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HomeMy WebLinkAboutBuilding Permit #76-15 - 49 CROSSBOW LANE 7/27/2014pORTti BUILDING PERMIT TOWN OF NORTH ANDOVER ° .t APPLICATION FOR PLAN EXAMINATION ; Permit NO: Date Received '� °�, <mm<m�<_; Date Issued: IMPORTANT: Applicant must complete all items on this LOCATION i 6� (kos&13av L. A N E Print PROPERTY OWNER G K H Rk Q AND e R I N G R I WA IA W / A Print MAP NOl / � b PARCE fO ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE t✓ fq w 1312 I NIA HPM Phone: 'I -T9- 9 -T �a 13a Residential Non- Residential ❑ New Building a ne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well a Floodplain U Wetlands C Watershed District ❑ Water/Sewer 4 flbh 6V & /5 7-01al A.,-GAvqe -7,200 Identification Please Type or Print Clearly) OWNER: Name: Ri,/H SRO PND t✓ fq w 1312 I NIA HPM Phone: 'I -T9- 9 -T �a 13a Address: 11 Yo55bbW olane,,A RndoW, oil- 0I845 CONTRACTOR Name: pat) MC (A rG -} Phone: F-55-796, 1774 Address: IN � S�L3 n 6, -. 62-1 Lf g Supervisor's Construction License: 1 b 4 8-4 6 Exp. Date: q 1151 1(51 I L Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Demn P- Si0o0neA Phone: X366- G61- 812-9 Address:_,P1 Vie goshoi22150 Reg. No. 5040 FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 46 q ( Ll FEE: $564-2 . q Check No.: c'211 Receipt No.: NOTE: Persons contra ng w' h unregistered contractors do not h4veoevroo t e guar my fund Signature of Agent/Ow r 11 -Signature of contct r jW F n 0 Permit No#: Date Issued: LOCATION BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received L ' k, p1ORTH Of�t�eo ibq�A a 0 O.r to h yT IMPORTANT: Applicant must complete all items on this page 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 ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands 0 Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification - Please Type or Print Clearly OWNER: Name: Phone: HUU Contractor Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: _ _ Exp. Date:_ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Sig a e of Agent%Owner �! - Signature of contractor Location No.-,? (! ` Date -7 7 i Check 4t � TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $� • t'f Foundation Permit Fee Other Permit Fee TOTAL Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE'bF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Toning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes -1`?lanning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: FIRE DEPARTMENT - Temp Dumpster on site yes Located at 124 Main Street Fire Department signature/date COMMENTS Located 384 Osgood Street no C 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 No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine rvv i to ana uA i A — (1 -or department use ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 u Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ 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 NOTE: All-dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ 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 ❑ Mass check Energy Compliance Report ❑ 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: Building Permit Revised 2014 14 0 C m v CD M C °� cy MM M CDO v O h '!0 3 (D C (. @ N O Cr (D E. 0 0 �-' 0 0 0 0 E; fi om:Ftoo �a° n cod an75 = u nmT(om0 3' m CD c yco cD Cn W 0)N co N rn °� �' o 0 >n M z m z m n 0 X O (n 03 CO r Z M N 0) 02 Next Step Living Inc. drawing: JI-NSL-0711112014 Customer Name: ERIN BRINGHAM step livin'91 One Line Diagram Address: 49 CROSSBOW LANE Solar Installation NORTH ANDOVER, MA 01845 Phone: (978) 975-2132 OWNER'S AUTHORIZATION FORM for Permit Application(s) The sole purpose of this authorization form is to provide Next Step Living with the necessary permission from the Owner to file Permit Applicatidn(s) for such project work as agreed upon between the Owner and the Owner's Authorized' Company and its designated subcontractors. Owner's Name: Richard Bringham Solar Project Address: 49 CS ossbow -n.. Nort. , An nvpi i�JA Q 1,345 Signature: Owner's Authorized Company: Next Step Living Inc. Company's Address: 21 Dry Dock Avenue South Boston, MA 02210 Affiliation: Contractor Applicable license: HIC #162111 State: MA 1 1Z' U-) W r W^ C•^w, I� V . Z 'K ' W Qw iwCC�r�nn G � V Q w ' Z J W W N Q Z _2D 'a' J b0 Zw J WWZ 0LU aN�m I OW - C7 W N I Q� T W Z LO zgco EE r Z m2 N M ly- W N 4i0�� C U pQ rn Z0)ZCO E C H ai -000 UQZa- c E c: g 0) o it 0 .? p Co C)- CD a) .C: U) ca 4-, � O a) 0U) Z r � � 5 y r. Q 0 cm cn 0 c 3 U N U N Ox mmCD QD�°o c m U QU- cQ� c0 _ N Q) C c c U o Z CD 0 C N " M 0- Z Z I I I N 04 0 0 0 w 0 U I a a N I � I Q� T W Z LO zgco EE r Z m2 N M ly- W N 4i0�� C U pQ rn Z0)ZCO E C H ai -000 UQZa- c E c: g 0) o it 0 .? p Co C)- CD a) .C: U) ca 4-, � O a) 0U) Z r � � 5 y r. Q 0 cm cn 0 c 3 U N U N Ox mmCD QD�°o c m U QU- cQ� c0 _ N Q) C c c U o Z CD 0 C N " M 0- *1 ar III 21 Drydock Avenue, 2°1 floor ii next step Living TM Boston, MA 02210-2384 home energy soi.utions 866-867-8729 NextStepLivi ng. cam July 19, 2014 Town of North Andover Building Department 1600 Osgood Street North Andover, MA 01845 RE: Erin Bringham Residence Solar Panel Installation 49 Crossbow Lane North Andover, MA 01845 Structural Assessment of Roof Framing NSL Project No: SP46917 Dear Sirs, Next Step Living, Inc. has performed a limited structural evaluation of the roof framing at the above referenced site to determine if the roof has adequate capacity to support proposed solar PV panels. This analysis has been based on field measurements, framing information and configurations observed at the proposed site. The existing residence is located at 49 Crossbow Lane, North Andover, MA 01845. Structural Data and Code Information Our analysis was performed in accordance with the requirements of the MA Residential Building Code 780 CMR— Eighth Edition. The main roof of this residence is framed with conventional roof rafters with some collar ties in a gable configuration. The existing roof structure is in good condition and currently has one layer of asphalt shingles as roof covering. The pertinent data is listed below: Main Roof Rafters: I %" x 7 3/" (#2 Spruce Pine Fir, Hem Fir, D. Fir Larch Assumed) Rafter Spacing: 16" on center. Roof Slope: 30 Degrees Horizontal Projected length of Rafter: 14 feet Ceiling Joists: Present Collar Ties: Present every third rafter Roof Sheathing: Plywood sheathing Roof Covering: Asphalt shingles Condition of Framing: Good Ground Snow Load, Pg.: 50 PSF from Table R301.2 (5) Importance Factor, is 1.0 Exposure Factor, Ce: 1.0 (Partially Exposed) The Commonwealth of Massachusetts F Print Form Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): United Solar Associates, LLC Address: P.O Box 498 Citv/State/Zit): Malden, MA 02148 Phone #:855-786-1776 Are you an employer? Check the appropriate box: 1. ❑✓ I am a employer with 5 4. ❑ I am a general contractor and I employees (full and/or part-time).* 2. ❑ I am a sole proprietor or partner- ship 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 have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.t 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 workers' insurance Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.0 Plumbing repairs or additions 12.❑ Roof repairs 13. ❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Travelers Policy # or Self -ins. Lic. #: 7PJ U B -5B50763-8-14 Expiration Date: 07/23/2015 Job Site Address: 49 Crossbowlane City/State/Zip: N Andover, MA 01845 Attach a copy'of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of theDI r insurance coverage verification. I do hereb certi ndgr the Jains and =eteA42�erjuty that the in ormation provided above is true and correct. GZ/, l 4,,,,,0.07/22/2014 855-786-1 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 #: Erin Bringham Residence Solar Panel Installation 49 Crossbow Lane North Andover, MA 01845 Page 2 Thermal Factor Ct: 1.0 Existing condition (Warm Roof) 1.1 With panels (Cold