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Building Permit #1034-2016 - 59 SALEM STREET 4/4/2016
NORTF/ q BUILDING PERMIT TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION l "1 1 Permit NO: Date Received Date Issued: �SSACNus�t PORTANT:Applicant must complete all items on this page LOCATION S'c k-e m 5r- Print PROPERTY OWNER 6-1-e-o 3o k n svll Print MAP NO: 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: C Commercial ❑ Repair, replacement ❑Assessory Bldg A Others: Demolition n Other 50(0-,V -R-0440 C] Septic ❑ Well ❑ Floodplain :1 Wetlands ❑ Watershed District / Water/Sewer zo, b v�S tl 2�� rv� Sv Icy rte{ I �,� r� k w► Ix. �! Identification Please Type or Print Clearly) OWNER: Name: el,GA -So kV, ra'A Phone: AC)a-6f7- 1410 Address: 5a( rxa J/.0 , &J0~1 MA o i r lyT CONTRACTOR Name: Phone: Q-y-Bo 2-5316 Address: a(a Par kgldac. 9d- s,ar- !b Haterk°1'1, M/P c f 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. otal Project Cost- $ 23, FEE: $ 2 T heck No.: P II Receipt No.: 30IC13 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ignature of Agent/Owner Signature of contractor' � e 4 �< s BUILDING PERMIT No orH qti TOWN OF NORTH ANDOVER 3� y�..� _ h =a APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received ��SsgcHus���y 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 Septic ❑Well El Floodplain. 11 Wetlands ❑ 'Watershed District ❑Water/Sewer_ DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor. Name: Phone: Email: , . . , Address Supervisor's Construction License: Exp. Dater:: Home Improvement Licenser Exp. Date: ARCH Phone: i 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 Signature of Ai Ljcontractor - I 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 4 Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract 46 Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application 4. 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 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 OTE: 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 I pd 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 Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes s Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp ®umpster on siteyess` �*° ' ' n'o `4 " t, Loco a ed at 124 ain Street -Si -urn-, - Fire Dep '. date° {ti �., ' }.N� artmen si ,:`, "� ;` r o a G..«:.$-.....:T-.s�r...� v..i .���+`:'mow_. :r Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL; Movement of Meter location, 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 NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Location No. Date 4 Jz • - TOWN OF NORTH ANDOVER _ . Certificate of Occupancy $ Building/Frame Permit Fee $ ' Foundation Permit Fee $ Other Permit`Fee $ TOTAL $ Check# 301-93 {Building Inspector NORTH own o ndover . _ _ 0 No. I � 1 h ver, Mass r� o COCHICNtwrc« A. 7.9 A°RArEo 1"Pa,��(� S U BOARD OF HEALTH Food/Kitchen PER T T D Septic System THIS CERTIFIES THAT � 7.�.... ..................... *.... BUILDING INSPECTOR . ............ ...I............... . ... ...................... . 5has permission to erect . .. buildin s on 5et 1&. ,�'�r, , Foundation PA.-6 tobe occupied as ...� ........................ ............................................................... ... .... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION RT Rough Service ............... ...... .. ....... ..... . '�. ....................... BUILDING INSPECTOR Fina GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. NORTFf Town of ? _ nc[over No. 1h ver, Mass, 2A I T O I.AK1 .1 W all COC KICKt WICK .40 'ls,9s OATeo U BOARD OF HEALTH F= R I Food/Kitchen Septic System THIS CERTIFIES THAT � .�.� BUILDING INSPECTOR ............ ... ................ . ..... ........................... .... ..... � ... l ............... Foundation has permission to erect .. ...... ......... .. buildin s on ......... .! ..... , Rough tobe occupied as ... R.4........................19..................................................................... ...... ............. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION RT Rough Service ................ ...... ......... ..... . .. .�....................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. r nvaleon Solar Technologles Town of North Andover Building Department— Inspectional Services 120 Main Street North Andover, MA 01845 RE: Johnson Residence Solar Panel Installation 59 Salem Street North Andover, MA 01845 Dear Sirs, Invaleon Technologies Corp., 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 59 Salem Street, North Andover, MA 01845 Structural Data and Code Information Our analysis has been 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 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: 2"x 8" (#2 Spruce Pine Fir, Hem Fir, D Fir Assumed) Rafter Spacing: 16" on center Roof Slope: 45 Degrees Horizontal Projected Length of Rafter: 15 feet Ceiling Joist: Present Collar Ties: Absent Roof Sheathing: Plywood sheathing Condition of Framing: Excellent Ground Snow Load, Pg: 50 PSF from Table R301.2(5) Importance Factor, I: 1.0 Exposure Factor, Ce: 1.0 (Partially Exposed) Thermal Factor, Ct: 1.0 Existing condition (Warm Roof) 1.1 With panels (Cold Roof) 0-1 Invaleon Technologies Corporation 26 Parkridge Rd, Suite 1B, Haverhill, MA 01835 978-794-1724 1 www.invaleonsolar.com 0-7, nvaleon Solar Technologles Design Snow Loads: 32 PSF (Existing — Unobstructed Warm Roof) 29.53 PSF (New Condition.— Slippery Surface on Cold Roof) Basic Wind Speed: 100 MPH from Table R301.2(4) Importance Factor: 1.0 Exposure: B Analysis 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 impose 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 without 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 16% 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 5.47 PSF for the main roof, which essentially offsets the weight of the solar panels. Gravity Loading: Given the size, spacing, and configuration of the existing roof framing, we have determined that the existing framing for the residence is adequate to support the additional loading from the weight of the solar electric system, including the panels, racking system, and all connections without any need for additional bracing or framing members. The panels will be installed using Snap N' Rack rails with L-brackets in portrait configuration with a rail towards the top and bottom of each panel edge. The L-brackets will be fastened directly to the roof rafters with 5/16" diameter lag screws. The fastener layout shall start near each corner and for portrait orientation shall have a maximum spacing of 32" on center parallel to the roof slope and 48" on center perpendicular to the Invaleon Technologies Corporation 26 Parkridge Rd, Suite 113, Haverhill, MA 01835 978-794-1724 1 www.invaleonsolar.com n vakon Solar Technologles slope (e.g. every third rafter), except the maximum spacing shall be 32" on center perpendicular to the slope (e.g. every other rafter)for the areas of the array which lay in Zones 2 & 3, or if the rail and roof attachment are within six (6) feet of the edge of the roof. 