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Building Permit #541-2016 - 72 MABLIN AVENUE 11/2/2015
Permit NO: Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received I IMPORTANT: Applicant must complete all items on this oan LOCATION 72 Mablin Avenue North Andover, MA 01845 Print PROPERTY OWNER Brian Birchall n'lI Print MAP NO.: PARCEL:n I ZONING DISTRICT: TYPE AND USE OF BUILDING HKT(IRTC nICTRICT vFC n tt� TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential Ll New Building L addition Alteration One family Ll Two or more family No. of units: LI Industrial L Repair, replacement LJ Demolition L Assessory Bldg LJ Commercial L Movie (relocation) L Other Li Others: Ll Foundation oniv Vt�& IFIIUIN Ut' WU.K& IU 13E YKl✓rUxMr:ll install 6.24 kw solar panels on roof. will not exceed roof panel but will add 6" to roof height. 24 panels total r Identification Please Type or Print Clearly) .A OWNER: Name: Brian Birchall Phone: 978-208-1473 Address: 72 Mablin Avenue North Andover, MA 01845 CONTRACTOR Name: Gregg Lacasse Phone: 508-291-0007 Address: 20 Patterson Brook Road West Wareham, MA 02176 M Supervisor's Construction License. 103631 Exp. Date: 8/30/17 Home Improvement License: 170355 Exp. Date: 10/12/15 ARCHITECT/ENGINEER Richard Gordon Name: Phone: 434-574-6138 Address: PO Box 264 Farmville, VA 23401 Reg. NO. 49993 FEF SCHED%%LE. BULDING PI:AVIT• 512.00 PER $1000.00 OF THE TOTAL F,STIMATFD COST BASED ON5125.00 PER S.F. Total Project Cost :$ 25,000 x12.00=FEE:$ Check No.: 3 "D—b) Receipt No.: Page l of 4 i "1'YP.I' OF SFWTIZAUE DISPOSAL. Tanning/Massage/Body ❑ SNvimnling Pools U Public Sewer El Art ]Water Shed Special Permit Well Tobacco Sales Food Packa,ing/Sales U Private ❑ permanent Dumpster on Site ❑ (septic tank, etc. DATE REJECTED DATE APPROVED Electric .Meter location to ❑ ❑ CONtMENTS project NU I E: Persons contracting with unregistered contractors do not have access to the guarovitly.filind Signature of Agent/Owner please see attached letter Signature of contractor Plans Submitted '9� Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE .FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM Water & Sewer connection/Signature & Date Drivewav Permit Temp Dumpster on site yes_no_ Fire Department signature/date DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ]Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ CONtMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: C Zomns Decision/receipt submitted yes Planning Board Decision: Cormnents Conservation Decision: Comments Water & Sewer connection/Signature & Date Drivewav Permit Temp Dumpster on site yes_no_ Fire Department signature/date a CD 0 z C 0 Cr ski Q �. > (c 0 O o v C� Ccr� CD o OWA O 0 N CD cflot E7 m x cn z 0 z n O D 0 Z O 41 rr cD N cQ W CD 0 O cn 2. CD 0 —% z <, (D cn. N CD n Cl)� CL cm) m o s -o N FD - 0 D' TI oO CL 0 _ m W 0 O y O cn� _ PCD 2 CD � � = O C7 > CD CQ Q- O rt _y o O O C7 O "~ 0 CD O' CD lD 'a 0 0 y r.. o0� .h y O o � a rt D CDy CL O n S �. Q 0co 0 CL_ y CD CD y O' :Ic 0` CL CD (" • '.5 CD r Col � CD :fes,,, cO 3 ib O O O ;• �rt Vl O C C1 y D CD %0 CD "0 ■ - O O _ O O - O O CL N 3 O � (D O (D rr N N r* z WT c 3 T m V D m -zi0 j :10 O 000 S N N O T j' N O 5 N �0 . O 000 S m m n > m T w O 000 S D c W fmi T O' () S 7 (D x O 00q S T O Q r? p O W c p z G1 czn M A 0 N fD fl N �n 3 T O Q \ n S (D O W D v0 2 m r 2 O ;x Optimize Engineering Co., LLC P.O. Box 264•Farmville•VA 23901 Ph: 434.574.6138.E -mail: grichardpe@aol.com Richard B. Gordon, P.E. President August 3, 2015 North Andover Building Department North Andover, MA Re: Solar Panels Roof Structural Framing Support To Whom It May Concern: I hereby certify that I am a Licensed Professional Engineer in the State of Massachusetts. Please note the following conclusions regarding framing structure, roof loading, and proposed site location of installation: 1. Existing roof framing: Conventional framing is 2x6 at 16" o.c. with 12'-11" span (horizontal rafter projection). This existing structure is definitely capable to support all of the loads that are indicated below for this photovoltaic project after sister rafters with a 2x8 using (2)10d nails V o.c. Use of (2) Guard DogTm FMGDO02 screws is approved, or equal shear strength of approx. 120 Ib, V o.c. at areas where little space is available only with remainder of member secured with (2)10d nails V o.c. If do not sister, then install a 2x4 @ 16"o.c. knee wall over an interior bearing wall to limit span of rafters between supports to 9'-6". 2. Roof Loading • 4.33 psf dead load (modules plus all mounting hardware) • 33 psf snow live load (55 psf ground snow live load reference) • 4.5 psf dead load roof materials • Exposure Category B, 115 mph wind uplift live load of 19.6 psf (wind resistance) 3. Address of proposed installation: Residence of Brian Birchall, 72 Mablin Avenue, North Andover, Massachusetts This installation design will be in general conformance to the manufacturer's specifications, and is in compliance with all applicable laws, codes, and ordinances, and specifically, International Residential Code/ IRC 2009, 2011 NEC, and 2012 ICC Energy Code. The spacing and fastening of the Unirac mounting brackets is to have a maximum of 64" o.c. span along the rail between mounting brackets and secured using 5/16" x 3 %" length corrosive resistant steel lag bolts. In order to evenly distribute the load across the roof rafters, there shall be a minimum of 2 mounting brackets per rafter & min. 2" penetration of lag bolt per bracket, which is adequate to resist all 115 mph wind live loads including wind shear. The mounting brackets shall alternate between adjacent rafters between rail rows for better distribution of roof load. Penetration of anchors for modules mounted within 18" of ridge and edges of roof is to be a minimum of 3". Rails may be attached to either of two mounting holes in the L -feet. Mounting in the lower hole for a low profile, more aesthetically pleasing installation or mount in the upper hole for a higher profile to maximize airflow under the modules to cool them more. Slide the N -inch mounting bolts into the footing bolt slots. The rails will be attached to the footings with the flange nuts. Very truly ,yours, Optimize Engineering Co., LLC Richard EVIWdon, I.E. Massachusetts P.E. License No. 49993 MECHANICAL ENGINEERING CIVIL ENGINEERING ELECTRICAL ENGINEERING N OF Mgss,, X ti O RICHARD 8. GORDON o U 61ECHANICAL N0.49993 gr�F JcIS-V SIONA\- Massachusetts Home Improvement Sample Contract This form satisfies all basic requirements of the state's Home Improvement Contractor Law (MGL, chapter 142A), but does not include standard language to protect homeowners. Seek legal advice if necessary Any person planning home improvements should first obtain a copy of "A Massachusetts Consumer Guide to Home Improvement" before agreeing to any work on your residence You may obtain a free copy by calling the Office of Consumer Affairsand Business Regulation's Consumer Infom:ation Hotline of 617-973-8787 or 1-888-283-3757 or on our website, nomeownef iniormatlon Contractor Information Tfatne Com} why Mralle Brian Birchall Trinity Solar SUM Address (do not use a Post O1Lce Box address) Contractor! Satespersoar Owner Name 72 Mablin Ave Gregg LaCasse City/Town State Zip Code Business Address (,must include a street address) North Andover, MA 01845 20 Patterson Brook Road Unit 10 DA,lime Phone Evening phone City/Town State Zip Code 978-208-1473 West Wareham, MA 02571 Mailing Address at differad from above). Business Phone508-291-0007 I Sodend E'mpki)W ID or S,S, Number nAnehnpmvmtenlCwasadorA .Nwntrcr L'xynA,.oMte L—reqnie. th• mast home ampmvemmt —)-don here v e fad r"$&.do. namher 170355 The Contractor agrees to do the following work for the Homeowner: (Despibe in detail the work to completed, specif}ting the type, brand, card grade of rnmenals to be used, use additional sh -ts if recesurv.) install 6.24kw solar panels on roof. Not to exceed roof panel but will add 6" to roof height. 24 panels total. Panel type Trina -260, for more detailed info see attached "Snap Rack" packet Required Permits -The following building permits are required Proposed Start and Completion Schedule - The following schedule will and will be secured by the contractor as the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own pelntits win be excluded from the Guaranty Fund provisions of TBD pate when contractor will begin contracted work, MGL chapter 142A.) TBD Date when contracted work will be substantially completed r uwr t-untracr race anu r aymenr Jeneeute The Contractor agrees to perform the work, furnish the material and labor specified above for the total sum of. S25,00D (w) Payments will be made according to the following schedule: please see attached contract $ upon signing contract (not to exceed 113 ofthe total contract price Q the cost of special order items, whichever is greater) S by or upon completion of S by or upon completion or $ upon completion of the contract (Law .forbids demanding full payment until contract is completed to both party's satisfaction) The following materialleguipmed must be spceial Si_ to be paid for ordered before the contracted work begins in order to meet the completion schedule.(—) S to be paid for NOThs: (`) including all finance charges (".) Law requires that tory deposit or down-payinem required by the contractor before work begins may not exceed the greater of (a) one-third of the iota] contract price or (b) the actual cost of any special equipment or ouster) made material which must be special ordered in advance to meet the completion schedule. Subcontractors -The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third pally/subcontractor utilized by the contractor. The contractor further a Trees lobe solely, responsible for all payments to all subcontractors for materials and labor under this agreement not applicable to soar installation 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 residence, Review the following cautions and notices carefully before signing this contract. • Don't be pressured into signing the contract. "fake time to read and frilly understand it. Ask questions if something is unclear. • Make sum the eartmoorbas rt -valid xomeimnrovement ContrnctorRetristrnnon. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza, Room 5170, Boston, MA 02116 or by calling 617-973-F.797 or 888-283-3757. + Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage, or ask to see a copy of a "proof of insurance' document. • Know your rights and responsibilities. Read the Important Information on the reverse side of this fort mrd get a copy of the Consumer tiuide to the Home Improvement Contractor Law, You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business, provided you notify the contractor in writing at hisiher main office or branch office by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business clayfollowing the signing of this agneemcnt. See the attached notice of cancellation form for an explanation of thisrighi, DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! Wo identical copies of the cer.nct mug be completed and signed. one ropy 4-1d to to�EE shoidd be kqq "the cantnctac please see attached Homeowner's Signature Contractor's Signature 10/28/15 Date 10/28/15 Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action (as an alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a contractor, however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the sante right to arbitration as is afforded to the homeowner by the Hoare Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in ildvatice that in die event the contractor has a dispute concerning this contract, the contractor 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 Regulation and the consumer shall be required to submit to such arbitration as provided Iri Massachusetts General Law c1 c 1414, please see attached Homeowner's Signature Contractor's ignature NOTICE: The signatures of die parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Riots A homeowner's rights under the Home Improvement Contractor Law (MGL chapter 1.42A) and other consumer protection laws (i.e. MGL chapter 93A) may not be waived in any way, even by agreement. However, homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the I-Iome Improvement Contractor Law. The contractor is responsible for completing the work as described, in a timely and workmanlike manner. Homeowners may be entitled to other specific legal tights if the contractor guarantees or provides ail express warranty for workmanship or materials: In addition to guarantees or warranties provided by the contractor, all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terns of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consunnerllomeowner rights, contact the Consumer Information Hotline (listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until•a copy of -all wdiibits,and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void, deleted, or not applicable. One original signed copy of the ocintract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract: must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract, and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cures where the homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems him/herself to be financially insecure, the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights, or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home hmprovement" contact: Consumer Irifonnation Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02.116 617-973-8787, 888-283-3757 or visit the OCABR website at littp•/lwww.mass.eov!ocabr.•' If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at http:i/ivn1+ mass eovr'ocabr' Go online to view the status of a Home Improvement Contractor's Registration: l�tjn•tidb tate ma usrhomeinttnoventent/licenseetist asp For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General 617-727-8400 ANDIOR Better Business Bureau 508-6524800, 508-755-2548 or 413-734-3114 Version2l � 11122/2010 li- 20-ast Greenway Plaza Ste 475, Houston, TX 77046 T 281.985.9900 www.sunnova.com SUMMARY Homeowner Name and Address Brian Birchall 72 Mablin Avenue, North Andover, MA 01845 Contract ID OOKMSK Co -Owner Name (If Any) Installation Location Estimated Solar Energy Production Payment Terms 1. Introduction. 72 Mablin Avenue, North Andover, MA 01845 Estimated First Year Annual Production Estimated Initial Term Total Production sunnnva Contractor License Trinity Heating and Air Inc. Trinity Solar 2211 Allenwood Rd Wall, New Jersey 07719 13VH01244300 New Jersey 7,568 kWh 178,134 kWh Annual Increase of Solar Energy Rate: 2.90% / year First Year Solar Energy Rate, if paid by ACH: $0.110 / kWh First Year Solar Energy Rate, if not paid by ACH: $0.121 / kWh Monthly Bill in First Year, if paid by ACH: $69.37 / month onthly Sunnova in First Year, if not paid by ACH: $76.31 / month This Power Purchase Agreement (this "Power Purchase Agreement" or "PPA") is the agreement between you and Sunnova Energy Corporation (together with its successors and assigns, "Sunnova" or "we"), covering the sale to you of the power produced by the solar panel system (the "System") described below. Sunnova agrees to sell to you, and you agree to buy from Sunnova, all of the power produced by the System on the terms and conditions described in this Power Purchase Agreement. The System will be installed by Sunnova or a contractor acting on Sunnova's behalf at the address you listed above. This Power Purchase Agreement will refer to this address as the "Property" or your "Home." Sunnova provides you with a Limited Warranty (the "Limited Warranty"). The Limited Warranty is attached as Exhibit 1. This is a legally binding agreement with disclosures required by law, so please read everything carefully. If you have any questions regarding this Power Purchase Agreement, please ask the sales consultant who provided you this PPA. Note that references in this PPA to the term "day" means a calendar day. 2. Term. Sunnova agrees to sell you the power generated by the System for 25 years (300 months), plus, if the Interconnection Date is not on the first day of a calendar month, the number of days left in that partial calendar month. We refer to this period of time as the "Term." The Term begins on the Interconnection Date. The "Interconnection Date" is the date that the System is turned on and generating power. A "Year" is the twelve (12) month period beginning on the Interconnection Date and Contract ID: Solar EZ Power Purchase Agreement version p02172014 continuing until the day prior to the anniversary of the Interconnection Date. Sunnova will notify you by email when the System is ready to be turned on. 3. Power Purchase Agreement Payments; Amounts. (a) Power Price. You are purchasing the power the System produces. The price of that power is set forth on the "Value Statement" attached as Schedule A. (b) Payments. Schedule A details, among other things, (i) the price per kWh you will be charged per Year; (ii) the annual price per kWH percentage increase (if any); (iii) Sunnova's estimate of the power that is expected to be produced by the System during the first Year; (iv) Sunnova's estimate of the amount of power that is expected to be produced by the System over the entire Term (excluding any renewal period(s) extending the Term as provided in Section 10); and (v) your Monthly Payment amount for the first Year. Your "Monthly Payment" is calculated based on the following: (A) the annual price per kWh multiplied by (B) the estimated kWh output per Year ("Estimated Annual Production") divided by (C) twelve (12). Each Monthly Payment is due on the seventeenth (17th) calendar day of the month for the previous calendar month unless it is not a business day, in which event, the Monthly Payment for such month will be due on the first business day after the seventeenth calendar day of such month. Any payments due upon installation are due immediately prior to commencement of installation. You will not make a Monthly Payment if you fully prepay this PPA as provided in Section 40). Oc 2008-2014 Sunnova Energy Corporation. All Rights Reserved. ' 20 hast Greenway Plaza Ste 475, Houston, "CX 77046 'r 281.985.9900 www.sunnova.corn 25. NOTICE OF RIGHT TO CANCEL. YOU, THE OWNER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO su n nava MIDNIGHT OF THE SEVENTH CALENDAR DAY AFTER THE DATE OF THIS TRANSACTION. SEE EXHIBIT 4, THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. I have read this Power Purchase Agreement and the Exhibits in their entirety and I acknowledge that I have received a complete copy of this Power Purchase Agreement. Owner's Name: Brian Birchall Signature: Date: July 28th 2015 Co -Owner's Name (if any): L Erin Birchall Signature: Date: Sunnova Energy Corporation: ynda Attaway SVP Operations Sunnova Energy Corporation Date: Contract ID: Solar EZ Power Purchase Agreement version p02172014 12 a 2008-2014 Sunnova Energy Corporation. All Rights Reserved. DocuSign Envelope ID: 081596F1-474D-428E-B62C-B8E76BA4D589 i r SOLAR SYSTEM WORK ORDER AMENDMENT This Work Order Amendment is hereby made and entered into by and between Sunnova Energy Corporation and Trinity Heating and Air Inc. ("Parties") on August 7, 2015. WHEREAS, the above stated parties have previously entered into Solar System Work Order Agreement ("Work Order") and the Parties wish to amend the Work Order as stated below. Sunnova and Contractor agree as follows: 1. The Solar System that is the subject of this Work Order shall be designed, engineered, procured, constructed, and installed as follows: Sunnova System ID OOKM5K Contract Amount (S) $25,423.92 Job Site Address 72.0 Mablin Avenue North Andover, MA 01845 Job Site Utility Company Massachusetts Electric - National Grid System Size (STC DC kW) 6.24OkW Incentives (Rebate) Authority Commonwealth Solar II Incentives (Rebate) Amount $0.00 Module Model and Count Trina Solar TSM-260PD05.08 (16) Trina Solar TSM-260PDO5.08 (4) Trina Solar TSM-260PDO5.08 (4) Inverter Model and Count SolarEdge SE5000 (240V) (l) SolarEdge SE5000 (240V) (0) SolarEdge SE5000 (240V) (0) Racking IronRidge Monitor Itron Year 1 Annual Production 7568 IN WITNESS WHEREOF, the Parties have caused this Amended Work Order to be executed as of the respective dates set forth below. Sunnova Energy Corporation Trinity Heating and Air Inc. FfCF0586497CA147C. uS,gned by: (011 . Lynda Attaway Name: SVP Operations Title: Sunnova Energy Corporation Date: Copyright © 2013 by Sunnova Energy Corporation All rights reserved. Trinity Solar 20 Patterson Brook Road Wareham, MA 02571 508-291-0007 Date: 7/28/15 l Brian Birehall , do hereby grant Trinity Solar the right to sign on (Homeowner's Nome) my behalf in all matters regarding the permit applications through the township of North andover for the installation of solar panels and all other related work on my property at 72 Mablin Avenue Please accept this (SL ..l Add—) document, with full signature, in place of all application signatures. Furthermore, should there be any issues or discrepancies with the paperwork, please contact Danielle DeVito at Trinity Solar, 732-780-3779 ext. 9044 or danielle.devito@trinitysolarsystems.com. Sincerely, 5V-1,011NVq Homeowner's Signature Brian Birchall Print name 978-208-1473 Phone Number 72 Mablin Avenue Street Address North Andover MA 01845 City, Mate, Zip Code r � ° Snap rack - Solar Mounting Solutions Series 100 Residential Roof Mount System The SnapNrack Series 100 'U!. Roof Mourt System is -3`1 efficient, visually appeaiing., photovoltaic (PV) module installation system. Series 100 UL is listed to the UL 2703 for grounding/ /bonding and fire classification. The System's components provide an adequate bonding path which has eliminated the need for grounding lugs and wash- ers at each moduie, and bonding jumpers between splices. In addition to grounding and bonding, the roof mount system, Series 100 UL, is Class A Fire Rated when in- stalled with Type I and Type II Modules. SnapNrack's UL 2703 Certification and Corn- pliance ensures that SnapNrack installers can continue to provide the best in class installations in quality, safety and efficiency. 0 Appealing design with built-in aesthetics No grounding lugs required for modules p All bonding hardware is fully integrated into the components ® Rail splices bond rails together, no rail jump- ers required 0 Proprietary SnapNrack grounding lug snaps in the rail channel 0 No drilling of rail or reaching for other tools required ® Class A Fire Rating for Type 1 and 2 modules System Features Include Snap in Single Tool Easy Hardware Installation Leveling Integrated Wire Preassembled Integrated bonding Management hardware No Cutting or Drilling UL 2703 Certified Resources snapnrack.con-i/resources Design ccnfig ure.sn.apnrack com Where to Buy snapnrack.com/lbuy a Y Aii t System Features Include Snap in Single Tool Easy Hardware Installation Leveling Integrated Wire Preassembled Integrated bonding Management hardware No Cutting or Drilling UL 2703 Certified Resources snapnrack.con-i/resources Design ccnfig ure.sn.apnrack com Where to Buy snapnrack.com/lbuy Snip rack. - Solar Mounting Solutions ?;= r3 it 1`h Stalale^'s St dl .inPpNrI Hcndinr, ko, It_o vt Irrlot, rt pit Splrcefi ert LbAi sh r �, n rl`l19<k IQ _ 1a`JN I"'OK -+r{fii. hl.iicl � iaPhl a,.l „ Splir_a Jan v To) Ponding ��"„ as Bnsa x ... •n,, ,a d ;?onrJiacl. SnapNrar A Brntnal s Bonding .,cqusiabi« En:( SnacN :j -.k ,+" ;t nl a I harut•1 Ntd vr.,mp ectloln 41i� I aril ! N + +�SWrrilas: Ffara:rme ;nth Ec t 1 t SnapNrack Bonding Snllt :.ock bvashsrs So, t cz SnapNrack Bonding SnapNrack Bonding Adjustable End Clamp asher Mid Clamp Standard Pall Splice S iaPNr3<1'. a. t •7<,:: Coen r U•rra SnapNrack Ground Lug Assembly (ONE REQUIRED PER RO W OF MODULES) SnapNrack Eoncicg Unna .rsat End Clamp;UEG) kmave "'-•.