Roof) Design Snow loads: 35 PSF (Existing — Unobstructed Warm Roof) 25.68 PSF (New Condition — Slippery Surface on Cold Roof] Basic Wind Speed: 100 MPH from Table R301.2 (4) Importance Factor: 1.0 Exposure: C Analvsis Results General The proposed solar panels impose a total weight of approximately 3 pounds per square foot (PSF) on the roof, surface. The International Residential Building Code allows up to two (2) roof coverings on a residential dwelling. Each roofing layer of asphalt shingles imposes a dead load of 2.5 to 3.0 (PSF) on the roof. Because the existing roof has only one layer of shingles, the code allows a second layer to be added with analysis. The weight of the second layer of shingles is approximately the same as the solar panels which will be installed instead of the second layer of shingles. Solar panels are considered a slippery surface and are mounted a small distance above the existing roof. Therefore, one would be cautious in considering a thermal factor, Ct, of 1.1, treating the panel surface as a cold roof, rather than a warm roof. After considering the roof slope factor, Cs, from figure 7-2, ASCE 7-10; the snow load is reduced by 27% for the main roof compared with the snow loading on the existing shingled roof, which is not considered a slippery surface. The reduction in snow load due to this consideration is about 9.32 PSF for the main roof, which offsets the weight of the solar panels. Gravity Loading: Although the addition of solar panels results in a net reduction in the overall loading, the existing rafters are overstressed. As such, we recommend that a 2 x 6 collar tie be added at every set of rafters which do not currently have one: The additional collar ties should be at least six (6) feet long, and match the elevation of existing collar ties as close as possible. The collar ties should be cut flush to the roof sheathing, and shall be fastened to each existing rafter with a minimum of 5 —16d nails OR 5 Ledger Lock screws as manufactured by Fasten Master. The panels will be installed using Unirac Solar Mount rails with L -brackets in a landscape configuration with a rail toward the top and bottom of each panel edge. The L -brackets will be fastened directly to the roof rafters with SJ16" diameter lag screws. The fastener layout shall start near each corner and for landscape orientation shall have a maximum spacing of 36" on center parallel to the roof slope and 48" on center perpendicular to the slope (e.g., every third rafter), except the maximum spacing shall be 32" on center perpendicular to the slope (e.g., every other rafter) in the areas of the array which lay in Zones 2&3. Erin Bringham Residence Solar Panel Installation 49 Crossbow Lane North Andover, MA 01845 Page 3 Each 5/16" diameter lag screw shall have a minimum of 2.5" thread penetration into the existing rafter. It is also important that the L -bracket attachment locations be staggered whenever possible between adjacent rails so that no single rafter supports more load than under the existing conditions Wind Loading: Provided the leveling feet attachments to the roof are made in a typical staggered pattern, the overall wind loading imposed on the structure will not be impacted to any great extent. The net wind loads imposed on the roof framing will be less than the current loading with an attachment spacing described above. Conclusions: Our evaluation of the proposed solar- electric installation has established that the framing is NOT adequate to support the addition of the solar panels to the existing roof as indicated on the Solar PV plans without strengthening the structure as previously discussed herein. Once the roof framing is reinforced, it will be adequate to support the solar panels. We have only reviewed the adequacy of the connection to the existing rafters and the capacity of the existing rafters to support the vertical and lateral loads from the solar electric system. We do not take responsibility for any other