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 between adjacent rails so that no single rafter supports more load than under existing conditions. Wind Loading: Provided that the L-bracket 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 on the roof framing with attachment spacing as described above will be less than the current loading on the rafters. Conclusion: Our evaluation of the proposed solar-electric installation has established that the roof framing IS adequate to support the addition of the solar panels to the existing roof as indicated on the Solar PV plans. 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 o if`978=.809-8316 should you have any questions or if you require any additional inf RJCF#ARD O m /espe�ctfully, No 2282 � y Invaleon Technologies Corp ���sr��� "OVAL Eta l <. Invaleon Technologies Corporation 26 Parkridge Rd, Suite 113, Haverhill, MA 01835 978-794-1724 1 www.invaleonsolar.com TYPICAL 1 THRU 12 (1) LG PROPOSED EQUIPMENT SPECIFICATIONS 315N1C-G4 (2) SOLAREDGE 315 WATT P300 OPTOMIZER MONO Imax OP15A (1)SOLAR MODULES-LG 315N1C-G4 315 WATT DC-STC Vmax 35V A Imp.9.WA Vmp:33.2V Isc:10.02A Voc:40.6V (3)SOLAREDGE SE6000A-US TWO STRINGS OF 12 INVERTER (2)SOLAREDGE POWER OPTIMIZER STRINGS TYPICAL 1 THRU 12 OF 9.Imax:15A,Vmax:35V.UU IEEE LISTED 4 POWER EQUIPMENT (1) LG DC AC B (3)SOLAREDGE SE6000A-US INVERTER 315N1C-G4 (2) SOLAREDGE [max:25A®240V 1 PHASE 60HZ 315 WATT P300 OPTOMIZER (4)100A 600V NEMA 3R OUTDOOR UN-FUSED MONO [max 15A UTILITY DISCONNECT Vmax 35V (5)CUSTOMER OWNED REVENUE GRADE A METER FOR SREC PRODUCTION TRACKING (6)POINT OF INTERCONNECTION 40A 2-POLE BREAKER INSIDE EXISTING 200A MAIN BREAKER SERVICE PANEL B) (7)EXISTING 200A MAIN ELECTRIC SERVICE PANEL WITH 2O0A MAIN BREAKER 240V SINGLE UM (5) PHASE (7) _ O (g) RM N WIRE AND CONDUIT SIZING TO UTILITY 4 (6) ALL WIRES EXPOSED TO AIR SHALL BE PV-WIRE AWG #12/10.ALL OTHER CONDUCTORS SHALL BE COPPER THWN-2/THHN. I (A)2 AWG#10 PV WIRES W/AWG#8 GEC EXPOSED (B)3 AWG#8 W(AWG#8 GEC IN 314'EMT GENERAL NOTES i 11j,r e,AAA 1. BOND THE COMBINED INVERTER DC/AC GROUND TERMINAL DIRECTLY TO THE MAIN SERVICE GROUND. � ,OF ft9, &A, 2. INVERTERS SHALL BE LISTED TO UL/IEEE STANDARDS ��` 9p 3. ALL WORK SHALL CONFORM TO NEC 690 LOCAL AUTHORITIES HAVING JURISDICTION AND CUSTOMER REQUIREMENTS a X- o JAMES P. G• 4. DISCONNECT SWITCHES SHALL HAVE NUMBER OF POLES REQUIRE TO DISCONNECT ALL CONDUCTORS PER NEC 690, 5. PV MODULES SHALL BE LISTED TO UL STANDARD 1703. STROKE �, E 6. SECURE BUILDING PENETRATIONS WATERTIGHT ROOF AND WALLS 4 0 t 7. WIRING TO BE IN ACCORDANCE WITH MANUFACTURE RECOMMENDATIONS AND NEC 690 ®v NO,20068 k 8. INTERIOR EQUIPMENT SHALL BE NEMA 1 (MIN)AND EXTERIOR EQUIPMENT SHALL BE NEMA 3R(MIN). 9. PROVIDE ALL GROUNDING AND BONDING AS REQUIRED PER NEC 690 AND 250. 10. INSULATION WILL MEET 2014 NEC MINIMUM REQUIREMENTS AND LOCAL CODE SPECIFICATIONS. FtSs` L 11. DC GROUND ELECTRODE BONDED TO AC GROUNDED ELECTRODE AS PER NEC 690-47. AF [.at—Tedmo4iss Comoration Project Namo: - NDTS a By:Tom K Wu comments: 26 ParkrOge Road.SuUe l Joh—Rosidence HavarhM,MA01835 Tides:Electrleal t.Line DescKpO7560 woUsn: -STC a!1-tine Sita Address: 7560 warty DG-STC 59 Salem St oreaim:t vnYw'hva.&n,a*on North Andover.MA 878:809.63161 inloQinvakwnlech.rzm beet t of 2 TYPICAL 1 THRU 12 (1) LG 315N1 C-G4 •(2) SOLAREDGE PROPOSED EQUIPMENT SPECIFICATIONS 315 WATT P300 OPTOMIZER MONO P30 OP (1)SOLAR MODULES-LG 315N1C-G4 315 WATT DC-STC Vmax 35V A Imp:9.50A Vmp:33.2V Isc:10.02A Voc:40.6V (3)SOLAREDGE SE6000A-US TWO STRINGS OF 12 INVERTER (2)SOLAREDGE POWER OPTIMIZER STRINGS TYPICAL 1 THRU 12 OF 9.Imax:15A,Vmax:35V.UL/IEEE LISTED 4 POWER EQUIPMENT (1) LG CDC AC B (3)SOLAREDGE SE6000A-US INVERTERWith 315N1 C-G4 (2) SOLAREDGE WITH REVENUE GRADE MONITORING 315 WATT P300 OPTOMIZER Imax:25A @ 240V 1 PHASE 60HZ MONO Imax 15A (4)100A 600V NEMA 3R OUTDOOR UN-FUSED UTILITY DISCONNECT Vmax 35V A (5)POINT OF INTERCONNECTION 40A 2-POLE BREAKER INSIDE EXISTING 200A MAIN BREAKER SERVICE PANEL (6)EXISTING 200A MAIN ELECTRIC SERVICE B) PANEL WITH 2O0A MAIN BREAKER 240V SINGLE UM PHASE (B) g WIRE AND CONDUIT SIZING TO UTILITY r 4,A(6) ALL WIRES EXPOSED TO AIR SHALL BE PV-WIRE AWG #12/10.ALL OTHER CONDUCTORS SHALL BE COPPER THWN-2/THHN. (A)2 AWG#10 PV WIRES W/AWG#8 GEC EXPOSED (B)3 AWG#8 W/AWG#8 GEC IN 3/4"EMT GENERAL NOTES 1. BOND THE COMBINED INVERTER DC/AC GROUND TERMINAL DIRECTLY TO THE MAIN SERVICE GROUND. 2. INVERTERS SHALL BE LISTED TO UL/IEEE STANDARDS 3. ALL WORK SHALL CONFORM TO NEC 690 LOCAL AUTHORITIES HAVING JURISDICTION AND CUSTOMER REQUIREMENTS 4. DISCONNECT SWITCHES SHALL HAVE NUMBER OF POLES REQUIRE TO DISCONNECT ALL CONDUCTORS PER NEC 690. 5. PV MODULES SHALL BE LISTED TO UL STANDARD 1703. 6. SECURE BUILDING PENETRATIONS WATERTIGHT ROOF AND WALLS 7. WIRING TO BE IN ACCORDANCE WITH MANUFACTURE RECOMMENDATIONS AND NEC 690 8. INTERIOR EQUIPMENT SHALL BE NEMA 1 (MIN)AND EXTERIOR EQUIPMENT SHALL BE NEMA 3R(MIN). 9. PROVIDE ALL GROUNDING AND BONDING AS REQUIRED PER NEC 690 AND 250. 10. INSULATION WILL MEET 2014 NEC MINIMUM REQUIREMENTS AND LOCAL CODE SPECIFICATIONS. 11. DC GROUND ELECTRODE BONDED TO AC GROUNDED ELECTRODE AS PER NEC 690-47. Invaleon Technologies Corporation Project Name: NDTS ate: By:Tom K Wu Comments: 26 Parkridge Road,Suite 1B 3ohnson Residence Titles:Electrical 1-Line ciusenwvebon xo.snovu.ovou.ovo.v,.s Haverhill,MA 01835 Description:Electrical 1-Line Sfte Address: 7560 watts DC-STC vmw.invaleonsolar.com 59 Salem St Drawing:1 978.809.8316 1 info@invaleontech.com North Andover,MA Sheet 1 of 2 sola"r-A Q ,I I SolarEd9 a Power Optimizer Module Add-On For North America P300 / P320 / P400 / P405 PV power optimization at the module-level i Up to 25%more energy i Superior efficiency(99.5%) - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading — Flexible system design for maximum space utilization Fast installation with a single bolt Next generation maintenance with module-level monitoring — Module-level voltage shutdown for installer and firefighter safety USA-CANADA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-LIK-ISRAEL www.solaredge.us t solar=o@ SolarEdge Single Phase Inverters For North America SE3000A-US/ SE380OA-US/ SE5000A-US / SE6000A-US/ SE760OA-US/ SE1000OA-US/ SE1140OA-US } f - - 12.25 acs WaRacdY� - - his f i r The best choice for SolarEdge enabled systems - Integrated arc fault protection for NEC 2011690.11 compliance e Rapid shutdown for NEC 2014 690.12 - Superior efficiency(98%) Small,lightweight and easy to install on provided bracket — Built-in module-level monitoring Internet connection through Ethernet or Wireless i Outdoor and indoor installation I — Fixed voltage inverter,DC/AC conversion only — Pre-assembled Safety Switch for faster installation — Optional—revenue grade data,ANSI C12.1 1 USA-GERMANY-ITALY-FRANCE-JAPAN-CHINA-AUSTRALIA-THE NETHERLANDS-UK-ISRAEL www.solaredge.us sola r o Single Phase Inverters for North America SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE760OA-US/SE1000OA-US/SE11400A-US SE3000A-US SE380OA-USI SESOOOA-USSE6000A-US1SE7600A-US SE10000A-US j SE11400A-US OUTPUT 9980 @ 208V �— Nominal AC Power Output 3000 I 3800 5000 6000 7600 11400 VA 10000,@240V. ..................I 5400 @ 208V 10800 @ 208V Max.AC Power Output I 3300 4150 6000 8350 12000 VA ,.,,, ,5450 240V 10950 240V AC Output Voltage Min:Nom:Max111 ( ✓ _ _ 183-208-229 Vac .).................a.....,......... ........ ......... ................ ................�.................. AC Output Voltage Min.-Nom.-Max.(') j J 211-240-264 Vac f.................. . .........................................'................................t.................i................ ................ AC Frequency Min.:Nom:Max 111 1 59.3-60-60.II5 Hz Max.Continuous Output Current 12.5„ ,...1.,,,,,16„.,,,I..,21240V ......25.......1.......32.......+,,,42(a1240V ,.I,..,,,,47,5,,,,,,, ,.,,A,.,,. ..t.. GFDI Threshold Utility Monitoring,Islanding Protection,Country Configurable Thresholds Yes Yes INPUT _ Maximum DC Powe1: ST ) 0 4050 5106750 8100 10250 13500 15350 W Transformer less,Ungrounded Yes Max.Input Voltage 500 Vdc .....................1.........................................,................,. .. ............................,,... .... Nom.DC Input Voltage I 325 @ 208V/350 @ 240V I Vdc Max.Input Current(2).. .. .... ........ 9.5.......1......13....,.1.15;5 @,240V..�.. .18..... ......23 ....1..305@�240V..1.......34.5....... ...Adc.... Max.Input Short-circuit Current 45 I, ............... ..Adc.... Reverse-Polarity Protection Yes .............................................................................. ........... Ground-Fault Isolation Detection i 600kn Sensitivity MaximuminverterEfficienc 97.7.....).....98.2 98.3 '....,,98.3.,,,. 98 I 98 98 .................................. Y.......... ................I............... ................. ................ ................).................. ..................I....�...... I 97 @ 208V 97 @ 208V CEC Weighted Efficiency 97.5 98 97.5 i 97.5 97.5 ' % . ................�. ........(..98,�°.240V...I................1................ ..97 S @,240V.. .................. ........... <4 W Nighttime Power Consumption _(_ w <2.5 � i ADDITIONAL FEATURES Supported Communication Interfaces i RS485,RS232,Ethernet,ZigB.ee(optional) .................................... Revenue Grade Data,ANSI C12.1 #.......................................................Optio..... ................................ ......................................... ....................... ........... Rapid Shutdown–NEC 2014 690,12 I Yes STANDARD COMPLIANCE _ Safety UL1741,UL1699B,UL1998,CSA 22.2....... ................................................ ........... ......... .......... Grid Connection Standards IEEE1547 Emissions FCC art15 class B INSTALLATION SPECIFICATIONS AC output conduit size/AWG range1 3/4”minimum/16-6 AWG 3/4”minimum/8-3 AWG DC input conduit size/#of strings/ 3/4" 3/4"minimum/1-3 strings/ minimum/1-2 strings/16-6 AWG AWG ran6?.............................' 14 6 AWG Dimensions with Safety Switch I 30.5 x 12.5 x 10.5/ in%... 30.Sx12.5x7.2/775x315x184 (HxWxD)................................ ! 775 x 315 x 260.......... ...MM.... Weight with Safety Switch............. ..........5.1.2./.2.3............I...................54.3,/.24:7...i,..... .........i............88:4/40.1.............,..Ib/.kg... Natural convection Cooling Natural Convection and internal i Fans(user replaceable) � fan(user .replaceable). ..................................... ........... Noise............ (.............................. 25.. I <50 I deA Min.-Max.Operating Temperature -13 to+140/-25 to+60(-40 to+60 version availab101) F/°C Rang?........ ...........................1(.......................................................................................................................... ........... Protection Rating.......................:..... .....................................NEMA 3R 1�1 For other regional settings please contact SolarEdge support. 12I A higher current source may be used;the inverter will limit Its Input current to the values stated. 131 Revenue grade inverter P/N:SExxxxA-USOOONNR2(for 760OW inverter:SE7600A-US002NNR2). 1°1-40 version P/N:SExxxxA-USOOONNU4(for 7600W inverter:SE7600A-US002NN U4). r ,sunspsc � � 0 sola r m o o SolarEdge Power Optimizer Module Add-On for North America P300 / P320 / P400 / P405 i P300 P320 i P400 —~ �- P405 �— (for 60 cell modules) I (for high-power I (for 72&96-cell (for thin film 60-cell modules) I modules modules INPUT __ Rated Input DC Powerlll 300 320 400 --� 405 � W ............................................... ............................ ............................ ............................ ............................ ...... .. Absolute Maximum Input Voltage 48 80 125 I Vdc (Voc at lowest temperature) .. ..................... ........................................................ .......-......... -.........1............,............... .............. MPPT Operating Range................. ........................8-48 8-80...........1........12:5_105-....... ....Vdc..... Maximum Short Circuit Current(Isc) 10 11 10.1 Adc ............................................... ..................... .................................. ......................................................... .............. Maxim um,DC,Inpytgyrrent---. ..... 12.5,,,,,,,,,,,, ,,,,,,,,,,13.75........... ........,,,,-,-..........12:63 .. Adc,,„- Maximum Efficiency „ 99.5 % ......................... ........... .............-......-...........-.......................-.......................................................... .............. Weighted-EfficiencY..................... ......................................................98.8 ....... ..... °...... Overvoltage Category _ i _ _ II _ OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER)_` Maximum Output Current15 v Adc Maximum Output Voltage 60 85 _Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF) _ Safety Output Voltage per Power I 1 —!� —_` Vdc Optimizer STANDARD COMPLIANCE EMC FCC Part15 Class B,IEC61000-6-2,IEC61000-6-3 .......... ............................................... ........................................................................................................ . .............. Safet IEC62109-1(class II safety),,UL1741 Y......................................I.......-.................. . ,..�.......... RoHS I Yes _INSTALLATION SPECIFICATIONS Maximum Allowed System Voltage l 1000 u T Vdc„ ..................... ................................-........................--...................... Compatible inverters All SolarEdge Single Phase and Three Phase inverters ........ 128x152x27.5/ l 128x152x35/ 128x152x48/ mm/in Dimensions(WxLxH) I 5x5.97x1.085x5.97x1.37 5x5.97x1.89 ............................................... ......................................................... ............................I............................ .............. Weight,(includingcables)............... ......................760. .1.7....................... ..-.....830/1:8.........i......,10641?:3........ ...gr-�.ib.... Input ConnectorMC4 Compatible Out ut Wlre T e Connector Double Insulated,MC4 Com alible OutputWire Length..................... ......................0:9'. 3.........................i.......................1:?!.39...... ................ ...m......... 40-+85/-40-+185 ..Operangm ......................................... ..............-................... .......I *.C/ F ...... .... Protection. ........ ........... ............. Rating IP68./NEMA6P ........ ....... . . ... . ............. ........ ................... .............. .... ... .. Relative Humidity ......... ..... ... ......0.:,100 / M Rated STC power of the module.Module of up to+5%power tolerance allowed. PV SYSTEM DESIGN USING SINGLE PHASE THREE PHASE 208V THREE PHASE 480V _A SOLAREDGE INVERTER(2) _ Minimum String Length I 8 —I 10 ! 18 �_--- (Power Optimizers)„ Maximum String Length 25 25 I 50 ..(Power.Optimizers)...................... .................2............ ..... ....t..................................... ............... 27-5................ .............. Maximum Po 5256**5250 6000„-,-,--„- „ --,--„--„-,--12750............... ....I W„,„- Parallel Strings of Different Lengths or Orientations Yes ...............................................I............................................................................................,........-........... .............. Izl It Is not allowed to mix P405 with P300/P400/P600/P700 in one string. y;h. ♦� t P ✓; r SnapNrack- ngia� Solar Mounting Solutions Series 100 Residential Roof Mount System The SnapNrack Series 100 Roof Mount System is engineered to optimize material use, labor resources and aesthetic appeal. This innovative system simplifies the process of installing solar modules, shortens installation times, and lowers installation costs; maximizing productivity and profits. The Series 100 Roof Mount System boasts unique, pre-assembled, stainless steel "Snap- In" hardware and watertight flash attachments. This system is installed with a single tool. No cutting or drilling means less rail waste. It is fully integrated with built-in wire management, solutions for all roof types, one-size-fits-all features, and can withstand extreme environmental conditions. Series 100 is listed to UL Standard 2703 for Grounding/Bonding, Fire Classification and Mechanical Loading. UL 2703 Certification and Compliance ensures that SnapNrack installers can continue to provide the best in class installations in quality, safety and efficiency. • Appealing design with built-in aesthetics No grounding lugs required for modules All bonding hardware is fully integrated ® Rail splices bond rails together, no rail jumpers required I ® No drilling of rail or reaching for other tools required r ® Class A Fire Rating for Type 1 and 2 modules System Features Include Snap in Single Tool Easy No Cutting Hardware Installation Leveling or Drilling U1 4 1 & Integrated Wire Preassembled Integrated bonding UL 2703 Certified Management hardware Resources snapnrack.com/resources 0 Design snapnrack.com/configurator p Where to Buy snapnrack.com/where-to-buy SnapNrack- Solar Mounting Solutions Stainless Bolt with Stainless Steel Bonding Splice Standard Rail Split-Lock Washer Bolt with Split- Insert 015.09816 All Lock Washer Bonding Adjustable BondingMOW S End Clamp Top Splice Mid Clamp Base � Bonding Bonding Adjustable Channel NUL End Clamp Bottom Bonding Stainless Channel Nut Stainless Hardware with Bolt with Split-Lock Was Split Lock Bonding Adjustable Bonding Mld Clamp Bonding Standard washer End Clamp 242.o2os3 Rail Splice Ground Lug 242-02067 242-0406 242-02101 12-6 AWG Copper Wire Ground Lug Assembly (ONE REQUIREDPER ROW OF Universal End Clamp(UEC) wave UEC Pull Strap UEC Wedge Stainless Steel Bolt with Flat Washer IF IF IF L Universal End Clamp 242-02215 Standoff Clamp Assembly Rubber—A Serrated Stainless Channel Channel Nut Rain Collar Steel Flange Nut Nut Stainless Serrated Stainless Flange Nut Mill Finish Steel Flange Bolt 92 Degree Stainless Standoff L Foot Flange Bolt All Purpose L Foot Mill Finish Standoff Metal Roof Base(1-Hole oL Foot Base Shown) Mill Finish Flashing Base Assembly L Foot Base Standoff Metal Root Base L Foot Base with Flashing with L Foot 242.92057 242-92050 242-02037 SERIES 100 TECHNICAL DATA • 6000 Series aluminum Materials - Stainless steel • Galvanized steel and aluminum flashing Silver and black anodized aluminum Material Finish • Mill finish on select products - Silver or black coated hardware Note:Appearance of mill finish products may vary and change over time. Wind Loads 110-190 mph(ASCE 7-10) Snow Loads 0 -120 psf Array Pitch 0 60 degrees 877-732-2860 p www.snapnrack.com 0 contact@snapnrack.com U 2016 by SnapNrack Solar Mounting Solutions.All rights reserved SrupNradLsenes_100.srodujm_2.1 LG Life's Good I i LG NeON'2 LG's new module,LG NeONI 2,adopts Cello technology. Cello technology replaces 3 busbars with 12 thin wires ( I. APPROVED PRODUCT to enhance power output and reliability.LG NeONTm 2 DVE c E1b us ? 60 cell demonstrates LG's efforts to increase customer's values cc beyond efficiency.It features enhanced warranty,durability, lntertek KM 564573a6EN61215 performance under real environment,and aesthetic PpxAo„o1ra1<Maa.L� design suitable for roofs. QEnhanced Performance Warranty High Power Output LG NeON'm 2 has an enhanced performance warranty. i Compared with previous models,the LG NeONTm 2 The annual degradation has fallen from-0.7%/yr to has been designed to significantly enhance its output 0.6%/yr.Even after 25 years,the cell guarantees 2.4%p efficiency,thereby making it efficient even in limited space. more output than the previous LG NeONmodules. Aesthetic Roof ® Outstanding Durability LG NeONTm 2 has been designed with aesthetics in mind; With its newly reinforced frame design,LG has extended thinner wires that appear all black at a distance. the warranty of the LG NeONTm 2 for an additional The product may help increase the value of 2 years.Additionally,LG NeONI 2 can endure a front a property with its modern design. load up to 6000 Pa,and a rear load up to 5400 Pa. ®- Better Performance on a Sunny Day Double-Sided Cell Structure • LG NeONTm 2 now performs better on sunny days thanks The rear of the cell used in LG NeON`2 will contribute to to its improved temperature coefficiency. generation,just like the front;the light beam reflected from the rear of the module is reabsorbed to generate a great amount of additional power. About LG Electronics LG Electronics is a global player who has been committed to expanding its capacity,based on solar energy business as its future growth engine.We embarked on a solar energy source research program in 1985,supported by LG Group's rich experience in semi-conductor,LCD,chemistry,and materials industry.We