__ R,., �9.. _ _ __ �__ g- _ _ent/O_ rr Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dump ster on Site THE FOLLOWING 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 t. Planning Board Decision: Conservation Decision: Comments 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 signatureldate COMMENTS Dimension 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 drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NU I t5 anci UA I A — I I -or department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 IVB 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 Li Copy of Contract o 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 ❑ Building Permit Application o Certified Surveyed Plot Plan Li Workers Comp Affidavit Li Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o 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 ❑ Certified Proposed Plot Plan o 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) ❑ Copy of Contract Li Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: 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 Doc: Doc.Building Permit Revised 2008 Location 311 �57afj,, No. 0 / �? - -,,' 6 // Date - 7111119 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 94� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �� 6-.? 230,,)6 Z Building Inspector z si P-4 I -W 2 O CD O CD ■ L O V Z CD CL O CO) � C I Com_ ca p '� M O ■O �E m m L O O CD 3 0 Q L _O O Q cmQ y C O •+C C Q Q ■v J .� d O CD c Z 03 V y R Q C ■ C _c fl. CO) . a Cal c O U a O H w � O w04 V Em 40 a co N I-- •" o 1 t C =CD � o ,r rn 'o. • v ti E � v 00 z •� �' W ,� m N _ m O C W y m Op G G lul W c, ca 4) O fl•v w° C a ' U w ww C wcn w w cn cn P-4 I -W 2 O CD O CD ■ L O V Z CD CL O CO) � C I Com_ ca p '� M O ■O �E m m L O O CD 3 0 Q L _O O Q cmQ y C O •+C C Q Q ■v J .� d O CD c Z 03 V y R Q C ■ C _c fl. CO) Cal c O H � O V Em 40 co N I-- •" o 1 t C =CD � o ,r rn 'o. • v ti E CO a z N 3 m N _ m O C y m OC :Em _a fl•v L:m = o c, v dC=O CD V m N O '� 'CO3 Z C r..: O cc c O. C H ¢ C i m C •p x mco ; o• o COD W G O:5 MCD •N _ ++ 4- m R O O _ • ca CL= C •y O V O C3 C3 p ® C V* _ a m 2 Nip = O H O A F- = .$ 06� m P-4 I -W 2 O CD O CD ■ L O V Z CD CL O CO) � C I Com_ ca p '� M O ■O �E m m L O O CD 3 0 Q L _O O Q cmQ y C O •+C C Q Q ■v J .� d O CD c Z 03 V y R Q C ■ C _c fl. CO) "°p'"OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER '•; CONSTRUCTION CONTROL PROJECT NUMBER:_ _ at uo AVIA PROJECT PROJECT LOCA NAME OF NATURE C on # IN ARQAN �fl�%C�%C� 1Tl R /BE OF THE MASSACHUSETTS STATE REGISTRATION NOUILDING CODE, BEING A REGISTERED PROFESSIONAL ENGINEER)ARCHlTECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS'CONCERNING: ENTIRE PROJECT 0 FIRE PROTECTION 0 ARCHITECTURAL STRUCTURAL 0 MECHANICAL 0 ELECTRICAL Q OTHER (SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT 1 SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND'PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings, samples and other submittals which are submitted by the contractor in accordance with the requirements of the construction documents. 2.: Review and approval of the quality control procedures for all code -required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. h PURSUANT TO SECTION 116.2.2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT ® TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. 3 3 UPON COMPLETION OF THE WORK, i SHALL SUBMIT A FINAL REPORT AS TO T ` c = H SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUP CY. xm � 3 E_ SIGNATURE U N o 3: c b SUBSCRI$ �DWOR TO BEFORE ME THIS�� � DAY OF Ups .Z � n es ?� NOTAR UBLI MY COMMISSION EXPIRES J 1a _ a I.moi D. Robert Nicetta. Building- Commissioner 01 i Telephone(978)688-95454 Fax (978)688-9542 CONTROL CONSTRUCTION - SECTION 116.0 M.S.B.C. CERTIFICATE OF ENGINEERING/ARCHITECTURE BULDING INSPECTOR TOWN OF NORTH ANDOVER 400 OSGOOD STREET NORTH ANDOVER MA 01845 I Steven Houle HEREBY CERTIFY THAT THE BUILDING CONSTRUCTED AT Buono Panini, 220 Sutton Street DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDERAL REGULATIONS FOR THE FOLLOWING: AUTHORIZED SIGNATURE: DATE: June 9, 2010 REGISTRATION: 46743 NOTE: ENGINEER "WET STAMP" MUST BE AFFIXED TO Control Construction Fonn revised 11, 15.2004 N OF �P 2� 0 HOULE No. 46143 0 o PF S t 1;-� OFFSSIONA- BOARL) OF APPEALS 698-9541 CONSERVATION 688-9530 