•••„•_ i—UE� Pull Strap UFC Aedye Bolt xdh Flat bvashar SnapNrack Bonding Universal End Clamp SnapNrack Bonding Standoff Cramp Asse;nniy • 6000 Series aluminum Materials • Stainless steel SnapNrack-•f Rauf Cotler Satiated Stainless —,A r—snavolrack 8andln Steal Flange Not g 'hannal Serrated Stainlev. rout, -Snaphirack Bondin::l h'MMe.1 14.1tRubber .—S .—Stainless tt S i Flao9e Nut Material Finish Steel Flange Batt--SnaPhtr k j " Sta�nl>ss SrtaptJrack—•,... MITI Flnlsh 9^Degree: 1Iar...ge Standoff L Foot eon • Stamped Structural Engineering Reports for all 50 States SnapNrack SnapNrack all Purprse ,Mill Finish Warranty L Fwt Standoff Base (I•Hole SnapNrack SnapNrack Base SltotYn) SnapNrack _� I Font Metal Poor Mill Foist? Y "'i rl,zh115� L Fnn± Rasa ase Base As,ern bl'y _SnapNrack Bonding SnapNrack Bonding SnapNrack Metal , Standoff Assembly L Foot Base with Flashing Roof Base with Bonding L Foot 877-732-2860 www.snapnrack.com contactra,snapnrack.com • 6000 Series aluminum Materials • Stainless steel • Galvanized steel and aluminum flashing • Clear and black anodized aluminum Material Finish ~till finish on select components • Listed to UL Standard 2703 for Grounding/Bonding and Fire Classification Calcs. & Certifications • Class A Fire Rating Type 1 and Type 2 modules • Stamped Structural Engineering Reports for all 50 States • SnapNrack Groundinc LL.Ig (One lug per individual rmv of rnodu es) Grounding • Irtegrated bending compcinents Warranty 10 year limited product warranty; 5 year limited finish warranty 877-732-2860 www.snapnrack.com contactra,snapnrack.com LU 2: z CL > < z 0 )/ > LU Lj , uj >Lij -j �` ° ) '\} Lf) u L) LU C, uj m CM z , y �§ LU j/ Vi Lu < v D E Lu < Q to 0 LL IL IL \\ Lu Lu U.1 in z ~ S2 U) � LU ILI C'S rL 0�2n T w L/2_ CL uru LU oc w M: 0 E�t D L,-- 4 o S0 ze (AI N 0 LL z 8 o 02 LL 0 (1) Od U0 mLL �? � k LU tu- z Ln V) Uj Z 0 0 U -j �e ii- t) o U -J D w 0� ui 03 Lij 0 2 LL 3: 8< CL z< U) u- < 8 z 2 VA w 0 z� UJ Zvo a. 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"_. C:!:;\' 1!♦. `,V ,�....)1�3(�, W, 41 3 1 � The best choice for SolarEdge enabled systems Integrated arc fault protection (Type 1) for NEC 2011 690.11 compliance Superior efficiency (98%) Small, lightweight and easy to install on provided bracket Built-in module -level monitoring Internet connection through Ethernet or Wireless Outdoor and indoor installation Fixed voltage inverter, DC/AC conversion only Pre -assembled Safety Switch for faster installation Optional — revenue grade data, ANSI C12.1 ,,� ' "V, " - \�. ...-,i! �Ii IP,:"' 'i,1, SAI,;" -.i.',"111 1,'. "_. C:!:;\' 1!♦. `,V ,�....)1�3(�, W, Single Phase Inverters for North America solar - KDro- ), !I" - " 1.:3 _)E'111j�J,,.')'SE,3V'�'j� SF30041A US SF3800A-U.; SESOCIOA-US SE6000A-U5 5E760OA-tJi SrIO00OA-US SEIMCOA-US OUTPUT kL t; 7. 0. A 'fell 1 S3 A) IAJ Ad( q P. ,j / ', A(, ourpi it condu i o;l? Al)%'(- range 1/4" minimum "' 16-6 W,G 3j4' ITINIMuni .,' 8A AvVG GC input conduit "0, 4 of zitrings u t p I, it-, :t&l V I I Mont. ; I,j� 3/4' minim wi, I I �t ings 15-6 1,jp ,'t id 0 2 1, 1 'ia•. 1-7 6 lvv6 (Jjn,?f ,,ith c,,40,1 SJArci X 'i x i,;", x 11) A, Ft-q,,iu, Pali.. N, III M:!x.' 7'S,x i15 x 31 1 1` Ill'o,i,L wtn",' 60 (5U mi-rim-cor, 0,rpi,t ,.rrenl 12' Nattiral (almirtlon coo;;r1l; ana interiml �p,aceabir-) INPUT i4lijllum DC 1,)0 il fes Max 11,13tlt ,1011:jgr, 500 Ncirr. D( Iri()LJ t )usv " ;501 ;C, I40" MAX. 111t10 (Alfrent 6. S V)(18V 18 43 33 W 208V z4,()V 5240,; PJ,5x. npul ,bort ('.,rcuit Currant 15 Peljer<p N Protezhao Yes Gr3und iauIL loladon Detc(tion Spri!,ttivily Maxirium 1n,,,flrt,,r E�fiJpnoi, 2 93 3 V.i 9A "i S (KIvVeightc( Ertitae rcv C) 7 1; 98 .98 �,J) 21"Ov 9 r S !44) )4 0V funs-irwAiun <<.5 <q ADDITIONAL FEATURES Supported (.unuur"mcahon Interfaces RS485, PS2321 I 'hef not, Rmnup ads 1)I1a AN,,I I. Ii. I Kipid Snutdown - NEC 11014 IC h STANDARD COMPLIANCE Safety 1.11-1741, Lill iG1)9B tit ; "Ilts ,(SA God CojinH.Ldor �Iarvlard,, IEEE 54 7 -FCC mirtlS (Jass B INSTALLATION SPECIFICATIONS 7. 0. A 'fell 1 S3 A) IAJ Ad( q P. ,j / ', A(, ourpi it condu i o;l? Al)%'(- range 1/4" minimum "' 16-6 W,G 3j4' ITINIMuni .,' 8A AvVG GC input conduit "0, 4 of zitrings Tipiarmin titin,,;�,,V(Ija 3/4' minim wi, I I �t ings 15-6 1,jp 1-7 6 lvv6 (Jjn,?f ,,ith c,,40,1 SJArci X 'i x i,;", x 11) 7'S,x i15 x V)uq�ht "Jilil 'Idety 1 SP, 4/4:).1 Nattiral (almirtlon coo;;r1l; ana interiml �p,aceabir-) 1,111 (t15vt . replaceable ). Min, NldxOpe,arng Terupo(,ituu, 13 t0 -140 10 Mitt r 40 to 1 G0 aerslvr ivIiiI,,3hIe 1"Ote, ri )II P'llirl NLMA 3R sola. E H SolarEdge Power optimizer Module Add -On For North America P300 / P400 t1 P4053 PV power optimization at the module -level — Up to 25% more energy — Superior efficiency (99.50) — 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 "Ai so I a r d o o solarEdge Power Optimizer Module Add -On for North America P300 11 P400 / P405 P300 P400 P405 (for 6&cell modules) (far 72 & 96 -cell mudules) tfor thin film modules( INPUT Rat -d In1.ut. DC POwell" 300 =100, 405 W lhsulute Maximum, inpt;t vr>Itap;e° 48 80 1211 Vilr (Vur.;r uwt:51 terrr•eratulet NIPPT Opetatin; Range A 48 8 80 11.5 105 Vcic Maelmum Short t -Inuit (.urrert (sc) LO Aelc.. Maxfmi,rn -7i Input Cilrten` 12.5 Acle Maximum Efficiency 99.5 % We ght,ad Efficiency 98.8 % Overvoltage Category fl _ OUTPUT DURING OPERATION (POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER) Maximum Uutixrt Cu?rent Li Adc Maximum Output Voltage 60 85 vdL OUTPUT DURING STANDBY (POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF) Safety Output Voltage per Pcw(,r Opt9rni?er i Vdc STANDARD COMPLIANCE EMI: FCC m)ait15 Class 8, EC61000 6 2, IEC61000 6 -4 Safety IEC61109-1(class Il safety), UL1741 RuhS Yes r INSTALLATION SPECIFICATIONS Maxiinum Allowed Systern Voltage 1000 1 Vdc Pxxx-2 series 141 x J 1) x 40.`, j x.55 x 8.A4 x 1,Y) t film / ill Dirnonsions (w x t x H1 I PKxx•5 series 1)8 x 152 x 27.5 % .28 x 1S2 x 35 / 128 x i52 x 48 J will / in I Sx5.9Jx1.C,8 5x5.971137 5x5.97x1.89 Pxxx-2 ser ics 950/2 1 gr / 11) Weight (including cables) Pxxx-5 Series L.) 930; 2.05 430 / 1.05 gr/lb Input Connector MC4 CoinoadWe Output Wile type/ Connector I D01.1de Insulated; MC4 Companole Output Wire Length ' 0.9s/3'o 1.2 / 3.9 m / ft OperatingTentpel'AU'eRarge -40-+85/ 40 t1°5 "C/ P.Kxx 2 sel es IP65 j NEPr1A4 Protection hating Pxxx-= series IP68 I'M MA61, Relative Hum i 0- too % RateC '7L power ut the nodule Ni W ule of cp to Y57.• ever tnieran e a n—d PV SYSTEM DESIGN USING A SOLAREDGE INVERTERO SINGLE PHASE THREE PHASE 208V THREE PHASE 480V Minimum String length 8 f0 18 (Power Optirn'zers} Maximum String Length e ?5 2s 50 (DOWF'( C)ptllTtiZeIS} r Makirnutr; POW^r prrStiing 5150 6000 12750 W Parallel Strings of Different Lengths Yrs or Orientations ' L s nGt a'lo✓sed L: rtua P10:� reith p�I,Ui Fa30 °5i0, r'7Q0 m ane>innQ- Mono Multi Solutions e •( HE Universal 60 CELL MULTICRYSTALLINE MODULE 245-26OW POWER OUTPUT RANGE Kill a 2111 111 - all FA05.08 Our S"noSt `JC?tSi/'c? p(;3d(:C Io �, MAXIMUM EFFICIENCY POWER OUTPUT GUARANTEE One of the industry's most trusted!n<duies Highly reiiabie d,.je to stringent quality control -ertiiied to withstand challenging etvviron men ta! conditions -, LINEAR PERFORMANCE WARRANTY 10 Year Product Warranty • 25 Year Linear Power Warranty .rim Solar rirmi9ri Trinasolar 5 r � xt{ p tits„ THE Universal !NODULE TSM -1'x(135 08 D mu,slot4s ::,r ry t.1O0ut` vnIt. mm 4dt o r.earv, v� � 4 0.Yr(RAl1 w;igrp..;run i S �3 bl 1 en.y umuwe I.ae 'r�au rw rw wr I 1. • 1,)':_---- - - --- --- n IOO��im° t; J 'fl'"vtrr -e ) <" Onitaae(✓) V eckPower Walls -P, -.,(WP) 245 250 255 "_50 Power Cutout tolerance-P�,A, j9b) Module dimensions 1650 , 992 35 rnm (64.95.39.05^1.37 inches) 0-3 18.Skg (41.Olbs) Marimurn Power Voltoge-Vu, (V) 79.9 30.3 30.5 30.6 VaximumPower Current- 1-,.. (Al 8.20 3.27 8.37 8.50 Open Cilc.,il Voltage -V : ,V) 37.3 38.0 38.1 38.2 Short Circuit Current -;sr. (A) 8.75 8.79 8.88 9.00 Modula Effi('iem-y qp. (%) 15,11 ' 5.3 15.6 15.9 Ma�.irnum Pa:v.:r-P,.,,;(Wp)182 1815 '90 193 Maximum Power Voltage-Vmrp (V) 27.6 28.0 28.1 28.3 Maximum Power (:urrent-lr-.a (A) 0 59 6.65 6.74 6.84 Open Circuit Voltage-Vx )Vl 35.1 35.2 35.3 35.4 Short Circuit Current -I: -:(A) 7,07 7.1C 7.17 7.7 TFNI Pzrt?.r' RE RA 1141 GS VYAR^AN f'! NominclOperating Cell 44`C(+2'r') IO year Product Temperature (NOCT) Warkmanship''Narranty Temperature Coefficient of Pa - 0.41%/°C 25year Linear Power Warranty Temperature Coeficienl of Vx - 0.32%/'C Temperature Coefficient of Isr 0.05%/`C aAI',Au:N .4G3 Operational Temperature -40-+83°C Maximumsysfem 600VDC(UU Voltage Max Series Fuse Rating 15A. :.eV F C ,':C N Solarcells Multicrystalline 156. 156 mm (6 inches! Cell orientation 60 cells (6. 10) Module dimensions 1650 , 992 35 rnm (64.95.39.05^1.37 inches) Weight 18.Skg (41.Olbs) Glass 3.2 mm (0.13 inr.-nesl:High Transmission, AR Coated Tempered Glass 700i 1000 mm Backsheet White rrame Black Anodized Aluminium Allay 1 -Box IP 65 or IP 67 rated Cables Pholoveltaic Technology cable 4.0 mm' (0.006 inches'), 700/1000 mm Connector MC4 or MC4 Compatible TFNI Pzrt?.r' RE RA 1141 GS VYAR^AN f'! NominclOperating Cell 44`C(+2'r') IO year Product Temperature (NOCT) Warkmanship''Narranty Temperature Coefficient of Pa - 0.41%/°C 25year Linear Power Warranty Temperature Coeficienl of Vx - 0.32%/'C Temperature Coefficient of Isr 0.05%/`C aAI',Au:N .4G3 Operational Temperature -40-+83°C Maximumsysfem 600VDC(UU Voltage Max Series Fuse Rating 15A. :.eV F C ,':C N t@115 ��' pAC'tAG;IMC,C.t�NFIG!Itk'4"tN USTEU Modules per oox; 30 pieces ' t , ♦,�, �1v` Modules per 40' container: 840 pieces 3. ��• `.:.��..+ it='�i' l�„/i.%"J7C1P/�%%Li�i'GrGC.''"C"iSef.fG- � `✓ ���i.'Gr'll'+1'(rfr'l,l�f'P/%1'S%�iGG� Office of Consumer Affairs and Business Regulation y 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration TRINITY HEATING & AIR, INC. TOM BCUMETTF -- -- 20 PATTERSON BROOK ROAD UNIT 10 WEST WAREHAM, MA 02576 SCA t e: 20M-05/':.1 /� ,rkircrnrlrer�,/#� rr`'C,rjlact3rr�rac1`�s Orrice or Consumer Affairs & Business Regulation HOME IMPROVEMENT CONTRACTOR Registration: 170355 Type: Expiration: 1.011.2/2017 Corporation TRINITY HEATING & AIR, INC. Registration: 170355 Type: Corporation Expiration: 10/12/2017 Tr# 271078 Update Address and return card. Mark reason for change. EI Address U Renewal F-� Employment [] Lost Card License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MA 02116 TOM BLUMETTI 20 PATTERSON BROOK ROAD U oeiTV WAREHAM, MA 02576 Undersecretary Not va td without signature «d 1 -?'w c' nelvec� Office of Consumerirs ffa Business Regulation �4 A " tO Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 170355 Type: Supplement Card TRINITY HEATING & AIR, INC. Expiration: 1 011 2/201 7 GREGG LAGASSE- 20 PATTERSON BROOK ROAD UNIT 10 WEST WAREHAM, MA 02576 SCA I C, 20N,1-0-1/1 I ice of Consumer Affairs & Business Regulation ME IMPROVEMENT CONTRACTOR Registration: 1703.55 Type: EXPIrAtl0n: 10/1212017 Supplement Card TRINITY HEATING & AfR; INC. Update Address and return card. Mark reason for change. Address ❑Renewal 17 Employment 0 Lost Card License or registration valid for individul use only before the expiration date. (f found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MA 02116 GREGG LACASSE 20 PA77ERSON BROOK ROAD U WEV WAREHAM, MA 02576 Undersecretary N QM,4�K�Lt�outst ature CS -103631 ca^s� GREGG LACASSE 14 PINE ISLAND RDS. � MA7TAPOISETT MIL „J,;•., �� �,. Expiration Commissioner 08130/2017 Optimize Engineering Co., LLC P.O. Box 264eFarmville•VA 23901 Ph: 434.574.6138.E -mail: grichardpe@aol.com Richard B. Gordon, P.E. President August 3, 2015 North Andover Building Department North Andover, MA To Whom It May Concern: Re: Solar Panels Roof Structural Framing Support I hereby certify that I am a Licensed Professional Engineer in the State of Massachusetts. Please note the following conclusions regarding framing structure, roof loading, and proposed site location of installation: 1. Existing roof framing: Conventional framing is 2x6 at 16" o.c. with 12'-11" span (horizontal rafter projection). This existing structure is definitely capable to support all of the loads that are indicated below for this photovoltaic project after sister rafters with a 2x8 using (2)10d nails V o.c. Use of (2) Guard DogTm FMGDO02 screws is approved, or equal shear strength of approx. 