successfully released the first Mono X®series to the market in 2010,which were exported to 32 countries in the following 2 years,thereafter.In 2013,LG NeON-(previously known as Mono X®NeON)won'tntersolar Award';which proved LG is the leader of innovation in the industry. a � , r r � X ,� s • y _ �,� , 1,` gc " F, a , , i _ 4 x w 411 F rr� , I w x� " fs, r Invaleon Technologies Corporation protect Name: NDTS ate. By:Tom K Wu Comments: 26 Parkridge Road,Suite 1B Johnson Residence Titles:Site Layout Description:Site Layout c:wser•wrawn vcwasnovwocou�oarw Haverhill,MA 01835 She Address: Dmvving't 7560 watts DC-STC www.invaleonsolar.com 59 Salem St 978.809.8316 info((�invaleontech.com North Andover,MA Sheet 7 of 2 I LG NeON-z M� Mechanical Properties Electrical Properties(STC*) Cells 6 x 10 Module Type 315 W Cell Vendor LG MPP Voltage(Vmpp) 33.2 Cell Type Monocrystalline/N-type MPP Current(Impp) 9.50 Cell Dimensions 156.75 x 156.75 mm/6 inches Open Circuit Voltage(Voc) 40.6 a of Busbar 12(Multi Wire Busbar)0 Short Circuit Current(Isc) 10.02 Dimensions(L x W x H) 1640 x 1000 x 40 mm Module Efficiency(%) 19.2 64.57 x 39.37 x 1.57 inch Operating Temperature(*C) -40-+90 Front Load 6000 Pa/125 psf a Maximum System Voltage(V) 1000 Rear Load 5400 Pa/113 psf 10 Maximum Series Fuse Rating(A) 20 Weight 17.0 t 0.5 kg/37.48 t 1.1 lbs Power Tolerance(%) 0-+3 Connector Type MC4,MC4 Compatible,IP67 •STC(Standard Test Condition):Irradiance 1000 W/m',Module Temperature 25°C,AM 1.5 Junction Box IP67 with 3 Bypass Diodes The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion. 'The typical change in module efficiency at 200 W/m'in relation to 1000 W/m'is•2A%. Length of Cables 2 x 1000 mm/2 x 39.37 inch Glass High Transmission Tempered Glass Frame Anodized Aluminum Electrical Properties(NOCT*) Certifications and Warranty Module Type 31 s W Maximum Power(Pmax) 230 Certifications IEC 61215,IEC 61730-1/-2 MPP Voltage(Vmpp) 30.4 IEC 62716(Ammonia Test) MPP Current(Impp) 7.58 IEC 61701(Salt Mist Corrosion Test) Open Circuit Voltage(Voc) 37.6 ISO 9001 Short Circuit Current(Isc) 8.08 Module Fire Performance(USA) UL 1703 *NOCT(Nominal Operating Cell Temperature):Irradiance 800 W/m',ambient temperature 20'C,wind speed 1 m/s Type 2(UL 1703) Fire Rating(for CANADA) Class C(ULC/ORD C1703) Dimensions(mm/in) Product Warranty 12 years 1& Output Warranty of Pmax Linear warranty* *1)1 st year 98%,2)After 2nd year 0.6%p annual degradation,3)83.6%for 25 years Temperature Characteristics ° NOCT 46 t 3°C LE PmPp -0.38%/°C eataa ett�1Y De1�12 �Oaszhm shat uds ham Voc -0.28%/°C Isc 0.03%/°C Characteristic Curves 9 10A0 1000w w�/call 6.00 6001N e°a/W1 •e°wls..l a.00 400W 200 .._. ._. .. .200VJ- ' I ¢ 0.00 sno 10.00 15.00 20.00 zs.00 30- 35.00 40.00 as.00 S 40 IH J 100 30 R 0 Temperaeum Cq R 5 m -05 o zs so Ts ao *The distance between the center of the mounting/grounding holes. ® L - North America Solar Business Team Product specifications are subject to change without notice. yy ❑ V LG Electronics U.SA.Inc DS-N2-60-C-G-F-EN-50427 Life's Good 1000 Sylvan Ave,Englewood Cliffs,NJ 07632 Copyright©2015 LG Electronics.All rights reserved. Innovation for a Better Life Contact:Ig.solar@lge.com 01/04/2015 www.Igsotarusa.com ��J a Ctllnvaieon Solar es i�CltnoK� TURNKEY CONTRACT This TURNKEY CONTRACT is made this All day of March,2016 (the "EFFECTIVE DATE")by and between: "ITC" Invaleon Technologies Corporation ATTN: Tom Kangkui Wu 26 Parkridge St, Suite 1B Haverhill,MA 01835 P: (978)-794-1724 AND "SYSTEM OWNER" (Name) Glen Johnson (Address) 59 Salem Street,North Andover, MA 01845 (Phone) 2.02— Gt'I — `L'1 c d ITC desires to provide Solar Installation services to the SYSTEM OWNER and the SYSTEM OWNER desires to obtain such services from the ITC. THEREFORE, in consideration of the mutual promises set forth below,the parties agree as follows: 1. PROJECT MANAGER. Christopher Melville is an employee of Invaleon Technologies Corporation, and will act as the PROJECT MANAGER and representative for ITC. 2. PROJECT LOCATION: 59 Salem Street,North Andover, MA 01845 3. CONTRACT PRICE: $23,625.00 4. SOLAR SYSTEM SPECIFICATIONS. ITC will install an electricity grid-connected photovoltaic, solar power system with a total generating capacity rated at approximately 7.560 kW-DC (referred to as the "ENTIRE SYSTEM") located at the PROJECT LOCATION (the "SITE"). The installation of the "ENTIRE SYSTEM" shall hereinafter be referred to as the"WORK". Components and Major Equipment: Page 1 of 10 . b Onvaleon Solar Edi ITC shall install the following equipment: • Modules: Twenty(24)LG 315 watt NeonX Modules • Racking: SnapNRack Black rails, flashings, and feet • Inverter and Optimizers: One SE7000A-US SolarEdge inverter, 24 P300 Optimizers • Balance of System: All required 5. ITC certifies that all equipment in part and the ENTIRE SYSTEM will be eligible for the Investment Tax Credit, and Massachusetts State Residential Solar Tax Credit. Additionally, ITC will file and obtain Statement of Assurance from the Department of Energy Resources to qualify the ENTIRE SYSTEM for MA SREC-I1 under the current solar carve out program. I� 6.INSTALLER WARRANTY. The ENTIRE SYSTEM will have a minimum 10-year labor warranty provided by the ITC to protect the SYSTEM OWNER against defective workmanship, PV project or component breakdown (exceptions noted in Section 3), or degradation in electrical output of more than fifteen percent from their originally rated electrical output during the warranty period. The warranty will cover the ENTIRE SYSTEM, including PV modules (panels) and inverters, all roof penetrations made by ITC to secure the SYSTEM, and provide for no-cost repair or replacement of the PV project or system components, including any associated labor during the warranty period. 7.PLANS, SPECIFICATIONS AND CONSTRUCTION DOCUMENTS. The SYSTEM OWNER will make available to ITC all plans, specifications, drawings, blueprints, and similar construction documents necessary for ITC to provide the Services described herein.Any such materials shall remain the property of the SYSTEM OWNER. ITC will promptly return all such materials to the SYSTEM OWNER upon completion of the WORK. 8. REQUIRED PERMITS.The following building permits are required and will be secured by ITC as the SYSTEM OWNER's agent: • Building Permit from Town of North Andover • Permit to Perform Electrical Work from Town of North Andover • Interconnection Approval from National Grid SYSTEM OWNER shall remain the sole proprietor of all permits, licenses, drawings, schematics, 1-line & 3-line diagrams, or any other pertinent documents and communications pertaining to the abovementioned permits and approvals. 9.PROPOSED START AND COMPLETION SCHEDULE. The following schedule will be adhered to unless circumstances beyond ITC's control arise Payments will be made according to the following schedule: Page 2 of 10 31 �(�` 0_ nvakon soon X-cn,)o 1. (35%) $8,268.75 Upon Closing of Mass Solar Loan and upon execution of this Turnkey Contract. 2. (65%) $15,356.25 Upon completion of project as defined by Permission to Operate from National Grid. 1 3 vKIT C�uJ f l 10. SUBCONTRACTORS. ITC shall have the right, at its sole dis retion, to perform all or part of the work through subcontractors and sub-subcontractors. ITC shall beep i le for any work performed by subcontractors and sub-subcontractors as if it as r ormed such work through its own forces. ITC shall not be obligated t '°b m the SYSTEM OWNER's prior ct consent to the use of any subcontraor s .carob-subcontractor(s). The SYSTEM OWNER shall not communicate directly wit�n subcontractor(s) or sub-subcontractor(s), all communications, changes, instruction5,' orders regarding the WORK shall be communicated directly to ITC by the SYSTE WNER. The SYSTEM OWNER recognizes that unauthorized communications with s subcontractors may result in changes to the WORK, for which the SYSTEM NER shall compensate ITC in accordance with the provisions of Section 11 below. 11. CHANGE ORDER. The SYSTEM OWNER and ITC may make changes to the scope of the work from time to time during the term of this TURNKEY CONTRACT. However, any such change or modification shall only be made in a written "CHANGE ORDER" which is signed and dated by both parties. Such CHANGE ORDER's shall become part of this TURNKEY CONTRACT. The SYSTEM OWNER agrees to pay any increase in the cost of the WORK as a result of any written, dated and signed CHANGE ORDER. In the event the cost of a CHANGE ORDER is not known at the time a CHANGE ORDER is executed, ITC shall estimate the cost thereof and the SYSTEM OWNER shall pay the actual cost whether or not this cost is in excess of the estimated cost. 12. CONFIDENTIALITY. ITC and its employees, agents, or representatives will not at any time or in any manner, either directly or indirectly, use for the personal benefit of ITC, or divulge, disclose, or communicate in any manner, any information that is proprietary to the SYSTEM OWNER. ITC and its employees, agents, and representatives will protect such information and treat it as strictly confidential. This provision will continue to be effective after the termination of this TURNKEY CONTRACT. Upon termination of this TURNKEY CONTRACT, ITC will return to the SYSTEM OWNER all records, notes, documentation and other items that were used, created, or controlled by ITC during the term of this TURNKEY CONTRACT. 13. INSTALLATION WARRANTY. ITC shall provide its services and meet its obligations under this TURNKEY CONTRACT in a timely and workmanlike manner, using knowledge and Page 3 of 10 3 ()nvakon Solar 7Lmnobgies I recommendations for performing the services which meet generally acceptable standards in ITC's community and region, and will provide a standard of care equal to, or superior to, care used by service providers similar to ITC on similar projects. ITC shall perform the WORK in conformance with the plans, and specifications signed by ITC and the SYSTEM OWNER. In addition to any additional warranties agreed to by the parties,the ITC warrants that the work will be free from faulty materials; constructed according to the standards of the building code applicable for this location; constructed in a skillful manner and fit for habitation or appropriate use. The warranty rights and remedies set forth in the Massachusetts Uniform Commercial Code apply to this contract. 14. FREE ACCESS TO WORKSITE. The SYSTEM OWNER will allow free access to work areas for workers and vehicles and will allow areas for the storage of materials and debris. Driveways will be kept clear for the movement of vehicles during work hours. ITC will make reasonable efforts to protect driveways, lawns, shrubs, and other vegetation. ITC also agrees to keep the SITE clean and orderly and to remove all debris as needed during the hours of work in order to maintain work conditions which do not cause health or safety hazards. 15. UTILITIES. The SYSTEM OWNER shall provide and maintain water and electrical service, connect permanent electrical service, gas service or oil service, whichever is applicable, and tanks and lines to the building constructed under this TURNKEY CONTRACT after an acceptable cover inspection has been completed, and prior to the installation of any inside wall cover. The SYSTEM OWNER shall permit ITC to use, at no cost, any electrical power and water use necessary to carry out and complete the work. 16. INSPECTION. The SYSTEM OWNER shall have the right to inspect all work performed under this TURNKEY CONTRACT. All work that needs to be inspected or tested and certified by an engineer as a condition of any government departments or other state agency, or inspected and certified by the local health officer, shall be done at each necessary stage of construction and before further construction can continue. All inspection and certification will be done at the SYSTEM OWNER's expense. 17. DEFAULT. The occurrence of any of the following shall constitute a material default under this TURNKEY CONTRACT: a.The failure of the SYSTEM OWNER to make a required payment when due. b.The insolvency of either party or if either party shall, either voluntarily or involuntarily, become a debtor of or seek protection under Title 11 of the United States Bankruptcy Code, Page 4of10 L J(�> ()nvaleon rages c.A lawsuit is brought on any claim, seizure, lien or levy for labor performed or materials used on or furnished to the project by either party, or there is a general assignment for the benefit of creditors, application or sale for or by any creditor or government agency brought against either party. d.The failure of the SYSTEM OWNER to make the building site available or the failure of ITC to deliver the Services in the time and manner provided for in this Contract. 18. REMEDIES. In addition to any and all other rights a party may have available according to law of the State of Massachusetts, if a party defaults by failing to substantially perform any provision, term or condition of this TURNKEY CONTRACT (including without limitation the failure to make a monetary payment when due),the other party may terminate the TURNKEY CONTRACT by providing written notice to the defaulting party. This notice shall describe with sufficient detail the nature of the default. The party receiving said notice shall have 45 days from the effective date of said notice to cure the default(s). Unless waived by a party providing notice, the failure to cure the default(s)within such time period shall result in the automatic termination of this TURNKEY CONTRACT. 19.FORCE MAJEURE. If performance of this TURNKEY CONTRACT or any obligation under this TURNKEY CONTRACT is prevented, restricted,or interfered with by causes beyond either party's reasonable control ("FORCE MAJEURE"), and if the party unable to carry out its obligations gives the other party prompt written notice of such event,then the obligations of the party invoking this provision shall be suspended to the extent necessary by such event. The term FORCE MAJEURE shall include, without limitation, acts of God, fire, explosion, vandalism, storm, casualty, illness, injury, general unavailability of materials or other similar occurrence, orders or acts of military or civil authority, or by national emergencies, insurrections, riots, or wars, or strikes, lock-outs, work stoppages, or other labor disputes, or supplier failures. The excused party shall use reasonable efforts under the circumstances to avoid or remove such causes of non-performance and shall proceed to perform with reasonable dispatch whenever such causes are removed or ceased. An act or omission shall be deemed within the reasonable control of a party if committed, omitted, or caused by such party, or its employees, officers, agents, or affiliates. 20. CONTRACT ARBITRATION. ITC and the SYSTEM OWNER hereby mutually agree in advance that in the event the ITC or SYSTEM OWNER has a dispute concerning this contract, ITC or SYSTEM OWNER may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Page 5of10 3'� (b t (), nvakon Solar Xx:nnokxXes Regulations and the SYSTEM OWNER shall be required to submit to such arbitration as provided in Massachusetts General Laws. SYSTEM OWNER Signature: ITC's PROJECT MANAGER'S Signature: NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by ITC. The SYSTEM OWNER may initiate alternative dispute resolution even where this section is no separately signed by the parties. 21. Indemnification and Limitation of Liability To the fullest extent permitted by law ITC will indemnify and hold harmless the SYSTEM OWNER and its employees from and against claims, damages, losses and expenses, including but not limited to reasonable attorneys' fees arising out of or resulting from performance of the WORK, provided that such claim, damage, loss or expense is attributable to bodily injury, sickness, disease or death, or to injury to or destruction of tangible property, but only to the extent caused by the negligent acts of omissions of ITC or its subcontractor or anyone directly or indirectly employed by them. Nothing contained in this TURNKEY CONTRACT shall be construed as creating any personal liability on the part of any officer, director, owner, employee, manager, member or agent of ITC. Notwithstanding any other provision to the contrary in this TURNKEY CONTRACT, and to the fullest extent permitted by law, ITC's liability under this TURNKEY CONTRACT, shall be limited to the sums recovered by ITC under insurance policies taken out by ITC or ITC's subcontractors in respect to the WORK. Notwithstanding any other provision in this Agreement, under no circumstances shall ITC be responsible for or be under an obligation to compensate the SYSTEM OWNER for lost energy sales, regardless of the reasons for such lost sales. 22.Taxes The CONTRACT PRICE includes all sales, consumer, use, and other similar taxes on materials provided by ITC,which are legally enacted by the governing authority in the area where the installation is located. 23.Miscellaneous This TURNKEY CONTRACT represents the entire and integrated agreement between the SYSTEM OWNER and ITC with respect to the WORK and supersedes all prior negotiations, Page 6of10 �� It ()nvaieon Solar 7bcr+no►ogles representations or agreements, either written or oral. This TURNKEY CONTRACT may be amended only by written instruments signed by both the SYSTEM OWNER and ITC. Any oral representation of modification pconcerning this TURNKEY CONTRACT shall be of no force or effect. This TURNKEY CONTRACT shall be executed in two counterparts, both of which taken together shall constitute one and the same instrument. The undersigned individual(s) represent that they are fully authorized to bind their respective entities. The SYSTEM OWNER acknowledges that it has carefully read this TURNKEY CONTRACT and understands the contents thereof, that it has had the opportunity to consult with its own attorney(s) in respect to the terms and conditions set out herein and it has agreed to the provisions hereof without reliance on any representation or promise by ITC or anyone acting on behalf of ITC. The invalidity or unenforceability of any particular provision of this TURNKEY CONTRACT shall not affect the other provisions, and this TURNKEY CONTRACT shall be construed in all respects as if any invalid or unenforceable provision were omitted. Nothing in this TURNKEY CONTRACT shall be construed or deemed to create a contractual relationship between ITC and any third party; a cause of action in favor of a third party against ITC; or create any third party beneficiary rights of any kind. ITC and the SYSTEM OWNER waive all claims against each other for consequential damages arising out of or relating to this TURNKEY CONTRACT. This mutual waiver applies,without limitation to all consequential damages which arise as a result of either party's termination of this TURNKEY CONTRACT. 24. GOVERNING LAW. This TURNKEY CONTRACT shall be construed in accordance with, and governed by the laws of the State of Massachusetts,regardless of the choice of law provisions of Massachusetts or any other jurisdiction. 25.ASSIGNMENT.Neither party may assign or transfer this TURKNEY CONTRACT without the prior written consent of the non-assigning party, which approval shall not be unreasonably withheld. 26. CONTRACT ACCEPTANCE. Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the property. Review the following cautions and notices carefully before signing this contract. Page 7 of 103�fg 31 I t� nV ;J alEon Solar Vb hnok)Ves Page 8 of 10 (-)mvaleon Volar IN WITNESS WHEREOF,the undersigned have duly executed and delivered this TURNKEY CONTRACT as of the day and year first above written. DO NOT SIGN THIS TURNKEY CONTRACT IF THERE ARE ANY BLANK SPACES. No work shall begin prior to the signing of the TURNKEY CONTRACT and transmittal to the SYSTEM OWNER of a copy of such contract. ITC Name: Title: Signature: Date: a SYSTEM OWNER Name: Signature: Date: lit %/I -L Page 9of10 The Commonwealth of Massachusetts Department of IndustrialAceidents ' Office of Investigations 1'1 600 Washington Street Boston,MA 02111 futvw mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aunlicant Information Please Print Legibly Name(Business/Organization/Individual): .17 rtVav edh `ret yte� %�� PQu-n_ Address: �-6 pccc B RA , S�n`� °� City/State/Zip: tl,t_�I,J K ©183.y Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.10 I am a employer with S 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors G. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑Building addition [No workers' comp.insurance comp.insurance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.)e Otheri��r comp.insurance required.] *Any applicant that checks box#1 must also fill out lite section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then]tire 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 nay employees. Below is the policy and job site information. Insurance Company Name: "rmw d"_ Policy#or Self-ins.Lic.