IiI::AI_.'I'F! 685-9540 PLANNING 688-9535 TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT n 400 Osgood Street North Alidover. Massachusetts 07 845 D. Robert Nicetta. Building- Commissioner 01 i Telephone(978)688-95454 Fax (978)688-9542 CONTROL CONSTRUCTION - SECTION 116.0 M.S.B.C. CERTIFICATE OF ENGINEERING/ARCHITECTURE BULDING INSPECTOR TOWN OF NORTH ANDOVER 400 OSGOOD STREET NORTH ANDOVER MA 01845 I Steven Houle HEREBY CERTIFY THAT THE BUILDING CONSTRUCTED AT Buono Panini, 220 Sutton Street DOES CONFORM IN ALL RESPECTS TO THE MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDERAL REGULATIONS FOR THE FOLLOWING: AUTHORIZED SIGNATURE: DATE: June 9, 2010 REGISTRATION: 46743 NOTE: ENGINEER "WET STAMP" MUST BE AFFIXED TO Control Construction Fonn revised 11, 15.2004 N OF �P 2� 0 HOULE No. 46143 0 o PF S t 1;-� OFFSSIONA- BOARL) OF APPEALS 698-9541 CONSERVATION 688-9530 IiI::AI_.'I'F! 685-9540 PLANNING 688-9535 All permits & engineering fees to be paid by owner All the details have to be approved by the designer and MR Faisal any changes will be as change order I have nothing to do with bathrooms and vanillabox isal bazarto o MR Samir kho ry - - -------------- 7o doors,# A at the � /plans /AlI 1-(`> i 5Th1,,V. . 8 two counter... one in the waitress station and one in the hostess station ,the preparation room will have stainless steel by owner 9. window between the kitchen and the waitress station 10. frame the benches 10 straight and three round, and two with L shape 11 do all the base board and finish wood work in the job 12 aluminum entrance, paints and ceramic tiles will be discussed separately 13 Dumpster will be on the site after the work is halfway Done The coast of the job will be 55000.00$ fifty five thousand U S Dollars include Payment 25% down payment 25% when framing are done 20% when the sheetrock and the drop ceiling done 20% when the bar and the benches done 10% open completion CONTRACT 06/14/2010 Is to do all interior work for the restaurant BUONO PANINI between Mr.faysal bazarto & Mr samir khoury 220 sutton street 27 clark street N Andover MASS 01845 N Bedford MASS 02740 This is what I came up with for the job in the restaurant.. All works to be completed based on plans dated on February 25 ,2010 by Michael Oratovsky,AIA 60 Malcom road Jamaica plan MASS 02130 1. frame all the ceilings. Also the circle part.. Sheet rock, compound or skim coat and one coat of primer 2. drop ceiling, ceiling tiles, 2by2 for the hall, 4by4 for the kitchen 3 do all the inside petition walls and the half wall with Plexiglas Sheetrock compound and one coat of prime 4 frame the -jb�a�r� with birch woo4 and Plexiglas P0 L%°� tips �- 5 cover the kitchen walls with FRP 6 frame the wine cabinet on both side )r/x9-. e uj�,� . The Commonwerclth Of Massachusetts Department o f Industrial accidents Office of rnveske adons 600 Washinbu%n Street Boston, M4 02111 wwrv.m.ass.gov/itis Workers' Compensation Insurance Afficfavi�; guildersContractors/Electric Iicant Information /ians/Plumbers Name (Business/organizatimadividual): Address: 4 > ; 4.,, ,J .. o City/State/Zip: Phone #:_Q 3�Z� Are you an employer? Check the appropriate boz: 1- ®I am a employer with --�_ 4. ❑ I am a employees (full and/or part-time).* have hi ---n l contractor and I • ❑ I am a sole proprietor or partner_ the s b - ship and have no employees working for me in any capacity. [No workers' comp: insurance required.] ❑ .I am s homeowner doing all work myself. [No workers' comp. insurance required.] t listed on u contractors the attached sheet I These subcontractors have workers' comp, insurance. 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4.), and we have no employees. [No viworkers' Type of project (required): 6. [❑ New construction 7. (( Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.11 Electrical repaiis or additions 11.13 Plumbing repairs or additions 17-❑ Roof repairs �auance ] I 13-❑ Other :.ny �Iicant Lha, Chet s box V I must v required Homeown alio qui ou[ fce se^uo. be or' s^ov.. + els who submit this affidavit indicatin _ -h= vaori;Ws' comr- —en g they ars Being aL' work- and then hire n r , man +contractors that chi 1 this bax must attached an additional sheet showino $,e ntside Gonna qm; �e -_V mus' sib nit a sew afndavit indicating such. e same of �„ttc..� 7<"�iuTS and ihrir , ....t.