portion of the solar panel array support system, the existing roof framing construction, or the integrity of the structure as a whole. Do not hesitate to contact my office at 866-867-8729 should you have any questions or if you require any additional information. Respectfully, Next Step Living, Inc. Dean A. Sp`o8riet, P.E. MA Prof. Eng. License # 50405 STA,rE OF CONNECTICUT CONSUMER PROTECTION ELECTRICAL UNLIMITED JOUR1N-EYPERSON ' DANIEL J MCGRA:Tti 114 BC},Y STON ST MALDEi�; M- `0214&7931 LIC. I G NO. EFFECTIVE.EXPIRES I ELC.0199933}E - Qv,10/Ol/2013��,�s 09/30/2014 ! I � SIGNED STATE OF MAINE DEPT OF PROFESSIONAL & FINANCIAL REGULATION ELECTRICIANS' EXAMINING BOARD LICENSE # MS60020703 DANIEL MCGRATH MASTER ELECTRICIAN ISSUED Aug 26, 2013 EXPIRES Aug 31, 2015 - —^. *-• COMMONWEALTH OF MASSACHUSETTS BOARD OF ELECTRICIANS ISSUES THE FOLLOWING LICENSE #' AS A: REG JOURNEYMAN. CLECTRI C I Aid Il DANIEL J MCGRATH W 114 BOYLSTON'ST �tlus MALDEN MA 02148-7931 11467 ' B 07/31,/.16.:.: - 97223. VA.., �.ehu,rit• 1"cf+:trtrnc s1 „f t;; tic Wim'd of Building Rer!tIation, and StandArdc•- Construction Supervisor Llcens. ; One- and Two- Family Dwellings License: CS 104876 ' DANIEL, MCGRATH 114 BOYLSTON ST MALDEN, MA 02148 -•,a . cr- -�"G Expiration: 9115=14 .rnr�:�...nin•r' _ Tr='. 104876. ,1 A I C Vr ncvv nmmrzn1Rc ELECTRICIANS BOARD NAME: DAN! FJ MCG "xH ! x;121906 M EXPIRES: 'o COMMONWEALTH OF MASSACHUSETTS JIM= -Z • 2 U a143 2 10111, BOARD OF ELECTRICIANS ' ISSUES THE FOLLOWING LICENSE AS A iw REGISTERED MASTER ELECTRICI•AN'�•, UNITED SOLAR ASSOCIATES DANIEL J MCGRATH 114 BOYLSTON ST LLC LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER ," "... • 1 1-6005251 27 TW1 as .. cort><>I•bd a Cott7I� � 4"uw0 Caxsu in Daniel McGrath Keith M. PmWergast 3/28/2011 (fes Hams - P� or *a) (Co„r tla+eend ) �J I!' �lJit JJl[�It[lHYl�llJ C��'�[fl.SiQCt�(liC�� Office of Consumer Affairs & Business Regulation UeEMIMPROVEMENTCONTRACTOR gistration: 168524 Type. piration. 3/7/2015 Individual DANIEL MCGRATH DANIEL MCGRATH 114 BOYLSTON ST MALDEN, MA 02148 Undersecretary Le Life's Good �1• a.l CrltTK,+—Io ^y O L,ghr Woght �wG LG's High Efficient Cell Technology Driven by LG's own N -type technology, LG's high - efficiency modules will provide customers with high economic benefits. Light and Robust With a weight of just 16.8 kg, LG modules are proven to demonstrate outstanding durability against external pressure up to 5400 Pa. {- Reliable Warranties LG stands by its products with the strength of a L21-11 global corporation and sterling warranty policies. U.— W..ranty LG offers a 10 year product limited warranty and a 25 year limited linear output warranty. LG Electronics, Inc. (Korea Exchange: 06657.KS) is one of the globally leading companies and technology innovator for electronics, information and communication products. The LG Electronics currently employs more than 91,000 people worldwide in 117 companies. In fiscal year 2011, 48.97 billion USD of revenue was achieved. LG is one of the world's largest manufacturers of mobile phones, flat screen Ns, air conditioners, washing machines and refrigerators. As a future - oriented company, LG enables others to use technology consisting of renewable energies. LG's high quality solar products are being manufactured in LG's leading production facility in South Korea. DVE ce Us C E KM 564573 BS EN 61215 Photv+oltaic Modeles Convenient Installation LG modules are carefully designed to benefit installers by allowing quick and easy installations throughout the carrying, grounding, and connecting stages of modules. 