120 Ib, V o.c. at areas where little space is available only with remainder of member secured with (2)10d nails V o.c. If do not sister, then install a 2x4 @ 16"o.c. knee wall over an interior bearing wall to limit span of rafters between supports to 9'-6". 2. Roof Loading • 4.33 psf dead load (modules plus all mounting hardware) • 33 psf snow live load (55 psf ground snow live load reference) • 4.5 psf dead load roof materials • Exposure Category B, 115 mph wind uplift live load of 19.6 psf (wind resistance) 3. Address of proposed installation: Residence of Brian Birchall, 72 Mablin Avenue, North Andover, Massachusetts This installation design will be in general conformance to the manufacturer's specifications, and is in compliance with all applicable laws, codes, and ordinances, and specifically, International Residential Code/ IRC 2009, 2011 NEC, and 2012 ICC Energy Code. The spacing and fastening of the Unirac mounting brackets is to have a maximum of 64" o.c. span along the rail between mounting brackets and secured using 5/16" x 3 %" length corrosive resistant steel lag bolts. In order to evenly distribute the load across the roof rafters, there shall be a minimum of 2 mounting brackets per rafter & min. 2" penetration of lag bolt per bracket, which is adequate to resist all 115 mph wind live loads including wind shear. The mounting brackets shall alternate between adjacent rafters between rail rows for better distribution of roof load. Penetration of anchors for modules mounted within 18" of ridge and edges of roof is to be a minimum of 3". Rails may be attached to either of two mounting holes in the L -feet. Mounting in the lower hole for a low profile, more aesthetically pleasing installation or mount in the upper hole for a higher profile to maximize airflow under the modules to cool them more. Slide the 3,8 -inch mounting bolts into the footing bolt slots. The rails will be attached to the footings with the flange nuts. Very truly yours, Optimize Engineering Co., LLC Richard B. 12'Rdb,n, P. . Massachusetts P.E. 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Any increase in the Estimated Annual Production for any Year shall not be greater than 110% of the Estimated Annual Production for the first Year. z Per Section 4 0) of the PPA, the prepayment amounts shown above reflect a 5% present value discount rate; provided, however, such amounts are subject to an adjustment at the time of prepayment on the basis of the estimated kWh output per Year from the time of prepayment to the end of the Term. Any such adjustment shall not exceed 110% of the estimated kWh per Year for the first Year. 3 Per Section 9 of the PPA, the price you will pay to purchase the System will be the greater of the System's fair market value ("FMV") and the amount shown above on Schedule A. Contract ID: Solar EZ Power Purchase Agreement version p02172014 13 © 2008-2014 Sunnova Energy Corporation. All Rights Reserved. Prepay Option Purchase Option End of Year Annual Price per kWh (assuming payment by Credit Card) Annual Price per kWh (assuming payment b ACH Estimated kWh per Year' ("Estimated Annual Production") Estimated Price to Prepay the Remainder of the Termz Minimum Cash Purchase Price3 1 $0.121 $0.110 7,568 $15,194.58 $0.00 2 $0.125 $0.113 7,530 $15,079.04 $0.00 3 $0.128 $0.116 7,492 $14,936.83 $0.00 4 $0.132 $0.120 7,454 $14,766.14 $0.00 5 $0.136 $0.123 7,416 $14,567.07 $0.00 6 $0.140 $0.127 7,378 $14,333.59 $24,059.08 7 $0.144 $0.131 7,341 $14,065.50 $23,066.66 8 $0.148 $0.134 7,304 $13,760.51 $22,000.41 9 $0.152 $0.138 7,267 $13,41.8.11 $20,858.78 10 $0.157 $0.142 7,230 $13,032.07 $19,630.83 11 $0.161 $0.146 7,193 $12,601.52 $18,329.56 12 $0.166 $0.151 7,157 $12,123.62 $17,102.07 13 $0.171 $0.155 7,121 $11,597.06 $15,787.07 14 $0.175 $0.160 7,085 $11,015.45 $14,374.49 15 $0.181 $0.164 7,049 $10,377.05 $12,860.67 16 $0.186 $0.169 7,013 $9,678.36 $11,239.43 17 $0.191 $0.174 6,977 $8,917.01 $10,098.05 18 $0.197 $0.179 6,942 $8,086.54 $9,161.63 19 $0.202 $0.184 6,907 $7,184.10 $8,147.76 20 $0.208 $0.189 6,872 $6,205.36 $7,051.80 21 $0.214 $0.195 6,837 $5,146.60 $5,869.76 22 $0.221 $0.201 6,802 $4,001.39 $4,594.64 23 $0.227 $0.206 6,767 $2,765.47 $3,221.87 24 $0.234 $0.212 6,733 $1,433.50 $1,745.71 25 $0.240 $0.218 6,699 $0.00 $0.00 Per Section 3(c) of the PPA, after each Year, Sunnova may adjust the Estimated kWh per Year based on the historic production of the System. Any increase in the Estimated Annual Production for any Year shall not be greater than 110% of the Estimated Annual Production for the first Year. z Per Section 4 0) of the PPA, the prepayment amounts shown above reflect a 5% present value discount rate; provided, however, such amounts are subject to an adjustment at the time of prepayment on the basis of the estimated kWh output per Year from the time of prepayment to the end of the Term. Any such adjustment shall not exceed 110% of the estimated kWh per Year for the first Year. 3 Per Section 9 of the PPA, the price you will pay to purchase the System will be the greater of the System's fair market value ("FMV") and the amount shown above on Schedule A. Contract ID: Solar EZ Power Purchase Agreement version p02172014 13 © 2008-2014 Sunnova Energy Corporation. All Rights Reserved. 20 Fait Greenway Plaza Ste 475, Houston, TX 77046 f 281.985.1)000 www.sunnova.com SUMMARY Homeowner Name and Address Brian Birchall 72 Mablin Avenue, North Andover, MA 01845 Contract 1D OOKIM5K Co -Owner Name (If Any) Installation Location Estimated Solar Energy Production Payment Terms 1. Introduction. 72 Mablin Avenue, North Andover, MA 01845 Estimated First Year Annual Production: Estimated Initial Term Total Production: s u n nava Contractrx Licence Trinity Heating and Air inc. Trinity Solar 2211 Allenwood Rd Wall, New Jersey 07719 13VH01244300 New .lersey 7,568 kWh 178,134 kWh Annual Increase of Solar Energy Rate: 2.90% / year First Year Solar Energy Rate, if paid by ACH: $0.110 /kWh First Year Solar Energy Rate, if not paid by ACH: $0.121 / kWh Monthly Bill .in First Year, if paid by ACH: $69.37 / month onthly Sunnova in First Year, if not paid by ACH: $76.31 / month This Power Purchase Agreement (this "Power Purchase Agreement" or "PPA") is the agreement between. you and Sunnova Energy Corporation (together with its successors and assigns, "Sunnova" or "we"), covering the sale to you of the power produced by the solar panel system (the "System") described below. Sunnova agrees to sell to you, and you agree to buy from Sunnova, all of the power produced by the System on the terms and conditions described 1.11 this Power Purchase Agreement. The System will be installed by Sunnova or a contractor acting on Sunnova's behalf at the address you listed above. This Power Purchase Agreement will refer to this address as the "Property" or your "Home." Sunnova provides you with a Limited Warranty (the "Limited Warranty"). The Limited Warranty is attached as Exhibit 1. This is a legally binding agreement with disclosures required by law, so please read everything carefully. If you have any questions regarding. this Power Purchase Agreement, please ask the sales consultant who provided you this PPA, Note that references in this PPA to the term "day" means a calendar day. 2. Term. Sunnova agrees to sell you the power generated by the System for 25 years (300 months), plus, if the Interconnection Date is not on the first day of a calendar month, the number of days left in that partial calendar month. We refer to this period of time as the "Term." The Term begins on the interconnection Date. The *'Interconnection Date" is the date that the System is turned on and generating power. A "Year" is the twelve (12) month period beginning on the Interconnection Date and Contract ID: Solar E7 Power Purchase .-Agreement version 1)0217201 4 continuing until the day prior to the anniversary of the interconnection Date. Sunnova will notify you by email when the System is ready to be turned on. 3. Power Purchase Agreement Payments, Amounts. (a) Power Price. You are purchasing the power the System produces. The price of that power is set forth on the "Value Statement" attached as Schedule A. (b) Payments. Schedule A details, among other things, (i) the price per kWh you will be charged per Year; (ii) the annual price per kWH percentage increase (if any); (iii) Sunnova's estimate of the power that is expected to be produced by the System during the first Year; (iv) Sunnova's estimate of the amount of power that is expected to be produced by the System over the entire Term (excluding any renewal period(s) extending the Term as provided in Section 10); and (v) your Monthly Payment amount for the first Year. Your "Monthly Payment- is calculated based on the following: (A) the annual price per kWh multiplied by (B) the estimated kWh output per Year ("Estimated Annual Production") divided by (C) twelve (12). Each. Monthly Payment is due oil. the seventeenth (17th) calendar day of the month for the previous calendar month unless it is not a business day, in which event, the Monthly Payment For such month will be due on the first business day atter the seventeenth calendar day of such month. Any payments due upon installation are due immediately prior to commencement of installation. You will not make a Monthly Payment if you fully prepay this PPA as provided in Section 40). c 200$-2014 Sunnova Energy Corporition. All Rights Reserved. 20 Fae Greenway Plaza Ste 475, Huu�tun, TX 7'0.46 a' 281.985.9900 wEwv.sunnova.com (c) Yearly Adjustment to Monthly Payment(s) & Estimated Annual Production. You will have regular access to information on the System's actual output via your Sunnova online account. The actual kWh output per Year ("Actual Annual Production") may vary from the Estimated Annual Production due to weather and other conditions. You agree that the exclusive means to monitor and measure the Actual Annual Production is via the System's meter; provided, however, if the System's meter malfunctions or becomes inoperable, Sunnova will reasonably estimate the amount of power that would have been delivered to you during the period in which the System's meter was malfunctioning or inoperable and shall treat this reasonable estimate as part of the Actual Annual Production for that Year for purposes of this paragraph. Your Monthly Payment may adjust each Year if (i) there is a price per kWh annual increase during the Tenn as set forth in Schedule A and/or (ii) Actual Annual Production varies from the Estimated Annual Production as set forth on Schedule A. After the end of each Year during the Term, Sunnova will notify you of the Actual Annual Production for the previous Year and of any adjustment to the Estimated Annual Production and Monthly Payments for the current Year and thereafter. If the Actual Annual Production is less than the Estimated Annual Production for the previous Year, Sunnova (i) will pay you an amount equal to the difference between the Estimated Annual Production and the Actual Annual Production ("Overestimate of Production") multiplied by the annual price per kWh for that Year (including any annual kWh price percentage increase previously agreed upon as provided in Schedule A) and (ii) may, at its option, decrease the Estimated Annual Production and the Monthly Payments for the current Year. If the Actual Annual Production is more than the Estimated Annual Production for the previous Year, Sunnova may, at its option, (i) apply the difference between the Actual Annual Production and the Estimated Annual Production to an Overestunate of Production for the current Year or a subsequent Year and/or (ii) increase the Estimated Annual Production and the Monthly Payments for the current Year and thereafter. In no event shall Sunnova increase the Estimated Annual Production by more than 110% of the Estimated Annual Production for the first Year. (d) Payment Reconciliation. If (i) the System is off line for more than seven (7) full twentv-four (24) hour days cumulatively during the Tenn (for example, you remove the System to do renovations to your Home); or (ii) you take some action that significantly Contract ID: Solar EZ Power Purchase Agreement version p02172014 sunnnva 7:���� reduces the output of the System; or (iii) you don't trim your bushes or trees to their appearance when you signed this PPA to avoid foliage growth from shading the System, then Sunnova will reasonably estimate the amount of power that would have been delivered to you during such outages or reduced production periods and shall treat this reasonable estimate as part of the Actual Annual Production for that Year for purposes of this paragraph. You will not be charged for the System being off line due to Sunnova's fault, or if it's due to grid failure or power outages caused by someone other r than you. 4. Power Purchase Agreement Obligations. (a) System, Home and Property Maintenance You agree to: (i) only have the System repaired pursuant to the .Limited Warranty and reasonably cooperate when repairs are being made; (ii) keep trees, bushes and hedges trimmed so that the System receives as much sunlight as it did when initially installed; (iii) keep the panels clean, pursuant to the Limited Warranty and the Guide (as such term is defined in Exhibit 1'); (iv) not modify your Home in a way that shades the System, (v) be responsible for any conditions at your Home that affect the installation (e.g., blocking access to the roof, or removing a tree that is in the way, prior work you have done on your home that was not pennitted); (vi) not remove any markings or identification taus on the System; (vii) permit a service provider retained by Sunnova, after we give you reasonable notice, to inspect the System for proper operation as we reasonably determine necessary:. (viii) use the System primarily for personal, family or household purposes, but not to heat a swimming pool; (ix) not do anything, permit or allow to exist any condition or circumstance that would cause 2008-2014 Sunnova Energy Corporation. A0 Rights Reserved. 20 I -a,, t Greenway Pla&a Ste 4 5, 1-louston, 'I'X 77046 'r 281.985.0000 Www.sunnova.com the System not to operate as intended at the Property; (x) notify Sunnova if you think the System is damaged or appears unsafe; if the System is stolen; and prior to changing your power supplier.- (xi) upplier; (xi) have anyone who has an ownership interest in your Home sign this Power Purchase Agreement; (xii) return any documents we send you for signature (like incentive claim forms) within seven (7) days of receiving them;and (xiii) authorize Sunnova to make inquiries concerning your credit history and standing from time to time. (b) System Construction, Repair, Insurance and Sunnova's obligations: Sunnova agrees to cause our contractors to: (i) schedule the installation of the System at a mutually convenient date and time; (ii) construct the System according to written plans you review; (iii) provide you with a meter to accurately measure the amount of poNver the System delivers to you; (iv) notify you if the System design has to be materially changed so that you can review any such changes; (v) clean up after ourselves during the construction of the System; (vi) insure the System against all damage or loss unless that damage or loss is caused by (A) your negligence, or (B) your intentionally damaging the System.- (vii) ystem; (vii) repair the System pursuant to the Limited Warranty and :reasonably cooperate with you when scheduling repairs; (viii) create a priority stream of operation and maintenance payments to provide enough cash flow in our financing transactions to pay for the Limited Warranty obligations contrucl ID: Solar F7 Power Purchase Agreement version p02 171014 sunnnva and the repair and maintenance of the System in accordance with this PPA even if Sunnova ceases to operate; and (ix) not put a lien on your Home or Property. (c) Home Renovations or Repairs If you want to make any repairs or improvements to the Property that could interfere with the System (such as repairing the roof where the System is located), you may only remove and replace the System pursuant to the Limited Warranty. (d) Automatic Payment, Fees., Late Charges In addition to the other amounts you agree to pay in this Power Purchase Agreement, you agree to pay the following: (x) Automatic Payment Discount: A.11 prices include a ten percent (10%) monthly discount for using automatic payment. You will not receive a ten percent (10%) monthly discount if you do not make automatic Monthly Payments through your checking or savings account:. (xi) Late Payments: accrue interest at the lesser of twelve percent (12%) annually or the maximum allowable rate by applicable law beginning on the sixteenth (16th) day after the date the payment was due and continuing until paid in full; and (xii) Product Change Fee: if after you sign this Power Purchase Agreement, but before we begin installation, you decide you would prefer an alternative Sunnova product you will pay a $250 change fee. (e) Estimated Taxes You agree to pay any applicable sales or use taxes on the Monthly Payments (or prepayment, as applicable) due under this PPA. ll'this PPA contains a purchase option, you agree to pay any applicable tax on the purchase price for the System. You also agree to pay as invoiced any applicable personal property taxes on the System that your local jurisdiction may levy. The total estimated amount you will pay for taxes over the Term is $0.00 assuming that tax rates stay the same as they are on the date of this PPA. In the event the tax rates change during the Term that amount will change. C. 2009-2014 Sunnova Fnergy Cotporation. All Rights Reserved. M Fat Greemva� Plaza Ste 475, I lottstOm, 'I'X 77046 't' ZS l.)�5.99t)01>Sw4e.stnuxtva.c�>m (f) No Alterations You agree that you will not make or allow any other party to make any modifications, improvements, revisions or additions to the System or take any other action that could void the Limited Warranty on the System without Sunnova's prior written consent. if you make or allow any other party to make any modifications, improvements, revisions or additions to the System, they will become part of the System and shall be Sunnova's property. (g) Access to the System (i) You grant to Sunnova and its employees, agents and contractors the right to reasonably access all of the Property as necessary for the purposes of (A) installing, constructing, operating, owning, repairing, removing and replacing the System or making any additions to the System or installing complementary technologies on or about the location of the System; (B) enforcing Sunnova's rights as to this Power Purchase Agreement and the System; (C) installing, using and maintaining electric lines and inverters and meters, necessary to interconnect the System to your electric system at the Property and/or to the utility's electric distribution system; or (D) taking any other action reasonably necessary in connection with the construction, installation, operation, maintenance, removal or repair of the System. This access right shall continue for up to ninety (90) days after this Power Purchase Agreement expires to provide Sunnova with time to remove the System at the end of the Power Purchase Agreement. Sunnova shall provide you with reasonable notice of its need to access the Property whenever commercially reasonable. (ii) During the time that Sunnova has access rights you shall ensure that its access rights are preserved and shall not interfere with or permit any third parry to interfere with such .rights or access. You agree that the System is not a fixture, but Sunnova has the right to file any UCC -1 financing statement or fixture filing that confirms its interest in the System. (h) Indemnity Contraci 11): Solar E7 Po%yer Purchase Agreernent version p021?2014 sunnova To the fullest extent permitted by law, you shall indemnify, defend, protect, save and hold harmless Sunnova, its employees, officers, directors, agents, successors and assigns from any and all third party claims, actions; costs, expenses (including attorneys' fees and expenses), damages, liabilities, penalties, losses. obligations, injuries, demands and liens of any kind or nature arising out of, connected with, relating to or resulting from your negligence or willful misconduct; provided, that nothing herein shall require you to indemnify Sunnova .for its own negligence or willful misconduct. The provisions of this paragraph shall survive termination or expiration of this Power Purchase Agreement. (i) Payments Schedule A describes your payment obligations tinder this PPA. SUBJECT TO SECTION 3 ABOVE, YOU .AGREE THAT THE OBLIGATION TO PAY ALL PAYMENTS AND ALL OTHER AMOUNTS DUE UNDER THIS PPA SHALL BE ABSOLUTE AND UNCONDITIONAL UNDER ALL CIRCUMSTANCES AND SHALL NOT BE SUBJECT TO ANY ABATEMENT, DEFENSE, COUNTERCLAIM, SETOFF, RECOUPMENT OR REDUCTION FOR ANY REASON WHATSOEVER, IT BEING THE EXPRESS INTENT OF THE PARTIES THAT ALL AMOUNTS PAYABLE BY YOU HEREUNDER SHALL BE, AND CONTINUE TO BE, PAYABLE IN ALL EVENTS INCLUDING BY YOUR HEIRS AND ESTATE AND, EXCEPT AS SET FORTH BELOW IN SECTIONS 5 AND 25, YOU HEREBY WAIVE ALL RIGHTS YOU MAY HAVE TO REJECT OR CANCEL THIS PPA, TO REVOKE ACCEPTANCE OF THE SYSTEM, OR TO GRANT A SECURITY INTEREST IN THE SYSTEM. (j) Option to Prepay all Payments Remaining on the PPA You may prepay all payments remaining on this PPA. at any time provided you notify Sunnova of your desire to prepay. The amount you prepay will be based on the fol.lowing:(i) all accrued but unpaid Monthly Payments, taxes, late charges; penalties, interest and all or any other sums then accrued or due and owing, plus (ii) the amount set firth on Schedule A in the column titled "Prepay Option," which amount may be adjusted at the time of prepayment to reflect Sunnova's estimate of the kWh output per Year from the time of prepayment to the end of the Term ("Estimated Post -Prepayment Production")and discounted to present value at 5% per annum, plus 2008-2014 Sunnova Energy Corporation. AII Rights Reserved. 20 Fa,t Grcc.nxva� Placa Ste 475, Houston, l'X %7046 T 18 L985.9900 www.sunnova.com (iii) reasonable compensation, on a net after tax basis assuming a tax rate of 35°1,>, for the loss or recapture of(A) the investment tax credit equal to thirty percent (3011'i,) of the System cost, including installation; and (B) accelerated depreciation over rive (5) years equal to eighty five percent (85%) of the System cost,. including installation, and for the loss of any anticipated benefits pursuant to Section 8 of this PPA (Sunnova shall furnish you with a detailed calculation of such compensation if such a claim is made). After you notify Sunnova of your desire to prepay, Sunnova will provide a notice to you ("Prepayment Notice") informing you of the Estimated Post -Prepayment Production and the amount you need to pay to prepay the PPA (the "Prepayment Amount)". The Prepayment Amount is due within fifteen (15) days from the date of the Prepayment Notice. After you timely pay the Prepayment Amount in fall, you will not make any further .Monthly Payments. At the end of the Tenn. Sunnova will notify you of the actual kWh output per Year from the date of your prepayment to the end of the Term ("Actual Post -Prepayment Production"). If, at the end of the Term, the Estimated Post - Prepayment Production is greater than the Actual Post -Prepayment Production, Sunnova will pay you, the homeowner who prepaid this PPA, within sixty (60) days atter the end of the Tenn an amount equal to the difference, if any, between the :Actual Post - Prepayment Production and the Estimated Prepayment Production multiplied by the price per kWh at the end of the Term (a "Prepayment Rebate"). Sunnova will send the Prepayment Rebate to the last address we have for you in our file and it is your responsibility to notify Sunnova if you move. If the Estimated Post -Prepayment Production is less than the Actual Post -Prepayment Production, you will owe nothing to Sunnova. 5. Conditions Prior to installation of the System; Change Orders. (a) Sunnova's obligation to install the System and sell you the power it produces is conditioned on the followin, items having been completed to its reasonable satisfaction: (i) completion of (A ) the engineering site audit (a thorough physical inspection of the Property, including, if applicable, geotechnical work), (B) the final System design, and (C) real estate due diligence to confirm the suitability of the Property for the construction, installation and operation of the System; Contract ti): Solar EZ Power Purchase Ac-reement version p02171-014 sunnnva (ii) approval of this Power .Purchase Agreement by Sunnova's financing sources: your meeting Sunnova's credit underwriting criteria then in effect; (iv) confirmation of rebate, tax credit and renewable energy credit payment availability in the amount used to calculate the Monthly Payments set firth in this Power Purchase Agreement; (v) confirmation that Sunnova will obtain all applicable benefits referred to in Section 8; (vi) receipt of all necessary zoning, land use and building permits; and (vii) completion of any renovations, improvements or changes reasonably required at your Home or on the Property (e.g., removal of a tree or necessary roof repairs to enable us to safely install the System). Sunnova may terminate this Power Purchase Agreement without liability if, in its judgment, any of the above listed conditions will not be satisfied for any reasons. Once Sunnova starts installation, however, it may not terminate this Power Purchase Agreement for your failure to satisfy the above listed conditions. (b) Amendments, Right to Terminate for Material Changes Before Installation, Both parties will have the right to terminate this PPA, without penalty or fee, if Sunnova determines after the engineering site audit of your .Home that it has misestimated the System's annual production by more than ten percent (10%). Such termination .right will expire at the earlier of (i) one (1) week prior to the scheduled System installation date and (.ii) one (1) month after we infirm you in writing of the revised production estimate. If neither party exercises their right to terminate this PPA as set forth above, then any changes to the System will be documented in an amendment to this PPA, including Schedule A. You authorize Sunnova to make corrections to the utility paperwork to conform to this PPA or any amendments to this PPA we both sign. (c) Notification of Non -Material Changes Before Installation. t:; 2008-2014 Sunnova Energy Corporation. All Rights Reserved. ,'0 Fa",t C rcenwav Plaza Ste 475, Houton, 'TX 77046 -u 2Y 1.98.9900 www.sunnova.cum If Sunnova determines atter the engineering site audit of your Home that it has misestitnated the System's estimated first Year annual production by less than ten percent (10%), you authorize Sunnova to amend the PPA, including Schedule A, to reflect the revised production, and to notify you of such revised production by providing you with a revised Schedule A. You also authorize Sunnova to make corrections to the utility paperwork to conform to this PPA or any non -material amendments to this PPA. 6, Warrantv. YOU UNDERSTAND THAT THE SYSTEM 1S WARRANTED SOLELY UNDER THE LIMITED WARRANTY ATTACHED AS EXHIBIT 1, AND THAT THERE ARE NO OTHER REPRESENTATIONS OR WARRANTIES, EXPRESS OR IMPLIED, AS TO THE MERCHANTABILITY, FITNESS FOR ANY PURPOSE, CONDITION, DESIGN, CAPACITY, SUITABILITY OR PERFORMANCE OF THE SYSTEM OR ITS INSTALLATION. THE WARRANTY SET .FORTH HEREIN REPRESENTS THE SOLE AND EXCLUSIVE REMEDY YOU HAVE AGAINST SUNNOVA RELATING TO THE SYSTEM OR THE POWER PURCHASED THEREUNDER. 7. Transfer. Sunnova works with banks, companies and other financing parties to finance the System. As a result, Sunnova may assign this PPA to one of its financing parties. In addition, Sunnova may assign this PPA to its affiliates or a third party that purchases the PPA. You agree that Sunnova may pledge, assign, sell or transfer the System and this Power Purchase Agreement, or any part of this Power :Purchase Agreement or the exhibits, without your consent. Assigtunent, sale or transfer generally means that Sunnova would transfer all or a portion of its rights and certain of its obligations under this Power Purchase Agreement to another party. 8. Ownership of the System; Tax Credits and Rebates. You agree that the System is and shall remain Sunnova's exclusive personal property tinder the Uniform Commercial Code or otherwise. You understand and agree that this PPA is not a contract to sell or lease the System to you. Sunnova owns the System for all purposes, including any data generated from the System. You shall at all times keep the System free and clear of all liens, claims, levies and legal processes not created by Sunnova, and shall at your expense protect and defend Sunnova against the same. Contract tD: Solar E7 Power Purchase Agreement version 1)0217'014 sunnova YOU UNDERSTAND AND AGREE THAT ANY AND ALL (i) TAX CREDITS (ii) TAX INCENTIVES, (iii) RENEWABLE ENERGY CREDITS, GREEN TAGS, OR CARBON OFFSET CREDITS, (iv) UTILITY REBATES, OR (v) ANY OTHER NON -POWER ATTRIBUTES OF THE SYSTEM ARETHE PROPERTY OF AND FOR ]'HE BENEFIT OF SUN.NOVA, USABLE AT ITS SOLE DISCRETION. SU`NNOVA SHALL HAVE THE EXCLUSIVE RIGHT TO ENJOY AND USE ALL SUCH BENEFITS, WHETHER SUCH BENEFITS EXIST NOW OR IN THE FUTURE. YOU AGREE TO REFRAIN FROM ENTERING INTO ANY AGREEMENT WITH YOUR UTILITY THAT WOULD ENTITLE YOUR UTILITY TO CLAIM ANY SUCH BENEFITS RETAINED BY SUNNOVA. YOU AGREE TO REASONABLY COOPERATE WITH SUNNOVA SO THAT IT :MAY CLAIM ANY TAX CREDITS, RENEWABLE ENERGY CREDITS, REBATES, CARBON OFFSET CREDITS OR ANY OTHER BENEFITS FROM THE SYSTEM. THIS MAY INCLUDE TO THE EXTENT ALLOWABLE BY LAW, ENTERING INTO NET METERING AGREEMENTS, INTERCONNECTION AGREEMENTS, AND FILING RENEWABLE ENERGY/CARBON OFFSET CREDIT REGISTRATIONS AND/OR APPLICATIONS FOR REBATES FROM THE FEDERAL, STATE OR T,OCAL GOVERNMENT OR A LOCAL UTILITY AND GIVING THESE TAX CREDITS, RENEWABLE ENERGY/CARBON CREDITS, REBATES OR OTHER BENEFITS TO SUNNOVA. 9. Purchasing the System Prior to the End of the Term. In addition to purchasing the System at the end of the Term (see Schedule A), you have the option to purchase the System prior to the end of the Tenn. To exercise this option you must be in good standing under this Power Purchase Agreement and you need to give us at least one (1) month's, but not more than three (3) months' prior written notice. You can purchase this System: (i) on the five (5) year anniversary of the beginning of the Term and every annual anniversary after the five (5) year anniversary; and (ii) at any time after the five (5) year anniversary of the beginning of the Term, when you sell your :Home: and (iii) if Sunnova ever ceases its operations. In each of (i), (ii) and (iii) above, the price you will pay for the System will be the greater of the System's fair market value ("FMV") and the amount shown on Schedule A. The interests of any financing party shall not be taken into account when determining the FMV; a third party independent appraiser will be retained to compute the System's FMV. Sunnova's maintenance and repair 2005-2014 Sunnova Energy Curporation. All Rights Reserved. 20 Fa:,t Greenway Plaza Stc 475, Houston, 'I'X 77046 F 28 i .9S.9yU0 w'vw.sunnova.cum obligations will end when you purchase the System unless you enter into a new maintenance and repair agreement with Sunnova, provided that you will have no less than a ten (10) year warranty on the System beginning on the Interconnection Date that guarantees that the System will be free from ciel'ects in workmanship or defects.in, or breakdown of, materials or components. 10. Renewal. Provided you are in compliance with your PPA, you have the option to renew your PPA for up to ten (10) Years in two (2) consecutive five (S) Year renewal periods. We will send you renewal forms at least ninehv (90) days prior to the expiration ofthe Term, which forms shall set forth the new rates per kwh applicable for the renewal terra as well as the rates applicable in the event the PPA is renewed for one (1) Year as providedfir hr herein. The renewal forms will give you the option to: (a) elect to renew the PPA for an additional five (S) Year term at the rates specified in the renewal notice; or (b) elect not to renew the PPA. You must make your election whether to renew or not at least thirty (30) days prior to the end of the then current term of the PPA. In the event that you affirmatively elect not to renew this PPA as provided for in part (b) above this PPA shall expire by its terms on the expiration of the then current term. 1j'you don't send us anything in writing you will be deemed to have renewed for additional one (1) Year terms at a rate which equals the rate per kwh applicable at the expiration of the then current term plus two point nine percent (2.9%); and this PPA shall continue to renew for additional one (1) Year terms on the above described rate until (i) you give us notice at least thirty (30) days prior to the expiration of'the then current term that you do not wish to renew; or (ii) we send you a notice terminating the.PPA at least thirty (30) days prior to the expiration of the then current term. 11. Selling Your Home. (a) If you sell your Home you can: (i) Transfer this Power Purchase Agreement and the Monthly Payments If the person buying your Home meets Sunnova's credit requirements, then where permitted by the local utility, the person buying your Home can sign a transfer agreement assuming all of your rights and obligations tinder this Power Purchase Agreement. (ii) Move the System to Your New .Home Contract ID: Solar FZ Poener Purchase Agreement version p02 171()14 SUnnn-va If you are moving to a new home in the same utility district, where permitted by the local utility, the System can be moved to your new home pursuant to the Limited Warranty. You will need to pay all costs associated with relocating the System, execute and provide the same access and ownership rights