� lb provuung workers' compensadon insurance for my e in' formayion' nwloyeea Insurance Company Name: u Below is the poFicl, and job site Policy # or Self -ins. Lic. Sob Site Address: Expiration Date: " Attach a copy of the workers' compensation policy declaration as City/State/Zip: �d � M A Failure to secure coverage as required under Section 25A ofM p -e (showing, the policy number and expiration date). fine up to $1,500.00 and/or one-year imprisonment, as well as GL c. 152 can lead to the Of np to $250.00 a da a imposition of criminal penalties of a Y against the violator. Be advised that a co � P�albes m the fora' of a STOP WORK ORDER and a fine Investigations of the DIA for insurance coverage v °f this statement may be forwarded to the erification. Office of I do hereby . _,r_- .. puna ana penalties ofPl r t er u ., thQt the information. provided above is true and correct 302 N Off,ial use only. Do not write in oris area, tri be completed, c , bJ �j or town official City or Tows - Issuing AuthorityPermit/License # (circle one): L Board of Health 2. Building Department .3. City/Town 6. Other Clerk 4. Electrical Inspector 5. Plumbing � e In Contact Person: Phon; #r: Information an- d Instructiolls Massachusetts General Laws chapter 152 requires all employs to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including t%e legal representatives of a deceased employer, or the receiver or trastae of an individual, partnership, association nix- other legal entity, employing employees. However the owner of a dwelling house having not morethan three apart ents and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintt--mance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not be: cause of such, employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to cone buildings in the commonwealth for any applicant who has not produced acceptable evidence of coampliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work ur<-tg acceptableevidence of compliance with the insur=e requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone numbers) along with their certificate(s) of incun,nce. Limited Liability Companies (,LIC) or Lted L' Parte tabiIity erships (LLP) with no employees other than the members or partners,. are not required to carry workers' comp ensation insurance. If an LLC or LLP does have employees, a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. .Also be sure to sign and date the affidavit. The affidavit should be ;.turned to the v��' or tcmm that the applzcatuon for the 13MMu t or license is being requested, not the.Depa==t of Industrial Accidents. Should you have any questions regardira.g the law or if you sre required to obtain a worlers' compensation policy, please call the Department at the number= listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a -reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating cwrent policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially starnpe:d or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each . year. Where a home owner or citizen is obtaining a license or permit not related to any business. or commercial veniaure (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit The Office ofInvestigations would like to than you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address, telephone The Commonwealth_ of R4&ssarhusetts DcPaz ent of Industrial Accidents Office .of Investigations 600 Wasshkgbn Street Boston., M -A 02111 Tel # 617-72.7-4900 ext44Q6.or 1-S77-MASSAFE Revised 5-26-05 Fax # 617-72.7-7749 vcra�.mass._ Dov/din. § z (0 -40 O � m q Om R k ? \27Egk\\,. k B f \ . > w o . Z $ . \ » 27. ` ) . \ _ = r o�= �f ® E ^ . m m m //mom/� V/ m N m CO) 7 . C CD Z y CL o 0. � O CL y aCO -0 0 c v CD CD o Q CDo CD C CD ww y CCD L v CO) 'O I CD S- CO) O 'vCD Z O CCD 0 cCDD �• C =r -,O d _ O �• N O cr H CO O y a m Cl) N n do m Z ? fl (A O. .O•F •O-► m H T O m m Z:5. C V' WEr O O C � O p r � a aye C2 CL CD a =r: :'A l J C cc, rr d� O H 0) C CA CD CL CA v I -y ; \ ^� y N `c n\ to sl:- - W O p 'c p CD C �--�CD - y �. cm C fu IO 5 ro c o n o� )mq 0 9 O R cp W G ro -x w G Poo:vz G tz y G o w G C) O cp pq G is O o � C M M 600 Washington Sda°ec l Boston, MA 02111 waa AIN-VI-sovIdle Workers' Coampeansaido m IIssa mats Mdavite 1�u�nlla���s/cC®m�����®�sll��e���n�ns��nsl�ll�nn�l�ems AaDan➢de��t 1tna�®ma�� a®ffi Plesse ErM ]LpAblyr Name (Business/®rgaWsatiooltndividual)a Address: q s Fg.