100% EL Test Completed ' i All LG modules pass Electroluminescence inspection. This EL inspection detects cracks and other imperfections unseen by the naked eye. - Positive Power Tolerance LG provides rigorous quality testing to solar modules to assure customers of the stated power outputs of all modules, with a positive nominal tolerance starting at 0%. I MM LGA0)(C)IC",_G3 Q Mechanical Properties Cells 6 x 10 Cell vendor LG Cell type Monocrystalline Cell dimensions 156 x 156 mm2 / 6 x 6 in2 # of busbar 3 Dimensions (L x W x H) 1640 x 1000 x 35 mm -40 - +90 64.57 x 39.37 x 1.38 in Static snow load 5400 Pa / 113 psf Static wind load 2400 Pa / 50 psf Weight 16.8 ± 0.5 kg / 36.96 ± 1.1 Ib Connector type MC4 connector IP 67 Junction box IP 67 with 3 bypass diodes Length of cables 2 x 1000 mm / 2 x 39.37 in Frame Anodized aluminum Q Certifications and Warranty Certificatibns IEC 61215, IEC 61730-1/-2, UL 1703, MPP voltage (Vmpp) ISO 9001, IEC 61701(ln progress), MPP current (Impp) DLG-Fokus Test'Ammonia Resistance'; Open circuit voltage (Voc) (In progress) Product warranty 10 years Output warranty of Pmax Linear warranty` (measurement Tolerance 13%) -40 - +90 ' 1) 1st year: 97%, 2) After 2nd year 0.7% annual degradation, 3) 80 2% for 25 years Q Temperature Coefficients NOCT 45 ± 2'C Pmpp -0.42 %/K Voc -0.31 %/K Isc 0.03 %/K Q Characteristic Curves Q 10 9 U e 7 6 5 4 3 2 1 O 5 10 15 20 140 E 120 a > 100 80 60 40 20 0 25 30 35 40 Voltage (V) Isc Voc Pmax 0 Electrical Properties (STC') ` STC (Standard Test Condition): Irradiance 1000 W/m', module temperature 25'C, AM 1.5 "The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion Q Electrical Properties (NOCT') 300 W MPP voltage (Vmpp) 32.0 MPP current (Impp) 9.42 Open circuit voltage (Voc) 39.5 Short circuit current (Isc) 10.0 Module efficiency (%9) 18.3 Operating temperature (°C) -40 - +90 Maximum system voltage (V) 600(UL),1000(IEC) Maximum series fuse rating (A) 15 Power tolerance (%) +3 0-3 ` STC (Standard Test Condition): Irradiance 1000 W/m', module temperature 25'C, AM 1.5 "The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion Q Electrical Properties (NOCT') " NOCT (Nominal Operating Cell Temperature): Irradiance 800 W/m', ambient temperature 20'C, wind speed 1 m/s 1010,101010.400 Dimensions (mm/in) m c c 1000/3937 zan.lo zz/o.e7 3.5'4.0 X Naw) Onln hNnlMa)(Sloe of short.lda) Long side frame short side frame 4.0'75 CY Mew) Oraln h01aa(4.a) 12.04.3 Grounding heM.(12a.1 8•®8.1)(2,+...) Mounting hoks(B.a) X 300 W Maximum power (Pmpp) 220 MPP voltage (Vmpp) 29.3 MPP current (Impp) 7.51 Open circuit voltage (Voc) 36.5 Short circuit current (Isc) 8.08 Efficiency reduction < 4.5 (from 1000 W/m' to 200 W/m') " NOCT (Nominal Operating Cell Temperature): Irradiance 800 W/m', ambient temperature 20'C, wind speed 1 m/s 1010,101010.400 Dimensions (mm/in) m c c 1000/3937 zan.lo zz/o.e7 3.5'4.0 X Naw) Onln hNnlMa)(Sloe of short.lda) Long side frame short side frame 4.0'75 CY Mew) Oraln h01aa(4.a) 12.04.3 Grounding heM.(12a.1 8•®8.1)(2,+...) Mounting hoks(B.a) X SA//0.2222 a R1.5/0,06 DatOitX e o.r.nv II tl8/0.31 1 ar.n z a n' 35/.38 -40 1-25 0 25 50 75 90 Temperature ('C) ' The distance between the center of the mounting/grounding holes ©� North America Solar Business Team Productspecifications Goois r are subject to change without notice. o LG Electronics U.S.A. Inc "LG Life's Good" is a registrafed trademark of LG Corp. 1000 Sylvan Ave, Englewood Cliffs, All other trademarks are the property of their respective owners. NJ 07632 Contact: I SOlar@lge.com Copyright ©2013 LG Electronics. All rights reserved. ❑ Life's Good www.Igsolarusa.com 03/01/2013 " �° 960/37.80 (Dista. b.M..n mounting W..) J -dl- 1- j-1 0) 1000139.37 Calla length 9.4/3717 LLM SA//0.2222 a R1.5/0,06 DatOitX e o.r.nv II tl8/0.31 1 ar.n z a n' 35/.38 -40 1-25 0 25 50 75 90 Temperature ('C) ' The distance between the center of the mounting/grounding holes ©� North America Solar Business Team Productspecifications Goois r are subject to change without notice. o LG Electronics U.S.A. Inc "LG Life's Good" is a registrafed trademark of LG Corp. 1000 Sylvan Ave, Englewood Cliffs, All other trademarks are the property of their respective owners. NJ 07632 Contact: I SOlar@lge.com Copyright ©2013 LG Electronics. All rights reserved. ❑ Life's Good www.Igsolarusa.com 03/01/2013 " �° I h `Innovative • First transformerless