#: Tu(3 ` 2 G_T4 7608 Expiration Date: & + Job Site Address: Pio, AWAQ r City/State/Zip: No, AA d t$`CS— Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify ander thepT and pens ie erJury that the information provided above is trite and correct. i a e• Date: ;I;Zkl c� Mw Phone#: I *-Fool - ?.31�v 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 G.Other Contact Person: Phone#: The Commonwealth of Massachusetts Department oflndustrialAccidents d 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aipplicant Information Please Print Le 'bl Name(Business/Organization/Iridividual): l Address:-% dJ City/State/Zip• -?-�— Phone#: G?rX MT3/6 Are you an employer?Checktlie appr"opriaie box: Type of project(required): 1.)4 l am.a employer with !�. , employees(full and/or part-time).* 7. ❑New construction 2.r-1 I am a sole proprietor.or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself.[No workers'compAnsurance required.]t ❑ 4.F1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11,.❑Electrical repairs or.additions proprietors with no employees. 12:❑Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ 1 13.❑Roof r�airs These sub-contractors have employees and have workers'comp.insurance. 6.❑We area corporation and its officers have exercised their right of exemption per MGL C. 14. Other 152,§1(4),and we have no..efnployees.[No workers'comp.insurance required.] *Any applicant that checks box#1must als6 fill out the section below showing their workers'compensation policy information. i Homeowners who submit#his afC•idavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must•attaehed 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,hiey must provide their workers'comp.policy number. Iain an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: / L ��Ull Expiration Date: Q��l Job Site Address:V / (per �'� City/State/Zip: d�'� !LpJ7/ !/`'t/4 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 e. 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 lb$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 and epa' d pe alts ies of perjury that the information provided above true d correct Signature: Date: Phone#: 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#: I 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-contractoi(s)name(s),address(es)and-phone numbers)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 maybe 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(ifnecessary)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 ACOR& CERTIFICATE OF LIABILITY INSURANCE DA IT 6 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: H the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME. MTM INS ASSOCIATESPHONE pax 1320 OSGOOD ST Arc- Esl• (A'C,No, NORTH ANDOVER,MA 01845 E�MAaC INSURE R(S)AFFORDING COVE.RAGE NAIC k INSURER A.-rRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA INSURED INSURER B. INVALEON TECHNOLOGIES CORP INSURER C 26 PARKRiDGE RD,SUITE 18 HAVERHILL,MA 01835 INSURER D. INSURER E. INSL)RF-R P. OVERAGES CERTIFICATE NUMBER:- REVISION NUMBER: THIS IS TO CERTIFY THAI THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR l'HE 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,T"HE 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. 'NSR AOD SUe POLICY EFF POLICY EXP E OF GENERAL LIABILITYII.ITY LTR TYPILITY INSURANCE INSp I vivo POLICYNUMBER MWDDIYYYY MMIDOIYYYv LIMITS EACH OCCURRENCE $ COMM ERCIAL GEN ERAL LIABIL17 Y DAMAGE TO RENTCD $ CLAtMS•MACE OCCUR PREMISMF.O EXP(Any one Person) $ PERSONAL A ADV INJURY S GENERAL AGGREGATE. _ $ OEN'L AGGREGATE LIMIT APPLIES PCH. PRODUCTS-COMPIOP AGO $ POUCY PRO- JECT LOC $ AUTOMOBILE UABLnY C�OM6iNE0 SINGLE LIMIT r cc ntl ANY AUTO ---^— ALLOWNED SCHEDULED BODILY IMAIRY(Per persenl $ AUTOS AUTOS BODILY INJURY(Per nccbenlf S HIRED AUTOS AUTO QEDOPER YAME $ iinP $ UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS UAB H CLAIMS-MADE AGGREGATE $ JoEDI I RETENTION$ $ WORKERS COMPENSATK)N X WC STATU• OTH AND EMPLOYERS'LIABILITY TORY LWITS1 I ER ANY PR OP R'ETOFIPARTNER/EXECUTNF, NIA E.L.EACH ACCiDENI $1,000,000 OF'FfCERad EMBER EXCLUDED7 7PJUB 03-06-2016 03-06-2017 (Manaat-s in NH) II Vim aescxioe under 2E768008 E.L.DISEASE.-EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS oelDw I I Cl.DISEASE:-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(Attach ACORD 101,AddalOnai Romarks Schedub,It more apace is requlmd) CERTIFICATE HOLDS& CANCELLATION TOWN OF UXBRIDGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 21 S MAIN ST CANCELLED BEFORE THE EXPIRATION DATE THEREOF, IIXBRIDGE,MA01569 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Q 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD A6 Rte® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/10/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND_OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the Policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Michael Laorenza MTM Insurance Associates PHONE (976)681-5700 FAX No;(978)681-5777 1320 Osgood Street AIL ADDRESS:Certificates@mtminsure.com INSURERS AFFORDING COVERAGE NAIC# North Andover MA 01845 INSURERA Atain Specialty Ins Cc INSURED INSURER B:Commerce 34754 Invaleon Technologies, Corp. & Sunde Sunshine LLC INSURERCNational Union Fire Ins Co of PA 26 Parkridge Rd. INSURER D: Suite 1B INSURER E: Haverhill MA 01835 INSURER F: COVERAGES CERTIFICATE NUMBER:15-16 and 16-17 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 DD UB LICY EFF POLICY EXP LTR TYPE OF INSURANCE PO POLICY NUMBER MM/DDIYYYYI I(MM/DDNYYYJ LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE FX1OCCUR AA T RENTED PREMISES(Ea occurrence) $ 100,000 CIP229969001 2/2/2016 2/2/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO- ❑ JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ATOX SCHEDULED B ye AUUTOSS AUTOS 4/25/2015 4/25/2016 BODILY INJURY(Per accident) $ X HIRED AUTOS }( NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ X UMBRELLA LIAB X Drive other car $ OCCUR EACH OCCURRENCE $ 1 000,000 C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ EBU020733424 3/12/2015 3/12/2016 WORKERS COMPENSATION $PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) This certificate of insurance co represents coverage erage currently in effect and may or may not be in compliance with any written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Uxbridge THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 21 S. Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Uxbridge, MA 01569 AUTHORIZED REPRESENTATIVE M Laorenza/CHARLE et ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 onlAnn CS-104702 DAVID S PICAZIO _ 9 GROVE ST PLACE"tr ARLINGTON MA 02474 } 09/10/2016 3CI DRIVER'S LICENSE ii *' a e1b 40 NUMM 4a NONE+S27594944Al . m oso� 19 09-10-1986 t.9 GROVE ST PLACE riw C3tilee+�re09asumtr A$Afra�c Bcteutxxo� -c iC?11AE UN#rRGYIiElIItE�(T CONTRACTOR �+RIt#tr�C]ayn, H282S Type. Expira2�on: i7 Corocration INVALFON TECHNOLOGIES CORP. 461 ANDOVER ST SUITE,33D NORTH ANDOVER,MA 0184 1sn4fcra�crrrarl