%4 m City/State/Zap: .em '�►I d�G �►d �°� a;��i Are you sm employer? Check the appropraate boas . 1. CR I am a employer With 4. [3I am a general contractor and I employees (full and/or part -time's have hired the sulo-contractors 2. ® Lama a sole proprietor or partner- listed on the'attacRed sheet. ship and have no employees working for me in any capacity. (No workers' comp. insurance required.] 3.0 I an ahomeowner doing all work myself. [No workers' comp. instupnce required.] t 'these sub -contractors have workers' comp. insurance. 5. ®We are a corporation and its officers have exercisedtheir right of exemption per MOL L 152, §1(4), and wehave no employees. (No workers' coma. insurance required./ T."s of project (retluared)e 6. ®New construction 7. ® Remodeling 8, ® Demolition 9. ® Building addition 10.® Electrical repairs or additions ll.® plumbing repairs or additions 12.® Roof repairs 13.E Dther !Any appiieentthat ehedsbox A must alsofill Out thasecfloabatowshownsgthen�:tu°8 6V cdolanstdonpoucyiufamation. 'tHomeowneis who submit Us affldavitindicating toy are doing all work and than hire cutaide cor matorsmustsubmitanow affidavitindicatingmoh. tContraetors that cheekddsbox most attaohed an additiondsheetshoAsthename ofthe sob-comtraetors and,flArwoikere camp. poft infOUR26on. 11(aaa as a lever Md isprovida workers' cOatpease¢eo�a daasaaPeaace,�r aa0r eaaployees. Below h tae polley acrd j®8 Me ras<etseta. p Insurance Company Name: �If "24 C. Policy # or Self -ins. 1;1Q. #: 02 W aM_A.- 5-1q 2. ]EapirationD: Job Site Address; Citylstate/zipo Attach a copy pf the workers' compemsataom polacy declarataem page (shovuung the gouty member and eapirataom date). Fdllure to secure coverage as required under Section 25A of MGL a 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. fila?s state- ent may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Z do hereby ceatify evader ekepatens aaaad pensees ofpeyjm y dbeg -►tae ea8,p®pffaasaeu®aa prevNed above is t►raae e18d eeMee9 Sianatureo (,J.w� L) l Date: - o ta-omneg: -12E ®ffIcM we V algy. Do not Wee in fills wear, go be Completed by eac�y or town e, f ceseia City or TO= ]E°ermnt/I�ac�mse # lbsmamg Amth®raty (clrele ome)a 1. Beard of Healtik 2. I8®aldnma Departmemt 3. Catymowa Clem : 4. IElectracal impactor S. Plaamubles Impactor 60 Other c�®intact I�erS®me I lkome s - - CERTIFICATE16:20 ACORDrM CERTIFICATE OF LIABILITY INSURANCE 06/30/2009 DATE PRODUCER (800) 225-1865 Fred G. Church, Inc. Fr FrWellman Street 41 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY . AND CONFERS.. NO—RIGHTS . UP..ON. _THE. CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lowell, MA 01851 F EDCTIVE POLICY EFFECTIVE 7/1!2009 800-225-1865 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Citizens Insurance Company of America INSURER B: Hanover Insurance Company New England Window & Door LLC 45 Fondi Road Haverhill, MA 01832-1302 INSURER C: Massachusetts Bay Insurance INSURER D: Wausau Underwriters Insurance Company INSURER E: MED EXP (Any one person) $ 10,000 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE P POLICY NUMBER F EDCTIVE POLICY EFFECTIVE 7/1!2009 PpA7EYMNPIDRATION LIMITS A WE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR ZBN8161407 7/1/2010 EACH OCCURRENCE $1,000,000 PREMISES Ea occurenNTED ee $ I00,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY X PRO- LOC AUTOMOBILE X LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ALL OWNED AUTOS I BODILY INJURY $ (Per person) C SCHEDULED AUTOS I ADN8162169 7/!/2009 1I1/2010 HIRED AUTOS I BODILY INJURY $ (Per accident) _ NON -OWNED AUTOS PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY I AUTO ONLY - EA ACCIDENT $ OTHER THAN EA AC—T $ AUTO ONLY: AGO $ ANY AUTO I B EXCESSIUMBRELLA LIABILITY X I OCCUR 17 CLAIMS MADE UHN8167305 7/1/2009 1/1/2010 EACH OCCURRENCE $ 9,000,000 AGGREGATE $ 9'000'000 $ $ $ RDEDUCTIBLE X RETENTION $H_ WORKERS COMPENSATION AND X WRY TAMIT OE E.L. EACH ACCIDENT $ 500,000 D EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? BINDWC 7/1/2009 1/1/2010 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT 1$ 500,000 IF yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS w England Window & Door LLC Fondi Road verhill, MA 01830 ACORD 25 (2001108) Client # ?orn Mst # 09-10 GL, WC, Auto, Cert # Umb SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE n V AUUKU t.UKrUKAI IUIV IV56 C f bD i I a •._._ Q jig-. F' V cd 4.0 o�� p:N o M J 00" � p c rLU ul W o' d:..W �� o Q Of {: z ev J LLJ A > !, f "' J •._._ ' jig-. 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J m (i co LT G� U J tr —t _+ 2 O 3 O C' ���y' cn m jt2 U) y 1 A C tD 1W @ CL i r (B � p ,-F' v 17) c CO C7 -� ft7 3C) 1 TS- 6i u) (4 j S!) e S O Sl} ,J —0 O N -e ,a O U? ^� `� � O !fi{� p ZT N — O -, D CD 3 J � -) - q) J O V [�. y 01 < i1 ¢i — G� G� CJ (D CO ;u{ j ai C5 D 0 = �_ nr t? 0 C..)(D _ n TID V q -a, O n �. O _ Z- :q O f O0 u V Ji 73-n + I— w (D (f1 (0 m (n 5' n m (n tov1 u n (D (D J i n O O O i J W in L I c-, i� Y I w 0 c� m 0 O � v o 0 J v (�' ���y`✓ice_ � I CD ��I�°► � i IS�} IS •�1 I -.n to c,a (D) w' � il i .,5, I�C i,J �:. 'ted cam• CJ N� N f tV c� DELLA WINDOWS AND DOORS CONTRACT TERMS AND CONDITIONS hese Terms and Conditions are tin integral part of the contract set forth on the roduct Order (the "Contract") between New England Window and Door LI -C ba Pella Windows & Doors, hie. ("Pelhi') and the persons) identified on the roduct Order ("Owner") to supply the products (the "Products"), and perform to work (the -Work") described or referred to in such Contract. For Product )nly purchases. a signed "Product Only Addendum' is a required parr of the ontact. OWNER 'ella is not responsible for any existing, security systems. Owner shall remove Il shades; verticals, blinds, curtains. drapes or window mounted air ondifioners, prior to the installation o('1110 Products. Pella's installers are not :sponsible for the removal or installation of these types of items. Pella is not :sponsible for pre-existing window coverings tiltin" on newly installed Pella indows. -he Owner shall provide complete access to the wort: site between the hours f 7:00 a.m. and 6:00 p.m. (Monday through Friday) for Pella's installers to eliver the Products and perform the Work. PELLA Iella will be responsible for and have control over construction nicatis. nethods. techniques, sequences and procedures and for coordinating all -ortions of the Work. Pella will be responsible for the Work of its Pella ;ontractors who will install IIIc Products. lnless provided otherwise in the Work description, Pella will provide and pay or all labor. materials, equipment, tools and machinery, transportation. and Idler facilities and services necessary for the proper execution and completion It the Work. rhe materials and equipment furnished under lh0 Contact will be good quality rid new unless otherwise required or permitted, the Work will be free front iefects not inherent in the quality required or permitted, and the Work :onform with the requirements of this Contract. Pella shall not be responsible 'or damages or defects caused by abuse. modifications not executed by Pella. mproper or insufficient maintenance, improper operation or normal wear and ear. Pella will keep the premises and surrounding area free front accumulation of waste materials or rubbish caused by performance of the ,Vork. CHANGES The Owner may order in writing changes in the Work consisting of additions. lcletions, or modifications ("Change Order'). Any Change Order shall nclude an adjustment to (lie Price and the Substantial Completion Date. as letennined by Pella. Pella reserves the right to approve or disapprove any hange Order and any such Change Order must be signed by both Owner and .Della to be effective. SUBSTANTIAL, COMPLETION owner understands and agrees that the Substantial Completion Date is an -stimate only and that the actual date on evhich the Work is completed may be ,xiended to allow for Change Orders requested by Owner or if the time to .omple(e the Work is affected by conduct of' the Owner. weather. labor disputes. availability of subcontactors, acts of God. fire or other causes reasonably beyond Pella's control. If for any reason the Work is not fully _,ompleted by the Substantial Completion Date 611CILtding, any extensions .:onteniplated above), but is substantially completed by such date, i.e., the Product has been installed, but minor puts or components are missing or need to be replaced or repaired, a hold back proportionate to the cost of remaining parts or work to he completed is acceptable. However, the holdback will not exceed the amount of the completion costs or 10 `ir of the remaining; unpaid balance of the Price. whicheicr is less. 6. FINANCING If payment of the Price is financed with a financial institution (hrough Pella, all Financing paperwork must be completed upon signing of this Contact and the requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. PAYMENTS Pella shall be entitled to stop the Work upon written notice to Owner for any material default or failure by Owner, including but not limited to, the Owners failure to pay Pella the amount due within seven days after the dale payment is due. S. CORRECTION OF WORK Pella shall correct installation Work not in conformance with the requirements of the Contract, if notified in writing by the Owner within two years after the Completion Date or, it' earlier. the date on which the Work is substantially completed and payment of the Purchase Price made subject to a holdback as provided above. C•orrec(ion of Work as herein provided shall be Owners sole remedy for defective workmanship. and is provided in lieu of" any and all other remedies. Pella's obligation to correct Work is conditioned on Pella's prior receipt of all payments then due. 9. LIMITED PRODUCT WARRANTY Pella shall warrant alar Pella products, but only in accordance w ith the Pella Windows & Doors Limited Warranty. THIS LIMITFD WARRANTY SHALL BE THH SOLE- WARRANTY WITH RESPECT TO THE PRODUCTS AND PELLA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES. EXPRESS OR IMPLIED. WRITTEN OR ORAL (INCLUDING WiTHOUT LiMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS 1=0R A PARTICULAR PURPOSE). 10. NO CONSEQUENTIAL DAAVIAGES UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR CONSEQUENTIAL. INCIDENTAL. INDIP.ECT. OR SPECIAL DAMAGES. WHETHER FORESEEN OR UNFORESEEN. 71. HOME IMPROVEMENT CONTRACTORS All home improvement contractors and subcontractors shall be registered with the director of the Home Improvement Contractor Registation Proeram administered by the Board of Building Regulations and Standards. Pella and any of its subcontractors identified in this agreement have been registered. Any inquires about Pella or any of its subcontractors relating to registration should be directed to: Director. Home Improvement Contactor Registration. One Ashburton Place. Boston. MA 02108. 617-727-9598 12. PEIMITS (MA customers only) Pella �,s oblioated to and will obtain the followin-a permits for this projecC wlr i UP( wt, Homeowners who secure their own permits will he excluded. (ibri) the guar;mty fund provisions of Massachusetts General Laws. chapter 142A. in addition to the riahis and warranties enumerated in this agr0ement. you niap have additional rights under Massachusetts General Laws. chapter 142A and 780 Code of MaSSaChLISC115 Regulations R6. 13. NOTICE OF CANCELLATION You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller. which may be his main office irr branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by lelegram sent or by delivery, not later than midnight of the third business day following the signing of thi: agreement. See the attached Notice of Cancellation for an explanation of this right. Do not sign this contract if there are any blank spaces. Customer sienatut'e ; Date DISPUTES Job Name Date THE CONTRACTOR AND THE HOMEOWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT PELLA HAS A DISPUTE CONCERNING THIS CONTRACT, PELLA MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN M.G.L.c. 142A P�ACA C Contractor Homeowner NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE 'THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. NOTICE OF CANCELLATION J Customer Name: (Please prim) � 1 i s , r � i Date of transaction: You may cancel this transaction, without any penalty or obligation. within three business days from the above date. If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising 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 agreement; 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 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 Pella Windows and Doors, at 45 Fondi Rd., Haverhill, MA 01832 not later than midnight o f (three business days from the date of transaction above). I. hereby cancel this transaction. (Date) (Buyer's signature)