SMA inverter to be certified in accordance with UL 1741 • First inverter with arc -fault circuit inter- rupter listed according to UL 16998 Economical • Maximum efficiency of 98.7% • Classleading CEC efficiency of 98.5% • Superior MPP tracking with Opffroem • Transformerless, with H5 topology Reliable • OptiCoolr"' active temperature management . SMA Convenient • Integrated DC disconnect • SMA Power Balancer for three- phase grid connection SUNNY BOY 6000TL-US / 7000TL-US / 8000TL-US / 9000TL-US / 10000TL-US / 11000TL-US Transformerless design, maximum energy production The Sunny Boy TL -US series is UL listed for North America and features SMA's innovative H5 topology, resulting in superior efficiencies of more than 98 percent and unmatched solar power production. The transformerless design reduces weight, increases the speed of payback and provides optimum value for any residential or decentralized commercial PV system. The Sunny Boy TL -US series for North America is the ideal choice in transformerless technology. Sunny Boy 8000TL US Sunny Boy 8000TL--US Sunny Boy 9000TL-US Sunny Boy 9000TL-US 208 V 240 V 208 V 240 V 10000 W 10000 W 11250W 11250 W 8400 W 8300 W 9400 W 9300 W 600 V 600 V 600 V 600 V 300V-480V/345V 345V-480V/379V 300V-480V/345V 345V-480V/379V 300 V / 360 V 345 V / 360 V 300 V / 360 V 345 V / 360 V 27.9 A 24.1 A 31.4 A 27.1 A 27.9 A 24.1 A 31.4 A 1 27.1 A 1 1 6 1 6 6 6 8000 W/8000 VA 9000 W / 9000 VA 208V/183V-229V 240V/211V-264V 208V/183V-229V 240V/211V-264V 60 Hz / 59.3 Hz ... 60.5 Hz 60 Hz / 59.3 Hz... 60.5 Hz 60 Hz / 59.3 Hz ... 60.5 Hz 60 Hz / 59.3 Hz ... 60.5 Hz 38.5A 33.4A 43.3A 37.5A 1 1 1/2 1/2 98%/98.6% 98%/98.6% 98%/98.6% 98%/98.7% T. r IV IV 470/615/ 240mm(18.4/24.1 /9.5inch) 470/615/ 240 mm 118.4/ 24.1/ 9.5 inch) 187 / 297/ 190 mm (7.28 / 11.7 / 7.5 inch) 187 / 297 / 190 mm (7.28 / 11.7 / 7.5 inch) 35 kg / 78 Ib 35 kg / 78 Ib 3.5 kg / 8 Ib 3.5 kg / 8 Ib -40 °C...+60 °C/-40 °F...+140 °F -40 °C...+60 °C/-40 °F...+140 °F 46 dB(A) 46 dB(A) 0.15W 0.15W Transformedess H5 Transformedess H5 OptiCool OpfiCool NEMA 31Z NEMA 3R NEMA 3R NEMA 3R 100% 100% T Screw terminal Screw terminal Screw terminal Screw terminal Text line Text line 0/0 0/0 0/0/0 0/0/0 I UL1741, UL1998, IEEE 1547, FCC Part 15 (Class A & B), CAN/CSA C22.2 107.1-1, UL 1699B SB 8000TLUS-12 SB 9000TLUS•12 Technical data Input (DC) Max. recommended PV power f @ module STC) Max. DC power (@ cos W Max. input voltage MPP voltage range / rated input voltage Min. input voltage / initial input voltage Max. input current Max. input current per string Number of independent MPP inputs Strings per MPP input @ Combiner Box Output (AC) Rated power/ max. apparent AC power Nominal AC voltage / nominal AC voltage range AC power frequency / range Max. output current Power factor at rated power Feed -in phases / connection phases Efficiency CEC efficiency/ max. efficiency Protective devices DC reverse polarity protection AC shorFcircuit current capability Galvanic isolation All -pole -sensitive residuolcurrent monitoring unit Arc -fault circuit interrupter (according to UL 1699B) Protection doss Overvoltage category General data Dimensions (W / H / D) Dimensions of DC Disconnect (W / H / D) Weight Weight of DC Disconnect Operating temperature range Noise emission (typical) Self -consumption (night) Topology Cooling concept Degree of protection Degree of protection of connection area Max. permissible value for relative humidity (non -condensing) Features DC connection AC connection Display Interface: RS485 / Bluetooth Warranty:, 10 / 15 / 20 years Certificates and approvals (more available on request) Sunny Boy 6000TL-US Sunny Boy 6000TL-US Sunny Boy 7000TL-US Sunny Boy 7000TL-US 208 V 240 V 208 V 240 V 7500 W 7500 W 6300 W 6200 W 600 V 600 V 300 V - 480 V / 345 V 345 V - 480 V/ 379 V 300 V / 360 V 345 V / 360 V 20.9A 18.1 A 20.9A 1 18.1 A 1 6 6 6000 W / 6000 VA 6000 W / 6000 VA 208V/183V-229V 240V/211V-264V 60 Hz/ 59.3 Hz... 60.5 Hz 28.8 A 25 A 1 1 1/2 1/2 98%/98.6% 98.5%/98.7% 8750 W 8750 W 7300 W 7300 W 600 V 600 V 300 V - 480 V / 345 V 345 V - 480 V / 379 V 300 V / 360 V 345 V / 360 V 24.4A 21.1 A 24.4A 21.1 A 1 1 6 6 7000 W / 7000 VA 7000 W / 7000 VA 208V/183V-229V 240V/211V-264V 60 Hz / 59.3 Hz ... 