to Sunnova as provided for in this PPA and provide any third party consents or releases required by Sunnova in connection with the substitute premises. (iii) Prepay this Power Purchase Agreement and Transfer only the Use of the System You can prepay this Power Purchase Agreement as set forth in Section . The Person buying your Home will only need to sign a transfer agreement to assume your rights (excluding the right to .receive a Prepayment .Rebate) and non -Monthly Payment obligations under this PPA in substantially the same form as Exhibit 3 to this PPA (a "Transfer Agreement"). (b) You agree to give Sunnova at least fifteen (15) days but not more than three (3) months' prior written notice if you want someone to assume your PPA obligations. In connection with this assumption, you, your approved buyer and Sunnova shall execute a Transfer Agreement. Unless we have released you from your obligations in writing, you are still responsible for performing under this PPA. if your buyer defaults on this :PPA and we have not yet signed theTransfer Agreement, you will be responsible for their default. We will release you from your obligations under this PPA in writing once we have a signed Transfer Agreement with the person buying your Home (provided such person has been approved as a transferee by Sunnova in writing). (c) If you sell your Home and can't comply with any of the options in subsection (a) above, you will be in default under this Power Purchase Agreement. Section I l (a) includes a Home sale by your estate or heirs. (d) EXCEPT AS SET FORTH IN THIS SECTION, YOU WILL NOT ASSIGN, SELL, PLEDGE OR IN ANY OTHER WAY TRANSFER YOUR INTEREST IN THE SYSTEM OR THIS PPA WITHOUT OUR PRIOR WRITTEN CONSENT, WHICH SHALL NOT BE UNREASONABLY WITHHELD AS LONG AS YOU AND T1 -[F_. cl, 2008-2014 Sunnova Energy Corporation. All Rights Reserved. ?0 Ea,t Grccuwav Playa Ste 475, HuuSton, TX ?'046 I' 28 i .t)�5.91)00 www.sunnova.com PROPOSED TRANSFEREE MEET THE OTHER REQUIREMENTS SET FORTH HEREIN. 12. Loss or Damage. Unless (a) you are negligent or (b) you intentionally damage the System, Sun lova will bear all of the risk of loss, damage, theft, destruction or similar occurrence to any or all of the System. In the event you are negligent or intentionally damage the System you shall be liable to pay Sunnova the greater of (a) the actual damages suffered by Sunnova; or (b) the amount determined in Section 4(J). Except as expressly provided in this PPA, no loss, damage, theft or destruction will excuse you from your obligations under this PPA, including Monthly Payments. 13. Limitation of Liability'. (a) No Consequential Damages SUNNOVA'S LIABILITY TO YOU UNDER THIS POWER PURCHASE AGREEMENT SHALL BE LIMITED TO DIRECT, ACTUAL DAMAGES ONLY. YOU AGREE THAT IN NO EVENT SHALL EITHER PARTY BE LIABLE TO THE OTHER FOR CONSEQUENTIAL, INCIDENTAL, PUNITIVE, EXEMPLARY, SPECIAL OR INDIRECT DAMAGES. (b) Actual Damages EXCEPT FOR CLAIMS UNDER SECTION 4(H), NEITHER PARTY'S LIABILITY TO THE OTHER WILL EXCEED AN AMOUNT EQUAL TO THE MAXIMUM AMOUNT THAT COULD BE PAYABLE BY YOU UNDER SECTION 15(H). DAMAGES TO YOUR HOME, BELONGINGS OR PROPERTY RESULTING FROM THE INSTALLATION OR OPERATION OF THE SYSTEM ARE COVERED IN THE LIMITED WARRANTY. 14. Default. You will be in default under this Power Purchase Agreement if any one of the following occurs: (a) you fail to make any payment when it is due and such failure continues for aperiod of ten (10) days; (b) you fail to perform any material obligation that you have undertaken in this PPA (which includes doing Contract ID: Solar F.Z Poorer Purchase ADreemcnt ver Jon p02171-014 SUnnnva something you have agreed not to do; Like alter the System) and such failure continues for a period of fourteen (14) days after written notice; (c) you or your guarantor have provided any false or misleading financial or other information to obtain this Power Purchase Agreement; (d) you assign, transfer, encumber, sublet or sell this PPA or any part of the System without Sunnova's prior written consent; or (e) you or any guarantor makes an assignment for the benefit of creditors, admits in writing its insolvency, files or there is filed against you or it a voluntary petition in bankruptcy, is adjudicated bankrupt or insolvent or undertakes or experiences any substantially similar activity. 15. Remedies in Case of Default. If this Power Purchase Agreement is in default, we may take any one or more of the following actions. If the law requires us to do so, we will give you notice and wait any period of time required before taking any of these actions. We may: (a) terminate this PPA; (b) take any reasonable action to correct your default or to prevent our loss: any amount we pay will be added to the amount you owe us and will be immediately due: (c) require you, at your expense, to return the System or make it available to us in a reasonable manner; (d) proceed, by appropriate court action, to enforce performance of this PPA and to recover damages for your breach.- (e) reach:(e) disconnect, turn off or take 'back the System by legal process or self-help, but we may not disturb the peace or violate the law; (f) report such non -operational status of the System to your utility, informing them that you are no longer net metering: (g) charge you a reasonable reconnection fee for reconnecting the System to your utility or turning the System back on after we disconnect or turn off the System due to your default; c: 2008-2014 Stnmova Energy Corporation. All Rights Reserved. I Fait Greemvav Plar.a Ste 5, Hottstctrr, TX 77{)10 r 381.9ti5.99Ut1 wtivvv.sturuwva.arm (h) recover from you (i) all accrued but unpaid Monthly Payments, taxes, late charges, penalties, interest and all or any other stuns then accrued or due and owing, plus (ii) the estimated amount of future Monthly Payments, each payment discounted to present value at 5% per annum, plus (iii) reasonable compensation, on a net after tax basis assuming a tax rate of 35%, for the loss or recapture of (A) the investment tax credit equal to thirty percent (301Io) of the System cost, including installation; and (B) accelerated depreciation over five (5) years equal to eighty five percent (85%) of the System cost, including installation, and for the loss of any anticipated benefits pursuant to Section 8 of this PPA (Sunnova shall furnish you with a detailed calculation of such compensation if such a claim is made); or (i) use any other remedy available to us in this PPA or by law. We may report information about your performance under this PPA to consumer credit agencies (credit bureaus). Late payments, missed payments or other defaults hereunder may be be reflected in your credit report_ You agree to repay us for any reasonable amounts we incur to correct or cover your default and to enforce our rights under this PPA .including, but not limited to, attorney's fees and court costs. You also agree to reimburse us for any costs and expenses we incur relating to the System's return resulting from early termination. By choosing any one or more of these remedies, Sunnova does not give up its right to use another remedy. By deciding not to use any remedy should this Power Purchase Agreement be in default, Sunnova does not give up our right to use that remedy in case of a subsequent default. 16. System Removal; Return. At the end of the Term or the termination of this PPA, if you have not renewed this PPA or exercised your purchase option (if any) and you have not defaulted, then within ninety (90) days you agree to call Sunnova at the telephone number listed in Exhibit 1, or any other number we notify you of in the future, to schedule a convenient time for Sunnova to remove the System from your Home at no cost to you unless the tennination was due to your default which is addressed in Section 15. 17. Applicable Law. The laws of the state where your Home is located, without giving effect to conflict of laws principles, shall govern this PPA, except the Federal Arbitration Act, 9 U.S.C. § 1, et seq., shall govern interpretation, enforcement and Conn'act tD: SolasU Power Purchase Agreement version p0217,2014 Sun nava proceedings under Section 18, and not the arbitration acts, statutes or rules of any other jurisdiction. 18. Arbitration. PLEASE READ THIS SECTION CAREFULLY. ARBITRATION REPLACES THE .RIGHT TO GO TO COURT, INCLUDING THE RIGHT TO A JURY AND THE RIGHT TO PARTICIPATE IN A CLASS ACTION OR SIMILAR PROCEEDING. IN ARBITRATION, A DISPUTE IS RESOLVED BY AN ARBITRATOR INSTEAD OF A JUDGE OR JURY. We agree that any dispute, claim or disagreement between us (a "Dispute') shall be resolved exclusively by arbitration. The arbitration, including the selecting of the arbitrator, will be administered by the American Arbitration Association ("AAA"), under its Commercial Arbitration Rules (the "Rules") by a single neutral arbitrator agreed on by the parties within thirty (30) days of the commencement of the arbitration. The arbitration will be governed by the Federal Arbitration Act (Title 9 of the U.S. Code). Either party may initiate the arbitration process by filing the necessary forms with AAA. To learn more about arbitration, you can call any AAA office or review the .rnaterials at www.adr.org. The arbitration shall be held in the location that is closest to your Home. If you initiate the arbitration, you will be required to pay all of the filing fees and all of the arbitration fees and costs. If we initiate the arbitration, we will pay all of the filing fees and all of the arbitration fees and costs. We will each bear all of our own attorney's fees and costs except that: (A) you are entitled to recover your attorney's fees and costs from Sunnova if you prevail in the arbitration and the award you receive from the arbitrator is higher than Sunnova's last written settlement offer; and (B) Sunnova is entitled to recover its attorney's fees and costs from you if it prevails in the arbitration or if the award you receive from the arbitrator is equal to or less than Sunnova's last written settlement offer. When determining whether your award is higher, equal to or louver than Sunnova's last written settlement offer your attorney's fees and costs will not be included. Only Disputes involving you and Sunnova may be addressed in the arbitration. Disputes must be brought in the name of an individual person or entity and must proceed on an individual (non -class, non -representative) basis. The arbitrator will not award relief for or against anyone who is not a party. If either of us arbitrates a Dispute, neither of us, nor any other person, may pursue the Dispute in arbitration as a class action, class arbitration, private attorney general action or other representative action, nor may any such Dispute be pursued on your or our behalf in any litigation in any court. Claims regarding any Dispute and remedies �:: 2005-_014 Sunnova Fner,,4 Corporation. All Rights Reserved. '0 I:a,t Greenway Pla7,a Str 475, Houston, TX 77046 'r 28 i .985.9900 NVVVw.suunuv,.t.com sought as part of a class action, class arbitration, private attorney general or other representative action are subject to arbitration on an individual (non -class, non -representative) basis, and the arbitrator may award relief only on an individual (non -class, non -representative) basis. This means that the arbitration may not address disputes involving other persons with disputes similar to the Disputes between you and Sunnova. The arbitrator shall have the authority to award any legal or equitable remedy or relief that a court could order or grant under this agreement. The arbitrator, however, is not authorized to change or alter the terms of this agreement or to make any award that would extend to any transaction other than yours. All statutes of limitations that are applicable to any dispute shall apply to any arbitration between its. The Arbitrator will issue a decision or award in writing, briefly stating the essential findings of fact and conclusions of law. BECAUSE YOU AND WE HAVE AGREED TO ARBITRATE ALL DISPUTES .EXCEPT AS PROVIDED FOR IN THE LAST PARAGRAPH OF THIS SECTION 18, NEITHER OF US WILL HAVE THE RIGHT TO LITIGATE THAT DISPUTE IN COURT, OR TO HAVE A JURY TRIAL ON THAT DISPUTE. OR ENGAGE IN DISCOVERY EXCEPT AS PROVIDED FOR IN TIIE RULES. FURTHER, YOU WiLL NOT HAVE THE RiGHT TO PARTiCIPATE AS A REPRESENTATIVE OR MEMBER OF .ANY CLASS PERTAINING TO .ANY DISPUTE. THE ARBITRATOR'S DECISION WILL BE FINAL AND BINDING ON THE PARTIES ANDMAY BE ENTERED AND ENFORCED IN ANY COURT HAVING JURISDICTION, EXCEPT TO THE EXTENT IT IS SUBJECT TO REVIEW IN ACCORDANCE WITH APPLICABLE LAW GOVERNING ARBITRATION AWARDS. OTHER RIGHTS THAT YOU OR WE WOULD HAVE IN COURT MAY ALSO NOT BE AVAILABLE IN ARBITRATION. NOTWITHSTANDING THE FOREGOING, NOTHING HEREIN C'ONTAiNED SHALL BAR THE RIGHT OF SUNNOVA TO: (1) OBTAIN INJUNCTIVE RELIEF FROM A COURT AGAINST THREATENED CONDUCT THAT COULD CAUSE IT LOSS OR DAMAGES, UNDER THE USUAL EQUITY RULES, INCLUDING THE APPLICABLE RULES FOR OBTAINING RESTRAINING ORDERS AND PRELIMINARY iN.iUNCTIONS; OR (I1) OBTAIN A JUDGMENT FROM A COURT :HAVING JUSRISDICTION CONFIRMING THE AWARD OF THE ARBITRATORS. 19. Waiver. Any delay or failure ofa. party to enforce any of the provisions of this PP.A, including but not limited to any remedies listed in this PPA, or to require performance by the other party of any of the provisions of this PPA, shall Contract tD: Solar E7 PoN�er Purchase :agreement version p02172014 su n nova not be construed to (i) be a waiver of such provisions or a party's right to enforce that provision; or (ii) affect the validity of this PPA. 20. Notices. All notices under this PPA shall be in writing and shall be by personal delivery, facsimile transmission, electronic ,nail, overnight courier, or certified or registered mail. return receipt requested, and deemed received upon personal delivery, acknowledgment of receipt of electronic transmission, the promised delivery date after deposit with overnight courier, or five (5) days after deposit in the mail. Notices shall be sent to the person identified in this .PPA at the addresses set forth in this PPA or such other address as either party may specify in writing. Each party shall deem a document faxed to it as an original document. 21. Entire Agreement, Chances. This PPA contains the parties' entire agreement regarding the sale and purchase of power generated by the System. There are no other agreements regarding this PPA, either written or oral. Any change to this PPA must be in writing and signed by both parties. If any portion of this PPA is detennined to be unenforceable, the remaining provisions shall be enforced in accordance with their terms or shall be interpreted or re -written so as to make them enforceable. 22. Publicitv. Sumiova will not publicly use or display any images of the System unless you initial the space below. If you initial the space below, you give us permission to take pictures of the System as installed on your home to show to other customers or display on our website. Homeowner's Initials 23. Counterparts. This PPA may be executed simultaneously in any number of counterparts. Each counterpart shall be deemed to be an original, and all such counterparts shall constitute one and the same instrument. The parties agree that this PPA. and signature pages may be signed electronically and transmitted between them by facsimile or by electronic mail and that electronic, faxed and PDF signatures shall constitute original signatures and that an electronic, faxed or PDF signature page containing the signature (electronic, taxed, PDF or original) is binding upon the parties. 10 2008-_014 Sunnova F,nergy Corporation. All Rights Reserved. 20 Eas,t Greenway Plaza Ste 475, H_QU41 11, TX 7 104O T "81.985.9900 www.sunnova.co m 24. Further Assurances. You will cooperate fully with us to effect the intent and provisions of this PPA and, from time to time. to execute and deliver any and all other agreements, documents or instruments, and to take such other actions, as Sunnova may determine to be reasonably necessary or desirable to effect the intent and provisions of this PPA. REST OF PAGE INTENTIONALLY LEFT BLANK Contract [D: Solar F7 Power Purchase Agrcemcnt version p0217201 l Sunnn-Va 1 1 G- 2005-2014 Sunnova Fner,py Cotj)oration. All Rights Reserved. 20 East Grccnwav Plaza Ste 475, Fiouston, TX 77046 I' 281.985.9000lww.sunnova.conr 25. NOTICE OF RIGHT TO CANCEL. YOU, THE OWNER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO s u n nnva MIDNIGHT OF THE SEVENTH CALENDAR DAY AFTER THE DATE OF THIS TRANSACTION. SEE EXHIBIT 4, THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. 1 have read this Power Purchase Agreement and the Exhibits in their entirety and I acknowledge that 1 have received a complete copy of this Power Purchase Agreement. Owner's Name: Brian Birchall Signature: Date: July 28th 2015 Co -Owner's Name (if any): Erin Birchall Sigtiature: jig Date: Sunnova Energy Corporation: 41�y�nda Attaway SVP Operations Sunnova Energy Corporation Date Contract ID: Solar F7 Poxv er PUrchase Agreement vemion p021 72-0 14 12 c; 2008-2014 Sunnova Fnergy Corporation. All Rights Reserved. AC0 0� DATE tMMIDDtVY"; CERTIFICATE QE LIABILITY INSURANCE F1C/29 'la THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT A.FFAMtATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED By THE POLICIES BELOW THIS CERTIFtCATr OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN.SURER(3). AUT4�!ORI2EL� REFRESETtTA TIVE OR PRODUCER. ANC THE CERTIFICATE HOLDER. ! IMPORTANT If the certificate holder is an ADGITiCItiA.L INSURED. the poiicy(imA, esf must be endorsed. It SUBROGATION IS VIIAIVED. suhjecltf^ the terms arlc ccnditicns of the policy Certain, policies may require an endorseent_ statement cn this Certificate does not corifer rights to 'the Certificate holder in lieu ofsuch endorsementtsl. IfPROOUCER AR. AGENCY 7 Court S t, a t 111 Y , V 6c 7: .l..i i:• i; Nw; L '•�� CONTACT BaSba.T3 Fi3 d2_T', NAME: Hayder. PHONE (732)462-2343 FAX wot• ! 32; gC-8a; E-MAIL bahayden@dittsnar;. assurance . com I INSURER Si ArGOROINC COVERAGE NAIC 4 INSURER A,HL'I-Geriin Alfieri Ca Insurance I INSURED Trinity Reatina & P r Inc., DFsh,: rr,r_jry Sclar BPT.P Future Moldings LLC 2211 Allenwood Road Wsli T NJ 07719 INSURERB:%ortf3 River Ynaur'ance Coln- an lNSURERC:L10 d'J, London INSURE RC: INSURERD INSURER F: - -- -- vcr�nrwMlGrvuIWOGK:<ule-1� Liao master KEVISLUNNUMt3EK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AF-0—VE—FOP—THE POLICY PERIOD INDICATED, NOT'NITHSTANDING 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 SHGAIN MAY HAVE EEEN REDUCED EY PAID CLAIMS. TSR TYPE OF INSURANCE POLICY PLUMBER MPOLICYEFF A1lOD �� �P LIMITS GENERAL LUIBIUTY X CCIAhtERCtAi. GENERAL LIABILITY A CLAIMS -MADE rx-1 OCCUR Gf CCOOCOCS614 2/1/2014 1/1/2015 EACH OCCURRENCE _. 3 1 , 000101010 EMISES fEs *ccummol 5001000 MED EXP ( time parson) 4 PERSONAL & ADV INJURY S 11000,000 Barbara Hayden! BAR GENERALAGOREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICYPRO` LOC PRODUCTS--COMPIOP AGG S 21000,000 $ AUTOMOBILE UARiurYM A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS --000065514 /1/2014 1/1/2015 IN - S!N LEU - I �" -L-..11000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S HIRED AUTOS NON -OWNED AUTOS •--• Lease/Lmm Gao $ UMBRELLA UAB OCCUR B K EXCESSLJAB CLAIMS -WOE ZNDER11012014 2/1/2014 X11112015 EACH OCCURRENCE S 1510001000 AGGREGATE S 15,000,000 DED RETENTIONS pl WORKERS COMPENSATION ANDEMPL.OYERS'UABILITY YEN ANY PROPMETORIPARTNERJEXECUTNE OFRCMMEMSER EXCUIDE0y NIA (Mam)atminNMI Ifyyssss, descrioounder IND&R11012014 w=000065614 111/2014 1/L/2014 1/1/2015 1/1/2015 Limit xof$10,000o0O $ $15,000,000 STATU- DTH• EL EACH ACCIDENT $ . 1 000 000 E.LDISEASE .-EAEMP $ 1 000 000 DE�RIPTIONOFOPERATIONS OeKhv. E.L. DISEASE -POLICY LIMIT $ 1 000 000 C Errors & Omissions Pollution Liability PGXAR=201402 /30/2014 /30/2015 per Occurrence $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) NJ CERTIFICATE HOLDER CANCELLA'TtON - --- — k Iwvu? INS025 zoioos! 01 O 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE: CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Trinity Heating & Air, Inc • ACCORDANCE WITH THE POLICY PROVISIONS. T/A Trinity Solar AUTHORIZED REPRESENTATIVE 2211 Allenwood Road Wall Twp, NJ 07719 A flnfi r`. 7r fnn.f nfn r•, Barbara Hayden! BAR - --- — k Iwvu? INS025 zoioos! 01 O 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ?t? �;:r"iayl?I(ar'CFi' 4 lttd 1'j d.yti''ai.' $I selt,� �� r�}tI iYj77t�1 T r7 I Y?41 un.;' r �1ip'{,";- Arl-'I i£d0t, Bti-14ler-i/ oil T. nwto�rsj Fleet PiusmbE'r'in 1r)7 1 �., :'I i��,.", !isttan�y,,,r+rl Tg[�.7_elyd0(a.'Intt t'Ii1tU..il: t,<:_ Cill.v/State/Zip:_r,,,> ., Fillone 4: Arc you an employer ° Check the appropriate box: Type of project (required): 1 din a employer v ith employ 1 full and/or pari-trmel` %. New Construction 2.0 lam a sole proprietor or partnership and have no ampklvecs working for me in 8. [] Remodeling any capacity [tufo workers' comp insurance required.! 9. C1 Demolition I am a homeowner doing all work myself [No workers comp insurance required j ' 10 [] Building addition 4 f arr+ a homeowner and will be hiring' contractor• to conduct all work on my property I +A1 ensure thai all contractors either have workers" compensation insurance or are sole 1 1,F71 Electrical repairs or additions proprietor; with no amploy��s. ?� Plumbing repairs or additions S.Q I am a general contractorand I have hired the sub-contractorsI. listed on the attached sheet 113.[:] Roof repairs Chese sub -contractors have employees and have worker.,' comp insurance ' �--g 14. C] Other 5 1! We:Ire a corporation and its officers have exer:ised their right of exemption per MG1. c t52, § It4}, and we have no cmplovees. [No workers' comp insurance required.! 'Ally appicant that enec"s box 41 must ;al so till out the section below showing their r;orkers- compensation policy information lfilnteowners who submit this affidavit indicating they ara doing ail work and then hire outside contractors must submit a new afFidavit indicating such. ,Contractors; that check this box must attached an additional sheet shoaa'in [he 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 xray employees. Below is the policy and job site information. I Insurance Company Mame: Policy # or Self -ins. Lic. 9- .lob Site address: 72 Mablin Avenue City!Statei""Zip: North Andover, MA 01845 Attach ;a copy of the workers' compensation policy declaration page (showing the policy number and expiration dale), Failure to secure coverage as required under MGL a 152. §250 is a criminal violation punishable by a fine up to $1,500,00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator, A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cern y under the pains art. enallies of perjury that the information provided above is true and correct. tom.., .a ,. 1 1.,.1.1 n A La 10/5/15 Phone #: Q,f,ii>:iai use only. Ilia not write in this area, to be completed by city or town of l. Oita' or,row n. Permit/License # Issuing Authority (circle one", L Board of Health Z, P,aas`.Iding; l)epartaalie.rat 1 Cita/Towvaa Clerk 4.'Eiectt7'acwJ Inspector 5.. Plumbing Inspe€tow b„ Other coniatt 1'ersow Phone Location 7A No. Date 4-2—o6 �pRTM TOWN OF NORTH ANDOVER 3?per tt`•o _•,hp F � w Certificate of Occupancy $; sArual .1 Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #2 19091 6:P! X Building Inspector