60.5 Hz 33.7 A 29.2 A 1 1 1/2 1/2 98%/98.6% 98.5%/98.7% 470 / 615 / 240 mm (18.4 / 24.1 / 9.5 inch) 187 / 297 / 190 mm (7.28 / 11.7 / 7.5 inch) 35 kg / 7816 35 kg / 78 lb 3.5 kg / 8 Ib 3.5 kg / 8 Ib -40 *C... +60 °C / -40 *F... +140 *F 46 dB(A) 46 dB(A) I I I I IV IV IV IV 470 / 615 / 240 mm (18.4 / 24.1 / 9.5 inch) 187 / 297 / 190 mm (7.28 / 11.7 / 7.5 inch) 35 kg / 7816 35 kg / 78 lb 3.5 kg / 8 Ib 3.5 kg / 8 Ib -40 *C... +60 °C / -40 *F... +140 *F 46 dB(A) 46 dB(A) 0.15 W 0.15W Transformerless H5 Transformedess H5 OptiCool OptiCool NEMA 3R NEMA 3R NEMA 3R NEMA 3R 100% 100% 470 / 615 / 240 mm (18.4/ 24.1 / 9.5 inch) 187 / 297 / 190 mm (7.28 / 11.7 / 7.5 inch) 35 kg / 78 Ib 35 kg / 78 Ib 3.5 kg/8lb 3.5 kg/8lb -40 -C... +60 -C / -40 ° F ... +140 *F 46 dB(A) 46 dB(A) 0.15W 0.15W Transformedess H5 Tronsformerless H5 OptiCool OptiCool NEMA 3R NEMA 3R NEMA 3R NEMA 3R 100% 100% Screw terminal Screw terminal Screw terminal Screw terminal Screw terminal Screw terminal Screw terminal Screw terminal Text line Text line Text line Text line 0/0 0/0 0/0 0/0 9/0/0 •/0/O 9/0/0 •/0/O UL1741, UL1998, IEEE 1547, FCC Part 15 (Class A & B), CAN/CSA C22.2 107.1-1, UL 16998 Type designation SB 6000TLUS-12 SB 7000TLUS-12 Efficiency curve SUNNY BOY 1 1000TL-US 98 96 E 94 >-__ _ _.._ . $ 92 a^y 98.5 p _ V IiE 90 97.5 v Eta (V„- 345 VI r 96.5 88 8 �� Eta (V„ - 379 V) 0 345 480 86 - - - W Eta IVr, - 480 V) 0.0 0.2 0.4 0.6 0.8 1.0 Output power/ Rated power , Toll Free +1 888 4 SMA USA www.SMA-America.com Accessories Sunny Boy 10000TL-US Sunny Boy 10000TL-US Sunny Boy 11000TL-US Technical data 208 V 240 V 240 V Input (DC) 45USPB_NR 0 Max. recommended PV power (@ module STC) 12500 W 12500 W 13750 W Max. DC power (@ cos W - 1 J 10500 W 10350 W 111500W Max. input voltage 600 V 600 V 600 V MPP voltage range/ rated input voltage 300 V - 480 V / 345 V 345 V - 480 V / 379 V 345 V - 480 V / 379 V Min. input voltage / initial input voltage 300 V/ 360 V 345 V / 360 V 345 V / 360 V Max. input current 35A 30.2 A 33.3 A Max. input current per string 35A 30.2 A 33.3 A Number of independent MPP inputs 1 1 1 Strings per MPP input @ Combiner Box 6 6 6 Output (AC) Rated power / max. apparent AC power 10000 W / 10000 VA 11000 W / 11000 VA Nominal AC voltage / nominal AC voltage range 208 V / 183 V - 229 V 240 V / 211 V - 264 V 240 V / 211 V - 264 V AC power frequency/ range 60 Hz / 59.3 Hz ... 60.5 Hz 60 Hz / 59.3 Hz ... 60.5 Hz 60 Hz / 59.3 Hz ... 60.5 Hz Max. output current 48.1 A 41.7A 45.8 A Power factor at rated power 1 1 Feed -in phases / connection phases 1/2 1/2 Efficiency CEC efficiency / max. efficiency 97.5 %/ 98.6 % 98%/98.7% 98%/98.7% Protective devices DC reverse polarity protection • • AC short-circuit current capability • • Galvanic isolation - All -pole -sensitive residuakurrent monitoring unit • • Arc -fault circuit interrupter (according to UL 1699B) • • Protection class Overvoltage category IV IV General data Dimensions (W / H / D) 470 / 615 / 240 mm (18.4 / 24.1 / 9.5 inch) Dimensions of DC Disconnect (W / H / D) 187 / 297 / 190 mm (7.28 / 11.7 / 7.5 inch) Weight 35 kg / 78 Ib Weight of DC Disconnect 3.5 kg / 8 Ib Operating temperature range -40 *C... +60 °C /-40 °F ... +140 °F Noise emission (typical) 46 dB(A) 46 dB(A) Self -consumption (night) 0.15 W 0.15W Topology Transformerless H5 Tronsformedess H5 Cooling concept Opticool Opticool Degree of, protection NEMA 3R NEMA 3R Degree of protection of connection area NEMA 3R NEMA 311 Max. permissible value for relative humidity 100% 100% (non -condensing) Features DC connecfion Screw terminal Screw terminal AC connection Screw terminal Screw terminal Display Text line Text line Interface: RS485 / Bluetooth 0/0 O/0 Warranty:, 10 / 15 / 20 years 0/0/0 •/O/0 Certificates and approvals (more available on request) UL1741, UL1998, IEEE1547, FCC Part 15 (Class A & B), CAN/CSA C22.2 107.1-1, UL 1699B NOTE: US inverters ship with gray lids Type designation SB 10000TLUS•12 SB 11000TLUS•12 Efficiency curve SUNNY BOY 1 1000TL-US 98 96 E 94 >-__ _ _.._ . $ 92 a^y 98.5 p _ V IiE 90 97.5 v Eta (V„- 345 VI r 96.5 88 8 �� Eta (V„ - 379 V) 0 345 480 86 - - - W Eta IVr, - 480 V) 0.0 0.2 0.4 0.6 0.8 1.0 Output power/ Rated power , Toll Free +1 888 4 SMA USA www.SMA-America.com Accessories • Sunny Boy Combiner Box SBCBTL6.10 Bluetooth Piggy -Back NR with External Exteerrnal Antenna BTPB-EXTANT-NR #71.,N-ZoeRS485�t� 45USPB_NR 0 SMA Power Balancer Set PB65BUS14NR • Standard feature O Optional feature - Not available Data - nominal conditions SMA America, LLC a 4 O 'z NA a fr�4fi 1 r'a -V l r rV �cl Fes\ g5 Ln T Q! 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THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If .the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT HOUSe Account NAME: LoPriore Insurance Agency PHONE (781) 438-1375 FAX AIC, 1C No (7s1) a38-67sD 426 Main Street Suite 2 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 4 11/10/2014 Stoneham MA 02180 INSURER A:Selective Insurance Co. of 39926 INSURED INSURERB:Safety Insurance 39454 INSURER C UNITED SOLAR ASSOCIATES LLC f114 BOYLSTON. STREET INSURER D INSURER E: $ MALDEN MA 02148-7931 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1342304068 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O�C 1f� 1959118 1/10/2013 11/10/2014 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: X POLICYFI PE� LOC PRODUCTS - COMPIOP AGG $ 3,000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS 216142 12/15/2013 2/15/2014 ECOMBINED a ci EDISINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccidenl $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 1959116 1/10/2013 11/10/2014 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) , If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC STATU- OTH- TORY LIMITSi ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Evidence of coverage. (978)688-9592' Town of North Andover Building'Department 1600 Osgood Street North Andover, MA 01845 25 12010/05) :7GI Clh MI 14 WG11 I Lai 9I 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 Donovan/JANE (c) 19RR.9n1n ACnRn CnRPORATInN 011 rinhfc rocamnrl INS025r9ninns).n1 Tho Arnpn normo nnrl Innn aro ronie4ororl mnrkc of Arnpn This fax was sent with GFI FAXmaker fax server. For more information, visit: http://www.gfi.com Rightfax C1-2 7/23/2014 6:12:26 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) T . `i'IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE FAX LOPRIORE INS AGENCY INC 426 MAIN STREET SUITE 2 (A/C, No, Ext): (A/C, No): E-MAIL STONEHAM, MA 02180 ADDRESS: 75MTK INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A. TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA UNITED SOLAR ASSOCIATES LLC INSURER B: INSURER C: INSURER D: 114 BOYLSTON STREET INSURER E: MALDEN, MA 02148 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\DD\YYYY) (MIADD\YYYY) LIMITS GENERAL LIABILITY HEACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE [::] OCCUR. DAMAGE TO RENTED PREMISES (Ea occurrence) $ ED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY El PROJECT E] LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS ( Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS LIAB . CLAIMS -MADE AGGREGATE $ DEDUCTIBLE $ $ RETENTION $ A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY YM UB -56507638-14 07/23/2014 07/23/2015 X WC STATUTORY OTHER LIMITS ANY PROPERITOR/PARTNER/EXECUTIVE .OFFICER/MEMBER EXCLUDED? N/A E. L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER- BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1600 OSGOOD STREET BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT47AVE .; NORTH ANDOVER, MA 01845 \CORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved.